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Sample records for correcting population stratification

  1. Correction of population stratification in large multi-ethnic association studies.

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    David Serre

    2008-01-01

    Full Text Available The vast majority of genetic risk factors for complex diseases have, taken individually, a small effect on the end phenotype. Population-based association studies therefore need very large sample sizes to detect significant differences between affected and non-affected individuals. Including thousands of affected individuals in a study requires recruitment in numerous centers, possibly from different geographic regions. Unfortunately such a recruitment strategy is likely to complicate the study design and to generate concerns regarding population stratification.We analyzed 9,751 individuals representing three main ethnic groups - Europeans, Arabs and South Asians - that had been enrolled from 154 centers involving 52 countries for a global case/control study of acute myocardial infarction. All individuals were genotyped at 103 candidate genes using 1,536 SNPs selected with a tagging strategy that captures most of the genetic diversity in different populations. We show that relying solely on self-reported ethnicity is not sufficient to exclude population stratification and we present additional methods to identify and correct for stratification.Our results highlight the importance of carefully addressing population stratification and of carefully "cleaning" the sample prior to analyses to obtain stronger signals of association and to avoid spurious results.

  2. A panel of ancestry informative markers to estimate and correct potential effects of population stratification in Han Chinese.

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    Qin, Pengfei; Li, Zhiqiang; Jin, Wenfei; Lu, Dongsheng; Lou, Haiyi; Shen, Jiawei; Jin, Li; Shi, Yongyong; Xu, Shuhua

    2014-02-01

    Population stratification acts as a confounding factor in genetic association studies and may lead to false-positive or false-negative results. Previous studies have analyzed the genetic substructures in Han Chinese population, the largest ethnic group in the world comprising ∼20% of the global human population. In this study, we examined 5540 Han Chinese individuals with about 1 million single-nucleotide polymorphisms (SNPs) and screened a panel of ancestry informative markers (AIMs) to facilitate the discerning and controlling of population structure in future association studies on Han Chinese. Based on genome-wide data, we first confirmed our previous observation of the north-south differentiation in Han Chinese population. Second, we developed a panel of 150 validated SNP AIMs to determine the northern or southern origin of each Han Chinese individual. We further evaluated the performance of our AIMs panel in association studies in simulation analysis. Our results showed that this AIMs panel had sufficient power to discern and control population stratification in Han Chinese, which could significantly reduce false-positive rates in both genome-wide association studies (GWAS) and candidate gene association studies (CGAS). We suggest this AIMs panel be genotyped and used to control and correct population stratification in the study design or data analysis of future association studies, especially in CGAS which is the most popular approach to validate previous reports on genetic associations of diseases in post-GWAS era.

  3. ETHNOPRED: a novel machine learning method for accurate continental and sub-continental ancestry identification and population stratification correction

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    2013-01-01

    Background Population stratification is a systematic difference in allele frequencies between subpopulations. This can lead to spurious association findings in the case–control genome wide association studies (GWASs) used to identify single nucleotide polymorphisms (SNPs) associated with disease-linked phenotypes. Methods such as self-declared ancestry, ancestry informative markers, genomic control, structured association, and principal component analysis are used to assess and correct population stratification but each has limitations. We provide an alternative technique to address population stratification. Results We propose a novel machine learning method, ETHNOPRED, which uses the genotype and ethnicity data from the HapMap project to learn ensembles of disjoint decision trees, capable of accurately predicting an individual’s continental and sub-continental ancestry. To predict an individual’s continental ancestry, ETHNOPRED produced an ensemble of 3 decision trees involving a total of 10 SNPs, with 10-fold cross validation accuracy of 100% using HapMap II dataset. We extended this model to involve 29 disjoint decision trees over 149 SNPs, and showed that this ensemble has an accuracy of ≥ 99.9%, even if some of those 149 SNP values were missing. On an independent dataset, predominantly of Caucasian origin, our continental classifier showed 96.8% accuracy and improved genomic control’s λ from 1.22 to 1.11. We next used the HapMap III dataset to learn classifiers to distinguish European subpopulations (North-Western vs. Southern), East Asian subpopulations (Chinese vs. Japanese), African subpopulations (Eastern vs. Western), North American subpopulations (European vs. Chinese vs. African vs. Mexican vs. Indian), and Kenyan subpopulations (Luhya vs. Maasai). In these cases, ETHNOPRED produced ensembles of 3, 39, 21, 11, and 25 disjoint decision trees, respectively involving 31, 502, 526, 242 and 271 SNPs, with 10-fold cross validation accuracy of

  4. Robust Inference of Population Structure for Ancestry Prediction and Correction of Stratification in the Presence of Relatedness

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    Conomos, Matthew P.; Miller, Mike; Thornton, Timothy

    2016-01-01

    Population structure inference with genetic data has been motivated by a variety of applications in population genetics and genetic association studies. Several approaches have been proposed for the identification of genetic ancestry differences in samples where study participants are assumed to be unrelated, including principal components analysis (PCA), multi-dimensional scaling (MDS), and model-based methods for proportional ancestry estimation. Many genetic studies, however, include individuals with some degree of relatedness, and existing methods for inferring genetic ancestry fail in related samples. We present a method, PC-AiR, for robust population structure inference in the presence of known or cryptic relatedness. PC-AiR utilizes genome-screen data and an efficient algorithm to identify a diverse subset of unrelated individuals that is representative of all ancestries in the sample. The PC-AiR method directly performs PCA on the identified ancestry representative subset and then predicts components of variation for all remaining individuals based on genetic similarities. In simulation studies and in applications to real data from Phase III of the HapMap Project, we demonstrate that PC-AiR provides a substantial improvement over existing approaches for population structure inference in related samples. We also demonstrate significant efficiency gains, where a single axis of variation from PC-AiR provides better prediction of ancestry in a variety of structure settings than using ten (or more) components of variation from widely used PCA and MDS approaches. Finally, we illustrate that PC-AiR can provide improved population stratification correction over existing methods in genetic association studies with population structure and relatedness. PMID:25810074

  5. A propensity score approach to correction for bias due to population stratification using genetic and non-genetic factors.

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    Zhao, Huaqing; Rebbeck, Timothy R; Mitra, Nandita

    2009-12-01

    Confounding due to population stratification (PS) arises when differences in both allele and disease frequencies exist in a population of mixed racial/ethnic subpopulations. Genomic control, structured association, principal components analysis (PCA), and multidimensional scaling (MDS) approaches have been proposed to address this bias using genetic markers. However, confounding due to PS can also be due to non-genetic factors. Propensity scores are widely used to address confounding in observational studies but have not been adapted to deal with PS in genetic association studies. We propose a genomic propensity score (GPS) approach to correct for bias due to PS that considers both genetic and non-genetic factors. We compare the GPS method with PCA and MDS using simulation studies. Our results show that GPS can adequately adjust and consistently correct for bias due to PS. Under no/mild, moderate, and severe PS, GPS yielded estimated with bias close to 0 (mean=-0.0044, standard error=0.0087). Under moderate or severe PS, the GPS method consistently outperforms the PCA method in terms of bias, coverage probability (CP), and type I error. Under moderate PS, the GPS method consistently outperforms the MDS method in terms of CP. PCA maintains relatively high power compared to both MDS and GPS methods under the simulated situations. GPS and MDS are comparable in terms of statistical properties such as bias, type I error, and power. The GPS method provides a novel and robust tool for obtaining less-biased estimates of genetic associations that can consider both genetic and non-genetic factors. 2009 Wiley-Liss, Inc.

  6. Molecular reclassification of Crohn's disease: a cautionary note on population stratification.

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    Bärbel Maus

    Full Text Available Complex human diseases commonly differ in their phenotypic characteristics, e.g., Crohn's disease (CD patients are heterogeneous with regard to disease location and disease extent. The genetic susceptibility to Crohn's disease is widely acknowledged and has been demonstrated by identification of over 100 CD associated genetic loci. However, relating CD subphenotypes to disease susceptible loci has proven to be a difficult task. In this paper we discuss the use of cluster analysis on genetic markers to identify genetic-based subgroups while taking into account possible confounding by population stratification. We show that it is highly relevant to consider the confounding nature of population stratification in order to avoid that detected clusters are strongly related to population groups instead of disease-specific groups. Therefore, we explain the use of principal components to correct for population stratification while clustering affected individuals into genetic-based subgroups. The principal components are obtained using 30 ancestry informative markers (AIM, and the first two PCs are determined to discriminate between continental origins of the affected individuals. Genotypes on 51 CD associated single nucleotide polymorphisms (SNPs are used to perform latent class analysis, hierarchical and Partitioning Around Medoids (PAM cluster analysis within a sample of affected individuals with and without the use of principal components to adjust for population stratification. It is seen that without correction for population stratification clusters seem to be influenced by population stratification while with correction clusters are unrelated to continental origin of individuals.

  7. Molecular reclassification of Crohn's disease: a cautionary note on population stratification.

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    Maus, Bärbel; Jung, Camille; Mahachie John, Jestinah M; Hugot, Jean-Pierre; Génin, Emmanuelle; Van Steen, Kristel

    2013-01-01

    Complex human diseases commonly differ in their phenotypic characteristics, e.g., Crohn's disease (CD) patients are heterogeneous with regard to disease location and disease extent. The genetic susceptibility to Crohn's disease is widely acknowledged and has been demonstrated by identification of over 100 CD associated genetic loci. However, relating CD subphenotypes to disease susceptible loci has proven to be a difficult task. In this paper we discuss the use of cluster analysis on genetic markers to identify genetic-based subgroups while taking into account possible confounding by population stratification. We show that it is highly relevant to consider the confounding nature of population stratification in order to avoid that detected clusters are strongly related to population groups instead of disease-specific groups. Therefore, we explain the use of principal components to correct for population stratification while clustering affected individuals into genetic-based subgroups. The principal components are obtained using 30 ancestry informative markers (AIM), and the first two PCs are determined to discriminate between continental origins of the affected individuals. Genotypes on 51 CD associated single nucleotide polymorphisms (SNPs) are used to perform latent class analysis, hierarchical and Partitioning Around Medoids (PAM) cluster analysis within a sample of affected individuals with and without the use of principal components to adjust for population stratification. It is seen that without correction for population stratification clusters seem to be influenced by population stratification while with correction clusters are unrelated to continental origin of individuals.

  8. Optimum Stratification of a Skewed Population

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    D.K. Rao; M.G.M. Khan; K.G. Reddy

    2014-01-01

    The focus of this paper is to develop a technique of solving a combined problem of determining Optimum Strata Boundaries(OSB) and Optimum Sample Size (OSS) of each stratum, when the population understudy isskewed and the study variable has a Pareto frequency distribution. The problem of determining the OSB isformulated as a Mathematical Programming Problem (MPP) which is then solved by dynamic programming technique. A numerical example is presented to illustrate the compu...

  9. Statistical Support for Analysis of the Social Stratification and Economic Inequality of the Country’s Population

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    Aksyonova Irina V.

    2017-12-01

    Full Text Available The aim of the article is to summarize the theoretical and methodological as well as information and analytical support for statistical research of economic and social stratification in society and conduct an analysis of the differentiation of the population of Ukraine in terms of the economic component of social inequality. The theoretical and methodological level of the research is studied, and criteria for social stratification and inequalities in society, systems, models and theories of social stratification of the population are singled out. The indicators of social and economic statistics regarding the differentiation of the population by income level are considered as the research tools. As a result of the analysis it was concluded that the economic inequality of the population leads to changes in the social structure, which requires formation of a new social stratification of society. The basis of social stratification is indicators of the population well-being, which require a comprehensive study. Prospects for further research in this area are the analysis of the components of economic inequality that determine and influence the social stratification of the population of the country, the formation of the middle class, and the study of the components of the human development index as a cross-currency indicator of the socio-economic inequality of the population.

  10. Fine-scale patterns of population stratification confound rare variant association tests.

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    Timothy D O'Connor

    Full Text Available Advances in next-generation sequencing technology have enabled systematic exploration of the contribution of rare variation to Mendelian and complex diseases. Although it is well known that population stratification can generate spurious associations with common alleles, its impact on rare variant association methods remains poorly understood. Here, we performed exhaustive coalescent simulations with demographic parameters calibrated from exome sequence data to evaluate the performance of nine rare variant association methods in the presence of fine-scale population structure. We find that all methods have an inflated spurious association rate for parameter values that are consistent with levels of differentiation typical of European populations. For example, at a nominal significance level of 5%, some test statistics have a spurious association rate as high as 40%. Finally, we empirically assess the impact of population stratification in a large data set of 4,298 European American exomes. Our results have important implications for the design, analysis, and interpretation of rare variant genome-wide association studies.

  11. Geographic stratification of linkage disequilibrium: a worldwide population study in a region of chromosome 22

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    González-Neira Anna

    2004-11-01

    Full Text Available Abstract Recent studies of haplotype diversity in a number of genomic regions have suggested that long stretches of DNA are preserved in the same chromosome, with little evidence of recombination events. The knowledge of the extent and strength of these haplotypes could become a powerful tool for future genetic analysis of complex traits. Different patterns of linkage disequilibrium (LD have been found when comparing individuals of African and European descent, but there is scarce knowledge about the worldwide population stratification. Thus, the study of haplotype composition and the pattern of LD from a global perspective are relevant for elucidating their geographical stratification, as it may have implications in the future analysis of complex traits. We have typed 12 single nucleotide polymorphisms in a chromosome 22 region--previously described as having high LD levels in European populations -- in 39 different world populations. Haplotype structure has a clear continental structure with marked heterogeneity within some continents (Africa, America. The pattern of LD among neighbouring markers exhibits a strong clustering of all East Asian populations on the one hand and of Western Eurasian populations (including Europe on the other, revealing only two major LD patterns, but with some very specific outliers due to specific demographic histories. Moreover, it should be taken into account that African populations are highly heterogeneous. The present results support the existence of a wide (but not total communality in LD patterns in human populations from different continental regions, despite differences in their demographic histories, as population factors seem to be less relevant compared with genomic forces in shaping the patterns of LD.

  12. Hepatitis C and the correctional population.

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    Reindollar, R W

    1999-12-27

    The hepatitis C epidemic has extended well into the correctional population where individuals predominantly originate from high-risk environments and have high-risk behaviors. Epidemiologic data estimate that 30% to 40% of the 1.8 million inmates in the United States are infected with the hepatitis C virus (HCV), the majority of whom were infected before incarceration. As in the general population, injection drug use accounts for the majority of HCV infections in this group--one to two thirds of inmates have a history of injection drug use before incarceration and continue to do so while in prison. Although correctional facilities also represent a high-risk environment for HCV infection because of a continued high incidence of drug use and high-risk sexual activities, available data indicate a low HCV seroconversion rate of 1.1 per 100 person-years in prison. Moreover, a high annual turnover rate means that many inmates return to their previous high-risk environments and behaviors that are conducive either to acquiring or spreading HCV. Despite a very high prevalence of HCV infection within the US correctional system, identification and treatment of at-risk individuals is inconsistent, at best. Variable access to correctional health-care resources, limited funding, high inmate turnover rates, and deficient follow-up care after release represent a few of the factors that confound HCV control and prevention in this group. Future efforts must focus on establishing an accurate knowledge base and implementing education, policies, and procedures for the prevention and treatment of hepatitis C in correctional populations.

  13. Novel probabilistic models of spatial genetic ancestry with applications to stratification correction in genome-wide association studies.

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    Bhaskar, Anand; Javanmard, Adel; Courtade, Thomas A; Tse, David

    2017-03-15

    Genetic variation in human populations is influenced by geographic ancestry due to spatial locality in historical mating and migration patterns. Spatial population structure in genetic datasets has been traditionally analyzed using either model-free algorithms, such as principal components analysis (PCA) and multidimensional scaling, or using explicit spatial probabilistic models of allele frequency evolution. We develop a general probabilistic model and an associated inference algorithm that unify the model-based and data-driven approaches to visualizing and inferring population structure. Our spatial inference algorithm can also be effectively applied to the problem of population stratification in genome-wide association studies (GWAS), where hidden population structure can create fictitious associations when population ancestry is correlated with both the genotype and the trait. Our algorithm Geographic Ancestry Positioning (GAP) relates local genetic distances between samples to their spatial distances, and can be used for visually discerning population structure as well as accurately inferring the spatial origin of individuals on a two-dimensional continuum. On both simulated and several real datasets from diverse human populations, GAP exhibits substantially lower error in reconstructing spatial ancestry coordinates compared to PCA. We also develop an association test that uses the ancestry coordinates inferred by GAP to accurately account for ancestry-induced correlations in GWAS. Based on simulations and analysis of a dataset of 10 metabolic traits measured in a Northern Finland cohort, which is known to exhibit significant population structure, we find that our method has superior power to current approaches. Our software is available at https://github.com/anand-bhaskar/gap . abhaskar@stanford.edu or ajavanma@usc.edu. Supplementary data are available at Bioinformatics online. © The Author 2016. Published by Oxford University Press. All rights reserved

  14. Combined Population Dynamics and Entropy Modelling Supports Patient Stratification in Chronic Myeloid Leukemia

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    Brehme, Marc; Koschmieder, Steffen; Montazeri, Maryam; Copland, Mhairi; Oehler, Vivian G.; Radich, Jerald P.; Brümmendorf, Tim H.; Schuppert, Andreas

    2016-04-01

    Modelling the parameters of multistep carcinogenesis is key for a better understanding of cancer progression, biomarker identification and the design of individualized therapies. Using chronic myeloid leukemia (CML) as a paradigm for hierarchical disease evolution we show that combined population dynamic modelling and CML patient biopsy genomic analysis enables patient stratification at unprecedented resolution. Linking CD34+ similarity as a disease progression marker to patient-derived gene expression entropy separated established CML progression stages and uncovered additional heterogeneity within disease stages. Importantly, our patient data informed model enables quantitative approximation of individual patients’ disease history within chronic phase (CP) and significantly separates “early” from “late” CP. Our findings provide a novel rationale for personalized and genome-informed disease progression risk assessment that is independent and complementary to conventional measures of CML disease burden and prognosis.

  15. Should Studies of Diabetes Treatment Stratification Correct for Baseline HbA1c?

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    Jones, Angus G.; Lonergan, Mike; Henley, William E.; Pearson, Ewan R.; Hattersley, Andrew T.; Shields, Beverley M.

    2016-01-01

    Aims Baseline HbA1c is a major predictor of response to glucose lowering therapy and therefore a potential confounder in studies aiming to identify other predictors. However, baseline adjustment may introduce error if the association between baseline HbA1c and response is substantially due to measurement error and regression to the mean. We aimed to determine whether studies of predictors of response should adjust for baseline HbA1c. Methods We assessed the relationship between baseline HbA1c and glycaemic response in 257 participants treated with GLP-1R agonists and assessed whether it reflected measurement error and regression to the mean using duplicate ‘pre-baseline’ HbA1c measurements not included in the response variable. In this cohort and an additional 2659 participants treated with sulfonylureas we assessed the relationship between covariates associated with baseline HbA1c and treatment response with and without baseline adjustment, and with a bias correction using pre-baseline HbA1c to adjust for the effects of error in baseline HbA1c. Results Baseline HbA1c was a major predictor of response (R2 = 0.19,β = -0.44,pHbA1c were associated with response, however these associations were weak or absent after adjustment for baseline HbA1c. Bias correction did not substantially alter associations. Conclusions Adjustment for the baseline HbA1c measurement is a simple and effective way to reduce bias in studies of predictors of response to glucose lowering therapy. PMID:27050911

  16. Mutation profiles of phenylketonuria in Quebec populations: Evidence of stratification and novel mutations

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    Rozen, R.; Mascisch, A.; Scriver, C.R. (McGill Univ., Montreal (Canada)); Lambert, M. (Hopital Ste-Justine, Montreal (Canada)); Laframboise, R. (Centre Hospitalier Universite Laval, Quebec (Canada))

    1994-08-01

    Independent phenylketonuria (PKU) chromosomes (n=109) representing 80% of a proband cohort in Quebec province carry 18 different identified mutations in 20 different mutation/haplotype combinations. The study reported here, the third in a series on Quebec populations, was done in the Montreal region and predominantly on French Canadians. It has identified three novel mutations (A309D, D338Y, and 1054/1055delG [352fs]) and one unusual mutation/RFLP haplotype combination (E280K on Hp 2). The relative frequencies and distribution of PKU mutations were then compared in three regions and population subsets (eastern Quebec, French Canadian; western Quebec, French Canadian; and Montreal, non-French Canadian). The distributions of the prevalent and rare mutations are nonrandom and provide evidence for genetic stratification. The latter and the presence of eight unusual mutation/haplotype combinations in Quebec families with European ancestries (the aforementioned four and M1V, 165T, S349P, and R408W on Hp 1) corroborate demographic and anthropologic evidence, from elsewhere, for different origins of French Canadians in eastern and western Quebec. 29 refs., 1 fig., 1 tab.

  17. Social stratification in the Sikh population of Punjab (India) has a genetic basis: evidence from serological and biochemical markers.

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    Chahal, Sukh Mohinder Singh; Virk, Rupinder Kaur; Kaur, Sukhvir; Bansal, Rupinder

    2011-01-01

    The present study was planned to assess whether social stratification in the Sikh population inhabiting the northwest border Indian state of Punjab has any genetic basis. Blood samples were collected randomly from a total of 2851 unrelated subjects belonging to 21 groups of two low-ranking Sikh scheduled caste populations, viz. Mazhabi and Ramdasi, and a high-ranking Jat Sikh caste population of Punjab. The genetic profile of Sikh groups was investigated using a total of nine serobiochemical genetic markers, comprising two blood groups (ABO, RH(D)) and a battery of seven red cell enzyme polymorphisms (ADA, AK1, ESD, PGM1, GLO1, ACP1, GPI), following standard serological and biochemical laboratory protocols. Genetic structure was studied using original allele frequency data and statistical measures of heterozygosity, genic differentiation, genetic distance, and genetic admixture. Great heterogeneity was observed between Sikh scheduled caste and Jat Sikh populations, especially in the RH(D) blood group system, and distribution of ESD, ACP1, and PGM1 enzyme markers was also found to be significantly different between many of their groups. Genetic distance trees demonstrated little or no genetic affinities between Sikh scheduled caste and Jat Sikh populations; the Mazhabi and Ramdasi also showed little genetic relationship. Genetic admixture analysis suggested a higher element of autochthonous tribal extraction in the Ramdasi. The present study revealed much genetic heterogeneity in differently ranking Sikh caste populations of Punjab, mainly attributable to their different ethnic backgrounds, and provided a genetic basis to social stratification present in this religious community of Punjab, India.

  18. Effect of sample stratification on dairy GWAS results

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    Ma Li

    2012-10-01

    Full Text Available Abstract Background Artificial insemination and genetic selection are major factors contributing to population stratification in dairy cattle. In this study, we analyzed the effect of sample stratification and the effect of stratification correction on results of a dairy genome-wide association study (GWAS. Three methods for stratification correction were used: the efficient mixed-model association expedited (EMMAX method accounting for correlation among all individuals, a generalized least squares (GLS method based on half-sib intraclass correlation, and a principal component analysis (PCA approach. Results Historical pedigree data revealed that the 1,654 contemporary cows in the GWAS were all related when traced through approximately 10–15 generations of ancestors. Genome and phenotype stratifications had a striking overlap with the half-sib structure. A large elite half-sib family of cows contributed to the detection of favorable alleles that had low frequencies in the general population and high frequencies in the elite cows and contributed to the detection of X chromosome effects. All three methods for stratification correction reduced the number of significant effects. EMMAX method had the most severe reduction in the number of significant effects, and the PCA method using 20 principal components and GLS had similar significance levels. Removal of the elite cows from the analysis without using stratification correction removed many effects that were also removed by the three methods for stratification correction, indicating that stratification correction could have removed some true effects due to the elite cows. SNP effects with good consensus between different methods and effect size distributions from USDA’s Holstein genomic evaluation included the DGAT1-NIBP region of BTA14 for production traits, a SNP 45kb upstream from PIGY on BTA6 and two SNPs in NIBP on BTA14 for protein percentage. However, most of these consensus effects had

  19. A novel approach to population-based risk stratification, comprising individualized lifestyle intervention in Danish general practice to prevent chronic diseases

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    Bruun Larsen, Lars; Søndergaard, Jens; Halling, Anders

    2017-01-01

    Early detection of patients at risk seems to be effective for reducing the prevalence of lifestyle-related chronic diseases. We aim to test the feasibility of a novel intervention for early detection of lifestyle-related chronic diseases based on a population-based stratification using a combinat......Early detection of patients at risk seems to be effective for reducing the prevalence of lifestyle-related chronic diseases. We aim to test the feasibility of a novel intervention for early detection of lifestyle-related chronic diseases based on a population-based stratification using...

  20. Defining mtDNA origins and population stratification in Rio de Janeiro.

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    Simão, Filipa; Ferreira, Ana Paula; de Carvalho, Elizeu Fagundes; Parson, Walther; Gusmão, Leonor

    2018-05-01

    The genetic composition of the Brazilian population was shaped by interethnic admixture between autochthonous Native Americans, Europeans settlers and African slaves. This structure, characteristic of most American populations, implies the need for large population forensic databases to capture the high diversity that is usually associated with admixed populations. In the present work, we sequenced the control region of mitochondrial DNA from 205 non-related individuals living in the Rio de Janeiro metropolitan region. Overall high haplotype diversity (0.9994 ± 0.0006) was observed, and pairwise comparisons showed a high proportion of haplotype pairs with more than one-point differences. When ignoring homopolymeric tracts, pairwise comparisons showed no differences 0.18% of the time, and differences in a single position were found with a frequency of 0.32%. A high percentage of African mtDNA was found (42%), with lineages showing a major South West origin. For the West Eurasian and Native American haplogroups (representing 32% and 26%, respectively) it was not possible to evaluate a clear geographic or linguistic affiliation. When grouping the mtDNA lineages according to their continental origin (Native American, European and African), differences were observed for the ancestry proportions estimated with autosomal ancestry-informative markers, suggesting some level of genetic substructure. The results from this study are in accordance with historical data where admixture processes are confirmed with a strong maternal contribution of African maternal ancestry and a relevant contribution of Native American maternal ancestry. Moreover, the evidence for some degree of association between mtDNA and autosomal information should be considered when combining these types of markers in forensic analysis. Copyright © 2018 Elsevier B.V. All rights reserved.

  1. Bioconvection as a Consequence of Bio-Stratification in Bacterial Populations

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    Shoup, Daniel; Strickland, Benjamin; Hoeger, Kentaro; Ursell, Tristan

    The collective motion of bacterial populations in solution can generate convective currents that significantly alter fluid motion and material transport. Known as bioconvection, this process is highly influenced by stimuli such as nutrients and toxins that can attract or repel bacteria via chemotaxis. Despite its prevalence in natural environments, ranging from the ocean floor to fluid in the human gut, this dynamic process and the physical and biological factors that influence it remain largely unexplored. To close this gap, we measure and analyze spontaneous bioconvection arising from the collective movement of dense populations of bacteria, such as Escherichia coli and Bacillus subtilis. By combining microscopy and image analysis, we find that modulations of the fluid volume geometry, erasure of the air-liquid interface, chemical perturbations like nutrients or antibiotics all alter the development of these dense bacterial masses and in turn the bio-convective currents and corresponding transport phenomena they generate. Our work suggests biophysical principles of material and organismal transport that apply to a broad range of systems where organisms can sense gradients and move within their environments.

  2. CAPL: an efficient association software package using family and case-control data and accounting for population stratification.

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    Chung, Ren-Hua; Schmidt, Michael A; Martin, Eden R

    2011-05-25

    With many genome-wide association study (GWAS) datasets available, it is critical that we have statistical tools that are both flexible to accommodate different study designs and fast. We recently proposed the combined APL (CAPL) method, which can use family and case-control datasets and can account for population stratification in the data. Because computationally intensive algorithms are used in CAPL, implementing CAPL with efficient parallel algorithms is essential. We used a hybrid of open message passing interface (open MPI) and POSIX threads to parallelize CAPL, which enable the program to operate in a cluster environment. We used simulations to demonstrate that the parallel implementation of CAPL can analyze a large GWAS dataset in a reasonable time frame when a parallel computing resource is available. As many GWAS datasets based on both family and case-control designs are available, a flexible and efficient tool such as CAPL will be very helpful to combine the datasets to greatly increase statistical power and finish the analysis in a reasonable time frame.

  3. Optimal superadiabatic population transfer and gates by dynamical phase corrections

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    Vepsäläinen, A.; Danilin, S.; Paraoanu, G. S.

    2018-04-01

    In many quantum technologies adiabatic processes are used for coherent quantum state operations, offering inherent robustness to errors in the control parameters. The main limitation is the long operation time resulting from the requirement of adiabaticity. The superadiabatic method allows for faster operation, by applying counterdiabatic driving that corrects for excitations resulting from the violation of the adiabatic condition. In this article we show how to construct the counterdiabatic Hamiltonian in a system with forbidden transitions by using two-photon processes and how to correct for the resulting time-dependent ac-Stark shifts in order to enable population transfer with unit fidelity. We further demonstrate that superadiabatic stimulated Raman passage can realize a robust unitary NOT-gate between the ground state and the second excited state of a three-level system. The results can be readily applied to a three-level transmon with the ladder energy level structure.

  4. Stratification devices

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    Andersen, Elsa; Furbo, Simon

    2008-01-01

    Thermal stratification in the storage tank is extremely important in order to achieve high thermal performance of a solar heating system. High temperatures in the top of the storage tank and low temperatures in the bottom of the storage tank lead to the best operation conditions for any solar hea...

  5. Persistent infectious and tropical diseases in immigrant correctional populations

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    L. Getaz

    Full Text Available A number of infectious diseases amongst travelers and the immigrant populations are a major public health concern. Some have a long incubation period or remain asymptomatic or paucisymptomatic for many years before leading to significant clinical manifestations and/or complications. HIV, hepatitis B and C, tuberculosis or latent syphilis are among the most significant persistent diseases in migrants. Schistosomiasis and strongyloidiasis, for instance, are persistent helminthic infections that may cause significant morbidity, particularly in patients co-infected with HIV, hepatitis B and C. Chagas disease, which was initially confined to Latin America, must also now be considered in immigrants from endemic countries. Visceral leishmaniasis and malaria are other examples of parasitic diseases that must be taken into account by physicians treating incarcerated migrants. The focus of this review article is on the risk of neglected tropical diseases in particularly vulnerable correctional populations and on the risk of infectious diseases that commonly affect migrants but which are often underestimated.

  6. Assessing the joint effect of population stratification and sample selection in studies of gene-gene (environment interactions

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    Cheng KF

    2012-01-01

    Full Text Available Abstract Background It is well known that the presence of population stratification (PS may cause the usual test in case-control studies to produce spurious gene-disease associations. However, the impact of the PS and sample selection (SS is less known. In this paper, we provide a systematic study of the joint effect of PS and SS under a more general risk model containing genetic and environmental factors. We provide simulation results to show the magnitude of the bias and its impact on type I error rate of the usual chi-square test under a wide range of PS level and selection bias. Results The biases to the estimation of main and interaction effect are quantified and then their bounds derived. The estimated bounds can be used to compute conservative p-values for the association test. If the conservative p-value is smaller than the significance level, we can safely claim that the association test is significant regardless of the presence of PS or not, or if there is any selection bias. We also identify conditions for the null bias. The bias depends on the allele frequencies, exposure rates, gene-environment odds ratios and disease risks across subpopulations and the sampling of the cases and controls. Conclusion Our results show that the bias cannot be ignored even the case and control data were matched in ethnicity. A real example is given to illustrate application of the conservative p-value. These results are useful to the genetic association studies of main and interaction effects.

  7. Correction

    DEFF Research Database (Denmark)

    Pinkevych, Mykola; Cromer, Deborah; Tolstrup, Martin

    2016-01-01

    [This corrects the article DOI: 10.1371/journal.ppat.1005000.][This corrects the article DOI: 10.1371/journal.ppat.1005740.][This corrects the article DOI: 10.1371/journal.ppat.1005679.].......[This corrects the article DOI: 10.1371/journal.ppat.1005000.][This corrects the article DOI: 10.1371/journal.ppat.1005740.][This corrects the article DOI: 10.1371/journal.ppat.1005679.]....

  8. Effectiveness of an annular closure device in a "real-world" population: stratification of registry data using screening criteria from a randomized controlled trial.

    Science.gov (United States)

    Kuršumović, Adisa; Rath, Stefan A

    2018-01-01

    Increased focus has been put on the use of "'real-world" data to support randomized clinical trial (RCT) evidence for clinical decision-making. The objective of this study was to assess the performance of an annular closure device (ACD) after stratifying a consecutive series of "real-world" patients by the screening criteria of an ongoing RCT. This was a single-center registry analysis of 164 subjects who underwent limited discectomy combined with ACD for symptomatic lumbar disc herniation. Patients were stratified into two groups using the selection criteria of a pivotal RCT on the same device: Trial (met inclusion; n=44) or non-Trial (did not meet inclusion; n=120). Patient-reported outcomes, including Oswestry Disability Index (ODI) and visual analog scale (VAS) for leg and back pain, and adverse events were collected from baseline to last follow-up (mean: Trial - 15.6 months; non-Trial - 14.6 months). Statistical analyses were performed with significance set at p population. Stratification of this "real-world" series on the basis of RCT screening criteria did not result in significant between-group differences. These findings suggest that the efficacy of the ACD extends beyond the strictly defined patient population being studied in the RCT of this device. Furthermore, reducing the reherniation rate following lumbar discectomy has positive clinical and economic implications.

  9. Nutrition in correction of health of the population

    International Nuclear Information System (INIS)

    Tsygankov, V.G.

    2003-01-01

    In usual after accident on Chernobyl NPP to ecological conditions the major task is the research of methods and resources of rise of radiostability of an organism and lowering of hazard of origin of pathological statuses from actions of ionizing radiation. The action of the negative factors, which have arisen after a crash, is aggravated by the unfavorable tendencies in nutrition of the population of republic. The frame of nutrition of the population in Belarus, is characterized by low consumption of the foodstuff, most valuable in the biological ratio, such as meat, milk and lactic products, fish and fish products, eggs, vegetable oil, fruit and vegetables. Thus the consumption of animal fat, bread (especially from very purified of sorts wheat), and also potatoes prolongs to remain high. The corollary of the usual frame of nutrition on the foreground quits the following violations of the alimentary status: a deficit of animal protein, especially in groups of the population with the low incomes; a deficit of polyunsaturated fatty acids on a background of exuberant arrival of animal fat; the expressed deficit of the majority of vitamins. Very serious there is a problem of unsufficiency of a number of mineral substances and trace substances, such as calcium (especially for the persons of elderly age, that accompanied in development of an osteoporosis and boosted fragility of bones), iron (especially for the pregnant women and children of early age that is accompanied in development of an anemia), iodine (especially for children during intensive development a CNS, that reduces in losses of an essential long of intellectual abilities), fluorine, selenium, zinc. Is rather appreciable in our ration and deficit of alimentary filaments. The lack micronutrients in a ration reduces in lowering a resistance of an organism to the unfavorable factors of an environment, to decrease it adaptogenic potential at the expense of violation of operation of systems protection from

  10. Risk Stratification by 24-Hour Ambulatory Blood Pressure and Estimated Glomerular Filtration Rate in 5322 Subjects From 11 Populations

    DEFF Research Database (Denmark)

    Boggia, José; Thijs, Lutgarde; Li, Yan

    2013-01-01

    subjects (median age, 51.8 years; 43.1% women) randomly recruited from 11 populations, who had baseline measurements of 24-hour ambulatory blood pressure (ABP(24)) and eGFR. We computed hazard ratios using multivariable-adjusted Cox regression. Median follow-up was 9.3 years. In fully adjusted models......, which included both ABP(24) and eGFR, ABP(24) predicted (P≤0.008) both total (513 deaths) and cardiovascular (206) mortality; eGFR only predicted cardiovascular mortality (P=0.012). Furthermore, ABP(24) predicted (P≤0.0056) fatal combined with nonfatal events as a result of all cardiovascular causes...... (555 events), cardiac disease (335 events), or stroke (218 events), whereas eGFR only predicted the composite cardiovascular end point and stroke (P≤0.035). The interaction terms between ABP(24) and eGFR were all nonsignificant (P≥0.082). For cardiovascular mortality, the composite cardiovascular end...

  11. Correction

    CERN Multimedia

    2002-01-01

    Tile Calorimeter modules stored at CERN. The larger modules belong to the Barrel, whereas the smaller ones are for the two Extended Barrels. (The article was about the completion of the 64 modules for one of the latter.) The photo on the first page of the Bulletin n°26/2002, from 24 July 2002, illustrating the article «The ATLAS Tile Calorimeter gets into shape» was published with a wrong caption. We would like to apologise for this mistake and so publish it again with the correct caption.

  12. INLET STRATIFICATION DEVICE

    DEFF Research Database (Denmark)

    2006-01-01

    An inlet stratification device (5) for a circuit circulating a fluid through a tank (1 ) and for providing and maintaining stratification of the fluid in the tank (1 ). The stratification de- vice (5) is arranged vertically in the tank (1) and comprises an inlet pipe (6) being at least partially...... formed of a flexible porous material and having an inlet (19) and outlets formed of the pores of the porous material. The stratification device (5) further comprises at least one outer pipe (7) surrounding the inlet pipe (6) in spaced relationship thereto and being at least partially formed of a porous...

  13. Correction

    Directory of Open Access Journals (Sweden)

    2012-01-01

    Full Text Available Regarding Gorelik, G., & Shackelford, T.K. (2011. Human sexual conflict from molecules to culture. Evolutionary Psychology, 9, 564–587: The authors wish to correct an omission in citation to the existing literature. In the final paragraph on p. 570, we neglected to cite Burch and Gallup (2006 [Burch, R. L., & Gallup, G. G., Jr. (2006. The psychobiology of human semen. In S. M. Platek & T. K. Shackelford (Eds., Female infidelity and paternal uncertainty (pp. 141–172. New York: Cambridge University Press.]. Burch and Gallup (2006 reviewed the relevant literature on FSH and LH discussed in this paragraph, and should have been cited accordingly. In addition, Burch and Gallup (2006 should have been cited as the originators of the hypothesis regarding the role of FSH and LH in the semen of rapists. The authors apologize for this oversight.

  14. Correction

    CERN Multimedia

    2002-01-01

    The photo on the second page of the Bulletin n°48/2002, from 25 November 2002, illustrating the article «Spanish Visit to CERN» was published with a wrong caption. We would like to apologise for this mistake and so publish it again with the correct caption.   The Spanish delegation, accompanied by Spanish scientists at CERN, also visited the LHC superconducting magnet test hall (photo). From left to right: Felix Rodriguez Mateos of CERN LHC Division, Josep Piqué i Camps, Spanish Minister of Science and Technology, César Dopazo, Director-General of CIEMAT (Spanish Research Centre for Energy, Environment and Technology), Juan Antonio Rubio, ETT Division Leader at CERN, Manuel Aguilar-Benitez, Spanish Delegate to Council, Manuel Delfino, IT Division Leader at CERN, and Gonzalo León, Secretary-General of Scientific Policy to the Minister.

  15. Correction

    Directory of Open Access Journals (Sweden)

    2014-01-01

    Full Text Available Regarding Tagler, M. J., and Jeffers, H. M. (2013. Sex differences in attitudes toward partner infidelity. Evolutionary Psychology, 11, 821–832: The authors wish to correct values in the originally published manuscript. Specifically, incorrect 95% confidence intervals around the Cohen's d values were reported on page 826 of the manuscript where we reported the within-sex simple effects for the significant Participant Sex × Infidelity Type interaction (first paragraph, and for attitudes toward partner infidelity (second paragraph. Corrected values are presented in bold below. The authors would like to thank Dr. Bernard Beins at Ithaca College for bringing these errors to our attention. Men rated sexual infidelity significantly more distressing (M = 4.69, SD = 0.74 than they rated emotional infidelity (M = 4.32, SD = 0.92, F(1, 322 = 23.96, p < .001, d = 0.44, 95% CI [0.23, 0.65], but there was little difference between women's ratings of sexual (M = 4.80, SD = 0.48 and emotional infidelity (M = 4.76, SD = 0.57, F(1, 322 = 0.48, p = .29, d = 0.08, 95% CI [−0.10, 0.26]. As expected, men rated sexual infidelity (M = 1.44, SD = 0.70 more negatively than they rated emotional infidelity (M = 2.66, SD = 1.37, F(1, 322 = 120.00, p < .001, d = 1.12, 95% CI [0.85, 1.39]. Although women also rated sexual infidelity (M = 1.40, SD = 0.62 more negatively than they rated emotional infidelity (M = 2.09, SD = 1.10, this difference was not as large and thus in the evolutionary theory supportive direction, F(1, 322 = 72.03, p < .001, d = 0.77, 95% CI [0.60, 0.94].

  16. Persons in correctional facilities in Canada: A key population for hepatitis C prevention and control.

    Science.gov (United States)

    Kouyoumdjian, Fiona G; McIsaac, Kathryn E

    2015-10-03

    About one in nine Canadians who are infected with hepatitis C spend time in a correctional facility each year. With high rates of current injection drug use and needle sharing, this population may account for a large proportion of new infections. Any national strategy to address hepatitis C should include a focus on persons in correctional facilities, and should build on existing evidence regarding primary, secondary and tertiary prevention.

  17. On Optimum Stratification

    OpenAIRE

    M. G. M. Khan; V. D. Prasad; D. K. Rao

    2014-01-01

    In this manuscript, we discuss the problem of determining the optimum stratification of a study (or main) variable based on the auxiliary variable that follows a uniform distribution. If the stratification of survey variable is made using the auxiliary variable it may lead to substantial gains in precision of the estimates. This problem is formulated as a Nonlinear Programming Problem (NLPP), which turn out to multistage decision problem and is solved using dynamic programming technique.

  18. Application of phasor plot and autofluorescence correction for study of heterogeneous cell population

    Science.gov (United States)

    Szmacinski, Henryk; Toshchakov, Vladimir; Lakowicz, Joseph R.

    2014-01-01

    Abstract. Protein-protein interactions in cells are often studied using fluorescence resonance energy transfer (FRET) phenomenon by fluorescence lifetime imaging microscopy (FLIM). Here, we demonstrate approaches to the quantitative analysis of FRET in cell population in a case complicated by a highly heterogeneous donor expression, multiexponential donor lifetime, large contribution of cell autofluorescence, and significant presence of unquenched donor molecules that do not interact with the acceptor due to low affinity of donor-acceptor binding. We applied a multifrequency phasor plot to visualize FRET FLIM data, developed a method for lifetime background correction, and performed a detailed time-resolved analysis using a biexponential model. These approaches were applied to study the interaction between the Toll Interleukin-1 receptor (TIR) domain of Toll-like receptor 4 (TLR4) and the decoy peptide 4BB. TLR4 was fused to Cerulean fluorescent protein (Cer) and 4BB peptide was labeled with Bodipy TMRX (BTX). Phasor displays for multifrequency FLIM data are presented. The analytical procedure for lifetime background correction is described and the effect of correction on FLIM data is demonstrated. The absolute FRET efficiency was determined based on the phasor plot display and multifrequency FLIM data analysis. The binding affinity between TLR4-Cer (donor) and decoy peptide 4BB-BTX (acceptor) was estimated in a heterogeneous HeLa cell population. PMID:24770662

  19. Cold stratification, but not stratification in salinity, enhances seedling ...

    African Journals Online (AJOL)

    use

    2011-10-26

    Oct 26, 2011 ... Cold stratification was reported to release seed dormancy and enhance plant tolerance to salt stress. ... Key words: Cold stratification, salt stress, seedling emergence, ... methods used to cope with salinity, seed pre-sowing.

  20. Modeling Multimodal Stratification

    DEFF Research Database (Denmark)

    Boeriis, Morten

    2017-01-01

    . The article outlines a theoretical experiment exploring how an alternative way of modeling stratification and instantiation may raise some interesting ideas on the concepts of realization dynamics, system-instance, and the different contexts of the semiotic text. This is elaborated in a discussion of how...

  1. Cold stratification, but not stratification in salinity, enhances seedling ...

    African Journals Online (AJOL)

    Cold stratification, but not stratification in salinity, enhances seedling growth of wheat under salt treatment. L Wang, HL Wang, CH Yin, CY Tian. Abstract. Cold stratification was reported to release seed dormancy and enhance plant tolerance to salt stress. Experiments were conducted to test the hypothesis that cold ...

  2. Correcting for Systematic Bias in Sample Estimates of Population Variances: Why Do We Divide by n-1?

    Science.gov (United States)

    Mittag, Kathleen Cage

    An important topic presented in introductory statistics courses is the estimation of population parameters using samples. Students learn that when estimating population variances using sample data, we always get an underestimate of the population variance if we divide by n rather than n-1. One implication of this correction is that the degree of…

  3. Diagnostic and correction of chronic-biological mis-balances of population at radiation injuries in regions with increased radiation

    International Nuclear Information System (INIS)

    Goncharova, T.G.; Vasil'eva, G.S.

    2003-01-01

    It was shown the possibility of bio-indication of population irradiation and its rehabilitation by estimation of chronic biological mis-balances and correction realization. Investigation were accomplished on people contingent living at the former Semipalatinsk test site

  4. DIAGNOSTICS OF MOTOR ABILITY AS A BASE OF CORRECTION PLANNING OF TRANSFORMATION PROCESSES IN SPECIAL POPULATIONS

    Directory of Open Access Journals (Sweden)

    Kosta Goranović

    2011-08-01

    Full Text Available In the research, at sample of 80 tested, employees in the special police force, as representatives of police population age from 20 to 25, diagnostics of motor potential in transitive period of annual macrostructure was done. The aim of the research was doing potential correction in planning and programming of transformation process in the next cycles of sports preparation on the base of diagnosed quantitative value of motor abilities. Besides analyses of achieved values, the difference was established between two leading teams in the space of measuring potential. The research results indicated to statistically important differences between two groups of tested people, as well as to unacceptable level of development in some abilities. The achieved results are, from aspect of training process’ control, the indicator to instructors’ team on the need of correction of transformation process’ content, with aim of improving bad segments. Diagnostics of motor abilities with measuring instruments in terrain conditions is one of methods, which can be in function of valorising transformation process of the special police force, taking into account specifics of their professional manifestation.

  5. De Novo Advanced Adult-Onset Offending: New Evidence from a Population of Federal Correctional Clients.

    Science.gov (United States)

    DeLisi, Matt; Tahja, Katherine N; Drury, Alan J; Elbert, Michael J; Caropreso, Daniel E; Heinrichs, Timothy

    2018-01-01

    Adult antisocial behavior is almost always predated by delinquency during childhood or adolescence; however, there is also evidence of adult-onset criminal offending. This study examined this controversial subgroup of offenders using self-reported and official data from a total population of federal correctional clients selected from the Midwestern United States. Difference of means t-tests, chi-square tests, and logistic regression models found that 11.7% of clients had an adult onset of offending and 2.7% of clients (n = 23) had an onset occurring at age 60 years or older. This group-introduced as de novo advanced adult-onset offenders-had high socioeconomic status, mixed evidence of adverse childhood experiences, and virtually no usage of drugs with the exception of alcohol. These offenders were primarily convicted of social security and white-collar crimes and evinced remarkably low psychopathology and criminal risk. More research is needed to replicate the phenomenon of de novo advanced adult-onset offending. © 2017 American Academy of Forensic Sciences.

  6. TCF7L2 variant genotypes and type 2 diabetes risk in Brazil: significant association, but not a significant tool for risk stratification in the general population

    Directory of Open Access Journals (Sweden)

    Mill JG

    2008-12-01

    Full Text Available Abstract Background Genetic polymorphisms of the TCF7L2 gene are strongly associated with large increments in type 2 diabetes risk in different populations worldwide. In this study, we aimed to confirm the effect of the TCF7L2 polymorphism rs7903146 on diabetes risk in a Brazilian population and to assess the use of this genetic marker in improving diabetes risk prediction in the general population. Methods We genotyped the single nucleotide polymorphisms (SNP rs7903146 of the TCF7L2 gene in 560 patients with known coronary disease enrolled in the MASS II (Medicine, Angioplasty, or Surgery Study Trial and in 1,449 residents of Vitoria, in Southeast Brazil. The associations of this gene variant to diabetes risk and metabolic characteristics in these two different populations were analyzed. To access the potential benefit of using this marker for diabetes risk prediction in the general population we analyzed the impact of this genetic variant on a validated diabetes risk prediction tool based on clinical characteristics developed for the Brazilian general population. Results SNP rs7903146 of the TCF7L2 gene was significantly associated with type 2 diabetes in the MASS-II population (OR = 1.57 per T allele, p = 0.0032, confirming, in the Brazilian population, previous reports of the literature. Addition of this polymorphism to an established clinical risk prediction score did not increased model accuracy (both area under ROC curve equal to 0.776. Conclusion TCF7L2 rs7903146 T allele is associated with a 1.57 increased risk for type 2 diabetes in a Brazilian cohort of patients with known coronary heart disease. However, the inclusion of this polymorphism in a risk prediction tool developed for the general population resulted in no improvement of performance. This is the first study, to our knowledge, that has confirmed this recent association in a South American population and adds to the great consistency of this finding in studies around the world

  7. Talent Complementarity and Organizational Stratification

    Science.gov (United States)

    Abrahamson, Mark

    1973-01-01

    Stratification within organizations as produced by the distribution of functional importance among positions is investigated. According to Stinchcombe's hypothesis from the functional theory of stratification, the rewards given to various positions are expected to be less equal when talent is complementary rather than additive. Actual differences…

  8. Implementing a generic method for bias correction in statistical models using random effects, with spatial and population dynamics examples

    DEFF Research Database (Denmark)

    Thorson, James T.; Kristensen, Kasper

    2016-01-01

    Statistical models play an important role in fisheries science when reconciling ecological theory with available data for wild populations or experimental studies. Ecological models increasingly include both fixed and random effects, and are often estimated using maximum likelihood techniques...... configurations of an age-structured population dynamics model. This simulation experiment shows that the epsilon-method and the existing bias-correction method perform equally well in data-rich contexts, but the epsilon-method is slightly less biased in data-poor contexts. We then apply the epsilon......-method to a spatial regression model when estimating an index of population abundance, and compare results with an alternative bias-correction algorithm that involves Markov-chain Monte Carlo sampling. This example shows that the epsilon-method leads to a biologically significant difference in estimates of average...

  9. Thermal stratification in the pressurizer

    International Nuclear Information System (INIS)

    Baik, S.J.; Lee, K.W.; Ro, T.S.

    2001-01-01

    The thermal stratification in the pressurizer due to the insurge from the hot leg to the pressurizer has been studied. The insurge flow of the cold water into the pressurizer takes place during the heatup/cooldown and the normal or abnormal transients during power operation. The pressurizer vessel can undergo significant thermal fatigue usage caused by insurges and outsurges. Two-dimensional axisymmetric transient analysis for the thermal stratification in the pressurizer is performed using the computational fluid dynamics code, FLUENT, to get the velocity and temperature distribution. Parametric study has been carried out to investigate the effect of the inlet velocity and the temperature difference between the hot leg and the pressurizer on the thermal stratification. The results show that the insurge flow of cold water into the pressurizer does not mix well with hot water, and the cold water remains only in the lower portion of the pressurizer, which leads to the thermal stratification in the pressurizer. The thermal load on the pressurizer due to the thermal stratification or the cyclic thermal transient should be examined with respect to the mechanical integrity and this study can serve the design data for the stress analysis. (authors)

  10. BAYESIAN BICLUSTERING FOR PATIENT STRATIFICATION.

    Science.gov (United States)

    Khakabimamaghani, Sahand; Ester, Martin

    2016-01-01

    The move from Empirical Medicine towards Personalized Medicine has attracted attention to Stratified Medicine (SM). Some methods are provided in the literature for patient stratification, which is the central task of SM, however, there are still significant open issues. First, it is still unclear if integrating different datatypes will help in detecting disease subtypes more accurately, and, if not, which datatype(s) are most useful for this task. Second, it is not clear how we can compare different methods of patient stratification. Third, as most of the proposed stratification methods are deterministic, there is a need for investigating the potential benefits of applying probabilistic methods. To address these issues, we introduce a novel integrative Bayesian biclustering method, called B2PS, for patient stratification and propose methods for evaluating the results. Our experimental results demonstrate the superiority of B2PS over a popular state-of-the-art method and the benefits of Bayesian approaches. Our results agree with the intuition that transcriptomic data forms a better basis for patient stratification than genomic data.

  11. Midterm outcome after correction of hallux valgus deformity using scarf osteotomy in adult population

    Directory of Open Access Journals (Sweden)

    Laura Ibrahim Alolayan

    2017-01-01

    Full Text Available Context: Determining the efficacy of any surgical treatment is the key to achieve better practice and best outcomes for patients. Aims: This study is designed to address midterm outcome in adult patients with moderate-to-severe hallux valgus (HV, who underwent scarf osteotomy from 2012 to 2014. Settings and Design: This is a retrospective cohort study in which charts of all adult patients with moderate-to-severe HV who underwent scarf osteotomy from 2011 to 2014 were reviewed. Subjects and Methods: Between 2011 and 2014, 39 patients (41 feet who underwent scarf osteotomy for correction of HV deformity were retrospectively evaluated. Standard weight-bearing dorsoplantar radiographs were obtained pre- and postoperatively. HV angle (HVA, intermetatarsal angle (IMA and distal metatarsal articular angles (DMAA were measured pre- and postoperatively to evaluate the efficacy of the surgery. The complication rate was reported. The average follow-up was 13.5 months, and the patients' mean age was 37 years. Statistical Analysis Used: Data were compared using Chi-square test or Fisher's exact test whichever was appropriate. All tests were two-sided, and a P> 0.01 was considered statistically significant. Results: The average preoperative HVA and IMA were 32° and 14.3°, which improved to 11° and 7.9°, respectively. The changes were statistically significant (P 0.18. Conclusions: This study suggests that scarf osteotomy surgery is a very versatile osteotomy in correcting moderate-to-severe HV deformity. It offers a greater degree of correction and stability, lower rate of complications and good outcome. However, long-term follow-up studies are still needed.

  12. Thermal stratifications. An industrial point of view

    International Nuclear Information System (INIS)

    Peniguel, C.

    1995-11-01

    In PWR's, mechanical damages (cracks) have been detected at the internal faces of steam generator feedwater piping when thermal stratification occurs. This paper reports some studies of flows under operating conditions leading to of a stable stratified flow. Two geometries corresponding to different mock-up studied at EDF and CEA have been investigated. Numerical simulations have been performed with the code ESTET. Good agreement is observed on the mean temperature but it seems that the present modelling of the temperature variance fails to reproduce correctly the fluctuating phenomena It appears that with a stably stratified flow, wall conduction should be taken into account. It lead us to create a new numerical tool (SYRTHES) to compute the thermal field inside the wall, and the thermal coupling between the fluid and the solid at the interface. Some industrial examples illustrating the use of such a numerical tool are briefly presented. (author). 12 refs., 13 figs

  13. Multilayer fabric stratification pipes for solar tanks

    DEFF Research Database (Denmark)

    Andersen, Elsa; Furbo, Simon; Fan, Jianhua

    2007-01-01

    The thermal performance of solar heating systems is strongly influenced by the thermal stratification in the heat storage. The higher the degree of thermal stratification is, the higher the thermal performance of the solar heating systems. Thermal stratification in water storages can for instance...

  14. European environmental stratifications and typologies

    DEFF Research Database (Denmark)

    Hazeu, G.W,; Metzger, M.J.; Mücher, C.A.

    2011-01-01

    their limitations and challenges. As such, they provide a sound basis for describing the factors affecting the robustness of such datasets. The latter is especially relevant, since there is likely to be further interest in European environmental assessment. In addition, advances in data availability and analysis......A range of new spatial datasets classifying the European environment has been constructed over the last few years. These datasets share the common objective of dividing European environmental gradients into convenient units, within which objects and variables of interest have relatively homogeneous...... scale. This paper provides an overview of five recent European stratifications and typologies, constructed for contrasting objectives, and differing in spatial and thematic detail. These datasets are: the Environmental Stratification (EnS), the European Landscape Classification (LANMAP), the Spatial...

  15. Quantitative risk stratification in Markov chains with limiting conditional distributions.

    Science.gov (United States)

    Chan, David C; Pollett, Philip K; Weinstein, Milton C

    2009-01-01

    Many clinical decisions require patient risk stratification. The authors introduce the concept of limiting conditional distributions, which describe the equilibrium proportion of surviving patients occupying each disease state in a Markov chain with death. Such distributions can quantitatively describe risk stratification. The authors first establish conditions for the existence of a positive limiting conditional distribution in a general Markov chain and describe a framework for risk stratification using the limiting conditional distribution. They then apply their framework to a clinical example of a treatment indicated for high-risk patients, first to infer the risk of patients selected for treatment in clinical trials and then to predict the outcomes of expanding treatment to other populations of risk. For the general chain, a positive limiting conditional distribution exists only if patients in the earliest state have the lowest combined risk of progression or death. The authors show that in their general framework, outcomes and population risk are interchangeable. For the clinical example, they estimate that previous clinical trials have selected the upper quintile of patient risk for this treatment, but they also show that expanded treatment would weakly dominate this degree of targeted treatment, and universal treatment may be cost-effective. Limiting conditional distributions exist in most Markov models of progressive diseases and are well suited to represent risk stratification quantitatively. This framework can characterize patient risk in clinical trials and predict outcomes for other populations of risk.

  16. Cancer Stratification by Molecular Imaging

    Directory of Open Access Journals (Sweden)

    Justus Weber

    2015-03-01

    Full Text Available The lack of specificity of traditional cytotoxic drugs has triggered the development of anticancer agents that selectively address specific molecular targets. An intrinsic property of these specialized drugs is their limited applicability for specific patient subgroups. Consequently, the generation of information about tumor characteristics is the key to exploit the potential of these drugs. Currently, cancer stratification relies on three approaches: Gene expression analysis and cancer proteomics, immunohistochemistry and molecular imaging. In order to enable the precise localization of functionally expressed targets, molecular imaging combines highly selective biomarkers and intense signal sources. Thus, cancer stratification and localization are performed simultaneously. Many cancer types are characterized by altered receptor expression, such as somatostatin receptors, folate receptors or Her2 (human epidermal growth factor receptor 2. Similar correlations are also known for a multitude of transporters, such as glucose transporters, amino acid transporters or hNIS (human sodium iodide symporter, as well as cell specific proteins, such as the prostate specific membrane antigen, integrins, and CD20. This review provides a comprehensive description of the methods, targets and agents used in molecular imaging, to outline their application for cancer stratification. Emphasis is placed on radiotracers which are used to identify altered expression patterns of cancer associated markers.

  17. Principal stratification in causal inference.

    Science.gov (United States)

    Frangakis, Constantine E; Rubin, Donald B

    2002-03-01

    Many scientific problems require that treatment comparisons be adjusted for posttreatment variables, but the estimands underlying standard methods are not causal effects. To address this deficiency, we propose a general framework for comparing treatments adjusting for posttreatment variables that yields principal effects based on principal stratification. Principal stratification with respect to a posttreatment variable is a cross-classification of subjects defined by the joint potential values of that posttreatment variable tinder each of the treatments being compared. Principal effects are causal effects within a principal stratum. The key property of principal strata is that they are not affected by treatment assignment and therefore can be used just as any pretreatment covariate. such as age category. As a result, the central property of our principal effects is that they are always causal effects and do not suffer from the complications of standard posttreatment-adjusted estimands. We discuss briefly that such principal causal effects are the link between three recent applications with adjustment for posttreatment variables: (i) treatment noncompliance, (ii) missing outcomes (dropout) following treatment noncompliance. and (iii) censoring by death. We then attack the problem of surrogate or biomarker endpoints, where we show, using principal causal effects, that all current definitions of surrogacy, even when perfectly true, do not generally have the desired interpretation as causal effects of treatment on outcome. We go on to forrmulate estimands based on principal stratification and principal causal effects and show their superiority.

  18. Surrogate Endpoint Evaluation: Principal Stratification Criteria and the Prentice Definition.

    Science.gov (United States)

    Gilbert, Peter B; Gabriel, Erin E; Huang, Ying; Chan, Ivan S F

    2015-09-01

    A common problem of interest within a randomized clinical trial is the evaluation of an inexpensive response endpoint as a valid surrogate endpoint for a clinical endpoint, where a chief purpose of a valid surrogate is to provide a way to make correct inferences on clinical treatment effects in future studies without needing to collect the clinical endpoint data. Within the principal stratification framework for addressing this problem based on data from a single randomized clinical efficacy trial, a variety of definitions and criteria for a good surrogate endpoint have been proposed, all based on or closely related to the "principal effects" or "causal effect predictiveness (CEP)" surface. We discuss CEP-based criteria for a useful surrogate endpoint, including (1) the meaning and relative importance of proposed criteria including average causal necessity (ACN), average causal sufficiency (ACS), and large clinical effect modification; (2) the relationship between these criteria and the Prentice definition of a valid surrogate endpoint; and (3) the relationship between these criteria and the consistency criterion (i.e., assurance against the "surrogate paradox"). This includes the result that ACN plus a strong version of ACS generally do not imply the Prentice definition nor the consistency criterion, but they do have these implications in special cases. Moreover, the converse does not hold except in a special case with a binary candidate surrogate. The results highlight that assumptions about the treatment effect on the clinical endpoint before the candidate surrogate is measured are influential for the ability to draw conclusions about the Prentice definition or consistency. In addition, we emphasize that in some scenarios that occur commonly in practice, the principal strata sub-populations for inference are identifiable from the observable data, in which cases the principal stratification framework has relatively high utility for the purpose of effect

  19. Surrogate Endpoint Evaluation: Principal Stratification Criteria and the Prentice Definition

    Science.gov (United States)

    Gilbert, Peter B.; Gabriel, Erin E.; Huang, Ying; Chan, Ivan S.F.

    2015-01-01

    A common problem of interest within a randomized clinical trial is the evaluation of an inexpensive response endpoint as a valid surrogate endpoint for a clinical endpoint, where a chief purpose of a valid surrogate is to provide a way to make correct inferences on clinical treatment effects in future studies without needing to collect the clinical endpoint data. Within the principal stratification framework for addressing this problem based on data from a single randomized clinical efficacy trial, a variety of definitions and criteria for a good surrogate endpoint have been proposed, all based on or closely related to the “principal effects” or “causal effect predictiveness (CEP)” surface. We discuss CEP-based criteria for a useful surrogate endpoint, including (1) the meaning and relative importance of proposed criteria including average causal necessity (ACN), average causal sufficiency (ACS), and large clinical effect modification; (2) the relationship between these criteria and the Prentice definition of a valid surrogate endpoint; and (3) the relationship between these criteria and the consistency criterion (i.e., assurance against the “surrogate paradox”). This includes the result that ACN plus a strong version of ACS generally do not imply the Prentice definition nor the consistency criterion, but they do have these implications in special cases. Moreover, the converse does not hold except in a special case with a binary candidate surrogate. The results highlight that assumptions about the treatment effect on the clinical endpoint before the candidate surrogate is measured are influential for the ability to draw conclusions about the Prentice definition or consistency. In addition, we emphasize that in some scenarios that occur commonly in practice, the principal strata sub-populations for inference are identifiable from the observable data, in which cases the principal stratification framework has relatively high utility for the purpose of

  20. Practical Bias Correction in Aerial Surveys of Large Mammals: Validation of Hybrid Double-Observer with Sightability Method against Known Abundance of Feral Horse (Equus caballus) Populations.

    Science.gov (United States)

    Lubow, Bruce C; Ransom, Jason I

    2016-01-01

    Reliably estimating wildlife abundance is fundamental to effective management. Aerial surveys are one of the only spatially robust tools for estimating large mammal populations, but statistical sampling methods are required to address detection biases that affect accuracy and precision of the estimates. Although various methods for correcting aerial survey bias are employed on large mammal species around the world, these have rarely been rigorously validated. Several populations of feral horses (Equus caballus) in the western United States have been intensively studied, resulting in identification of all unique individuals. This provided a rare opportunity to test aerial survey bias correction on populations of known abundance. We hypothesized that a hybrid method combining simultaneous double-observer and sightability bias correction techniques would accurately estimate abundance. We validated this integrated technique on populations of known size and also on a pair of surveys before and after a known number was removed. Our analysis identified several covariates across the surveys that explained and corrected biases in the estimates. All six tests on known populations produced estimates with deviations from the known value ranging from -8.5% to +13.7% and corrected by our statistical models. Our results validate the hybrid method, highlight its potentially broad applicability, identify some limitations, and provide insight and guidance for improving survey designs.

  1. Simple prediction method of lumbar lordosis for planning of lumbar corrective surgery: radiological analysis in a Korean population.

    Science.gov (United States)

    Lee, Chong Suh; Chung, Sung Soo; Park, Se Jun; Kim, Dong Min; Shin, Seong Kee

    2014-01-01

    This study aimed at deriving a lordosis predictive equation using the pelvic incidence and to establish a simple prediction method of lumbar lordosis for planning lumbar corrective surgery in Asians. Eighty-six asymptomatic volunteers were enrolled in the study. The maximal lumbar lordosis (MLL), lower lumbar lordosis (LLL), pelvic incidence (PI), and sacral slope (SS) were measured. The correlations between the parameters were analyzed using Pearson correlation analysis. Predictive equations of lumbar lordosis through simple regression analysis of the parameters and simple predictive values of lumbar lordosis using PI were derived. The PI strongly correlated with the SS (r = 0.78), and a strong correlation was found between the SS and LLL (r = 0.89), and between the SS and MLL (r = 0.83). Based on these correlations, the predictive equations of lumbar lordosis were found (SS = 0.80 + 0.74 PI (r = 0.78, R (2) = 0.61), LLL = 5.20 + 0.87 SS (r = 0.89, R (2) = 0.80), MLL = 17.41 + 0.96 SS (r = 0.83, R (2) = 0.68). When PI was between 30° to 35°, 40° to 50° and 55° to 60°, the equations predicted that MLL would be PI + 10°, PI + 5° and PI, and LLL would be PI - 5°, PI - 10° and PI - 15°, respectively. This simple calculation method can provide a more appropriate and simpler prediction of lumbar lordosis for Asian populations. The prediction of lumbar lordosis should be used as a reference for surgeons planning to restore the lumbar lordosis in lumbar corrective surgery.

  2. Paced Auditory Serial Addition Test (PASAT 3.0 s): Demographically corrected norms for the Portuguese population.

    Science.gov (United States)

    Sousa, Claudia Sofia; Neves, Mariana Rigueiro; Passos, Ana Margarida; Ferreira, Aristides; Sá, Maria José

    2017-05-23

    The main goal of this study was to produce adjusted normative data for the Portuguese population on the Paced Auditory Serial Addition Test (PASAT 3.0 s), the version used in the Brief Repeatable Battery of Neuropsychological Tests developed by the National Multiple Sclerosis Society. The study included 326 community-dwelling individuals (199 women and 127 men) aged between 20 and 70 (mean = 40.33, SD = 14.40), who had educational backgrounds ranging from 4 to 23 years of schooling (mean = 12.28, SD = 4.39). Age, gender and qualifications revealed differences in explaining their performance on the PASAT 3.0 s. Men had significantly better performance on the PASAT 3.0 s than women, even though this represents a small effect size r = 0.18. Demographically corrected normative data was developed and important information regarding performance on the PASAT 3.0 s test is provided. Results are discussed and presented in tables and a formula is presented for computing age, gender and education adjusted T-scores for performance on the PASAT 3.0 s. These results should be considered as useful reference values for clinicians and investigators when applying the PASAT 3.0 s to assess cognitive function like information processing speed in different pathologies.

  3. Comparing an Unstructured Risk Stratification to Published Guidelines in Acute Coronary Syndromes.

    Science.gov (United States)

    Beck, Ann-Jean C C; Hagemeijer, Anouk; Tortolani, Bess; Byrd, Bethany A; Parekh, Amisha; Datillo, Paris; Birkhahn, Robert

    2015-09-01

    at correctly placing patients with underlying ACS into a high-risk category. A small percentage of patients were considered low risk when applying AHA/ACC/ACEP guidelines, which demonstrates how clinical insight is often required to make an efficient assessment of cardiac risk and established criteria may be overly conservative when applied to an acute care population.

  4. Variable effects of prevalence correction of population denominators on differentials in myocardial infarction incidence: a record linkage study in Aboriginal and non-Aboriginal Western Australians.

    Science.gov (United States)

    Katzenellenbogen, Judith M; Sanfilippo, Frank M; Hobbs, Michael S T; Briffa, Tom G; Ridout, Steve C; Knuiman, Matthew W; Dimer, Lyn; Taylor, Kate P; Thompson, Peter L; Thompson, Sandra C

    2011-06-01

    To investigate the impact of prevalence correction of population denominators on myocardial infarction (MI) incidence rates, rate ratios, and rate differences in Aboriginal vs. non-Aboriginal Western Australians aged 25-74 years during the study period 2000-2004. Person-based linked hospital and mortality data sets were used to estimate the number of prevalent and first-ever MI cases each year from 2000 to 2004 using a 15-year look-back period. Age-specific and -standardized MI incidence rates were calculated using both prevalence-corrected and -uncorrected population denominators, by sex and Aboriginality. The impact of prevalence correction on rates increased with age, was higher for men than women, and substantially greater for Aboriginal than non-Aboriginal people. Despite the systematic underestimation of incidence, prevalence correction had little impact on the Aboriginal to non-Aboriginal age-standardized rate ratios (6% and 4% underestimate in men and women, respectively), although the impact on rate differences was more marked (12% and 6%, respectively). The percentage underestimate of differentials was greater at older ages. Prevalence correction of denominators, while more accurate, is difficult to apply and may add modestly to the quantification of relative disparities in MI incidence between populations. Absolute incidence disparities using uncorrected denominators may have an error >10%. Copyright © 2011 Elsevier Inc. All rights reserved.

  5. Inferring the demographic history of European Ficedula flycatcher populations

    Directory of Open Access Journals (Sweden)

    Backström Niclas

    2013-01-01

    Full Text Available Abstract Background Inference of population and species histories and population stratification using genetic data is important for discriminating between different speciation scenarios and for correct interpretation of genome scans for signs of adaptive evolution and trait association. Here we use data from 24 intronic loci re-sequenced in population samples of two closely related species, the pied flycatcher and the collared flycatcher. Results We applied Isolation-Migration models, assignment analyses and estimated the genetic differentiation and diversity between species and between populations within species. The data indicate a divergence time between the species of Conclusions Our results provide further evidence for a divergence process where different genomic regions may be at different stages of speciation. We also conclude that forthcoming analyses of genotype-phenotype relations in these ecological model species should be designed to take population stratification into account.

  6. Thermal Stratification in Vertical Mantle Tanks

    DEFF Research Database (Denmark)

    Knudsen, Søren; Furbo, Simon

    2001-01-01

    It is well known that it is important to have a high degree of thermal stratification in the hot water storage tank to achieve a high thermal performance of SDHW systems. This study is concentrated on thermal stratification in vertical mantle tanks. Experiments based on typical operation conditions...... are carried out to investigate how the thermal stratification is affected by different placements of the mantle inlet. The heat transfer between the solar collector fluid in the mantle and the domestic water in the inner tank is analysed by CFD-simulations. Furthermore, the flow pattern in the vertical mantle...

  7. A single nucleotide polymorphism (SNP) assay for population ...

    African Journals Online (AJOL)

    A single nucleotide polymorphism (SNP) assay for population stratification test ... phenotypes and unlinked candidate loci in case-control and cohort studies of ... Key words: Chinese, Japanese, population stratification, ancestry informative ...

  8. Temperature Stratification in a Cryogenic Fuel Tank

    Data.gov (United States)

    National Aeronautics and Space Administration — A reduced dynamical model describing temperature stratification effects driven by natural convection in a liquid hydrogen cryogenic fuel tank has been developed. It...

  9. A reconceptualization of age stratification in China.

    Science.gov (United States)

    Yin, P; Lai, K H

    1983-09-01

    Using the concepts of age stratification theory--age effect, cohort effect, and subcohort differences--this paper provides a new perspective on age stratification in China. Currently, the literature suggests that the status of elderly people declined after the Communist Revolution and will further decline with modernization. We discuss the problems with this perspective and argue, instead, that the status of elderly adults did not decline for the majority of the aged during the Maoist years. Rather, the most important change in the age stratification system during the Maoist years was the change in the criterion of age stratification--from age differences to cohort and subcohort differences. Furthermore, the subcohort of elderly adults who suffered the most status decline during the Maoist years--the bourgeoisie--may actually enjoy an increase in status with the recent modernization impetus. Research suggestions from this new perspective are discussed.

  10. Geometric stratification of accounting data

    Directory of Open Access Journals (Sweden)

    Patricia Gunning

    2004-01-01

    Full Text Available We suggest a new procedure for defining the boundaries of the strata in highly skewed populations, usual in auditing, which is much easier to use than the commonly used cumulative root frequency method of Dalenius and Hodges (1957, 1959. We implement it on two audit populations, one a population of debtors in an Irish firm, and the other a population of sales and use tax liabilities in the US. Our results show that the new method compares favourably with the cumulative root frequency method in terms of the accuracy of the estimates.

  11. HPV DNA testing improves CIN2+ risk stratification and detection of CIN2+ in delayed triage of ASCUS and LSIL. A population-based follow-up study from Western Norway

    Energy Technology Data Exchange (ETDEWEB)

    Budal, Elisabeth B; Haugland, Hans K; Skar, Robert [Department of Pathology, Haukeland University Hospital, N-2021, Bergen (Norway); Mæhle, Bjørn O [Department of Pathology, Haukeland University Hospital, N-2021, Bergen (Norway); Section for Pathology, Department of Clinical Medicine, University of Bergen, N-5021, Bergen (Norway); Bjørge, Tone [Department of Global Public Health and Primary Care, University of Bergen, Bergen (Norway); Norwegian Institute of Public Health, Bergen (Norway); Vintermyr, Olav K, E-mail: olav.vintermyr@helse-bergen.no [Department of Pathology, Haukeland University Hospital, N-2021, Bergen (Norway); Section for Pathology, Department of Clinical Medicine, University of Bergen, N-5021, Bergen (Norway)

    2014-02-01

    In Norway, Pap smears with atypical squamous cells of uncertain significance (ASCUS) and low-grade squamous intraepithelial lesions (LSIL) are triaged after 6 months. The aim of the study was to evaluate effects of implementing human papillomavirus (HPV) test (2005) in delayed triage of ASCUS and LSIL in a cohort of women from Western Norway. After a survey of 119,469 cervical Pap smears during 2005–2007, a total of 1055 women with an index ASCUS or LSIL were included in the study and followed up for 3–6 years with respect to progression into cervical intraepithelial neoplasia grade 2 or worse (CIN2+). Overall sensitivity for detection of CIN2+ with HPV testing and cytology was 96% and 72%, respectively. The sensitivity for detection of CIN2+ was not affected by age, but the specificity of the HPV test increased with age. Thus, for the age groups <34 years, 34–50 years, and >50 years, the specificity of a positive HPV test to detect CIN2+ was 47%, 71%, and 82%, respectively. Positive predictive values for CIN2+ in women with positive cytology, positive HPV test, negative cytology, negative HPV test, or negative HPV and cytology tests were 52%, 41%, 8%, 1.5%, and 0.4%, respectively. HPV testing resulted in a net 22% increased detection of CIN2+. Fifty-six percent of CIN2+ was detected at an earlier time point with HPV testing in triage. Implementation of HPV testing in delayed triage of ASCUS and LSIL improved the stratification of CIN2+ risk and increased CIN2+ detection and at an earlier time point than with triage by cytology alone.

  12. HPV DNA testing improves CIN2+ risk stratification and detection of CIN2+ in delayed triage of ASCUS and LSIL. A population-based follow-up study from Western Norway.

    Science.gov (United States)

    Budal, Elisabeth B; Haugland, Hans K; Skar, Robert; Maehle, Bjørn O; Bjørge, Tone; Vintermyr, Olav K

    2014-02-01

    In Norway, Pap smears with atypical squamous cells of uncertain significance (ASCUS) and low-grade squamous intraepithelial lesions (LSIL) are triaged after 6 months. The aim of the study was to evaluate effects of implementing human papillomavirus (HPV) test (2005) in delayed triage of ASCUS and LSIL in a cohort of women from Western Norway. After a survey of 119,469 cervical Pap smears during 2005-2007, a total of 1055 women with an index ASCUS or LSIL were included in the study and followed up for 3-6 years with respect to progression into cervical intraepithelial neoplasia grade 2 or worse (CIN2+). Overall sensitivity for detection of CIN2+ with HPV testing and cytology was 96% and 72%, respectively. The sensitivity for detection of CIN2+ was not affected by age, but the specificity of the HPV test increased with age. Thus, for the age groups 50 years, the specificity of a positive HPV test to detect CIN2+ was 47%, 71%, and 82%, respectively. Positive predictive values for CIN2+ in women with positive cytology, positive HPV test, negative cytology, negative HPV test, or negative HPV and cytology tests were 52%, 41%, 8%, 1.5%, and 0.4%, respectively. HPV testing resulted in a net 22% increased detection of CIN2+. Fifty-six percent of CIN2+ was detected at an earlier time point with HPV testing in triage. Implementation of HPV testing in delayed triage of ASCUS and LSIL improved the stratification of CIN2+ risk and increased CIN2+ detection and at an earlier time point than with triage by cytology alone. © 2013 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.

  13. HPV DNA testing improves CIN2+ risk stratification and detection of CIN2+ in delayed triage of ASCUS and LSIL. A population-based follow-up study from Western Norway

    International Nuclear Information System (INIS)

    Budal, Elisabeth B; Haugland, Hans K; Skar, Robert; Mæhle, Bjørn O; Bjørge, Tone; Vintermyr, Olav K

    2014-01-01

    In Norway, Pap smears with atypical squamous cells of uncertain significance (ASCUS) and low-grade squamous intraepithelial lesions (LSIL) are triaged after 6 months. The aim of the study was to evaluate effects of implementing human papillomavirus (HPV) test (2005) in delayed triage of ASCUS and LSIL in a cohort of women from Western Norway. After a survey of 119,469 cervical Pap smears during 2005–2007, a total of 1055 women with an index ASCUS or LSIL were included in the study and followed up for 3–6 years with respect to progression into cervical intraepithelial neoplasia grade 2 or worse (CIN2+). Overall sensitivity for detection of CIN2+ with HPV testing and cytology was 96% and 72%, respectively. The sensitivity for detection of CIN2+ was not affected by age, but the specificity of the HPV test increased with age. Thus, for the age groups <34 years, 34–50 years, and >50 years, the specificity of a positive HPV test to detect CIN2+ was 47%, 71%, and 82%, respectively. Positive predictive values for CIN2+ in women with positive cytology, positive HPV test, negative cytology, negative HPV test, or negative HPV and cytology tests were 52%, 41%, 8%, 1.5%, and 0.4%, respectively. HPV testing resulted in a net 22% increased detection of CIN2+. Fifty-six percent of CIN2+ was detected at an earlier time point with HPV testing in triage. Implementation of HPV testing in delayed triage of ASCUS and LSIL improved the stratification of CIN2+ risk and increased CIN2+ detection and at an earlier time point than with triage by cytology alone

  14. Current indications for transplantation: stratification of severe heart failure and shared decision-making.

    Science.gov (United States)

    Vucicevic, Darko; Honoris, Lily; Raia, Federica; Deng, Mario

    2018-01-01

    Heart failure (HF) is a complex clinical syndrome that results from structural or functional cardiovascular disorders causing a mismatch between demand and supply of oxygenated blood and consecutive failure of the body's organs. For those patients with stage D HF, advanced therapies, such as mechanical circulatory support (MCS) or heart transplantation (HTx), are potentially life-saving options. The role of risk stratification of patients with stage D HF in a value-based healthcare framework is to predict which subset might benefit from advanced HF (AdHF) therapies, to improve outcomes related to the individual patient including mortality, morbidity and patient experience as well as to optimize health care delivery system outcomes such as cost-effectiveness. Risk stratification and subsequent outcome prediction as well as therapeutic recommendation-making need to be based on the comparative survival benefit rationale. A robust model needs to (I) have the power to discriminate (i.e., to correctly risk stratify patients); (II) calibrate (i.e., to show agreement between the predicted and observed risk); (III) to be applicable to the general population; and (IV) provide good external validation. The Seattle Heart Failure Model (SHFM) and the Heart Failure Survival Score (HFSS) are two of the most widely utilized scores. However, outcomes for patients with HF are highly variable which make clinical predictions challenging. Despite our clinical expertise and current prediction tools, the best short- and long-term survival for the individual patient, particularly the sickest patient, is not easy to identify because among the most severely ill, elderly and frail patients, most preoperative prediction tools have the tendency to be imprecise in estimating risk. They should be used as a guide in a clinical encounter grounded in a culture of shared decision-making, with the expert healthcare professional team as consultants and the patient as an empowered decision-maker in a

  15. Studies of thermal stratification in water pool

    International Nuclear Information System (INIS)

    Verma, P.K.; Chandraker, D.K.; Nayak, A.K.; Vijayan, P.K.

    2015-01-01

    Large water pools are used as a heat sink for various cooling systems used in industry. In context of advance nuclear reactors like AHWR, it is used as ultimate heat sink for passive systems for decay heat removal and containment cooling. This system incorporates heat exchangers submerged in the large water pool. However, heat transfer by natural convection in pool poses a problem of thermal stratification. Due to thermal stratification hot layers of water accumulate over the relatively cold one. The heat transfer performance of heat exchanger gets deteriorated as a hot fluid envelops it. In the nuclear reactors, the walls of the pool are made of concrete and it may subject to high temperature due to thermal stratification which is not desirable. In this paper, a concept of employing shrouds around the heat source is studied. These shrouds provide a bulk flow in the water pool, thereby facilitating mixing of hot and cold fluid, which eliminate stratification. The concept has been applied to the a scaled model of Gravity Driven Water Pool (GDWP) of AHWR in which Isolation Condensers (IC) tubes are submerged for decay heat removal of AHWR using ICS and thermal stratification phenomenon was predicted with and without shrouds. To demonstrate the adequacy of the effectiveness of shroud arrangement and to validate the simulation methodology of RELAP5/Mod3.2, experiments has been conducted on a scaled model of the pool with and without shroud. (author)

  16. Social Stratification in the Workplace in Nigeria

    Directory of Open Access Journals (Sweden)

    Emmanuel Obukovwo Okaka

    2017-06-01

    Full Text Available Nigerian society in pre-colonial era was stratified according to royalty, military might, wealth and religious hierarchy as the case may be. But with the advent of paid employment, the social stratification shifted from a traditional format to one outlined with Western societies. The argument put forward is that social class in modern time has only been re-defined, thereby giving Nigeria a unique social stratification with a strong traditional/religious influence. This paper examined the social stratification in Nigeria with the backdrop of the introduction of paid employment and the impact of this unique social classification in the workplace. In examining social stratification in the workplace, four hundred and eighty respondents were interviewed using structured questionnaire in a onetime survey. Data collected indicates that seventy-nine percent of the surveyed group preferred to be classified with traditional or religious strata than academic class. Indicating that, royalty takes the front seat in the stratification of the Nigerian society even in the work place. This scenario may account for the emphasis Nigerians place on traditional and religious titles over academic titles in almost all sphere of life including the workplace. This calls for the strengthening of the traditional and religious institutions so that they can assist to impart core social values on members of the society, while giving proper honour to those who are accomplished professionals in their various fields of endeavours.

  17. Insecticide mixtures could enhance the toxicity of insecticides in a resistant dairy population of Musca domestica L [corrected].

    Directory of Open Access Journals (Sweden)

    Hafiz Azhar Ali Khan

    Full Text Available House flies, Musca domestica L., are important pests of dairy operations worldwide, with the ability to adapt wide range of environmental conditions. There are a number of insecticides used for their management, but development of resistance is a serious problem. Insecticide mixtures could enhance the toxicity of insecticides in resistant insect pests, thus resulting as a potential resistance management tool. The toxicity of bifenthrin, cypermethrin, deltamethrin, chlorpyrifos, profenofos, emamectin benzoate and fipronil were assessed separately, and in mixtures against house flies. A field-collected population was significantly resistant to all the insecticides under investigation when compared with a laboratory susceptible strain. Most of the insecticide mixtures like one pyrethroid with other compounds evaluated under two conditions (1∶1-"A" and LC50: LC50-"B" significantly increased the toxicity of pyrethroids in the field population. Under both conditions, the combination indices of pyrethroids with other compounds, in most of the cases, were significantly below 1, suggesting synergism. The enzyme inhibitors, PBO and DEF, when used in combination with insecticides against the resistant population, toxicities of bifenthrin, cypermethrin, deltamethrin and emamectin were significantly increased, suggesting esterase and monooxygenase based resistance mechanism. The toxicities of bifenthrin, cypermethrin and deltamethrin in the resistant population of house flies could be enhanced by the combination with chlorpyrifos, profenofos, emamectin and fipronil. The findings of the present study might have practical significance for resistance management in house flies.

  18. The Relation Between Inflation in Type-I and Type-II Error Rate and Population Divergence in Genome-Wide Association Analysis of Multi-Ethnic Populations.

    Science.gov (United States)

    Derks, E M; Zwinderman, A H; Gamazon, E R

    2017-05-01

    Population divergence impacts the degree of population stratification in Genome Wide Association Studies. We aim to: (i) investigate type-I error rate as a function of population divergence (F ST ) in multi-ethnic (admixed) populations; (ii) evaluate the statistical power and effect size estimates; and (iii) investigate the impact of population stratification on the results of gene-based analyses. Quantitative phenotypes were simulated. Type-I error rate was investigated for Single Nucleotide Polymorphisms (SNPs) with varying levels of F ST between the ancestral European and African populations. Type-II error rate was investigated for a SNP characterized by a high value of F ST . In all tests, genomic MDS components were included to correct for population stratification. Type-I and type-II error rate was adequately controlled in a population that included two distinct ethnic populations but not in admixed samples. Statistical power was reduced in the admixed samples. Gene-based tests showed no residual inflation in type-I error rate.

  19. Risk stratification in emergency patients by copeptin

    DEFF Research Database (Denmark)

    Iversen, Kasper; Gøtze, Jens P; Dalsgaard, Morten

    2014-01-01

    BACKGROUND: Rapid risk stratification is a core task in emergency medicine. Identifying patients at high and low risk shortly after admission could help clinical decision-making regarding treatment, level of observation, allocation of resources and post discharge follow-up. The purpose of the pre...

  20. Rotating compressible fluids under strong stratification

    Czech Academy of Sciences Publication Activity Database

    Feireisl, Eduard; Lu, Y.; Novotný, A.

    2014-01-01

    Roč. 19, October (2014), s. 11-18 ISSN 1468-1218 Keywords : rotating fluid * compressible Navier-Stokes * strong stratification Subject RIV: BA - General Mathematics Impact factor: 2.519, year: 2014 http://www.sciencedirect.com/science/article/pii/S1468121814000212#

  1. Polar ocean stratification in a cold climate.

    Science.gov (United States)

    Sigman, Daniel M; Jaccard, Samuel L; Haug, Gerald H

    2004-03-04

    The low-latitude ocean is strongly stratified by the warmth of its surface water. As a result, the great volume of the deep ocean has easiest access to the atmosphere through the polar surface ocean. In the modern polar ocean during the winter, the vertical distribution of temperature promotes overturning, with colder water over warmer, while the salinity distribution typically promotes stratification, with fresher water over saltier. However, the sensitivity of seawater density to temperature is reduced as temperature approaches the freezing point, with potential consequences for global ocean circulation under cold climates. Here we present deep-sea records of biogenic opal accumulation and sedimentary nitrogen isotopic composition from the Subarctic North Pacific Ocean and the Southern Ocean. These records indicate that vertical stratification increased in both northern and southern high latitudes 2.7 million years ago, when Northern Hemisphere glaciation intensified in association with global cooling during the late Pliocene epoch. We propose that the cooling caused this increased stratification by weakening the role of temperature in polar ocean density structure so as to reduce its opposition to the stratifying effect of the vertical salinity distribution. The shift towards stratification in the polar ocean 2.7 million years ago may have increased the quantity of carbon dioxide trapped in the abyss, amplifying the global cooling.

  2. Has climate change disrupted stratification patterns in Lake Victoria ...

    African Journals Online (AJOL)

    Has climate change disrupted stratification patterns in Lake Victoria, East Africa? ... Climate change may threaten the fisheries of Lake Victoria by increasing density differentials in the water column, thereby strengthening stratification and increasing the ... Keywords: deoxygenation, fisheries, global warming, thermocline

  3. Hematological effects for the Khar'kov region population and possible ways for correction using domestic preparations

    International Nuclear Information System (INIS)

    Timchenko, V.G.; Frenkel', L.A.; Tajsenyuk, L.A.

    1992-01-01

    Character and structure of changes of hematopoiesis for persons subjected to low-dose irradiation connected with the Chernobyl' NPP accident (for the period of 1986-1991), peculiarities of the hematological effect dynamics and capabilities for its correction were analyzed. Data of clinical and laboratory studies of 8450 persons living in the Khar'kov region, who took part in the accident effect elimination (AEE), were analyzed. Observation of the hematopoiesis dynamics for persons, who took part in AEE, during 5 years revealed growth in total number of hematological effects from the first to fifth year from 8-9% up to 50%, as well as the structure change, namely, prevalence of leukopenia (56%) in the first year of surveillance changed by increase in the number of anemias from 39 up to 84% and decrease in the number of leukopenia up to 3.3% in the fifth year of surveillance. The preparations cooping hematological effects were tested in experiments with rats. These were preparations of the classes of flavones, alginates, humines produced using domestic vegetable source materials. 1 tab

  4. Proposals for enhanced health risk assessment and stratification in an integrated care scenario

    NARCIS (Netherlands)

    Duenas-Espin, Ivan; Vela, Emili; Pauws, Steffen; Bescos, Cristina; Cano, Isaac; Cleries, Montserrat; Carles Contel, Joan; de Manuel Keenoy, Esteban; Garcia-Aymerich, Judith; Gomez-Cabrero, David; Kaye, Rachelle; Lahr, Maarten M. H.; Lluch-Ariet, Magi; Moharra, Montserrat; Monterde, David; Mora, Joana; Nalin, Marco; Pavlickova, Andrea; Piera, Jordi; Ponce, Sara; Santaeugenia, Sebastia; Schonenberg, Helen; Stoerk, Stefan; Tegner, Jesper; Velickovski, Filip; Westerteicher, Christoph; Roca, Josep

    2016-01-01

    Objectives: Population-based health risk assessment and stratification are considered highly relevant for large-scale implementation of integrated care by facilitating services design and case identification. The principal objective of the study was to analyse five health-risk assessment strategies

  5. Proposals for enhanced health risk assessment and stratification in an integrated care scenario

    NARCIS (Netherlands)

    Dueñas-Espín, Ivan; Vela, Emili; Pauws, Steffen; Bescos, Cristina; Cano, Isaac; Cleries, Montserrat; Contel, Joan Carles; de Manuel Keenoy, Esteban; Garcia-Aymerich, Judith; Gomez-Cabrero, David; Kaye, Rachelle; Lahr, Maarten M H; Lluch-Ariet, Magí; Moharra, Montserrat; Monterde, David; Mora, Joana; Nalin, Marco; Pavlickova, Andrea; Piera, Jordi; Ponce, Sara; Santaeugenia, Sebastià; Schonenberg, Helen; Störk, Stefan; Tegner, Jesper; Velickovski, Filip; Westerteicher, Christoph; Roca, Josep

    2016-01-01

    OBJECTIVES: Population-based health risk assessment and stratification are considered highly relevant for large-scale implementation of integrated care by facilitating services design and case identification. The principal objective of the study was to analyse five health-risk assessment strategies

  6. Customized versus population-based growth curves: prediction of low body fat percent at term corrected gestational age following preterm birth.

    Science.gov (United States)

    Law, Tameeka L; Katikaneni, Lakshmi D; Taylor, Sarah N; Korte, Jeffrey E; Ebeling, Myla D; Wagner, Carol L; Newman, Roger B

    2012-07-01

    Compare customized versus population-based growth curves for identification of small-for-gestational-age (SGA) and body fat percent (BF%) among preterm infants. Prospective cohort study of 204 preterm infants classified as SGA or appropriate-for-gestational-age (AGA) by population-based and customized growth curves. BF% was determined by air-displacement plethysmography. Differences between groups were compared using bivariable and multivariable linear and logistic regression analyses. Customized curves reclassified 30% of the preterm infants as SGA. SGA infants identified by customized method only had significantly lower BF% (13.8 ± 6.0) than the AGA (16.2 ± 6.3, p = 0.02) infants and similar to the SGA infants classified by both methods (14.6 ± 6.7, p = 0.51). Customized growth curves were a significant predictor of BF% (p = 0.02), whereas population-based growth curves were not a significant independent predictor of BF% (p = 0.50) at term corrected gestational age. Customized growth potential improves the differentiation of SGA infants and low BF% compared with a standard population-based growth curve among a cohort of preterm infants.

  7. Stratification studies in components of nuclear power plants

    International Nuclear Information System (INIS)

    Randorf, J.A.

    1997-01-01

    The applicability of two stratification criteria during loss-of-coolant (LOCA) conditions was studied. The first criteria was developed for addressing cold water injection-induced stratification. The second criteria applied to downcomer/cold leg junction stratification. Both criteria provided predictions consistent with measured conditions during small break loss-of-coolant tests

  8. A Comparative Review of Stratification Texts and Readers

    Science.gov (United States)

    Peoples, Clayton D.

    2012-01-01

    Social stratification is a core substantive area within sociology. There are a number of textbooks and readers available on the market that deal with this central topic. In this article, I conduct a comparative review of (a) four stratification textbooks and (b) four stratification readers. (Contains 2 tables.)

  9. Long time durability tests of fabric inlet stratification pipes

    DEFF Research Database (Denmark)

    Andersen, Elsa; Furbo, Simon

    2008-01-01

    and that this destroys the capability of building up thermal stratification for the fabric inlet stratification pipe. The results also show that although dirt, algae etc. are deposited in the fabric pipes in the space heating tank, the capability of the fabric inlet stratifiers to build up thermal stratification...

  10. Population-specific use of the same tool-assisted alarm call between two wild orangutan populations (Pongo pygmaeus wurmbii indicates functional arbitrariness [corrected].

    Directory of Open Access Journals (Sweden)

    Adriano R Lameira

    Full Text Available Arbitrariness is an elementary feature of human language, yet seldom an object of comparative inquiry. While arbitrary signals for the same function are relatively frequent between animal populations across taxa, the same signal with arbitrary functions is rare and it remains unknown whether, in parallel with human speech, it may involve call production in animals. To investigate this question, we examined a particular orangutan alarm call - the kiss-squeak - and two variants - hand and leaf kiss-squeaks. In Tuanan (Central Kalimantan, Indonesia, the acoustic frequency of unaided kiss-squeaks is negatively related to body size. The modified variants are correlated with perceived threat and are hypothesized to increase the perceived body size of the sender, as the use of a hand or leaves lowers the kiss-squeak's acoustic frequency. We examined the use of these variants in the same context in another orangutan population of the same sub-species and with partially similar habitat at Cabang Panti (West Kalimantan, Indonesia. Identical analyses of data from this site provided similar results for unaided kiss-squeaks but dissimilar results for hand and leaf kiss-squeaks. Unaided kiss-squeaks at Cabang Panti were emitted as commonly and showed the same relationship to body size as in Tuanan. However, at Cabang Panti, hand kiss-squeaks were extremely rare, while leaf-use neither conveyed larger body size nor was related to perceived threat. These findings indicate functional discontinuity between the two sites and therefore imply functional arbitrariness of leaf kiss-squeaks. These results show for the first time the existence of animal signals involving call production with arbitrary function. Our findings are consistent with previous studies arguing that these orangutan call variants are socially learned and reconcile the role of gestures and calls within evolutionary theories based on common ancestry for speech and music.

  11. Temperature Stratification in a Cryogenic Fuel Tank

    Science.gov (United States)

    Daigle, Matthew John; Smelyanskiy, Vadim; Boschee, Jacob; Foygel, Michael Gregory

    2013-01-01

    A reduced dynamical model describing temperature stratification effects driven by natural convection in a liquid hydrogen cryogenic fuel tank has been developed. It accounts for cryogenic propellant loading, storage, and unloading in the conditions of normal, increased, and micro- gravity. The model involves multiple horizontal control volumes in both liquid and ullage spaces. Temperature and velocity boundary layers at the tank walls are taken into account by using correlation relations. Heat exchange involving the tank wall is considered by means of the lumped-parameter method. By employing basic conservation laws, the model takes into consideration the major multi-phase mass and energy exchange processes involved, such as condensation-evaporation of the hydrogen, as well as flows of hydrogen liquid and vapor in the presence of pressurizing helium gas. The model involves a liquid hydrogen feed line and a tank ullage vent valve for pressure control. The temperature stratification effects are investigated, including in the presence of vent valve oscillations. A simulation of temperature stratification effects in a generic cryogenic tank has been implemented in Matlab and results are presented for various tank conditions.

  12. Drainage and Stratification Kinetics of Foam Films

    Science.gov (United States)

    Zhang, Yiran; Sharma, Vivek

    2014-03-01

    Baking bread, brewing cappuccino, pouring beer, washing dishes, shaving, shampooing, whipping eggs and blowing bubbles all involve creation of aqueous foam films. Foam lifetime, drainage kinetics and stability are strongly influenced by surfactant type (ionic vs non-ionic), and added proteins, particles or polymers modify typical responses. The rate at which fluid drains out from a foam film, i.e. drainage kinetics, is determined in the last stages primarily by molecular interactions and capillarity. Interestingly, for certain low molecular weight surfactants, colloids and polyelectrolyte-surfactant mixtures, a layered ordering of molecules, micelles or particles inside the foam films leads to a stepwise thinning phenomena called stratification. Though stratification is observed in many confined systems including foam films containing particles or polyelectrolytes, films containing globular proteins seem not to show this behavior. Using a Scheludko-type cell, we experimentally study the drainage and stratification kinetics of horizontal foam films formed by protein-surfactant mixtures, and carefully determine how the presence of proteins influences the hydrodynamics and thermodynamics of foam films.

  13. PPOOLEX experiments on thermal stratification and mixing

    Energy Technology Data Exchange (ETDEWEB)

    Puustinen, M.; Laine, J.; Raesaenen, A. (Lappeenranta Univ. of Technology, Nuclear Safety Research Unit (Finland))

    2009-08-15

    The results of the thermal stratification experiments in 2008 with the PPOOLEX test facility are presented. PPOOLEX is a closed vessel divided into two compartments, dry well and wet well. Extra temperature measurements for capturing different aspects of the investigated phenomena were added before the experiments. The main purpose of the experiment series was to generate verification data for evaluating the capability of GOTHIC code to predict stratification and mixing phenomena. Altogether six experiments were carried out. Heat-up periods of several thousand seconds by steam injection into the dry well compartment and from there into the wet well water pool were recorded. The initial water bulk temperature was 20 deg. C. Cooling periods of several days were included in three experiments. A large difference between the pool bottom and top layer temperature was measured when small steam flow rates were used. With higher flow rates the mixing effect of steam discharge delayed the start of stratification until the pool bulk temperature exceeded 50 deg. C. The stratification process was also different in these two cases. With a small flow rate stratification was observed only above and just below the blowdown pipe outlet elevation. With a higher flow rate over a 30 deg. C temperature difference between the pool bottom and pipe outlet elevation was measured. Elevations above the pipe outlet indicated almost linear rise until the end of steam discharge. During the cooling periods the measurements of the bottom third of the pool first had an increasing trend although there was no heat input from outside. This was due to thermal diffusion downwards from the higher elevations. Heat-up in the gas space of the wet well was quite strong, first due to compression by pressure build-up and then by heat conduction from the hot dry well compartment via the intermediate floor and test vessel walls and by convection from the upper layers of the hot pool water. The gas space

  14. PPOOLEX experiments on thermal stratification and mixing

    International Nuclear Information System (INIS)

    Puustinen, M.; Laine, J.; Raesaenen, A.

    2009-08-01

    The results of the thermal stratification experiments in 2008 with the PPOOLEX test facility are presented. PPOOLEX is a closed vessel divided into two compartments, dry well and wet well. Extra temperature measurements for capturing different aspects of the investigated phenomena were added before the experiments. The main purpose of the experiment series was to generate verification data for evaluating the capability of GOTHIC code to predict stratification and mixing phenomena. Altogether six experiments were carried out. Heat-up periods of several thousand seconds by steam injection into the dry well compartment and from there into the wet well water pool were recorded. The initial water bulk temperature was 20 deg. C. Cooling periods of several days were included in three experiments. A large difference between the pool bottom and top layer temperature was measured when small steam flow rates were used. With higher flow rates the mixing effect of steam discharge delayed the start of stratification until the pool bulk temperature exceeded 50 deg. C. The stratification process was also different in these two cases. With a small flow rate stratification was observed only above and just below the blowdown pipe outlet elevation. With a higher flow rate over a 30 deg. C temperature difference between the pool bottom and pipe outlet elevation was measured. Elevations above the pipe outlet indicated almost linear rise until the end of steam discharge. During the cooling periods the measurements of the bottom third of the pool first had an increasing trend although there was no heat input from outside. This was due to thermal diffusion downwards from the higher elevations. Heat-up in the gas space of the wet well was quite strong, first due to compression by pressure build-up and then by heat conduction from the hot dry well compartment via the intermediate floor and test vessel walls and by convection from the upper layers of the hot pool water. The gas space

  15. Stratification in Business and Agriculture Surveys with R

    Directory of Open Access Journals (Sweden)

    Marco Ballin

    2016-06-01

    Full Text Available Usually sample surveys on enterprises and farms adopt a one stage stratified sampling design. In practice the sampling frame is divided in non-overlapping strata and simple random sampling is carried out independently in each stratum. Stratification allows for reduction of the sampling error and permits to derive accurate estimates. Stratified sampling requires a number of decisions strictly related: (i how to stratify the population and how many strata to consider; (ii the size of the whole sample and corresponding partitioning among the strata (so called allocation. This paper will deal mainly with the problem (i and will show how to tackle it in the R environment using packages already available on the CRAN.

  16. (SNP) assay for population stratification test between eastern Asians

    African Journals Online (AJOL)

    Yomi

    2012-01-03

    Jan 3, 2012 ... program STRUCTURE 2.0, which uses a Markov chain Monte. Carlo (MCMC) algorithm to cluster individuals into different cryptic ... HapMap project. .... Evaluation of the 124-plex SNP typing microarray for forensic testing.

  17. A Personalized Risk Stratification Platform for Population Lifetime Healthcare.

    Science.gov (United States)

    Daowd, Ali; Abidi, Samina Raza; Abusharekh, Ashraf; Abidi, Syed Sibte Raza

    2018-01-01

    Chronic diseases are the leading cause of death worldwide. It is well understood that if modifiable risk factors are targeted, most chronic diseases can be prevented. Lifetime health is an emerging health paradigm that aims to assist individuals to achieve desired health targets, and avoid harmful lifecycle choices to mitigate the risk of chronic diseases. Early risk identification is central to lifetime health. In this paper, we present a digital health-based platform (PRISM) that leverages artificial intelligence, data visualization and mobile health technologies to empower citizens to self-assess, self-monitor and self-manage their overall risk of major chronic diseases and pursue personalized chronic disease prevention programs. PRISM offers risk assessment tools for 5 chronic conditions, 2 psychiatric disorders and 8 different cancers.

  18. Population Size Predicts Lexical Diversity, but so Does the Mean Sea Level --Why It Is Important to Correctly Account for the Structure of Temporal Data.

    Science.gov (United States)

    Koplenig, Alexander; Müller-Spitzer, Carolin

    2016-01-01

    In order to demonstrate why it is important to correctly account for the (serial dependent) structure of temporal data, we document an apparently spectacular relationship between population size and lexical diversity: for five out of seven investigated languages, there is a strong relationship between population size and lexical diversity of the primary language in this country. We show that this relationship is the result of a misspecified model that does not consider the temporal aspect of the data by presenting a similar but nonsensical relationship between the global annual mean sea level and lexical diversity. Given the fact that in the recent past, several studies were published that present surprising links between different economic, cultural, political and (socio-)demographical variables on the one hand and cultural or linguistic characteristics on the other hand, but seem to suffer from exactly this problem, we explain the cause of the misspecification and show that it has profound consequences. We demonstrate how simple transformation of the time series can often solve problems of this type and argue that the evaluation of the plausibility of a relationship is important in this context. We hope that our paper will help both researchers and reviewers to understand why it is important to use special models for the analysis of data with a natural temporal ordering.

  19. Stratification in SNR-300 outlet plenum

    International Nuclear Information System (INIS)

    Reinders, R.

    1983-01-01

    In the inner outlet plenum of the SNR-300 under steady state conditions a large toroidal vortex is expected. The main flow passes through the gap between dipplate and shield vessel to the outer annular space. Only 3% of the flow pass the 24 emergency cooling holes, situated in the shield vessel. The sodium leaves the reactor tank through the 3 symmetrically arranged outlet nozzles. For a scram flow rates and temperatures are decreased simultaneously, so it is expected, that stratification occurs in the inner outlet plenum. A measure of stratification effects is the Archimedes Number Ar, which is the relation of buoyancy forces (negative) to kinetic energy. (The Archimedes Number is nearly identical with the Richardson Number). For values Ar>1 stratification can occur. Under the assumption of stratification the code TIRE was developed, which is only applicable for the period of time after some 50 sec after scram. This code serves for long term calculations. As the equations are very simple, it is a very fast code which gives the possibility to calculate transients for some hours real time. This code mainly has to take into account the pressure difference between inner plenum and outlet annulus caused by geodatic pressure. That force is in equilibrium with the pressure drop over the gap and holes in the shield vessel. For more detailed calculations of flow pattern and temperature distribution the code MIX and INKO 2T are applied. MIX was developed and validated at ANL, INKO 2T is a development of INTERATOM. INKO 2T is under validation. Mock up experiments were carried out with water to simulate the transient behavior of the SNR-300 outlet plenum. Calculations obtained by INKO 2T for steady state and the transient are shown for the flow pattern. Results of measurements also prove that stratification begins after about 30 sec. Measurements and detailed calculations show that it is admissible to use the code TIRE for the long term calculations. Calculations for a scram

  20. Investigating Summer Thermal Stratification in Lake Ontario

    Science.gov (United States)

    James, S. C.; Arifin, R. R.; Craig, P. M.; Hamlet, A. F.

    2017-12-01

    Seasonal temperature variations establish strong vertical density gradients (thermoclines) between the epilimnion and hypolimnion. Accurate simulation of vertical mixing and seasonal stratification of large lakes is a crucial element of the thermodynamic coupling between lakes and the atmosphere in integrated models. Time-varying thermal stratification patterns can be accurately simulated with the versatile Environmental Fluid Dynamics Code (EFDC). Lake Ontario bathymetry was interpolated onto a 2-km-resolution curvilinear grid with vertical layering using a new approach in EFDC+, the so-called "sigma-zed" coordinate system which allows the number of vertical layers to be varied based on water depth. Inflow from the Niagara River and outflow to the St. Lawrence River in conjunction with hourly meteorological data from seven local weather stations plus three-hourly data from the North American Regional Reanalysis govern the hydrodynamic and thermodynamic responses of the Lake. EFDC+'s evaporation algorithm was updated to more accurately simulate net surface heat fluxes. A new vertical mixing scheme from Vinçon-Leite that implements different eddy diffusivity formulations above and below the thermocline was compared to results from the original Mellor-Yamada vertical mixing scheme. The model was calibrated by adjusting solar-radiation absorption coefficients in addition to background horizontal and vertical mixing parameters. Model skill was evaluated by comparing measured and simulated vertical temperature profiles at shallow (20 m) and deep (180 m) locations on the Lake. These model improvements, especially the new sigma-zed vertical discretization, accurately capture thermal-stratification patterns with low root-mean-squared errors when using the Vinçon-Leite vertical mixing scheme.

  1. Fuel and combustion stratification study of Partially Premixed Combustion

    OpenAIRE

    Izadi Najafabadi, M.; Dam, N.; Somers, B.; Johansson, B.

    2016-01-01

    Relatively high levels of stratification is one of the main advantages of Partially Premixed Combustion (PPC) over the Homogeneous Charge Compression Ignition (HCCI) concept. Fuel stratification smoothens heat release and improves controllability of this kind of combustion. However, the lack of a clear definition of “fuel and combustion stratifications” is obvious in literature. Hence, it is difficult to compare stratification levels of different PPC strategies or other combustion concepts. T...

  2. Quantitative stratification of diffuse parenchymal lung diseases.

    Directory of Open Access Journals (Sweden)

    Sushravya Raghunath

    Full Text Available Diffuse parenchymal lung diseases (DPLDs are characterized by widespread pathological changes within the pulmonary tissue that impair the elasticity and gas exchange properties of the lungs. Clinical-radiological diagnosis of these diseases remains challenging and their clinical course is characterized by variable disease progression. These challenges have hindered the introduction of robust objective biomarkers for patient-specific prediction based on specific phenotypes in clinical practice for patients with DPLD. Therefore, strategies facilitating individualized clinical management, staging and identification of specific phenotypes linked to clinical disease outcomes or therapeutic responses are urgently needed. A classification schema consistently reflecting the radiological, clinical (lung function and clinical outcomes and pathological features of a disease represents a critical need in modern pulmonary medicine. Herein, we report a quantitative stratification paradigm to identify subsets of DPLD patients with characteristic radiologic patterns in an unsupervised manner and demonstrate significant correlation of these self-organized disease groups with clinically accepted surrogate endpoints. The proposed consistent and reproducible technique could potentially transform diagnostic staging, clinical management and prognostication of DPLD patients as well as facilitate patient selection for clinical trials beyond the ability of current radiological tools. In addition, the sequential quantitative stratification of the type and extent of parenchymal process may allow standardized and objective monitoring of disease, early assessment of treatment response and mortality prediction for DPLD patients.

  3. Quantitative Stratification of Diffuse Parenchymal Lung Diseases

    Science.gov (United States)

    Raghunath, Sushravya; Rajagopalan, Srinivasan; Karwoski, Ronald A.; Maldonado, Fabien; Peikert, Tobias; Moua, Teng; Ryu, Jay H.; Bartholmai, Brian J.; Robb, Richard A.

    2014-01-01

    Diffuse parenchymal lung diseases (DPLDs) are characterized by widespread pathological changes within the pulmonary tissue that impair the elasticity and gas exchange properties of the lungs. Clinical-radiological diagnosis of these diseases remains challenging and their clinical course is characterized by variable disease progression. These challenges have hindered the introduction of robust objective biomarkers for patient-specific prediction based on specific phenotypes in clinical practice for patients with DPLD. Therefore, strategies facilitating individualized clinical management, staging and identification of specific phenotypes linked to clinical disease outcomes or therapeutic responses are urgently needed. A classification schema consistently reflecting the radiological, clinical (lung function and clinical outcomes) and pathological features of a disease represents a critical need in modern pulmonary medicine. Herein, we report a quantitative stratification paradigm to identify subsets of DPLD patients with characteristic radiologic patterns in an unsupervised manner and demonstrate significant correlation of these self-organized disease groups with clinically accepted surrogate endpoints. The proposed consistent and reproducible technique could potentially transform diagnostic staging, clinical management and prognostication of DPLD patients as well as facilitate patient selection for clinical trials beyond the ability of current radiological tools. In addition, the sequential quantitative stratification of the type and extent of parenchymal process may allow standardized and objective monitoring of disease, early assessment of treatment response and mortality prediction for DPLD patients. PMID:24676019

  4. Post-stratification based on a choice of a randomization device

    Directory of Open Access Journals (Sweden)

    Sarjinder Singh

    2014-06-01

    Full Text Available In this paper, we use the idea of post-stratification based on the respondents’ choice of a particular randomization device in order to estimate the population proportion of a sensitive characteristic. The proposed idea gives full freedom to the respondents and is expected to result in greater cooperation from them as well as to provide some increase in the relative efficiency of the newly proposed estimator.

  5. Syncope: risk stratification and clinical decision making.

    Science.gov (United States)

    Peeters, Suzanne Y G; Hoek, Amber E; Mollink, Susan M; Huff, J Stephen

    2014-04-01

    Syncope is a common occurrence in the emergency department, accounting for approximately 1% to 3% of presentations. Syncope is best defined as a brief loss of consciousness and postural tone followed by spontaneous and complete recovery. The spectrum of etiologies ranges from benign to life threatening, and a structured approach to evaluating these patients is key to providing care that is thorough, yet cost-effective. This issue reviews the most relevant evidence for managing and risk stratifying the syncope patient, beginning with a focused history, physical examination, electrocardiogram, and tailored diagnostic testing. Several risk stratification decision rules are compared for performance in various scenarios, including how age and associated comorbidities may predict short-term and long-term adverse events. An algorithm for structured, evidence-based care of the syncope patient is included to ensure that patients requiring hospitalization are managed appropriately and those with benign causes are discharged safely.

  6. Ventricular repolarization measures for arrhythmic risk stratification

    Institute of Scientific and Technical Information of China (English)

    Francesco Monitillo; Marta Leone; Caterina Rizzo; Andrea Passantino; Massimo Iacoviello

    2016-01-01

    Ventricular repolarization is a complex electrical phenomenon which represents a crucial stage in electrical cardiac activity. It is expressed on the surface electrocardiogram by the interval between the start of the QRS complex and the end of the T wave or U wave(QT). Several physiological, pathological and iatrogenic factors can influence ventricular repolarization. It has been demonstrated that small perturbations in this process can be a potential trigger of malignant arrhythmias, therefore the analysis of ventricular repolarization represents an interesting tool to implement risk stratification of arrhythmic events in different clinical settings. The aim of this review is to critically revise the traditional methods of static analysis of ventricular repolarization as well as those for dynamic evaluation, their prognostic significance and the possible application in daily clinical practice.

  7. Nonlinear waves in waveguides with stratification

    CERN Document Server

    Leble, Sergei B

    1991-01-01

    S.B. Leble's book deals with nonlinear waves and their propagation in metallic and dielectric waveguides and media with stratification. The underlying nonlinear evolution equations (NEEs) are derived giving also their solutions for specific situations. The reader will find new elements to the traditional approach. Various dispersion and relaxation laws for different guides are considered as well as the explicit form of projection operators, NEEs, quasi-solitons and of Darboux transforms. Special points relate to: 1. the development of a universal asymptotic method of deriving NEEs for guide propagation; 2. applications to the cases of stratified liquids, gases, solids and plasmas with various nonlinearities and dispersion laws; 3. connections between the basic problem and soliton- like solutions of the corresponding NEEs; 4. discussion of details of simple solutions in higher- order nonsingular perturbation theory.

  8. STRATIFICATION TECHNIQUE IN MAXILLARY ANTERIOR INCISORS RESTORATION

    Directory of Open Access Journals (Sweden)

    Janet Kirilova

    2014-08-01

    Full Text Available Background: Because of their main characteristics: transparency, opalescence and color density, the tooth structures are extremely difficult to restore by means of completely inconspicuous restorations of the natural tooth tissue characteristics. The aim is to show successful aesthetic restoration of III Class dental lesions in upper incisors by means of high quality composites. Materials and method: A female patient visited the clinic being not satisfied with the esthetics of her front teeth. The intraoral examination showed previous restorations and carious lesions in 12, 11, 21, 22. After defining the tooth color a silicone key was made. The treatment was performed under anesthesia, the existing restorations were removed and the carious lesions in teeth 11, 12, 21, 22 were treated with restorations using Vanini edge preparation. The teeth were restored by means of stratification technique. After etching and rinsing, bonding was applied for 20 sec. and then polymerized. After fixing the silicone key enamel shade was applied and then dentine shades UD2, UD3, UD4 of 0.5mm thickness each. The polymerization was done layer by layer. Applied were 10 to 15 layers in total. The composite material was preheated in oven up to 55. Teeth 21 and 22 are restored with Enamel Plus HRi (Micerium. Results and Discussion: Excellent aesthetics is achieved with composite material. They have enamel and dentine shades and allow high quality aesthetics. The polishing is excellent in Enamel Plus HRi (Micerium which is typical for this type of composite. The result of the carious lesion treatment in this patient is real improvement of the dental appearance of her anterior incisors. Conclusion: Materials show excellent aesthetic results due to their characteristics and the stratification technique used.

  9. Temperature stratification in a hot water tank with circulation pipe

    DEFF Research Database (Denmark)

    Andersen, Elsa

    1998-01-01

    The aim of the project is to investigate the change in temperature stratification due to the operation of a circulation pipe. Further, putting forward rules for design of pipe inlet in order not to disturb the temperature stratification in the hot water tank. A validated computer model based on t...

  10. Dynamo Tests for Stratification Below the Core-Mantle Boundary

    Science.gov (United States)

    Olson, P.; Landeau, M.

    2017-12-01

    Evidence from seismology, mineral physics, and core dynamics points to a layer with an overall stable stratification in the Earth's outer core, possibly thermal in origin, extending below the core-mantle boundary (CMB) for several hundred kilometers. In contrast, energetic deep mantle convection with elevated heat flux implies locally unstable thermal stratification below the CMB in places, consistent with interpretations of non-dipole geomagnetic field behavior that favor upwelling flows below the CMB. Here, we model the structure of convection and magnetic fields in the core using numerical dynamos with laterally heterogeneous boundary heat flux in order to rationalize this conflicting evidence. Strongly heterogeneous boundary heat flux generates localized convection beneath the CMB that coexists with an overall stable stratification there. Partially stratified dynamos have distinctive time average magnetic field structures. Without stratification or with stratification confined to a thin layer, the octupole component is small and the CMB magnetic field structure includes polar intensity minima. With more extensive stratification, the octupole component is large and the magnetic field structure includes intense patches or high intensity lobes in the polar regions. Comparisons with the time-averaged geomagnetic field are generally favorable for partial stratification in a thin layer but unfavorable for stratification in a thick layer beneath the CMB.

  11. Investigations on stratification devices for hot water stores

    DEFF Research Database (Denmark)

    Andersen, Elsa; Furbo, Simon; Hampel, Matthias

    2008-01-01

    The significance of the thermal stratification for the energy efficiency of small solar-thermal hot water heat stores is pointed out. Exemplary the thermal stratification build-up with devices already marketed as well as with devices still in development has been investigated experimentally...

  12. Optimized endogenous post-stratification in forest inventories

    Science.gov (United States)

    Paul L. Patterson

    2012-01-01

    An example of endogenous post-stratification is the use of remote sensing data with a sample of ground data to build a logistic regression model to predict the probability that a plot is forested and using the predicted probabilities to form categories for post-stratification. An optimized endogenous post-stratified estimator of the proportion of forest has been...

  13. Awortwi et al.: Mixing and stratification relationship on phytoplankton ...

    African Journals Online (AJOL)

    Awortwi et al.: Mixing and stratification relationship on phytoplankton of Lake Bosomtwe (Ghana) 43 West African Journal of Applied Ecology, vol. 23(2), 2015: 43–62. The Relationship Between Mixing and Stratification Regime on the Phytoplankton of Lake Bo.

  14. Fuel and combustion stratification study of Partially Premixed Combustion

    NARCIS (Netherlands)

    Izadi Najafabadi, M.; Dam, N.; Somers, B.; Johansson, B.

    2016-01-01

    Relatively high levels of stratification is one of the main advantages of Partially Premixed Combustion (PPC) over the Homogeneous Charge Compression Ignition (HCCI) concept. Fuel stratification smoothens heat release and improves controllability of this kind of combustion. However, the lack of a

  15. The role stratification on Indian ocean mixing under global warming

    Science.gov (United States)

    Praveen, V.; Valsala, V.; Ravindran, A. M.

    2017-12-01

    The impact of changes in Indian ocean stratification on mixing under global warming is examined. Previous studies on global warming and associated weakening of winds reported to increase the stratification of the world ocean leading to a reduction in mixing, increased acidity, reduced oxygen and there by a reduction in productivity. However this processes is not uniform and are also modulated by changes in wind pattern of the future. Our study evaluate the role of stratification and surface fluxes on mixing focusing northern Indian ocean. A dynamical downscaling study using Regional ocean Modelling system (ROMS) forced with stratification and surface fluxes from selected CMIP5 models are presented. Results from an extensive set of historical and Representative Concentration Pathways 8.5 (rcp8.5) scenario simulations are used to quantify the distinctive role of stratification on mixing.

  16. Publisher Correction

    DEFF Research Database (Denmark)

    Turcot, Valérie; Lu, Yingchang; Highland, Heather M

    2018-01-01

    In the published version of this paper, the name of author Emanuele Di Angelantonio was misspelled. This error has now been corrected in the HTML and PDF versions of the article.......In the published version of this paper, the name of author Emanuele Di Angelantonio was misspelled. This error has now been corrected in the HTML and PDF versions of the article....

  17. Author Correction

    DEFF Research Database (Denmark)

    Grundle, D S; Löscher, C R; Krahmann, G

    2018-01-01

    A correction to this article has been published and is linked from the HTML and PDF versions of this paper. The error has not been fixed in the paper.......A correction to this article has been published and is linked from the HTML and PDF versions of this paper. The error has not been fixed in the paper....

  18. Lateral heterogeneity and vertical stratification of cratonic lithospheric keels: examples from Europe, Siberia, and North America

    DEFF Research Database (Denmark)

    Artemieva, Irina; Cherepanova, Yulia; Herceg, Matija

    of the Precambrian lithosphere based on surface heat flow data, (ii) non-thermal part of upper mantle seismic velocity heterogeneity based on a joint analysis of thermal and seismic tomography data, and (iii) lithosphere density heterogeneity as constrained by free-board and satellite gravity data. The latter...... of the Gondwanaland does not presently exceed 250 km depth. An analysis of temperature-corrected seismic velocity structure indicates strong vertical and lateral heterogeneity of the cratonic lithospheric mantle, with a pronounced stratification in many Precambrian terranes; the latter is supported by xenolith data...

  19. The Auckland Cataract Study: Assessing Preoperative Risk Stratification Systems for Phacoemulsification Surgery in a Teaching Hospital.

    Science.gov (United States)

    Kim, Bia Z; Patel, Dipika V; Sherwin, Trevor; McGhee, Charles N J

    2016-11-01

    To evaluate 2 preoperative risk stratification systems for assessing the risk of complications in phacoemulsification cataract surgery, performed by residents, fellows, and attending physicians in a public teaching hospital. Cohort study. One observer assessed the clinical data of 500 consecutive cases, prior to phacoemulsification cataract surgery performed between April and June 2015 at Greenlane Clinical Centre, Auckland, New Zealand. Preoperatively 2 risk scores were calculated for each case using the Muhtaseb and Buckinghamshire risk stratification systems. Complications, intraoperative and postoperative, and visual outcomes were analyzed in relation to these risk scores. Intraoperative complication rates increased with higher risk scores using the Muhtaseb or Buckinghamshire stratification system (P = .001 and P = .003, respectively, n = 500). The odds ratios for residents and fellows were not significantly different from attending physicians after case-mix adjustment according to risk scores (P > .05). Postoperative complication rates increased with higher Buckinghamshire risk scores but not with Muhtaseb scores (P = .014 and P = .094, respectively, n = 476). Postoperative corrected-distance visual acuity was poorer with higher risk scores (P < .001 for both, n = 476). This study confirms that the risk of intraoperative complications increases with higher preoperative risk scores. Furthermore, higher risk scores correlate with poorer postoperative visual acuity and the Buckinghamshire risk score also correlates with postoperative complications. Therefore, preoperative assessment using such risk stratification systems could assist individual informed consent, preoperative surgical planning, safe allocation of cases to trainees, and more meaningful analyses of outcomes for individual surgeons and institutions. Copyright © 2016 Elsevier Inc. All rights reserved.

  20. Evolution of South Atlantic density and chemical stratification across the last deglaciation.

    Science.gov (United States)

    Roberts, Jenny; Gottschalk, Julia; Skinner, Luke C; Peck, Victoria L; Kender, Sev; Elderfield, Henry; Waelbroeck, Claire; Vázquez Riveiros, Natalia; Hodell, David A

    2016-01-19

    Explanations of the glacial-interglacial variations in atmospheric pCO2 invoke a significant role for the deep ocean in the storage of CO2. Deep-ocean density stratification has been proposed as a mechanism to promote the storage of CO2 in the deep ocean during glacial times. A wealth of proxy data supports the presence of a "chemical divide" between intermediate and deep water in the glacial Atlantic Ocean, which indirectly points to an increase in deep-ocean density stratification. However, direct observational evidence of changes in the primary controls of ocean density stratification, i.e., temperature and salinity, remain scarce. Here, we use Mg/Ca-derived seawater temperature and salinity estimates determined from temperature-corrected δ(18)O measurements on the benthic foraminifer Uvigerina spp. from deep and intermediate water-depth marine sediment cores to reconstruct the changes in density of sub-Antarctic South Atlantic water masses over the last deglaciation (i.e., 22-2 ka before present). We find that a major breakdown in the physical density stratification significantly lags the breakdown of the deep-intermediate chemical divide, as indicated by the chemical tracers of benthic foraminifer δ(13)C and foraminifer/coral (14)C. Our results indicate that chemical destratification likely resulted in the first rise in atmospheric pCO2, whereas the density destratification of the deep South Atlantic lags the second rise in atmospheric pCO2 during the late deglacial period. Our findings emphasize that the physical and chemical destratification of the ocean are not as tightly coupled as generally assumed.

  1. Short-term versus long-term heart rate variability in ischemic cardiomyopathy risk stratification

    Directory of Open Access Journals (Sweden)

    Andreas eVoss

    2013-12-01

    Full Text Available In industrialized countries with aging populations, heart failure affects 0.3%-2% of the general population. The investigation of 24h-ECG recordings revealed the potential of nonlinear indices of heart rate variability (HRV for enhanced risk stratification in patients with ischemic heart failure (IHF. However, long-term analyses are time-consuming, expensive and delay the initial diagnosis. The objective of this study was to investigate whether 30min short-term HRV analysis is sufficient for comparable risk stratification in IHF in comparison to 24h-HRV analysis. From 256 IHF patients (221 at low risk (IHFLR and 35 at high risk (IHFHR a 24h beat-to-beat time series b the first 30min segment c the 30min most stationary day segment and d the 30min most stationary night segment were investigated. We calculated linear (time and frequency domain and nonlinear HRV analysis indices. Optimal parameter sets for risk stratification in IHF were determined for 24 hours and for each 30min segment by applying discriminant analysis on significant clinical and non-clinical indices. Long- and short-term HRV indices from frequency domain and particularly from nonlinear dynamics revealed high univariate significances (p

  2. Validating a Local Failure Risk Stratification for Use in Prospective Studies of Adjuvant Radiation Therapy for Bladder Cancer

    International Nuclear Information System (INIS)

    Baumann, Brian C.; He, Jiwei; Hwang, Wei-Ting; Tucker, Kai N.; Bekelman, Justin E.; Herr, Harry W.; Lerner, Seth P.; Guzzo, Thomas J.; Malkowicz, S. Bruce; Christodouleas, John P.

    2016-01-01

    Purpose: To inform prospective trials of adjuvant radiation therapy (adj-RT) for bladder cancer after radical cystectomy, a locoregional failure (LF) risk stratification was proposed. This stratification was developed and validated using surgical databases that may not reflect the outcomes expected in prospective trials. Our purpose was to assess sources of bias that may affect the stratification model's validity or alter the LF risk estimates for each subgroup: time bias due to evolving surgical techniques; trial accrual bias due to inclusion of patients who would be ineligible for adj-RT trials because of early disease progression, death, or loss to follow-up shortly after cystectomy; bias due to different statistical methods to estimate LF; and subgrouping bias due to different definitions of the LF subgroups. Methods and Materials: The LF risk stratification was developed using a single-institution cohort (n=442, 1990-2008) and the multi-institutional SWOG 8710 cohort (n=264, 1987-1998) treated with radical cystectomy with or without chemotherapy. We evaluated the sensitivity of the stratification to sources of bias using Fine-Gray regression and Kaplan-Meier analyses. Results: Year of radical cystectomy was not associated with LF risk on univariate or multivariate analysis after controlling for risk group. By use of more stringent inclusion criteria, 26 SWOG patients (10%) and 60 patients from the single-institution cohort (14%) were excluded. Analysis of the remaining patients confirmed 3 subgroups with significantly different LF risks with 3-year rates of 7%, 17%, and 36%, respectively (P<.01), nearly identical to the rates without correcting for trial accrual bias. Kaplan-Meier techniques estimated higher subgroup LF rates than competing risk analysis. The subgroup definitions used in the NRG-GU001 adj-RT trial were validated. Conclusions: These sources of bias did not invalidate the LF risk stratification or substantially change the model's LF estimates.

  3. Improving risk-stratification of Diabetes complications using temporal data mining.

    Science.gov (United States)

    Sacchi, Lucia; Dagliati, Arianna; Segagni, Daniele; Leporati, Paola; Chiovato, Luca; Bellazzi, Riccardo

    2015-01-01

    To understand which factor trigger worsened disease control is a crucial step in Type 2 Diabetes (T2D) patient management. The MOSAIC project, funded by the European Commission under the FP7 program, has been designed to integrate heterogeneous data sources and provide decision support in chronic T2D management through patients' continuous stratification. In this work we show how temporal data mining can be fruitfully exploited to improve risk stratification. In particular, we exploit administrative data on drug purchases to divide patients in meaningful groups. The detection of drug consumption patterns allows stratifying the population on the basis of subjects' purchasing attitude. Merging these findings with clinical values indicates the relevance of the applied methods while showing significant differences in the identified groups. This extensive approach emphasized the exploitation of administrative data to identify patterns able to explain clinical conditions.

  4. Risk stratification by endocrinologists of patients with type 2 diabetes in a Danish specialised outpatient clinic

    DEFF Research Database (Denmark)

    Munch, Lene; Arreskov, Anne B; Sperling, Michael

    2016-01-01

    BACKGROUND: To target optimised medical care the Danish guidelines for diabetes recommend stratification of patients with type 2 diabetes (T2D) into three levels according to risk and complexity of treatment. The aim was to describe the T2D population in an outpatient clinic, measure the compliance......, the endocrinologists stratified less patients at level 3 compared to objective assessments (p Type 2 diabetes patients, newly referred to or allocated for long-term follow-up in the out...... contained the following criteria: HbA1c, blood pressure, metabolic complications, microvascular and macrovascular complications. Stratification levels encompassed: level 1 (uncomplicated), level 2 (intermediate risk) and level 3 (high risk). Objective assessments were conducted independently by two health...

  5. Stratification of women's sport in contemporary China.

    Science.gov (United States)

    Xiong, Huan

    2011-01-01

    Since economic reform in the 1980s, Chinese sport has undergone an extraordinary transformation. The most distinguishing phenomenon is the rapid growth of mass sport at the grassroots level with increasing demands for physical activities in women's daily lives. The rapid growth of women's sports participation at the grassroots is deeply embedded in the process of social stratification as a result of the urbanisation of Chinese society. The purpose of this paper is to use the socialist, feminist and theoretical framework to explore how Chinese women's different economic, educational, domestic and cultural situations shape their sports values and patterns of participation, marking social boundaries in Chinese urban communities. Semi-structured interviews and observations were conducted with 60 female physical exercisers in sports clubs, parks and neighbourhood playgrounds. Documentary research was also applied as a complement method to the interview. The findings indicate that within different classes (middle class, working class and a group who were unemployed), many different opportunities for and limitations on women to participate in sport are noticed. Chinese women have not fully and equally utilised sports opportunities created by urbanisation. Most Chinese women still live within patriarchal arrangements. Consequently, they do not completely fulfil their ambitions in sport.

  6. Risk stratification in secondary cardiovascular prevention.

    Science.gov (United States)

    Lazzeroni, Davide; Coruzzi, Paolo

    2018-02-19

    Worldwide, more than 7 million people experience acute myocardial infarction (AMI) every year (1), and although substantial reduction in mortality has been obtained in recent decades, one-year mortality rates are still in the range of 10%. Among patients who survive AMI, 20% suffer a second cardiovascular event in the first year and approximately 50% of major coronary events occur in those with a previous hospital discharge diagnosis of AMI (2). Despite the evidence that lifestyle changes and risk factors management strongly improve long-term prognosis, preventive care post-AMI remains sub-optimal. Cross-sectional data from the serially conducted EUROASPIRE surveys in patients with established ischemic heart disease (IHD) and people at high cardiovascular risk have demonstrated a high prevalence of unhealthy lifestyle, modifiable risk factors and inadequate use of drug therapies to achieve blood pressure and lipid goals (3). Secondary prevention programmes, defined as the level of preventive care focusing on early risk stratification, are highly recommended in all IHD patients, to restore quality of life, maintain or improve functional capacity and prevent recurrence.

  7. The impact of social stratification on cultural consumption

    Directory of Open Access Journals (Sweden)

    Tomić Marta

    2016-01-01

    Full Text Available This paper examines theoretical perspectives, research approaches and research results about the relationship between social stratification and cultural consumption. Paper presents main representatives of three sociological discourses: those who believe that class divisions still exist and that thay had an influence on the social inequalities, especially in the domain of cultural consumption and tastes; authors and researchers who emphasize the impact of social stratification on the formation of cultural stratification, and the third group which consists of those who are advocates of cultural consumptions theories and individualization and cultural tastes which means that membership of a particular social class are not by any cultural influences.

  8. Germination and development of pecan cultivar seedlings by seed stratification

    Directory of Open Access Journals (Sweden)

    Igor Poletto

    2015-12-01

    Full Text Available Abstract: The objective of this work was to evaluate the effect of seed stratification on germination rate, germination speed, and initial development of seedlings of six pecan (Carya illinoinensis cultivars under subtropical climatic conditions in southern Brazil. For stratification, the seeds were placed in boxes with moist sand, in a cold chamber at 4°C, for 90 days. In the fourteenth week after sowing, the emergence speed index, total emergence, plant height, stem diameter, and number of leaves were evaluated. Seed stratification significantly improves the germination potential and morphological traits of the evaluated cultivars.

  9. Perceptions of Risk Stratification Workflows in Primary Care

    Directory of Open Access Journals (Sweden)

    Rachel L. Ross

    2017-10-01

    Full Text Available Risk stratification (RS in primary care is frequently used by policy-makers, payers, and health systems; the process requires risk assessment for adverse health outcomes across a population to assign patients into risk tiers and allow care management (CM resources to be targeted effectively. Our objective was to understand the approach to and perception of RS in primary care practices. An online survey was developed, tested, and administered to 148 representatives of 37 primary care practices engaged in RS varying in size, location and ownership. The survey assessed practices’ approach to, perception of, and confidence in RS, and its effect on subsequent CM activities. We examined psychometric properties of the survey to determine validity and conducted chi-square analyses to determine the association between practice characteristics and confidence and agreement with risk scores. The survey yielded a 68% response rate (100 respondents. Overall, participants felt moderately confident in their risk scores (range 41–53.8%, and moderately to highly confident in their subsequent CM workflows (range 46–68%. Respondents from small and independent practices were more likely to have higher confidence and agreement with their RS approaches and scores (p < 0.01. Confidence levels were highest, however, when practices incorporated human review into their RS processes (p < 0.05. This trend was not affected by respondents’ professional roles. Additional work from a broad mixed-methods effort will add to our understanding of RS implementation processes and outcomes.

  10. Educational stratification in cultural participation: Cognitive competence or status motivation?

    NARCIS (Netherlands)

    Notten, N.; Bol, Th.; van de Werfhorst, H.G.; Ganzeboom, H.B.G.

    2015-01-01

    This article examines educational stratification in highbrow cultural participation. There are two contrasting explanations of why cultural participation is stratified. The status hypothesis predicts that people come to appreciate particular forms of art because it expresses their belonging to a

  11. The 1995 Georges Bank Stratification Study and Moored Array Measurements

    National Research Council Canada - National Science Library

    Alessi, C

    2001-01-01

    .... GLOBEC Northwest Atlantic/Georges Bank field program. The GBSS was designed to investigate the physical processes which control the seasonal development of stratification along the southern flank of Georges Bank during spring and summer...

  12. Effects of cold stratification, sulphuric acid, submersion in hot and ...

    African Journals Online (AJOL)

    Effects of cold stratification, sulphuric acid, submersion in hot and tap water pretreatments in the greenhouse and open field conditions on germination of bladder-Senna ( Colutea armena Boiss. and Huet.) seeds.

  13. Various manifestations of stratification phenomenon during intravenous cholangiography

    Energy Technology Data Exchange (ETDEWEB)

    Tada, S; Nanjo, M; Kino, M; Sekiya, T; Harada, J; Kuroda, T; Anno, I [Jikei Univ., Tokyo (Japan). School of Medicine

    1979-07-01

    A classification has been made of various types of stratification phenomenon during intravenous cholangiography. The stage of gallbladder opacification in the recumbent position has been classified as (I) mottled, (II) dendritic, (III) ring-like, and (IV) homogeneous. 'Dendritic' type of stratification phenomenon has never been reported in the literature to our knowledge. At 20 min following infusion of contrast material homogeneous opacification of the gallbladder was noticed in only 14% of patients. The others fell into types I, II or III of stratification phenomenon. In contrast, 87% of the opacified gallbladders were homogeneous on the after fatty meal film. It is therefore mandatory for diagnosis that either a 24 h film or a fatty meal film be taken to avoid the stratification phenomenon.

  14. Various manifestations of stratification phenomenon during intravenous cholangiography

    International Nuclear Information System (INIS)

    Tada, S.; Nanjo, M.; Kino, M.; Sekiya, T.; Harada, J.; Kuroda, T.; Anno, I.

    1979-01-01

    A classification has been made of various types of stratification phenomenon during intravenous cholangiography. The stage of gallbladder opacification in the recumbent position has been classified as (I) mottled, (II) dendritic, (III) ring-like, and (IV) homogeneous. 'Dendritic' type of stratification phenomenon has never been reported in the literature to our knowledge. At 20 min following infusion of contrast material homogeneous opacification of the gallbladder was noticed in only 14% of patients. The others fell into types I, II or III of stratification phenomenon. In contrast, 87% of the opacified gallbladders were homogeneous on the after fatty meal film. It is therefore mandatory for diagnosis that either a 24 h film or a fatty meal film be taken to avoid the stratification phenomenon. (author)

  15. Thermal stratification and fatigue stress analysis for pressurizer surge line

    International Nuclear Information System (INIS)

    Yu Xiaofei; Zhang Yixiong

    2011-01-01

    Thermal stratification of pressurizer surge line induced by the inside fluid results in the global bending moments, local thermal stresses, unexpected displacements and support loadings of the pipe system. In order to avoid a costly three-dimensional computation, a combined 1D/2D technique has been developed and implemented to analyze the thermal stratification and fatigue stress of pressurize surge line of QINSHAN Phase II Extension Nuclear Power Project in this paper, using the computer codes SYSTUS and ROCOCO. According to the mechanical analysis results of stratification, the maximum stress and cumulative usage factor are obtained. The results indicate that the stress and fatigue intensity considering thermal stratification satisfies RCC-M criterion. (authors)

  16. A new stratification of mourning dove call-count routes

    Science.gov (United States)

    Blankenship, L.H.; Humphrey, A.B.; MacDonald, D.

    1971-01-01

    The mourning dove (Zenaidura macroura) call-count survey is a nationwide audio-census of breeding mourning doves. Recent analyses of the call-count routes have utilized a stratification based upon physiographic regions of the United States. An analysis of 5 years of call-count data, based upon stratification using potential natural vegetation, has demonstrated that this uew stratification results in strata with greater homogeneity than the physiographic strata, provides lower error variance, and hence generates greatet precision in the analysis without an increase in call-count routes. Error variance was reduced approximately 30 percent for the contiguous United States. This indicates that future analysis based upon the new stratification will result in an increased ability to detect significant year-to-year changes.

  17. Educational stratification in cultural participation: cognitive competence or status motivation?

    NARCIS (Netherlands)

    Notten, N.; Lancee, B.; van de Werfhorst, H.G.; Ganzeboom, H.B.G.

    2015-01-01

    This article examines educational stratification in highbrow cultural participation. There are two contrasting explanations of why cultural participation is stratified. The status hypothesis predicts that people come to appreciate particular forms of art because it expresses their belonging to a

  18. Stratification of zooplankton in the northwestern Indian Ocean

    Digital Repository Service at National Institute of Oceanography (India)

    Paulinose, V.T.; Gopalakrishnan, T.C.; Nair, K.K.C.; Aravindakshan, P.N.

    Study on stratification of zooplankton in the north western Indian Ocean was carried out with special reference to its relative abundance and distribution. Samples were collected using multiple plankton net, during first cruise of ORV Sagar Kanya...

  19. Combustion Stratification for Naphtha from CI Combustion to PPC

    KAUST Repository

    Vallinayagam, R.; Vedharaj, S.; An, Yanzhao; Dawood, Alaaeldin; Izadi Najafabadi, Mohammad; Somers, Bart; Johansson, Bengt

    2017-01-01

    This study demonstrates the combustion stratification from conventional compression ignition (CI) combustion to partially premixed combustion (PPC). Experiments are performed in an optical CI engine at a speed of 1200 rpm for diesel and naphtha (RON

  20. Water Stratification Raster Images for the Gulf of Maine

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This geodatabase contains seasonal water stratification raster images for the Gulf of Maine. They were created by interpolating water density (sigma t) values at 0...

  1. Breakup of last glacial deep stratification in the South Pacific

    Science.gov (United States)

    Basak, Chandranath; Fröllje, Henning; Lamy, Frank; Gersonde, Rainer; Benz, Verena; Anderson, Robert F.; Molina-Kescher, Mario; Pahnke, Katharina

    2018-02-01

    Stratification of the deep Southern Ocean during the Last Glacial Maximum is thought to have facilitated carbon storage and subsequent release during the deglaciation as stratification broke down, contributing to atmospheric CO2 rise. Here, we present neodymium isotope evidence from deep to abyssal waters in the South Pacific that confirms stratification of the deepwater column during the Last Glacial Maximum. The results indicate a glacial northward expansion of Ross Sea Bottom Water and a Southern Hemisphere climate trigger for the deglacial breakup of deep stratification. It highlights the important role of abyssal waters in sustaining a deep glacial carbon reservoir and Southern Hemisphere climate change as a prerequisite for the destabilization of the water column and hence the deglacial release of sequestered CO2 through upwelling.

  2. Asymptomatic internal carotid artery stenosis and cerebrovascular risk stratification

    DEFF Research Database (Denmark)

    Nicolaides, Andrew N; Kakkos, Stavros K; Kyriacou, Efthyvoulos

    2010-01-01

    The purpose of this study was to determine the cerebrovascular risk stratification potential of baseline degree of stenosis, clinical features, and ultrasonic plaque characteristics in patients with asymptomatic internal carotid artery (ICA) stenosis.......The purpose of this study was to determine the cerebrovascular risk stratification potential of baseline degree of stenosis, clinical features, and ultrasonic plaque characteristics in patients with asymptomatic internal carotid artery (ICA) stenosis....

  3. Clinical challenges late after correction of tetralogy of Fallot

    NARCIS (Netherlands)

    Bokma, J.P.

    2018-01-01

    This thesis focused on several clinical challenges which may occur late after surgical correction of tetralogy of Fallot. Among several other topics, three important clinical challenges were studied: (1) timing of pulmonary valve replacement, (2) risk stratification, (3) prevention and treatment of

  4. Histological Stratification of Thick and Thin Plaque Psoriasis Explores Molecular Phenotypes with Clinical Implications

    Science.gov (United States)

    Kim, Dong Joo; Brodmerkel, Carrie; Correa da Rosa, Joel; Krueger, James G.; Suárez-Fariñas, Mayte

    2015-01-01

    Psoriasis, which presents as red, scaly patches on the body, is a common, autoimmune skin disease that affects 2 to 3 percent of the world population. To leverage recent molecular findings into the personalized treatment of psoriasis, we need a strategy that integrates clinical stratification with molecular phenotyping. In this study, we sought to stratify psoriasis patients by histological measurements of epidermal thickness, and to compare their molecular characterizations by gene expression, serum cytokines, and response to biologics. We obtained histological measures of epidermal thickness in a cohort of 609 psoriasis patients, and identified a mixture of two subpopulations—thick and thin plaque psoriasis—from which they were derived. This stratification was verified in a subcohort of 65 patients from a previously published study with significant differences in inflammatory cell infiltrates in the psoriatic skin. Thick and thin plaque psoriasis shared 84.8% of the meta-analysis-derived psoriasis transcriptome, but a stronger dysregulation of the meta-analysis-derived psoriasis transcriptome was seen in thick plaque psoriasis on microarray. RT-PCR revealed that gene expression in thick and thin plaque psoriasis was different not only within psoriatic lesional skin but also in peripheral non-lesional skin. Additionally, differences in circulating cytokines and their changes in response to biologic treatments were found between the two subgroups. All together, we were able to integrate histological stratification with molecular phenotyping as a way of exploring clinical phenotypes with different expression levels of the psoriasis transcriptome and circulating cytokines. PMID:26176783

  5. Publisher Correction

    DEFF Research Database (Denmark)

    Stokholm, Jakob; Blaser, Martin J.; Thorsen, Jonathan

    2018-01-01

    The originally published version of this Article contained an incorrect version of Figure 3 that was introduced following peer review and inadvertently not corrected during the production process. Both versions contain the same set of abundance data, but the incorrect version has the children...

  6. Publisher Correction

    DEFF Research Database (Denmark)

    Flachsbart, Friederike; Dose, Janina; Gentschew, Liljana

    2018-01-01

    The original version of this Article contained an error in the spelling of the author Robert Häsler, which was incorrectly given as Robert Häesler. This has now been corrected in both the PDF and HTML versions of the Article....

  7. Correction to

    DEFF Research Database (Denmark)

    Roehle, Robert; Wieske, Viktoria; Schuetz, Georg M

    2018-01-01

    The original version of this article, published on 19 March 2018, unfortunately contained a mistake. The following correction has therefore been made in the original: The names of the authors Philipp A. Kaufmann, Ronny Ralf Buechel and Bernhard A. Herzog were presented incorrectly....

  8. Authorship Correction: Sampling Key Populations for HIV Surveillance: Results From Eight Cross-Sectional Studies Using Respondent-Driven Sampling and Venue-Based Snowball Sampling.

    Science.gov (United States)

    Rao, Amrita; Stahlman, Shauna; Hargreaves, James; Weir, Sharon; Edwards, Jessie; Rice, Brian; Kochelani, Duncan; Mavimbela, Mpumelelo; Baral, Stefan

    2018-01-15

    [This corrects the article DOI: 10.2196/publichealth.8116.]. ©Amrita Rao, Shauna Stahlman, James Hargreaves, Sharon Weir, Jessie Edwards, Brian Rice, Duncan Kochelani, Mpumelelo Mavimbela, Stefan Baral. Originally published in JMIR Public Health and Surveillance (http://publichealth.jmir.org), 15.01.2018.

  9. Intelligence in Bali--A Case Study on Estimating Mean IQ for a Population Using Various Corrections Based on Theory and Empirical Findings

    Science.gov (United States)

    Rindermann, Heiner; te Nijenhuis, Jan

    2012-01-01

    A high-quality estimate of the mean IQ of a country requires giving a well-validated test to a nationally representative sample, which usually is not feasible in developing countries. So, we used a convenience sample and four corrections based on theory and empirical findings to arrive at a good-quality estimate of the mean IQ in Bali. Our study…

  10. The prostate cancer risk stratification (ProCaRS) project: Recursive partitioning risk stratification analysis

    International Nuclear Information System (INIS)

    Rodrigues, George; Lukka, Himu; Warde, Padraig; Brundage, Michael; Souhami, Luis; Crook, Juanita; Cury, Fabio; Catton, Charles; Mok, Gary; Martin, Andre-Guy; Vigneault, Eric; Morris, Jim; Warner, Andrew; Gonzalez Maldonado, Sandra; Pickles, Tom

    2013-01-01

    Background: The Genitourinary Radiation Oncologists of Canada (GUROC) published a three-group risk stratification (RS) system to assist prostate cancer decision-making in 2001. The objective of this project is to use the ProCaRS database to statistically model the predictive accuracy and clinical utility of a proposed new multi-group RS schema. Methods: The RS analyses utilized the ProCaRS database that consists of 7974 patients from four Canadian institutions. Recursive partitioning analysis (RPA) was utilized to explore the sub-stratification of groups defined by the existing three-group GUROC scheme. 10-fold cross-validated C-indices and the Net Reclassification Index were both used to assess multivariable models and compare the predictive accuracy of existing and proposed RS systems, respectively. Results: The recursive partitioning analysis has suggested that the existing GUROC classification system could be altered to accommodate as many as six separate and statistical unique groups based on differences in BFFS (C-index 0.67 and AUC 0.70). GUROC low-risk patients would be divided into new favorable-low and low-risk groups based on PSA ⩽6 and PSA >6. GUROC intermediate-risk patients can be subclassified into low-intermediate and high-intermediate groups. GUROC high-intermediate-risk is defined as existing GUROC intermediate-risk with PSA >=10 AND either T2b/c disease or T1T2a disease with Gleason 7. GUROC high-risk patients would be subclassified into an additional extreme-risk group (GUROC high-risk AND (positive cores ⩾87.5% OR PSA >30). Conclusions: Proposed RS subcategories have been identified by a RPA of the ProCaRS database

  11. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... out more. Corrective Jaw Surgery Corrective Jaw Surgery Orthognathic surgery is performed to correct the misalignment of jaws ... out more. Corrective Jaw Surgery Corrective Jaw Surgery Orthognathic surgery is performed to correct the misalignment of jaws ...

  12. The Auckland Cataract Study II: Reducing Complications by Preoperative Risk Stratification and Case Allocation in a Teaching Hospital.

    Science.gov (United States)

    Kim, Bia Z; Patel, Dipika V; McKelvie, James; Sherwin, Trevor; McGhee, Charles N J

    2017-09-01

    To assess the effect of preoperative risk stratification for phacoemulsification surgery on intraoperative complications in a teaching hospital. Prospective cohort study. Prospective assessment of consecutive phacoemulsification cases (N = 500) enabled calculation of a risk score (M-score of 0-8) using a risk stratification system. M-scores of >3 were allocated to senior surgeons. All surgeries were performed in a public teaching hospital setting, Auckland, New Zealand, in early 2016. Postoperatively, data were reviewed for complications and corrected distance visual acuity (CDVA). Results were compared to a prospective study (N = 500, phase 1) performed prior to formal introduction of risk stratification. Intraoperative complications increased with increasing M-scores (P = .044). Median M-score for complicated cases was higher (P = .022). Odds ratio (OR) for a complication increased 1.269 per unit increase in M-score (95% confidence interval [CI] 1.007-1.599, P = .043). Overall rate of any intraoperative complication was 5.0%. Intraoperative complication rates decreased from 8.4% to 5.0% (OR = 0.576, P = .043) comparing phase 1 and phase 2 (formal introduction of risk stratification). The severity of complications also reduced. A significant decrease in complications for M = 0 (ie, minimal risk cases) was also identified comparing the current study (3.1%) to phase 1 (7.2%), P = .034. There was no change in postoperative complication risks (OR 0.812, P = .434) or in mean postoperative CDVA (20/30, P = .484) comparing current with phase 1 outcomes. A simple preoperative risk stratification system, based on standard patient information gathered at preoperative consultation, appears to reduce intraoperative complications and support safer surgical training by appropriate allocation of higher-risk cases. Copyright © 2017 Elsevier Inc. All rights reserved.

  13. Atlas-based analysis of cardiac shape and function: correction of regional shape bias due to imaging protocol for population studies.

    Science.gov (United States)

    Medrano-Gracia, Pau; Cowan, Brett R; Bluemke, David A; Finn, J Paul; Kadish, Alan H; Lee, Daniel C; Lima, Joao A C; Suinesiaputra, Avan; Young, Alistair A

    2013-09-13

    Cardiovascular imaging studies generate a wealth of data which is typically used only for individual study endpoints. By pooling data from multiple sources, quantitative comparisons can be made of regional wall motion abnormalities between different cohorts, enabling reuse of valuable data. Atlas-based analysis provides precise quantification of shape and motion differences between disease groups and normal subjects. However, subtle shape differences may arise due to differences in imaging protocol between studies. A mathematical model describing regional wall motion and shape was used to establish a coordinate system registered to the cardiac anatomy. The atlas was applied to data contributed to the Cardiac Atlas Project from two independent studies which used different imaging protocols: steady state free precession (SSFP) and gradient recalled echo (GRE) cardiovascular magnetic resonance (CMR). Shape bias due to imaging protocol was corrected using an atlas-based transformation which was generated from a set of 46 volunteers who were imaged with both protocols. Shape bias between GRE and SSFP was regionally variable, and was effectively removed using the atlas-based transformation. Global mass and volume bias was also corrected by this method. Regional shape differences between cohorts were more statistically significant after removing regional artifacts due to imaging protocol bias. Bias arising from imaging protocol can be both global and regional in nature, and is effectively corrected using an atlas-based transformation, enabling direct comparison of regional wall motion abnormalities between cohorts acquired in separate studies.

  14. GOTHIC code simulation of thermal stratification in POOLEX facility

    International Nuclear Information System (INIS)

    Li, H.; Kudinov, P.

    2009-07-01

    Pressure suppression pool is an important element of BWR containment. It serves as a heat sink and steam condenser to prevent containment pressure buildup during loss of coolant accident or safety relief valve opening during normal operations of a BWR. Insufficient mixing in the pool, in case of low mass flow rate of steam, can cause development of thermal stratification and reduction of pressure suppression pool capacity. For reliable prediction of mixing and stratification phenomena validation of simulation tools has to be performed. Data produced in POOLEX/PPOOLEX facility at Lappeenranta University of Technology about development of thermal stratification in a large scale model of a pressure suppression pool is used for GOTHIC lumped and distributed parameter validation. Sensitivity of GOTHIC solution to different boundary conditions and grid convergence study for 2D simulations of POOLEX STB-20 experiment are performed in the present study. CFD simulation was carried out with FLUENT code in order to get additional insights into physics of stratification phenomena. In order to support development of experimental procedures for new tests in the PPOOLEX facility lumped parameter pre-test GOTHIC simulations were performed. Simulations show that drywell and wetwell pressures can be kept within safety margins during a long transient necessary for development of thermal stratification. (au)

  15. GOTHIC code simulation of thermal stratification in POOLEX facility

    Energy Technology Data Exchange (ETDEWEB)

    Li, H.; Kudinov, P. (Royal Institute of Technology (KTH) (Sweden))

    2009-07-15

    Pressure suppression pool is an important element of BWR containment. It serves as a heat sink and steam condenser to prevent containment pressure buildup during loss of coolant accident or safety relief valve opening during normal operations of a BWR. Insufficient mixing in the pool, in case of low mass flow rate of steam, can cause development of thermal stratification and reduction of pressure suppression pool capacity. For reliable prediction of mixing and stratification phenomena validation of simulation tools has to be performed. Data produced in POOLEX/PPOOLEX facility at Lappeenranta University of Technology about development of thermal stratification in a large scale model of a pressure suppression pool is used for GOTHIC lumped and distributed parameter validation. Sensitivity of GOTHIC solution to different boundary conditions and grid convergence study for 2D simulations of POOLEX STB-20 experiment are performed in the present study. CFD simulation was carried out with FLUENT code in order to get additional insights into physics of stratification phenomena. In order to support development of experimental procedures for new tests in the PPOOLEX facility lumped parameter pre-test GOTHIC simulations were performed. Simulations show that drywell and wetwell pressures can be kept within safety margins during a long transient necessary for development of thermal stratification. (au)

  16. Diabetes mellitus and bone health: epidemiology, etiology and implications for fracture risk stratification.

    Science.gov (United States)

    Valderrábano, Rodrigo J; Linares, Maria I

    2018-01-01

    Skeletal fractures can result when there are co-morbid conditions that negatively impact bone strength. Fractures represent an important source of morbidity and mortality, especially in older populations. Diabetes mellitus is a metabolic disorder that has reached worldwide epidemic proportions and is increasingly being recognized as a risk factor for fracture. Type 1 and Type 2 diabetes have different effects on bone mineral density but share common pathways, which lead to bone fragility. In this review, we discuss the available data on diabetes and fractures, bone density and the clinical implications for fracture risk stratification in current practice.

  17. Noninvasive non Doses Method for Risk Stratification of Breast Diseases

    Directory of Open Access Journals (Sweden)

    I. A. Apollonova

    2014-01-01

    Full Text Available The article concerns a relevant issue that is a development of noninvasive method for screening diagnostics and risk stratification of breast diseases. The developed method and its embodiment use both the analysis of onco-epidemiologic tests and the iridoglyphical research.Widely used onco-epidemiologic tests only reflect the patient’s subjective perception of her own life history and sickness. Therefore to confirm the revealed factors, modern objective and safe methods are necessary.Iridoglyphical research may be considered as one of those methods, since it allows us to reveal changes in iris’ zones in real time. As these zones are functionally linked with intern organs and systems, in this case mammary glands, changes of iris’ zones may be used to assess risk groups for mammary gland disorders.The article presents results of research conducted using a prototype of the hardwaresoftware complex to provide screening diagnostics and risk stratification of mammary gland disorders.Research has been conducted using verified materials, provided by the Biomedical Engineering Faculty and the Scientific Biometry Research and Development Centre of Bauman Moscow State Technical University, the City of Moscow’s GUZ Clinical and Diagnostic Centre N°4 of the Western Administrative District and the First Mammology (Breast Care Centre of the Russian Federation’s Ministry of Health and Social Development.The information, obtained as a result of onco-epidemiological tests and iridoglyphical research, was used to develop a procedure of quantitative diagnostics aimed to assess mammary gland cancer risk groups. The procedure is based on Bayes conditional probability.The task of quantitative diagnostics may be formally divided into the differential assessment of three states. The first, D1, is the norm, which corresponds to the population group with a lack of risk factors or changes of the mammary glands. The second, D2, is the population group

  18. Effect of layout on surge line thermal stratification

    International Nuclear Information System (INIS)

    Lai Jianyong; Huang Wei

    2011-01-01

    In order to analyze and evaluate the effect of layout on the thermal stratification for PWR Pressurizer surge line, numerical simulation by Computational Fluid Dynamics (CFD) method is taken on 6 kinds of layout improvement with 2 improvement schemes, i.e., increasing the obliquity of quasi horizontal section and adding a vertical pipe between the quasi horizontal section and next elbow, and the maximum temperature differences of quasi horizontal section of surge line of various layouts under different flowrate are obtained. The comparison shows that, the increasing of the obliquity of quasi horizontal section can mitigate the thermal stratification phenomena but can not eliminate this phenomena, while the adding of a vertical pipe between the quasi horizontal section and next elbow can effectively mitigate and eliminate the thermal stratification phenomena. (authors)

  19. Social Stratification and Cooperative Behavior in Spatial Prisoners' Dilemma Games.

    Directory of Open Access Journals (Sweden)

    Peng Lu

    Full Text Available It has been a long-lasting pursuit to promote cooperation, and this study aims to promote cooperation via the combination of social stratification and the spatial prisoners' dilemma game. It is previously assumed that agents share the identical payoff matrix, but the stratification or diversity exists and exerts influences in real societies. Thus, two additional classes, elites and scoundrels, derive from and coexist with the existing class, commons. Three classes have different payoff matrices. We construct a model where agents play the prisoners' dilemma game with neighbors. It indicates that stratification and temptation jointly influence cooperation. Temptation permanently reduces cooperation; elites play a positive role in promoting cooperation while scoundrels undermine it. As the temptation getting larger and larger, elites play a more and more positive and critical role while scoundrels' negative effect becomes weaker and weaker, and it is more obvious when temptation goes beyond its threshold.

  20. Horizontal Stratification in Access to Danish University Programmes

    DEFF Research Database (Denmark)

    Munk, Martin D.; Thomsen, Jens Peter

    2018-01-01

    a relatively detailed classification of parents’ occupations to determine how students are endowed with different forms of capital, even when their parents would typically be characterised as belonging to the same social group. Second, we distinguish among disciplines and among university institutions...... to explain the dynamics of horizontal stratification in the Danish university system. Using unique and exhaustive register data, including all higher education institutions and the entire 1984 cohort as of the age of 24, we uncover distinct differences in the magnitude and type of horizontal stratification...... in different fields of study and university institutions. Most importantly, we find distinct patterns of horizontal stratification by field of study and parental occupation that would have remained hidden had we used more aggregated classifications for field of study and social origin....

  1. Investigation of the Solvis stratification inlet pipe for solar tanks

    DEFF Research Database (Denmark)

    Andersen, Elsa; Jordan, Ulrike; Shah, Louise Jivan

    2004-01-01

    Since the 1960’ties the influence of the thermal stratification in hot water tanks on the thermal performance of solar heating systems has been studied intensively. It was found, that the thermal performance of a solar heating system is increasing for increasing thermal stratification in the hot...... water tank. The temperature of the storage water heated by the solar collector loop usually varies strongly during the day. In order to reach a good thermal stratification in the tank, different types of pipes, plates, diffusers and other devices have been investigated in the past (e.g. Loehrke, 1979...... conditions. Temperature measurements were carried out and an optical method called Particle Image Velocimetry (PIV) was used to visualize the flow around the flaps....

  2. Eddy-driven stratification initiates North Atlantic spring phytoplankton blooms.

    Science.gov (United States)

    Mahadevan, Amala; D'Asaro, Eric; Lee, Craig; Perry, Mary Jane

    2012-07-06

    Springtime phytoplankton blooms photosynthetically fix carbon and export it from the surface ocean at globally important rates. These blooms are triggered by increased light exposure of the phytoplankton due to both seasonal light increase and the development of a near-surface vertical density gradient (stratification) that inhibits vertical mixing of the phytoplankton. Classically and in current climate models, that stratification is ascribed to a springtime warming of the sea surface. Here, using observations from the subpolar North Atlantic and a three-dimensional biophysical model, we show that the initial stratification and resulting bloom are instead caused by eddy-driven slumping of the basin-scale north-south density gradient, resulting in a patchy bloom beginning 20 to 30 days earlier than would occur by warming.

  3. Strongly enhanced colorectal cancer risk stratification by combining family history and genetic risk score

    Directory of Open Access Journals (Sweden)

    Weigl K

    2018-01-01

    Full Text Available Korbinian Weigl,1,2 Jenny Chang-Claude,3,4 Phillip Knebel,5 Li Hsu,6 Michael Hoffmeister,1 Hermann Brenner1,2,7 1Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ, Heidelberg, 2German Cancer Consortium (DKTK, German Cancer Research Center (DKFZ, Heidelberg, 3Unit of Genetic Epidemiology, German Cancer Research Center (DKFZ, Heidelberg, 4University Cancer Center Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, 5Department for General, Visceral and Transplantation Surgery, University Heidelberg, Heidelberg, Germany; 6Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA; 7Division of Preventive Oncology, German Cancer Research Center (DKFZ and National Center for Tumor Diseases (NCT, Heidelberg, Germany Background and aim: Family history (FH and genetic risk scores (GRSs are increasingly used for risk stratification for colorectal cancer (CRC screening. However, they were mostly considered alternatively rather than jointly. The aim of this study was to assess the potential of individual and joint risk stratification for CRC by FH and GRS.Patients and methods: A GRS was built based on the number of risk alleles in 53 previously identified single-nucleotide polymorphisms among 2,363 patients with a first diagnosis of CRC and 2,198 controls in DACHS [colorectal cancer: chances for prevention through screening], a population-based case-control study in Germany. Associations between GRS and FH with CRC risk were quantified by multiple logistic regression.Results: A total of 316 cases (13.4% and 214 controls (9.7% had a first-degree relative (FDR with CRC (adjusted odds ratio [aOR] 1.86, 95% CI 1.52–2.29. A GRS in the highest decile was associated with a 3.0-fold increased risk of CRC (aOR 3.00, 95% CI 2.24–4.02 compared with the lowest decile. This association was tentatively more pronounced in older age groups. FH and GRS were essentially unrelated, and their

  4. Matched population comparison of visual outcomes and patient satisfaction between 3 modalities for the correction of low to moderate myopic astigmatism

    Directory of Open Access Journals (Sweden)

    Ganesh S

    2017-07-01

    Full Text Available Sri Ganesh, Sheetal Brar, Archana Pawar Phacorefractive Department, Nethradhama Superspeciality Eye Hospital, Bengaluru, Karnataka, India Purpose: To compare toric implantable collamer lens (T-ICL, femto-LASIK, and ReLEx SMILE for the treatment of low to moderate myopic astigmatism in terms of long-term visual and refractive outcomes and predictability of astigmatic correction.Materials and methods: The study included 30 eyes from 30 patients between the age groups of 21 and 40 years, undergoing bilateral surgery with any of the three procedures – T-ICL, femto-LASIK, or ReLEx SMILE – for correction of myopic astigmatism within the range of −3 to −8 D spherical equivalent (SE, with a minimum astigmatism of −0.75 D. Patients were followed up at day 1, 1 month, 6 months, and 1 year.Results: At 1 year, the mean cylinder reduced to −0.21±0.28, −0.17±0.36, and −0.22±0.28 D in the T-ICL, femto-LASIK, and ReLEx SMILE group, respectively. The predictability of astigmatism correction was comparable, with no statistically significant difference between the 3 groups (P>0.05. A total of 97% of eyes in ReLEx SMILE achieved a uncorrected distance visual acuity of 20/20 or better, compared to T-ICL (93% and FS-LASIK (90%. However, gain in lines of corrected distant visual acuity (CDVA was maximum in T-ICL group (60%. Four eyes in the femto-LASIK group had loss of CDVA by one line. Three eyes required exchange due to high vault and rotation of the T-ICL, which did not affect the final outcome.Conclusion: All 3 modalities were effective for myopic astigmatism at the end of 1 year. Quality of vision and patient satisfaction with T-ICL and ReLEx SMILE were similar and better than FS-LASIK. However, slight chances of postoperative rotation and exchange exist with T-ICL, which warrant thorough preoperative planning. Keywords: toric implantable collamer lens, femtosecond LASIK, ReLEx SMILE, myopic astigmatism

  5. Electroweak corrections

    International Nuclear Information System (INIS)

    Beenakker, W.J.P.

    1989-01-01

    The prospect of high accuracy measurements investigating the weak interactions, which are expected to take place at the electron-positron storage ring LEP at CERN and the linear collider SCL at SLAC, offers the possibility to study also the weak quantum effects. In order to distinguish if the measured weak quantum effects lie within the margins set by the standard model and those bearing traces of new physics one had to go beyond the lowest order and also include electroweak radiative corrections (EWRC) in theoretical calculations. These higher-order corrections also can offer the possibility of getting information about two particles present in the Glashow-Salam-Weinberg model (GSW), but not discovered up till now, the top quark and the Higgs boson. In ch. 2 the GSW standard model of electroweak interactions is described. In ch. 3 some special techniques are described for determination of integrals which are responsible for numerical instabilities caused by large canceling terms encountered in the calculation of EWRC effects, and methods necessary to get hold of the extensive algebra typical for EWRC. In ch. 4 various aspects related to EWRC effects are discussed, in particular the dependence of the unknown model parameters which are the masses of the top quark and the Higgs boson. The processes which are discussed are production of heavy fermions from electron-positron annihilation and those of the fermionic decay of the Z gauge boson. (H.W.). 106 refs.; 30 figs.; 6 tabs.; schemes

  6. [Corrected count].

    Science.gov (United States)

    1991-11-27

    The data of the 1991 census indicated that the population count of Brazil fell short of a former estimate by 3 million people. The population reached 150 million people with an annual increase of 2%, while projections in the previous decade expected an increase of 2.48% to 153 million people. This reduction indicates more widespread use of family planning (FP) and control of fertility among families of lower social status as more information is being provided to them. However, the Ministry of Health ordered an investigation of foreign family planning organizations because it was suspected that women were forced to undergo tubal ligation during vaccination campaigns. A strange alliance of left wing politicians and the Roman Catholic Church alleges a conspiracy of international FP organizations receiving foreign funds. The FP strategies of Bemfam and Pro-Pater offer women who have little alternative the opportunity to undergo tubal ligation or to receive oral contraceptives to control fertility. The ongoing government program of distributing booklets on FP is feeble and is not backed up by an education campaign. Charges of foreign interference are leveled while the government hypocritically ignores the grave problem of 4 million abortions a year. The population is expected to continue to grow until the year 2040 and then to stabilize at a low growth rate of .4%. In 1980, the number of children per woman was 4.4 whereas the 1991 census figures indicate this has dropped to 3.5. The excess population is associated with poverty and a forsaken caste in the interior. The population actually has decreased in the interior and in cities with 15,000 people. The phenomenon of the drop of fertility associated with rural exodus is contrasted with cities and villages where the population is 20% less than expected.

  7. Risk Stratification in Differentiated Thyroid Cancer: An Ongoing Process

    Directory of Open Access Journals (Sweden)

    Gal Omry-Orbach

    2016-01-01

    Full Text Available Thyroid cancer is an increasingly common malignancy, with a rapidly rising prevalence worldwide. The social and economic ramifications of the increase in thyroid cancer are multiple. Though mortality from thyroid cancer is low, and most patients will do well, the risk of recurrence is not insignificant, up to 30%. Therefore, it is important to accurately identify those patients who are more or less likely to be burdened by their disease over years and tailor their treatment plan accordingly. The goal of risk stratification is to do just that. The risk stratification process generally starts postoperatively with histopathologic staging, based on the AJCC/UICC staging system as well as others designed to predict mortality. These do not, however, accurately assess the risk of recurrence/persistence. Patients initially considered to be at high risk may ultimately do very well yet be burdened by frequent unnecessary monitoring. Conversely, patients initially thought to be low risk, may not respond to their initial treatment as expected and, if left unmonitored, may have higher morbidity. The concept of risk-adaptive management has been adopted, with an understanding that risk stratification for differentiated thyroid cancer is dynamic and ongoing. A multitude of variables not included in AJCC/UICC staging are used initially to classify patients as low, intermediate, or high risk for recurrence. Over the course of time, a response-to-therapy variable is incorporated, and patients essentially undergo continuous risk stratification. Additional tools such as biochemical markers, genetic mutations, and molecular markers have been added to this complex risk stratification process such that this is essentially a continuum of risk. In recent years, additional considerations have been discussed with a suggestion of pre-operative risk stratification based on certain clinical and/or biologic characteristics. With the increasing prevalence of thyroid cancer but

  8. Dependence of offshore wind turbine fatigue loads on atmospheric stratification

    DEFF Research Database (Denmark)

    Hansen, Kurt Schaldemose; Larsen, Gunner Chr.; Ott, Søren

    2014-01-01

    The stratification of the atmospheric boundary layer (ABL) is classified in terms of the M-O length and subsequently used to determine the relationship between ABL stability and the fatigue loads of a wind turbine located inside an offshore wind farm. Recorded equivalent fatigue loads, representi...... conditions. In general, impact of ABL stratification is clearly seen on wake affected inflow cases for both blade and tower fatigue loads. However, the character of this dependence varies significantly with the type of inflow conditions – e.g. single wake inflow or multiple wake inflow....

  9. A Practical Risk Stratification Approach for Implementing a Primary Care Chronic Disease Management Program in an Underserved Community.

    Science.gov (United States)

    Xu, Junjun; Williams-Livingston, Arletha; Gaglioti, Anne; McAllister, Calvin; Rust, George

    2018-01-01

    The use of value metrics is often dependent on payer-initiated health care management incentives. There is a need for practices to define and manage their own patient panels regardless of payer to participate effectively in population health management. A key step is to define a panel of primary care patients with high comorbidity profiles. Our sample included all patients seen in an urban academic family medicine clinic over a two-year period. The simplified risk stratification was built using internal electronic health record and billing system data based on ICD-9 codes. There were 347 patients classified as high-risk out of the 5,364 patient panel. Average age was 59 years (SD 15). Hypertension (90%), hyperlipidemia (62%), and depression (55%) were the most common conditions among high-risk patients. Simplified risk stratification provides a feasible option for our team to understand and respond to the nuances of population health in our underserved community.

  10. Proposals for enhanced health risk assessment and stratification in an integrated care scenario

    Science.gov (United States)

    Dueñas-Espín, Ivan; Vela, Emili; Pauws, Steffen; Bescos, Cristina; Cano, Isaac; Cleries, Montserrat; Contel, Joan Carles; de Manuel Keenoy, Esteban; Garcia-Aymerich, Judith; Gomez-Cabrero, David; Kaye, Rachelle; Lahr, Maarten M H; Lluch-Ariet, Magí; Moharra, Montserrat; Monterde, David; Mora, Joana; Nalin, Marco; Pavlickova, Andrea; Piera, Jordi; Ponce, Sara; Santaeugenia, Sebastià; Schonenberg, Helen; Störk, Stefan; Tegner, Jesper; Velickovski, Filip; Westerteicher, Christoph; Roca, Josep

    2016-01-01

    Objectives Population-based health risk assessment and stratification are considered highly relevant for large-scale implementation of integrated care by facilitating services design and case identification. The principal objective of the study was to analyse five health-risk assessment strategies and health indicators used in the five regions participating in the Advancing Care Coordination and Telehealth Deployment (ACT) programme (http://www.act-programme.eu). The second purpose was to elaborate on strategies toward enhanced health risk predictive modelling in the clinical scenario. Settings The five ACT regions: Scotland (UK), Basque Country (ES), Catalonia (ES), Lombardy (I) and Groningen (NL). Participants Responsible teams for regional data management in the five ACT regions. Primary and secondary outcome measures We characterised and compared risk assessment strategies among ACT regions by analysing operational health risk predictive modelling tools for population-based stratification, as well as available health indicators at regional level. The analysis of the risk assessment tool deployed in Catalonia in 2015 (GMAs, Adjusted Morbidity Groups) was used as a basis to propose how population-based analytics could contribute to clinical risk prediction. Results There was consensus on the need for a population health approach to generate health risk predictive modelling. However, this strategy was fully in place only in two ACT regions: Basque Country and Catalonia. We found marked differences among regions in health risk predictive modelling tools and health indicators, and identified key factors constraining their comparability. The research proposes means to overcome current limitations and the use of population-based health risk prediction for enhanced clinical risk assessment. Conclusions The results indicate the need for further efforts to improve both comparability and flexibility of current population-based health risk predictive modelling approaches

  11. Proposals for enhanced health risk assessment and stratification in an integrated care scenario.

    Science.gov (United States)

    Dueñas-Espín, Ivan; Vela, Emili; Pauws, Steffen; Bescos, Cristina; Cano, Isaac; Cleries, Montserrat; Contel, Joan Carles; de Manuel Keenoy, Esteban; Garcia-Aymerich, Judith; Gomez-Cabrero, David; Kaye, Rachelle; Lahr, Maarten M H; Lluch-Ariet, Magí; Moharra, Montserrat; Monterde, David; Mora, Joana; Nalin, Marco; Pavlickova, Andrea; Piera, Jordi; Ponce, Sara; Santaeugenia, Sebastià; Schonenberg, Helen; Störk, Stefan; Tegner, Jesper; Velickovski, Filip; Westerteicher, Christoph; Roca, Josep

    2016-04-15

    Population-based health risk assessment and stratification are considered highly relevant for large-scale implementation of integrated care by facilitating services design and case identification. The principal objective of the study was to analyse five health-risk assessment strategies and health indicators used in the five regions participating in the Advancing Care Coordination and Telehealth Deployment (ACT) programme (http://www.act-programme.eu). The second purpose was to elaborate on strategies toward enhanced health risk predictive modelling in the clinical scenario. The five ACT regions: Scotland (UK), Basque Country (ES), Catalonia (ES), Lombardy (I) and Groningen (NL). Responsible teams for regional data management in the five ACT regions. We characterised and compared risk assessment strategies among ACT regions by analysing operational health risk predictive modelling tools for population-based stratification, as well as available health indicators at regional level. The analysis of the risk assessment tool deployed in Catalonia in 2015 (GMAs, Adjusted Morbidity Groups) was used as a basis to propose how population-based analytics could contribute to clinical risk prediction. There was consensus on the need for a population health approach to generate health risk predictive modelling. However, this strategy was fully in place only in two ACT regions: Basque Country and Catalonia. We found marked differences among regions in health risk predictive modelling tools and health indicators, and identified key factors constraining their comparability. The research proposes means to overcome current limitations and the use of population-based health risk prediction for enhanced clinical risk assessment. The results indicate the need for further efforts to improve both comparability and flexibility of current population-based health risk predictive modelling approaches. Applicability and impact of the proposals for enhanced clinical risk assessment require

  12. Risk stratification using lean body mass in patients undergoing transcatheter aortic valve replacement.

    Science.gov (United States)

    Hioki, Hirofumi; Watanabe, Yusuke; Kozuma, Ken; Yamamoto, Masanori; Naganuma, Toru; Araki, Motoharu; Tada, Norio; Shirai, Shinichi; Yamanaka, Futoshi; Higashimori, Akihiro; Mizutani, Kazuki; Tabata, Minoru; Takagi, Kensuke; Ueno, Hiroshi; Hayashida, Kentaro

    2018-02-22

    The prognostic impact of skeletal muscle mass, assessed using lean body mass (LBM), remain unclear in patients who underwent transcatheter aortic valve replacement (TAVR). The aim of this study to assess prognostic impact of LBM on mortality after TAVR. We assessed 1,613 patients (median age 85 years, 70% female) who underwent TAVI from October 2013 to April 2016 using OCEAN (Optimized transCathEter vAlvular interveNtion)-TAVI registry data. LBM was calculated using the James formula. The primary endpoint was all-cause death after TAVR. Median follow-up period was 287 days (interquartile range 110-462). The Kaplan-Meier analysis demonstrated that patients with low LBM had significantly higher incidence of all-cause death than those with high LBM in male (32.3% vs. 9.9%, log rank P LBM was an independent predictor of all-cause death in male (Hazard ratio [HR] 0.93; 95% confidence interval [CI] 0.89-0.98) and female (HR 0.94; 95% CI 0.89-0.99). Inversely, the assessment using BMI could not identify the high-risk population in a female. The patients with low LBM had the higher incidence of all-cause death after TAVR than those with high LBM, regardless of gender. Thus, the risk stratification using LBM might provide further insight to identify the high-risk TAVR population, compared to conventional risk stratification using BMI. © 2018 Wiley Periodicals, Inc.

  13. Evaluation and verification of thermal stratification models for was

    African Journals Online (AJOL)

    USER

    prediction of the condition of thermal stratification in WSPs under different hydraulic conditions and ... off coefficient. The models are verified with data collected from the full scale waste .... comparing two mathematical models based ..... 2 Comparison of measured and predicted effluent coliform bacteria (N) againsty depth.

  14. Thermal stratification of sodium in the BN 600 reactor

    International Nuclear Information System (INIS)

    Obmelukhin, J.A.; Obukhov, P.I.; Rinejskij, A.A.; Sobolev, V.A.; Sherbakov, S.I.

    1983-01-01

    The signs of thermal stratification of sodium in the BN 600 reactor upper plenum revealed by the analysis of standard temperature sensors' readings are defined. The initial conditions for existence of different temperature sodium layers are given. Two approaches for realizing on a computer of equations describing sodium motion in the upper plenum of the reactor are presented. (author)

  15. Modelling the tides and their impacts on the vertical stratification ...

    African Journals Online (AJOL)

    The Sofala Bank, a wide shelf located along the central coast of Mozambique, hosts tides with high amplitudes. The Regional Ocean Modelling System (ROMS) was used to analyse the tidal currents on the bank and to investigate their effects on the stratification and generation of tidal fronts. During spring tides, barotropic ...

  16. Simulation of containment atmosphere stratification experiment using local instantaneous description

    International Nuclear Information System (INIS)

    Babic, M.; Kljenak, I.

    2004-01-01

    An experiment on mixing and stratification in the atmosphere of a nuclear power plant containment at accident conditions was simulated with the CFD code CFX4.4. The original experiment was performed in the TOSQAN experimental facility. Simulated nonhomogeneous temperature, species concentration and velocity fields are compared to experimental results. (author)

  17. A Study on an Evaluation of PWR Piping Thermal Stratification

    Energy Technology Data Exchange (ETDEWEB)

    Lee, H.; Kim, B.N.; Lee, S.K.; Jeong, I.S.; Chjung, B.S.; Lee, S.H. [Korea Electric Power Research Institute, Taejeon (Korea, Republic of)

    1997-12-31

    This report presents the determination of thermal stratification phenomenon of pressurizer surge line for Kori unit No.4. With this regards, the integrity of related piping was evaluated by both various stress analysis and fatigue analysis. (author). 23 refs., 61 figs., 22 tabs.

  18. Schematic Harder–Narasimhan stratification for families of principal ...

    Indian Academy of Sciences (India)

    Home; Journals; Proceedings – Mathematical Sciences; Volume 124; Issue 3. Schematic Harder–Narasimhan Stratification for Families of Principal Bundles ... Author Affiliations. Sudarshan Gurjar1 Nitin Nitsure1. School of Mathematics, Tata Institute of Fundamental Research, Homi Bhabha Road, Mumbai 400 005, India ...

  19. The Social Stratification of the German VET System

    Science.gov (United States)

    Protsch, Paula; Solga, Heike

    2016-01-01

    Germany is widely known for its vocational education and training (VET) system and its dual apprenticeship system in particular. What is often overlooked, however, is the vertical stratification within the German VET system. This is the focus of this study. Our analysis shows that the VET system, like the German school system, is highly…

  20. Similarity rules of thermal stratification phenomena for water and sodium

    International Nuclear Information System (INIS)

    Ohtsuka, M.; Ikeda, T.; Yamakawa, M.; Shibata, Y.; Moriya, S.; Ushijima, S.; Fujimoto, K.

    1988-01-01

    Similarity rules for thermal stratification phenomena were studied using sodium and water experiments with scaled cylindrical vessels. The vessel dimensions were identical to focus on the effect of differences in fluid properties upon the phenomena. Comparisons of test results between sodium and water elucidated similar and dissimilar characteristics for thermal stratification phenomena which appeared in the scaled vessels. Results were as follows: (1) The dimensionless upward velocity of the thermal stratification interface was proportional to Ri -0.74 for water and sodium during the period when the buoyancy effect was dominant. (2) Dimensionless temperature transient rate at the outlet slit decreased with Ri for sodium and remained constant for water where Ri>0.2. The applicability of the scaled test results to an actual power plant was also studied by using multi-dimensional numerical analysis which was verified by the water and sodium experiments. Water experiments could simulate liquid metal fast breeder reactor flows more accurately than sodium experiments for dimensionless temperature gradient at the thermal stratification interface and dimensionless temperature transient rate at the intermediate heat exchanger inlet

  1. Clinical Studies in Risk Stratification & Therapy of Thoracic Aortic Disease

    NARCIS (Netherlands)

    Kamman, AV

    2017-01-01

    For this thesis we aimed to summarize outcomes and optimal treatment modality for thoracic aortic disease, discuss new imaging techniques and improve the use of current imaging modalities. Furthermore, we aimed to improve risk stratification for uncomplicated type B aortic dissection (TBAD) and

  2. Estimation for small domains in double sampling for stratification ...

    African Journals Online (AJOL)

    In this article, we investigate the effect of randomness of the size of a small domain on the precision of an estimator of mean for the domain under double sampling for stratification. The result shows that for a small domain that cuts across various strata with unknown weights, the sampling variance depends on the within ...

  3. Formulation parameters influencing self-stratification of coatings

    NARCIS (Netherlands)

    Vink, P.; Bots, T.L.

    1996-01-01

    Research was carried out aimed at the development of self-stratifying paints for steel which after application during film formation spontaneously form two well established layers of primer and top coat. The parameters affecting stratification were investigated for combinations of epoxy resins and

  4. Stratification of habitats for identifying habitat selection by Merriam's turkeys

    Science.gov (United States)

    Mark A. Rumble; Stanley H. Anderson

    1992-01-01

    Habitat selection patterns of Merriam’s Turkeys were compared in hierarchical analyses of three levels of habitat stratification. Habitat descriptions in first-level analyses were based on dominant species of vegetation. Habitat descriptions in second-level analyses were based on dominant species of vegetation and overstory canopy cover. Habitat descriptions in third-...

  5. Viral lysis of marine microbes in relation to vertical stratification

    NARCIS (Netherlands)

    Mojica, K.D.A.

    2015-01-01

    Marine microorganisms represent the largest reservoir of living organic carbon in the ocean and collectively manage the pools and fluxes of nutrients and energy. Climate-induced increases in sea surface temperature and associated modifications to vertical stratification are affecting the structure

  6. Viral lysis of marine microbes in relation to vertical stratification

    NARCIS (Netherlands)

    Mojica, K.D.A.

    2015-01-01

    The overall aim of this thesis is to investigate how changes in vertical stratification affect autotrophic and heterotrophic microbial communities along a meridional gradient in the Atlantic Ocean. The Northeast Atlantic Ocean is a key area in global ocean circulation and a important sink for

  7. Glacial ocean circulation and stratification explained by reduced atmospheric temperature.

    Science.gov (United States)

    Jansen, Malte F

    2017-01-03

    Earth's climate has undergone dramatic shifts between glacial and interglacial time periods, with high-latitude temperature changes on the order of 5-10 °C. These climatic shifts have been associated with major rearrangements in the deep ocean circulation and stratification, which have likely played an important role in the observed atmospheric carbon dioxide swings by affecting the partitioning of carbon between the atmosphere and the ocean. The mechanisms by which the deep ocean circulation changed, however, are still unclear and represent a major challenge to our understanding of glacial climates. This study shows that various inferred changes in the deep ocean circulation and stratification between glacial and interglacial climates can be interpreted as a direct consequence of atmospheric temperature differences. Colder atmospheric temperatures lead to increased sea ice cover and formation rate around Antarctica. The associated enhanced brine rejection leads to a strongly increased deep ocean stratification, consistent with high abyssal salinities inferred for the last glacial maximum. The increased stratification goes together with a weakening and shoaling of the interhemispheric overturning circulation, again consistent with proxy evidence for the last glacial. The shallower interhemispheric overturning circulation makes room for slowly moving water of Antarctic origin, which explains the observed middepth radiocarbon age maximum and may play an important role in ocean carbon storage.

  8. The relationship between social stratification and all-cause mortality among children in the United States: 1968-1992.

    Science.gov (United States)

    DiLiberti, J H

    2000-01-01

    US childhood poverty rates have increased for most of the past 2 decades. Although overall mortality among children has apparently fallen during this interval, these aggregate mortality rates may hide a disproportionate burden imposed on the least advantaged. This study assessed the impact of social stratification on long-term US childhood mortality rates and examined the temporal relationship between mortality attributable to social stratification and childhood poverty rates. Using US childhood mortality data obtained from the Compressed Mortality File (National Center for Health Statistics) and a county-level measure of social stratification (residential telephone availability), I evaluated the impact of social stratification on long-term trends (1968-1992) in age-adjusted mortality and compared the resulting attributable proportions to trends in childhood poverty rates. Between 1968 and 1987 the proportion of US childhood deaths attributable to social stratification decreased from.22 to.17. Subsequently, it increased to.24 in 1992, despite continuous declines in overall childhood mortality rates. These proportions correlated strongly with earlier childhood poverty rates, taking into account an apparent 9-year lag. Among black children comparable trends were not observed, although throughout this time period their mortality rates were far higher than among the rest of the population and declined more slowly. Despite declining childhood mortality rates between 1968 and 1992, children living in the least advantaged counties continued to die at higher rates than those living in the most advantaged counties. This differential worsened considerably after 1987, and by 1992 had a substantive impact on US life expectancy at birth, resulting in perhaps the most significant (in terms of years of life lost) reversal in the health of the US public in the 20th century.

  9. Combustion Stratification for Naphtha from CI Combustion to PPC

    KAUST Repository

    Vallinayagam, R.

    2017-03-28

    This study demonstrates the combustion stratification from conventional compression ignition (CI) combustion to partially premixed combustion (PPC). Experiments are performed in an optical CI engine at a speed of 1200 rpm for diesel and naphtha (RON = 46). The motored pressure at TDC is maintained at 35 bar and fuelMEP is kept constant at 5.1 bar to account for the difference in fuel properties between naphtha and diesel. Single injection strategy is employed and the fuel is injected at a pressure of 800 bar. Photron FASTCAM SA4 that captures in-cylinder combustion at the rate of 10000 frames per second is employed. The captured high speed video is processed to study the combustion homogeneity based on an algorithm reported in previous studies. Starting from late fuel injection timings, combustion stratification is investigated by advancing the fuel injection timings. For late start of injection (SOI), a direct link between SOI and combustion phasing is noticed. At early SOI, combustion phasing depends on both intake air temperature and SOI. In order to match the combustion phasing (CA50) of diesel, the intake air temperature is increased to 90°C for naphtha. The combustion stratification from CI to PPC is also investigated for various level of dilution by displacing oxygen with nitrogen in the intake. The start of combustion (SOC) was delayed with the increase in dilution and to compensate for this, the intake air temperature is increased. The mixture homogeneity is enhanced for higher dilution due to longer ignition delay. The results show that high speed image is initially blue and then turned yellow, indicating soot formation and oxidation. The luminosity of combustion images decreases with early SOI and increased dilution. The images are processed to generate the level of stratification based on the image intensity. The level of stratification is same for diesel and naphtha at various SOI. When O concentration in the intake is decreased to 17.7% and 14

  10. Tidal deformations of neutron stars: The role of stratification and elasticity

    International Nuclear Information System (INIS)

    Penner, A. J.; Andersson, N.; Hawke, I.; Jones, D. I.; Samuelsson, L.

    2011-01-01

    We discuss the response of neutron stars to the tidal interaction in a compact binary system, as encoded in the Love number associated with the induced deformation. This problem is of interest for gravitational-wave astronomy as there may be a detectable imprint on the signal from the late stages of binary coalescence. Previous work has focused on simple barotropic neutron star models, providing an understanding of the role of the stellar compactness and overall density profile. We add realism to the discussion by developing the framework required to model stars with varying composition and an elastic crust. These effects are not expected to be significant for the next generation of detectors, but it is nevertheless useful to be able to quantify them. Our results show that (perhaps surprisingly) internal stratification has no impact whatsoever on the Love number. We also show that crust elasticity provides a (predictably) small correction to existing models.

  11. Representing Reservoir Stratification in Land Surface and Earth System Models

    Science.gov (United States)

    Yigzaw, W.; Li, H. Y.; Leung, L. R.; Hejazi, M. I.; Voisin, N.; Payn, R. A.; Demissie, Y.

    2017-12-01

    A one-dimensional reservoir stratification modeling has been developed as part of Model for Scale Adaptive River Transport (MOSART), which is the river transport model used in the Accelerated Climate Modeling for Energy (ACME) and Community Earth System Model (CESM). Reservoirs play an important role in modulating the dynamic water, energy and biogeochemical cycles in the riverine system through nutrient sequestration and stratification. However, most earth system models include lake models that assume a simplified geometry featuring a constant depth and a constant surface area. As reservoir geometry has important effects on thermal stratification, we developed a new algorithm for deriving generic, stratified area-elevation-storage relationships that are applicable at regional and global scales using data from Global Reservoir and Dam database (GRanD). This new reservoir geometry dataset is then used to support the development of a reservoir stratification module within MOSART. The mixing of layers (energy and mass) in the reservoir is driven by eddy diffusion, vertical advection, and reservoir inflow and outflow. Upstream inflow into a reservoir is treated as an additional source/sink of energy, while downstream outflow represented a sink. Hourly atmospheric forcing from North American Land Assimilation System (NLDAS) Phase II and simulated daily runoff by ACME land component are used as inputs for the model over the contiguous United States for simulations between 2001-2010. The model is validated using selected observed temperature profile data in a number of reservoirs that are subject to various levels of regulation. The reservoir stratification module completes the representation of riverine mass and heat transfer in earth system models, which is a major step towards quantitative understanding of human influences on the terrestrial hydrological, ecological and biogeochemical cycles.

  12. Combustion stratification study of partially premixed combustion using Fourier transform analysis of OH* chemiluminescence images

    KAUST Repository

    Izadi Najafabadi, Mohammad; Somers, Bart; Johansson, Bengt; Dam, Nico

    2017-01-01

    A relatively high level of stratification (qualitatively: lack of homogeneity) is one of the main advantages of partially premixed combustion over the homogeneous charge compression ignition concept. Stratification can smooth the heat release rate

  13. Role of anti-domain 1-β2 glycoprotein I antibodies in the diagnosis and risk stratification of antiphospholipid syndrome.

    Science.gov (United States)

    De Craemer, A-S; Musial, J; Devreese, K M J

    2016-09-01

    Essentials Antibodies to domain 1 of β2 glycoprotein I (aD1) are a subset of antiphospholipid antibodies. We evaluated the added diagnostic value of an automated aD1 assay in antiphospholipid syndrome. AD1 IgG correctly classifies patients at risk for thrombosis. Agreement between aD1 and aβ2GPI IgG is high, limiting the added value of aD1 in our setting. Click to hear Professor de Groot's perspective on new mechanistic understanding in antiphospholipid syndrome Background Laboratory diagnosis of antiphospholipid syndrome (APS) includes lupus anticoagulant (LAC), anticardiolipin (aCL) or anti-β2 glycoprotein I (aβ2 GPI) antibodies. Antibodies targeting domain 1 of β2 GPI (aD1) constitute a pathogenic subset of autoantibodies. Objectives In this cohort study, we determined the clinical performance characteristics, additional diagnostic value and the contribution to APS risk stratification of an automated aD1 assay. Patients/Methods LAC, aCL, aβ2 GPI and aD1 IgG were measured in 101 APS patients, 123 patients with autoimmune disorders, 82 diseased controls and 120 healthy controls. aD1 antibodies were detected by QUANTA Flash(®) Beta2GPI-Domain 1 chemiluminescence immunoassay. Results With a cut-off value of 20.0 CU, the aD1 IgG assay identifies APS patients in a clinically affected patient cohort with a sensitivity of 53.5% and specificity of 98.8%. It implied a high odds ratio (OR) for clinical events (OR, 17.0; 95% confidence interval [CI], 7.1-40.5). aD1 IgG did not add diagnostic value to the formal aPL panel because aβ2 GPI IgG was nearly as specific but more sensitive for APS (sensitivity 56.4%) with a higher OR for clinical events (36.2; 95% CI, 11.1-117.9). High aD1 titers identify triple-positive patients and patients with thrombosis in a β2 GPI-dependent LAC-positive population. Agreement between aD1 IgG and aβ2 GPI IgG was high (positive and negative agreement 91.7% and 98.4%, respectively). Conclusion Detection of aD1 IgG correctly classifies

  14. Stratification of a cityscape using census and land use variables for inventory of building materials

    Science.gov (United States)

    Rosenfield, G.H.; Fitzpatrick-Lins, K.; Johnson, T.L.

    1987-01-01

    A cityscape (or any landscape) can be stratified into environmental units using multiple variables of information. For the purposes of sampling building materials, census and land use variables were used to identify similar strata. In the Metropolitan Statistical Area of a cityscape, the census tract is the smallest unit for which census data are summarized and digitized boundaries are available. For purposes of this analysis, census data on total population, total number of housing units, and number of singleunit dwellings were aggregated into variables of persons per square kilometer and proportion of housing units in single-unit dwellings. The level 2 categories of the U.S. Geological Survey's land use and land cover data base were aggregated into variables of proportion of residential land with buildings, proportion of nonresidential land with buildings, and proportion of open land. The cityscape was stratified, from these variables, into environmental strata of Urban Central Business District, Urban Livelihood Industrial Commercial, Urban Multi-Family Residential, Urban Single Family Residential, Non-Urban Suburbanizing, and Non-Urban Rural. The New England region was chosen as a region with commonality of building materials, and a procedure developed for trial classification of census tracts into one of the strata. Final stratification was performed by discriminant analysis using the trial classification and prior probabilities as weights. The procedure was applied to several cities, and the results analyzed by correlation analysis from a field sample of building materials. The methodology developed for stratification of a cityscape using multiple variables has application to many other types of environmental studies, including forest inventory, hydrologic unit management, waste disposal, transportation studies, and other urban studies. Multivariate analysis techniques have recently been used for urban stratification in England. ?? 1987 Annals of Regional

  15. Aerial population estimates of wild horses (Equus caballus) in the adobe town and salt wells creek herd management areas using an integrated simultaneous double-count and sightability bias correction technique

    Science.gov (United States)

    Lubow, Bruce C.; Ransom, Jason I.

    2007-01-01

    An aerial survey technique combining simultaneous double-count and sightability bias correction methodologies was used to estimate the population of wild horses inhabiting Adobe Town and Salt Wells Creek Herd Management Areas, Wyoming. Based on 5 surveys over 4 years, we conclude that the technique produced estimates consistent with the known number of horses removed between surveys and an annual population growth rate of 16.2 percent per year. Therefore, evidence from this series of surveys supports the validity of this survey method. Our results also indicate that the ability of aerial observers to see horse groups is very strongly dependent on skill of the individual observer, size of the horse group, and vegetation cover. It is also more modestly dependent on the ruggedness of the terrain and the position of the sun relative to the observer. We further conclude that censuses, or uncorrected raw counts, are inadequate estimates of population size for this herd. Such uncorrected counts were all undercounts in our trials, and varied in magnitude from year to year and observer to observer. As of April 2007, we estimate that the population of the Adobe Town /Salt Wells Creek complex is 906 horses with a 95 percent confidence interval ranging from 857 to 981 horses.

  16. Characteristics of multiple auroral inverted-V structures and the problem of magnetospheric plasma stratification

    International Nuclear Information System (INIS)

    Antonova, E.E.; Stepanova, M.V.; Teltzov, M.V.; Tverskoy, B.A.

    1993-01-01

    The concept of hot stratification of magnetospheric plasma is presented. The stratification mechanism is based on the assumption that in the center of plasma sheet the pressure is approximately isotropic and under steady state conditions the gradient and curvature drift currents play the principal role. The number of formed structures is determined by the parameter of stratification. 7 figs., 2 tabs

  17. The Reach and Limitation of the ADA and its Integration Mandate: Implications for the Successful Reentry of Individuals with Mental Disabilities in a Correctional Population.

    Science.gov (United States)

    Dlugacz, Henry A; Droubi, Luna

    2017-03-01

    This article argues that the ADA and its integration mandate, informed by international standards, should extend to incarcerated individuals with mental disabilities who reenter society, as they are at highly elevated risk for unnecessary segregation in institutions such as homeless shelters or hospitals or through reincarceration. An understanding of the precise services needed to prevent these strongly related but distinct variants of institutionalization requires a robust and continuing research agenda. In discussing the breadth of the ADA, we explore its history, interpretations of its application in a variety of contexts with respect to vulnerable populations and integration, and enforcement. We also turn to international approaches to integration mandates as they apply to reentry. By interpreting the domestic and international principles that create the context for integration we hope to have provided a resource for future application of the ADA integration in the context of prisoner reentry. Copyright © 2017 John Wiley & Sons, Ltd. Copyright © 2017 John Wiley & Sons, Ltd.

  18. Phenology of scramble polygyny in a wild population of chrysomelid beetles: the opportunity for and the strength of sexual selection [corrected].

    Directory of Open Access Journals (Sweden)

    Martha Lucía Baena

    Full Text Available Recent debate has highlighted the importance of estimating both the strength of sexual selection on phenotypic traits, and the opportunity for sexual selection. We describe seasonal fluctuations in mating dynamics of Leptinotarsa undecimlineata (Coleoptera: Chrysomelidae. We compared several estimates of the opportunity for, and the strength of, sexual selection and male precopulatory competition over the reproductive season. First, using a null model, we suggest that the ratio between observed values of the opportunity for sexual selections and their expected value under random mating results in unbiased estimates of the actual nonrandom mating behavior of the population. Second, we found that estimates for the whole reproductive season often misrepresent the actual value at any given time period. Third, mating differentials on male size and mobility, frequency of male fighting and three estimates of the opportunity for sexual selection provide contrasting but complementary information. More intense sexual selection associated to male mobility, but not to male size, was observed in periods with high opportunity for sexual selection and high frequency of male fights. Fourth, based on parameters of spatial and temporal aggregation of female receptivity, we describe the mating system of L. undecimlineata as a scramble mating polygyny in which the opportunity for sexual selection varies widely throughout the season, but the strength of sexual selection on male size remains fairly weak, while male mobility inversely covaries with mating success. We suggest that different estimates for the opportunity for, and intensity of, sexual selection should be applied in order to discriminate how different behavioral and demographic factors shape the reproductive dynamic of populations.

  19. [Sports medical aspects in cardiac risk stratification--heart rate variability and exercise capacity].

    Science.gov (United States)

    Banzer, W; Lucki, K; Bürklein, M; Rosenhagen, A; Vogt, L

    2006-12-01

    The present study investigates the association of the predicted CHD-risk (PROCAM) with the individual endurance capacity and heart rate variability (HRV) in a population-based sample of sedentary elderly. After stratification, in 57 men (48.1+/-9.5 yrs.) with an overall PROCAM-risk or =10% (50.8+/-5.6 points) cycle ergometries and short-term HRV analysis of time (RRMEAN, SDNN, RMSSD) and frequency domain parameters (LF, HF, TP, LF/HF) were conducted. Additionally the autonomic stress index (SI) was calculated. Nonparametric tests were used for statistical correlation analysis (Spearman rho) and group comparisons (Mann-Whitney). For endurance capacity [W/kg] (r=-0.469, pHRV analysis in risk stratification and outline the interrelation of a decreased exercise capacity and autonomic function with a raised individual 10-year cardiac risk. As an independent parameter of the vegetative regulatory state the stress index may contribute to an increased practical relevance of short-time HRV analysis.

  20. [The scoring system for the risk-stratification in patients with the antiphospholipid syndrome].

    Science.gov (United States)

    Oku, Kenji

    2017-01-01

      Antiphospholipid syndrome (APS) is a clinical disorder characterized by thrombosis and/or pregnancy morbidity in the persistence of the pathogenic autoantibodies, the antiphospholipid antibodies (aPL). Recurernt thrombosis is often observed in patients with APS which requires persistent prophylaxis. However, an uniform prophylactic treatment for APS patients is inadequate and stratification of the thrombotic risks is important as aPL are prevalently observed in other various diseases or elderly population. It is previously known that the multiple positivity or high titre of aPL correlate to the thrombotic events. To progress the stratification of the thrombotic risks and to quantitatively analyze them, antiphospholipid score (aPL-S) and the Global Anti-Phospholipid Syndrome Score (GAPSS) were defined as the scoring-systems. Both of these scoring-systems were raised from the large patient cohort data and either aPL profile classified in detail (aPL-S) or simplified aPL profile with classical thrombotic risk factors (GAPSS) were put into scoring system. They have shown a degree of accuracy in identifying high-risk APS patients, especially those at a high risk of thrombosis. However, there are several areas requiring improvement, or at least that clinicians should be aware of, before these instruments are applied in clinical practice. One such issue is standardisation of the aPL tests, including general testing of phosphatidylserine dependent antiprothrombin antibodies (aPS/PT).

  1. Fatigue of LMFBR piping due to flow stratification

    Energy Technology Data Exchange (ETDEWEB)

    Woodward, W.S.

    1983-01-01

    Flow stratification due to reverse flow was simulated in a 1/5-scale water model of a LMFBR primary pipe loop. The stratified flow was observed to have a dynamic interface region which oscillated in a wave pattern. The behavior of the interface was characterized in terms of location, local temperature fluctuation and duration for various reverse flow conditions. A structural assessment was performed to determine the effects of stratified flow on the fatigue life of the pipe. Both the static and dynamic aspects of flow stratification were examined. The dynamic interface produces thermal striping on the inside of the pipe wall which is shown to have the most deleterious effect on the pipe wall and produce significant fatigue damage relative to a static interface.

  2. Fatigue of LMFBR piping due to flow stratification

    International Nuclear Information System (INIS)

    Woodward, W.S.

    1983-01-01

    Flow stratification due to reverse flow was simulated in a 1/5-scale water model of a LMFBR primary pipe loop. The stratified flow was observed to have a dynamic interface region which oscillated in a wave pattern. The behavior of the interface was characterized in terms of location, local temperature fluctuation and duration for various reverse flow conditions. A structural assessment was performed to determine the effects of stratified flow on the fatigue life of the pipe. Both the static and dynamic aspects of flow stratification were examined. The dynamic interface produces thermal striping on the inside of the pipe wall which is shown to have the most deleterious effect on the pipe wall and produce significant fatigue damage relative to a static interface

  3. Perception urbaine, distraction et stratification chez Benjamin, Eisenstein et Vertov

    OpenAIRE

    Rousse, Pascal

    2008-01-01

    La ville à l’écran est le substrat imaginaire et historique du cinéma. Mais le cinéma, burlesque et soviétique, transforme ce contexte tout en constituant sa mémoire. Walter Benjamin inaugura cette problématique avec la notion de « distraction », liant architecture et cinéma sur le fond du paradigme de la stratification de l’appareil psychique chez Freud.

  4. AB019. Erectile dysfunction: analysis based on age stratification

    OpenAIRE

    Kai, Zhang

    2015-01-01

    Objective To establish the profile of erectile dysfunction in different age groups, and analysis the effect of sildenafil based on age stratification. Subjects and Methods From 2007 to 2008, a total of 4,507 men diagnosed with erectile dysfunction (ED) were enrolled from 46 centers in China; 4,039 of these patients were treated with sildenafil and asked to complete the Erectile Function domain of the International Index of Erectile Function, Erection Hardness Score, and Quality of Erection Qu...

  5. Potential Impacts of Offshore Wind Farms on North Sea Stratification

    Science.gov (United States)

    Carpenter, Jeffrey R.; Merckelbach, Lucas; Callies, Ulrich; Clark, Suzanna; Gaslikova, Lidia; Baschek, Burkard

    2016-01-01

    Advances in offshore wind farm (OWF) technology have recently led to their construction in coastal waters that are deep enough to be seasonally stratified. As tidal currents move past the OWF foundation structures they generate a turbulent wake that will contribute to a mixing of the stratified water column. In this study we show that the mixing generated in this way may have a significant impact on the large-scale stratification of the German Bight region of the North Sea. This region is chosen as the focus of this study since the planning of OWFs is particularly widespread. Using a combination of idealised modelling and in situ measurements, we provide order-of-magnitude estimates of two important time scales that are key to understanding the impacts of OWFs: (i) a mixing time scale, describing how long a complete mixing of the stratification takes, and (ii) an advective time scale, quantifying for how long a water parcel is expected to undergo enhanced wind farm mixing. The results are especially sensitive to both the drag coefficient and type of foundation structure, as well as the evolution of the pycnocline under enhanced mixing conditions—both of which are not well known. With these limitations in mind, the results show that OWFs could impact the large-scale stratification, but only when they occupy extensive shelf regions. They are expected to have very little impact on large-scale stratification at the current capacity in the North Sea, but the impact could be significant in future large-scale development scenarios. PMID:27513754

  6. Determining the core stratification in white dwarfs with asteroseismology

    Directory of Open Access Journals (Sweden)

    Charpinet S.

    2017-01-01

    Full Text Available Using the forward modeling approach and a new parameterization for the core chemical stratification in ZZ Ceti stars, we test several situations typical of the usually limited constraints available, such as small numbers of observed independent modes, to carry out asteroseismology of these stars. We find that, even with a limited number of modes, the core chemical stratification (in particular, the location of the steep chemical transitions expected in the oxygen profile can be determined quite precisely due to the significant sensitivity of some confined modes to partial reflexion (trapping effects. These effects are similar to the well known trapping induced by the shallower chemical transitions at the edge of the core and at the bottom of the H-rich envelope. We also find that success to unravel the core structure depends on the information content of the available seismic data. In some cases, it may not be possible to isolate a unique, well-defined seismic solution and the problem remains degenerate. Our results establish that constraining the core chemical stratification in white dwarf stars based solely on asteroseismology is possible, an opportunity that we have started to exploit.

  7. Integrated collector storage solar water heater: Temperature stratification

    International Nuclear Information System (INIS)

    Garnier, C.; Currie, J.; Muneer, T.

    2009-01-01

    An analysis of the temperature stratification inside an Integrated Collector Storage Solar Water Heater (ICS-SWH) was carried out. The system takes the form of a rectangular-shaped box incorporating the solar collector and storage tank into a single unit and was optimised for simulation in Scottish weather conditions. A 3-month experimental study on the ICS-SWH was undertaken in order to provide empirical data for comparison with the computed results. Using a previously developed macro model; a number of improvements were made. The initial macro model was able to generate corresponding water bulk temperature in the collector with a given hourly incident solar radiation, ambient temperature and inlet water temperature and therefore able to predict ICS-SWH performance. The new model was able to compute the bulk water temperature variation in different SWH collectors for a given aspect ratio and the water temperature along the height of the collector (temperature stratification). Computed longitudinal temperature stratification results obtained were found to be in close agreement with the experimental data.

  8. Dependence of offshore wind turbine fatigue loads on atmospheric stratification

    International Nuclear Information System (INIS)

    Hansen, K S; Larsen, G C; Ott, S

    2014-01-01

    The stratification of the atmospheric boundary layer (ABL) is classified in terms of the M-O length and subsequently used to determine the relationship between ABL stability and the fatigue loads of a wind turbine located inside an offshore wind farm. Recorded equivalent fatigue loads, representing blade-bending and tower bottom bending, are combined with the operational statistics from the instrumented wind turbine as well as with meteorological statistics defining the inflow conditions. Only a part of all possible inflow conditions are covered through the approximately 8200 hours of combined measurements. The fatigue polar has been determined for an (almost) complete 360° inflow sector for both load sensors, representing mean wind speeds below and above rated wind speed, respectively, with the inflow conditions classified into three different stratification regimes: unstable, neutral and stable conditions. In general, impact of ABL stratification is clearly seen on wake affected inflow cases for both blade and tower fatigue loads. However, the character of this dependence varies significantly with the type of inflow conditions – e.g. single wake inflow or multiple wake inflow

  9. On the gauge orbit space stratification: a review

    International Nuclear Information System (INIS)

    Rudolph, G.; Schmidt, M.; Volobuev, I.P.

    2002-01-01

    First, we review the basic mathematical structures and results concerning the gauge orbit space stratification. This includes general properties of the gauge group action, fibre bundle structures induced by this action, basic properties of the stratification and the natural Riemannian structures of the strata. In the second part, we study the stratification for theories with gauge group SU(n) in spacetime dimension 4. We develop a general method for determining the orbit types and their partial ordering, based on the 1-1 correspondence between orbit types and holonomy-induced Howe subbundles of the underlying principal SU(n)-bundle. We show that the orbit types are classified by certain cohomology elements of spacetime satisfying two relations and that the partial ordering is characterized by a system of algebraic equations. Moreover, operations for generating direct successors and direct predecessors are formulated, which allow one to construct the set of orbit types, starting from the principal type. Finally, we discuss an application to nodal configurations in Yang-Mills-Chern-Simons theory. (author)

  10. Fundamental Interactions in Gasoline Compression Ignition Engines with Fuel Stratification

    Science.gov (United States)

    Wolk, Benjamin Matthew

    Transportation accounted for 28% of the total U.S. energy demand in 2011, with 93% of U.S. transportation energy coming from petroleum. The large impact of the transportation sector on global climate change necessitates more-efficient, cleaner-burning internal combustion engine operating strategies. One such strategy that has received substantial research attention in the last decade is Homogeneous Charge Compression Ignition (HCCI). Although the efficiency and emissions benefits of HCCI are well established, practical limits on the operating range of HCCI engines have inhibited their application in consumer vehicles. One such limit is at high load, where the pressure rise rate in the combustion chamber becomes excessively large. Fuel stratification is a potential strategy for reducing the maximum pressure rise rate in HCCI engines. The aim is to introduce reactivity gradients through fuel stratification to promote sequential auto-ignition rather than a bulk-ignition, as in the homogeneous case. A gasoline-fueled compression ignition engine with fuel stratification is termed a Gasoline Compression Ignition (GCI) engine. Although a reasonable amount of experimental research has been performed for fuel stratification in GCI engines, a clear understanding of how the fundamental in-cylinder processes of fuel spray evaporation, mixing, and heat release contribute to the observed phenomena is lacking. Of particular interest is gasoline's pressure sensitive low-temperature chemistry and how it impacts the sequential auto-ignition of the stratified charge. In order to computationally study GCI with fuel stratification using three-dimensional computational fluid dynamics (CFD) and chemical kinetics, two reduced mechanisms have been developed. The reduced mechanisms were developed from a large, detailed mechanism with about 1400 species for a 4-component gasoline surrogate. The two versions of the reduced mechanism developed in this work are: (1) a 96-species version and (2

  11. Analysis of a gas stratification break-up by a vertical jet using the GOTHIC code

    International Nuclear Information System (INIS)

    Fernández-Cosials, Mikel Kevin; Jimenez, Gonzalo; Lopez-Alonso, Emma

    2016-01-01

    Highlights: • Study of a light gas distribution with the GOTHIC code based on the OECD/NEA IBE-3. • Sensitivity analysis on turbulence model, discretization scheme and heat transfer. • The jet erosion phenomena is captured properly with a relatively coarse mesh. • Development of a tool to evaluate the influence of each parameter on the simulation. • Several recommendation on modeling a stratification break-up are included. - Abstract: During a severe accident in light water reactor (LWR), hydrogen concentration can overpass the flammability limits locally, so the correct simulation of its behavior during a release is critical. The capability assessment of computational fluid dynamics tools to calculate the hydrogen distribution under different conditions has been the focus of intense research worldwide. In this context, the OECD/NEA conducted an international benchmark exercise (IBE-3), which was focused on the break-up of a stratified layer of a light gas by a vertical jet. The participants performed their simulations before the experiment data was released. When the data was released, it was noticed that a combination of several parameters like the mesh, turbulence model or solver controls were responsible for the broad differences between the participants’ results. To obtain information about how each parameter affects the simulation, a post-test sensitivity analysis has been done by the UPM. In this paper, the IBE-3 experiment simulation with GOTHIC 8.0 is presented along with extensive sensitivity analyses of the relevant parameters. The first objective of the work is to test the capability of GOTHIC 8.0 to simulate properly a gas stratification break-up by a vertical jet with a relatively coarse mesh. The second objective of the paper is to relate each sensitivity parameter with each other and with the experiment through the Parameter Influence Chart, a helpful tool specially designed for this purpose.

  12. Analysis of a gas stratification break-up by a vertical jet using the GOTHIC code

    Energy Technology Data Exchange (ETDEWEB)

    Fernández-Cosials, Mikel Kevin; Jimenez, Gonzalo, E-mail: gonzalo.jimenez@upm.es; Lopez-Alonso, Emma

    2016-02-15

    Highlights: • Study of a light gas distribution with the GOTHIC code based on the OECD/NEA IBE-3. • Sensitivity analysis on turbulence model, discretization scheme and heat transfer. • The jet erosion phenomena is captured properly with a relatively coarse mesh. • Development of a tool to evaluate the influence of each parameter on the simulation. • Several recommendation on modeling a stratification break-up are included. - Abstract: During a severe accident in light water reactor (LWR), hydrogen concentration can overpass the flammability limits locally, so the correct simulation of its behavior during a release is critical. The capability assessment of computational fluid dynamics tools to calculate the hydrogen distribution under different conditions has been the focus of intense research worldwide. In this context, the OECD/NEA conducted an international benchmark exercise (IBE-3), which was focused on the break-up of a stratified layer of a light gas by a vertical jet. The participants performed their simulations before the experiment data was released. When the data was released, it was noticed that a combination of several parameters like the mesh, turbulence model or solver controls were responsible for the broad differences between the participants’ results. To obtain information about how each parameter affects the simulation, a post-test sensitivity analysis has been done by the UPM. In this paper, the IBE-3 experiment simulation with GOTHIC 8.0 is presented along with extensive sensitivity analyses of the relevant parameters. The first objective of the work is to test the capability of GOTHIC 8.0 to simulate properly a gas stratification break-up by a vertical jet with a relatively coarse mesh. The second objective of the paper is to relate each sensitivity parameter with each other and with the experiment through the Parameter Influence Chart, a helpful tool specially designed for this purpose.

  13. Application of multivariate probabilistic (Bayesian) networks to substance use disorder risk stratification and cost estimation.

    Science.gov (United States)

    Weinstein, Lawrence; Radano, Todd A; Jack, Timothy; Kalina, Philip; Eberhardt, John S

    2009-09-16

    This paper explores the use of machine learning and Bayesian classification models to develop broadly applicable risk stratification models to guide disease management of health plan enrollees with substance use disorder (SUD). While the high costs and morbidities associated with SUD are understood by payers, who manage it through utilization review, acute interventions, coverage and cost limitations, and disease management, the literature shows mixed results for these modalities in improving patient outcomes and controlling cost. Our objective is to evaluate the potential of data mining methods to identify novel risk factors for chronic disease and stratification of enrollee utilization, which can be used to develop new methods for targeting disease management services to maximize benefits to both enrollees and payers. For our evaluation, we used DecisionQ machine learning algorithms to build Bayesian network models of a representative sample of data licensed from Thomson-Reuters' MarketScan consisting of 185,322 enrollees with three full-year claim records. Data sets were prepared, and a stepwise learning process was used to train a series of Bayesian belief networks (BBNs). The BBNs were validated using a 10 percent holdout set. The networks were highly predictive, with the risk-stratification BBNs producing area under the curve (AUC) for SUD positive of 0.948 (95 percent confidence interval [CI], 0.944-0.951) and 0.736 (95 percent CI, 0.721-0.752), respectively, and SUD negative of 0.951 (95 percent CI, 0.947-0.954) and 0.738 (95 percent CI, 0.727-0.750), respectively. The cost estimation models produced area under the curve ranging from 0.72 (95 percent CI, 0.708-0.731) to 0.961 (95 percent CI, 0.95-0.971). We were able to successfully model a large, heterogeneous population of commercial enrollees, applying state-of-the-art machine learning technology to develop complex and accurate multivariate models that support near-real-time scoring of novel payer

  14. Combustion stratification study of partially premixed combustion using Fourier transform analysis of OH* chemiluminescence images

    KAUST Repository

    Izadi Najafabadi, Mohammad

    2017-11-06

    A relatively high level of stratification (qualitatively: lack of homogeneity) is one of the main advantages of partially premixed combustion over the homogeneous charge compression ignition concept. Stratification can smooth the heat release rate and improve the controllability of combustion. In order to compare stratification levels of different partially premixed combustion strategies or other combustion concepts, an objective and meaningful definition of “stratification level” is required. Such a definition is currently lacking; qualitative/quantitative definitions in the literature cannot properly distinguish various levels of stratification. The main purpose of this study is to objectively define combustion stratification (not to be confused with fuel stratification) based on high-speed OH* chemiluminescence imaging, which is assumed to provide spatial information regarding heat release. Stratification essentially being equivalent to spatial structure, we base our definition on two-dimensional Fourier transforms of photographs of OH* chemiluminescence. A light-duty optical diesel engine has been used to perform the OH* bandpass imaging on. Four experimental points are evaluated, with injection timings in the homogeneous regime as well as in the stratified partially premixed combustion regime. Two-dimensional Fourier transforms translate these chemiluminescence images into a range of spatial frequencies. The frequency information is used to define combustion stratification, using a novel normalization procedure. The results indicate that this new definition, based on Fourier analysis of OH* bandpass images, overcomes the drawbacks of previous definitions used in the literature and is a promising method to compare the level of combustion stratification between different experiments.

  15. Control Carbon to Prevent corium Stratification In-Vessel Retention

    Energy Technology Data Exchange (ETDEWEB)

    Go, A Ra; Hong, Seung Hyun; Kim, Sang Nyung [Kyung Hee Univ., Yongin (Korea, Republic of)

    2013-10-15

    As a result, the thermal margin decreases, and the nuclear reactor vessel may be destroyed. To control Carbons, which is the major cause of stratification, Ruthenium and Hafnium are inserted inside the lower reactor head which initiates a chemical reaction with Carbon. SPARTAN program is used to confirm a reaction probability which is measured in bond energy and strength etc. To analyze the possibility of bonding with Carbon, the initial property of Ruthenium and Carbon are measured during the calculated absorbing process. After following that theory, the Spartan program is able to determine if it can insert the metal. After verifying the combination of Ruthenium and Carbon, the Spartan program analyzes the impact of the Carbon to prevent the corium stratification. It determines the possibility of the success with the introduction of the IVR concept. Ruthenium is suitable to Carbon bonding process to decrease affect to corium behavior which do not form stratification. The metal which can combine with Carbon should be satisfied with temperature as high as 2800 .deg. C. Therefore, the further research works are determined by using the Spartan program to calculate the Carbon and Ruthenium bonding energy, and to check other bonding results as follows. After check the results, review this theory to insert the Ruthenium in reactor vessel. APR1400 and OPR1000, Korea Hydro and Nuclear power plant core meltdown accident has been evaluated a high level in severe accident. When the reactor core is melted down, it is stratified into the metal layer and the ceramic layer. As the heat conductivity of metal layer is higher than that of the ceramic layer, heat concentration occurs in the upper part of the bottom hemisphere which comes into contact with the metal layer.

  16. Vertical Stratification Engineering for Organic Bulk-Heterojunction Devices.

    Science.gov (United States)

    Huang, Liqiang; Wang, Gang; Zhou, Weihua; Fu, Boyi; Cheng, Xiaofang; Zhang, Lifu; Yuan, Zhibo; Xiong, Sixing; Zhang, Lin; Xie, Yuanpeng; Zhang, Andong; Zhang, Youdi; Ma, Wei; Li, Weiwei; Zhou, Yinhua; Reichmanis, Elsa; Chen, Yiwang

    2018-05-22

    High-efficiency organic solar cells (OSCs) can be produced through optimization of component molecular design, coupled with interfacial engineering and control of active layer morphology. However, vertical stratification of the bulk-heterojunction (BHJ), a spontaneous activity that occurs during the drying process, remains an intricate problem yet to be solved. Routes toward regulating the vertical separation profile and evaluating the effects on the final device should be explored to further enhance the performance of OSCs. Herein, we establish a connection between the material surface energy, absorption, and vertical stratification, which can then be linked to photovoltaic conversion characteristics. Through assessing the performance of temporary, artificial vertically stratified layers created by the sequential casting of the individual components to form a multilayered structure, optimal vertical stratification can be achieved. Adjusting the surface energy offset between the substrate results in donor and acceptor stabilization of that stratified layer. Further, a trade-off between the photocurrent generated in the visible region and the amount of donor or acceptor in close proximity to the electrode was observed. Modification of the substrate surface energy was achieved using self-assembled small molecules (SASM), which, in turn, directly impacted the polymer donor to acceptor ratio at the interface. Using three different donor polymers in conjunction with two alternative acceptors in an inverted organic solar cell architecture, the concentration of polymer donor molecules at the ITO (indium tin oxide)/BHJ interface could be increased relative to the acceptor. Appropriate selection of SASM facilitated a synchronized enhancement in external quantum efficiency and power conversion efficiencies over 10.5%.

  17. Time-dependent stratification in the Gauthami-Godavari Estuary

    Digital Repository Service at National Institute of Oceanography (India)

    Rao, T.V.N.

    . National Academy of Sciences, Washington, D.C. CZITROM, S. P. R. 1986. The effect of river discharge in the re- sidual circulation in the eastern Irish Sea. Continental Shelf Research 6:475–485. DRONKERS,J.AND J. VAN DE KREEKE. 1986. Experimental deter.... Springer- Verlag, New York. SIMPSON, J. H., J. SHARPLES, AND T. P. RIPPETH. 1991. A perspec- tive model of stratification induced by freshwater runoff. Es- tuarine, Coastal and Shelf Science 33:23–35. STOMMEL, H. 1953. Computation of pollution in a...

  18. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... and Craniofacial Surgery Cleft Lip/Palate and Craniofacial Surgery A cleft lip may require one or more ... find out more. Corrective Jaw Surgery Corrective Jaw Surgery Orthognathic surgery is performed to correct the misalignment ...

  19. Stratification for smoking in case-cohort studies of genetic polymorphisms and lung cancer

    DEFF Research Database (Denmark)

    Sørensen, Mette; López, Ana García; Andersen, Per Kragh

    2009-01-01

    and adjustment for smoking on the estimated effect of polymorphisms on lung cancer risk was explored in the case-cohort design. We used an empirical and a statistical simulation approach. The stratification strategies were: no smoking stratification, stratification for smoking status and stratification......The risk estimates obtained in studies of genetic polymorphisms and lung cancer differ markedly between studies, which might be due to chance or differences in study design, in particular the stratification/match of comparison group. The effect of different strategies for stratification...... for smoking duration. The study base was a prospective follow-up study with 57,053 participants. In the simulation approach the glutathione S-transferase T1 null polymorphism, as a model of any polymorphism, was added to simulated data in two different ways, assuming either absence or presence of association...

  20. Radiation protection: A correction

    International Nuclear Information System (INIS)

    1972-01-01

    An error in translation inadvertently distorted the sense of a paragraph in the article entitled 'Ecological Aspects of Radiation Protection', by Dr. P. Recht, which appeared in the Bulletin, Volume 14, No. 2 earlier this year. In the English text the error appears on Page 28, second paragraph, which reads, as published: 'An instance familiar to radiation protection specialists, which has since come to be regarded as a classic illustration of this approach, is the accidental release at the Windscale nuclear centre in the north of England.' In the French original of this text no reference was made, or intended, to the accidental release which took place in 1957; the reference was to the study of the critical population group exposed to routine releases from the centre, as the footnote made clear. A more correct translation of the relevant sentence reads: 'A classic example of this approach, well-known to radiation protection specialists, is that of releases from the Windscale nuclear centre, in the north of England.' A second error appeared in the footnote already referred to. In all languages, the critical population group studied in respect of the Windscale releases is named as that of Cornwall; the reference should be, of course, to that part of the population of Wales who eat laver bread. (author)

  1. U.S. residential consumer product information: Validation of methods for post-stratification weighting of Amazon Mechanical Turk surveys

    Energy Technology Data Exchange (ETDEWEB)

    Greenblatt, Jeffery B. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Yang, Hung-Chia [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Desroches, Louis-Benoit [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Young, Scott J. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Beraki, Bereket [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Price, Sarah K. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Pratt, Stacy [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Willem, Henry [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Donovan, Sally M. [Consultant, Melbourne (Australia)

    2013-04-01

    We present two post-stratification weighting methods to validate survey data collected using Amazon Mechanical Turk (AMT). Two surveys focused on appliance and consumer electronics devices were administered in the spring and summer of 2012 to each of approximately 3,000 U.S. households. Specifically, the surveys asked questions about residential refrigeration products, televisions (TVs) and set-top boxes (STBs). Filtered data were assigned weights using each of two weighting methods, termed “sequential” and “simultaneous,” by examining up to eight demographic variables (income, education, gender, race, Hispanic origin, number of occupants, ages of occupants, and geographic region) in comparison to reference U.S. demographic data from the 2009 Residential Energy Consumption Survey (RECS). Five key questions from the surveys (number of refrigerators, number of freezers, number of TVs, number of STBs and primary service provider) were evaluated with a set of statistical tests to determine whether either method improved the agreement of AMT with reference data, and if so, which method was better. The statistical tests used were: differences in proportions, distributions of proportions (using Pearson’s chi-squared test), and differences in average numbers of devices as functions of all demographic variables. The results indicated that both methods generally improved the agreement between AMT and reference data, sometimes greatly, but that the simultaneous method was usually superior to the sequential method. Some differences in sample populations were found between the AMT and reference data. Differences in the proportion of STBs reflected large changes in the STB market since the time our reference data was acquired in 2009. Differences in the proportions of some primary service providers suggested real sample bias, with the possible explanation that AMT user are more likely to subscribe to providers who also provide home internet service. Differences in

  2. Thermal stratification in sodium. Proceedings of an International Atomic Energy Agency specialists' meeting

    Energy Technology Data Exchange (ETDEWEB)

    Costa, J [Commissariat a l' Energie Atomique, Centre d' Etudes Nucleaires de Grenoble, Grenoble (France)

    1983-07-01

    The purpose of the meeting was to discuss and exchange views on thermal stratification existing in sodium of the main vessel, secondary circuits and large components of LMFBRs under various operating conditions. The meeting was divided into four sessions: national position presentations; fundamental studies on theory and application of stratification problems, numerical and experimental investigations applied to stratified flow phenomena; computer codes for evaluation of thermal stratification; applied studies covering the computer codes and experimental studies for prediction of temperature velocity field.

  3. An Improved Model of Cryogenic Propellant Stratification in a Rotating, Reduced Gravity Environment

    Science.gov (United States)

    Oliveira, Justin; Kirk, Daniel R.; Schallhorn, Paul A.; Piquero, Jorge L.; Campbell, Mike; Chase, Sukhdeep

    2007-01-01

    This paper builds on a series of analytical literature models used to predict thermal stratification within rocket propellant tanks. The primary contribution to the literature is to add the effect of tank rotation and to demonstrate the influence of rotation on stratification times and temperatures. This work also looks levels of thermal stratification for generic propellant tanks (cylindrical shapes) over a parametric range of upper-stage coast times, heating levels, rotation rates, and gravity levels.

  4. Coolant stratification and its thermohydrodynamic specificity under natural circulation in horizontal steam generator collectors

    Energy Technology Data Exchange (ETDEWEB)

    Blagovechtchenski, A.; Leontieva, V.; Mitriukhin, A. [Saint-Petersburg Technical Univ. (Russian Federation)

    1997-12-31

    The experiments and the test facilities for the study of the stratification phenomenon in the hot plenum of reactor and the upper parts of the steam generator collectors in a nuclear power plant are described. The aim of the experiments was to define the conditions of the stratification initiation, to study the temperature field in the upper part, the definition of the characteristics in the stratification layer, and also to study the factors which cause the intensity of the stagnant volume cooling.

  5. Thermal stratification in sodium. Proceedings of an International Atomic Energy Agency specialists' meeting

    International Nuclear Information System (INIS)

    Costa, J.

    1983-07-01

    The purpose of the meeting was to discuss and exchange views on thermal stratification existing in sodium of the main vessel, secondary circuits and large components of LMFBRs under various operating conditions. The meeting was divided into four sessions: national position presentations; fundamental studies on theory and application of stratification problems, numerical and experimental investigations applied to stratified flow phenomena; computer codes for evaluation of thermal stratification; applied studies covering the computer codes and experimental studies for prediction of temperature velocity field

  6. Predictions of stratification in cold leg components using virtual noding schemes

    International Nuclear Information System (INIS)

    Piper, R.B.; Hassan, Y.A.; Banerjee, S.S.; Barsamian, H.R.; Cebull, P.P.

    1996-01-01

    In this investigation, a virtual noding scheme is used with RELAP5/MOD3.2 to capture thermal stratification effects in a small-break loss-of-coolant accident (LOCA) simulation. A three-dimensional code (CFD-ACE) has also been used to observe the stratification effects in a similar situation. Stratification temperature differences of the simulations compare well with that of the experiment. The Froude number was also evaluated

  7. Coolant stratification and its thermohydrodynamic specificity under natural circulation in horizontal steam generator collectors

    Energy Technology Data Exchange (ETDEWEB)

    Blagovechtchenski, A; Leontieva, V; Mitriukhin, A [Saint-Petersburg Technical Univ. (Russian Federation)

    1998-12-31

    The experiments and the test facilities for the study of the stratification phenomenon in the hot plenum of reactor and the upper parts of the steam generator collectors in a nuclear power plant are described. The aim of the experiments was to define the conditions of the stratification initiation, to study the temperature field in the upper part, the definition of the characteristics in the stratification layer, and also to study the factors which cause the intensity of the stagnant volume cooling.

  8. Dynamic modeling of stratification for chilled water storage tank

    International Nuclear Information System (INIS)

    Osman, Kahar; Al Khaireed, Syed Muhammad Nasrul; Ariffin, Mohd Kamal; Senawi, Mohd Yusoff

    2008-01-01

    Air conditioning of buildings can be costly and energy consuming. Application of thermal energy storage (TES) reduces cost and energy consumption. The efficiency of the overall operation is affected by storage tank sizing design, which affects thermal stratification of water during charging and discharging processes in TES system. In this study, numerical simulation is used to determine the relationship between tank size and good thermal stratification. Three dimensional simulations with different tank height-to-diameter ratio (HD) and inlet Reynolds number (Re) are investigated. The effect of the number of diffuser holes is also studied. For shallow tanks (low HD) simulations, no acceptable thermocline thickness can be seen for all Re experimented. Partial mixing is observed throughout the process. Medium HD tanks simulations show good thermocline behavior and clear distinction between warm and cold water can be seen. Finally, deep tanks (high HD) show less acceptable thermocline thickness as compared to that of medium HD tanks. From this study, doubling and halving the number of diffuser holes show no significant effect on the thermocline behavior

  9. MULTIGENERATIONAL ASPECTS OF SOCIAL STRATIFICATION: ISSUES FOR FURTHER RESEARCH.

    Science.gov (United States)

    Mare, Robert D

    2014-03-01

    The articles in this special issue show the vitality and progress of research on multigenerational aspects of social mobility, stratification, and inequality. The effects of the characteristics and behavior of grandparents and other kin on the statuses, resources, and positions of their descendants are best viewed in a demographic context. Intergenerational effects work through both the intergenerational associations of socioeconomic characteristics and also differential fertility and mortality. A combined socioeconomic and demographic framework informs a research agenda which addresses the following issues: how generational effects combine with variation in age, period, and cohort within each generation; distinguishing causal relationships across generations from statistical associations; how multigenerational effects vary across socioeconomic hierarchies, including the possibility of stronger effects at the extreme top and bottom; distinguishing between endowments and investments in intergenerational effects; multigenerational effects on associated demographic behaviors and outcomes (especially fertility and mortality); optimal tradeoffs among diverse types of data on multigenerational processes; and the variability across time and place in how kin, education, and other institutions affect stratification.

  10. DEM Simulation of Particle Stratification and Segregation in Stockpile Formation

    Directory of Open Access Journals (Sweden)

    Zhang Dizhe

    2017-01-01

    Full Text Available Granular stockpiles are commonly observed in nature and industry, and their formation has been extensively investigated experimentally and mathematically in the literature. One of the striking features affecting properties of stockpiles are the internal patterns formed by the stratification and segregation processes. In this work, we conduct a numerical study based on DEM (discrete element method model to study the influencing factors and triggering mechanisms of these two phenomena. With the use of a previously developed mixing index, the effects of parameters including size ratio, injection height and mass ratio are investigated. We found that it is a void-filling mechanism that differentiates the motions of particles with different sizes. This mechanism drives the large particles to flow over the pile surface and segregate at the pile bottom, while it also pushes small particles to fill the voids between large particles, giving rise to separate layers. Consequently, this difference in motion will result in the observed stratification and segregation phenomena.

  11. Study of thermal stratification and mixing using PIV

    International Nuclear Information System (INIS)

    Yamaji, B.; Szijarto, R.; Aszodi, A.

    2010-01-01

    Paks Nuclear Power Plant uses the REMIX code for the calculation of the coolant mixing in case of the use of high pressure injection system while stagnating flow is present. The use of the code for Russian type WWER-440 reactors needs strict conservative approach, and in several cases the accuracy and the reserves to safety margins cannot be determined now. In order to quantify and improve these characteristics experimental validation of the code is needed. An experimental program has been launched at Institute of Nuclear Techniques with the aim of investigating thermal stratification processes and the mixing of plumes in simple geometries. With the comparison and evaluation of measurement and computational fluid dynamics result computational models can be validated. For the experiments a simple hexahedral plexiglas tank (250 x 500 x 100 mm - H x L x D) was fabricated with five nozzles attached, which can be set up as inlets or outlets. With different inlet and outlet setups and temperature differences thermal stratification, plume mixing may be investigated using Particle Image Velocimetry. In the paper comparison of Particle Image Velocimetry measurements carried out on the plexiglas tank and the results of simulations will be presented. For the calculations the ANSYS CFX three-dimensional computational fluid dynamics code was used. (Authors)

  12. Microbial diversity and stratification of South Pacific abyssal marine sediments.

    Science.gov (United States)

    Durbin, Alan M; Teske, Andreas

    2011-12-01

    Abyssal marine sediments cover a large proportion of the ocean floor, but linkages between their microbial community structure and redox stratification have remained poorly constrained. This study compares the downcore gradients in microbial community composition to porewater oxygen and nitrate concentration profiles in an abyssal marine sediment column in the South Pacific Ocean. Archaeal 16S rRNA clone libraries showed a stratified archaeal community that changed from Marine Group I Archaea in the aerobic and nitrate-reducing upper sediment column towards deeply branching, uncultured crenarchaeotal and euryarchaeotal lineages in nitrate-depleted, anaerobic sediment horizons. Bacterial 16S rRNA clone libraries revealed a similar shift on the phylum and subphylum level within the bacteria, from a complex community of Alpha-, Gamma- and Deltaproteobacteria, Actinobacteria and Gemmatimonadetes in oxic surface sediments towards uncultured Chloroflexi and Planctomycetes in the anaerobic sediment column. The distinct stratification of largely uncultured bacterial and archaeal groups within the oxic and nitrate-reducing marine sediment column provides initial constraints for their microbial habitat preferences. © 2011 Society for Applied Microbiology and Blackwell Publishing Ltd.

  13. Revealing the timing of ocean stratification using remotely-sensed ocean fronts: links with marine predators

    Science.gov (United States)

    Miller, P. I.; Loveday, B. R.

    2016-02-01

    Stratification is of critical importance to the mixing and productivity of the ocean, though currently it can only be measured using in situ sampling, profiling buoys or underwater autonomous vehicles. Stratification is understood to affect the surface aggregation of pelagic fish and hence the foraging behaviour and distribution of their predators such as seabirds and cetaceans. Satellite Earth observation sensors cannot directly detect stratification, but can observe surface features related to the presence of stratification, for example shelf-sea fronts that separate tidally-mixed water from seasonally stratified water. This presentation describes a novel algorithm that accumulates evidence for stratification from a sequence of oceanic front maps, and in certain regions can reveal the timing of the seasonal onset and breakdown of stratification. Initial comparisons will be made with seabird locations acquired through GPS tagging. If successful, a remotely-sensed stratification timing index would augment the ocean front metrics already developed at PML, that have been applied in over 20 journal articles relating marine predators to ocean fronts. The figure below shows a preliminary remotely-sensed 'stratification' index, for 25-31 Jul. 2010, where red indicates water with stronger evidence for stratification.

  14. Methods to determine stratification efficiency of thermal energy storage processes–Review and theoretical comparison

    DEFF Research Database (Denmark)

    Haller, Michel; Cruickshank, Chynthia; Streicher, Wolfgang

    2009-01-01

    This paper reviews different methods that have been proposed to characterize thermal stratification in energy storages from a theoretical point of view. Specifically, this paper focuses on the methods that can be used to determine the ability of a storage to promote and maintain stratification...... during charging, storing and discharging, and represent this ability with a single numerical value in terms of a stratification efficiency for a given experiment or under given boundary conditions. Existing methods for calculating stratification efficiencies have been applied to hypothetical storage...

  15. Male Lineages in Brazil: Intercontinental Admixture and Stratification of the European Background

    Science.gov (United States)

    Geppert, Maria; Roewer, Lutz; Palha, Teresinha; Alvarez, Luis; Ribeiro-dos-Santos, Ândrea; Santos, Sidney

    2016-01-01

    The non-recombining nature of the Y chromosome and the well-established phylogeny of Y-specific Single Nucleotide Polymorphisms (Y-SNPs) make them useful for defining haplogroups with high geographical specificity; therefore, they are more apt than the Y-STRs to detect population stratification in admixed populations from diverse continental origins. Different Y-SNP typing strategies have been described to address issues of population history and movements within geographic territories of interest. In this study, we investigated a set of 41 Y-SNPs in 1217 unrelated males from the five Brazilian geopolitical regions, aiming to disclose the genetic structure of male lineages in the country. A population comparison based on pairwise FST genetic distances did not reveal statistically significant differences in haplogroup frequency distributions among populations from the different regions. The genetic differences observed among regions were, however, consistent with the colonization history of the country. The sample from the Northern region presented the highest Native American ancestry (8.4%), whereas the more pronounced African contribution could be observed in the Northeastern population (15.1%). The Central-Western and Southern samples showed the higher European contributions (95.7% and 93.6%, respectively). The Southeastern region presented significant European (86.1%) and African (12.0%) contributions. The subtyping of the most frequent European lineage in Brazil (R1b1a-M269) allowed differences in the genetic European background of the five Brazilian regions to be investigated for the first time. PMID:27046235

  16. The incremental value of brachial flow-mediated dilation measurements in risk stratification for incident cardiovascular events: a systematic review.

    Science.gov (United States)

    Peters, Sanne A E; den Ruijter, Hester M; Bots, Michiel L

    2012-06-01

    Abstract Adequate risk assessment for cardiovascular disease (CVD) is essential as a guide to initiate drug treatment. Current methods based on traditional risk factors could be improved considerably. Although brachial flow-mediated dilation (FMD) predicts subsequent cardiovascular events, its predictive value on top of traditional risk factors is unknown. We performed a systematic review to evaluate the incremental predictive value of FMD on top of traditional risk factors in asymptomatic individuals. Using PubMed and reference tracking, three studies were identified that reported on the incremental value of FMD using change in the area under the curve (AUC). Two large cohort studies found no improvement in AUC when FMD was added to traditional risk prediction models, whereas one small case-control study found an improvement. One study used the net reclassification improvement (NRI) to assess whether FMD measurement leads to correct risk stratification in risk categories. Although this study did not find an improvement in AUC, the NRI was statistically significant. Based on the reclassification results of this study, FMD measurement might be helpful in risk prediction. Evidence supporting the use of FMD measurement in clinical practice for risk stratification for CVD on top of traditional risk factors is limited, and future studies are needed.

  17. [Syncope and work: role of the occupational physician and global risk stratification].

    Science.gov (United States)

    Barbic, F; Angaroni, L; Orlandi, M; Costantino, G; Dipaola, E; Borleri, D; Borchini, R; D'Adda, F; Perego, F; Borella, M; Galli, A; Solbiati, M; Scanella, E; Casazza, G; Seghizzi, P; Furlan, R

    2011-01-01

    Safety risk for subjects suffering from syncope while working has not been as yet addressed by occupational medicine. The present study was aimed at evaluating a new developed methodology for job tasks risk stratification in patients with syncope. During a work-shop on syncope and occupational risk, 149 occupational physicians (OP) with about 10 years of clinical experience were asked to fulfil a Visual Analogue Scale (VAS) concerning the doctor's estimated potential damage (D) to the worker and the probability of a damage to occur (P) should syncope take place during the job task. Five job tasks characterized by different risk for safety (1, driving; 2, toxic products handling; 3, job performed closed to hot surfaces o free flames; 4, surgical activity; 5, office job) were identified. OP correctly stratified the risk associated to the different job tasks in patients with syncope. Unexpectedly, task #3 was given a risk similar to that obtained in drivers. This might be of paramount clinical and social importance when patients with syncope have to return to their job tasks.

  18. Stratification in the lunar regolith - a preliminary view

    International Nuclear Information System (INIS)

    Duke, M.B.; Nagle, J.S.

    1975-01-01

    Although the knowledge of lunar regolith stratification is incomplete, several categories of thick and thin strata have been identified. Relatively thick units average 2 to 3 cm in thickness, and appear surficially to be massive. On more detailed examination, these units can be uniformly fine-grained, can show internal trends, or can show internal variations which apparently are random. Other thick units contain soil clasts apparently reworked from underlying units. Thin laminae average approximately 1 mm in thickness; lenticular distribution and composition of some thin laminae indicates they are fillets shed from adjacent rock fragments. Other dark, fine-grained, well-sorted thin laminae appear to be surficial zones, reworked by micrometeorites. Interpretations of stratigraphic succession can be strengthened by the occurrence of characteristic coarse rock fragments and the orientation of large spatter agglutinates, which are commonly found in their original depositional orientation. (Auth.)

  19. Consensus and stratification in the affective meaning of human sociality.

    Science.gov (United States)

    Ambrasat, Jens; von Scheve, Christian; Conrad, Markus; Schauenburg, Gesche; Schröder, Tobias

    2014-06-03

    We investigate intrasocietal consensus and variation in affective meanings of concepts related to authority and community, two elementary forms of human sociality. Survey participants (n = 2,849) from different socioeconomic status (SES) groups in German society provided ratings of 909 social concepts along three basic dimensions of affective meaning. Results show widespread consensus on these meanings within society and demonstrate that a meaningful structure of socially shared knowledge emerges from organizing concepts according to their affective similarity. The consensus finding is further qualified by evidence for subtle systematic variation along SES differences. In relation to affectively neutral words, high-status individuals evaluate intimacy-related and socially desirable concepts as less positive and powerful than middle- or low-status individuals, while perceiving antisocial concepts as relatively more threatening. This systematic variation across SES groups suggests that the affective meaning of sociality is to some degree a function of social stratification.

  20. Biomarkers for Risk Stratification of Neoplastic Progression in Barrett Esophagus

    Directory of Open Access Journals (Sweden)

    Marjon Kerkhof

    2007-01-01

    Full Text Available Barrett esophagus (BE is caused by chronic gastroesophageal reflux and predisposes to the development of esophageal adenocarcinoma through different grades of dysplasia. Only a subset of BE patients will finally develop esophageal adenocarcinoma. The majority will therefore not benefit from an endoscopic surveillance program, based on the histological identification of dysplasia. Several studies have been performed to find additional biomarkers that can be used to detect the subgroup of patients with an increased risk of developing malignancy in BE. In this review, we will summarize the most promising tissue biomarkers, i.e. proliferation/cell cycle proteins, tumor suppressor genes, adhesion molecules, DNA ploidy status and inflammation associated markers, that can be used for risk stratification in BE, and discuss their respective clinical application.

  1. Deep learning in pharmacogenomics: from gene regulation to patient stratification.

    Science.gov (United States)

    Kalinin, Alexandr A; Higgins, Gerald A; Reamaroon, Narathip; Soroushmehr, Sayedmohammadreza; Allyn-Feuer, Ari; Dinov, Ivo D; Najarian, Kayvan; Athey, Brian D

    2018-05-01

    This Perspective provides examples of current and future applications of deep learning in pharmacogenomics, including: identification of novel regulatory variants located in noncoding domains of the genome and their function as applied to pharmacoepigenomics; patient stratification from medical records; and the mechanistic prediction of drug response, targets and their interactions. Deep learning encapsulates a family of machine learning algorithms that has transformed many important subfields of artificial intelligence over the last decade, and has demonstrated breakthrough performance improvements on a wide range of tasks in biomedicine. We anticipate that in the future, deep learning will be widely used to predict personalized drug response and optimize medication selection and dosing, using knowledge extracted from large and complex molecular, epidemiological, clinical and demographic datasets.

  2. Redox stratification of an ancient lake in Gale crater, Mars.

    Science.gov (United States)

    Hurowitz, J A; Grotzinger, J P; Fischer, W W; McLennan, S M; Milliken, R E; Stein, N; Vasavada, A R; Blake, D F; Dehouck, E; Eigenbrode, J L; Fairén, A G; Frydenvang, J; Gellert, R; Grant, J A; Gupta, S; Herkenhoff, K E; Ming, D W; Rampe, E B; Schmidt, M E; Siebach, K L; Stack-Morgan, K; Sumner, D Y; Wiens, R C

    2017-06-02

    In 2012, NASA's Curiosity rover landed on Mars to assess its potential as a habitat for past life and investigate the paleoclimate record preserved by sedimentary rocks inside the ~150-kilometer-diameter Gale impact crater. Geological reconstructions from Curiosity rover data have revealed an ancient, habitable lake environment fed by rivers draining into the crater. We synthesize geochemical and mineralogical data from lake-bed mudstones collected during the first 1300 martian solar days of rover operations in Gale. We present evidence for lake redox stratification, established by depth-dependent variations in atmospheric oxidant and dissolved-solute concentrations. Paleoclimate proxy data indicate that a transition from colder to warmer climate conditions is preserved in the stratigraphy. Finally, a late phase of geochemical modification by saline fluids is recognized. Copyright © 2017, American Association for the Advancement of Science.

  3. The stability and stratification of a quantum liquid mixture

    International Nuclear Information System (INIS)

    Yukalov, V.I.

    1980-01-01

    A mixture of quantum liquids was investigated microscopically. The spectrum of collective excitations at finite temperature was determined. The form of the spectrum demonstrates whether there is a stability or stratification of the mixture. The influence of a relative motion of liquids on the spectrum was considered. It was demonstrated that beginning with some finite momentun, the spectrum of each component of the solution splits into two branches, one of which continues the spectrum into the single-particle region. The dynamic susceptibility, the dynamic form-factor, the coefficients of compressibility and the structure factor for the mixture of two Bose liquids were obtained. The integral relations that generalize some rules concerning the binary Bose solution was established. (author)

  4. The Social ecology of Madrid: Stratification in comparative perspective.

    Science.gov (United States)

    Abrahamson, M; Johnson, P

    1974-08-01

    This paper examines the characteristics of residential zones in Madrid, Spain. The primary difference between zones is found to lie in a new bourgeoisie life-style dimension. Working women are found to be the best indicator of this dimension, which also involves servants, natives of Madrid and high degrees of literacy. Fertility-related considerations, however, are unrelated to working women, and this is explained as due to the availability of domestic help and "women-oriented" working arrangements. Fertility and socioeconomic status are found to be interrelated and constitute a second dimension of residential segregation. In conclusion, Madrid is examined in relation to both more and less industrialized cities, leading to a further modification of social area theory contentions concerning the ecology of stratification in developing cities.

  5. Stratification-Based Outlier Detection over the Deep Web.

    Science.gov (United States)

    Xian, Xuefeng; Zhao, Pengpeng; Sheng, Victor S; Fang, Ligang; Gu, Caidong; Yang, Yuanfeng; Cui, Zhiming

    2016-01-01

    For many applications, finding rare instances or outliers can be more interesting than finding common patterns. Existing work in outlier detection never considers the context of deep web. In this paper, we argue that, for many scenarios, it is more meaningful to detect outliers over deep web. In the context of deep web, users must submit queries through a query interface to retrieve corresponding data. Therefore, traditional data mining methods cannot be directly applied. The primary contribution of this paper is to develop a new data mining method for outlier detection over deep web. In our approach, the query space of a deep web data source is stratified based on a pilot sample. Neighborhood sampling and uncertainty sampling are developed in this paper with the goal of improving recall and precision based on stratification. Finally, a careful performance evaluation of our algorithm confirms that our approach can effectively detect outliers in deep web.

  6. Career on the Move: Geography, Stratification, and Scientific Impact

    Science.gov (United States)

    Deville, Pierre; Wang, Dashun; Sinatra, Roberta; Song, Chaoming; Blondel, Vincent D.; Barabási, Albert-László

    2014-04-01

    Changing institutions is an integral part of an academic life. Yet little is known about the mobility patterns of scientists at an institutional level and how these career choices affect scientific outcomes. Here, we examine over 420,000 papers, to track the affiliation information of individual scientists, allowing us to reconstruct their career trajectories over decades. We find that career movements are not only temporally and spatially localized, but also characterized by a high degree of stratification in institutional ranking. When cross-group movement occurs, we find that while going from elite to lower-rank institutions on average associates with modest decrease in scientific performance, transitioning into elite institutions does not result in subsequent performance gain. These results offer empirical evidence on institutional level career choices and movements and have potential implications for science policy.

  7. Rumen content stratification in the giraffe (Giraffa camelopardalis).

    Science.gov (United States)

    Sauer, Cathrine; Clauss, Marcus; Bertelsen, Mads F; Weisbjerg, Martin R; Lund, Peter

    2017-01-01

    Ruminants differ in the degree of rumen content stratification, with 'cattle-types' (i.e., the grazing and intermediate feeding ruminants) having stratified content, whereas 'moose-types' (i.e., the browsing ruminants) have unstratified content. The feeding ecology, as well as the digestive morphophysiology of the giraffe (Giraffa camelopardalis), suggest that it is a 'moose-type' ruminant. Correspondingly, the giraffe should have an unstratified rumen content and an even rumen papillation pattern. Digesta samples were collected from along the digestive tract of 27 wild-caught giraffes kept in bomas for up to 2months, and 10 giraffes kept in zoological gardens throughout their lives. Samples were analysed for concentration of dry matter, fibre fractions, volatile fatty acids and NH 3 , as well as mean particle size and pH. There was no difference between the dorsal and ventral rumen region in any of these parameters, indicating homogenous rumen content in the giraffes. In addition to the digesta samples, samples of dorsal rumen, ventral rumen and atrium ruminis mucosa were collected and the papillary surface enlargement factor was determined, as a proxy for content stratification. The even rumen papillation pattern observed also supported the concept of an unstratified rumen content in giraffes. Zoo giraffes had a slightly more uneven papillation pattern than boma giraffes. This finding could not be matched by differences in physical characteristics of the rumen content, probably due to an influence of fasting time ante mortem on these parameters. Copyright © 2016 Elsevier Inc. All rights reserved.

  8. Novel biomarkers for risk stratification in pulmonary arterial hypertension

    Directory of Open Access Journals (Sweden)

    Thomas Zelniker

    2015-10-01

    Full Text Available Risk stratification in pulmonary arterial hypertension (PAH is paramount to identifying individuals at highest risk of death. So far, there are only limited parameters for prognostication in patients with PAH. 95 patients with confirmed PAH were included in the present analysis and followed for a total of 4 years. Blood samples were analysed for serum levels of N-terminal pro-brain natriuretic peptide, high-sensitivity troponin T (hsTnT, pro-atrial natriuretic peptide (proANP, growth differentiation factor 15, soluble fms-like tyrosine kinase 1 and placental growth factor. 27 (28.4% patients died during a follow-up of 4 years. Levels of all tested biomarkers, except for placental growth factor, were significantly elevated in nonsurvivors compared with survivors. Receiver operating characteristic analyses demonstrated that cardiac biomarkers had the highest power in predicting mortality. In particular, proANP exhibited the highest area under the curve, followed by N-terminal pro-brain natriuretic peptide and hsTnT. Furthermore, proANP and hsTnT added significant additive prognostic value to the established markers in categorical and continuous net reclassification index. Moreover, after Cox regression, proANP (hazard ratio (HR 1.91, hsTnT (HR 1.41, echocardiographic right ventricular impairment (HR 1.30 and 6-min walk test (HR 0.97 per 10 m remained the only significant parameters in prognostication of mortality. Our data suggest benefits of the implementation of proANP and hsTnT as additive biomarkers for risk stratification in patients with PAH.

  9. On Stratification in Changing Higher Education: The "Analysis of Status" Revisited

    Science.gov (United States)

    Bloch, Roland; Mitterle, Alexander

    2017-01-01

    This article seeks to shed light on current dynamics of stratification in changing higher education and proposes an analytical perspective to account for these dynamics based on Martin Trow's work on "the analysis of status." In research on higher education, the term "stratification" is generally understood as a metaphor that…

  10. Near-Surface Effects of Free Atmosphere Stratification in Free Convection

    NARCIS (Netherlands)

    Mellado, Juan Pedro; Heerwaarden, van C.C.; Garcia, Jade Rachele

    2016-01-01

    The effect of a linear stratification in the free atmosphere on near-surface properties in a free convective boundary layer (CBL) is investigated by means of direct numerical simulation. We consider two regimes: a neutral stratification regime, which represents a CBL that grows into a residual

  11. Acoustic study of stratification region of melts in In-Se system

    International Nuclear Information System (INIS)

    Glazov, V.M.; Kim, S.G.; Nurova, K.B.

    1989-01-01

    Stratification region of melts in In-Se system was studied in detail with the use of the method of measuring ultrasound velocity. The curve, limiting the region of stratification into two liquid solutions was plotted. It is shown that the curve is characterized as symmetrical finodal

  12. Observed variations in stratification and currents in the Zuari estuary, west coast of India

    Digital Repository Service at National Institute of Oceanography (India)

    Sundar, D.; Unnikrishnan, A.S.; Michael, G.S.; Kankonkar, A.; Nidheesh, A.G.; Subeesh, M.P.

    in stratification at different time scales (daily, spring–neap cycle and seasonal) are described. In the mixed tidal regime with semi-diurnal dominance, stratification at higher low water succeeding lower high water is more intense than that at lower low water...

  13. Economic Stratification Differentiates Home Gardens in the Maya Village of Pomuch, Mexico

    NARCIS (Netherlands)

    Poot-Pool, W.S.; Wal, van der J.C.; Flores-Guido, S.; Pat-Fernández, J.M.; Esparza-Olguín, L.

    2012-01-01

    Economic Stratification Differentiates Home Gardens in the Maya Village of Pomuch, Mexico. In this paper, we analyze if economic stratification of peasant families in a Maya village in the Yucatán Peninsula of Mexico influences species composition and structure of home gardens. Our general

  14. Relationship between thermal stratification and flow patterns in steam-quenching suppression pool

    International Nuclear Information System (INIS)

    Song, Daehun; Erkan, Nejdet; Jo, Byeongnam; Okamoto, Koji

    2015-01-01

    Highlights: • Thermal stratification mechanism by direct contact condensation is investigated. • Thermal stratification condition changes according to the flow pattern. • Thermal stratification depends on the force balance between buoyancy and momentum. • Flow pattern change was observed even in the same regime. • Flow pattern is affected by the sensitive force balance. - Abstract: This study aims to examine the relationship between thermal stratification and flow patterns in a steam-quenching suppression pool using particle image velocimetry. Thermal stratification was experimentally evaluated in a depressurized water pool under different steam mass flux conditions. The time evolution of the temperature profile of the suppression pool was presented with the variation of condensation regimes, and steam condensation processes were visualized using a high-speed camera. The thermal stratification condition was classified into full mixing, gradual thermal stratification, and developed thermal stratification. It was found that the condition was determined by the flow patterns depending on the force balance between buoyancy and momentum. The force balance affected both the condensation regime and the flow pattern, and hence, the flow pattern was changed with the condensation regime. However, the force balance had a sensitive influence on the flow in the pool; therefore, distinct flow patterns were observed even in the same condensation regime.

  15. Monitoring of coolant temperature stratification on piping components in WWER-440 NPPs

    International Nuclear Information System (INIS)

    Hudcovsky, S.; Slanina, M.; Badiar, S.

    2001-01-01

    The presentation deals with the aims of non-standard temperature measurements installed on primary and secondary circuit in WWER-440 NPPs, explains reasons of coolant temperature stratification on the piping components. It describes methods of the measurements on pipings, range of installation of the temperature measurements in EBO and EMO units and illustrates results of measurements of coolant temperature stratification. (Authors)

  16. Preliminary genome-wide association study of bipolar disorder in the Japanese population.

    Science.gov (United States)

    Hattori, Eiji; Toyota, Tomoko; Ishitsuka, Yuichi; Iwayama, Yoshimi; Yamada, Kazuo; Ujike, Hiroshi; Morita, Yukitaka; Kodama, Masafumi; Nakata, Kenji; Minabe, Yoshio; Nakamura, Kazuhiko; Iwata, Yasuhide; Takei, Nori; Mori, Norio; Naitoh, Hiroshi; Yamanouchi, Yoshio; Iwata, Nakao; Ozaki, Norio; Kato, Tadafumi; Nishikawa, Toru; Kashiwa, Atsushi; Suzuki, Mika; Shioe, Kunihiko; Shinohara, Manabu; Hirano, Masami; Nanko, Shinichiro; Akahane, Akihisa; Ueno, Mikako; Kaneko, Naoshi; Watanabe, Yuichiro; Someya, Toshiyuki; Hashimoto, Kenji; Iyo, Masaomi; Itokawa, Masanari; Arai, Makoto; Nankai, Masahiro; Inada, Toshiya; Yoshida, Sumiko; Kunugi, Hiroshi; Nakamura, Michiko; Iijima, Yoshimi; Okazaki, Yuji; Higuchi, Teruhiko; Yoshikawa, Takeo

    2009-12-05

    Recent progress in genotyping technology and the development of public databases has enabled large-scale genome-wide association tests with diseases. We performed a two-stage genome-wide association study (GWAS) of bipolar disorder (BD) in Japanese cohorts. First we used Affymetrix 100K GeneChip arrays in the analysis of 107 cases with bipolar I disorder and 107 controls, and selected markers that were nominally significant (P < 0.01) in at least one of the three models (1,577 markers in total). In the follow-up stage, we analyzed these markers using an Illumina platform (1,526 markers; 51 markers were not designable for the platform) and an independent sample set, which consisted of 395 cases (bipolar I + II) and 409 controls. We also assessed the population stratification of current samples using principal components analysis. After the two-stage analysis, 89 markers remained nominally significant (allelic P < 0.05) with the same allele being consistently over-represented in both the first and the follow-up stages. However, none of these were significant after correction for multiple-testing by false discovery rates. Sample stratification was virtually negligible. Collectively, this is the first GWAS of BD in the Japanese population. But given the small sample size and the limited genomic coverage, these results should be taken as preliminary. 2009 Wiley-Liss, Inc.

  17. Experimental studies on the thermal stratification and its influence on BLEVEs

    Energy Technology Data Exchange (ETDEWEB)

    Lin, Wensheng; Gong, Yanwu; Gao, Ting; Gu, Anzhong; Lu, Xuesheng [Institute of Refrigeration and Cryogenics, Shanghai Jiao Tong University, Shanghai 200240 (China)

    2010-10-15

    The thermal stratification of Liquefied Petroleum Gas (LPG) and its effect on the occurrence of the boiling liquid expanding vapor explosion (BLEVE) have been investigated experimentally. Stratifications in liquid and vapor occur when the LPG tank is heated. The degree of the liquid stratification {beta} increases with an increasing heat flux and decreasing filling ratio. The effect of stratification on the BLEVE has been examined with depressurization tests of LPG. The results show that the pressure recovery for the stratified LPG ({beta} = 1.4) upon sudden depressurization is much lower than that for the isothermal LPG ({beta} = 1). It can be concluded that the liquid stratification decreases the liquid energy and the occurrence of the BLEVE. (author)

  18. Genetic association between NRG1 and schizophrenia, major depressive disorder, bipolar disorder in Han Chinese population.

    Science.gov (United States)

    Wen, Zujia; Chen, Jianhua; Khan, Raja Amjad Waheed; Song, Zhijian; Wang, Meng; Li, Zhiqiang; Shen, Jiawei; Li, Wenjin; Shi, Yongyong

    2016-04-01

    Schizophrenia, major depressive disorder, and bipolar disorder are three major psychiatric disorders affecting around 0.66%, 3.3%, and 1.5% of the Han Chinese population respectively. Several genetic linkage analyses and genome wide association studies identified NRG1 as a susceptibility gene of schizophrenia, which was validated by its role in neurodevelopment, glutamate, and other neurotransmitter receptor expression regulation. To further investigate whether NRG1 is a shared risk gene for major depressive disorder, bipolar disorder as well as schizophrenia, we performed an association study among 1,248 schizophrenia cases, 1,056 major depression cases, 1,344 bipolar disorder cases, and 1,248 controls. Totally 15 tag SNPs were genotyped and analyzed, and no population stratification was found in our sample set. Among the sites, rs4236710 (corrected Pgenotye  = 0.015) and rs4512342 (Pallele  = 0.03, Pgenotye  = 0.045 after correction) were associated with schizophrenia, and rs2919375 (corrected Pgenotye  = 0.004) was associated with major depressive disorder. The haplotype rs4512342-rs6982890 showed association with schizophrenia (P = 0.03 for haplotype "TC" after correction), and haplotype rs4531002-rs11989919 proved to be a shared risk factor for both major depressive disorder ("CC": corrected P = 0.009) and bipolar disorder ("CT": corrected P = 0.003). Our results confirmed that NRG1 was a shared common susceptibility gene for major mental disorders in Han Chinese population. © 2016 Wiley Periodicals, Inc.

  19. Pre-treatment risk stratification of prostate cancer patients: A critical review.

    Science.gov (United States)

    Rodrigues, George; Warde, Padraig; Pickles, Tom; Crook, Juanita; Brundage, Michael; Souhami, Luis; Lukka, Himu

    2012-04-01

    The use of accepted prostate cancer risk stratification groups based on prostate-specific antigen, T stage and Gleason score assists in therapeutic treatment decision-making, clinical trial design and outcome reporting. The utility of integrating novel prognostic factors into an updated risk stratification schema is an area of current debate. The purpose of this work is to critically review the available literature on novel pre-treatment prognostic factors and alternative prostate cancer risk stratification schema to assess the feasibility and need for changes to existing risk stratification systems. A systematic literature search was conducted to identify original research publications and review articles on prognostic factors and risk stratification in prostate cancer. Search terms included risk stratification, risk assessment, prostate cancer or neoplasms, and prognostic factors. Abstracted information was assessed to draw conclusions regarding the potential utility of changes to existing risk stratification schema. The critical review identified three specific clinically relevant potential changes to the most commonly used three-group risk stratification system: (1) the creation of a very-low risk category; (2) the splitting of intermediate-risk into a low- and high-intermediate risk groups; and (3) the clarification of the interface between intermediate- and high-risk disease. Novel pathological factors regarding high-grade cancer, subtypes of Gleason score 7 and percentage biopsy cores positive were also identified as potentially important risk-stratification factors. Multiple studies of prognostic factors have been performed to create currently utilized prostate cancer risk stratification systems. We propose potential changes to existing systems.

  20. NWS Corrections to Observations

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Form B-14 is the National Weather Service form entitled 'Notice of Corrections to Weather Records.' The forms are used to make corrections to observations on forms...

  1. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... more surgeries depending on the extent of the repair needed. Click here to find out more. Corrective ... more surgeries depending on the extent of the repair needed. Click here to find out more. Corrective ...

  2. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... Jaw Surgery Download Download the ebook for further information Corrective jaw, or orthognathic surgery is performed by ... your treatment. Correction of Common Dentofacial Deformities ​ ​ The information provided here is not intended as a substitute ...

  3. Class action litigation in correctional psychiatry.

    Science.gov (United States)

    Metzner, Jeffrey L

    2002-01-01

    Class action litigation has been instrumental in jail and prison reform during the past two decades. Correctional mental health systems have significantly benefited from such litigation. Forensic psychiatrists have been crucial in the litigation process and the subsequent evolution of correctional mental health care systems. This article summarizes information concerning basic demographics of correctional populations and costs of correctional health care and provides a brief history of such litigation. The role of psychiatric experts, with particular reference to standards of care, is described. Specifically discussed are issues relevant to suicide prevention, the prevalence of mentally ill inmates in supermax prisons, and discharge planning.

  4. Japanese Structure Survey of Radiation Oncology in 2005 Based on Institutional Stratification of Patterns of Care Study

    International Nuclear Information System (INIS)

    Teshima, Teruki; Numasaki, Hodaka; Shibuya, Hitoshi; Nishio, Masamichi; Ikeda, Hiroshi; Ito, Hisao; Sekiguchi, Kenji; Kamikonya, Norihiko; Koizumi, Masahiko; Tago, Masao; Nagata, Yasushi; Masaki, Hidekazu; Nishimura, Tetsuo; Yamada, Shogo

    2008-01-01

    Purpose: To evaluate the structure of radiation oncology in Japan in terms of equipment, personnel, patient load, and geographic distribution to identify and improve any deficiencies. Methods and Materials: A questionnaire-based national structure survey was conducted between March 2006 and February 2007 by the Japanese Society of Therapeutic Radiology and Oncology. These data were analyzed in terms of the institutional stratification of the Patterns of Care Study. Results: The total numbers of new cancer patients and total cancer patients (new and repeat) treated with radiotherapy in 2005 were estimated at approximately 162,000 and 198,000, respectively. In actual use were 765 linear accelerators, 11 telecobalt machines, 48 GammaKnife machines, 64 60 Co remote-controlled after-loading systems, and 119 192 Ir remote-controlled after-loading systems. The linear accelerator systems used dual-energy function in 498 systems (65%), three-dimensional conformal radiotherapy in 462 (60%), and intensity-modulated radiotherapy in 170 (22%). There were 426 Japanese Society of Therapeutic Radiology and Oncology-certified radiation oncologists, 774 full-time equivalent radiation oncologists, 117 medical physicists, and 1,635 radiation therapists. Geographically, a significant variation was found in the use of radiotherapy, from 0.9 to 2.1 patients/1,000 population. The annual patient load/FTE radiation oncologist was 247, exceeding the Blue Book guidelines level. Patterns of Care Study stratification can clearly discriminate the maturity of structures according to their academic nature and caseload. Conclusions: The Japanese structure has clearly improved during the past 15 years in terms of equipment and its use, although the shortage of manpower and variations in maturity disclosed by this Patterns of Care Study stratification remain problematic. These constitute the targets for nationwide improvement in quality assurance and quality control

  5. A probabilistic topic model for clinical risk stratification from electronic health records.

    Science.gov (United States)

    Huang, Zhengxing; Dong, Wei; Duan, Huilong

    2015-12-01

    Risk stratification aims to provide physicians with the accurate assessment of a patient's clinical risk such that an individualized prevention or management strategy can be developed and delivered. Existing risk stratification techniques mainly focus on predicting the overall risk of an individual patient in a supervised manner, and, at the cohort level, often offer little insight beyond a flat score-based segmentation from the labeled clinical dataset. To this end, in this paper, we propose a new approach for risk stratification by exploring a large volume of electronic health records (EHRs) in an unsupervised fashion. Along this line, this paper proposes a novel probabilistic topic modeling framework called probabilistic risk stratification model (PRSM) based on Latent Dirichlet Allocation (LDA). The proposed PRSM recognizes a patient clinical state as a probabilistic combination of latent sub-profiles, and generates sub-profile-specific risk tiers of patients from their EHRs in a fully unsupervised fashion. The achieved stratification results can be easily recognized as high-, medium- and low-risk, respectively. In addition, we present an extension of PRSM, called weakly supervised PRSM (WS-PRSM) by incorporating minimum prior information into the model, in order to improve the risk stratification accuracy, and to make our models highly portable to risk stratification tasks of various diseases. We verify the effectiveness of the proposed approach on a clinical dataset containing 3463 coronary heart disease (CHD) patient instances. Both PRSM and WS-PRSM were compared with two established supervised risk stratification algorithms, i.e., logistic regression and support vector machine, and showed the effectiveness of our models in risk stratification of CHD in terms of the Area Under the receiver operating characteristic Curve (AUC) analysis. As well, in comparison with PRSM, WS-PRSM has over 2% performance gain, on the experimental dataset, demonstrating that

  6. Degree of Agreement between Cardiovascular Risk Stratification Tools.

    Science.gov (United States)

    Garcia, Guilherme Thomé; Stamm, Ana Maria Nunes de Faria; Rosa, Ariel Córdova; Marasciulo, Antônio Carlos; Marasciulo, Rodrigo Conill; Battistella, Cristian; Remor, Alexandre Augusto de Costa

    2017-05-01

    Cardiovascular disease (CVD) is the leading cause of morbidity and mortality in Brazil, and primary prevention care may be guided by risk stratification tools. The Framingham (FRS) and QRISK-2 (QRS) risk scores estimate 10-year overall cardiovascular risk in asymptomatic individuals, but the instrument of choice may lead to different therapeutic strategies. To evaluate the degree of agreement between FRS and QRS in 10-year overall cardiovascular risk stratification in disease-free individuals. Cross-sectional, observational, descriptive and analytical study in a convenience sample of 74 individuals attending the outpatient care service of a university hospital in Brazil between January 2014 and January 2015. After application of FRS and QRS, patients were classified in low/moderate risk (Brasil, e a prevenção primária pode ser direcionada com ferramentas que estratificam o risco. Os escores de Framingham (ERF) e QRISK-2 (ERQ) estimam o risco cardiovascular (RCV) global em 10 anos em indivíduos assintomáticos, mas a escolha do instrumento pode implicar em terapêuticas distintas. Observar o grau de concordância entre o ERF e o ERQ, na estratificação do risco cardiovascular global em 10 anos, nos indivíduos livres da doença. Estudo transversal, observacional, descritivo e analítico, com uma amostra de conveniência de 74 indivíduos, atendidos em um ambulatório de ensino de um hospital universitário brasileiro, no sul do país, de janeiro de 2014 a janeiro de 2015. O ERF e o ERQ foram aplicados nos pacientes, que foram classificados em baixo/moderado (superior no ERF que no ERQ (33,7% vs 21,6%), sendo identificado efeito sinérgico do gênero masculino com hipertensão arterial sistêmica nas duas ferramentas, e com faixa etária geriátrica no ERQ (p < 0,05) nesse estrato de risco. O índice de concordância Kappa entre os dois escores foi igual a 0,519 (IC95% = 0,386-0,652; p < 0,001). Houve concordância moderada entre o ERF e o ERQ, na estimativa de

  7. Simulation benchmark based on THAI-experiment on dissolution of a steam stratification by natural convection

    Energy Technology Data Exchange (ETDEWEB)

    Freitag, M., E-mail: freitag@becker-technologies.com; Schmidt, E.; Gupta, S.; Poss, G.

    2016-04-01

    Highlights: . • We studied the generation and dissolution of steam stratification in natural convection. • We performed a computer code benchmark including blind and open phases. • The dissolution of stratification predicted only qualitatively by LP and CFD models during the blind simulation phase. - Abstract: Locally enriched hydrogen as in stratification may contribute to early containment failure in the course of severe nuclear reactor accidents. During accident sequences steam might accumulate as well to stratifications which can directly influence the distribution and ignitability of hydrogen mixtures in containments. An international code benchmark including Computational Fluid Dynamics (CFD) and Lumped Parameter (LP) codes was conducted in the frame of the German THAI program. Basis for the benchmark was experiment TH24.3 which investigates the dissolution of a steam layer subject to natural convection in the steam-air atmosphere of the THAI vessel. The test provides validation data for the development of CFD and LP models to simulate the atmosphere in the containment of a nuclear reactor installation. In test TH24.3 saturated steam is injected into the upper third of the vessel forming a stratification layer which is then mixed by a superposed thermal convection. In this paper the simulation benchmark will be evaluated in addition to the general discussion about the experimental transient of test TH24.3. Concerning the steam stratification build-up and dilution of the stratification, the numerical programs showed very different results during the blind evaluation phase, but improved noticeable during open simulation phase.

  8. Variability of stratification according to operation of the tidal power plant in Lake Sihwa, South Korea.

    Science.gov (United States)

    Woo, S. B.; Song, J. I.; Jang, T. H.; Park, C. J.; Kwon, H. K.

    2017-12-01

    Artificial forcing according to operation of the tidal power plant (TPP) affects the physical environmental changes near the power plant. Strong turbulence by generation is expected to change the stratification structure of the Lake Sihwa inside. In order to examine the stratification changes by the power plant operation, ship bottom mounted observation were performed for 13 hours using an acoustic Doppler current profiler (ADCP) and Conductivity-Temperature-Depth (CTD) in Lake Sihwa at near TPP. The strong stratification in Sihwa Lake is maintained before TPP operation. The absence of external forces and freshwater inflow from the land forms the stratification in the Lake. Strong winds in a stratification statement lead to two-layer circulation. After wind event, multi-layer velocity structure is formed which lasted for approximately 4 h. After TPP operation, the jet flow was observed in entire water column at the beginning of the power generation. Vortex is formed by strong jet flow and maintained throughout during power generation period. Strong turbulence flow is generated by the turbine blades, enhancing vertical mixing. External forces, which dominantly affect Lake Sihwa, have changed from the wind to the turbulent flow. The stratification was extinguished by strong turbulent flow and becomes fully-mixed state. Changes in stratification structure are expected to affect material transport and ecological environment change continuously.

  9. Experiments and MPS analysis of stratification behavior of two immiscible fluids

    Energy Technology Data Exchange (ETDEWEB)

    Li, Gen, E-mail: ligen@fuji.waseda.jp [Cooperative Major in Nuclear Energy, Waseda University, 3-4-1, Okubo, Shinjuku-ku, Tokyo 169-8555 (Japan); Oka, Yoshiaki [Cooperative Major in Nuclear Energy, Waseda University, 3-4-1, Okubo, Shinjuku-ku, Tokyo 169-8555 (Japan); Furuya, Masahiro; Kondo, Masahiro [Nuclear Technology Research Laboratory, Central Research Institute of Electric Power Industry (CRIEPI), 2-11-1 Iwado-kita, Komae, Tokyo 201-8511 (Japan)

    2013-12-15

    Highlights: • Improving numerical stability of MPS method. • Implicitly calculating viscous term in momentum equation for highly viscous fluids. • Validation of the enhanced MPS method by analyzing dam break problem. • Various stratification behavior analysis by experiments and simulations. • Sensitivity analysis of the effects of the fluid viscosity and density difference. - Abstract: Stratification behavior is of great significance in the late in-vessel stage of core melt severe accident of a nuclear reactor. Conventional numerical methods have difficulties in analyzing stratification process accompanying with free surface without depending on empirical correlations. The Moving Particle Semi-implicit (MPS) method, which calculates free surface and multiphase flow without empirical equations, is applicable for analyzing the stratification behavior of fluids. In the present study, the original MPS method was improved to simulate the stratification behavior of two immiscible fluids. The improved MPS method was validated through simulating classical dam break problem. Then, the stratification processes of two fluid columns and injected fluid were investigated through experiments and simulations, using silicone oil and salt water as the simulant materials. The effects of fluid viscosity and density difference on stratification behavior were also sensitively investigated by simulations. Typical fluid configurations at various parametric and geometrical conditions were observed and well predicted by improved MPS method.

  10. The Effect of Barotropic and Baroclinic Tides on Coastal Stratification and Mixing

    Science.gov (United States)

    Suanda, S. H.; Feddersen, F.; Kumar, N.

    2017-12-01

    The effects of barotropic and baroclinic tides on subtidal stratification and vertical mixing are examined with high-resolution, three-dimensional numerical simulations of the Central Californian coastal upwelling region. A base simulation with realistic atmospheric and regional-scale boundary forcing but no tides (NT) is compared to two simulations with the addition of predominantly barotropic local tides (LT) and with combined barotropic and remotely generated, baroclinic tides (WT) with ≈ 100 W m-1 onshore baroclinic energy flux. During a 10 day period of coastal upwelling when the domain volume-averaged temperature is similar in all three simulations, LT has little difference in subtidal temperature and stratification compared to NT. In contrast, the addition of remote baroclinic tides (WT) reduces the subtidal continental shelf stratification up to 50% relative to NT. Idealized simulations to isolate barotropic and baroclinic effects demonstrate that within a parameter space of typical U.S. West Coast continental shelf slopes, barotropic tidal currents, incident energy flux, and subtidal stratification, the dissipating baroclinic tide destroys stratification an order of magnitude faster than barotropic tides. In WT, the modeled vertical temperature diffusivity at the top (base) of the bottom (surface) boundary layer is increased up to 20 times relative to NT. Therefore, the width of the inner-shelf (region of surface and bottom boundary layer overlap) is increased approximately 4 times relative to NT. The change in stratification due to dissipating baroclinic tides is comparable to the magnitude of the observed seasonal cycle of stratification.

  11. Structural evaluation method study and procedure development for pressurizer surge line subjected to thermal stratification phenomenon

    International Nuclear Information System (INIS)

    Zhang Yixiong; Yu Xiaofei; Ai Honglei

    2014-01-01

    Thermal stratification phenomenon of pressurizer surge line can lead potential threaten to plant safety. Base on the mechanism of thermal stratification occurrence, Fr number is used to judge whether the stratification occurs or not. Also the method of calculating heat transfer coefficient is investigated. Theoretically the 3-dimension thermal stress induced by thermal stratification is decoupled to 1-dimension global stress and 2-dimension local stress, and the complex 3-dimension problem is simplified into a combination of 1-dimension and 2-dimension to compute the stress. Comply with criterion RCC-M, the complete structure integrity evaluation is accomplished after combining the stress produced by thermal stratification and the stresses produced by the other loadings. In order to match the above combined analysis method, Code SYSTUS and ROCOCO are developed. By means of aforesaid evaluation method and corresponding analysis program, surge line thermal stratification of Qinshan Phase II Extension project is investigated in this paper. And the results show that structural integrity of the pressurizer surge line affected by thermal stratification still satisfies criterion RCC-M. (authors)

  12. Thermal stratification in a scaled-down suppression pool of the Fukushima Daiichi nuclear power plants

    Energy Technology Data Exchange (ETDEWEB)

    Jo, Byeongnam, E-mail: jo@vis.t.u-tokyo.ac.jp [Nuclear Professional School, The University of Tokyo, 2-22 Shirakata, Tokai-mura, Ibaraki 319-1188 (Japan); Erkan, Nejdet [Nuclear Professional School, The University of Tokyo, 2-22 Shirakata, Tokai-mura, Ibaraki 319-1188 (Japan); Takahashi, Shinji [Department of Nuclear Engineering and Management, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8656 (Japan); Song, Daehun [Nuclear Professional School, The University of Tokyo, 2-22 Shirakata, Tokai-mura, Ibaraki 319-1188 (Japan); Hyundai and Kia Corporate R& D Division, Hyundai Motors, 772-1, Jangduk-dong, Hwaseong-Si, Gyeonggi-Do 445-706 (Korea, Republic of); Sagawa, Wataru; Okamoto, Koji [Nuclear Professional School, The University of Tokyo, 2-22 Shirakata, Tokai-mura, Ibaraki 319-1188 (Japan)

    2016-08-15

    Highlights: • Thermal stratification was reproduced in a scaled-down suppression pool of the Fukushima Daiichi nuclear power plants. • Horizontal temperature profiles were uniform in the toroidal suppression pool. • Subcooling-steam flow rate map of thermal stratification was obtained. • Steam bubble-induced flow model in suppression pool was suggested. • Bubble frequency strongly depends on the steam flow rate. - Abstract: Thermal stratification in the suppression pool of the Fukushima Daiichi nuclear power plants was experimentally investigated in sub-atmospheric pressure conditions using a 1/20 scale torus shaped setup. The thermal stratification was reproduced in the scaled-down suppression pool and the effect of the steam flow rate on different thermal stratification behaviors was examined for a wide range of steam flow rates. A sparger-type steam injection pipe that emulated Fukushima Daiichi Unit 3 (F1U3) was used. The steam was injected horizontally through 132 holes. The development (formation and disappearance) of thermal stratification was significantly affected by the steam flow rate. Interestingly, the thermal stratification in the suppression pool vanished when subcooling became lower than approximately 5 °C. This occurred because steam bubbles are not well condensed at low subcooling temperatures; therefore, those bubbles generate significant upward momentum, leading to mixing of the water in the suppression pool.

  13. Implementing system-wide risk stratification approaches: A review of critical success and failure factors.

    Science.gov (United States)

    Huckel Schneider, Carmen; Gillespie, James A; Wilson, Andrew

    2017-05-01

    Risk stratification has become a widely used tool for linking people identified at risk of health deterioration to the most appropriate evidence-based care. This article systematically reviews recent literature to determine key factors that have been identified as critical enablers and/or barriers to successful implementation of risk stratification tools at a system level. A systematic search found 23 articles and four promising protocols for inclusion in the review, covering the use to 20 different risk stratification tools. These articles reported on only a small fraction of the risk stratification tools used in health systems; suggesting that while the development and statistical validation of risk stratification algorithms is widely reported, there has been little published evaluation of how they are implemented in real-world settings. Controlled studies provided some evidence that the use of risk stratification tools in combination with a care management plan offer patient benefits and that the use of a risk stratification tool to determine components of a care management plan may contribute to reductions in hospital readmissions, patient satisfaction and improved patient outcomes. Studies with the strongest focus on implementation used qualitative and case study methods. Among these, the literature converged on four key areas of implementation that were found to be critical for overcoming barriers to success: the engagement of clinicians and safeguarding equity, both of which address barriers of acceptance; the health system context to address administrative, political and system design barriers; and data management and integration to address logistical barriers.

  14. Revealing the timing of ocean stratification using remotely sensed ocean fronts

    Science.gov (United States)

    Miller, Peter I.; Loveday, Benjamin R.

    2017-10-01

    Stratification is of critical importance to the circulation, mixing and productivity of the ocean, and is expected to be modified by climate change. Stratification is also understood to affect the surface aggregation of pelagic fish and hence the foraging behaviour and distribution of their predators such as seabirds and cetaceans. Hence it would be prudent to monitor the stratification of the global ocean, though this is currently only possible using in situ sampling, profiling buoys or underwater autonomous vehicles. Earth observation (EO) sensors cannot directly detect stratification, but can observe surface features related to the presence of stratification, for example shelf-sea fronts that separate tidally-mixed water from seasonally stratified water. This paper describes a novel algorithm that accumulates evidence for stratification from a sequence of oceanic front maps, and discusses preliminary results in comparison with in situ data and simulations from 3D hydrodynamic models. In certain regions, this method can reveal the timing of the seasonal onset and breakdown of stratification.

  15. Patient characteristics and stratification in medical treatment studies for metastatic colorectal cancer: a proposal for standardization of patient characteristic reporting and stratification.

    Science.gov (United States)

    Sorbye, H; Köhne, C-H; Sargent, D J; Glimelius, B

    2007-10-01

    Prognostic factors have the potential to determine the survival of patients to a greater extent than current antineoplastic agents. Despite this knowledge, there is no consensus on, first, what patient characteristics to report and, second, what stratification factors to use in metastatic colorectal cancer trials. Seven leading oncology and medical journals were reviewed for phase II and III publications reporting on medical treatment of metastatic colorectal cancer patients during 2001-2005. One hundred and forty-three studies with 21 214 patients were identified. The reporting of patient characteristics and use of stratification was noted. Age, gender, performance status, metastases location, sites and adjuvant chemotherapy were often reported (99-63%). Laboratory values as alkaline phosphatase, lactate dehydrogenase and white blood cell count, repeatedly found to be of prognostic relevance, were rarely reported (5-9%). Stratification was used in all phase III trials; however, only study centre was used with any consistency. There is considerable inconsistency in the reporting of patient characteristics and use of stratification factors in metastatic colorectal cancer trials. We propose a standardization of patient characteristics reporting and stratification factors. A common set of characteristics and strata will aid in trial reporting, interpretation and future meta-analyses.

  16. An Interoperable System toward Cardiac Risk Stratification from ECG Monitoring

    Directory of Open Access Journals (Sweden)

    Cristina Soguero-Ruiz

    2018-03-01

    Full Text Available Many indices have been proposed for cardiovascular risk stratification from electrocardiogram signal processing, still with limited use in clinical practice. We created a system integrating the clinical definition of cardiac risk subdomains from ECGs and the use of diverse signal processing techniques. Three subdomains were defined from the joint analysis of the technical and clinical viewpoints. One subdomain was devoted to demographic and clinical data. The other two subdomains were intended to obtain widely defined risk indices from ECG monitoring: a simple-domain (heart rate turbulence (HRT, and a complex-domain (heart rate variability (HRV. Data provided by the three subdomains allowed for the generation of alerts with different intensity and nature, as well as for the grouping and scrutinization of patients according to the established processing and risk-thresholding criteria. The implemented system was tested by connecting data from real-world in-hospital electronic health records and ECG monitoring by considering standards for syntactic (HL7 messages and semantic interoperability (archetypes based on CEN/ISO EN13606 and SNOMED-CT. The system was able to provide risk indices and to generate alerts in the health records to support decision-making. Overall, the system allows for the agile interaction of research and clinical practice in the Holter-ECG-based cardiac risk domain.

  17. An Interoperable System toward Cardiac Risk Stratification from ECG Monitoring

    Science.gov (United States)

    Mora-Jiménez, Inmaculada; Ramos-López, Javier; Quintanilla Fernández, Teresa; García-García, Antonio; Díez-Mazuela, Daniel; García-Alberola, Arcadi

    2018-01-01

    Many indices have been proposed for cardiovascular risk stratification from electrocardiogram signal processing, still with limited use in clinical practice. We created a system integrating the clinical definition of cardiac risk subdomains from ECGs and the use of diverse signal processing techniques. Three subdomains were defined from the joint analysis of the technical and clinical viewpoints. One subdomain was devoted to demographic and clinical data. The other two subdomains were intended to obtain widely defined risk indices from ECG monitoring: a simple-domain (heart rate turbulence (HRT)), and a complex-domain (heart rate variability (HRV)). Data provided by the three subdomains allowed for the generation of alerts with different intensity and nature, as well as for the grouping and scrutinization of patients according to the established processing and risk-thresholding criteria. The implemented system was tested by connecting data from real-world in-hospital electronic health records and ECG monitoring by considering standards for syntactic (HL7 messages) and semantic interoperability (archetypes based on CEN/ISO EN13606 and SNOMED-CT). The system was able to provide risk indices and to generate alerts in the health records to support decision-making. Overall, the system allows for the agile interaction of research and clinical practice in the Holter-ECG-based cardiac risk domain. PMID:29494497

  18. Clinical outcome and risk stratification in Brugada syndrome

    Directory of Open Access Journals (Sweden)

    Tadashi Wada, MD

    2013-04-01

    Full Text Available Since the first report on Brugada syndrome, various risk markers for the prediction of ventricular fibrillation (VF in patients with Brugada syndrome have been reported. Multicenter trials reported spontaneous type 1 electrocardiogram (ECG and disease symptoms as prognostic predictors. VF induction by programmed electrical stimulation is still controversial, and most of the studies have failed to prove its significance for the prediction of spontaneous VF episodes. In Japan, although most multicenter studies have shown that patients with type 1 ECG were at high risk, it is difficult to determine the indication for implantation of an implantable cardioverter defibrillator only based on the ECG type. Recent studies have added new risk markers, such as inferolateral early repolarization, fragmented QRS, and shorter effective refractory periods of the ventricle, in addition to type 1 ECG and symptoms. Here, we review the clinical outcome and indices reported as reliable prognostic factors of Brugada syndrome with a focus on the clinical and ECG markers for risk stratification.

  19. Hepatitis B virus reactivation during immunosuppressive therapy: Appropriate risk stratification.

    Science.gov (United States)

    Seto, Wai-Kay

    2015-04-28

    Our understanding of hepatitis B virus (HBV) reactivation during immunosuppresive therapy has increased remarkably during recent years. HBV reactivation in hepatitis B surface antigen (HBsAg)-positive individuals has been well-described in certain immunosuppressive regimens, including therapies containing corticosteroids, anthracyclines, rituximab, antibody to tumor necrosis factor (anti-TNF) and hematopoietic stem cell transplantation (HSCT). HBV reactivation could also occur in HBsAg-negative, antibody to hepatitis B core antigen (anti-HBc) positive individuals during therapies containing rituximab, anti-TNF or HSCT.For HBsAg-positive patients, prophylactic antiviral therapy is proven to the effective in preventing HBV reactivation. Recent evidence also demonstrated entecavir to be more effective than lamivudine in this aspect. For HBsAg-negative, anti-HBc positive individuals, the risk of reactivations differs with the type of immunosuppression. For rituximab, a prospective study demonstrated the 2-year cumulative risk of reactivation to be 41.5%, but prospective data is still lacking for other immunosupressive regimes. The optimal management in preventing HBV reactivation would involve appropriate risk stratification for different immunosuppressive regimes in both HBsAg-positive and HBsAg-negative, anti-HBc positive individuals.

  20. On summer stratification and tidal mixing in the Taiwan Strait

    Science.gov (United States)

    Zhu, Jia; Hu, Jianyu; Liu, Zhiyu

    2013-06-01

    On continental shelves, a front that separates the sea into well-mixed and stratified zones is usually formed in warm seasons due to spatial variations of tidal mixing. In this paper, using eight years of in situ hydrographic observations, satellite images of sea surface temperature (SST) and chlorophyll- a (Chl- a) concentration, and results of a tidal model, we investigate summer stratification in the Taiwan Strait and its dependence on tidal mixing, upwelling, and river diluted water plumes. In most regions of the strait the dominant role of tidal mixing in determining the thermohaline structure is confirmed by the correlation between the two; there are some regions, however, where thermohaline structure varies in different ways owing to significant influences of upwelling and river diluted water plumes. The well-mixed regions are mainly distributed on the Taiwan Bank and in the offshore regions off the Dongshan Island, Nanao Island, and Pingtan Island, while the northern and central Taiwan Strait and the region south of the Taiwan Bank are stratified. The critical Simpson-Hunter parameter for the region is estimated to be 1.78.

  1. The influence of viscosity stratification on boundary-layer turbulence

    Science.gov (United States)

    Lee, Jin; Jung, Seo Yoon; Sung, Hyung Jin; Zaki, Tamer A.

    2012-11-01

    Direct numerical simulations of turbulent flows over isothermally-heated walls were performed to investigate the influence of viscosity stratification on boundary-layer turbulence and drag. The adopted model for temperature-dependent viscosity was typical of water. The free-stream temperature was set to 30°C, and two wall temperatures, 70°C and 99°C, were simulated. In the heated flows, the mean shear-rate is enhanced near the wall and reduced in the buffer region, which induces a reduction in turbulence production. On the other hand, the turbulence dissipation is enhanced near the wall, despite the the reduction in fluid viscosity. The higher dissipation is attributed to a decrease in the smallest length scales and near-wall fine-scale motions. The combined effect of the reduced production and enhanced dissipation leads to lower Reynolds shear stresses and, as a result, reduction of the skin-friction coefficient. Supported by the Engineering and Physical Sciences Research Council (Grant EP/F034997/1) and partially supported by the Erasmus Mundus Build on Euro-Asian Mobility (EM-BEAM) programme.

  2. Internal wave energy flux from density perturbations in nonlinear stratifications

    Science.gov (United States)

    Lee, Frank M.; Allshouse, Michael R.; Swinney, Harry L.; Morrison, P. J.

    2017-11-01

    Tidal flow over the topography at the bottom of the ocean, whose density varies with depth, generates internal gravity waves that have a significant impact on the energy budget of the ocean. Thus, understanding the energy flux (J = p v) is important, but it is difficult to measure simultaneously the pressure and velocity perturbation fields, p and v . In a previous work, a Green's-function-based method was developed to calculate the instantaneous p, v , and thus J , given a density perturbation field for a constant buoyancy frequency N. Here we extend the previous analytic Green's function work to include nonuniform N profiles, namely the tanh-shaped and linear cases, because background density stratifications that occur in the ocean and some experiments are nonlinear. In addition, we present a finite-difference method for the general case where N has an arbitrary profile. Each method is validated against numerical simulations. The methods we present can be applied to measured density perturbation data by using our MATLAB graphical user interface EnergyFlux. PJM was supported by the U.S. Department of Energy Contract DE-FG05-80ET-53088. HLS and MRA were supported by ONR Grant No. N000141110701.

  3. Simulation of atmosphere stratification in the HDR test facility with the CONTAIN code

    International Nuclear Information System (INIS)

    Skerlavaj, A.; Mavko, B.; Kljenak, I.

    2001-01-01

    The test E11.2 'Hydrogen distribution in loop flow geometry', which was performed in the Heissdampf Reaktor containment test facility in Germany, was simulated with the CONTAIN computer code. The predicted pressure history and thermal stratification are in relatively good agreement with the measurements. The compositional stratification within the containment was qualitatively well predicted, although the degree of the stratification in the dome area was slightly underestimated. The analysis of simulation results enabled a better understanding of the physical phenomena during the test.(author)

  4. Thermal stratification in storage tanks of integrated collector storage solar water heaters

    International Nuclear Information System (INIS)

    Oshchepkov, M.Y.; Frid, S.E.

    2015-01-01

    To determine the influence of the shape of the tank, the installation angle, and the magnitude of the absorbed heat flux on thermal stratification in integrated collector-storage solar water heaters, numerical simulation of thermal convection in tanks of different shapes and same volume was carried out. Idealized two-dimensional models were studied; auto model stratification profiles were obtained at the constant heat flux. The shape of the tank, the pattern of the heat flux dynamics, the adiabatic mixing on the circulation rate and the degree of stratification were shown to have significant influence. (authors)

  5. The bio-optical properties of CDOM as descriptor of lake stratification.

    Science.gov (United States)

    Bracchini, Luca; Dattilo, Arduino Massimo; Hull, Vincent; Loiselle, Steven Arthur; Martini, Silvia; Rossi, Claudio; Santinelli, Chiara; Seritti, Alfredo

    2006-11-01

    Multivariate statistical techniques are used to demonstrate the fundamental role of CDOM optical properties in the description of water masses during the summer stratification of a deep lake. PC1 was linked with dissolved species and PC2 with suspended particles. In the first principal component that the role of CDOM bio-optical properties give a better description of the stratification of the Salto Lake with respect to temperature. The proposed multivariate approach can be used for the analysis of different stratified aquatic ecosystems in relation to interaction between bio-optical properties and stratification of the water body.

  6. A method to determine stratification efficiency of thermal energy storage processes independently from storage heat losses

    DEFF Research Database (Denmark)

    Haller, M.Y.; Yazdanshenas, Eshagh; Andersen, Elsa

    2010-01-01

    process is in agreement with the first law of thermodynamics. A comparison of the stratification efficiencies obtained from experimental results of charging, standby, and discharging processes gives meaningful insights into the different mixing behaviors of a storage tank that is charged and discharged......A new method for the calculation of a stratification efficiency of thermal energy storages based on the second law of thermodynamics is presented. The biasing influence of heat losses is studied theoretically and experimentally. Theoretically, it does not make a difference if the stratification...

  7. Significant clinical impact and prognostic stratification provided by FDG-PET in the staging of oesophageal cancer

    International Nuclear Information System (INIS)

    Duong, Cuong P.; Demitriou, Helen; Thompson, Anne; Williams, David; Thomas, Robert J.S.; Weih, LeAnn; Hicks, Rodney J.

    2006-01-01

    To evaluate the clinical impact of FDG-PET in staging oesophageal cancer and whether this information improves prognostic stratification. Impact was based on comparison of a prospectively recorded pre-PET plan with post-PET treatment in 68 consecutive patients undergoing primary staging. Survival was analysed using the Kaplan-Meier product limit method and the Cox proportional hazards regression model. FDG-PET findings impacted on the management of 27/68 patients (40%): in 12 therapy was changed from curative to palliative and in three from palliative to curative, while in 12 other patients there was a change in the treatment modality or delivery but not in the treatment intent. The median survival was 21 months, with post-PET stage and treatment intent both strongly associated with survival (p<0.001). Conventional stage was not able to clearly stratify this population. The use of FDG-PET for primary staging of oesophageal cancer changed the clinical management of more than one-third of patients and provided superior prognostic stratification compared with conventional investigations. (orig.)

  8. Preventing tomorrow's sudden cardiac death today: part I: Current data on risk stratification for sudden cardiac death.

    Science.gov (United States)

    Al-Khatib, Sana M; Sanders, Gillian D; Bigger, J Thomas; Buxton, Alfred E; Califf, Robert M; Carlson, Mark; Curtis, Anne; Curtis, Jeptha; Fain, Eric; Gersh, Bernard J; Gold, Michael R; Haghighi-Mood, Ali; Hammill, Stephen C; Healey, Jeff; Hlatky, Mark; Hohnloser, Stefan; Kim, Raymond J; Lee, Kerry; Mark, Daniel; Mianulli, Marcus; Mitchell, Brent; Prystowsky, Eric N; Smith, Joseph; Steinhaus, David; Zareba, Wojciech

    2007-06-01

    Accurate and timely prediction of sudden cardiac death (SCD) is a necessary prerequisite for effective prevention and therapy. Although the largest number of SCD events occurs in patients without overt heart disease, there are currently no tests that are of proven predictive value in this population. Efforts in risk stratification for SCD have focused primarily on predicting SCD in patients with known structural heart disease. Despite the ubiquity of tests that have been purported to predict SCD vulnerability in such patients, there is little consensus on which test, in addition to the left ventricular ejection fraction, should be used to determine which patients will benefit from an implantable cardioverter defibrillator. On July 20 and 21, 2006, a group of experts representing clinical cardiology, cardiac electrophysiology, biostatistics, economics, and health policy were joined by representatives of the US Food and Drug administration, Centers for Medicare Services, Agency for Health Research and Quality, the Heart Rhythm Society, and the device and pharmaceutical industry for a round table meeting to review current data on strategies of risk stratification for SCD, to explore methods to translate these strategies into practice and policy, and to identify areas that need to be addressed by future research studies. The meeting was organized by the Duke Center for the Prevention of SCD at the Duke Clinical Research Institute and was funded by industry participants. This article summarizes the presentations and discussions that occurred at that meeting.

  9. Stratification of living organisms in ballast tanks: how do organism concentrations vary as ballast water is discharged?

    Science.gov (United States)

    First, Matthew R; Robbins-Wamsley, Stephanie H; Riley, Scott C; Moser, Cameron S; Smith, George E; Tamburri, Mario N; Drake, Lisa A

    2013-05-07

    Vertical migrations of living organisms and settling of particle-attached organisms lead to uneven distributions of biota at different depths in the water column. In ballast tanks, heterogeneity could lead to different population estimates depending on the portion of the discharge sampled. For example, concentrations of organisms exceeding a discharge standard may not be detected if sampling occurs during periods of the discharge when concentrations are low. To determine the degree of stratification, water from ballast tanks was sampled at two experimental facilities as the tanks were drained after water was held for 1 or 5 days. Living organisms ≥50 μm were counted in discrete segments of the drain (e.g., the first 20 min of the drain operation, the second 20 min interval, etc.), thus representing different strata in the tank. In 1 and 5 day trials at both facilities, concentrations of organisms varied among drain segments, and the patterns of stratification varied among replicate trials. From numerical simulations, the optimal sampling strategy for stratified tanks is to collect multiple time-integrated samples spaced relatively evenly throughout the discharge event.

  10. Value of Exercise ECG for Risk Stratification in Suspected or Known CAD in the Era of Advanced Imaging Technologies.

    Science.gov (United States)

    Bourque, Jamieson M; Beller, George A

    2015-11-01

    Exercise stress electrocardiography (ExECG) is underutilized as the initial test modality in patients with interpretable electrocardiograms who are able to exercise. Although stress myocardial imaging techniques provide valuable diagnostic and prognostic information, variables derived from ExECG can yield substantial data for risk stratification, either supplementary to imaging variables or without concurrent imaging. In addition to exercise-induced ischemic ST-segment depression, such markers as ST-segment elevation in lead aVR, abnormal heart rate recovery post-exercise, failure to achieve target heart rate, and poor exercise capacity improve risk stratification of ExECG. For example, patients achieving ≥10 metabolic equivalents on ExECG have a very low prevalence of inducible ischemia and an excellent prognosis. In contrast, cardiac imaging techniques add diagnostic and prognostic value in higher-risk populations (e.g., poor functional capacity, diabetes, or chronic kidney disease). Optimal test selection for symptomatic patients with suspected coronary artery disease requires a patient-centered approach factoring in the risk/benefit ratio and cost-effectiveness. Copyright © 2015 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  11. Social Stratification of Education by Ethnic Minority Groups over Generations in the UK

    Directory of Open Access Journals (Sweden)

    Laurence Lessard-Phillips

    2017-03-01

    Full Text Available A large body of research has been conducted both on the social stratification of education at the general level and on the educational attainments of ethnic minority groups in the UK. The former has established the increasing fluidity in the class–education association, without paying much attention to ethnicity, whilst the latter has shown reinvigorated aspirations by the second generation without fine-grained analyses. This paper adds to this literature by examining the relationship between family class, ethno-generational status and educational attainment for various 1st, 1.5, 2nd, 2.5, 3rd and 4th generations in contemporary UK society. Using data from Understanding Society, we study the educational attainment of different ethno-generational groups. Our analysis shows high educational selectivity among the earlier generations, a disruptive process for the 1.5 generation, high second-generation achievement, and a ‘convergence toward the mean’ for later generations. Parental class generally operates in a similar way for the ethno-generational groups and for the majority population, yet some minority ethnic groups of salariat origins do not benefit from parental advantages as easily. An ‘elite, middle and lower’ structure manifests itself in the intergenerational transmission of advantage in educational attainment. This paper thus reveals new features of class-ethno relations hitherto unavailable in UK research.

  12. Coronary Artery Calcium Screening: Does it Perform Better than Other Cardiovascular Risk Stratification Tools?

    Directory of Open Access Journals (Sweden)

    Irfan Zeb

    2015-03-01

    Full Text Available Coronary artery calcium (CAC has been advocated as one of the strongest cardiovascular risk prediction markers. It performs better across a wide range of Framingham risk categories (6%–10% and 10%–20% 10-year risk categories and also helps in reclassifying the risk of these subjects into either higher or lower risk categories based on CAC scores. It also performs better among population subgroups where Framingham risk score does not perform well, especially young subjects, women, family history of premature coronary artery disease and ethnic differences in coronary risk. The absence of CAC is also associated with excellent prognosis, with 10-year event rate of 1%. Studies have also compared with other commonly used markers of cardiovascular disease risk such as Carotid intima-media thickness and highly sensitive C-reactive protein. CAC also performs better compared with carotid intima-media thickness and highly sensitive C-reactive protein in prediction of coronary heart disease and cardiovascular disease events. CAC scans are associated with relatively low radiation exposure (0.9–1.1 mSv and provide information that can be used not only for risk stratification but also can be used to track the progression of atherosclerosis and the effects of statins.

  13. Social inequalities in pure-tone hearing assessed using occupational stratification schemes.

    Science.gov (United States)

    von Gablenz, Petra; Holube, Inga

    2017-07-01

    The objective of this study is to analyse the performance of two occupational stratification approaches and the impact of social position on adult hearing. The prevalence of hearing impairment, pure-tone averages (PTA) and prevalence ratios (PR) for relative hearing loss, which focuses on the position of one's PTA in the age- and gender-specific distribution, were compared in groups defined by ISCO Skill Level and the International Socio-Economic Index (ISEI). About 1571 subjects aged 30-89, including 677 highly screened adults, from the cross-sectional study HÖRSTAT. ISCO Skill Level and ISEI yielded qualitatively the same results. The prevalence difference between the socially least and most advantaged group ranges between 10 and 16%, varying with the scheme applied. Low- and high-frequency PTA and PR for relative hearing loss confirm the gradient. Screening reduced, but did not negate the social differences. The prevalence difference dropped to 6-7% in the otologically normal subsample. Social groups defined by hierarchical, occupational measures differ in their pure-tone hearing, even if the main risk factors are controlled for. This underlines the need for population-based sampling, the relevance of reporting the study group's social composition and the importance of advancing the discussion on appropriate social measures in hearing research.

  14. Stratification of Microbial Processes and Populations in Biofilms Treating Pig Farm Waste Air

    DEFF Research Database (Denmark)

    Juhler, Susanne; Saunders, Aaron Marc; Pedersen, Kristina

    2006-01-01

    Biological air filters have been developed to reduce odor and ammonia emissions resulting from the rapidly expanding pig farm industry in many European countries. In contrast to aqueous biofilm environments, the biofilms of these filters are air-fed, allowing for extreme metabolite accumulation...

  15. Corrections to primordial nucleosynthesis

    International Nuclear Information System (INIS)

    Dicus, D.A.; Kolb, E.W.; Gleeson, A.M.; Sudarshan, E.C.G.; Teplitz, V.L.; Turner, M.S.

    1982-01-01

    The changes in primordial nucleosynthesis resulting from small corrections to rates for weak processes that connect neutrons and protons are discussed. The weak rates are corrected by improved treatment of Coulomb and radiative corrections, and by inclusion of plasma effects. The calculations lead to a systematic decrease in the predicted 4 He abundance of about ΔY = 0.0025. The relative changes in other primoridal abundances are also 1 to 2%

  16. Thermal stratification built up in hot water tank with different inlet stratifiers

    DEFF Research Database (Denmark)

    Dragsted, Janne; Furbo, Simon; Dannemand, Mark

    2017-01-01

    Thermal stratification in a water storage tank can strongly increase the thermal performance of solar heating systems. Thermal stratification can be built up in a storage tank during charge, if the heated water enters through an inlet stratifier. Experiments with a test tank have been carried out...... in order to elucidate how well thermal stratification is established in the tank with differently designed inlet stratifiers under different controlled laboratory conditions. The investigated inlet stratifiers are from Solvis GmbH & Co KG and EyeCular Technologies ApS. The inlet stratifier from Solvis Gmb...... for Solvis GmbH & Co KG had a better performance at 4 l/min. In the intermediate charge test the stratifier from EyeCular Technologies ApS had a better performance in terms of maintaining the thermal stratification in the storage tank while charging with a relative low temperature. [All rights reserved...

  17. Advanced colorectal neoplasia risk stratification by penalized logistic regression.

    Science.gov (United States)

    Lin, Yunzhi; Yu, Menggang; Wang, Sijian; Chappell, Richard; Imperiale, Thomas F

    2016-08-01

    Colorectal cancer is the second leading cause of death from cancer in the United States. To facilitate the efficiency of colorectal cancer screening, there is a need to stratify risk for colorectal cancer among the 90% of US residents who are considered "average risk." In this article, we investigate such risk stratification rules for advanced colorectal neoplasia (colorectal cancer and advanced, precancerous polyps). We use a recently completed large cohort study of subjects who underwent a first screening colonoscopy. Logistic regression models have been used in the literature to estimate the risk of advanced colorectal neoplasia based on quantifiable risk factors. However, logistic regression may be prone to overfitting and instability in variable selection. Since most of the risk factors in our study have several categories, it was tempting to collapse these categories into fewer risk groups. We propose a penalized logistic regression method that automatically and simultaneously selects variables, groups categories, and estimates their coefficients by penalizing the [Formula: see text]-norm of both the coefficients and their differences. Hence, it encourages sparsity in the categories, i.e. grouping of the categories, and sparsity in the variables, i.e. variable selection. We apply the penalized logistic regression method to our data. The important variables are selected, with close categories simultaneously grouped, by penalized regression models with and without the interactions terms. The models are validated with 10-fold cross-validation. The receiver operating characteristic curves of the penalized regression models dominate the receiver operating characteristic curve of naive logistic regressions, indicating a superior discriminative performance. © The Author(s) 2013.

  18. Inferences from Genomic Models in Stratified Populations

    DEFF Research Database (Denmark)

    Janss, Luc; de los Campos, Gustavo; Sheehan, Nuala

    2012-01-01

    Unaccounted population stratification can lead to spurious associations in genome-wide association studies (GWAS) and in this context several methods have been proposed to deal with this problem. An alternative line of research uses whole-genome random regression (WGRR) models that fit all marker...

  19. Developing a PTEN-ERG Signature to Improve Molecular Risk Stratification in Prostate Cancer

    Science.gov (United States)

    2017-10-01

    AWARD NUMBER: W81XWH-16-1-0737 TITLE: Developing a PTEN-ERG Signature to Improve Molecular Risk Stratification in Prostate Cancer PRINCIPAL...AND SUBTITLE 5a. CONTRACT NUMBER Developing a PTEN-ERG Signature to Improve Molecular Risk Stratification in Prostate Cancer 5b. GRANT NUMBER W81XWH...that there exist distinctive molecular correlates of PTEN loss in the context of ETS-negative versus ETS-positive human prostate cancers and that

  20. Noninvasive risk stratification for sudden death in asymptomatic patients with Wolff-Parkinson-White syndrome.

    Science.gov (United States)

    Novella, John; DeBiasi, Ralph M; Coplan, Neil L; Suri, Ranji; Keller, Seth

    2014-01-01

    Sudden cardiac death (SCD) as the first clinical manifestation of Wolff-Parkinson-White (WPW) syndrome is a well-documented, although rare occurrence. The incidence of SCD in patients with WPW ranges from 0% to 0.39% annually. Controversy exists regarding risk stratification for patients with preexcitation on surface electrocardiogram (ECG), particularly in those who are asymptomatic. This article focuses on the role of risk stratification using exercise and pharmacologic testing in patients with WPW pattern on ECG.

  1. Response of water temperatures and stratification to changing climate in three lakes with different morphometry

    Science.gov (United States)

    Magee, Madeline R.; Wu, Chin H.

    2017-12-01

    Water temperatures and stratification are important drivers for ecological and water quality processes within lake systems, and changes in these with increases in air temperature and changes to wind speeds may have significant ecological consequences. To properly manage these systems under changing climate, it is important to understand the effects of increasing air temperatures and wind speed changes in lakes of different depths and surface areas. In this study, we simulate three lakes that vary in depth and surface area to elucidate the effects of the observed increasing air temperatures and decreasing wind speeds on lake thermal variables (water temperature, stratification dates, strength of stratification, and surface heat fluxes) over a century (1911-2014). For all three lakes, simulations showed that epilimnetic temperatures increased, hypolimnetic temperatures decreased, the length of the stratified season increased due to earlier stratification onset and later fall overturn, stability increased, and longwave and sensible heat fluxes at the surface increased. Overall, lake depth influences the presence of stratification, Schmidt stability, and differences in surface heat flux, while lake surface area influences differences in hypolimnion temperature, hypolimnetic heating, variability of Schmidt stability, and stratification onset and fall overturn dates. Larger surface area lakes have greater wind mixing due to increased surface momentum. Climate perturbations indicate that our larger study lakes have more variability in temperature and stratification variables than the smaller lakes, and this variability increases with larger wind speeds. For all study lakes, Pearson correlations and climate perturbation scenarios indicate that wind speed has a large effect on temperature and stratification variables, sometimes greater than changes in air temperature, and wind can act to either amplify or mitigate the effect of warmer air temperatures on lake thermal

  2. Macro-Micro Linkages and the Role of Mechanisms in Social Stratification Research

    Czech Academy of Sciences Publication Activity Database

    Veselý, Arnošt; Smith, Michael

    2008-01-01

    Roč. 44, č. 3 (2008), s. 491-509 ISSN 0038-0288 R&D Projects: GA ČR GA403/08/0109; GA MPS(CZ) 1J/005/04-DP2 Institutional research plan: CEZ:AV0Z70280505 Keywords : Social stratification research * stratification processes * social mechanisms Subject RIV: AO - Sociology, Demography Impact factor: 0.427, year: 2008 http://dlib.lib.cas.cz/3508/

  3. The Relation Between Inflation in Type-I and Type-II Error Rate and Population Divergence in Genome-Wide Association Analysis of Multi-Ethnic Populations

    NARCIS (Netherlands)

    Derks, E. M.; Zwinderman, A. H.; Gamazon, E. R.

    2017-01-01

    Population divergence impacts the degree of population stratification in Genome Wide Association Studies. We aim to: (i) investigate type-I error rate as a function of population divergence (FST) in multi-ethnic (admixed) populations; (ii) evaluate the statistical power and effect size estimates;

  4. Experimental study on the thermal stratification in the branch of NPP

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Sang Nyung; Hwang, Seong Hong [Kyunghee Univ., Seoul (Korea, Republic of)

    2004-02-15

    As more experience is accumulated in the operation of existing nuclear power plants, the long term effects of thermal-hydraulic phenomena, unaccounted in the original designs, have been observed. One such phenomenon is thermal stratification, which has caused through-wall cracks, thermal fatigue, unexpected piping displacements and pipe support damage. Thermal stratification is a phenomenon as temperature layers are formed in the component or piping due to the density difference between hot and cold water. The thermal stratification phenomena in nuclear power plant observed in the pressurizer surge line, and in the piping of feedwater system, Safety Injection System(SIS), residual heat removal system (or shutdown cooling system), and chemical and volume control system during the design transients. A set of experiment has been performed to predict the temperature distribution in the branch piping of nuclear power plant(Ulchin unit 3 and 4) due to the turbulent penetration, the heat transfer through valve disk and valve leakage. The test facility scaled down to 1/10 has been designed and constructed to simulate the thermal stratification in the piping of safety injection system and shutdown cooling system of Ulchin 3 and 4. The experimental results show that the turbulent penetration depth could be : extended to the end of the vertical pipe, and thermal stratification due to the heat transfer through the valve disk to the end of horizontal pipe behind the valve disk. Finally, thermal stratification could effected by the location of valve leakage.

  5. Effects of Mixture Stratification on Combustion and Emissions of Boosted Controlled Auto-Ignition Engines

    Directory of Open Access Journals (Sweden)

    Jacek Hunicz

    2017-12-01

    Full Text Available The stratification of in-cylinder mixtures appears to be an effective method for managing the combustion process in controlled auto-ignition (CAI engines. Stratification can be achieved and controlled using various injection strategies such as split fuel injection and the introduction of a portion of fuel directly before the start of combustion. This study investigates the effect of injection timing and the amount of fuel injected for stratification on the combustion and emissions in CAI engine. The experimental research was performed on a single cylinder engine with direct gasoline injection. CAI combustion was achieved using negative valve overlap and exhaust gas trapping. The experiments were performed at constant engine fueling. Intake boost was applied to control the excess air ratio. The results show that the application of the late injection strategy has a significant effect on the heat release process. In general, the later the injection is and the more fuel is injected for stratification, the earlier the auto-ignition occurs. However, the experimental findings reveal that the effect of stratification on combustion duration is much more complex. Changes in combustion are reflected in NOX emissions. The attainable level of stratification is limited by the excessive emission of unburned hydrocarbons, CO and soot.

  6. Propagation of 3D internal gravity wave beams in a slowly varying stratification

    Science.gov (United States)

    Fan, Boyu; Akylas, T. R.

    2017-11-01

    The time-mean flows induced by internal gravity wave beams (IGWB) with 3D variations have been shown to have dramatic implications for long-term IGWB dynamics. While uniform stratifications are convenient both theoretically and in the laboratory, stratifications in the ocean can vary by more than an order of magnitude over the ocean depth. Here, in view of this fact, we study the propagation of a 3D IGWB in a slowly varying stratification. We assume that the stratification varies slowly relative to the local variations in the wave profile. In the 2D case, the IGWB bends in response to the changing stratification, but nonlinear effects are minor even in the finite amplitude regime. For a 3D IGWB, in addition to bending, we find that nonlinearity results in the transfer of energy from waves to a large-scale time-mean flow associated with the mean potential vorticity, similar to IGWB behavior in a uniform stratification. In a weakly nonlinear setting, we derive coupled evolution equations that govern this process. We also use these equations to determine the stability properties of 2D IGWB to 3D perturbations. These findings indicate that 3D effects may be relevant and possibly fundamental to IGWB dynamics in nature. Supported by NSF Grant DMS-1512925.

  7. Publisher Correction: Predicting unpredictability

    Science.gov (United States)

    Davis, Steven J.

    2018-06-01

    In this News & Views article originally published, the wrong graph was used for panel b of Fig. 1, and the numbers on the y axes of panels a and c were incorrect; the original and corrected Fig. 1 is shown below. This has now been corrected in all versions of the News & Views.

  8. Risk stratification by the Appendicitis Inflammatory Response score to guide decision-making in patients with suspected appendicitis.

    Science.gov (United States)

    Scott, A J; Mason, S E; Arunakirinathan, M; Reissis, Y; Kinross, J M; Smith, J J

    2015-04-01

    Current management of suspected appendicitis is hampered by the overadmission of patients with non-specific abdominal pain and a significant negative exploration rate. The potential benefits of risk stratification by the Appendicitis Inflammatory Response (AIR) score to guide clinical decision-making were assessed. During this 50-week prospective observational study at one institution, the AIR score was calculated for all patients admitted with suspected appendicitis. Appendicitis was diagnosed by histological examination, and patients were classified as having non-appendicitis pain if histological findings were negative or surgery was not performed. The diagnostic performance of the AIR score and the potential for risk stratification to reduce admissions, optimize imaging and prevent unnecessary explorations were quantified. A total of 464 patients were included, of whom 210 (63·3 per cent) with non-appendicitis pain were correctly classified as low risk. However, 13 low-risk patients had appendicitis. Low-risk patients accounted for 48·1 per cent of admissions (223 of 464), 57 per cent of negative explorations (48 of 84) and 50·7 per cent of imaging requests (149 of 294). An AIR score of 5 or more (intermediate and high risk) had high sensitivity for all severities of appendicitis (90 per cent) and also for advanced appendicitis (98 per cent). An AIR score of 9 or more (high risk) was very specific (97 per cent) for appendicitis, and the majority of patients with appendicitis in the high-risk group (21 of 30, 70 per cent) had perforation or gangrene. Ultrasound imaging could not exclude appendicitis in low-risk patients (negative likelihood ratio (LR) 1·0) but could rule-in the diagnosis in intermediate-risk patients (positive LR 10·2). CT could exclude appendicitis in low-risk patients (negative LR 0·0) and rule-in appendicitis in the intermediate group (positive LR 10·9). Risk stratification of patients with suspected appendicitis by the AIR score could

  9. Application of cardiovascular disease risk prediction models and the relevance of novel biomarkers to risk stratification in Asian Indians.

    Science.gov (United States)

    Kanjilal, S; Rao, V S; Mukherjee, M; Natesha, B K; Renuka, K S; Sibi, K; Iyengar, S S; Kakkar, Vijay V

    2008-01-01

    The increasing pressure on health resources has led to the emergence of risk assessment as an essential tool in the management of cardiovascular disease (CVD). Concern exists regarding the validity of their generalization to all populations. Existing risk scoring models do not incorporate emerging 'novel' risk factors. In this context, the aim of the study was to examine the relevance of British, European, and Framingham predictive CVD risk scores to the asymptomatic high risk Indian population. Blood samples drawn from the participants were analyzed for various 'traditional' and 'novel' biomarkers, and their CVD risk factor profiling was also done. The Framingham model defined only 5% of the study cohort to be at high risk, which appears to be an underestimation of CVD risk in this genetically predisposed population. These subjects at high risk had significantly elevated levels of lipid, pro-inflammatory, pro-thrombotic, and serological markers. It is more relevant to develop risk predictive scores for application to the Indian population. This study substantiates the argument that alternative approaches to risk stratification are required in order to make them more adaptable and applicable to different populations with varying risk factor and disease patterns.

  10. Magnetic Resonance Imaging Plaque Hemorrhage for Risk Stratification in Carotid Artery Disease With Moderate Risk Under Current Medical Therapy.

    Science.gov (United States)

    Hosseini, Akram A; Simpson, Richard J; Altaf, Nishath; Bath, Philip M; MacSweeney, Shane T; Auer, Dorothee P

    2017-03-01

    Magnetic resonance imaging (MRI)-defined carotid plaque hemorrhage (MRIPH) can predict recurrent cerebrovascular ischemic events in severe symptomatic carotid stenosis. It is less clear whether MRIPH can improve risk stratification despite optimized medical secondary prevention in those with moderate risk. One-hundred fifty-one symptomatic patients with 30% to 99% carotid artery stenosis (median age: 77, 60.5% men) clinically deemed to not benefit from endarterectomy were prospectively recruited to undergo MRI and clinical follow-up (mean, 22 months). The clinical carotid artery risk score could be evaluated in 88 patients. MRIPH+ve was defined as plaque intensity >150% that of adjacent muscle. Survival analyses were performed with recurrent infarction (stroke or diffusion-positive cerebral ischemia) as the main end point. Fifty-five participants showed MRIPH+ve; 47 had low, 36 intermediate, and 5 high carotid artery risk scores. Cox regression showed MRIPH as a strong predictor of future infarction (hazard ratio, 5.2; 95% confidence interval, 1.64-16.34; P =0.005, corrected for degree of stenosis), also in the subgroup with 50% to 69% stenosis (hazard ratio, 4.1; 95% confidence interval, 1-16.8; P =0.049). The absolute risk of future infarction was 31.7% at 3 years in MRIPH+ve versus 1.8% in patients without ( P medication with clinically uncertain benefit from recanalization, that is, those with moderate degree stenosis and intermediate carotid artery risk scores, MRIPH offers additional risk stratification. © 2017 American Heart Association, Inc.

  11. Proof of fatigue strength of nuclear components part II: Numerical fatigue analysis for transient stratification loading considering environmental effects

    International Nuclear Information System (INIS)

    Krätschmer, D.; Roos, E.; Schuler, X.; Herter, K.-H.

    2012-01-01

    For the construction, design and operation of nuclear components and systems the appropriate technical codes and standards provide detailed analysis procedures which guarantee a reliable behaviour of the structural components throughout the specified lifetime. Especially for cyclic stress evaluation the different codes and standards provide different fatigue analyses procedures to be performed considering the various mechanical and thermal loading histories and geometric complexities of the components. To consider effects of light water reactor coolant environments, new design curves included in report NUREG/CR-6909 for austenitic stainless steels and for low alloy steels have been presented. For the usage of these new design curves an environmental fatigue correction factor for incorporating environmental effects has to be calculated and used. The application of this environmental correction factor to a fatigue analysis of a nozzle with transient stratification loads, derived by in-service monitoring, has been performed. The results are used to compare with calculated usage factors, based on design curves without taking environmental effects particularly into account. - Highlights: ► We model an nozzle for fatigue analysis und mechanical and thermal loading conditions. ► A simplified as well as a general elastic–plastic fatigue analysis considering environmental effects is performed. ► The influence of different factors calculating the environmental factor F en are shown. ► The presented numerical evaluation methodology allows the consideration of all relevant parameters to assess lifetime.

  12. ASSESSMENT OF STELLAR STRATIFICATION IN THREE YOUNG STAR CLUSTERS IN THE LARGE MAGELLANIC CLOUD

    International Nuclear Information System (INIS)

    Gouliermis, Dimitrios A.; Rochau, Boyke; Mackey, Dougal; Xin Yu

    2010-01-01

    We present a comprehensive study of stellar stratification in young star clusters in the Large Magellanic Cloud (LMC). We apply our recently developed effective radius method for the assessment of stellar stratification on imaging data obtained with the Advanced Camera for Surveys of three young LMC clusters to characterize the phenomenon and develop a comparative scheme for its assessment in such clusters. The clusters of our sample, NGC 1983, NGC 2002, and NGC 2010, are selected on the basis of their youthfulness, and their variety in appearance, structure, stellar content, and surrounding stellar ambient. Our photometry is complete for magnitudes down to m 814 ≅ 23 mag, allowing the calculation of the structural parameters of the clusters, the estimation of their ages, and the determination of their stellar content. Our study shows that each cluster in our sample demonstrates stellar stratification in a quite different manner and at different degree from the others. Specifically, NGC 1983 shows partial segregation, with the effective radius increasing with fainter magnitudes only for the faintest stars of the cluster. Our method on NGC 2002 provides evidence of strong stellar stratification for both bright and faint stars; the cluster demonstrates the phenomenon with the highest degree in the sample. Finally, NGC 2010 is not segregated, as its bright stellar content is not centrally concentrated, the relation of effective radius to magnitude for stars of intermediate brightness is rather flat, and we find no evidence of stratification for its faintest stars. For the parameterization of the phenomenon of stellar stratification and its quantitative comparison among these clusters, we propose the slope derived from the change in the effective radius over the corresponding magnitude range as indicative parameter of the degree of stratification in the clusters. A positive value of this slope indicates mass segregation in the cluster, while a negative or zero value

  13. Combustion Mode Design with High Efficiency and Low Emissions Controlled by Mixtures Stratification and Fuel Reactivity

    Directory of Open Access Journals (Sweden)

    Hu eWang

    2015-08-01

    Full Text Available This paper presents a review on the combustion mode design with high efficiency and low emissions controlled by fuel reactivity and mixture stratification that have been conducted in the authors’ group, including the charge reactivity controlled homogeneous charge compression ignition (HCCI combustion, stratification controlled premixed charge compression ignition (PCCI combustion, and dual-fuel combustion concepts controlled by both fuel reactivity and mixture stratification. The review starts with the charge reactivity controlled HCCI combustion, and the works on HCCI fuelled with both high cetane number fuels, such as DME and n-heptane, and high octane number fuels, such as methanol, natural gas, gasoline and mixtures of gasoline/alcohols, are reviewed and discussed. Since single fuel cannot meet the reactivity requirements under different loads to control the combustion process, the studies related to concentration stratification and dual-fuel charge reactivity controlled HCCI combustion are then presented, which have been shown to have the potential to achieve effective combustion control. The efforts of using both mixture and thermal stratifications to achieve the auto-ignition and combustion control are also discussed. Thereafter, both charge reactivity and mixture stratification are then applied to control the combustion process. The potential and capability of thermal-atmosphere controlled compound combustion mode and dual-fuel reactivity controlled compression ignition (RCCI/highly premixed charge combustion (HPCC mode to achieve clean and high efficiency combustion are then presented and discussed. Based on these results and discussions, combustion mode design with high efficiency and low emissions controlled by fuel reactivity and mixtures stratification in the whole operating range is proposed.

  14. Stratification and salt-wedge in the Seomjin river estuary under the idealized tidal influence

    Science.gov (United States)

    Hwang, Jin Hwan; Jang, Dongmin; Kim, Yong Hoon

    2017-12-01

    Advection, straining, and vertical mixing play primary roles in the process of estuarine stratification. Estuaries can be classified as salt-wedge, partially-mixed or well-mixed depending on the vertical density structure determined by the balancing of advection, mixing and straining. In particular, straining plays a major role in the stratification of the estuarine water body along the estuarine channel. Also, the behavior of a salt wedge with a halocline shape in a stratified channel can be controlled by the competition between straining and mixing induced by buoyancy from the riverine source and tidal forcing. The present study uses Finite Volume Coastal Ocean Model (FVCOM) to show that straining and vertical mixing play major roles in controlling along-channel flow and stratification structures in the Seomjin river estuary (SRE) under idealized conditions. The Potential Energy Anomaly (PEA) dynamic equation quantifies the governing processes thereby enabling the determination of the stratification type. By comparing terms in the equation, we examined how the relative strengths of straining and mixing alter the stratification types in the SRE due to changes in river discharge and the depth resulting from dredging activities. SRE under idealized tidal forcing tends to be partially-mixed based on an analysis of the balance between terms and the vertical structure of salinity, and the morphological and hydrological change in SRE results in the shift of stratification type. While the depth affects the mixing, the freshwater discharge mainly controls the straining, and the balance between mixing and straining determines the final state of the stratification in an estuarine channel. As a result, the development and location of a salt wedge along the channel in a partially mixed and highly stratified condition is also determined by the ratio of straining to mixing. Finally, our findings confirm that the contributions of mixing and straining can be assessed by using the

  15. Correction of Neonatal Hypovolemia

    Directory of Open Access Journals (Sweden)

    V. V. Moskalev

    2007-01-01

    Full Text Available Objective: to evaluate the efficiency of hydroxyethyl starch solution (6% refortane, Berlin-Chemie versus fresh frozen plasma used to correct neonatal hypovolemia.Materials and methods. In 12 neonatal infants with hypoco-agulation, hypovolemia was corrected with fresh frozen plasma (10 ml/kg body weight. In 13 neonates, it was corrected with 6% refortane infusion in a dose of 10 ml/kg. Doppler echocardiography was used to study central hemodynamic parameters and Doppler study was employed to examine regional blood flow in the anterior cerebral and renal arteries.Results. Infusion of 6% refortane and fresh frozen plasma at a rate of 10 ml/hour during an hour was found to normalize the parameters of central hemodynamics and regional blood flow.Conclusion. Comparative analysis of the findings suggests that 6% refortane is the drug of choice in correcting neonatal hypovolemia. Fresh frozen plasma should be infused in hemostatic disorders. 

  16. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... surgery. It is important to understand that your treatment, which will probably include orthodontics before and after ... to realistically estimate the time required for your treatment. Correction of Common Dentofacial Deformities ​ ​ The information provided ...

  17. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... misalignment of jaws and teeth. Surgery can improve chewing, speaking and breathing. While the patient's appearance may ... indicate the need for corrective jaw surgery: Difficulty chewing, or biting food Difficulty swallowing Chronic jaw or ...

  18. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... It can also invite bacteria that lead to gum disease. Click here to find out more. Who We ... It can also invite bacteria that lead to gum disease. Click here to find out more. Corrective Jaw ...

  19. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... is performed by an oral and maxillofacial surgeon (OMS) to correct a wide range of minor and ... when sleeping, including snoring) Your dentist, orthodontist and OMS will work together to determine whether you are ...

  20. ICT: isotope correction toolbox.

    Science.gov (United States)

    Jungreuthmayer, Christian; Neubauer, Stefan; Mairinger, Teresa; Zanghellini, Jürgen; Hann, Stephan

    2016-01-01

    Isotope tracer experiments are an invaluable technique to analyze and study the metabolism of biological systems. However, isotope labeling experiments are often affected by naturally abundant isotopes especially in cases where mass spectrometric methods make use of derivatization. The correction of these additive interferences--in particular for complex isotopic systems--is numerically challenging and still an emerging field of research. When positional information is generated via collision-induced dissociation, even more complex calculations for isotopic interference correction are necessary. So far, no freely available tools can handle tandem mass spectrometry data. We present isotope correction toolbox, a program that corrects tandem mass isotopomer data from tandem mass spectrometry experiments. Isotope correction toolbox is written in the multi-platform programming language Perl and, therefore, can be used on all commonly available computer platforms. Source code and documentation can be freely obtained under the Artistic License or the GNU General Public License from: https://github.com/jungreuc/isotope_correction_toolbox/ {christian.jungreuthmayer@boku.ac.at,juergen.zanghellini@boku.ac.at} Supplementary data are available at Bioinformatics online. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  1. Risk stratification in cardiovascular disease primary prevention - scoring systems, novel markers, and imaging techniques.

    LENUS (Irish Health Repository)

    Zannad, Faiez

    2012-04-01

    The aim of this paper is to review and discuss current methods of risk stratification for cardiovascular disease (CVD) prevention, emerging biomarkers, and imaging techniques, and their relative merits and limitations. This report is based on discussions that took place among experts in the area during a special CardioVascular Clinical Trialists workshop organized by the European Society of Cardiology Working Group on Cardiovascular Pharmacology and Drug Therapy in September 2009. Classical risk factors such as blood pressure and low-density lipoprotein cholesterol levels remain the cornerstone of risk estimation in primary prevention but their use as a guide to management is limited by several factors: (i) thresholds for drug treatment vary with the available evidence for cost-effectiveness and benefit-to-risk ratios; (ii) assessment may be imprecise; (iii) residual risk may remain, even with effective control of dyslipidemia and hypertension. Novel measures include C-reactive protein, lipoprotein-associated phospholipase A(2) , genetic markers, and markers of subclinical organ damage, for which there are varying levels of evidence. High-resolution ultrasound and magnetic resonance imaging to assess carotid atherosclerotic lesions have potential but require further validation, standardization, and proof of clinical usefulness in the general population. In conclusion, classical risk scoring systems are available and inexpensive but have a number of limitations. Novel risk markers and imaging techniques may have a place in drug development and clinical trial design. However, their additional value above and beyond classical risk factors has yet to be determined for risk-guided therapy in CVD prevention.

  2. Genotype-Specific Minimal Residual Disease Interpretation Improves Stratification in Pediatric Acute Lymphoblastic Leukemia

    Science.gov (United States)

    O’Connor, David; Enshaei, Amir; Bartram, Jack; Hancock, Jeremy; Harrison, Christine J.; Hough, Rachael; Samarasinghe, Sujith; Schwab, Claire; Vora, Ajay; Wade, Rachel; Moppett, John; Moorman, Anthony V.; Goulden, Nick

    2018-01-01

    Purpose Minimal residual disease (MRD) and genetic abnormalities are important risk factors for outcome in acute lymphoblastic leukemia. Current risk algorithms dichotomize MRD data and do not assimilate genetics when assigning MRD risk, which reduces predictive accuracy. The aim of our study was to exploit the full power of MRD by examining it as a continuous variable and to integrate it with genetics. Patients and Methods We used a population-based cohort of 3,113 patients who were treated in UKALL2003, with a median follow-up of 7 years. MRD was evaluated by polymerase chain reaction analysis of Ig/TCR gene rearrangements, and patients were assigned to a genetic subtype on the basis of immunophenotype, cytogenetics, and fluorescence in situ hybridization. To examine response kinetics at the end of induction, we log-transformed the absolute MRD value and examined its distribution across subgroups. Results MRD was log normally distributed at the end of induction. MRD distributions of patients with distinct genetic subtypes were different (P acute lymphoblastic leukemia responded more slowly. The risk of relapse was correlated with MRD kinetics, and each log reduction in disease level reduced the risk by 20% (hazard ratio, 0.80; 95% CI, 0.77 to 0.83; P < .001). Although the risk of relapse was directly proportional to the MRD level within each genetic risk group, absolute relapse rate that was associated with a specific MRD value or category varied significantly by genetic subtype. Integration of genetic subtype–specific MRD values allowed more refined risk group stratification. Conclusion A single threshold for assigning patients to an MRD risk group does not reflect the response kinetics of the different genetic subtypes. Future risk algorithms should integrate genetics with MRD to accurately identify patients with the lowest and highest risk of relapse. PMID:29131699

  3. Cardiovascular risk stratification in overweight or obese patients in primary prevention. Implications for use of statins.

    Science.gov (United States)

    Masson, Walter; Lobo, Martín; Huerín, Melina; Molinero, Graciela; Manente, Diego; Pángaro, Mario; Vitagliano, Laura; Zylbersztejn, Horacio

    2015-02-01

    Cardiovascular risk estimation in patients with overweight/obesity is not standardized. Our objectives were to stratify cardiovascular risk using different scores, to analyze use of statins, to report the prevalence of carotid atherosclerotic plaque (CAP), and to determine the optimal cut-off point (OCP) of scores that discriminate between subjects with or without CAP. Non-diabetic patients with overweight or obesity in primary prevention were enrolled. The Framingham score (FS), the European score (ES), and the score proposed by the new American guidelines (NS) were calculated, and statin indication was evaluated. Prevalence of CAP was determined by ultrasound examination. A ROC analysis was performed. A total of 474 patients (67% with overweight and 33% obese) were enrolled into the study. The FS classified the largest number of subjects as low risk. PAC prevalence was higher in obese as compared to overweight subjects (44.8% vs. 36.1%, P=.04). According to the FS, ES, and NS respectively, 26.7%, 39.1%, and 39.1% of overweight subjects and 28.6%, 39.0%, and 39.0% of obese subjects had an absolute indication for statins. All three scores were shown to acceptably discriminate between subjects with and without CAP (area under the curve>0.7). The OCPs evaluated did not agree with the risk category values. Risk stratification and use of statins varied in the overweight/obese population depending on the function used. Understanding of the relationship between scores and presence of CAP may optimize risk estimate. Copyright © 2014 SEEN. Published by Elsevier España, S.L.U. All rights reserved.

  4. A clinical risk stratification tool for predicting treatment resistance in major depressive disorder.

    Science.gov (United States)

    Perlis, Roy H

    2013-07-01

    Early identification of depressed individuals at high risk for treatment resistance could be helpful in selecting optimal setting and intensity of care. At present, validated tools to facilitate this risk stratification are rarely used in psychiatric practice. Data were drawn from the first two treatment levels of a multicenter antidepressant effectiveness study in major depressive disorder, the STAR*D (Sequenced Treatment Alternatives to Relieve Depression) cohort. This cohort was divided into training, testing, and validation subsets. Only clinical or sociodemographic variables available by or readily amenable to self-report were considered. Multivariate models were developed to discriminate individuals reaching remission with a first or second pharmacological treatment trial from those not reaching remission despite two trials. A logistic regression model achieved an area under the receiver operating characteristic curve exceeding .71 in training, testing, and validation cohorts and maintained good calibration across cohorts. Performance of three alternative models with machine learning approaches--a naïve Bayes classifier and a support vector machine, and a random forest model--was less consistent. Similar performance was observed between more and less severe depression, men and women, and primary versus specialty care sites. A web-based calculator was developed that implements this tool and provides graphical estimates of risk. Risk for treatment resistance among outpatients with major depressive disorder can be estimated with a simple model incorporating baseline sociodemographic and clinical features. Future studies should examine the performance of this model in other clinical populations and its utility in treatment selection or clinical trial design. Copyright © 2013 Society of Biological Psychiatry. Published by Elsevier Inc. All rights reserved.

  5. Predictive features of CT for risk stratifications in patients with primary gastrointestinal stromal tumour

    International Nuclear Information System (INIS)

    Zhou, Cuiping; Zhang, Xiang; Duan, Xiaohui; Hu, Huijun; Wang, Dongye; Shen, Jun

    2016-01-01

    To determine the predictive CT imaging features for risk stratifications in patients with primary gastrointestinal stromal tumours (GISTs). One hundred and twenty-nine patients with histologically confirmed primary GISTs (diameter >2 cm) were enrolled. CT imaging features were reviewed. Tumour risk stratifications were determined according to the 2008 NIH criteria where GISTs were classified into four categories according to the tumour size, location, mitosis count, and tumour rupture. The association between risk stratifications and CT features was analyzed using univariate analysis, followed by multinomial logistic regression and receiver operating characteristic (ROC) curve analysis. CT imaging features including tumour margin, size, shape, tumour growth pattern, direct organ invasion, necrosis, enlarged vessels feeding or draining the mass (EVFDM), lymphadenopathy, and contrast enhancement pattern were associated with the risk stratifications, as determined by univariate analysis (P < 0.05). Only lesion size, growth pattern and EVFDM remained independent risk factors in multinomial logistic regression analysis (OR = 3.480-100.384). ROC curve analysis showed that the area under curve of the obtained multinomial logistic regression model was 0.806 (95 % CI: 0.727-0.885). CT features including lesion size, tumour growth pattern, and EVFDM were predictors of the risk stratifications for GIST. (orig.)

  6. Randomization in clinical trials: stratification or minimization? The HERMES free simulation software.

    Science.gov (United States)

    Fron Chabouis, Hélène; Chabouis, Francis; Gillaizeau, Florence; Durieux, Pierre; Chatellier, Gilles; Ruse, N Dorin; Attal, Jean-Pierre

    2014-01-01

    Operative clinical trials are often small and open-label. Randomization is therefore very important. Stratification and minimization are two randomization options in such trials. The first aim of this study was to compare stratification and minimization in terms of predictability and balance in order to help investigators choose the most appropriate allocation method. Our second aim was to evaluate the influence of various parameters on the performance of these techniques. The created software generated patients according to chosen trial parameters (e.g., number of important prognostic factors, number of operators or centers, etc.) and computed predictability and balance indicators for several stratification and minimization methods over a given number of simulations. Block size and proportion of random allocations could be chosen. A reference trial was chosen (50 patients, 1 prognostic factor, and 2 operators) and eight other trials derived from this reference trial were modeled. Predictability and balance indicators were calculated from 10,000 simulations per trial. Minimization performed better with complex trials (e.g., smaller sample size, increasing number of prognostic factors, and operators); stratification imbalance increased when the number of strata increased. An inverse correlation between imbalance and predictability was observed. A compromise between predictability and imbalance still has to be found by the investigator but our software (HERMES) gives concrete reasons for choosing between stratification and minimization; it can be downloaded free of charge. This software will help investigators choose the appropriate randomization method in future two-arm trials.

  7. Analysis of ABC (D) stratification for screening patients with gastric cancer.

    Science.gov (United States)

    Kudo, Tomohiro; Kakizaki, Satoru; Sohara, Naondo; Onozato, Yasuhiro; Okamura, Shinichi; Inui, Yoshikatsu; Mori, Masatomo

    2011-11-21

    To evaluate the value of ABC (D) stratification [combination of serum pepsinogen and Helicobacter pylori (H. pylori) antibody] of patients with gastric cancer. Ninety-five consecutive patients with gastric cancer were enrolled into the study. The serum pepsinogen I (PG I)/pepsinogen II (PG II) and H. pylori antibody levels were measured. Patients were classified into five groups of ABC (D) stratification according to their serological status. Endoscopic findings of atrophic gastritis and histological differentiation were also analyzed in relation to the ABC (D) stratification. The mean patient age was (67.9 ± 8.9) years. Three patients (3.2%) were classified into group A, 7 patients (7.4%) into group A', 27 patients (28.4%) into group B, 54 patients (56.8%) into group C, and 4 patients (4.2%) into group D, respectively. There were only three cases in group A when the patients taking acid proton pump inhibitors and those who had undergone eradication therapy for H. pylori (group A') were excluded. These three cases had mucosal atrophy in the grey zone according to the diagnostic manual of ABC (D) stratification. Histologically, the mean age of the patients with well differentiated adenocarcinoma was significantly higher than that of the patients with poorly differentiated adenocarcinoma (P ABC (D) stratification is a good method for screening patients with gastric cancers. Endoscopy is needed for grey zone cases to check the extent of mucosal atrophy.

  8. Experimental study on the fluid stratification mechanism in the density lock

    International Nuclear Information System (INIS)

    Gu Haifeng; Yan Changqi; Sun Licheng

    2009-01-01

    Visualized experiments were conducted on the forming process of stratification between hot and cold fluids in three tubes with different diameters. The results show that the working fluids were divided into three layers from top to bottom: convective, interfacial, and constant temperature layers. The working fluid in the convective layer always retains the property of a high rate of temperature increase. The rate of temperature increase in the interfacial layer gradually decreased from top to bottom and was less than that in the convective layer. The working fluid temperature in the constant-temperature layer remained stable. Based on the experimental study, we built a simplified theoretical model and analyzed the stratification mechanism. The results indicate the following stratification mechanism: because of the existence of the transition points in the heat transfer modes, the differences in the rates of temperature increase appear. These differences result in the appearance of fluid stratification. In addition, research on the process of stratification under different conditions tells us that the structure of the density lock influences the position of the transition point. The density lock with a structure of variable cross-sectional grids can effectively control the position of the transition points of the heat transfer modes. (author)

  9. Experiments and numerical simulations of fluctuating thermal stratification in a branch pipe

    Energy Technology Data Exchange (ETDEWEB)

    Nakamura, Akira; Murase, Michio; Sasaki, Toru [Inst. of Nuclear Safety System Inc., Mihama, Fukui (Japan); Takenaka, Nobuyuki; Hamatani, Daisuke [Kobe Univ. (Japan)

    2002-09-01

    Many pipes branch off from the main pipe in plants. When the main flow in the main pipe is hotter than a branch pipe that branches off downward, the hot water penetrates into the branch pipe with the cavity flow that is induced by the main flow and causes thermal stratification. If the interface of the stratification fluctuates in an occluded branch pipe, thermal fatigue may occur in pipe wall. Some experiments and numerical simulations were conducted to elucidate the mechanism of this fluctuating thermal stratification. The vortex structures were observed in the experiments of straight or bent branch pipes. When the main flow was heated and the thermal stratification interface was at the elbow, a ''burst'' phenomenon occurred in the interface in connection with large heat fluctuation. The effects of pipe shape on the length of penetration were investigated in order to modify simulation conditions. The vortex structures and the fluctuating thermal stratification at elbow in the numerical simulation showed good agreement with experiments. (author)

  10. Numerical investigation on thermal stratification and striping phenomena in various coolants

    International Nuclear Information System (INIS)

    Zumao Yang; Muramatsu, Toshiharu

    2000-02-01

    It is important to study thermal stratification and striping phenomena for they can induce thermal fatigue failure of structures. This presentation uses the AQUA code, which has been developed in Japan Nuclear Cycle Development Institute (JNC), to investigate the characteristics of these thermal phenomena in water, liquid sodium, liquid lead and carbon dioxide gas. There are altogether eight calculated cases with same Richardson number and initial inlet hot velocity in thermal stratification calculations, in which four cases have same velocity difference between inlet hot and cold fluid, the other four cases with same temperature difference. The calculated results show: (1) The fluid's properties and initial conditions have considerable effects on thermal stratification, which is decided by the combination of such as thermal conduction, viscous dissipation and buoyant force, etc., and (2) The gas has distinctive thermal stratification characteristics from those of liquid because for horizontal flow in the transportation of momentum and energy, the drastic exchange usually happens at the hot-cold interface for liquid, however, the buoyancy and natural convection make the quick exchange position depart from the hot-cold interface for gas. In thermal striping analysis, only the first step work has been finished. The calculated results show: (1) the vertical flow has some difference in thermal stratification characteristics from those of horizontal flow, and (2) For deep thermal striping analysis in the calculated area, more attention should be paid to the center area along Z-direction for liquid and small velocity area for gas. (author)

  11. Vertical mixing and coherent anticyclones in the ocean: the role of stratification

    Directory of Open Access Journals (Sweden)

    I. Koszalka

    2010-01-01

    Full Text Available The role played by wind-forced anticyclones in the vertical transport and mixing at the ocean mesoscale is investigated with a primitive-equation numerical model in an idealized configuration. The focus of this work is to determine how the stratification impacts such transport.

    The flows, forced only at the surface by an idealized wind forcing, are predominantly horizontal and, on average, quasigeostrophic. Inside vortex cores and intense filaments, however, the dynamics is strongly ageostrophic.

    Mesoscale anticyclones appear as "islands" of increased penetration of wind energy into the ocean interior and they represent the maxima of available potential energy. The amount of available potential energy is directly correlated with the degree of stratification.

    The wind energy injected at the surface is transferred at depth through the generation and subsequent straining effect of Vortex Rossby Waves (VRWs, and through near-inertial internal oscillations trapped inside anticyclonic vortices. Both these mechanisms are affected by stratification. Stronger transfer but larger confinement close to the surface is found when the stratification is stronger. For weaker stratification, vertical mixing close to the surface is less intense but below about 150 m attains substantially higher values due to an increased contribution of both VRWs, whose time scale is on the order of few days, and of near-inertial motions, with a time scale of few hours.

  12. Geological Corrections in Gravimetry

    Science.gov (United States)

    Mikuška, J.; Marušiak, I.

    2015-12-01

    Applying corrections for the known geology to gravity data can be traced back into the first quarter of the 20th century. Later on, mostly in areas with sedimentary cover, at local and regional scales, the correction known as gravity stripping has been in use since the mid 1960s, provided that there was enough geological information. Stripping at regional to global scales became possible after releasing the CRUST 2.0 and later CRUST 1.0 models in the years 2000 and 2013, respectively. Especially the later model provides quite a new view on the relevant geometries and on the topographic and crustal densities as well as on the crust/mantle density contrast. Thus, the isostatic corrections, which have been often used in the past, can now be replaced by procedures working with an independent information interpreted primarily from seismic studies. We have developed software for performing geological corrections in space domain, based on a-priori geometry and density grids which can be of either rectangular or spherical/ellipsoidal types with cells of the shapes of rectangles, tesseroids or triangles. It enables us to calculate the required gravitational effects not only in the form of surface maps or profiles but, for instance, also along vertical lines, which can shed some additional light on the nature of the geological correction. The software can work at a variety of scales and considers the input information to an optional distance from the calculation point up to the antipodes. Our main objective is to treat geological correction as an alternative to accounting for the topography with varying densities since the bottoms of the topographic masses, namely the geoid or ellipsoid, generally do not represent geological boundaries. As well we would like to call attention to the possible distortions of the corrected gravity anomalies. This work was supported by the Slovak Research and Development Agency under the contract APVV-0827-12.

  13. Resolving the stratification discrepancy of turbulent natural convection in differentially heated air-filled cavities. Part III: A full convection–conduction–surface radiation coupling

    International Nuclear Information System (INIS)

    Xin, Shihe; Salat, Jacques; Joubert, Patrice; Sergent, Anne; Penot, François; Quéré, Patrick Le

    2013-01-01

    Highlights: ► Turbulent natural convection is studied numerically and experimentally. ► DNS of full conduction–convection–radiation coupling is performed. ► Spectral methods are combined with domain decomposition. ► Considering surface radiation improves strongly numerical results. ► Surface radiation is responsible for the weak stratification. -- Abstract: The present study concerns an air-filled differentially heated cavity of 1 m × 0.32 m × 1 m (width × depth × height) subject to a temperature difference of 15 K and is motivated by the need to understand the persistent discrepancy observed between numerical and experimental results on thermal stratification in the cavity core. An improved experiment with enhanced metrology was set up and experimental data have been obtained along with the characteristics of the surfaces and materials used. Experimental temperature distributions on the passive walls have been introduced in numerical simulations in order to provide a faithful prediction of experimental data. By means of DNS using spectral methods, heat conduction in the insulating material is first coupled with natural convection in the cavity. As heat conduction influences only the temperature distribution on the top and bottom surfaces and in the near wall regions, surface radiation is added to the coupling of natural convection with heat conduction. The temperature distribution in the cavity is strongly affected by the polycarbonate front and rear walls of the cavity, which are almost black surfaces for low temperature radiation, and also other low emissivity walls. The thermal stratification is considerably weakened by surface radiation. Good agreement between numerical simulations and experiments is observed on both time-averaged fields and turbulent statistics. Treating the full conduction–convection–radiation coupling allowed to confirm that experimental wall temperatures resulted from the coupled phenomena and this is another way to

  14. Cost-Effectiveness Analysis: Risk Stratification of Nonalcoholic Fatty Liver Disease (NAFLD by the Primary Care Physician Using the NAFLD Fibrosis Score.

    Directory of Open Access Journals (Sweden)

    Elliot B Tapper

    Full Text Available The complications of Nonalcoholic Fatty Liver Disease (NAFLD are dependent on the presence of advanced fibrosis. Given the high prevalence of NAFLD in the US, the optimal evaluation of NAFLD likely involves triage by a primary care physician (PCP with advanced disease managed by gastroenterologists.We compared the cost-effectiveness of fibrosis risk-assessment strategies in a cohort of 10,000 simulated American patients with NAFLD performed in either PCP or referral clinics using a decision analytical microsimulation state-transition model. The strategies included use of vibration-controlled transient elastography (VCTE, the NAFLD fibrosis score (NFS, combination testing with NFS and VCTE, and liver biopsy (usual care by a specialist only. NFS and VCTE performance was obtained from a prospective cohort of 164 patients with NAFLD. Outcomes included cost per quality adjusted life year (QALY and correct classification of fibrosis.Risk-stratification by the PCP using the NFS alone costs $5,985 per QALY while usual care costs $7,229/QALY. In the microsimulation, at a willingness-to-pay threshold of $100,000, the NFS alone in PCP clinic was the most cost-effective strategy in 94.2% of samples, followed by combination NFS/VCTE in the PCP clinic (5.6% and usual care in 0.2%. The NFS based strategies yield the best biopsy-correct classification ratios (3.5 while the NFS/VCTE and usual care strategies yield more correct-classifications of advanced fibrosis at the cost of 3 and 37 additional biopsies per classification.Risk-stratification of patients with NAFLD primary care clinic is a cost-effective strategy that should be formally explored in clinical practice.

  15. Lengthened cold stratification improves bulk whitebark pine germination

    Science.gov (United States)

    Nathan Robertson; Kent Eggleston; Emily Overton; Marie McLaughlin

    2013-01-01

    Crucial to the restoration of whitebark pine (Pinus albicaulis) ecosystems is the ability of forest managers to locate, propagate, and reintroduce viable, disease-resistant populations to these jeopardized systems. Currently, one of the most limiting steps in this process is the slow, labor-in - tensive, and expensive process of producing whitebark seedlings at forest...

  16. International Student Migration and Social Stratification in China

    Science.gov (United States)

    Xiang, Biao; Shen, Wei

    2009-01-01

    During the late 1990s China moved from a period of "wealth creation" that benefited the majority of the population to a period of "wealth concentration" that benefited a minority. This essay focuses on the role of international student migration from China to other countries in this process. In particular the authors delineate…

  17. Segmented Poincaré plot analysis for risk stratification in patients with dilated cardiomyopathy.

    Science.gov (United States)

    Voss, A; Fischer, C; Schroeder, R; Figulla, H R; Goernig, M

    2010-01-01

    The prognostic value of heart rate variability in patients with dilated cardiomyopathy (DCM) is limited and does not contribute to risk stratification although the dynamics of ventricular repolarization differs considerably between DCM patients and healthy subjects. Neither linear nor nonlinear methods of heart rate variability analysis could discriminate between patients at high and low risk for sudden cardiac death. The aim of this study was to analyze the suitability of the new developed segmented Poincaré plot analysis (SPPA) to enhance risk stratification in DCM. In contrast to the usual applied Poincaré plot analysis the SPPA retains nonlinear features from investigated beat-to-beat interval time series. Main features of SPPA are the rotation of cloud of points and their succeeded variability depended segmentation. Significant row and column probabilities were calculated from the segments and led to discrimination (up to pplot analysis of heart rate variability was able to contribute to risk stratification in patients suffering from DCM.

  18. Thermal stratification in a hot water tank established by heat loss from the tank

    DEFF Research Database (Denmark)

    Fan, Jianhua; Furbo, Simon

    2012-01-01

    This paper presents numerical investigations of thermal stratification in a vertical cylindrical hot water tank established by standby heat loss from the tank. The transient fluid flow and heat transfer in the tank during cooling caused by standby heat loss are calculated by means of validated...... computational fluid dynamics (CFD) models. The measured heat loss coefficient for the different parts of the tank is used as input to the CFD model. Parametric studies are carried out using the validated models to investigate the influence on thermal stratification of the tank by the downward flow...... the heat loss from the tank sides will be distributed at different levels of the tank at different thermal conditions. The results show that 20–55% of the side heat loss drops to layers below in the part of the tank without the presence of thermal stratification. A heat loss removal factor is introduced...

  19. Thermal stratification in a hot water tank established by heat loss from the tank

    DEFF Research Database (Denmark)

    Fan, Jianhua; Furbo, Simon

    2009-01-01

    Results of experimental and numerical investigations of thermal stratification and natural convection in a vertical cylindrical hot water tank during standby periods are presented. The transient fluid flow and heat transfer in the tank during cooling caused by heat loss are investigated...... on the natural buoyancy resulting in downward flow along the tank side walls due to heat loss of the tank and the influence on thermal stratification of the tank by the downward flow and the corresponding upward flow in the central parts of the tank. Water temperatures at different levels of the tank...... by computational fluid dynamics (CFD) calculations and by thermal measurements. A tank with uniform temperatures and thermal stratification is studied. The distribution of the heat loss coefficient for the different parts of the tank is measured by tests and used as input to the CFD model. The investigations focus...

  20. Coherent structure in geostrophic flow under density stratification; Mippei seisoka ni aru chikoryu no soshiki kozo

    Energy Technology Data Exchange (ETDEWEB)

    Tsujimura, S.; Iida, O.; Nagano, Y. [Nagoya Institute of Technology, Nagoya (Japan)

    1998-10-25

    The coherent structure and relevant heat transport in geostrophic flows under various density stratification has been studied by using both direct numerical simulation and rapid distortion theory. It is found that in a neutrally stratified flow under system rotation, the temperature fluctuations become very close to two-dimensional and their variation is very small in the direction parallel to the axis of rotation. Under the stable stratification, the velocity and temperature fluctuations tend to oscillate with the Brunt-Vaisala frequency. Under the unstable stratification, on the other hand, vortex columns are formed in the direction parallel to the axis of rotation. However, the generation of the elongated vortex columns cannot be predicted by the rapid distortion theory. The non-linear term is required to generate these characteristic vortex columns. 11 refs., 18 figs., 1 tab.

  1. Robust Active Label Correction

    DEFF Research Database (Denmark)

    Kremer, Jan; Sha, Fei; Igel, Christian

    2018-01-01

    for the noisy data lead to different active label correction algorithms. If loss functions consider the label noise rates, these rates are estimated during learning, where importance weighting compensates for the sampling bias. We show empirically that viewing the true label as a latent variable and computing......Active label correction addresses the problem of learning from input data for which noisy labels are available (e.g., from imprecise measurements or crowd-sourcing) and each true label can be obtained at a significant cost (e.g., through additional measurements or human experts). To minimize......). To select labels for correction, we adopt the active learning strategy of maximizing the expected model change. We consider the change in regularized empirical risk functionals that use different pointwise loss functions for patterns with noisy and true labels, respectively. Different loss functions...

  2. Generalised Batho correction factor

    International Nuclear Information System (INIS)

    Siddon, R.L.

    1984-01-01

    There are various approximate algorithms available to calculate the radiation dose in the presence of a heterogeneous medium. The Webb and Fox product over layers formulation of the generalised Batho correction factor requires determination of the number of layers and the layer densities for each ray path. It has been shown that the Webb and Fox expression is inefficient for the heterogeneous medium which is expressed as regions of inhomogeneity rather than layers. The inefficiency of the layer formulation is identified as the repeated problem of determining for each ray path which inhomogeneity region corresponds to a particular layer. It has been shown that the formulation of the Batho correction factor as a product over inhomogeneity regions avoids that topological problem entirely. The formulation in terms of a product over regions simplifies the computer code and reduces the time required to calculate the Batho correction factor for the general heterogeneous medium. (U.K.)

  3. THE SECONDARY EXTINCTION CORRECTION

    Energy Technology Data Exchange (ETDEWEB)

    Zachariasen, W. H.

    1963-03-15

    It is shown that Darwin's formula for the secondary extinction correction, which has been universally accepted and extensively used, contains an appreciable error in the x-ray diffraction case. The correct formula is derived. As a first order correction for secondary extinction, Darwin showed that one should use an effective absorption coefficient mu + gQ where an unpolarized incident beam is presumed. The new derivation shows that the effective absorption coefficient is mu + 2gQ(1 + cos/sup 4/2 theta )/(1 plus or minus cos/sup 2/2 theta )/s up 2/, which gives mu + gQ at theta =0 deg and theta = 90 deg , but mu + 2gQ at theta = 45 deg . Darwin's theory remains valid when applied to neutron diffraction. (auth)

  4. The novel POSEIDON stratification of 'Low prognosis patients in Assisted Reproductive Technology' and its proposed marker of successful outcome.

    Science.gov (United States)

    Humaidan, Peter; Alviggi, Carlo; Fischer, Robert; Esteves, Sandro C

    2016-01-01

    In reproductive medicine little progress has been achieved regarding the clinical management of patients with a reduced ovarian reserve or poor ovarian response (POR) to stimulation with exogenous gonadotropins -a frustrating experience for clinicians as well as patients. Despite the efforts to optimize the definition of this subgroup of patients, the existing POR criteria unfortunately comprise a heterogeneous population and, importantly, do not offer any recommendations for clinical handling. Recently, the POSEIDON group ( P atient- O riented S trategies E ncompassing I ndividualize D O ocyte N umber) proposed a new stratification of assisted reproductive technology (ART) in patients with a reduced ovarian reserve or unexpected inappropriate ovarian response to exogenous gonadotropins. In brief, four subgroups have been suggested based on quantitative and qualitative parameters, namely, i. Age and the expected aneuploidy rate; ii. Ovarian biomarkers (i.e. antral follicle count [AFC] and anti-Müllerian hormone [AMH]), and iii. Ovarian response - provided a previous stimulation cycle was performed. The new classification introduces a more nuanced picture of the "low prognosis patient" in ART, using clinically relevant criteria to guide the physician to most optimally manage this group of patients. The POSEIDON group also introduced a new measure for successful ART treatment, namely, the ability to retrieve the number of oocytes needed for the specific patient to obtain at least one euploid embryo for transfer. This feature represents a pragmatic endpoint to clinicians and enables the development of prediction models aiming to reduce the time-to-pregnancy (TTP). Consequently, the POSEIDON stratification should not be applied for retrospective analyses having live birth rate (LBR) as endpoint. Such an approach would fail as the attribution of patients to each Poseidon group is related to specific requirements and could only be made prospectively. On the other hand

  5. Cardiac stress test as a risk-stratification tool for posttransplant cardiac outcomes in diabetic kidney transplant recipients.

    Science.gov (United States)

    Singh, Neeraj; Parikh, Samir; Bhatt, Udayan; Vonvisger, Jon; Nori, Uday; Hasan, Ayesha; Samavedi, Srinivas; Andreoni, Kenneth; Henry, Mitchell; Pelletier, Ronald; Rajab, Amer; Elkhammas, Elmahdi; Pesavento, Todd

    2012-12-27

    The utility of cardiac stress testing as a risk-stratification tool before kidney transplantation remains debatable owing to discordance with coronary angiography and outcome yields at different centers. We conducted a retrospective study of 273 diabetic kidney transplant recipients from 2006 to 2010. By protocol, all diabetic patients underwent pharmacological radionucleotide stress test or dobutamine stress echocardiography before transplant. We compared the 1-year cardiac outcomes between those with negative stress test results and those with positive stress test results. Patients with a positive stress test result (n=67) underwent coronary angiogram, and significant coronary artery disease (≥70% coronary stenosis) was found in 35 (52.2%) patients. Of the latter, 32 (91.4%) underwent cardiac revascularization (24 underwent cardiac stenting and 8 underwent coronary artery bypass grafting). The rest (n=35) were treated medically. Within 1 year after transplant, the group with positive stress test results experienced more cardiac events (34.3% vs. 3.9%, P<0.001) including acute myocardial infarction (22.4% vs. 3.4%, P<0.001) and ventricular arrhythmias (8.9% vs. 0.05%, P=0.001), higher all-cause mortality (19.4% vs. 4.8%, P<0.001), and cardiac mortality (17.9% vs. 0.9%, P<0.001) compared with the group with negative stress test results. In this diabetic population, stress testing showed positive and negative predictive values of 34.3% and 96.1%, respectively. Pharmacological cardiac stress testing provided excellent risk stratification in diabetic kidney transplant recipients.

  6. Stratification of mammographic computerized analysis by BI-RADS categories

    Energy Technology Data Exchange (ETDEWEB)

    Lederman, Richard [Department of Radiology, Hadassah University Hospital, Ein Kerem, Jerusalem (Israel); Leichter, Isaac [Department of Electro-Optics, Jerusalem College of Technology, P.O.B. 16031, Jerusalem (Israel); Buchbinder, Shalom [Department of Radiology of The Montefiore Medical Center, The University Hospital for the Albert Einstein College of Medicine, Bronx, New York (United States); Novak, Boris [Department of Applied Mathematics, Jerusalem College of Technology, P.O.B. 16031, Jerusalem 91160 (Israel); Bamberger, Philippe [Department of Electronics, Jerusalem College of Technology, POB 16031, Jerusalem (Israel); Fields, Scott [Department of Radiology, Hadassah University Hospital, Mt. Scopus, Jerusalem (Israel)

    2003-02-01

    The Breast Imaging Reporting and Data System (BI-RADS) was implemented to standardize characterization of mammographic findings. The purpose of the present study was to evaluate in which BI-RADS categories the changes recommended by computerized mammographic analysis are most beneficial. Archival cases including, 170 masses (101 malignant, 69 benign) and 63 clusters of microcalcifications (MCs; 36 malignant, 27 benign), were evaluated retrospectively, using the BI-RADS categories, by several radiologists, blinded to the pathology results. A computerized system then automatically extracted from the digitized mammogram features characterizing mammographic lesions, which were used to classify the lesions. The results of the computerized classification scheme were compared, by receiver operating characteristics (ROC) analysis, to the conventional interpretation. In the ''low probability of malignancy group'' (excluding BI-RADS categories 4 and 5), computerized analysis improved the A{sub z}of the ROC curve significantly, from 0.57 to 0.89. In the ''high probability of malignancy group'' (mostly category 5) the computerized analysis yielded an ROC curve with an A {sub z}of 0.99. In the ''intermediate probability of malignancy group'' computerized analysis improved the A {sub z}significantly, from 0.66 for to 0.83. Pair-wise analysis showed that in the latter group the modifications resulting from computerized analysis were correct in 83% of cases. Computerized analysis has the ability to improve the performance of the radiologists exactly in the BI-RADS categories with the greatest difficulties in arriving at a correct diagnosis. It increased the performance significantly in the problematic group of ''intermediate probability of malignancy'' and pinpointed all the cases with missed cancers in the ''low probability'' group. (orig.)

  7. Stratification of mammographic computerized analysis by BI-RADS categories

    International Nuclear Information System (INIS)

    Lederman, Richard; Leichter, Isaac; Buchbinder, Shalom; Novak, Boris; Bamberger, Philippe; Fields, Scott

    2003-01-01

    The Breast Imaging Reporting and Data System (BI-RADS) was implemented to standardize characterization of mammographic findings. The purpose of the present study was to evaluate in which BI-RADS categories the changes recommended by computerized mammographic analysis are most beneficial. Archival cases including, 170 masses (101 malignant, 69 benign) and 63 clusters of microcalcifications (MCs; 36 malignant, 27 benign), were evaluated retrospectively, using the BI-RADS categories, by several radiologists, blinded to the pathology results. A computerized system then automatically extracted from the digitized mammogram features characterizing mammographic lesions, which were used to classify the lesions. The results of the computerized classification scheme were compared, by receiver operating characteristics (ROC) analysis, to the conventional interpretation. In the ''low probability of malignancy group'' (excluding BI-RADS categories 4 and 5), computerized analysis improved the A z of the ROC curve significantly, from 0.57 to 0.89. In the ''high probability of malignancy group'' (mostly category 5) the computerized analysis yielded an ROC curve with an A z of 0.99. In the ''intermediate probability of malignancy group'' computerized analysis improved the A z significantly, from 0.66 for to 0.83. Pair-wise analysis showed that in the latter group the modifications resulting from computerized analysis were correct in 83% of cases. Computerized analysis has the ability to improve the performance of the radiologists exactly in the BI-RADS categories with the greatest difficulties in arriving at a correct diagnosis. It increased the performance significantly in the problematic group of ''intermediate probability of malignancy'' and pinpointed all the cases with missed cancers in the ''low probability'' group. (orig.)

  8. The formation of low-angle eolian stratification through the migration of protodunes

    Science.gov (United States)

    Ewing, R. C.; Phillips, J. D.; Weymer, B. A.; Barrineaux, P.; Bowling, R.; Nittrouer, J. A.

    2017-12-01

    Protodunes are low-relief, slipfaceless migrating bed forms that represent the emergent form of eolian sand dunes. Protodunes develop as cm-scale topography out of a flat bed of sand and evolve spatially and temporally into dunes with angle-of-repose slipfaces. Protodunes at White Sands Dune Field in New Mexico form at the upwind, trailing margin of the field, on dune stoss slopes, and in interdune areas. Here we analyze protodunes at the upwind margin of White Sands by coupling 200 mHz ground penetrating radar (GPR) with time-series high-resolution topography to characterize the origin and evolution of protodune stratification and the stratigraphic transition into fully developed dunes. We surveyed a 780m transect in the resultant transport direction of the dune field from SW to NE from sand patches through protodunes and into the first dune. We used airborne lidar surveys and structure-from-motion photogrammetry from 2007, 2008, 2009, 2010, 2015, and 2016. We find that protodune stratification forms at angles between 0-10 degrees by protodune migration. Dip angles increase as protodune amplitude increases along the transect. Accumulation of low-angle stratification increases across the first 650m and ranges from none to subcritical. Nearly aggradational accumulation of low-angle stratification occurs over the last 100m and is a precursor to angle-of-repose slipface formation. The origins of the aggradation and slipface development appear to be linked to protodune merging, dune interactions, and possibly to the development of a dune field-scale boundary layer. Protodunes and the formation of low-angle stratification at the upwind margin of White Sands are a good analog to the initiation of dune field development from sand sheets and the formation of low-angle stratification found at the base of eolian successions in the stratigraphic record.

  9. Tidal asymmetries of velocity and stratification over a bathymetric depression in a tropical inlet

    Science.gov (United States)

    Waterhouse, Amy F.; Valle-Levinson, Arnoldo; Morales Pérez, Rubén A.

    2012-10-01

    Observations of current velocity, sea surface elevation and vertical profiles of density were obtained in a tropical inlet to determine the effect of a bathymetric depression (hollow) on the tidal flows. Surveys measuring velocity profiles were conducted over a diurnal tidal cycle with mixed spring tides during dry and wet seasons. Depth-averaged tidal velocities during ebb and flood tides behaved according to Bernoulli dynamics, as expected. The dynamic balance of depth-averaged quantities in the along-channel direction was governed by along-channel advection and pressure gradients with baroclinic pressure gradients only being important during the wet season. The vertical structure of the along-channel flow during flood tides exhibited a mid-depth maximum with lateral shear enhanced during the dry season as a result of decreased vertical stratification. During ebb tides, along-channel velocities in the vicinity of the hollow were vertically sheared with a weak return flow at depth due to choking of the flow on the seaward slope of the hollow. The potential energy anomaly, a measure of the amount of energy required to fully mix the water column, showed two peaks in stratification associated with ebb tide and a third peak occurring at the beginning of flood. After the first mid-ebb peak in stratification, ebb flows were constricted on the seaward slope of the hollow resulting in a bottom return flow. The sinking of surface waters and enhanced mixing on the seaward slope of the hollow reduced the potential energy anomaly after maximum ebb. The third peak in stratification during early flood occurred as a result of denser water entering the inlet at mid-depth. This dense water mixed with ambient deep waters increasing the stratification. Lateral shear in the along-channel flow across the hollow allowed trapping of less dense water in the surface layers further increasing stratification.

  10. Bryant J. correction formula

    International Nuclear Information System (INIS)

    Tejera R, A.; Cortes P, A.; Becerril V, A.

    1990-03-01

    For the practical application of the method proposed by J. Bryant, the authors carried out a series of small corrections, related with the bottom, the dead time of the detectors and channels, with the resolution time of the coincidences, with the accidental coincidences, with the decay scheme and with the gamma efficiency of the beta detector beta and the beta efficiency beta of the gamma detector. The calculation of the correction formula is presented in the development of the present report, being presented 25 combinations of the probability of the first existent state at once of one disintegration and the second state at once of the following disintegration. (Author)

  11. Model Correction Factor Method

    DEFF Research Database (Denmark)

    Christensen, Claus; Randrup-Thomsen, Søren; Morsing Johannesen, Johannes

    1997-01-01

    The model correction factor method is proposed as an alternative to traditional polynomial based response surface techniques in structural reliability considering a computationally time consuming limit state procedure as a 'black box'. The class of polynomial functions is replaced by a limit...... of the model correction factor method, is that in simpler form not using gradient information on the original limit state function or only using this information once, a drastic reduction of the number of limit state evaluation is obtained together with good approximations on the reliability. Methods...

  12. Models of the plasma corona formation and stratification of exploding micro-wires

    International Nuclear Information System (INIS)

    Volkov, N.B.; Sarkisov, G.S.; Struve, K.W.; McDaniel, D.H.

    2005-01-01

    There are proposed the models pf plasma corona formation and stratification of a gas-plasma core of exploding micro-wire. The opportunity of use for the description of physical processes in a formed plasma corona of an electronic magnetohydrodynamics is generalized in view of change of particle number as a result of evaporation, ionization and a leaving of electrons on a wire surface. Necessity of the account of influence of a hot plasma corona on stratification of a gas-plasma core was grounded [ru

  13. The Effect of an Isogrid on Cryogenic Propellant Behavior and Thermal Stratification

    Science.gov (United States)

    Oliveira, Justin; Kirk, Daniel R.; Chintalapati, Sunil; Schallhorn, Paul A.; Piquero, Jorge L.; Campbell, Mike; Chase, Sukhdeep

    2007-01-01

    All models for thermal stratification available in the presentation are derived using smooth, flat plate laminar and turbulent boundary layer models. This study examines the effect of isogrid (roughness elements) on the surface of internal tank walls to mimic the effects of weight-saving isogrid, which is located on the inside of many rocket propellant tanks. Computational Fluid Dynamics (CFD) is used to study the momentum and thermal boundary layer thickness for free convection flows over a wall with generic roughness elements. This presentation makes no mention of actual isogrid sizes or of any specific tank geometry. The magnitude of thermal stratification is compared for smooth and isogrid-lined walls.

  14. Risk stratification of thyroid nodules on ultrasonography with the French TI-RADS: Description and reflections

    International Nuclear Information System (INIS)

    Russ, Gilles

    2016-01-01

    The widespread use of ultrasonography places it in a key position for use in the risk stratification of thyroid nodules. The French proposal is a five-tier system, our version of a thyroid imaging reporting and database system (TI-RADS), which includes a standardized vocabulary and report and a quantified risk assessment. It allows the selection of the nodules that should be referred for fine-needle aspiration biopsies. Effort should be directed towards merging the different risk stratification systems utilized around the world and testing this unified system with multi-center studies

  15. Risk stratification of thyroid nodules on ultrasonography with the French TI-RADS: Description and reflections

    Energy Technology Data Exchange (ETDEWEB)

    Russ, Gilles [Thyroid and Endocrine Tumor Unit, Department of Nuclear Medicine, La Pitie Salpetriere Hospital, Pierre and Marie Curie University, Paris (Korea, Republic of)

    2016-01-15

    The widespread use of ultrasonography places it in a key position for use in the risk stratification of thyroid nodules. The French proposal is a five-tier system, our version of a thyroid imaging reporting and database system (TI-RADS), which includes a standardized vocabulary and report and a quantified risk assessment. It allows the selection of the nodules that should be referred for fine-needle aspiration biopsies. Effort should be directed towards merging the different risk stratification systems utilized around the world and testing this unified system with multi-center studies.

  16. Assessment of Genetic Heterogeneity in Structured Plant Populations Using Multivariate Whole-Genome Regression Models.

    Science.gov (United States)

    Lehermeier, Christina; Schön, Chris-Carolin; de Los Campos, Gustavo

    2015-09-01

    Plant breeding populations exhibit varying levels of structure and admixture; these features are likely to induce heterogeneity of marker effects across subpopulations. Traditionally, structure has been dealt with as a potential confounder, and various methods exist to "correct" for population stratification. However, these methods induce a mean correction that does not account for heterogeneity of marker effects. The animal breeding literature offers a few recent studies that consider modeling genetic heterogeneity in multibreed data, using multivariate models. However, these methods have received little attention in plant breeding where population structure can have different forms. In this article we address the problem of analyzing data from heterogeneous plant breeding populations, using three approaches: (a) a model that ignores population structure [A-genome-based best linear unbiased prediction (A-GBLUP)], (b) a stratified (i.e., within-group) analysis (W-GBLUP), and (c) a multivariate approach that uses multigroup data and accounts for heterogeneity (MG-GBLUP). The performance of the three models was assessed on three different data sets: a diversity panel of rice (Oryza sativa), a maize (Zea mays L.) half-sib panel, and a wheat (Triticum aestivum L.) data set that originated from plant breeding programs. The estimated genomic correlations between subpopulations varied from null to moderate, depending on the genetic distance between subpopulations and traits. Our assessment of prediction accuracy features cases where ignoring population structure leads to a parsimonious more powerful model as well as others where the multivariate and stratified approaches have higher predictive power. In general, the multivariate approach appeared slightly more robust than either the A- or the W-GBLUP. Copyright © 2015 by the Genetics Society of America.

  17. Attenuation correction for SPECT

    International Nuclear Information System (INIS)

    Hosoba, Minoru

    1986-01-01

    Attenuation correction is required for the reconstruction of a quantitative SPECT image. A new method for detecting body contours, which are important for the correction of tissue attenuation, is presented. The effect of body contours, detected by the newly developed method, on the reconstructed images was evaluated using various techniques for attenuation correction. The count rates in the specified region of interest in the phantom image by the Radial Post Correction (RPC) method, the Weighted Back Projection (WBP) method, Chang's method were strongly affected by the accuracy of the contours, as compared to those by Sorenson's method. To evaluate the effect of non-uniform attenuators on the cardiac SPECT, computer simulation experiments were performed using two types of models, the uniform attenuator model (UAM) and the non-uniform attenuator model (NUAM). The RPC method showed the lowest relative percent error (%ERROR) in UAM (11 %). However, 20 to 30 percent increase in %ERROR was observed for NUAM reconstructed with the RPC, WBP, and Chang's methods. Introducing an average attenuation coefficient (0.12/cm for Tc-99m and 0.14/cm for Tl-201) in the RPC method decreased %ERROR to the levels for UAM. Finally, a comparison between images, which were obtained by 180 deg and 360 deg scans and reconstructed from the RPC method, showed that the degree of the distortion of the contour of the simulated ventricles in the 180 deg scan was 15 % higher than that in the 360 deg scan. (Namekawa, K.)

  18. Text Induced Spelling Correction

    NARCIS (Netherlands)

    Reynaert, M.W.C.

    2004-01-01

    We present TISC, a language-independent and context-sensitive spelling checking and correction system designed to facilitate the automatic removal of non-word spelling errors in large corpora. Its lexicon is derived from a very large corpus of raw text, without supervision, and contains word

  19. Ballistic deficit correction

    International Nuclear Information System (INIS)

    Duchene, G.; Moszynski, M.; Curien, D.

    1991-01-01

    The EUROGAM data-acquisition has to handle a large number of events/s. Typical in-beam experiments using heavy-ion fusion reactions assume the production of about 50 000 compound nuclei per second deexciting via particle and γ-ray emissions. The very powerful γ-ray detection of EUROGAM is expected to produce high-fold event rates as large as 10 4 events/s. Such high count rates introduce, in a common dead time mode, large dead times for the whole system associated with the processing of the pulse, its digitization and its readout (from the preamplifier pulse up to the readout of the information). In order to minimize the dead time the shaping time constant τ, usually about 3 μs for large volume Ge detectors has to be reduced. Smaller shaping times, however, will adversely affect the energy resolution due to ballistic deficit. One possible solution is to operate the linear amplifier, with a somewhat smaller shaping time constant (in the present case we choose τ = 1.5 μs), in combination with a ballistic deficit compensator. The ballistic deficit can be corrected in different ways using a Gated Integrator, a hardware correction or even a software correction. In this paper we present a comparative study of the software and hardware corrections as well as gated integration

  20. Correctness of concurrent processes

    NARCIS (Netherlands)

    E.R. Olderog (Ernst-Rüdiger)

    1989-01-01

    textabstractA new notion of correctness for concurrent processes is introduced and investigated. It is a relationship P sat S between process terms P built up from operators of CCS [Mi 80], CSP [Ho 85] and COSY [LTS 79] and logical formulas S specifying sets of finite communication sequences as in

  1. Error Correcting Codes -34 ...

    Indian Academy of Sciences (India)

    information and coding theory. A large scale relay computer had failed to deliver the expected results due to a hardware fault. Hamming, one of the active proponents of computer usage, was determined to find an efficient means by which computers could detect and correct their own faults. A mathematician by train-.

  2. Measured attenuation correction methods

    International Nuclear Information System (INIS)

    Ostertag, H.; Kuebler, W.K.; Doll, J.; Lorenz, W.J.

    1989-01-01

    Accurate attenuation correction is a prerequisite for the determination of exact local radioactivity concentrations in positron emission tomography. Attenuation correction factors range from 4-5 in brain studies to 50-100 in whole body measurements. This report gives an overview of the different methods of determining the attenuation correction factors by transmission measurements using an external positron emitting source. The long-lived generator nuclide 68 Ge/ 68 Ga is commonly used for this purpose. The additional patient dose from the transmission source is usually a small fraction of the dose due to the subsequent emission measurement. Ring-shaped transmission sources as well as rotating point or line sources are employed in modern positron tomographs. By masking a rotating line or point source, random and scattered events in the transmission scans can be effectively suppressed. The problems of measured attenuation correction are discussed: Transmission/emission mismatch, random and scattered event contamination, counting statistics, transmission/emission scatter compensation, transmission scan after administration of activity to the patient. By using a double masking technique simultaneous emission and transmission scans become feasible. (orig.)

  3. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... their surgery, orthognathic surgery is performed to correct functional problems. Jaw Surgery can have a dramatic effect on many aspects of life. Following are some of the conditions that may ... front, or side Facial injury Birth defects Receding lower jaw and ...

  4. Error Correcting Codes

    Indian Academy of Sciences (India)

    successful consumer products of all time - the Compact Disc. (CD) digital audio .... We can make ... only 2 t additional parity check symbols are required, to be able to correct t .... display information (contah'ling music related data and a table.

  5. Error Correcting Codes

    Indian Academy of Sciences (India)

    Science and Automation at ... the Reed-Solomon code contained 223 bytes of data, (a byte ... then you have a data storage system with error correction, that ..... practical codes, storing such a table is infeasible, as it is generally too large.

  6. Error Correcting Codes

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 2; Issue 3. Error Correcting Codes - Reed Solomon Codes. Priti Shankar. Series Article Volume 2 Issue 3 March ... Author Affiliations. Priti Shankar1. Department of Computer Science and Automation, Indian Institute of Science, Bangalore 560 012, India ...

  7. 10. Correctness of Programs

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 3; Issue 4. Algorithms - Correctness of Programs. R K Shyamasundar. Series Article Volume 3 ... Author Affiliations. R K Shyamasundar1. Computer Science Group, Tata Institute of Fundamental Research, Homi Bhabha Road, Mumbai 400 005, India.

  8. Numerical analysis of stratification and destratification processes in a tidally energetic inlet with an ebb tidal delta

    NARCIS (Netherlands)

    Purkiani, K.; Becherer, J.; Flöser, G.; Gräwe, U.; Mohrholz, V.; Schuttelaars, H.M.; Burchard, H.

    2015-01-01

    Stratification and destratification processes in a tidally energetic, weakly stratified inlet in the Wadden Sea (south eastern North Sea) are investigated in this modeling study. Observations of current velocity and vertical density structure show strain-induced periodic stratification for the

  9. How Global Academic Stratification Affects Local Academies: The Inflated Role of Knowledge Reception in the Philosophy Discipline in Modern Japan

    Science.gov (United States)

    Chew, Matthew M.

    2008-01-01

    Sociologists of knowledge find that academic stratification is present among individual scholars, genders, networks, fields, and all kinds of scientific organizations, while communications scholars have been studying global cultural asymmetry for a long time. Yet few researchers have explored the global dimension of academic stratification. In…

  10. The influence of temperature stratification on the thermal performance of a dry cooling tower with natural draught

    International Nuclear Information System (INIS)

    Buxmann, J.

    1977-01-01

    The cooling effect of a cooling tower is noticeably changed, if in its surroundings there exists a temperature stratification which is different from the adiabatic temperature stratification. The design data are investigated which have an influence on the heat rating and the total temperature difference at various temperature gradients in the air. (orig.) [de

  11. Global cardiovascular risk stratification among hypertensive patients treated in a Family Health Unit of Parnaíba, Piauí - doi: 10.5020/18061230.2012.p287

    Directory of Open Access Journals (Sweden)

    Elce de Seixas Nascimento

    2012-11-01

    Full Text Available Objective: To stratify the global cardiovascular risk among hypertensive patients attended in a Family Health Unit (FHU. Methods: A quantitative, cross-sectional and descriptive study with population of hypertensive patients undergoing treatment in a FHU, module 34, in Parnaíba, Piauí, Brazil, in the period from July to August 2011. The sample consisted of 45 volunteers, selected by free demand conglomerate, who filled a form with questions that support the analysis and Global Cardiovascular Risk stratification (GCR, according to the VI Brazilian Guidelines on Hypertension (VI BGH - 2010, The European Society of Cardiology (ESC and European Society of Hypertension (ESH - 2007. The subjects were then submitted to measurement of blood pressure (BP, waist circumference (WC and body mass index (BMI. Results: The most evident risk factor in the sample was overweight/obesity in 75.5% (n=34, followed by sedentary lifestyle in 73.3% (n=33 and hypercholesterolemia in 55.5% (n=25. The data collected resulted in a stratification in which 84.4% (n=38 presented high added risk and 15.5% (n=7 a very high added risk of presenting cardiovascular events in the next 10 years. Conclusion: The stratification in the population studied indicated high incidence of such factors, pointing to the need of interfering in this population segment, in order to promote changes in lifestyle that generate prevention and control of cardiovascular diseases.

  12. Effects of cold stratification pretreatment and pH level on ...

    African Journals Online (AJOL)

    Previous studies emphasise that low germination rate of its seed is primarily due to deep seed dormancy. Therefore, studies was done on C. tchihatcheffii seeds, to investigate the effects of cold stratification for different periods (90, 120 and 150 days) and different pH values (pH 6.5, 7.5 and 8.5) on seed germination.

  13. Theoretical comparison of solar water/space-heating combi systems and stratification design options

    DEFF Research Database (Denmark)

    Andersen, Elsa; Furbo, Simon

    2007-01-01

    A theoretical analysis of differently designed solar combi systems is performed with weather data from the Danish Design Reference Year (55ºN). Three solar combi system designs found on the market are investigated. The investigation focuses on the influence of stratification on the thermal perfor...

  14. Playing the (Sexual) Field: The Interactional Basis of Systems of Sexual Stratification

    Science.gov (United States)

    Green, Adam Isaiah

    2011-01-01

    Recently, scholars have used a Bourdieusian theory of practice to analyze systems of sexual stratification, including an examination of sexual fields and sexual (or erotic) capital. While the broad structural features of the sexual field have been a point of focus in this latter research, a systematic analysis of the interactional processes that…

  15. THERMAL STRATIFICATION IN SOLAR DOMESTIC STORAGE TANKS CAUSED BY DRAW-OFFS

    DEFF Research Database (Denmark)

    Jordan, Ulrike; Furbo, Simon

    2003-01-01

    As shown in many research studies in the past, the thermal stratification of the tank caused by draw-offs has a high impact on the performance of a Solar Domestic Hot Water (SDHW) system. Nevertheless, in most tank models for system simulations the influence of the draw-off pattern on the mixing...... with a component oriented simulation tool for solar thermal systems....

  16. Social stratification and attitudes : a comparative analysis of the effects of class and education in Europe

    NARCIS (Netherlands)

    Kalmijn, Matthijs; Kraaykamp, Gerbert

    2007-01-01

    A classic topic in the sociology of inequality lies in the subjective consequences of people’s stratification position. Many studies have shown that education and occupational class have significant effects on attitudes, but little is known about how the magnitude of these effects depends on the

  17. Effects of thermal stratification on transient free convective flow of a ...

    Indian Academy of Sciences (India)

    2016-09-22

    Sep 22, 2016 ... as well as average skin friction and the rate of heat transfer of nanofluids are discussed and represented graphically. The results are found to be in good agreement with the existing results in literature. Keywords. Nanofluid; thermal stratification; transient; isothermal vertical plate. PACS Nos 44.20.+b; 47; 44.

  18. Principal Stratification: A Tool for Understanding Variation in Program Effects across Endogenous Subgroups

    Science.gov (United States)

    Page, Lindsay C.; Feller, Avi; Grindal, Todd; Miratrix, Luke; Somers, Marie-Andree

    2015-01-01

    Increasingly, researchers are interested in questions regarding treatment-effect variation across partially or fully latent subgroups defined not by pretreatment characteristics but by postrandomization actions. One promising approach to address such questions is principal stratification. Under this framework, a researcher defines endogenous…

  19. Modelling thermal stratification in the North Sea: Application of a 2-D potential energy model

    DEFF Research Database (Denmark)

    Nielsen, Morten Holtegaard; St. John, Michael

    2001-01-01

    is forced with wind, dew point temperature from Ekofisk oilfield in the central North Sea, and tidal current and atmospheric radiation. The model is used to simulate the seasonal cycle of stratification in the central North Sea in the years 1988, 1989 and 1990 and is compared to density profiles...

  20. Calculation of Local Stress and Fatigue Resistance due to Thermal Stratification on Pressurized Surge Line Pipe

    Science.gov (United States)

    Bandriyana, B.; Utaja

    2010-06-01

    Thermal stratification introduces thermal shock effect which results in local stress and fatique problems that must be considered in the design of nuclear power plant components. Local stress and fatique calculation were performed on the Pressurize Surge Line piping system of the Pressurize Water Reactor of the Nuclear Power Plant. Analysis was done on the operating temperature between 177 to 343° C and the operating pressure of 16 MPa (160 Bar). The stagnant and transient condition with two kinds of stratification model has been evaluated by the two dimensional finite elements method using the ANSYS program. Evaluation of fatigue resistance is developed based on the maximum local stress using the ASME standard Code formula. Maximum stress of 427 MPa occurred at the upper side of the top half of hot fluid pipe stratification model in the transient case condition. The evaluation of the fatigue resistance is performed on 500 operating cycles in the life time of 40 years and giving the usage value of 0,64 which met to the design requirement for class 1 of nuclear component. The out surge transient were the most significant case in the localized effects due to thermal stratification.

  1. Stratification and the Emergence of the Postsecondary Private Education Sector in Vietnam

    Science.gov (United States)

    Goyette, Kimberly Ann

    2012-01-01

    Vietnam has a strong public postsecondary education sector that has only recently begun to experience growth in nonpublic institutions. I investigate how the growth of nonpublic institutions may be related to stratification in Vietnam. I find that these institutions are more likely to serve more advantaged students from South Vietnam. Students pay…

  2. Authorial and institutional stratification in open access publishing: the case of global health research.

    Science.gov (United States)

    Siler, Kyle; Haustein, Stefanie; Smith, Elise; Larivière, Vincent; Alperin, Juan Pablo

    2018-01-01

    Using a database of recent articles published in the field of Global Health research, we examine institutional sources of stratification in publishing access outcomes. Traditionally, the focus on inequality in scientific publishing has focused on prestige hierarchies in established print journals. This project examines stratification in contemporary publishing with a particular focus on subscription vs. various Open Access (OA) publishing options. Findings show that authors working at lower-ranked universities are more likely to publish in closed/paywalled outlets, and less likely to choose outlets that involve some sort of Article Processing Charge (APCs; gold or hybrid OA). We also analyze institutional differences and stratification in the APC costs paid in various journals. Authors affiliated with higher-ranked institutions, as well as hospitals and non-profit organizations pay relatively higher APCs for gold and hybrid OA publications. Results suggest that authors affiliated with high-ranked universities and well-funded institutions tend to have more resources to choose pay options with publishing. Our research suggests new professional hierarchies developing in contemporary publishing, where various OA publishing options are becoming increasingly prominent. Just as there is stratification in institutional representation between different types of publishing access, there is also inequality within access types.

  3. Numerical solution of chemically reactive non-Newtonian fluid flow: Dual stratification

    Science.gov (United States)

    Rehman, Khalil Ur; Malik, M. Y.; Khan, Abid Ali; Zehra, Iffat; Zahri, Mostafa; Tahir, M.

    2017-12-01

    We have found that only a few attempts are available in the literature relatively to the tangent hyperbolic fluid flow induced by stretching cylindrical surfaces. In particular, temperature and concentration stratification effects have not been investigated until now with respect to the tangent hyperbolic fluid model. Therefore, we have considered the tangent hyperbolic fluid flow induced by an acutely inclined cylindrical surface in the presence of both temperature and concentration stratification effects. To be more specific, the fluid flow is attained with the no slip condition, which implies that the bulk motion of the fluid particles is the same as the stretching velocity of a cylindrical surface. Additionally, the flow field situation is manifested with heat generation, mixed convection and chemical reaction effects. The flow partial differential equations give a complete description of the present problem. Therefore, to trace out the solution, a set of suitable transformations is introduced to convert these equations into ordinary differential equations. In addition, a self-coded computational algorithm is executed to inspect the numerical solution of these reduced equations. The effect logs of the involved parameters are provided graphically. Furthermore, the variations of the physical quantities are examined and given with the aid of tables. It is observed that the fluid temperature is a decreasing function of the thermal stratification parameter and a similar trend is noticed for the concentration via the solutal stratification parameter.

  4. 205_WS: Improving the Delivery of Primary Care Through Risk Stratification

    DEFF Research Database (Denmark)

    Kinder, Karen; Kristensen, Troels; Abrams, Chad

    . Content The workshop will open with an introductory presentation on the numerous applications of risk stratification within the integrated and primary care sectors. The workshop will then focus on individual sessions based on three applications: – Case Management. – Improving Coordination...

  5. Concierge or Information Desk: Teaching Social Stratification through the Malling of America.

    Science.gov (United States)

    Manning, Robert D.; Price, Derek V.; Rich, Henry J.

    1997-01-01

    Describes an undergraduate sociology project in which students conducted research at working class and upper-middle class shopping malls. The research focused on social stratification and its manifestation in architectural character, spatial relationships, advertising, and consumer behavior. Includes an appendix that reproduces the fieldwork…

  6. Civic stratification and crime. A comparison of asylum migrants with different legal statuses

    NARCIS (Netherlands)

    A.S. Leerkes (Arjen); G.B.M. Engbersen (Godfried); E. Snel (Erik); J. de Boom (Jan)

    2017-01-01

    textabstractContrary to natural born citizens, migrants can have a variety of legal statuses depending on how they are classified by immigration law. Together, such legal or ‘civic’ statuses constitute a system of civic stratification, from high (privileged) to low (restricted). Recent scholarship

  7. TIMSS 2011 User Guide for the International Database. Supplement 4: TIMSS 2011 Sampling Stratification Information

    Science.gov (United States)

    Foy, Pierre, Ed.; Arora, Alka, Ed.; Stanco, Gabrielle M., Ed.

    2013-01-01

    This supplement contains documentation on the explicit and implicit stratification variables included in the TIMSS 2011 data files. The explicit strata are smaller sampling frames, created from the national sampling frames, from which national samples of schools were drawn. The implicit strata are nested within the explicit strata, and were used…

  8. School Choice, Gentrification, and the Variable Significance of Racial Stratification in Urban Neighborhoods

    Science.gov (United States)

    Pearman, Francis A., III; Swain, Walker A.

    2017-01-01

    Racial and socioeconomic stratification have long governed patterns of residential sorting in the American metropolis. However, recent expansions of school choice policies that allow parents to select schools outside their neighborhood raise questions as to whether this weakening of the neighborhood-school connection might influence the…

  9. Horizontal Stratification in Access to Danish University Programs by Institution and Field of Study

    DEFF Research Database (Denmark)

    Munk, Martin D.; Thomsen, Jens Peter

    2012-01-01

    In this paper we use register data to investigate social stratification within fields of study and university institutions in Denmark. We argue firstly, that it is important to utilize a relatively detailed classification of parents’ occupation, in order to single out how students are endowed wit...

  10. The impact of storms and stratification on sediment transport in the Rhine region of freshwater influence

    NARCIS (Netherlands)

    Flores, Raúl P.; Rijnsburger, S.; Horner-Devine, Alexander R.; Souza, Alejandro J.; Pietrzak, J.D.

    2017-01-01

    We present measurements of along and across-shore sediment transport in a region of the Dutch coast 10 km north of the Rhine River mouth. This section of the coast is characterized by strong vertical density stratification because it is within the midfield region of the Rhine region of freshwater

  11. Principal Stratification in sample selection problems with non normal error terms

    DEFF Research Database (Denmark)

    Rocci, Roberto; Mellace, Giovanni

    The aim of the paper is to relax distributional assumptions on the error terms, often imposed in parametric sample selection models to estimate causal effects, when plausible exclusion restrictions are not available. Within the principal stratification framework, we approximate the true distribut...... an application to the Job Corps training program....

  12. Shaped Goals: Teaching Undergraduates the Effects of Social Stratification on the Formulation of Goals

    Science.gov (United States)

    Touzard, Giselle

    2009-01-01

    This article describes an in-class activity that helps undergraduate students to understand the effects of their socio-economic position on the formulation, pursuit, and achievement of goals. Social stratification and inequality have an initial impact on the formulation of goals. Through this exercise students will perceive the effects of having a…

  13. Stratification requirements for germination of western larch (Larix occidentalis Nutt.) seed.

    Science.gov (United States)

    Frank C. Sorenson

    1990-01-01

    A northeast Washington collection of western larch seeds was stratified for 0,10, 20, 40, and 80 days and incubated at 55, 64, and 73 °F. The germination percentage of filled seeds and speed and uniformity of germination were improved by long stratification, particularly at the lowest incubation temperature. Stratified seeds were also nursery sown in early April and...

  14. Absence of internal tidal beams due to non-uniform stratification

    NARCIS (Netherlands)

    Gerkema, T.; van Haren, H.

    2012-01-01

    A linear internal-tide generation model is applied to the Faeroe–Shetland Channel, using observed profiles of stratification. Several degrees of simplification are considered: 1) uniform, i.e. constant N; 2) vertically varying N (z); 3) the full N(x, z) and associated geostrophic background flows.

  15. Correction of refractive errors

    Directory of Open Access Journals (Sweden)

    Vladimir Pfeifer

    2005-10-01

    Full Text Available Background: Spectacles and contact lenses are the most frequently used, the safest and the cheapest way to correct refractive errors. The development of keratorefractive surgery has brought new opportunities for correction of refractive errors in patients who have the need to be less dependent of spectacles or contact lenses. Until recently, RK was the most commonly performed refractive procedure for nearsighted patients.Conclusions: The introduction of excimer laser in refractive surgery has given the new opportunities of remodelling the cornea. The laser energy can be delivered on the stromal surface like in PRK or deeper on the corneal stroma by means of lamellar surgery. In LASIK flap is created with microkeratome in LASEK with ethanol and in epi-LASIK the ultra thin flap is created mechanically.

  16. PS Booster Orbit Correction

    CERN Document Server

    Chanel, M; Rumolo, G; Tomás, R; CERN. Geneva. AB Department

    2008-01-01

    At the end of the 2007 run, orbit measurements were carried out in the 4 rings of the PS Booster (PSB) for different working points and beam energies. The aim of these measurements was to provide the necessary input data for a PSB realignment campaign during the 2007/2008 shutdown. Currently, only very few corrector magnets can be operated reliably in the PSB; therefore the orbit correction has to be achieved by displacing (horizontally and vertically) and/or tilting some of the defocusing quadrupoles (QDs). In this report we first describe the orbit measurements, followed by a detailed explanation of the orbit correction strategy. Results and conclusions are presented in the last section.

  17. Cardiovascular Risk Stratification in Patients with Metabolic Syndrome Without Diabetes or Cardiovascular Disease: Usefulness of Metabolic Syndrome Severity Score.

    Science.gov (United States)

    Masson, Walter; Epstein, Teo; Huerín, Melina; Lobo, Lorenzo Martín; Molinero, Graciela; Angel, Adriana; Masson, Gerardo; Millán, Diana; De Francesca, Salvador; Vitagliano, Laura; Cafferata, Alberto; Losada, Pablo

    2017-09-01

    The estimated cardiovascular risk determined by the different risk scores, could be heterogeneous in patients with metabolic syndrome without diabetes or vascular disease. This risk stratification could be improved by detecting subclinical carotid atheromatosis. To estimate the cardiovascular risk measured by different scores in patients with metabolic syndrome and analyze its association with the presence of carotid plaque. Non-diabetic patients with metabolic syndrome (Adult Treatment Panel III definition) without cardiovascular disease were enrolled. The Framingham score, the Reynolds score, the new score proposed by the 2013 ACC/AHA Guidelines and the Metabolic Syndrome Severity Calculator were calculated. Prevalence of carotid plaque was determined by ultrasound examination. A Receiver Operating Characteristic analysis was performed. A total of 238 patients were enrolled. Most patients were stratified as "low risk" by Framingham score (64%) and Reynolds score (70.1%). Using the 2013 ACC/AHA score, 45.3% of the population had a risk ≥7.5%. A significant correlation was found between classic scores but the agreement (concordance) was moderate. The correlation between classical scores and the Metabolic Syndrome Severity Calculator was poor. Overall, the prevalence of carotid plaque was 28.2%. The continuous metabolic syndrome score used in our study showed a good predictive power to detect carotid plaque (area under the curve 0.752). In this population, the calculated cardiovascular risk was heterogenic. The prevalence of carotid plaque was high. The Metabolic Syndrome Severity Calculator showed a good predictive power to detect carotid plaque.

  18. Error-correction coding

    Science.gov (United States)

    Hinds, Erold W. (Principal Investigator)

    1996-01-01

    This report describes the progress made towards the completion of a specific task on error-correcting coding. The proposed research consisted of investigating the use of modulation block codes as the inner code of a concatenated coding system in order to improve the overall space link communications performance. The study proposed to identify and analyze candidate codes that will complement the performance of the overall coding system which uses the interleaved RS (255,223) code as the outer code.

  19. Simulation of Thermal Stratification in BWR Suppression Pools with One Dimensional Modeling Method

    Energy Technology Data Exchange (ETDEWEB)

    Haihua Zhao; Ling Zou; Hongbin Zhang

    2014-01-01

    The suppression pool in a boiling water reactor (BWR) plant not only is the major heat sink within the containment system, but also provides the major emergency cooling water for the reactor core. In several accident scenarios, such as a loss-of-coolant accident and extended station blackout, thermal stratification tends to form in the pool after the initial rapid venting stage. Accurately predicting the pool stratification phenomenon is important because it affects the peak containment pressure; the pool temperature distribution also affects the NPSHa (available net positive suction head) and therefore the performance of the Emergency Core Cooling System and Reactor Core Isolation Cooling System pumps that draw cooling water back to the core. Current safety analysis codes use zero dimensional (0-D) lumped parameter models to calculate the energy and mass balance in the pool; therefore, they have large uncertainties in the prediction of scenarios in which stratification and mixing are important. While three-dimensional (3-D) computational fluid dynamics (CFD) methods can be used to analyze realistic 3-D configurations, these methods normally require very fine grid resolution to resolve thin substructures such as jets and wall boundaries, resulting in a long simulation time. For mixing in stably stratified large enclosures, the BMIX++ code (Berkeley mechanistic MIXing code in C++) has been developed to implement a highly efficient analysis method for stratification where the ambient fluid volume is represented by one-dimensional (1-D) transient partial differential equations and substructures (such as free or wall jets) are modeled with 1-D integral models. This allows very large reductions in computational effort compared to multi-dimensional CFD modeling. One heat-up experiment performed at the Finland POOLEX facility, which was designed to study phenomena relevant to Nordic design BWR suppression pool including thermal stratification and mixing, is used for

  20. An efficient modeling method for thermal stratification simulation in a BWR suppression pool

    Energy Technology Data Exchange (ETDEWEB)

    Haihua Zhao; Ling Zou; Hongbin Zhang; Hua Li; Walter Villanueva; Pavel Kudinov

    2012-09-01

    The suppression pool in a BWR plant not only is the major heat sink within the containment system, but also provides major emergency cooling water for the reactor core. In several accident scenarios, such as LOCA and extended station blackout, thermal stratification tends to form in the pool after the initial rapid venting stage. Accurately predicting the pool stratification phenomenon is important because it affects the peak containment pressure; and the pool temperature distribution also affects the NPSHa (Available Net Positive Suction Head) and therefore the performance of the pump which draws cooling water back to the core. Current safety analysis codes use 0-D lumped parameter methods to calculate the energy and mass balance in the pool and therefore have large uncertainty in prediction of scenarios in which stratification and mixing are important. While 3-D CFD methods can be used to analyze realistic 3D configurations, these methods normally require very fine grid resolution to resolve thin substructures such as jets and wall boundaries, therefore long simulation time. For mixing in stably stratified large enclosures, the BMIX++ code has been developed to implement a highly efficient analysis method for stratification where the ambient fluid volume is represented by 1-D transient partial differential equations and substructures such as free or wall jets are modeled with 1-D integral models. This allows very large reductions in computational effort compared to 3-D CFD modeling. The POOLEX experiments at Finland, which was designed to study phenomena relevant to Nordic design BWR suppression pool including thermal stratification and mixing, are used for validation. GOTHIC lumped parameter models are used to obtain boundary conditions for BMIX++ code and CFD simulations. Comparison between the BMIX++, GOTHIC, and CFD calculations against the POOLEX experimental data is discussed in detail.

  1. Lifetime risks for aneurysmal subarachnoid haemorrhage: multivariable risk stratification.

    Science.gov (United States)

    Vlak, Monique H M; Rinkel, Gabriel J E; Greebe, Paut; Greving, Jacoba P; Algra, Ale

    2013-06-01

    The overall incidence of aneurysmal subarachnoid haemorrhage (aSAH) in western populations is around 9 per 100 000 person-years, which confers to a lifetime risk of around half per cent. Risk factors for aSAH are usually expressed as relative risks and suggest that absolute risks vary considerably according to risk factor profiles, but such estimates are lacking. We aimed to estimate incidence and lifetime risks of aSAH according to risk factor profiles. We used data from 250 patients admitted with aSAH and 574 sex-matched and age-matched controls, who were randomly retrieved from general practitioners files. We determined independent prognostic factors with multivariable logistic regression analyses and assessed discriminatory performance using the area under the receiver operating characteristic curve. Based on the prognostic model we predicted incidences and lifetime risks of aSAH for different risk factor profiles. The four strongest independent predictors for aSAH, namely current smoking (OR 6.0; 95% CI 4.1 to 8.6), a positive family history for aSAH (4.0; 95% CI 2.3 to 7.0), hypertension (2.4; 95% CI 1.5 to 3.8) and hypercholesterolaemia (0.2; 95% CI 0.1 to 0.4), were used in the final prediction model. This model had an area under the receiver operating characteristic curve of 0.73 (95% CI 0.69 to 0.76). Depending on sex, age and the four predictors, the incidence of aSAH ranged from 0.4/100 000 to 298/100 000 person-years and lifetime risk between 0.02% and 7.2%. The incidence and lifetime risk of aSAH in the general population varies widely according to risk factor profiles. Whether persons with high risks benefit from screening should be assessed in cost-effectiveness studies.

  2. Population structure, migration, and diversifying selection in the Netherlands

    Science.gov (United States)

    Abdellaoui, Abdel; Hottenga, Jouke-Jan; Knijff, Peter de; Nivard, Michel G; Xiao, Xiangjun; Scheet, Paul; Brooks, Andrew; Ehli, Erik A; Hu, Yueshan; Davies, Gareth E; Hudziak, James J; Sullivan, Patrick F; van Beijsterveldt, Toos; Willemsen, Gonneke; de Geus, Eco J; Penninx, Brenda W J H; Boomsma, Dorret I

    2013-01-01

    Genetic variation in a population can be summarized through principal component analysis (PCA) on genome-wide data. PCs derived from such analyses are valuable for genetic association studies, where they can correct for population stratification. We investigated how to capture the genetic population structure in a well-characterized sample from the Netherlands and in a worldwide data set and examined whether (1) removing long-range linkage disequilibrium (LD) regions and LD-based SNP pruning significantly improves correlations between PCs and geography and (2) whether genetic differentiation may have been influenced by migration and/or selection. In the Netherlands, three PCs showed significant correlations with geography, distinguishing between: (1) North and South; (2) East and West; and (3) the middle-band and the rest of the country. The third PC only emerged with minimized LD, which also significantly increased correlations with geography for the other two PCs. In addition to geography, the Dutch North–South PC showed correlations with genome-wide homozygosity (r=0.245), which may reflect a serial-founder effect due to northwards migration, and also with height (♂: r=0.142, ♀: r=0.153). The divergence between subpopulations identified by PCs is partly driven by selection pressures. The first three PCs showed significant signals for diversifying selection (545 SNPs - the majority within 184 genes). The strongest signal was observed between North and South for the functional SNP in HERC2 that determines human blue/brown eye color. Thus, this study demonstrates how to increase ancestry signals in a relatively homogeneous population and how those signals can reveal evolutionary history. PMID:23531865

  3. Race and Academic Achievement in Racially Diverse High Schools: Opportunity and Stratification.

    Science.gov (United States)

    Muller, Chandra; Riegle-Crumb, Catherine; Schiller, Kathryn S; Wilkinson, Lindsey; Frank, Kenneth A

    2010-04-01

    BACKGROUND/CONTEXT: Brown v Board of Education fundamentally changed our nation's schools, yet we know surprisingly little about how and whether they provide equality of educational opportunity. Although substantial evidence suggests that African American and Latino students who attend these schools face fewer learning opportunities than their White counterparts, until now, it has been impossible to examine this using a representative sample because of lack of data. PURPOSE/OBJECTIVE/RESEARCH QUESTION/FOCUS OF STUDY: This study uses newly available data to investigate whether racially diverse high schools offer equality of educational opportunity to students from different racial and ethnic groups. This is examined by measuring the relative representation of minority students in advanced math classes at the beginning of high school and estimating whether and how this opportunity structure limits the level of achievement attained by African American and Latino students by the end of high school. SETTING: This study uses data from the Adolescent Health and Academic Achievement Study (AHAA) and its partner study, the National Longitudinal Study of Adolescent Health (Add Health), a stratified, nationally representative study of students in U.S. high schools first surveyed in 1994-1995. POPULATION/PARTICIPANTS/SUBJECTS: Two samples of racially diverse high schools were used in the analysis: one with African Americans, Whites, and Asians (26 schools with 3,149 students), and the other with Latinos, Whites, and Asians (22 schools with 2,775 students). RESEARCH DESIGN: Quantitative analyses first assess how high schools vary in the extent to which minority students are underrepresented in advanced sophomore math classes. Hierarchical multilevel modeling is then used to estimate whether racial-ethnic differences in representation in advanced math have an impact on African American and Latino students' achievement by the end of high school, relative to the Whites and Asians

  4. N-terminal pro brain natriuretic peptide on admission for early risk stratification of patients with chest pain and no ST-segment elevation.

    Science.gov (United States)

    Jernberg, Tomas; Stridsberg, Mats; Venge, Per; Lindahl, Bertil

    2002-08-07

    The study evaluated the prognostic value of single measurement of N-terminal pro brain natriuretic peptide (NT-proBNP) obtained on admission in patients with symptoms suggestive of an acute coronary syndrome and no ST-segment elevation. Patients with symptoms suggestive of an acute coronary syndrome and no ST-segment elevation constitute a large and heterogeneous population. Early risk stratification has been based on clinical background factors, electrocardiography (ECG) and biochemical markers of myocardial damage. The neurohormonal activation has, so far, received less attention. The NT-proBNP was analyzed on admission in 755 patients admitted because of chest pain and no ST-segment elevation. Patients were followed concerning death for 40 months (median). The median NT-proBNP level was 400 (111 to 1646) ng/l. Compared to the lowest quartile, patients in the second, third and fourth quartiles had a relative risk of subsequent death of 4.2 (1.6 to 11.1), 10.7 (4.2 to 26.8) and 26.6 (10.8 to 65.5), respectively. When NT-proBNP was added to a Cox regression model including clinical background factors, ECG and troponin T, the NT-proBNP levels were independently associated with prognosis. A single measurement of NT-proBNP on admission will substantially improve the early risk stratification of patients with symptoms suggestive of an acute coronary syndrome and no ST-segment elevation. A combination of clinical background factors, ECG, troponin T and NT-proBNP obtained on admission will provide a highly discerning tool for risk stratification and further clinical decisions.

  5. Brain Image Motion Correction

    DEFF Research Database (Denmark)

    Jensen, Rasmus Ramsbøl; Benjaminsen, Claus; Larsen, Rasmus

    2015-01-01

    The application of motion tracking is wide, including: industrial production lines, motion interaction in gaming, computer-aided surgery and motion correction in medical brain imaging. Several devices for motion tracking exist using a variety of different methodologies. In order to use such devices...... offset and tracking noise in medical brain imaging. The data are generated from a phantom mounted on a rotary stage and have been collected using a Siemens High Resolution Research Tomograph for positron emission tomography. During acquisition the phantom was tracked with our latest tracking prototype...

  6. Correction: Graillot, B.; et al. Progressive Adaptation of a CpGV Isolate to Codling Moth Populations Resistant to CpGV-M. Viruses 2014, 6, 5135–5144

    Directory of Open Access Journals (Sweden)

    Benoît Graillot

    2015-12-01

    Full Text Available In our article “Progressive Adaptation of a CpGV Isolate to Codling Moth Populations Resistant to CpGV-M.” (Viruses 2014, 6, 5135–5144; doi:10.3390/v6125135 [1] we obtained resistance values of the codling moth, Cydia pomonella, RGV laboratory colony [2], when challenged with Cydia pomonella Granulovirus, Mexican Isolate (CpGV-M, that were lower than those previously published [2]. Careful analysis of both the RGV colony and the CpGV-M virus stock used led to the realization that a low level contamination of this virus stock with CpGV-R5 occurred. We have made new tests with a verified stock, and the results are now in agreement with those previously published.

  7. Seed flotation and germination of salt marsh plants: The effects of stratification, salinity, and/or inundation regime

    Science.gov (United States)

    Elsey-Quirk, T.; Middleton, B.A.; Proffitt, C.E.

    2009-01-01

    We examined the effects of cold stratification and salinity on seed flotation of eight salt marsh species. Four of the eight species were tested for germination success under different stratification, salinity, and flooding conditions. Species were separated into two groups, four species received wet stratification and four dry stratification and fresh seeds of all species were tested for flotation and germination. Fresh seeds of seven out of eight species had flotation times independent of salinity, six of which had average flotation times of at least 50 d. Seeds of Spartina alterniflora and Spartina patens had the shortest flotation times, averaging 24 and 26 d, respectively. Following wet stratification, the flotation time of S. alterniflora seeds in higher salinity water (15 and 36 ppt) was reduced by over 75% and germination declined by more than 90%. Wet stratification reduced the flotation time of Distichlis spicata seeds in fresh water but increased seed germination from 2 to 16% in a fluctuating inundation regime. Fresh seeds of Iva frutescens and S. alternflora were capable of germination and therefore are non-dormant during dispersal. Fresh seeds of I. frutescens had similar germination to dry stratified seeds ranging 25-30%. Salinity reduced seed germination for all species except for S. alterniflora. A fluctuating inundation regime was important for seed germination of the low marsh species and for germination following cold stratification. The conditions that resulted in seeds sinking faster were similar to the conditions that resulted in higher germination for two of four species. ?? 2009 Elsevier B.V.

  8. Numerical Investigation on Effects of Assigned EGR Stratification on a Heavy Duty Diesel Engine with Two-Stage Fuel Injection

    Directory of Open Access Journals (Sweden)

    Zhaojie Shen

    2018-02-01

    Full Text Available External exhaust gas recirculation (EGR stratification in diesel engines contributes to reduction of toxic emissions. Weak EGR stratification lies in that strong turbulence and mixing between EGR and intake air by current introduction strategies of EGR. For understanding of ideal EGR stratification combustion, EGR was assigned radically at −30 °CA after top dead center (ATDC to organize strong EGR stratification using computational fluid dynamics (CFD. The effects of assigned EGR stratification on diesel performance and emissions are discussed in this paper. Although nitric oxides (NOx and soot emissions are both reduced by means of EGR stratification compared to uniform EGR, the trade-off between NOx and soot still exists under the condition of arranged EGR stratification with different fuel injection strategies. A deterioration of soot emissions was observed when the interval between main and post fuel injection increased, while NO emissions increased first then reduced. The case with a 4 °CA interval between main and post fuel injection is suitable for acceptable NO and soot emissions. Starting the main fuel injection too early and too late is not acceptable, which results in high NO emissions and high soot emissions respectively. The start of the main fuel injection −10 °CA ATDC is suitable.

  9. Seasonal variations of the upper ocean salinity stratification in the Tropics

    Science.gov (United States)

    Maes, Christophe; O'Kane, Terence J.

    2014-03-01

    In comparison to the deep ocean, the upper mixed layer is a region typically characterized by substantial vertical gradients in water properties. Within the Tropics, the rich variability in the vertical shapes and forms that these structures can assume through variation in the atmospheric forcing results in a differential effect in terms of the temperature and salinity stratification. Rather than focusing on the strong halocline above the thermocline, commonly referred to as the salinity barrier layer, the present study takes into account the respective thermal and saline dependencies in the Brunt-Väisälä frequency (N2) in order to isolate the specific role of the salinity stratification in the layers above the main pycnocline. We examine daily vertical profiles of temperature and salinity from an ocean reanalysis over the period 2001-2007. We find significant seasonal variations in the Brunt-Väisälä frequency profiles are limited to the upper 300 m depth. Based on this, we determine the ocean salinity stratification (OSS) to be defined as the stabilizing effect (positive values) due to the haline part of N2 averaged over the upper 300 m. In many regions of the tropics, the OSS contributes 40-50% to N2 as compared to the thermal stratification and, in some specific regions, exceeds it for a few months of the seasonal cycle. Away from the tropics, for example, near the centers of action of the subtropical gyres, there are regions characterized by the permanent absence of OSS. In other regions previously characterized with salinity barrier layers, the OSS obviously shares some common variations; however, we show that where temperature and salinity are mixed over the same depth, the salinity stratification can be significant. In addition, relationships between the OSS and the sea surface salinity are shown to be well defined and quasilinear in the tropics, providing some indication that in the future, analyses that consider both satellite surface salinity

  10. External validation of scoring systems in risk stratification of upper gastrointestinal bleeding.

    Science.gov (United States)

    Anchu, Anna Cherian; Mohsina, Subair; Sureshkumar, Sathasivam; Mahalakshmy, T; Kate, Vikram

    2017-03-01

    The aim of this study was to externally validate the four commonly used scoring systems in the risk stratification of patients with upper gastrointestinal bleed (UGIB). Patients of UGIB who underwent endoscopy within 24 h of presentation were stratified prospectively using the pre-endoscopy Rockall score (PRS) >0, complete Rockall score (CRS) >2, Glasgow Blatchford bleeding scores (GBS) >3, and modified GBS (m-GBS) >3 scores. Patients were followed up to 30 days. Prognostic accuracy of the scores was done by comparing areas under curve (AUC) in terms of overall risk stratification, re-bleeding, mortality, need for intervention, and length of hospitalization. One hundred and seventy-five patients were studied. All four scores performed better in the overall risk stratification on AUC [PRS = 0.566 (CI: 0.481-0.651; p-0.043)/CRS = 0.712 (CI: 0.634-0.790); p0.001); m-GBS = 0.802 (CI: 0.734-0.871; pbleed [AUC-0.679 (CI: 0.579-0.780; p = 0.003)]. All the scoring systems except PRS were found to be significantly better in detecting 30-day mortality with a high AUC (CRS = 0.798; p-0.042)/GBS = 0.833; p-0.023); m-GBS = 0.816; p-0.031). All four scores demonstrated significant accuracy in the risk stratification of non-variceal patients; however, only GBS and m-GBS were significant in variceal etiology. Higher cutoff scores achieved better sensitivity/specificity [RS > 0 (50/60.8), CRS > 1 (87.5/50.6), GBS > 7 (88.5/63.3), m-GBS > 7(82.3/72.6)] in the risk stratification. GBS and m-GBS appear to be more valid in risk stratification of UGIB patients in this region. Higher cutoff values achieved better predictive accuracy.

  11. The relationship between proton pump inhibitor use and longitudinal change in bone mineral density: a population-based study [corrected] from the Canadian Multicentre Osteoporosis Study (CaMos).

    Science.gov (United States)

    Targownik, Laura E; Leslie, William D; Davison, K Shawn; Goltzman, David; Jamal, Sophie A; Kreiger, Nancy; Josse, Robert G; Kaiser, Stephanie M; Kovacs, Christopher S; Prior, Jerilynn C; Zhou, Wei

    2012-09-01

    Proton pump inhibitor (PPI) use has been identified as a risk factor for hip and vertebral fractures. Evidence supporting a relationship between PPI use and osteoporosis remains scant. Demonstrating that PPIs are associated with accelerated bone mineral density (BMD) loss would provide supportive evidence for a mechanism through which PPIs could increase fracture risk. We used the Canadian Multicentre Osteoporosis Study data set, which enrolled a population-based sample of Canadians who underwent BMD testing of the femoral neck, total hip, and lumbar spine (L1-L4) at baseline, and then again at 5 and 10 years. Participants also reported drug use and exposure to risk factors for osteoporosis and fracture. Multivariate linear regression was used to determine the independent association of PPI exposure and baseline BMD, and on change in BMD at 5 and 10 years. In all, 8,340 subjects were included in the baseline analysis, with 4,512 (55%) undergoing year 10 BMD testing. After adjusting for potential confounders, PPI use was associated with significantly lower baseline BMD at the femoral neck and total hip. PPI use was not associated with a significant acceleration in covariate-adjusted BMD loss at any measurement site after 5 and 10 years of follow-up. PPI users had lower BMD at baseline than PPI non-users, but PPI use over 10 years did not appear to be associated with accelerated BMD loss. The reasons for discordant findings between PPI use at baseline and during follow-up require further study.

  12. Proceedings of the specialists meeting on experience with thermal fatigue in LWR piping caused by mixing and stratification

    International Nuclear Information System (INIS)

    1998-01-01

    This specialists meeting on experience with thermal fatigue in LWR piping caused by mixing and stratification, was held in June 1998 in Paris. It included five sessions. Session 1: operating experience (7 papers): Historical perspective; EDF experience with local thermohydraulic phenomena in PWRs: impacts and strategies; Thermal fatigue in safety injection lines of French PWRs: technical problems, regulatory requirements, concerns about other areas; US NRC Regulatory perspective on unanticipated thermal fatigue in LWR piping; Failure to the Residual Heat Removal system suction line pipe in Genkai unit 1 caused by thermal stratification cycling; Emergency Core Cooling System pipe crack incident at Tihange unit 1; Two leakages induced by thermal stratification at the Loviisa power plant). Session 2: thermal hydraulic phenomena (5 papers): Thermal stratification in small pipes with respect to fatigue effects and so called 'Banana effect'; Thermal stratification in the surge line of the Korean next generation reactor; Thermal stratification in horizontal pipes investigated in UPTF-TRAM and HDR facilities; Research on thermal stratification in un-isolable piping of reactor pressure boundary; Thermal mixing phenomena in piping systems: 3D numerical simulation and design considerations. Session 3: response of material and structure (5 papers): Fatigue induced by thermal stratification, Results of tests and calculations of the COUFAST model; Laboratory simulation of thermal fatigue cracking as a basis for verifying life models; Thermo-mechanical analysis methods for the conception and the follow up of components submitted to thermal stratification transients; Piping analysis methods of a PWR surge line for stratified flow; The thermal stratification effect on surge lines, The VVER estimation. Session 4: monitoring aspects (4 papers): Determination of the thermal loadings affecting the auxiliary lines of the reactor coolant system in French PWR plants; Expected and

  13. Stratification-induced order--disorder phase transitions in molecularly thin confined films

    International Nuclear Information System (INIS)

    Schoen, M.; Diestler, D.J.; Cushman, J.H.

    1994-01-01

    By means of grand canonical ensemble Monte Carlo simulations of a monatomic film confined between unstructured (i.e., molecularly smooth) rigidly fixed solid surfaces (i.e., walls), we investigate the mechanism of molecular stratification, i.e., the tendency of atoms to arrange themselves in layers parallel with the walls. Stratification is accompanied by a heretofore unnoticed order--disorder phase transition manifested as a maximum in density fluctuations at the transition point. The transition involves phases with different transverse packing characteristics, although the number of layers accommodated between the walls remains unchanged during the transition, which occurs periodically as the film thickens. However, with increasing thickness, an increasingly smaller proportion of the film is structurally affected by the transition. Thus, the associated maximum in density fluctuations diminishes rapidly with film thickness

  14. Evaluation charts of thermal stresses in cylindrical vessels induced by thermal stratification of contained fluid

    International Nuclear Information System (INIS)

    Furuhashi, Ichiro; Kawasaki, Nobuchika; Kasahara, Naoto

    2008-01-01

    Temperature and thermal stress in cylindrical vessels were analysed for the thermal stratification of contained fluid. Two kinds of temperature analysis results were obtained such as the exact temperature solution of eigenfunction series and the simple approximate one by the temperature profile method. Furthermore, thermal stress shell solutions were obtained for the simple approximate temperatures. Through comparison with FEM analyses, these solutions were proved to be adequate. The simple temperature solution is described by one parameter that is the temperature decay coefficient. The thermal stress shell solutions are described by two parameters. One is the ratio between the temperature decay coefficient and the load decay coefficient. Another is the nondimensional width of stratification. These solutions are so described by few parameters that those are suitable for the simplified thermal stress evaluation charts. These charts enable quick and accurate thermal stress evaluations of cylindrical vessel of this problem compared with conventional methods. (author)

  15. Evaluation charts of thermal stresses in cylindrical vessels induced by thermal stratification of contained fluid

    International Nuclear Information System (INIS)

    Furuhashi, Ichiro; Kawasaki, Nobuchika; Kasahara, Naoto

    2007-01-01

    Temperature and thermal stress in cylindrical vessels were analysed for the thermal stratification of contained fluid. Two kinds of temperature analysis results were obtained such as the exact temperature solution of eigen-function series and the simple approximate one by the temperature profile method. Furthermore, shell solutions of thermal stress were obtained for the simple approximate temperatures. Through comparison with FEM analyses, these solutions were proved to be adequate. The simple temperature solution is described by one parameter that is the temperature decay factor. The shell solutions of thermal stress are described by two parameters. One is the ratio between the temperature decay factor and the local decay factor. Another is the non-dimensional width of stratification. These solution are so described by few parameters that those are suitable for the simplified thermal stress evaluation charts. These charts enable quick and accurate thermal stress evaluations of cylindrical vessel of this problem compared with conventional methods. (author)

  16. Turbulence and pollutant transport in urban street canyons under stable stratification: a large-eddy simulation

    Science.gov (United States)

    Li, X.

    2014-12-01

    Thermal stratification of the atmospheric surface layer has strong impact on the land-atmosphere exchange of turbulent, heat, and pollutant fluxes. Few studies have been carried out for the interaction of the weakly to moderately stable stratified atmosphere and the urban canopy. This study performs a large-eddy simulation of a modeled street canyon within a weakly to moderately stable atmosphere boundary layer. To better resolve the smaller eddy size resulted from the stable stratification, a higher spatial and temporal resolution is used. The detailed flow structure and turbulence inside the street canyon are analyzed. The relationship of pollutant dispersion and Richardson number of the atmosphere is investigated. Differences between these characteristics and those under neutral and unstable atmosphere boundary layer are emphasized.

  17. Current Roles and Future Applications of Cardiac CT: Risk Stratification of Coronary Artery Disease

    Energy Technology Data Exchange (ETDEWEB)

    Yoon, Yeonyee Elizabeth [Department of Cardiology, Cardiovascular Center, Seoul National University Bundang Hospital, Seongnam 463-707 (Korea, Republic of); Lim, Tae-Hwan [Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul 138-736 (Korea, Republic of)

    2014-07-01

    Cardiac computed tomography (CT) has emerged as a noninvasive modality for the assessment of coronary artery disease (CAD), and has been rapidly integrated into clinical cares. CT has changed the traditional risk stratification based on clinical risk to image-based identification of patient risk. Cardiac CT, including coronary artery calcium score and coronary CT angiography, can provide prognostic information and is expected to improve risk stratification of CAD. Currently used conventional cardiac CT, provides accurate anatomic information but not functional significance of CAD, and it may not be sufficient to guide treatments such as revascularization. Recently, myocardial CT perfusion imaging, intracoronary luminal attenuation gradient, and CT-derived computed fractional flow reserve were developed to combine anatomical and functional data. Although at present, the diagnostic and prognostic value of these novel technologies needs to be evaluated further, it is expected that all-in-one cardiac CT can guide treatment and improve patient outcomes in the near future.

  18. Advantages using inlet stratification devices in solar domestic hot water storage tanks

    DEFF Research Database (Denmark)

    Dragsted, Janne; Furbo, Simon; Bava, Federico

    2017-01-01

    performances of two solar domestic hot water systems are presented. One system is a traditional high flow system with a heat exchanger spiral in the tank. The other system is a low flow system with an external heat exchanger and a newly developed inlet stratifier from EyeCular Technologies ApS installed......The thermal performance of a domestic hot water system is strongly affected by whether the storage tank is stratified or not. Thermal stratification can be built up in a solar storage tank if the heated water from the solar collectors enters the tank through an inlet stratifier.Measured thermal...... with the stratification device has a higher thermal performance compared to the system with the heat exchanger spiral inside the tank.The relative performance (defined as the ratio between the net utilized solar energy of the low flow system and the net utilized solar energy of the high flow system), is a function...

  19. Fatigue flaw growth assessment and inclusion of stratification to the LBB assessment

    Energy Technology Data Exchange (ETDEWEB)

    Samohyl, P.

    1997-04-01

    The application of the LBB requires also fatigue flaw growth assessment. This analysis was performed for PWR nuclear power plants types VVER 440/230, VVER 440/213c, VVER 1000/320. Respecting that these NPP`s were designed according to Russian codes that differ from US codes it was needed to compare these approaches. Comparison with our experimental data was accomplished, too. Margins of applicability of the US methods and their modifications for the materials used for construction of Czech and Slovak NPP`s are shown. Computer code accomplishing the analysis according to described method is presented. Some measurement and calculations show that thermal stratifications in horizontal pipelines can lead to additive loads that are not negligible and can be dangerous. An attempt to include these loads induced by steady-state stratification was made.

  20. Thermal Stratification in Small Solar Domestic Storage Tanks caused by Draw-offs

    DEFF Research Database (Denmark)

    Jordan, Ulrike; Furbo, Simon

    2005-01-01

    As shown in many research studies in the past, the thermal stratification of the tank caused by draw-offs has a high impact on the performance of a Solar Domestic Hot Water (SDHW) system. Nevertheless, in most tank models for system simulations the influence of the draw-off pattern on the mixing...... behaviour is not taken into account sufficiently. Two typical Danish domestic water storage tanks, each with a volume of about 150 l, were investigated. In both tanks the inlet pipes are placed at the bottom and hot water is drawn from the upper part of tank. Above the inlet pipes, differently shaped plates...... are placed in order to reduce the mixing of the incoming cold water with the warmer storage water. To measure the thermal stratification thermocouples were placed in a vertical glass tube inside the tank. Measurements were carried out with different draw-off volumes, flow rates, and initial temperatures...

  1. Prognostic Stratification of Patients With Advanced Oral Cavity Squamous Cell Carcinoma.

    Science.gov (United States)

    De Paz, Dante; Kao, Huang-Kai; Huang, Yenlin; Chang, Kai-Ping

    2017-08-10

    Prognosis of advanced oral squamous cell carcinoma remains a challenge for clinicians despite progress in its diagnosis and treatment over the past decades. In this review, we assessed clinicopathological factors and potential biomarkers along with their prognostic relevance in an attempt to develop optimal treatment strategies for these patients. In addition to several pathologic factors that have been proposed to improve prognostic stratification and treatment planning in the eighth edition of the American Joint Committee staging manual on cancer, we reviewed some other imaging and clinicopathological parameters demonstrated to be closely associated with patient prognosis, along with the biomarkers related to novel target or immune therapy. Evaluation of current literature regarding the prognostic stratification used in contemporary clinicopathological studies and progress in the development of targeted or immune therapy may help these patients benefit from tailored and personalized treatment and obtain better oncological results.

  2. Natural circulation and stratification in the various passive safety systems of the SWR 1000

    International Nuclear Information System (INIS)

    Meseth, J.

    2002-01-01

    In some of the passive safety systems of Siemens' SWR 1000 boiling water reactor (i.e. the emergency condensers and containment cooling condensers), natural circulation is the main effect on both the primary and secondary sides by which optimum system efficiency is achieved. Other passive safety systems of the SWR 1000 require natural circulation on the secondary side only (condensation of steam discharged by the safety and relief valves; cooling of the Reactor Pressure Vessel (RPV) by flooding from the outside in case of core melt), while still other systems require stratification to be effective (i.e. the passive pressure pulse transmitters and steam-driven scram tanks). Complex natural circulation and stratification can take place simultaneously if fluids with different densities are enclosed in a single volume (in a core melt accident, for example, the nitrogen, steam and hydrogen in the containment). Related problems and the solutions thereto planned for the SWR 1000 are reported from the designer's viewpoint. (author)

  3. Effect of optimum stratification on sampling with varying probabilities under proportional allocation

    Directory of Open Access Journals (Sweden)

    Syed Ejaz Husain Rizvi

    2007-10-01

    Full Text Available The problem of optimum stratification on an auxiliary variable when the units from different strata are selected with probability proportional to the value of auxiliary variable (PPSWR was considered by Singh (1975 for univariate case. In this paper we have extended the same problem, for proportional allocation, when two variates are under study. A cum. 3 R3(x rule for obtaining approximately optimum strata boundaries has been provided. It has been shown theoretically as well as empirically that the use of stratification has inverse effect on the relative efficiency of PPSWR as compared to unstratified PPSWR method when proportional method of allocation is envisaged. Further comparison showed that with increase in number of strata the stratified simple random sampling is equally efficient as PPSWR.

  4. Advection of pollutants by internal solitary waves in oceanic and atmospheric stable stratifications

    Directory of Open Access Journals (Sweden)

    G. W. Haarlemmer

    1998-01-01

    Full Text Available When a pollutant is released into the ocean or atmosphere under turbulent conditions, even a steady release is captured by large eddies resulting in localized patches of high concentration of the pollutant. If such a cloud of pollutant subsequently enters a stable stratification-either a pycnocline or thermocline-then internal waves are excited. Since large solitary internal waves have a recirculating core, pollutants may be trapped in the sclitary wave, and advected large distances through the waveguide provided by the stratification. This paper addresses the mechanisms, through computer and physical simulation, by which a localized release of a dense pollutant results in solitary waves that trap the pollutant or disperse the pollutant faster than in the absence of the waves.

  5. RCRA corrective action and closure

    International Nuclear Information System (INIS)

    1995-02-01

    This information brief explains how RCRA corrective action and closure processes affect one another. It examines the similarities and differences between corrective action and closure, regulators' interests in RCRA facilities undergoing closure, and how the need to perform corrective action affects the closure of DOE's permitted facilities and interim status facilities

  6. Rethinking political correctness.

    Science.gov (United States)

    Ely, Robin J; Meyerson, Debra E; Davidson, Martin N

    2006-09-01

    Legal and cultural changes over the past 40 years ushered unprecedented numbers of women and people of color into companies' professional ranks. Laws now protect these traditionally underrepresented groups from blatant forms of discrimination in hiring and promotion. Meanwhile, political correctness has reset the standards for civility and respect in people's day-to-day interactions. Despite this obvious progress, the authors' research has shown that political correctness is a double-edged sword. While it has helped many employees feel unlimited by their race, gender, or religion,the PC rule book can hinder people's ability to develop effective relationships across race, gender, and religious lines. Companies need to equip workers with skills--not rules--for building these relationships. The authors offer the following five principles for healthy resolution of the tensions that commonly arise over difference: Pause to short-circuit the emotion and reflect; connect with others, affirming the importance of relationships; question yourself to identify blind spots and discover what makes you defensive; get genuine support that helps you gain a broader perspective; and shift your mind-set from one that says, "You need to change," to one that asks, "What can I change?" When people treat their cultural differences--and related conflicts and tensions--as opportunities to gain a more accurate view of themselves, one another, and the situation, trust builds and relationships become stronger. Leaders should put aside the PC rule book and instead model and encourage risk taking in the service of building the organization's relational capacity. The benefits will reverberate through every dimension of the company's work.

  7. Stratification of archaeal membrane lipids in the ocean and implications for adaptation and chemotaxonomy of planktonic archaea.

    Science.gov (United States)

    Zhu, Chun; Wakeham, Stuart G; Elling, Felix J; Basse, Andreas; Mollenhauer, Gesine; Versteegh, Gerard J M; Könneke, Martin; Hinrichs, Kai-Uwe

    2016-12-01

    Membrane lipids of marine planktonic archaea have provided unique insights into archaeal ecology and paleoceanography. However, past studies of archaeal lipids in suspended particulate matter (SPM) and sediments mainly focused on a small class of fully saturated glycerol dibiphytanyl glycerol tetraether (GDGT) homologues identified decades ago. The apparent low structural diversity of GDGTs is in strong contrast to the high diversity of metabolism and taxonomy among planktonic archaea. Furthermore, adaptation of archaeal lipids in the deep ocean remains poorly constrained. We report the archaeal lipidome in SPM from diverse oceanic regimes. We extend the known inventory of planktonic archaeal lipids to include numerous unsaturated archaeal ether lipids (uns-AELs). We further reveal (i) different thermal regulations and polar headgroup compositions of membrane lipids between the epipelagic (≤ 100 m) and deep (>100 m) populations of archaea, (ii) stratification of unsaturated GDGTs with varying redox conditions, and (iii) enrichment of tetra-unsaturated archaeol and fully saturated GDGTs in epipelagic and deep oxygenated waters, respectively. Such stratified lipid patterns are consistent with the typical distribution of archaeal phylotypes in marine environments. We, thus, provide an ecological context for GDGT-based paleoclimatology and bring about the potential use of uns-AELs as biomarkers for planktonic Euryarchaeota. © 2016 Society for Applied Microbiology and John Wiley & Sons Ltd.

  8. Unification of favourable intermediate-, unfavourable intermediate-, and very high-risk stratification criteria for prostate cancer.

    Science.gov (United States)

    Zumsteg, Zachary S; Zelefsky, Michael J; Woo, Kaitlin M; Spratt, Daniel E; Kollmeier, Marisa A; McBride, Sean; Pei, Xin; Sandler, Howard M; Zhang, Zhigang

    2017-11-01

    To improve on the existing risk-stratification systems for prostate cancer. This was a retrospective investigation including 2 248 patients undergoing dose-escalated external beam radiotherapy (EBRT) at a single institution. We separated National Comprehensive Cancer Network (NCCN) intermediate-risk prostate cancer into 'favourable' and 'unfavourable' groups based on primary Gleason pattern, percentage of positive biopsy cores (PPBC), and number of NCCN intermediate-risk factors. Similarly, NCCN high-risk prostate cancer was stratified into 'standard' and 'very high-risk' groups based on primary Gleason pattern, PPBC, number of NCCN high-risk factors, and stage T3b-T4 disease. Patients with unfavourable-intermediate-risk (UIR) prostate cancer had significantly inferior prostate-specific antigen relapse-free survival (PSA-RFS, P prostate cancer-specific mortality (PCSM, P prostate cancer. Similarly, patients with very high-risk (VHR) prostate cancer had significantly worse PSA-RFS (P prostate cancer. Moreover, patients with FIR and low-risk prostate cancer had similar outcomes, as did patients with UIR and SHR prostate cancer. Consequently, we propose the following risk-stratification system: Group 1, low risk and FIR; Group 2, UIR and SHR; and Group 3, VHR. These groups have markedly different outcomes, with 8-year distant metastasis rates of 3%, 9%, and 29% (P < 0.001) for Groups 1, 2, and 3, respectively, and 8-year PCSM of 1%, 4%, and 13% (P < 0.001) after EBRT. This modified stratification system was significantly more accurate than the three-tiered NCCN system currently in clinical use for all outcomes. Modifying the NCCN risk-stratification system to group FIR with low-risk patients and UIR with SHR patients, results in modestly improved prediction of outcomes, potentially allowing better personalisation of therapeutic recommendations. © 2017 The Authors BJU International © 2017 BJU International Published by John Wiley & Sons Ltd.

  9. Quantitative analysis of biogeochemically controlled density stratification in an iron-meromictic lake

    Science.gov (United States)

    Nixdorf, E.; Boehrer, B.

    2015-11-01

    Lake stratification controls the cycling of dissolved matter within the water body. This is of particular interest in the case of meromictic lakes, where permanent density stratification of the deep water limits vertical transport, and a chemically different (reducing) milieu can be established. As a consequence, the geochemical setting and the mixing regime of a lake can stabilize each other mutually. We attempt a quantitative approach to the contribution of chemical reactions sustaining the density stratification. As an example, we chose the prominent case of iron meromixis in Waldsee near Doebern, a small lake that originated from near-surface underground mining of lignite. From a data set covering 4 years of monthly measured electrical conductivity profiles, we calculated summed conductivity as a quantitative variable reflecting the amount of electro-active substances in the entire lake. Seasonal variations followed the changing of the chemocline height. Coinciding changes of electrical conductivities in the monimolimnion indicated that a considerable share of substances, precipitated by the advancing oxygenated epilimnion, re-dissolved in the remaining anoxic deep waters and contributed considerably to the density stratification. In addition, we designed a lab experiment, in which we removed iron compounds and organic material from monimolimnetic waters by introducing air bubbles. Precipitates could be identified by visual inspection. Eventually, the remaining solutes in the aerated water layer looked similar to mixolimnetic Waldsee water. Due to its reduced concentration of solutes, this water became less dense and remained floating on nearly unchanged monimolimnetic water. In conclusion, iron meromixis as seen in Waldsee did not require two different sources of incoming waters, but the inflow of iron-rich deep groundwater and the aeration through the lake surface were fully sufficient for the formation of iron meromixis.

  10. Application of Multivariate Probabilistic (Bayesian) Networks to Substance Use Disorder Risk Stratification and Cost Estimation

    OpenAIRE

    Weinstein, Lawrence; Radano, Todd A; Jack, Timothy; Kalina, Philip; Eberhardt, John S

    2009-01-01

    Introduction: This paper explores the use of machine learning and Bayesian classification models to develop broadly applicable risk stratification models to guide disease management of health plan enrollees with substance use disorder (SUD). While the high costs and morbidities associated with SUD are understood by payers, who manage it through utilization review, acute interventions, coverage and cost limitations, and disease management, the literature shows mixed results for these modalitie...

  11. BWR MARK I pressure suppression pool mixing and stratification analysis using GOTHIC lumped parameter modeling methodology

    International Nuclear Information System (INIS)

    Ozdemir, Ozkan Emre; George, Thomas L.

    2015-01-01

    As a part of the GOTHIC (GOTHIC incorporates technology developed for the electric power industry under the sponsorship of EPRI.) Fukushima Technical Evaluation project (EPRI, 2014a, b, 2015), GOTHIC (EPRI, 2014c) has been benchmarked against test data for pool stratification (EPRI, 2014a, b, Ozdemir and George, 2013). These tests confirmed GOTHIC’s ability to simulate pool mixing and stratification under a variety of anticipated suppression pool operating conditions. The multidimensional modeling requires long simulation times for events that may occur over a period of hours or days. For these scenarios a lumped model of the pressure suppression chamber is desirable to maintain reasonable simulation times. However, a lumped model for the pool is not able to predict the effects of pool stratification that can influence the overall containment response. The main objective of this work is on the development of a correlation that can be used to estimate pool mixing and stratification effects in a lumped modeling approach. A simplified lumped GOTHIC model that includes a two zone model for the suppression pool with controlled circulation between the upper and lower zones was constructed. A pump and associated flow connections are included to provide mixing between the upper and lower pool volumes. Using numerically generated data from a multidimensional GOTHIC model for the suppression pool, a correlation was developed for the mixing rate between the upper and lower pool volumes in a two-zone, lumped model. The mixing rate depends on the pool subcooling, the steam injection rate and the injection depth

  12. Image analysis to measure sorting and stratification applied to sand-gravel experiments

    OpenAIRE

    Orrú, C.

    2016-01-01

    The main objective of this project is to develop new measuring techniques for providing detailed data on sediment sorting suitable for sand-gravel laboratory experiments. Such data will be of aid in obtaining new insights on sorting mechanisms and improving prediction capabilities of morphodynamic models. Two measuring techniques have been developed. The first technique is aimed at measuring the size stratification of a sand-gravel deposit through combining image analysis and a sediment remov...

  13. Hidden Configurations of Inequality: A Multilevel Analysis of Ethnic Stratification across the Postsecondary Pipeline

    OpenAIRE

    Nguyen, Bach Mai Dolly

    2017-01-01

    Consider college success as a 1000-piece pyramid shaped puzzle, with each student representing one unique piece that fits precisely into a racial hierarchy. This puzzle represents the normative racial paradigm through which the stratification of educational success is viewed, studied, and understood. But, what if one of those pieces does not fit? What becomes of outliers to that dominant hierarchy? Asian Americans illustrate the need for reconsidering this hierarchy, as they do not hold a sta...

  14. Risk Stratification and Shared Decision Making for Colorectal Cancer Screening: A Randomized Controlled Trial.

    Science.gov (United States)

    Schroy, Paul C; Duhovic, Emir; Chen, Clara A; Heeren, Timothy C; Lopez, William; Apodaca, Danielle L; Wong, John B

    2016-05-01

    Eliciting patient preferences within the context of shared decision making has been advocated for colorectal cancer (CRC) screening, yet providers often fail to comply with patient preferences that differ from their own. To determine whether risk stratification for advanced colorectal neoplasia (ACN) influences provider willingness to comply with patient preferences when selecting a desired CRC screening option. Randomized controlled trial. Asymptomatic, average-risk patients due for CRC screening in an urban safety net health care setting. Patients were randomized 1:1 to a decision aid alone (n= 168) or decision aid plus risk assessment (n= 173) arm between September 2012 and September 2014. The primary outcome was concordance between patient preference and test ordered; secondary outcomes included patient satisfaction with the decision-making process, screening intentions, test completion rates, and provider satisfaction. Although providers perceived risk stratification to be useful in selecting an appropriate screening test for their average-risk patients, no significant differences in concordance were observed between the decision aid alone and decision aid plus risk assessment groups (88.1% v. 85.0%,P= 0.40) or high- and low-risk groups (84.5% v. 87.1%,P= 0.51). Concordance was highest for colonoscopy and relatively low for tests other than colonoscopy, regardless of study arm or risk group. Failure to comply with patient preferences was negatively associated with satisfaction with the decision-making process, screening intentions, and test completion rates. Single-institution setting; lack of provider education about the utility of risk stratification into their decision making. Providers perceived risk stratification to be useful in their decision making but often failed to comply with patient preferences for tests other than colonoscopy, even among those deemed to be at low risk of ACN. © The Author(s) 2016.

  15. Numerical analysis on hydrogen stratification and post-inerting of hydrogen risk

    International Nuclear Information System (INIS)

    Peng, Cheng; Tong, Lili; Cao, Xuewu

    2016-01-01

    Highlights: • A three-dimensional computational model was built and the applicability was discussed. • The formation of helium stratification was further studied. • Three influencing factors on the post-inerting of hydrogen risk were analyzed. - Abstract: In the case of severe accidents, the risk of hydrogen explosion threatens the integrity of the nuclear reactor containment. According to nuclear regulations, hydrogen control is required to ensure the safe operation of the nuclear reactor. In this study, the method of Computational Fluid Dynamics (CFD) has been applied to analyze process of hydrogen stratification and the post-inerting of hydrogen risk in the Large-Scale Gas Mixing Facility. A three-dimensional computational model was built and the applicability of different turbulence models was discussed. The result shows that the helium concentration calculated by the standard k–ε turbulence model is closest to the experiment data. Through analyzing the formation of helium stratification at different injection velocities, it is found that when the injection mass flow is constant and the injection velocity of helium increases, the mixture of helium and air is enhanced while there is rarely influence on the formation of helium stratification. In addition, the influences of mass flow rate, injection location and direction and inert gas on the post-inerting of hydrogen risk have been analyzed and the results are as follows: with the increasing of mass flow rate, the mitigation effect of nitrogen on hydrogen risk will be further improved; there is an obvious local difference between the mitigation effects of nitrogen on hydrogen risk in different injection directions and locations; when the inert gas is injected at the same mass flow rate, the mitigation effect of steam on hydrogen risk is better than that of nitrogen. This study can provide technical support for the mitigation of hydrogen risk in the small LWR containment.

  16. Effect of optimum stratification on sampling with varying probabilities under proportional allocation

    OpenAIRE

    Syed Ejaz Husain Rizvi; Jaj P. Gupta; Manoj Bhargava

    2007-01-01

    The problem of optimum stratification on an auxiliary variable when the units from different strata are selected with probability proportional to the value of auxiliary variable (PPSWR) was considered by Singh (1975) for univariate case. In this paper we have extended the same problem, for proportional allocation, when two variates are under study. A cum. 3 R3(x) rule for obtaining approximately optimum strata boundaries has been provided. It has been shown theoretically as well as empiricall...

  17. Segmented Symbolic Dynamics for Risk Stratification in Patients with Ischemic Heart Failure, Cardiovascular Engineering and Technology

    OpenAIRE

    Voss, Andreas; Schroeder, Rico; Caminal Magrans, Pere; Vallverdú Ferrer, Montserrat; Brunel, Helena; Cygankiewicz, I.; Vázquez, Rafael; Bayes de Luna, Antonio

    2010-01-01

    Chronic heart failure (CHF) is recognized as major and escalating public health problem. Approximately 69% of CHF patients suffer from cardiac death within 5 years after the initial diagnosis. Until now, no generally accepted ECG risk predictors in CHF patients are available. The objective of this study was to investigate the suitability of the new developed non-linear method segmented symbolic dynamics (SSD) for risk stratification in patients with ischemic cardiomyop...

  18. Consequences of future increased Arctic runoff on Arctic Ocean stratification, circulation, and sea ice cover

    OpenAIRE

    Nummelin, Aleksi; Ilicak, Mehmet; Li, Camille; Smedsrud, Lars Henrik

    2016-01-01

    The Arctic Ocean has important freshwater sources including river runoff, low evaporation, and exchange with the Pacific Ocean. In the future, we expect even larger freshwater input as the global hydrological cycle accelerates, increasing high-latitude precipitation, and river runoff. Previous modeling studies show some robust responses to high-latitude freshwater perturbations, including a strengthening of Arctic stratification and a weakening of the large-scale ocean circulation...

  19. Consideration of clinicopathologic features improves patient stratification for multimodal treatment of gastric cancer.

    Science.gov (United States)

    Cho, In; Kwon, In Gyu; Guner, Ali; Son, Taeil; Kim, Hyoung-Il; Kang, Dae Ryong; Noh, Sung Hoon; Lim, Joon Seok; Hyung, Woo Jin

    2017-10-03

    Preoperative staging of gastric cancer with computed tomography alone exhibits poor diagnostic accuracy, which may lead to improper treatment decisions. We developed novel patient stratification criteria to select appropriate treatments for gastric cancer patients based on preoperative staging and clinicopathologic features. A total of 5352 consecutive patients who underwent gastrectomy for gastric cancer were evaluated. Preoperative stages were determined according to depth of invasion and nodal involvement on computed tomography. Logistic regression analysis was used to identify clinicopathological factors associated with the likelihood of proper patient stratification. The diagnostic accuracies of computed tomography scans for depth of invasion and nodal involvement were 67.1% and 74.1%, respectively. Among clinicopathologic factors, differentiated tumor histology, tumors smaller than 5 cm, and gross appearance of early gastric cancer on endoscopy were shown to be related to a more advanced stage of disease on preoperative computed tomography imaging than actual pathological stage. Additional consideration of undifferentiated histology, tumors larger than 5 cm, and grossly advanced gastric cancer on endoscopy increased the probability of selecting appropriate treatment from 75.5% to 94.4%. The addition of histology, tumor size, and endoscopic findings to preoperative staging improves patient stratification for more appropriate treatment of gastric cancer.

  20. Environmental Assisted Fatigue Evaluation of Direct Vessel Injection Piping Considering Thermal Stratification

    International Nuclear Information System (INIS)

    Kim, Taesoon; Lee, Dohwan

    2016-01-01

    As the environmentally assisted fatigue (EAF) due to the primary water conditions is to be a critical issue, the fatigue evaluation for the components and pipes exposed to light water reactor coolant conditions has become increasingly important. Therefore, many studies to evaluate the fatigue life of the components and pipes in LWR coolant environments on fatigue life of materials have been conducted. Among many components and pipes of nuclear power plants, the direct vessel injection piping is known to one of the most vulnerable pipe systems because of thermal stratification occurred in that systems. Thermal stratification occurs because the density of water changes significantly with temperature. In this study, fatigue analysis for DVI piping using finite element analysis has been conducted and those results showed that the results met design conditions related with the environmental fatigue evaluation of safety class 1 pipes in nuclear power plants. Structural and fatigue integrity for the DVI piping system that thermal stratification occurred during the plant operation has conducted. First of all, thermal distribution of the piping system is calculated by computational fluid dynamic analysis to analyze the structural integrity of that piping system. And the fatigue life evaluation considering environmental effects was carried out. Our results showed that the DVI piping system had enough structural integrity and fatigue life during the design lifetime of 60 years

  1. Automated computer-based CT stratification as a predictor of outcome in hypersensitivity pneumonitis

    International Nuclear Information System (INIS)

    Jacob, Joseph; Mak, S.M.; Mok, W.; Hansell, D.M.; Bartholmai, B.J.; Rajagopalan, S.; Karwoski, R.; Della Casa, G.; Sugino, K.; Walsh, S.L.F.; Wells, A.U.

    2017-01-01

    Hypersensitivity pneumonitis (HP) has a variable clinical course. Modelling of quantitative CALIPER-derived CT data can identify distinct disease phenotypes. Mortality prediction using CALIPER analysis was compared to the interstitial lung disease gender, age, physiology (ILD-GAP) outcome model. CALIPER CT analysis of parenchymal patterns in 98 consecutive HP patients was compared to visual CT scoring by two radiologists. Functional indices including forced vital capacity (FVC) and diffusion capacity for carbon monoxide (DLco) in univariate and multivariate Cox mortality models. Automated stratification of CALIPER scores was evaluated against outcome models. Univariate predictors of mortality included visual and CALIPER CT fibrotic patterns, and all functional indices. Multivariate analyses identified only two independent predictors of mortality: CALIPER reticular pattern (p = 0.001) and DLco (p < 0.0001). Automated stratification distinguished three distinct HP groups (log-rank test p < 0.0001). Substitution of automated stratified groups for FVC and DLco in the ILD-GAP model demonstrated no loss of model strength (C-Index = 0.73 for both models). Model strength improved when automated stratified groups were combined with the ILD-GAP model (C-Index = 0.77). CALIPER-derived variables are the strongest CT predictors of mortality in HP. Automated CT stratification is equivalent to functional indices in the ILD-GAP model for predicting outcome in HP. (orig.)

  2. Vertical stratification of bat assemblages in flooded and unflooded Amazonian forests

    Directory of Open Access Journals (Sweden)

    Maria João Ramos PEREIRA, João Tiago MARQUES, Jorge M. PALMEIRIM

    2010-08-01

    Full Text Available Tropical rainforests usually have multiple strata that results in a vertical stratification of ecological opportunities for animals. We investigated if this stratification influences the way bats use the vertical space in flooded and unflooded forests of the Central Amazon. Using mist-nets set in the canopy (17 to 35 m high and in the understorey (0 to 3 m high we sampled four sites in upland unflooded forests (terra firme, three in forests seasonally flooded by nutrient-rich water (várzea, and three in forests seasonally flooded by nutrient-poor water (igapó. Using rarefaction curves we found that species richness in the understorey and canopy were very similar. An ordination analysis clearly separated the bat assemblages of the canopy from those of the understorey in both flooded and unflooded habitats. Gleaning carnivores were clearly associated with the understorey, whereas frugivores were abundant in both strata. Of the frugivores, Carollinae and some Stenodermatinae were understorey specialists, but several Stenodermatinae mostly used the canopy. The first group mainly includes species that, in general, feed on fruits of understorey shrubs, whereas the second group feed on figs and other canopy fruits. We conclude that vertical stratification in bat communities occurs even within forests with lower canopy heights, such as Amazonian seasonally flooded forests, and that the vertical distribution of bat species is closely related to their diet and foraging behaviour [Current Zoology 56 (4: 469–478, 2010].

  3. Thermal stratification effects on MHD radiative flow of nanofluid over nonlinear stretching sheet with variable thickness

    Directory of Open Access Journals (Sweden)

    Yahaya Shagaiya Daniel

    2018-04-01

    Full Text Available The combined effects of thermal stratification, applied electric and magnetic fields, thermal radiation, viscous dissipation and Joules heating are numerically studied on a boundary layer flow of electrical conducting nanofluid over a nonlinearly stretching sheet with variable thickness. The governing equations which are partial differential equations are converted to a couple of ordinary differential equations with suitable similarity transformation techniques and are solved using implicit finite difference scheme. The electrical conducting nanofluid particle fraction on the boundary is passively rather than actively controlled. The effects of the emerging parameters on the electrical conducting nanofluid velocity, temperature, and nanoparticles concentration volume fraction with skin friction, heat transfer characteristics are examined with the aids of graphs and tabular form. It is observed that the variable thickness enhances the fluid velocity, temperature, and nanoparticle concentration volume fraction. The heat and mass transfer rate at the surface increases with thermal stratification resulting to a reduction in the fluid temperature. Electric field enhances the nanofluid velocity which resolved the sticking effects caused by a magnetic field which suppressed the profiles. Radiative heat transfer and viscous dissipation are sensitive to an increase in the fluid temperature and thicker thermal boundary layer thickness. Comparison with published results is examined and presented. Keywords: MHD nanofluid, Variable thickness, Thermal radiation, Similarity solution, Thermal stratification

  4. Automated computer-based CT stratification as a predictor of outcome in hypersensitivity pneumonitis

    Energy Technology Data Exchange (ETDEWEB)

    Jacob, Joseph; Mak, S.M.; Mok, W.; Hansell, D.M. [Royal Brompton and Harefield NHS Foundation Trust, Department of Radiology, Royal Brompton Hospital, London (United Kingdom); Bartholmai, B.J. [Mayo Clinic Rochester, Division of Radiology, Rochester, MN (United States); Rajagopalan, S.; Karwoski, R. [Mayo Clinic Rochester, Biomedical Imaging Resource, Rochester, MN (United States); Della Casa, G. [Universita degli Studi di Modena e Reggio Emilia, Modena, Emilia-Romagna (Italy); Sugino, K. [Toho University Omori Medical Centre, Tokyo (Japan); Walsh, S.L.F. [Kings College Hospital, London (United Kingdom); Wells, A.U. [Royal Brompton and Harefield NHS Foundation Trust, Interstitial Lung Disease Unit, Royal Brompton Hospital, London (United Kingdom)

    2017-09-15

    Hypersensitivity pneumonitis (HP) has a variable clinical course. Modelling of quantitative CALIPER-derived CT data can identify distinct disease phenotypes. Mortality prediction using CALIPER analysis was compared to the interstitial lung disease gender, age, physiology (ILD-GAP) outcome model. CALIPER CT analysis of parenchymal patterns in 98 consecutive HP patients was compared to visual CT scoring by two radiologists. Functional indices including forced vital capacity (FVC) and diffusion capacity for carbon monoxide (DLco) in univariate and multivariate Cox mortality models. Automated stratification of CALIPER scores was evaluated against outcome models. Univariate predictors of mortality included visual and CALIPER CT fibrotic patterns, and all functional indices. Multivariate analyses identified only two independent predictors of mortality: CALIPER reticular pattern (p = 0.001) and DLco (p < 0.0001). Automated stratification distinguished three distinct HP groups (log-rank test p < 0.0001). Substitution of automated stratified groups for FVC and DLco in the ILD-GAP model demonstrated no loss of model strength (C-Index = 0.73 for both models). Model strength improved when automated stratified groups were combined with the ILD-GAP model (C-Index = 0.77). CALIPER-derived variables are the strongest CT predictors of mortality in HP. Automated CT stratification is equivalent to functional indices in the ILD-GAP model for predicting outcome in HP. (orig.)

  5. Effect of stable stratification on dispersion within urban street canyons: A large-eddy simulation

    Science.gov (United States)

    Li, Xian-Xiang; Britter, Rex; Norford, Leslie K.

    2016-11-01

    This study employs a validated large-eddy simulation (LES) code with high tempo-spatial resolution to investigate the effect of a stably stratified roughness sublayer (RSL) on scalar transport within an urban street canyon. The major effect of stable stratification on the flow and turbulence inside the street canyon is that the flow slows down in both streamwise and vertical directions, a stagnant area near the street level emerges, and the vertical transport of momentum is weakened. Consequently, the transfer of heat between the street canyon and overlying atmosphere also gets weaker. The pollutant emitted from the street level 'pools' within the lower street canyon, and more pollutant accumulates within the street canyon with increasing stability. Under stable stratification, the dominant mechanism for pollutant transport within the street canyon has changed from ejections (flow carries high-concentration pollutant upward) to unorganized motions (flow carries high-concentration pollutant downward), which is responsible for the much lower dispersion efficiency under stable stratifications.

  6. Numerical investigation of injector geometry effects on fuel stratification in a GCI engine

    KAUST Repository

    Atef, Nour; Badra, Jihad; Jaasim, Mohammed; Im, Hong G.; Sarathy, Mani

    2017-01-01

    Injectors play an important role in direct injection (DI) gasoline compression ignition (GCI) engines by affecting the in-cylinder mixture formation and stratification, which in turn impacts combustion and emissions. In this work, the effects of two different injector geometries, a 7-hole solid-cone injector and an outwardly opening hollow-cone injector, on fuel mixture stratification in a GCI engine were investigated by computational simulations. Three fuels with similar autoignition kinetics, but with different physical properties, were studied to isolate the effect of the combustion chemistry on combustion phasing. In addition, start of injection (SOI) sweeps relevant to low-load engine operating conditions were performed. The results show that physical properties of the fuel do not have significant influence when using a hollow-cone injector. Richer mixtures were observed at all the studied SOI (−40 to −14 CAD aTDC) cases, which can be attributed to the nature of the hollow cone spray. At later SOIs (−18 and −14 CAD aTDC), the richer mixtures are accompanied by lower mean in-cylinder temperature due to the charge cooling effect, which surpasses the equivalence ratio effect. The effect of fuel physical properties on combustion phasing was evident in multi-hole injection cases, which can be attributed to the differences in mixture stratification and equivalence ratio distribution at the time of ignition.

  7. Noninvasive risk stratification of lethal ventricular arrhythmias and sudden cardiac death after myocardial infarction

    Directory of Open Access Journals (Sweden)

    Kenji Yodogawa, MD

    2014-08-01

    Full Text Available Prediction of lethal ventricular arrhythmias leading to sudden cardiac death is one of the most important and challenging problems after myocardial infarction (MI. Identification of MI patients who are prone to ventricular tachyarrhythmias allows for an indication of implantable cardioverter-defibrillator placement. To date, noninvasive techniques such as microvolt T-wave alternans (MTWA, signal-averaged electrocardiography (SAECG, heart rate variability (HRV, and heart rate turbulence (HRT have been developed for this purpose. MTWA is an indicator of repolarization abnormality and is currently the most promising risk-stratification tool for predicting malignant ventricular arrhythmias. Similarly, late potentials detected by SAECG are indices of depolarization abnormality and are useful in risk stratification. However, the role of SAECG is limited because of its low predictive accuracy. Abnormal HRV and HRT patterns reflect autonomic disturbances, which may increase the risk of lethal ventricular arrhythmias, but the existing evidence is insufficient. Further studies of noninvasive assessment may provide a new insight into risk stratification in post-MI patients.

  8. Prognostic stratification of acute pulmonary embolism: Focus on clinical aspects, imaging, and biomarkers

    Directory of Open Access Journals (Sweden)

    Luca Masotti

    2009-07-01

    Full Text Available Luca Masotti1, Marc Righini2, Nicolas Vuilleumier3, Fabio Antonelli4, Giancarlo Landini5, Roberto Cappelli6, Patrick Ray71Internal Medicine, 4Clinical Chemistry, Cecina Hospital, Cecina, Italy; 2Division of Angiology and Haemostasis, Department of Internal Medicine, Geneva University Hospital, Switzerland; 3Division of Laboratory Medicine, Department of Genetics and Laboratory Medicine, Geneva University Hospitals and University of Geneva, Switzerland; 5Internal Medicine, Santa Maria Nuova Hospital, Florence, Italy; 6Thrombosis Center, University of Siena, Siena, Italy; 7Department of Emergency Medicine, Centre Hospitalo-Universitaire Pitié-Salpêtrière, UPMC Paris 6, Paris, FranceAbstract: Pulmonary embolism (PE represents a common disease in emergency medicine and guidelines for diagnosis and treatment have had wide diffusion. However, PE morbidity and mortality remain high, especially when associated to hemodynamic instability or right ventricular dysfunction. Prognostic stratification to identify high risk patients needing to receive more aggressive pharmacological and closer monitoring is of utmost importance. Modern guidelines for management of acute PE are based on risk stratification using either clinical, radiological, or laboratory findings. This article reviews the modern treatment of acute PE, which is customized upon patient prognosis. Accordingly the current risk stratification tools described in the literature such as clinical scores, echocardiography, helical computer tomography, and biomarkers will be reviewed.Keywords: pulmonary embolism, prognosis, troponin, BNP, NT-proBNP, echocardiography, computer tomography

  9. Optimising preoperative risk stratification tools for prostate cancer using mpMRI

    Energy Technology Data Exchange (ETDEWEB)

    Reisaeter, Lars A.R.; Losnegaard, Are; Biermann, Martin; Roervik, Jarle [Haukeland University Hospital, Department of Radiology, Bergen (Norway); University of Bergen, Department of Clinical Medicine, Bergen (Norway); Fuetterer, Jurgen J. [Radboud University Nijmegen Medical Centre, Department of Radiology, Nijmegen (Netherlands); Nygaard, Yngve [Haukeland University Hospital, Department of Urology, Bergen (Norway); Monssen, Jan [Haukeland University Hospital, Department of Radiology, Bergen (Norway); Gravdal, Karsten [Haukeland University Hospital, Department of Pathology, Bergen (Norway); Halvorsen, Ole J.; Akslen, Lars A. [Haukeland University Hospital, Department of Pathology, Bergen (Norway); Centre for Cancer Biomarkers CCBIO, Department of Clinical Medicine, University of Bergen (Norway); Haukaas, Svein; Beisland, Christian [University of Bergen, Department of Clinical Medicine, Bergen (Norway); Haukeland University Hospital, Department of Urology, Bergen (Norway)

    2018-03-15

    To improve preoperative risk stratification for prostate cancer (PCa) by incorporating multiparametric MRI (mpMRI) features into risk stratification tools for PCa, CAPRA and D'Amico. 807 consecutive patients operated on by robot-assisted radical prostatectomy at our institution during the period 2010-2015 were followed to identify biochemical recurrence (BCR). 591 patients were eligible for final analysis. We employed stepwise backward likelihood methodology and penalised Cox cross-validation to identify the most significant predictors of BCR including mpMRI features. mpMRI features were then integrated into image-adjusted (IA) risk prediction models and the two risk prediction tools were then evaluated both with and without image adjustment using receiver operating characteristics, survival and decision curve analyses. 37 patients suffered BCR. Apparent diffusion coefficient (ADC) and radiological extraprostatic extension (rEPE) from mpMRI were both significant predictors of BCR. Both IA prediction models reallocated more than 20% of intermediate-risk patients to the low-risk group, reducing their estimated cumulative BCR risk from approximately 5% to 1.1%. Both IA models showed improved prognostic performance with a better separation of the survival curves. Integrating ADC and rEPE from mpMRI of the prostate into risk stratification tools improves preoperative risk estimation for BCR. (orig.)

  10. Ion species stratification within strong shocks in two-ion plasmas

    Science.gov (United States)

    Keenan, Brett D.; Simakov, Andrei N.; Taitano, William T.; Chacón, Luis

    2018-03-01

    Strong collisional shocks in multi-ion plasmas are featured in many environments, with Inertial Confinement Fusion (ICF) experiments being one prominent example. Recent work [Keenan et al., Phys. Rev. E 96, 053203 (2017)] answered in detail a number of outstanding questions concerning the kinetic structure of steady-state, planar plasma shocks, e.g., the shock width scaling by the Mach number, M. However, it did not discuss shock-driven ion-species stratification (e.g., relative concentration modification and temperature separation). These are important effects since many recent ICF experiments have evaded explanation by standard, single-fluid, radiation-hydrodynamic (rad-hydro) numerical simulations, and shock-driven fuel stratification likely contributes to this discrepancy. Employing the state-of-the-art Vlasov-Fokker-Planck code, iFP, along with multi-ion hydro simulations and semi-analytics, we quantify the ion stratification by planar shocks with the arbitrary Mach number and the relative species concentration for two-ion plasmas in terms of ion mass and charge ratios. In particular, for strong shocks, we find that the structure of the ion temperature separation has a nearly universal character across ion mass and charge ratios. Additionally, we find that the shock fronts are enriched with the lighter ion species and the enrichment scales as M4 for M ≫ 1.

  11. Analysis of stratification effects on mechanical integrity of pressurizer surge line

    International Nuclear Information System (INIS)

    Thomas-Solgadi, E.; Taupin, P.; Ensel, C.

    1992-01-01

    Unexpected thermal movements in pressurizer surge lines have been reported by several PWR operating utilities. Sometimes gaps between pipe and pipe whip restraints can become closed and plastic deformations could result. Moreover these movements, which have not been considered at conception, can induce additional stresses, and design limits on fatigue and stresses may be exceeded. These piping movements are caused by thermal stratification phenomenon in the horizontal part of the surge line (difference of temperature between hot leg and pressurizer varying from 30 C to above 160 C). To assess the mechanical consequences of this 3-dimensional phenomenon, FRAMATOME has developed a computer program using simplified models (1 and 2-dimensional). This method integrates past investigations on thermal-hydraulic variation of the stratification based on plant monitoring programs carried out by FRAMATOME since 1981, and based also on thermal-hydraulic tests and thermal-hydraulic computer code results. The methodology developed by FRAMATOME permits the following calculations: movements of the line in the elastic and plastic domains; stresses (Mises criterion -- calculations in compliance with ASME or RCC-M codes); usage factors in different components (elbows, welds, ...); crack propagation taking into account stratification and plastic shakedown

  12. Fluid-structure interaction analysis for pressurizer surge line subjected to thermal stratification

    International Nuclear Information System (INIS)

    Kang, Dong Gu; Jhung, Myung Jo; Chang, Soon Heung

    2011-01-01

    Research highlights: → Temperature of surge line due to stratified flow is defined using CFD analysis. → Fluid-structure interaction analysis is performed to investigate the response characteristics due to thermal stress. → Fatigue usage factors due to thermal stratification are relatively low. → Simplifying temperature distribution in surge line is not always conservative. - Abstract: Serious mechanical damages such as cracks and plastic deformations due to excessive thermal stress caused by thermal stratification have been experienced in several nuclear power plants. In particular, the thermal stratification in the pressurizer surge line has been addressed as one of the significant safety and technical issues. In this study, a detailed unsteady computational fluid dynamics (CFD) analysis involving conjugate heat transfer analysis is performed to obtain the transient temperature distributions in the wall of the pressurizer surge line subjected to stratified internal flows either during out-surge or in-surge operation. The thermal loads from CFD calculations are transferred to the structural analysis code which is employed for the thermal stress analysis to investigate the response characteristics, and the fatigue analysis is ultimately performed. In addition, the thermal stress and fatigue analysis results obtained by applying the realistic temperature distributions from CFD calculations are compared with those by assuming the simplified temperature distributions to identify some requirements for a realistic and conservative thermal stress analysis from a safety point of view.

  13. Numerical investigation of injector geometry effects on fuel stratification in a GCI engine

    KAUST Repository

    Atef, Nour

    2017-11-24

    Injectors play an important role in direct injection (DI) gasoline compression ignition (GCI) engines by affecting the in-cylinder mixture formation and stratification, which in turn impacts combustion and emissions. In this work, the effects of two different injector geometries, a 7-hole solid-cone injector and an outwardly opening hollow-cone injector, on fuel mixture stratification in a GCI engine were investigated by computational simulations. Three fuels with similar autoignition kinetics, but with different physical properties, were studied to isolate the effect of the combustion chemistry on combustion phasing. In addition, start of injection (SOI) sweeps relevant to low-load engine operating conditions were performed. The results show that physical properties of the fuel do not have significant influence when using a hollow-cone injector. Richer mixtures were observed at all the studied SOI (−40 to −14 CAD aTDC) cases, which can be attributed to the nature of the hollow cone spray. At later SOIs (−18 and −14 CAD aTDC), the richer mixtures are accompanied by lower mean in-cylinder temperature due to the charge cooling effect, which surpasses the equivalence ratio effect. The effect of fuel physical properties on combustion phasing was evident in multi-hole injection cases, which can be attributed to the differences in mixture stratification and equivalence ratio distribution at the time of ignition.

  14. Numerical investigation of potential stratification caused by a cryogenic helium spill inside a tunnel

    Science.gov (United States)

    Sinclair, Cameron; Malecha, Ziemowit; Jedrusyna, Artur

    2018-04-01

    The sudden release of cryogenic fluid into an accelerator tunnel can pose a significant health and safety risk. For this reason, it is important to evaluate the consequences of such a spill. Previous publications concentrated on either Oxygen Deficiency Hazard or the evaluation of mathematical models using experimental data. No studies to date have focussed on the influence of cryogen inlet conditions on flow development. In this paper, the stratification behaviour of low-temperature helium released into an air-filled accelerator tunnel is investigated for varying helium inlet diameters. A numerical model was constructed using the OpenFOAM Toolbox of a generalised 3D geometry, with similar hydraulic characteristics to the CERN and SLAC tunnels. This model has been validated against published experimental and numerical data. A dimensionless parameter, based on Bakke number, was then determined for the onset of stratification, taking into account the helium inlet diameter; a dimensionless parameter for the degree of stratification was also employed. The simulated flow behaviour is described in terms of these dimensionless parameters, as well as the temperature and oxygen concentration at various heights throughout the tunnel.

  15. Risk stratification in non-ST elevation acute coronary syndromes: Risk scores, biomarkers and clinical judgment

    Directory of Open Access Journals (Sweden)

    David Corcoran

    2015-09-01

    Clinical guidelines recommend an early invasive strategy in higher risk NSTE-ACS. The Global Registry of Acute Coronary Events (GRACE risk score is a validated risk stratification tool which has incremental prognostic value for risk stratification compared with clinical assessment or troponin testing alone. In emergency medicine, there has been a limited adoption of the GRACE score in some countries (e.g. United Kingdom, in part related to a delay in obtaining timely blood biochemistry results. Age makes an exponential contribution to the GRACE score, and on an individual patient basis, the risk of younger patients with a flow-limiting culprit coronary artery lesion may be underestimated. The future incorporation of novel cardiac biomarkers into this diagnostic pathway may allow for earlier treatment stratification. The cost-effectiveness of the new diagnostic pathways based on high-sensitivity troponin and copeptin must also be established. Finally, diagnostic tests and risk scores may optimize patient care but they cannot replace patient-focused good clinical judgment.

  16. American social work, corrections and restorative justice: an appraisal.

    Science.gov (United States)

    Gumz, Edward J

    2004-08-01

    Social work played an active role in American corrections until the 1980s when the ethic of rehabilitation began to give way to a more conservative doctrine of retribution. Changes in the field of social work, characterized by preference of social workers to work only with certain populations, contributed to social work's diminishment in corrections. Although efforts at rehabilitation continue in corrections, the concept of restorative justice that emphasizes assisting victims, communities, and offenders in dealing with the consequences of crime is gaining acceptance in the field of corrections in the United States and in other countries. This study explored social work's presence in corrections, the decline of that presence, and how the concept of restorative justice can invigorate social work within the field of corrections. Several examples of social work's contemporary efforts to use the concept of restorative justice in the United Kingdom are presented.

  17. Vertical stratification of physical, chemical and biological components in two saline lakes Shira and Shunet (South Siberia, Russia)

    NARCIS (Netherlands)

    Degermendzhy, A.G.; Zadereev, E.S.; Rogozin, D.Y.; Prokopkin, I.; Barkhatov, Y.V.; Tolomeev, A.; Khromechek, E.B.; Janse, J.H.; Mooij, W.M.; Gulati, R.D.

    2010-01-01

    A feature of meromictic lakes is that several physicochemical and biological gradients affect the vertical distribution of different organisms. The vertical stratification of physical, chemical and biological components in saline, fishless meromictic lakes Shira and Shunet (Siberia, Russia) is quite

  18. Thermodynamic analysis for molten stratification test MASCA with ionic liquid U-Zr-Fe-O-B-C-FPs database

    International Nuclear Information System (INIS)

    Fukasawa, Masanori; Tamura, Shigeyuki

    2007-01-01

    The molten corium stratification tested in the OECD MASCA project was analyzed with our thermo-dynamic database and the database was verified to be effective for the stratification analysis. The MASCA test shows that the molten corium can be stratified with the metal layer under the oxide when sub-oxidized corium including iron was retained in the lower head of the reactor vessel. This stratification is caused by the increased density of the metal layer attributed to a transfer of uranium metal that was reduced from uranium oxide by zirconium. Thermodynamic equilibrium calculations with the database, which was developed for the corium U-Zr-Fe-O-B-C-FPs system using the ionic two-sublattice model for liquid, show quantitative agreements with the MASCA test, such as the composition of each layer, fission product (FP) partitioning between the layers and B 4 C effect on the stratification. (author)

  19. PPOOLEX experiments on stratification and mixing in the wet well pool

    Energy Technology Data Exchange (ETDEWEB)

    Laine, J.; Puustinen, M.; Raesaenen, A.; Tanskanen, V. (Lappeenranta Univ. of Technology, Nuclear Safety Research Unit (Finland))

    2011-03-15

    This report summarizes the results of the thermal stratification and mixing experiments carried out in 2010 with the scaled down, two compartment PPOOLEX test facility designed and constructed at LUT. Steam was blown into the thermally insulated dry well compartment and from there through the DN200 vertical blowdown pipe to the condensation pool filled with sub-cooled water. The main purpose of the experiment series was to generate verification data for evaluating the capability of GOTHIC and APROS codes to predict stratification and mixing phenomena. Another objective was to test the sound velocity measurement system. Altogether five experiments were carried out. The experiments consisted of a small steam flow rate stratification period and of a mixing period with continuously or stepwise increasing flow rate. The dry well structures were heated up to the level of approximately 90 deg. C before the actual experiments. The initial water bulk temperature was 20 deg. C. When the steam flow rate was low enough (typically approx100-150 g/s) temperatures below the blowdown pipe outlet remained constant while increasing heat-up occurred towards the pool surface layers indicating strong thermal stratification of the wet well pool water. During the stratification period the highest measured temperature difference between pool bottom and surface was approximately 40 deg. C. During the mixing period total mixing of the pool volume was not achieved in any of the experiments. The bottom layers heated up significantly but never reached the same temperature as the topmost layers. The lowest measured temperature difference between the pool bottom and surface was 7-8 deg. C. According to the test results, it seems that a small void fraction doesn't have an effect on the speed of sound in water and that the acquired sound velocity measurement system cannot be used for the estimation of void fraction in the wet well water pool. However, more tests on this issue have to be

  20. PPOOLEX experiments on stratification and mixing in the wet well pool

    International Nuclear Information System (INIS)

    Laine, J.; Puustinen, M.; Raesaenen, A.; Tanskanen, V.

    2011-03-01

    This report summarizes the results of the thermal stratification and mixing experiments carried out in 2010 with the scaled down, two compartment PPOOLEX test facility designed and constructed at LUT. Steam was blown into the thermally insulated dry well compartment and from there through the DN200 vertical blowdown pipe to the condensation pool filled with sub-cooled water. The main purpose of the experiment series was to generate verification data for evaluating the capability of GOTHIC and APROS codes to predict stratification and mixing phenomena. Another objective was to test the sound velocity measurement system. Altogether five experiments were carried out. The experiments consisted of a small steam flow rate stratification period and of a mixing period with continuously or stepwise increasing flow rate. The dry well structures were heated up to the level of approximately 90 deg. C before the actual experiments. The initial water bulk temperature was 20 deg. C. When the steam flow rate was low enough (typically ∼100-150 g/s) temperatures below the blowdown pipe outlet remained constant while increasing heat-up occurred towards the pool surface layers indicating strong thermal stratification of the wet well pool water. During the stratification period the highest measured temperature difference between pool bottom and surface was approximately 40 deg. C. During the mixing period total mixing of the pool volume was not achieved in any of the experiments. The bottom layers heated up significantly but never reached the same temperature as the topmost layers. The lowest measured temperature difference between the pool bottom and surface was 7-8 deg. C. According to the test results, it seems that a small void fraction doesn't have an effect on the speed of sound in water and that the acquired sound velocity measurement system cannot be used for the estimation of void fraction in the wet well water pool. However, more tests on this issue have to be executed

  1. Mixed convection and stratification phenomena in a heavy liquid metal pool

    Energy Technology Data Exchange (ETDEWEB)

    Tarantino, Mariano, E-mail: mariano.tarantino@enea.it [Italian National Agency for New Technologies, Energy and Sustainable Economic Development, C.R. ENEA Brasimone (Italy); Martelli, Daniele; Barone, Gianluca [Dipartimento di Ingegneria Civile e Industriale, University of Pisa, Largo Lucio Lazzarino, 1-56100 Pisa Italy (Italy); Di Piazza, Ivan [Italian National Agency for New Technologies, Energy and Sustainable Economic Development, C.R. ENEA Brasimone (Italy); Forgione, Nicola [Dipartimento di Ingegneria Civile e Industriale, University of Pisa, Largo Lucio Lazzarino, 1-56100 Pisa Italy (Italy)

    2015-05-15

    Highlights: • Results related to experiments reproducing PLOHS + LOF accident in CIRCE pool facility. • Vertical thermal stratification in large HLM pool. • Transition from forced to natural circulation in HLM pool under DHR conditions. • Heat transfer coefficient measurement in HLM pin bundle. • Nusselt numbers calculations and comparison with correlations. - Abstract: This work deals with an analysis of the first experimental series of tests performed to investigate mixed convection and stratification phenomena in CIRCE HLM large pool. In particular, the tests concern the transition from nominal flow to natural circulation regime, typical of decay heat removal (DHR) regime. To this purpose the CIRCE pool facility has been updated to host a suitable test section in order to reproduce the thermal-hydraulic behaviour of a HLM pool-type reactor. The test section basically consists of an electrical bundle (FPS) made up of 37 pins arranged in a hexagonal wrapped lattice with a pitch diameter ratio of 1.8. Along the FPS active length, three sections were instrumented to monitor the heat transfer coefficient along the bundle as well as the cladding temperatures at different ranks of the sub-channels. This paper reports the experimental data as well as a preliminary analysis and discussion of the results, focusing on the most relevant tests of the campaign, namely Test I (48 h) and Test II (97 h). Temperatures along three sections of the FPS and at inlet and outlet sections of the main components were reported and the Nusselt number in the FPS sub-channels was investigated together with the void fraction in the riser. Concerning the investigation of in-pool thermal stratification phenomena, the temperatures in the whole LBE pool were monitored at different elevations and radial locations. The analysis of experimental data obtained from Tests I and II underline the occurrence of thermal stratification phenomena in the region placed between the outlet sections of

  2. CFD modelling of hydrogen stratification in enclosures: Model validation and application to PAR performance

    Energy Technology Data Exchange (ETDEWEB)

    Hoyes, J.R., E-mail: james.hoyes@hsl.gsi.gov.uk; Ivings, M.J.

    2016-12-15

    Highlights: • The ability of CFD to predict hydrogen stratification phenomena is investigated. • Contrary to expectation, simulations on tetrahedral meshes under-predict mixing. • Simulations on structured meshes give good agreement with experimental data. • CFD model used to investigate the effects of stratification on PAR performance. • Results show stratification can have a significant effect on PAR performance. - Abstract: Computational Fluid Dynamics (CFD) models are maturing into useful tools for supporting safety analyses. This paper investigates the capabilities of CFD models for predicting hydrogen stratification in a containment vessel using data from the NEA/OECD SETH2 MISTRA experiments. Further simulations are then carried out to illustrate the qualitative effects of hydrogen stratification on the performance of Passive Autocatalytic Recombiner (PAR) units. The MISTRA experiments have well-defined initial and boundary conditions which makes them well suited for use in a validation study. Results are presented for the sensitivity to mesh resolution and mesh type. Whilst the predictions are shown to be largely insensitive to the mesh resolution they are surprisingly sensitive to the mesh type. In particular, tetrahedral meshes are found to induce small unphysical convection currents that result in molecular diffusion and turbulent mixing being under-predicted. This behaviour is not unique to the CFD model used here (ANSYS CFX) and furthermore, it may affect simulations run on other non-aligned meshes (meshes that are not aligned perpendicular to gravity), including non-aligned structured meshes. Following existing best practice guidelines can help to identify potential unphysical predictions, but as an additional precaution consideration should be given to using gravity-aligned meshes for modelling stratified flows. CFD simulations of hydrogen recombination in the Becker Technologies THAI facility are presented with high and low PAR positions

  3. About technical possibility to use VEERA facility for investigation of coolant stratification phenomenon in horizontal steam generators

    Energy Technology Data Exchange (ETDEWEB)

    Mitioukov, V.; Mitrioukhine, A. [St. Petersburg State Technical Univ. (Russian Federation); Korteniemi, V. [Lappeenranta Univ. of Technology (Finland)

    1997-12-31

    The presentation gives a brief insight on possibility of using the VEERA facility in studying the stratification phenomenon. The idea for such experiments is to use the facility upper plenum part to simulate the conditions in upper part of horizontal steam generator hot collector. The upper part of steam generator hot collector is one of the locations where the stratification can take part during natural circulation mode. 4 refs.

  4. About technical possibility to use VEERA facility for investigation of coolant stratification phenomenon in horizontal steam generators

    International Nuclear Information System (INIS)

    Mitioukov, V.; Mitrioukhine, A.; Korteniemi, V.

    1997-01-01

    The presentation gives a brief insight on possibility of using the VEERA facility in studying the stratification phenomenon. The idea for such experiments is to use the facility upper plenum part to simulate the conditions in upper part of horizontal steam generator hot collector. The upper part of steam generator hot collector is one of the locations where the stratification can take part during natural circulation mode

  5. About technical possibility to use VEERA facility for investigation of coolant stratification phenomenon in horizontal steam generators

    Energy Technology Data Exchange (ETDEWEB)

    Mitioukov, V; Mitrioukhine, A [St. Petersburg State Technical Univ. (Russian Federation); Korteniemi, V [Lappeenranta Univ. of Technology (Finland)

    1998-12-31

    The presentation gives a brief insight on possibility of using the VEERA facility in studying the stratification phenomenon. The idea for such experiments is to use the facility upper plenum part to simulate the conditions in upper part of horizontal steam generator hot collector. The upper part of steam generator hot collector is one of the locations where the stratification can take part during natural circulation mode. 4 refs.

  6. The influence of Southern Ocean surface buoyancy forcing on glacial-interglacial changes in the global deep ocean stratification

    OpenAIRE

    Sun, S; Eisenman, I; Stewart, AL

    2016-01-01

    ©2016. American Geophysical Union. All Rights Reserved. Previous studies have suggested that the global ocean density stratification below ∼3000 m is approximately set by its direct connection to the Southern Ocean surface density, which in turn is constrained by the atmosphere. Here the role of Southern Ocean surface forcing in glacial-interglacial stratification changes is investigated using a comprehensive climate model and an idealized conceptual model. Southern Ocean surface forcing is f...

  7. Preconditioning of Antarctic maximum sea-ice extent by upper-ocean stratification on a seasonal timescale

    OpenAIRE

    Su, Zhan

    2017-01-01

    This study uses an observationally constrained and dynamically consistent ocean and sea ice state estimate. The author presents a remarkable agreement between the location of the edge of Antarctic maximum sea ice extent, reached in September, and the narrow transition band for the upper ocean (0–100 m depths) stratification, as early as April to June. To the south of this edge, the upper ocean has high stratification, which forbids convective fluxes to cross through; consequently, the ocean h...

  8. Improving Clinical Risk Stratification at Diagnosis in Primary Prostate Cancer: A Prognostic Modelling Study.

    Directory of Open Access Journals (Sweden)

    Vincent J Gnanapragasam

    2016-08-01

    Full Text Available Over 80% of the nearly 1 million men diagnosed with prostate cancer annually worldwide present with localised or locally advanced non-metastatic disease. Risk stratification is the cornerstone for clinical decision making and treatment selection for these men. The most widely applied stratification systems use presenting prostate-specific antigen (PSA concentration, biopsy Gleason grade, and clinical stage to classify patients as low, intermediate, or high risk. There is, however, significant heterogeneity in outcomes within these standard groupings. The International Society of Urological Pathology (ISUP has recently adopted a prognosis-based pathological classification that has yet to be included within a risk stratification system. Here we developed and tested a new stratification system based on the number of individual risk factors and incorporating the new ISUP prognostic score.Diagnostic clinicopathological data from 10,139 men with non-metastatic prostate cancer were available for this study from the Public Health England National Cancer Registration Service Eastern Office. This cohort was divided into a training set (n = 6,026; 1,557 total deaths, with 462 from prostate cancer and a testing set (n = 4,113; 1,053 total deaths, with 327 from prostate cancer. The median follow-up was 6.9 y, and the primary outcome measure was prostate-cancer-specific mortality (PCSM. An external validation cohort (n = 1,706 was also used. Patients were first categorised as low, intermediate, or high risk using the current three-stratum stratification system endorsed by the National Institute for Health and Care Excellence (NICE guidelines. The variables used to define the groups (PSA concentration, Gleason grading, and clinical stage were then used to sub-stratify within each risk category by testing the individual and then combined number of risk factors. In addition, we incorporated the new ISUP prognostic score as a discriminator. Using this approach, a

  9. Correction to toporek (2014).

    Science.gov (United States)

    2015-01-01

    Reports an error in "Pedagogy of the privileged: Review of Deconstructing Privilege: Teaching and Learning as Allies in the Classroom" by Rebecca L. Toporek (Cultural Diversity and Ethnic Minority Psychology, 2014[Oct], Vol 20[4], 621-622). This article was originally published online incorrectly as a Brief Report. The article authored by Rebecca L. Toporek has been published correctly as a Book Review in the October 2014 print publication (Vol. 20, No. 4, pp. 621-622. http://dx.doi.org/10.1037/a0036529). (The following abstract of the original article appeared in record 2014-42484-006.) Reviews the book, Deconstructing Privilege: Teaching and Learning as Allies in the Classroom edited by Kim A. Case (2013). The purpose of this book is to provide a collection of resources for those teaching about privilege directly, much of this volume may be useful for expanding the context within which educators teach all aspects of psychology. Understanding the history and systems of psychology, clinical practice, research methods, assessment, and all the core areas of psychology could be enhanced by consideration of the structural framework through which psychology has developed and is maintained. The book presents a useful guide for educators, and in particular, those who teach about systems of oppression and privilege directly. For psychologists, this guide provides scholarship and concrete strategies for facilitating students' awareness of multiple dimensions of privilege across content areas. (PsycINFO Database Record (c) 2015 APA, all rights reserved).

  10. Thermodynamics of Error Correction

    Directory of Open Access Journals (Sweden)

    Pablo Sartori

    2015-12-01

    Full Text Available Information processing at the molecular scale is limited by thermal fluctuations. This can cause undesired consequences in copying information since thermal noise can lead to errors that can compromise the functionality of the copy. For example, a high error rate during DNA duplication can lead to cell death. Given the importance of accurate copying at the molecular scale, it is fundamental to understand its thermodynamic features. In this paper, we derive a universal expression for the copy error as a function of entropy production and work dissipated by the system during wrong incorporations. Its derivation is based on the second law of thermodynamics; hence, its validity is independent of the details of the molecular machinery, be it any polymerase or artificial copying device. Using this expression, we find that information can be copied in three different regimes. In two of them, work is dissipated to either increase or decrease the error. In the third regime, the protocol extracts work while correcting errors, reminiscent of a Maxwell demon. As a case study, we apply our framework to study a copy protocol assisted by kinetic proofreading, and show that it can operate in any of these three regimes. We finally show that, for any effective proofreading scheme, error reduction is limited by the chemical driving of the proofreading reaction.

  11. Cross plane scattering correction

    International Nuclear Information System (INIS)

    Shao, L.; Karp, J.S.

    1990-01-01

    Most previous scattering correction techniques for PET are based on assumptions made for a single transaxial plane and are independent of axial variations. These techniques will incorrectly estimate the scattering fraction for volumetric PET imaging systems since they do not take the cross-plane scattering into account. In this paper, the authors propose a new point source scattering deconvolution method (2-D). The cross-plane scattering is incorporated into the algorithm by modeling a scattering point source function. In the model, the scattering dependence both on axial and transaxial directions is reflected in the exponential fitting parameters and these parameters are directly estimated from a limited number of measured point response functions. The authors' results comparing the standard in-plane point source deconvolution to the authors' cross-plane source deconvolution show that for a small source, the former technique overestimates the scatter fraction in the plane of the source and underestimate the scatter fraction in adjacent planes. In addition, the authors also propose a simple approximation technique for deconvolution

  12. Multi-Layered Stratification in the Baltic Sea: Insight from a Modeling Study with Reference to Environmental Conditions

    Directory of Open Access Journals (Sweden)

    Bijan Dargahi

    2017-01-01

    Full Text Available The hydrodynamic and transport characteristics of the Baltic Sea in the period 2000–2009 were studied using a fully calibrated and validated 3D hydrodynamic model with a horizontal resolution of 4.8 km. This study provided new insight into the type and dynamics of vertical structure in the Baltic Sea, not considered in previous studies. Thermal and salinity stratification are both addressed, with a focus on the structural properties of the layers. The detection of cooler regions (dicothermal within the layer structure is an important finding. The detailed investigation of thermal stratification for a 10-year period (i.e., 2000–2009 revealed some new features. A multilayered structure that contains several thermocline and dicothermal layers was identified from this study. Statistical analysis of the simulation results made it possible to derive the mean thermal stratification properties, expressed as mean temperatures and the normalized layer thicknesses. The three-layered model proposed by previous investigators appears to be valid only during the winter periods; for other periods, a multi-layered structure with more than five layers has been identified during this investigation. This study provides detailed insight into thermal and salinity stratification in the Baltic Sea during a recent decade that can be used as a basis for diverse environmental assessments. It extends previous studies on stratification in the Baltic Sea regarding both the extent and the nature of stratification.

  13. Food systems in correctional settings

    DEFF Research Database (Denmark)

    Smoyer, Amy; Kjær Minke, Linda

    management of food systems may improve outcomes for incarcerated people and help correctional administrators to maximize their health and safety. This report summarizes existing research on food systems in correctional settings and provides examples of food programmes in prison and remand facilities......Food is a central component of life in correctional institutions and plays a critical role in the physical and mental health of incarcerated people and the construction of prisoners' identities and relationships. An understanding of the role of food in correctional settings and the effective......, including a case study of food-related innovation in the Danish correctional system. It offers specific conclusions for policy-makers, administrators of correctional institutions and prison-food-service professionals, and makes proposals for future research....

  14. Corrective justice and contract law

    Directory of Open Access Journals (Sweden)

    Martín Hevia

    2010-06-01

    Full Text Available This article suggests that the central aspects of contract law in various jurisdictions can be explained within the idea of corrective justice. The article is divided into three parts. The first part distinguishes between corrective justice and distributive justice. The second part describes contract law. The third part focuses on actions for breach of contract and within that context reflects upon the idea of corrective justice.

  15. Corrective justice and contract law

    OpenAIRE

    Martín Hevia

    2010-01-01

    This article suggests that the central aspects of contract law in various jurisdictions can be explained within the idea of corrective justice. The article is divided into three parts. The first part distinguishes between corrective justice and distributive justice. The second part describes contract law. The third part focuses on actions for breach of contract and within that context reflects upon the idea of corrective justice.

  16. Characterization of down-valley winds in stable stratification from the KASCADE field campaign and WRF mesoscale simulations

    International Nuclear Information System (INIS)

    Duine, Gert-Jan

    2015-01-01

    This thesis investigates down-valley wind characteristics in complex terrain of moderate oro-graphy for a mid-latitude area. The work was motivated by safety regulation in the context of sanitary impact of the Cadarache centre on its close surroundings. Cadarache is one of the research centres of 'Commissariat a l'Energie Atomique et aux Energies Alternatives' (CEA), located in southeastern France. It is embedded in a small valley, the Cadarache Valley (CV), which is one of the tributaries of the larger Durance Valley (DV). The two valleys are distinct in width (1 - 2 vs. 5 km for CV and DV, respectively), length (5 vs. more than 60 km), depth (100 vs. 200 m and higher) and slope angle (1 degree vs. 0.2 degree on average along the valleys main axis), and therefore react differently under stable conditions. Stable stratifications regularly occur in the region due to frequent weak synoptic forcing and clear sky conditions. During such conditions, dilution of pollutants can become weak; this is one of the major motivations of the present study. To investigate the valley wind behaviour, the KASCADE (Katabatic winds and Stability over Cadarache for Dispersion of Effluents) campaign has been designed. It was conducted in the winter of 2013 including continuous observations (flux tower, Sodar and Cadarache observational network) covering a 3-month period and 23 intensive observation periods (IOPs). During the IOPs tethered balloon experiments were conducted and radio-soundings were launched. An IOP was carried out when weak synoptic forcing periods and clear skies were expected, started at 12 UTC and lasted 24 hours. A calibration experiment served for sensor correction purposes, resulting in a high quality data set of a well-documented campaign (http://kascade.sedoo.fr/). The valley flows at the local and regional scale are characterized from observations analysis and IOP simulations with the non-hydrostatic WRF model. The analysis shows that the Cadarache

  17. Relating sedimentary processes in the Bagnold Dunes to the development of crater basin aeolian stratification

    Science.gov (United States)

    Ewing, R. C.; Lapotre, M. G. A.; Lewis, K. W.; Day, M. D.; Stein, N.; Rubin, D. M.; Sullivan, R. J., Jr.; Banham, S.; Thomas, N. M.; Lamb, M. P.; Gupta, S.; Fischer, W. W.

    2017-12-01

    Wind-blown sand dunes are ubiquitous on the surface of Mars and are a recognized component of the martian stratigraphic record. Our current knowledge of the aeolian sedimentary processes that determine dune morphology, drive dune dynamics, and create aeolian cross-stratification are based upon orbital studies of ripple and dune morphodynamics, rover observations of stratification on Mars, Earth analogs, and experimental and theoretical studies of sand movement under martian conditions. Exploration of the Bagnold Dunes by the Curiosity Rover in Gale Crater, Mars provided the first opportunity to make in situ observations of martian dunes from the grain-to-dune scale. We used the suite of cameras on Curiosity, including Navigation Camera, Mast Camera, and Mars Hand Lens Imager. We measured grainsize and identified sedimentary processes similar to processes on terrestrial dunes, such as grainfall, grainflow, and impact ripples. Impact ripple grainsize had a median of 0.103 mm. Measurements of grainflow slopes indicate a relaxation angle of 29° and grainfall slopes indicate critical angles of at least 32°. Dissimilar to terrestrial dunes, large, meter-scale ripples form on all slopes of the dunes. The ripples form both sinuous and linear crestlines, have symmetric and asymmetric profiles, range in height between 12cm and 28cm, and host grainfall, grainflow, and impact ripples. The largest ripples are interpreted to integrate the annual wind cycle within the crater, whereas smaller large ripples and impact ripples form or reorient to shorter term wind cycling. Assessment of sedimentary processes in combination with dune type across the Bagnold Dunes shows that dune-field pattern development in response to a complex crater-basin wind regime dictates the distribution of geomorphic processes. From a stratigraphic perspective, zones of highest potential accumulation correlate with zones of wind convergence, which produce complex winds and dune field patterns thereby

  18. Prodromal Parkinsonism and Neurodegenerative Risk Stratification in REM Sleep Behavior Disorder.

    Science.gov (United States)

    Barber, Thomas R; Lawton, Michael; Rolinski, Michal; Evetts, Samuel; Baig, Fahd; Ruffmann, Claudio; Gornall, Aimie; Klein, Johannes C; Lo, Christine; Dennis, Gary; Bandmann, Oliver; Quinnell, Timothy; Zaiwalla, Zenobia; Ben-Shlomo, Yoav; Hu, Michele T M

    2017-08-01

    Rapid eye movement (REM) sleep behavior disorder (RBD) is the most specific marker of prodromal alpha-synucleinopathies. We sought to delineate the baseline clinical characteristics of RBD and evaluate risk stratification models. Clinical assessments were performed in 171 RBD, 296 control, and 119 untreated Parkinson's (PD) participants. Putative risk measures were assessed as predictors of prodromal neurodegeneration, and Movement Disorders Society (MDS) criteria for prodromal PD were applied. Participants were screened for common leucine-rich repeat kinase 2 (LRRK2)/glucocerebrosidase gene (GBA) gene mutations. Compared to controls, participants with RBD had higher rates of solvent exposure, head injury, smoking, obesity, and antidepressant use. GBA mutations were more common in RBD, but no LRRK2 mutations were found. RBD participants performed significantly worse than controls on Unified Parkinson's Disease Rating Scale (UPDRS)-III, timed "get-up-and-go", Flamingo test, Sniffin Sticks, and cognitive tests and had worse measures of constipation, quality of life (QOL), and orthostatic hypotension. For all these measures except UPDRS-III, RBD and PD participants were equally impaired. Depression, anxiety, and apathy were worse in RBD compared to PD participants. Stratification of people with RBD according to antidepressant use, obesity, and age altered the odds ratio (OR) of hyposmia compared to controls from 3.4 to 45.5. 74% (95% confidence interval [CI] 66%, 80%) of RBD participants met the MDS criteria for probable prodromal Parkinson's compared to 0.3% (95% CI 0.009%, 2%) of controls. RBD are impaired across a range of clinical measures consistent with prodromal PD and suggestive of a more severe nonmotor subtype. Clinical risk stratification has the potential to select higher risk patients for neuroprotective interventions. © Sleep Research Society 2017. Published by Oxford University Press [on behalf of the Sleep Research Society].

  19. Transient stratification modelling of a corium pool in a LWR vessel lower head

    International Nuclear Information System (INIS)

    Le Tellier, R.; Saas, L.; Bajard, S.

    2015-01-01

    Highlights: • A kinetic stratification model is proposed for the simulation of the in-vessel corium behaviour during a LWR severe accident. • The different associated “modes” of vessel failure by thermal focusing effect are highlighted and discussed. • A sensitivity study for a 1650 MWe GenIII PWR is presented with this model in order to illustrate the associated R&D issues. - Abstract: In the context of light water reactor severe accidents analysis, this paper is focused on one key parameter of in-vessel corium phenomenology: the immiscible phases stratification and its impact on the heat flux distribution at the corium pool lateral boundary with the so-called focusing effect related to a “thin” top metal phase and the potential vessel failure at that point. More particularly, based on the limited knowledge of the stratification transient phenomenon derived from the MASCA-RCW experiment, a basic model is proposed that can be used for corium in lower head sensitivity analyses. It has been implemented in the PROCOR platform developed at CEA Cadarache. A short parametric study on a simple hypothetical transient is presented in order to highlight the different focusing effect “modes” that can be encountered based on this in-vessel corium pool model. An early mode may occur during the formation of the top metal layer while two other modes may appear later during the thinning of this top metal layer because of thermochemically induced mass transfers. Some associated relevant parameters (model or scenario-dependent) and modelling issues are mentioned and illustrated with some results of a Monte-Carlo based sensitivity calculation on the transient behaviour of the corium in the lower head of a 1650 MWe GenIII PWR. Within the limiting modelling hypotheses, the thermal modelling of the steel layer for small (centimetre) heights and the mass diffusivity (limited in this case to the uranium diffusivity in the oxidic layer) are main sensitive parameters

  20. A numerical analysis on thermal stratification phenomenon in the SCS piping

    International Nuclear Information System (INIS)

    Kim, Kwang Chu; Park, Man Heung; Youm, Hag Ki; Lee, Sun Ki; Kim, Tae Ryong

    2003-01-01

    A numerical study is performed to estimate on an unsteady thermal stratification phenomenon in the Shutdown Cooling System(SCS) piping branched off the Reactor Coolant System(RCS) piping of Nuclear Power Plant. In the results, turbulent penetration reaches to the 1 st isolation valve. At 500sec, the maximum temperature difference between top and bottom inner wall in piping is observed at the starting point of horizontal piping passing elbow. The temperature of coolant in the rear side of the 1 st isolation valve disk is very slowly increased and the inflection point in temperature difference curve for time is observed at 2700sec. At the beginning of turbulent penetration from RCS piping, the fast inflow generates the higher temperature for the inner wall than the outer wall in the SCS piping. In the case the hot-leg injection piping and the drain piping are connected to the SCS piping, the effect of thermal stratification in the SCS piping is decreased due to an increase of heat loss compared with no connection case. The hot-leg injection piping affected by turbulent penetration from the SCS piping has a severe temperature difference that exceeds criterion temperature stated in reference. But the drain piping located in the rear compared with the hot-leg injection piping shows a tiny temperature difference. In a viewpoint of designer, for the purpose of decreasing the thermal stratification effect, it is necessary to increase the length of vertical piping in the SCS piping, and to move the position of the hot-leg injection piping backward

  1. Water-Column Stratification Observed along an AUV-Tracked Isotherm

    Science.gov (United States)

    Zhang, Y.; Messié, M.; Ryan, J. P.; Kieft, B.; Stanway, M. J.; Hobson, B.; O'Reilly, T. C.; Raanan, B. Y.; Smith, J. M.; Chavez, F.

    2016-02-01

    Studies of marine physical, chemical and microbiological processes benefit from observing in a Lagrangian frame of reference, i.e. drifting with ambient water. Because these processes can be organized relative to specific density or temperature ranges, maintaining observing platforms within targeted environmental ranges is an important observing strategy. We have developed a novel method to enable a Tethys-class long-range autonomous underwater vehicle (AUV) (which has a propeller and a buoyancy engine) to track a target isotherm in buoyancy-controlled drift mode. In this mode, the vehicle shuts off its propeller and autonomously detects the isotherm and stays with it by actively controlling the vehicle's buoyancy. In the June 2015 CANON (Controlled, Agile, and Novel Observing Network) Experiment in Monterey Bay, California, AUV Makai tracked a target isotherm for 13 hours to study the coastal upwelling system. The tracked isotherm started from 33 m depth, shoaled to 10 m, and then deepened to 29 m. The thickness of the tracked isotherm layer (within 0.3°C error from the target temperature) increased over this duration, reflecting weakened stratification around the isotherm. During Makai's isotherm tracking, another long-range AUV, Daphne, acoustically tracked Makai on a circular yo-yo trajectory, measuring water-column profiles in Makai's vicinity. A wave glider also acoustically tracked Makai, providing sea surface measurements on the track. The presented method is a new approach for studying water-column stratification, but requires careful analysis of the temporal and spatial variations mingled in the vehicles' measurements. We will present a synthesis of the water column's stratification in relation to the upwelling conditions, based on the in situ measurements by the mobile platforms, as well as remote sensing and mooring data.

  2. Effects of moist cold stratification on germination, plant growth regulators, metabolites and embryo ultrastructure in seeds of Acer morrisonense (Sapindaceae).

    Science.gov (United States)

    Chen, Shun-Ying; Chou, Shih-Han; Tsai, Ching-Chu; Hsu, Wen-Yu; Baskin, Carol C; Baskin, Jerry M; Chien, Ching-Te; Kuo-Huang, Ling-Long

    2015-09-01

    Breaking of seed dormancy by moist cold stratification involves complex interactions in cells. To assess the effect of moist cold stratification on dormancy break in seeds of Acer morrisonense, we monitored percentages and rates of germination and changes in plant growth regulators, sugars, amino acids and embryo ultrastructure after various periods of cold stratification. Fresh seeds incubated at 25/15 °C for 24 weeks germinated to 61%, while those cold stratified at 5 °C for 12 weeks germinated to 87% in 1 week. Neither exogenous GA3 nor GA4 pretreatment significantly increased final seed germination percentage. Total ABA content of seeds cold stratified for 12 weeks was reduced about 3.3-fold, to a concentration similar to that in germinated seeds (radicle emergence). Endogenous GA3 and GA7 were detected in 8-week and 12-week cold stratified seeds but not in fresh seeds. Numerous protein and lipid bodies were present in the plumule, first true leaves and cotyledons of fresh seeds. Protein and lipid bodies decreased greatly during cold stratification, and concentrations of total soluble sugars and amino acids increased. The major non-polar sugars in fresh seeds were sucrose and fructose, but sucrose increased and fructose decreased significantly during cold stratification. The major free amino acids were proline and tryptophan in fresh seeds, and proline increased and tryptophan decreased during cold stratification. Thus, as dormancy break occurs during cold stratification seeds of A. morrisonense undergo changes in plant growth regulators, proteins, lipids, sugars, amino acids and cell ultrastructure. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  3. Overcoming intratumoural heterogeneity for reproducible molecular risk stratification: a case study in advanced kidney cancer.

    Science.gov (United States)

    Lubbock, Alexander L R; Stewart, Grant D; O'Mahony, Fiach C; Laird, Alexander; Mullen, Peter; O'Donnell, Marie; Powles, Thomas; Harrison, David J; Overton, Ian M

    2017-06-26

    Metastatic clear cell renal cell cancer (mccRCC) portends a poor prognosis and urgently requires better clinical tools for prognostication as well as for prediction of response to treatment. Considerable investment in molecular risk stratification has sought to overcome the performance ceiling encountered by methods restricted to traditional clinical parameters. However, replication of results has proven challenging, and intratumoural heterogeneity (ITH) may confound attempts at tissue-based stratification. We investigated the influence of confounding ITH on the performance of a novel molecular prognostic model, enabled by pathologist-guided multiregion sampling (n = 183) of geographically separated mccRCC cohorts from the SuMR trial (development, n = 22) and the SCOTRRCC study (validation, n = 22). Tumour protein levels quantified by reverse phase protein array (RPPA) were investigated alongside clinical variables. Regularised wrapper selection identified features for Cox multivariate analysis with overall survival as the primary endpoint. The optimal subset of variables in the final stratification model consisted of N-cadherin, EPCAM, Age, mTOR (NEAT). Risk groups from NEAT had a markedly different prognosis in the validation cohort (log-rank p = 7.62 × 10 -7 ; hazard ratio (HR) 37.9, 95% confidence interval 4.1-353.8) and 2-year survival rates (accuracy = 82%, Matthews correlation coefficient = 0.62). Comparisons with established clinico-pathological scores suggest favourable performance for NEAT (Net reclassification improvement 7.1% vs International Metastatic Database Consortium score, 25.4% vs Memorial Sloan Kettering Cancer Center score). Limitations include the relatively small cohorts and associated wide confidence intervals on predictive performance. Our multiregion sampling approach enabled investigation of NEAT validation when limiting the number of samples analysed per tumour, which significantly degraded performance

  4. Appendix E: Research papers. Use of remote sensing in landscape stratification for environmental impact assessment

    Science.gov (United States)

    Stanturf, J. A.; Heimbuch, D. G.

    1980-01-01

    A refinement to the matrix approach to environmental impact assessment is to use landscape units in place of separate environmental elements in the analysis. Landscape units can be delineated by integrating remotely sensed data and available single-factor data. A remote sensing approach to landscape stratification is described and the conditions under which it is superior to other approaches that require single-factor maps are indicated. Flowcharts show the steps necessary to develop classification criteria, delineate units and a map legend, and use the landscape units in impact assessment. Application of the approach to assessing impacts of a transmission line in Montana is presented to illustrate the method.

  5. Stratification and space-time variability of Red Sea hot brines

    Energy Technology Data Exchange (ETDEWEB)

    Monin, A S; Plakhin, E A

    1982-11-01

    The results of hydrophysical studies in Red Sea hot brines prefaced with historical information are presented. The CTD-recorder readings show stratification of the upper brine in the Atlantis II Deep into meter-scale layers, in agreement with laboratory findings. Repeated soundings with the AIST CTD meter of the upper brine interface in the Valdivia Deep recorded internal waves of 3 to 4-h periods. The observations show the different nature of brines in the four deeps studied and the lack of contact between the brine layers of the Chain and Discovery deeps.

  6. Face support for strongly inclined stratification. Strebausbau fuer die stark geneigte Lagerung

    Energy Technology Data Exchange (ETDEWEB)

    Plaga, K.

    1981-07-30

    In a face support for a strongly inclined stratification consisting of three superimposed shield-type support assemblies the alignment of the lower and upper support assemblies can be carried out without larger frictional resistance during the walking. A sufficient driving space is provided between the abutement and the shield-type support assembly. For this purpose a bottom plate fitting to the floor is placed between the abutement and the middle shield-type support assembly. Driving troughs also fitting to the floor are provided as the face-side final parts of the guiding devices jointly connected to the abutement. (HGOE).

  7. Three-dimensional studies of mixing and stratification in containments cooled by internal condensers

    Energy Technology Data Exchange (ETDEWEB)

    Putz, F.; Dury, T. [Paul Scherrer Inst. (PSI), Villigen (Switzerland)

    2001-07-01

    Within the scope of the fourth EU Framework Programme IPSS project, two passive containment cooling systems, the so-called Building Condenser (BC, under an additional bilateral contract between PSI and Siemens) and Plate Condenser (PC), have been studied at the PSI PANDA facility. From the two tests series, tests BC4 and PC1 have been selected for analysis with the code GOTHIC 6.0. Particular phenomena which are of importance with regard to the condensers operating conditions (mixing/stratification of non-condensable gases, such as air and helium) have been analysed. The GOTHIC simulations have been complemented by CFD calculations with CFX-4. (author)

  8. Classes and Castles: Impact of Social Stratification on Housing Inequality in Post-Socialist States

    Czech Academy of Sciences Publication Activity Database

    Lux, Martin; Sunega, Petr; Katrňák, Tomáš

    2013-01-01

    Roč. 29, č. 2 (2013), s. 274-288 ISSN 0266-7215 R&D Projects: GA ČR GA403/09/1915 Institutional research plan: CEZ:AV0Z70280505 Keywords : social stratification * housing classes * transition countries Subject RIV: AO - Sociology, Demography Impact factor: 1.031, year: 2013 http://esr.oxfordjournals.org/content/early/2011/07/29/esr.jcr060.abstract?keytype=ref&ijkey=2UAFdmbxp7jS5D6

  9. Bidimensional analysis of thermal stratification flow in the surge line of a PWR pressurizer

    International Nuclear Information System (INIS)

    Moreira, M.L.; Botelho, D.A.

    1994-11-01

    A numerical model is developed in order to understand the coolant thermal stratification and to develop a capability of predicting the failure of reactor components caused by this phenomenon. A period of this phenomenon in the surge line of a PWR reactor is simulated in two dimensions using the TURBO computer program. The flow cylindrical geometry is represented in 2 D by the space between two parallel plates, and the separation of the plates is estimated using similarity (the equivalence in the pressure drop). The results are compared to experimental data and to analogous results obtained from the COMMIX-1 C code (3 D). (author). 13 refs, 9 figs, 1 tab

  10. Modeling of hydrogen stratification in a pressurized water reactor containment with the contain computer code

    International Nuclear Information System (INIS)

    Kljenak, I.; Skerlavaj, A.; Parzer, I.

    1999-01-01

    Hydrogen distribution during a severe accident in a nuclear power plant with a two-loop Westinghouse-type pressurized water reactor was simulated with the CONTAIN computer code. The accidents is initiated by a large-break loss-of-coolant accident which is nit successfully mitigated by the action of the emergency core cooling system. Cases with and without successful actuation of spray systems and fan coolers were considered. The simulations predicted hydrogen stratification within the containment main compartment with intensive hydrogen mixing in the containment dome region. Pressure and temperature responses were analyzed as well.(author)

  11. Theoretical and experimental studies of thermal stratification in hot and cold pools of PFBR

    International Nuclear Information System (INIS)

    Velusamy, K.; Titus, G.; Rajakumar, A.; Ravichandran, G.; Padmakumar, G.; Vaidyanathan, G.; Kale, R.D.; Chetal, S.C.; Bhoje, S.B.

    1994-01-01

    Results of experimental studies carried out in two water models of size 1/24 and 1/15, to assess the free level fluctuation in the hot pool of PFBR are presented. The results when extrapolated to the prototype gives a ripple height of 50 mm. The results of thermal stratification studies carried out in 1/24 scale model, using hot and cold water indicates that the interface velocity can be correlated with the Richardson number. The paper also gives the details of computer codes developed for the estimation of flow and temperature fields in the pools. (author)

  12. Vertical stratification and its impact on device performance in a polycarbazole based copolymer solar cells

    OpenAIRE

    Wang, T.; Scarratt, N.W.; Yi, H.; Coleman, I.F.; Zhang, Y.; Grant, R.T.; Yao, J.; Skoda, M.W.A.; Dunbar, A.D.F.; Jones, R.A.L.; Iraqi, A.; Lidzey, D.G.

    2015-01-01

    Using neutron-reflectivity, we study vertical stratification and device performance in bulk hetero-junction organic photovoltaic (OPV) cells consisting of a blend of PC71BM with a carbazole-based donor–acceptor copolymer PCDTBT1. We find that when the blend is cast on a PEDOT:PSS/ITO anode, a PC71BM-depleted (polymer-rich) layer is formed at the PEDOT:PSS interface, whilst a PC71BM-depleted layer is instead located at the air-interface when the same blend is cast on a solution processed MoOx ...

  13. Three-dimensional studies of mixing and stratification in containments cooled by internal condensers

    International Nuclear Information System (INIS)

    Putz, F.; Dury, T.

    2001-01-01

    Within the scope of the fourth EU Framework Programme IPSS project, two passive containment cooling systems, the so-called Building Condenser (BC, under an additional bilateral contract between PSI and Siemens) and Plate Condenser (PC), have been studied at the PSI PANDA facility. From the two tests series, tests BC4 and PC1 have been selected for analysis with the code GOTHIC 6.0. Particular phenomena which are of importance with regard to the condensers operating conditions (mixing/stratification of non-condensable gases, such as air and helium) have been analysed. The GOTHIC simulations have been complemented by CFD calculations with CFX-4. (author)

  14. Effects of stratification and fluctuations on sound propagation in the deep ocean

    International Nuclear Information System (INIS)

    March, R.H.

    1979-01-01

    It is noted that even in a homogeneous ocean, the effects of non-thermal noise and sound absorption limit the maximum effective range of detection of acoustic signals from particle cascades to distances of 2 to 10 kilometers, depending on the surface conditions prevailing and the directional characteristics of the detector. In the present paper, the effects of stratification and fluctuations in the sound velocity profile in the deep ocean over distances of this order are examined. Attention is given to two effects of potential significance, refraction and scintillation. It is found that neither effect has any significant consequences at ranges of less than 10 km

  15. Unpacking Corrections in Mobile Instruction

    DEFF Research Database (Denmark)

    Levin, Lena; Cromdal, Jakob; Broth, Mathias

    2017-01-01

    that the practice of unpacking the local particulars of corrections (i) provides for the instructional character of the interaction, and (ii) is highly sensitive to the relevant physical and mobile contingencies. These findings contribute to the existing literature on the interactional organisation of correction...

  16. Atmospheric correction of satellite data

    Science.gov (United States)

    Shmirko, Konstantin; Bobrikov, Alexey; Pavlov, Andrey

    2015-11-01

    Atmosphere responses for more than 90% of all radiation measured by satellite. Due to this, atmospheric correction plays an important role in separating water leaving radiance from the signal, evaluating concentration of various water pigments (chlorophyll-A, DOM, CDOM, etc). The elimination of atmospheric intrinsic radiance from remote sensing signal referred to as atmospheric correction.

  17. Stress Management in Correctional Recreation.

    Science.gov (United States)

    Card, Jaclyn A.

    Current economic conditions have created additional sources of stress in the correctional setting. Often, recreation professionals employed in these settings also add to inmate stress. One of the major factors limiting stress management in correctional settings is a lack of understanding of the value, importance, and perceived freedom, of leisure.…

  18. Validation of risk stratification schemes for predicting stroke and thromboembolism in patients with atrial fibrillation: nationwide cohort study.

    Science.gov (United States)

    Olesen, Jonas Bjerring; Lip, Gregory Y H; Hansen, Morten Lock; Hansen, Peter Riis; Tolstrup, Janne Schurmann; Lindhardsen, Jesper; Selmer, Christian; Ahlehoff, Ole; Olsen, Anne-Marie Schjerning; Gislason, Gunnar Hilmar; Torp-Pedersen, Christian

    2011-01-31

    To evaluate the individual risk factors composing the CHADS(2) (Congestive heart failure, Hypertension, Age ≥ 75 years, Diabetes, previous Stroke) score and the CHA(2)DS(2)-VASc (CHA(2)DS(2)-Vascular disease, Age 65-74 years, Sex category) score and to calculate the capability of the schemes to predict thromboembolism. Registry based cohort study. Nationwide data on patients admitted to hospital with atrial fibrillation. Population All patients with atrial fibrillation not treated with vitamin K antagonists in Denmark in the period 1997-2006. Stroke and thromboembolism. Of 121,280 patients with non-valvular atrial fibrillation, 73,538 (60.6%) fulfilled the study inclusion criteria. In patients at "low risk" (score = 0), the rate of thromboembolism per 100 person years was 1.67 (95% confidence interval 1.47 to 1.89) with CHADS(2) and 0.78 (0.58 to 1.04) with CHA(2)DS(2)-VASc at one year's follow-up. In patients at "intermediate risk" (score = 1), this rate was 4.75 (4.45 to 5.07) with CHADS(2) and 2.01 (1.70 to 2.36) with CHA(2)DS(2)-VASc. The rate of thromboembolism depended on the individual risk factors composing the scores, and both schemes underestimated the risk associated with previous thromboembolic events. When patients were categorised into low, intermediate, and high risk groups, C statistics at 10 years' follow-up were 0.812 (0.796 to 0.827) with CHADS(2) and 0.888 (0.875 to 0.900) with CHA(2)DS(2)-VASc. The risk associated with a specific risk stratification score depended on the risk factors composing the score. CHA(2)DS(2)-VASc performed better than CHADS(2) in predicting patients at high risk, and those categorised as low risk by CHA(2)DS(2)-VASc were truly at low risk for thromboembolism.

  19. Efficacy of risk stratification in tailoring immunosuppression regimens in kidney transplant patients at the national kidney and transplant institute.

    Science.gov (United States)

    Ledesma-Gumba, M A; Danguilan, R A; Casasola, C C; Ona, E T

    2008-09-01

    To evaluate the efficacy of tailored immunosuppressive regimens prescribed according to a risk stratification scoring system based on the number of HLA mismatches, donor source, panel-reactive antibodies (PRA), and repeat transplant. Patients in a retrospective cohort of 329 kidney transplantations performed from October 2004 to December 2005 were assigned scores of 0, 2, 4, or 6 with higher scores for > or =1 HLA mismatches, PRA > 10%, repeat transplant, and unrelated or deceased donor. Added scores of or = 6 denoted high risk including a CNI-based regimen with an interleukin-2 receptor antibody. The efficacy analysis compared the incidences of biopsy-proven acute rejection episodes (BPAR) at 1 year. Only 227 (69%) of 329 patients had a complete data set and 84 were excluded because they did not follow the prescribed protocol, yielding 113 low- and 30 high-risk patients in the final population. Low-risk patients had a mean PRA of 5.4%, living related donors in 68%, and primary transplants. High-risk patients had a mean PRA of 18.8% (range = 10%-97%), living nonrelated donors in 84%, four deceased donors, and four repeat transplants. The overall 1-year incidence of BPAR was 5.7%. No significant difference (P = .081) was observed in 1-year BPAR between the low- (4.5%) and high-risk (9.8%) groups. Likewise, no significant difference in the 1-year mean serum creatinine was observed according to the CNI. The mean creatinine was 1.12 for cyclosporine and 1.38 for tacrolimus treatment (P = .06) in the low-risk group and 1.08 for cyclosporine and 1.2 for tacrolimus (P = .61) in the high-risk cohort. There was no significant difference in acute rejection rates between the immunologically low- or high-risk patients using tailored immunosuppression, which was effective to minimize its occurrence with good renal function at 1 year.

  20. Age correction in monitoring audiometry: method to update OSHA age-correction tables to include older workers

    OpenAIRE

    Dobie, Robert A; Wojcik, Nancy C

    2015-01-01

    Objectives The US Occupational Safety and Health Administration (OSHA) Noise Standard provides the option for employers to apply age corrections to employee audiograms to consider the contribution of ageing when determining whether a standard threshold shift has occurred. Current OSHA age-correction tables are based on 40-year-old data, with small samples and an upper age limit of 60?years. By comparison, recent data (1999?2006) show that hearing thresholds in the US population have improved....