Sample records for continents

  1. Evolving Continents (United States)

    Hamilton, Warren

    Brian Windley succeeds very well indeed at the formidable task he sets for himself in this greatly revised second edition of a book that first appeared in 1977. He synthesizes primarily the tectonic and petrologic evolution of the continents and secondarily their economic geologic, stratigraphic, and biologic history. The book is organized in well-balanced time sequence and topical chapters, followed by a fine overview. The author describes examples, generalizes from them, and seeks understanding of variations with time and with depth of the process acting on continents within a plate tectonic framework.

  2. Adjustable continence balloons

    DEFF Research Database (Denmark)

    Kjær, Line; Fode, Mikkel; Nørgaard, Nis


    Abstract Objective. This study aimed to evaluate the results of the Danish experience with the ProACT urinary continence device inserted in men with stress urinary incontinence. Material and methods. The ProACT was inserted in 114 patients. Data were registered prospectively. The main endpoints...... in urinary leakage > 50% was seen in 72 patients (80%). Complications were seen in 23 patients. All of these were treated successfully by removal of the device in the outpatient setting followed by replacement of the device. Another eight patients had a third balloon inserted to improve continence further....... Fourteen patients (12%) ended up with an artificial sphincter or a urethral sling. Sixty patients (63%) experienced no discomfort and 58 (61%) reported being dry or markedly improved. Overall, 50 patients (53%) reported being very or predominantly satisfied. Conclusions. Adjustable continence balloons seem...

  3. Bonanza from the frozen continent

    Digital Repository Service at National Institute of Oceanography (India)

    Setty, M.G.A.P.

    Antarctica is a circumpolar continent surrounded by the Southern Ocean which is about 36 million sq kms and about 10% of the worlds oceans. Ice covers 98% of the continent and the rest is a non glacial terrain. Temperatures on Antarctica...

  4. Paleomagnetism continents and oceans

    CERN Document Server

    McElhinny, Michael W; Dmowska, Renata; Holton, James R; Rossby, H Thomas


    Paleomagnetism is the study of the fossil magnetism in rocks. It has been paramount in determining that the continents have drifted over the surface of the Earth throughout geological time. The fossil magnetism preserved in the ocean floor has demonstrated how continental drift takes place through the process of sea-floor spreading. The methods and techniques used in paleomagnetic studies of continental rocks and of the ocean floor are described and then applied to determining horizontal movements of the Earth''s crust over geological time. An up-to-date review of global paleomagnetic data enables 1000 millionyears of Earth history to be summarized in terms of the drift of the major crustal blocks over the surface of the Earth. The first edition of McElhinny''s book was heralded as a "classic and definitive text." It thoroughly discussed the theory of geomagnetism, the geologicreversals of the Earth''s magnetic field, and the shifting of magnetic poles. In the 25 years since the highly successful first editio...

  5. [The Kock continent urinary diversion]. (United States)

    Boyd, S D; Skinner, D G; Lieskovsky, G


    The continent ileal reservoir as conceived by Kock produces a low-pressure, high-capacity reservoir with continent and nonrefluxing valves constructed from ileum. From August 1982 through March 1988, 531 patients underwent continent urinary diversion via a Kock reservoir at our institution. Of these, 39 males had a Kock bladder substitution, while the rest underwent cutaneous Kock diversion. Early complications occurred in 16% of all patients, and there was an operative mortality rate of 1.9%. Surgical modifications of nipple fixation, which are discussed in detail in this paper, help to reduce late complications to less than 10%. Patient satisfaction with both procedures remains excellent.

  6. Îles et continents


    Resztak, Karolina; Sanson, Hervé


    Ce numéro huit de la revue Continents manuscrits, à l’enseigne des « Iles et continents », se veut un numéro de varias, une fois n’est pas coutume. Iles et continents car : du Congo aux Antilles, en passant par l’Amérique du Nord, le numéro assume sa géographie plurielle, polycentrée. Le panorama d’auteurs représentés dans la revue est riche et varié : de Joseph Zobel à Sony Labou Tansi, d’Aimé Césaire à Nathanaël, ou René Maran, c’est bien des cartographies mises en relation que ce numéro té...

  7. Conditional cooperation on three continents

    NARCIS (Netherlands)

    Kocher, M.G.; Cherry, T.; Kroll, S.; Netzer, R.; Sutter, M.


    We show in a public goods experiment on three continents that conditional cooperation is a universal behavioral regularity. Yet, the number of conditional cooperators and the extent of conditional cooperation are much higher in the U.S.A. than anywhere else.

  8. The importance of continent tectonic study

    International Nuclear Information System (INIS)

    Carneiro, C.D.R.


    Some aspects of tectonic study in the continents are presented, including the use of methods that measure the isotope radioactive disintegration of some elements presents in rocks and the mineral distribution in African and South American continents. (author)

  9. [Continent colostomy and colon irrigation]. (United States)

    Kostov, D; Temelkov, T; Kiriazov, E; Ivanov, K; Ignatov, V; Kobakov, G


    The authors have studied a functional activity of a continent colostomy at 20 patients, undergone an abdomeno-perineal extirpation of rectum and carried out periodic colonirrigations, during a period of 6 months. A conus type, closed irrigating system has been used. The degree of an incontinency at patients has been compared before and after the beginning of the colonirrigations. The irrigating procedures have reduced spontaneous defications at patients during a week 28 times and have improved the quality of life significantly. The application of colostomy bags has been restricted in 8 (40%) patients. An intraluminal ultrasonographic investigation has been done at 12 (60%) patients at the end of 6 month irrigating period. No changes of the ultrasonographic image of the precolostomic segment of colon has been observed.

  10. The origin of continents and oceans

    National Research Council Canada - National Science Library

    Wegener, Alfred 1880-1930; Biram, John


    .... Wegener proposed that in the remote past the earth's continents were not separate (as now), but formed one supercontinent which later split apart, the fragments gradually drifting away from one another...

  11. Continence care is every nurse's business. (United States)

    Booth, Joanne

    Maintaining continence lies at the heart of a sense of adulthood and is essential to preserving dignity, a core and universal nursing value. This article explores the reasons why poor continence care was found at Mid Staffordshire Foundation Trust, the changes to the culture of the health service that led to it, and why it is so important for nurses to maintain patients' dignity. Recommendations for changing this culture in the future are discussed.

  12. Continent cecostomy. An account of 30 patients. (United States)

    Kock, N G; Myrvold, H E; Philipson, B M; Svaninger, G; Ojerskog, B


    In this paper, an account is given of our experience with continent colostomy in man. In five patients, the end-sigmoidostomy was provided with an intussusception valve. Evacuation of the bowel by irrigation through a catheter was laborious and time-consuming and this method was abandoned. In another group of 30 patients, the cecum was isolated from the rest of the colon and its distal end was provided with an intussusception valve. Of the 30 patients, eight were later given continent ileostomies, two were converted to conventional sigmoidostomies, and one patient with fecal incontinence preferred to have intestinal continuity reestablished. Thus, 19 patients still have continent cecostomies and are satisfied with their function. When comparing the function of the continent cecostomy with that of the continent ileostomy, however, it is obvious that the ileostomy function is superior. The experience obtained with this group of patients has resulted in a widening of the indications for constructing a continent ileostomy, including selected patients with various anorectal disorders.

  13. [Continent ileostomy--indication and possibilities]. (United States)

    Hahnloser, P; Säuberli, H; Geroulanos, S; Schauwecker, H H; Kock, N G


    Proctocolectomy with conventional ileostomy cures patients with severe ulcerative colitis but ileostomy appliances must be worn for the rest of their lives. The continent ileostomy, as devised by Kock, provides the patient with an intraabdominal ileal reservoir and a valve constructed by invaginating the efferent ileal segment into the reservoir. The patient empties his reservoir 2-3 times a day by inserting a catheter through the valve. Our experience with 14 patients is reported. The continent ileostomy was in most cases constructed as a second procedure after proctocolectomy. Minor postoperative complications, such as abscess, fistula or partial luxation of the valve were easily corrected. One patient who underwent proctocolectomy and simultaneous construction of a continent ileostomy died in acute liver failure due to a severe preexisting cirrhosis. All the other patients are continent for feces and gas and do not need external appliances. The construction of a continent ileostomy as a secondary procedure can be recommended in patients with proctocolectomy. It offers patients a life situation with differs only insignificantly from that of normal persons.

  14. [The continent ileostomy--indication and results]. (United States)

    Säuberli, H; Akovbiantz, A; Hahnloser, P


    Proctocolectomy with conventional ileostomy cures patients with severe ulcerative colitis, however ileostomy appliances had to be worn for the rest of their lives. The continent ileostomy as devised by Kock provides the patient with an intraabdominal ileal reservoir and a valve constructed by invaginating the efferent ileal segment into the reservoir. The patient empties his reservoir 2 to 3 times a day by inserting a catheter through the valve. Our experience with 45 patients is reported. In most cases the continent ileostomy was constructed as a second procedure after proctocolectomy. The construction of a continent ileostomy as a secondary procedure can be recommended in patients with proctocolectomy. It offers patients a life situation differing only insignificantly from that of normal persons.

  15. Continence following radical retropubic prostatectomy using self-reporting instruments. (United States)

    Lepor, Herbert; Kaci, Ledia; Xue, Xiaonan


    We performed a global self-assessment of continence following radical retropubic prostatectomy (RRP) and determined how this global self-assessment of continence correlates with commonly used definitions of continence. Between October 2000 and February 2002 all men who underwent RRP were encouraged to complete the University of California-Los Angeles Prostate Cancer Index 3, 6, 12 and 24 months postoperatively. Beginning October 2002 a single question capturing the patient global self-assessment of continence status was added to the postoperative continence assessment. The study design was cross-sectional since only continence surveys submitted between October 2002 through February 2003 were evaluated. Sensitivity, specificity and kappa coefficient was determined for the relationship between the patient global assessment of continence vs the definition of continence based on pad requirement, problem due to incontinence and frequency of incontinence. Continence progressively improved 3 to 24 months following RRP for all continence outcomes. At 24 months following RRP 97.1% of men considered themselves continent, while 97.1%, 94.1% and 97.1% were considered continent using continence definitions, including the requirement of no or 1 pad in a 24-hour interval, no or slight bother due to incontinence and total control or occasional dribbling, respectively. Our 3 definitions of continence derived from responses to the University of California-Los Angeles Prostate Cancer Index had excellent agreement with patient global self-assessment of continence (kappa coefficients between 0.76 and 0.83). The majority of men achieve continence without invasive intervention following RRP. Final continence status should be ascertained at 24 months. The patient global assessment of continence provides face validity for other definitions of continence based on responses to validated self-administered questionnaires.

  16. Europe the continent with the lowest fertility

    NARCIS (Netherlands)

    Baird, D. T.; Collins, J.; Evers, J. L. H.; Leridon, H.; Lutz, W.; Velde, E. Te; Thevenon, O.; Crosignani, P. G.; Devroey, P.; Diedrich, K.; Fauser, B. C. J. M.; Fraser, L.; Geraedts, J. P. M.; Gianaroli, L.; Glasier, A.; Sunde, A.; Tarlatzis, B.; Van Steirteghem, A.; Veiga, A.


    INTRODUCTION: Although fertility rates are falling in many countries, Europe is the continent with the lowest total fertility rate (TFR). This review assesses trends in fertility rates, explores possible health and social factors and reviews the impact of health and social interventions designed to

  17. Failed pelvic pouch substituted by continent ileostomy. (United States)

    Wasmuth, H H; Tranø, G; Wibe, A; Endreseth, B H; Rydning, A; Myrvold, H E


    The long-term failure rate of ileal pouch-anal anastomosis (IPAA) is 10-15%. When salvage surgery is unsuccessful, most surgeons prefer pouch excision with conventional ileostomy, thus sacrificing 40-50 cm of ileum. Conversion of a pelvic pouch to a continent ileostomy (CI, Kock pouch) is an alternative that preserves both the ileal surface and pouch properties. The aim of the study was to evaluate clinical outcome after the construction of a CI following a failed IPAA. During 1984-2007, 317 patients were operated with IPAA at St Olavs Hospital and evaluated for failure, treatment and outcome. Seven patients with IPAA failure had CI. Four patients with IPAA failure referred from other hospitals underwent conversion to CI and are included in the final analysis. Seven patients had a CI constructed from the transposing pelvic pouch and four had the pelvic pouch removed and a new continent pouch constructed from the distal ileum. Median follow up after conversion to CI was 7 years (0-17 years). Two CI had to be removed due to fistulae. One patient needed a revision of the nipple valve due to pouch loosening. At the end of follow-up, 8 of the 11 patients were fully continent. One patient with Crohn's disease had minor leakage. In patients with pelvic pouch failure, the possibility of conversion to CI should be presented to the patient as an alternative to pouch excision and permanent ileostomy. The advantage is the continence and possibly a better body image. Construction of a CI on a new ileal segment may be considered, but the consequences of additional small bowel loss and risk of malnutrition if the Kock pouch fails should be appraised.

  18. Spreading continents kick-started plate tectonics. (United States)

    Rey, Patrice F; Coltice, Nicolas; Flament, Nicolas


    Stresses acting on cold, thick and negatively buoyant oceanic lithosphere are thought to be crucial to the initiation of subduction and the operation of plate tectonics, which characterizes the present-day geodynamics of the Earth. Because the Earth's interior was hotter in the Archaean eon, the oceanic crust may have been thicker, thereby making the oceanic lithosphere more buoyant than at present, and whether subduction and plate tectonics occurred during this time is ambiguous, both in the geological record and in geodynamic models. Here we show that because the oceanic crust was thick and buoyant, early continents may have produced intra-lithospheric gravitational stresses large enough to drive their gravitational spreading, to initiate subduction at their margins and to trigger episodes of subduction. Our model predicts the co-occurrence of deep to progressively shallower mafic volcanics and arc magmatism within continents in a self-consistent geodynamic framework, explaining the enigmatic multimodal volcanism and tectonic record of Archaean cratons. Moreover, our model predicts a petrological stratification and tectonic structure of the sub-continental lithospheric mantle, two predictions that are consistent with xenolith and seismic studies, respectively, and consistent with the existence of a mid-lithospheric seismic discontinuity. The slow gravitational collapse of early continents could have kick-started transient episodes of plate tectonics until, as the Earth's interior cooled and oceanic lithosphere became heavier, plate tectonics became self-sustaining.

  19. 21 CFR 876.5030 - Continent ileostomy catheter. (United States)


    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Continent ileostomy catheter. 876.5030 Section 876...) MEDICAL DEVICES GASTROENTEROLOGY-UROLOGY DEVICES Therapeutic Devices § 876.5030 Continent ileostomy catheter. (a) Identification. A continent ileostomy catheter is a flexible tubular device used as a form...

  20. [Functional anatomy of the male continence mechanism]. (United States)

    Schwalenberg, T; Neuhaus, J; Dartsch, M; Weissenfels, P; Löffler, S; Stolzenburg, J-U


    The basic structures and organs contributing to continence in men are far less well investigated than in women. This concerns anatomical and functional aspects as well. Especially the cooperation of single components and the dynamic anchoring in the pelvic floor require further investigation. An improved anatomical-functional interpretation is needed to generate therapeutic concepts orientated at the physiology of the bladder neck.Therefore, the focus of anatomical investigations should be on the external sphincter which is the main muscle responsible for urethral closure as well as on the connective tissue, smooth muscular and neuronal structures in the pelvis. The smooth muscular structures involved are the internal sphincter, the inner parts of the external sphincter, the urethral longitudinal musculature, and parts of the centrum perinei and of the ventral suspension apparatus which fixes the position of the bladder neck and seems to be vital for continence and initiation of micturition. These new findings imply an integral concept for men as was developed for women. A first step in this regard would be a consistent and updated anatomical nomenclature.

  1. Young Africans Tackle Their Continent's Environmental Issues (United States)

    Olwoch, Jane Mukarugwiza


    Young African Scientists Session at the Fourth International Geosphere-Biosphere Programme Congress; Cape Town, South Africa, 7 May 2008; Africa is often described as a unique and diverse continent. This is reflected in its biodiversity, economic and social circumstances, and diversity in culture and environment. The Young African Scientists (YAS) session at the International Geosphere-Biosphere Programme Congress was one of the congress's highlights. Global environmental change research in Africa was presented to an audience that included visiting international and national scientists, policy makers, and a group of schoolchildren. From the uniqueness of Africa's paleoclimate to the diversity and complexity of current and future impacts of environmental change on Africa, the session not only provided an overview of current projects but also highlighted the problems that are intertwined with poverty. This session was sponsored by the Global Change System for Analysis, Research, and Training (START).

  2. Our Continent, Our Future: African Perspectives on Structural ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Our Continent, Our Future: African Perspectives on Structural Adjustment ... Our Continent, Our Future presents the emerging African perspective on this complex issue. ... approach to structural adjustment, and it does so with the input and support ... Committee of the Association of African Universities, the International Board ...

  3. A continent in chaos: Africa's environmental issues. (United States)

    Clay, R


    Half of Africa's almost 450 million inhabitants have no access to health services, while two-thirds lack safe drinking water, according to a 1991 report by the World Bank. Most Africans are also seriously affected by poverty, civil war, indoor and outdoor pollutants, diarrhea-causing microbes, tropical diseases such as malaria, rapid population growth, inadequate sanitation and sewage treatment, poor environmental management, corrupt government policies, desertification and deforestation, mining, and the overuse of pesticides and insecticides. Environmentally-related diseases compromise the continent's productivity, making it more difficult to generate revenue to fight the environmental health problems. Industrial pollutants remain rare, however, since almost 80% of sub-Saharan Africa remains pastoral or agro-pastoral. Even so, urbanization is exposing growing numbers of sub-Saharan Africans to hazardous and toxic wastes. Developing countries ship their most dangerous wastes to Africa because their own domestic environmental laws and the high costs of disposal make it difficult and expensive to dispose of them at home. The author discusses population growth in Africa; the lack of good data on the environment and health in Africa; infant and child mortality; water, sewage, and garbage; agriculture, mining, and industry; and sustainable development and the future.

  4. Continous Infusion of Remifentanil Plus Ketamine Compared with Continous Remifentanil for Pain Relief in Labour

    Directory of Open Access Journals (Sweden)

    Anooshe Khajehdehi


    Full Text Available Abstract Background and objective: Pain relief during labour is an important determinant of a women’s birth experience. There are numerous pain relief techniques which can be used either with or without pain medication. The aim of our study was to compare the effect of remifentanil alone and its effect in pain relief while using with ketamine during labour. Methods: After obtaining informed consent and approval of hospital ethics committee, 40 women with gestational age between 38 and 42 weeks gestation in early labour were recruited for this study. They were randomly allocated into two groups: group RK (20 cases received 25 μg remifentanil as a starting dose and continuous infusion of 0.06 μg/kg/min remifentanil plus 0.5 mg/kg/h ketamine for 4 hours via pump and group R (20 cases received 25 μg remifentanil as a starting dose and continous infusion of 0.06 μg/kg/min remifentanil. Results: The baseline of pain scores were similar in both groups (5.75 ± 2.51 vs 7 ± 2.45, p= 0.12 but after 30 minutes to 120 minutes the VAS scores were significantly higher in R group (p< 0.001. The rate of patients who were satisfied (excellent and very good in RK was 80% but in R group was 45% (p = 0.03. Nausea and vomiting were significantly higher in R group (p<0.05. Conclusion: The remifentanil plus ketamine produced better pain relief during labour with continous monitoring than continous remifentanil with no adverse effects for mothers and infants.


    Directory of Open Access Journals (Sweden)

    V. A. Perepechay


    Full Text Available The paper presents the technical characteristics of radical prostatectomy (RPE for early continence recovery in patients with prostate cancer. Restoration of the fascial structures of the small pelvis after RPE has been found to promote early urinary continence recovery. A method for total restoration of the fascial structures of the small pelvis (an operation after A. Tewari and a procedure for performing posterior suspension of urethrocystic neoanastomosis in Denonvilliers’ fascia length deficit are considered, which show the similar results in the time of continence recovery.

  6. Factors predicting early return of continence after radical prostatectomy. (United States)

    Sandhu, Jaspreet S; Eastham, James A


    Success of radical prostatectomy is measured by control of cancer and return of urinary and sexual function. Urinary incontinence is generally considered the greatest impairment in immediate postoperative urinary function. Multiple factors are associated with earlier return of urinary continence after radical prostatectomy. These factors can be divided into those known prior to surgery, and therefore possibly not modifiable, and factors that can be controlled during surgery or surgical planning. In addition, various postoperative maneuvers can help hasten urinary continence. This article examines the effect of known factors related to early return of urinary continence after radical prostatectomy.

  7. Development and Validation of the Role Profile of the Nurse Continence Specialist: A Project of the International Continence Society. (United States)

    Paterson, Janice; Ostaszkiewicz, Joan; Suyasa, I Gede Putu Darma; Skelly, Jennifer; Bellefeuille, Lesley

    Although nurses have specialized in the management of incontinence, bladder, bowel, and pelvic floor dysfunction for more than 30 years, there is a lack of awareness and underutilization of their role. This article describes a 6-year project to define, characterize, and validate a role profile of the Nurse Continence Specialist. Data collection used a 2-phase, mixed-methods design. Phase 1 of the project resulted in a draft Nurse Continence Specialist role profile and Phase 2 led to validation of the draft profile. The result was a broad consensus about what constitutes the specific skill set for Nurse Continence Specialist specialization within nursing.

  8. Preferential rifting of continents - A source of displaced terranes (United States)

    Vink, G. E.; Morgan, W. J.; Zhao, W.-L.


    Lithospheric rifting, while prevalent in the continents, rarely occurs in oceanic regions. To explain this preferential rifting of continents, the total strength of different lithospheres is compared by integrating the limits of lithospheric stress with depth. Comparisons of total strength indicate that continental lithosphere is weaker than oceanic lithosphere by about a factor of three. Also, a thickened crust can halve the total strength of normal continental lithosphere. Because the weakest area acts as a stress guide, any rifting close to an ocean-continent boundary would prefer a continental pathway. This results in the formation of small continental fragments or microplates that, once accreted back to a continent during subduction, are seen as displaced terranes. In addition, the large crustal thicknesses associated with suture zones would make such areas likely locations for future rifting episodes. This results in the tendency of new oceans to open along the suture where a former ocean had closed.

  9. Literature review of factors affecting continence after radical prostatectomy

    Directory of Open Access Journals (Sweden)

    Dalibor Pacik


    Full Text Available Radical prostatectomy (RP is the most common cause of stress urinary incontinence (UI in men. Several anatomic structures affect or may affect urinary continence - urethral sphincter, levator ani muscle, puboprostatic ligaments, bladder neck, endopelvic fascia, neurovascular bundle - and understanding of the anatomy of pelvic floor and urethra is crucial for satisfactory functional outcome of the procedure. Surgical techniques implemented to improve continence rates include nerve-sparing procedure, bladder neck preservation/plication, urethral length preservation, musculofascial reconstruction, puboprostatic ligaments preservation or seminal vesicle preservation. Perioperative (preoperative and postoperative pelvic floor muscle training (PFMT aims to shorten the duration of postoperative UI and thus, improve early continence rates postoperatively. In the review, complex information regarding anatomical, intra- and perioperative factors affecting urinary continence after RP is provided, including description of important anatomical structures, possible implications for surgical technique and evaluation of different PFMT strategies in perioperative period.

  10. The utilization and valuation of the program CONTIN

    International Nuclear Information System (INIS)

    Yu Weizhong; Sun Yizhan


    The updated analysis program CONTIN(PALS2) based on the Laplace inversion of positron annihilation spectra has been studied comprehensively. The principle and utilization of the program have been explained exhaustively. Three auxiliary programs have been made to help the transportation of data and adjustment of the data's pattern. Four experiments have been made, the results computed by program CONTIN(PALS2) have been analyzed, and compared with those by POSIREONFIT program

  11. Fission track imaging of the Australian continent

    International Nuclear Information System (INIS)

    Gleadow, A.; Kohn, B.; O'Sullivan, P.; Brown, R.; Gallagher, K.


    Full text: Techniques to reconstruct the thermal histories of rocks in the low-temperature environment of the upper crust have previously found important applications in such areas as sedimentary basin analysis, the evolution of convergent orogenic belts and studies of extensional tectonic environments. Increasingly large sets of thermochronology data are now becoming available on an even larger scale from the apatite fission-track system (for temperatures <∼110 deg C). Additional information is also now starting to emerge at even lower temperatures (<∼75 deg C) from the apatite (U-Th)/He system. The results from such systems can be used in novel ways to examine and visualise the evolution of the upper part of the continental crust. Quantitative modelling has brought a new dimension to this work and forward-modelling procedures are now well established which give 'best fit' thermal histories for temperatures less than about 110 deg C. In many cases the modelled thermal histories provide a proxy for rock transport towards the surface as overlying material is removed by denudation. Such information allows a reconstruction of the denudation history of the land surface. Applying these modelling procedures to large regional arrays of fission-track data means that the thermal history information can now be integrated with other regional data sets to provide an important new perspective on crustal and surface evolution. Apatite fission track analysis has now been completed on nearly 3000 surface outcrop samples across Australia under an AGCRC project to image the thermotectonic evolution of the exposed basement rocks of the continent. The samples analysed are mostly from rocks of broadly granitic composition and the apatites separated from these are overwhelmingly fluorapatites, which are consistent in their fission-track annealing properties with those on which the numerical annealing models are based. By interpolating the calculated thermal histories a series of

  12. [Pseudo-continent perineal colostomy. Results and techniques]. (United States)

    Lasser, P; Dubé, P; Guillot, J M; Elias, D


    This prospective study was conducted to assess functional results obtained after pseudo-continent perineal colostomy using the Schmidt procedure. Functional outcome was assessed in 40 patients who had undergone amputation of the rectum for cancer and pseudo-continent perineal colostomy reconstruction between 1989 and 1995 in our institution. The cancer pathology, operative procedure and post-operative care were noted. Morbidity, functional outcome and degree of patient satisfaction were recorded. Mean follow-up was 45 months (18-87) in 100% of the patients. There were no operative deaths. Twenty patients had post-operative complications and 2 patients required early conversion to definitive abdominal colostomy due to severe perineal complications. Function outcome showed normal continence in 4 patients, air incontinence in 23, occasional minimal leakage in 9 and incontinence requiring iliac colostomy in 2. Eighty-six percent of the patients were highly satisfied or satisfied with their continence capacity. Pseudo-continent perineal colostomy is a reliable technique which can be proposed as an alternative to left iliac colostomy after amputation of the rectum for cancer if a rigorous procedure is applied: careful patient selection, informed consent, rigorous surgical procedure, daily life-long irrigation of the colon.

  13. Study on sediments from Almirantado Bay in the Antarctica continent

    International Nuclear Information System (INIS)

    Gomes, Marcelo da Silva; Montone, Rosalinda Carmela; Weber, Rolf Roland


    The Antarctic Continent is relatively free from human activities but it already comes presenting low levels of environmental contamination for anthropogenic sources. The anthropogenic contamination can be taken mainly to the continent through different manners for the marine and atmospheric currents. This work has as objective to analyze samples of sediments from Antarctic Continent in the area of Almirantado Bay, where the Brazilian Station of Resource Comandante Ferraz is located. The concentrations of ten metallic elements (Ni, Cu, Zn, Cd, Sn, Pb, U, Al, Fe and Li) were analyzed in twelve collection sites along the whole Bay. AAS and HR-ICPMS accomplished the analyses of those metallic elements. It was verified in the obtained results that a variation does not exist in the concentrations obtained among the collection sites, indicating a homogeneity in the area and there is no evidence of polluting source, at least at those obtained concentration levels. (author)

  14. A Geological Model for the Evolution of Early Continents (Invited) (United States)

    Rey, P. F.; Coltice, N.; Flament, N. E.; Thébaud, N.


    Geochemical probing of ancient sediments (REE in black shales, strontium composition of carbonates, oxygen isotopes in zircons...) suggests that continents were a late Archean addition at Earth's surface. Yet, geochemical probing of ancient basalts reveals that they were extracted from a mantle depleted of its crustal elements early in the Archean. Considerations on surface geology, the early Earth hypsometry and the rheology and density structure of Archean continents can help solve this paradox. Surface geology: The surface geology of Archean cratons is characterized by thick continental flood basalts (CFBs, including greenstones) emplaced on felsic crusts dominated by Trondhjemite-Tonalite-Granodiorite (TTG) granitoids. This simple geology is peculiar because i/ most CFBs were emplaced below sea level, ii/ after their emplacement, CFBs were deformed into relatively narrow, curviplanar belts (greenstone basins) wrapping around migmatitic TTG domes, and iii/ Archean greenstone belts are richly endowed with gold and other metals deposits. Flat Earth hypothesis: From considerations on early Earth continental geotherm and density structure, Rey and Coltice (2008) propose that, because of the increased ability of the lithosphere to flow laterally, orogenic processes in the Archean produced only subdued topography (continents, Flament et al. (2008) proposed a theory for the hypsometry of the early Earth showing that, until the late Archean, most continents were flooded and Earth was largely a water world. From this, a model consistent with many of the peculiar attributes of Archean geology, can be proposed: 1/ Continents appeared at Earth's surface at an early stage during the Hadean/Archean. However, because they were i/ covered by continental flood basalts, ii/ below sea level, and iii/ deprived of modern-style mountain belts and orogenic plateaux, early felsic

  15. Early reported rectal sensation predicts continence in anorectal anomalies. (United States)

    Skerritt, Clare; Tyraskis, Athanasios; Rees, Clare; Cockar, Iram; Kiely, Edward


    Straining at stool is an automatic reflex in babies and implies the presence of rectal sensation. We hypothesised that early reported rectal sensation would predict future continence in children with anorectal anomalies. The aim of this study is to determine if early straining at stool was a useful predictor of future continence in infants born with high anorectal malformations. A retrospective case note review of prospectively collected clinical information was performed with institutional review board approval. All patients with intermediate/high anorectal malformation operated on by a single surgeon from 1984 to 2010 were included. After stoma closure, parents were asked: The responses were noted within the first year of stoma closure and then all patients were followed up until they were at least 3 ½years old and continence could be assessed using the Krickenbeck outcome classification. Data were compared using Fisher's exact test and sensitivity, specificity and positive predictive value (PPV) were calculated. Forty-eight patients were included in the study. Sixteen (33%) were female (12 cloacal malformation, 3 rectovaginal fistula, 1 rectal atresia) and 32 (66%) were male (6 rectovesical fistulae, 22 rectourethral fistulae, 4 no fistula). Median follow-up was 9.7years (range 3.5-17.9). Twenty-one children were noted by their parents to exhibit early straining at stool after stoma closure. Twenty of them achieved long term continence. The sensitivity of early straining as a predictor for long term continence was 77%, specificity 95% and positive predictive value 95%. The presence of early rectal sensation reported by parents is a good predictor of long term continence. This allows more informed discussion with families in the early years of life. Copyright © 2016 Elsevier Inc. All rights reserved.

  16. Impact of aerosols from the Asian Continent on the adjoining ...

    Indian Academy of Sciences (India)

    J. Earth Syst. Sci. ... aerosol impact on weather and climate, which is ... factor in climate models. The impact of aerosols from the Asian Continent .... as cloudy. Such data grids generated for each month in different years for the period of study.

  17. Our Continent, Our Future: African Perspectives on Structural ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Our Continent, Our Future: African Perspectives on Structural Adjustment ... Our Future presents the emerging African perspective on this complex issue. ... This important book should be read by students, professors, academics, and ... the Council for the Development of Social Research in Africa in Dakar, Senegal.

  18. a simple test to predict faecal continence before colostomy closure

    African Journals Online (AJOL)

    reconstituted with water to a consistency that matches the surgeon's notion of normal faeces. ... there be no leakage the colostomy can be reversed. The study was a .... 100 mmHg, more than a quarter of matched continent controls also had a ...

  19. The problem of early continence recovery after radical prostatectomy

    Directory of Open Access Journals (Sweden)

    A. A. Kachmazov


    Full Text Available Background. The highest rate of incontinence after radical prostatectomy (RP is observed in the first 2–6 months after surgery. In order  to decrease the period of incontinence, virous surgical methods aimed at preservation and reconstruction of structures participating  in the mechanism of urine retention has been developed and improved.The study objective is to evaluate effectiveness of an original method of formation of an urethral anastomosis in the early continence recovery.Materials and methods. Data on 126 patients who underwent retropubic RP were analyzed. Depending on the method of urethral anastomosis formation, patients were divided into 2 groups: in the 1st group (n = 52 the patients underwent PR with urethra suspension m. levator ani, in the 2nd (n = 74 – standard RP. In the 1st group, 6 ligatures were applied to the anterior and posterior urethra walls: at the 12 and 6 hour projections through the mucosa, submucosa, and smooth muscle; at the 10, 2, 4, and 8 hour projections – more laterally with capture of the m. levator ani medial margins. Continence recovery was evaluated on days 1, 7, and 14 after urinary catheter removal and then at days 30, 90, 180, and 365 after RP. The criteria of continence were absence of urine leakage at rest and during physical activity and a necessity of using a safety liner.Results. There weren’t any significant differences at day 1 after urinary catheter removal between the two groups (р > 0.05. In the 1st group, continence values at days 30, 90, and 180 after RP were significantly higher (57.7, 69.2, and 71.1 %, respectively compared to the 2nd group (35.1, 41.9, and 51.3 %, respectively (р <0.05.Conclusion. Results of this work show significant benefits of RP with urethra suspension m. levator ani compared to standard RP per continence recovery criteria at days 7, 14, 30, 90, and 180 after the surgery. The technique of urethra suspension m. levator ani is easy to perform and ensures

  20. Mantle temperature under drifting deformable continents during the supercontinent cycle (United States)

    Yoshida, Masaki


    The thermal heterogeneity of the Earth's mantle under the drifting continents during a supercontinent cycle is a controversial issue in earth science. Here, a series of numerical simulations of mantle convection are performed in 3D spherical-shell geometry, incorporating drifting deformable continents and self-consistent plate tectonics, to evaluate the subcontinental mantle temperature during a supercontinent cycle. Results show that the laterally averaged temperature anomaly of the subcontinental mantle remains within several tens of degrees (±50 °C) throughout the simulation time. Even after the formation of the supercontinent and the development of subcontinental plumes due to the subduction of the oceanic plates, the laterally averaged temperature anomaly of the deep mantle under the continent is within +10 °C. This implies that there is no substantial temperature difference between the subcontinental and suboceanic mantles during a supercontinent cycle. The temperature anomaly immediately beneath the supercontinent is generally positive owing to the thermal insulation effect and the active upwelling plumes from the core-mantle boundary. In the present simulation, the formation of a supercontinent causes the laterally averaged subcontinental temperature to increase by a maximum of 50 °C, which would produce sufficient tensional force to break up the supercontinent. The periodic assembly and dispersal of continental fragments, referred to as the supercontinent cycle, bear close relation to the evolution of mantle convection and plate tectonics. Supercontinent formation involves complex processes of introversion, extroversion or a combination of these in uniting dispersed continental fragments, as against the simple opening and closing of individual oceans envisaged in Wilson cycle. In the present study, I evaluate supercontinent processes in a realistic mantle convection regime. Results show that the assembly of supercontinents is accompanied by a

  1. Madagascar: Heads It's a Continent, Tails It's an Island (United States)

    de Wit, Maarten J.

    Neither geologists nor biologists have a definition that is capable of classifying Madagascar unambiguously as an island or a continent; nor can they incorporate Malagasy natural history into a single model rooted in Africa or Asia. Madagascar is a microcosm of the larger continents, with a rock record that spans more than 3000 million years (Ma), during which it has been united episodically with, and divorced from, Asian and African connections. This is reflected in its Precambrian history of deep crustal tectonics and a Phanerozoic history of biodiversity that fluctuated between cosmopolitanism and parochialism. Both vicariance and dispersal events over the past 90 Ma have blended a unique endemism on Madagascar, now in decline following rapid extinctions that started about 2000 years ago.

  2. A review of continent scale hydrological datasets available for Africa


    Bonsor, H.C.


    As rainfall becomes less reliable with predicted climate change the ability to assess the spatial and seasonal variations in groundwater availability on a large-scale (catchment and continent) is becoming increasingly important (Bates, et al. 2007; MacDonald et al. 2009). The scarcity of observed hydrological data, or difficulty in obtaining such data, within Africa means remotely sensed (RS) datasets must often be used to drive large-scale hydrological models. The different ap...

  3. What is important for continent catheterizable stomas: angulations or extension?

    Directory of Open Access Journals (Sweden)

    Marcelo L. Vilela


    Full Text Available OBJECTIVE: We developed an experimental ex-vivo model to define factors that may influence continence of catheterizable channels by urinary and colonic stomas based on the principle of imbrication of the outlet tube. MATERIALS AND METHODS: From 20 pigs, colon specimens with 25 cm length were obtained and a transverse flap with 3.0 cm length x 1.5 cm width in the average point of the intestine was tubulated to create an efferent tube. With the tube configured, it was embedded by 3 seromuscular stitches far 0.5 cm each other. A pressure study of both intra-luminal surface and channel was then conducted during the filling of the submerse piece with environmental air in a water container, to define the efferent channel continence. The study was repeated after the progressive release of suture stitches until only one stitch remains. RESULTS: Channel continence analyzed in each segment in three different valve length situations, making a total of 20 segments, revealed that with 3 stitches (1.5 cm valve the maximum average pressure prior to overflow was 54 cm H2O; 53.65 cm H2O with 2 stitches (1.0 cm of valve, and 55.45 cm H2O with only one stitch (0.5 cm of valve, which are the same values. The record at the segment explosion pressure was 67.87 cm H2O. CONCLUSION: The study showed that angulation of channel with colon, maintained by only one stitch (0.5 cm imbrication was more important than a larger extension of the valve, represented by 3 suture stitches (1.5 cm imbrication in order to allow continence to the efferent channel.

  4. Colon pouch (Mainz III) for continent urinary diversion. (United States)

    Stolzenburg, Jens-Uwe; Schwalenberg, Thilo; Liatsikos, Evangelos N; Sakelaropoulos, George; Rödder, Kilian; Hohenfellner, Rudolph; Fisch, Margit


    To evaluate the use of a continent cutaneous pouch made exclusively of colon (Mainz pouch III), as excellent results with the Mainz pouch III in irradiated patients suggested that the indication for this type of urinary diversion could be extended. The outcome of 24 patients with continent cutaneous urinary diversions using colon segments (Mainz pouch III) was investigated retrospectively. Overall, 22 of the patients had a malignant disease and two a benign disease; 16 had a hysterectomy and pelvic exenteration for gynaecological tumours; two men with a rhabdomyosarcoma of the prostate had a radical cystoprostatectomy; one woman had pelvic exenteration for bladder cancer; one man had a simultaneous rectum resection due to infiltrating rectal cancer, and another a left nephrectomy with cystectomy for concomitant kidney and bladder tumour. Benign indications were hyper-reflexive bladder after polytrauma and two cases of neurogenic bladder dysfunction. Eighteen patients had radiotherapy (32-48 Gy) before the urinary diversion. The mean (range) follow-up was 35 (12-65) months. The mean pouch capacity was 293.8 mL. Three patients died during the follow-up (two from disease progression and one suicide); 20 patients were fully continent, four with reduced pouch capacity (<300 mL) had slight incontinence and are wearing a protective pad (band-aid at the umbilicus). All patients use intermittent self-catheterization (mean catheterization frequency 6.8/day, range 6-12). Complications related to the pouch were one outlet stenosis that required revision. Postoperative pouchograms showed asymptomatic reflux in four patients. None of the patients developed metabolic acidosis or diarrhoea. The Mainz pouch III is an alternative to other types of continent urinary diversion.

  5. Multiple sclerosis and continence issues: an exploratory study. (United States)

    Wollin, Judy; Bennie, Mary; Leech, Christine; Windsor, Carol; Spencer, Nancy

    The study described in this article aimed to identify issues relating to incontinence and assess the impact of referral to a continence adviser on the lives of people with multiple sclerosis (MS). The study design used an in-depth, two-phase anonymous mail survey within a general community as nominated by the participants. Fifty-six people participated in phase 1 and eleven people completed phase 2. The results indicated that incontinence is a problem for the vast majority of participants--people with MS. One-third of the eligible participants took up the option of a consultation, assessment and treatment from a continence nurse. Reasons for not taking up the visit from the continence nurse included 'managing OK', 'didn't think it would help', 'embarrassed' and 'too busy'. Increasing awareness of urinary incontinence in the community is important and education needs to focus on at-risk groups in presenting the range of options available to assist people experiencing incontinence.

  6. Smart wireless continence management system for persons with dementia. (United States)

    Wai, Aung Aung Phyo; Fook, Victor Foo Siang; Jayachandran, Maniyeri; Biswas, Jit; Nugent, Chris; Mulvenna, Maurice; Lee, Jer-En; Kiat, Philp Yap Lian


    Incontinence is highly prevalent in the elderly population, especially in nursing home residents with dementia. It is a distressing and costly health problem that affects not only the patients but also the caregivers. Effective continence management is required to provide quality care, and to eliminate high labor costs and annoyances to the caregivers resulting from episodes of incontinence. This paper presents the design, development, and preliminary deployment of a smart wireless continence management system for dementia-impaired elderly or patients in institutional care settings such as nursing homes and hospitals. Specifically, the mote wireless platform was used to support the deployment of potentially large quantities of wetness sensors with wider coverage and with dramatically less complexity and cost. It consists of an intelligent signal relay mechanism so that the residents are free to move about in the nursing home or hospital and allows personalized continence management service. Preliminary results from a trial in a local nursing home are promising and can significantly improve the quality of care for patients.

  7. How Do People Make Continence Care Happen? An Analysis of Organizational Culture in Two Nursing Homes (United States)

    Lyons, Stacie Salsbury


    Purpose: Although nursing homes (NHs) are criticized for offering poor quality continence care, little is known about the organizational processes that underlie this care. This study investigated the influence of organizational culture on continence care practices in two NHs. Design and Methods: This ethnographic study explored continence care…

  8. Groundwater systems of the Indian Sub-Continent

    Directory of Open Access Journals (Sweden)

    Abhijit Mukherjee


    Full Text Available The Indian Sub-Continent is one of the most densely populated regions of the world, hosting ∼23% of the global population within only ∼3% of the world's land area. It encompasses some of the world's largest fluvial systems in the world (River Brahmaputra, Ganges and Indus Basins, which hosts some of the highest yielding aquifers in the world. The distribution of usable groundwater in the region varies considerably and the continued availability of safe water from many of these aquifers (e.g. Bengal Basin is constrained by the presence of natural contaminants. Further, the trans-boundary nature of the aquifers in the Indian Sub-Continent makes groundwater resource a potentially politically sensitive issue, particularly since this region is the largest user of groundwater resources in the world. Indeed, there is considerable concern regarding dwindling well yield and declining groundwater levels, even for the highly productive aquifers. Though irrigation already accounts for >85% of the total ground water extraction of the region, there is a mounting pressure on aquifers for food security of the region. Highly variable precipitation, hydrogeological conditions and predicted, impending climate change effects provide substantial challenges to groundwater management. The observed presence of natural groundwater contaminants together with the growing demand for irrigated food production and predicted climate change further complicate the development of strategies for using groundwater resources sustainably. We provide an introduction and overview of 11 articles, collated in this special issue, which describe the current condition of vulnerable groundwater resources across the Indian Sub-Continent.

  9. A Zn isotope perspective on the rise of continents. (United States)

    Pons, M-L; Fujii, T; Rosing, M; Quitté, G; Télouk, P; Albarède, F


    Zinc isotope abundances are fairly constant in igneous rocks and shales and are left unfractionated by hydrothermal processes at pH 1‰ during the ~2.35 Ga Great Oxygenation Event. By 1.8 Ga, BIF δ(66) Zn has settled to the modern value of FeMn nodules and encrustations (~0.9‰). The Zn cycle is largely controlled by two different mechanisms: Zn makes strong complexes with phosphates, and phosphates in turn are strongly adsorbed by Fe hydroxides. We therefore review the evidence that the surface geochemical cycles of Zn and P are closely related. The Zn isotope record echoes Sr isotope evidence, suggesting that erosion starts with the very large continental masses appearing at ~2.7 Ga. The lack of Zn fractionation in pre-2.9 Ga BIFs is argued to reflect the paucity of permanent subaerial continental exposure and consequently the insignificant phosphate input to the oceans and the small output of biochemical sediments. We link the early decline of δ(66) Zn between 3.0 and 2.7 Ga with the low solubility of phosphate in alkaline groundwater. The development of photosynthetic activity at the surface of the newly exposed continents increased the oxygen level in the atmosphere, which in turn triggered acid drainage and stepped up P dissolution and liberation of heavy Zn into the runoff. Zinc isotopes provide a new perspective on the rise of continents, the volume of carbonates on continents, changing weathering conditions, and compositions of the ocean through time. © 2013 Blackwell Publishing Ltd.

  10. Promoting Simulation Globally: Networking with Nursing Colleagues Across Five Continents. (United States)

    Alfes, Celeste M; Madigan, Elizabeth A

    Simulation education is gaining momentum internationally and may provide the opportunity to enhance clinical education while disseminating evidence-based practice standards for clinical simulation and learning. There is a need to develop a cohesive leadership group that fosters support, networking, and sharing of simulation resources globally. The Frances Payne Bolton School of Nursing at Case Western Reserve University has had the unique opportunity to establish academic exchange programs with schools of nursing across five continents. Although the joint and mutual simulation activities have been extensive, each international collaboration has also provided insight into the innovations developed by global partners.

  11. Archean komatiite volcanism controlled by the evolution of early continents. (United States)

    Mole, David R; Fiorentini, Marco L; Thebaud, Nicolas; Cassidy, Kevin F; McCuaig, T Campbell; Kirkland, Christopher L; Romano, Sandra S; Doublier, Michael P; Belousova, Elena A; Barnes, Stephen J; Miller, John


    The generation and evolution of Earth's continental crust has played a fundamental role in the development of the planet. Its formation modified the composition of the mantle, contributed to the establishment of the atmosphere, and led to the creation of ecological niches important for early life. Here we show that in the Archean, the formation and stabilization of continents also controlled the location, geochemistry, and volcanology of the hottest preserved lavas on Earth: komatiites. These magmas typically represent 50-30% partial melting of the mantle and subsequently record important information on the thermal and chemical evolution of the Archean-Proterozoic Earth. As a result, it is vital to constrain and understand the processes that govern their localization and emplacement. Here, we combined Lu-Hf isotopes and U-Pb geochronology to map the four-dimensional evolution of the Yilgarn Craton, Western Australia, and reveal the progressive development of an Archean microcontinent. Our results show that in the early Earth, relatively small crustal blocks, analogous to modern microplates, progressively amalgamated to form larger continental masses, and eventually the first cratons. This cratonization process drove the hottest and most voluminous komatiite eruptions to the edge of established continental blocks. The dynamic evolution of the early continents thus directly influenced the addition of deep mantle material to the Archean crust, oceans, and atmosphere, while also providing a fundamental control on the distribution of major magmatic ore deposits.

  12. Climate control of terrestrial carbon exchange across biomes and continents

    Energy Technology Data Exchange (ETDEWEB)

    Yi Chuixiang; Wolbeck, John; Xu Xiyan [School of Earth and Environmental Sciences, Queens College, City University of New York, NY 11367 (United States); Ricciuto, Daniel [Environmental Sciences Division, Oak Ridge National Laboratory, Oak Ridge, TN 37831 (United States); Li Runze [Department of Statistics, Pennsylvania State University, University Park, PA 16802 (United States); Nilsson, Mats [Department of Forest Ecology, Swedish University of Agricultural Sciences, SE-901 83 Umeaa (Sweden); Aires, Luis [CESAM and Department of Environmental Engineering, School of Technology and Management, Polytechnic Institute of Leiria (Portugal); Albertson, John D [Department of Civil and Environmental Engineering, Duke University, Durham, NC 22708-0287 (United States); Ammann, Christof [Federal Research Station Agroscope Reckenholz-Taenikon, Reckenholzstrasse 191, 8046 Zuerich (Switzerland); Arain, M Altaf [School of Geography and Earth Sciences, McMaster University, Hamilton, ON, L8S 4K1 (Canada); De Araujo, Alessandro C [Instituto Nacional de Pesquisas da Amazonia, Programa LBA, Campus-II, Manaus-Amazonas 69060 (Brazil); Aubinet, Marc [University of Liege, Gembloux Agro-Bio Tech, Unit of Biosystem Physics, 2 Passage des Deportes, 5030 Gembloux (Belgium); Aurela, Mika [Finnish Meteorological Institute, Climate Change Research, FI-00101 Helsinki (Finland); Barcza, Zoltan [Department of Meteorology, Eoetvoes Lorand University, H-1117 Budapest, Pazmany setany 1/A (Hungary); Barr, Alan [Climate Research Division, Environment Canada, Saskatoon, SK, S7N 3H5 (Canada); Berbigier, Paul [INRA, UR1263 EPHYSE, Villenave d' Ornon F-33883 (France); Beringer, Jason [School of Geography and Environmental Science, Monash University, Clayton, Victoria 3800 (Australia); Bernhofer, Christian [Institute of Hydrology and Meteorology, Dresden University of Technology, Pienner Strasse 23, D-01737, Tharandt (Germany)


    Understanding the relationships between climate and carbon exchange by terrestrial ecosystems is critical to predict future levels of atmospheric carbon dioxide because of the potential accelerating effects of positive climate-carbon cycle feedbacks. However, directly observed relationships between climate and terrestrial CO{sub 2} exchange with the atmosphere across biomes and continents are lacking. Here we present data describing the relationships between net ecosystem exchange of carbon (NEE) and climate factors as measured using the eddy covariance method at 125 unique sites in various ecosystems over six continents with a total of 559 site-years. We find that NEE observed at eddy covariance sites is (1) a strong function of mean annual temperature at mid- and high-latitudes, (2) a strong function of dryness at mid- and low-latitudes, and (3) a function of both temperature and dryness around the mid-latitudinal belt (45 deg. N). The sensitivity of NEE to mean annual temperature breaks down at {approx} 16 deg. C (a threshold value of mean annual temperature), above which no further increase of CO{sub 2} uptake with temperature was observed and dryness influence overrules temperature influence.

  13. Experimental study of faecal continence and colostomy irrigation. (United States)

    O'Bichere, A; Sibbons, P; Doré, C; Green, C; Phillips, R K


    Colostomy irrigation is a useful method of achieving faecal continence in selected conditions, but remains largely underutilized because it is time consuming. This study investigated the effect of modifying irrigation technique (route, infusion regimen and pharmacological manipulation) on colonic emptying time in a porcine model. An end-colostomy and caecostomy were fashioned in six pigs. Twenty markers were introduced into the caecum immediately before colonic irrigation. Irrigation route (antegrade or retrograde), infusion regimen (tap water, polyethylene glycol (PEG), 1.5 per cent glycine) and pharmacological agent (glyceryl trinitrate (GTN) 0.25 mg/kg, diltiazem 3.9 mg/kg, bisacodyl 0.25 mg/kg) were assigned to each animal at random. Colonic transit was assessed by quantifying cumulative expelled markers (CEM) and stool every hour for 12 h. Mean CEM at 6 h for bisacodyl, GTN and diltiazem were 18.17, 12.17 and zero respectively; all pairwise differences in means were significant (P irrigation. PEG and glycine enhance emptying similar to bisacodyl and GTN solution. These findings show promise for improved faecal continence by colostomy irrigation and may justify construction of a Malone conduit at the time of colostomy in selected patients who wish to irrigate. Presented in part to the British Society of Gastroenterology in Glasgow, UK, March 1999, and published in abstract form as Gut 1999; 44(Suppl 1): A135

  14. Continents as lithological icebergs: The importance of buoyant lithospheric roots (United States)

    Abbott, D.H.; Drury, R.; Mooney, W.D.


    An understanding of the formation of new continental crust provides an important guide to locating the oldest terrestrial rocks and minerals. We evaluated the crustal thicknesses of the thinnest stable continental crust and of an unsubductable oceanic plateau and used the resulting data to estimate the amount of mantle melting which produces permanent continental crust. The lithospheric mantle is sufficiently depleted to produce permanent buoyancy (i.e., the crust is unsubductable) at crustal thicknesses greater than 25-27 km. These unsubductable oceanic plateaus and hotspot island chains are important sources of new continental crust. The newest continental crust (e.g., the Ontong Java plateau) has a basaltic composition, not a granitic one. The observed structure and geochemistry of continents are the result of convergent margin magmatism and metamorphism which modify the nascent basaltic crust into a lowermost basaltic layer overlain by a more silicic upper crust. The definition of a continent should imply only that the lithosphere is unsubductable over ??? 0.25 Ga time periods. Therefore, the search for the oldest crustal rocks should include rocks from lower to mid-crustal levels.

  15. Climate control of terrestrial carbon exchange across biomes and continents

    International Nuclear Information System (INIS)

    Yi Chuixiang; Wolbeck, John; Xu Xiyan; Ricciuto, Daniel; Li Runze; Nilsson, Mats; Aires, Luis; Albertson, John D; Ammann, Christof; Arain, M Altaf; De Araujo, Alessandro C; Aubinet, Marc; Aurela, Mika; Barcza, Zoltan; Barr, Alan; Berbigier, Paul; Beringer, Jason; Bernhofer, Christian


    Understanding the relationships between climate and carbon exchange by terrestrial ecosystems is critical to predict future levels of atmospheric carbon dioxide because of the potential accelerating effects of positive climate-carbon cycle feedbacks. However, directly observed relationships between climate and terrestrial CO 2 exchange with the atmosphere across biomes and continents are lacking. Here we present data describing the relationships between net ecosystem exchange of carbon (NEE) and climate factors as measured using the eddy covariance method at 125 unique sites in various ecosystems over six continents with a total of 559 site-years. We find that NEE observed at eddy covariance sites is (1) a strong function of mean annual temperature at mid- and high-latitudes, (2) a strong function of dryness at mid- and low-latitudes, and (3) a function of both temperature and dryness around the mid-latitudinal belt (45 deg. N). The sensitivity of NEE to mean annual temperature breaks down at ∼ 16 deg. C (a threshold value of mean annual temperature), above which no further increase of CO 2 uptake with temperature was observed and dryness influence overrules temperature influence.

  16. Clinical value of colonic irrigation in patients with continence disturbances. (United States)

    Briel, J W; Schouten, W R; Vlot, E A; Smits, S; van Kessel, I


    Continence disturbances, especially fecal soiling, are difficult to treat. Irrigation of the distal part of the large bowel might be considered as a nonsurgical alternative for patients with impaired continence. This study is aimed at evaluating the clinical value of colonic irrigation. Thirty-two patients (16 females; median age, 47 (range, 23-72) years) were offered colonic irrigation on an ambulatory basis. Sixteen patients suffered from fecal soiling (Group I), whereas the other 16 patients were treated for fecal incontinence (Group II). Patients were instructed by enterostomal therapists how to use a conventional colostomy irrigation set to obtain sufficient irrigation of the distal part of their large bowel. Patients with continence disturbances during the daytime were instructed to introduce 500 to 1,000 ml of warm (38 degrees C) water within 5 to 10 minutes after they passed their first stool. In addition, they were advised to wait until the urge to defecate was felt. Patients with soiling during overnight sleep were advised to irrigate during the evening. To determine clinical outcome, a detailed questionnaire was used. Median duration of follow-up was 18 months. Ten patients discontinued irrigation within the first month of treatment. Symptoms resolved completely in two patients. They believed that there was no need to continue treatment any longer. Irrigation had no effect in two patients. Despite the fact that symptoms resolved, six patients discontinued treatment because they experienced pain (n = 2) or they considered the irrigation to be too time-consuming (n = 4). Twenty-two patients are still performing irrigations. Most patients irrigated the colon in the morning after the first stool was passed. Time needed for washout varied between 10 and 90 minutes. Frequency of irrigations varied from two times per day to two times per week. In Group I, irrigation was found to be beneficial in 92 percent of patients, whereas 60 percent of patients in Group II

  17. Anorectal function in patients with complete rectal prolapse. Differences between continent and incontinent individuals. (United States)

    Roig, J V; Buch, E; Alós, R; Solana, A; Fernández, C; Villoslada, C; García-Armengol, J; Hinojosa, J


    A study is made of the alterations in anorectal physiology among rectal prolapse patients, evaluating the differences between fecal continent and incontinent individuals. Eighteen patients with complete rectal prolapse were divided into two groups: Group A (8 continent individuals) and Group B (10 incontinent women), while 22 healthy women were used as controls (Group C). Clinical exploration and perineal level measurements were performed, along with anorectal manometry, electrophysiology, and anorectal sensitivity to electrical stimuli. The main antecedents of the continent subjects were excess straining efforts, while the incontinent women presented excess straining and complex deliveries. Pathological perineal descent was a frequent finding in both groups, with a hypotonic anal canal at rest (p rest than the continent women (p rest, regardless of whether they are continent to feces or not. Continent patients have less pudendal neuropathy and therefore less pressure alterations at voluntary sphincter squeeze than incontinent individuals.

  18. Social Work in a Developing Continent: The Case of Africa

    Directory of Open Access Journals (Sweden)

    Christopher Chitereka


    Full Text Available Social work is a professional approach to ameliorating social problems. It is generally understood as a helping profession that utilizes professionally qualified personnel who use its knowledge base to help people tackle their social problems (Mupedziswa, 2005. Nevertheless, in developing countries, social work is a relatively young profession which was influenced by colonialism in its formation. The type of social work practiced in these countries largely mirrors the one that is being practiced in Britain, France and Portugal among others. Utilizing the continent of Africa as a case study, this article argues that social work practice in Africa tends to be curative or remedial in nature and is not adequately addressing people’s problems. It therefore proposes a paradigm shift from remedial to a social development paradigm if it is to make an impact in the 21st century.

  19. International Continence Society Good Urodynamic Practices and Terms 2016

    DEFF Research Database (Denmark)

    Rosier, Peter F W M; Schaefer, Werner; Lose, Gunnar


    AIMS: The working group initiated by the ICS Standardisation Steering Committee has updated the International Continence Society Standard "Good Urodynamic Practice" published in 2002. METHODS: On the basis of the manuscript: "ICS standard to develop evidence-based standards," a new ICS Standard......). RESULTS: This evidence-based ICS-GUP2016 has newly or more precisely defined more than 30 terms and provides standards for the practice, quality control, interpretation, and reporting of urodynamics; cystometry and pressure-flow analysis. Furthermore, the working group has included recommendations for pre......-testing information and for patient information and preparation. On the basis of earlier ICS standardisations and updating according to available evidence, the practice of uroflowmetry, cystometry, and pressure-flow studies are further detailed. CONCLUSION: ICS-GUP2016 updates and adds on to ICS-GUP2002 to improve...

  20. Radon at the Mauna Loa Observatory: transport from distant continents

    International Nuclear Information System (INIS)

    Whittlestone, S.; Robinson, E.; Ryan, S.


    Continuous measurements of radon have been made at an altitude of 3400m at the Mauna Loa Observatory, Hawaii. Concentrations ranged from about 20 to more than 700mBq m -3 . These were similar to values at remote Macquarie I., some 2000 km south of Australia in the Southern Ocean. At Mauna Loa, the radon concentrations could usually be separated into free tropospheric and island influenced categories on the basis of local meteorological observations. On one occasion a long range transport event from Asia brought relatively high radon concentrations to Mauna Loa and persisted for several days. The Asian origin of this event was supported by wind trajectories. This measurement program demonstrates the value of radon data in evaluating air transport models and the influence of transport from distant continents on baseline atmospheric measurements. (author)

  1. Using a handbook to improve nurses' continence care. (United States)

    Williams, K; Roe, B; Sindhu, F

    Nursing care should be based on sound research evidence with demonstrated clinical effectiveness. Dissemination of this research evidence is, therefore, of paramount importance. A study using focus groups was undertaken during 1993-1994 to evaluate the dissemination of a clinical handbook for continence care to qualified nurses, in relation to reported nursing practice in care of the elderly wards/units in one health authority. A total of 124 nurses participated in the study and 98 variables were included. Improvements were recorded in nurses' responses between the pre-test and post-test for 84 (86 per cent) variables in the experimental group and 58 (59 per cent) in the control group. This demonstrates the positive value of the clinical handbook as a method of disseminating research evidence.

  2. Electricity in Africa or the continent of paradoxes

    International Nuclear Information System (INIS)

    Heuraux, Christine


    This article first proposes an overview of the present situation of the electricity sector in Africa: the continent is an energy giant because of all the resources it possesses, but an electricity dwarf regarding its present and actual capacities. The author outlines the differences between potential and actual productions, gives an overview of the current status of supply and of production capacities. She comments the status of electricity demand, electricity consumption and electricity markets in the different parts of Africa (data of electricity consumption, of global, urban and rural electrification in Northern Africa, Western Africa, Central Africa, Eastern Africa, Southern Africa with or without South Africa), and issues related to costs and tariffs. She proposes some explanations for the observed discrepancies between African regions and countries: history, too small markets supported by too fragile economies, political and economic failures. Then, she discusses how to favour a durable development of the African electricity sector

  3. Plants of the American continent with antimalarial activity

    Directory of Open Access Journals (Sweden)

    Ingrid R. Mariath

    Full Text Available Malaria is a human parasitic disease caused by protozoa species of the Plasmodium genus. This disease has affected populations of the tropical and subtropical regions. About 500 million new cases occur annually on the world and therefore it is considered an emerging disease of important public health problem. In this context, the natural products as vegetables species have their bioactive molecules as targets for pharmacological, toxicological and phytochemical studies towards the development of more effective medicines for the treatment of many diseases. So this work intends to aid the researchers in the study of natural products to the treatment of malaria. In this review, 476 plants of the American continent were related for the antimalarial activity and of these vegetables species 198 were active and 278 inactive for some type of Plasmodium when they were evaluated through of in vitro or in vivo bioassays models.

  4. Children with chronic continence problems: the challenges for families. (United States)

    Erickson, David V; Ray, Lynne D


    For families who are raising children with myelomeningocele, bowel and bladder incontinence presents unique challenges for everyday life. The Parenting and Childhood Chronicity model is used to describe the work of raising a child with a chronic condition in 6 areas, including medical care, adapted parenting, dealing with the systems, caring for siblings, maintaining relationships, and personal coping (keeping yourself going). This article provides an overview of the physiologic and developmental challenges inherent in this neural tube defect and illustrates the work that is involved in the child's care and the challenges of maintaining a balance in family life. Clinical implications are discussed, including the setting of appropriate expectations, providing parents with accurate information, ensuring that a focus on continence is not at the expense of other important aspects of the child's functioning, and supporting parents in their interaction with the school system. The medical team, consisting of nursing, urology, nephrology, and psychology working together, can be a strong support for families.

  5. Plasmodium vivax Diversity and Population Structure across Four Continents. (United States)

    Koepfli, Cristian; Rodrigues, Priscila T; Antao, Tiago; Orjuela-Sánchez, Pamela; Van den Eede, Peter; Gamboa, Dionicia; van Hong, Nguyen; Bendezu, Jorge; Erhart, Annette; Barnadas, Céline; Ratsimbasoa, Arsène; Menard, Didier; Severini, Carlo; Menegon, Michela; Nour, Bakri Y M; Karunaweera, Nadira; Mueller, Ivo; Ferreira, Marcelo U; Felger, Ingrid


    Plasmodium vivax is the geographically most widespread human malaria parasite. To analyze patterns of microsatellite diversity and population structure across countries of different transmission intensity, genotyping data from 11 microsatellite markers was either generated or compiled from 841 isolates from four continents collected in 1999-2008. Diversity was highest in South-East Asia (mean allelic richness 10.0-12.8), intermediate in the South Pacific (8.1-9.9) Madagascar and Sudan (7.9-8.4), and lowest in South America and Central Asia (5.5-7.2). A reduced panel of only 3 markers was sufficient to identify approx. 90% of all haplotypes in South Pacific, African and SE-Asian populations, but only 60-80% in Latin American populations, suggesting that typing of 2-6 markers, depending on the level of endemicity, is sufficient for epidemiological studies. Clustering analysis showed distinct clusters in Peru and Brazil, but little sub-structuring was observed within Africa, SE-Asia or the South Pacific. Isolates from Uzbekistan were exceptional, as a near-clonal parasite population was observed that was clearly separated from all other populations (FST>0.2). Outside Central Asia FST values were highest (0.11-0.16) between South American and all other populations, and lowest (0.04-0.07) between populations from South-East Asia and the South Pacific. These comparisons between P. vivax populations from four continents indicated that not only transmission intensity, but also geographical isolation affect diversity and population structure. However, the high effective population size results in slow changes of these parameters. This persistency must be taken into account when assessing the impact of control programs on the genetic structure of parasite populations.

  6. Earth's first stable continents did not form by subduction. (United States)

    Johnson, Tim E; Brown, Michael; Gardiner, Nicholas J; Kirkland, Christopher L; Smithies, R Hugh


    The geodynamic environment in which Earth's first continents formed and were stabilized remains controversial. Most exposed continental crust that can be dated back to the Archaean eon (4 billion to 2.5 billion years ago) comprises tonalite-trondhjemite-granodiorite rocks (TTGs) that were formed through partial melting of hydrated low-magnesium basaltic rocks; notably, these TTGs have 'arc-like' signatures of trace elements and thus resemble the continental crust produced in modern subduction settings. In the East Pilbara Terrane, Western Australia, low-magnesium basalts of the Coucal Formation at the base of the Pilbara Supergroup have trace-element compositions that are consistent with these being source rocks for TTGs. These basalts may be the remnants of a thick (more than 35 kilometres thick), ancient (more than 3.5 billion years old) basaltic crust that is predicted to have existed if Archaean mantle temperatures were much hotter than today's. Here, using phase equilibria modelling of the Coucal basalts, we confirm their suitability as TTG 'parents', and suggest that TTGs were produced by around 20 per cent to 30 per cent melting of the Coucal basalts along high geothermal gradients (of more than 700 degrees Celsius per gigapascal). We also analyse the trace-element composition of the Coucal basalts, and propose that these rocks were themselves derived from an earlier generation of high-magnesium basaltic rocks, suggesting that the arc-like signature in Archaean TTGs was inherited from an ancestral source lineage. This protracted, multistage process for the production and stabilization of the first continents-coupled with the high geothermal gradients-is incompatible with modern-style plate tectonics, and favours instead the formation of TTGs near the base of thick, plateau-like basaltic crust. Thus subduction was not required to produce TTGs in the early Archaean eon.

  7. Clustered and transient earthquake sequences in mid-continents (United States)

    Liu, M.; Stein, S. A.; Wang, H.; Luo, G.


    Earthquakes result from sudden release of strain energy on faults. On plate boundary faults, strain energy is constantly accumulating from steady and relatively rapid relative plate motion, so large earthquakes continue to occur so long as motion continues on the boundary. In contrast, such steady accumulation of stain energy does not occur on faults in mid-continents, because the far-field tectonic loading is not steadily distributed between faults, and because stress perturbations from complex fault interactions and other stress triggers can be significant relative to the slow tectonic stressing. Consequently, mid-continental earthquakes are often temporally clustered and transient, and spatially migrating. This behavior is well illustrated by large earthquakes in North China in the past two millennia, during which no single large earthquakes repeated on the same fault segments, but moment release between large fault systems was complementary. Slow tectonic loading in mid-continents also causes long aftershock sequences. We show that the recent small earthquakes in the Tangshan region of North China are aftershocks of the 1976 Tangshan earthquake (M 7.5), rather than indicators of a new phase of seismic activity in North China, as many fear. Understanding the transient behavior of mid-continental earthquakes has important implications for assessing earthquake hazards. The sequence of large earthquakes in the New Madrid Seismic Zone (NMSZ) in central US, which includes a cluster of M~7 events in 1811-1812 and perhaps a few similar ones in the past millennium, is likely a transient process, releasing previously accumulated elastic strain on recently activated faults. If so, this earthquake sequence will eventually end. Using simple analysis and numerical modeling, we show that the large NMSZ earthquakes may be ending now or in the near future.

  8. CYGNSS Surface Wind Validation and Characteristics in the Maritime Continent (United States)

    Asharaf, S.; Waliser, D. E.; Zhang, C.; Wandala, A.


    Surface wind over tropical oceans plays a crucial role in many local/regional weather and climate processes and helps to shape the global climate system. However, there is a lack of consistent high quality observations for surface winds. The newly launched NASA Cyclone Global Navigation Satellite System (CYGNSS) mission provides near surface wind speed over the tropical ocean with sampling that accounts for the diurnal cycle. In the early phase of the mission, validation is a critical task, and over-ocean validation is typically challenging due to a lack of robust validation resources that a cover a variety of environmental conditions. In addition, it can also be challenging to obtain in-situ observation resources and also to extract co-located CYGNSS records for some of the more scientifically interesting regions, such as the Maritime Continent (MC). The MC is regarded as a key tropical driver for the mean global circulation as well as important large-scale circulation variability such as the Madian-Julian Oscillation (MJO). The focus of this project and analysis is to take advantage of local in-situ resources from the MC regions (e.g. volunteer shipping, marine buoys, and the Year of Maritime Continent (YMC) campaign) to quantitatively characterize and validate the CYGNSS derived winds in the MC region and in turn work to unravel the complex multi-scale interactions between the MJO and MC. This presentation will show preliminary results of a comparison between the CYGNSS and the in-situ surface wind measurements focusing on the MC region. Details about the validation methods, uncertainties, and planned work will be discussed in this presentation.

  9. National audit of continence care: laying the foundation. (United States)

    Mian, Sarah; Wagg, Adrian; Irwin, Penny; Lowe, Derek; Potter, Jonathan; Pearson, Michael


    National audit provides a basis for establishing performance against national standards, benchmarking against other service providers and improving standards of care. For effective audit, clinical indicators are required that are valid, feasible to apply and reliable. This study describes the methods used to develop clinical indicators of continence care in preparation for a national audit. To describe the methods used to develop and test clinical indicators of continence care with regard to validity, feasibility and reliability. A multidisciplinary working group developed clinical indicators that measured the structure, process and outcome of care as well as case-mix variables. Literature searching, consensus workshops and a Delphi process were used to develop the indicators. The indicators were tested in 15 secondary care sites, 15 primary care sites and 15 long-term care settings. The process of development produced indicators that received a high degree of consensus within the Delphi process. Testing of the indicators demonstrated an internal reliability of 0.7 and an external reliability of 0.6. Data collection required significant investment in terms of staff time and training. The method used produced indicators that achieved a high degree of acceptance from health care professionals. The reliability of data collection was high for this audit and was similar to the level seen in other successful national audits. Data collection for the indicators was feasible to collect, however, issues of time and staffing were identified as limitations to such data collection. The study has described a systematic method for developing clinical indicators for national audit. The indicators proved robust and reliable in primary and secondary care as well as long-term care settings.

  10. Continent-Ocean Interactions Within East Asian Marginal Seas (United States)

    Clift, Peter; Kuhnt, Wolfgang; Wang, Pinxian; Hayes, Dennis

    The study of the complex interactions between continents and oceans has become a leading area for 21st century earth cience. In this volume, continent—ocean interactions in tectonics, arc-continent collision, sedimentology, and climatic volution within the East Asian Marginal Seas take precedence. Links between oceanic and continental climate, the sedimentology of coastal and shelf areas, and the links between deformation of continental and oceanic lithosphere are also discussed. As an introduction to the science presented throughout the volume, Wang discusses many of the possible interactions between the tectonic evolution of Asia and both regional and global climate. He speculates that uplift of central Asia in the Pliocene may have triggered the formation of many of the major rivers that drain north through Siberia into the Arctic Ocean. He also argues that it is the delivery of this fresh water that allows the formation of sea ice in that area and triggered the start of Northern Hemispheric glaciation. This may be one of the most dramatic ways in which Asia has shaped the Earth's climate and represents an alternative to the other competing models that have previously emphasized the role of oceanic gateway closure in Central America. Moreover, his proposal for major uplift of at least part of Tibet and Mongolia as late as the Pliocene, based on the history of drainage evolution in Siberia, supports recent data from the southern Tarim Basin and from the Qilian Shan and Qaidam and Jiuxi Basins in northeast Tibet that indicate surface uplift at that time. Constraining the timing and patterns of Tibetan surface uplift is crucial to testing competing models for strain accommodation in Asia following India—Asia collision.

  11. The Malone antegrade continence enema for neurogenic and structural fecal incontinence and constipation. (United States)

    Koyle, M A; Kaji, D M; Duque, M; Wild, J; Galansky, S H


    Problems of fecal elimination are commonly encountered by the pediatric urologist and surgeon. The Malone antegrade continence enema has been described as a means to administer a large volume enema via a continent catheterizable appendicocecostomy, resulting in reliable fecal elimination. Of 22 patients undergoing this procedure 16 reported total continence 4 months or longer after surgery. Complications are relatively minor and tap water appears to be a safe solution for the antegrade continence enema. A nonrefluxing, imbricated appendicocecostomy is preferable to prevent cutaneous fecal or gas leaks.

  12. Continent at a Crossroads: Prosperity, Justice, and Security in South America

    National Research Council Canada - National Science Library

    Scott, Frances K


    This Special Bibliography Series, Number 107, "Continent at the Crossroads: Prosperity, Justice, and Security in South America," was developed by Social Sciences Bibliographer and Reference Librarian Frances K...

  13. GOCE observations for Mineral exploration in Africa and across continents (United States)

    Braitenberg, Carla


    The gravity anomaly field over the whole Earth obtained by the GOCE satellite is a revolutionary tool to reveal geologic information on a continental scale for the large areas where conventional gravity measurements have yet to be made (e.g. Alvarez et al., 2012). It is, however, necessary to isolate the near-surface geologic signal from the contributions of thickness variations in the crust and lithosphere and the isostatic compensation of surface relief (e.g. Mariani et al., 2013) . Here Africa is studied with particular emphasis on selected geological features which are expected to appear as density inhomogeneities. These include cratons and fold belts in the Precambrian basement, the overlying sedimentary basins and magmatism, as well as the continental margins. Regression analysis between gravity and topography shows coefficients that are consistently positive for the free air gravity anomaly and negative for the Bouguer gravity anomaly (Braitenberg et al., 2013; 2014). The error and scatter on the regression is smallest in oceanic areas, where it is a possible tool for identifying changes in crustal type. The regression analysis allows the large gradient in the Bouguer anomaly signal across continental margins to be removed. After subtracting the predicted effect of known topography from the original Bouguer anomaly field, the residual field shows a continent-wide pattern of anomalies that can be attributed to regional geological structures. A few of these are highlighted, such as those representing Karoo magmatism, the Kibalian foldbelt, the Zimbabwe Craton, the Cameroon and Tibesti volcanic deposits, the Benue Trough and the Luangwa Rift. A reconstruction of the pre-break up position of Africa, South and North America is made for the residual GOCE gravity field obtaining today's gravity field of the plates forming West Gondwana. The reconstruction allows the positive and negative anomalies to be compared across the continental fragments, and so helps

  14. Recent Aeromagnetic Anomaly views of the Antarctic continent (United States)

    Ferraccioli, F.


    Antarctica is a keystone within the Gondwana and Rodinia supercontinents. However, despite intense geological research along the coastal fringes of Antarctica, the interior of the continent remains one of the most poorly understood regions on Earth. Aeromagnetic investigations are a useful tool to help disclose the structure and the evolution of continents from the Precambrian to the Cenozoic and Antarctica is no exception. Here I review a variety of aeromagnetic studies in East and West Antarctica performed since the completion of the first generation ADMAP -Antarctic Digital Magnetic Anomaly Project- in 2001. In western Dronning Maud, in East Antarctica, aeromagnetic data help delineate the extent of the Jurassic Jutulstraumen subglacial rift that is flanked by remnants of a Grenvillian-age (ca 1.1. Ga) igneous province and magmatic arc. Different magnetic signatures appear to characterize the Coats Land block but reconnaissance surveys are insufficient to fully delineate the extent and significance of the Coats Land block, a possible tectonic tracer of Laurentia within Rodinia (Loewy et al., 2011). Further in the interior of East Antarctica, a mosaic of distinct and hitherto largely unknown Precambrian provinces has recently been revealed by combining aeromagnetic and satellite magnetic data with models of crustal thickness constrained by gravity modeling and seismology (Ferraccioli et al., 2011, Nature). A major collisional suture may lie between the Archean Ruker Province and an inferred Proterozoic Gamburtsev Province but the age of final assembly of central East Antarctica remains uncertain and controversial. I favour a Grenville-age collisional event (linked to Rodinia assembly) or possibly older Paleoproteroic collision, followed by intraplate reactivation, as opposed to Neoproterozoic or Early Cambrian collision linked to East-West Gondwana assembly (Boger, 2011). New aerogeophysical surveys over Prince Elizabeth and Queen Mary Land could test this

  15. Urethral pressure response patterns induced by squeeze in continent and incontinent women. (United States)

    Teleman, Pia M; Mattiasson, Anders


    Our aim was to compare the urethral pressure response pattern to pelvic floor muscle contractions in 20-27 years old, nulliparous continent women (n = 31) to that of continent (n = 28) and formerly untreated incontinent (n = 59) (53-63 years old) women. These women underwent urethral pressure measurements during rest and repeated pelvic muscle contractions. The response to the contractions was graded 0-4. The young continent women showed a mean urethral pressure response of 2.8, the middle-aged continent women 2.2 (NS vs young continent), and the incontinent women 1.5 (p continent, p continent). Urethral pressures during rest were significantly higher in the younger women than in both groups of middle-aged women. The decreased ability to increase urethral pressure on demand seen in middle-aged incontinent women compared to continent women of the same age as well as young women seems to be a consequence of a neuromuscular disorder rather than of age.

  16. Comparison of symptom severity and treatment response in patients with incontinent and continent overactive bladder

    NARCIS (Netherlands)

    Michel, Martin C.; de La Rosette, Jean J. M. C. H.; Piro, Maria; Schneider, Tim


    Purpose: Two thirds of patients with overactive bladder (OAB) are continent, but our knowledge on the treatment of the syndrome is largely based on studies with incontinent patients. Therefore, we have explored baseline symptoms and treatment responses to tolterodine in continent relative to

  17. Earth's early O2 cycle suppressed by primitive continents (United States)

    Smit, Matthijs A.; Mezger, Klaus


    Free oxygen began to accumulate in Earth's surface environments between 3.0 and 2.4 billion years ago. Links between oxygenation and changes in the composition of continental crust during this time are suspected, but have been difficult to demonstrate. Here we constrain the average composition of the exposed continental crust since 3.7 billion years ago by compiling records of the Cr/U ratio of terrigenous sediments. The resulting record is consistent with a predominantly mafic crust prior to 3.0 billion years ago, followed by a 500- to 700-million-year transition to a crust of modern andesitic composition. Olivine and other Mg-rich minerals in the mafic Archaean crust formed serpentine minerals upon hydration, continuously releasing O2-scavenging agents such as dihydrogen, hydrogen sulfide and methane to the environment. Temporally, the decline in mafic crust capable of such process coincides with the first accumulation of O2 in the oceans, and subsequently the atmosphere. We therefore suggest that Earth's early O2 cycle was ultimately limited by the composition of the exposed upper crust, and remained underdeveloped until modern andesitic continents emerged.

  18. Volcanic passive margins: another way to break up continents. (United States)

    Geoffroy, L; Burov, E B; Werner, P


    Two major types of passive margins are recognized, i.e. volcanic and non-volcanic, without proposing distinctive mechanisms for their formation. Volcanic passive margins are associated with the extrusion and intrusion of large volumes of magma, predominantly mafic, and represent distinctive features of Larges Igneous Provinces, in which regional fissural volcanism predates localized syn-magmatic break-up of the lithosphere. In contrast with non-volcanic margins, continentward-dipping detachment faults accommodate crustal necking at both conjugate volcanic margins. These faults root on a two-layer deformed ductile crust that appears to be partly of igneous nature. This lower crust is exhumed up to the bottom of the syn-extension extrusives at the outer parts of the margin. Our numerical modelling suggests that strengthening of deep continental crust during early magmatic stages provokes a divergent flow of the ductile lithosphere away from a central continental block, which becomes thinner with time due to the flow-induced mechanical erosion acting at its base. Crustal-scale faults dipping continentward are rooted over this flowing material, thus isolating micro-continents within the future oceanic domain. Pure-shear type deformation affects the bulk lithosphere at VPMs until continental breakup, and the geometry of the margin is closely related to the dynamics of an active and melting mantle.

  19. Mid-Continent Rift: Rift, LIP, or Both? (United States)

    Stein, C. A.; Stein, S. A.; Kley, J.; Hindle, D.; Keller, G. R., Jr.


    North America's Midcontinent Rift (MCR) is traditionally considered to have formed by midplate extension and volcanism ~1.1 Ga that ended due to compression from the Grenville orogeny, the ~1.3 - ~0.98 Ga assembly of Amazonia (Precambrian northeast South America), Laurentia (Precambrian North America), and other continents into the supercontinent of Rodinia. We find that a more plausible scenario is that it formed as part of the rifting of Amazonia from Laurentia and became inactive once seafloor spreading was established. The MCR has aspects both of a continental rift - a segmented linear depression filled with sedimentary and igneous rocks - and a large igneous province (LIP). Comparison of areas and volumes for a range of continental LIPS shows that the MCR volcanic rocks are significantly thicker than the others. The MCR flood basalts have steeper dips and thicker overlying sediments than other continental flood basalts, and were deposited in a subsiding basin after most extension ended, indicating that they are better viewed as post-rift than syn-rift rocks. Hence we view the MCR as a LIP deposited in crust weakened by rifting, and thus first a rift and then a LIP.

  20. Continent Idiopathic Vesicovaginal Fistula Coexisting with Moyamoya Disease

    Directory of Open Access Journals (Sweden)

    İbrahim Güven Kartal


    Full Text Available Vesicovaginal fistula (VVF is the abnormal anatomic communication between the female bladder and vagina. Usually presents itself as continuous urinary incontinence. There are many etiologic risk factors such as obstetric trauma, pelvic surgery, infections, congenital abnormalities, foreign materials, malignancy and pelvic radiation (1. Due to high education and sociocultural levels, the incidence seems to be low in the developed countries. On the other hand, in the developing countries, there is an obviously high incidence and prevalence. Considering the low level of medical informative feed-back mechanisms and poor obstetrics health care services, it seems very hard to keep VVF patient data that can be used for epidemiological research studies. In those areas, due to high maternal mortality and obstetric complications, the incidence of VVF is significantly increased (2. In this paper, we report a female patient with known moyamoya disease and a stable right ovarian cyst who was regularly followed up by the departments of neurology, gynecology and presented with radiological and cystoscopy findings of incidentally diagnosed asymptomatic continent VVF.

  1. International Continence Society supported pelvic physiotherapy education guideline. (United States)

    Bakker, Els; Shelly, Beth; Esch, Fetske H; Frawley, Helena; McClurg, Doreen; Meyers, Peter


    To provide a guideline of desired knowledge, clinical skills and education levels in Pelvic Physiotherapy (PT). Physiotherapy (PT) involves "using knowledge and skills unique to physiotherapists" and, "is the service only provided by, or under the direction and supervision of a physiotherapist." 1 METHODS: The PT Committee, within the body of the International Continence Society (ICS), collected information regarding existing educational levels for pelvic floor PT. Through face to face and on on-line discussion consensus was reached which was summarized in three progressive educational levels based on knowledge and skills and brought together in a guideline. The guideline was submitted to all physiotherapists and the Educational Committee of the ICS, and after approval, submitted to the Executive Board of the ICS. The guideline lists, in a progressive way, knowledge areas and skills to be achieved by education. It is broad and allows for individual interpretation based on local situations regarding education and healthcare possibilities. It is intended to be dynamic and updated on a regular basis. The proposed Pelvic PT education guideline is a dynamic document that allows course creators to plan topics for continuing course work and to recognize educational level of a therapist in the field of Pelvic PT. This education guideline can be used to set minimum worldwide standards resulting in higher skill levels for local pelvic physiotherapists and thereby better patient care outcome. © 2018 Wiley Periodicals, Inc.

  2. Representations of OxyContin in North American Newspapers and Medical Journals

    Directory of Open Access Journals (Sweden)

    Emma Whelan


    Full Text Available Following the approval of OxyContin (Purdue Pharma, Canada for medical use, the media began to report the use of OxyContin as a street drug, representing the phenomenon as a social problem. Meanwhile, the pain medicine community has criticized the inaccurate and one-sided media coverage of the OxyContin problem. The authors of this study aimed to contribute to an understanding of both sides of this controversy by analyzing the coverage of OxyContin in newspapers and medical journals. The analyses revealed inconsistent messages about the drug from physicians in the news media and in medical journals, which has likely contributed to the drug’s perception as a social problem. The authors suggest ways to address the lack of medical consensus surrounding OxyContin. The results of this study may help resolve the concerns and conflicts surrounding this drug and other opioids.

  3. Wetland dynamics influence mid-continent duck recruitment (United States)

    Anteau, Michael J.; Pearse, Aaron T.; Szymankski, Michael L.


    Recruitment is a key factor influencing duck population dynamics. Understanding what regulates recruitment of ducks is a prerequisite to informed habitat and harvest management. Quantity of May ponds (MP) has been linked to recruitment and population size (Kaminski and Gluesing 1987, Raveling and Heitmeyer 1989). However, wetland productivity (quality) is driven by inter-annual hydrological fluctuations. Periodic drying of wetlands due to wet-dry climate cycles releases nutrients and increases invertebrate populations when wet conditions return (Euliss et al. 1999). Wetlands may also become wet or dry within a breeding season. Accordingly, inter-annual and intra-seasonal hydrologic variation potentially influence duck recruitment. Here, we examined influences of wetland quantity, quality, and intra-seasonal dynamics on recruitment of ducks. We indexed duck recruitment by vulnerability-corrected age ratios (juveniles/adult females) for mid-continent Gadwall (Anas strepera). We chose Gadwall because the majority of the continental population breeds in the Prairie Pothole Region (PPR), where annual estimates of MP exist since 1974. We indexed wetland quality by calculating change in MP (?MP) over the past two years (?MP = 0.6[MPt – MPt-1] + 0.4[MPt – MPt-2]). We indexed intra-seasonal change in number of ponds by dividing the PPR mean standardized precipitation index for July by MP (hereafter summer index). MP and ?MP were positively correlated (r = 0.65); therefore, we calculated residual ?MP (?MPr) with a simple linear regression using MP, creating orthogonal variables. Finally, we conducted a multiple regression to examine how MP, ?MPr, and summer index explained variation in recruitment of Gadwall from 1976–2010. Our model explained 67% of the variation in mid-continent Gadwall recruitment and all three hydrologic indices were positively correlated with recruitment (Figure 1). Type II semi-partial R2 estimates indicated that MP accounted for 41%, ?MPr

  4. Stable Isotopes in Precipitation over Indonesia Maritime Continent

    Energy Technology Data Exchange (ETDEWEB)

    Ichiyanagi, K. [Graduate School of Science and Technology, Kumamoto University, and Japan Agency for Marine-Earth Science and Technology (JAMSTEC) (Japan); Suwarman, R. [Graduate School of Science and Technology, Kumamoto University (Japan); Yamanaka, M. D. [Japan Agency for Marine-Earth Science and Technology (JAMSTEC) (Japan)


    Daily variability of stable isotopes in precipitation was observed at 6 stations in the Indonesian Maritime Continent from 2000 to 2006. The annual mean {delta}{sup 18}O at Bukit Kototabang (GAW), Jambi, and Makassar are heavier than those for others. The precipitation amount effect was observed only at Denpasar and Makassar. There are 2 groups resulting from the local Meteoric Water line; (1) slope is nearly 7.0 and high d-excess more than 10 at GAW, Denpasar, and Manado, (2) slope is around 7.4 and low d-excess less than 7.5 per mille at Jambi, Makassar, and Palau. Seasonal variability of {delta}{sup 18}O and d-excess were classified into three patterns. There are no seasonal variations in {delta}{sup 18}O and d-excess at GAW and Jambi, but clear seasonal variations at Denpasar (DPS) and Makassar (MKS). Due to the amount effect, {delta}{sup 18}O in precipitation is high when the precipitation amount is low from May to october. In contrast, the amount effect is not significant and d-excess is constant throughout the year in Manado and Palau. The {delta}{sup 18}O in precipitation at 2 stations located in sumatra Island corresponded with the Madden-Jullian Oscillation index, while those for the other 4 stations in more easterly locations did not. This finding indicates that water vapour evaporated from the Indian Ocean can reach the Island of sumatra, but can't reach more easterly locations. (author)

  5. Smoke aerosol transport patterns over the Maritime Continent (United States)

    Xian, Peng; Reid, Jeffrey S.; Atwood, Samuel A.; Johnson, Randall S.; Hyer, Edward J.; Westphal, Douglas L.; Sessions, Walter


    Smoke transport patterns over the Maritime Continent (MC) are studied through a combination of approaches, including a) analyzing AODs obtained from satellite products; b) aerosol transport modeling with AOD assimilation along with the atmospheric flow patterns; c) analyzing smoke wet deposition distributions; and d) examining forward trajectories for smoke events defined in this study. It is shown that smoke transport pathways are closely related to the low-level atmospheric flow, i.e., during June-Sept, smoke originating from the MC islands with a dominant source over central and southern Sumatra, and southern and western Borneo, is generally transported northwestward south of the equator and northeastward north of the equator with the cross-equatorial flow, to the South China Sea (SCS), the Philippines and even further to the western Pacific. During the October-November transitional period, smoke transport paths are more zonally oriented compared to June-September. Smoke originating from Java, Bali, Timor etc, and southern New Guinea, which are in the domain of easterlies and southeasterlies during the boreal summer (June-November), is generally transported westward. It is also found that smoke transport over the MC exhibits multi-scale variability. Smoke typically lives longer and can be transported farther in El Niño years and later MJO phases compared with non El Niño years and earlier MJO phases. During El Niño periods there is much stronger westward transport to the east tropical Indian Ocean. Finally, orographic effect on smoke transport over the MC is also clearly discernable.

  6. MONTI as continent catheterized stoma using serosal-lined trough "Ghoneim Abolenin" technique in ileocystoplasty

    Directory of Open Access Journals (Sweden)

    Mohammed T Sammour


    Full Text Available It is a great challenge to select and perform continent mechanism in a stoma for urinary reservoir. A new technique by combining MONTI ileal conduit with the serosal lined trough in order to achieve continent catheterizable stoma to the umbilicus as a part of augmentation ileocystoplasty. We applied serosal-lined trough as a continent mechanism with MONTI ileal tube in 12 years smart girl underwent ileocystoplasty for neuropathic bladder due to meylomeningocele in whom continence failed to be achieved by using Mitrofanoff with submucosal tunnel of the bladder as continent mechanism before, also the previous operation included left to right transuretero-ureterostomy, ureterocystoplasty and reimplantation of the right ureter. The patient became completely continent; she was able to do self-catheterization easily through the umbilical stoma using 16-French catheter and was able to wash the mucous easily. The capacity of the augmented bladder was 300ccs. She became independent from her mother and stopped using diapers, anticholinergic and antibiotics. Combining MONTI conduit with serosal-lined extramural valve trough (The Ghoneim technique is an effective continent technique and gives wider channel for catheterization and washing out the mucous.

  7. Modified Le Bag Pouch after Radical Cystectomy: Continence, Uro dynamic Results and Morbidity

    International Nuclear Information System (INIS)

    Nassar, O.A.H.


    To revaluate ileocolonic pouch for ortho-topic neobladder reconstruction, a cohort of patients with bladder cancer was selected to undergo radical cystectomy and modified Le Bag pouch. Evaluation concentrates on continence and associated morbidity observed on close follow-up. Patients and Methods: A total of 37 patients including 16 females with T2 3 bladder cancer (19 transitional, 15 : squamous and 3 adenocarcinoma) were treated by radical cystectomy and totally detubularized ileocolic neobladder. Post operative morbidity, continence and urodynamic studies were evaluated. Mean time to have full daytime continence was tested against age, gender, postoperative complications, technique of pouch creation either stapler or hand suture and adjuvant irradiation. Results: Cystometry 12 months post surgery showed 493 ml median capacity with basal and maximum reservoir median pressures of 16 and 38 cm H 2 O respectively. Uro-flowmetry had maximum voiding volume of 370ml, voiding time 45s and maximum flow rate of 11.6ml/s. Within the first 2 months post operative 44% were continent by day, 33% by night and 67% had stress incontinence. By 12 months post surgery 89% were continent by day, 73% by night and 27% had stress incontinence. Two years post surgery 94% were continent by day and 81 % had complete day and night control of uri-ne. Urinary leakage was the most frequent early complication (10.8%). Late complications were urinary tract infection (13.5%), metabolic acidosis (13.5%) and reflux (10.8%). Pouch over distension (5.4%) was consistent with bladder neck obstruction. Patient's gender and postoperative morbidity were statistically significant factors to increase the mean time to continence; whereas, age, use of stapler and adjuvant radiotherapy had no significant effect. Conclusion: Modified Le Bag pouch is a simple technique with adequate pouch capacity that offers excellent slowly progressing continence rates with minor morbidity rate. Post operative morbidity and

  8. "Dignity": A central construct in nursing home staff understandings of quality continence care. (United States)

    Ostaszkiewicz, Joan; Tomlinson, Emily; Hutchinson, Alison M


    To explore nursing home staff members' beliefs and expectations about what constitutes "quality continence care" for people living in nursing homes. Most nursing home residents require assistance to maintain continence or manage incontinence. Best practice guidelines promote active investigation of incontinence, treatment of underlying potentially reversible causes, and initial conservative interventions to prevent, minimise and/or treat incontinence. Despite research showing the positive benefits of implementing active interventions, translating the findings of research into practice in nursing homes has been modest. Understanding the perspectives of individuals who provide continence care may help bridge the gap between evidence and practice. A qualitative exploratory descriptive design. Qualitative interviews were conducted with 19 nursing home staff: eight registered nurses, four enrolled nurses and seven personal care workers working in a nursing home in Australia between 2014-2015. Data were analysed inductively to identify themes and subthemes that described and explained staff beliefs about quality continence care in nursing homes. Participants' understanding and expectations about quality continence care were linked to beliefs about incontinence being an intractable and undignified condition in nursing homes. The key theme to emerge was "protecting residents' dignity" which was supported by the following six subthemes: (i) using pads, ii) providing privacy, (iii) knowing how to "manage" incontinence, (iv) providing timely continence care, (v) considering residents' continence care preferences and (vi) communicating sensitively. The findings provide new insight into the basis for continence care practices in nursing homes. Education about continence care should challenge beliefs that limit continence care practice to cleaning, containing and concealing incontinence. There is a need for a multidimensional framework that is informed by social, psychological

  9. The thermal influence of continents on a model-generated January climate (United States)

    Spar, J.; Cohen, C.; Wu, P.


    Two climate simulations were compared. Both climate computations were initialized with the same horizontally uniform state of rest. However, one is carried out on a water planet (without continents), while the second is repeated on a planet with geographically realistic but flat (sea level) continents. The continents in this experiment have a uniform albedo of 0.14, except where snow accumulates, a uniform roughness height of 0.3 m, and zero water storage capacity. Both runs were carried out for a 'perpetual January' with solar declination fixed at January 15.

  10. The “potato road” and biogeographic history of potato cyst nematode populations from different continents

    Directory of Open Access Journals (Sweden)

    Or Violeta


    Full Text Available The general opinion about the introduction of potato in Europe is the one regarding the direction from South America to Spain and subsequent distribution to other continents. Some historical data point out an alternative road. The potato spread from its place of origin to other continents in the light of parasite-host relationship, relying on nematode molecular data, is discussed in the present work. Biogeographic history of potato cyst nematode populations from different continents is in congruence with historical records. [Projekat Ministarstva nauke Republike Srbije, br. TR 31018 i br. III 46007

  11. Climate controls on fire pattern in African and Australian continents (United States)

    Zubkova, M.; Boschetti, L.; Abatzoglou, J. T.


    Studies have primarily attributed the recent decrease in global fire activity in many savanna and grassland regions as detected by the Global Fire Emission Database (GFEDv4s) to anthropogenic changes such as deforestation and cropland expansion (Andela et al. 2017, van der Werf et al. 2008). These changes have occurred despite increases in fire weather season length (Jolly et al. 2015). Efforts to better resolve retrospective and future changes in fire activity require refining the host of influences on societal and environmental factors on fire activity. In this study, we analyzed how climate variability influences interannual fire activity in Africa and Australia, the two continents most affected by fire and responsible for over half of the global pyrogenic emissions. We expand on the analysis presented in Andela et al. (2017) by using the most recent Collection 6 MODIS MCD64 Burned Area Product and exploring the explanatory power of a broader suite of climate variables that have been previously shown to explain fire variability (Bowman et al. 2017). We examined which climate metrics show a strong interannual relationship with the amount of burned area and fire size accounting for antecedent and in-season atmospheric conditions. Fire characteristics were calculated using the 500m resolution MCD64A1 product (2002-2016); the analysis was conducted at the ecoregion scale, and further stratified by landcover using a broad aggregation (forest, shrublands and grasslands) of the Landcover CCI maps (CCI-LC, 2014); all agricultural areas fires were excluded from the analysis. The results of the analysis improve our knowledge of climate controls on fire dynamics in the most fire-prone places in the world which is critical for statistical fire and vegetation models. Being able to predict the impact of climate on fire activity has a strategic importance in designing future fire management scenarios, help to avoid degradation of biodiversity and ecosystem services and improve

  12. BRICS: challenges of cooperation on the African continent

    Directory of Open Access Journals (Sweden)

    Vladimir Ivanovich Yurtaev


    Full Text Available The happening paradigm shift of development both the kernel of world economy, and its periphery appearing by the hostage of limitation of financial resources updates task of judgment of the happening processes, especially with participation of the Brazil, Russia, India, China and South Africa (BRICS or the countries of the “big economies” which are looking for new formats of entry into worldwide policy. Also the problem of correlation of the monopolar structure of a world economic system which has arisen in the conditions of globalization of economies at the end of the 20th century with processes of forming of the new centers of world economic power is actual, including - in Africa, under the influence of an exit to the world scene of China and other countries of BRICS, disappearance of the so-called “second world”, opposition mitigation “East-West” and increase of contradictions on an axis “North-South”. The countries of Africa at the beginning of the second decade of the third millennium are more and more considerably involved in process of globalization which signs can be found everywhere on the African continent. First of all, it is necessary to pay attention on much the increased dynamics of political process, especially in North Africa where under the influence of “the Arab spring” scales and depth of the happened transformation of a socio-political context were shown, civilization breaks and perspective scenarios of development were more accurately designated. To conformably new challenges questions of regional integration have come under the spotlight in Africa, search of solutions of global problems of mankind in Africa is conducted (poverty, hunger, diseases, refugees, etc. new formats of interaction of the states for the benefit of effective development are developed. It is possible that in so dynamic and turbulent socio-political and economic situation regional vector of interaction and interregional international

  13. A Surface Wave's View of the Mid-Continent Rift (United States)

    Foster, A. E.; Darbyshire, F. A.; Schaeffer, A. J.


    The presence of the Mid-Continent Rift (MCR), a 1.1Ga failed rift in central North America, raises many questions. We address the following: what lasting effects has it had on the continental lithosphere? Though many studies have looked at the area with a variety of data types, the combination of USArray Transportable Array stations to the south, permanent and temporary Canadian stations to the north, and SPREE stations in strategic locations crossing the rift provide a new opportunity for a regional surface-wave study. We select 80 stations with roughly 200 km spacing, resulting in dense path coverage of a broad area centered on the MCR. We use teleseismic data for all earthquakes from January 2005-August 2016 with a magnitude greater than 6.0, amounting to over 1200 events, and we make Rayleigh wave two-station dispersion measurements for all station pairs with suitable event-station geometry. We invert these measurements for anisotropic phase-velocity maps at periods of 20-200 s, yielding information not only on the wave speed but also the current fabric of the lithosphere, a complicated record of strain from formation, through modification from orogeny, attempted rifting, and hotspot interaction, to present day plate motion. We observe a clear signature of the MCR at short (20-25 s) periods, with the slowest phase-velocity anomaly in the region aligning with the strongest gravity anomaly. At increasing periods, and thus greater depths, this slowest anomaly shifts to beneath the center of Lake Superior (30-40 s). Eventually, it appears to merge with a slow anomaly to the north associated with the Nipigon Embayment, and contrasts sharply with an adjacent fast anomaly in the western Superior Province. In our preliminary anisotropy results, we observe weak anisotropy at the latitude of the MCR and to the south, whereas to the north of the MCR we find strong anisotropy. This is similar to the spatial variations in magnitude of delay times from shear-wave splitting

  14. 77 FR 35959 - Atlas Pipeline Mid-Continent WestTex, LLC; Pioneer Natural Resources USA, Inc.; Notice of... (United States)


    ... Mid-Continent WestTex, LLC; Pioneer Natural Resources USA, Inc.; Notice of Application Take notice that on May 30, 2012, Atlas Pipeline Mid-Continent WestTex, LLC (Atlas) and Pioneer Natural Resources... President and General Counsel, Atlas Pipeline Mid-Continent, LLC, 110 W. 7th Street, Suite 2300, Tulsa, OK...

  15. The dual influences of age and obstetric history on fecal continence in parous women.

    LENUS (Irish Health Repository)

    Eogan, Maeve


    To assess whether women who underwent forceps delivery were more likely than those who delivered either normally (spontaneous vaginal delivery [SVD]) or by cesarean to experience deterioration in fecal continence as they aged.

  16. Bibliography of sandy beaches and sandy beach organisms on the African continent

    CSIR Research Space (South Africa)

    Bally, R


    Full Text Available This bibliography covers the literature relating to sandy beaches on the African continent and outlying islands. The bibliography lists biological, chemical, geographical and geological references and covers shallow marine sediments, surf zones off...

  17. The Aristotelian continence: channeling of righteous actions in the scientist´s experiments with animals

    Directory of Open Access Journals (Sweden)

    Luis Fernando Garcés Giraldo


    Full Text Available In Aristotelian ethics, the virtue of continence is responsible for mastering the soul and direct it towards the right reason; thus the continent, knowing that passions are bad does not follow them because of the reason; this virtuous is the one who subdues the passions, since both, reason and passions, oppose each other. For Aristotle the desire is the beginning of the action, followed by the discussion leading to choose the best and the most perfect virtuous action. It is important for bioethics that the virtue of continence applies to the actions of scientists who use animals for experimentation and that all their actions are mediated by the good actions. This article will deal with the virtue of continence as the channeling of actions mediated by right reason in the scientist who is experimenting with animals.

  18. Impact of metabolic syndrome on early recovery of continence after robot-assisted radical prostatectomy. (United States)

    Nishikawa, Masatomo; Watanabe, Hiromitsu; Kurahashi, Toshifumi


    To evaluate the impact of metabolic syndrome on the early recovery of urinary continence after robot-assisted radical prostatectomy. The present study included a total of 302 consecutive Japanese patients with clinically localized prostate cancer who underwent robot-assisted radical prostatectomy. In this study, postoperative urinary continence was defined as no leak or the use of a security pad. The continence status was assessed by interviews before and 1 and 3 months after robot-assisted radical prostatectomy. Metabolic syndrome was defined as follows: body mass index ≥25 kg/m 2 and two or more of the following: hypertension, diabetes mellitus and dyslipidemia. The effect of the presence of metabolic syndrome on the continence status of these patients was retrospectively examined. A total of 116 (38.4%) and 203 (67.2%) of the 302 patients were continent at 1 and 3 months after robot-assisted radical prostatectomy, respectively. A total of 31 (10.3%) patients were judged to have metabolic syndrome. Despite the operative time being longer in patients with metabolic syndrome, no significant differences were observed in the remaining preoperative, intraoperative or postoperative variables between patients with or without metabolic syndrome. On multivariate logistic regression analysis, metabolic syndrome and the duration of hospitalization were significantly correlated with the 1-month continence status. Similarly, metabolic syndrome and estimated blood loss during surgery were independent predictors of continence rates at 3 months after robot-assisted radical prostatectomy. These findings suggest that the presence of metabolic syndrome could have a significant impact on the early recovery of urinary continence after robot-assisted radical prostatectomy. © 2017 The Japanese Urological Association.

  19. Effect of Nerve-Sparing Radical Prostatectomy on Urinary Continence in Patients With Preoperative Erectile Dysfunction

    Directory of Open Access Journals (Sweden)

    Yong Hyun Park


    Full Text Available Purpose: We aimed to assess whether nerve-sparing radical prostatectomy (nsRP is associated with improved recovery of urinary continence compared to non–nerve-sparing radical prostatectomy (nnsRP in patients with localized prostate cancer and preoperative erectile dysfunction. Methods: A total of 360 patients with organ-confined prostate cancer and an International Index of Erectile Function score of less than 17 were treated with nsRP or nnsRP in Seoul St. Mary’s Hospital. Patients who received neoadjuvant or adjuvant androgen deprivation therapy or had a history of prostate-related surgery were excluded. Recovery of urinary continence was assessed at 0, 1, 3, 6, and 12 months. Postoperative recovery of continence was defined as zero pad usage. The association between nerve-sparing status and urinary continence was assessed by using univariate and multivariate Cox regression analyses after controlling for known predictive factors. Results: Urinary continence recovered in 279 patients (77.5% within the mean follow-up period of 22.5 months (range, 6–123 months. Recovery of urinary continence was reported in 74.6% and 86.4% of patients after nnsRP and nsRP, respectively, at 12 months (P=0.022. All groups had comparable perioperative criteria and had no significant preoperative morbidities. Age, American Society of Anesthesiologists score, and nerve-sparing status were significantly associated with recovery of urinary continence on univariate analysis. On multivariate analysis, age (hazard ratio [HR], 1.254; 95% confidence interval [CI], 1.002–1.478; P=0.026 and nerve-sparing status (HR, 0.713; 95% CI, 0.548–0.929; P=0.012 were independently associated with recovery of urinary continence. Conclusions: nsRP, as compared to nnsRP, improves recovery rates of urinary incontinence and decreases surgical morbidity without compromising pathologic outcomes.

  20. Free-volume distributions of polymers by positron annihilation spectroscopy: further experiences in using CONTIN for continuous lifetime distributions

    International Nuclear Information System (INIS)

    Dai, G.H.; Jean, Y.C.


    Thorough examinations of the CONTIN program were carried out by using the simulated positron lifetime spectra, to reveal the capability of CONTIN in the reconstruction of the positron lifetime distributions. It is shown that: 1. very high statistics is strongly desired by CONTIN to reproduce reliable lifetime distributions; 2. improving the time resolution of the measurement system, to the level of 0.030 ns full width at half maximum, does not significantly improve the resolving power of CONTIN; and 3. reducing the time width per channel is a practical way of improving the reconstruction of the lifetime probability density functions by CONTIN. (orig.)

  1. A unified model of avian species richness on islands and continents. (United States)

    Kalmar, Attila; Currie, David J


    How many species in a given taxon should be found in a delimited area in a specified place in the world? Some recent literature suggests that the answer to this question depends strongly on the geographical, evolutionary, and ecological context. For example, current theory suggests that species accumulate as a function of area differently on continents and islands. Species richness-climate relationships have been examined separately on continents and on islands. This study tests the hypotheses that (1) the functional relationship between richness and climate is the same on continents and islands; (2) the species-area slope depends on distance-based isolation; (3) species-area relationships differ among land bridge islands, oceanic islands, and continents; (4) richness differs among biogeographic regions independently of climate and isolation. We related bird species numbers in a worldwide sample of 240 continental parcels and 346 islands to several environmental variables. We found that breeding bird richness varies similarly on islands and on continents as a function of mean annual temperature, an area x precipitation interaction, and the distance separating insular samples from the nearest continent (R2 = 0.86). Most studies to date have postulated that the slope of the species-area relationship depends upon isolation. In contrast, we found no such interaction. A richness-environment relationship derived using Old World sites accurately predicts patterns of richness in the New World and vice versa (R2 = 0.85). Our results suggest that most of the global variation in richness is not strongly context-specific; rather, it reflects a small number of general environmental constraints operating on both continents and islands.

  2. Representations of OxyContin in North American newspapers and medical journals (United States)

    Whelan, Emma; Asbridge, Mark; Haydt, Susan


    BACKGROUND: There are public concerns regarding OxyContin (Purdue Pharma, Canada) and charges within the pain medicine community that media coverage of the drug has been biased. OBJECTIVE: To analyze and compare representations of OxyContin in medical journals and North American newspapers in an attempt to shed light on how each contributes to the ‘social problem’ associated with OxyContin. METHODS: Using searches of newspaper and medical literature databases, two samples were drawn: 924 stories published between 1995 and 2005 in 27 North American newspapers, and 197 articles published between 1995 and 2007 in 33 medical journals in the fields of addiction/substance abuse, pain/anesthesiology and general/internal medicine. The foci, themes, perspectives represented and evaluations of OxyContin presented in these texts were analyzed statistically. RESULTS: Newspaper coverage of OxyContin emphasized negative evaluations of the drug, focusing on abuse, addiction, crime and death rather than the use of OxyContin for the legitimate treatment of pain. Newspaper stories most often conveyed the perspectives of law enforcement and courts, and much less often represented the perspectives of physicians. However, analysis of physician perspectives represented in newspaper stories and in medical journals revealed a high degree of inconsistency, especially across the fields of pain medicine and addiction medicine. CONCLUSION: The prevalence of negative representations of OxyContin is often blamed on biased media coverage and an ignorant public. However, the proliferation of inconsistent messages regarding the drug from physicians plays a role in the drug’s persistent status as a social problem. PMID:22059195

  3. Report on workshop"Structure and evolution of Eurasia (super- continent"

    Directory of Open Access Journals (Sweden)

    Masaki Kanao


    Full Text Available A workshop on Structure and evolution of Eurasia (super- continent" was held on 23rd February 2004, at the National Institute of Polar Research with 29 participants. This provided an opportunity to review the history of amalgamation and breakup of past super-continents in the Earth's evolution, and speculate on the possibility of future super-continent formation. The largest continent on the present Earth, Eurasia, has been formed from an assembly of several sub-continental blocks including Asia, India and Europe, etc: it is also considered to be the nucleus of a future super-continent expected to form 250 m.y. after the present. In this workshop, several interesting topics were presented regarding the formation process, structure and dynamics of Eurasia, in particular in the deep crust and upper mantle. The first half of the workshop covered structural geology, shallow and deep seismic structure, and a simulation model of the Himalaya-Tibet region, known as a typical ongoing continent-continent collision zone. Inner crustal deformation of Eurasia was demonstrated by a newly developed Discrete Element method. In the latter half of the workshop, the possibility of formation of a future super-continent in the Western Pacific Triangular Zone was introduced with geological interpretation associated with an origin of the hot super-plumes. Seismic tomographic studies, particularly in China, which have revealed interesting features such as low velocity anomalies beneath the volcanic area, together with the presence of subducting Indian plates beneath the Tibet region were introduced. In the northwest Pacific region, remnant subducted slabs of the Kula plate have been found by local seismic tomography. Finally, a review of continental dynamics from gravity studies, and broadband seismic observations in the Baikal rift zones, were presented associated with the tectonics and evolution of central Eurasia. The formation mechanism of a hot super-plume in the

  4. The OxyContin crisis: problematisation and responsibilisation strategies in addiction, pain, and general medicine journals. (United States)

    Whelan, Emma; Asbridge, Mark


    OxyContin(®) (Purdue Pharma, L.P., Stamford, CT) is now widely regarded as a drug of abuse fueling a larger opioid health crisis. While coverage in the North American press about OxyContin overwhelmingly focused upon the problems of related crime and addiction/misuse and the perspectives of law enforcement officials and police, coverage in those fields of medicine most intimately concerned with OxyContin-pain medicine and addiction medicine-was more nuanced. In this article, we draw upon the constructivist social problems tradition and Hunt's theory of moral regulation in a qualitative analysis of 24 medical journal articles. We compare and contrast pain medicine and addiction medicine representations of the OxyContin problem, the agents responsible for it, and proposed solutions. While there are some significant differences, particularly concerning the nature of the problem and the agents responsible for it, both pain medicine and addiction medicine authors 'take responsibility' in ways that attempt to mitigate the potential appropriation of the issue by law enforcement and regulatory agencies. The responses of pain medicine and addiction medicine journal articles represent strategic moves to recapture lost credibility, to retain client populations and tools necessary to their jobs, and to claim a seat at the table in responding to the OxyContin crisis. Copyright © 2013 Elsevier B.V. All rights reserved.

  5. The AP diameter of the pelvis: a new criterion for continence in the exstrophy complex?

    International Nuclear Information System (INIS)

    Ait-Ameur, A.; Kalifa, G.; Adamsbaum, C.; Wakim, A.; Dubousset, J.


    Reconstructive surgery of bladder exstrophy remains a challenge. By using CT of the pelvis, we suggest a new pre- and post-operative investigative procedure to define the AP diameter (APD) as a predictive criterion for continence in this anomaly. Patients and methods: Three axial CT slices were selected in nine children with exstrophy who had undergone neonatal reconstructive surgery. The three levels selected were the first sacral plate, the mid acetabular plane and the superior pubic spine. We used combined slices to measure: circle APD = distance between the first sacral vertebra and the pubic symphysis. circle Pubic diastasis (PD) circle Three angles defined on the transverse plane of the first sacral vertebra - iliac wing angle, sacropubic angle and acetabular version. In exstrophy, the angles demonstrate opening of the iliac wings and the pubic ramus, and acetabular retroversion compared to controls. Comparisons between controls, continent and incontinent patients reveal that in continent patients, APD increases with growth and seems to be a predictive criterion for continence, independent of diastasis of the pubic symphysis. We believe that CT of the pelvis with measurements of the APD should be performed in all neonates with bladder exstrophy before reconstructive surgery and for better understanding of the malformation. The APD seems to be predictive and may be a major criterion for continence, independent of PD. (orig.)

  6. Quality audit--a review of the literature concerning delivery of continence care. (United States)

    Swaffield, J


    This paper outlines the role of quality audit within the framework of quality assurance, presenting the concurrent and retrospective approaches available. The literature survey provides a review of the limited audit tools available and their application to continence services and care delivery, as well as attempts to produce tools from national and local standard setting. Audit is part of a process; it can involve staff, patients and their relatives and the team of professionals providing care, as well as focusing on organizational and management levels. In an era of market delivery of services there is a need to justify why audit is important to continence advisors and managers. Effectiveness, efficiency and economics may drive the National Health Service, but quality assurance, which includes standards and audit tools, offers the means to ensure the quality of continence services and care to patients and auditing is also required in the purchaser/provider contracts for patient services. An overview and progress to date of published and other a projects in auditing continence care and service is presented. By outlining and highlighting the audit of continence service delivery and care as a basis on which to build quality assurance programmes, it is hoped that this knowledge will be shared through the setting up of a central auditing clearing project.

  7. Cecal rupture after continent ileocecal urinary diversion during total pelvic exenteration

    International Nuclear Information System (INIS)

    Brand, E.


    Continent ureteral diversion at the time of pelvic exenteration avoids an external appliance and allows patients to retain bladder reservoir function. The technical difficulty of this procedure requires meticulous attention to operative and perioperative care, particularly after pelvic irradiation. A patient with recurrent stage IIIB carcinoma of the cervix underwent total pelvic exenteration with reconstructive procedures including low rectal anastomosis, neovagina formation, and ileocecal (Indiana) continent diversion. Early catheterization of the reservoir began 2 weeks postoperatively. One week later cecal rupture occurred, not related to suture line (technical) failure. Because of the high wall tension and reduced compliance in the irradiated cecum, the authors do not recommend catheterization of the urinary reservoir before 4-6 weeks. In order for continent diversion to become the standard diversion in exenteration patients, the major complication rate must remain comparable to that of noncontinent diversion

  8. Early biochemical recurrence, urinary continence and potency outcomes following robot-assisted radical prostatectomy

    DEFF Research Database (Denmark)

    Berg, Kasper Drimer; Thomsen, Frederik Birkebæk; Hvarness, Helle


    OBJECTIVE: The aim of this study was to describe recovery of urinary continence and potency and report oncological and functional outcomes using the survival, continence and potency (SCP) system for patients undergoing robot-assisted radical prostatectomy (RARP). MATERIAL AND METHODS: From 2009...... with preoperative ESI, 77.6% (67.9-86.1) and 34.4% (24.1-47.5) maintained ESI 12 months postoperatively after bilateral and unilateral nerve-sparing surgery (NS), respectively. NS (p .... Using the SCP system and defining potency as ESI, functional and oncological success 12 months after surgery was achieved in 69 out of 135 (51.1%) preoperative continent and potent patients who underwent unilateral or bilateral NS, and did not require adjuvant treatment; when defining potency as IIEF...

  9. Presentación: La Historia continúa

    Directory of Open Access Journals (Sweden)

    Julio Perez Serrano


    Full Text Available Por fortuna para quienes humildemente cultivamos este conocimiento, la Historia continúa. Las utopías finalistas que hace sólo una década inundaron el mercado de la letra impresa han sido borradas de un plumazo por la tozudez de los hechos. Aunque parezca increíble, en muchos aspectos nuestro futuro es hoy más incierto de lo que lo era hace veinte, treinta o cincuenta años. En lógica correspondencia con ello, el presente ha recobrado un impetuoso protagonismo. Siempre cambiante, punta de flecha del tiempo, el presente no puede dejar de ser visto en nuestros días sino como una angosta ventana hacia el futuro. Por esta ventana se han asomado ya desde antiguo, en tiempos de crisis, literatos y filósofos, y más recientemente lo han hecho periodistas, sociólogos, demógrafos, politólogos, economistas, físicos, bioquímicos, ecólogos y muchos otros científicos. También el ciudadano de la calle vive y entiende su presente como producto del pasado e indicio de lo que habrá de depararle el porvenir. No es más que el reflejo de hasta qué punto carece de sentido fijar fronteras impenetrables en el ámbito temporal.Son todavía pocos, sin embargo, los historiadores que han osado acercarse al presente con esta perspectiva. Algunos más lo han hecho buscando el anclaje con el pasado más próximo, quizá como forma de asegurar una continuidad con lo que hasta hace poco, y aun actualmente, se ha considerado propio de este oficio: el estudio del pasado. La Historia del Tiempo Presente ha ido tomando cuerpo así como un campo específico de la Historia centrado en el análisis del pretérito inmediato, un tiempo que subsiste en la memoria de las generaciones vivas y que, por influencia de éstas, es considerado propio (presente por el conjunto de la sociedad[1]. Ciertamente en este terreno los avances teóricos no son desdeñables, y superan con creces a las realizaciones prácticas, aunque quizá éste no sea el principal obstáculo que se

  10. Fear and overprotection in Australian residential aged-care facilities: The inadvertent impact of regulation on quality continence care. (United States)

    Ostaszkiewicz, Joan; O'Connell, Beverly; Dunning, Trisha


    Most residents in residential aged-care facilities are incontinent. This study explored how continence care was provided in residential aged-care facilities, and describes a subset of data about staffs' beliefs and experiences of the quality framework and the funding model on residents' continence care. Using grounded theory methodology, 18 residential aged-care staff members were interviewed and 88 hours of field observations conducted in two facilities. Data were analysed using a combination of inductive and deductive analytic procedures. Staffs' beliefs and experiences about the requirements of the quality framework and the funding model fostered a climate of fear and risk adversity that had multiple unintended effects on residents' continence care, incentivising dependence on continence management, and equating effective continence care with effective pad use. There is a need to rethink the quality of continence care and its measurement in Australian residential aged-care facilities. © 2015 AJA Inc.

  11. Posterior and anterior fixation of the urethra during robotic prostatectomy improves early continence rates. (United States)

    Koliakos, Nikolaos; Mottrie, Alexandre; Buffi, Nicolo; De Naeyer, Geert; Willemsen, Pieter; Fonteyne, Etienne


    To investigate whether posterior and anterior fixation of the vesicourethral anastomosis during robotic radical prostatectomy (RRP) helps to establish continence earlier. Forty-seven consecutive patients undergoing RRP were randomized into two groups. The first group received a typical Van Velthoven vesicourethral anastomosis and the second group a modified anastomosis with posterior and anterior fixation. In this group the posterior fibrous tissues of the sphincter were sutured to the residual Denonvilliers' fascia. The anastomosis with two running sutures started at the 6 o'clock position on the bladder neck and continued upwards. Two-step stitching was done on the upper half of the anastomosis to ensure good stabilization of the bladder: a small portion of urethral stump followed by a deep haemostatic stitch on the plexus. Continence, as measured by patient self-reporting of the number of pads used per 24 h, was assessed 7 weeks after catheter removal, by telephone interview. The use of no pads or one pad was defined as "continent", two pads as "moderate incontinence" and more than two pads as "severe incontinence". At catheter removal, more patients in the fixation group were continent than in the Van Velthoven group [9/23 (39%) vs 3/24 (12.5%), p = 0.036]. At 7 weeks, continence was even better in the fixation group [15/23 (65%) vs 8/24 (33%), p = 0. 029]. The mean pad usage was less in the fixation group (1.43 vs 2.25, p = 0.032). The posterior and anterior fixation of the vesicourethral anastomosis during RRP results in an intact sphincteric mechanism, because no stretch is applied to the urethra, resulting in earlier continence.

  12. Preoperative predictive model of recovery of urinary continence after radical prostatectomy (United States)

    Matsushita, Kazuhito; Kent, Matthew T.; Vickers, Andrew J.; von Bodman, Christian; Bernstein, Melanie; Touijer, Karim A.; Coleman, Jonathan; Laudone, Vincent; Scardino, Peter T.; Eastham, James A.; Akin, Oguz; Sandhu, Jaspreet S.


    Objective ● To build a predictive model of urinary continence recovery following radical prostatectomy that incorporates magnetic resonance imaging parameters and clinical data. Patients and Methods ● We conducted a retrospective review of data from 2,849 patients who underwent pelvic staging magnetic resonance imaging prior to radical prostatectomy from November 2001 to June 2010. ● We used logistic regression to evaluate the association between each MRI variable and continence at 6 or 12 months, adjusting for age, body mass index (BMI), and American Society of Anesthesiologists (ASA) score and then used multivariable logistic regression to create our model. ● A nomogram was constructed using the multivariable logistic regression models. Results ● In total, 68% (n=1,742/2,559) and 82% (n=2,205/2,689) regained function at 6 and 12 months, respectively. ● In the base model, age, BMI, and ASA score were significant predictors of continence at 6 or 12 months on univariate analysis (p <0.005). ● Among the preoperative magnetic resonance imaging measurements, membranous urethral length, which showed great significance, was incorporated into the base model to create the full model. ● For continence recovery at 6 months, the addition of membranous urethral length increased the AUC to 0.664 for the validation set, an increase of 0.064 over the base model. For continence recovery at 12 months, the AUC was 0.674, an increase of 0.085 over the base model. Conclusions ● Using our model, the likelihood of continence recovery increases with membranous urethral length and decreases with age, body mass index, and ASA score. ● This model could be used for patient counseling and for the identification of patients at high risk for urinary incontinence in whom to study changes in operative technique that improve urinary function after radical prostatectomy. PMID:25682782

  13. The research of modern He discharge in volcanic and tectonically active areas of China's continent

    International Nuclear Information System (INIS)

    Shangguan, Z.G.


    The realising features of modern helium in volcanic and tectonically active areas of China's continent are here discussed, presenting that the current escaped He in volcanic areas are mainly the mantle-derived He. The 3 He/ 4 He ratios of crustal gases in Eastern China are relatively higher than those gases in Middle-Western China. The author considers difficult to interpret this phenomenon by means of the differences of tectonic activity in those areas: it may be related to the variation of crustal thickness of China's continent from East to West

  14. CONTIN XPCS: Software for Inverse Transform Analysis of X-Ray Photon Correlation Spectroscopy Dynamics. (United States)

    Andrews, Ross N; Narayanan, Suresh; Zhang, Fan; Kuzmenko, Ivan; Ilavsky, Jan


    X-ray photon correlation spectroscopy (XPCS) and dynamic light scattering (DLS) both reveal dynamics using coherent scattering, but X-rays permit investigating of dynamics in a much more diverse array of materials. Heterogeneous dynamics occur in many such materials, and we showed how classic tools employed in analysis of heterogeneous DLS dynamics extend to XPCS, revealing additional information that conventional Kohlrausch exponential fitting obscures. This work presents the software implementation of inverse transform analysis of XPCS data called CONTIN XPCS, an extension of traditional CONTIN that accommodates dynamics encountered in equilibrium XPCS measurements.

  15. Regulatory Changes and Productivity of the Banking Sector in the Indian Sub-Continent


    Shabbar Jaffry; Yaseen Ghulam; Sean Pascoe; Joe Cox


    This study seeks to measure changes in technical efficiency levels within the banking sectors of the Indian sub-continent: specifically India, Pakistan, and Bangladesh, over the period 1993–2002. This study is done in the context of a number of sweeping deregulations across the sub-continent in the early 1990s, and the possible effect these may have had upon efficiency levels. A Malmquist Index of TFP change over the time-period in question is employed, along with a Tobit regression, in order...

  16. A study on the birth and globalization of sports originated from each continent


    Lee, Byung Jin; Kim, Tae Young


    The purpose of this research is to see how continent specific sports rose to its modern-day status through globalization. This research focuses on the historical background of how England?s football, America?s national pastime, baseball, Japan?s Judo, and Korea?s Taekwondo developed into sports in addition to the reasoning behind its globalization. Promoted by England and the rest of the European continent, Soccer is considered to be one of the world?s most popular sports and has served its f...

  17. Impact of posterior rhabdosphincter reconstruction during robot-assisted radical prostatectomy: retrospective analysis of time to continence. (United States)

    Woo, Jason R; Shikanov, Sergey; Zorn, Kevin C; Shalhav, Arieh L; Zagaja, Gregory P


    Posterior rhabdosphincter (PR) reconstruction during robot-assisted radical prostatectomy (RARP) was introduced in an attempt to improve postoperative continence. In the present study, we evaluate time to achieve continence in patients who are undergoing RARP with and without PR reconstruction. A prospective RARP database was searched for most recent cases that were accomplished with PR reconstruction (group 1, n = 69) or with standard technique (group 2, n = 63). We performed the analysis applying two definitions of continence: 0 pads per day or 0-1 security pad per day. Patients were evaluated by telephone interview. Statistical analysis was carried out using the Kaplan-Meier method and log-rank test. With PR reconstruction, continence was improved when defined as 0-1 security pad per day (median time of 90 vs 150 days; P = 0.01). This difference did not achieve statistical significance when continence was defined as 0 pads per day (P = 0.12). A statistically significant improvement in continence rate and time to achieve continence is seen in patients who are undergoing PR reconstruction during RARP, with continence defined as 0-1 security/safety pad per day. A larger, prospective and randomized study is needed to better understand the impact of this technique on postoperative continence.

  18. Feldspar basalts in lunar soil and the nature of the lunar continents (United States)

    Reid, A. M.; Ridley, W. I.; Harmon, R. S.; Warner, J.; Brett, R.; Jakes, P.; Brown, R. W.


    It is found that 25% on the Apollo-14 glasses have the same composition as the glasses in two samples taken from the Luna-16 column. The compositions are equivalent to feldspar basalt and anorthosite gabbro, and are similar to the feldspar basalts identified from Surveyor-7 analysis for lunar continents.

  19. Papers presented to the Conference on Heat and Detachment in Crustal Extension on Continents and Planets (United States)


    Several topics relative to heat and detachment in crustal extension on continents and planets are discussed. Rifting on Venus, heat flow and continental breakup, magnetism, the mountains and tectonic processes of Io, and the ductile extension of planetary lithospheres are among the topics covered.

  20. The African nuclear-weapon-free zone and sustainable development on the continent

    International Nuclear Information System (INIS)

    Selassie, T.W.


    This article looks at the concept of safeguards and nuclear non-proliferation in the context of the Treaty, and discusses the relevance and potential of nuclear science and technology for contributing to the solution of the continent's numerous and urgent problems

  1. Examination of 2015 Human Development Index in Terms of Education: Comparison of the Continents and Turkey (United States)

    Nartgün, Senay Sezgin; Sezen-Gültekin, Gözde; Limon, Ibrahim


    This study aims to compare Turkey to the first three countries from each continent in terms of educational indicators in 2015 Human Development Report. In line with this aim, it is a case study utilizing document review method. Analysis of the data has been carried out on a single document which is United Nations Development Report (2015). To…

  2. Normalized difference vegetation index for the South American continent used as a climatic variability indicator

    International Nuclear Information System (INIS)

    Liu, W.T.; Massambani, O.; Festa, M.


    The NOAA AVHRR GAC data set was used to produce Normalized Difference Vegetation Index (NDVI) maps for the South American Continent covering the period from August 1, 1981 to June 30, 1987. A 15-day maximum value composite procedure was used to partially eliminate the cloud contamination and atmospheric attenuation. Monthly evolution of NDVI for a dry and a wet year within the period studied was used to estimate the area covered by NDVI value less than 0.223, This value was used as an indicator of the drought area and the delineation of the Low rainfall areas in the continent. It was observed a well defined regional dependence of the drought area variability for the Northeast, Southwest and Northwest continent and also for the Amazon region. It is shown a relative estimation of the area coverage with NDVI less than 0.223 for the years 1982/83 and 1984/85. The dynamics of the drought area evolution in the continent is discussed. It is also presented a diagnosis of regional variability of the continental distribution of drought area from 1981 to 1987 for the months of May and September. This information is also used to discuss its relationship with the EL-Nino-Southern Oscillation (ENSO) and the South American Precipitation patterns during this period. It is suggested that the use of NDVI image to identify the dynamics of the drought induced by low rainfall may provide us valuable information to study the large scale climatic variation

  3. Long Aftershock Sequences within Continents and Implications for Earthquake Hazard Assessment (United States)

    Stein, S. A.; Liu, M.


    Recent seismicity in the Tangshan region in North China has prompted concern about a repetition of the 1976 M7.8 earthquake that destroyed the city, killing more than 242,000 people. However, the decay of seismicity there implies that the recent earthquakes are probably aftershocks of the 1976 event. This 37-year sequence is an example of the phenomenon that aftershock sequences within continents are often significantly longer than the typical 10 years at plate boundaries. The long sequence of aftershocks in continents is consistent with a simple friction-based model predicting that the length of aftershock sequences varies inversely with the rate at which faults are loaded. Hence the slowly-deforming continents tend to have aftershock sequences significantly longer than at rapidly-loaded plate boundaries. This effect has two consequences for hazard assessment. First, within the heavily populated continents that are typically within plate interiors, assessments of earthquake hazards rely significantly on the assumption that the locations of small earthquakes shown by the short historical record reflect continuing deformation that will cause future large earthquakes. This assumption would lead to overestimation of the hazard in presently active areas and underestimation elsewhere, if some of these small events are aftershocks. Second, successful attempts to remove aftershocks from catalogs used for hazard assessment would underestimate the hazard, because much of the hazard is due to the aftershocks, and the declustering algorithms implicitly assume short aftershock sequences and thus do not remove long-duration ones.

  4. High resolution magnetic resonance imaging of urethral anatomy in continent nulliparous pregnant women

    International Nuclear Information System (INIS)

    Preyer, Oliver; Brugger, Peter C.; Laml, Thomas; Hanzal, Engelbert; Prayer, Daniela; Umek, Wolfgang


    Introduction: To quantify the distribution of morphologic appearances of urethral anatomy and measure variables of urethral sphincter anatomy in continent, nulliparous, pregnant women by high resolution magnetic resonance imaging (MRI). Materials and methods: We studied fifteen women during their first pregnancy. We defined and quantified bladder neck and urethral morphology on axial and sagittal MR images from healthy, continent women. Results: The mean (±standard deviation) total transverse urethral diameter, anterior–posterior diameter, unilateral striated sphincter muscle thickness, and striated sphincter length were 15 ± 2 mm (range: 12–19 mm), 15 ± 2 mm (range: 11–20 mm), 2 ± 1 mm (range: 1–4 mm), and 13 ± 3 mm (range: 9–18 mm) respectively. The mean (±standard deviation) total urethral length on sagittal scans was 22 ± 3 mm (range: 17.6–26.4 mm). Discussion: Advances in MR technique combined with anatomical and histological findings will provide an insight to understand how changes in urethral anatomy might affect the continence mechanisms in pregnant and non-pregnant, continent or incontinent individuals.

  5. Runes around the North Sea and on the Continent AD 150-700; texts & contexts

    NARCIS (Netherlands)

    Looijenga, Jantina Helena


    Het onderzoek naar de oudste runeninscripties van het Europese continent, Engeland en Denemarken voerde onderzoekster van Liverpool aan de Ierse Zee naar Constanza aan de Zwarte Zee; van Zürich naar Bergen; van Parijs naar Stockholm. In dit enorme gebied kende men reeds bij het begin van de vroege

  6. Obesity and stress urinary incontinence in women: compromised continence mechanism or excess bladder pressure during cough? (United States)

    Swenson, Carolyn W; Kolenic, Giselle E; Trowbridge, Elisa R; Berger, Mitchell B; Lewicky-Gaupp, Christina; Margulies, Rebecca U; Morgan, Daniel M; Fenner, Dee E; DeLancey, John O


    We compared two hypotheses as to why obesity is associated with stress urinary incontinence (SUI): (1) obesity increases demand on the continence system (e.g. higher cough pressure) and (2) obesity compromises urethral function and urethrovaginal support. A secondary analysis was performed using data from a case-control study of SUI in women. Measurements of urethrovaginal support (POP-Q point Aa, urethral axis), urethral function (maximal urethral closure pressure, MUCP), and measures of continence system demand (intravesical pressures at rest and during maximal cough) were analyzed. Cases and controls were divided into three body mass index (BMI) groups: normal (18.5-24.9 kg/m 2 ); overweight (25.0-29.9 kg/m 2 ); and obese (≥30 kg/m 2 ). Logistic regression models where created to investigate variables related to SUI for each BMI group. Structural equation modeling was used to test the direct and indirect relationships among BMI, SUI, maximal cough pressure, MUCP, and POP-Q point Aa. The study included 108 continent controls and 103 women with SUI. MUCP was the factor most strongly associated with SUI in all BMI groups. Maximal cough pressure was significantly associated with SUI in obese women (OR 3.191, 95% CI 1.326, 7.683; p continence mechanism.

  7. Measurement of Dynamic Urethral Pressures with a High Resolution Manometry System in Continent and Incontinent Women (United States)

    Kirby, Anna C; Tan-Kim, Jasmine; Nager, Charles W.


    Objectives Female stress urinary incontinence (SUI) is caused by urethral dysfunction during dynamic conditions, but current technology has limitations in measuring urethral pressures under dynamic conditions. An 8-French high resolution manometry catheter (HRM) currently in clinical use in gastroenterology may accurately measure urethral pressures under dynamic conditions because it has a 25ms response rate and circumferential pressure sensors along the length of the catheter (ManoScan® ESO, Given Imaging). We evaluated the concordance, repeatability, and tolerability of this catheter. Methods We measured resting, cough, and strain maximum urethral closure pressures (MUCPs) using HRM and measured resting MUCPs with water perfusion side-hole catheter urethral pressure profilometry (UPP) in 37 continent and 28 stress incontinent subjects. Maneuvers were repeated after moving the HRM catheter along the urethral length to evaluate whether results depend on catheter positioning. Visual analog pain scores evaluated the comfort of HRM compared to UPP. Results The correlation coefficient for resting MUCPs measured by HRM vs. UPP was high (r = 0.79, prest, cough, and strain with HRM: r= 0.92, 0.89, and 0.89. Mean MUCPs (rest, cough, strain) were higher in continent than incontinent subjects (all p continent subjects during cough and strain maneuvers compared to rest. Conclusions This preliminary study shows that HRM is concordant with standard technology, repeatable, and well tolerated in the urethra. Incontinent women have more impairment of their urethral closure pressures during cough and strain than continent women. PMID:25185595

  8. Self-reported urinary continence outcomes for repeat midurethral synthetic sling placement

    Directory of Open Access Journals (Sweden)

    Jonathan A. Eandi


    Full Text Available OBJECTIVE: To evaluate our experience with tension-free transvaginal tape (TVT placement for the management of stress urinary incontinence (SUI in women who had previously undergone a failed midurethral synthetic sling (MUS procedure. MATERIALS AND METHODS: Ten women underwent retropubic TVT insertion for continued or recurrent SUI following a prior MUS procedure. No attempt was made to remove the previously placed sling at the time of surgery. A retrospective chart review was performed to obtain perioperative and follow-up patient information. Post-operatively, each patient completed a mailed incontinence questionnaire to assess self-reported urinary continence outcomes. RESULTS: All 10 women were available for follow-up at a mean period of 16 months (range 6 to 33. Four of the 10 patients achieved complete continence, and another three patients reported significantly improved continence and quality of life. Three women stated that their continence did not improve. CONCLUSIONS: TVT placement may be a viable option for the management of women with persistent or recurrent SUI following an initial MUS procedure.

  9. Rotational inertia of continents: A proposed link between polar wandering and plate tectonics (United States)

    Kane, M.F.


    A mechanism is proposed whereby displacement between continents and the earth's pole of rotation (polar wandering) gives rise to latitudinal transport of continental plates (continental drift) because of their relatively greater rotational inertia. When extended to short-term polar wobble, the hypothesis predicts an energy change nearly equivalent to the seismic energy rate.

  10. Is continence status associated with quality of life in young children with spina bifida? (United States)

    Freeman, Kurt A; Smith, Kathryn; Adams, Elizabeth; Mizokawa, Stacey; Neville-Jan, Ann


    To evaluate the relationship between child- and parent-reported quality of life (QOL) and bowel and bladder continence among young children with spina bifida (SB). 104 children ages 5-12 years and one of their parents/guardians completed the Pediatric Quality of Life Inventory - Generic Form (PedsQL; parent and child) and the Quality of Life in Spina Bifida Questionnaire (QOLSBQ, parent only). Data on continence, child age, and condition-specific variables were obtained by chart review. Parent and child QOL scores (on all measures of QOL) were positively correlated; parents rated child QOL lower than children's self report. QOL scores did not differ based on continence status. Total PedsQL scores were associated with age and mobility based on child report and with mobility based on parent report. QOL may not be affected by continence status among young children with SB, though demographic (i.e., age) and condition-specific (i.e., functional mobility status) variables appear relevant. Additional research is needed to further evaluate condition-specific variables, other protective variables, and possible measurement issues that influence QOL in young children with SB.

  11. Analysis of the Environmental Management System based on ISO 14001 on the American continent. (United States)

    Neves, Fábio de Oliveira; Salgado, Eduardo G; Beijo, Luiz A


    The American continent is in broad economic and industrial development. Consequently, a more detailed discussion of the impacts generated by such development is needed. Moreover, there is an increase in the number of ISO 14001 certificates issued to this continent. Given the above, no studies were found that bridge the gap to identify the influence of different factors on ISO 14001 in the Americas. Thus, this article has as its main aim to check which economic, environmental and cultural factors have influence on ISO 14001 Certification in the American Continent. The data were collected in the ISO Survey, World Bank, United Nations Development Programme and International Energy Agency. Among the countries of that continent, thirteen were analyzed and only two did not show the economic factors as the influence factor in the multiple regression models fitted with Brazil and the United State. In these models, all presented environmental factors as influencing factors. Only in Brazil the index HDI presented as cultural factor in multiple regression model fitted. The economic factors: Gross Domestic Product and exports of goods and services and environmental: Carbon Dioxide (CO 2 ) and fossil fuel consumption were the most influential in ISO 14001 certification. Venezuela, Uruguay, Colombia and the United States were countries that had factors dependent on each other, featuring the environmental marketing. Briefly, this study brings up several implications: to the academy, with the proposal of new concepts and guidance on the factors that assist in ISO 14001 certification in the American Continent. Additionally, taking into account the industry, the factors serve as efficiency parameters for the implementation of ISO 14001 standard, and for the Government to improve through factors that do not fit in multiple regression models. Copyright © 2017 Elsevier Ltd. All rights reserved.

  12. Maritime Continent seasonal climate biases in AMIP experiments of the CMIP5 multimodel ensemble (United States)

    Toh, Ying Ying; Turner, Andrew G.; Johnson, Stephanie J.; Holloway, Christopher E.


    The fidelity of 28 Coupled Model Intercomparison Project phase 5 (CMIP5) models in simulating mean climate over the Maritime Continent in the Atmospheric Model Intercomparison Project (AMIP) experiment is evaluated in this study. The performance of AMIP models varies greatly in reproducing seasonal mean climate and the seasonal cycle. The multi-model mean has better skill at reproducing the observed mean climate than the individual models. The spatial pattern of 850 hPa wind is better simulated than the precipitation in all four seasons. We found that model horizontal resolution is not a good indicator of model performance. Instead, a model's local Maritime Continent biases are somewhat related to its biases in the local Hadley circulation and global monsoon. The comparison with coupled models in CMIP5 shows that AMIP models generally performed better than coupled models in the simulation of the global monsoon and local Hadley circulation but less well at simulating the Maritime Continent annual cycle of precipitation. To characterize model systematic biases in the AMIP runs, we performed cluster analysis on Maritime Continent annual cycle precipitation. Our analysis resulted in two distinct clusters. Cluster I models are able to capture both the winter monsoon and summer monsoon shift, but they overestimate the precipitation; especially during the JJA and SON seasons. Cluster II models simulate weaker seasonal migration than observed, and the maximum rainfall position stays closer to the equator throughout the year. The tropics-wide properties of these clusters suggest a connection between the skill of simulating global properties of the monsoon circulation and the skill of simulating the regional scale of Maritime Continent precipitation.

  13. Is there any difference in pelvic floor muscles performance between continent and incontinent women? (United States)

    Burti, Juliana Schulze; Hacad, Claudia R; Zambon, João Paulo; Polessi, Emily Assis; Almeida, Fernando G


    To compare pelvic floor muscles (PFMs) performance in women with and without stress urinary incontinence (SUI) during endurance test. It is a prospective case-control clinical trial. After determining PFM maximal voluntary contraction (MVC) by electromyography (EMG), women underwent endurance test, which consisted of consecutively PFM 1-sec fast contractions reaching MVC amplitude followed by 1-sec rest. Training time guided by Borg perceived exertion scale was noted. Heart rate (HR) behavior and EMG variables were assessed before and after training making a physiological analysis in both groups. A total of 56 women, mean age 52.19 years old, were evaluated (26 continent and 30 incontinent women). The time that SUI and continent women took to reach fatigue (Borg 10) was 9.1 ± 4.7 and 14.19 ± 8.32 min, respectively (P = 0.006). Confirming that all women performed similar effort during the test, analysis of variance with repeated measures showed that during the endurance test both groups presented similar increase in HR, showing detectable and significant increase from resting time to Borg 10 (P continent and SUI women, with a decrease from the baseline resting amplitude (P = 0.003 for SUI women and P = 0.006 for continent women). Women with SUI showed worse performance during an endurance test than continent women. It suggests that women have different capacity to perform PFM training. An initial evaluation based on PFM performance would help to define the best individualized PFM training. © 2014 Wiley Periodicals, Inc.

  14. Oceans and continents: Similarities and differences in the mechanisms of heat loss

    International Nuclear Information System (INIS)

    Sclater, J.G.; Parsons, B.; Jaupart, C.


    The principal objective of this paper is to present a simple and self-consistent review of the basic physical processes controlling heat loss from the earth. To accomplish this objective, we give a short summary of the oceanic and continental data and compare and contrast the respective mechanisms of heat loss . In the oceans we concentrate on the effect of hydrothermal circulation, and on the continents we consider in some detail a model relating surface heat flow to varying depth scales for the distribution of potassium, thorium, and uranium. From this comparison we conclude that the range in possible geotherms at depths below 100 to 150 km under continents and oceans overlaps and the thermal structure beneath an old stable continent is indistinguishable from that beneath an ocean were it at equilibrium. Oceans and continents are part of the same thermal system. Both have an upper rigid mechanical layer where heat loss is by conduction and a lower thermal boundary layer where convection is dominant. The simple conductive definition of the plate thickness is an oversimplification. The observed distribution of area versus age in the ocean allows us to investigate the dominant mechanism of heat loss which is plate creation. This distribution and an understanding of the heat flow through oceans and continents can be used to calculate the heat loss of the earth. This heat loss is 10 13 cal/s (4.2 x 10 13 W) of which more than 60% results from the creation of oceanic plate. The relation between area and age of the oceans is coupled to the ridge and subducting slab forces that contribute to the driving mechanism for plate motions. These forces are self-regulating and maintain the rate of plate generation required to achieve a balance between heat loss and heat generation

  15. Seminal vesicle sparing laparoscopic radical prostatectomy using a low-energy source: Better continence and potency

    Directory of Open Access Journals (Sweden)

    Shrenik J Shah


    Full Text Available Objectives: Ongoing with the newer developments in laparoscopic radical prostatectomy (LRP, we report our experience in a consecutive series of 42 patients with a mean 18-month follow-up. We also studied the use of a low-energy source, especially in the region of the prostatic apex and the neurovascular bundle and evaluated its outcome on continence and potency. Materials and Methods: Between November 2003 and December 2008, 50 patients aged 50-80 yrs underwent LRP with vesicourethral anastomosis and of these, 42 patients who had a minimum follow-up of 3 months were selected for the study. Of these, the initial 16 patients were operated by the routine method and the 26 patients operated in the later part of our experience were operated upon using a minimal energy source. Results: The mean follow-up was 18 months (range 3-60. Continence was evaluated at 1, 3, 6, and 12 months. Eleven of the 16 patients in Group I were continent as compared with 21 of 26 patients in Group II. The difference in continence rates was mainly due to less use of electrocautery and harmonic scalpel at the bladder neck. Of the eight patients who were potent pre-operatively in Group I, four remained potent 3 months after LRP. In Group II, 20 of the 26 patients were potent pre-operatively and 16 remained potent 3 months after LRP. Conclusions: Use of a low-energy source at the bladder neck and neurovascular bundle, sparing of seminal vesicle, and leaving behind a long, healthy stump of the urethra during apical dissection, is associated with better continence and potency without compromising oncological outcome.

  16. Improving and ensuring best practice continence management in residential aged care. (United States)

    Heckenberg, Gayle


    Background  Continence Management within residential aged care is an every day component of care that requires assessment, implementation of strategies, resource allocation and evaluation. At times the management of incontinence of aged residents can be challenging and unsuccessful. The project chosen through the Clinical Fellowship program was Continence Management with the aim of raising awareness of best practice to assist in improving and providing person-centred resident care. Aims/objectives •  Review the literature on best practice management of incontinence •  Evaluate current practice in continence management for elderly residents within residential aged care services •  Improve adherence to best practice strategies of care for incontinence •  Raise awareness within the nursing home of the best practice management of incontinence •  Promote appropriate and effective use of resources for continence management •  Deliver individualised person-centred care to residents. •  Ensure best practice in continence management Methods  The Joanna Briggs Institute (JBI) Practical Application of Clinical Evidence System clinical audit tool was utilised to measure current practice against best practice. The results identify gaps that require improvement. The Getting Research into Practice process then allowed analysis of the level of compliance with each of the audit criteria, which would identify any barriers in implementing a selected course of action and aim to improve compliance. The project team was consulted with additional stakeholder consultation to form an action plan and implement strategies to improve practice. Results  Although 100% compliance with all audit criteria in audit 1 and 2 was not achieved, there was improvement in the criteria concerning the documented fluid intake for residents. Further strategies have been identified and implemented and this continues to be a 'work in progress'. Staff now have an acute awareness

  17. Indiana pouch continent urinary reservoir in patients with previous pelvic irradiation

    International Nuclear Information System (INIS)

    Mannel, R.S.; Braly, P.S.; Buller, R.E.


    Little information exists on the use of continent urinary reservoirs in patients with previous pelvic irradiation. We report the use of the Indiana pouch urinary reservoir in ten women with a history of pelvic irradiation for cervical cancer, of whom eight underwent a total pelvic exenteration for recurrent pelvic tumor and two had diversion for radiation-induced vesicovaginal fistula. All ten women achieved daytime continence, with a median time between catheterizations of 4.5 hours and a median pouch capacity of 500 mL. There was no evidence of leakage from the reservoir or significant ureteral reflux or obstruction on postoperative radiographic evaluation. No patient has required reoperation or had significant postoperative complications with the technique described

  18. Variation of atmospheric 210Pb concentration in the inland area of Chinese continent

    International Nuclear Information System (INIS)

    Doi, Taeko; Sato, Jun.


    Atmospheric concentrations of 210 Pb and their variations over Urumqi, Lanzhou and Baotou, cities located in inland area of Chinese continent, were observed for a period of 1 year in 1992. The monthly average concentrations ranged from 0.27 to 4.57 mBq/m 3 . The concentrations over these cities in winter were several times higher than that observed at Tsukuba Science City, Japan, and the range of variation was also larger. The variations in concentration over the 3 localities were similar to each other, showing the same seasonal variation pattern: low concentration appeared in summer and high in winter. This variation pattern was different from that observed at Tsukuba Science City. The variations in concentration over Chinese continent, where precipitation is much lower than that in Japan, correlated quite well with the variation in precipitation. (author)

  19. Checking of seismic and tsunami hazard for coastal NPP of Chinese continent after Fukushima nuclear accident

    Institute of Scientific and Technical Information of China (English)

    Chang Xiangdong; Zhou Bengang; Zhao Lianda


    A checking on seismic and tsunami hazard for coastal nuclear power plant (NPP) of Chinese continent has been made after Japanese Fukushima nuclear accident caused by earthquake tsunami.The results of the checking are introduced briefly in this paper,including the evaluations of seismic and tsunami hazard in NPP siting period,checking results on seismic and tsunami hazard.Because Chinese coastal area belongs to the continental shelf and far from the boundary of plate collision,the tsunami hazard is not significant for coastal area of Chinese continent.However,the effect from tsunami still can' t be excluded absolutely since calculated result of Manila trench tsunami source although the tsunami wave is lower than water level from storm surge.The research about earthquake tsunami will continue in future.The tsunami warning system and emergency program of NPP will be established based on principle of defense in depth in China.

  20. Responses of Mean and Extreme Precipitation to Deforestation in the Maritime Continent (United States)

    Chen, C. C.; Lo, M. H.; Yu, J. Y.


    Anthropogenic land use and land cover change, including tropical deforestation, could have substantial effects on local surface energy and water budgets, and thus on the atmospheric stability which may result in changes in precipitation. Maritime Continent has undergone severe deforestation in recent decades but has received less attention than Amazon or Congo rainforests. Therefore, this study is to decipher the precipitation response to deforestation in the Maritime Continent. We conduct deforestation experiments using Community Earth System Model (CESM) and through converting the tropical rainforest into grassland. The results show that deforestation in Maritime Continent leads to an increase in both mean temperature and mean precipitation. Moisture budget analysis indicates that the increase in precipitation is associated with the vertically integrated vertical moisture advection, especially the dynamic component (changes in convection). In addition, through moist static energy (MSE) budget analysis, we find the atmosphere among deforested areas become unstable owing to the combined effects of positive specific humidity anomalies at around 850 hPa and anomalous warming extended from the surface to 750 hPa. This instability will induce anomalous ascending motion, which could enhance the low-level moisture convergence, providing water vapor from the surrounding warm ocean. To further evaluate the precipitation response to deforestation, we examine the precipitation changes under La Niña events and global warming scenario using CESM Atmospheric Model Intercomparison Project (AMIP) simulations and Representative Concentration Pathway (RCP) 8.5 simulations. We find that the precipitation increase caused by deforestation in Maritime Continent is comparable in magnitude to that generated by either natural variability or global warming forcing. Besides the changes in mean precipitation, preliminary results show the extreme precipitation also increases. We will further

  1. Globalization in Urology: A Bibliographical Analysis of Cross-Continent Publication between 2002 and 2012. (United States)

    Mani, Jens; Juengel, Eva; Bartsch, Georg; Filmann, Natalie; Ackermann, Hanns; Nelson, Karen; Haferkamp, Axel; Engl, Tobias; Blaheta, Roman A


    Asian scientists have now increasingly begun to contribute to globalization; yet it is not clear whether publishing in the field of urology is paralleled by elevated cross-continental scientific publishing. An exemplary bibliometric analysis of urologic journals from 3 different continents was conducted between 2002 and 2012. Based on the ISI Web of Knowledge Journal Citation Reports, 2 urologic journals with similar impact factors (IFs) in 2013 were selected from Europe ('British Journal of Urology International', 'World Journal of Urology'), Asia ('International Journal of Urology', 'Asian Journal of Andrology') and North America ('Urologic Oncology-Seminars and Original Investigations', 'Urology'). The home continent of the journal, the workplace continental affiliation of the last author, article type (clinical, experimental or review) as well as the IF were documented. Most authors published their manuscripts in journals from the same continent in which they worked. However, a significant increase in cross-continental publishing was apparent from 2002 to 2012. Asians publishing in North America increased from 17% in 2002 to 35% in 2012. Europeans also increased the number of articles they published in North American journals, while publications from North American authors were shifted towards both European and Asian journals. Experimental and clinical articles showed significant increases in cross-continental publishing, while review publishing showed no significant change. The average IF for authors from all 3 continents increased from 2002 to 2012 (p < 0.001). The largest increase in the IF was found for Asian authors (0.11 per year). Cross-continental publication significantly increased during the period from 2002 to 2012. The impact that the Asian authors have experienced was found to be gradually impacting the North American and European colleagues. © 2015 S. Karger AG, Basel.

  2. Isotopic evidence of boron in precipitation originating from coal burning in Asian continent

    International Nuclear Information System (INIS)

    Sakata, Masahiro; Natsumi, Masahiro; Tani, Yukinori


    The boron concentration and isotopic composition (δ 11 B) of precipitation collected from December 2002 to March 2006 at three sites on the Japan Sea coast were measured. Those sites have been considerably affected by the long-range transport of air pollutants from the Asian continent during winter and spring when the airflows from the Asian continent are predominant. The boron concentration in the precipitation increased primarily during winter whereas the δ 11 B decreased during winter or spring. It is assumed that this decrease in δ 11 B is not associated with a Rayleigh distillation process, because the previous δD values of the precipitation collected at a site on the Japan Sea coast did not decrease in the same manner. A weak correlation (r 2 =0.13-0.24, P 11 B and the nonsea-salt sulfate (nss-SO 4 2- )/B ratio at each site, suggesting that boron in the precipitation originate primarily from two sources. The first source, which is characterized by high δ 11 B and nss-SO 4 2- /B=0, is seawater. At the northern site, the enrichment factor for boron in the precipitation relative to seawater approached unity during winter. This implies that much of the boron in the precipitation is derived from unfractionated sea salts rather than gaseous boron evaporated from seawater. The second source is characterized by low δ 11 B and high nss-SO 4 2- /B ratio. Most of the nss-SO 4 2- in the precipitation originates from anthropogenic combustion activities in the Asian continent based on the previous model calculations. Coal accounts for a major portion of the total primary energy supply in China. Moreover, coal enriches boron and represents generally negative δ 11 B values. Hence, we propose that the emission of boron from coal burning is the most likely second source. Thus, boron isotopes may be useful as tracers of coal-burning plumes from the Asian continent. (author)

  3. Runes around the North Sea and on the Continent AD 150-700; texts & contexts


    Looijenga, Jantina Helena


    Het onderzoek naar de oudste runeninscripties van het Europese continent, Engeland en Denemarken voerde onderzoekster van Liverpool aan de Ierse Zee naar Constanza aan de Zwarte Zee; van Zürich naar Bergen; van Parijs naar Stockholm. In dit enorme gebied kende men reeds bij het begin van de vroege middeleeuwen het runenschrift (rond 500 AD). Ergens in dit gebied moet een kern gelegen hebben, waar het begon - vermoedelijk in de eerste eeuw AD. Het localiseren van dat oorsprongsgebied begon me ...

  4. Hybrid metaheuristic optimization algorithm for strategic planning of {4D} aircraft trajectories at the continent scale


    Chaimatanan , Supatcha; Delahaye , Daniel; Mongeau , Marcel


    International audience; Global air-traffic demand is continuously increasing. To handle such a tremendous traffic volume while maintaining at least the same level of safety, a more efficient strategic trajectory planning is necessary. In this work, we present a strategic trajectory planning methodology which aims to minimize interaction between aircraft at the European-continent scale. In addition, we propose a preliminary study that takes into account uncertainties of aircraft positions in t...

  5. On the determination of the carbon balance of continents (Vladimir Ivanovich Vernadsky Medal Lecture) (United States)

    Dolman, Albertus J. Han


    The carbon balance of regions, the size of continents, can be determined, albeit with significant uncertainty, by combining several bottom up and top down methods. The bottom up methods use eddy covariance techniques, biometric inventory measurements and modeling, while the top down methods use atmospheric observations and inverse models. There has been considerable progress in the last few years in determining these balances through more or less standard protocols, as highlighted for instance by studies of the REgional Carbon Cycle Assessment and Processes (RECAPP) project of the Global Carbon Project. Important areas where uncertainty creeps in are the scaling of point measurements in the bottom up methods, the sparseness of the observation network and the role of model and other errors in the inversion methods. Typically these balances hold for periods of several years. They therefore do not resolve the impact of anomalies in weather and climate directly. The role of management in these balances also differs for different continents. For instance in Europe management plays a strong role in the carbon balance, whereas for the Russian continent this is less important. Management in the European carbon balance may potentially override climatically driven variability. In contrast, for Russia, the importance of the role of forest is paramount, but there the vulnerability of the Arctic regions and permafrost is a key uncertainty for future behaviour. I hope to show the importance of these different aspects of the terrestrial carbon balance by comparing the two continents, and also discuss the significant uncertainty we still face in determining the carbon budgets of large areas. I will argue that we need to get a clearer picture of the role of management in these budgets, but also of the time variability of the budgets to be able to determine the impact of anomalous weather and the vulnerability in a future climate.

  6. Longitudinal Study of Intestinal Symptoms and Fecal Continence in Patients With Conformal Radiotherapy for Prostate Cancer

    International Nuclear Information System (INIS)

    Geinitz, Hans; Thamm, Reinhard; Keller, Monika; Astner, Sabrina T.; Heinrich, Christine; Scholz, Christian; Pehl, Christian; Kerndl, Simone; Prause, Nina; Busch, Raymonde; Molls, Michael; Zimmermann, Frank B.


    Purpose: To prospectively assess the intestinal symptoms and fecal continence in patients who had undergone conformal radiotherapy (CRT) for prostate cancer. Methods and Materials: A total of 78 men who had undergone definitive CRT for prostate cancer were evaluated. The patients were assessed before, during (treatment Weeks 4 and 6), and 2, 12, and 24 months after CRT completion. The intestinal symptoms and fecal continence were evaluated with comprehensive standardized questionnaires. Results: The intestinal symptoms were mostly intermittent, with only a small minority of patients affected daily. Defecation pain, fecal urge, and rectal mucous discharge increased significantly during therapy. Defecation pain and rectal mucous discharge had returned to baseline levels within 8 weeks and 1 year after CRT, respectively. However, fecal urge remained significantly elevated for ≤1 year and then returned toward the pretreatment values. The prevalence of rectal bleeding was significantly elevated 2 years after CRT. Fecal continence deteriorated during CRT and remained impaired at 1 year after treatment. Incontinence was mostly minor, occurring less than once per week and predominantly affecting incontinence for gas. Conclusion: Intestinal symptoms and fecal incontinence increased during prostate CRT. Except for rectal bleeding, the intestinal symptoms, including fecal incontinence, returned to baseline levels within 1-2 years after CRT. Thus, the rate of long-term late radiation-related intestinal toxicity was low.

  7. Pattern recognition receptor-mediated cytokine response in infants across 4 continents. (United States)

    Smolen, Kinga K; Ruck, Candice E; Fortuno, Edgardo S; Ho, Kevin; Dimitriu, Pedro; Mohn, William W; Speert, David P; Cooper, Philip J; Esser, Monika; Goetghebuer, Tessa; Marchant, Arnaud; Kollmann, Tobias R


    Susceptibility to infection as well as response to vaccination varies among populations. To date, the underlying mechanisms responsible for these clinical observations have not been fully delineated. Because innate immunity instructs adaptive immunity, we hypothesized that differences between populations in innate immune responses may represent a mechanistic link to variation in susceptibility to infection or response to vaccination. Determine whether differences in innate immune responses exist among infants from different continents of the world. We determined the innate cytokine response following pattern recognition receptor (PRR) stimulation of whole blood from 2-year-old infants across 4 continents (Africa, North America, South America, and Europe). We found that despite the many possible genetic and environmental exposure differences in infants across 4 continents, innate cytokine responses were similar for infants from North America, South America, and Europe. However, cells from South African infants secreted significantly lower levels of cytokines than did cells from infants from the 3 other sites, and did so following stimulation of extracellular and endosomal but not cytosolic PRRs. Substantial differences in innate cytokine responses to PRR stimulation exist among different populations of infants that could not have been predicted. Delineating the underlying mechanism(s) for these differences will not only aid in improving vaccine-mediated protection but possibly also provide clues for the susceptibility to infection in different regions of the world. Copyright © 2013 The Authors. Published by Mosby, Inc. All rights reserved.

  8. Contrasting introduction scenarios among continents in the worldwide invasion of the banana fungal pathogen Mycosphaerella fijiensis. (United States)

    Robert, S; Ravigne, V; Zapater, M-F; Abadie, C; Carlier, J


    Reconstructing and characterizing introduction routes is a key step towards understanding the ecological and evolutionary factors underlying successful invasions and disease emergence. Here, we aimed to decipher scenarios of introduction and stochastic demographic events associated with the global spread of an emerging disease of bananas caused by the destructive fungal pathogen Mycosphaerella fijiensis. We analysed the worldwide population structure of this fungus using 21 microsatellites and 8 sequence-based markers on 735 individuals from 37 countries. Our analyses designated South-East Asia as the source of the global invasion and supported the location of the centre of origin of M. fijiensis within this area. We confirmed the occurrence of bottlenecks upon introduction into other continents followed by widespread founder events within continents. Furthermore, this study suggested contrasting introduction scenarios of the pathogen between the African and American continents. While potential signatures of admixture resulting from multiple introductions were detected in America, all the African samples examined seem to descend from a single successful founder event. In combination with historical information, our study reveals an original and unprecedented global scenario of invasion for this recently emerging disease caused by a wind-dispersed pathogen. © 2012 Blackwell Publishing Ltd.

  9. Left-colon antegrade continence enema (LACE) procedure for fecal incontinence. (United States)

    Churchill, Bernard M; De Ugarte, Daniel A; Atkinson, James B


    Antegrade continence enemas (ACE) are an efficacious therapeutic option for patients with fecal incontinence. The authors review their institution's experience with a variation of the Monti-Malone ACE procedure using the left colon as a source of an intestinal conduit and enema reservoir. From 2000 to 2002, 18 patients with fecal incontinence or intractable constipation underwent left-colon ACE (LACE) procedure. Concomitant Mitrofanoff appendicovesicostomy was performed in 15 patients and bladder augmentation in 9. The majority of patients had neural tube defects. A segment of left colon was tubularized, tunneled into the muscular wall of the distal colon, and exteriorized through the left upper quadrant or midabdomen. Stomal catherization and enema installation were started one month postoperatively. Fifteen patients (83%) achieved fecal continence, 2 remain incontinent of stool, and 1 experienced stomal closure (mean follow-up was 24 +/- 9 months). Two patients had stomal stenosis that required revision. The mean enema volume in patient's achieving continence was 360 +/- 216 mL, and the mean transit time was 18 +/- 12 minutes. LACE is an efficacious procedure for fecal incontinence that can be performed safely at the time of major urologic reconstruction. Administration of enemas into the left colon has several physiologic advantages that result in predictable bowel evacuation.

  10. Striking Seasonality in the Secular Warming of the Northern Continents: Structure and Mechanisms (United States)

    Nigam, S.; Thomas, N. P.


    The linear trend in twentieth-century surface air temperature (SAT)—a key secular warming signal— exhibits striking seasonal variations over Northern Hemisphere continents; SAT trends are pronounced in winter and spring but notably weaker in summer and fall. The SAT trends in historical twentieth-century climate simulations informing the Intergovernmental Panel for Climate Change's Fifth Assessment show varied (and often unrealistic) strength and structure, and markedly weaker seasonal variation. The large intra-ensemble spread of winter SAT trends in some historical simulations was surprising, especially in the context of century-long linear trends, with implications for the detection of the secular warming signal. The striking seasonality of observed secular warming over northern continents warrants an explanation and the representation of related processes in climate models. Here, the seasonality of SAT trends over North America is shown to result from land surface-hydroclimate interactions and, to an extent, also from the secular change in low-level atmospheric circulation and related thermal advection. It is argued that the winter dormancy and summer vigor of the hydrologic cycle over middle- to high-latitude continents permit different responses to the additional incident radiative energy from increasing greenhouse gas concentrations. The seasonal cycle of climate, despite its monotony, provides an expanded phase space for the exposition of the dynamical and thermodynamical processes generating secular warming, and an exceptional cost-effective opportunity for benchmarking climate projection models.

  11. Clinical application of continent anal plug in bedridden patients with intractable diarrhea. (United States)

    Kim, J; Shim, M C; Choi, B Y; Ahn, S H; Jang, S H; Shin, H J


    Some patients bedridden from various causes such as stroke or spinal cord injury experience poor control of bowel movement. This causes fecal leakage and diarrhea, increases the risk of perianal excoriation and bed sores, and is a burden on caregivers. To evaluate the efficacy of fecal evacuation and the prevention and treatment of skin complications in intractable diarrhea patients using a new device. A continent anal plug (US Patent No. 5 569 216) comprises an inner balloon surrounded by an outer balloon, both of which are mounted on a silicone tube containing a pair of air passages and an enema fluid inlet. The tube is secured in place in the rectum by the inflatable outer balloon and is designed to drain fecal matter through a thin collapsible hose situated in the anal canal. Thirty-two patients (21 male; median age 61 (range, 28-76) years) were evaluated after fully informed consent. Median duration was 12 (range, 3-37) days. The continent anal plug evacuated efficiently in those patients with loose or watery stools who only required irrigation once daily or not at all. Skin excoriations improved in three to seven days. Minimal leakage was seen around the anus. There was no anorectal mucosal injury noted over 37 days. The continent anal plug is an efficient method of treating patients with loss of bowel control and incontinence because it enables controlled fecal evacuation and helps reduce skin complications without causing anorectal mucosal injury.

  12. Sn-wave velocity structure of the uppermost mantle beneath the Australian continent (United States)

    Wei, Zhi; Kennett, Brian L. N.; Sun, Weijia


    We have extracted a data set of more than 5000 Sn traveltimes for source-station pairs within continental Australia, with 3-D source relocation using Pn arrivals to improve data consistency. We conduct tomographic inversion for S-wave-speed structure down to 100 km using the Fast Marching Tomography (FMTOMO) method for the whole Australian continent. We obtain a 3-D model with potential resolution of 3.0° × 3.0°. The new S-wave-speed model provides strong constraints on structure in a zone that was previously poorly characterized. The S velocities in the uppermost mantle are rather fast, with patterns of variation generally corresponding to those for Pn. We find strong heterogeneities of Swave speed in the uppermost mantle across the entire continent of Australia with a close relation to crustal geological features. For instance, the cratons in the western Australia usually have high S velocities (>4.70 km s-1), while the volcanic regions on the eastern margin of Australia are characterized by low S velocities (<4.40 km s-1). Exploiting an equivalent Pn inversion, we also determine the Vp/Vs ratios across the whole continent. We find that most of the uppermost mantle has Vp/Vs between 1.65 and 1.85, but with patches in central Australia and in the east with much higher Vp/Vs ratios. Distinctive local anomalies on the eastern margin may indicate the positions of remnants of mantle plumes.

  13. A study on the birth and globalization of sports originated from each continent. (United States)

    Lee, Byung Jin; Kim, Tae Young


    The purpose of this research is to see how continent specific sports rose to its modern-day status through globalization. This research focuses on the historical background of how England's football, America's national pastime, baseball, Japan's Judo, and Korea's Taekwondo developed into sports in addition to the reasoning behind its globalization. Promoted by England and the rest of the European continent, Soccer is considered to be one of the world's most popular sports and has served its function as a form of cultural imperialism. It has also advanced alongside commerce, missionary work and other types of cultural clashes. In America, baseball was used to integrate its multicultural society and developed so that the team captain leads the rest of his team. The sports of Oriental countries were reborn through modernization that was influenced by the modern rationality, education etc. of its Western counterparts. Judo and Taekwondo were introduced globally through the Olympic Games. As mentioned above the birth of sporting events has a close connection to a nation's cultural background and globalization has taken different forms depending on which continent it originated from.

  14. A study on the birth and globalization of sports originated from each continent (United States)

    Lee, Byung Jin; Kim, Tae Young


    The purpose of this research is to see how continent specific sports rose to its modern-day status through globalization. This research focuses on the historical background of how England’s football, America’s national pastime, baseball, Japan’s Judo, and Korea’s Taekwondo developed into sports in addition to the reasoning behind its globalization. Promoted by England and the rest of the European continent, Soccer is considered to be one of the world’s most popular sports and has served its function as a form of cultural imperialism. It has also advanced alongside commerce, missionary work and other types of cultural clashes. In America, baseball was used to integrate its multicultural society and developed so that the team captain leads the rest of his team. The sports of Oriental countries were reborn through modernization that was influenced by the modern rationality, education etc. of its Western counterparts. Judo and Taekwondo were introduced globally through the Olympic Games. As mentioned above the birth of sporting events has a close connection to a nation’s cultural background and globalization has taken different forms depending on which continent it originated from. PMID:26933653

  15. Integrated Mid-Continent Carbon Capture, Sequestration & Enhanced Oil Recovery Project

    Energy Technology Data Exchange (ETDEWEB)

    Brian McPherson


    A consortium of research partners led by the Southwest Regional Partnership on Carbon Sequestration and industry partners, including CAP CO2 LLC, Blue Source LLC, Coffeyville Resources, Nitrogen Fertilizers LLC, Ash Grove Cement Company, Kansas Ethanol LLC, Headwaters Clean Carbon Services, Black & Veatch, and Schlumberger Carbon Services, conducted a feasibility study of a large-scale CCS commercialization project that included large-scale CO{sub 2} sources. The overall objective of this project, entitled the 'Integrated Mid-Continent Carbon Capture, Sequestration and Enhanced Oil Recovery Project' was to design an integrated system of US mid-continent industrial CO{sub 2} sources with CO{sub 2} capture, and geologic sequestration in deep saline formations and in oil field reservoirs with concomitant EOR. Findings of this project suggest that deep saline sequestration in the mid-continent region is not feasible without major financial incentives, such as tax credits or otherwise, that do not exist at this time. However, results of the analysis suggest that enhanced oil recovery with carbon sequestration is indeed feasible and practical for specific types of geologic settings in the Midwestern U.S.

  16. Parallel Evolution of Copy-Number Variation across Continents in Drosophila melanogaster (United States)

    Schrider, Daniel R.; Hahn, Matthew W.; Begun, David J.


    Genetic differentiation across populations that is maintained in the presence of gene flow is a hallmark of spatially varying selection. In Drosophila melanogaster, the latitudinal clines across the eastern coasts of Australia and North America appear to be examples of this type of selection, with recent studies showing that a substantial portion of the D. melanogaster genome exhibits allele frequency differentiation with respect to latitude on both continents. As of yet there has been no genome-wide examination of differentiated copy-number variants (CNVs) in these geographic regions, despite their potential importance for phenotypic variation in Drosophila and other taxa. Here, we present an analysis of geographic variation in CNVs in D. melanogaster. We also present the first genomic analysis of geographic variation for copy-number variation in the sister species, D. simulans, in order to investigate patterns of parallel evolution in these close relatives. In D. melanogaster we find hundreds of CNVs, many of which show parallel patterns of geographic variation on both continents, lending support to the idea that they are influenced by spatially varying selection. These findings support the idea that polymorphic CNVs contribute to local adaptation in D. melanogaster. In contrast, we find very few CNVs in D. simulans that are geographically differentiated in parallel on both continents, consistent with earlier work suggesting that clinal patterns are weaker in this species. PMID:26809315

  17. [Physics of materials and female stress urinary continence: New concepts: I) Elasticity under bladder]. (United States)

    Guerquin, B


    Improving the understanding of the adaptation to stress of urinary continence. A transversal analysis between physics of materials and the female anatomy. Laws of physics of the materials and of their viscoelastic behavior are applied to the anatomy of the anterior vaginal wall. The anterior vaginal wall may be divided into two segments of different viscoelastic behavior, the vertical segment below the urethra and the horizontal segment below the bladder. If the urethra gets crushed on the first segment according to the hammock theory, the crushing of the bladder on the second segment is, on the other hand, damped by its important elasticity. The importance of this elasticity evokes an unknown function: damping under the bladder that moderates and delays the increase of intravesical pressure. This damping function below the bladder is increased in the cystocele, which is therefore a continence factor; on the other hand, it is impaired in obesity, which is therefore a factor of SUI. It is necessary to include in the theory of stress continence, the notion of a damping function below the bladder. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  18. Left behind and left out: The impact of the school environment on young people with continence problems. (United States)

    Whale, Katie; Cramer, Helen; Joinson, Carol


    To explore the impact of the secondary school environment on young people with continence problems. In-depth qualitative semi-structured interviews. We interviewed 20 young people aged 11-19 years (11 female and nine male) with continence problems (daytime wetting, bedwetting, and/or soiling). Interviews were conducted by Skype (n = 11) and telephone (n = 9). Transcripts were analysed using inductive thematic analysis. We generated five main themes: (1) Boundaries of disclosure: friends and teachers; (2) Social consequences of avoidance and deceit; (3) Strict and oblivious gatekeepers; (4) Intimate actions in public spaces; and (5) Interrupted learning. Disclosure of continence problems at school to both friends and teachers was rare, due to the perceived stigma and fears of bullying and social isolation. The lack of disclosure to teachers and other school staff, such as pastoral care staff, creates challenges in how best to support these young people. Young people with continence problems require unrestricted access to private and adequate toilet facilities during the school day. There is a need for inclusive toilet access policies and improved toilet standards in schools. Addressing the challenges faced by young people with continence problems at school could help to remove the barriers to successful self-management of their symptoms. It is particularly concerning that young people with continence problems are at higher risk of academic underachievement. Increased support at school is needed to enable young people with continence problems to achieve their academic potential. Statement of Contribution What is already known on this subject? Continence problems are among the most common paediatric health problems Self-management of continence problems requires a structured schedule of fluid intake and bladder emptying Inadequate toilet facilities and restricted access make it difficult for young people to manage their incontinence What does this study add

  19. Seismotectonic features of the African plate: the possible dislocation of a continent (United States)

    Meghraoui, Mustapha


    The African continent is made of seismically active structures with active deformation in between main substratum shields considered as stable continental interiors. Seismically active regions are primarily located along rift zones, thrust and fold mountain belts, transform faults and volcanic fields. The active tectonic structures generated large and destructive earthquakes in the past with significant damage and economic losses in Africa. Although some regions of the continent show a low-level of seismic activity, several large earthquakes (with M > 7) have occurred in the past. The presence of major active faults that generate destructive earthquakes is among the most important geological and geophysical hazards for the continent. National and International scientific projects dealing with the seismic hazards assessment are increasing in seismically active regions in Africa. The UNESCO-SIDA/IGCP (Project 601 support the preparation and implementation of the "Seismotectonic Map of Africa". Therefore, new seismotectonic data with the regional analysis of earthquake hazards became necessary as a basis for a mitigation of the earthquake damage. A database in historical and instrumental seismicity, active tectonics, stress tensor distribution, earthquake geology and paleoseismology, active deformation, earthquake geodesy (GPS) and gravity, crustal structure studies, magnetic and structural segmentation, volcanic fields, collision tectonics and rifting processes is prepared to constrain the geodynamic evolution of the continent. Taking into account the geological, tectonic and geophysical characteristics, we define six seismotectonic provinces that characterize the crustal deformation. With the previously identified Somalia tectonic block, the seismotectonic and geophysical framework of the continent reveal the existence of the Cameroon volcanic line, the South African tectonic block with transform faulting and Cape folding system

  20. Evolution of the Adria-Europe plate boundary in the northern Dinarides: From continent-continent collision to back-arc extension (United States)

    Ustaszewski, Kamil; Kounov, Alexandre; Schmid, Stefan M.; Schaltegger, Urs; Krenn, Erwin; Frank, Wolfgang; Fügenschuh, Bernhard


    The Sava Zone of the northern Dinarides is part of the Cenozoic Adria-Europe plate boundary. Here Late Cretaceous subduction of remnants of Meliata-Vardar oceanic lithosphere led to the formation of a suture, across which upper plate European-derived units of Tisza-Dacia were juxtaposed with Adria-derived units of the Dinarides. Late Cretaceous siliciclastic sediments, deposited on the Adriatic plate, were incorporated into an accretionary wedge that evolved during the initial stages of continent-continent collision. Structurally deeper parts of the exposed accretionary wedge underwent amphibolite-grade metamorphism. Grt-Pl-Ms-Bt thermobarometry and multiphase equilibria indicate temperatures between 550°C and 630°C and pressures between 5 and 7 kbar for this event. Peak metamorphic conditions were reached at around 65 Ma. Relatively slow cooling from peak metamorphic conditions throughout most of the Paleogene was possibly induced by hanging wall erosion in conjunction with southwest directed propagation of thrusting in the Dinarides. Accelerated cooling took place in Miocene times, when the Sava Zone underwent substantial extension that led to the exhumation of the metamorphosed units along a low-angle detachment. Footwall exhumation started under greenschist facies conditions and was associated with top-to-the-north tectonic transport, indicating exhumation from below European plate units. Extension postdates the emplacement of a 27 Ma old granitoid that underwent solid-state deformation under greenschist facies conditions. The 40Ar/39Ar sericite and zircon and apatite fission track ages from the footwall allow bracketing this extensional unroofing between 25 and 14 Ma. This extension is hence linked to Miocene rift-related subsidence in the Pannonian basin, which represents a back-arc basin formed due to subduction rollback in the Carpathians.

  1. Double breasting of bladder neck and posterior urethra for continence in isolated peno-pubic epispadias. (United States)

    Bhat, Amilal; Upadhayay, Ravi; Bhat, Mahakshit; Kumar, Rajiv; Kumar, Vinay


    The objectives of surgical repair of epispadias include the achievement of urinary continence, cosmetically acceptable genitalia with correction of curvature and normal genital function. To achieve all the aforementioned objectives, patients usually undergo two- or multiple-stage surgeries. Traditionally, the patients undergo epispadias repair in the first stage through modified Cantwell-Ransley or Mitchell-Bagli procedure. Subsequently, in the second stage, bladder neck repair is performed to achieve continence, the most common procedure being modified Young-Dees-Leadbetter. There is no reported single-stage technique of epispadias repair achieving both cosmesis and continence in isolated incontinent epispadias. The objectives of the study were to assess continence and cosmesis with partial penile disassemble and double breasting of bladder neck and posterior urethra in isolated peno-pubic epispadias. A retrospective analysis of surgical outcome of seven cases of primary isolated incontinent peno-pubic epispadias repair from July 2008 to July 2012 was carried out. Patients' age varied from 10 months to 16 years. Penile de-gloving is done with mobilization of urethral plate from ventrum to dorsum, distally till mid-glans and proximally up to pubic symphysis with preservation of blood supply at both ends. Partial mobilization of corporal bodies from its attachment and division of peno-pubic ligament are done to lengthen the penis. A mucosal strip of 5-7 mm is excised to denude the mucosa for double breasting. Tubularization of urethral plate with double breasting from the region of bladder neck to posterior urethra is done to increase the outlet resistance and then tubularization of distal urethral plate. Approximation of mobilized pelvic floor muscles is done to complete sphincteroplasty. Spongioplasty along the entire length and corporoplasty with medial rotation of corporeal bodies is done. Glanuloplasty with meatoplasty is done to bring the meatus ventrally and

  2. About the Mid-Continent Ecology Division (MED) of EPA's National Health and Environmental Effects Research Laboratory (United States)

    The Mid-Continent Ecology Division (MED) conducts innovative research and predictive modeling to document and forecast the effects of pollutants on the integrity of watersheds and freshwater ecosystems.

  3. Monitoring of internet forums to evaluate reactions to the introduction of reformulated OxyContin to deter abuse. (United States)

    McNaughton, Emily C; Coplan, Paul M; Black, Ryan A; Weber, Sarah E; Chilcoat, Howard D; Butler, Stephen F


    Reformulating opioid analgesics to deter abuse is one approach toward improving their benefit-risk balance. To assess sentiment and attempts to defeat these products among difficult-to-reach populations of prescription drug abusers, evaluation of posts on Internet forums regarding reformulated products may be useful. A reformulated version of OxyContin (extended-release oxycodone) with physicochemical properties to deter abuse presented an opportunity to evaluate posts about the reformulation in online discussions. The objective of this study was to use messages on Internet forums to evaluate reactions to the introduction of reformulated OxyContin and to identify methods aimed to defeat the abuse-deterrent properties of the product. Posts collected from 7 forums between January 1, 2008 and September 30, 2013 were evaluated before and after the introduction of reformulated OxyContin on August 9, 2010. A quantitative evaluation of discussion levels across the study period and a qualitative coding of post content for OxyContin and 2 comparators for the 26 month period before and after OxyContin reformulation were conducted. Product endorsement was estimated for each product before and after reformulation as the ratio of endorsing-to-discouraging posts (ERo). Post-to-preintroduction period changes in ERos (ie, ratio of ERos) for each product were also calculated. Additionally, post content related to recipes for defeating reformulated OxyContin were evaluated from August 9, 2010 through September 2013. Over the study period, 45,936 posts related to OxyContin, 18,685 to Vicodin (hydrocodone), and 23,863 to Dilaudid (hydromorphone) were identified. The proportion of OxyContin-related posts fluctuated between 6.35 and 8.25 posts per 1000 posts before the reformulation, increased to 10.76 in Q3 2010 when reformulated OxyContin was introduced, and decreased from 9.14 in Q4 2010 to 3.46 in Q3 2013 in the period following the reformulation. The sentiment profile for OxyContin

  4. Codon usage and expression level of human mitochondrial 13 protein coding genes across six continents. (United States)

    Chakraborty, Supriyo; Uddin, Arif; Mazumder, Tarikul Huda; Choudhury, Monisha Nath; Malakar, Arup Kumar; Paul, Prosenjit; Halder, Binata; Deka, Himangshu; Mazumder, Gulshana Akthar; Barbhuiya, Riazul Ahmed; Barbhuiya, Masuk Ahmed; Devi, Warepam Jesmi


    The study of codon usage coupled with phylogenetic analysis is an important tool to understand the genetic and evolutionary relationship of a gene. The 13 protein coding genes of human mitochondria are involved in electron transport chain for the generation of energy currency (ATP). However, no work has yet been reported on the codon usage of the mitochondrial protein coding genes across six continents. To understand the patterns of codon usage in mitochondrial genes across six different continents, we used bioinformatic analyses to analyze the protein coding genes. The codon usage bias was low as revealed from high ENC value. Correlation between codon usage and GC3 suggested that all the codons ending with G/C were positively correlated with GC3 but vice versa for A/T ending codons with the exception of ND4L and ND5 genes. Neutrality plot revealed that for the genes ATP6, COI, COIII, CYB, ND4 and ND4L, natural selection might have played a major role while mutation pressure might have played a dominant role in the codon usage bias of ATP8, COII, ND1, ND2, ND3, ND5 and ND6 genes. Phylogenetic analysis indicated that evolutionary relationships in each of 13 protein coding genes of human mitochondria were different across six continents and further suggested that geographical distance was an important factor for the origin and evolution of 13 protein coding genes of human mitochondria. Copyright © 2017 Elsevier B.V. and Mitochondria Research Society. All rights reserved.

  5. Parallel Evolution of Copy-Number Variation across Continents in Drosophila melanogaster. (United States)

    Schrider, Daniel R; Hahn, Matthew W; Begun, David J


    Genetic differentiation across populations that is maintained in the presence of gene flow is a hallmark of spatially varying selection. In Drosophila melanogaster, the latitudinal clines across the eastern coasts of Australia and North America appear to be examples of this type of selection, with recent studies showing that a substantial portion of the D. melanogaster genome exhibits allele frequency differentiation with respect to latitude on both continents. As of yet there has been no genome-wide examination of differentiated copy-number variants (CNVs) in these geographic regions, despite their potential importance for phenotypic variation in Drosophila and other taxa. Here, we present an analysis of geographic variation in CNVs in D. melanogaster. We also present the first genomic analysis of geographic variation for copy-number variation in the sister species, D. simulans, in order to investigate patterns of parallel evolution in these close relatives. In D. melanogaster we find hundreds of CNVs, many of which show parallel patterns of geographic variation on both continents, lending support to the idea that they are influenced by spatially varying selection. These findings support the idea that polymorphic CNVs contribute to local adaptation in D. melanogaster In contrast, we find very few CNVs in D. simulans that are geographically differentiated in parallel on both continents, consistent with earlier work suggesting that clinal patterns are weaker in this species. © The Author 2016. Published by Oxford University Press on behalf of the Society for Molecular Biology and Evolution. All rights reserved. For permissions, please e-mail:

  6. Tracing Males From Different Continents by Genotyping JC Polyomavirus in DNA From Semen Samples. (United States)

    Rotondo, John Charles; Candian, Tommaso; Selvatici, Rita; Mazzoni, Elisa; Bonaccorsi, Gloria; Greco, Pantaleo; Tognon, Mauro; Martini, Fernanda


    The human JC polyomavirus (JCPyV) is an ubiquitous viral agent infecting approximately 60% of humans. Recently, JCPyV sequences have been detected in semen samples. The aim of this investigation was to test whether semen JCPyV genotyping can be employed to trace the origin continent of males. Semen DNA samples (n = 170) from males of different Continents were investigated by PCR for the polymorphic JCPyV viral capsid protein 1 (VP1) sequences, followed by DNA sequencing. JCPyV sequences were detected with an overall prevalence of 27.6% (47/170). DNA sequencing revealed that European males carried JCPyV types 1A (71.4%), 4 (11.4%), 2B (2.9%), 2D1 (2.9%), and 3A (2.9%). Asians JCPyV type 2D1 (66.7%) and Africans JCPyV types 3A (33.3%) and 1A (33.3%). In 10.6% of males, two different JCPyV genotypes were detected, suggesting that the second JCPyV genotype was acquired in the destination country. This study indicates that the majority of semen samples found to be JCPyV-positive, were infected with the JCPyV genotype found in the geographic area of male origin. Therefore, semen JCPyV genotyping could be employed to trace the origin continent of males. Our findings could be applied to forensic investigations, in case of for instance sexual crimes. Indeed, JCPyV genotyping should enable investigators to make additional detailed profiling of the offender. J. Cell. Physiol. 232: 982-985, 2017. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  7. Regional climate projection of the Maritime Continent using the MIT Regional Climate Model (United States)

    IM, E. S.; Eltahir, E. A. B.


    Given that warming of the climate system is unequivocal (IPCC AR5), accurate assessment of future climate is essential to understand the impact of climate change due to global warming. Modelling the climate change of the Maritime Continent is particularly challenge, showing a high degree of uncertainty. Compared to other regions, model agreement of future projections in response to anthropogenic emission forcings is much less. Furthermore, the spatial and temporal behaviors of climate projections seem to vary significantly due to a complex geographical condition and a wide range of scale interactions. For the fine-scale climate information (27 km) suitable for representing the complexity of climate change over the Maritime Continent, dynamical downscaling is performed using the MIT regional climate model (MRCM) during two thirty-year period for reference (1970-1999) and future (2070-2099) climate. Initial and boundary conditions are provided by Community Earth System Model (CESM) simulations under the emission scenarios projected by MIT Integrated Global System Model (IGSM). Changes in mean climate as well as the frequency and intensity of extreme climate events are investigated at various temporal and spatial scales. Our analysis is primarily centered on the different behavior of changes in convective and large-scale precipitation over land vs. ocean during dry vs. wet season. In addition, we attempt to find the added value to downscaled results over the Maritime Continent through the comparison between MRCM and CESM projection. Acknowledgements.This research was supported by the National Research Foundation Singapore through the Singapore MIT Alliance for Research and Technology's Center for Environmental Sensing and Modeling interdisciplinary research program.

  8. Future climate change enhances rainfall seasonality in a regional model of western Maritime Continent (United States)

    Kang, Suchul; Im, Eun-Soon; Eltahir, Elfatih A. B.


    In this study, future changes in rainfall due to global climate change are investigated over the western Maritime Continent based on dynamically downscaled climate projections using the MIT Regional Climate Model (MRCM) with 12 km horizontal resolution. A total of nine 30-year regional climate projections driven by multi-GCMs projections (CCSM4, MPI-ESM-MR and ACCESS1.0) under multi-scenarios of greenhouse gases emissions (Historical: 1976-2005, RCP4.5 and RCP8.5: 2071-2100) from phase 5 of the Coupled Model Inter-comparison Project (CMIP5) are analyzed. Focusing on dynamically downscaled rainfall fields, the associated systematic biases originating from GCM and MRCM are removed based on observations using Parametric Quantile Mapping method in order to enhance the reliability of future projections. The MRCM simulations with bias correction capture the spatial patterns of seasonal rainfall as well as the frequency distribution of daily rainfall. Based on projected rainfall changes under both RCP4.5 and RCP8.5 scenarios, the ensemble of MRCM simulations project a significant decrease in rainfall over the western Maritime Continent during the inter-monsoon periods while the change in rainfall is not relevant during wet season. The main mechanism behind the simulated decrease in rainfall is rooted in asymmetries of the projected changes in seasonal dynamics of the meridional circulation along different latitudes. The sinking motion, which is marginally positioned in the reference simulation, is enhanced and expanded under global climate change, particularly in RCP8.5 scenario during boreal fall season. The projected enhancement of rainfall seasonality over the western Maritime Continent suggests increased risk of water stress for natural ecosystems as well as man-made water resources reservoirs.

  9. Urinary continence following repair of intermediate and high urogenital sinus in CAH. Experience with 55 cases.

    Directory of Open Access Journals (Sweden)

    Maria Marcela Bailez


    Full Text Available Aim :Evaluate postoperative urinary continence in patients withcongenital adrenal hyperplasia(CAHwith intermediate (ITand high urogenital sinus (UGS who underwent a UGS mobilization maneuver .Methods: We called IT to those that although needing an aggressive dissection to get to the vagina, still have enough urethra proximal to the vaginal confluence. Very low variants are excluded from this analysis. Dissection always started in the posterior wall of the UGS with an aggressive separation from the anterior rectal wall. If the wide portion of the vagina was reached dissection stopped and the UGS opened ventrally widening to the introitus. Nineteen patients were treated using this maneuver (Group1. When more dissection was required the anterior wall of the UGS was dissected and carefully freed from the low retropubic space. Then the UGS was opened either ventrally or dorsally. Thirty three patients required this approach (Group 2 .Combined procedures were used in 3 patients with high UGS (Group 3. Results : Mean age at the time of the repair and length of the UGS were 12.2 years (4 months to 18 years and 3.75 cm (3 -8 cmfor G 1; 8 years (5 months to 17 years and 6.34 cm ( 4-12 cm in G2 and 8,3 years (2 -14 y and 11.5cm (11-12cm in G3. All patients had been regularly followed. Mean age at last follow up of 14.3y, 17y and 9.9y for groups 1, 2 and 3 respectively. All patients continue to void normally and are continent. All patients have 2 separate visible orifices in the vulva. Only 3 are sexually active.Conclusion: UGS mobilization for vaginoplasty in girls with CAH does not compromise voiding function or urinary continence,

  10. Clinical Evaluation of a Prototype Underwear Designed to Detect Urine Leakage From Continence Pads. (United States)

    Long, Adele; Edwards, Julia; Worthington, Joanna; Cotterill, Nikki; Weir, Iain; Drake, Marcus J; van den Heuvel, Eleanor


    We evaluated the performance of prototype underwear designed to detect urine leakage from continence pads, their acceptability to users, and their effect on health-related quality of life and psychosocial factors. Prototype product evaluation. Participants were 81 women with an average age of 67 years (range, 32-98 years) recruited between October 2010 and February 2012 from outpatient clinics, general practice surgeries, community continence services, and through charities and networks. The TACT3 project developed and manufactured a prototype undergarment designed to alert the wearer to a pad leak before it reaches outer clothing or furniture. The study was conducted in 2 stages: a pilot/feasibility study to assess general performance and a larger study to measure performance, acceptability to users, health-related quality of life, and psychosocial impact. Participants were asked to wear the prototype underwear for a period of 2 weeks, keeping a daily diary of leakage events for the first 7 days. They also completed validated instruments measuring lower urinary tract symptoms, health-related quality of life, and psychosocial impact. On average, 86% of the time participants were alerted to pad leakage events. More than 90% thought the prototype underwear was "good" or "OK" and that it would or could give them more confidence. Mean scores for the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form indicated no change in the level of symptoms reported before or after the intervention, and no significant changes in health-related quality of life status occurred, except improvement in for travel restrictions. Evaluation via the Psychosocial Impact of Assistive Devices Scale also indicated a positive impact. The prototype underwear evaluated in this study was effective and acceptable for 5 out of every 10 wearers. Findings also suggest that the prototype underwear is suitable for women of all ages, dress sizes, and continence

  11. Strain-specific and pooled genome sequences for populations of Drosophila melanogaster from three continents. (United States)

    Bergman, Casey M; Haddrill, Penelope R


    To contribute to our general understanding of the evolutionary forces that shape variation in genome sequences in nature, we have sequenced genomes from 50 isofemale lines and six pooled samples from populations of Drosophila melanogaster on three continents. Analysis of raw and reference-mapped reads indicates the quality of these genomic sequence data is very high. Comparison of the predicted and experimentally-determined Wolbachia infection status of these samples suggests that strain or sample swaps are unlikely to have occurred in the generation of these data. Genome sequences are freely available in the European Nucleotide Archive under accession ERP009059. Isofemale lines can be obtained from the Drosophila Species Stock Center.

  12. Comparison of the functional profile of elderly women with urinary continence and incontinence

    Directory of Open Access Journals (Sweden)

    Gabriele Regiane Winter


    Full Text Available Urinary incontinence (UI, more prevalent in women and influencing their functional decline, increases with age. Current longitudinal study with two data collection in 2005-2006 and 2011 compares the functional profile of urinary continence and incontinence in elderly women. Sixty-eight women were divided into females with urinary continence (CG; n = 62 and females with urinary incontinence (IG; n = 6. Dependent variables measured were obesity and body adiposity indexes and functional fitness. Data were given in means with standard deviation (± and analyzed by the independent t-test (p < 0.05. There were six cases of UI. In the first evaluation group differences occurred for waist circumference (CG: 85.3±9.7 cm; IG: 91.2 ± 12.4cm; t=-2.267; p < 0.05 and cardiorespiratory fitness (CG: 517.9 ± 67.3 m; IG: 463.0±85.9 m; t = 2.571; p < 0.05. CG had a better functional profile, excepting flexibility and lower limbs strength, in the second evaluation. Women with UI had higher waist circumference and lower cardiorespiratory fitness. This may be due to the relationship between the variables and greater abdominal compression and functional decline. Results show that future public health strategies should focus on these factors to decrease the risk of people developing UI and to improve physical-functional and psycho-social benefits to elderly women.

  13. Phylogeography of the Microcoleus vaginatus (Cyanobacteria from three continents--a spatial and temporal characterization.

    Directory of Open Access Journals (Sweden)

    Petr Dvořák

    Full Text Available It has long been assumed that cyanobacteria have, as with other free-living microorganisms, a ubiquitous occurrence. Neither the geographical dispersal barriers nor allopatric speciation has been taken into account. We endeavoured to examine the spatial and temporal patterns of global distribution within populations of the cyanobacterium Microcoleus vaginatus, originated from three continents, and to evaluate the role of dispersal barriers in the evolution of free-living cyanobacteria. Complex phylogeographical approach was applied to assess the dispersal and evolutionary patterns in the cyanobacterium Microcoleus vaginatus (Oscillatoriales. We compared the 16S rRNA and 16S-23S ITS sequences of strains which had originated from three continents (North America, Europe, and Asia. The spatial distribution was investigated using a phylogenetic tree, network, as well as principal coordinate analysis (PCoA. A temporal characterization was inferred using molecular clocks, calibrated from fossil DNA. Data analysis revealed broad genetic diversity within M. vaginatus. Based on the phylogenetic tree, network, and PCoA analysis, the strains isolated in Europe were spatially separated from those which originated from Asia and North America. A chronogram showed a temporal limitation of dispersal barriers on the continental scale. Dispersal barriers and allopatric speciation had an important role in the evolution of M. vaginatus. However, these dispersal barriers did not have a permanent character; therefore, the genetic flow among populations on a continental scale was only temporarily present. Furthermore, M. vaginatus is a recently evolved species, which has been going through substantial evolutionary changes.

  14. Convergence across a continent: adaptive diversification in a recent radiation of Australian lizards. (United States)

    Blom, Mozes P K; Horner, Paul; Moritz, Craig


    Recent radiations are important to evolutionary biologists, because they provide an opportunity to study the mechanisms that link micro- and macroevolution. The role of ecological speciation during adaptive radiation has been intensively studied, but radiations can arise from a diversity of evolutionary processes; in particular, on large continental landmasses where allopatric speciation might frequently precede ecological differentiation. It is therefore important to establish a phylogenetic and ecological framework for recent continental-scale radiations that are species-rich and ecologically diverse. Here, we use a genomic (approx. 1 200 loci, exon capture) approach to fit branch lengths on a summary-coalescent species tree and generate a time-calibrated phylogeny for a recent and ecologically diverse radiation of Australian scincid lizards; the genus Cryptoblepharus We then combine the phylogeny with a comprehensive phenotypic dataset for over 800 individuals across the 26 species, and use comparative methods to test whether habitat specialization can explain current patterns of phenotypic variation in ecologically relevant traits. We find significant differences in morphology between species that occur in distinct environments and convergence in ecomorphology with repeated habitat shifts across the continent. These results suggest that isolated analogous habitats have provided parallel ecological opportunity and have repeatedly promoted adaptive diversification. By contrast, speciation processes within the same habitat have resulted in distinct lineages with relatively limited morphological variation. Overall, our study illustrates how alternative diversification processes might have jointly stimulated species proliferation across the continent and generated a remarkably diverse group of Australian lizards. © 2016 The Author(s).

  15. The Influence of a Substellar Continent on the Climate of a Tidally Locked Exoplanet (United States)

    Lewis, Neil T.; Lambert, F. Hugo; Boutle, Ian A.; Mayne, Nathan J.; Manners, James; Acreman, David M.


    Previous studies have demonstrated that continental carbon-silicate weathering is important to the continued habitability of a terrestrial planet. Despite this, few studies have considered the influence of land on the climate of a tidally locked planet. In this work we use the Met Office Unified Model, coupled to a land-surface model, to investigate the climate effects of a continent located at the substellar point. We choose to use the orbital and planetary parameters of Proxima Centauri B as a template, to allow comparison with the work of others. A region of the surface where T s > 273.15 K is always retained, and previous conclusions on the habitability of Proxima Centauri B remain intact. We find that substellar land causes global cooling and increases day–night temperature contrasts by limiting heat redistribution. Furthermore, we find that substellar land is able to introduce a regime change in the atmospheric circulation. Specifically, when a continent offset to the east of the substellar point is introduced, we observe the formation of two mid-latitude counterrotating jets, and a substantially weakened equatorial superrotating jet.

  16. Does structural complexity determine the morphology of assemblages? An experimental test on three continents. (United States)

    Gibb, Heloise; Parr, Catherine L


    Understanding how species will respond to global change depends on our ability to distinguish generalities from idiosyncrasies. For diverse, but poorly known taxa, such as insects, species traits may provide a short-cut to predicting species turnover. We tested whether ant traits respond consistently to habitat complexity across geographically independent ant assemblages, using an experimental approach and baits. We repeated our study in six paired simple and complex habitats on three continents with distinct ant faunas. We also compared traits amongst ants with different foraging strategies. We hypothesised that ants would be larger, broader, have longer legs and more dorsally positioned eyes in simpler habitats. In agreement with predictions, ants had longer femurs and dorsally positioned eyes in simple habitats. This pattern was most pronounced for ants that discovered resources. Body size and pronotum width responded as predicted for experimental treatments, but were inconsistent across continents. Monopolising ants were smaller, with shorter femurs than those that occupied or discovered resources. Consistent responses for several traits suggest that many, but not all, aspects of morphology respond predictably to habitat complexity, and that foraging strategy is linked with morphology. Some traits thus have the potential to be used to predict the direction of species turnover, changes in foraging strategy and, potentially, evolution in response to changes in habitat structure.

  17. Comparing determinants of alien bird impacts across two continents: implications for risk assessment and management. (United States)

    Evans, Thomas; Kumschick, Sabrina; Dyer, Ellie; Blackburn, Tim


    Invasive alien species can have serious adverse impacts on both the environment and the economy. Being able to predict the impacts of an alien species could assist in preventing or reducing these impacts. This study aimed to establish whether there are any life history traits consistently correlated with the impacts of alien birds across two continents, Europe and Australia, as a first step toward identifying life history traits that may have the potential to be adopted as predictors of alien bird impacts. A recently established impact scoring system was used in combination with a literature review to allocate impact scores to alien bird species with self-sustaining populations in Australia. These scores were then tested for correlation with a series of life history traits. The results were compared to data from a previous study in Europe, undertaken using the same methodology, in order to establish whether there are any life history traits consistently correlated with impact across both continents. Habitat generalism was the only life history trait found to be consistently correlated with impact in both Europe and Australia. This trait shows promise as a potential predictor of alien bird impacts. The results support the findings of previous studies in this field, and could be used to inform decisions regarding the prevention and management of future invasions.

  18. Polychlorinated terphenyl patterns and levels in selected marine mammals and a river fish from different continents. (United States)

    Rosenfelder, Natalie; Vetter, Walter


    Polychlorinated terphenyls (PCTs) are a class of persistent organic pollutants which have been used from the 1920s to the 1980s for similar purposes as polychlorinated biphenyls (PCBs). Comparably little data was available on the PCT distribution in the environment mainly due to analytical difficulties in their determination. By means of a calculation algorithm recently developed we now studied the PCT pattern in individual marine mammal samples and one fish sample from different continents. Altogether, 97 PCTs were detected in eight samples and twelve to 66 tetra- to nonachloroterphenyl (tetra- to nonaCT) congeners were detected in individual samples. PCTs were present in all marine mammal samples which originated from four continents, but the PCT pattern was varied. TetraCTs were dominant in the sample from Africa, Australia, Spitsbergen (European Arctic) and in a sample from the Baltic Sea, heptaCTs in samples from the North Sea and octaCTs in a sample from Iceland. The abundance of sumPCTs relative to PCB 153, estimated from the GC/ECNI-MS response corrected for the degree of chlorination, ranged from 0.9 to 8.8%, corresponding with ~0.22-2.2% of the total PCB content. The highest PCT level detected was 980 mg/kg lipid in a harbour seal from the North Sea, Germany. The results from this study indicated that samples from certain areas, e.g. the North Sea may still be polluted with PCTs. © 2013.

  19. American Exceptionalism: Population Trends and Flight Initiation Distances in Birds from Three Continents (United States)

    Møller, Anders Pape; Samia, Diogo S. M.; Weston, Mike A.; Guay, Patrick-Jean; Blumstein, Daniel T.


    Background All organisms may be affected by humans' increasing impact on Earth, but there are many potential drivers of population trends and the relative importance of each remains largely unknown. The causes of spatial patterns in population trends and their relationship with animal responses to human proximity are even less known. Methodology/Principal Finding We investigated the relationship between population trends of 193 species of bird in North America, Australia and Europe and flight initiation distance (FID); the distance at which birds take flight when approached by a human. While there is an expected negative relationship between population trend and FID in Australia and Europe, we found the inverse relationship for North American birds; thus FID cannot be used as a universal predictor of vulnerability of birds. However, the analysis of the joint explanatory ability of multiple drivers (farmland breeding habitat, pole-most breeding latitude, migratory habit, FID) effects on population status replicated previously reported strong effects of farmland breeding habitat (an effect apparently driven mostly by European birds), as well as strong effects of FID, body size, migratory habit and continent. Farmland birds are generally declining. Conclusions/Significance Flight initiation distance is related to population trends in a way that differs among continents opening new research possibilities concerning the causes of geographic differences in patterns of anti-predator behavior. PMID:25226165

  20. Does structural complexity determine the morphology of assemblages? An experimental test on three continents.

    Directory of Open Access Journals (Sweden)

    Heloise Gibb

    Full Text Available Understanding how species will respond to global change depends on our ability to distinguish generalities from idiosyncrasies. For diverse, but poorly known taxa, such as insects, species traits may provide a short-cut to predicting species turnover. We tested whether ant traits respond consistently to habitat complexity across geographically independent ant assemblages, using an experimental approach and baits. We repeated our study in six paired simple and complex habitats on three continents with distinct ant faunas. We also compared traits amongst ants with different foraging strategies. We hypothesised that ants would be larger, broader, have longer legs and more dorsally positioned eyes in simpler habitats. In agreement with predictions, ants had longer femurs and dorsally positioned eyes in simple habitats. This pattern was most pronounced for ants that discovered resources. Body size and pronotum width responded as predicted for experimental treatments, but were inconsistent across continents. Monopolising ants were smaller, with shorter femurs than those that occupied or discovered resources. Consistent responses for several traits suggest that many, but not all, aspects of morphology respond predictably to habitat complexity, and that foraging strategy is linked with morphology. Some traits thus have the potential to be used to predict the direction of species turnover, changes in foraging strategy and, potentially, evolution in response to changes in habitat structure.

  1. Carbon cycle, chemical erosion of continents and transfers to the oceans

    International Nuclear Information System (INIS)

    Amiotte Suchet, P.


    This study tries to define the processes that control the CO 2 consumption due to the chemical erosion of continents, to appreciate the spatial-temporal fluxes of consumed CO 2 , and to estimate the transfers of dissolved mineral carbon from the continents to the oceans. Complementary approaches using different scales of time and space are necessary to study all these processes. Chemical alteration of minerals from continental rocks is due to the carbonic acid indirectly produced by atmospheric CO 2 via the photosynthesis and the degradation of organic matter in soils. The transfer of dissolved CO 2 towards the oceans is done by the drainage waters of the river basins. Continental erosion develops at the interfaces of the biosphere, atmosphere and ocean reservoirs and is controlled by numerous geological, hydro-climatical, biological and anthropic factors. Seasonal variations of CO 2 consumption has been studied for the Garonne (France), Congo and Ubangui basins to determine the mechanisms that control this consumption. A predictive model has been developed to simulate the consumed CO 2 fluxes on continental surfaces for which the spatial distribution of lithology and drainage is known. This model has been validated using available data from the Garonne (France), Congo and Amazone basins. (J.S.). 272 refs., 78 figs., 41 tabs., 1 annexe

  2. Characteristics of the oceanic MCC, continental MCC, and coastal MCC over the Indonesian maritime continent (United States)



    This study explains the comparison of mesoscale convective complexes (MCC) characteristics in the oceans, land and in the coast over Indonesian maritime continent (IMC). MCCs were identified and tracked during 15-years (2001-2015) over IMC by infrared satellite imagery using an algorithm that combines criteria of cloud coverage, eccentricity, and cloud lifetime. Infrared satellite imagery was obtained from Himawari generation satellite data. This study showed most of the continental MCC found near the mountains and the high elevation areas. The frequency of MCC occurrences was larger over the land than over the ocean. The oceanic MCCs, which lasted for more than 12 hours, were longer-lived than the continental MCCs. The MCCs with small size most frequently occurred in the continent, in contrast, the MCC with the medium and large size were most concentrated over the ocean. Generally, the continental and coastal MCC initiation occurs in the late afternoon and reach maximum size around midnight before decaying the next morning. In contrast, the oceanic MCC dominantly develops in midnight, and reach maximum size in the morning and then MCC decayed and dissipated from noon until afternoon. The evolution of MCC development in the ocean, land, and in the coast has almost the same stages and ways.

  3. Spatiotemporal variability of snow depth across the Eurasian continent from 1966 to 2012 (United States)

    Zhong, Xinyue; Zhang, Tingjun; Kang, Shichang; Wang, Kang; Zheng, Lei; Hu, Yuantao; Wang, Huijuan


    Snow depth is one of the key physical parameters for understanding land surface energy balance, soil thermal regime, water cycle, and assessing water resources from local community to regional industrial water supply. Previous studies by using in situ data are mostly site specific; data from satellite remote sensing may cover a large area or global scale, but uncertainties remain large. The primary objective of this study is to investigate spatial variability and temporal change in snow depth across the Eurasian continent. Data used include long-term (1966-2012) ground-based measurements from 1814 stations. Spatially, long-term (1971-2000) mean annual snow depths of >20 cm were recorded in northeastern European Russia, the Yenisei River basin, Kamchatka Peninsula, and Sakhalin. Annual mean and maximum snow depth increased by 0.2 and 0.6 cm decade-1 from 1966 through 2012. Seasonally, monthly mean snow depth decreased in autumn and increased in winter and spring over the study period. Regionally, snow depth significantly increased in areas north of 50° N. Compared with air temperature, snowfall had greater influence on snow depth during November through March across the former Soviet Union. This study provides a baseline for snow depth climatology and changes across the Eurasian continent, which would significantly help to better understanding climate system and climate changes on regional, hemispheric, or even global scales.

  4. Internal Delorme's Procedure for Treating ODS Associated With Impaired Anal Continence. (United States)

    Liu, Weicheng; Sturiale, Alessandro; Fabiani, Bernardina; Giani, Iacopo; Menconi, Claudia; Naldini, Gabriele


    The aim of this study was to evaluate the medium-term outcomes of internal Delorme's procedure for treating obstructed defecation syndrome (ODS) patients with impaired anal continence. In a retrospective study, 41 ODS patients who underwent internal Delorme's procedure between 2011 and 2015 were divided into 3 subgroups according to their associated symptoms of impaired continence, as urgency, passive fecal incontinence and both, before study. Then the patients' preoperative statuses, perioperative complications, and postoperative outcomes were investigated and collected from standardized questionnaires, including Altomare ODS score, Fecal Incontinence Severity Index (FISI), Patient Assessment of Constipation-Quality of Life Questionnaire (PAC-QoL), and Fecal Incontinence Quality of Life Scale (FIQLS). All results with a 2-tailed P ODS score, FISI, PAC-QoL, and FIQLS in all patients when comparing scores from before the operation with those at the final follow-up. Similar results were also observed in both the urgency subgroup and passive fecal incontinence subgroup, but there were no statistically significant improvements ( P > .05) in Altomare ODS score, FISI, PAC-QoL, or FIQLS in the urgency and passive fecal incontinence subgroups. Anorectal manometry showed the mean value of anal resting pressure increased 20%. Additionally, no major complications occurred. Internal Delorme's procedure is effective without major morbidity for treating ODS associated with urgency or passive fecal incontinence, but it may be less effective for treating ODS associated with both urgency and passive fecal incontinence.

  5. Continent-wide survey reveals massive decline in African savannah elephants. (United States)

    Chase, Michael J; Schlossberg, Scott; Griffin, Curtice R; Bouché, Philippe J C; Djene, Sintayehu W; Elkan, Paul W; Ferreira, Sam; Grossman, Falk; Kohi, Edward Mtarima; Landen, Kelly; Omondi, Patrick; Peltier, Alexis; Selier, S A Jeanetta; Sutcliffe, Robert


    African elephants (Loxodonta africana) are imperiled by poaching and habitat loss. Despite global attention to the plight of elephants, their population sizes and trends are uncertain or unknown over much of Africa. To conserve this iconic species, conservationists need timely, accurate data on elephant populations. Here, we report the results of the Great Elephant Census (GEC), the first continent-wide, standardized survey of African savannah elephants. We also provide the first quantitative model of elephant population trends across Africa. We estimated a population of 352,271 savannah elephants on study sites in 18 countries, representing approximately 93% of all savannah elephants in those countries. Elephant populations in survey areas with historical data decreased by an estimated 144,000 from 2007 to 2014, and populations are currently shrinking by 8% per year continent-wide, primarily due to poaching. Though 84% of elephants occurred in protected areas, many protected areas had carcass ratios that indicated high levels of elephant mortality. Results of the GEC show the necessity of action to end the African elephants' downward trajectory by preventing poaching and protecting habitat.

  6. Continent-wide survey reveals massive decline in African savannah elephants

    Directory of Open Access Journals (Sweden)

    Michael J. Chase


    Full Text Available African elephants (Loxodonta africana are imperiled by poaching and habitat loss. Despite global attention to the plight of elephants, their population sizes and trends are uncertain or unknown over much of Africa. To conserve this iconic species, conservationists need timely, accurate data on elephant populations. Here, we report the results of the Great Elephant Census (GEC, the first continent-wide, standardized survey of African savannah elephants. We also provide the first quantitative model of elephant population trends across Africa. We estimated a population of 352,271 savannah elephants on study sites in 18 countries, representing approximately 93% of all savannah elephants in those countries. Elephant populations in survey areas with historical data decreased by an estimated 144,000 from 2007 to 2014, and populations are currently shrinking by 8% per year continent-wide, primarily due to poaching. Though 84% of elephants occurred in protected areas, many protected areas had carcass ratios that indicated high levels of elephant mortality. Results of the GEC show the necessity of action to end the African elephants’ downward trajectory by preventing poaching and protecting habitat.

  7. Wound, Ostomy, and Continence Nursing: Scope and Standards of Practice, 2nd Edition: An Executive Summary. (United States)


    Wound, ostomy, and continence (WOC) nursing was recognized as a nursing specialty by the American Nurses Association in February 2010, and the Society published the original scope and standards of WOC nursing practice in May 2010. The Wound, Ostomy, and Continence Nursing: Scope and Standards of Practice, 2nd Edition is the definitive resource promoting excellence in professional practice, quality care, and improved patient outcomes in WOC specialty practice. It can be used to articulate the value of WOC nurses to administrators, legislators, payers, patients, and others. The second edition also provides an overview of the scope of WOC nursing practice including a description of the specialty, the history and evolution of WOC nursing, characteristics of WOC nursing practice, and description of the trispecialty. The document describes various WOC nurse roles, populations served, practice settings, care coordination, and collaboration. Educational preparation, levels of practice within WOC specialty nursing, certification, mandate for continuous professional development, ethics, current trends, future considerations and challenges, and standards of WOC nursing practice and professional performance with competencies for each standard are provided. The purpose of this Executive Summary is to describe the process for developing the scope and standards document, provide an overview of the scope of WOC nursing practice, and list the standards of practice and professional performance along with the competencies for each level of WOC nurse provider. The original document is available from the WOCN Society's online book store (

  8. The further development of the active urine collection device: a novel continence management system. (United States)

    Tinnion, E; Jowitt, F; Clarke-O'Neill, S; Cottenden, A M; Fader, M; Sutherland, I


    Continence difficulties affect the lives of a substantial minority of the population. Women are far more likely than men to be affected by urinary incontinence but the range of management options for them is limited. There has been considerable interest in developing an external urine collection system for women but without success to date. This paper describes the development and preliminary clinical testing of an active urine collection device (AUCD), which could provide a solution for sufferers. The device uses stored vacuum, protected by a high bubble point filter, to remove urine as quickly as it is produced. This allows a small battery-operated pump to provide the required vacuum, enabling the device to be portable. Two different types of non-invasive patient/device interface were developed, and tested by volunteers: urinal and small pad. The slimline urinal was popular with users although liquid noise was a problem. The pad interface was successful on occasions but further work is necessary to produce a reliable pad. This study has successfully demonstrated that a prototype AUCD liquid handling system can remove urine at clinically relevant flowrates. While further development is required, volunteer tests have shown that the AUCD could be a useful advance in continence management.

  9. Evolutionary conservatism and convergence both lead to striking similarity in ecology, morphology and performance across continents in frogs. (United States)

    Moen, Daniel S; Irschick, Duncan J; Wiens, John J


    Many clades contain ecologically and phenotypically similar species across continents, yet the processes generating this similarity are largely unstudied, leaving fundamental questions unanswered. Is similarity in morphology and performance across assemblages caused by evolutionary convergence or by biogeographic dispersal of evolutionarily conserved ecotypes? Does convergence to new ecological conditions erase evidence of past adaptation? Here, we analyse ecology, morphology and performance in frog assemblages from three continents (Asia, Australia and South America), assessing the importance of dispersal and convergent evolution in explaining similarity across regions. We find three striking results. First, species using the same microhabitat type are highly similar in morphology and performance across both clades and continents. Second, some species on different continents owe their similarity to dispersal and evolutionary conservatism (rather than evolutionary convergence), even over vast temporal and spatial scales. Third, in one case, an ecologically specialized ancestor radiated into diverse ecotypes that have converged with those on other continents, largely erasing traces of past adaptation to their ancestral ecology. Overall, our study highlights the roles of both evolutionary conservatism and convergence in explaining similarity in species traits over large spatial and temporal scales and demonstrates a statistical framework for addressing these questions in other systems.

  10. One billion year-old Mid-continent Rift leaves virtually no clues in the mantle (United States)

    Bollmann, T. A.; Frederiksen, A. W.; van der Lee, S.; Wolin, E.; Revenaugh, J.; Wiens, D.; Darbyshire, F. A.; Aleqabi, G. I.; Wysession, M. E.; Stein, S.; Jurdy, D. M.


    We measured the relative arrival times of more than forty-six thousand teleseismic P waves recorded by seismic stations of Earthscope's Superior Province Rifting Earthscope Experiment (SPREE) and combined them with a similar amount of such measurements from other seismic stations in the larger region. SPREE recorded seismic waves for two and a half years around the prominent, one billion year-old Mid-continent Rift structure. The curvilinear Mid-continent Rift (MR) is distinguished by voluminous one billion year-old lava flows, which produce a prominent gravity high along the MR. As for other seismic waves, these lava flows along with their underplated counterpart, slightly slow down the measured teleseismic P waves, on average, compared to P waves that did not traverse structures beneath the Mid-continent Rift. However, the variance in the P wave arrival times in these two groups is nearly ten times higher than their average difference. In a seismic-tomographic inversion, we mapped all measured arrival times into structures deep beneath the crust, in the Earth's mantle. Beneath the crust we generally find relatively high P velocities, indicating relatively cool and undeformable mantle structures. However, the uppermost mantle beneath the MR shows several patches of slightly decreased P velocities. These patches are coincident with where the gravity anomalies peak, in Iowa and along the northern Minnesota/Wisconsin border. We will report on the likelihood that these anomalies are indeed a remaining mantle-lithospheric signature of the MR or whether these patches indirectly reflect the presence of the lava flows and their underplated counterparts at the crust-mantle interface. Other structures of interest and of varying depth extent in our tomographic image locate at 1) the intersection of the Superior Craton with the Penokean Province and the Marshfield Terrane west of the MR in southern Minnesota, 2) the intersection of the Penokean, Yavapai, and Mazatzal Terranes

  11. Rainfall over the African continent from the 19th through the 21st century (United States)

    Nicholson, Sharon E.; Funk, Chris; Fink, Andreas H.


    Most of the African continent is semi-arid and hence prone to extreme variations in rainfall from year to year. The extreme droughts that have plagued the Sahel and eastern Africa are particularly well known. This article uses a markedly expanded and updated rainfall data set to examine rainfall variability in 13 sectors that cover most of the continent. Annual rainfall is presented for each sector; the March-to-May and October-November seasons are also examined for equatorial sectors. In each case, the article includes the longest and most comprehensive precipitation gauge series ever published. All time series cover at least a century and most cover roughly one and one-half centuries or more. Although towards the end of the 20th century there was a widespread trend towards more arid conditions, few significant trends are evident over the entire period of record. The largest were downward trends in the Sahel and western sectors of North Africa. In those regions, an abrupt reduction in rainfall occurred around 1968, but a synchronous change occurred many other parts of Africa. A recovery did occur in the Sahel, but to varying degrees across the east-west expanse of the region. Noteworthy is that the west-to-east rainfall gradient across the region appears to have weakened in recent decades. For the continent as a whole, another change began in the 1980s decade, with more arid conditions persisting at the continental scale until early in the twenty-first century. No other such period of dry conditions occurred within the roughly one and one-half centuries evaluated here. A notable change also occurred at the seasonal level. During the period 1980 to 1998 rainfall during March-to-May was well below the long-term mean throughout most of the area from 20° N to 35° S. At the same time rainfall was above the long-term mean in most of eastern sectors within this latitude span, indicating a change in the seasonality of rainfall of a large part of Africa.

  12. The Influence of Preoperative Bladder Outlet Obstruction on Continence and Satisfaction in Patients with Stress Urinary Incontinence after Midurethral Sling

    Directory of Open Access Journals (Sweden)

    Su Jin Kim


    Full Text Available Purpose We studied the influence of preoperative bladder outlet obstruction (BOO on postoperative continence rates and patient satisfaction after the midurethral sling procedure. Methods A total of 159 women who underwent the midurethral sling procedure were evaluated. Using the Blaivas-Groutz nomogram, we assigned the patients were assigned to Group I (n=37, no obstruction, Group II (n=89, mild obstruction, or Group III (n=33, moderate to severe obstruction. Continence rates, patient satisfaction, urinary sensation scale and uroflowmetry were evaluated postoperatively. Results There were no significant differences in continence rates, satisfaction, or postoperative maximal flow rate between the 3 groups. Postoperative urgency was improved after surgery in Groups I and II (P<0.05 but not in Group III. Conclusions BOO does not seem to be a risk factor for failure after the midurethral sling procedure. However, BOO may be considered as a potential factor for persistent storage symptoms after the midurethral sling.

  13. The changing role of mammal life histories in Late Quaternary extinction vulnerability on continents and islands. (United States)

    Lyons, S Kathleen; Miller, Joshua H; Fraser, Danielle; Smith, Felisa A; Boyer, Alison; Lindsey, Emily; Mychajliw, Alexis M


    Understanding extinction drivers in a human-dominated world is necessary to preserve biodiversity. We provide an overview of Quaternary extinctions and compare mammalian extinction events on continents and islands after human arrival in system-specific prehistoric and historic contexts. We highlight the role of body size and life-history traits in these extinctions. We find a significant size-bias except for extinctions on small islands in historic times. Using phylogenetic regression and classification trees, we find that while life-history traits are poor predictors of historic extinctions, those associated with difficulty in responding quickly to perturbations, such as small litter size, are good predictors of prehistoric extinctions. Our results are consistent with the idea that prehistoric and historic extinctions form a single continuing event with the same likely primary driver, humans, but the diversity of impacts and affected faunas is much greater in historic extinctions. © 2016 The Author(s).

  14. Crustal volumes of the continents and of oceanic and continental submarine plateaus (United States)

    Schubert, G.; Sandwell, D.


    Using global topographic data and the assumption of Airy isostasy, it is estimated that the crustal volume of the continents is 7182 X 10 to the 6th cu km. The crustal volumes of the oceanic and continental submarine plateaus are calculated at 369 X 10 to the 6th cu km and 242 X 10 to the 6th cu km, respectively. The total continental crustal volume is found to be 7581 X 10 to the 6th cu km, 3.2 percent of which is comprised of continental submarine plateaus on the seafloor. An upper bound on the contintental crust addition rate by the accretion of oceanic plateaus is set at 3.7 cu km/yr. Subduction of continental submarine plateaus with the oceanic lithosphere on a 100 Myr time scale yields an upper bound to the continental crustal subtraction rate of 2.4 cu km/yr.


    Directory of Open Access Journals (Sweden)



    Full Text Available The paper analysed the total assets in 2016 achieved by the strongest 96 banks from 4 continents: Europe, America, Asia and Africa. It aims to evaluate the level of total assets provided by banks in 2016 and continental banking markets degree of differentiation to determine the overall conditions of the banks. Methodologies used in this study are based on cluster and descriptives analysis. Data set was built based on informations reported by banks on total assets. The results indicate that most of total banking assets are found in Asia and the fewest in Africa. At the end of 2016, the top 16 global banks owned total assets of $ 30.19 trillion according to the data set contains cluster 1 and the centroid was (2.25, 2.11, 3.06, 0.01.

  16. Consistent response of bird populations to climate change on two continents. (United States)

    Stephens, Philip A; Mason, Lucy R; Green, Rhys E; Gregory, Richard D; Sauer, John R; Alison, Jamie; Aunins, Ainars; Brotons, Lluís; Butchart, Stuart H M; Campedelli, Tommaso; Chodkiewicz, Tomasz; Chylarecki, Przemysław; Crowe, Olivia; Elts, Jaanus; Escandell, Virginia; Foppen, Ruud P B; Heldbjerg, Henning; Herrando, Sergi; Husby, Magne; Jiguet, Frédéric; Lehikoinen, Aleksi; Lindström, Åke; Noble, David G; Paquet, Jean-Yves; Reif, Jiri; Sattler, Thomas; Szép, Tibor; Teufelbauer, Norbert; Trautmann, Sven; van Strien, Arco J; van Turnhout, Chris A M; Vorisek, Petr; Willis, Stephen G


    Global climate change is a major threat to biodiversity. Large-scale analyses have generally focused on the impacts of climate change on the geographic ranges of species and on phenology, the timing of ecological phenomena. We used long-term monitoring of the abundance of breeding birds across Europe and the United States to produce, for both regions, composite population indices for two groups of species: those for which climate suitability has been either improving or declining since 1980. The ratio of these composite indices, the climate impact indicator (CII), reflects the divergent fates of species favored or disadvantaged by climate change. The trend in CII is positive and similar in the two regions. On both continents, interspecific and spatial variation in population abundance trends are well predicted by climate suitability trends. Copyright © 2016, American Association for the Advancement of Science.

  17. Integration of health and environment through health impact assessment: cases from three continents. (United States)

    Negev, Maya; Levine, Hagai; Davidovitch, Nadav; Bhatia, Rajiv; Mindell, Jennifer


    Despite the strong linkage between environment and health, institutions responsible for these fields operate in largely fragmented ways with limited interaction. As illustrated in the recent engagement between health and urban planning institutions, inter-institutional cooperation could support more effective and politically acceptable solutions for both local and global problems. Analysis of three case-studies, from three different continents, shows that HIA might serve to promote synergies among health and environmental disciplines in different local contexts, and could lead to institutional and procedural changes that promote health. Case examples provided supportive evidence for these effects, despite differences in approaches to HIA and governance levels. Obstacles to the use of HIA for inter-institutional integration also differed between countries. Lessons learned could support cooperation in other common interests of health and environment disciplines such as research, training and preparedness, and mitigation of public health emergencies related to the environment. Copyright © 2012 Elsevier Inc. All rights reserved.

  18. The uranium geology and tectonic correlation between the African and Latin American continents

    International Nuclear Information System (INIS)

    Toens, P.D.; Le Roux, J.P.; Van Biljon, W.J.


    Subsequent to a meeting of the International Atomic Agency's Advisory Group on Uranium Geology in Latin America held in Lima, Peru in December 1978, it was decided that a project involving the correlation of uranium geology on either side of the Atlantic was called for. The representatives of the countries concerned were asked to meet in Vienna in July 1980 and present interim reports on progress made in their respective countries on this project. This paper represents an interim report by the South African Working Group. The aspects dealt with cover the matching of the two continents, the nature and distribution of the Gondwana and earlier sequences, as well as the nature and distribution of uraniferous alkaline complexes and granites [af

  19. The peopling of the African continent and the diaspora into the new world. (United States)

    Campbell, Michael C; Hirbo, Jibril B; Townsend, Jeffrey P; Tishkoff, Sarah A


    Africa is the birthplace of anatomically modern humans, and is the geographic origin of human migration across the globe within the last 100,000 years. The history of African populations has consisted of a number of demographic events that have influenced patterns of genetic and phenotypic variation across the continent. With the increasing amount of genomic data and corresponding developments in computational methods, researchers are able to explore long-standing evolutionary questions, expanding our understanding of human history within and outside of Africa. This review will summarize some of the recent findings regarding African demographic history, including the African Diaspora, and will briefly explore their implications for disease susceptibility in populations of African descent.

  20. Seismic site evaluation practice and seismic design guide for NPP in Continent of China

    Energy Technology Data Exchange (ETDEWEB)

    Yuxian, Hu [State Seismological Bureau, Beijing, BJ (China). Inst. of Geophysics


    Energy resources, seismicity, NPP and related regulations of the Continent of China are briefly introduced in the beginning and two codes related to the seismic design of NPP, one on siting and another on design, are discussed in some detail. The one on siting is an official code of the State Seismological Bureau, which specifies the seismic safety evaluation requirements of various kinds of structures, from the most critic and important structures such as NPP to ordinary buildings, and including also engineering works in big cities. The one on seismic design of NPP is a draft subjected to publication now, which will be an official national code. The first one is somewhat unique but the second one is quite similar to those in the world. (author)

  1. Seismic site evaluation practice and seismic design guide for NPP in Continent of China

    International Nuclear Information System (INIS)

    Hu Yuxian


    Energy resources, seismicity, NPP and related regulations of the Continent of China are briefly introduced in the beginning and two codes related to the seismic design of NPP, one on siting and another on design, are discussed in some detail. The one on siting is an official code of the State Seismological Bureau, which specifies the seismic safety evaluation requirements of various kinds of structures, from the most critic and important structures such as NPP to ordinary buildings, and including also engineering works in big cities. The one on seismic design of NPP is a draft subjected to publication now, which will be an official national code. The first one is somewhat unique but the second one is quite similar to those in the world. (author)

  2. Structure and frame conditions for power exchange agreements with the Continent

    International Nuclear Information System (INIS)

    Wiedswang, R.


    The conference paper relates to the obtained agreements between Norway and the Continent on the exchange of electric power. The paper discusses the structure and frame conditions for the ELSAM, PreussenElektra, SEP and EuroStrom agreements. ELSAM covers the agreement with Denmark which started on 27 July 1995. The PreussenElektra agreement includes the exchange of power with the German PreussenElektra AG which starts on 1 October 1998. SEP covers the agreement with the Netherlands which is planned to start on 1 October 2001, and the EuroStrom agreement with the German EST EuroStrom Trading GmbH in Hamburg which is planned to start on 1 January 2003. 8 figs

  3. Warming increases plant biomass and reduces diversity across continents, latitudes, and species migration scenarios in experimental wetland communities. (United States)

    Baldwin, Andrew H; Jensen, Kai; Schönfeldt, Marisa


    Atmospheric warming may influence plant productivity and diversity and induce poleward migration of species, altering communities across latitudes. Complicating the picture is that communities from different continents deviate in evolutionary histories, which may modify responses to warming and migration. We used experimental wetland plant communities grown from seed banks as model systems to determine whether effects of warming on biomass production and species richness are consistent across continents, latitudes, and migration scenarios. We collected soil samples from each of three tidal freshwater marshes in estuaries at three latitudes (north, middle, south) on the Atlantic coasts of Europe and North America. In one experiment, we exposed soil seed bank communities from each latitude and continent to ambient and elevated (+2.8 °C) temperatures in the greenhouse. In a second experiment, soil samples were mixed either within each estuary (limited migration) or among estuaries from different latitudes in each continent (complete migration). Seed bank communities of these migration scenarios were also exposed to ambient and elevated temperatures and contrasted with a no-migration treatment. In the first experiment, warming overall increased biomass (+16%) and decreased species richness (-14%) across latitudes in Europe and North America. Species richness and evenness of south-latitude communities were less affected by warming than those of middle and north latitudes. In the second experiment, warming also stimulated biomass and lowered species richness. In addition, complete migration led to increased species richness (+60% in North America, + 100% in Europe), but this higher diversity did not translate into increased biomass. Species responded idiosyncratically to warming, but Lythrum salicaria and Bidens sp. increased significantly in response to warming in both continents. These results reveal for the first time consistent impacts of warming on biomass and

  4. The impact of bladder neck sparing on urinary continence during laparoscopic radical prostatectomy; Results from a high volume centre

    Directory of Open Access Journals (Sweden)

    Ali Serdar Gozen


    Full Text Available Objective: To evaluate the effects of bladder neck reconstruction techniques on early continence after laparoscopic radical prostatectomy (LRP. Materials and methods: This non-randomized retrospective study analyzed prospectively collected data concerning LRP. In total, 3107 patients underwent LRP between March 1999 and December 2016. Exclusion criteria were preoperative urinary incontinence, previous history of external beam radiotherapy, co-morbities which may affect urinary continence such as diabetes mellitus and/or neurogenic disorders, irregular followup, and follow-up shorter than 24 months. All patients were divided into one of three groups, posterior reconstruction being performed in Group 1 (n = 112, anterior reconstruction in Group 2 (n = 762, and bladder neck sparing (BNS in Group 3 (n = 987. Demographic and pre-, peri-, and postoperative data were collected. Multivariate analyses were performed to determine factors affecting early continence after LRP. Results: 1861 patients were enrolled in the study. The mean follow-up period was 48.12 ± 29.8 months, and subjects’ mean age was 63.6 ± 6.2 years. There was no significant difference among the groups in terms of demographic or preoperative data. Postoperative data, including oncological outcomes, were similar among the groups. The level of early continence was higher in Group 3 than in the other groups (p < 0.001. Multivariate analyses identified BNS and age as parameters significantly affecting early continence levels after LRP (p < 0.001 and p < 0.001, respectively. Bladder neck reconstruction provided less earlier continence than BNS.

  5. Suicidal behaviour across the African continent: a review of the literature. (United States)

    Mars, Becky; Burrows, Stephanie; Hjelmeland, Heidi; Gunnell, David


    Suicide is a major cause of premature mortality worldwide, but data on its epidemiology in Africa, the world's second most populous continent, are limited. We systematically reviewed published literature on suicidal behaviour in African countries. We searched PubMed, Web of Knowledge, PsycINFO, African Index Medicus, Eastern Mediterranean Index Medicus and African Journals OnLine and carried out citation searches of key articles. We crudely estimated the incidence of suicide and suicide attempts in Africa based on country-specific data and compared these with published estimates. We also describe common features of suicide and suicide attempts across the studies, including information related to age, sex, methods used and risk factors. Regional or national suicide incidence data were available for less than one third (16/53) of African countries containing approximately 60% of Africa's population; suicide attempt data were available for men are typically at least three times higher than in women. The most frequently used methods of suicide are hanging and pesticide poisoning. Reported risk factors are similar for suicide and suicide attempts and include interpersonal difficulties, mental and physical health problems, socioeconomic problems and drug and alcohol use/abuse. Qualitative studies are needed to identify additional culturally relevant risk factors and to understand how risk factors may be connected to suicidal behaviour in different socio-cultural contexts. Our estimate is somewhat lower than GBD, but still clearly indicates suicidal behaviour is an important public health problem in Africa. More regional studies, in both urban and rural areas, are needed to more accurately estimate the burden of suicidal behaviour across the continent. Qualitative studies are required in addition to quantitative studies.

  6. Hierarchical Genetic Analysis of German Cockroach (Blattella germanica) Populations from within Buildings to across Continents (United States)

    Vargo, Edward L.; Crissman, Jonathan R.; Booth, Warren; Santangelo, Richard G.; Mukha, Dmitry V.; Schal, Coby


    Understanding the population structure of species that disperse primarily by human transport is essential to predicting and controlling human-mediated spread of invasive species. The German cockroach (Blattella germanica) is a widespread urban invader that can actively disperse within buildings but is spread solely by human-mediated dispersal over longer distances; however, its population structure is poorly understood. Using microsatellite markers we investigated population structure at several spatial scales, from populations within single apartment buildings to populations from several cities across the U.S. and Eurasia. Both traditional measures of genetic differentiation and Bayesian clustering methods revealed increasing levels of genetic differentiation at greater geographic scales. Our results are consistent with active dispersal of cockroaches largely limited to movement within a building. Their low levels of genetic differentiation, yet limited active spread between buildings, suggests a greater likelihood of human-mediated dispersal at more local scales (within a city) than at larger spatial scales (within and between continents). About half the populations from across the U.S. clustered together with other U.S. populations, and isolation by distance was evident across the U.S. Levels of genetic differentiation among Eurasian cities were greater than those in the U.S. and greater than those between the U.S. and Eurasia, but no clear pattern of structure at the continent level was detected. MtDNA sequence variation was low and failed to reveal any geographical structure. The weak genetic structure detected here is likely due to a combination of historical admixture among populations and periodic population bottlenecks and founder events, but more extensive studies are needed to determine whether signatures of global movement may be present in this species. PMID:25020136

  7. Drought consistently alters the composition of soil fungal and bacterial communities in grasslands from two continents. (United States)

    Ochoa-Hueso, Raúl; Collins, Scott L; Delgado-Baquerizo, Manuel; Hamonts, Kelly; Pockman, William T; Sinsabaugh, Robert L; Smith, Melinda D; Knapp, Alan K; Power, Sally A


    The effects of short-term drought on soil microbial communities remain largely unexplored, particularly at large scales and under field conditions. We used seven experimental sites from two continents (North America and Australia) to evaluate the impacts of imposed extreme drought on the abundance, community composition, richness, and function of soil bacterial and fungal communities. The sites encompassed different grassland ecosystems spanning a wide range of climatic and soil properties. Drought significantly altered the community composition of soil bacteria and, to a lesser extent, fungi in grasslands from two continents. The magnitude of the fungal community change was directly proportional to the precipitation gradient. This greater fungal sensitivity to drought at more mesic sites contrasts with the generally observed pattern of greater drought sensitivity of plant communities in more arid grasslands, suggesting that plant and microbial communities may respond differently along precipitation gradients. Actinobateria, and Chloroflexi, bacterial phyla typically dominant in dry environments, increased their relative abundance in response to drought, whereas Glomeromycetes, a fungal class regarded as widely symbiotic, decreased in relative abundance. The response of Chlamydiae and Tenericutes, two phyla of mostly pathogenic species, decreased and increased along the precipitation gradient, respectively. Soil enzyme activity consistently increased under drought, a response that was attributed to drought-induced changes in microbial community structure rather than to changes in abundance and diversity. Our results provide evidence that drought has a widespread effect on the assembly of microbial communities, one of the major drivers of soil function in terrestrial ecosystems. Such responses may have important implications for the provision of key ecosystem services, including nutrient cycling, and may result in the weakening of plant-microbial interactions and a

  8. Um continente entortado (América Latina The lopsided continent (Latin America

    Directory of Open Access Journals (Sweden)

    Kelly Hoffman


    Full Text Available Em todo o mundo, a América Latina é a região que apresenta a mais desequilibrada distribuição de recursos. O artigo define um conjunto comum de elementos que caracterizam as estruturas sociais do continente, sugere algumas linhas de análise e teorização e defende a integração dos estudos regionais nas discussões mais amplas a respeito da estratificação. Na primeira parte, examina-se a situação do continente como um todo, com uma breve discussão sobre a relação entre pobreza e desigualdade, e sobre o problema da disponibilidade de dados. Em seguida, analisa-se classe, gênero e raça. A conclusão identifica três fatores críticos que explicam a desigualdade latino-americana: sua posição no interior do sistema econômico global, o colonialismo interno que mantém as categorias raciais e o subdesenvolvimento das estruturas estataisLatin America has the most unbalanced distribution of resources of all regions in the world. This review defines a set of common elements characterizing social structures on this continent, suggests some approaches for analysis and theorizing, and supports the integration of regional studies into broader discussions of stratification. An overview of the situation on the continent as a whole, including a short discussion of the relationship between poverty and inequality, allows to address some concerns with data availability. We then devote a section each to class, gender, and race, and conclude by identifying three critical factors that explain Latin American inequality: its position within a global economic system, internal colonialism with maintenance of racial categories, and the underdevelopment of state structures.

  9. Continent-wide risk assessment for the establishment of nonindigenous species in Antarctica (United States)

    Chown, Steven L.; Huiskes, Ad H. L.; Gremmen, Niek J. M.; Lee, Jennifer E.; Terauds, Aleks; Crosbie, Kim; Frenot, Yves; Hughes, Kevin A.; Imura, Satoshi; Kiefer, Kate; Lebouvier, Marc; Raymond, Ben; Tsujimoto, Megumu; Ware, Chris; Van de Vijver, Bart; Bergstrom, Dana Michelle


    Invasive alien species are among the primary causes of biodiversity change globally, with the risks thereof broadly understood for most regions of the world. They are similarly thought to be among the most significant conservation threats to Antarctica, especially as climate change proceeds in the region. However, no comprehensive, continent-wide evaluation of the risks to Antarctica posed by such species has been undertaken. Here we do so by sampling, identifying, and mapping the vascular plant propagules carried by all categories of visitors to Antarctica during the International Polar Year's first season (2007–2008) and assessing propagule establishment likelihood based on their identity and origins and on spatial variation in Antarctica's climate. For an evaluation of the situation in 2100, we use modeled climates based on the Intergovernmental Panel on Climate Change's Special Report on Emissions Scenarios Scenario A1B [Nakićenović N, Swart R, eds (2000) Special Report on Emissions Scenarios: A Special Report of Working Group III of the Intergovernmental Panel on Climate Change (Cambridge University Press, Cambridge, UK)]. Visitors carrying seeds average 9.5 seeds per person, although as vectors, scientists carry greater propagule loads than tourists. Annual tourist numbers (∼33,054) are higher than those of scientists (∼7,085), thus tempering these differences in propagule load. Alien species establishment is currently most likely for the Western Antarctic Peninsula. Recent founder populations of several alien species in this area corroborate these findings. With climate change, risks will grow in the Antarctic Peninsula, Ross Sea, and East Antarctic coastal regions. Our evidence-based assessment demonstrates which parts of Antarctica are at growing risk from alien species that may become invasive and provides the means to mitigate this threat now and into the future as the continent's climate changes. PMID:22393003

  10. Strike-slip faults offshore southern Taiwan: implications for the oblique arc-continent collision processes (United States)

    Fuh, Shi-Chie; Liu, Char-Shine; Lundberg, Neil; Reed, Donald L.


    Taiwan is the site of present-day oblique arc-continent collision between the Luzon arc of the Philippine Sea plate and the Chinese continental margin. The major structural pattern revealed from marine geophysical studies in the area offshore southern Taiwan is that of a doubly-vergent orogenic belt, bounded by significant zones of thrusting on the west and east of the submarine accretionary wedge. Due to the oblique collision process, strike-slip faults could play an important role in this convergent domain. Topographic lineaments revealed from new digital bathymetry data and seismic reflection profiles confirm the existence of three sets of strike-slip faults in the collision-subduction zone offshore southern Taiwan: the N-S-trending left-lateral strike-slip faults within the Luzon volcanic arc, the NE-SW-trending right-lateral strike-slip faults across the accretionary wedge, and the NNE-SSW-trending left-lateral strike-slip faults lie in the frontal portion of the accretionary wedge. These strike-slip faults overprint pre-existing folds and thrusts and may convert into oblique thrusts or thrusts as the forearc blocks accrete to the mountain belt. A bookshelf rotation model is used to explain the observed geometrical relationships of these strike-slip fault systems. Based on this model, the counter-clockwise rotation of the forearc blocks in the area offshore southern Taiwan could have caused extrusion of the accretionary wedge material into the forearc basin. The originally continuous forearc basin is thus deformed into several closed and separate proto-collisional basins such as the Southern Longitudinal Trough and Taitung Trough. A tectonic evolution model which emphasizes on the development of various structures at different stages of the oblique arc-continent collision for the Taiwan mountain belt is proposed.

  11. Seismic investigation of an ocean-continent transition zone in the northern South China Sea (United States)

    Zhu, J.; Qiu, X.; Xu, H.; Zhan, W.; Sun, Z.


    Rifted continental margins and basins are mainly formed by the lithospheric extension. Thined lithosphere of passive continental margins results in decompression melt of magma and created oceanic crust and thined ocean-continent transition (OCT) zone. Two refraction profiles used ocean bottom seismometers deployed in the broad continental shelf and three multi-channel seismic reflection lines in the northern South China Sea, acquired by the ship "Shiyan 2" of the South China Sea Institute of Oceanology, Chinese Academy of Sciences in 2010, are processed and interpreted in this study. Seismic reflection lines cut through the Dongsha rise, Zhu-1 and Zhu-2 depression within a Tertiary basin, Pear River Mouth basin (called as Zhujiangkou basin). These tectonic features are clear imaged in the seismic reflection records. Numerous normal faults, cutted through the basement and related to the stretch of the northern South China Sea margin, are imaged and interpreted. Reflection characteristics of the ocean-continent transition (OCT) zone are summaried and outlined. The COT zone is mainly divided into the northern syn-rift subsidence zone, central volcano or buried volcano uplift zone and tilt faulted block near the South Chia Sea basin. Compared to the previous seismic reflection data and refraction velocity models, the segmentation range of the OCT zone is outlined, from width of about 225 km in the northeastern South China Sea , of 160 km in the central to of 110 km in the north-central South China Sea. Based on the epicenter distribution of sporadic and large than 6 magnitude earthquakes, it suggests the OCT zone in the northern South China Sea at present is still an active seismic zone.

  12. Anisotropic tomography of the Indian continent and the geodynamic role of its keel (United States)

    Montagner, J. P.; Maurya, S.; Sibrant, A.; Davaille, A.; Stutzmann, E.; Kumar, R.; Jean, B.


    The Indian moved at an exceptional high rate (18-20cm/year) after the birth of La Réunion hotspot, ≈65Ma ago and the Deccan volcanic province before the collision with the Asian continent. Other older plumes Marion, Kerguelen located in the Indian ocean are also associated with very fast plate motion. We present a high-resolution 3D anisotropic model of the Indian plate region down to 300 km depth, obtained by inverting a new massive database of surface-wave observations. The Rayleigh and Love wave dispersion measurements along 14,000 paths are made in a broad frequency range (16-250s). Our estimates of the depth to the Lithosphere-Asthenosphere Boundary (LAB) derived from seismic velocity Vsv variations at depth reveal large variations (120-250 km) beneath the different cratonic blocks. A low velocity layer associated with the Mid-lithospheric discontinuity is present when the root of the lithosphere is deep. This extensive anisotropic tomographic investigation of the Indian continent displays an almost north-south keel, 600km long and 300km wide, down to 250km depth. The keel is characterized by fast velocities, smaller than average radial and azimuthal anisotropies. The distribution of azimuthal anisotropy defines the flow lines around the keel, and, at the LAB, coincides with the APM direction of the Indian plate. The fast axis azimuths at 250 km depth are also in accordance with the results from SK(K)S splitting. Such a keel could probably perturb plume-induced flow in the asthenosphere. To determine the influence of such a keel on the interaction of India with several mantle plumes (Marion, Crozet, Kerguelen, La Réunion), we used laboratory experiments. Some preliminary results will be presented on the comparison between the laboratory flowlines and the direction of seismic anisotropy.

  13. Geodynamic evolution of the Sabzevar zone, northern central Iranian micro-continent (United States)

    Omrani, Hadi; Moazzen, Mohssen; Oberhänsli, Roland


    The Northern Central Iranian Micro-continent (CIM) represents Neotethys-related oceanic crust remnants, emplaced due to convergence between CIM and Eurasia plates during Eocene. Mafic and ultramafic units are exposed along the northern part of the CIM in the Sabzevar area. The geology and field relation of Sabzevar ophiolite indicate northward subduction of the Sabzevar basin. The average whole rock chemistry of mafic (gabbros) and ultramafic samples (lherzolite, harzburgite and dunite) is characterized by a range of MgO of 11.16-31.88, CaO 5.22-11.53 and Al2O3 2.77-14.57, respectively. Low LREE/HREE ratio of ultramafic samples is accompanied by enrichment of large ion lithophile elements (LILE) such as Sr, Pb and K. Mafic samples show two distinct groups with low and high LREE/HREE ratios. The spider diagram of mafic samples indicates enrichment in Sr, Pb and K and depletion in REE. Petrological and geochemical evidence and field relations show that the mafic rocks formed in a supra-subduction zone setting. Petrological studies reveal the role of fractional crystallization and assimilation effect by released fluids during subduction related generation of the Sabzevar mafic rocks. We suggest that the studied mafic rocks likely represent the basement of an initial island arc, which was generated in a supra-subduction zone setting within the Neotethys branch of the Sabzevar Ocean at the north of CIM. Copper, gold and chromite mineralizations are studied in relation to island arc setting and supra-subduction environment. Similarities in lithology, ophiolite age and mineralization between Sabzevar ophiolite and Bardaskan-Torbat Heydariyeh ophiolites testify for their separation due to rotation (or faulting) of the Central Iranian Micro-continent.


    Directory of Open Access Journals (Sweden)

    A. V. Bobrov


    Full Text Available The evolution of the ‘mantle – moving deformable continents’ system has been studied by numerical experiments. The continents move self-consistently with the mantle flows of thermo-compositional convection. Our model (two-dimensional mantle convection, non-Newtonian rheology, the presence of deformable continents demonstrates the main features of global geodynamics: convergence and divergence of continents; appearance and disappearance of subduction zones; backrolling of subduction zones; restructuring of mantle flows; stretching, breakup and divergence of continents; opening and closing of oceans; oceanic crust recirculation in the mantle, and overriding of hot mantle plumes by continents. In our study, the continental crust is modeled by active markers which transfer additional viscosity and buoyancy, while the continental lithosphere is marked only by increased viscosity with neutral buoyancy. The oceanic crust, in its turn, is modeled by active markers that have only an additional buoyancy. The principal result of our modeling is a consistency between the numerical calculations and the bimodal dynamics of the real Earth: the oceanic crust, despite its positive buoyancy near the surface, submerges in subduction zones and sinks deep into the mantle. (Some part of the oceanic crust remains attached to the continental margins for a long time. In contrast to the oceanic crust, the continental crust does not sink in subduction zones. The continental lithosphere, despite its neutral buoyancy, also remains on the surface due to its viscosity and coupling with the continental crust. It should be noted that when a continent overrides a subduction zone, the subduction zone disappears, and the flows in the mantle are locally reorganized. The effect of basalt-eclogite transition in the oceanic crust on the mantle flow pattern and on the motion of continents has been studied. Our numerical experiments show that the inclusion of this effect in the

  15. Spatial and temporal variability of stable isotope composition of precipitation over the south american continent

    Directory of Open Access Journals (Sweden)


    Full Text Available VARIABILITE SPATIALE ET TEMPORELLE DE LA COMPOSITION EN ISOTOPES STABLES DE LA PRECIPITATION SUR LE CONTINENT SUDAMERICAIN. L’Agence Internationale de l’Energie Atomique, en coopération avec l’Organisation Météorologique Mondiale, exploite un réseau mondial de stations pour la prise d’échantillons mensuels de précipitation. Actuellement, à peu près 60 stations fournissent des informations sur la composition isotopique de la précipitation sur le continent sudaméricain. Ces dernières années plusieurs réseaux d’échantillonnage d’un caractère national (Argentine, Brésil, Chili, Equateur, Pérou ont été initiés. Les données apportées par ces réseaux contribuent au réseau mondial de l’AIEA/OMM. Ces travaux se concentrent sur l’étude de la variabilité spatiale et temporelle de la composition isotopique stable de la précipitation sur le continent. Dans cette étude, est examinée en détail la relation entre la composition isotopique de la précipitation dans la région et quelques paramètres climatiques, tels que la quantité de précipitation et la température de l’air. VARIABILIDAD ESPACIAL Y TEMPORAL DE LA COMPOSICIÓN DE ISÓTOPOS ESTABLES DE LA PRECIPITACIÓN EN EL CONTINENTE SUDAMERICANO. El Organismo Internacional de Energía Atómica (OIEA, en colaboración con la Organización Meteorológica Mundial (OMM, está llevando a cabo un estudio a escala global de la composición isotópica de la precipitación a partir de muestras mensuales de lluvia recogidas en estaciones meteorológicas. En la actualidad alrededor de 60 estaciones proporcionan información sobre la composición isotópica de la precipitación en el continente sudamericano. Durante los últimos años se han establecido en la región varias redes de control con carácter nacional (Argentina, Brasil, Chile, Ecuador, Perú. Los datos aportados por estas redes representan una valiosa contribución a la red mundial del OIEA/OMM. Este trabajo se

  16. Taking the pulse of a continent: Expanding site-based research infrastructure for regional- to continental-scale ecology (United States)

    Many of the most dramatic and surprising effects of global change on ecological systems will occur across large spatial extents, from regions to continents. Multiple ecosystem types will be impacted across a range of interacting spatial and temporal scales. The ability of ecologists to understand an...

  17. Emergence of silicic continents as the lower crust peels off on a hot plate-tectonic Earth (United States)

    Chowdhury, Priyadarshi; Gerya, Taras; Chakraborty, Sumit


    The rock record and geochemical evidence indicate that continental recycling has been occurring since the early history of the Earth. The stabilization of felsic continents in place of Earth's early mafic crust about 3.0 to 2.0 billion years ago, perhaps due to the initiation of plate tectonics, implies widespread destruction of mafic crust during this time interval. However, the physical mechanisms of such intense recycling on a hotter, (late) Archaean and presumably plate-tectonic Earth remain largely unknown. Here we use thermomechanical modelling to show that extensive recycling via lower crustal peeling-off (delamination but not eclogitic dripping) during continent-continent convergence was near ubiquitous during the late Archaean to early Proterozoic. We propose that such destruction of the early mafic crust, together with felsic magmatism, may have caused both the emergence of silicic continents and their subsequent isostatic rise, possibly above the sea level. Such changes in the continental character have been proposed to influence the Great Oxidation Event and, therefore, peeling-off plate tectonics could be the geodynamic trigger for this event. A transition to the slab break-off controlled syn-orogenic recycling occurred as the Earth aged and cooled, leading to reduced recycling and enhanced preservation of the continental crust of present-day composition.

  18. International Continence Society Good Urodynamic Practices and Terms 2016 : Urodynamics, uroflowmetry, cystometry, and pressure-flow study

    NARCIS (Netherlands)

    Rosier, Peter F W M; Schaefer, Werner; Lose, Gunnar; Goldman, Howard B.; Guralnick, Michael; Eustice, Sharon; Dickinson, Tamara; Hashim, Hashim

    AIMS: The working group initiated by the ICS Standardisation Steering Committee has updated the International Continence Society Standard "Good Urodynamic Practice" published in 2002. METHODS: On the basis of the manuscript: "ICS standard to develop evidence-based standards," a new ICS Standard was

  19. International children's continence society's recommendations for therapeutic intervention in congenital neuropathic bladder and bowel dysfunction in children

    NARCIS (Netherlands)

    Rawashdeh, Y. F.; Austin, P.; Siggaard, C.; Bauer, S. B.; Franco, I.; de Jong, T. P.; Jorgensen, T. M.


    Purpose We present a consensus view of members of the International Children's Continence Society on the therapeutic intervention in congenital neuropatic bladder and bowel dysfunction in children. Material and Methods Discussions were held by a group of pediatric urologists and gastroenterologists

  20. Globalization and Multilingualism: Case Studies of Indigenous Culture-Based Education from the Indian Sub-Continent and Their Implications (United States)

    Singh, Navin Kumar


    This paper presents some of the major program initiatives honoring Indigenous knowledge, culture, heritage, arts, and skills through curricular reforms and culturally appropriate educational practices on the Indian sub-continent. It presents case studies of Indigenous culture-based education, with reference to mother tongue and multicultural…

  1. Measurement of dynamic urethral pressures with a high-resolution manometry system in continent and incontinent women. (United States)

    Kirby, Anna C; Tan-Kim, Jasmine; Nager, Charles W


    Female stress urinary incontinence is caused by urethral dysfunction during dynamic conditions, but current technology has limitations in measuring urethral pressures under these conditions. An 8-French high-resolution manometry (HRM) catheter currently in clinical use in gastroenterology may accurately measure urethral pressures under dynamic conditions because it has a 25-millisecond response rate and circumferential pressure sensors along the length of the catheter (ManoScan ESO; Given Imaging, Yoqneam, Israel). We evaluated the concordance, repeatability, and tolerability of this catheter. We measured resting, cough, and strain maximum urethral closure pressures (MUCPs) using HRM and measured resting MUCPs with water-perfusion side-hole catheter urethral pressure profilometry (UPP) in 37 continent and 28 stress-incontinent subjects. Maneuvers were repeated after moving the HRM catheter along the urethral length to evaluate whether results depend on catheter positioning. Visual analog pain scores evaluated the comfort of HRM compared to UPP. The correlation coefficient for resting MUCPs measured by HRM versus UPP was high (r = 0.79, P rest, cough, and strain with HRM: r = 0.92, 0.89, and 0.89. Mean MUCPs (rest, cough, and strain) were higher in continent than in incontinent subjects (all P continent subjects during cough and strain maneuvers compared to rest. This preliminary study shows that HRM is concordant with standard technology, repeatable, and well tolerated in the urethra. Incontinent women have more impairment of their urethral closure pressures during cough and strain than continent women.

  2. Arc-continent collision of the Coastal Range in Taiwan: Geochronological constraints from U-Pb ages of zircons (United States)

    Geng, Wei; Zhang, Xun-Hua; Huang, Long


    The oblique arc-continent collision between the Luzon arc and the southeastern margin of the Eurasian continent caused the uplift of Taiwan. The Coastal Range in eastern Taiwan is the northern section of the Luzon arc in the collision zone and thus records important information about the arc-continent collision. In this paper, we determine and analyze the U-Pb ages of magmatic zircons from the volcanic arc and clastic zircons from the fore-arc basin in the Coastal Range. For the volcanic arc in the Coastal Range, the eruption ages range from 16.8-5 Ma. Given that the initial subduction of the South China Sea oceanic crust (17 Ma) occurred before the Luzon arc formed, we conclude that the volcanic activity of the Coastal Range began at 16.8 ± 1.3 Ma; it was most active from 14 to 8 Ma and continued until approximately 5 Ma. The U-Pb chronology also indicates that the initial stage of arc-continent collision of the Coastal Range started at approximately 5 Ma, when the northern section of the Luzon arc moved away from the magmatic chamber because of the kinematics of the Philippine Sea Plate.

  3. Intermediate crust (IC); its construction at continent edges, distinctive epeirogenic behaviour and identification as sedimentary basins within continents: new light on pre-oceanic plate motions (United States)

    Osmaston, Miles F.


    Introduction. The plate tectonics paradigm currently posits that the Earth has only two kinds of crust - continental and oceanic - and that the former may be stretched to form sedimentary basins or the latter may be modified by arc or collision until it looks continental. But global analysis of the dynamics of actual plate motions for the past 150 Ma indicates [1 - 3] that continental tectospheres must be immensely thicker and rheologically stiffer than previously thought; almost certainly too thick to be stretched with the forces available. In the extreme case of cratons, these tectospheric keels evidently extend to 600 km or more [2, 3]. This thick-plate behaviour is attributable, not to cooling but to a petrological 'stiffening' effect, associated with a loss of water-weakening of the mineral crystals, which also applies to the hitherto supposedly mobile LVZ below MORs [4, 5]. The corresponding thick-plate version of the mid-ocean ridge (MOR) process [6 - 8], replacing the divergent mantle flow model, has a deep, narrow wall-accreting axial crack which not only provides the seismic anisotropy beneath the flanks but also brings two outstanding additional benefits:- (i) why, at medium to fast spreading rates, MOR axes become straight and orthogonally segmented [6], (ii) not being driven by body forces, it can achieve the sudden jumps of axis, spreading-rate and direction widely present in the ocean-floor record. Furthermore, as we will illustrate, the crack walls push themselves apart at depth by a thermodynamic mechanism, so the plates are not being pulled apart. So the presence of this process at a continental edge would not imply the application of extensional force to the margin. Intermediate Crust (IC). In seeking to resolve the paradox that superficially extensional structures are often seen at margins we will first consider how this MOR process would be affected by the heavy concurrent sedimentation to be expected when splitting a mature continent. I reason

  4. Les Cinq Continents, a antologia de Goll: apelo (poético cosmopolita

    Directory of Open Access Journals (Sweden)

    Maria Aparecida Barbosa


    Full Text Available Este artigo trata de alguns trabalhos poéticos de Ivan Goll, publicados em alemão, francês e inglês, nos quais o diapasão cosmopolita e o apelo a uma poesia supranacional representaram um grito marginal de resistência frente às tendências totalizantes e às categorias nacionais da primeira metade do século XX. Busca-se compreender se o grito encontra respaldo nas reflexões atuais, pensando-o como um antecedente questionador de taxonomias de gênero literário e de forma artística, um transgender. Assinala que o modernista brasileiro Mário de Andrade não somente acompanhou a querela entre Goll e Breton sobre a herança do conceito Surréalisme legado por Apollinaire, como também se correspondeu e trocou livros com o poeta alsaciano, tendo recebido com entusiasmo a antologia Les Cinq continents. Ao final, este artigo apresenta a tradução de dois poemas afinados com a noção cosmopolita: "O Negro do Teatro de Variedades" e "A Canção de João Sem-Terra, O Duplo".Esta comunicación trata sobre algunos trabajos poéticos de Ivan Goll, publicados en alemán, francés e inglés, en los cuales el tono cosmopolita y el llamamiento a una poesía supranacional representaron un grito marginal de resistencia frente a las tendencias totalizantes y a las categorías nacionales de la primera mitad del siglo XX. El artículo busca comprender si el grito reverbera y encuentra respaldo en las reflexiones actuales, pensándolo como un antecedente cuestionador de taxonomías de género totalitario y, de forma artística, como un "transgender". El texto también incide en la relación establecida con el escritor modernista brasileño Mário de Andrade, que no sólo acompañó la querella entre Goll y Breton sobre la herencia del concepto "Surréalisme" legado por Apollinaire, sino que mantuvo contacto epistolar e intercambio de libros con el poeta alsaciano, y recibió con entusiasmo la antología Les Cinq continents. Finalmente, este art

  5. The urethral closure function in continent and stress urinary incontinent women assessed by urethral pressure reflectometry. (United States)

    Saaby, Marie-Louise


    Stress urinary incontinence (SUI) occurs when the bladder pressure exceeds the urethral pressure in connection with physical effort or exertion or when sneezing or coughing and depends both on the strength of the urethral closure function and the abdominal pressure to which it is subjected. The urethral closure function in continent women and the dysfunction causing SUI are not known in details. The currently accepted view is based on the concept of a sphincteric unit and a support system. Our incomplete knowledge relates to the complexity of the closure apparatus and to inadequate assessment methods which so far have not provided robust urodynamic diagnostic tools, severity measures, or parameters to assess outcome after intervention. Urethral Pressure Reflectometry (UPR) is a novel method that measures the urethral pressure and cross-sectional area (by use of sound waves) simultaneously. The technique involves insertion of only a small, light and flexible polyurethane bag in the urethra and therefore avoids the common artifacts encountered with conventional methods. The UPR parameters can be obtained at a specific site of the urethra, e.g. the high pressure zone, and during various circumstances, i.e. resting and squeezing. During the study period, we advanced the UPR technique to enable faster measurement (within 7 seconds by the continuous technique) which allowed assessment during increased intra-abdominal pressure induced by physical straining. We investigated the urethral closure function in continent and SUI women during resting and straining by the "fast" UPR technique. Thereby new promising urethral parameters were provided that allowed characterization of the closure function based on the permanent closure forces (primarily generated by the sphincteric unit, measured by the Po-rest) and the adjunctive closure forces (primarily generated by the support system, measured by the abdominal to urethral pressure impact ratio (APIR)). The new parameters enabled

  6. High-resolution mapping of biomass burning emissions in tropical regions across three continents (United States)

    Shi, Yusheng; Matsunaga, Tsuneo; Saito, Makoto


    Biomass burning emissions from open vegetation fires (forest fires, savanna fires, agricultural waste burning), human waste and biofuel combustion contain large amounts of trace gases (e.g., CO2, CH4, and N2O) and aerosols (BC and OC), which significantly impact ecosystem productivity, global atmospheric chemistry, and climate . With the help of recently released satellite products, biomass density based on satellite and ground-based observation data, and spatial variable combustion factors, this study developed a new high-resolution emissions inventory for biomass burning in tropical regions across three continents in 2010. Emissions of trace gases and aerosols from open vegetation burning are estimated from burned areas, fuel loads, combustion factors, and emission factors. Burned areas were derived from MODIS MCD64A1 burned area product, fuel loads were mapped from biomass density data sets for herbaceous and tree-covered land based on satellite and ground-based observation data. To account for spatial heterogeneity in combustion factors, global fractional tree cover (MOD44B) and vegetation cover maps (MCD12Q1) were introduced to estimate the combustion factors in different regions by using their relationship with tree cover under less than 40%, between 40-60% and above 60% conditions. For emission factors, the average values for each fuel type from field measurements are used. In addition to biomass burning from open vegetation fires, the emissions from human waste (residential and dump) burning and biofuel burning in 2010 were also estimated for 76 countries in tropical regions across the three continents and then allocated into each pixel with 1 km grid based on the population density (Gridded Population of the World v3). Our total estimates for the tropical regions across the three continents in 2010 were 17744.5 Tg CO2, 730.3 Tg CO, 32.0 Tg CH4, 31.6 Tg NOx, 119.2 Tg NMOC, 6.3 Tg SO2, 9.8 NH3 Tg, 81.8 Tg PM2.5, 48.0 Tg OC, and 5.7 Tg BC, respectively. Open

  7. Geographical distribution of Toxoplasma gondii genotypes in Asia: A link with neighboring continents. (United States)

    Chaichan, P; Mercier, A; Galal, L; Mahittikorn, A; Ariey, F; Morand, S; Boumédiène, F; Udonsom, R; Hamidovic, A; Murat, J B; Sukthana, Y; Dardé, M L


    Defining the pattern of genetic diversity of Toxoplasma gondii is important to understand its worldwide distribution. During the last decades, a large number of studies have been published on Toxoplasma genotypes circulating in Europe, in North and South America. Two continents are still largely unexplored, Africa and, to a less extent, Asia. In this last continent, an increasing number of publications reported genotypes circulating in diverse provinces of China, but very few data are available for other Asian countries. After a systematic database search, 47 papers related to T. gondii genotypes in Asia were analyzed. Genetic characterization of DNA was performed by microsatellite markers, or more usually by a multiplex PCR using 11 PCR-RFLP markers, allowing data comparison to draw a first global picture of the population structure of this parasite throughout Asia. Overall, 390 isolates or DNA extracts were completely typed by PCR-RFLP and/or microsatellite marker methods, revealing 36 different PCR-RFLP or equivalent microsatellite genotypes: 15 genotypes identified by a ToxoDB number and 21 atypical or unique genotypes. The most common genotype found in Asia is the genotype ToxoDB#9 (Chinese 1). The clonal types I, II and II variant, and III were also commonly found in Asia. The geographical distribution of these genotypes across Asia may reflect either a continuum with Europe for the western part of Asia (presence of Type II), or the circulation of strains through animal migration or human activities between Africa and the Southwestern part of Asia (Africa 1 genotype in Turkey or ToxoDB#20 both I Sri-Lanka and in Ethiopia or Egypt). Although there are some indications of a genetic population structure in Southeast Asian countries different from the rest of Asia, more studies in this tropical part of Asia will be necessary for a region which represent as well as Africa one of the missing links of the T. gondii genetic diversity. Copyright © 2017 Elsevier B

  8. Convective Cloud and Rainfall Processes Over the Maritime Continent: Simulation and Analysis of the Diurnal Cycle (United States)

    Gianotti, Rebecca L.

    The Maritime Continent experiences strong moist convection, which produces significant rainfall and drives large fluxes of heat and moisture to the upper troposphere. Despite the importance of these processes to global circulations, current predictions of climate change over this region are still highly uncertain, largely due to inadequate representation of the diurnally-varying processes related to convection. In this work, a coupled numerical model of the land-atmosphere system (RegCM3-IBIS) is used to investigate how more physically-realistic representations of these processes can be incorporated into large-scale climate models. In particular, this work improves simulations of convective-radiative feedbacks and the role of cumulus clouds in mediating the diurnal cycle of rainfall. Three key contributions are made to the development of RegCM3-IBIS. Two pieces of work relate directly to the formation and dissipation of convective clouds: a new representation of convective cloud cover, and a new parameterization of convective rainfall production. These formulations only contain parameters that can be directly quantified from observational data, are independent of model user choices such as domain size or resolution, and explicitly account for subgrid variability in cloud water content and nonlinearities in rainfall production. The third key piece of work introduces a new method for representation of cloud formation within the boundary layer. A comprehensive evaluation of the improved model was undertaken using a range of satellite-derived and ground-based datasets, including a new dataset from Singapore's Changi airport that documents diurnal variation of the local boundary layer height. The performance of RegCM3-IBIS with the new formulations is greatly improved across all evaluation metrics, including cloud cover, cloud liquid water, radiative fluxes and rainfall, indicating consistent improvement in physical realism throughout the simulation. This work

  9. The risk of urinary retention following robot-assisted radical prostatectomy and its impact on early continence outcomes. (United States)

    Alnazari, Mansour; Zanaty, Marc; Ajib, Khaled; El-Hakim, Assaad; Zorn, Kevin C


    We aimed to evaluate the risk factors of acute urinary retention (AUR) following robot-assisted radical prostatectomy (RARP), as well as the relationship of AUR with early continence outcomes. The records of 740 consecutive patients who underwent RARP by two experienced surgeons at our institution were retrospectively reviewed from a prospectively collected database. Multiple factors, including age, body mass index (BMI), international prostate symptom score (IPSS), prostate volume, presence of median lobe, nerve preservation status, anastomosis time, and catheter removal time (Day 4 vs. 7), were evaluated as risk factors for AUR using univariate and multivariate analysis. The relation between AUR and early return of continence (one and three months) post-RARP was also evaluated. The incidence of clinically significant vesico-urethral anastomotic (VUA) leak and AUR following catheter removal were 0.9% and 2.2% (17/740), respectively. In men who developed AUR, there was no significant relationship with regards to age, BMI, IPSS, prostatic volume, median lobe, nerve preservation, or anastomosis time; however, the incidence of AUR was significantly higher for men with catheter removal at Day 4 (4.5% [16/351]) vs. Day 7 (0.2% [1/389]) (p=0.004). Moreover, patients with early removal of the catheter (Day 4) who developed AUR had an earlier one-month return of 0-pad continence 87.5% (14/16) compared to patients without AUR 45.6% (153/335), with no significant difference at three months. While AUR is an uncommon complication of RARP, its incidence is much higher than VUA leakage. Further, it is often not well-discussed during patient counselling preoperatively. Moreover, earlier return of urinary continence was observed in patients experiencing AUR following RARP exclusively with catheter removal at Day 4. Future studies are warranted to validate the long-term impact of AUR on continence outcomes.

  10. Urethral pressure reflectometry during intra-abdominal pressure increase—an improved technique to characterize the urethral closure function in continent and stress urinary incontinent women

    DEFF Research Database (Denmark)

    Saaby, Marie-Louise; Klarskov, Niels; Lose, Gunnar


    to assess the urethral closure function by urethral pressure reflectometry (UPR) during intra-abdominal pressure-increase in SUI and continent assess the urethral closure function by urethral pressure reflectometry (UPR) during intra-abdominal pressure-increase in SUI and continent women....

  11. Subcutaneous blood flow in man during sleep with continous epdural anaesthesia

    DEFF Research Database (Denmark)

    Sindrup, JH; Petersen, Lars Jelstrup; Kastrup, Jens


    BACKGROUND: Subcutaneous blood flow increases during sleep and we evaluated if this increase is affected by epidural anaesthesia. METHODS: Lower leg subcutaneous blood flow was determined by 133Xenon clearance in ten subjects during continous epidural anaesthesia at L2-L3 including eight hours...... of sleep, while the opper abdominal subcutaneous blood flow served as control. RESULTS: Epidural anaesthesia to the level of the umbilicus was followed by an increase in the lower leg subcutaneous blood flow fra 3.4 (1.8-6.3) to 7.8 (3.6-16.9) ml min-1 (median and range; P....4-7.6) ml min-1 100 g-1 after 88 (45-123) min. In contrast, until the period of sleep the upper abdominal region blood flow remained at 5.2 (3.2-6.4) ml min-1 100 g-1. During sleep, lower leg subcutaneous blood flow did not change significantly, but the upper abdominal flow increased to 6.2 (5.2-7.2) ml min...

  12. Threats and Re-emergence of Chickungunya Fever in Indian Sub-continent

    Directory of Open Access Journals (Sweden)

    Mahajan S


    Full Text Available Zoonoses are among the most frequent and dreaded risk to which mankind is exposed today, human health is inextricably linked to animal health and production. Over the past 6 years, a number of zoonotic and vector borne viral diseases were recorded in South-east Asia and the Western Pacific and there was sudden upsurge in the number of emerging and re-emerging zoonotic diseases in Indian Sub-continent and Chikungunya fever is one of them. The precise reasons for the re-emergence of Chikungunya in the Indian subcontinent as well as the other small countries in the southern Indian Ocean are an enigma. Although, it is well recognized that re-emergence of viral infections are due to a variety of social, environmental, behavioural and biological changes, which of these contributed to the re-emergence of Chikungunya virus would be interesting to unravel. Chikungunya is generally spread through bites of infected mosquitoes; mosquitoes become infected when they feed on a animal infected with CHIK virus. Monkey and possibly other wild animals may serve as reservoirs of infection. [Vet. World 2009; 2(1.000: 40-42

  13. Warm Arctic—cold continents: climate impacts of the newly open Arctic Sea

    Directory of Open Access Journals (Sweden)

    James E. Overland


    Full Text Available Recent Arctic changes are likely due to coupled Arctic amplification mechanisms with increased linkage between Arctic climate and sub-Arctic weather. Historically, sea ice grew rapidly in autumn, a strong negative radiative feedback. But increased sea-ice mobility, loss of multi-year sea ice, enhanced heat storage in newly sea ice-free ocean areas, and modified wind fields form connected positive feedback processes. One-way shifts in the Arctic system are sensitive to the combination of episodic intrinsic atmospheric and ocean variability and persistent increasing greenhouse gases. Winter 2009/10 and December 2010 showed a unique connectivity between the Arctic and more southern weather patterns when the typical polar vortex was replaced by high geopotential heights over the central Arctic and low heights over mid-latitudes that resulted in record snow and low temperatures, a warm Arctic—cold continents pattern. The negative value of the winter (DJF 2009/10 North Atlantic Oscillation (NAO index associated with enhanced meridional winds was the lowest observed value since the beginning of the record in 1865. Wind patterns in December 2007 and 2008 also show an impact of warmer Arctic temperatures. A tendency for higher geopotential heights over the Arctic and enhanced meridional winds are physically consistent with continued loss of sea ice over the next 40 years. A major challenge is to understand the interaction of Arctic changes with climate patterns such as the NAO, Pacific North American and El Niño–Southern Oscillation.

  14. State of the Crown of the continent ecosystem : Flathead/Castle Transboundary Bioregion (draft)

    Energy Technology Data Exchange (ETDEWEB)

    Konrad, E.; Peck, B.; Stewart, A.; Stewart, C.


    This state of the ecosystem report describes the ecological composition of the Flathead/Castle Transboundary bioregion, including human activity. The ecosystem (which does not follow political boundaries) extends from western Alberta, eastern British Columbia and Montana. The region encompasses 5088 square km. and occupies two watersheds of the greater Crown of the Continent Ecosystem. Ecological components of the North Fork of the Flathead and of the Castle Drainage including such ecological processes as fire and disease, vegetation, species, wildlife, the aquatic environment, and a century of human activity in the two regions are described. Forestry practices, petroleum extraction, mining, recreational activities, land development, ranching practices, and road development in the two regions are reviewed, along with ecosystem-wide trends. The advantages of ecosystem based management integrated with human based management practices was demonstrated by describing the Rocky Mountain Grizzly Bear Planning Committee`s work . The Committee consists of representatives of wildlife agencies of Montana, BC, Alberta and Canadian and US federal government agencies who share responsibility for jointly mapping grizzly habitat, grizzly mortality sinks, pooling data on mortalities to ensure that the regional grizzly bear population is managed as one population regardless of political boundaries. 221 refs., tabs., figs.

  15. Clostridium difficile infection seasonality: patterns across hemispheres and continents - a systematic review. (United States)

    Furuya-Kanamori, Luis; McKenzie, Samantha J; Yakob, Laith; Clark, Justin; Paterson, David L; Riley, Thomas V; Clements, Archie C


    Studies have demonstrated seasonal variability in rates of Clostridium difficile infection (CDI). Synthesising all available information on seasonality is a necessary step in identifying large-scale epidemiological patterns and elucidating underlying causes. Three medical and life sciences publication databases were searched from inception to October 2014 for longitudinal epidemiological studies written in English, Spanish or Portuguese that reported the incidence of CDI. The monthly frequency of CDI were extracted, standardized and weighted according to the number of follow-up months. Cross correlation coefficients (XCORR) were calculated to examine the correlation and lag between the year-month frequencies of reported CDI across hemispheres and continents. The search identified 13, 5 and 2 studies from North America, Europe, and Oceania, respectively that met the inclusion criteria. CDI had a similar seasonal pattern in the Northern and Southern Hemisphere characterized by a peak in spring and lower frequencies of CDI in summer/autumn with a lag of 8 months (XCORR = 0.60) between hemispheres. There was no difference between the seasonal patterns across European and North American countries. CDI demonstrates a distinct seasonal pattern that is consistent across North America, Europe and Oceania. Further studies are required to identify the driving factors of the observed seasonality.

  16. Resource tracking within and across continents in long-distance bird migrants. (United States)

    Thorup, Kasper; Tøttrup, Anders P; Willemoes, Mikkel; Klaassen, Raymond H G; Strandberg, Roine; Vega, Marta Lomas; Dasari, Hari P; Araújo, Miguel B; Wikelski, Martin; Rahbek, Carsten


    Migratory birds track seasonal resources across and between continents. We propose a general strategy of tracking the broad seasonal abundance of resources throughout the annual cycle in the longest-distance migrating land birds as an alternative to tracking a certain climatic niche or shorter-term resource surplus occurring, for example, during spring foliation. Whether and how this is possible for complex annual spatiotemporal schedules is not known. New tracking technology enables unprecedented spatial and temporal mapping of long-distance movement of birds. We show that three Palearctic-African species track vegetation greenness throughout their annual cycle, adjusting the timing and direction of migratory movements with seasonal changes in resource availability over Europe and Africa. Common cuckoos maximize the vegetation greenness, whereas red-backed shrikes and thrush nightingales track seasonal surplus in greenness. Our results demonstrate that the longest-distance migrants move between consecutive staging areas even within the wintering region in Africa to match seasonal variation in regional climate. End-of-century climate projections indicate that optimizing greenness would be possible but that vegetation surplus might be more difficult to track in the future.

  17. Global Distribution of Human-Associated Fecal Genetic Markers in Reference Samples from Six Continents. (United States)

    Mayer, René E; Reischer, Georg H; Ixenmaier, Simone K; Derx, Julia; Blaschke, Alfred Paul; Ebdon, James E; Linke, Rita; Egle, Lukas; Ahmed, Warish; Blanch, Anicet R; Byamukama, Denis; Savill, Marion; Mushi, Douglas; Cristóbal, Héctor A; Edge, Thomas A; Schade, Margit A; Aslan, Asli; Brooks, Yolanda M; Sommer, Regina; Masago, Yoshifumi; Sato, Maria I; Taylor, Huw D; Rose, Joan B; Wuertz, Stefan; Shanks, Orin C; Piringer, Harald; Mach, Robert L; Savio, Domenico; Zessner, Matthias; Farnleitner, Andreas H


    Numerous bacterial genetic markers are available for the molecular detection of human sources of fecal pollution in environmental waters. However, widespread application is hindered by a lack of knowledge regarding geographical stability, limiting implementation to a small number of well-characterized regions. This study investigates the geographic distribution of five human-associated genetic markers (HF183/BFDrev, HF183/BacR287, BacHum-UCD, BacH, and Lachno2) in municipal wastewaters (raw and treated) from 29 urban and rural wastewater treatment plants (750-4 400 000 population equivalents) from 13 countries spanning six continents. In addition, genetic markers were tested against 280 human and nonhuman fecal samples from domesticated, agricultural and wild animal sources. Findings revealed that all genetic markers are present in consistently high concentrations in raw (median log 10 7.2-8.0 marker equivalents (ME) 100 mL -1 ) and biologically treated wastewater samples (median log 10 4.6-6.0 ME 100 mL -1 ) regardless of location and population. The false positive rates of the various markers in nonhuman fecal samples ranged from 5% to 47%. Results suggest that several genetic markers have considerable potential for measuring human-associated contamination in polluted environmental waters. This will be helpful in water quality monitoring, pollution modeling and health risk assessment (as demonstrated by QMRAcatch) to guide target-oriented water safety management across the globe.

  18. An interlaboratory transfer of a multi-analyte assay between continents. (United States)

    Georgiou, Alexandra; Dong, Kelly; Hughes, Stephen; Barfield, Matthew


    Alex has worked at GlaxoSmithKline for the past 15 years and currently works within the bioanalytical and toxicokinetic group in the United Kingdom. Alex's role in previous years has been the in-house support of preclinical and clinical bioanalysis, from method development through to sample analysis activities as well as acting as PI for GLP bioanalysis and toxicokinetics. For the past two years, Alex has applied this analytical and regulatory experience to focus on the outsourcing of preclinical bioanalysis, toxicokinetics and clinical bioanalysis, working closely with multiple bioanalytical and in-life CRO partners worldwide. Alex works to support DMPK and Safety Assessment outsourcing activities for GSK across multiple therapeutic areas, from the first GLP study through to late stage clinical PK studies. Transfer and cross-validation of an existing analytical assay between a laboratory providing current analytical support, and a laboratory needed for new or additional support, can present the bioanalyst with numerous challenges. These challenges can be technical or logistical in nature and may prove to be significant when transferring an assay between laboratories in different continents. Part of GlaxoSmithKline's strategy to improve confidence in providing quality data, is to cross-validate between laboratories. If the cross-validation fails predefined acceptance criteria, then a subsequent investigation would follow. This may also prove to be challenging. The importance of thorough planning and good communication throughout assay transfer, cross-validation and any subsequent investigations is illustrated in this case study.

  19. Naturalization of European plants on other continents: The role of donor habitats. (United States)

    Kalusová, Veronika; Chytrý, Milan; van Kleunen, Mark; Mucina, Ladislav; Dawson, Wayne; Essl, Franz; Kreft, Holger; Pergl, Jan; Weigelt, Patrick; Winter, Marten; Pyšek, Petr


    The success of European plant species as aliens worldwide is thought to reflect their association with human-disturbed environments. However, an explicit test including all human-made, seminatural and natural habitat types of Europe, and their contributions as donor habitats of naturalized species to the rest of the globe, has been missing. Here we combine two databases, the European Vegetation Checklist and the Global Naturalized Alien Flora, to assess how human influence in European habitats affects the probability of naturalization of their plant species on other continents. A total of 9,875 native European vascular plant species were assigned to 39 European habitat types; of these, 2,550 species have become naturalized somewhere in the world. Species that occur in both human-made habitats and seminatural or natural habitats in Europe have the highest probability of naturalization (64.7% and 64.5% of them have naturalized). Species associated only with human-made or seminatural habitats still have a significantly higher probability of becoming naturalized (41.7% and 28.6%, respectively) than species confined to natural habitats (19.4%). Species associated with arable land and human settlements were recorded as naturalized in the largest number of regions worldwide. Our findings highlight that plant species' association with native-range habitats disturbed by human activities, combined with broad habitat range, play an important role in shaping global patterns of plant invasions.

  20. Early onset of industrial-era warming across the oceans and continents. (United States)

    Abram, Nerilie J; McGregor, Helen V; Tierney, Jessica E; Evans, Michael N; McKay, Nicholas P; Kaufman, Darrell S


    The evolution of industrial-era warming across the continents and oceans provides a context for future climate change and is important for determining climate sensitivity and the processes that control regional warming. Here we use post-ad 1500 palaeoclimate records to show that sustained industrial-era warming of the tropical oceans first developed during the mid-nineteenth century and was nearly synchronous with Northern Hemisphere continental warming. The early onset of sustained, significant warming in palaeoclimate records and model simulations suggests that greenhouse forcing of industrial-era warming commenced as early as the mid-nineteenth century and included an enhanced equatorial ocean response mechanism. The development of Southern Hemisphere warming is delayed in reconstructions, but this apparent delay is not reproduced in climate simulations. Our findings imply that instrumental records are too short to comprehensively assess anthropogenic climate change and that, in some regions, about 180 years of industrial-era warming has already caused surface temperatures to emerge above pre-industrial values, even when taking natural variability into account.

  1. The growth of continents and some consequences since 1.5 Ga (United States)

    Howell, David G.


    The budget of Earth's oceanic sediment masses was discussed in terms of crustal growth and recycling. Based on estimates of the volume of oceanic sediments and the average age of oceanic crust, a continental denudation rate of 1.65 cu km/yr was computed. This crudely balances estimated crustal production rates of about 1 cu km/yr, but the efficiency of sediment loss via subduction, for example, must be considered. It was argued, on the basis of earthquake focal solutions, imagery of subduction zones, and plate kinematic reconstructions that little, if any, sediment was lost in this way. This yields a present day crustal growth rate of about 1 cu km/yr. The volume of continents to 1.5 Ga ago was discussed, assuming constant continental thickness and freeboard, and a constant hydrosphere volume. It was concluded that ocean ridge length was a factor of about 1.75 greater 1.5 Ga ago, but a major uncertainty is the average spreading rate in the past.

  2. Clostridium difficile Infection Seasonality: Patterns across Hemispheres and Continents – A Systematic Review (United States)

    Furuya-Kanamori, Luis; McKenzie, Samantha J.; Yakob, Laith; Clark, Justin; Paterson, David L.; Riley, Thomas V.; Clements, Archie C.


    Background Studies have demonstrated seasonal variability in rates of Clostridium difficile infection (CDI). Synthesising all available information on seasonality is a necessary step in identifying large-scale epidemiological patterns and elucidating underlying causes. Methods Three medical and life sciences publication databases were searched from inception to October 2014 for longitudinal epidemiological studies written in English, Spanish or Portuguese that reported the incidence of CDI. The monthly frequency of CDI were extracted, standardized and weighted according to the number of follow-up months. Cross correlation coefficients (XCORR) were calculated to examine the correlation and lag between the year-month frequencies of reported CDI across hemispheres and continents. Results The search identified 13, 5 and 2 studies from North America, Europe, and Oceania, respectively that met the inclusion criteria. CDI had a similar seasonal pattern in the Northern and Southern Hemisphere characterized by a peak in spring and lower frequencies of CDI in summer/autumn with a lag of 8 months (XCORR = 0.60) between hemispheres. There was no difference between the seasonal patterns across European and North American countries. Conclusion CDI demonstrates a distinct seasonal pattern that is consistent across North America, Europe and Oceania. Further studies are required to identify the driving factors of the observed seasonality. PMID:25775463

  3. High diversity of picornaviruses in rats from different continents revealed by deep sequencing. (United States)

    Hansen, Thomas Arn; Mollerup, Sarah; Nguyen, Nam-Phuong; White, Nicole E; Coghlan, Megan; Alquezar-Planas, David E; Joshi, Tejal; Jensen, Randi Holm; Fridholm, Helena; Kjartansdóttir, Kristín Rós; Mourier, Tobias; Warnow, Tandy; Belsham, Graham J; Bunce, Michael; Willerslev, Eske; Nielsen, Lars Peter; Vinner, Lasse; Hansen, Anders Johannes


    Outbreaks of zoonotic diseases in humans and livestock are not uncommon, and an important component in containment of such emerging viral diseases is rapid and reliable diagnostics. Such methods are often PCR-based and hence require the availability of sequence data from the pathogen. Rattus norvegicus (R. norvegicus) is a known reservoir for important zoonotic pathogens. Transmission may be direct via contact with the animal, for example, through exposure to its faecal matter, or indirectly mediated by arthropod vectors. Here we investigated the viral content in rat faecal matter (n=29) collected from two continents by analyzing 2.2 billion next-generation sequencing reads derived from both DNA and RNA. Among other virus families, we found sequences from members of the Picornaviridae to be abundant in the microbiome of all the samples. Here we describe the diversity of the picornavirus-like contigs including near-full-length genomes closely related to the Boone cardiovirus and Theiler's encephalomyelitis virus. From this study, we conclude that picornaviruses within R. norvegicus are more diverse than previously recognized. The virome of R. norvegicus should be investigated further to assess the full potential for zoonotic virus transmission.

  4. Phylogenetic heritability of geographic range size in haematophagous ectoparasites: time of divergence and variation among continents. (United States)

    Krasnov, Boris R; Shenbrot, Georgy I; van der Mescht, Luther; Warburton, Elizabeth M; Khokhlova, Irina S


    To understand existence, patterns and mechanisms behind phylogenetic heritability in the geographic range size (GRS) of parasites, we measured phylogenetic signal (PS) in the sizes of both regional (within a region) and continental (within a continent) geographic ranges of fleas in five regions. We asked whether (a) GRS is phylogenetically heritable and (b) the manifestation of PS varies between regions. We also asked whether geographic variation in PS reflects the effects of the environment's spatiotemporal stability (e.g. glaciation disrupting geographic ranges) or is associated with time since divergence (accumulation differences among species over time). Support for the former hypothesis would be indicated by stronger PS in southern than in northern regions, whereas support for the latter hypothesis would be shown by stronger PS in regions with a large proportion of species belonging to the derived lineages than in regions with a large proportion of species belonging to the basal lineages. We detected significant PS in both regional and continental GRSs of fleas from Canada and in continental GRS of fleas from Mongolia. No PS was found in the GRS of fleas from Australia and Southern Africa. Venezuelan fleas demonstrated significant PS in regional GRS only. Local Indicators of Phylogenetic Association detected significant local positive autocorrelations of GRS in some clades even in regions in which PS has not been detected across the entire phylogeny. This was mainly characteristic of younger taxa.

  5. Benchmark map of forest carbon stocks in tropical regions across three continents. (United States)

    Saatchi, Sassan S; Harris, Nancy L; Brown, Sandra; Lefsky, Michael; Mitchard, Edward T A; Salas, William; Zutta, Brian R; Buermann, Wolfgang; Lewis, Simon L; Hagen, Stephen; Petrova, Silvia; White, Lee; Silman, Miles; Morel, Alexandra


    Developing countries are required to produce robust estimates of forest carbon stocks for successful implementation of climate change mitigation policies related to reducing emissions from deforestation and degradation (REDD). Here we present a "benchmark" map of biomass carbon stocks over 2.5 billion ha of forests on three continents, encompassing all tropical forests, for the early 2000s, which will be invaluable for REDD assessments at both project and national scales. We mapped the total carbon stock in live biomass (above- and belowground), using a combination of data from 4,079 in situ inventory plots and satellite light detection and ranging (Lidar) samples of forest structure to estimate carbon storage, plus optical and microwave imagery (1-km resolution) to extrapolate over the landscape. The total biomass carbon stock of forests in the study region is estimated to be 247 Gt C, with 193 Gt C stored aboveground and 54 Gt C stored belowground in roots. Forests in Latin America, sub-Saharan Africa, and Southeast Asia accounted for 49%, 25%, and 26% of the total stock, respectively. By analyzing the errors propagated through the estimation process, uncertainty at the pixel level (100 ha) ranged from ± 6% to ± 53%, but was constrained at the typical project (10,000 ha) and national (>1,000,000 ha) scales at ca. ± 5% and ca. ± 1%, respectively. The benchmark map illustrates regional patterns and provides methodologically comparable estimates of carbon stocks for 75 developing countries where previous assessments were either poor or incomplete.

  6. Plate boundary reorganization in the active Banda Arc-continent collision: Insights from new GPS measurements (United States)

    Nugroho, Hendro; Harris, Ron; Lestariya, Amin W.; Maruf, Bilal


    New GPS measurements reveal that large sections of the SE Asian Plate are progressively accreting to the edge of the Australian continent by distribution of strain away from the deformation front to forearc and backarc plate boundary segments. The study was designed to investigate relative motions across suspected plate boundary segments in the transition from subduction to collision. The oblique nature of the collision provides a way to quantify the spatial and temporal distribution of strain from the deformation front to the back arc. The 12 sites we measured from Bali to Timor included some from an earlier study and 7 additional stations, which extended the epoch of observation to ten years at many sites. The resulting GPS velocity field delineates at least three Sunda Arc-forearc regions around 500 km in strike-length that shows different amounts of coupling to the Australian Plate. Movement of these regions relative to SE Asia increases from 21% to 41% to 63% eastward toward the most advanced stages of collision. The regions are bounded by the deformation front to the south, the Flores-Wetar backarc thrust system to the north, and poorly defined structures on the sides. The suture zone between the NW Australian continental margin and the Sunda-Banda Arcs is still evolving with more than 20 mm/yr of movement measured across the Timor Trough deformation front between Timor and Australia.

  7. Depressive symptoms and psychosocial stress at work among older employees in three continents. (United States)

    Siegrist, Johannes; Lunau, Thorsten; Wahrendorf, Morten; Dragano, Nico


    To assess whether an association of psychosocial stress at work with depressive symptoms among older employees is evident in a set of comparable empirical studies from Europe, North America and Asia. Cross-sectional and longitudinal multivariate regression analyses of data from 4 cohort studies with elder workers (2004 and 2006) testing associations of psychosocial stress at work ('effort-reward imbalance'; 'low control') with depressive symptoms. Cross-sectional analyses from 17 countries with 14.236 participants reveal elevated odds ratios of depressive symptoms among people experiencing high work stress compared to those with low or no work stress. Adjusted odds ratios vary from 1.64 (95% CI 1.02-2.63) in Japan to 1.97 (95% CI 1.75-2.23) in Europe and 2.28 (95% CI 1.59-3.28) in the USA. Odds ratios from additional longitudinal analyses (in 13 countries) controlling for baseline depression are smaller, but remain in part significant. Findings indicate that psychosocial stress at work might be a relevant risk factor for depressive symptoms among older employees across countries and continents. This observation may call for global policy efforts to improve quality of work in view of a rapidly aging workforce, in particular in times of economic globalization.

  8. Physiotherapy Management of Idiopathic Detrusor Instability in elderly women is effective for continence rehabilitation

    International Nuclear Information System (INIS)

    Al-Gazzar, Samir A.


    The aim of this work was to give an overview of the conservative treatment of idiopathic detrusor instability (IDI) in elderly women, describe the clinical and urodynamic features of the over-active bladder and the role of physiotherapy as well as the various physiotherapeutic techniques in the management of this condition. A prospective, uncontrolled clinical trial was designed. Twenty elderly women aged 55-75 were participated for 8 weeks in this study. Therapeutic modalities including biofeedback training, bladder retraining, pelvic floor exercise and electrical stimulation were applied for all subjects. Each of 1st desire to void, maximum capacity, flow rate and voiding intervals were increased in its mean at the end of the study (p<0.0001), while the means of residual volume and frequency of micturation had significantly decreased at the end of the study (p<0.0001). The study showed that correctly taught pelvic floor exercise, biofeed back combined with bladder retaining, electrical stimulation and restriction of fluids intake are an effective treatment for the idiopathic detrusor instability in elderly women and should be considered effective approach for continence rehabilitation. (author)

  9. Depressive symptoms and psychosocial stress at work among older employees in three continents

    Directory of Open Access Journals (Sweden)

    Siegrist Johannes


    Full Text Available Abstract Background To assess whether an association of psychosocial stress at work with depressive symptoms among older employees is evident in a set of comparable empirical studies from Europe, North America and Asia. Methods Cross-sectional and longitudinal multivariate regression analyses of data from 4 cohort studies with elder workers (2004 and 2006 testing associations of psychosocial stress at work (‘effort-reward imbalance’; ‘low control’ with depressive symptoms. Results Cross-sectional analyses from 17 countries with 14.236 participants reveal elevated odds ratios of depressive symptoms among people experiencing high work stress compared to those with low or no work stress. Adjusted odds ratios vary from 1.64 (95% CI 1.02-2.63 in Japan to 1.97 (95% CI 1.75-2.23 in Europe and 2.28 (95% CI 1.59-3.28 in the USA. Odds ratios from additional longitudinal analyses (in 13 countries controlling for baseline depression are smaller, but remain in part significant. Conclusion Findings indicate that psychosocial stress at work might be a relevant risk factor for depressive symptoms among older employees across countries and continents. This observation may call for global policy efforts to improve quality of work in view of a rapidly aging workforce, in particular in times of economic globalization.

  10. Cluster Analysis of Monthly Precipitation over the Western Maritime Continent under Climate Change

    Directory of Open Access Journals (Sweden)

    Saurabh K Singh


    Full Text Available Changes in climate because of global warming during the 20th and 21st centuries have a direct impact on the hydrological cycle as driven by precipitation. However, studying precipitation over the Western Maritime Continent (WMC is a great challenge, as the WMC has a complex topography and weather system. Understanding changes in precipitation patterns and their groupings is an important aspect of planning mitigation measures to minimize flood and drought risk as well as of understanding the redistribution of precipitation arising from climate change. This paper employs Ward’s hierarchical clustering on regional climate model (RCM-simulated monthly precipitation gridded data over 42 approximately evenly distributed grid stations from the years 2030 to 2060. The aim was to investigate spatial and temporal groupings over the four major landmasses in the WMC and to compare these with historical precipitation groupings. The results showed that the four large-scale islands of Java, Sumatra, Peninsular Malaysia and Borneo would experience a significant spatial redistribution of precipitation over the years 2030 to 2060, as compared to historical patterns from 1980 to 2005. The spatial groups were also compared for two future forcing scenarios, representative concentration pathways (RCPs 4.5 and 8.5, and different groupings over the Borneo region were observed.

  11. Spatial and temporal snowpack variation in the crown of the continent ecosystem (United States)

    Selkowitz, D.J.; Fagre, D.B.; Reardon, B.A.


    Snowpack related ecosystem changes such as glacier recession and alpine treeline advance have been documented in the Crown of the Continent Ecosystem (CCE) over the course of the previous 150 years. Using data from the Natural Resource Conservation Service's SNOTEL sites and snow course surveys, we examined the spatial and temporal variation in snowpack in the region. SNOTEL data suggest CCE snowpacks are larger and more persistent than in most regions of the Western U.S., and that water year precipitation, rather than mean temperature, is the primary control on April 1 snow water equivalent (SWE). Snow course data indicate a statistically significant downward trend in mean April 1 SWE for the period 1950-2001 but no statistically significant trend in mean May 1 SWE for the longer period 1922-2001. Further analysis reveals that variations in both April 1 and May 1 mean SWE are closely tied to the Pacific Decadal Oscillation, an ENSO-like interdecadal pattern of Pacific Ocean climate variability. Despite no significant trend in mean May 1 SWE between 1922-2001, glaciers in Glacier National Park receded steadily during this period, implying changing climatic conditions crossed a threshold for glacier mass balance maintenace sometime between the Little Ice Age glacial maxima and 1922.

  12. Analysis of metagenomic data reveals common features of halophilic viral communities across continents. (United States)

    Roux, Simon; Enault, Francois; Ravet, Viviane; Colombet, Jonathan; Bettarel, Yvan; Auguet, Jean-Christophe; Bouvier, Thierry; Lucas-Staat, Soizick; Vellet, Agnès; Prangishvili, David; Forterre, Patrick; Debroas, Didier; Sime-Ngando, Telesphore


    Microbial communities from hypersaline ponds, dominated by halophilic archaea, are considered specific of such extreme conditions. The associated viral communities have accordingly been shown to display specific features, such as similar morphologies among different sites. However, little is known about the genetic diversity of these halophilic viral communities across the Earth. Here, we studied viral communities in hypersaline ponds sampled on the coast of Senegal (8-36% of salinity) using metagenomics approach, and compared them with hypersaline viromes from Australia and Spain. The specificity of hyperhalophilic viruses could first be demonstrated at a community scale, salinity being a strong discriminating factor between communities. For the major viral group detected in all samples (Caudovirales), only a limited number of halophilic Caudovirales clades were highlighted. These clades gather viruses from different continents and display consistent genetic composition, indicating that they represent related lineages with a worldwide distribution. Non-tailed hyperhalophilic viruses display a greater rate of gene transfer and recombination, with uncharacterized genes conserved across different kind of viruses and plasmids. Thus, hypersaline viral communities around the world appear to form a genetically consistent community that are likely to harbour new genes coding for enzymes specifically adapted to these environments. © 2015 Society for Applied Microbiology and John Wiley & Sons Ltd.

  13. the effect of Kegel Exercise toward urinary in continence on the elderlies

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    Milya Novera


    Full Text Available Because of the increasing age, it causes the changes of anatomy and function of the urinary organs caused by weakening of the pelvic muscles. About 12 million people, 34% occurred in men and 60% in women. Indonesia 32.2% in the Elderlies suffers urinary incontinence. The aims of this study was to determine the effect of Kegel Exercise toward urinary in continence on the elderlies.The design of this study is Quasy experiment with design of one group pretest-posttest. This research was conducted in January-August 2015. The population in this research was 110 Elderlies, based on inclusion criteria were 12 people taken by total sampling techniques. The Data was collected by using questionaire and checklist sheets. Data were analyzed by using univariate and bivariate statistical dependent T-test with Shapiro Wilk normality test. The result showed that the frequency of urinary incontinence in the elderlies before doing Kegel exercises had the average about 10.58 with deviation 2,065. Freqency of urinary incontinence in the elderlies after doing Kegel exercises had the average about 8.00 with standard deviation 2,796. After doing the statistical, there is the effect of urinary incontinence before and after doing Kegel exercises in the elderlies. Kegel exercises can reduce urinary incontinence. It can be applied as the daily activities at social institution every day.

  14. Japan Tsunami Current Flows Observed by HF Radars on Two Continents

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    Toshiyuki Awaji


    Full Text Available Quantitative real-time observations of a tsunami have been limited to deep-water, pressure-sensor observations of changes in the sea surface elevation and observations of sea level fluctuations at the coast, which are essentially point measurements. Constrained by these data, models have been used for predictions and warning of the arrival of a tsunami, but to date no detailed verification of flow patterns nor area measurements have been possible. Here we present unique HF-radar area observations of the tsunami signal seen in current velocities as the wave train approaches the coast. Networks of coastal HF-radars are now routinely observing surface currents in many countries and we report clear results from five HF radar sites spanning a distance of 8,200 km on two continents following the magnitude 9.0 earthquake off Sendai, Japan, on 11 March 2011. We confirm the tsunami signal with three different methodologies and compare the currents observed with coastal sea level fluctuations at tide gauges. The distance offshore at which the tsunami can be detected, and hence the warning time provided, depends on the bathymetry: the wider the shallow continental shelf, the greater this time. Data from these and other radars around the Pacific rim can be used to further develop radar as an important tool to aid in tsunami observation and warning as well as post-processing comparisons between observation and model predictions.

  15. Land-Use Change and Emerging Infectious Disease on an Island Continent

    Directory of Open Access Journals (Sweden)

    Rosemary A. McFarlane


    Full Text Available A more rigorous and nuanced understanding of land-use change (LUC as a driver of emerging infectious disease (EID is required. Here we examine post hunter-gatherer LUC as a driver of infectious disease in one biogeographical region with a compressed and documented history—continental Australia. We do this by examining land-use and native vegetation change (LUCC associations with infectious disease emergence identified through a systematic (1973–2010 and historical (1788–1973 review of infectious disease literature of humans and animals. We find that 22% (20 of the systematically reviewed EIDs are associated with LUCC, most frequently where natural landscapes have been removed or replaced with agriculture, plantations, livestock or urban development. Historical clustering of vector-borne, zoonotic and environmental disease emergence also follows major periods of extensive land clearing. These advanced stages of LUCC are accompanied by changes in the distribution and density of hosts and vectors, at varying scales and chronology. This review of infectious disease emergence in one continent provides valuable insight into the association between accelerated global LUC and concurrent accelerated infectious disease emergence.

  16. Time series analysis of Carbon Monoxide from MOPITT over the Asian Continent from 2000-2004 (United States)

    Bhattacharjee, P. S.; Roy, P.


    The human population continues to grow and large parts of the world industrialize rapidly, causing changes in the global atmospheric chemistry. Carbon monoxide (CO) is a poisonous gas in the troposphere when highly concentrated, and is produced by fossil fuel combustion, biomass burning and through natural emissions from plants. It is also an important trace gas in the atmosphere and plays a major role in the atmospheric chemistry. We present a study of CO from the measurement of MOPITT (Measurement of Pollution in the Troposphere-Level 3 gridded data) instrument on NASA Terra satellite over India and Eastern Asia for the period of 2000-2004. Day- and night-time total column CO measurements are considered over the selected regions in India, China, Thailand and Japan. The selected regions comprise of industrial cities in the Asian continent which form the source of high CO in the atmosphere. The time series data do not show an overall increasing or decreasing trend, but CO is affected by seasonal variations, wind, and precipitation patterns. East Asian regions have higher and wider seasonal fluctuations than the Indian region. CO total column values over the Bay of Bengal are also high and can be explained through wind patterns from the land towards the ocean. Although the sources of CO are mostly confined to the land, it is transported globally through the atmosphere, and has high concentrations over the ocean.

  17. Barrier Effect of the Indo-Pacific Maritime Continent on the MJO (United States)

    Ling, Jian; Zhang, Chidong


    Explanations for the barrier effect of the Indo-Pacific Maritime Continent (MC) on the MJO should satisfy two criteria. First, they should include specific features of the MC, namely, its intricate land-sea distributions and elevated terrains. Second, they should include mechanisms for both the barrier effect and its overcoming by some MJO events. Guided by these two criteria, we applied a precipitation-tracking method to identify MJO events that propagate across the MC (MJO-C) and those that are blocked by the MC (MJO-B). About a half of MJO events that form over the Indian Ocean propagate through the MC. Most of them (> 75%) become weakened over the MC. The barrier effect cannot be explained in terms of the strength, horizontal scale, or spatial distribution of MJO convection when it approaches the MC from the west. A distinction between MJO-B and MJO-C is their precipitation over the sea vs. land in the MC region. MJO-C events rain more over the sea than over land, whereas land rainfall dominates for MJO-B. This suggests that inhibiting convective development over the sea could be a possible mechanism for the barrier effect of the MC. Preceding conditions for MJO-C include stronger low-level zonal moisture flux convergence and higher SST higher in the MC region. Possible connections between these large-scale conditions and the land vs. sea distributions of MJO rainfall through the diurnal cycle are discussed.

  18. [Perineal colostomy with antegrade continence enemas as an alternative after abdominoperineal resection for low rectal cancer]. (United States)

    Penninckx, F; D'Hoore, A; Vanden Bosch, A


    Some young and active patients requiring abdominoperineal resection for rectum cancer ask for an alternative of an abdominal colostomy. We analysed the results after a combination of a perineal colostomy and antegrade continence enemas (ACE). Fifteen patients have been operated between 1999 and 2004. Follow-up was >six months in 12 patients with a mean of two years and with a maximum of 55 months. The QLQ-C30 (version 3) and CR 38 questionnaires of the EORTC have been used to evaluate quality of life aspects. Five out of 15 patients presented complications: infection of the caecal conduit (2), small bowel obstruction (1), prolapse of the perineal colostomy (1), eventration (1), urologic complications (2). ACE are still used by all patients. The volume needed was 400 ml and duration of irrigation was 30 minutes (15-45 minutes). The median score for faecal incontinence was 0 ; faecal pseudocontinence was obtained by 7/12 patients. The scores for all aspects of functioning were excellent, as well as the score for body image. The general health status and quality of life were estimated at 75% from normal value. The procedure is simple and can be performed in one operative session. A perineal colostomy with ACE seems to be a valuable and less expensive alternative for an abdominal colostomy, and certainly for total anorectal reconstruction.

  19. Colostomy Irrigation: Issues Most Important to Wound, Ostomy and Continence Nurses. (United States)

    Tallman, Nancy J; Cobb, Martha D; Grant, Marcia; Wendel, Christopher S; Colwell, Janice; Ercolano, Elizabeth; Krouse, Robert


    The purpose of this study was to describe issues that WOC nurses find most important related to colostomy irrigation (CI). This is an additional analysis of a study focusing on qualitative responses to a survey querying WOC nurses about CI practices. The target population was members of the Wound, Ostomy and Continence Nurses Society. Of the 985 nurses who responded to the survey, 338 (34.3%) answered the optional open-ended question asking for additional comments. A 1-time online survey was conducted. In addition to demographic, educational information, and forced-choice questions about CI, an open-ended question asked for any additional comments about their experience with irrigation and WOC practice. Content analysis was used to identify common themes identified by WOC nurses. Three hundred thirty-eight out of 985 WOC nurses (34.3%) answered the optional open-ended question asking for additional comments; analysis for this study is based on these responses. WOC nurses who responded to the open-ended question had similar characteristics to those who responded to the entire survey but were significantly more experienced (15.1 vs 11.0 years; P irrigation techniques are recommended.

  20. Mesoscale Convective Complexes (MCCs) over the Indonesian Maritime Continent during the ENSO events (United States)

    Trismidianto; Satyawardhana, H.


    This study analyzed the mesoscale convective complexes (MCCs) over the Indonesian Maritime Continent (IMC) during the El Niño/Southern Oscillation (ENSO) events for the the15-year period from 2001 to 2015. The MCCs identified by infrared satellite imagery that obtained from the Himawari generation satellite data. This study has reported that the frequencies of the MCC occurrences at the El Niño and La Niña were higher than that of neutral conditions during DJF. Peak of MCC occurrences during DJF at La Niña and neutral condition is in February, while El Niño is in January. ENSO strongly affects the occurrence of MCC during the DJF season. The existences of the MCC were also accompanied by increased rainfall intensity at the locations of the MCC occurrences for all ENSO events. During JJA seasons, the MCC occurrences are always found during neutral conditions, El Niño and La Niña in Indian Ocean. MCC occurring during the JJA season on El Niño and neutral conditions averaged much longer than during the DJF season. In contrast, MCCs occurring in La Niña conditions during the JJA season are more rapidly extinct than during the DJF. It indicates that the influence of MCC during La Niña during the DJF season is stronger than during the JJA season.

  1. Resource tracking within and across continents in long-distance bird migrants

    KAUST Repository

    Thorup, Kasper


    Migratory birds track seasonal resources across and between continents. We propose a general strategy of tracking the broad seasonal abundance of resources throughout the annual cycle in the longest-distance migrating land birds as an alternative to tracking a certain climatic niche or shorter-term resource surplus occurring, for example, during spring foliation. Whether and how this is possible for complex annual spatiotemporal schedules is not known. New tracking technology enables unprecedented spatial and temporal mapping of long-distance movement of birds. We show that three Palearctic-African species track vegetation greenness throughout their annual cycle, adjusting the timing and direction of migratory movements with seasonal changes in resource availability over Europe and Africa. Common cuckoos maximize the vegetation greenness, whereas red-backed shrikes and thrush nightingales track seasonal surplus in greenness. Our results demonstrate that the longest-distance migrants move between consecutive staging areas even within the wintering region in Africa to match seasonal variation in regional climate. End-of-century climate projections indicate that optimizing greenness would be possible but that vegetation surplus might be more difficult to track in the future.

  2. Conservation education in Madagascar: three case studies in the biologically diverse island-continent. (United States)

    Dolins, Francine L; Jolly, Alison; Rasamimanana, Hantanirina; Ratsimbazafy, Jonah; Feistner, Anna T C; Ravoavy, Florent


    Few Malagasy children and adults are aware of the rare and unique fauna and flora indigenous to their island-continent, including flagship lemur species. Even the Malagasy ancestral proverbs never mentioned lemurs, but these same proverbs talked about the now extinct hippopotamus. Madagascar's geography, history, and economic constraints contribute to severe biodiversity loss. Deforestation on Madagascar is reported to be over 100,000 ha/year, with only 10-15% of the island retaining natural forest [Green & Sussman, 1990]. Educating children, teacher-training, and community projects about environmental and conservation efforts to protect the remaining natural habitats of endangered lemur species provide a basis for long-term changes in attitudes and practices. Case studies of three conservation education projects located in different geographical regions of Madagascar, Centre ValBio, Madagacar Wildlife Conservation Alaotra Comic Book Project, and The Ako Book Project, are presented together with their ongoing stages of development, assessment, and outcomes. We argue that while nongovernmental organizational efforts are and will be very important, the Ministry of Education urgently needs to incorporate biodiversity education in the curriculum at all levels, from primary school to university. (c) 2009 Wiley-Liss, Inc.

  3. Bioelectrical activity of the pelvic floor muscles after 6-week biofeedback training in nulliparous continent women. (United States)

    Chmielewska, Daria; Stania, Magdalena; Smykla, Agnieszka; Kwaśna, Krystyna; Błaszczak, Edward; Sobota, Grzegorz; Skrzypulec-Plinta, Violetta


    The aim of the study was to evaluate the effects of a 6-week sEMG-biofeedback-assisted pelvic floor muscle training program on pelvic floor muscle activity in young continent women. Pelvic floor muscle activity was recorded using a vaginal probe during five experimental trials. Biofeedback training was continued for 6 weeks, 3 times a week. Muscle strenghtening and endurance exercises were performed alternately. SEMG (surface electromyography) measurements were recorded on four different occasions: before training started, after the third week of training, after the sixth week of training, and one month after training ended. A 6-week sEMG-biofeedback-assisted pelvic floor muscle training program significantly decreased the resting activity of the pelvic floor muscles in supine lying and standing. The ability to relax the pelvic floor muscles after a sustained 60-second contraction improved significantly after the 6-week training in both positions. SEMG-biofeedback training program did not seem to affect the activity of the pelvic floor muscles or muscle fatigue during voluntary pelvic floor muscle contractions. SEMG-biofeedback-assisted pelvic floor muscle training might be recommended for physiotherapists to improve the effectiveness of their relaxation techniques.


    Directory of Open Access Journals (Sweden)

    Sergei P. Gorshkov


    Full Text Available The functional characteristics of the biosphere are reflected in its binominale frame: continents – oceanic basins. The river-basin land, on the one hand, and pericontinental oceanic waters on the other hand, are the main components of the homeostatic mechanism of the biosphere. In the Archean and Early-Middle Proterozoic, seawater biofiltration did not exist. In the Late Proterozoic and part of the Early Paleozoic, biofiltration started to develop and the oceans have become the main heat-engine of the Earth. Today, the maximum concentration of productive phytoplankton and zooplankton – filter bio-systems – is in the pericontinental oceanic zones. This is a response to the maximal flow of nutrients from the land carried mainly with river flow. This is the main signal of a direct link between terrestrial and oceanic ecosystems. The feedback is the atmospheric precipitation induced by heat and moisture flows and carried from the oceans to the land within its primary river-basin part. These links are experiencing anthropogenic destabilization due to some misplaced priorities of sustainable development and its implementation.

  5. Projections of rising heat stress over the western Maritime Continent from dynamically downscaled climate simulations (United States)

    Im, Eun-Soon; Kang, Suchul; Eltahir, Elfatih A. B.


    This study assesses the future changes in heat stress in response to different emission scenarios over the western Maritime Continent. To better resolve the region-specific changes and to enhance the performance in simulating extreme events, the MIT Regional Climate Model with a 12-km horizontal resolution is used for the dynamical downscaling of three carefully selected CMIP5 global projections forced by two Representative Concentration Pathway (RCP4.5 and RCP8.5) scenarios. Daily maximum wet-bulb temperature (TWmax), which includes the effect of humidity, is examined to describe heat stress as regulated by future changes in temperature and humidity. An ensemble of projections reveals robust pattern in which a large increase in temperature is accompanied by a reduction in relative humidity but a significant increase in wet-bulb temperature. This increase in TWmax is relatively smaller over flat and coastal regions than that over mountainous region. However, the flat and coastal regions characterized by warm and humid present-day climate will be at risk even under modest increase in TWmax. The regional extent exposed to higher TWmax and the number of days on which TWmax exceeds its threshold value are projected to be much higher in RCP8.5 scenario than those in RCP4.5 scenario, thus highlighting the importance of controlling greenhouse gas emissions to reduce the adverse impacts on human health and heat-related mortality.

  6. Antegrade continence enemas improve quality of life in patients with medically-refractory encopresis. (United States)

    Church, Joseph T; Simha, Sidd; Wild, Laurie C; Teitelbaum, Daniel H; Ehrlich, Peter F


    Fecal incontinence is a socially debilitating problem for many children. We hypothesized that in selected patients with medically-refractory encopresis, placement of an appendicostomy or cecostomy tube for administration of antegrade continence enemas (ACE) would improve quality of life (QOL). We reviewed all patients with encopresis who underwent appendicostomy or cecostomy placement from 2003 to 2014 at our institution. We contacted subjects' parents by phone and administered 3 surveys: a survey reflecting current stooling habits, a disease-specific QOL survey, and the PedsQL™ QOL survey. QOL surveys were completed twice by parents, once reflecting pre-operative QOL, then again reflecting current QOL. Pre-procedure and post-procedure scores were compared by paired t-test. Ten patients underwent appendicostomy/cecostomy for encopresis. Eight completed phone surveys. All procedures were performed laparoscopically. All patients experienced fecal soiling pre-operatively, whereas 5/8 surveyed patients (63%) noted complete resolution of soiling post-procedure (pencopresis, likely related to resolution of soiling. 4. Copyright © 2017. Published by Elsevier Inc.

  7. Continent catheterizable conduit for urinary diversion in children: Applicability and acceptability

    Directory of Open Access Journals (Sweden)

    Shailesh Solanki


    Full Text Available Background: Continent catheterizable conduit (CCC has made clean intermittent catheterization (CIC painless and easy. It is applicable in diverse clinical conditions. Nonetheless, convincing the parents for the need of conduit procedure is still difficult. Materials and Methods: A prospective study, included children who underwent CCC procedure from March 2008 to February 2013. The data were assessed for; diagnosis, type of conduit, number of preoperative counselling sessions before acceptance, role of "self-help group" in decision making, parental concern and satisfaction for the procedure. Results: Twenty-nine patients (males; 24, females; 5 underwent CCC procedure for various clinical conditions. The multiple preoperative counselling sessions and creation of "self-help groups" were helped them for decision making. The main concerns among parents were: (1 Impact of procedure on future fertility and sexual life. (2 Patency of native urethral channel. (3 Permanent urinary stoma over the abdomen. Conclusion: CCC procedures are applicable to a wide array of clinical situations with a good outcome. The acceptability of the CCC procedure improves with preoperative counselling of parent/child, initiation of preoperative per urethral CIC and creation of self-help groups.

  8. Strong influence of regional species pools on continent-wide structuring of local communities. (United States)

    Lessard, Jean-Philippe; Borregaard, Michael K; Fordyce, James A; Rahbek, Carsten; Weiser, Michael D; Dunn, Robert R; Sanders, Nathan J


    There is a long tradition in ecology of evaluating the relative contribution of the regional species pool and local interactions on the structure of local communities. Similarly, a growing number of studies assess the phylogenetic structure of communities, relative to that in the regional species pool, to examine the interplay between broad-scale evolutionary and fine-scale ecological processes. Finally, a renewed interest in the influence of species source pools on communities has shown that the definition of the source pool influences interpretations of patterns of community structure. We use a continent-wide dataset of local ant communities and implement ecologically explicit source pool definitions to examine the relative importance of regional species pools and local interactions for shaping community structure. Then we assess which factors underlie systematic variation in the structure of communities along climatic gradients. We find that the average phylogenetic relatedness of species in ant communities decreases from tropical to temperate regions, but the strength of this relationship depends on the level of ecological realism in the definition of source pools. We conclude that the evolution of climatic niches influences the phylogenetic structure of regional source pools and that the influence of regional source pools on local community structure is strong.

  9. After the honeymoon comes divorce: long-term use of the antegrade continence enema procedure. (United States)

    Yardley, Iain E; Pauniaho, Satu-Liisa; Baillie, Colin T; Turnock, Rick R; Coldicutt, Pat; Lamont, Graham L; Kenny, Simon E


    Having reported that 18% of children discontinue use of the antegrade continence enema (ACE) after 5 years, we aimed to determine long-term use after an ACE procedure. A postal/telephone questionnaire was conducted. Subjects were consecutive children undergoing an ACE between 1993 and 1999. Outcome measures were use of ACE, reasons for nonuse, complications, and overall satisfaction. Of 84 eligible subjects, data were available on 61 (73%) aged 22.4 years (15.5-35.1 years). Underlying diagnoses included spina bifida (n = 27), anorectal malformations (n = 18), constipation (n = 11), Hirschsprung's disease (n = 1), sacral agenesis (n = 2), and trauma/tumor (n = 2). Follow-up was 11.02 years (8.34-14.39 years). Thirty-six (59%) of 61 patients were still using their ACE. Reasons for nonuse were lack of effectiveness (n = 14), complications (n = 5), psychologic issues (n = 2), and poor compliance (n = 2). There was no association between diagnosis and nonuse (chi(2), P = .63). In those still using ACE, the overall satisfaction score was 4.1 (1-5). Several individuals reported feeling abandoned on becoming adults and losing the support they had in childhood. There is a late "failure" rate for the ACE procedure. However, satisfaction was high among those still using the ACE. This study further emphasizes the need for robust transitional care arrangements.

  10. A Review of Recent Developments in the Study of Regional Lithospheric Electrical Structure of the Asian Continent (United States)

    Zhang, Letian


    The Asian continent was formed through the amalgamation of several major continental blocks that were formerly separated by the Paleo-Asian and Tethyan Oceans. During this process, the Asian continent underwent a long period of continental crustal growth and tectonic deformation, making it the largest and youngest continent on Earth. This paper presents a review of the application of geophysical electromagnetic methods, mainly the magnetotelluric (MT) method, in recent investigations of the diverse tectonic features across the Asian continent. The case studies cover the major continental blocks of Asia, the Central Asian orogenic system, the Tethyan orogenic system, as well as the western Pacific subduction system. In summary, most of the major continental blocks of Asia exhibit a three-layer structure with a resistive upper crust and upper mantle and a relatively conductive mid-lower crust. Large-scale conductors in the upper mantle were interpreted as an indication of lithospheric modification at the craton margins. The electrical structure of the Central Asian orogenic system is generally more resistive than the bordering continental blocks, whereas the Tethyan orogenic system displays more conductive, with pervasive conductors in the lower crust and upper mantle. The western Pacific subduction system shows increasing complexity in its electrical structure from its northern extent to its southern extent. In general, the following areas of the Asian continent have increasingly conductive lithospheric electrical structures, which correspond to a transition from the most stable areas to the most active tectonic areas of Asia: the major continental blocks, the accretionary Central Asian orogenic system, the collisional Tethyan orogenic system, and the western Pacific subduction system. As a key part of this review, a three-dimensional (3-D) model of the lithospheric electrical structure of a large portion of the Tibetan Plateau is presented and discussed in detail

  11. Petrology and tectonics of Phanerozoic continent formation: From island arcs to accretion and continental arc magmatism (United States)

    Lee, C.-T.A.; Morton, D.M.; Kistler, R.W.; Baird, A.K.


    Mesozoic continental arcs in the North American Cordillera were examined here to establish a baseline model for Phanerozoic continent formation. We combine new trace-element data on lower crustal xenoliths from the Mesozoic Sierra Nevada Batholith with an extensive grid-based geochemical map of the Peninsular Ranges Batholith, the southern equivalent of the Sierras. Collectively, these observations give a three-dimensional view of the crust, which permits the petrogenesis and tectonics of Phanerozoic crust formation to be linked in space and time. Subduction of the Farallon plate beneath North America during the Triassic to early Cretaceous was characterized by trench retreat and slab rollback because old and cold oceanic lithosphere was being subducted. This generated an extensional subduction zone, which created fringing island arcs just off the Paleozoic continental margin. However, as the age of the Farallon plate at the time of subduction decreased, the extensional environment waned, allowing the fringing island arc to accrete onto the continental margin. With continued subduction, a continental arc was born and a progressively more compressional environment developed as the age of subducting slab continued to young. Refinement into a felsic crust occurred after accretion, that is, during the continental arc stage, wherein a thickened crustal and lithospheric column permitted a longer differentiation column. New basaltic arc magmas underplate and intrude the accreted terrane, suture, and former continental margin. Interaction of these basaltic magmas with pre-existing crust and lithospheric mantle created garnet pyroxenitic mafic cumulates by fractional crystallization at depth as well as gabbroic and garnet pyroxenitic restites at shallower levels by melting of pre-existing lower crust. The complementary felsic plutons formed by these deep-seated differentiation processes rose into the upper crust, stitching together the accreted terrane, suture and former

  12. Long-term follow-up of patients after antegrade continence enema procedure. (United States)

    Siddiqui, Anees A; Fishman, Steven J; Bauer, Stuart B; Nurko, Samuel


    Antegrade continence enema (ACE) has become an important therapeutic modality in the treatment of intractable constipation and fecal incontinence. There are little data available on the long-term performance of the ACE procedure in children. A retrospective review of patients who underwent the ACE procedure was conducted. Irrigation characteristics and complications were noted. Outcome was assessed for individual encounters based on frequency of bowel movements, incontinence, pain, and predictability. One hundred seventeen patients underwent an ACE. One hundred five patients had at least 6 months of follow-up, and were included in the analysis. Diagnoses included myelodysplasia (39%), functional intractable constipation (26%), anorectal malformations (21%), nonrelaxing internal anal sphincter (7%), cerebral palsy (3%), and other diagnoses (4%). The average follow-up was 68 months (range 7-178 months). At the last follow-up, 69% of patients had successful bowel management. Of the 31% of patients who did not have successful bowel management, 20% were using the ACE despite suboptimal results, 10% required surgical removal, and 2% were not using the ACE because of behavioral opposition to it. Patients were started on normal saline, but were switched to GoLYTELY (PEG-3350 and electrolyte solution) if there was an inadequate response (61% at final encounter). Additives were needed in 34% of patients. The average irrigation dose was 23 ± 0.7 mL/kg. The average toilet sitting time was 51.7 ± 3.5 minutes, with infusions running for 12.1 ± 1.2 minutes. Stomal complications occurred in 63% (infection, leakage, and stenosis) of patients, 33% required surgical revision and 6% eventually required diverting ostomies. Long-term use of the ACE gives successful results in 69% of patients, whereas 63% had a stoma-related complication and 33% required surgical revision of the stoma.

  13. The Performance of Early-Generation Perennial Winter Cereals at 21 Sites across Four Continents

    Directory of Open Access Journals (Sweden)

    Richard C. Hayes


    Full Text Available A network of 21 experiments was established across nine countries on four continents and spanning both hemispheres, to evaluate the relative performance of early generation perennial cereal material derived from wheat, rye, and barley and to inform future breeding strategies. The experimental lines were grown in replicated single rows, and first year production and phenology characteristics as well as yield and persistence for up to three years were monitored. The study showed that the existing experimental material is all relatively short-lived (≤3 years, with environments that are milder in summer and winter generally conferring greater longevity. No pedigree was superior across this diverse network of sites although better performing lines at the higher latitude sites were generally derived from Thinopyrum intermedium. By contrast, at lower latitudes the superior lines were generally derived from Th. ponticum and Th. elongatum parentage. The study observed a poor relationship between year 1 performance and productivity in later years, highlighting the need for perennial cereal material with greater longevity to underpin future experimental evaluation, and the importance for breeding programs to emphasize post-year 1 performance in their selections. Hybrid lines derived from the tetraploid durum wheat generally showed greater longevity than derivatives of hexaploid wheat, highlighting potential for greater use of Triticum turgidum in perennial wheat breeding. We advocate a model in future breeding initiatives that develops perennial cereal genotypes for specific target environments rather than a generic product for one global market. These products may include a diversity of cultivars derived from locally adapted annual and perennial parents. In this scenario the breeding program may have access to only a limited range of adapted perennial grass parents. In other situations, such as at very high latitude environments, perennial crops derived

  14. Dealing with the other between the ethical and the moral: albinism on the African continent. (United States)

    Imafidon, Elvis


    Albinism is a global public health issue but it assumes a peculiar nature in the African continent due, in part, to the social stigma faced by persons with albinism (PWAs) in Africa. I argue that there are two essential reasons for this precarious situation. First, in the African consciousness, albinism is an alterity or otherness. The PWA in Africa is not merely a physical other but also an ontological other in the African community of beings, which provides a hermeneutic for the stigmatising separateness or difference of the PWA. The second reason hinges on a distinction drawn by Jürgen Habermas between the ethical point of view and the moral point of view. While the former consists of the ethos, customs, or idea of the good shared by a group of persons with a shared tradition or way of life, the latter consists of what is good for all and transcends particular traditions or ways of life. Consequently, the African ethical point of view, the ethics of solidarity, justifies within the African worldview the established alterity and, by implication, stigmatization of PWAs. On this view, actions that promote harmony and prevent discord and disequilibrium among accepted beings in the African community are permissible. I further show that unless there is a change in the physical and ontological conception of PWAs and a leap from the ethical point of view to the moral point of view, the negative attitudes toward PWAs will not change. The leap to the moral point of view does not suggest an abandonment of the ethical point of view but only recommends that the two meet halfway in respect for universally accepted norms of human actions. To achieve this, I will show that much needs to be done in the areas of policy formulation, law, health care services, and education.

  15. Benchmark map of forest carbon stocks in tropical regions across three continents (United States)

    Saatchi, Sassan S.; Harris, Nancy L.; Brown, Sandra; Lefsky, Michael; Mitchard, Edward T. A.; Salas, William; Zutta, Brian R.; Buermann, Wolfgang; Lewis, Simon L.; Hagen, Stephen; Petrova, Silvia; White, Lee; Silman, Miles; Morel, Alexandra


    Developing countries are required to produce robust estimates of forest carbon stocks for successful implementation of climate change mitigation policies related to reducing emissions from deforestation and degradation (REDD). Here we present a “benchmark” map of biomass carbon stocks over 2.5 billion ha of forests on three continents, encompassing all tropical forests, for the early 2000s, which will be invaluable for REDD assessments at both project and national scales. We mapped the total carbon stock in live biomass (above- and belowground), using a combination of data from 4,079 in situ inventory plots and satellite light detection and ranging (Lidar) samples of forest structure to estimate carbon storage, plus optical and microwave imagery (1-km resolution) to extrapolate over the landscape. The total biomass carbon stock of forests in the study region is estimated to be 247 Gt C, with 193 Gt C stored aboveground and 54 Gt C stored belowground in roots. Forests in Latin America, sub-Saharan Africa, and Southeast Asia accounted for 49%, 25%, and 26% of the total stock, respectively. By analyzing the errors propagated through the estimation process, uncertainty at the pixel level (100 ha) ranged from ±6% to ±53%, but was constrained at the typical project (10,000 ha) and national (>1,000,000 ha) scales at ca. ±5% and ca. ±1%, respectively. The benchmark map illustrates regional patterns and provides methodologically comparable estimates of carbon stocks for 75 developing countries where previous assessments were either poor or incomplete. PMID:21628575

  16. Metastatic Spine Tumor Epidemiology: Comparison of Trends in Surgery Across Two Decades and Three Continents. (United States)

    Wright, Ernest; Ricciardi, Federico; Arts, Mark; Buchowski, Jacob M; Chung, Chun Kee; Coppes, Maarten; Crockard, Alan; Depreitere, Bart; Fehlings, Michael; Kawahara, Norio; Lee, Chong Suh; Leung, Yee; Martin-Benlloch, Antonio; Massicotte, Eric; Mazel, Christian; Oner, Cumhur; Peul, Wilco; Quraishi, Nasir; Tokuhashi, Yasuaki; Tomita, Katsuro; Ulbricht, Christian; Verlaan, Jorrit-Jan; Wang, Mike; Choi, David


    Indications for surgery for symptomatic spinal metastases have become better defined in recent years, and suitable outcome measures have been established against a changing backdrop of patient characteristics, tumor behavior, and oncologic treatments. Nonetheless, variations still exist in the local management of patients with spinal metastases. In this study, we aimed to review global trends and habits in the surgical treatment of symptomatic spinal metastases, and to examine how these have changed over the last 25 years. In this cohort study of consecutive patients undergoing surgery for symptomatic spinal metastases, data were collected using a secure Internet database from 22 centers across 3 continents. All patients were invited to participate in the study, except those unable or unwilling to give consent. There was a higher incidence of colonic, liver, and lung carcinoma metastases in Asian countries, and more frequent presentation of breast, prostate, melanoma metastases in the West. Trends in surgical technique were broadly similar across the centers. Overall survival rates after surgery were 53% at 1 year, 31% at 2 years, and 10% at 5 years after surgery (standard error 0.013 for all). Survival improved over successive time periods, with longer survival in patients who underwent surgery in 2011-2016 compared with those who underwent surgery in earlier time periods. Surgical habits have been fairly consistent among countries worldwide and over time. However, patient survival has improved in later years, perhaps due to medical advances in the treatment of cancer, improved patient selection, and operating earlier in the course of disease. Copyright © 2018 Elsevier Inc. All rights reserved.

  17. Kidney transplant graft outcomes in 379 257 recipients on 3 continents. (United States)

    Merion, Robert M; Goodrich, Nathan P; Johnson, Rachel J; McDonald, Stephen P; Russ, Graeme R; Gillespie, Brenda W; Collett, David


    Kidney transplant outcomes that vary by program or geopolitical unit may result from variability in practice patterns or health care delivery systems. In this collaborative study, we compared kidney graft outcomes among 4 countries (United States, United Kingdom, Australia, and New Zealand) on 3 continents. We analyzed transplant and follow-up registry data from 1988-2014 for 379 257 recipients of first kidney-only transplants using Cox regression. Compared to the United States, 1-year adjusted graft failure risk was significantly higher in the United Kingdom (hazard ratio [HR] 1.22, 95% confidence interval [CI] 1.18-1.26, P < .001) and New Zealand (hazard ratio [HR] 1.29, 95% confidence interval [CI] 1.14-1.46, P < .001), but lower in Australia (HR 0.90, 95% CI 0.84-0.96, P = .001). In contrast, long-term adjusted graft failure risk (conditional on 1-year function) was significantly higher in the United States compared to Australia, New Zealand, and the United Kingdom (HR 0.74, 0.75, and 0.74, respectively; each P < .001). Thus long-term kidney graft outcomes are approximately 25% worse in the United States than in 3 other countries with well-developed kidney transplant systems. Case mix differences and residual confounding from unmeasured factors were found to be unlikely explanations. These findings suggest that identification of potentially modifiable country-specific differences in care delivery and/or practice patterns should be sought. © 2018 The American Society of Transplantation and the American Society of Transplant Surgeons.

  18. Interannual variations in snowpack in the Crown of the Continent Ecosystem (United States)

    Selkowitz, D.J.; Fagre, D.B.; Reardon, B.A.


    Ecosystem changes such as glacier recession and alpine treeline advance have been documented over the previous 150 years in the Rocky Mountains of northern Montana and southern British Columbia and Alberta, a region known as the Crown of the Continent Ecosystem (CCE). Such changes are controlled, at least partially, by variations in snowpack. The CCE consists primarily of public lands, the majority of which is undeveloped or wilderness. Consequently, this region is well suited for an examination of long-term snowpack variation and associated ecosystem change. Data from nine SNOTEL sites provide an indication of the daily accumulation and ablation of snowpack over the period 1977-2001, as well as the relationship between precipitation, temperature and snowpack. 1 April data from 21 snow courses indicated the extent of regional snowpack variation and trends over the period 1950-2001, and 1 May data from three snow courses in Glacier National Park allow this record to be extended back to 1922. SNOTEL data suggest CCE snowpacks are larger and more persistent than in most regions of the western USA, and that water year precipitation is the primary control on 1 April snow water equivalent (SWE). Snow course data indicate that variations in both 1 April and 1 May mean SWE are closely tied to the Pacific decadal oscillation, an El Nino-southern oscillation-like interdecadal pattern of Pacific Ocean climate variability. Despite relatively stable snowpacks and summer temperatures since 1922, the glaciers in Glacier National Park have receded steadily during this period, implying a significant climatic shift between their Little Ice Age glacial maxima (ca 1860) and 1922. Published in 2002 by John Wiley and Sons, Ltd.

  19. Tiny worms from a mighty continent: high diversity and new phylogenetic lineages of African monogeneans. (United States)

    Přikrylová, Iva; Vanhove, Maarten P M; Janssens, Steven B; Billeter, Paul A; Huyse, Tine


    The family Gyrodactylidae contains one of the most significant radiations of platyhelminth fish parasites. The so-called hyperviviparity is very rare in the animal kingdom, and the rapid generation time can lead to an explosive population growth, which can cause massive losses in farmed fish. Here we present the first molecular phylogeny including all-but-one African genera, inferred from ITS and 18S rDNA sequences. The validity of nominal genera is discussed in relation to the systematic value of morphological characters traditionally used for generic identification. New complete 18S rDNA sequences of 18 gyrodactylid species of eight genera together with ITS rDNA gene sequences of eight species representing seven genera were generated and complemented with GenBank sequences. The maximum likelihood and Bayesian analyses pointed to a paraphyletic nature of African Gyrodactylus species. They formed well-supported clades possibly indicating speciation within host taxa: (1) parasites of cichlids (Cichlidae); (2) parasites of catfishes (Siluriformes), consisting of a lineage infecting mochokids and one infecting clariids. Macrogyrodactylus spp. firmly clustered into a monophyletic group. We found that Swingleus and Fundulotrema are very closely related and clearly cluster within Gyrodactylus. This supports earlier claims as to the paraphyly of the nominal genus Gyrodactylus as it is currently defined, and necessitates a revision of Swingleus and Fundulotrema. Molecular dating estimates confirmed a relatively young, certainly post-Gondwanan, origin of gyrodactylid lineages. Building on the previously suggested South-American origin of viviparous gyrodactylids, the dataset suggests subsequent intercontinental dispersal to Africa and from there repeated colonisation of the Holarctic. Even though the African continent has been heavily under sampled, the present diversity is far greater than in the intensively studied European fauna, probably because of the high endemicity

  20. Study protocol: ICONS: Identifying continence options after stroke: A randomised trial

    Directory of Open Access Journals (Sweden)

    Leathley Michael J


    Full Text Available Abstract Background Urinary incontinence following acute stroke is common, affecting between 40%-60% of people in hospital after a stroke. Despite the availability of clinical guidelines for urinary incontinence and urinary incontinence after stroke, national audit data suggest incontinence is often poorly managed. Conservative interventions (e.g. bladder training, pelvic floor muscle training and prompted voiding have been shown to have some effect with participants in Cochrane systematic reviews, but have not had their effectiveness demonstrated with stroke patients. Methods/Design A cluster randomised controlled pilot trial designed to assess the feasibility of a full-scale cluster randomised trial and to provide preliminary evidence of the effectiveness and cost-effectiveness of a systematic voiding programme for the management of continence after stroke. Stroke services will be randomised to receive the systematic voiding programme, the systematic voiding programme plus supported implementation, or usual care. The trial aims to recruit at least 780 participants in 12 stroke services (4 per arm. The primary outcome is presence/absence of incontinence at six weeks post-stroke. Secondary outcomes include frequency and severity of incontinence, quality of life and cost-utility. Outcomes will be measured at six weeks, three months and (for participants recruited in the first three months twelve months after stroke. Process data will include rates of recruitment and retention and fidelity of intervention delivery. An integrated qualitative evaluation will be conducted in order to describe implementation and assist in explaining the potential mediators and modifiers of the process. Trial Registration ISRCTN: ISRCTN08609907

  1. Emerging rabbit haemorrhagic disease virus 2 (RHDV2) at the gates of the African continent. (United States)

    Martin-Alonso, Aarón; Martin-Carrillo, Natalia; Garcia-Livia, Katherine; Valladares, Basilio; Foronda, Pilar


    Until the beginning of this decade, the genetic characterization of rabbit haemorrhagic disease virus (RHDV) from Iberian Peninsula had revealed the existence of two genogroups, G1 and sporadically G6. In 2010, the new emerging rabbit haemorrhagic disease variant, RHDV2 or RHDVb, was described in France, from where it has rapidly spread throughout Europe, including Iberian Peninsula countries. Nevertheless, although cases of rabbit haemorrhagic disease (RHD) have been reported in the Canary Islands, a Spanish archipelago located 100km off the coast of Morocco, no genetic characterization of RHDV had been carried out. Consequently, in order to identify the circulating RHDV strains in this archipelago, liver samples of six farm rabbits and fifteen wild rabbits were collected from several areas of the largest island, Tenerife, and analyzed for the presence of RHDV by antigen capture double antibody sandwich ELISA. In case of positive ELISA result, we amplified and sequenced two fragments of the vp60 gene, which were concatenated for phylogenetic purposes. The sequences analysis revealed the presence of RHDV2 in both farm and wild rabbits from several areas of Tenerife. This result constitutes the first finding of RHDV2 in the Canary Islands. These RHDV2 strains found in Tenerife shared two exclusive SNPs that have not been observed in the rest of RHDV2 strains. The identification of RHDV2 and the absence of classic RHDV strains in this study suggest that RHDV2 may be replacing classic strains in Tenerife, as has been also proposed in Iberian Peninsula, France and Azores. Given the proximity of the Canary Islands to the African continent, this result should raise awareness about a possible dispersal of RHDV2 from the Canary Islands to the North of Africa. Copyright © 2016 Elsevier B.V. All rights reserved.

  2. Sustaining Rocky Mountain landscapes: Science, policy and management for the Crown of the Continent ecosystem (United States)

    Prato, Tony; Fagre, Daniel B.


    Prato and Fagre offer the first systematic, multi-disciplinary assessment of the challenges involved in managing the Crown of the Continent Ecosystem ( CCE), an area of the Rocky Mountains that includes northwestern Montana, southwestern Alberta, and southeastern British Columbia. The spectacular landscapes, extensive recreational options, and broad employment opportunities of the CCE have made it one of the fastest growing regions in the United States and Canada, and have lead to a shift in its economic base from extractive resource industries to service-oriented recreation and tourism industries. In the process, however, the amenities and attributes that draw people to this “New West” are under threat. Pastoral scenes are disappearing as agricultural lands and other open spaces are converted to residential uses, biodiversity is endangered by the fragmentation of fish and wildlife habitats, and many areas are experiencing a decline in air and water quality. Sustaining Rocky Mountain Landscapes provides a scientific basis for communities to develop policies for managing the growth and economic transformation of the CCE without sacrificing the quality of life and environment for which the land is renowned. This forthcoming edited volume focuses on five aspects of sustaining mountain landscapes in the CCE and similar regions in the Rocky Mountains. The five aspects are: 1) how social, economic, demo graphic and environmental forces are transforming ecosystem structure and function, 2) trends in use and conditions for human and environmental resources, 3) activating science, policy and education to enhance sustainable landscape management, 4) challenges to sustainable management of public and private lands, and 5) future prospects for achieving sustainable landscapes.

  3. Prevalence, Treatment, and Control Rates of Conventional and Ambulatory Hypertension Across 10 Populations in 3 Continents. (United States)

    Melgarejo, Jesus D; Maestre, Gladys E; Thijs, Lutgarde; Asayama, Kei; Boggia, José; Casiglia, Edoardo; Hansen, Tine W; Imai, Yutaka; Jacobs, Lotte; Jeppesen, Jørgen; Kawecka-Jaszcz, Kalina; Kuznetsova, Tatiana; Li, Yan; Malyutina, Sofia; Nikitin, Yuri; Ohkubo, Takayoshi; Stolarz-Skrzypek, Katarzyna; Wang, Ji-Guang; Staessen, Jan A


    Hypertension is a major global health problem, but prevalence rates vary widely among regions. To determine prevalence, treatment, and control rates of hypertension, we measured conventional blood pressure (BP) and 24-hour ambulatory BP in 6546 subjects, aged 40 to 79 years, recruited from 10 community-dwelling cohorts on 3 continents. We determined how between-cohort differences in risk factors and socioeconomic factors influence hypertension rates. The overall prevalence was 49.3% (range between cohorts, 40.0%-86.8%) for conventional hypertension (conventional BP ≥140/90 mm Hg) and 48.7% (35.2%-66.5%) for ambulatory hypertension (ambulatory BP ≥130/80 mm Hg). Treatment and control rates for conventional hypertension were 48.0% (33.5%-74.1%) and 38.6% (10.1%-55.3%) respectively. The corresponding rates for ambulatory hypertension were 48.6% (30.5%-71.9%) and 45.6% (18.6%-64.2%). Among 1677 untreated subjects with conventional hypertension, 35.7% had white coat hypertension (23.5%-56.2%). Masked hypertension (conventional BP hypertension rates. Higher social and economic development, measured by the Human Development Index, was associated with lower rates of conventional and ambulatory hypertension. In conclusion, high rates of hypertension in all cohorts examined demonstrate the need for improvements in prevention, treatment, and control. Strategies for the management of hypertension should continue to not only focus on preventable and modifiable risk factors but also consider societal issues. © 2017 American Heart Association, Inc.

  4. Tigecycline activity tested against 26,474 bloodstream infection isolates: a collection from 6 continents. (United States)

    Sader, Helio S; Jones, Ronald N; Stilwell, Matthew G; Dowzicky, Michael J; Fritsche, Thomas R


    The activity of tigecycline (formerly GAR936), a novel glycylcycline, was tested against recent bloodstream infection (BSI) pathogen isolates from 6 continents. Frequency of clinical occurrence of these pathogens was determined and their antibiograms assessed using reference broth microdilution methods. A total of 26474 strains were tested for tigecycline susceptibility according to the Clinical and Laboratory Standards Institute (formerly the National Committee for Clinical Laboratory Standards) by the M7-A6 guidelines with interpretations from M100-S15 and the package insert. The rank order of pathogens was Staphylococcus aureus (33.1%), Escherichia coli (14.0%), coagulase-negative staphylococci (13.5%), Enterococcus spp. (12.3%), Klebsiella spp. (5.7%), Pseudomonas aeruginosa (4.2%), Enterobacter spp. (3.0%), beta-hemolytic streptococci (2.9%), Streptococcus pneumoniae (2.3%), and viridans group streptococci (1.4%). Tigecycline exhibited a broader spectrum of activity against BSI isolates when compared to ciprofloxacin, tetracycline, aminoglycosides, and many beta-lactams (imipenem). Tigecycline was highly active against most pathogens tested, including staphylococci (MIC(90), 0.5 microg/mL), enterococci (MIC90, 0.25 microg/mL), streptococci (MIC(90), < or =0.12 microg/mL), Escherichia coli (MIC90, 0.25 microg/mL), Klebsiella spp. (MIC90, 1 mmicrog/mL), and Enterobacter spp. (MIC(90), 2 mmicrog/mL), but showed limited inhibition of Pseudomonas aeruginosa (MIC90, 16 microg/mL) and indole-positive or indole-negative Proteae (MIC90, 4-8 microg/mL). In summary, tigecycline exhibited a wide spectrum of antimicrobial potency versus BSI isolates collected worldwide. Serious infections in nosocomial environments should benefit from tigecycline use among the investigational phase 3 agents focused toward resistant strains.

  5. Matrilineal Heritage in Southern Iberia Reveals Deep Genetic Links between Continents. (United States)

    Hernández, Candela L; Calderón, Rosario


    Within the Mediterranean Basin, the Iberian Peninsula has been a focus of attraction for several cultures and civilizations from its prehistory and history, making it a target territory for studying human migration patterns and peopling processes using a wide and heterogeneous spectrum of genomic markers. While its Cantabrian fringe represents the most regularly analysed area in terms of its mitochondrial diversity, the absence of monographic surveys on the maternal genetic composition of southern Iberians (i.e., Andalusians) is striking. In this work, we present a comprehensive view of various aspects of the human maternal heritage of the autochthonous Andalusian population regarding specific mitochondrial haplogroups considered key candidates to determine the genetic relationship between Europe and Africa. Data reveal that southern Iberian populations do not have genetically homogeneous mitochondrial DNA profiles, and their observed genetic affinity with north-western African populations represents strong signals of old, sustained and bidirectional human movements between the northern and southern shores of the western Mediterranean. Thorough analyses of African mtDNA haplogroups have shown that the most relevant African contribution within Iberian Peninsula could be explained as a consequence of prehistoric events. The subsequent historic episodes helped to strengthen the ties between both shores. In southern Iberia, mitochondrial and other genetic markers show that the Strait of Gibraltar together with its surrounding maritime areas should be considered a bridge between continents. More broadly, the Mediterranean Sea has acted as a transport surface, that is, as a permeable barrier to human migrations from prehistoric and historic times. In conclusion, this research contributes to our knowledge of processes that have shaped the recent human genetic history in the Mediterranean and, more specifically, of the population dynamics that the inhabitants of southern

  6. Mesoscale modeling of smoke transport over the South Asian maritime continent: vertical distributions and topographic effect (United States)

    Ge, C.; Wang, J.; Yang, Z.; Hyer, E. J.; Reid, J. S.; Chew, B.; Mahamod, M.


    The online-coupled Weather Research and Forecasting model with Chemistry (WRF-Chem) is used in conjunction with the FLAMBE MODIS-based biomass burning emissions to simulate the transport of smoke particles over the southeast Asian Maritime Continent (MC, 10°S - 10°N, 90°E-150°E) during September - October 2006 when the moderate El Nino event caused the largest region biomass burning outbreak since 1998. The modeled smoke transport pathway is found to be consistent with the MODIS true color images. Quantitatively, the modeled smoke particle mass can explain ~50% of temporal variability in 24-hour average observed PM10 at most ground stations, with linear correlation coefficients often larger than 0.7. Analysis of CALIOP data shows that smoke aerosols are primarily located within 3.5 km above the surface, and we found that smoke injection height in the model should be at ~800 m above surface to best match CALIOP observations downwind, instead of 2 km as used in the past literature. Comparison of CALIOP data in October 2006 with that in other years (2007-2010) reveals that the peak of aerosol extinction always occurs at ~1 km above surface, but smoke events in 2006 doubled the aerosol extinction from the surface to 3.5 km. Numerical experiments further show that the Tama Abu topography in Malaysia Peninsula has a significant impact on smoke transport and the surface in the vicinity. A conceptual model, based upon our analysis of two-month WRFchem simulation and satellite data, is proposed to explain the meteorological causes for smoke layers above the clouds as seen in the CALIOP data.

  7. High-rate injection is associated with the increase in U.S. mid-continent seismicity (United States)

    Weingarten, Matthew; Ge, Shemin; Godt, Jonathan W.; Bekins, Barbara A.; Rubinstein, Justin L.


    An unprecedented increase in earthquakes in the U.S. mid-continent began in 2009. Many of these earthquakes have been documented as induced by wastewater injection. We examine the relationship between wastewater injection and U.S. mid-continent seismicity using a newly assembled injection well database for the central and eastern United States. We find that the entire increase in earthquake rate is associated with fluid injection wells. High-rate injection wells (>300,000 barrels per month) are much more likely to be associated with earthquakes than lower-rate wells. At the scale of our study, a well’s cumulative injected volume, monthly wellhead pressure, depth, and proximity to crystalline basement do not strongly correlate with earthquake association. Managing injection rates may be a useful tool to minimize the likelihood of induced earthquakes.

  8. A review of the anatomy of the male continence mechanism and the cause of urinary incontinence after prostatectomy. (United States)

    Moore, K N


    Radical prostatectomy was first described by Dr. Hugh Hampton Young in 1905 as a treatment for prostate cancer. Since that time, urinary incontinence has been reported as a significant postsurgical problem. With the expanding interest in continence therapy and an increase in the number of men undergoing prostate cancer surgery, there is a concomitant need for detailed consideration of the cause of postprostatectomy incontinence. Urinary leakage after radical prostatectomy is not, as traditionally thought, a simple case of stress urinary incontinence. Instead, it represents a complex, multifactorial problem that continues to challenge practitioners and researchers alike. An overview of the anatomy of the male continence mechanism is provided, followed by a discussion of the cause and risk factors implicated in postprostatectomy incontinence and suggestions for further research.

  9. Existence of a common growth curve for silt-sized quartz OSL of loess from different continents

    International Nuclear Information System (INIS)

    Lai Zhongping; Brueckner, Helmut; Zoeller, Ludwig; Fuelling, Alexander


    Recent publications revealed different opinions regarding the existence of a common growth curve (CGC) for OSL of quartz. In the current study, 18 loess samples were collected from four continents (Asia, America, Africa, and Europe) in order to further examine this issue. Except the three samples from Chile in South America, 15 samples display similar dose-response curves up to a regeneration dose of 200 Gy using the SAR protocol, suggesting the existence of a global CGC for loess from different continents. For samples with equivalent doses (D e ) from ∼10 to ∼170Gy, the D e s determined by the CGC are in good agreement with the D e s by the SAR protocol. The Chilean samples posses a growth curve that differs from the CGC, showing much lower saturation doses. We suggest that it may be due to contamination with heavy minerals

  10. Chemical elements in the environment: multi-element geochemical datasets from continental to national scale surveys on four continents (United States)

    Caritat, Patrice de; Reimann, Clemens; Smith, David; Wang, Xueqiu


    During the last 10-20 years, Geological Surveys around the world have undertaken a major effort towards delivering fully harmonized and tightly quality-controlled low-density multi-element soil geochemical maps and datasets of vast regions including up to whole continents. Concentrations of between 45 and 60 elements commonly have been determined in a variety of different regolith types (e.g., sediment, soil). The multi-element datasets are published as complete geochemical atlases and made available to the general public. Several other geochemical datasets covering smaller areas but generally at a higher spatial density are also available. These datasets may, however, not be found by superficial internet-based searches because the elements are not mentioned individually either in the title or in the keyword lists of the original references. This publication attempts to increase the visibility and discoverability of these fundamental background datasets covering large areas up to whole continents.

  11. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female anorectal dysfunction


    Sultan, A. H.; Monga, A.; Lee, J.; Emmanuel, A.; Norton, C.; Santoro, G.; Hull, T.; Berghmans, B.; Brody, S.; Haylen, B. T.


    INTRODUCTION AND HYPOTHESIS: The terminology for anorectal dysfunction in women has long been in need of a specific clinically-based Consensus Report. METHODS: This Report combines the input of members of the Standardization and Terminology Committees of two International Organizations, the International Urogynecological Association (IUGA) and the International Continence Society (ICS), assisted on Committee by experts in their fields to form a Joint IUGA/ICS Working Group on Female Anorectal...

  12. An International Urogynecological Association (IUGA)/International Continence Society (ICS) Joint Report on the Terminology for Female Anorectal Dysfunction


    Sultan, A. H.; Monga, A.; Lee, J.; Emmanuel, A.; Norton, C.; Santoro, G.; Hull, T.; Berghmans, B.; Brody, S.; Haylen, B. T.


    INTRODUCTION: The terminology for anorectal dysfunction in women has long been in need of a specific clinically-based Consensus Report. METHODS: This Report combines the input of members of the Standardization and Terminology Committees of two International Organizations, the International Urogynecological Association (IUGA) and the International Continence Society (ICS), assisted on Committee by experts in their fields to form a Joint IUGA/ICS Working Group on Female Anorectal Termi...

  13. [Animal studies on the construction of continent ileostomies and colostomies with the use of BioCarbon implants]. (United States)

    Bustamante, I; Kieninger, G; Neugebauer, W; Müller, G; Breucha, G


    Ring-shaped implants of BioCarbon, a recently developed vitreous carbon polymer, were used for construction of continent ileostomies and colostomies in dogs. The stoma was fashioned by suture fixation of the intestine inside the ring, which was then placed subfascially in the abdominal wall. The exterior of the implant could be hermetically sealed with a screw cap. Implantation in 19 dogs performed so far showed a high rate of incorporation of BioCarbon devices.

  14. Assembly and concept of a web-based GIS within the paleolimnological project CONTINENT (Lake Baikal, Russia)


    B. Heim; Jens Klump; N. Fagel; Hedi Oberhänsli


    Web-based Geographical Information Systems (GIS) are excellent tools within interdisciplinary and multi-national geoscience projects to exchange and visualize project data. The web-based GIS presented in this paper was designed for the paleolimnological project 'High-resolution CONTINENTal paleoclimate record in Lake Baikal' (CONTINENT) (Lake Baikal, Siberia, Russia) to allow the interactive handling of spatial data. The GIS database combines project data (core positions, sample positions, th...

  15. Growing up with confidence: using telehealth to support continence self-care deficits amongst young people with complex needs

    Directory of Open Access Journals (Sweden)

    Sharon Levy


    Full Text Available Background Many young people with chronic ill health use technology for selfcare activities, but little is known about the use of telehealth amongst those with spina bifida. The limited availability of specialist continence nurses in primary care settings, for this client group in the UK, exacerbates their reliance on parents or carers.Objectives1. Exploring the way in which home-based and technology-enabled clinical interventions affect young people’s engagement in continence self-care.2. Articulating the way in which telehealth impacts on nursing practice and the conduct of remote clinical encounters.Methods A virtual nurse-led clinic was established to support a small cohort of service users and their parents from home. Data from participants were collected and analysed alongside a narrative record of a reflective diary, used by the continence specialist nurse.Results Participants reported increased level of self-confidence, which was attributed to interacting remotely with the specialist nurse. The virtual clinic assisted users to attain some self-care goals as well as assert their role as partners in care planning. The specialist nurse gained new valuable skills in mastering telehealth technology and managing remote clinical provision.Conclusions Using Skype™ to support young people with complex needs is an effective intervention to support continence care at home. Dedicated technical support during the initial set-up phase and on-going clinical mentorship are needed to ensure that telehealth is successfully embedded within health care practice.

  16. Biomechanical properties of the pelvic floor muscles of continent and incontinent women using an inverse finite element analysis. (United States)

    Silva, M E T; Brandão, S; Parente, M P L; Mascarenhas, T; Natal Jorge, R M


    Pelvic disorders can be associated with changes in the biomechanical properties in the muscle, ligaments and/or connective tissue form fascia and ligaments. In this sense, the study of their mechanical behavior is important to understand the structure and function of these biological soft tissues. The aim of this study was to establish the biomechanical properties of the pelvic floor muscles of continent and incontinent women, using an inverse finite element analysis (FEA). The numerical models, including the pubovisceral muscle and pelvic bones were built from magnetic resonance (MR) images acquired at rest. The numerical simulation of Valsalva maneuver was based on the finite element method and the material constants were determined for different constitutive models (Neo-Hookean, Mooney-Rivlin and Yeoh) using an iterative process. The material constants (MPa) for Neo-Hookean (c 1 ) were 0.039 ± 0.022 and 0.024 ± 0.004 for continent vs. incontinent women. For Mooney-Rivlin (c 1 ) the values obtained were 0.026 ± 0.010 vs. 0.016 ± 0.003, and for Yeoh (c 1 ) the values obtained were 0.031 ± 0.023 vs. 0.016 ± 0.002, (p continent women. The results were also similar between MRI and numerical simulations (40.27% vs. 42.17% for Neo-Hookean, 39.87% for Mooney-Rivlin and 41.61% for Yeoh). Using an inverse FEA coupled with MR images allowed to obtain the in vivo biomechanical properties of the pelvic floor muscles, leading to a relationship between them for the continent and incontinent women in a non-invasive manner.

  17. History and Nature of Science enriched Problem-Based Learning on the origins of biodiversity and of continents and oceans


    Sousa, Cristina


    [EN] The episode of the History of Science (HOS) on the theory of continental drift proposed by Alfred Wegener has been considered an excellent example for teaching students aspects of Nature of Science (NOS) and the relation of Science with social and tecnological contexts. We implemented a NOS and HOS-enriched Problem-Based Learning environment at the middle (year 7 of the Portuguese National Curriculum) and secondary level (year 10) for teaching the origins of biodiversity and of continent...

  18. Association of anorectal dose-volume histograms and impaired fecal continence after 3D conformal radiotherapy for carcinoma of the prostate

    International Nuclear Information System (INIS)

    Vordermark, Dirk; Schwab, Michael; Ness-Dourdoumas, Rhea; Sailer, Marco; Flentje, Michael; Koelbl, Oliver


    Purpose: The late toxicity of fecal incontinence after pelvic radiotherapy is now frequently recognized but the etiology poorly understood. We therefore investigated associations between dose-volume histogram (DVH) parameters of the rectum and the anal canal with fecal continence as measured by an established 10-item questionnaire. Methods and materials: Forty-four patients treated for carcinoma of the prostate with 58-72 Gy of 3D conformal radiotherapy between 1995 and 1999 who completed the questionnaire formed the study population. Total continence scores of treated patients obtained 1.5 years (median) after radiotherapy were compared to a control group of 30 patients before radiotherapy. Median, mean, minimum and maximum doses as well as the volume (% and ml) treated to 40, 50, 60 and 70 Gy were determined separately for anal canal and rectum. DVH parameters were correlated with total continence score (Spearman rank test) and patients grouped according to observed continence were compared regarding DVH values (Mann-Whitney U-test). Results: Median fecal continence scores were significantly worse in the irradiated than in the control group (31 vs. 35 of a maximum 36 points). In treated patients, 59%/27%/14% were classified as fully continent, slightly incontinent and severely incontinent. Continence was similar in the 58-to-62-Gy, 66-Gy and 68-to-72-Gy dose groups. No DVH parameter was significantly correlated with total continence score, but severely incontinent patients had a significantly higher minimum dose to the anal canal than fully continent/slightly incontinent, accompanied by portals extending significantly further inferiorly with respect to the ischial tuberosities. Conclusions: Excluding the inferior part of the anal canal from the treated volume in 3D conformal therapy for carcinoma of the prostate appears to be a promising strategy to prevent radiation-induced fecal incontinence

  19. Using Mitrofanoff's principle and Monti's technique as a surgical option for bladder augmentation with a continent stoma: a case report

    Directory of Open Access Journals (Sweden)

    Martins Antonio CP


    Full Text Available Abstract Introduction Hydronephrosis, reflux and renal failure are serious complications that occur in patients with neurogenic bladder associated with myelomeningocele. When the bladder compliance is lost, it is imperative to carry out surgery aimed at reducing bladder storage pressure. An ileocystoplasty, and for patients not suitable for intermittent catheterization, using the Mitrofanoff principle to form a continent stoma and the subsequent closure of the bladder neck, can be used. We report here, for the first time to the best of our knowledge, an association between two previously described techniques (the Mitrofanoff principle and the technique of Monti, that can solve the problem of a short appendix in obese patients. Case presentation A 33-year-old male Caucasian patient with myelomeningocele and neurogenic bladder developed low bladder compliance (4.0 mL/cm H2O while still maintaining normal renal function. A bladder augmentation (ileocystoplasty with continent derivation principle (Mitrofanoff was performed. During surgery, we found that the patient's appendix was too short and was insufficient to reach the skin. We decided to make an association between the Mitrofanoff conduit and the ileal technique of Monti, through which we performed an anastomosis of the distal stump of the appendix to the bladder (with an antireflux valve. Later, the proximal stump of the appendix was anastomosed to an ileal segment of 2.0 cm that was open longitudinally and reconfigured transversally (Monti technique, modeled by a 12-Fr urethral catheter, and finally, the distal stump was sutured at the patient's navel. After the procedure, a suprapubic cystostomy (22 Fr and a Foley catheter (10 Fr through the continent conduit were left in place. The patient had recovered well and was discharged on the tenth day after surgery. He remained with the Foley catheter (through the conduit for 21 days and cystostomy for 30 days. Six months after surgery he was

  20. Genetic Structure of Natural Populations of Escherichia coli in Wild Hosts on Different Continents (United States)

    Souza, Valeria; Rocha, Martha; Valera, Aldo; Eguiarte, Luis E.


    Current knowledge of genotypic and phenotypic diversity in the species Escherichia coli is based almost entirely on strains recovered from humans or zoo animals. In this study, we analyzed a collection of 202 strains obtained from 81 mammalian species representing 39 families and 14 orders in Australia and the Americas, as well as several reference strains; we also included a strain from a reptile and 10 from different families of birds collected in Mexico. The strains were characterized genotypically by multilocus enzyme electrophoresis (MLEE) and phenotypically by patterns of sugar utilization, antibiotic resistance, and plasmid profile. MLEE analysis yielded an estimated genetic diversity (H) of 0.682 for 11 loci. The observed genetic diversity in this sample is the greatest yet reported for E. coli. However, this genetic diversity is not randomly distributed; geographic effects and host taxonomic group accounted for most of the genetic differentiation. The genetic relationship among the strains showed that they are more associated by origin and host order than is expected by chance. In a dendrogram, the ancestral cluster includes primarily strains from Australia and ECOR strains from groups B and C. The most differentiated E. coli in our analysis are strains from Mexican carnivores and strains from humans, including those in the ECOR group A. The kinds and numbers of sugars utilized by the strains varied by host taxonomic group and country of origin. Strains isolated from bats were found to exploit the greatest range of sugars, while those from primates utilized the fewest. Toxins are more frequent in strains from rodents from both continents than in any other taxonomic group. Strains from Mexican wild mammals were, on average, as resistant to antibiotics as strains from humans in cities. On average, the Australian strains presented a lower antibiotic resistance than the Mexican strains. However, strains recovered from hosts in cities carried significantly more

  1. Quantifying airborne dispersal routes of pathogens over continents to safeguard global wheat supply. (United States)

    Meyer, M; Cox, J A; Hitchings, M D T; Burgin, L; Hort, M C; Hodson, D P; Gilligan, C A


    Infectious crop diseases spreading over large agricultural areas pose a threat to food security. Aggressive strains of the obligate pathogenic fungus Puccinia graminis f.sp. tritici (Pgt), causing the crop disease wheat stem rust, have been detected in East Africa and the Middle East, where they lead to substantial economic losses and threaten livelihoods of farmers. The majority of commercially grown wheat cultivars worldwide are susceptible to these emerging strains, which pose a risk to global wheat production, because the fungal spores transmitting the disease can be wind-dispersed over regions and even continents 1-11 . Targeted surveillance and control requires knowledge about airborne dispersal of pathogens, but the complex nature of long-distance dispersal poses significant challenges for quantitative research 12-14 . We combine international field surveys, global meteorological data, a Lagrangian dispersion model and high-performance computational resources to simulate a set of disease outbreak scenarios, tracing billions of stochastic trajectories of fungal spores over dynamically changing host and environmental landscapes for more than a decade. This provides the first quantitative assessment of spore transmission frequencies and amounts amongst all wheat producing countries in Southern/East Africa, the Middle East and Central/South Asia. We identify zones of high air-borne connectivity that geographically correspond with previously postulated wheat rust epidemiological zones (characterized by endemic disease and free movement of inoculum) 10,15 , and regions with genetic similarities in related pathogen populations 16,17 . We quantify the circumstances (routes, timing, outbreak sizes) under which virulent pathogen strains such as 'Ug99' 5,6 pose a threat from long-distance dispersal out of East Africa to the large wheat producing areas in Pakistan and India. Long-term mean spore dispersal trends (predominant direction, frequencies, amounts) are

  2. Revisiting Seafloor-Spreading in the Red Sea: Basement Nature, Transforms and Ocean-Continent Boundary (United States)

    Tapponnier, P.; Dyment, J.; Zinger, M. A.; Franken, D.; Afifi, A. M.; Wyllie, A.; Ali, H. G.; Hanbal, I.


    A new marine geophysical survey on the Saudi Arabian side of the Red Sea confirms early inferences that ~ 2/3 of the eastern Red Sea is floored by oceanic crust. Most seismic profiles south of 24°N show a strongly reflective, landward-deepening volcanic basement up to ~ 100 km east of the axial ridge, beneath thick evaporitic deposits. This position of the Ocean-Continent Boundary (OCB) is consistent with gravity measurements. The low amplitudes and long wavelengths of magnetic anomalies older than Chrons 1-3 can be accounted for by low-pass filtering due to thick sediments. Seafloor-spreading throughout the Red Sea started around 15 Ma, as in the western Gulf of Aden. Its onset was coeval with the activation of the Aqaba/Levant transform and short-cutting of the Gulf of Suez. The main difference between the southern and northern Red Sea lies not in the nature of the crust but in the direction and modulus of the plate motion rate. The ~ 30° counterclockwise strike change and halving of the spreading rate (~ 16 to ~ 8 mm/yr) between the Hermil (17°N) and Suez triple junctions results in a shift from slow (≈ North Atlantic) to highly oblique, ultra-slow (≈ Southwest Indian) ridge type. The obliquity of spreading in the central and northern basins is taken up by transform discontinuities that stop ~ 40 km short of the coastline, at the OCB. Three large transform fault systems (Jeddah, Zabargad, El Akhawein) nucleated as continental transfer faults reactivating NNE-trending Proterozoic shear zones. The former two systems divide the Red Sea into three main basins. Between ~15 and ~5 Ma, for about 10 million years, thick evaporites were deposited directly on top of oceanic crust in deep water, as the depositional environment, modulated by climate, became restricted by the Suez and Afar/Bab-el-Mandeb volcano-tectonic 'flood-gates.' The presence of these thick deposits (up to ~ 8 km) suffices to account for the difference between the Red Sea and the Gulf of Aden

  3. Lightning hazard region over the maritime continent observed from satellite and climate change threat (United States)

    Ilhamsyah, Y.; Koesmaryono, Y.; Hidayat, R.; Murjaya, J.; Nurjaya, I. W.; Rizwan


    Climate change would lead to such hydrometeorological disaster as: flash-flood, landslide, hailstone, lightning, and twister become more likely to happen in the future. In terms of lightning event, one research question arise of where lightning would be mostly to strike over the Maritime Continent (MC)?. The objective of the research is to investigate region with high-density of lightning activity over MC by mapping climatological features of lightning flashes derived from onboard NASA-TRMM Satellite, i.e. Optical Transient Detector/Lightning Imaging Sensor (OTD/LIS). Based on data retrieved since 1995-2013, it is seasonally observed that during transition season March to May, region with high vulnerability of lightning flashes cover the entire Sumatra Island, the Malacca Strait, and Peninsular Malaysia as well as Java Island. High-frequent of lightning activity over the Malacca Strait is unique since it is the only sea-region in the world where lightning flashes are denser. As previously mentioned that strong lightning activity over the strait is driven by mesoscale convective system of Sumatra Squalls due to convergences of land breeze between Sumatra and Peninsular Malaysia. Lightning activity over the strait is continuously observed throughout season despite the intensity reduced. Java Island, most populated island, receive high-density of lightning flashes during rainy season (December to February) but small part in the northwestern of Java Island, e.g., Bogor and surrounding areas, the density of lightning flashes are high throughout season. Northern and southern parts of Kalimantan and Central part of Sulawesi are also prone to lightning activity particularly during transition season March to May and September to November. In the eastern part of MC, Papua receive denser lightning flashes during September to November. It is found that lightning activity are mostly concentrated over land instead of ocean which is in accordance with diurnal convective

  4. Vertical distribution of aerosols over the Maritime Continent during El Niño (United States)

    Blake Cohen, Jason; Loong Ng, Daniel Hui; Lun Lim, Alan Wei; Chua, Xin Rong


    The vertical distribution of aerosols over Southeast Asia, a critical factor impacting aerosol lifetime, radiative forcing, and precipitation, is examined for the 2006 post El Niño fire burning season. Combining these measurements with remotely sensed land, fire, and meteorological measurements, and fire plume modeling, we have reconfirmed that fire radiative power (FRP) is underestimated over Southeast Asia by MODIS measurements. These results are derived using a significantly different approach from other previously attempted approaches found in the literature. The horizontally constrained Maritime Continent's fire plume median height, using the maximum variance of satellite observed aerosol optical depth as the spatial and temporal constraint, is found to be 2.04 ± 1.52 km during the entirety of the 2006 El Niño fire season, and 2.19±1.50 km for October 2006. This is 0.83 km (0.98 km) higher than random sampling and all other past studies. Additionally, it is determined that 61 (+6-10) % of the bottom of the smoke plume and 83 (+8-11) % of the median of the smoke plume is in the free troposphere during the October maximum; while 49 (+7-9) % and 75 (+12-12) % of the total aerosol plume and the median of the aerosol plume, are correspondingly found in the free troposphere during the entire fire season. This vastly different vertical distribution will have impacts on aerosol lifetime and dispersal. Application of a simple plume rise model using measurements of fire properties underestimates the median plume height by 0.26 km over the entire fire season and 0.34 km over the maximum fire period. It is noted that the model underestimation over the bottom portions of the plume are much larger. The center of the plume can be reproduced when fire radiative power is increased by 20 % (with other parts of the plume ranging from an increase of 0 to 60 % depending on the portion of the plume and the length of the fire season considered). However, to reduce the biases

  5. The Rovuma Transform Margin: the enigmatic continent-ocean boundary of East Africa (United States)

    Phethean, Jordan; Kalnins, Lara; van Hunen, Jeroen; McCaffrey, Ken; Davies, Richard


    The N-S trending Davie Fracture Zone (DFZ) is often assumed to form the continent-ocean transform margin (COTM) of the Western Somali Basin. However, multiple plate tectonic reconstructions favour a pre-breakup location for Madagascar that crosses the DFZ, incompatible with its interpretation as the COTM (e.g., Lottes & Rowley, 1990; Reeves, 2014; Phethean et al., 2016). For the first time, we have identified classic COTM features in seismic reflection data from the Southern Rovuma Basin, to the west and inboard of the DFZ. These suggest a NNW trend to the margin, consistent with the tectonic reconstructions. 2D gravity models, with the seabed and top basement constrained by seismic data, are used to investigate the Moho structure across the Rovuma margin and are best fit using steep 'transform style' geometries, confirming the nature of the margin. We thus model generic COTM geometries elsewhere along the East African and Madagascan transform margins to locate best-fitting positions for these conjugate COTMs. This analysis confirms that the COTMs follow a NNW trend along the Rovuma Basin and Southern Madagascar, respectively, and allows a restoration of the conjugate COTMs. This restoration is used alongside geological maps and satellite imagery from Madagascar and East Africa to refine early plate motions and further constrain the precise origin of Madagascar within Gondwana. Our refined plate tectonic model independently predicts major observations made from seismic reflection and gravity data across the basin, including: regions of major transpression/transtension along the DFZ, merging of fracture zones to form the DFZ, oceanic crust on either side of the DFZ and within the Tanzania coastal basin, and the location of an abandoned MOR within the Tanzania coastal basin. We believe that this study finally provides conclusive evidence that Madagascar originated from within the Tanzania Coastal Basin, inboard of the DFZ, after some 30 years of debate regarding this

  6. A process-level attribution of the annual cycle of surface temperature over the Maritime Continent (United States)

    Li, Yana; Yang, Song; Deng, Yi; Hu, Xiaoming; Cai, Ming


    The annual cycle of the surface temperature over the Maritime Continent (MC) is characterized by two periods of rapid warming in March-April and September-October, respectively, and a period of rapid cooling in June-July. Based upon an analysis of energy balance within individual atmosphere-surface columns, the seasonal variations of surface temperature in the MC are partitioned into partial temperature changes associated with various radiative and non-radiative (dynamical) processes. The seasonal variations in direct solar forcing and surface latent heat flux show the largest positive contributions to the annual cycle of MC surface temperature while the changes in oceanic dynamics (including ocean heat content change) work against the temperature changes related to the annual cycle. The rapid warming in March-April is mainly a result of the changes in atmospheric quick processes and ocean-atmosphere coupling such as water vapor, surface latent heat flux, clouds, and atmospheric dynamics while the contributions from direct solar forcing and oceanic dynamics are negative. This feature is in contrast to that associated with the warming in September-October, which is driven mainly by the changes in solar forcing with a certain amount of contributions from water vapor and latent heat flux change. More contribution from atmospheric quick processes and ocean-atmosphere coupling in March-April coincides with the sudden northward movement of deep convection belt, while less contribution from these quick processes and coupling is accompanied with the convection belt slowly moving southward. The main contributors to the rapid cooling in June-July are the same as those to the rapid warming in March-April, and the cooling is also negatively contributed by direct solar forcing and oceanic dynamics. The changes in water vapor in all three periods contribute positively to the change in total temperature and they are associated with the change in the location of the center of

  7. Physical Climatology of Indonesian Maritime Continent: An Overview of Observational Studies (United States)

    Yamanaka, M. D.


    The Indonesian maritime continent (IMC) is a miniature of our land-sea coexisting planet Earth. Firstly, without interior activity, the Earth becomes an even-surfaced "aqua-planet" with both atmosphere and ocean flowing almost zonally, and solar differential heating generates (global thermal tides and) Hadley's meridional circulations with ITCZ along the equator as observed actually over open (Indian and Pacific) oceans in the both sides of IMC. ITCZ involves intraseasonal variations or super cloud clusters moving eastward. Secondly, the lands and seas over the actual Earth have been keeping the area ratio of 3:7 (similar to that of islands and inland/surrounding seas in IMC), but their displacements have produced IMC near the equator, which turns equatorial Pacific easterly current northward (Kuroshio) and reflects equatorial oceanic waves inducing coupled ocean-atmosphere interannual variations such as ENSO and IOD, or displacements of Walker's zonal circulations. Thirdly, because IMC consists of many large/small islands with very long coastlines, many narrow straits become a dam for the global (Pacific to Indian) ocean circulation, and the land-sea heat capacity contrasts along the coastlines generate the world's largest rainfall with diurnal cycles (sea-land breeze circulations). The diurnal cycles are dominant in the rainy season (austral summer in Jawa and Bali), because rainfall-induced sprinkler-like land cooling reverses the trans-coastal temperature gradient before sunrise, and subsequent clear sky on land until around noon provides solar heating dependent on season. These processes lead to rapid land/hydrosphere-atmosphere water exchange, local air pollutant washout, and transequatorial boreal winter monsoon (cold surge). In El Niño years the cooler sea-surface temperature suppresses the morning coastal-sea rainfall, and induces often serious smog over IMC. Lastly, high-resolution observations/models covering both over islands and seas are necessary. A

  8. Physical climatology of Indonesian maritime continent: An outline to comprehend observational studies (United States)

    Yamanaka, Manabu D.


    The Indonesian maritime continent (IMC) is a miniature of our land-sea coexisting planet Earth. Firstly, without interior activity, the Earth becomes an even-surfaced "aqua-planet" with both atmosphere and ocean flowing almost zonally, and solar differential heating generates (global thermal tides and) Hadley's meridional circulations with the inter-tropical convergence zone (ITCZ) along the equator as observed actually over the open (Indian and Pacific) oceans on the both sides of the IMC. The ITCZ involves intraseasonal variations or super cloud clusters moving eastward with hierarchical substructures moving also westward. Secondly, the lands and seas over the actual Earth have been keeping the area ratio of 3:7 (similar to that of islands and inland/surrounding seas in the IMC), but their displacements have produced the IMC near the equator, which turns equatorial Pacific easterly ocean current northward (Kuroshio) and reflects equatorial oceanic waves that affect coupled ocean-atmosphere interannual variations such as ENSO and IOD, or displacements of Walker's zonal circulations. Thirdly, because the IMC consists of many large/small islands with very long coastlines, many narrow straits control the global (Pacific to Indian) ocean circulation, and the land-sea heat capacity contrasts along the coastlines generate the world's largest rainfall with diurnal cycles (sea-land breeze circulations). The diurnal cycles are dominant even in the rainy season (austral summer in Jawa and Bali), because rainfall-induced sprinkler-like land cooling reverses the trans-coastal temperature gradient before sunrise, and subsequent clear sky on land until around noon provides solar heating dependent on season. These processes lead to rapid land/hydrosphere-atmosphere water exchange, local air pollutant washout, and transequatorial boreal winter monsoon (cold surge). In El Niño years, for example, the cooler sea-surface temperature suppresses the morning coastal-sea rainfall, and

  9. The ocean-continent transition along the NW Moroccan margin - A new insight (United States)

    Block, M.; Reichert, C.; Berglar, K.; Schnabel, M.; Klingelhoefer, F.; Schnurle, P.


    In a joint effort a marine geoscientific survey off Morocco was conducted by BGR and Ifremer onboard the French R/V L'ATALANTE (MIRROR cruise in 2011) providing two grids of seismic profiles. In this paper we refer to the multi-channel seismic (MCS) reflection data of leg 2 (southern grid) between the latitudes of 30.5° and 33° N with a total length of 1,391 km. Basic objectives included to image the structure of the crust and to test rifting models in order to understand the nature of the continental margin of Morocco as well as the opening process of the Atlantic Ocean between NW Africa and Canada. Already an initial interpretation of the MCS data enabled the identification of major seismic unconformities and sequences, and their correlation with the two existing DSDP wells 415 and 416 revealing more details about the continent-ocean transition and its function in the plate tectonic history. Two main MCS profiles of the southern grid, which are spanning 300 km each, are running perpendicular to the slope, and traverse the shelf edge/break, the slope, the Essaouira Rise, and the Agadir Canyon, ending just over the abyssal plain. They are crossing three different structural units, a zone of rifted continental margin (Zone 1), a zone of initial seafloor spreading (Zone 2), and a zone of regular seafloor spreading as well as post-Cretaceous igneous activity (Zone 3). Zone 1 is composed (i) of huge rotated basement blocks located under the shelf and the uppermost slope, and (ii) of striking salt domes at the lowermost slope. Zone 2 is characterized by a sub-basement reflector with overlying tilted basement blocks. The sub-basement reflector trends generally horizontal and appears to be a detachment fault. At the seaward end of the profiles a Zone 3 can be distinguished. Its basement is imaged by reflectors typical for oceanic crust though they are only locally recognizable. In this zone volcanic remnants dominate the sedimentary record expressed by seismic images of

  10. Effectiveness of a new standardised Urinary Continence Physiotherapy Programme for community-dwelling older women in Hong Kong. (United States)

    Leong, B S; Mok, Nicola W


    To examine the effectiveness of a standardised Urinary Continence Physiotherapy Programme for older Chinese women with stress, urge, or mixed urinary incontinence. A controlled trial. Six elderly community health centres in Hong Kong. A total of 55 women aged over 65 years with mild-to-moderate urinary incontinence. Participants were randomly assigned to the intervention group (n=27) where they received eight sessions of Urinary Continence Physiotherapy Programme for 12 weeks. This group received education about urinary incontinence, pelvic floor muscle training with manual palpation and verbal feedback, and behavioural therapy. The control group (n=28) was given advice and an educational pamphlet on urinary incontinence. There was significant improvement in urinary symptoms in the intervention group, especially in the first 5 weeks. Compared with the control group, participants receiving the intervention showed significant reduction in urinary incontinence episodes per week with a mean difference of -6.4 (95% confidence interval, -8.9 to -3.9; t= -5.3; PIncontinence Impact Questionnaire Short Form modified Chinese (Taiwan) version. The subjective perception of improvement, measured by an 11-point visual analogue scale, was markedly better in the intervention group (mean, 8.7; standard deviation, 1.0; 95% confidence interval, 8.4-9.1) than in the control group (mean, 1.4; standard deviation, 0.7; 95% confidence interval, 1.2-1.7; t=33.9; Ptreatment satisfaction in the intervention group was 9.5 (standard deviation, 0.8) as measured by an 11-point visual analogue scale. This study demonstrated that the Urinary Continence Physiotherapy Programme was effective in alleviating urinary symptoms among older Chinese women with mild-to-moderate heterogeneous urinary incontinence.

  11. The demonstration of mythic at "The Continent I": the construction of the narrative to the characterization of the characters

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    Cristiane de Oliveira Eugenio


    Full Text Available Erico Verissimo was defined as a storyteller, one of the most popular writers of the twentieth century. Narrated in The Continent I, south of Rio Grande saga, not because he liked the literary regionalism, but seek to unravel the presence of an inner life in those inhabitants of the campaign. The author came to believe that those rough men were devoid of any psychological complexity, and that, to recreate two hundred years of history, these men become heroic characters. Based on the way that Erico Verissimo writes and is the saga Weather and Wind, this article takes as its point of research the main theme that will delimit the characteristics of men and their behavior within the narrative, leading the study of the Continent I of its construction, and its main characters, in the light of mythology. The analysis is reasoning the form used by Erico Verissimo the construction of the saga and the role of characters, blending history and fiction. Thus, as a literary matter, its mythical character offers a range of possibilities for analysis, especially the overlap between history and literature. This analysis has as main objective to identify the existence of a relationship between regional and universal mythology on the novel by Erico Verissimo, identifying the times when the historical narrative and mythological establish a dialogical character, thus leading to observation of possible features and objects make reference to the main characters of The Continent I with the mythical universe. The understanding of myth in society is not only realize a stage in the history of human thought, but understand that nowadays they are attached, and identify at what point the demonstrations, considered by some as exaggerations, should be recognized as human phenomena, because only when it considers such conduct under the historical-religious perspective is that such forms may prove to be phenomena of culture.

  12. Results of preoperative electrical stimulation of pelvic floor muscles in the continence status following radical retropubic prostatectomy

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    Carla Elaine Laurienzo


    Full Text Available Purpose To evaluate preoperative rectal electrical stimulation in the recovery of urinary continence in patients who undergo radical retropubic prostatectomy. Materials and Methods Patients were divided into 3 randomized groups: control, pelvic exercises, and electrical stimulation. A 1 hour pad-test, the ICIQ-SF, and the SF-36 were performed 1, 3, and 6 months after the surgical procedure. Results Of the 58 patients who were initially included in the study, 9 were excluded due to radiotherapy after surgical intervention, an indwelling urethral catheter for more than 30 days, high surgical risk, loss of follow-up, or incomplete participation in the study routines and spontaneous interruption. Forty-nine patients concluded the study (15 in the control group, 17 in the exercise group, and 17 in the electrical stimulation group. We did not observe any significant difference in the pad test (p > 0.05, the 8 domains of the SF-36, or ICIQ-SF score compared with control groups (control, exercise, and electrical stimulation. Conclusion Preoperative rectal electrical stimulation has no impact on continence status in patients who undergo radical retropubic prostatectomy. There is no difference in the three above mentioned groups with regard to urinary leakage and quality of life.

  13. Projected warming portends seasonal shifts of stream temperatures in the Crown of the Continent Ecosystem, USA and Canada (United States)

    Jones, Leslie A.; Muhlfeld, Clint C.; Marshall, Lucy A.


    Climate warming is expected to increase stream temperatures in mountainous regions of western North America, yet the degree to which future climate change may influence seasonal patterns of stream temperature is uncertain. In this study, a spatially explicit statistical model framework was integrated with empirical stream temperature data (approximately four million bi-hourly recordings) and high-resolution climate and land surface data to estimate monthly stream temperatures and potential change under future climate scenarios in the Crown of the Continent Ecosystem, USA and Canada (72,000 km2). Moderate and extreme warming scenarios forecast increasing stream temperatures during spring, summer, and fall, with the largest increases predicted during summer (July, August, and September). Additionally, thermal regimes characteristic of current August temperatures, the warmest month of the year, may be exceeded during July and September, suggesting an earlier and extended duration of warm summer stream temperatures. Models estimate that the largest magnitude of temperature warming relative to current conditions may be observed during the shoulder months of winter (April and November). Summer stream temperature warming is likely to be most pronounced in glacial-fed streams where models predict the largest magnitude (> 50%) of change due to the loss of alpine glaciers. We provide the first broad-scale analysis of seasonal climate effects on spatiotemporal patterns of stream temperature in the Crown of the Continent Ecosystem for better understanding climate change impacts on freshwater habitats and guiding conservation and climate adaptation strategies.

  14. Home exercises for pelvic floor in continent women one year after physical therapy treatment for urinary incontinence: an observational study. (United States)

    Krüger, Ana P; Luz, Soraia C T; Virtuoso, Janeisa F


    To describe the results of home exercise targeting the pelvic floor in continent women one year after the end of a physical therapy treatment for the following outcomes: functional assessment of the pelvic floor and urinary incontinence. This is an observational study that evaluated fifteen women one year after physical therapy treatment for Stress Urinary Incontinence (SUI). The outcomes for this study were: situations of urinary loss, use of daily protection, practice of home exercises for the pelvic floor, functional assessment of the pelvic floor (FAPF) and patient satisfaction. We also investigated some confounding variables such as hormonal status, number of vaginal deliveries and previous history of episiotomy. One year after completion of physical therapy treatment, we observed that the FAPF median remained stable over time (Median=5, p=0.08). The presence of urinary incontinence was reported by 40% of women in the sample, however, was characterized as mild (i.e. not requiring the use of daily protection). There was also a significant association (p=0.001) between the completion of home exercises (twice or more per week) and the normal clinical status. Confounding variables, which could compromise the clinical status, showed no significant association with the outcomes (p≥0.05). Home exercises contributed to the maintenance of continence following a physical therapy treatment.

  15. Staphylococcus aureus in Animals and Food: Methicillin Resistance, Prevalence and Population Structure. A Review in the African Continent

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    Carmen Lozano


    Full Text Available The interest about Staphylococcus aureus (S. aureus and methicillin resistant S. aureus (MRSA in livestock, and domestic and wild animals has significantly increased. The spread of different clonal complexes related to livestock animals, mainly CC398, and the recent description of the new mecC gene, make it necessary to know more about the epidemiology and population structure of this microorganism all over the world. Nowadays, there are several descriptions about the presence of S. aureus and/or MRSA in different animal species (dogs, sheep, donkeys, bats, pigs, and monkeys, and in food of animal origin in African countries. In this continent, there is a high diversity of ethnicities, cultures or religions, as well as a high number of wild animal species and close contact between humans and animals, which can have a relevant impact in the epidemiology of this microorganism. This review shows that some clonal lineages associated with humans (CC1, CC15, CC72, CC80, CC101, and CC152 and animals (CC398, CC130 and CC133 are present in this continent in animal isolates, although the mecC gene has not been detected yet. However, available studies are limited to a few countries, very often with incomplete information, and many more studies are necessary to cover a larger number of African countries.

  16. Training through gametherapy promotes coactivation of the pelvic floor and abdominal muscles in young women, nulliparous and continents

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    Valeria Regina Silva

    Full Text Available ABSTRACT Introduction and objectives: Several studies have been investigated co-activation can enhance the effectveness of PFM training protocols allowing preventive and therapeutic goals in pelvic floor dysfunctions. The objective of the present study was to investigate if an abdominal-pelvic protocol of training (APT using gametherapy would allow co-activation of PFM and transversus abdominis/oblique internal (TrA/OI muscles. Patients and methods: Twenty-five nulliparous, continent, young females, with median age 24.76 (±3.76 years were evaluated using digital palpation (DP of PFM and surface electromyography of PFM and TrA/OI simultaneously, during maximal voluntary contraction (MVC, alternating PFM and TrA/OI contraction requests. All women participated on a supervised program of APT using gametherapy, that included exercises of pelvic mobilization associated to contraction of TrA/OI muscles oriented by virtual games, for 30 minutes, three times a week, in a total of 10 sessions. Electromyographic data were processed and analyzed by ANOVA - analysis of variance. Results: When MVC of TrA/OI was solicited, it was observed simultaneous increase of electromyographic activity of PFM (p=0.001 following ATP. However, EMG activity did not change significantly during MVC of PFM. Conclusion: Training using gametherapy allowed better co-activation of pelvic floor muscles in response to contraction of TrA, in young nulliparous and continent women.

  17. Cases of white piedra of the hair on the American continent: a case report and a systematic literature review. (United States)

    Ramírez-Soto, Max Carlos; Andagua-Castro, J; Quispe, Maria Antonieta; Aguilar-Ancori, Elsa G


    White piedra of the hair is a rare superficial fungal infection caused by several Trichosporon spp. 1 It typically manifests as white to light brown hard nodules, firmly attached to frontal, occipital, and parietal scalp hair. 1-9 The incidence of white piedra varies from country to country, and men and women of all ages are affected. 1 In Latin America, children and women appear to be the most affected with white piedra of the hair. 1-9 Given the variability of causative agents and the paucity of literature, very little is known about the geographical distribution of white piedra of the hair in American continent countries to help understand its epidemiology and aid in its diagnosis and treatment. In this report, we describe a case of white piedra of the hair in a Peruvian woman. We also conducted a systematic literature review of all case reports of white piedra on the American continent, with a view to determining the geographical distribution of the condition and identifying Trichosporon spp. commonly associated with this infection. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  18. Geological Structures Appearances and Its Relation to Mechanism of Arc-Continent Collision Northen Alor-Wetar Islands

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    Subarsyah Subarsyah


    Full Text Available Study area is located in South Banda Basin near the triple junction between Eurasian, Pacific and Indo-Australian Plates. This area is part of back-arc thrusting zone that evolved to compensate convergence between Australia Continent and Banda Arc. Based on seismic section in this area, geological structure analysis is characterized into three distinctive zones. There are Thrust Zone (TZ, Proto Thrust Zone (PTZ and Normal Fault Zone (NFZ. TZ is defined by distribution of numerous of thrust fault, PTZ contains a blind zone or folds instead of thrust fault, and NFZ defined by distribution of numerous normal fault in the upper portion of seismic section. PTZ identified at several seismic section along the bending zone of oceanic crust. The appearances of bending zone will be easily understood by comprehend the driving mechanism of Australia Continent to the Northeast. The bending zone also related to geometry and tectonic stress of collision. Based on this mechanism it was clearly understood why the western end of study area was not identified the bending zone but it probably the initial process of bending. Contradictive to the western end, the eastern part was clearly shown the bending zone that assumed to have the biggest tectonic stress at this moment. Map of structural analysis also explain that PTZ getting narrow towards the west as the indicator of less of tectonic stress.

  19. Geographic distribution of the mid-continent population of sandhill cranes and related management applications (United States)

    Krapu, Gary L.; Brandt, David A.; Jones, Kenneth L.; Johnson, Douglas H.


    The Mid-continent Population (MCP) of sandhill cranes (Grus canadensis) is widely hunted in North America and is separated into the Gulf Coast Subpopulation and Western Subpopulation for management purposes. Effective harvest management of the MCP requires detailed knowledge of breeding distribution of subspecies and subpopulations, chronology of their use of fall staging areas and wintering grounds, and exposure to and harvest from hunting. To address these information needs, we tagged 153 sandhill cranes with Platform Transmitting Terminals (PTTs) during 22 February–12 April 1998–2003 in the Central and North Platte River valleys of south-central Nebraska. We monitored PTT-tagged sandhill cranes, hereafter tagged cranes, from their arrival to departure from breeding grounds, during their fall migration, and throughout winter using the Argos satellite tracking system. The tracking effort yielded 74,041 useable locations over 49,350 tag days; median duration of tracking of individual cranes was 352 days and 73 cranes were tracked >12 months. Genetic sequencing of mitochondrial DNA (mtDNA) from blood samples taken from each of our random sample of tagged cranes indicated 64% were G. c. canadensis and 34% were Grus canadensis tabida. Tagged cranes during the breeding season settled in northern temperate, subarctic, and arctic North America (U.S. [23%, n = 35], Canada [57%, n = 87]) and arctic regions of northeast Asia (Russia [20%, n = 31]). Distribution of tagged cranes by breeding affiliation was as follows: Western Alaska–Siberia (WA–S, 42 ± 4% [SE]), northern Canada–Nunavut (NC–N, 21 ± 4%), west-central Canada–Alaska (WC–A, 23 ± 4%) and East-central Canada–Minnesota (EC–M, 14 ± 3%). All tagged cranes returned to the same breeding affiliation used during the previous year with a median distance of 1.60 km (range: 0.08–7.7 km, n = 53) separating sites used in year 1 and year 2. Fall staging occurred

  20. Reprodutibilidade interobservador da classificação da distopia genital proposta pela Sociedade Internacional de Continência Interobserver reproducibility of pelvic organ prolapse classification suggested by the International Continence Society

    Directory of Open Access Journals (Sweden)

    Paulo Cezar Feldner Jr


    Full Text Available OBJETIVO: testar a reprodutibilidade entre observadores das medidas e do estádio da distopia genital pela classificação do prolapso pélvico feminino preconizada pela Sociedade Internacional de Continência (ICS. MÉTODOS: foram avaliadas 51 pacientes atendidas no setor de Uroginecologia e Cirurgia Vaginal do Departamento de Ginecologia da UNIFESP/EPM durante investigação uroginecológica. Descrevemos a localização dos pontos propostos pela classificação da ICS, sendo dois na parede vaginal anterior, dois no ápice vaginal, dois na parede vaginal posterior, além do hiato genital, corpo perineal e comprimento vaginal total. A seguir, realizamos o estadiamento da distopia genital baseada nesta classificação. O procedimento foi realizado por dois investigadores diferentes sem contato prévio entre eles. A reprodutibilidade das nove medidas sítio-específicas e do estádio final foi analisada pela correlação de Pearson e a média dos pontos específicos pelo teste de t-pareado. RESULTADOS: houve correlação significativa e substancial para as medidas avaliadas. O índice de correlação para o ponto Aa foi de 0,89 (pPURPOSE: to determine interobserver reliability of site-specific measurements and stages according to the proposed International Continence Society prolapse terminology document. METHODS: we analyzed 51 women during urogynecological investigation performed at the Urogynecology and Vaginal Surgery Sector of UNIFESP / EPM. We recorded the locations of point-specific measures proposed by the International Continence Society (ICS. They are: two in the anterior vaginal wall, two in the superior vagina, two in the posterior vaginal wall, genital hiatus, perineal body and total vaginal length. Then we recorded the stage of genital prolapse. Women underwent pelvic examinations by two investigators, each blinded to the results of the other's examination. The reproducibility of the nine site-specific measurements and the summary

  1. The role of interventional radiology in the management of intra-and extra-Peritoneal leakage in patients who have undergone continent urinary diversion

    International Nuclear Information System (INIS)

    Bodner, Leonard; Nosher, John L.; Siegel, Randall; Russer, Tadeus; Cummings, Kenneth; Kraus, Stephen


    Purpose. To assess how radiologic intervention altered the hospital course of patients undergoing continent urinary diversion. Methods. Thirty-seven consecutive patients with bladder cancer invading the muscular layer were treated with total cystectomy and construction of a continent urinary reservoir. Eleven of 37 patients suffered early and late anastomotic leakage; six had prolonged extraperitoneal leakage at the urethroenteric anastomosis, three had prolonged intraperitoneal pouch leaks, and two had delayed ureteroenteric leaks. Seven of these patients required radiologic intervention.Results. Intervention in the form of drainage catheter manipulation (n=4), percutaneous nephrostomy (n=4), or ureteral stent placement (n=2) resulted in cessation of leakage without surgical intervention in all seven patients. Intraperitoneal pouch leaks were more difficult to control than extraperitoneal leakage and required longer drainage intervals.Conclusion. Interventional radiologic procedures played a key role in the management of continent urinary diversion complications obviating the need for repeat surgical intervention in all instances

  2. Penile vibratory stimulation in the recovery of urinary continence and erectile function after nerve-sparing radical prostatectomy

    DEFF Research Database (Denmark)

    Fode, Mikkel; Borre, Michael; Ohl, Dana A


    OBJECTIVE: To examine the effect of penile vibratory stimulation (PVS) in the preservation and restoration of erectile function and urinary continence in conjunction with nerve-sparing radical prostatectomy (RP). PATIENTS AND METHODS: The present study was conducted between July 2010 and March 2013...... were instructed in using a PVS device (FERTI CARE(®) vibrator). Stimulation was performed at the frenulum once daily by the patients in their own homes for at least 1 week before surgery. After catheter removal, daily PVS was re-initiated for a period of 6 weeks. Participants were evaluated at 3, 6...... for analyses (30 patients randomized to PVS and 38 patients randomized to the control group). The IIEF-5 score was highest in the PVS group at all time points after surgery with a median score of 18 vs 7.5 in the control group at 12 months (P = 0.09), but the difference only reached borderline significance...

  3. The International Continence Society (ICS) urinary incontinence definition: is the social and hygienic aspect appropriate for etiologic research?

    DEFF Research Database (Denmark)

    Foldspang, Anders; Mommsen, Søren


    (ICS) incontinence definition presents intrinsic logical problems that invalidates its use in biomedical, if not in sociomedical, research. As definition and medical decision are different concepts, this does not necessarily affect the potential utility of the problem assessment aspect when used......OBJECTIVE: To investigate the effect of applying a problem assessment versus a pure symptom urinary incontinence (UI) caseness definition in etiologic research. SUBJECTS: A random population sample of 2613 women aged 30-59 years, who responded to a postal questionnaire. MAIN PARAMETERS: One...... it a social or hygienic problem, and 21.9% had ever abstained socially because of UI. Applying a problem assessment caseness definition caused under-estimation of the role of childbirth, as compared with analyses including a pure symptom caseness definition. CONCLUSION: The International Continence Society...

  4. An empirical investigation on different methods of economic growth rate forecast and its behavior from fifteen countries across five continents (United States)

    Yin, Yip Chee; Hock-Eam, Lim


    Our empirical results show that we can predict GDP growth rate more accurately in continent with fewer large economies, compared to smaller economies like Malaysia. This difficulty is very likely positively correlated with subsidy or social security policies. The stage of economic development and level of competiveness also appears to have interactive effects on this forecast stability. These results are generally independent of the forecasting procedures. Countries with high stability in their economic growth, forecasting by model selection is better than model averaging. Overall forecast weight averaging (FWA) is a better forecasting procedure in most countries. FWA also outperforms simple model averaging (SMA) and has the same forecasting ability as Bayesian model averaging (BMA) in almost all countries.

  5. Increasing Potential Risk of a Global Aquatic Invader in Europe in Contrast to Other Continents under Future Climate Change (United States)

    Liu, Xuan; Guo, Zhongwei; Ke, Zunwei; Wang, Supen; Li, Yiming


    Background Anthropogenically-induced climate change can alter the current climatic habitat of non-native species and can have complex effects on potentially invasive species. Predictions of the potential distributions of invasive species under climate change will provide critical information for future conservation and management strategies. Aquatic ecosystems are particularly vulnerable to invasive species and climate change, but the effect of climate change on invasive species distributions has been rather neglected, especially for notorious global invaders. Methodology/Principal Findings We used ecological niche models (ENMs) to assess the risks and opportunities that climate change presents for the red swamp crayfish (Procambarus clarkii), which is a worldwide aquatic invasive species. Linking the factors of climate, topography, habitat and human influence, we developed predictive models incorporating both native and non-native distribution data of the crayfish to identify present areas of potential distribution and project the effects of future climate change based on a consensus-forecast approach combining the CCCMA and HADCM3 climate models under two emission scenarios (A2a and B2a) by 2050. The minimum temperature from the coldest month, the human footprint and precipitation of the driest quarter contributed most to the species distribution models. Under both the A2a and B2a scenarios, P. clarkii shifted to higher latitudes in continents of both the northern and southern hemispheres. However, the effect of climate change varied considerately among continents with an expanding potential in Europe and contracting changes in others. Conclusions/Significance Our findings are the first to predict the impact of climate change on the future distribution of a globally invasive aquatic species. We confirmed the complexities of the likely effects of climate change on the potential distribution of globally invasive species, and it is extremely important to develop

  6. Candida albicans colonisation, continence status and incontinence-associated dermatitis in the acute care setting: a pilot study. (United States)

    Campbell, Jill L; Coyer, Fiona M; Mudge, Alison M; Robertson, Ivan M; Osborne, Sonya R


    Candida albicans is the most prevalent human fungal commensal organism and is reported to be the most frequent aetiological organism responsible for infection associated with incontinence-associated dermatitis. However, it remains unclear whether incontinence predisposes a patient to increased Candida colonisation or whether incontinence acts as a trigger for Candida infection in those already colonised. The purpose of this observational cross-sectional study was to estimate colonisation rates of C. albicans in continent, compared to incontinent patients, and patients with incontinence-associated dermatitis. Data were collected on 81 inpatients of a major Australian hospital and included a pelvic skin inspection and microbiological specimens to detect C. Albicans at hospital admission. The mean age of the sample was 76 years (SD = 12.22) with 53% being male. Incontinent participants (n = 53) had a non-significant trend towards greater Candida colonisation rates at the perianal site (43% versus 28%) χ 2 (1, N = 81) = 4·453, p = ·638 and the inguinal site (24% versus 14%) χ 2 (1, N = 81) = 6·868, p = ·258 compared to continent patients (n = 28). The incontinent subgroup with incontinence-associated dermatitis (n = 22) showed no difference in colonisation rates compared to those without incontinence-associated dermatitis. Understanding the epidemiology of colonisation may have implications for the prevention of Candida infection in these patients. © 2016 Inc and John Wiley & Sons Ltd.

  7. Differences in pelvic floor morphology between continent, stress urinary incontinent, and mixed urinary incontinent elderly women: An MRI study. (United States)

    Pontbriand-Drolet, Stéphanie; Tang, An; Madill, Stephanie J; Tannenbaum, Cara; Lemieux, Marie-Claude; Corcos, Jacques; Dumoulin, Chantale


    To compare magnetic resonance imaging (MRI) of the pelvic floor musculature (PFM), bladder neck and urethral sphincter morphology under three conditions (rest, PFM maximal voluntary contraction (MVC), and straining) in older women with symptoms of stress (SUI) or mixed urinary incontinence (MUI) or without incontinence. This 2008-2012 exploratory observational cohort study was conducted with community-dwelling women aged 60 and over. Sixty six women (22 per group), mean age of 67.7 ± 5.2 years, participated in the study. A 3 T MRI examination was conducted under three conditions: rest, PFM MVC, and straining. ANOVA or Kruskal-Wallis tests (data not normally distributed) were conducted, with Bonferroni correction, to compare anatomical measurements between groups. Women with MUI symptoms had a lower PFM resting position (M-Line P = 0.010 and PC/H-line angle P = 0.026) and lower pelvic organ support (urethrovesical junction height P = 0.013) than both continent and SUI women. Women with SUI symptoms were more likely to exhibit bladder neck funneling and a larger posterior urethrovesical angle at rest than both continent and MUI women (P = 0.026 and P = 0.008, respectively). There were no significant differences between groups on PFM MVC or straining. Women with SUI and MUI symptoms present different morphological defects at rest. These observations emphasize the need to tailor UI interventions to specific pelvic floor defects and UI type in older women. Older women with UI demonstrate different problems with their pelvic organ support structures depending on the type of UI. These new findings should be taken into consideration for future research into developing new treatment strategies for UI in older women. Neurourol. Urodynam. 35:515-521, 2016. © 2015 Wiley Periodicals, Inc. © 2015 Wiley Periodicals, Inc.

  8. Genetically depauperate in the continent but rich in oceanic islands: Cistus monspeliensis (Cistaceae in the Canary Islands.

    Directory of Open Access Journals (Sweden)

    Mario Fernández-Mazuecos

    Full Text Available BACKGROUND: Population genetic theory holds that oceanic island populations are expected to have lower levels of genetic variation than their mainland counterparts, due to founder effect after island colonization from the continent. Cistus monspeliensis (Cistaceae is distributed in both the Canary Islands and the Mediterranean region. Numerous phylogenetic results obtained in the last years allow performing further phylogeographic analyses in Cistus. METHODOLOGY/PRINCIPAL FINDINGS: We analyzed sequences from multiple plastid DNA regions in 47 populations of Cistus monspeliensis from the Canary Islands (21 populations and the Mediterranean basin (26 populations. The time-calibrated phylogeny and phylogeographic analyses yielded the following results: (1 a single, ancestral haplotype is distributed across the Mediterranean, whereas 10 haplotypes in the Canary Islands; (2 four haplotype lineages are present in the Canarian Islands; (3 multiple colonization events across the archipelago are inferred; (4 the earliest split of intraspecific lineages occurred in the Early to Middle Pleistocene (<930,000 years BP. CONCLUSIONS/SIGNIFICANCE: The contrasting pattern of cpDNA variation is best explained by genetic bottlenecks in the Mediterranean during Quaternary glaciations, while the Canarian archipelago acted as a refugium of high levels of genetic diversity. Active colonization across the Canarian islands is supported not only by the distribution of C. monspeliensis in five of the seven islands, but also by our phylogeographic reconstruction in which unrelated haplotypes are present on the same island. Widespread distribution of thermophilous habitats on every island, as those found throughout the Mediterranean, has likely been responsible for the successful colonization of C. monspeliensis, despite the absence of a long-distance dispersal mechanism. This is the first example of a plant species with higher genetic variation among oceanic island

  9. Relationship of Wound, Ostomy, and Continence Certified Nurses and Healthcare-Acquired Conditions in Acute Care Hospitals. (United States)

    Boyle, Diane K; Bergquist-Beringer, Sandra; Cramer, Emily

    The purpose of this study was to describe the (a) number and types of employed WOC certified nurses in acute care hospitals, (b) rates of hospital-acquired pressure injury (HAPI) and catheter-associated urinary tract infection (CAUTI), and (c) effectiveness of WOC certified nurses with respect to lowering HAPI and CAUTI occurrences. Retrospective analysis of data from National Database of Nursing Quality Indicators. The sample comprised 928 National Database of Nursing Quality Indicators (NDNQI) hospitals that participated in the 2012 NDNQI RN Survey (source of specialty certification data) and collected HAPI, CAUTI, and nurse staffing data during the years 2012 to 2013. We analyzed years 2012 to 2013 data from the NDNQI. Descriptive statistics summarized the number and types of employed WOC certified nurses, the rate of HAPI and CAUTI, and HAPI risk assessment and prevention intervention rates. Chi-square analyses were used to compare the characteristics of hospitals that do and do not employ WOC certified nurses. Analysis-of-covariance models were used to test the association between WOC certified nurses and HAPI and CAUTI occurrences. Just more than one-third of the study hospitals (36.6%) employed WOC certified nurses. Certified continence care nurses (CCCNs) were employed in fewest number. Hospitals employing wound care specialty certified nurses (CWOCN, CWCN, and CWON) had lower HAPI rates and better pressure injury risk assessment and prevention practices. Stage 3 and 4 HAPI occurrences among hospitals employing CWOCNs, CWCNs, and CWONs (0.27%) were nearly half the rate of hospitals not employing these nurses (0.51%). There were no significant relationships between nurses with specialty certification in continence care (CWOCN, CCCN) or ostomy care (CWOCN, COCN) and CAUTI rates. CWOCNs, CWCNs, and CWONs are an important factor in achieving better HAPI outcomes in acute care settings. The role of CWOCNs, CCCNs, and COCNs in CAUTI prevention warrants further

  10. Estimating regional terrestrial carbon fluxes for the Australian continent using a multiple-constraint approach. I. Using remotely sensed data and ecological observations of net primary production

    International Nuclear Information System (INIS)

    Ying Ping Wang; Barrett, Damian J.


    We have developed a modelling framework that synthesizes various types of field measurements at different spatial and temporal scales. We used this modelling framework to estimate monthly means and their standard deviations of gross photosynthesis, total ecosystem production, net primary production (NPP) and net ecosystem production (NEP) for eight regions of the Australian continent between 1990 and 1998. Annual mean NPP of the Australian continent varied between 800 and 1100 Mt C/yr between 1990 and 1998, with a coefficient of variation that is defined as the ratio of standard deviation and mean between 0.24 and 0.34. The seasonal variation of NPP for the whole continent varied between 50 and 110 Mt C/month with two maxima, one in the autumn and another in the spring. NEP was most negative in the winter (a carbon sink) and was most positive (a carbon source) in the summer. However, the coefficient of variation of monthly mean NEP was very large (> 4), and consequently confidence in the predicted net carbon fluxes for any month in the period 1990-1998 for the whole continent was very low. A companion paper will apply atmospheric inverse technique to measurements of CO 2 concentration to further constrain the continental carbon cycle and reduce uncertainty in estimated mean monthly carbon fluxes

  11. Annotated Bibliography of Children's Literature Resources on War, Terrorism, and Disaster since 1945: By Continents/Countries for Grades K-8 (United States)

    Gangi, Jane M.


    This article presents an annotated bibliography of children's literature resources on war, terrorism, and disaster since 1945. This annotated bibliography focuses on grades K-8 from different continents/countries, including (1) Africa; (2) Asia; (3) The Caribbean; (4) Central and South America; (5) Europe; and (6) The Middle East.

  12. A harbinger of plate tectonics: a commentary on Bullard, Everett and Smith (1965) 'The fit of the continents around the Atlantic'. (United States)

    Dewey, John F


    In the 1960s, geology was transformed by the paradigm of plate tectonics. The 1965 paper of Bullard, Everett and Smith was a linking transition between the theories of continental drift and plate tectonics. They showed, conclusively, that the continents around the Atlantic were once contiguous and that the Atlantic Ocean had grown at rates of a few centimetres per year since the Early Jurassic, about 160 Ma. They achieved fits of the continental margins at the 500 fathom line (approx. 900 m), not the shorelines, by minimizing misfits between conjugate margins and finding axes, poles and angles of rotation, using Euler's theorem, that defined the unique single finite difference rotation that carried congruent continents from contiguity to their present positions, recognizing that the real motion may have been more complex around a number of finite motion poles. Critically, they were concerned only with kinematic reality and were not restricted by considerations of the mechanism by which continents split and oceans grow. Many of the defining features of plate tectonics were explicit or implicit in their reconstructions, such as the torsional rigidity of continents, Euler's theorem, closure of the Tethyan ocean(s), major continental margin shear zones, the rapid rotation of small continental blocks (Iberia) around nearby poles, the consequent opening of small wedge-shaped oceans (Bay of Biscay), and misfit overlaps (deltas and volcanic piles) and underlaps (stretched continental edges). This commentary was written to celebrate the 350th anniversary of the journal Philosophical Transactions of the Royal Society.

  13. Reduction of Risk in Exploration and Prospect Generation through a Multidisciplinary Basin-Analysis Program in the South-Central Mid-Continent Region

    Energy Technology Data Exchange (ETDEWEB)

    Banerjee, S.; Barker, C.; Fite, J.; George, S.; Guo, Genliang; Johnson, W.; Jordan, J., Szpakiewicz, M.; Person, M.; Reeves, T.K.; Safley, E.; Swenson, J.B.; Volk, L.; and Erickson, R.


    This report will discuss a series of regional studies that were undertaken within the South-Central Mid-Continent region of the U.S. Coverage is also provided about a series of innovative techniques that were used for this assessment.

  14. Impact of the International Continence Society (ICS) report on the standardisation of terminology in nocturia on the quality of reports on nocturia and nocturnal polyuria : a systematic review

    NARCIS (Netherlands)

    Hofmeester, Ilse; Kollen, Boudewijn J.; Steffens, Martijn G.; Bosch, J. L. H. Ruud; Drake, Marcus J.; Weiss, Jeffrey P.; Blanker, Marco H.

    Objective To systematically review and evaluate the impact of the International Continence Society (ICS)-2002 report on standardisation of terminology in nocturia, on publications reporting on nocturia and nocturnal polyuria (NP). In 2002, the ICS defined NP as a Nocturnal Polyuria Index (nocturnal

  15. Sublatitudinal Isotope Heterogeneity of The Atlantic and Adjacent Continents: A Relation To The Litospheric Plates and Superplums (United States)

    Mironov, Yu. V.; Ryakhovsky, V. M.; Pustovoy, A. A.; Lapidus, I. V.

    Four Sr-Nd-Pb isotope sublatitudinal provinces are chosen in the Atlantic and on ad- jacent continents. They include mid-ocean ridges, oceanic rises and islands, as well as Late Mesozoic - Cenozoic continental rifts and traps. A modified Zindler-Hart "man- tle tetrahedron" (1986) have been used for rock systematics. Its major classification element alongside with known end-members (DM, HIMU, EM1, EM2) is any in- tratetrahedron component F ("focal") (Mironov et al., 2000; Rundquist et al., 2000; Ryakhovsky, 2000). It represents average characteristic of all known intratetrahedron components (FOZO, C, PREMA etc.), updated by methods of multidimensional statis- tics. Northern province includes Mid-Atlantic Ridge from a southern part of Reykjanes ridge up to 24S, numerous islands and rises, located at the same latitudes, Cameroon Line, African and European rifts, Aden and Red sea spreading centres, and also Co- mores in Indian ocean. The main composition dispersion of volcanics from withinplate oceanic and continental structures is determined by mixture of F and HIMU (rarely with admixture EM2). MORB within this area are characterized by stable admixture HIMU. Similar composition have the rocks in Bouvet-Antarctic province, within the limits of which the rises Spiss and Shona, the most southern part of Mid-Atlantic ridge, island Bouvet, an adjacent part of Southwest-Indian Ridge, and also traps and rifts on northern coast of Antarctic Continent are located. The Southern province lies in outlines of known Southern hemisphere DUPAL-anomaly (Hart, 1984). The with- inplate oceanic rocks (Gough, Tristan-da-Kunha, Walvis ridge, Rio Grande Plateau, Discovery) correspond to a mixture F + EM1 (sometimes F + EM1 + EM2) and are similar with traps of Southern America and Africa. Further to east this province is traced on islands and mid-ocean ridges in Indian ocean. MORB of Southern Atlantic and Indian ocean are enriched EM1. The Arctic province includes spreading ridges of

  16. Impact of complete bladder neck preservation on urinary continence, quality of life and surgical margins after radical prostatectomy: a randomized, controlled, single blind trial. (United States)

    Nyarangi-Dix, Joanne N; Radtke, Jan Philipp; Hadaschik, Boris; Pahernik, Sascha; Hohenfellner, Markus


    We investigated the influence of bladder neck preservation on urinary continence, quality of life and surgical margins after radical prostatectomy. A total of 208 men who presented for radical prostatectomy were randomized to complete bladder neck preservation with subsequent urethro-urethral anastomosis or to no preservation as controls. Patients with failed bladder neck preservation were not included in study. We documented objective continence by the 24-hour pad test, social continence by the number of pads per day and quality of life outcomes by the validated Incontinence Quality of Life questionnaire in a single blind setting. Cancer resection was assessed by surgical margin status. At 0, 3, 6 and 12 months mean urine loss in the control vs the bladder neck preservation group was 713.3 vs 237.0, 49.6 vs 15.6, 44.4 vs 5.5 and 25.4 vs 3.1 gm, respectively (each p <0.001). At 3, 6 and 12 months in the control vs the preservation group the social continence rate was 55.3% vs 84.2% (p <0.001), 74.8% vs 89.5% (p = 0.05) and 81.4% vs 94.7% (p = 0.027), and the quality of life score was 80.4 vs 90.3 (p <0.001), 85.4 vs 91.7 (p = 0.016) and 86.0 vs 93.8 (p = 0.001), respectively. We noted significantly less urine loss, higher objective and social continence rates, and higher quality of life scores after complete bladder neck preservation at all followup points. On multiple logistic regression analysis complete bladder neck preservation was an independent positive predictor of continence. No significant difference was found in surgical margin status between the control and bladder neck preservation groups (12.5% vs 14.7%, p = 0.65). In what is to our knowledge the first prospective, randomized, controlled, single blind trial complete bladder neck preservation during radical prostatectomy was associated with a significantly higher urinary continence rate and increased patient satisfaction without compromising resection margins. Copyright © 2013 American Urological

  17. Continent of pessimism or continent of realism? A multilevel study into the impact of macro-economic outcomes and political institutions on societal pessimism, European Union 2006-2012. (United States)

    Steenvoorden, Eefje H; van der Meer, Tom Wg


    The often-posed claim that Europe is a pessimistic continent is not unjustified. In 2012, 53 percent of European Union (EU) citizens were pessimistic about their country. Surprisingly, however, societal pessimism has received very little scientific attention. In this article, we examine to what extent political and economic factors drive societal pessimism. In terms of political factors, we expect that supranationalization, political instability, and corruption increase societal pessimism, as they diminish national political power and can inspire collective powerlessness. Economically, we expect that the retrenchment of welfare state provisions and economic decline drive societal pessimism, as these developments contribute to socioeconomic vulnerability. We assess the impact of these political and economic factors on the level of societal pessimism in the EU, both cross-nationally and over time, through multilevel analyses of Eurobarometer data (13 waves between 2006 and 2012 in 23 EU countries). Our findings show that the political factors (changes in government, corruption) primarily explain cross-national differences in societal pessimism, while the macro-economic context (economic growth, unemployment) primarily explains longitudinal trends within countries. These findings demonstrate that, to a large extent, societal pessimism cannot be viewed separately from its political and economic context.

  18. Long-term functional outcomes after radical cystectomy with ileal bladder substitute: does the definition of continence matter? (United States)

    Liedberg, Fredrik; Ahlgren, Göran; Baseckas, Gediminas; Gudjonsson, Sigurdur; Håkansson, Ulf; Lindquist, Sara; Löfgren, Annica; Patschan, Oliver; Siller, Carina; Sjödahl, Gottfrid


    Functional outcomes after ileal bladder substitution reflect the expectations of future patients at a particular centre. The aim of this study was to use validated questionnaires and a pad-weighing test to investigate functional outcomes after neobladder reconstruction at long-term follow-up in patients at a single centre. During 2005 - 2015, 75 patients received a Studer ileal bladder substitute at the Department of Urology, Malmö. Forty-six of these patients were alive for follow-up and were evaluated using the pad-weighing test and the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI-SF), the Female Sexual Function Index (FSFI) and the International Index of Erectile Function (IIEF). Five of 37 evaluable patients (14%) were considered fully continent, reporting a pad-weighing test result of 0 g and an ICIQ-UI-SF score of 0. The median ICIQ-UI-SF score was 8 [interquartile range (IQR) 3-11], and seven patients (17%) were continent according to the ICIQ-UI-SF score only. In the pad-weighing test, 28 out of 37 patients (76%) reported 0 g day-time leakage whereas only 12 out of 37 patients (32%) reported 0 g night-time leakage. At follow-up, nine out of 39 (23%) of evaluable male patients were potent. The median ICIQ-UI-SF score was significantly lower during the second half of the study period [4 (IQR 0-8) vs 10 (IQR 6-14); p = .003]. The inverse applied to the median IIEF score [5 (IQR 3-12) vs 2 (IQR 1-4); p = .02]. Functional outcomes at long-term follow-up after radical cystectomy and Studer ileal bladder substitute were at best modest in this series. Better outcomes during the second half of the study period might be explained by improved patient selection and a refined surgical technique, but possibly also by longer follow-up of patients during the first half of the period resulting in a more pronounced time-dependent decline in functional outcomes.

  19. Multi-locus sequence typing of Bartonella henselae isolates from three continents reveals hypervirulent and feline-associated clones.

    Directory of Open Access Journals (Sweden)

    Mardjan Arvand

    Full Text Available Bartonella henselae is a zoonotic pathogen and the causative agent of cat scratch disease and a variety of other disease manifestations in humans. Previous investigations have suggested that a limited subset of B. henselae isolates may be associated with human disease. In the present study, 182 human and feline B. henselae isolates from Europe, North America and Australia were analysed by multi-locus sequence typing (MLST to detect any associations between sequence type (ST, host species and geographical distribution of the isolates. A total of 14 sequence types were detected, but over 66% (16/24 of the isolates recovered from human disease corresponded to a single genotype, ST1, and this type was detected in all three continents. In contrast, 27.2% (43/158 of the feline isolates corresponded to ST7, but this ST was not recovered from humans and was restricted to Europe. The difference in host association of STs 1 (human and 7 (feline was statistically significant (P< or =0.001. eBURST analysis assigned the 14 STs to three clonal lineages, which contained two or more STs, and a singleton comprising ST7. These groups were broadly consistent with a neighbour-joining tree, although splits decomposition analysis was indicative of a history of recombination. These data indicate that B. henselae lineages differ in their virulence properties for humans and contribute to a better understanding of the population structure of B. henselae.

  20. Cancer Incidence in Five Continents: Inclusion criteria, highlights from Volume X and the global status of cancer registration. (United States)

    Bray, F; Ferlay, J; Laversanne, M; Brewster, D H; Gombe Mbalawa, C; Kohler, B; Piñeros, M; Steliarova-Foucher, E; Swaminathan, R; Antoni, S; Soerjomataram, I; Forman, D


    Cancer Incidence in Five Continents (CI5), a longstanding collaboration between the International Agency for Research on Cancer and the International Association of Cancer Registries, serves as a unique source of cancer incidence data from high-quality population-based cancer registries around the world. The recent publication of Volume X comprises cancer incidence data from 290 registries covering 424 populations in 68 countries for the registration period 2003-2007. In this article, we assess the status of population-based cancer registries worldwide, describe the techniques used in CI5 to evaluate their quality and highlight the notable variation in the incidence rates of selected cancers contained within Volume X of CI5. We also discuss the Global Initiative for Cancer Registry Development as an international partnership that aims to reduce the disparities in availability of cancer incidence data for cancer control action, particularly in economically transitioning countries, already experiencing a rapid rise in the number of cancer patients annually. © 2015 UICC.

  1. Single cell analysis of innate cytokine responses to pattern recognition receptor stimulation in children across four continents (United States)

    Smolen, Kinga K; Cai, Bing; Fortuno, Edgardo S; Gelinas, Laura; Larsen, Martin; Speert, David P; Chamekh, Mustapha; Kollmann, Tobias R


    Innate immunity instructs adaptive immunity, and suppression of innate immunity is associated with increased risk for infection. We had previously shown that whole blood cellular components from a cohort of South African children secreted significantly lower levels of most cytokines following stimulation of pattern recognition receptors (PRR) as compared to whole blood from cohorts of Ecuadorian, Belgian, or Canadian children. To begin dissecting the responsible molecular mechanisms, we now set out to identify the relevant cellular source of these differences. Across the four cohorts represented in our study, we identified significant variation in the cellular composition of whole blood; however, significant reduction of the intracellular cytokine production on the single cell level was only detected in South African childrens’ monocytes, cDC, and pDC. We also uncovered a marked reduction in polyfunctionality for each of these cellular compartments in South African children as compared to children from other continents. Together our data identify differences in cell composition as well as profoundly lower functional responses of innate cells in our cohort of South African children. A possible link between altered innate immunity and increased risk for infection or lower response to vaccines in South African infants needs to be explored. PMID:25135829

  2. Contrasting carbon cycle responses of the tropical continents to the 2015-2016 El Niño. (United States)

    Liu, Junjie; Bowman, Kevin W; Schimel, David S; Parazoo, Nicolas C; Jiang, Zhe; Lee, Meemong; Bloom, A Anthony; Wunch, Debra; Frankenberg, Christian; Sun, Ying; O'Dell, Christopher W; Gurney, Kevin R; Menemenlis, Dimitris; Gierach, Michelle; Crisp, David; Eldering, Annmarie


    The 2015-2016 El Niño led to historically high temperatures and low precipitation over the tropics, while the growth rate of atmospheric carbon dioxide (CO 2 ) was the largest on record. Here we quantify the response of tropical net biosphere exchange, gross primary production, biomass burning, and respiration to these climate anomalies by assimilating column CO 2 , solar-induced chlorophyll fluorescence, and carbon monoxide observations from multiple satellites. Relative to the 2011 La Niña, the pantropical biosphere released 2.5 ± 0.34 gigatons more carbon into the atmosphere in 2015, consisting of approximately even contributions from three tropical continents but dominated by diverse carbon exchange processes. The heterogeneity of the carbon-exchange processes indicated here challenges previous studies that suggested that a single dominant process determines carbon cycle interannual variability. Copyright © 2017 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works.

  3. Multi-model Ensemble Regional Climate Projection of the Maritime Continent using the MIT Regional Climate Model (United States)

    Kang, S.; IM, E. S.; Eltahir, E. A. B.


    In this study, the future change in precipitation due to global warming is investigated over the Maritime Continent using the MIT Regional Climate Model (MRCM). A total of nine 30-year projections under multi-GCMs (CCSM, MPI, ACCESS) and multi-scenarios of emissions (Control, RCP4.5, RCP8.5) are dynamically downscaled using the MRCM with 12km horizontal resolution. Since downscaled results tend to systematically overestimate the precipitation regardless of GCM used as lateral boundary conditions, the Parametric Quantile Mapping (PQM) is applied to reduce this wet bias. The cross validation for the control simulation shows that the PQM method seems to retain the spatial pattern and temporal variability of raw simulation, however it effectively reduce the wet bias. Based on ensemble projections produced by dynamical downscaling and statistical bias correction, a reduction of future precipitation is discernible, in particular during dry season (June-July-August). For example, intense precipitation in Singapore is expected to be reduced in RCP8.5 projection compared to control simulation. However, the geographical patterns and magnitude of changes still remain uncertain, suffering from statistical insignificance and a lack of model agreement. Acknowledgements This research is supported by the National Research Foundation Singapore under its Campus for Research Excellence and Technological Enterprise programme. The Center for Environmental Sensing and Modeling is an interdisciplinary research group of the Singapore-MIT Alliance for Research and Technology

  4. Ionospheric Bow Wave Induced by the Moon Shadow Ship Over the Continent of United States on 21 August 2017 (United States)

    Sun, Yang-Yi; Liu, Jann-Yenq; Lin, Charles Chien-Hung; Lin, Chi-Yen; Shen, Ming-Hsueh; Chen, Chieh-Hung; Chen, Chia-Hung; Chou, Min-Yang


    A moon shadow of the total solar eclipse swept through the continent of United States (CONUS) from west to east on 21 August 2017. Massive total electron content (integration of electron density from 0 km to 20,200 km altitude) observations from 2,255 ground-based Global Navigation Satellite System receivers show that the moon shadow ship generates a great ionospheric bow wave front which extends 1,500 km away from the totality path covering the entire CONUS. The bow wave front consists of the acoustic shock wave due to the supersonic/near-supersonic moon shadow ship and the significant plasma recombination due to the reduction in solar irradiation within the shadow area. The deep bow wave trough (-0.02 total electron content unit (1 TECU = 1016 el m-2) area) nearly coincides with the 100% obscuration moving along the totality path over the CONUS through the entire eclipse period. The supersonic moon shadow ship induces a bow wave crest in front of the ship ( 80% obscuration). It is the first time to find the acoustic shock wave-formed bow wave trough and crest near the totality.

  5. Postglacial recolonization and Holocene diversification of Crocidura suaveolens (Mammalia, Soricidae) on the north-western fringe of the European continent (United States)

    Rofes, Juan; Cucchi, Thomas; Hanot, Pauline; Herman, Jeremy; Stephan, Pierre; Cersoy, Sophie; Horáček, Ivan; Kerr, Elizabeth; Allberry, Kate; Valenzuela, Silvia; Zazzo, Antoine; Cornette, Raphaël; Tresset, Anne


    Phenotypic variation was characterized in 187 modern and archaeological specimens of the lesser white-toothed shrew (Crocidura suaveolens), obtained from both insular and continental European locations. Geometric morphometric methods were used to quantify variation in size and shape of the mandible. The phenotypic distance between populations, and the influence of several eco-geographical factors on the size and shape of the mandible in island populations, were assessed. Based on mandible shape divergence, the populations of C. suaveolens were clustered into continental, insular Atlantic and insular Mediterranean groups. Archaeological specimens from Molène Island, more than 3400 years old, display a mandible shape signal closer to that of the continental population than those of modern island populations. Conversely, the continental shape signals of the modern populations from Höedic and Sark suggest that these are relatively recent anthropogenic introductions. The populations of C. suaveolens from both the Atlantic and Mediterranean islands (except for Rouzic and Cyprus) show a significant increase in mandible size, compared to those from continental Europe. Significant phenotypic differences support the indigenous condition of C. suaveolens on most of the Atlantic islands, suggesting that the species arrived there before the separation of the Scilly Isles and Ushant from the continent due to the post-glacial rise in sea level. This provides an ante quem for its colonization of the north-western fringe of continental Europe, notwithstanding its absence from the region in the present day.

  6. An International Continence Society (ICS) report on the terminology for adult neurogenic lower urinary tract dysfunction (ANLUTD). (United States)

    Gajewski, Jerzy B; Schurch, Brigitte; Hamid, Rizwan; Averbeck, Márcio; Sakakibara, Ryuji; Agrò, Enrico F; Dickinson, Tamara; Payne, Christopher K; Drake, Marcus J; Haylen, Bernie T


    The terminology for adult neurogenic lower urinary tract dysfunction (ANLUTD) should be defined and organized in a clinically based consensus Report. This Report has been created by a Working Group under the auspices and guidelines of the International Continence Society (ICS) Standardization Steering Committee (SSC) assisted at intervals by external referees. All relevant definitions for ANLUTD were updated on the basis of research over the last 14 years. An extensive process of 18 rounds of internal and external review was involved to exhaustively examine each definition, with decision-making by collective opinion (consensus). A Terminology Report for ANLUTD, encompassing 97 definitions (42 NEW and 8 CHANGED, has been developed. It is clinically based with the most common diagnoses defined. Clarity and user-friendliness have been key aims to make it interpretable by practitioners and trainees in all the different groups involved not only in lower urinary tract dysfunction but additionally in many other medical specialties. A consensus-based Terminology Report for ANLUTD has been produced to aid clinical practice and research. © 2017 Wiley Periodicals, Inc.

  7. Bacterial natural product biosynthetic domain composition in soil correlates with changes in latitude on a continent-wide scale. (United States)

    Lemetre, Christophe; Maniko, Jeffrey; Charlop-Powers, Zachary; Sparrow, Ben; Lowe, Andrew J; Brady, Sean F


    Although bacterial bioactive metabolites have been one of the most prolific sources of lead structures for the development of small-molecule therapeutics, very little is known about the environmental factors associated with changes in secondary metabolism across natural environments. Large-scale sequencing of environmental microbiomes has the potential to shed light on the richness of bacterial biosynthetic diversity hidden in the environment, how it varies from one environment to the next, and what environmental factors correlate with changes in biosynthetic diversity. In this study, the sequencing of PCR amplicons generated using primers targeting either ketosynthase domains from polyketide biosynthesis or adenylation domains from nonribosomal peptide biosynthesis was used to assess biosynthetic domain composition and richness in soils collected across the Australian continent. Using environmental variables collected at each soil site, we looked for environmental factors that correlated with either high overall domain richness or changes in the domain composition. Among the environmental variables we measured, changes in biosynthetic domain composition correlate most closely with changes in latitude and to a lesser extent changes in pH. Although it is unclear at this time the exact mix of factors that may drive the relationship between biosynthetic domain composition and latitude, from a practical perspective the identification of a latitudinal basis for differences in soil metagenome biosynthetic domain compositions should help guide future natural product discovery efforts. Published under the PNAS license.

  8. Long aftershock sequences in North China and Central US: implications for hazard assessment in mid-continents (United States)

    Liu, Mian; Luo, Gang; Wang, Hui; Stein, Seth


    Because seismic activity within mid-continents is usually much lower than that along plate boundary zones, even small earthquakes can cause widespread concerns, especially when these events occur in the source regions of previous large earthquakes. However, these small earthquakes may be just aftershocks that continue for decades or even longer. The recent seismicity in the Tangshan region in North China is likely aftershocks of the 1976 Great Tangshan earthquake. The current earthquake sequence in the New Madrid seismic zone in central United States, which includes a cluster of M ~ 7.0 events in 1811-1812 and a number of similar events in the past millennium, is believed to result from recent fault reactivation that releases pre-stored strain energy in the crust. If so, this earthquake sequence is similar to aftershocks in that the rates of energy release should decay with time and the sequence of earthquakes will eventually end. We use simple physical analysis and numerical simulations to show that the current sequence of large earthquakes in the New Madrid fault zone is likely ending or has ended. Recognizing that mid-continental earthquakes have long aftershock sequences and complex spatiotemporal occurrences are critical to improve hazard assessments.

  9. Propagule pressure, genetic structure, and geographic origins of Chondrilla juncea (Asteraceae): an apomictic invader on three continents. (United States)

    Gaskin, John F; Schwarzländer, Mark; Kinter, C Lynn; Smith, James F; Novak, Stephen J


    Assessing propagule pressure and geographic origins of invasive species provides insight into the invasion process. Rush skeletonweed (Chondrilla juncea; Asteraceae) is an apomictic, perennial plant that is invasive in Australia, South America (Argentina), and North America (Canada and the United States). This study comprehensively compares propagule pressure and geographic structure of genotypes to improve our understanding of a clonal invasion and enhance management strategies. • We analyzed 1056 native range plants from Eurasia and 1156 plants from three invaded continents using amplified fragment length polymorphism (AFLP) techniques. We used measures of diversity (Simpson's D) and evenness (E), analysis of molecular variance, and Mantel tests to compare invasions, and genotype similarity to determine origins of invasive genotypes. • We found 682 unique genotypes in the native range, but only 13 in the invaded regions. Each invaded region contained distinct AFLP genotypes, suggesting independent introduction events, probably with different geographic origins. Relatively low propagule pressure was associated with each introduction around the globe, but levels of among-population variation differed. We found exact AFLP genotype matches between the native and invaded ranges for five of the 13 invasive genotypes. • Invasion dynamics can vary across invaded ranges within a species. Intensive sampling for molecular analyses can provide insight for understanding intraspecific invasion dynamics, which can hold significance for the management of plant species, especially by finding origins and distributions of invasive genotypes for classical biological control efforts.

  10. A study on crustal shear wave splitting in the western part of the Banda arc-continent collision

    Energy Technology Data Exchange (ETDEWEB)

    Syuhada, E-mail: [Graduate Research on Earthquake and Active Tectonics-ITB, Jl. Ganesha 10, Bandung 40132 (Indonesia); Research Centre for Physics - Indonesian Institute of Sciences (LIPI), Puspiptek Serpong 15314,Indonesia (Indonesia); Hananto, Nugroho D. [Research Centre for Geotechnology -LIPI, Jl. Sangkuriang (Kompleks LIPI) Bandung 40135 (Indonesia); Puspito, Nanang T.; Yudistira, Tedi [Faculty of Mining and Petroleum Engineering ITB, Jalan Ganesha 10, Bandung 40132 (Indonesia); Anggono, Titi [Research Centre for Physics - Indonesian Institute of Sciences (LIPI), Puspiptek Serpong 15314,Indonesia (Indonesia)


    We analyzed shear wave splitting parameters from local shallow (< 30 km) earthquakes recorded at six seismic stations in the western part of the Banda arc-continent collision. We determined fast polarization and delay time for 195 event-stations pairs calculated from good signal-to-noise ratio waveforms. We observed that there is evidence for shear wave splitting at all stations with dominant fast polarization directions oriented about NE-SW, which are parallel to the collision direction of the Australian plate. However, minor fast polarization directions are oriented around NW-SE being perpendicular to the strike of Timor through. Furthermore, the changes in fast azimuths with the earthquake-station back azimuth suggest that the crustal anisotropy in the study area is not uniform. Splitting delay times are within the range of 0.05 s to 0.8 s, with a mean value of 0.29±0.18 s. Major seismic stations exhibit a weak tendency increasing of delay times with increasing hypocentral distance suggesting the main anisotropy contribution of the shallow crust. In addition, these variations in fast azimuths and delay times indicate that the crustal anisotropy in this region might not only be caused by extensive dilatancy anisotropy (EDA), but also by heterogeneity shallow structure such as the presence of foliations in the rock fabric and the fracture zones associated with active faults.

  11. Quantifying and predicting historical and future patterns of carbon fluxes from the North American Continent to Ocean (United States)

    Tian, H.; Zhang, B.; Xu, R.; Yang, J.; Yao, Y.; Pan, S.; Lohrenz, S. E.; Cai, W. J.; He, R.; Najjar, R. G.; Friedrichs, M. A. M.; Hofmann, E. E.


    Carbon export through river channels to coastal waters is a fundamental component of the global carbon cycle. Changes in the terrestrial environment, both natural (e.g., climatic change, enriched CO2 concentration, and elevated ozone concentration) and anthropogenic (e.g, deforestation, cropland expansion, and urbanization) have greatly altered carbon production, stocks, decomposition, movement and export from land to river and ocean systems. However, the magnitude and spatiotemporal patterns of lateral carbon fluxes from land to oceans and the underlying mechanisms responsible for these fluxes remain far from certain. Here we applied a process-based land model with explicit representation of carbon processes in stream and rivers (Dynamic Land Ecosystem Model: DLEM 2.0) to examine how changes in climate, land use, atmospheric CO2, and nitrogen deposition have affected the carbon fluxes from North American continent to Ocean during 1980-2015. Our simulated results indicated that terrestrial carbon export shows substantially spatial and temporal variability. Of the five sub-regions (Arctic coast, Pacific coast, Gulf of Mexico, Atlantic coast, and Great lakes), the Arctic sub-region provides the highest DOC flux, whereas the Gulf of Mexico sub-region provided the highest DIC flux. However, terrestrial carbon export to the arctic oceans showed increasing trends for both DOC and DIC, whereas DOC and DIC export to the Gulf of Mexico decreased in the recent decades. Future pattern of riverine carbon fluxes would be largely dependent on the climate change and land use scenarios.

  12. Atmospheric pollutants in alpine peat bogs record a detailed chronology of industrial and agricultural development on the Australian continent

    International Nuclear Information System (INIS)

    Marx, Samuel K.; Kamber, Balz S.; McGowan, Hamish A.; Zawadzki, Atun


    Two peat bogs from remote alpine sites in Australia were found to contain detailed and coherent histories of atmospheric metal pollution for Pb, Zn, Cu, Mo, Ag, As, Cd, Sb, Zn, In, Cr, Ni, Tl and V. Dramatic increases in metal deposition in the post-1850 AD portion of the cores coincide with the onset of mining in Australia. Using both Pb isotopes and metals, pollutants were ascribed to the main atmospheric pollution emitting sources in Australia, namely mining and smelting, coal combustion and agriculture. Results imply mining and metal production are the major source of atmospheric metal pollution, although coal combustion may account for up to 30% of metal pollutants. A novel finding of this study is the increase in the otherwise near-constant Y/Ho ratio after 1900 AD. We link this change to widespread and increased application of marine phosphate fertiliser in Australia's main agricultural area (the Murray Darling Basin). - Detailed records of atmospheric metal pollution accumulation in Australia are presented and are shown to trace the industrial and agricultural development of the continent.

  13. Contemporary surgical devices for male stress urinary incontinence: a review of technological advances in current continence surgery. (United States)

    Chung, Eric


    Male stress urinary incontinence (SUI) remains a debilitating condition that adversely impacts all domains of quality of life and is associated with significant social stigma and health economic burden. The incidence of post-prostatectomy urinary incontinence (PPI) depends on the definition of urinary incontinence and the length of patient follow up. In patients with persistent PPI following failure of conservative measures, surgical treatment is recommended although there is no published guideline on when surgery should be performed, and what the best surgical option is. Male slings (MS) can be divided into adjustable or non-adjustable types, and offers an attractive option for patients who wish to avoid mechanical handling during urinary voiding. Published intermediate data supports good safety and efficacy rate in men with mild to moderate degree of SUI. The AMS 800 artificial urinary sphincter (AUS) remains the standard of treatment for complete continence and has the longest efficacy and safety records. Other AUS-like devices are designed to address current AMS 800 limitations but themselves are fraught with their own issues.

  14. OxyContin (United States)

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  15. Emergence of the continents (United States)

    Frey, H.


    If early degassing of the Earth produced a global ocean several km deep overlying a global sialic crust, then late heavy bombardment of that crust by basin forming impacting bodies would have produced topography such that by 4 billion years ago dry continential landmasses would stand above sea level. From extrapolation of lunar crater statistics, at least 50% of an original global crust on the earth would have been converted into basins averaging 4 km deep after isostatic adjustment. These basins formed the sink into which such a global ocean would drain. If the ocean was initially 2 km deep, then approximately 50% of the early Earth would have stood above sea level when the late heavy bombardment came to a close.


    Directory of Open Access Journals (Sweden)

    Yu. P. Sernyak


    Full Text Available Objective: to evaluate the impact of dissection of the dorsal venous complex without pre-ligation, suturing, or coagulation during radical prostatectomy (RPE in patients with localized prostate cancer (PC on the quality of surgery and the function of urinary retention.Subjects and methods. The data of 42 patients who had undergone posterior and anterior anatomical repair and vesicourethral anastomosis using a V-lock suture after prostatectomy were analyzed. All the patients were divided into 2 groups. Group 1 consisted of 22 patients in whom the dorsal venous complex was closed using a 3-0 vicryl suture before urethral dissection. Group 2 included 20 patients in whom the urethra was dissected without suturing the venous complex.Results. In group 1, complete urinary retention after catheter removal was noted in 9 (40.9 % and 15 (68 % patients within 24 hours and after 3 months, respectively. Following 12 months, two (9 % patients were observed to have partial mild urinary incontinence (as many as 2 pads per day. Group 2 patients showed complete urinary retention in 17 (85 % cases on the first day after catheter removal; all the patients retained urine 3 months later.Conclusion. In patients with localized PC, dissection of the dorsal venous complex without presuturing during laparoscopic RPE exerts a considerable impact on the preservation of urinary retention, namely 45% more of the patients reported complete urinary retention in early periods and 10 % more did this in later periods. At the same time, there was no statistically significant increase in intraoperative blood loss (p > 0.05, the number of positive edges, or biochemical recurrences.


    Directory of Open Access Journals (Sweden)

    Yu. P. Sernyak


    Full Text Available Objective: to evaluate the impact of dissection of the dorsal venous complex without pre-ligation, suturing, or coagulation during radical prostatectomy (RPE in patients with localized prostate cancer (PC on the quality of surgery and the function of urinary retention.Subjects and methods. The data of 42 patients who had undergone posterior and anterior anatomical repair and vesicourethral anastomosis using a V-lock suture after prostatectomy were analyzed. All the patients were divided into 2 groups. Group 1 consisted of 22 patients in whom the dorsal venous complex was closed using a 3-0 vicryl suture before urethral dissection. Group 2 included 20 patients in whom the urethra was dissected without suturing the venous complex.Results. In group 1, complete urinary retention after catheter removal was noted in 9 (40.9 % and 15 (68 % patients within 24 hours and after 3 months, respectively. Following 12 months, two (9 % patients were observed to have partial mild urinary incontinence (as many as 2 pads per day. Group 2 patients showed complete urinary retention in 17 (85 % cases on the first day after catheter removal; all the patients retained urine 3 months later.Conclusion. In patients with localized PC, dissection of the dorsal venous complex without presuturing during laparoscopic RPE exerts a considerable impact on the preservation of urinary retention, namely 45% more of the patients reported complete urinary retention in early periods and 10 % more did this in later periods. At the same time, there was no statistically significant increase in intraoperative blood loss (p > 0.05, the number of positive edges, or biochemical recurrences.

  18. Deformation associated to exhumation of serpentinized mantle rocks in a fossil Ocean Continent Transition: The Totalp unit in SE Switzerland (United States)

    Picazo, S.; Manatschal, G.; Cannat, M.; Andréani, M.


    Although the exhumation of ultramafic rocks in slow and ultraslow spreading Mid-Ocean Ridges and Ocean Continent Transitions (OCTs) has been extensively investigated, the deformation processes related to mantle exhumation are poorly constrained. In this paper we present a new geological map and a section across the exhumed serpentinized peridotites of the Totalp unit near Davos (SE Switzerland), and we propose that the Totalp unit is formed by two Alpine thrust sheets. Geological mapping indicates local exposure of a paleo-seafloor that is formed by an exhumed detachment surface and serpentinized peridotites. The top of the exhumed mantle rocks is made of ophicalcites that resulted from the carbonation of serpentine under static conditions at the seafloor. The ophicalcites preserve depositional contacts with Upper Jurassic to Lower Cretaceous pelagic sediments (Bernoulli and Weissert, 1985). These sequences did not exceed prehnite-pumpellyite metamorphic facies conditions, and locally escaped Alpine deformation. Thin mylonitic shear zones as well as foliated amphibole-bearing ultramafic rocks have been mapped. The age of these rocks and the link with the final exhumation history are yet unknown but since amphibole-bearing ultramafic rocks can be found as clasts in cataclasites related to the detachment fault, they pre-date detachment faulting. Our petrostructural study of the exhumed serpentinized rocks also reveals a deformation gradient from cataclasis to gouge formation within 150 m in the footwall of the proposed paleo-detachment fault. This deformation postdates serpentinization. It involves a component of plastic deformation of serpentine in the most highly strained intervals that has suffered pronounced grain-size reduction and a polyphase cataclastic overprint.

  19. Cost-utility analysis of an advanced pressure ulcer management protocol followed by trained wound, ostomy, and continence nurses. (United States)

    Kaitani, Toshiko; Nakagami, Gojiro; Iizaka, Shinji; Fukuda, Takashi; Oe, Makoto; Igarashi, Ataru; Mori, Taketoshi; Takemura, Yukie; Mizokami, Yuko; Sugama, Junko; Sanada, Hiromi


    The high prevalence of severe pressure ulcers (PUs) is an important issue that requires to be highlighted in Japan. In a previous study, we devised an advanced PU management protocol to enable early detection of and intervention for deep tissue injury and critical colonization. This protocol was effective for preventing more severe PUs. The present study aimed to compare the cost-effectiveness of the care provided using an advanced PU management protocol, from a medical provider's perspective, implemented by trained wound, ostomy, and continence nurses (WOCNs), with that of conventional care provided by a control group of WOCNs. A Markov model was constructed for a 1-year time horizon to determine the incremental cost-effectiveness ratio of advanced PU management compared with conventional care. The number of quality-adjusted life-years gained, and the cost in Japanese yen (¥) ($US1 = ¥120; 2015) was used as the outcome. Model inputs for clinical probabilities and related costs were based on our previous clinical trial results. Univariate sensitivity analyses were performed. Furthermore, a Bayesian multivariate probability sensitivity analysis was performed using Monte Carlo simulations with advanced PU management. Two different models were created for initial cohort distribution. For both models, the expected effectiveness for the intervention group using advanced PU management techniques was high, with a low expected cost value. The sensitivity analyses suggested that the results were robust. Intervention by WOCNs using advanced PU management techniques was more effective and cost-effective than conventional care. © 2015 by the Wound Healing Society.

  20. The contribution of trees outside forests to national tree biomass and carbon stocks--a comparative study across three continents. (United States)

    Schnell, Sebastian; Altrell, Dan; Ståhl, Göran; Kleinn, Christoph


    In contrast to forest trees, trees outside forests (TOF) often are not included in the national monitoring of tree resources. Consequently, data about this particular resource is rare, and available information is typically fragmented across the different institutions and stakeholders that deal with one or more of the various TOF types. Thus, even if information is available, it is difficult to aggregate data into overall national statistics. However, the National Forest Monitoring and Assessment (NFMA) programme of FAO offers a unique possibility to study TOF resources because TOF are integrated by default into the NFMA inventory design. We have analysed NFMA data from 11 countries across three continents. For six countries, we found that more than 10% of the national above-ground tree biomass was actually accumulated outside forests. The highest value (73%) was observed for Bangladesh (total forest cover 8.1%, average biomass per hectare in forest 33.4 t ha(-1)) and the lowest (3%) was observed for Zambia (total forest cover 63.9%, average biomass per hectare in forest 32 t ha(-1)). Average TOF biomass stocks were estimated to be smaller than 10 t ha(-1). However, given the large extent of non-forest areas, these stocks sum up to considerable quantities in many countries. There are good reasons to overcome sectoral boundaries and to extend national forest monitoring programmes on a more systematic basis that includes TOF. Such an approach, for example, would generate a more complete picture of the national tree biomass. In the context of climate change mitigation and adaptation, international climate mitigation programmes (e.g. Clean Development Mechanism and Reduced Emission from Deforestation and Degradation) focus on forest trees without considering the impact of TOF, a consideration this study finds crucial if accurate measurements of national tree biomass and carbon pools are required.

  1. Evolution of the intercontinental disjunctions in six continents in the Ampelopsis clade of the grape family (Vitaceae) (United States)


    Background The Ampelopsis clade (Ampelopsis and its close allies) of the grape family Vitaceae contains ca. 43 species disjunctly distributed in Asia, Europe, North America, South America, Africa, and Australia, and is a rare example to study both the Northern and the Southern Hemisphere intercontinental disjunctions. We reconstruct the temporal and spatial diversification of the Ampelopsis clade to explore the evolutionary processes that have resulted in their intercontinental disjunctions in six continents. Results The Bayesian molecular clock dating and the likelihood ancestral area analyses suggest that the Ampelopsis clade most likely originated in North America with its crown group dated at 41.2 Ma (95% HPD 23.4 - 61.0 Ma) in the middle Eocene. Two independent Laurasian migrations into Eurasia are inferred to have occurred in the early Miocene via the North Atlantic land bridges. The ancestor of the Southern Hemisphere lineage migrated from North America to South America in the early Oligocene. The Gondwanan-like pattern of intercontinental disjunction is best explained by two long-distance dispersals: once from South America to Africa estimated at 30.5 Ma (95% HPD 16.9 - 45.9 Ma), and the other from South America to Australia dated to 19.2 Ma (95% HPD 6.7 - 22.3 Ma). Conclusions The global disjunctions in the Ampelopsis clade are best explained by a diversification model of North American origin, two Laurasian migrations, one migration into South America, and two post-Gondwanan long-distance dispersals. These findings highlight the importance of both vicariance and long distance dispersal in shaping intercontinental disjunctions of flowering plants. PMID:22316163

  2. Simultaneous Emergence of Multidrug-Resistant Candida auris on 3 Continents Confirmed by Whole-Genome Sequencing and Epidemiological Analyses. (United States)

    Lockhart, Shawn R; Etienne, Kizee A; Vallabhaneni, Snigdha; Farooqi, Joveria; Chowdhary, Anuradha; Govender, Nelesh P; Colombo, Arnaldo Lopes; Calvo, Belinda; Cuomo, Christina A; Desjardins, Christopher A; Berkow, Elizabeth L; Castanheira, Mariana; Magobo, Rindidzani E; Jabeen, Kauser; Asghar, Rana J; Meis, Jacques F; Jackson, Brendan; Chiller, Tom; Litvintseva, Anastasia P


    Candida auris, a multidrug-resistant yeast that causes invasive infections, was first described in 2009 in Japan and has since been reported from several countries. To understand the global emergence and epidemiology of C. auris, we obtained isolates from 54 patients with C. auris infection from Pakistan, India, South Africa, and Venezuela during 2012-2015 and the type specimen from Japan. Patient information was available for 41 of the isolates. We conducted antifungal susceptibility testing and whole-genome sequencing (WGS). Available clinical information revealed that 41% of patients had diabetes mellitus, 51% had undergone recent surgery, 73% had a central venous catheter, and 41% were receiving systemic antifungal therapy when C. auris was isolated. The median time from admission to infection was 19 days (interquartile range, 9-36 days), 61% of patients had bloodstream infection, and 59% died. Using stringent break points, 93% of isolates were resistant to fluconazole, 35% to amphotericin B, and 7% to echinocandins; 41% were resistant to 2 antifungal classes and 4% were resistant to 3 classes. WGS demonstrated that isolates were grouped into unique clades by geographic region. Clades were separated by thousands of single-nucleotide polymorphisms, but within each clade isolates were clonal. Different mutations in ERG11 were associated with azole resistance in each geographic clade. C. auris is an emerging healthcare-associated pathogen associated with high mortality. Treatment options are limited, due to antifungal resistance. WGS analysis suggests nearly simultaneous, and recent, independent emergence of different clonal populations on 3 continents. Risk factors and transmission mechanisms need to be elucidated to guide control measures. Published by Oxford University Press for the Infectious Diseases Society of America 2016. This work is written by (a) US Government employee(s) and is in the public domain in the US.

  3. Dalbavancin Activity When Tested against Streptococcus pneumoniae Isolated in Medical Centers on Six Continents (2011 to 2014). (United States)

    Jones, Ronald N; Schuchert, Jason E; Mendes, Rodrigo E


    Dalbavancin, a novel lipoglycopeptide, was approved for use in 2014 by regulatory agencies in the United States and Europe for the treatment of skin and skin structure infections. The activity of dalbavancin was also widely assessed by determination of its activity against Streptococcus pneumoniae clinical isolates collected from patients on six continents monitored during two time intervals (2011 to 2013 and 2014). A total of 18,186 pneumococcal isolates were obtained from 49 nations and submitted to a monitoring laboratory as part of the SENTRY Antimicrobial Surveillance Program for reference susceptibility testing. The potency of dalbavancin against S. pneumoniae was consistent across the years that it was monitored, with the MIC50 and MIC90 being 0.015 and 0.03 μg/ml, respectively, and all isolates were inhibited by ≤0.12 μg/ml. The activity of dalbavancin was not adversely influenced by nonsusceptibility to β-lactams (ceftriaxone or penicillin), macrolides, clindamycin, fluoroquinolones, or tetracyclines or multidrug resistance (MDR). Regional variations in dalbavancin activity were not detected, but S. pneumoniae strains isolated in the Asia-Pacific region were more likely to be nonsusceptible to penicillin and ceftriaxone as well as to be MDR than strains isolated in North or South America and Europe. Direct comparisons of potency illustrated that dalbavancin (MIC50 and MIC90, 0.015 and 0.03 μg/ml, respectively) was 16-fold or more active than vancomycin (MIC50, 0.25 μg/ml), linezolid (MIC50, 1 μg/ml), levofloxacin (MIC50, 1 μg/ml), ceftriaxone (MIC90, 1 μg/ml), and penicillin (MIC90, 2 μg/ml). In conclusion, dalbavancin had potent and consistent activity against this contemporary (2011 to 2014) collection of S. pneumoniae isolates. Copyright © 2016, American Society for Microbiology. All Rights Reserved.

  4. Average niche breadths of species in lake macrophyte communities respond to ecological gradients variably in four regions on two continents. (United States)

    Alahuhta, Janne; Virtala, Antti; Hjort, Jan; Ecke, Frauke; Johnson, Lucinda B; Sass, Laura; Heino, Jani


    Different species' niche breadths in relation to ecological gradients are infrequently examined within the same study and, moreover, species niche breadths have rarely been averaged to account for variation in entire ecological communities. We investigated how average environmental niche breadths (climate, water quality and climate-water quality niches) in aquatic macrophyte communities are related to ecological gradients (latitude, longitude, altitude, species richness and lake area) among four distinct regions (Finland, Sweden and US states of Minnesota and Wisconsin) on two continents. We found that correlations between the three different measures of average niche breadths and ecological gradients varied considerably among the study regions, with average climate and average water quality niche breadth models often showing opposite trends. However, consistent patterns were also found, such as widening of average climate niche breadths and narrowing of average water quality niche breadths of aquatic macrophytes along increasing latitudinal and altitudinal gradients. This result suggests that macrophyte species are generalists in relation to temperature variations at higher latitudes and altitudes, whereas species in southern, lowland lakes are more specialised. In contrast, aquatic macrophytes growing in more southern nutrient-rich lakes were generalists in relation to water quality, while specialist species are adapted to low-productivity conditions and are found in highland lakes. Our results emphasise that species niche breadths should not be studied using only coarse-scale data of species distributions and corresponding environmental conditions, but that investigations on different kinds of niche breadths (e.g., climate vs. local niches) also require finer resolution data at broad spatial extents.

  5. Colorectal cancer incidence in 5 Asian countries by subsite: An analysis of Cancer Incidence in Five Continents (1998-2007). (United States)

    Park, Hye-Min; Woo, Hyeongtaek; Jung, Sun Jae; Jung, Kyu-Won; Shin, Hai-Rim; Shin, Aesun


    Colorectal cancer is the fourth most common cancer in Asia. However, the trends in colorectal cancer incidence by subsite have not been analyzed across Asian countries. We used the most recent, high quality data from 6 cancer registries for two 5-year periods, 1998-2002 and 2003-2007, from Cancer Incidence in Five Continents to estimate colorectal cancer incidence by subsite in 5 Asian countries. Cases with overlapping lesions or otherwise unspecified colon cancer were re-distributed as proximal or distal colon cancer. Age-standardized incidence rates (ASRs) per 100,000 population and incidence rate ratios from 1998 to 2002 to 2003-2007 were calculated for each subsite. For 2003-2007, men in Miyagi, Japan, had the highest ASR for cancer in the proximal colon, distal colon and rectum. Men of Jewish ancestry in Israel had a high ASR for proximal and distal colon cancer, but the lowest ASR for rectal cancer. The proportion of rectal cancer was highest among Korean men (51.39%) and lowest among Israeli women (26.6%). From 1998-2002 to 2003-2007, rectal cancer incidence did not significantly change in most registries, except for men in Miyagi, Japan, and both sexes in Korea. However, during the same period cancer incidence in the proximal and distal colon increased in most registries. In conclusion, there was substantial variation in subsite distributions of colorectal cancer in Asian registries and increases in overall incidence of colorectal cancer could be attributed to increases in colon cancer. Copyright © 2016 Elsevier Ltd. All rights reserved.

  6. History and Nature of Science enriched Problem-Based Learning on the origins of biodiversity and of continents and oceans

    Directory of Open Access Journals (Sweden)

    Cristina Sousa


    Full Text Available The episode of the History of Science (HOS on the theory of continental drift proposed by Alfred Wegener has been considered an excellent example for teaching students aspects of Nature of Science (NOS and the relation of Science with social and tecnological contexts. We implemented a NOS and HOS-enriched Problem-Based Learning environment at the middle (year 7 of the Portuguese National Curriculum and secondary level (year 10 for teaching the origins of biodiversity and of continents and oceans (mobilism.  The goal of providing detailed implementation practices is to adress the lack of how to in Problem-based learning (PBL implementation in classrooms for 12 to 16 year old students and is the first practical example of implementation using this episode of HOS for teaching geological mobilism integrated with evolution. Therefore, in this study, we provide specific suggestions for supporting teachers’ classroom efforts in implementing PBL, such as scaffolding. The ill-problem presented to students, without a single correct answer, was based on the phylogeny of extant and extinct ratite birds, described by Charles Darwin and the present geographical distribution. The evaluation of the students was focused on the chain of reasoning employed, and we performed a comparisation analysis of the problem’s solution presented by the students of both classes regarding the explanation of the phylogeny of ratites based on geological mobilism. We observed an overall improvement (25-77% of the percentages of students pre- and post-instruction adequate answers; therefore our PBL strategy was efficient.

  7. Large-scale precipitation tracking and the MJO over the Maritime Continent and Indo-Pacific warm pool (United States)

    Kerns, Brandon W.; Chen, Shuyi S.


    A large-scale precipitation tracking (LPT) method is developed to track convection and precipitation associated with the Madden-Julian oscillation (MJO) using the Tropical Rainfall Measurement Mission 3B42 rainfall data from October to March 1998-2015. LPT uses spatially smoothed 3 day rainfall accumulation to identify and track precipitation features in time with a minimum size of 300,000 km2 and time continuity at least 10 days. While not all LPT systems (LPTs) are attributable to the MJO, among the 199 LPTs, there were 42 with a mean eastward propagation of at least 2 m s-1, which are considered to be MJO convective initiation events. These LPTs capture the diversity of the MJO convection, which is not well depicted by the Real-time Multivariate MJO (RMM) index or the outgoing longwave radiation MJO index. During the 17 years, there were 17 instances out of 45 with a MJO signature in the RMM without eastward propagating LPTs. Among the 42 eastward propagating LPTs, 24 propagated across the Maritime Continent (MC), which confirms the MC barrier effect. Among the cases that crossed the MC from the Indian Ocean to the western Pacific (MC crossing), 18 (75%) had a significant MJO signature in the RMM index. In contrast, only six (33%) of the non-MC-crossing cases occurred with a RMM MJO signal. There is a significant seasonal and interannual variability with MC-crossing LPTs occurring in December more commonly than other months. More MC-crossing events were observed during La Niña than El Niño, which is consistent with the observations of stronger and more frequent MJO events identified by RMM during La Niña years.

  8. Barrier Effect of the Indo-Pacific Maritime Continent on the MJO: Perspectives from Tracking MJO Precipitation (United States)

    Zhang, C.; Ling, J.


    To advance the study of the barrier effect of the Indo-Pacific Maritime Continent (MC) on the MJO, we propose two criteria to judge explanations for this phenomenon. The first one is that such explanations should include specific features of the MC, namely, its intricate land-sea distributions and elevated terrains. The second is that they should include mechanisms for some MJO events to overcome the barrier effect as well as the barrier effect itself. Guided by these criteria, we have used a precipitation-tracking method to identify MJO events, distinguish those that propagate across the MC (MJO-C) from those that are blocked by the MC (MJO-B), and compare these two types of MJO events and their large-scale environments. The barrier effect cannot be explained in terms of the strength and horizontal scale or distributions of MJO convection as it approaches the MC from the Indian Ocean. A distinction between MJO-B and MJO-C is their ratios of precipitation over the sea vs. land in the MC. MJO events may propagate through the MC when their convection over the sea of the MC is sufficiently developed and dominates that over land. This may happen for two reasons. One is stronger precipitation over land that occurs before the arrival of MJO convection centers, which is assisted by greater low-level moisture flux convergence over the MC. This stronger "vanguard of precipitation" for MJO-C would make the ground wetter and thus reduce land-locked diurnal convection that has been proposed to be detrimental to MJO propagation through the MC. Another possible reason for the more vigorous development of MJO-C convection over the sea is higher SST in the MC before MJO convection centers enter the region.

  9. International Children's Continence Society's recommendations for therapeutic intervention in congenital neuropathic bladder and bowel dysfunction in children. (United States)

    Rawashdeh, Y F; Austin, P; Siggaard, C; Bauer, S B; Franco, I; de Jong, T P; Jorgensen, T M


    We present a consensus view of members of the International Children's Continence Society on the therapeutic intervention in congenital neuropatic bladder and bowel dysfunction in children. Discussions were held by a group of pediatric urologists and gastroenterologists appointed by the board. The following draft review document was open to all the ICCS members via the ICCS web site. Feedback was considered by the core authors and by agreement, amendments were made as necessary. The final document is not a systematic literature review. It includes relevant research when available as well as expert opinion on the current understanding of therapeutic intervention in congenital neuropatic bladder and bowel dysfunction in children. Guidelines on pharmalogical and surgical intervention are presented. First the multiple modalities for intervention that do not involve surgical reconstruction are summarized concerning pharmacological agents, medical devices, and neuromodulation. The non-surgical intervention is promoted before undertaking major surgery. Indicators for non-surgical treatments depend on issues related to intravesical pressure, upper urinary tract status, prevalence of urinary tract infections, and the degree of incontinence. The optimal age for treatment of incontinence is also addressed. This is followed by a survey of specific treatments such as anticholinergics, botulinum-A toxin, antibiotics, and catheters. Neuromodulation of the bladder via intravesical electrical stimulation, sacral nerve stimulation, transcutaneous stimulation, and biofeedback is scrutinized. Then follows surgical intervention, which should be tailored to each individual, based on careful consideration of urodynamic findings, medical history, age, and presence of other disability. Treatments mentioned are: urethral dilation, vesicostomy, bladder, augmentation, fascial sling, artificial urinary sphincters, and bladder neck reconstruction and are summarized with regards to success rates

  10. Prescribing practices amid the OxyContin crisis: examining the effect of print media coverage on opioid prescribing among physicians. (United States)

    Borwein, Alexandra; Kephart, George; Whelan, Emma; Asbridge, Mark


    The pain medication OxyContin (hereafter referred to as oxycodone extended release) has been the subject of sustained, and largely negative, media attention in recent years. We sought to determine whether media coverage of oxycodone extended release in North American newspapers has led to changes in prescribing of the drug in Nova Scotia, Canada. An interrupted time-series design examined the effect of media attention on physicians' monthly prescribing of opioids. The outcome measures were, for each physician, the monthly proportions of all opioids prescribed and the proportion of strong opioids prescribed that were for oxycodone extended release. The exposure of interest was media attention defined as the number of articles published each month in 27 North American newspapers. Variations in media effects by provider characteristics (specialty, prescribing volume, and region) were assessed. Within-provider changes in the prescribing of oxycodone extended release in Nova Scotia were observed, and they followed changes in media coverage. Oxycodone extended release prescribing rose steadily prior to receiving media attention. Following peak media attention in the United States, the prescribing of oxycodone extended release slowed. Likewise, following peak coverage in Canadian newspapers, the prescribing of oxycodone extended release declined. These patterns were observed across prescriber specialties and by prescriber volume, though the magnitude of change in prescribing varied. This study demonstrates that print media reporting of oxycodone extended release in North American newspapers, and its continued portrayal as a social problem, coincided with reductions in the prescribing of oxycodone extended release by physicians in Nova Scotia. Copyright © 2013 American Pain Society. Published by Elsevier Inc. All rights reserved.

  11. Tracking the MJO Convection and its Impact on the Diurnal Cycle over the Maritime Continent Using Satellite Observations (United States)

    Kerns, B. W.; Chen, S. S.


    The Indo-Pacific Maritime Continent (MC) is the most active convection center in the tropics, and the most important modes of variability are the diurnal cycle and the Madden-Julian Oscillation (MJO). Previous studies have shown that the MC has strong diurnal variability compared with the rest of the tropics, and the diurnal cycle of convection over the MC is amplified during the passage of an MJO. One outstanding science question is how the passage of the active MJO affects the diurnal cycle. The atmospheric, upper ocean, and land surface forcing factors contributing to the diurnal cycle need to be clarified. In order to address this, large scale precipitation tracking (LPT) is used to identify MJO active and suppressed periods for 2000-2015. To document the diurnal cycle of convection during the active and suppressed periods, TRMM/GPM and mesoscale cloud cluster tracking are used. Finally, the LPT tracking is used to composite the satellite-estimated surface wind, humidity, temperature, cloud cover, and soil moisture over the islands for active versus suppressed MJO periods. In active MJO periods, the diurnal convection in the surrounding marginal seas is enhanced and the diurnal convection over land is decreased. The islands of the MC have greater soil moisture, more cloud cover, and do not warm up as much during the day, leading to a weaker afternoon maximum over land. But how is nocturnal convection over the sea increased? The largest, most mature convective cloud systems are found over the marginal seas in the early morning. This is hypothesized to mainly be a consequence of the longer life cycle of convective systems in the favorable large-scale active MJO. The propagation of the MJO across the MC is facilitated by the enhanced nocturnal deep convection over the sea. In contrast, In the suppressed period the convection is mostly daytime forced convection over land which is locked to the terrain.

  12. Oceanic sources of predictability for MJO propagation across the Maritime Continent in a subset of S2S forecast models (United States)

    DeMott, C. A.; Klingaman, N. P.


    Skillful prediction of the Madden-Julian oscillation (MJO) passage across the Maritime Continent (MC) has important implications for global forecasts of high-impact weather events, such as atmospheric rivers and heat waves. The North American teleconnection response to the MJO is strongest when MJO convection is located in the western Pacific Ocean, but many climate and forecast models are deficient in their simulation of MC-crossing MJO events. Compared to atmosphere-only general circulation models (AGCMs), MJO simulation skill generally improves with the addition of ocean feedbacks in coupled GCMs (CGCMs). Using observations, previous studies have noted that the degree of ocean coupling may vary considerably from one MJO event to the next. The coupling mechanisms may be linked to the presence of ocean Equatorial Rossby waves, the sign and amplitude of Equatorial surface currents, and the upper ocean temperature and salinity profiles. In this study, we assess the role of ocean feedbacks to MJO prediction skill using a subset of CGCMs participating in the Subseasonal-to-Seasonal (S2S) Project database. Oceanic observational and reanalysis datasets are used to characterize the upper ocean background state for observed MJO events that do and do not propagate beyond the MC. The ability of forecast models to capture the oceanic influence on the MJO is first assessed by quantifying SST forecast skill. Next, a set of previously developed air-sea interaction diagnostics is applied to model output to measure the role of SST perturbations on the forecast MJO. The "SST effect" in forecast MJO events is compared to that obtained from reanalysis data. Leveraging all ensemble members of a given forecast helps disentangle oceanic model biases from atmospheric model biases, both of which can influence the expression of ocean feedbacks in coupled forecast systems. Results of this study will help identify areas of needed model improvement for improved MJO forecasts.

  13. North America Wound, Ostomy, and Continence and Enterostomal Therapy Nurses Current Ostomy Care Practice Related to Peristomal Skin Issues. (United States)

    Colwell, Janice C; McNichol, Laurie; Boarini, Joy

    The purpose of this study was to describe the practice of 796 ostomy nurses in North America in 2014 related to peristomal skin issues. Descriptive study. Participants were 796 wound, ostomy, and continence (WOC) and enterostomal therapy (ET) nurses currently practicing in the United States or Canada and caring for patients with ostomies. The collection of data occurred in conjunction with an educational program on peristomal skin complications and practice issues and solicited the participant's perception on the incidence and frequency of peristomal skin issues as well as on practice patterns. Participants attended an educational program. They were also asked to anonymously respond to multiple-choice questions on ostomy care management via an audience response system followed by discussion of each item and their responses. This descriptive study reports on the answers to the questions as well as the pertinent discussion points. Participants estimated that approximately 77.70% of their patients developed peristomal skin issues. The most commonly encountered problem was irritant contact dermatitis (peristomal moisture-associated skin damage). Contributing factors were inappropriate use of a pouching system owing to lack of follow-up after hospital discharge. Reported interventions for the prevention and management of peristomal skin issues included preoperative stoma site marking, use of a convex pouching system, and barrier rings. However, subsequent discussion revealed that the frequency of use of these products varied considerably. Participants identified shortened hospital stays, absence of preoperative stoma marking, and limited outpatient follow-up as contributing to development of peristomal skin problems. WOC and ET nurses estimate that more than three-quarters of persons living with an ostomy develop peristomal skin problems. Multiple interventions for managing these problems were identified, but some variability in management approaches emerged.

  14. Evidence for deposition of 10 million tonnes of impact spherules across four continents 12,800 y ago (United States)

    Wittke, James H.; Weaver, James C.; Bunch, Ted E.; Kennett, James P.; Kennett, Douglas J.; Moore, Andrew M.T.; Hillman, Gordon C.; Tankersly, Kenneth B.; Goodyear, Albert C.; Moore, Christopher R.; Daniel, I. Randolph; Ray, Jack H.; Lopinot, Neal H.; Ferraro, David; Israde-Alcántara, Isabel; Bischoff, James L.; DeCarli, Paul S.; Hermes, Robert E.; Kloosterman, Johan B.; Revay, Zsolt; Howard, George A.; Kimbel, David R.; Kletetschka, Gunther; Nabelek, Ladislav; Lipo, Carl P.; Sakai, Sachiko; West, Allen; Firestone, Richard B.


    Airbursts/impacts by a fragmented comet or asteroid have been proposed at the Younger Dryas onset (12.80 ± 0.15 ka) based on identification of an assemblage of impact-related proxies, including microspherules, nanodiamonds, and iridium. Distributed across four continents at the Younger Dryas boundary (YDB), spherule peaks have been independently confirmed in eight studies, but unconfirmed in two others, resulting in continued dispute about their occurrence, distribution, and origin. To further address this dispute and better identify YDB spherules, we present results from one of the largest spherule investigations ever undertaken regarding spherule geochemistry, morphologies, origins, and processes of formation. We investigated 18 sites across North America, Europe, and the Middle East, performing nearly 700 analyses on spherules using energy dispersive X-ray spectroscopy for geochemical analyses and scanning electron microscopy for surface microstructural characterization. Twelve locations rank among the world’s premier end-Pleistocene archaeological sites, where the YDB marks a hiatus in human occupation or major changes in site use. Our results are consistent with melting of sediments to temperatures >2,200 °C by the thermal radiation and air shocks produced by passage of an extraterrestrial object through the atmosphere; they are inconsistent with volcanic, cosmic, anthropogenic, lightning, or authigenic sources. We also produced spherules from wood in the laboratory at >1,730 °C, indicating that impact-related incineration of biomass may have contributed to spherule production. At 12.8 ka, an estimated 10 million tonnes of spherules were distributed across ∼50 million square kilometers, similar to well-known impact strewnfields and consistent with a major cosmic impact event.

  15. Natural hazards and decision-making in the most densely populated country in the American continent: a 20-year perspective (United States)

    Cruz Martínez, Celina; Cepeda, Jose


    With a population density of ~300 per km2, El Salvador is the most densely populated country in the American continent and the capital, San Salvador, is probably the city in the Americas most frequently hit by natural hazards, earthquakes in particular. As a consequence of a magnitude 5.4 earthquake in 1986, 1500 people were killed, with as many as one-third of these casualties associated to the collapse of engineered structures, a high rate compared to contemporary figures worldwide. Four years earlier, during a long precipitation period in September 1982, a debris flow was triggered from the summit of the San Salvador volcano and travelled ~4 km for about one hour before it killed up to 500 people in an area to the North-West of the Metropolitan Area of San Salvador (AMSS). This same area had been previously hit by a similar event 50 years earlier, but with no consequences at that time since it was uninhabited. These are only some examples of the main facts that motivated the creation of the Office for Urban Planning of the Metropolitan Area of San Salvador (OPAMSS) in 1990. This institution is an autonomous municipal organisation whose functions and attributes comprise the planning and control of urban development. After 20 years of the foundation of OPAMSS, this paper presents its history and evolution, the main achievements and challenges, focusing on how the institution has been shaped by some key milestones, such as the earthquake-triggered landslide at Las Colinas neighbourhood in January 2001, which killed ~600 people in the Western AMSS, and the widespread flooding in October 2005 after the urban drainage network collapsed during Hurricane Stan. The development of OPAMSS as a key organisation in land use management and decision-making is an example that illustrates how the integration of technical and legal aspects can be oriented towards the improvement of governance at the scale of metropolitan areas.

  16. USAFRICOM Headquarters: The Complexity of Moving the Headquarters to the Continent of Africa and its Impact on the Army’s Organizational Design and Operational Approach (United States)


    partners: 1. Somalia–fighting piracy 2. South Africa–diplomatic relations 6 3. Liberia –fighting Ebola /UN mission 4. Nigeria–Boko Haram threat...offices to address issues on the continent.9 Liberia was one of the few countries 18 considered that welcomed the presence of a headquarters in their...only small countries like Liberia welcome a headquarters in Africa, while the larger countries do not welcome the idea. However, there has not been

  17. A harbinger of plate tectonics: a commentary on Bullard, Everett and Smith (1965) ‘The fit of the continents around the Atlantic’ (United States)

    Dewey, John F.


    In the 1960s, geology was transformed by the paradigm of plate tectonics. The 1965 paper of Bullard, Everett and Smith was a linking transition between the theories of continental drift and plate tectonics. They showed, conclusively, that the continents around the Atlantic were once contiguous and that the Atlantic Ocean had grown at rates of a few centimetres per year since the Early Jurassic, about 160 Ma. They achieved fits of the continental margins at the 500 fathom line (approx. 900 m), not the shorelines, by minimizing misfits between conjugate margins and finding axes, poles and angles of rotation, using Euler's theorem, that defined the unique single finite difference rotation that carried congruent continents from contiguity to their present positions, recognizing that the real motion may have been more complex around a number of finite motion poles. Critically, they were concerned only with kinematic reality and were not restricted by considerations of the mechanism by which continents split and oceans grow. Many of the defining features of plate tectonics were explicit or implicit in their reconstructions, such as the torsional rigidity of continents, Euler's theorem, closure of the Tethyan ocean(s), major continental margin shear zones, the rapid rotation of small continental blocks (Iberia) around nearby poles, the consequent opening of small wedge-shaped oceans (Bay of Biscay), and misfit overlaps (deltas and volcanic piles) and underlaps (stretched continental edges). This commentary was written to celebrate the 350th anniversary of the journal Philosophical Transactions of the Royal Society. PMID:25750142

  18. Significant geographic gradients in particulate sulfate over Japan determined from multiple-site measurements and a chemical transport model: Impacts of transboundary pollution from the Asian continent (United States)

    Aikawa, Masahide; Ohara, Toshimasa; Hiraki, Takatoshi; Oishi, Okihiro; Tsuji, Akihiro; Yamagami, Makiko; Murano, Kentaro; Mukai, Hitoshi


    We found a significant geographic gradient (longitudinal and latitudinal) in the sulfate (SO 42-) concentrations measured at multiple sites over the East Asian Pacific Rim region. Furthermore, the observed gradient was well reproduced by a regional chemical transport model. The observed and modeled SO 42- concentrations were higher at the sites closer to the Asian continent. The concentrations of SO 42- from China as calculated by the model also showed the fundamental features of the longitudinal/latitudinal gradient. The proportional contribution of Chinese SO 42- to the total in Japan throughout the year was above 50-70% in the control case, using data for Chinese sulfur dioxide (SO 2) emission from the Regional Emission Inventory in Asia (40-60% in the low Chinese emissions case, using Chinese SO 2 emissions data from the State Environmental Protection Administration of China), with a winter maximum of approximately 65-80%, although the actual concentrations of SO 42- from China were highest in summer. The multiple-site measurements and the model analysis strongly suggest that the SO 42- concentrations in Japan were influenced by the outflow from the Asian continent, and this influence was greatest in the areas closer to the Asian continent. In contrast, we found no longitudinal/latitudinal gradient in SO 2 concentrations; instead SO 2 concentrations were significantly correlated with local SO 2 emissions. Our results show that large amounts of particulate sulfate are transported over long distances from the East Asian Pacific Rim region, and consequently the SO 42- concentrations in Japan are controlled by the transboundary outflow from the Asian continent.

  19. Urethral pressure reflectometry during intra-abdominal pressure increase-an improved technique to characterize the urethral closure function in continent and stress urinary incontinent women. (United States)

    Saaby, Marie-Louise; Klarskov, Niels; Lose, Gunnar


    to assess the urethral closure function by urethral pressure reflectometry (UPR) during intra-abdominal pressure-increase in SUI and continent women. Twenty-five urodynamically proven SUI women and eight continent volunteer women were assessed by ICIQ-SF, pad-weighing test, incontinence diary, and UPR. UPR was conducted during resting and increased intra-abdominal pressure (P(Abd)) by straining. Related values of P(Abd) and urethral opening pressure (P(o)) were plotted into an abdomino-urethral pressuregram. Linear regression of the values was conducted, and the slope of the line ("APIR") and the intercept with the y-axis found. By the equation of the line, Po was calculated for various values of P(Abd), for example, 50 cm H2O (P(o-Abd 50)). The resting P(o) (P(o-rest)) and APIR, respectively, significantly differed in SUI and continent women but could not separate the two groups. The urethral closure equation (UCE) based on P(o-rest) and APIR provided a more detailed characterization of a woman's closure function based on the permanent closure forces (primarily generated by the urethral sphincteric unit) and the adjunctive closure forces (primarily generated by the support system). P(o-Abd 50) and UCE, respectively, which express the combined permanent and adjunctive closure forces and estimate the efficiency of the closure function, separated SUI and continent women and were highly significantly negatively correlated with ICIQ-SF, pad test, and the number of incontinence episodes. New parameters for characterization of the urethral closure function and possible dysfunctions and its efficiency were provided. P(o-Abd 50) and UCE may be used as diagnostic tests and severity measures. © 2013 Wiley Periodicals, Inc.

  20. A qualitative study exploring the experiences and emotional responses of female community continence link workers and female patients in relation to performing clean intermittent self-catheterisation


    Ramm, Dianne; Kane, Ros


    Aim: This paper represents a report of a study designed to explore the experiences of female community continence link nurses in relation to female catheterisation and their psychological and educational preparedness to teach it. The lived experiences and emotional responses of female patients learning to perform Clean Intermittent Self-Catheterisation (CISC) are also examined. Background: There is general consensus that CISC should be considered in preference to indwelling catheterisat...

  1. A harbinger of plate tectonics: a commentary on Bullard, Everett and Smith (1965) ?The fit of the continents around the Atlantic?


    Dewey, John F.


    In the 1960s, geology was transformed by the paradigm of plate tectonics. The 1965 paper of Bullard, Everett and Smith was a linking transition between the theories of continental drift and plate tectonics. They showed, conclusively, that the continents around the Atlantic were once contiguous and that the Atlantic Ocean had grown at rates of a few centimetres per year since the Early Jurassic, about 160?Ma. They achieved fits of the continental margins at the 500 fathom line (approx. 900?m),...

  2. Phosphodiesterase type 5 inhibitor administered immediately after radical prostatectomy temporarily increases the need for incontinence pads, but improves final continence status

    Directory of Open Access Journals (Sweden)

    Yasuhiro Kaiho


    Full Text Available Purpose: To evaluate the effects of phosphodiesterase type 5 inhibitor (PDE5i on urinary continence recovery after bilateral nerve-sparing radical prostatectomy (BNSRP. Materials and Methods: Between 2002 and 2012, 137 of 154 consecutive patients who underwent BNSRP in our institution retrospectively divided into 3 groups that included patients taking PDE5i immediately after surgery (immediate PDE5i group, n=41, patients starting PDE5i at an outpatient clinic after discharge (PDE5i group, n=56, and patients taking no medication (non-PDE5i group, n=40. Using self-administered questionnaires, the proportion of patients who did not require incontinence pads (pad-free patients was calculated preoperatively and at 1, 3, 6, 12, 18, and 24 months after BNSRP. Severity of incontinence was determined based on the pad numbers and then compared among the 3 groups. Results: Proportions of pad-free patients and severity of incontinence initially deteriorated in all of the groups to the lowest values soon after undergoing BNSRP, with gradual improvement noted thereafter. The deterioration was most prominent in the immediate PDE5i group. As compared to the non-PDE5i group, both the PDE5i and immediate PDE5i groups exhibited a better final continence status. Conclusions: PDE5i improves final continence status. However, administration of PDE5i immediately after surgery causes a distinct temporary deterioration in urinary incontinence.

  3. A Comparison of Food Supply from 1984 to 2009 and Degree of Dietary Westernization in Taiwan with Asian Countries and World Continents

    Directory of Open Access Journals (Sweden)

    Cheau-Jane Peng


    Full Text Available Objective. To compare quality, quantity, and trends of food supply from 1984 to 2009 and degree of food westernization in Taiwan with Asian countries and world continents by using food balance data. Methods. We compiled data from food balance sheets of Taiwan and Food and Agriculture Organization, including five continents and three most populated countries each in Eastern, Southern, and Southeastern Asia over the period 1984–2009. Quantity of food supply per capita was referenced to Taiwan food guides. The population-weighted means of food supply from Europe, North America, South America, and Australia and New Zealand continents in terms of energy and nutrient distributions, animal/plant sources, and sugar/alcohol contribution were used as indicators of westernization. Trends of food supply per capita of six food groups were plotted, and linear regression was applied to evaluate food changes. Findings. Taiwan’s food supply provided sufficient quantity in food energy, with the lowest cereals/roots supply and rice to wheat ratio, but the highest meat and oil supplies per capita among the 10 studied Asian countries. Taiwan food supply showed the most westernization among these countries. Conclusion. Food supply of Taiwan, although currently sufficient, indicated some security problems and high tendency of diet westernization.

  4. Characterization of Wildfire-Induced Aerosol Emissions From the Maritime Continent Peatland and Central African Dry Savannah with MISR and CALIPSO Aerosol Products (United States)

    Lee, Huikyo; Jeong, Su-Jong; Kalashnikova, Olga; Tosca, Mika; Kim, Sang-Woo; Kug, Jong-Seong


    Aerosol plumes from wildfires affect the Earth's climate system through regulation of the radiative budget and clouds. However, optical properties of aerosols from individual wildfire smoke plumes and their resultant impact on regional climate are highly variable. Therefore, there is a critical need for observations that can constrain the partitioning between different types of aerosols. Here we present the apparent influence of regional ecosystem types on optical properties of wildfire-induced aerosols based on remote sensing observations from two satellite instruments and three ground stations. The independent observations commonly show that the ratio of the absorbing aerosols is significantly lower in smoke plumes from the Maritime Continent than those from Central Africa, so that their impacts on regional climate are different. The observed light-absorbing properties of wildfire-induced aerosols are explained by dominant ecosystem types such as wet peatlands for the Maritime Continent and dry savannah for Central Africa, respectively. These results suggest that the wildfire-aerosol-climate feedback processes largely depend on the terrestrial environments from which the fires originate. These feedbacks also interact with climate under greenhouse warming. Our analysis shows that aerosol optical properties retrieved based on satellite observations are critical in assessing wildfire-induced aerosols forcing in climate models. The optical properties of carbonaceous aerosol mixtures used by state-of-the-art chemistry climate models may overestimate emissions for absorbing aerosols from wildfires over the Maritime Continent.

  5. Comparative analysis of the pressure profilometry of vesicocutaneous continent catheterizable conduits between patients with and without rectus abdominis neosphincter (Yachia principle). (United States)

    Rondon, Atila; Leslie, Bruno; Arcuri, Leonardo Javier; Ortiz, Valdemar; Macedo, Antonio


    To assess whether crossing rectus abdominis muscle strips, as proposed by Yachia, would change urinary catheterizable conduit's pressure profilometry, in static and dynamic conditions. Non-randomized selection of 20 continent patients that underwent Macedo's ileum-based reservoir, 10 including Yachia's technique (Study Group) and 10 without this mechanism of continence (Control Group). Demographics and cystometric data were assessed. Conduit's pressure profilometry was obtained by infusing saline through a multichannel catheter, at rest and during Valsalva maneuver. We assessed the pressure: (a) in the bladder; (b) in conduit's proximal segment; and (c) in conduit's distal segment, which is presumably the abdominal wall and crossed muscle strips site. Mean age at surgery was 6.1 years in the Control Group and 7.7 years in the Study Group. There was no statistically significant difference between groups regarding maximum cystometric bladder capacity and leakage point pressure. At rest, the pressure profilometry showed similar results between groups in all segments analyzed. During Valsalva maneuver, pressure profilometry showed similar results between groups in bladder and conduit's proximal segment pressure. In this condition, conduit's distal segment pressure in the Study Group (Mean = 72.9 and Peak = 128.7 cmH2 O) was significantly greater (P continence. © 2014 Wiley Periodicals, Inc.

  6. A Comparison of Food Supply from 1984 to 2009 and Degree of Dietary Westernization in Taiwan with Asian Countries and World Continents. (United States)

    Peng, Cheau-Jane; Lin, Cheng-Yao; Guo, How-Ran


    To compare quality, quantity, and trends of food supply from 1984 to 2009 and degree of food westernization in Taiwan with Asian countries and world continents by using food balance data. We compiled data from food balance sheets of Taiwan and Food and Agriculture Organization, including five continents and three most populated countries each in Eastern, Southern, and Southeastern Asia over the period 1984-2009. Quantity of food supply per capita was referenced to Taiwan food guides. The population-weighted means of food supply from Europe, North America, South America, and Australia and New Zealand continents in terms of energy and nutrient distributions, animal/plant sources, and sugar/alcohol contribution were used as indicators of westernization. Trends of food supply per capita of six food groups were plotted, and linear regression was applied to evaluate food changes. Taiwan's food supply provided sufficient quantity in food energy, with the lowest cereals/roots supply and rice to wheat ratio, but the highest meat and oil supplies per capita among the 10 studied Asian countries. Taiwan food supply showed the most westernization among these countries. Food supply of Taiwan, although currently sufficient, indicated some security problems and high tendency of diet westernization.

  7. Comparison and Validation of Long Time Serial Global GEOV1 and Regional Australian MODIS Fractional Vegetation Cover Products Over the Australian Continent

    Directory of Open Access Journals (Sweden)

    Yanling Ding


    Full Text Available Fractional vegetation cover (FVC is one of the most critical parameters in monitoring vegetation status. Comprehensive assessment of the FVC products is critical for their improvement and use in land surface models. This study investigates the performances of two major long time serial FVC products: GEOV1 and Australian MODIS. The spatial and temporal consistencies of these products were compared during the 2000–2012 period over the main biome types across the Australian continent. Their accuracies were validated by 443 FVC in-situ measurements during the 2011–2012 period. Our results show that there are strong correlations between the GEOV1 and Australian MODIS FVC products over the main Australian continent while they exhibit large differences and uncertainties in the coastal regions covered by dense forests. GEOV1 and Australian MODIS describe similar seasonal variations over the main biome types with differences in magnitude, while Australian MODIS exhibit unstable temporal variations over grasslands and shifted seasonal variations over evergreen broadleaf forests. The GEOV1 and Australian MODIS products overestimate FVC values over the biome types with high vegetation density and underestimate FVC in sparsely vegetated areas and grasslands. Overall, the GEOV1 and Australian MODIS FVC products agree with in-situ FVC values with a RMSE around 0.10 over the Australian continent.

  8. Analysis of pan-African Centres of excellence in health innovation highlights opportunities and challenges for local innovation and financing in the continent

    Directory of Open Access Journals (Sweden)

    Nwaka Solomon


    Full Text Available Abstract A pool of 38 pan-African Centres of Excellence (CoEs in health innovation has been selected and recognized by the African Network for Drugs and Diagnostics Innovation (ANDI, through a competitive criteria based process. The process identified a number of opportunities and challenges for health R&D and innovation in the continent: i it provides a direct evidence for the existence of innovation capability that can be leveraged to fill specific gaps in the continent; ii it revealed a research and financing pattern that is largely fragmented and uncoordinated, and iii it highlights the most frequent funders of health research in the continent. The CoEs are envisioned as an innovative network of public and private institutions with a critical mass of expertise and resources to support projects and a variety of activities for capacity building and scientific exchange, including hosting fellows, trainees, scientists on sabbaticals and exchange with other African and non-African institutions.

  9. Utility of Helicobacter spp. associated GFD markers for detecting avian fecal pollution in natural waters of two continents. (United States)

    Ahmed, W; Harwood, V J; Nguyen, K; Young, S; Hamilton, K; Toze, S


    Avian fecal droppings may negatively impact environmental water quality due to the presence of high concentrations of fecal indicator bacteria (FIB) and zoonotic pathogens. This study was aimed at evaluating the performance characteristics and utility of a Helicobacter spp. associated GFD marker by screening 265 fecal and wastewater samples from a range of avian and non-avian host groups from two continents (Brisbane, Australia and Florida, USA). The host-prevalence and -specificity of this marker among fecal and wastewater samples tested from Brisbane were 0.58 and 0.94 (maximum value of 1.00). These values for the Florida fecal samples were 0.30 (host-prevalence) and 1.00 (host-specificity). The concentrations of the GFD markers in avian and non-avian fecal nucleic acid samples were measured at a test concentration of 10 ng of nucleic acid at Brisbane and Florida laboratories using the quantitative PCR (qPCR) assay. The mean concentrations of the GFD marker in avian fecal nucleic acid samples (5.2 × 10(3) gene copies) were two orders of magnitude higher than non-avian fecal nucleic acid samples (8.6 × 10(1) gene copies). The utility of this marker was evaluated by testing water samples from the Brisbane River, Brisbane and a freshwater creek in Florida. Among the 18 water samples tested from the Brisbane River, 83% (n = 18) were positive for the GFD marker, and the concentrations ranged from 6.0 × 10(1)-3.2 × 10(2) gene copies per 100 mL water. In all, 92% (n = 25) water samples from the freshwater creek in Florida were also positive for the GFD marker with concentrations ranging from 2.8 × 10(1)-1.3 × 10(4) gene copies per 100 mL water. Based on the results, it can be concluded that the GFD marker is highly specific to avian host groups, and could be used as a reliable marker to detect the presence and amount of avian fecal pollution in environmental waters. Crown Copyright © 2015. Published by Elsevier Ltd. All rights reserved.

  10. Realizing effectiveness across continents with hydroxyurea: Enrollment and baseline characteristics of the multicenter REACH study in Sub-Saharan Africa. (United States)

    McGann, Patrick T; Williams, Thomas N; Olupot-Olupot, Peter; Tomlinson, George A; Lane, Adam; Luís Reis da Fonseca, José; Kitenge, Robert; Mochamah, George; Wabwire, Ham; Stuber, Susan; Howard, Thad A; McElhinney, Kathryn; Aygun, Banu; Latham, Teresa; Santos, Brígida; Tshilolo, Léon; Ware, Russell E


    Despite its well-described safety and efficacy in the treatment of sickle cell anemia (SCA) in high-income settings, hydroxyurea remains largely unavailable in sub-Saharan Africa, where more than 75% of annual SCA births occur and many comorbidities exist. Realizing Effectiveness Across Continents with Hydroxyurea (REACH, NCT01966731) is a prospective, Phase I/II open-label trial of hydroxyurea designed to evaluate the feasibility, safety, and benefits of hydroxyurea treatment for children with SCA in four sub-Saharan African countries. Following comprehensive training of local research teams, REACH was approved by local Ethics Committees and achieved full enrollment ahead of projections with 635 participants enrolled over a 30-month period, despite half of families living >12 km from their clinical site. At enrollment, study participants (age 5.4 ± 2.4 years) had substantial morbidity, including a history of vaso-occlusive pain (98%), transfusion (68%), malaria (85%), and stroke (6%). Significant differences in laboratory characteristics were noted across sites, with lower hemoglobin concentrations (P < .01) in Angola (7.2 ± 1.0 g/dL) and the DRC (7.0 ± 0.9 g/dL) compared to Kenya (7.4 ± 1.1 g/dL) and Uganda (7.5 ± 1.1 g/dL). Analysis of known genetic modifiers of SCA demonstrated a high frequency of α-thalassemia (58.4% with at least a single α-globin gene deletion) and G6PD deficiency (19.7% of males and 2.4% of females) across sites. The CAR β-globin haplotype was present in 99% of participants. The full enrollment to REACH confirms the feasibility of conducting high-quality SCA research in Africa; this study will provide vital information to guide safe and effective dosing of hydroxyurea for children with SCA living in Africa. © 2018 Wiley Periodicals, Inc.

  11. Comparison of Historically Severe Droughts and the Vulnerability of Agroecosystems in Mid-Continent USA: Lessons Learned (United States)

    Olson, C.; Rippey, B.


    Extreme climatic events, drought, flooding, severe storms, tropical cyclones and winter storms have cost the USA billions of dollars. Although among major natural disasters in the last 100 years, severe drought occurrences are lower in terms of discrete events than that for other extreme events, the average cost per drought event exceeds all but those of severe storms and tropical cyclones and has significantly impacted the US agroecosystems upon which much of the domestic and export food markets depend1. The impacts from the 2012, 1988, and 1950's droughts are compared with the effects on cropland in the Mid-Continent US. Drought severity in 2012 and in 1988 were similar in terms of economic agricultural loss, 40 and 31 billion in cost-adjusted dollars, respectively. The 2012 drought covered a geographic areal extent similar to that of an earlier drought in the 1950's; roughly 2/3 of the central USA was impacted. However, the 2012 drought developed relatively rapidly in less than a year whereas the drought of the 1950's was marked by multiple years of extreme heat and lack of precipitation. Each of these severe droughts has resulted in significant losses, but the 2012 drought, while costly, could have been a larger economic disaster had the same conditions occurred in the 1950's or 1988. Investment in new technology, improvements in irrigation efficiency and advanced drainage systems, targeted soil conservation practices, and flexibility to adapt to conditions have improved the resilience of agroecosystems to drought in the intervening years. Droughts continue to occur, so a better understanding of climate and available climate services along with sustained investment in new technology will improve drought tolerance. The recent establishment of USDA Regional Climate Hubs to translate and deliver science-based, region-specific information for individual natural resource managers will enable climate-smart decision-making. Implementation is now possible at scales

  12. Evolving electrical SCLM models of the Australian continent - results of the South Australia AusLAMP deployment (United States)

    Robertson, K. E.; Thiel, S.; Heinson, G. S.


    The Australian Lithospheric Architecture Magnetotelluric Project (AusLAMP) is an Australian initiative to map the Australian continental lithosphere using magnetotelluric (MT) stations to obtain a resistivity model of the subsurface. It is a joint project between Geoscience Australia, state surveys, and Universities. We present new MT 3D inversion results of the largest coherent array of the AusLAMP MT deployments to date covering two-thirds of South Australia, funded largely by the Geological Survey of South Australia with additional funding by Geoscience Australia and The University of Adelaide. The model extends across the South Australian Gawler Craton, including the Eucla Basin to the west of the craton and the Flinders Ranges and Curnamona Province to the east. The MT array covers parts of the Australian lithosphere, which has been largely unexplored with seismic tomography methods and provide a unique insight into the tectonic evolution of the continent. We incorporate 284 long-period (10s-10,000s) MT stations separated roughly every half degree latitude and longitude across an area spanning 1200 km x 800 km, south of latitude -28.5 degrees and from longitude 129 degrees to 141 degrees. We invert 24 discrete periods of the impedance tenor between 7 s and 13,000 s, and 22 different periods of the tipper data between 7s-8000 s period. The results show a heterogeneous lower crust and mantle lithosphere with a primarily resistive mantle (>1000 Ωm) lithosphere in the central and western part of the Gawler Craton and Eucla Domain. The model shows a generally NS oriented electric LAB offset from deeper cratonic lithosphere in the west to a shallow lithosphere along the eastern margin of the Gawler Craton extending further east towards the Proterozoic and Phanerozoic eastern part of Australia. The lower crust is generally resistive with elongated lower crustal conductivity anomalies, which are associated with major translithospheric shear zones likely existent

  13. Measurement of electromagnetic waves in ELF and VLF bands to monitor lightning activity in the Maritime Continent (United States)

    Yamashita, Kozo; Takahashi, Yukihiro; Ohya, Hiroyo; Tsuchiya, Fuminori; Sato, Mitsuteru; Matsumoto, Jun


    Data of lightning discharge has been focused on as an effective way for monitoring and nowcasting of thunderstorm activity which causes extreme weather. Spatial distribution of lightning discharge has been used as a proxy of the presence or absence of deep convection. Latest observation shows that there is extremely huge lightning whose scale is more than hundreds times bigger than that of averaged event. This result indicates that lightning observation should be carried out to estimate not only existence but also scale for quantitative evaluation of atmospheric convection. In this study, lightning observation network in the Maritime Continent is introduced. This network is consisted of the sensors which make possible to measure electromagnetic wave radiated from lightning discharges. Observation frequency is 0.1 - 40 kHz for the measurement of magnetic field and 1 - 40 kHz for that of electric field. Sampling frequency is 100 kHz. Waveform of electromagnetic wave is recorded by personal computer. We have already constructed observation stations at Tainan in Taiwan (23.1N, 121.1E), Saraburi in Thailand (14.5N, 101.0E), and Pontianak in Indonesia (0.0N, 109.4E). Furthermore, we plan to install the monitoring system at Los Banos in Philippines (14.18, 121.25E) and Hanoi in Viet Nam. Data obtained by multipoint observation is synchronized by GPS receiver installed at each station. By using data obtained by this network, location and scale of lightning discharge can be estimated. Location of lightning is determined based on time of arrival method. Accuracy of geolocation could be less than 10km. Furthermore, charge moment is evaluated as a scale of each lightning discharge. It is calculated from electromagnetic waveform in ELF range (3-30 kHz). At the presentation, we will show the initial result about geolocation for source of electromagnetic wave and derivation of charge moment value based on the measurement of ELF and VLF sferics.

  14. Mesoscale modeling of smoke transport over the Southeast Asian Maritime Continent: Interplay of sea breeze, trade wind, typhoon, and topography (United States)

    Wang, Jun; Ge, Cui; Yang, Zhifeng; Hyer, Edward J.; Reid, Jeffrey S.; Chew, Boon-Ning; Mahmud, Mastura; Zhang, Yongxin; Zhang, Meigen


    The online-coupled Weather Research and Forecasting model with Chemistry (WRFchem) is used to simulate the transport of smoke particles over the Southeast Asian Maritime Continent during September-October 2006. In this period, dry conditions associated with the moderate El Niño event caused the largest regional biomass burning outbreak since 1997. Smoke emission in WRFchem is specified according to the Fire Locating and Modeling of Burning Emissions (FLAMBE) database derived from Moderate Resolution Imaging Spectroradiometer (MODIS) fire products. The modeled smoke transport pathway is found to be consistent with the MODIS true color images and measured mass concentration of surface PM10 (particulate matter with diameter less than 10 μm). The interplay of sea/land breezes, typhoons and storms over the subtropical western Pacific Ocean, trade winds, and topographic effects, can be clearly seen in the model simulation. The most severe smoke events in 1-5 October 2006 are found to be associated with the meteorological responses to the typhoon Xangsane (#18) over the western subtropical Pacific Ocean, which moved smoke from Sumatra eastward in the lower troposphere (below 700 hPa), forming smoke layers mixed with and above the boundary layer clouds over Borneo. In contrast, the second largest week-long smoke transport event of 15-18 October 2006 was associated with the seasonal monsoonal transition period, during which smoke plumes were wide spread over the 5°S-5°N zone as a result of (a) the near surface divergence coupled with the 700 hPa bifurcation of wind (flowing both to the west and to the east), and (b) the near-surface southeasterly and easterly winds along the equator transporting smoke from Borneo to Sumatra and Peninsular Malaysia. Analysis of data from the Cloud-Aerosol Lidar with Orthogonal Polarisation (CALIOP) shows that smoke particles in October 2006 were primarily located within 3.5 km above the surface. Smoke particles contributed roughly half

  15. Worldwide Trends in Multi-arterial Coronary Artery Bypass Grafting Surgery 2004-2014: A Tale of 2 Continents. (United States)

    Schwann, Thomas A; Tatoulis, James; Puskas, John; Bonnell, Mark; Taggart, David; Kurlansky, Paul; Jacobs, Jeffery P; Thourani, Vinod H; O'Brien, Sean; Wallace, Amelia; Engoren, Milo C; Tranbaugh, Robert F; Habib, Robert H


    Recent evidence shows that multi-arterial coronary artery bypass grafting (MABG) based on bilateral internal thoracic (BITA) or left internal thoracic (LITA) and radial artery (RA) improves long-term outcomes compared with single arterial coronary artery bypass grafting (SABG) (LITA + saphenous vein graft). How this evidence affected the worldwide use of MABG, if at all, is not well defined. Accordingly, we report 10-year temporal trends of MABG utilization from 2 continents. A study population of 1,683,434 non-emergent, primary, isolated LITA-based coronary artery bypass grafting (CABG) (≥2 grafts) patients was derived from the Society of Thoracic Surgeons (STS) (1,307,528 (79.5%) of 1,644,388 isolated CABG; total 1179 centers) and the Australia New Zealand Cardiothoracic (ANZ) Databases (34,213 (87%) of 39,046 isolated CABG; 24 centers) between 2004 and 2014. Patients were excluded based on the following: (1) no LITA, (2) if arterial grafts were other than RA or ITA, or (3) if grafting data were missing. The 3 MABG groups were LITA + RA, BITA, and BITA + RA, each with or without supplemental vein grafts. Grafting trends and their associated patient demographics were analyzed. SABG (89.3% STS, 51.4% ANZ) was the most common grafting strategy. MABG was most frequently accomplished by LITA + RA: (STS: 6.1%; ANZ: 42.6%), followed by BITA: (STS: 4.1%; ANZ: 4.3%), while ≥3 (BITA + RA) was rare in the STS (0.5%), but more common in ANZ (5.9%). In the STS, between 2004 and 2014, SABG rates systematically increased from 85.2% to 91.7%, BITA grafting was essentially unchanged from 3.6% to 4.3%, while RA use decreased systematically from 10.5% to 3.7%. In the ANZ, SABG rates increased from 17.3% to 51.4%, BITA grafting decreased from 6.3% to 3.6%, while RA grafting decreased from 65.8% to 39.0%. Compared with SABG patients, BITA patients were younger (STS: median age 59 vs 66, P 30 kg/m 2 ) in STS (37% vs 42%, P < 0.001), more obese in ANZ

  16. From magma-poor Ocean Continent Transitions to steady state oceanic spreading: the balance between tectonic and magmatic processes (United States)

    Gillard, Morgane; Manatschal, Gianreto; Autin, Julia; Decarlis, Alessandro; Sauter, Daniel


    The evolution of magma-poor rifted margins is linked to the development of a transition zone whose basement is neither clearly continental nor oceanic. The development of this Ocean-Continent Transition (OCT) is generally associated to the exhumation of serpentinized mantle along one or several detachment faults. That model is supported by numerous observations (IODP wells, dredges, fossil margins) and by numerical modelling. However, if the initiation of detachment faults in a magma-poor setting tends to be better understood by numerous studies in various area, the transition with the first steady state oceanic crust and the associated processes remain enigmatic and poorly studied. Indeed, this latest stage of evolution appears to be extremely gradual and involves strong interactions between tectonic processes and magmatism. Contrary to the proximal part of the exhumed domain where we can observe magmatic activity linked to the exhumation process (exhumation of gabbros, small amount of basalts above the exhumed mantle), in the most distal part the magmatic system appears to be independent and more active. In particular, we can observe large amounts of extrusive material above a previously exhumed and faulted basement (e.g. Alps, Australia-Antarctica margins). It seems that some faults can play the role of feeder systems for the magma in this area. Magmatic underplating is also important, as suggested by basement uplift and anomalously thick crust (e.g. East Indian margin). It results that the transition with the first steady state oceanic crust is marked by the presence of a hybrid basement, composed by exhumed mantle and magmatic material, whose formation is linked to several tectonic and magmatic events. One could argue that this basement is not clearly different from an oceanic basement. However, we consider that true, steady state oceanic crust only exists, if the entire rock association forming the crust is created during a single event, at a localized

  17. The helium flux from the continents and ubiquity of low-3He/4He recycled crust and lithosphere (United States)

    Day, James M. D.; Barry, Peter H.; Hilton, David R.; Burgess, Ray; Pearson, D. Graham; Taylor, Lawrence A.


    New helium isotope and trace-element abundance data are reported for pyroxenites and eclogites from South Africa, Siberia, and the Beni Bousera Massif, Morocco that are widely interpreted to form from recycled oceanic crustal protoliths. The first He isotope data are also presented for Archaean peridotites from the Kaapvaal (South Africa), Slave (Canada), and Siberian cratons, along with recently emplaced off-craton peridotite xenoliths from Kilbourne Hole, San Carlos (USA) and Vitim (Siberia), to complement existing 3He/4He values obtained for continental and oceanic peridotites. Helium isotope compositions of peridotite xenoliths vary from 7.3 to 9.6 RA in recently (volcanics that contain a contribution from asthenospheric sources. Using the new He isotope data for cratonic peridotites and assuming that significant portions (>50%) of the Archaean and Proterozoic continental lithospheric mantle are stable and unaffected by melt or fluid infiltration on geological timescales (>0.1 Ga), and that U and Th contents vary between cratonic lithosphere and non-cratonic lithosphere, calculations yield a 3He flux of 0.25-2.2 atoms/s/cm2 for the continental lithospheric mantle. These estimates differ by a factor of ten from non-cratonic lithospheric mantle and are closer to the observed 3He flux from the continents (<1 atoms/s/cm2). Pyroxenites and eclogites from the continental regions are all characterized by 3He/4He (0.03-5.6 RA) less than the depleted upper mantle, and relatively high U and Th contents. Together with oceanic and continental lithospheric peridotites, these materials represent reservoirs with low time-integrated 3He/(U + Th) in the mantle. Pyroxenites and eclogites are also characterized by higher Fe/Mg, more radiogenic Os-Pb isotope compositions, and more variable δ18O values (∼3‰ to 7‰), compared with peridotitic mantle. These xenoliths are widely interpreted to be the metamorphic/metasomatic equivalents of recycled oceanic crustal protoliths. The

  18. Nurture Versus Nature: Accounting for the Differences Between the Taiwan and Timor active arc-continent collisions (United States)

    Harris, R. A.


    The active Banda arc/continent collision of the Timor region provides many important contrasts to what is observed in Taiwan, which is mostly a function of differences in the nature of the subducting plate. One of the most important differences is the thermal state of the respective continental margins: 30 Ma China passive margin versus 160 Ma NW Australian continental margin. The subduction of the cold and strong NW Australian passive margin beneath the Banda trench provides many new constraints for resolving longstanding issues about the formative stages of collision and accretion of continental crust. Some of these issues include evidence for slab rollback and subduction erosion, deep continental subduction, emplacement or demise of forearc basement, relative amounts of uplift from crustal vs. lithospheric processes, influence of inherited structure, partitioning of strain away from the thrust front, extent of mélange development, metamorphic conditions and exhumation mechanisms, continental contamination and accretion of volcanic arcs, does the slab tear, and does subduction polarity reverse? Most of these issues link to the profound control of lower plate crustal heterogeneity, thermal state and inherited structure. The thermomechanical characteristics of subducting an old continental margin allow for extensive underthrusting of lower plate cover units beneath the forearc and emplacement and uplift of extensive nappes of forearc basement. It also promotes subduction of continental crust to deep enough levels to experience high pressure metamorphism (not found in Taiwan) and extensive contamination of the volcanic arc. Seismic tomography confirms subduction of continental lithosphere beneath the Banda Arc to at least 400 km with no evidence for slab tear. Slab rollback during this process results in massive subduction erosion and extension of the upper plate. Other differences in the nature of the subducting plates in Taiwan in Timor are differences in the

  19. The Second "Ring of Towers": Over-sampling the Mid Continent Intensive region CO2 mixing ratio? (United States)

    Richardson, S.; Miles, N.; Davis, K.; Crosson, E.; Denning, S.; Zupanksi, D.; Uliasz, M.


    A central barrier preventing the scientific community from understanding the carbon balance of the continent is methodological; it is technically difficult to bridge the gap in spatial scales that exists between the detailed understanding of ecological processes that can be gathered via intensive local field study, and the overarching but mechanistically poor understanding of the global carbon cycle that is gained by analyzing the atmospheric CO2 budget. The NACP's Midcontinental Intensive (MCI) study seeks to bridge this gap by conducting a rigorous methodological test of our ability to measure the terrestrial carbon balance of the upper Midwest. A critical need in bridging this gap is increased data density. A primary goal of the project is to increase the regional atmospheric CO2 data density so that 1) atmospheric inversions can derive well-constrained regional ecosystem carbon flux estimates and 2) the trade off between data density and accuracy of the flux estimates can be determined quantitatively using field observations, thus providing guidance to future observational network designs. Our work adds a regional network of five communications-tower based atmospheric CO2 observations to the planned long-term atmospheric CO2 observing network (tall towers, flux towers and aircraft profiles) in the midcontinent intensive region. Measurements began in April-June 2007, If the measurements are shown to be spatially dense enough to over sample the CO2 mixing ratio, the experiment will provide an upper bounds on the density of measurements required to produce the most accurate flux possible with current atmospheric inversions. The five sites for "Ring 2" and deployment dates are Centerville, IA (Apr 07), Round Lake, MN (May 07), Kewanee, IL (Apr 07), Mead, NE (Apr 07), Galesville, WI (June 07). Two heights are sampled at each tower (30 m AGL and between 110 and 140 m AGL). More details are available at In addition, two systems in PSU's network of

  20. Subduction Initiation Existed Along the Ancient Continent Margins? Evidence of U-Pb ages of zircons from the Bonin Trench, Japan (United States)

    Li, Y. B.; Pearce, J. A.; Ryan, J. G.; Li, X. H.; Haraguchi, S.; Iizuka, T.; Kon, Y.; Yamamoto, S.; Sawaki, Y.; Ishii, T.; Maruyama, S.


    Although it is not cleanly known when and where the subduction initiation began on the Paleo-Izu-Bonin-Mariana (IBM) Trench, Jurassic and Cretaceous plutonic rocks, such as gabbroic, granitic and metamorphic rocks had been sampled from the Amami Plateau-Daito Ridge-Okidaito Ridge (ADO) in the Philippine Sea Plate. Furthermore, Mesozonic to Paleozonic ages zircons were obtained from volcaniclastic sandstones collected from northern Izu-Bonin forarc (Tani et al., 2012). We present U-Pb ages, Hf-O isotopes and trace element compositions of zircon grains separated from sediment, volcanic rock, dolerite and gabbro, collected from Chichijima Island and Bonin forearc seafloor (KH03-3, KT04-28 cruise of the University of Tokyo, IODP Leg 352). In the zircon age histogram, several age groups were identified. The age peaks are 0-3 Ma and 13 Ma (Hahajima Seamount: soft mud and volcanic tuff); 38 Ma (Oomachi Seamount: sandstone); 45 Ma (Chichijima Island: volcanic rock); 40 Ma, 48 Ma and 52 Ma (Hahajima Seamount: dolerite and gabbro); 45 Ma and 164-165 Ma (IODP Leg 352: volcanic rock), respectively. Zircon U-Pb ages ranging 0-52 Ma correspond well to the multi-stages of magmatism in the IBM. However, 164-165 Ma maybe represent the ages of zircon xenocryst including in forearc volcanic rock , which pre-existing in ancient continent crustal materials (SE China Continent Crust?) as the basement of Paleo-IBM. It seems reasonable to suppose that the subduction initiation of IBM existed along the ancient SE China Continent margins. The initiation of subduction zone is a consequence of lateral compositional buoyancy contrast within the lithosphere, that advocated by Niu et al. (2003, 2016).

  1. The (146,147)Sm-(142,143)Nd systematics of early terrestrial differentiation and the lost continents of the early Earth (United States)

    Harper, Charles L., Jr.; Jacobsen, Stein B.


    The very early history of the Earth has been one of the great enduring puzzles in the history of geology. We report evidence which clearly can be described as a vestige of a beginning, because the evidence that we report cannot be interpreted in any other way except as a geochemical signal of processes active in the very early history of the Earth. The evidence itself is a very small anomaly in the abundance of SM-146. The primary aims of this study were to: (1) verify the existence of the 'lost continents' of the Hadean era; and (2) determine their mean age.

  2. Evaluation of the Effectiveness of Nurse-Led Continence Care Treatments for Chinese Primary Care Patients with Lower Urinary Tract Symptoms.

    Directory of Open Access Journals (Sweden)

    Edmond P H Choi

    Full Text Available The aim of this study was to evaluate whether community-based nurse-led continence care interventions are effective in improving outcomes for adult Chinese primary care patients with lower urinary tract symptoms (LUTS.A case-controlled intervention study was conducted. An intervention group of 360 primary care patients enrolled into a nurse-led continence care programme were recruited by consecutive sampling. A control group of 360 primary care patients with LUTS identified by screening were recruited from the waiting rooms of primary care clinics by consecutive sampling. Both groups were monitored at baseline and at 12 months.Outcome measures included symptom severity, health-related quality of life (HRQOL, self-efficacy, global health and self-reported health service utilization at 12-months. The effect of the continence care programme on symptom severity and HRQOL was assessed by the difference-in-difference estimation, using independent t-test and multiple liner regression. Chi-square test was used to compare the self-efficacy, global health and self-reported health service utilization between the two groups at 12-months.After adjusting for baseline severity and socio-demographics, the intervention group had significant improvements in LUTS severity (P<0.05 and HRQOL (P<0.05. Improvements in the amount of urine leakage were not significantly different between the two groups. A higher proportion of subjects in the intervention group reported increased self-efficacy (43.48% vs. 66.83%, improved global health condition (17.74% vs. 41.5%, having doctor consultation (18.5% vs. 8.06, having medication due to LUTS (26.50% vs.11.29% and having non-drug therapy due to LUTS (59.5% vs.9.68%.Community-based nurse-led continence care can effectively alleviate symptoms, improve health-related quality of life, and enhance self-efficacy and the global health condition of Chinese male and female primary care patients with LUTS.

  3. The Climate Variability & Predictability (CVP) Program at NOAA - Observing and Understanding Processes Affecting the Propagation of Intraseasonal Oscillations in the Maritime Continent Region (United States)

    Lucas, S. E.


    The Climate Variability & Predictability (CVP) Program supports research aimed at providing process-level understanding of the climate system through observation, modeling, analysis, and field studies. This vital knowledge is needed to improve climate models and predictions so that scientists can better anticipate the impacts of future climate variability and change. To achieve its mission, the CVP Program supports research carried out at NOAA and other federal laboratories, NOAA Cooperative Institutes, and academic institutions. The Program also coordinates its sponsored projects with major national and international scientific bodies including the World Climate Research Programme (WCRP), the International and U.S. Climate Variability and Predictability (CLIVAR/US CLIVAR) Program, and the U.S. Global Change Research Program (USGCRP). The CVP program sits within NOAA's Climate Program Office ( In 2017, the CVP Program had a call for proposals focused on observing and understanding processes affecting the propagation of intraseasonal oscillations in the Maritime Continent region. This poster will present the recently funded CVP projects, the expected scientific outcomes, the geographic areas of their work in the Maritime Continent region, and the collaborations with the Office of Naval Research, Indonesian Agency for Meteorology, Climatology and Geophysics (BMKG), Japan Agency for Marine-Earth Science and Technology (JAMSTEC) and other partners.

  4. Getting It Right the First Time: Defining Regionally Relevant Training Curricula and Provider Core Competencies for Point-of-Care Ultrasound Education on the African Continent. (United States)

    Salmon, Margaret; Landes, Megan; Hunchak, Cheryl; Paluku, Justin; Malemo Kalisya, Luc; Salmon, Christian; Muller, Mundenga Mutendi; Wachira, Benjamin; Mangan, James; Chhaganlal, Kajal; Kalanzi, Joseph; Azazh, Aklilu; Berman, Sara; Zied, El-Sayed; Lamprecht, Hein


    Significant evidence identifies point-of-care ultrasound (PoCUS) as an important diagnostic and therapeutic tool in resource-limited settings. Despite this evidence, local health care providers on the African continent continue to have limited access to and use of ultrasound, even in potentially high-impact fields such as obstetrics and trauma. Dedicated postgraduate emergency medicine residency training programs now exist in 8 countries, yet no current consensus exists in regard to core PoCUS competencies. The current practice of transferring resource-rich PoCUS curricula and delivery methods to resource-limited health systems fails to acknowledge the unique challenges, needs, and disease burdens of recipient systems. As emergency medicine leaders from 8 African countries, we introduce a practical algorithmic approach, based on the local epidemiology and resource constraints, to curriculum development and implementation. We describe an organizational structure composed of nexus learning centers for PoCUS learners and champions on the continent to keep credentialing rigorous and standardized. Finally, we put forth 5 key strategic considerations: to link training programs to hospital systems, to prioritize longitudinal learning models, to share resources to promote health equity, to maximize access, and to develop a regional consensus on training standards and credentialing. Copyright © 2016 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

  5. Changes in drug use patterns reported on the web after the introduction of ADF OxyContin: findings from the Researched Abuse, Diversion, and Addiction-Related Surveillance (RADARS) System Web Monitoring Program. (United States)

    Vosburg, Suzanne K; Haynes, Colleen; Besharat, Andrea; Green, Jody L


    This qualitative study summarizes information that individuals shared online about use of OxyContin following the August 2010 introduction of the abuse deterrent formulation (ADF). The primary objective was to study online posts that endorsed continued use of OxyContin or a switch from OxyContin to another formulation of oxycodone or another substance altogether following the introduction of the ADF. A secondary objective was to determine whether posts revealed that the ADF led to cessation of OxyContin use. Data were collected with the Researched Abuse, Diversion, and Addiction-Related Surveillance System Web Monitoring Program, an online surveillance system that collects and organizes posts about prescription drugs from social media websites, blogs, and forums from 3Q2009 to 4Q2014 using a commercially available web platform. Posts were categorized by whether they conveyed a switch to drugs other than reformulated OxyContin or a continuation of reformulated OxyContin abuse. "Switch posts" primarily discussed switching to immediate-release opioids. "Continue abusing" posts identified tampering strategies for alternate routes of administration, oral use, and continued use although post authors were generally unhappy with the experience. No reference to OxyContin cessation as a function of the introduction of the ADF was found; however, discontinued use was discussed. Web Monitoring data are useful for capturing cross sections of Internet conversation reflecting reactions to new drug formulations. These data support the notion that users will gravitate to non-ADFs generally, and to immediate-release non-ADF opioid formulations, specifically, as long as these options remain on the market. Copyright © 2017 John Wiley & Sons, Ltd.

  6. Preservation of the smooth muscular internal (vesical) sphincter and of the proximal urethra for the early recovery of urinary continence after retropubic radical prostatectomy: a prospective case-control study. (United States)

    Brunocilla, Eugenio; Schiavina, Riccardo; Pultrone, Cristian Vincenzo; Borghesi, Marco; Rossi, Martina; Cevenini, Matteo; Martorana, Giuseppe


    To evaluate the influence of preservation of the muscular internal sphincter and proximal urethra on continence recovery after radical prostatectomy. This was a prospective single-center, case-control study. A total of 40 consecutive patients with organ-confined prostate cancer were submitted to radical prostatectomy with the preservation of the muscular internal sphincter and the proximal urethra (group 1), and their outcomes were compared with those of 40 patients submitted to a standard procedure (group 2). Continence rates were assessed using a self-administrated questionnaire at 3, 7 and 30 days, and 3 and 12 months after removal of the catheter. Group 1 had a faster recovery of early continence than group 2 at day 3 (45% vs 22%; P = 0.029) and at day 7 (75% vs 50%; P = 0.018). Considering the number of pads, group 1 had a faster recovery of continence at 3, 7 and 30 days, and also had less incidence of severe incontinence. There was no statistically significant difference in terms of continence at 3 and 12 months among the two groups. Multivariate logistic regression analysis showed that surgical technique and young age were significantly associated with earlier time to continence at 3 and 7 days. The two groups had no significant differences in terms of surgical margins. Our modified technique of radical retropubic prostatectomy with preservation of the smooth muscular internal sphincter, as well as of the proximal urethra during bladder neck dissection, results in a significantly increased urinary continence at 3, 7 and 30 days after catheter removal, with a minor incidence of severe incontinence. The technique is also oncologically safe, and it does not increase the operative duration of the procedure. © 2013 The Japanese Urological Association.

  7. Reporting combined outcomes with Trifecta and survival, continence, and potency (SCP) classification in 337 patients with prostate cancer treated with image-guided hypofractionated radiotherapy. (United States)

    Jereczek-Fossa, Barbara A; Zerini, Dario; Fodor, Cristiana; Santoro, Luigi; Maucieri, Andrea; Gerardi, Marianna A; Vischioni, Barbara; Cambria, Raffaella; Garibaldi, Cristina; Cattani, Federica; Vavassori, Andrea; Matei, Deliu V; Musi, Gennaro; De Cobelli, Ottavio; Orecchia, Roberto


    To report the image-guided hypofractionated radiotherapy (hypo-IGRT) outcome for patients with localised prostate cancer according to the new outcome models Trifecta (cancer control, urinary continence, and sexual potency) and SCP (failure-free survival, continence and potency). Between August 2006 and January 2011, 337 patients with cT1-T2N0M0 prostate cancer (median age 73 years) were eligible for a prospective longitudinal study on hypo-IGRT (70.2 Gy/26 fractions) in our Department. Patients completed four questionnaires before treatment, and during follow-up: the International Index of Erectile Function-5 (IIEF-5), the International Prostate Symptom Score (IPSS), and the European Organization for Research and Treatment of Cancer prostate-cancer-specific Quality of Life Questionnaires (QLQ) QLQ-PR25 and QLQ-C30. Baseline and follow-up patient data were analysed according to the Trifecta and SCP outcome models. Cancer control, continence and potency were defined respectively as no evidence of disease, score 1 or 2 for item 36 of the QLQ-PR25 questionnaire, and total score of >16 on the IIEF-5 questionnaire. Patients receiving androgen-deprivation therapy (ADT) at any time were excluded. Trifecta criteria at baseline were met in 72 patients (42% of all ADT-free patients with completed questionnaires). Both at 12 and 24 months after hypo-IGRT, 57% of the Trifecta patients at baseline were still meeting the Trifecta criteria (both oncological and functional success according to the SCP model). The main reason for failing the Trifecta criteria during follow-up was erectile dysfunction: in 18 patients after 6 months follow-up, in 12 patients after 12 months follow-up, and in eight patients after 24 months. Actuarial 2-year Trifecta failure-free survival rate was 44% (95% confidence interval 27-60%). In multivariate analysis no predictors of Trifecta failure were identified. Missing questionnaires was the main limitation of the study. The Trifecta and SCP

  8. Analyses of the long-range transport of nitrogeneous species through the atmosphere from the Asian continent using observational data at Cape Hedo, Okinawa, and CMAQ postanalyses (United States)

    Sadanaga, Y.; Bandow, H.; Uno, I.; Sera, T.; Yuba, A.; Takenaka, N.; Takami, A.; Kurokawa, J.; Hatakeyama, S.


    The long-term monitoring of air quality has been continuing at the Cape Hedo Atmosphere and Aerosol Monitoring Station (CHAAMS) in Okinawa, Japan in terms of assessing the environmental impact and biogeochemical effect to the marine-surface activities by the economic growth of Asian continent. Among the monitoring data, total odd nitrogen oxides (NOy), HNO3, particulate nitrate (NO3-(p)), NH3, NH4+ and SO42- were analyzed for the period from 16 March to 13 April 2008 as well as the postanalyses of those species by the Community Muti-scale Air Quality model (CMAQ) of those species. NOy and total nitrate (TN = HNO3 + NO3-(p)) concentrations from China (CH) air mass origin were high during the observational period in both observed and model-calculated result. The long-range transport of odd nitrogen species from the Asian continent is supported with respect to both the CMAQ postanalyses and the observations. HNO3 and NO3-(p) concentrations from CH air mass origin were also high during the observational period. However, the HNO3 diurnal variation with daytime peak and nighttime lows suggests that HNO3 around the CHAAMS forms photochemically in situ or in areas relatively close to the CHAAMS. The maximum and minimum concentrations of NH3 were observed at Pacific Ocean (PO) and Middle China air mass origins, respectively, and the observed NH3 concentrations from PO air mass origin were highest. NH3 concentration calculated by the CMAQ failed to reproduce observed variation, this is because the horizontal resolution of CMAQ (-20km) is not sufficient to allocate the land surface/vegetation base NH3 emission. NH4+ and SO42- concentrations from CH air mass origin were high during the observational period for both the observation and the CMAQ calculation. As well as the case of NOy and TN, the long-range transport of ammonium and sulfur compounds from the Asian continent is also supported in terms of both the CMAQ postanalyses and the observations.

  9. Use of 137Cs as a tracer of low-altitude transport of re-suspended aeroso from the African continent

    International Nuclear Information System (INIS)

    Hernandez, F.; Karlsson, L.; Alonso-Perez, S.; Rodriguez, S.; Lopez-Perez, M.; Cuevas, E.; Hernandez-Armas, J.


    Northern Africa and the Arabian Peninsula are known sources of dust particles, which, upon certain meteorological conditions, may be transported over long distances (e.g. Goudie and Middleton, 2001). The island of Tenerife is situated approximately 200 km off the coast of Morocco. It is often affected by atmospheric dust intrusions from the African Continent produced by the suspension of aerosol particulate. These atmospheric events produce important increments of PM 10 matter concentrations in the air above the island. In this study, we have analysed the time series of 137 Cs and PM 10 matter recorded in Tenerife, during 2000-2006, at the marine boundary layer (MBL) to test the possible usefulness of the mentioned radiotracers as markers of dust intrusions of African origin. The analysis was supported with results obtained from the HYSPLIT (Hybrid Single-Particle Lagrangian Integrated Trajectory) 4.0 dispersion model and the DREAM (Dust Regional Atmospheric Model) model (author)(tk)

  10. Is the prognostic significance of O6-methylguanine- DNA methyltransferase promoter methylation equally important in glioblastomas of patients from different continents? A systematic review with meta-analysis. (United States)

    Meng, Wei; Jiang, Yangyang; Ma, Jie


    O6-methylguanine-DNA methyltransferase (MGMT) is an independent predictor of therapeutic response and potential prognosis in patients with glioblastoma multiforme (GBM). However, its significance of clinical prognosis in different continents still needs to be explored. To explore the effects of MGMT promoter methylation on both progression-free survival (PFS) and overall survival (OS) among GBM patients from different continents, a systematic review of published studies was conducted. A total of 5103 patients from 53 studies were involved in the systematic review and the total percentage of MGMT promoter methylation was 45.53%. Of these studies, 16 studies performed univariate analyses and 17 performed multivariate analyses of MGMT promoter methylation on PFS. The pooled hazard ratio (HR) estimated for PFS was 0.55 (95% CI 0.50, 0.60) by univariate analysis and 0.43 (95% CI 0.38, 0.48) by multivariate analysis. The effect of MGMT promoter methylation on OS was explored in 30 studies by univariate analysis and in 30 studies by multivariate analysis. The combined HR was 0.48 (95% CI 0.44, 0.52) and 0.42 (95% CI 0.38, 0.45), respectively. In each subgroup divided by areas, the prognostic significance still remained highly significant. The proportion of methylation in each group was in inverse proportion to the corresponding HR in the univariate and multivariate analyses of PFS. However, from the perspective of OS, compared with data from Europe and the US, higher methylation rates in Asia did not bring better returns.

  11. Arc-continent collision and the formation of continental crust: A new geochemical and isotopic record from the Ordovician Tyrone Igneous Complex, Ireland (United States)

    Draut, Amy E.; Clift, Peter D.; Amato, Jeffrey M.; Blusztajn, Jerzy; Schouten, Hans


    Collisions between oceanic island-arc terranes and passive continental margins are thought to have been important in the formation of continental crust throughout much of Earth's history. Magmatic evolution during this stage of the plate-tectonic cycle is evident in several areas of the Ordovician Grampian-Taconic orogen, as we demonstrate in the first detailed geochemical study of the Tyrone Igneous Complex, Ireland. New U-Pb zircon dating yields ages of 493 2 Ma from a primitive mafic intrusion, indicating intra-oceanic subduction in Tremadoc time, and 475 10 Ma from a light rare earth element (LREE)-enriched tonalite intrusion that incorporated Laurentian continental material by early Arenig time (Early Ordovician, Stage 2) during arc-continent collision. Notably, LREE enrichment in volcanism and silicic intrusions of the Tyrone Igneous Complex exceeds that of average Dalradian (Laurentian) continental material that would have been thrust under the colliding forearc and potentially recycled into arc magmatism. This implies that crystal fractionation, in addition to magmatic mixing and assimilation, was important to the formation of new crust in the Grampian-Taconic orogeny. Because similar super-enrichment of orogenic melts occurred elsewhere in the Caledonides in the British Isles and Newfoundland, the addition of new, highly enriched melt to this accreted arc terrane was apparently widespread spatially and temporally. Such super-enrichment of magmatism, especially if accompanied by loss of corresponding lower crustal residues, supports the theory that arc-continent collision plays an important role in altering bulk crustal composition toward typical values for ancient continental crust. ?? 2009 Geological Society of London.

  12. Functional and anatomical differences between continent and incontinent men post radical prostatectomy on urodynamics and 3T MRI: a pilot study. (United States)

    Cameron, Anne P; Suskind, Anne M; Neer, Charlene; Hussain, Hero; Montgomery, Jeffrey; Latini, Jerilyn M; DeLancey, John O


    There are competing hypotheses about the etiology of post prostatectomy incontinence (PPI). The purpose of this study was to determine the anatomical and functional differences between men with and without PPI. Case-control study of continent and incontinent men after radical prostatectomy who underwent functional and anatomic studies with urodynamics and 3.0 Tesla MRI. All men were at least 12 months post prostatectomy and none had a history of pelvic radiation or any prior surgery for incontinence. Baseline demographics, surgical approach, and pathology were similar between incontinent (cases) (n = 14) and continent (controls) (n = 12) men. Among the cases, the average 24 hr pad weight was 400.0 ± 176.9 g with a mean of 2.4 ± 0.7 pads per day. Urethral pressure profiles at rest did not significantly differ between groups; however, with a Kegel maneuver the rise in urethral pressure was 2.6 fold higher in controls. On MRI, the urethral length was 31-35% shorter and the bladder neck was 28.9° more funneled in cases. There were no differences in levator ani muscle size between groups. There was distortion of the sphincter area in 85.7% of cases and in 16.7% of controls (P = 0.001). Men with PPI were not able to increase urethral pressure with a Kegel maneuver despite similar resting urethral pressure profiles. Additionally, incontinent men had shorter urethras and were more likely to have distortion of the sphincter area. All suggesting that the sphincter in men with PPI is both diminutive and poorly functional. © 2014 Wiley Periodicals, Inc.

  13. The Earth Education by the traces of cartoons and comics: a vision of what was published in newspapers, available online, on five continents (United States)

    Teixeira, Carlos; Paulo, Gallo; Nogueira, Maria Inês


    Communication's Purpose: Identify the artistic expression that uses the language of cartoons and comics for public communication, having as reference the Earth Education for a better planet sustainability. Object/Theme: Cartoons and comics published in newspapers, on five continents, made available in online version. Theoretical: This study is related to the assumption that the public communication of science by cartoons and comics constitute a textual genre, by the fact that they report scientific and complex themes presented in playful language, using humor and artistic traces accessible to the lay public. The scientific cartoons and comics aim to call public attention to scientific discoveries and science themes using illustrative chart features and short texts, both contextualized in a humorous structure. There are in the cartoons and comics, which are created to the public communication of science, an unintentionally pedagogical approach/formal, while transmitting information by unpretentious way and using graphic/artistic communication By the fact that in this specific format of communication there is knowledge being informed, the scientific cartoons and comics can contribute to the scientific empowerment of the society, in addition to being instruments that can also arouse scientific curiosity. The scientific cartoons and comics use objective language and short sentences, also employ words that may have a double meaning. It can be considered as an incentive for people's reflection. Method: It was analyzed cartoons and comics published in newspapers, made available in online version, published on five continents, in English, Portuguese and Spanish. Palavras-chave: science communication, public communication of science and technology; cartoons; comics

  14. Simulation of long-range transport aerosols from the Asian Continent to Taiwan by a southward Asian high-pressure system. (United States)

    Chuang, Ming-Tung; Fu, Joshua S; Jang, Carey J; Chan, Chang-Chuan; Ni, Pei-Cheng; Lee, Chung-Te


    Aerosol is frequently transported by a southward high-pressure system from the Asian Continent to Taiwan and had been recorded a 100% increase in mass level compared to non-event days from 2002 to 2005. During this time period, PM2.5 sulfate was found to increase as high as 155% on event days as compared to non-event days. In this study, Asian emission estimations, Taiwan Emission Database System (TEDS), and meteorological simulation results from the fifth-generation Mesoscale Model (MM5) were used as inputs for the Community Multiscale Air Quality (CMAQ) model to simulate a long-range transport of PM2.5 event in a southward high-pressure system from the Asian Continent to Taiwan. The simulation on aerosol mass level and the associated aerosol components were found within a reasonable accuracy. During the transport process, the percentage of semi-volatile PM2.5 organic carbon in PM2.5 plume only slightly decreased from 22-24% in Shanghai to 21% near Taiwan. However, the percentage of PM2.5 nitrate in PM2.5 decreased from 16-25% to 1%. In contrast, the percentage of PM2.5 sulfate in PM2.5 increased from 16-19% to 35%. It is interesting to note that the percentage of PM2.5 ammonium and PM2.5 elemental carbon in PM2.5 remained nearly constant. Simulation results revealed that transported pollutants dominate the air quality in Taipei when the southward high-pressure system moved to Taiwan. Such condition demonstrates the dynamic chemical transformation of pollutants during the transport process from continental origin over the sea area and to the downwind land.

  15. Does the impact of subsequent incontinence risk factors depend on continence status during the first pregnancy or the postpartum period 12 years before? A cohort study in 232 primiparous women

    DEFF Research Database (Denmark)

    Viktrup, L.; Rortveit, G.; Lose, G.


    OBJECTIVE: Assess the impact of subsequent urinary incontinence risk factors in women with different urinary incontinence history. STUDY DESIGN: In a cohort study 232 women answered validated questions about urinary incontinence after the first delivery and 12 years later. Women who were continent...

  16. The history of a continent from U-Pb ages of zircons from Orinoco River sand and Sm-Nd isotopes in Orinoco basin river sediments (United States)

    Goldstein, S.L.; Arndt, N.T.; Stallard, R.F.


    We report SHRIMP U-Pb ages of 49 zircons from a sand sample from the lower Orinoco River, Venezuela, and Nd model ages of the fine sediment load from the main river and tributaries. The U-Pb ages reflect individual magmatic or metamorphic events, the Sm-Nd model ages reflect average crustal-residence ages of the sediment sources. Together they allow delineation of the crust-formation history of the basement precursors of the sediments. The U-Pb ages range from 2.83 to 0.15 Ga, and most are concordant or nearly so. Discrete age groupings occur at ??? 2.8, ??? 2.1, and ??? 1.1 Ga. The oldest group contains only three samples but is isolated from its closest neighbors by a ??? 600 Ma age gap. Larger age groupings at ??? 2.1 and ??? 1.1 Ga make up about a third and a quarter of the total number of analyses, respectively. The remaining analyses scatter along concordia, and most are younger than 1.6 Ga. The ??? 2.8 and ??? 2.1 Ga ages correspond to periods of crust formation of the Imataca and Trans-Amazonian provinces of the Guyana Shield, respectively, and record intervals of short but intensive continental growth. These ages coincide with ??? 2.9 and ??? 2.1 Ga Nd model ages of sediments from tributaries draining the Archean and Proterozoic provinces of the Guyana Shield, respectively, indicating that the U-Pb ages record the geological history of the crystalline basement of the Orinoco basin. Zircons with ages corresponding to the major orogenies of the North Atlantic continents (the Superior at ??? 2.7 Ga and Hudsonian at 1.7-1.9 Ga) were not found in the Orinoco sample. The age distribution may indicate that South and North America were separated throughout their history. Nd model ages of sediments from the lower Orinoco River and Andean tributaries are ??? 1.9 Ga, broadly within the range displayed by major rivers and dusts. This age does not coincide with known thermal events in the region and reflects mixing of sources with different crust-formation ages. The

  17. Comparative impact of continent and incontinent urinary diversion on long-term renal function after radical cystectomy in patients with preoperative chronic kidney disease 2 and chronic kidney disease 3a. (United States)

    Gershman, Boris; Eisenberg, Manuel S; Thompson, R Houston; Frank, Igor; Kaushik, Dharam; Tarrell, Robert; Thapa, Prabin; Boorjian, Stephen A


    To evaluate the differences in estimated glomerular filtration rate decline by urinary diversion type (incontinent diversion vs continent diversion) and preoperative estimated glomerular filtration rate among patients undergoing radical cystectomy and urinary diversion. We evaluated 1383 patients treated with radical cystectomy between 1980-2006 who had a preoperative estimated glomerular filtration rate of 45-89 mL/min/1.73 m(2). Estimated glomerular filtration rate was estimated using Chronic Kidney Disease Epidemiology Collaboration equations, and patients were stratified by preoperative estimated glomerular filtration rate into chronic kidney disease 2 (estimated glomerular filtration rate 60-89 mL/min/1.73 m(2)) and chronic kidney disease 3a (estimated glomerular filtration rate 45-59 mL/min/1.73 m(2)). Multiple definitions of estimated glomerular filtration rate decline were evaluated: (i) 10-point decline in estimated glomerular filtration rate; (ii) 20% decline in estimated glomerular filtration rate; and (iii) 10% decline in estimated glomerular filtration rate. Time to estimated glomerular filtration rate decline was compared using the Kaplan-Meier method stratified by diversion type. Cox regression models were used to evaluate the association of diversion type with estimated glomerular filtration rate decline risk. In total, 74% (1021/1383) of patients underwent incontinent diversion and 26% (362/1383) underwent continent diversion. Preoperative chronic kidney disease 2 and chronic kidney disease 3a were noted among 59% and 41% of patients who underwent incontinent diversion, versus 74% and 26% with continent diversion. Median follow up after RC was 11.2 years. The rate of estimated glomerular filtration rate decline in patients with incontinent diversion versus continent diversion was similar when stratified by preoperative chronic kidney disease 2 and preoperative chronic kidney disease 3a, regardless of estimated glomerular

  18. Regional climate modeling over the Maritime Continent: Assessment of RegCM3-BATS1e and RegCM3-IBIS (United States)

    Gianotti, R. L.; Zhang, D.; Eltahir, E. A.


    Despite its importance to global rainfall and circulation processes, the Maritime Continent remains a region that is poorly simulated by climate models. Relatively few studies have been undertaken using a model with fine enough resolution to capture the small-scale spatial heterogeneity of this region and associated land-atmosphere interactions. These studies have shown that even regional climate models (RCMs) struggle to reproduce the climate of this region, particularly the diurnal cycle of rainfall. This study builds on previous work by undertaking a more thorough evaluation of RCM performance in simulating the timing and intensity of rainfall over the Maritime Continent, with identification of major sources of error. An assessment was conducted of the Regional Climate Model Version 3 (RegCM3) used in a coupled system with two land surface schemes: Biosphere Atmosphere Transfer System Version 1e (BATS1e) and Integrated Biosphere Simulator (IBIS). The model’s performance in simulating precipitation was evaluated against the 3-hourly TRMM 3B42 product, with some validation provided of this TRMM product against ground station meteorological data. It is found that the model suffers from three major errors in the rainfall histogram: underestimation of the frequency of dry periods, overestimation of the frequency of low intensity rainfall, and underestimation of the frequency of high intensity rainfall. Additionally, the model shows error in the timing of the diurnal rainfall peak, particularly over land surfaces. These four errors were largely insensitive to the choice of boundary conditions, convective parameterization scheme or land surface scheme. The presence of a wet or dry bias in the simulated volumes of rainfall was, however, dependent on the choice of convection scheme and boundary conditions. This study also showed that the coupled model system has significant error in overestimation of latent heat flux and evapotranspiration from the land surface, and

  19. Subduction history of the Paleo-Pacific plate beneath the Eurasian continent: Evidence from Mesozoic igneous rocks and accretionary complex in NE Asia (United States)

    Xu, W.


    Mesozoic magmatisms in NE China can be subdivided into seven stages, i.e., Late Triassic, Early Jurassic, Middle Jurassic, Late Jurassic, early Early Cretaceous, late Early Cretaceous, and Late Cretaceous. Late Triassic magmatisms consist of calc-alkaline igneous rocks in the Erguna Massif, and bimodal igneous rocks in eastern margin of Eurasian continent. The former reveals southward subduction of the Mongol-Okhotsk oceanic plate, the latter reveals an extensional environment (Xu et al., 2013). Early Jurassic magmatisms are composed of calc-alkaline igneous rocks in the eastern margin of the Eurasian continent and the Erguna Massif, revealing westward subduction of the Paleo-pacific plate and southward subduction of the Mongol-Okhotsk oceanic plate (Tang et al., 2015), respectively. Middle Jurassic magmatism only occur in the Great Xing'an Range and the northern margin of the NCC, and consists of adakitic rocks that formed in crustal thickening, reflecting the closure of the Mongol-Okhotsk ocean (Li et al., 2015). Late Jurassic and early Early Cretaceous magmatisms only occur to the west of the Songliao Basin, and consist of trackyandesite and A-type of rhyolites, revealing an extensional environment related to delamination of thickened crust. The late Early Cretaceous magmatisms are widespread in NE China, and consist of calc-alkaline volcanics in eastern margin and bimodal volcanics in intracontinent, revealing westward subduction of the Paleo-pacific plate. Late Cretaceous magmatisms mainly occur to the east of the Songliao Basin, and consist of calc-alkaline volcanics in eastern margin and alkaline basalts in intracontinent (Xu et al., 2013), revealing westward subduction of the Paleo-pacific plate. The Heilongjiang complex with Early Jurassic deformation, together with Jurassic Khabarovsk complex in Russia Far East and Mino-Tamba complex in Japan, reveal Early Jurassic accretionary history. Additionally, the Raohe complex with the age of ca. 169 Ma was

  20. The transition of young adults with lifelong urological needs from pediatric to adult services: An international children's continence society position statement. (United States)

    Bower, Wendy F; Christie, Deborah; DeGennaro, Mario; Latthe, Pallavi; Raes, Ann; Romao, Rodrigo L P; Taghizadeh, Arash; Wood, Dan; Woodhouse, Christopher R J; Bauer, Stuart B


    Children with urinary tract disorders managed by teams, or individual pediatricians, urologists, nephrologists, gastroenterologists, neurologists, psychologists, and nurses at some point move from child-centered to adult-centered health systems. The actual physical change is referred to as the transfer whilst the process preceding this move constitutes transition of care. Our aims are twofold: to identify management and health-service problems related to children with congenital or acquired urological conditions who advance into adulthood and the clinical implications this has for long-term health and specialist care; and, to understand the issues facing both pediatric and adult-care clinicians and to develop a systems-approach model that meets the needs of young adults, their families and the clinicians working within adult services. Information was gleaned from presentations at an International Children's Continence Society meeting with collaboration from the International Continence Society, that discussed problems of transfer and transitioning such children. Several specialists attending this conference finalized this document identifying issues and highlighting ways to ease this transition and transfer of care for both patients and practitioners. The consensus was, urological patients with congenital or other lifelong care needs, are now entering adulthood in larger numbers than previously, necessitating new planning processes for tailored transfer of management. Adult teams must become familiar with new clinical problems in multiple organ systems and anticipate issues provoked by adolescence and physical growth. During this period of transitional care the clinician or team assists young patients to build attitudes, skills and understanding of processes needed to maximize function of their urinary tract-thus taking responsibility for their own healthcare needs. Preparation must also address, negotiating adult health care systems, psychosocial, educational or

  1. Structural, physiognomic and above-ground biomass variation in savanna–forest transition zones on three continents – how different are co-occurring savanna and forest formations?

    Directory of Open Access Journals (Sweden)

    E. M. Veenendaal


    Full Text Available Through interpretations of remote-sensing data and/or theoretical propositions, the idea that forest and savanna represent "alternative stable states" is gaining increasing acceptance. Filling an observational gap, we present detailed stratified floristic and structural analyses for forest and savanna stands located mostly within zones of transition (where both vegetation types occur in close proximity in Africa, South America and Australia. Woody plant leaf area index variation was related to tree canopy cover in a similar way for both savanna and forest with substantial overlap between the two vegetation types. As total woody plant canopy cover increased, so did the relative contribution of middle and lower strata of woody vegetation. Herbaceous layer cover declined as woody cover increased. This pattern of understorey grasses and herbs progressively replaced by shrubs as the canopy closes over was found for both savanna and forests and on all continents. Thus, once subordinate woody canopy layers are taken into account, a less marked transition in woody plant cover across the savanna–forest-species discontinuum is observed compared to that inferred when trees of a basal diameter > 0.1 m are considered in isolation. This is especially the case for shrub-dominated savannas and in taller savannas approaching canopy closure. An increased contribution of forest species to the total subordinate cover is also observed as savanna stand canopy closure occurs. Despite similarities in canopy-cover characteristics, woody vegetation in Africa and Australia attained greater heights and stored a greater amount of above-ground biomass than in South America. Up to three times as much above-ground biomass is stored in forests compared to savannas under equivalent climatic conditions. Savanna–forest transition zones were also found to typically occur at higher precipitation regimes for South America than for Africa. Nevertheless, consistent across all three

  2. Box Tomography: first application to the imaging of upper-mantle shear velocity and radial anisotropy structure beneath the North American continent (United States)

    Clouzet, P.; Masson, Y.; Romanowicz, B.


    The EarthScope Transpotable Array (TA) deployment provides dense array coverage throughout the continental United States and with it, the opportunity for high-resolution 3-D seismic velocity imaging of the stable part of the North American (NA) upper mantle. Building upon our previous long-period waveform tomographic modeling, we present a higher resolution 3-D isotropic and radially anisotropic shear wave velocity model of the NA lithosphere and asthenosphere. The model is constructed using a combination of teleseismic and regional waveforms down to 40 s period and wavefield computations are performed using the spectral element method both for regional and teleseismic data. Our study is the first tomographic application of `Box Tomography', which allows us to include teleseismic events in our inversion, while computing the teleseismic wavefield only once, thus significantly reducing the numerical computational cost of several iterations of the regional inversion. We confirm the presence of high-velocity roots beneath the Archean part of the continent, reaching 200-250 km in some areas, however the thickness of these roots is not everywhere correlated to the crustal age of the corresponding cratonic province. In particular, the lithosphere is thick (˜250 km) in the western part of the Superior craton, while it is much thinner (˜150 km) in its eastern part. This may be related to a thermomechanical erosion of the cratonic root due to the passage of the NA plate over the Great Meteor hotspot during the opening of the Atlantic ocean 200-110 Ma. Below the lithosphere, an upper-mantle low-velocity zone (LVZ) is present everywhere under the NA continent, even under the thickest parts of the craton, although it is less developed there. The depth of the minimum in shear velocity has strong lateral variations, whereas the bottom of the LVZ is everywhere relatively flat around 270-300 km depth, with minor undulations of maximum 30 km that show upwarping under the thickest

  3. Towards the prediction of pre-mining stresses in the European continent. [Estimates of vertical and probable maximum lateral stress in Europe

    Energy Technology Data Exchange (ETDEWEB)

    Blackwood, R. L.


    There are now available sufficient data from in-situ, pre-mining stress measurements to allow a first attempt at predicting the maximum stress magnitudes likely to occur in a given mining context. The sub-horizontal (lateral) stress generally dominates the stress field, becoming critical to stope stability in many cases. For cut-and-fill mining in particular, where developed fill pressures are influenced by lateral displacement of pillars or stope backs, extraction maximization planning by mathematical modelling techniques demands the best available estimate of pre-mining stresses. While field measurements are still essential for this purpose, in the present paper it is suggested that the worst stress case can be predicted for preliminary design or feasibility study purposes. In the Eurpoean continent the vertical component of pre-mining stress may be estimated by adding 2 MPa to the pressure due to overburden weight. The maximum lateral stress likely to be encountered is about 57 MPa at depths of some 800m to 1000m below the surface.

  4. Postnatal growth rates covary weakly with embryonic development rates and do not explain adult mortality probability among songbirds on four continents. (United States)

    Martin, Thomas E; Oteyza, Juan C; Mitchell, Adam E; Potticary, Ahva L; Lloyd, Penn


    Growth and development rates may result from genetic programming of intrinsic processes that yield correlated rates between life stages. These intrinsic rates are thought to affect adult mortality probability and longevity. However, if proximate extrinsic factors (e.g., temperature, food) influence development rates differently between stages and yield low covariance between stages, then development rates may not explain adult mortality probability. We examined these issues based on study of 90 songbird species on four continents to capture the diverse life-history strategies observed across geographic space. The length of the embryonic period explained little variation (ca. 13%) in nestling periods and growth rates among species. This low covariance suggests that the relative importance of intrinsic and extrinsic influences on growth and development rates differs between stages. Consequently, nestling period durations and nestling growth rates were not related to annual adult mortality probability among diverse songbird species within or among sites. The absence of a clear effect of faster growth on adult mortality when examined in an evolutionary framework across species may indicate that species that evolve faster growth also evolve physiological mechanisms for ameliorating costs on adult mortality. Instead, adult mortality rates of species in the wild may be determined more strongly by extrinsic environmental causes.

  5. Performance Characteristics of qPCR Assays Targeting Human- and Ruminant-Associated Bacteroidetes for Microbial Source Tracking across Sixteen Countries on Six Continents (United States)


    Numerous quantitative PCR assays for microbial fecal source tracking (MST) have been developed and evaluated in recent years. Widespread application has been hindered by a lack of knowledge regarding the geographical stability and hence applicability of such methods beyond the regional level. This study assessed the performance of five previously reported quantitative PCR assays targeting human-, cattle-, or ruminant-associated Bacteroidetes populations on 280 human and animal fecal samples from 16 countries across six continents. The tested cattle-associated markers were shown to be ruminant-associated. The quantitative distributions of marker concentrations in target and nontarget samples proved to be essential for the assessment of assay performance and were used to establish a new metric for quantitative source-specificity. In general, this study demonstrates that stable target populations required for marker-based MST occur around the globe. Ruminant-associated marker concentrations were strongly correlated with total intestinal Bacteroidetes populations and with each other, indicating that the detected ruminant-associated populations seem to be part of the intestinal core microbiome of ruminants worldwide. Consequently tested ruminant-targeted assays appear to be suitable quantitative MST tools beyond the regional level while the targeted human-associated populations seem to be less prevalent and stable, suggesting potential for improvements in human-targeted methods. PMID:23755882

  6. Diversity in human hair growth, diameter, colour and shape. An in vivo study on young adults from 24 different ethnic groups observed in the five continents. (United States)

    Loussouarn, Geneviève; Lozano, Isabelle; Panhard, Ségolène; Collaudin, Catherine; El Rawadi, Charles; Genain, Gilles


    Based on previous findings, from a worldwide study, classified the shapes of human hair into 8 major types, from straight to highly curly. This clearly extended the usual classification of hair into African, Asian or Caucasian types. However, determinations of hair growth parameters and hair density were excluded from such studies. To measure and compare the hair growth profiles of young adults without alopecia living in the five continents. 2249 young adults (18-35 years, females and males) without alopecia, originating from 24 various human ethnic groups were included in the study. Total hair density, telogen percentage and growth rate on three different scalp areas were measured, using non-invasive validated techniques. Natural hair colour level, curliness and hair diameter were additionally recorded, when practically possible. Diversity in hair growth parameters among the entire cohort was a key finding, with differences linked to scalp area, gender and geographic origin. Statistical approaches depicted African hair as having lower density and a slower growth rate. Asian hair showed a thicker diameter, with faster growth. Caucasian hair showed a high total hair density. On the one hand, this inter-continental study of hair growth parameters provides initial valuable base-line data on hair in young adults without alopecia, and on the other hand, further extends our knowledge of this unique human appendage, with some mosaic features, observed worldwide.

  7. Body-mass index and all-cause mortality: individual-participant-data meta-analysis of 239 prospective studies in four continents. (United States)

    Global BMI Mortality Collaboration; Di Angelantonio, Emanuele; Bhupathiraju, Shilpa; Wormser, David; Gao, Pei; Kaptoge, Stephen; Berrington de Gonzalez, Amy; Cairns, Benjamin; Huxley, Rachel; Jackson, Chandra; Joshy, Grace; Lewington, Sarah; Manson, JoAnn; Murphy, Neil; Patel, Alpa; Samet, Jonathan; Woodward, Mark; Zheng, Wei; Zhou, Maigen; Bansal, Narinder; Barricarte, Aurelio; Carter, Brian; Cerhan, James; Smith, George; Fang, Xianghua; Franco, Oscar; Green, Jane; Halsey, Jim; Hildebrand, Janet; Jung, Keum; Korda, Rosemary; McLerran, Dale; Moore, Steven; O'Keeffe, Linda; Paige, Ellie; Ramond, Anna; Reeves, Gillian; Rolland, Betsy; Sacerdote, Carlotta; Sattar, Naveed; Sofianopoulou, Eleni; Stevens, June; Thun, Michael; Ueshima, Hirotsugu; Yang, Ling; Yun, Young; Willeit, Peter; Banks, Emily; Beral, Valerie; Chen, Zhengming; Gapstur, Susan; Gunter, Marc; Hartge, Patricia; Jee, Sun; Lam, Tai-Hing; Peto, Richard; Potter, John; Willett, Walter; Thompson, Simon; Danesh, John; Hu, Frank


    Overweight and obesity are increasing worldwide. To help assess their relevance to mortality in different populations we conducted individual-participant data meta-analyses of prospective studies of body-mass index (BMI), limiting confounding and reverse causality by restricting analyses to never-smokers and excluding pre-existing disease and the first 5 years of follow-up. Of 10 625 411 participants in Asia, Australia and New Zealand, Europe, and North America from 239 prospective studies (median follow-up 13·7 years, IQR 11·4-14·7), 3 951 455 people in 189 studies were never-smokers without chronic diseases at recruitment who survived 5 years, of whom 385 879 died. The primary analyses are of these deaths, and study, age, and sex adjusted hazard ratios (HRs), relative to BMI 22·5-continents. This finding supports strategies to combat the entire spectrum of excess adiposity in many populations. UK Medical Research Council, British Heart Foundation, National Institute for Health Research, US National Institutes of Health. Copyright © 2016 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC-BY license. Published by Elsevier Ltd.. All rights reserved.

  8. Bayesian chronological analyses consistent with synchronous age of 12,835–12,735 Cal B.P. for Younger Dryas boundary on four continents (United States)

    Kennett, James P.; Kennett, Douglas J.; Culleton, Brendan J.; Aura Tortosa, J. Emili; Bischoff, James L.; Bunch, Ted E.; Daniel, I. Randolph; Erlandson, Jon M.; Ferraro, David; Firestone, Richard B.; Goodyear, Albert C.; Israde-Alcántara, Isabel; Johnson, John R.; Jordá Pardo, Jesús F.; Kimbel, David R.; LeCompte, Malcolm A.; Lopinot, Neal H.; Mahaney, William C.; Moore, Andrew M. T.; Moore, Christopher R.; Ray, Jack H.; Stafford, Thomas W.; Tankersley, Kenneth Barnett; Wittke, James H.; Wolbach, Wendy S.; West, Allen


    The Younger Dryas impact hypothesis posits that a cosmic impact across much of the Northern Hemisphere deposited the Younger Dryas boundary (YDB) layer, containing peak abundances in a variable assemblage of proxies, including magnetic and glassy impact-related spherules, high-temperature minerals and melt glass, nanodiamonds, carbon spherules, aciniform carbon, platinum, and osmium. Bayesian chronological modeling was applied to 354 dates from 23 stratigraphic sections in 12 countries on four continents to establish a modeled YDB age range for this event of 12,835–12,735 Cal B.P. at 95% probability. This range overlaps that of a peak in extraterrestrial platinum in the Greenland Ice Sheet and of the earliest age of the Younger Dryas climate episode in six proxy records, suggesting a causal connection between the YDB impact event and the Younger Dryas. Two statistical tests indicate that both modeled and unmodeled ages in the 30 records are consistent with synchronous deposition of the YDB layer within the limits of dating uncertainty (∼100 y). The widespread distribution of the YDB layer suggests that it may serve as a datum layer. PMID:26216981

  9. Bayesian chronological analyses consistent with synchronous age of 12,835-12,735 Cal B.P. for Younger Dryas boundary on four continents. (United States)

    Kennett, James P; Kennett, Douglas J; Culleton, Brendan J; Aura Tortosa, J Emili; Bischoff, James L; Bunch, Ted E; Daniel, I Randolph; Erlandson, Jon M; Ferraro, David; Firestone, Richard B; Goodyear, Albert C; Israde-Alcántara, Isabel; Johnson, John R; Jordá Pardo, Jesús F; Kimbel, David R; LeCompte, Malcolm A; Lopinot, Neal H; Mahaney, William C; Moore, Andrew M T; Moore, Christopher R; Ray, Jack H; Stafford, Thomas W; Tankersley, Kenneth Barnett; Wittke, James H; Wolbach, Wendy S; West, Allen


    The Younger Dryas impact hypothesis posits that a cosmic impact across much of the Northern Hemisphere deposited the Younger Dryas boundary (YDB) layer, containing peak abundances in a variable assemblage of proxies, including magnetic and glassy impact-related spherules, high-temperature minerals and melt glass, nanodiamonds, carbon spherules, aciniform carbon, platinum, and osmium. Bayesian chronological modeling was applied to 354 dates from 23 stratigraphic sections in 12 countries on four continents to establish a modeled YDB age range for this event of 12,835-12,735 Cal B.P. at 95% probability. This range overlaps that of a peak in extraterrestrial platinum in the Greenland Ice Sheet and of the earliest age of the Younger Dryas climate episode in six proxy records, suggesting a causal connection between the YDB impact event and the Younger Dryas. Two statistical tests indicate that both modeled and unmodeled ages in the 30 records are consistent with synchronous deposition of the YDB layer within the limits of dating uncertainty (∼ 100 y). The widespread distribution of the YDB layer suggests that it may serve as a datum layer.

  10. Downscaling Climate Projections to a Mountainous Landscape: A Climate Impact Assessment for the U.S. Northern Rockies Crown of the Continent Ecosystem (United States)

    Oyler, J.; Anderson, R.; Running, S. W.


    In topographically complex landscapes, there is often a mismatch in scale between global climate model projections and more local climate-forcing factors and related ecological/hydrological processes. To overcome this limitation, the objective of this study was to downscale climate projections to the rugged Crown of the Continent Ecosystem (CCE) within the U.S. Northern Rockies and assess future impacts on water balances, vegetation dynamics, and carbon fluxes. A 40-year (1970-2009) spatial historical climate dataset (800m resolution, daily timestep) was generated for the CCE and modified for terrain influences. Regional climate projections were downscaled by applying them to the fine-scale historical dataset using a modified delta downscaling method and stochastic weather generator. The downscaled projections were used to drive the Biome-BGC ecosystem model. Overall CCE impacts included decreases in April 1 snow water equivalent, less days with snow on the ground, increased vegetation water stress, and increased growing degree days. The relaxing of temperature constraints increased annual net primary productivity (NPP) throughout most of the CCE landscape. However, an increase in water stress seems to have limited the growth in NPP and, in some areas, NPP actually decreased. Thus, CCE vegetation productivity trends under increasing temperatures will likely be determined by local changes in hydrologic function. Given the greater uncertainty in precipitation projections, future work should concentrate on determining thresholds in water constraints that greatly modify the magnitude and direction of carbon accumulation within the CCE under a warming climate.

  11. Genetic and phylogenetic analysis of multi-continent human influenza A(H1N2) reassortant viruses isolated in 2001 through 2003. (United States)

    Chen, M-J; La, T; Zhao, P; Tam, J S; Rappaport, R; Cheng, S-M


    Genetic analyses were performed on 228 influenza A(H1) viruses derived from clinical subjects participating in an experimental vaccine trial conducted in 20 countries on four continents between 2001 and 2003. HA1 phylogenetic analysis of these viruses showed multiple clades circulated around the world with regional prevalence patterns. Sixty-five of the A(H1) viruses were identified as A(H1N2), 40 of which were isolated from South Africa. The A(H1) sequences of these viruses cluster with published H1N2 viruses phylogenetically and share with them diagnostic signature V169A and A193T changes. The results also showed for the first time that H1N2 viruses were prominent in South Africa during the 2001-2002 influenza season, accounting for over 90% of the A(H1) cases in our study, and infecting both children (29/31) and the elderly (11/13). Phylogenetic analysis of the 65 H1N2 viruses we identified, in conjunction with the 56 recent H1N2 viruses currently available in the database, provided a comprehensive view of the circulation and evolution of distinct clades of H1N2 viruses in a temporal manner between early 2001 and mid-2003, shortly after the appearance of these recent reassortant viruses in or near year 2000.

  12. Wetlands, wild Bovidae species richness and sheep density delineate risk of Rift Valley fever outbreaks in the African continent and Arabian Peninsula.

    Directory of Open Access Journals (Sweden)

    Michael G Walsh


    Full Text Available Rift Valley fever (RVF is an emerging, vector-borne viral zoonosis that has significantly impacted public health, livestock health and production, and food security over the last three decades across large regions of the African continent and the Arabian Peninsula. The potential for expansion of RVF outbreaks within and beyond the range of previous occurrence is unknown. Despite many large national and international epidemics, the landscape epidemiology of RVF remains obscure, particularly with respect to the ecological roles of wildlife reservoirs and surface water features. The current investigation modeled RVF risk throughout Africa and the Arabian Peninsula as a function of a suite of biotic and abiotic landscape features using machine learning methods. Intermittent wetland, wild Bovidae species richness and sheep density were associated with increased landscape suitability to RVF outbreaks. These results suggest the role of wildlife hosts and distinct hydrogeographic landscapes in RVF virus circulation and subsequent outbreaks may be underestimated. These results await validation by studies employing a deeper, field-based interrogation of potential wildlife hosts within high risk taxa.

  13. Searching for pelvic floor muscle exercises on YouTube: what individuals may find and where this might fit with health service programmes to promote continence. (United States)

    Stephen, Kate; Cumming, Grant P


    This paper describes the investigation, categorization/characterization and viewing of pelvic floor muscle exercises (PFME) on YouTube from the perspective of the 'wisdom of the crowd'. The aim of the research was to increase awareness of the type of clips that individuals are likely to come across when searching YouTube and to describe trends and popularity. This awareness will be useful for the design of continence promotion services, especially for hard-to-reach individuals. Web-based videos relating to PFE were identified by searching YouTube using the snowball technique. Main outcome measures Number of views; the approach taken (health, fitness, sexual and pregnancy); product promotion; and the use of music, visual cues and elements designed to encourage exercise. The number of views of each video was recorded at three points over a seven-month period. Twenty-two videos were identified. Overall these videos had been viewed over 430,000 times during the study period. One video was viewed over 100,000 times and overall the median increase in views was 59.4%. YouTube is increasingly used to access information about pelvic floor exercises. Different approaches are used to communicate PFME information but there are no formal structures for quality control. Further research is required to identify which elements of the video clips are effective in communicating information and in motivating exercise and to establish appropriate protocols. Kitemarking is recommended in order that women obtain correct advice.

  14. Continent-Wide Estimates of Antarctic Strain Rates from Landsat 8-Derived Velocity Grids and Their Application to Ice Shelf Studies (United States)

    Alley, K. E.; Scambos, T.; Anderson, R. S.; Rajaram, H.; Pope, A.; Haran, T.


    Strain rates are fundamental measures of ice flow used in a wide variety of glaciological applications including investigations of bed properties, calculations of basal mass balance on ice shelves, application to Glen's flow law, and many other studies. However, despite their extensive application, strain rates are calculated using widely varying methods and length scales, and the calculation details are often not specified. In this study, we compare the results of nominal and logarithmic strain-rate calculations based on a satellite-derived velocity field of the Antarctic ice sheet generated from Landsat 8 satellite data. Our comparison highlights the differences between the two commonly used approaches in the glaciological literature. We evaluate the errors introduced by each code and their impacts on the results. We also demonstrate the importance of choosing and specifying a length scale over which strain-rate calculations are made, which can have large local impacts on other derived quantities such as basal mass balance on ice shelves. We present strain-rate data products calculated using an approximate viscous length-scale with satellite observations of ice velocity for the Antarctic continent. Finally, we explore the applications of comprehensive strain-rate maps to future ice shelf studies, including investigations of ice fracture, calving patterns, and stability analyses.

  15. Decreasing Indian summer monsoon on the northern Indian sub-continent during the last 180 years: evidence from five tree-ring cellulose oxygen isotope chronologies (United States)

    Xu, Chenxi; Sano, Masaki; Priyadarshan Dimri, Ashok; Ramesh, Rengaswamy; Nakatsuka, Takeshi; Shi, Feng; Guo, Zhengtang


    We have constructed a regional tree-ring cellulose oxygen isotope (δ18O) record for the northern Indian sub-continent based on two new records from northern India and central Nepal and three published records from northwestern India, western Nepal and Bhutan. The record spans the common interval from 1743 to 2008 CE. Correlation analysis reveals that the record is significantly and negatively correlated with the three regional climatic indices: all India rainfall (AIR; r = -0.5, p changes in the ISM. The record exhibits significant interannual and long-term variations. Interannual changes are closely related to the El Niño-Southern Oscillation (ENSO), which indicates that the ISM was affected by ENSO in the past. However, the ISM-ENSO relationship was not consistent over time, and it may be partly modulated by Indian Ocean sea surface temperature (SST). Long-term changes in the regional tree-ring δ18O record indicate a possible trend of weakened ISM intensity since 1820. Decreasing ISM activity is also observed in various high-resolution ISM records from southwest China and Southeast Asia, and may be the result of reduced land-ocean thermal contrasts since 1820 CE.

  16. Demographics of cleft care providers in Africa and reported experience in training and practice: direct analysis of continent-based practitioners. (United States)

    Adetayo, Oluwaseun A; Martin, Mark C


    To elucidate the impact of several geographic, cultural, and socioeconomic variables on cleft care delivery in Africa, and to investigate the current status of cleft care delivery in Africa. Survey of practitioners attending the second Pan-African Congress on Cleft Lip and Palate (PACCLIP). The annual PACCLIP conference in Ibadan, Nigeria, West Africa, February 2007. To provide an analysis of the demographics and training experience of cleft care providers in Africa by collating information directly from the continent-based practitioners. Plastic surgeons and oral and maxillofacial surgeons provide the majority of cleft care. Most of the participants reported availability of formal training programs in their respective countries. The predominant practice settings were university and government-based. During training, half of the providers had encountered up to 30 cleft cases, and a quarter had managed more than 100 cases. Representation of visiting surgeons were equally distributed between African and non-African countries. This study provides initial and detailed analysis crucial to understanding the underlying framework of cleft care composition teams, demographics of providers, and training and practice experience. This awareness will further enable North American and other non-African plastic surgeons to effectively partner with African cleft care providers to have a further reaching impact in the region.

  17. Sub-Seasonal Prediction of the Maritime Continent Rainfall of Wet-Dry Transitional Seasons in the NCEP Climate Forecast Version 2

    Directory of Open Access Journals (Sweden)

    Tuantuan Zhang


    Full Text Available This study investigates the characteristics and prediction of the Maritime Continent (MC rainfall for the transitional periods between wet and dry seasons. Several observational data sets and the output from the 45-day hindcast by the U.S. National Centers for Environmental Prediction (NCEP Climate Forecast System version 2 (CFSv2 are used. Results show that the MC experiences a sudden transition from wet season to dry season (WTD around the 27th pentad, and a gradual transition from dry season to wet season (DTW around the 59th pentad. Correspondingly, the westerlies over the equatorial Indian Ocean, the easterlies over the equatorial Pacific Ocean, and the Australia High become weaker, contributing to weakening of the convergence over the MC. The subtropical western Pacific high intensifies and extends northeastward during the WTD. The Mascarene High becomes weaker, an anomalous anticyclonic circulation forms over the northeast of the Philippines, and an anomalous low-level convergence occurs over the western MC during the DTW. The NCEP CFSv2 captures the major features of rainfall and related atmospheric circulation when forecast lead time is less than three weeks for WTD and two weeks for DTW. The model predicts a weaker amplitude of the changes in rainfall and related atmospheric circulation for both WTD and DTW as lead time increases.

  18. Unfrozen continent : the not-so-frozen continent

    Energy Technology Data Exchange (ETDEWEB)

    Eastwood, K.


    The Antarctic Peninsula is warming with average mid-winter air temperatures increasing by 4 to 5 degrees Celsius and sea temperatures rising more than 12 degrees Celsius over the past 50 years. This article discussed the impact of climate change on the bird and whale populations in the Antarctic as well as the environmental changes being wrought on one of the fastest-warming regions on earth. The survival of Adelie, gentoo, whale, and penguin populations in the Antarctic was discussed. The article noted that the prolific wildlife of the Antarctic Peninsula is what attracts most visitors to the region. The article also discussed the disintegration of the 13,380-square-kilometre Wilkins Ice Shelf as well as the concern that ice shelves may hold back glaciers, and their disintegration may lead glaciers to disappear at an even faster rate. The Wilkins Ice Shelf is estimated to have shrunk by 5,000 kilometres since it began its retreat in the 1990s. Large chunks of ice that separate and drift for a decade or so, sometimes for over hundreds of kilometres, can block access to vital nesting sites. It was concluded that the effects of climate change in the Arctic are far more noticeable than on the Antarctic Peninsula. 10 figs.

  19. These School Ties Bind Continents. (United States)

    Tocco, Stephen P.


    Recruitment of foreign students would be economically advantageous to New England. Currently, the typical foreign student in Boston makes international 15 trips to the area in a lifetime. Alumni connections are especially important, both for institutions and for the region's economy. Increasingly, other states and regions are discovering the…

  20. El debate continúa

    Directory of Open Access Journals (Sweden)

    Peter Schenkel


    Full Text Available Elfascinante tema de la posible comunicación con seres inteligentes extraterrestres suscita cada vez más interés por parte de los científicos. Desde luego, no lo referido a los supuestos contactos realizados por ufólogos, ni a las alucinaciones de las personas que creen habersido abducidaspor extraterrestres. Sí lo que se relaciona con los serios esfuerzos de hombres de ciencia para hacer contacto con inteligencia extraterrestre (ETI y deprepararnos política y legalmente para esta eventualidad. El autor, delegado de CIESPAL a conferencias internacionales sobre el tema, reseña lo acontecido últimamente en estos foros.

  1. The tale of two continents

    International Nuclear Information System (INIS)

    Ednie, H.


    This article discussed the development of coal resources in Mongolia by Vancouver-based Ivanhoe Mines. SouthGobi Energy Resources is the largest holder of coal lands under exploration in Mongolia, with 2.3 million hectares, comprising 54 exploration licenses. The properties are located in the southern part of Mongolia in the Gobi Desert bordering China. The opportunities for developing coal from Mongolia to be sold to China were summarized. Ovoot Tolgoi is the most advanced of SouthGobi's projects, with 150 million tonnes of coal resources measured and indicated. The initial plan is for the development of a surface mine. A detailed environmental assessment has been completed and approved. The development plans have also been accepted by local communities. Mining equipment will be purchased once the mining license is granted. The operation will start at 1 million tonnes per year, then increase to 5 million tonnes per year in 5 years. The coal is continuous at depth, and plans for an underground operation have already begun. This article also discussed the challenges of conducting business in Mongolia and improving the infrastructure to support the development of mining operations. 3 figs


    Directory of Open Access Journals (Sweden)

    Martha E Simmons


    Full Text Available Increasingly, digital technologies are influencing and impacting dispute resolution, particularly in the emerging field of online dispute resolution (ODR. ODR holds the potential to increase access to justice by engaging disputants in dramatically new ways. As a relatively new subject, ODR is unlikely to form part of the traditional curriculum at law schools. Aside from the question of whether it will become a mainstream part of tomorrow’s legal or dispute resolution landscape, ODR does show us that a familiarity with technology is becoming more important for tomorrow’s lawyers. As educators, how can we expose law students to these new forces of change in a meaningful way? How can we help students understand the benefits and drawbacks technology holds for the challenge of access to justice? This article describes a unique pilot project of an ODR simulation involving three universities in three cities, two continents, and three time zones. The main objectives of the project were to expose law students to ODR from the perspective of a disputant or client; expose clinical mediation students to a range of technology-based dispute resolution processes; demonstrate the potential for technology to support collaboration across vast distances; and promote experiential education by giving students “hands-on” ODR experience. This article will describe the simulation from an educator’s perspective.   Les technologies numériques ont de plus en plus d’influence et de répercussions sur le règlement des différends, surtout dans le nouveau domaine du règlement des conflits en ligne (RCL. Le RCL peut accroître l’accès à la justice en invitant les parties à adopter des démarches totalement nouvelles. Étant donné qu’il s’agit d’un sujet relativement nouveau, il est peu probable que le RCL soit enseigné dans les écoles de droit traditionnelles. Indépendamment de la question de savoir s’il deviendra éventuellement un

  3. Landscape-scale Habitat Templates and Life Histories of Endangered and Invasive Fish Species in Large Rivers of the Mid-Continent USA (Invited) (United States)

    Jacobson, R. B.; Braaten, P. J.; Chapman, D.; DeLonay, A. J.


    Many fish species migrate through river systems to complete their life cycles, occupying specific habitats during specific life stages. Regional geomorphology sets a template for their habitat-use patterns and ontogenetic development. In large rivers of the Mid-continent USA, understanding of relations of fish life histories to landscape-scale habitat templates informs recovery of endangered species and prevention of spread of invasive species. The endangered pallid sturgeon has evolved in the Missouri-Mississippi river system over 150 Ma. Its present-day distribution probably results from extensive drainage re-arrangements during the Pleistocene, followed by contemporary fragmentation. The reproductive and early life-stage needs of pallid sturgeon encompass hundreds of km, as adults migrate upstream to spawn and free embryos and larvae disperse downstream. Spawning requires coarse, hard substrate for incubation of adhesive eggs but adult pallid sturgeon are found predominately over sand, indicating that coarse substrate is a critical but transient habitat need. Once hatched, free-embryos initiate 9-17 days of downstream dispersal that distributes them over several hundreds of km. Lotic conditions at the dispersal terminus are required for survival. Persistent recruitment failure has been attributed to dams and channelization, which have fragmented migration and dispersal corridors, altered flow regimes, and diminished rearing habitats. Key elements of the natural history of this species remain poorly understood because adults are rare and difficult to observe, while the earliest life stages are nearly undetectable. Recent understanding has been accelerated using telemetry and hydroacoustics, but such assessments occur in altered systems and may not be indicative of natural behaviors. Restoration activities attempt - within considerable uncertainty -- to restore elements of the habitat template where they are needed. In comparison, invasive Asian carps have been

  4. La oportunidad de un atlas sobre el estado del continente africano / The Opportunity of an Atlas about the Situation of the African Continent

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    Eva Pérez Hernández


    Full Text Available Desde la Antigüedad clásica hasta nuestros días se han multiplicado las representaciones cartográficas de la Tierra, sin embargo, no todos los territorios del planeta han recibido la misma atención. En el caso del continente africano son escasas las colecciones de mapas recientes y, especialmente, las que conforman atlas temáticos. Esta circunstancia fue determinante en la orientación de las prácticas desarrolladas en Casa África durante el curso académico 2012-2013, al amparo del Consorcio Casa África-Universidad de Las Palmas de Gran Canaria. El objetivo de las prácticas fue la elaboración de un atlas digital de África que tuvo como resultado la realización de cuarenta mapas temáticos basados en indicadores geográficos, ambientales, demográficos, económicos, sociales, geopolíticos, culturales y de sus relaciones económicas y políticas con España. La elaboración de dicho atlas se vio afectada por numerosas dificultades en cuanto a la búsqueda y tratamiento de las fuentes de información y por un trabajo de diseño y edición que requirió de la utilización de las nuevas tecnologías de la información geográfica. El presente artículo reflexiona acerca de la importancia de la cartografía como herramienta imprescindible de conocimiento geográfico y acerca de la superación de dificultades que entrañan retos como el de la realización de un atlas sobre el estado actual del continente africano.From Classical Antiquity to the present days, cartographic representations of the Earth have multiplied. However, not all the territories of the planet have received the same attention. In the case of the African continent, there are few collections of recent maps, especially, of those that are composed of thematic atlases. This circumstance was decisive in determining the focus of the internship in Casa África during academic year 2012-2013, under the auspices of the Consortium Casa África - University of Las Palmas de Gran

  5. Deformation associated to exhumation by detachment faulting of upper mantle rocks in a fossil Ocean Continent Transition: The example of the Totalp unit in SE Switzerland (United States)

    Picazo, S.; Manatschal, G.; Cannat, M.


    The exhumation of upper mantle rocks along detachment faults is widespread at Mid-Ocean Ridges and at the Ocean-Continent Transition (OCT) of rifted continental margins. Thermo-mechanical models indicate that significant strain softening of the fault rocks in the footwall is required in order to produce such large fault offsets. Our work focuses on deformation textures, and the associated mineralogy in ultramafic rocks sampled in the upper levels of the footwall next to the exhumation fault. We present two OCT examples, the Totalp relict of a paleo-Tethys OCT exposed in SE Switzerland, and the Iberian distal margin (ODP Leg 173 Site 1070). We built a new geological map and a section of the Totalp unit near Davos (SE Switzerland) and interpreted this area as a local exposure of a paleo-seafloor that is formed by an exhumed detachment surface and serpentinized peridotites. The top of the exhumed mantle rocks is made of ophicalcites that resulted from the carbonation of serpentine under static conditions at the seafloor. The ophicalcites preserve depositional contacts with Upper Jurassic to Lower Cretaceous pelagic sediments. These sequences did not exceed prehnite-pumpellyite metamorphic facies conditions, and locally escaped Alpine deformation. Thin mylonitic shear zones as well as foliated amphibole-bearing ultramafic rocks have been mapped. The age of these rocks and the link with the final exhumation history are yet unknown but since amphibole-bearing ultramafic rocks can be found as clasts in cataclasites related to the detachment fault, they pre-date detachment faulting. Our petrostructural study of the exhumed serpentinized rocks also reveals a deformation gradient from cataclasis to gouge formation within 150m in the footwall of the proposed paleo-detachment fault. This deformation postdates serpentinization. It involves a component of plastic deformation of serpentine in the most highly strained intervals that has suffered pronounced grain-size reduction and

  6. D’un continent a l’autre : la littérature comme une arme du combat féminin

    Directory of Open Access Journals (Sweden)



    Full Text Available Although they may be the produce of different context and environment, Calixthe Beyala et Lalita Tademy, two famous black women novelists, respectively from Africa and USA, join in the same fight beyond continents through the themes they develop, the characters they present and their styles (writings, which is almost contrary.For African women writers, literature is not only an act of recovering women’s speech, for so long confiscated, but also a way to face, in many ways, male power and male society. The literary protagonists of African feminism just wish to keep distant from family, where young girls’ alienation and domestication have occurred for centuries. They break the myth of the admirable mother, celebrated by the Négritude movement, for it perpetuates alienating practices, among which excision. They condemn patriarchal order which deny their existence, stand for the right of selfmanagement. Afro-American women writers, on the on hand, have pointed out slavery and its consequences, then Afro-American life conditions in general and Afro-American women in particular in racism context. Nowadays, Afro-American women writers bring new narrative trends, namely as far as slavery history is concerned. They speak about new places, new city neighbourhoods, new schools, new friends, new working places, and describe new experiences which are clearly illustrated in the novels by Terry Mc Millan, Andrea Lee, Connie Porter or Tonni Morrison. In order to consider better this women struggle, we propose to study two of theses writers’ works that exemplify this new tendency in women’s literature in Africa and USA: Seul le DIABLE le savait by Calixthe Beyala and Au bord de la rivière Cane by Lalita Tademy.

  7. Evaluating land cover influences on model uncertainties—A case study of cropland carbon dynamics in the Mid-Continent Intensive Campaign region (United States)

    Li, Zhengpeng; Liu, Shuguang; Zhang, Xuesong; West, Tristram O.; Ogle, Stephen M.; Zhou, Naijun


    Quantifying spatial and temporal patterns of carbon sources and sinks and their uncertainties across agriculture-dominated areas remains challenging for understanding regional carbon cycles. Characteristics of local land cover inputs could impact the regional carbon estimates but the effect has not been fully evaluated in the past. Within the North American Carbon Program Mid-Continent Intensive (MCI) Campaign, three models were developed to estimate carbon fluxes on croplands: an inventory-based model, the Environmental Policy Integrated Climate (EPIC) model, and the General Ensemble biogeochemical Modeling System (GEMS) model. They all provided estimates of three major carbon fluxes on cropland: net primary production (NPP), net ecosystem production (NEP), and soil organic carbon (SOC) change. Using data mining and spatial statistics, we studied the spatial distribution of the carbon fluxes uncertainties and the relationships between the uncertainties and the land cover characteristics. Results indicated that uncertainties for all three carbon fluxes were not randomly distributed, but instead formed multiple clusters within the MCI region. We investigated the impacts of three land cover characteristics on the fluxes uncertainties: cropland percentage, cropland richness and cropland diversity. The results indicated that cropland percentage significantly influenced the uncertainties of NPP and NEP, but not on the uncertainties of SOC change. Greater uncertainties of NPP and NEP were found in counties with small cropland percentage than the counties with large cropland percentage. Cropland species richness and diversity also showed negative correlations with the model uncertainties. Our study demonstrated that the land cover characteristics contributed to the uncertainties of regional carbon fluxes estimates. The approaches we used in this study can be applied to other ecosystem models to identify the areas with high uncertainties and where models can be improved to

  8. Geographic origin is not supported by the genetic variability found in a large living collection of Jatropha curcas with accessions from three continents. (United States)

    Maghuly, Fatemeh; Jankowicz-Cieslak, Joanna; Pabinger, Stephan; Till, Bradley J; Laimer, Margit


    Increasing economic interest in Jatropha curcas requires a major research focus on the genetic background and geographic origin of this non-edible biofuel crop. To determine the worldwide genetic structure of this species, amplified fragment length polymorphisms, inter simple sequence repeats, and novel single nucleotide polymorphisms (SNPs) were employed for a large collection of 907 J. curcas accessions and related species (RS) from three continents, 15 countries and 53 regions. PCoA, phenogram, and cophenetic analyses separated RS from two J. curcas groups. Accessions from Mexico, Bolivia, Paraguay, Kenya, and Ethiopia with unknown origins were found in both groups. In general, there was a considerable overlap between individuals from different regions and countries. The Bayesian approach using STRUCTURE demonstrated two groups with a low genetic variation. Analysis of molecular varience revealed significant variation among individuals within populations. SNPs found by in silico analyses of Δ12 fatty acid desaturase indicated possible changes in gene expression and thus in fatty acid profiles. SNP variation was higher in the curcin gene compared to genes involved in oil production. Novel SNPs allowed separating toxic, non-toxic, and Mexican accessions. The present study confirms that human activities had a major influence on the genetic diversity of J. curcas, not only because of domestication, but also because of biased selection. © 2015 The Authors. Biotechnology Journal published by Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

  9. Four-year evolution of insulin regimens, glycaemic control, hypoglycaemia and body weight after starting insulin therapy in type 2 diabetes across three continents. (United States)

    Home, Philip D; Dain, Marie-Paule; Freemantle, Nick; Kawamori, Ryuzo; Pfohl, Martin; Brette, Sandrine; Pilorget, Valérie; Scherbaum, Werner A; Vespasiani, Giacomo; Vincent, Maya; Balkau, Beverley


    It is of interest to understand how insulin therapy currently evolves in clinical practice, in the years after starting insulin in people with type 2 diabetes. We aimed to describe this evolution prospectively over 4 years, to assist health care planning. People who had started any insulin were identified from 12 countries on three continents. Baseline, then yearly follow-up, data were extracted from clinical records over 4 years. Of the 2999 eligible people, 2272 were followed over 4 years. When starting insulin, mean (SD) duration of diabetes was 10.6 (7.8) years, HbA1c 9.5 (2.0)% (80 [22]mmol/mol) and BMI 29.3 (6.3)kg/m(2). Initial insulin therapy was basal 52%, premix 23%, mealtime+basal 14%, mealtime 8% and other 3%; at 4 years, 30%, 25%, 33%, 2% and 5%, respectively, with 5% not on insulin. Insulin dose was 20.2U/day at the start and 45.8U/day at year 4. There were 1258 people (55%) on their original regimen at 4 years, and this percentage differed according to baseline insulin regimen. HbA1c change was -2.0 (2.2)% (-22 [24]mmol/mol) and was similar by final insulin regimen. Hypoglycaemia prevalence was <20% in years 1-4. Body weight change was mostly in year 1, and was very variable, mean +2.7 (7.5)kg at year 4. Different insulin regimens were started in people with differing characteristics, and they evolved differently; insulin dose, hypoglycaemia and body weight change were diverse and largely independent of regimen. Copyright © 2015 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

  10. Availability of critical care resources to treat patients with severe sepsis or septic shock in Africa: a self-reported, continent-wide survey of anaesthesia providers. (United States)

    Baelani, Inipavudu; Jochberger, Stefan; Laimer, Thomas; Otieno, Dave; Kabutu, Jane; Wilson, Iain; Baker, Tim; Dünser, Martin W


    It is unknown whether resources necessary to implement the Surviving Sepsis Campaign guidelines and sepsis bundles are available in Africa. This self-reported, continent-wide survey compared the availability of these resources between African and high-income countries, and between two African regions (Sub-Sahara Africa vs. South Africa, Mauritius and the Northern African countries). The study was conducted as an anonymous questionnaire-based, cross-sectional survey among anaesthesia providers attending a transcontinental congress. Based on the respondents' country of practice, returned questionnaires were grouped into African and high-income countries. The questionnaire contained 74 items and evaluated all material resources required to implement the most recent Surviving Sepsis Campaign guidelines. Group comparisons were performed with the Chi2, Fisher's Exact or Mann Whitney U test, as appropriate. The overall response rate was 74.3% (318/428). Three-hundred-seven questionnaires were analysed (African countries, n = 263; high-income countries, n = 44). Respondents from African hospitals were less likely to have an emergency room (85.5 vs. 97.7%, P = 0.03) or intensive care unit (73.8 vs. 100%, P resources available to implement the Surviving Sepsis Campaign guidelines in entirety. The percentage of implementable recommendations was lower in African than in high-income countries (72.6 (57.7 to 87.7)% vs. 100 (100 to 100)%, P resources to implement the majority of strong Surviving Sepsis Campaign recommendations and the sepsis bundles may allow modification of current sepsis guidelines based on available resources and implementation of a substantial number of life-saving interventions into sepsis care in Africa.

  11. The International NERSH Data Pool—A Methodological Description of a Data Pool of Religious and Spiritual Values of Health Professionals from Six Continents

    Directory of Open Access Journals (Sweden)

    Alex Kappel Kørup


    Full Text Available Collaboration within the recently established Network for Research on Spirituality and Health (NERSH has made it possible to pool data from 14 different surveys from six continents. All surveys are largely based on the questionnaire by Curlin “Religion and Spirituality in Medicine, Perspectives of Physicians” (RSMPP. This article is a methodological description of the process of building the International NERSH Data Pool. The larger contours of the data are described using frequency statistics. Five subscales in the data pool (including the already established DUREL scale were tested using Cronbach’s alpha and Principal Component Analysis (PCA in an Exploratory Factor Analysis (EFA. 5724 individuals were included, of which 57% were female and the mean age was 41.5 years with a 95% confidence interval (CI ranging from 41.2 to 41.8. Most respondents were physicians (n = 3883, nurses (n = 1189, and midwives (n = 286; but also psychologists (n = 50, therapists (n = 44, chaplains (n = 5, and students (n = 10 were included. The DUREL scale was assessed with Cronbach’s alpha (α = 0.92 and PCA confirmed its reliability and unidimensionality. The new scales covering the dimensions of “Religiosity of Health Professionals (HPs” (α = 0.89, “Willingness of Physicians to Interact with Patients Regarding R/S Issues” (α = 0.79, “Religious Objections to Controversial Issues in Medicine” (α = 0.78, and “R/S as a Calling” (α = 0.82, also proved unidimensional in the PCAs. We argue that the proposed scales are relevant and reliable measures of religious dimensions within the data pool. Finally, we outline future studies already planned based on the data pool, and invite interested researchers to join the NERSH collaboration.

  12. Cognition, continence and transfer status at the time of discharge from an acute hospital setting and their associations with an unfavourable discharge outcome after stroke. (United States)

    Myint, Phyo K; Vowler, Sarah L; Redmayne, Oliver; Fulcher, Robert A


    Current demographic trends pose a major societal challenge due to the rising number of older people with chronic conditions such as stroke. The relative impact of various disabilities at the time of discharge from an acute unit on discharge outcome is poorly understood. To examine the association between cognition, continence and transfer status at the time of discharge from the acute stroke unit and discharge destination. A retrospective stroke register database study was conducted in an acute stroke unit in a UK hospital with a catchment population of 568,000. Consecutive acute stroke admissions between 1997 and 2003 who were discharged alive were identified and the likelihood of adverse discharge outcomes defined as institutionalization or a requirement for longer-term rehabilitation was estimated. A total of 2,521 discharges were analyzed (median length of hospital stay 8 days). The presence of confusion, urinary incontinence or the need for help with transfers at the time of discharge predicted a higher likelihood of an adverse outcome even after controlling for age, stroke subtype, premorbid Rankin score and length of hospital stay. The need for help with transfers appeared to be the most consistent and significant factor associated with an adverse outcome regardless of age, sex or stroke subtype across the sample distribution. The ability to transfer has a pivotal role in the clinical decision making of discharge destination after stroke. Understanding of the factors which may increase the potential for improving this ability after acute stroke could have an impact on clinical outcome. Copyright 2008 S. Karger AG, Basel.

  13. Assessing the Impact of Surgeon Experience on Urinary Continence Recovery After Robot-Assisted Radical Prostatectomy: Results of Four High-Volume Surgeons. (United States)

    Fossati, Nicola; Di Trapani, Ettore; Gandaglia, Giorgio; Dell'Oglio, Paolo; Umari, Paolo; Buffi, Nicolò Maria; Guazzoni, Giorgio; Mottrie, Alexander; Gaboardi, Franco; Montorsi, Francesco; Briganti, Alberto; Suardi, Nazareno


    To test the impact of surgeon experience on urinary continence (UC) recovery after robot-assisted radical prostatectomy (RARP). The study included 1477 consecutive patients treated with RARP by four surgeons between 2006 and 2014. UC recovery was defined as being completely dry over a 24-hour period at follow-up. Surgeon experience was coded as the total number of RARP performed by the surgeon before the patient's operation. Multivariable analysis tested the association between surgeon experience and UC recovery. Covariates consisted of patient age, Charlson comorbidity index, preoperative International Index of Erectile Function-Erectile Function domain (IIEF-EF), nerve-sparing surgery (none vs unilateral vs bilateral), and preoperative risk groups (low- vs intermediate- vs high risk). The number of cases performed by each surgeon was 541, 413, 411, and 112, respectively. Median follow-up was 24 months (inter-quartile range: 18, 40). The UC recovery rate at 1 year after surgery was 82%. At multivariable analyses, surgeon experience represented an independent predictor of UC recovery (hazard ratio: 1.02, p < 0.001). The surgical learning curve was similar among surgeons, moving linearly from ∼60% of UC rate at the initial cases to almost 90% after more than 400 procedures. In patients undergoing RARP, surgeon experience is a significant predictor of UC recovery. The surgical learning curve of UC recovery does not reach a plateau even after more than 100 cases, suggesting a continuous improvement of the surgical technique. These findings deserve attention for patient counseling and future comparative studies evaluating functional outcomes after RARP.

  14. A coordinated study of a storm system over the South American continent. 1. Weather information and quasi-DC stratospheric electric field data (United States)

    Pinto, O.; Pinto, I. R. C. A.; Gin, R. B. B.; Mendes, O.


    This paper reports on a coordinated campaign conducted in Brazil, December 13, 1989, to study the electrical signatures associated with a large storm system over the South American continent. Inside the storm, large convective cells developed extending up to the tropopause, as revealed from meteorological balloon soundings. Quasi-DC vertical electric field and temperature were measured by zero-pressure balloon-borne payload launched from Cachoeira Paulista, Brazil. The data were supported by radar and GOES satellite observations, as well as by a lightning position and tracking system (LPATS). The analysis of infrared imagery supports the general tendency for lightning strikes to be near to but not exactly under the coldest cloud tops. In turn, the radar maps located the strikes near to but outside of the most intense areas of precipitation (reflectivity levels above 40 dBz). The balloon altitude and stratospheric temperature show significant variations in association with the storm. The quasi-DC vertical electric field remained almost during the whole flight in a reversed direction relative to the usual fair weather downward orientation with values as large as 4 V/m. A simple calculation based on a static dipole model of electrical cloud structure gives charges of some tens of coulombs. In contrast with most electric field measurements in other regions, no indication of an intensification of the vertical field in the downward fair weather orientation was observed. This fact is in agreement with past observations in the South American region and seems to be related to a particular type of storm that would occur with more frequency in this region. If so, such a difference may have an important role in the global atmospheric electrical circuit, considering that South America is believed to give a significant current contribution to the global circuit.

  15. Why rainfall response to El Niño over Maritime Continent is weaker and non-uniform in boreal winter than in boreal summer (United States)

    Jiang, Leishan; Li, Tim


    Why rainfall response to El Niño is uniform and stronger over the Maritime Continent (MC) during El Niño developing summer and fall but is weaker and non-uniform during El Niño mature winter is investigated through the diagnosis of anomalous large-scale circulation patterns and a local moisture budget analysis. It is found that when anomalous Walker cells across the equatorial Pacific and Indian Ocean are strengthened toward El Niño mature winter, a low-level ascending motion anomaly starts to develop over western MC in northern fall due to topographic lifting (near Sumatra) and anomalous wind convergence (near west Kalimantan). Easterly anomalies, as a part of an anomalous anticyclone in South China Sea (SCS) that is developed during El Niño and a part of the south-easterly from Java Sea associated with anomalous Walker Circulation, bump into the mountain ridge of Sumatra and induce ascending motion anomalies near Sumatra. Meanwhile, the anomalous north-easterly in the southern flank of the anomalous anticyclone over SCS and south-easterly over Java Sea converge into west Kalimantan, leading to ascending motion there. The anomalous ascending motion tend to advect mean moisture upward to moisten lower troposphere in situ. This low-level moistening eventually sets up a convectively unstable stratification and induces a positive precipitation anomaly in the western MC. How the mechanism discussed here is relevant to previous hypotheses and how processes during El Niño might differ during La Niña are discussed.

  16. Rare-earths in size fractions and sedimentary rocks of Pennsylvanian-Permian age from the mid-continent of the U.S.A

    International Nuclear Information System (INIS)

    Cullers, R.; Chaudhuri, S.; Kilbane, N.; Koch, R.


    The REE (rare-earth) contents of sixty-three <2μ fractions of Pennsylvanian and Permian platform sediment from the mid-continent of the U.S.A. vary considerably (ΣREE = 46 to 439 ppm: La/Lu = 5.2 to 15.7; correlation coefficient of REE with La Lu = 0.89), but the Eu/Sm ratios are nearly constant even in reducing environments that concentrate U (0.16 to 0.22). There is no correlation of REE content to clay mineralogy. Lower Permian <2μ fractions from continental to nearshore marine sediment in Oklahoma have higher REE content (244 to 261 ppm) than marine facies in Kansas (46 to 140 ppm) but <2μ Upper Permian fractions in an evaporite basin have constant but high REE content (288 to 281 ppm; one = 153 ppm). All Pennsylvanian <2μ fractions from Oklahoma have high REE content (209 to 439 ppm), and fractions from Kansas cyclothems have variable REE content (86 to 438 ppm). REE content in the <2μ fractions is inherited from the provenance, but is modified by ion exchange during weathering, transportation or deposition. Exchangable REE tend to be concentrated in clay minerals in basic environments, but removed in acid environments. Sand and gravel-size fractions consist mostly of quartz or chert so their REE content is low (7.9 to 40.6 ppm) although heavy minerals may contribute a large fraction of the REE content. Unexpectedly silt-size fractions have REE contents (74 to 355 ppm) that are usually lower but similar to their <2μ fractions, and the REE contents do not correlate to clay mineral/quartz ratios. (author)

  17. Analysis of Qualitative Interviews about the Impact of Information Technology on Pressure Ulcer Prevention Programs: Implications for the Wound Ostomy Continence Nurse (United States)

    Shepherd, Marilyn Murphy; Wipke-Tevis, Deidre D.; Alexander, Gregory L.


    Purpose The purpose of this study was to compare pressure ulcer prevention programs in 2 long term care facilities (LTC) with diverse Information Technology Sophistication (ITS), one with high sophistication and one with low sophistication, and to identify implications for the Wound Ostomy Continence Nurse (WOC Nurse) Design Secondary analysis of narrative data obtained from a mixed methods study. Subjects and Setting The study setting was 2 LTC facilities in the Midwestern United States. The sample comprised 39 staff from 2 facilities, including 26 from a high ITS facility and 13 from the low ITS facility. Respondents included Certified Nurse Assistants,, Certified Medical Technicians, Restorative Medical Technicians, Social Workers, Registered Nurses, Licensed Practical Nurses, Information Technology staff, Administrators, and Directors. Methods This study is a secondary analysis of interviews regarding communication and education strategies in two longterm care agencies. This analysis focused on focus group interviews, which included both direct and non-direct care providers. Results Eight themes (codes) were identified in the analysis. Three themes are presented individually with exemplars of communication and education strategies. The analysis revealed specific differences between the high ITS and low ITS facility in regards to education and communication involving pressure ulcer prevention. These differences have direct implications for WOC nurses consulting in the LTC setting. Conclusions Findings from this study suggest that effective strategies for staff education and communication regarding PU prevention differ based on the level of ITS within a given facility. Specific strategies for education and communication are suggested for agencies with high ITS and agencies with low ITS sophistication. PMID:25945822

  18. Characterizing the Vertical Profile of Aerosol Particle Extinction and Linear Depolarization over Southeast Asia and the Maritime Continent: The 2007-2009 View from CALIOP (United States)

    Campbell, James R.; Reid, Jeffrey S.; Westphal, Douglas L.; Zhang, Jianglong; Tackett, Jason L.; Chew, Boon Ning; Welton, Ellsworth J.; Shimizu, Atsushi; Sugimoto, Nobuo; Aoki, Kazuma; hide


    Vertical profiles of 0.532 µm aerosol particle extinction coefficient and linear volume depolarization ratio are described for Southeast Asia and the Maritime Continent. Quality-screened and cloud-cleared Version 3.01 Level 2 NASA Cloud Aerosol Lidar with Orthogonal Polarization (CALIOP) 5-km Aerosol Profile datasets are analyzed from 2007 to 2009. Numerical simulations from the U.S. Naval Aerosol Analysis and Predictive System (NAAPS), featuring two-dimensional variational assimilation of NASA Moderate Resolution Imaging Spectroradiometer and Multi-angle Imaging Spectro- Radiometer quality-assured datasets, combined with regional ground-based lidar measurements, are considered for assessing CALIOP retrieval performance, identifying bias, and evaluating regional representativeness. CALIOP retrievals of aerosol particle extinction coefficient and aerosol optical depth (AOD) are high over land and low over open waters relative to NAAPS (0.412/0.312 over land for all data points inclusive, 0.310/0.235 when the per bin average is used and each is treated as single data points; 0.102/0.151 and 0.086/0.124, respectively, over ocean). Regional means, however, are very similar (0.180/0.193 for all data points and 0.155/0.159 when averaged per normalized bin), as the two factors offset one another. The land/ocean offset is investigated, and discrepancies attributed to interpretation of particle composition and a-priori assignment of the extinction-to-backscatter ratio ("lidar ratio") necessary for retrieving the extinction coefficient from CALIOP signals. Over land, NAAPS indicates more dust present than CALIOP algorithms are identifying, indicating a likely assignment of a higher lidar ratio representative of more absorptive particles. NAAPS resolvesmore smoke overwater than identified with CALIOP, indicating likely usage of a lidar ratio characteristic of less absorptive particles to be applied that biases low AOD there. Over open waters except within the Bay of Bengal

  19. Secular trends of salted fish consumption and nasopharyngeal carcinoma: a multi-jurisdiction ecological study in 8 regions from 3 continents

    International Nuclear Information System (INIS)

    Lau, Hiu-Ying; Leung, Chit-Ming; Chan, Yap-Hang; Lee, Anne Wing-Mui; Kwong, Dora Lai-Wan; Lung, Maria Li; Lam, Tai-Hing


    Despite salted fish being a classical risk factor of Nasopharyngeal Carcinoma (NPC), whether secular trends in salted fish consumption worldwide accounted for changes in NPC rates were unknown. The relationship between vegetable and cigarette consumption to NPC risk worldwide were also largely uncertain. We investigated the longitudinal trends in standardised NPC incidence/mortality rates across 8 regions and their associations with secular trends in salted fish, vegetable and tobacco consumptions. Age standardised mortality rate (ASMR) and age standardised incidence rate (ASIR) of NPC were obtained from the WHO cancer mortality database and Hong Kong Cancer Registry. Per capita consumption of salted fish, tobacco and vegetables in Hong Kong and 7 countries (China, Finland, Japan, Portugal, Singapore, United Kingdom and United States) were obtained from the Food and Agriculture Organization of the United Nation (FAO) and Hong Kong Trade and Census Statistics. Pearson correlation and multivariate analysis were performed to examine both crude and adjusted associations. There were markedly decreasing trends of NPC ASIR and ASMR in Hong Kong over the past three decades, which were correlated with corresponding secular changes in salted fish consumption per capita (Pearson r for 10 cumulative years : ASIR = 0.729 (male), 0.674 (female); ASMR = 0.943 (male), 0.622 (female), all p < 0.05 except for female ASMR). However such associations no longer correlated with adjustments for decreasing tobacco and increasing vegetable consumption per capita (Pearson r for 10 cumulative years: ASIR = 2.007 (male), 0.339 (female), ASMR = 0.289 (male), 1.992 (female), all p > 0.05). However, there were no clear or consistent patterns in relations between NPC ASIR and ASMR with salted fish consumption across 7 regions in 3 continents. Our results do not support the notion that changes in salted fish consumption had played an important role in explaining secular trends of NPC rates in Hong

  20. Secular trends of salted fish consumption and nasopharyngeal carcinoma: a multi-jurisdiction ecological study in 8 regions from 3 continents. (United States)

    Lau, Hiu-Ying; Leung, Chit-Ming; Chan, Yap-Hang; Lee, Anne Wing-Mui; Kwong, Dora Lai-Wan; Lung, Maria Li; Lam, Tai-Hing


    Despite salted fish being a classical risk factor of Nasopharyngeal Carcinoma (NPC), whether secular trends in salted fish consumption worldwide accounted for changes in NPC rates were unknown. The relationship between vegetable and cigarette consumption to NPC risk worldwide were also largely uncertain. We investigated the longitudinal trends in standardised NPC incidence/mortality rates across 8 regions and their associations with secular trends in salted fish, vegetable and tobacco consumptions. Age standardised mortality rate (ASMR) and age standardised incidence rate (ASIR) of NPC were obtained from the WHO cancer mortality database and Hong Kong Cancer Registry. Per capita consumption of salted fish, tobacco and vegetables in Hong Kong and 7 countries (China, Finland, Japan, Portugal, Singapore, United Kingdom and United States) were obtained from the Food and Agriculture Organization of the United Nation (FAO) and Hong Kong Trade and Census Statistics. Pearson correlation and multivariate analysis were performed to examine both crude and adjusted associations. There were markedly decreasing trends of NPC ASIR and ASMR in Hong Kong over the past three decades, which were correlated with corresponding secular changes in salted fish consumption per capita (Pearson r for 10 cumulative years : ASIR = 0.729 (male), 0.674 (female); ASMR = 0.943 (male), 0.622 (female), all p ASMR). However such associations no longer correlated with adjustments for decreasing tobacco and increasing vegetable consumption per capita (Pearson r for 10 cumulative years: ASIR = 2.007 (male), 0.339 (female), ASMR = 0.289 (male), 1.992 (female), all p > 0.05). However, there were no clear or consistent patterns in relations between NPC ASIR and ASMR with salted fish consumption across 7 regions in 3 continents. Our results do not support the notion that changes in salted fish consumption had played an important role in explaining secular trends of NPC rates in Hong

  1. Aerosol meteorology of Maritime Continent for the 2012 7SEAS southwest monsoon intensive study - Part 2: Philippine receptor observations of fine-scale aerosol behavior (United States)

    Reid, Jeffrey S.; Lagrosas, Nofel D.; Jonsson, Haflidi H.; Reid, Elizabeth A.; Atwood, Samuel A.; Boyd, Thomas J.; Ghate, Virendra P.; Xian, Peng; Posselt, Derek J.; Simpas, James B.; Uy, Sherdon N.; Zaiger, Kimo; Blake, Donald R.; Bucholtz, Anthony; Campbell, James R.; Chew, Boon Ning; Cliff, Steven S.; Holben, Brent N.; Holz, Robert E.; Hyer, Edward J.; Kreidenweis, Sonia M.; Kuciauskas, Arunas P.; Lolli, Simone; Oo, Min; Perry, Kevin D.; Salinas, Santo V.; Sessions, Walter R.; Smirnov, Alexander; Walker, Annette L.; Wang, Qing; Yu, Liya; Zhang, Jianglong; Zhao, Yongjing


    The largest 7 Southeast Asian Studies (7SEAS) operations period within the Maritime Continent (MC) occurred in the August-September 2012 biomass burning season. Data included were observations aboard the M/Y Vasco, dispatched to the Palawan Archipelago and Sulu Sea of the Philippines for September 2012. At these locations, the Vasco observed MC smoke and pollution entering the southwest monsoon (SWM) monsoonal trough. Here we describe the research cruise findings and the finer-scale aerosol meteorology of this convectively active region. This 2012 cruise complemented a 2-week cruise in 2011 and was generally consistent with previous findings in terms of how smoke emission and transport related to monsoonal flows, tropical cyclones (TC), and the covariance between smoke transport events and the atmosphere's thermodynamic structure. Biomass burning plumes were usually mixed with significant amounts of anthropogenic pollution. Also key to aerosol behavior were squall lines and cold pools propagating across the South China Sea (SCS) and scavenging aerosol particles in their path. However, the 2012 cruise showed much higher modulation in aerosol frequency than its 2011 counterpart. Whereas in 2011 large synoptic-scale aerosol events transported high concentrations of smoke into the Philippines over days, in 2012 measured aerosol events exhibited a much shorter-term variation, sometimes only 3-12 h. Strong monsoonal flow reversals were also experienced in 2012. Nucleation events in cleaner and polluted conditions, as well as in urban plumes, were observed. Perhaps most interestingly, several cases of squall lines preceding major aerosol events were observed, as opposed to 2011 observations where these lines largely scavenged aerosol particles from the marine boundary layer. Combined, these observations indicate pockets of high and low particle counts that are not uncommon in the region. These perturbations are difficult to observe by satellite and very difficult to model

  2. Aerosol meteorology of Maritime Continent for the 2012 7SEAS southwest monsoon intensive study – Part 2: Philippine receptor observations of fine-scale aerosol behavior

    Directory of Open Access Journals (Sweden)

    J. S. Reid


    Full Text Available The largest 7 Southeast Asian Studies (7SEAS operations period within the Maritime Continent (MC occurred in the August–September 2012 biomass burning season. Data included were observations aboard the M/Y Vasco, dispatched to the Palawan Archipelago and Sulu Sea of the Philippines for September 2012. At these locations, the Vasco observed MC smoke and pollution entering the southwest monsoon (SWM monsoonal trough. Here we describe the research cruise findings and the finer-scale aerosol meteorology of this convectively active region. This 2012 cruise complemented a 2-week cruise in 2011 and was generally consistent with previous findings in terms of how smoke emission and transport related to monsoonal flows, tropical cyclones (TC, and the covariance between smoke transport events and the atmosphere's thermodynamic structure. Biomass burning plumes were usually mixed with significant amounts of anthropogenic pollution. Also key to aerosol behavior were squall lines and cold pools propagating across the South China Sea (SCS and scavenging aerosol particles in their path. However, the 2012 cruise showed much higher modulation in aerosol frequency than its 2011 counterpart. Whereas in 2011 large synoptic-scale aerosol events transported high concentrations of smoke into the Philippines over days, in 2012 measured aerosol events exhibited a much shorter-term variation, sometimes only 3–12 h. Strong monsoonal flow reversals were also experienced in 2012. Nucleation events in cleaner and polluted conditions, as well as in urban plumes, were observed. Perhaps most interestingly, several cases of squall lines preceding major aerosol events were observed, as opposed to 2011 observations where these lines largely scavenged aerosol particles from the marine boundary layer. Combined, these observations indicate pockets of high and low particle counts that are not uncommon in the region. These perturbations are difficult to observe by satellite and

  3. What are the prospects for citizen science in agriculture? Evidence from three continents on motivation and mobile telephone use of resource-poor farmers. (United States)

    Beza, Eskender; Steinke, Jonathan; van Etten, Jacob; Reidsma, Pytrik; Fadda, Carlo; Mittra, Sarika; Mathur, Prem; Kooistra, Lammert


    As the sustainability of agricultural citizen science projects depends on volunteer farmers who contribute their time, energy and skills, understanding their motivation is important to attract and retain participants in citizen science projects. The objectives of this study were to assess 1) farmers' motivations to participate as citizen scientists and 2) farmers' mobile telephone usage. Building on motivational factors identified from previous citizen science studies, a questionnaire based methodology was developed which allowed the analysis of motivational factors and their relation to farmers' characteristics. The questionnaire was applied in three communities of farmers, in countries from different continents, participating as citizen scientists. We used statistical tests to compare motivational factors within and among the three countries. In addition, the relations between motivational factors and farmers characteristics were assessed. Lastly, Principal Component Analysis (PCA) was used to group farmers based on their motivations. Although there was an overlap between the types of motivations, for Indian farmers a collectivistic type of motivation (i.e., contribute to scientific research) was