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Sample records for currents experience sudden

  1. An experimental investigation of the dynamics of submarine leveed channel initiation as sediment-laden density currents experience sudden unconfinement

    Energy Technology Data Exchange (ETDEWEB)

    Rowland, Joel C [Los Alamos National Laboratory; Hilley, George E [STANFORD UNIV; Fildani, Andrea [CHEVRON ETC

    2009-01-01

    Leveed submarine channels play a critical role in the transfer of sediment from the upper continental slopes to interslope basins and ultimately deepwater settings. Despite a reasonable understanding of how these channels grow once established, how such channels initiate on previously unchannelized portions of the seafloor remains poorly understood. We conducted a series of experiments that elucidate the influence of excess density relative to flow velocity on the dynamics of, and depositional morphologies arising from, density currents undergoing sudden unconfinement across a sloped bed. Experimental currents transported only suspended sediment across a non-erodible substrate. Under flow conditions ranging from supercritical to subcritical (bulk Richardson numbers of 0.02 to 1.2) our experiments failed to produce deposits resembling or exhibiting the potential to evolve into self-formed leveed channels. In the absence of excess density, a submerged sediment-laden flow produced sharp crested lateral deposits bounding the margins of the flow for approximately a distance of two outlet widths down basin. These lateral deposits terminated in a centerline deposit that greatly exceeded marginal deposits in thickness. As excess density increased relative to the outlet velocity, the rate of lateral spreading of the flow increased relative to the downstream propagation of the density current, transitioning from a narrow flow aligned with the channel outlet to a broad radially expanding flow. Coincident with these changes in flow dynamics, the bounding lateral deposits extended for shorter distances, had lower, more poorly defined crests that were increasingly wider in separation than the initial outlet, and progressively became more oblong rather than linear. Based on our results, we conclude that leveed channels cannot initiate from sediment-laden density currents under strictly depositional conditions. Partial confinement of these currents appears to be necessary to

  2. Lives forever changed: family bereavement experiences after sudden cardiac death.

    Science.gov (United States)

    Mayer, D Dale M; Rosenfeld, Anne G; Gilbert, Kathleen

    2013-11-01

    To describe the bereavement experiences of families who survived the sudden cardiac death of a family member and identify meanings of loss. Approximately 325,000 people experience sudden cardiac death (SCD) annually. It is important to examine family experiences after SCD because of the life altering impact of death on surviving family members. A descriptive design, using the qualitative method of narrative analysis, was used to analyze family stories of bereavement. Five themes were identified across seven families: sudden cardiac death … boom; saying goodbye; grief unleashes volatile emotional reactions; life goes on … but never back to normal; and meanings in loss. This study adds to an understanding of family bereavement and findings suggest that providing information about the cause of death and allowing family members to tell their stories are potentially important interventions for clinicians who interact with bereaved families. © 2013.

  3. Sudden cardiac death in Nigerians - The Ile - Ife experience

    African Journals Online (AJOL)

    reports from other parts of the worldw'm'12 where it has been documented that about a third of victims of sudden cardiac death do not have a past history of heart disease. The pre- cise role of activity, physical and emotional, in triggering the terminal events of sudden cardiac death is controversial. Our. finding that majority of ...

  4. Risk Factors, Protective Factors, and Current Recommendations to Reduce Sudden Infant Death Syndrome: A Review.

    Science.gov (United States)

    Carlin, Rebecca F; Moon, Rachel Y

    2017-02-01

    Sudden infant death syndrome remains the leading cause of death in infants aged 1 month to 1 year in the United States. While its exact cause is unknown, sudden infant death syndrome is believed to be multifactorial, ie, occurs in infants with underlying biological vulnerability who experience an exogenous stressor, such as prone/side sleeping or soft bedding, during a critical developmental period. Much genetic and physiologic evidence points to impaired arousal responses to hypercarbia and hypoxia, which ultimately leads to asphyxia. Known risk factors for infants include prone and side sleeping, soft bedding, bed sharing, inappropriate sleep surfaces (including sofas), exposure to tobacco smoke, and prematurity; protective factors include breastfeeding, pacifier use, room sharing, and immunizations. Despite our improved understanding of the physiologic mechanisms that cause sudden infant death, the mainstay of risk reduction continues to be a safe sleep environment, as most infants who die suddenly and unexpectedly do so in unsafe sleep environments.

  5. Sudden hearing loss: Our experience in treatment with vasoactive therapy

    Directory of Open Access Journals (Sweden)

    Živić Ljubica

    2008-01-01

    Full Text Available Introduction A specific title "sudden hearing loss" refers to illness which is characterized by a sudden, rapid sensoneural hearing loss mostly in one ear without obvious causes, accompanied with dizziness, and without vestibular symptomatology. It is defined as a hearing loss for more than 30 dB on 3 or more successive frequencies which appear in 72 hours. Objective The main goal of our paper was to estimate success of implementation of vasoactive method in patients with sudden hearing loss of senso-neural type in different ranges in hospital conditions. METHOD Our research covered 37 patients hospitalized because of a sudden hearing loss of sensoneural type in different ranges. Diagnosis, in all patients, was established by clinical ORL examination, audiology and vestibular examination. R including CT and MR, neurological, internist and laboratory examinations were used in order to exclude other aetiology. In monitored patients, we started treatment with vasoactive therapy, ampules of xanthinol nicotinate (one ampule of 2 ml, 300 mg or ampules of pentoxiphylline (one ampule of 5 ml, 100 mg in form of infusions with addition of vitamins with an everyday gradual increase of dosage up to 12 ampules of xanthinol nicotinate and up to 5 ampules of pentoxiphylline. Then we started with an everyday decrease of dosage down to the first one. Results After the complete curing protocol, we found out that in patients with light and medium senso-neural damages of hearing sense (23 or 62%, hearing recovery was complete. In patients with heavy damage of hearing (9 or 24%, partial success was evidenced. The most difficult cases, with complete hearing loss, heavy buzzing and vertiginous problem (5 or 14% responded to therapy, so buzzing and vertiginous problems disappeared but hearing was not improved. Conclusion Usage of vasoactive medicaments in hospital conditions in treatment of sudden hearing loss gives good results and it is the closest to aetiological

  6. Genetic analysis of sudden cardiac death victims: a survey of current forensic autopsy practices.

    Science.gov (United States)

    Michaud, Katarzyna; Mangin, Patrice; Elger, Bernice S

    2011-05-01

    Autopsy-negative sudden cardiac deaths (SCD) seen in forensic practice are most often thought to be the result of sudden arrhythmic death syndrome. Postmortem genetic analysis is recommended in such cases, but is currently performed in only a few academic centers. In order to determine actual current practice, an on-line questionnaire was sent by e-mail to members of various forensic medical associations. The questions addressed routine procedures employed in cases of sudden cardiac death (autopsy ordering, macroscopic and microscopic cardiac examination, conduction tissue examination, immunohistochemistry and electron microscopy, biochemical markers, sampling and storage of material for genetic analyses, toxicological analyses, and molecular autopsy). Some questions concerned the legal and ethical aspects of genetic analyses in postmortem examinations, as well as any existing multidisciplinary collaborations in SCD cases. There were 97 respondents, mostly from European countries. Genetic testing in cases of sudden cardiac death is rarely practiced in routine forensic investigation. Approximately 60% of respondents reported not having the means to perform genetic postmortem testing and 40% do not collect adequate material to perform these investigations at a later date, despite working at university hospitals. The survey demonstrated that many of the problems involved in the adequate investigation of SCD cases are often financial in origin, due to the fact that activities in forensic medicine are often paid by and dependent on the judicial authorities. Problems also exist concerning the contact with family members and/or the family doctor, as well as the often-nonexistent collaboration with others clinicians with special expertise beneficial in the investigation of SCD cases, such as cardiologists and geneticists. This study highlights the importance in establishing guidelines for molecular autopsies in forensic medicine.

  7. The 12-lead electrocardiogram and risk of sudden death: current utility and future prospects.

    Science.gov (United States)

    Narayanan, Kumar; Chugh, Sumeet S

    2015-10-01

    More than 100 years after it was first invented, the 12-lead electrocardiogram (ECG) continues to occupy an important place in the diagnostic armamentarium of the practicing clinician. With the recognition of relatively rare but important clinical entities such as Wolff-Parkinson-White and the long QT syndrome, this clinical tool was firmly established as a test for assessing risk of sudden cardiac death (SCD). However, over the past two decades the role of the ECG in risk prediction for common forms of SCD, for example in patients with coronary artery disease, has been the focus of considerable investigation. Especially in light of the limitations of current risk stratification approaches, there is a renewed focus on this broadly available and relatively inexpensive test. Various abnormalities of depolarization and repolarization on the ECG have been linked to SCD risk; however, more focused work is needed before they can be deployed in the clinical arena. The present review summarizes the current knowledge on various ECG risk markers for prediction of SCD and discusses some future directions in this field. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2015. For permissions please email: journals.permissions@oup.com.

  8. 47. A cardiac center experience with Brugada syndrome who survived sudden cardiac death

    Directory of Open Access Journals (Sweden)

    I. Suliman

    2016-07-01

    Full Text Available Brugada syndrome is a heritable arrhythmia syndrome that is characterized by an electrocardiographic pattern consisting of coved-type ST-segment elevation (2 mm followed by a negative T wave in the right precordial leads, V1 through V3 (often referred to as type 1 Brugada electrocardiographic pattern, here we describe 3 cases of Brugada who survived sudden cardiac death (SCD cardiac center experience with survived Brugada syndrome patients – case series. First Case: The Father 45 years old male, presented in 2005 after involvement in unprovoked motor vehicle accident, the patient was the driver who lost consciousness and rushed to the hospital. On arrival to our ER and putting the patient on the bed, the ER doctor observed a brief episode of VF on the monitor. The patient was taken to the catheterization Lab , his coronaries were normal. The diagnosis of Brugada was established and the patient received a defibrillator. At That Time all family members were screened and were negative. Second Case: The Son of the first patient 5 years later his 23 years old male rushed to our ER after he lost consciousness, he was passenger in the car of his friend. Third Case: The pilot A military pilot aged a male 35 years old was in very good health when he lost consciousness and brought to the hospital after resuscitation in 2005. He had full invasive cardiac evaluation, subsequently he received a defibrillator in the same admission period, till 2015 he is doing fine. Brugada syndrome is associated with high tendency for sudden cardiac death. In our three cases the first clinical presentation was survived sudden cardiac death (SCD and all three male patients survived. We did not encounter a female patient who survived sudden cardiac death.

  9. External fixators and sudden-onset disasters: Médecins Sans Frontières experience.

    Science.gov (United States)

    Boillot, Francois; Herard, Patrick

    2014-08-01

    Carrying out osteosynthesis is challenging, and controlling for results and complications is necessary to define the limits of acceptable complications. Within the context of sudden-onset disasters, comparing internal with external osteosynthesis remains controversial. The most recent and significant Médecins Sans Frontières (MSF) experience with osteosynthesis was following the earthquake in Haiti in 2010: 353 external fixators were used in the 12 months following the catastrophe, 62 of which were used in the first month. Carrying out internal osteosynthesis was possible two weeks following the earthquake. The most common indication for open tibial fracture was Gustillo grade 2 or 3. Conversion rate from external to internal osteosynthesis remains anecdotal for several practical reasons. Advantages and drawbacks of external fixators are discussed in the context of precarious situations frequently encountered by MSF. External osteosynthesis as a primary and definitive treatment for open fractures, especially of the leg, remains the most frequently used and best-adapted procedure in the context of sudden-onset disasters, even though not ideal.

  10. Current Direct Neutrino Mass Experiments

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    G. Drexlin

    2013-01-01

    Full Text Available In this contribution, we review the status and perspectives of direct neutrino mass experiments, which investigate the kinematics of β-decays of specific isotopes (3H, 187Re, 163Ho to derive model-independent information on the averaged electron (antineutrino mass. After discussing the kinematics of β-decay and the determination of the neutrino mass, we give a brief overview of past neutrino mass measurements (SN1987a-ToF studies, Mainz and Troitsk experiments for 3H, cryobolometers for 187Re. We then describe the Karlsruhe Tritium Neutrino (KATRIN experiment currently under construction at Karlsruhe Institute of Technology, which will use the MAC-E-Filter principle to push the sensitivity down to a value of 200 meV (90% C.L.. To do so, many technological challenges have to be solved related to source intensity and stability, as well as precision energy analysis and low background rate close to the kinematic endpoint of tritium β-decay at 18.6 keV. We then review new approaches such as the MARE, ECHO, and Project8 experiments, which offer the promise to perform an independent measurement of the neutrino mass in the sub-eV region. Altogether, the novel methods developed in direct neutrino mass experiments will provide vital information on the absolute mass scale of neutrinos.

  11. The role of the sodium current complex in a nonreferred nationwide cohort of sudden infant death syndrome

    DEFF Research Database (Denmark)

    Winkel, Bo Gregers; Yuan, Lei; Olesen, Morten S.

    2015-01-01

    BACKGROUND: Sudden infant death syndrome (SIDS) is the most common cause of death in infants between the age of 1 month and 1 year. Rare variants in Nav1.5 encoded by SCN5A are known to play a role in SIDS; however, the combined role of the sodium current complex is unknown. OBJECTIVE: The purpose......A R1193Q and GPD1L R220H (both considered variants of unknown significance) were present in the same infant. Functional analysis of variants not previously characterized (R458C, S1609L, and Q1909R in SCN5A) predominantly revealed increased transient and sustained sodium current. CONCLUSION...

  12. Sudden sensorineural hearing loss: our experience in diagnosis, treatment, and outcome.

    Science.gov (United States)

    Cadoni, Gabriella; Agostino, Stefania; Scipione, Simona; Ippolito, Silvia; Caselli, Andrea; Marchese, Raffaella; Paludetti, Gaetano

    2005-12-01

    To describe our experience concerning sudden sensorineural hearing loss (SSNHL) in a large single-institution series of SSNHL patients and to discuss the results. This was a retrospective study, and the charts of 156 consecutive inpatients (65 males, mean age 44 years, range 10-74 years; 91 females, mean age 46 years, range 15-75 years) with the diagnosis of SSNHL from 1987 to 2000 were reviewed. One hundred forty-three of 156 patients received multidrug therapy (plasma expanders, antiaggregants, steroids), whereas only 13 SSNHL patients received hyperbaric oxygen therapy. Old age, vascular and metabolic risk factors, and cigarette smoking do not a have a high prevalence in the SSNHL population. An etiologic factor was detected in 23 of 156 (15%) cases (16 cases of acute infection, 4 cases of neurovascular conflicts, 2 cases of cerebellar angiomas, 1 case of cochleovestibular schwannoma). The outcome was not related to the laterality, age, or hearing loss type. On the contrary, a statistically significant association between poor recovery and male sex, both tinnitus and vertigo, and the initial severity of the hearing loss was observed. Mostly, SSNHL results in idiopathic disease. At present, diagnostic and therapeutic efforts appear to be inadequate to improve the prognosis of SSNHL. Further studies are needed to obtain better knowledge about the etiopathogenesis of SSNHL so that new therapeutic strategies can be considered in the treatment of this challenging ear disease.

  13. Sudden Oak Death-Induced Tanoak Mortality in Coast Redwood Forests: Current and Predicted Impacts to Stand Structure

    Directory of Open Access Journals (Sweden)

    Kevin L. O’Hara

    2010-08-01

    Full Text Available Tanoak (Notholithocarpus densiflorus syn. Lithocarpus densiflorus is one of the most widespread and abundant associates of coast redwood (Sequoia sempervirens, but little is known about the structural relationships between these two species. Knowledge of such relationships is essential for a thorough understanding of the impacts of sudden oak death (caused by the exotic pathogen Phytophthora ramorum, which is currently decimating tanoak populations throughout the redwood range. In this study, we utilized a stratified plot design and a stand reconstruction technique to assess structural impacts, at present and in the future, of this emerging disease. We found that residual trees in diseased plots were more aggregated than trees in unaffected plots, and we predicted that the loss of tanoak will lead to the following short-term changes: greater average diameter, height, height-to-live-crown, and crown length, as well as an increase in average nearest neighbor differences for diameter, height, and crown length. In addition, plots lacking tanoak (living or dead—as compared to plots with tanoak—exhibited greater average diameter and increased nearest neighbor differences with regard to diameter, height, and crown length. We also conducted a preliminary exploration of how sudden oak death-induced structural changes compare with typical old-growth characteristics, and how this disease may affect the structure of old-growth forests.

  14. Experiences, considerations and emotions relating to cardiogenetic evaluation in relatives of young sudden cardiac death victims.

    Science.gov (United States)

    van der Werf, Christian; Onderwater, Astrid T; van Langen, Irene M; Smets, Ellen M A

    2014-02-01

    Relatives of young sudden cardiac death (SCD) victims are at increased risk of carrying a potentially fatal inherited cardiac disease. Hence, it is recommended to perform an autopsy on the victim and to refer his or her relatives to a cardiogenetics clinic for a full evaluation to identify those at risk and allow preventive measures to be taken. However, at present, the number of families attending a cardiogenetics clinic after the SCD of a young relative is low in the Netherlands. We performed a qualitative study and report on the experiences and attitudes of first-degree relatives who attended a cardiogenetics clinic for evaluation. In total, we interviewed nine first-degree relatives and one spouse of seven SCD victims about their experiences, considerations and emotions before attendance and at the first stage of the cardiogenetic evaluation before DNA results were available. Interviews were transcribed verbatim and analysed. Medical professionals did not have an important role in informing or referring relatives to a cardiogenetics clinic. Importantly, all participants indicated that they would have appreciated a more directive approach from medical professionals, because their mourning process hampered their own search for information and decision-making. A need to understand the cause of death and wanting to prevent another SCD event occurring in the family were the most important reasons for attending a clinic. There are possibilities to improve the information process and better support their decision-making. The multidisciplinary cardiogenetic evaluation was appreciated, but could be improved by minor changes in the way it is implemented.

  15. Experiences, considerations and emotions relating to cardiogenetic evaluation in relatives of young sudden cardiac death victims

    NARCIS (Netherlands)

    van der Werf, Christian; Onderwater, Astrid T.; van Langen, Irene M.; Smets, Ellen M. A.

    2014-01-01

    Relatives of young sudden cardiac death (SCD) victims are at increased risk of carrying a potentially fatal inherited cardiac disease. Hence, it is recommended to perform an autopsy on the victim and to refer his or her relatives to a cardiogenetics clinic for a full evaluation to identify those at

  16. Clinical Yield of Familial Screening After Sudden Death in Young Subjects: The French Experience.

    Science.gov (United States)

    Quenin, Pauline; Kyndt, Florence; Mabo, Philippe; Mansourati, Jacques; Babuty, Dominique; Thollet, Aurélie; Guyomarch, Béatrice; Redon, Richard; Barc, Julien; Schott, Jean-Jacques; Sacher, Frederic; Probst, Vincent; Gourraud, Jean Baptiste

    2017-09-01

    After sudden cardiac death with negative autopsy, clinical screening of relatives identifies a high proportion of inherited arrhythmia syndrome. However, the efficacy of this screening in families not selected by autopsy has never been assessed. We aim to investigate the value of clinical screening in relatives of all subjects who died suddenly before 45 years of age. One hundred and three consecutive families who experienced unexplained sudden cardiac death before 45 years of age were included from May 2009 to December 2014 in a prospective multicenter registry. Clinical screening was provided to all relatives and performed in 64 families (230 relatives, 80 unexplained sudden cardiac death). Diagnosis was established in 16 families (25%), including Brugada syndrome (7), long QT syndromes (5), dilated cardiomyopathy (2), and hypertrophic cardiomyopathy (2). The diagnostic yield was mainly dependent on the number of screened relatives (3.8±3.4 screened relatives in diagnosed families versus 2.0±1.5; P<0.005) rising to 47% with at least 3 relatives. It additionally increased from 3 of 32 (9%) to 9 of 22 (41%) when both parents were screened (P=0.01). Diagnostic performance was also dependent on the exhaustiveness of screening (70% of complete screening in the diagnosed families versus 25%; P<0.0001) with 17 Brugada syndromes and 15 long QT syndromes diagnosed based on pharmacological tests. Even without autopsy, familial screening after sudden death in young patients is effective. Broad screening of relatives and systematic tests, including pharmacological challenges, greatly increases the likelihood of diagnosis in families. © 2017 American Heart Association, Inc.

  17. Sudden Cardiac Death.

    Science.gov (United States)

    Goldberger

    1999-08-01

    Great strides have been made in the approach to the management of sudden cardiac death. Patients who have been successfully resuscitated from an episode of sudden cardiac death are at high risk of recurrence. Much larger groups of patients who have not had episodes of sudden cardiac death are also at substantial risk for this event, however. Because the survival rates associated with out-of-hospital cardiac arrest are dismal, these high-risk populations must be targeted for prophylaxis. Beta-blockers have been shown to be an effective pharmacologic therapy in patients who have had myocardial infarction and, most recently, in patients with congestive heart failure. When possible, these agents should be used in these populations. No class I or class III antiarrhythmic drugs, with the possible exception of amiodarone, have been shown to have efficacy as prophylactic agents for the reduction of mortality in these populations. In patients who have hemodynamically significant sustained ventricular tachyarrhythmias or an aborted episode of sudden cardiac death, the current therapy of choice is an implantable cardioverter-defibrillator (ICD). For prophylaxis of sudden cardiac death in patients who have not had a previous event, several approaches may be considered. Currently, the best therapeutic approach for prophylaxis of sudden cardiac death seems to be the ICD; however, use of this device can be justified only in patients at substantial risk of sudden cardiac death. Defining the high-risk populations that will benefit from ICDs is critical in managing the problem of sudden cardiac death.

  18. A Novel Mechanism for Sudden Infant Death Syndrome (SIDS): Persistent Late Sodium Current Secondary to Mutations in Caveolin-3

    Science.gov (United States)

    Cronk, Lisa B.; Ye, Bin; Kaku, Toshihiko; Tester, David J.; Vatta, Matteo; Makielski, Jonathan C.; Ackerman, Michael J.

    2007-01-01

    Background Sudden infant death syndrome (SIDS) is one of the leading causes of death during the first year of life. Long QT syndrome (LQTS)-associated mutations may be responsible for 5-10% of SIDS. Recently, we established CAV3-encoded caveolin-3 as a novel LQTS-associated gene with mutations producing a gain-of-function, LQT3-like molecular/cellular phenotype. Objective To determine the prevalence and functional properties of CAV3 mutations in SIDS. Methods Using PCR, DHPLC, and DNA sequencing, postmortem genetic testing of CAV3 was performed on genomic DNA isolated from frozen necropsy tissue on a population-based cohort of unrelated cases of SIDS (N = 134, 57 females, average age = 2.7 months). CAV3 mutations were engineered using site-directed mutagenesis and heterologously expressed in HEK293 cell lines stably expressing the SCN5A-encoded cardiac sodium channel. Results Overall, 3 distinct CAV3 mutations (V14L, T78M, and L79R) were identified in 3/50 black infants (6 month-old male, 2 month-old female, and 8 month-old female), while no mutations were detected in 83 white infants (p value 6 months of age (2/12) then infants who died before 6 months (1/124, p value = 0.02). Voltage clamp studies showed that all 3 CAV3 mutations caused a significant five-fold increase in late sodium current compared to controls. Conclusions This report provides the first molecular and functional evidence to implicate CAV3 as a pathogenic basis of SIDS. The LQT3-like phenotype of increased late sodium current supports an arrhythmogenic mechanism for some cases of SIDS. PMID:17275750

  19. α1-Syntrophin Mutations Identified in Sudden Infant Death Syndrome Cause an Increase in Late Cardiac Sodium Current

    Science.gov (United States)

    Cheng, Jianding; Van Norstrand, David W.; Medeiros-Domingo, Argelia; Valdivia, Carmen; Tan, Bi-hua; Ye, Bin; Kroboth, Stacie; Vatta, Matteo; Tester, David J.; January, Craig T.; Makielski, Jonathan C.; Ackerman, Michael J.

    2009-01-01

    Background Sudden infant death syndrome (SIDS) is a leading cause of death during the first 6 months after birth. About 5%-10% of SIDS may stem from cardiac channelopathies like long QT syndrome (LQTS). We recently implicated mutations in α1-syntrophin (SNTA1) as a novel cause of LQTS, whereby mutant SNTA1 released inhibition of associated neuronal nitric oxide synthase (nNOS) by the plasma membrane Ca-ATPase PMCA4b causing increased peak and late sodium current (INa) via S-nitrosylation of the cardiac sodium channel. This study determined the prevalence and functional properties of SIDS-associated SNTA1 mutations. Methods and Results Using PCR, DHPLC, and DNA sequencing of SNTA1's open reading frame, 6 rare (absent in 800 reference alleles) missense mutations (G54R, P56S, T262P, S287R, T372M and G460S) were identified in 8 (∼3%) out of 292 SIDS cases. These mutations were engineered using PCR-based overlap-extension and were co-expressed heterologously with SCN5A, nNOS and PMCA4b in HEK293 cells. INa was recorded using the whole-cell method. A significant 1.4-1.5 fold increase in peak INa and 2.3-2.7 fold increase in late INa compared with controls was evident for S287R-, T372M-, and G460S-SNTA1, and was reversed by an nNOS inhibitor. These 3 mutations also caused a significant depolarizing shift in channel inactivation thereby increasing the overlap of the activation and inactivation curves to increase window current. Conclusions Abnormal biophysical phenotypes implicate mutations in SNTA1 as a novel pathogenic mechanism for the subset of channelopathic SIDS. Functional studies are essential to distinguish pathogenic perturbations in channel interacting proteins like α1-syntrophin from similarly rare but innocuous ones. PMID:20009079

  20. Current experiments in elementary particle physics. Revision

    Energy Technology Data Exchange (ETDEWEB)

    Galic, H. [Stanford Linear Accelerator Center, Menlo Park, CA (United States); Armstrong, F.E. [Lawrence Berkeley Lab., CA (United States); von Przewoski, B. [Indiana Univ. Cyclotron Facility, Bloomington, IN (United States)] [and others

    1994-08-01

    This report contains summaries of 568 current and recent experiments in elementary particle physics. Experiments that finished taking data before 1988 are excluded. Included are experiments at BEPC (Beijing), BNL, CEBAF, CERN, CESR, DESY, FNAL, INS (Tokyo), ITEP (Moscow), IUCF (Bloomington), KEK, LAMPF, Novosibirsk, PNPI (St. Petersburg), PSI, Saclay, Serpukhov, SLAC, and TRIUMF, and also several underground and underwater experiments. Instructions are given for remote searching of the computer database (maintained under the SLAC/SPIRES system) that contains the summaries.

  1. Current experiments in elementary particle physics, 1989

    CERN Document Server

    Lawrence Berkeley Nat. Laboratory. Berkeley; Armstrong, F E; Trippe, T G; Yost, G P; Oyanagi, Y; Dodder, D C; Ryabov, Yu G; Slabospitsky, S R; Frosch, R; Olin, A; Lehar, F; Klumov, I A; Ivanov, I I

    1989-01-01

    Contains more than 1,800 experiments in elementary particle physics from the Experience database. Search and browse by author; title; experiment number or prefix; institution; date approved, started or completed; accelerator or detector; polarization, reaction, final state or particle; or by papers produced. Maintained at SLAC for the Particle Data Group. Supplies the information for Current Experiments in Particle Physics (LBL-91). Print version updated every second year.

  2. Current Experiments in Particle Physics (September 1996)

    Energy Technology Data Exchange (ETDEWEB)

    Galic, H.; Lehar, F.; Klyukhin, V.I.; Ryabov, Yu.G.; Bilak, S.V.; Illarionova, N.S.; Khachaturov, B.A.; Strokovsky, E.A.; Hoffman, C.M.; Kettle, P.-R.; Olin, A.; Armstrong, F.E.

    1996-09-01

    This report contains summaries of current and recent experiments in Particle Physics. Included are experiments at BEPC (Beijing), BNL, CEBAF, CERN, CESR, DESY, FNAL, Frascati, ITEP (Moscow), JINR (Dubna), KEK, LAMPF, Novosibirsk, PNPI (St. Petersburg), PSI, Saclay, Serpukhov, SLAC, and TRIUMF, and also several proton decay and solar neutrino experiments. Excluded are experiments that finished taking data before 1991. Instructions are given for the World Wide Web (WWW) searching of the computer database (maintained under the SLAC-SPIRES system) that contains the summaries. This report contains full summaries of 180 approved current and recent experiments in elementary particle physics. The focus of the report is on selected experiments which directly contribute to our better understanding of elementary particles and their properties such as masses, widths or lifetimes, and branching fractions.

  3. Current experiments in elementary particle physics

    Energy Technology Data Exchange (ETDEWEB)

    Wohl, C.G.; Armstrong, F.E., Oyanagi, Y.; Dodder, D.C.; Ryabov, Yu.G.; Frosch, R.; Olin, A.; Lehar, F.; Moskalev, A.N.; Barkov, B.P.

    1987-03-01

    This report contains summaries of 720 recent and current experiments in elementary particle physics (experiments that finished taking data before 1980 are excluded). Included are experiments at Brookhaven, CERN, CESR, DESY, Fermilab, Moscow Institute of Theoretical and Experimental Physics, Tokyo Institute of Nuclear Studies, KEK, LAMPF, Leningrad Nuclear Physics Institute, Saclay, Serpukhov, SIN, SLAC, and TRIUMF, and also experiments on proton decay. Instructions are given for searching online the computer database (maintained under the SLAC/SPIRES system) that contains the summaries. Properties of the fixed-target beams at most of the laboratories are summarized.

  4. Current experiments in elementary particle physics. Revised

    Energy Technology Data Exchange (ETDEWEB)

    Galic, H. [Stanford Univ., CA (United States). Stanford Linear Accelerator Center; Wohl, C.G.; Armstrong, B. [Lawrence Berkeley Lab., CA (United States); Dodder, D.C. [Los Alamos National Lab., NM (United States); Klyukhin, V.I.; Ryabov, Yu.G. [Inst. for High Energy Physics, Serpukhov (Russian Federation); Illarionova, N.S. [Inst. of Theoretical and Experimental Physics, Moscow (Russian Federation); Lehar, F. [CEN Saclay, Gif-sur-Yvette (France); Oyanagi, Y. [Univ. of Tokyo (Japan). Faculty of Sciences; Olin, A. [TRIUMF, Vancouver, BC (Canada); Frosch, R. [Paul Scherrer Inst., Villigen (Switzerland)

    1992-06-01

    This report contains summaries of 584 current and recent experiments in elementary particle physics. Experiments that finished taking data before 1986 are excluded. Included are experiments at Brookhaven, CERN, CESR, DESY, Fermilab, Tokyo Institute of Nuclear Studies, Moscow Institute of Theoretical and Experimental Physics, KEK, LAMPF, Novosibirsk, Paul Scherrer Institut (PSI), Saclay, Serpukhov, SLAC, SSCL, and TRIUMF, and also several underground and underwater experiments. Instructions are given for remote searching of the computer database (maintained under the SLAC/SPIRES system) that contains the summaries.

  5. Current Experiments in Particle Physics. 1996 Edition.

    Energy Technology Data Exchange (ETDEWEB)

    Galic, Hrvoje

    2003-06-27

    This report contains summaries of current and recent experiments in Particle Physics. Included are experiments at BEPC (Beijing), BNL, CEBAF, CERN, CESR, DESY, FNAL, Frascati, ITEP (Moscow), JINR (Dubna), KEK, LAMPF, Novosibirsk, PNPI (St. Petersburg), PSI, Saclay, Serpukhov, SLAC, and TRIUMF, and also several proton decay and solar neutrino experiments. Excluded are experiments that finished taking data before 1991. Instructions are given for the World Wide Web (WWW) searching of the computer database (maintained under the SLAC-SPIRES system) that contains the summaries.

  6. Current experiments in elementary particle physics

    Energy Technology Data Exchange (ETDEWEB)

    Wohl, C.G.; Armstrong, F.E.; Trippe, T.G.; Yost, G.P. (Lawrence Berkeley Lab., CA (USA)); Oyanagi, Y. (Tsukuba Univ., Ibaraki (Japan)); Dodder, D.C. (Los Alamos National Lab., NM (USA)); Ryabov, Yu.G.; Slabospitsky, S.R. (Gosudarstvennyj Komitet po Ispol' zovaniyu Atomnoj Ehnergii SSSR, Serpukhov (USSR). Inst. Fiziki Vysokikh Ehnergij); Frosch, R. (Swiss Inst. for Nuclear Research, Villigen (Switzerla

    1989-09-01

    This report contains summaries of 736 current and recent experiments in elementary particle physics (experiments that finished taking data before 1982 are excluded). Included are experiments at Brookhaven, CERN, CESR, DESY, Fermilab, Tokyo Institute of Nuclear Studies, Moscow Institute of Theoretical and Experimental Physics, Joint Institute for Nuclear Research (Dubna), KEK, LAMPF, Novosibirsk, PSI/SIN, Saclay, Serpukhov, SLAC, and TRIUMF, and also several underground experiments. Also given are instructions for searching online the computer database (maintained under the SLAC/SPIRES system) that contains the summaries. Properties of the fixed-target beams at most of the laboratories are summarized.

  7. Unsteady magnetic reconnection in laboratory experiments with current sheets

    Science.gov (United States)

    Frank, Anna

    2009-11-01

    According to present notion, unsteady magnetic reconnection in current sheets (CS) is basic to dramatic natural phenomena: solar and stellar flares, substorms in the Earth and other planetary magnetospheres, as well as to disruptive instabilities in tokamak plasmas. We present a review of laboratory experiments studying evolution of CS formed in 3D and 2D magnetic configurations with an X line, in the CS-3D device. Usually CS exists during an extended period in a metastable stage, without essential changes of its structure and parameters. Under certain conditions this stage may be suddenly interrupted by unsteady phase of magnetic reconnection, which manifests itself in a rapid change of the magnetic field topology, current redistribution, excitation of pulsed electric fields, and other dynamic effects. The unsteady phase results in effective conversion of magnetic energy into the energy of plasma and accelerated particles, and may finally bring about the CS disruption. In the context of the solar flares, a metastable CS is associated with a pre-flare situation, while CS disruption -- with the flare itself. The physical mechanisms triggering the unsteady magnetic reconnection in the laboratory produced current sheets are discussed. Supported by the Russian Foundation for Basic Research (project # 09-02-00971).

  8. A experiência do "súbito" nas ficções de Lispector e Sartre The "sudden's" experience through the literature of Lispector and Sartre

    Directory of Open Access Journals (Sweden)

    Eloísa Nogueira Aguiar

    2007-12-01

    Full Text Available Trata-se da compreensão da experiência do "súbito" na psicoterapia existencial, como vivência fundamental ao processo de automovimento do cliente, através das literaturas de Lispector e de Sartre, as quais servem de fio condutor à explanação da eclosão do instante epifânico ou insight fulminante, onde o cliente, ao confrontar-se com sua situação existencial, vê-se em estado iluminante e desconstrutor de seu modo peculiar de ver e entender as coisas. Nesse sentido a escolha ficcional desses escritores torna-se terapêutica, no sentido mais profundo que essa palavra possa ter, permitindo uma reordenação de nosso ser-no-mundo.The article approaches the experience of the "sudden" in the existential psychotherapy as a fundamental point in the client's process of self-movement. Such experience reveals the vast relation man-world and passes by Lispector's and Sartre's ideas which lead to the explanation of this epiphanic moment or fulminating insight when the client, facing his real existing situation, finds himself in a bright and disconstructing state of seeing and understanding tings. Far from everyday illusions, epiphany gives a new meaning to reality. Hence, the choice for this literature becomes therapeutic because it allows us a rearrangement of our being in the world.

  9. INTEGRATION POLICY TOWARDS IMMIGRANTS: CURRENT EXPERIENCE

    Directory of Open Access Journals (Sweden)

    Nadiia Bureiko

    2012-03-01

    Full Text Available In the contemporary world the intensity of the immigration movements is constantly increasing. Countries which experience great immigrant flows are facing numerous problems which should be solved. The article studies the current immigration flows in EU countries, the United States of America and Canada and presents three main models of integration policy towards immigrants – political assimilation, functional integration and multicultural model. Separate models are distinguished for the Muslims’ integration. The author examines the peculiarities of every model and examines the conclusions provided by the Migrant Integration Policy Index (MIPEX concerning the situation of the immigrants’ integration in 31 countries in 2011. Among all the policy indicators the first that are defined are as follows: political participation, education, labour market mobility and anti-discrimination. The situation with immigrants’ integration in Ukraine is also studied as it is gaining a great attention of the authorities and the public. The measures and practical steps done regarding this situation in Ukraine in recent years are analyzed using the information offered by the State Migration Service of Ukraine.

  10. Terrestrial and marine n-alcohol inputs and degradation processes relating to a sudden turbidity current in the Zaire canyon

    Energy Technology Data Exchange (ETDEWEB)

    Treignier, C.; Saliot, A. [UMR CNRS, Paris (France). LOCEAN; Derenne, S. [UMR CNRS, Paris (France). LBCOP

    2006-09-15

    n-Alcohol biomarkers from sediment trap samples collected during a turbiditic event and surficial sediments on a levee of the Zaire canyon (Equatorial West African margin), one of the world's largest and still very active deep sea fans, were examined. The initial goal was to study the benthic ecosystem in relation to organic matter inputs, as the quantity and quality might influence its development. Two criteria were used: the relative abundance of short (C{sub 2}2) n-alcohols derived from marine organisms and higher plants, respectively, and the ratio of odd to even carbon numbered current occurred, exhibited a high abundance of terrigenous n-alcohols. This trap did collect the turbidity material, in contrast to the one located at 400 m. The influence of the turbidity current was also revealed in the surficial sediment sampled nine months after the event. The initial turbiditic material from the 30m trap settled on to the sediment and extensive degradation was apparent upon this settling. Assuming a first order degradation rate, the degradation rate constants were 3.4 and 0.9 {sup y-}1 for

  11. Sudden Cardiac Arrest (SCA)

    Science.gov (United States)

    ... Arrest (SCA) Back to Heart Diseases & Disorders Sudden Cardiac Arrest (SCA) Sudden Cardiac Arrest ( SCA ) occurs when the heart stops beating, abruptly ... to saving someone who is having a sudden cardiac arrest , it is important to understand the difference. The ...

  12. The Investigation of Sudden Arrhythmic Death Syndrome (SADS – the current approach to family screening and the future role of genomics & stem cell technology

    Directory of Open Access Journals (Sweden)

    Vishal eVyas

    2013-09-01

    Full Text Available SADS is defined as sudden death under the age of 40 years old in the absence of structural heart disease. Family screening studies are able to identify a cause in up to 50% of cases-most commonly long QT syndrome, Brugada and early repolarisation syndrome, and catecholaminergic polymorphic ventricular tachycardia using standard clinical screening investigations including pharmacological challenge testing. These diagnoses may be supported by genetic testing which can aid cascade screening and may help guide management. In the current era it is possible to undertake molecular autopsy provided suitable samples of DNA can be obtained from the proband. With the evolution of rapid sequencing techniques it is possible to sequence the whole exome for candidate genes. This major advance offers the opportunity to identify novel causes of lethal arrhythmia but also poses the challenge of managing the volume of data generated and evaluating variants of unknown significance. The emergence of induced pluripotent stem cell technology could enable evaluation of the electrophysiological relevance of specific ion channel mutations in the proband or their relatives and will potentially enable screening of idiopathic ventricular fibrillation survivors combining genetic and electrophysiological studies in derived myocytes. This also could facilitate the assessment of personalised preventative pharmacological therapies. This review will evaluate the current screening strategies in SADS families, the role of molecular autopsy and genetic testing and the potential applications of molecular and cellular diagnostic strategies on the horizon.

  13. The investigation of sudden arrhythmic death syndrome (SADS)-the current approach to family screening and the future role of genomics and stem cell technology.

    Science.gov (United States)

    Vyas, Vishal; Lambiase, Pier D

    2013-09-12

    SADS is defined as sudden death under the age of 40 years old in the absence of structural heart disease. Family screening studies are able to identify a cause in up to 50% of cases-most commonly long QT syndrome (LQTS), Brugada and early repolarization syndrome, and catecholaminergic polymorphic ventricular tachycardia (CPVT) using standard clinical screening investigations including pharmacological challenge testing. These diagnoses may be supported by genetic testing which can aid cascade screening and may help guide management. In the current era it is possible to undertake molecular autopsy provided suitable samples of DNA can be obtained from the proband. With the evolution of rapid sequencing techniques it is possible to sequence the whole exome for candidate genes. This major advance offers the opportunity to identify novel causes of lethal arrhythmia but also poses the challenge of managing the volume of data generated and evaluating variants of unknown significance (VUS). The emergence of induced pluripotent stem cell technology could enable evaluation of the electrophysiological relevance of specific ion channel mutations in the proband or their relatives and will potentially enable screening of idiopathic ventricular fibrillation survivors combining genetic and electrophysiological studies in derived myocytes. This also could facilitate the assessment of personalized preventative pharmacological therapies. This review will evaluate the current screening strategies in SADS families, the role of molecular autopsy and genetic testing and the potential applications of molecular and cellular diagnostic strategies on the horizon.

  14. Current experiences in applied underground coal gasification

    Science.gov (United States)

    Peters, Justyn

    2010-05-01

    The world is experiencing greater stress on its ability to mine and exploit energy resources such as coal, through traditional mining methods. The resources available by extraction from traditional mining methods will have a finite time and quantity. In addition, the high quality coals available are becoming more difficult to find substantially increasing exploration costs. Subsequently, new methods of extraction are being considered to improve the ability to unlock the energy from deep coals and improve the efficiency of the exploitation of the resources while also considering the mitigation of global warming. Underground Coal Gasification (UCG) is a leading commercial technology that is able to maximize the exploitation of the deep coal through extraction of the coal as a syngas (CO and H2) in situ. The syngas is then brought to the surface and efficiently utilized in any of combined cycle power generation, liquid hydrocarbon transport fuel production, fertilizer production or polymer production. Commercial UCG has been successfully operating for more than 50 years at the Yerostigaz facility in Angren, Uzbekistan. Yerostigaz is the only remaining UCG site in the former Soviet Union. Linc Energy currently owns 91.6% of this facility. UCG produces a high quality synthetic gas (syngas), containing carbon monoxide, hydrogen and methane. UCG produced syngas can be economically used for a variety of purposes, including: the production of liquid fuels when combined with Gas to Liquids (GTL) technology power generation in gas turbine combined cycle power stations a feedstock for different petrochemical processes, for example producing chemicals or other gases such as hydrogen, methane, ammonia, methanol and dimethyl ether Linc Energy has proven the combined use of UCG to Gas to Liquids (GTL) technologies. UCG to GTL technologies have the ability to provide energy alternatives to address increasing global demand for energy products. With these technologies, Linc Energy is

  15. Current status of MiniBooNE experiment

    Energy Technology Data Exchange (ETDEWEB)

    Fernanda G. Garcia

    2003-03-24

    This paper reviews the current status of the Fermilab mini-Booster neutrino experiment (MiniBooNE). The experiment began taking beam data in late August 2002. We describe the experiment, status of the beamline and detector, and show the first neutrino candidate events.

  16. Sudden infant death syndrome

    National Research Council Canada - National Science Library

    Adams, Stephen M; Ward, Chad E; Garcia, Karla L

    2015-01-01

    Sudden infant death syndrome (SIDS) is the sudden unexpected death of a child younger than one year during sleep that cannot be explained after a postmortem evaluation including autopsy, a thorough history, and scene evaluation...

  17. Sudden Stratospheric Warming Compendium

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Sudden Stratospheric Warming Compendium (SSWC) data set documents the stratospheric, tropospheric, and surface climate impacts of sudden stratospheric warmings. This...

  18. Current experiments in elementary particle physics, 1976-87

    CERN Document Server

    Lawrence Berkeley Nat. Laboratory. Berkeley

    Contains more than 1,800 experiments in elementary particle physics from the Experience database. Search and browse by author; title; experiment number or prefix; institution; date approved, started or completed; accelerator or detector; polarization, reaction, final state or particle; or by papers produced. Maintained at SLAC for the Particle Data Group. Supplies the information for Current Experiments in Particle Physics (LBL-91). Print version updated every second year.

  19. Parental understanding and self-blame following sudden infant death: a mixed-methods study of bereaved parents' and professionals' experiences.

    Science.gov (United States)

    Garstang, Joanna; Griffiths, Frances; Sidebotham, Peter

    2016-05-19

    Improvements in our understanding of the role of modifiable risk factors for sudden infant death syndrome (SIDS) mean that previous reassurance to parents that these deaths were unpreventable may no longer be appropriate. This study aimed to learn of bereaved parents' and healthcare professionals' experiences of understanding causes of death following detailed sudden unexpected death in infancy (SUDI) investigations. The research questions were: How do bereaved parents understand the cause of death and risk factors identified during detailed investigation following a sudden unexpected infant death? What is the association between bereaved parents' mental health and this understanding? What are healthcare professionals' experiences of sharing such information with families? This was a mixed-methods study using a Framework Approach. Specialist paediatric services. Bereaved parents were recruited following detailed multiagency SUDI investigations; 21/113 eligible families and 27 professionals participated giving theoretical saturation of data. We analysed case records from all agencies, interviewed professionals and invited parents to complete the Hospital Anxiety and Depression Scale (HADS) and questionnaires or in-depth interviews. Nearly all bereaved parents were able to understand the cause of death and several SIDS parents had a good understanding of the relevant modifiable risk factors even when these related directly to their actions. Paediatricians worried that discussing risk factors with parents would result in parental self-blame and some deliberately avoided these discussions. Over half the families did not mention blame or blamed no one. The cause of death of the infants of these families varied. 3/21 mothers expressed overwhelming feelings of self-blame and had clinically significant scores on HADS. Bereaved parents want detailed information about their child's death. Our study suggests parents want health professionals to explain the role of risk

  20. [The Sudden Infant Death Syndrome.

    Science.gov (United States)

    Florida's Health, 1976

    1976-01-01

    This collection of articles on the Sudden Infant Death Syndrome (SIDS), drawn from a southeastern regional symposium on the subject, summarizes much of what is known about the occurrence of SIDS, including current information about its causes. The background of state action in Florida is reviewed, with emphasis on the need for increased public and…

  1. What Causes Sudden Cardiac Arrest?

    Science.gov (United States)

    ... Back To Health Topics / Sudden Cardiac Arrest Sudden Cardiac Arrest Also known as Cardiac Arrest , Sudden Cardiac Death ... the condition For People Who Have Survived Sudden Cardiac Arrest If you've already had SCA, you're ...

  2. What Is Sudden Cardiac Arrest?

    Science.gov (United States)

    ... Back To Health Topics / Sudden Cardiac Arrest Sudden Cardiac Arrest Also known as Cardiac Arrest , Sudden Cardiac Death ... the condition For People Who Have Survived Sudden Cardiac Arrest If you've already had SCA, you're ...

  3. Strategies for the prevention of sudden cardiac death during sports.

    Science.gov (United States)

    Corrado, Domenico; Drezner, Jonathan; Basso, Cristina; Pelliccia, Antonio; Thiene, Gaetano

    2011-04-01

    Sudden cardiac death of a young athlete is the most tragic event in sports and devastates the family, the sports medicine team, and the local community. Such a fatality represents the first manifestation of cardiac disease in up to 80% of young athletes who remain asymptomatic before sudden cardiac arrest occurs; this explains the limited power of screening modalities based solely on history and physical examination. The long-running Italian experience showed that electrocardiogram (ECG) screening definitively improves the sensitivity of pre-participation evaluation for heart diseases and substantially reduces the risk of death in the athletic field (primary prevention). However, some cardiac conditions, such as coronary artery diseases, present no abnormalities on 12-lead ECG. Moreover, cardiac arrest due to non-penetrating chest injury (commotio cordis) cannot be prevented by screening. This justifies the efforts for implementing programmes of early external defibrillation of unpredictable arrhythmic cardiac arrest. This article reviews the epidemiology of sudden cardiac arrest in the athlete in terms of incidence, sport-related risk, underlying causes, and the currently available prevention programmes such as pre-participation screening and early external defibrillation by using automated external defibrillators. The best strategy is to combine synergistically primary prevention of sudden cardiac death by pre-participation identification of athletes affected by at-risk cardiomyopathies and secondary prevention with back-up defibrillation of unpredictable sudden cardiac arrest on the athletic field.

  4. "I suddenly felt I'd aged": a qualitative study of patient experiences of polymyalgia rheumatica (PMR).

    Science.gov (United States)

    Twohig, Helen; Mitchell, Caroline; Mallen, Christian; Adebajo, Adewale; Mathers, Nigel

    2015-05-01

    To explore patient experiences of living with, and receiving treatment for, PMR. Semi-structured qualitative interviews, with 22 patients with PMR recruited from general practices in South Yorkshire. Thematic analysis using a constant comparative method, ran concurrently with the interviews and was used to derive a conceptual framework. 5 Key themes emerged highlighting the importance of: (1) pain, stiffness and weakness, (2) disability, (3) treatment and disease course, (4) experience of care, (5) psychological impact of PMR. Patients emphasised the profound disability experienced that was often associated with fear and vulnerability, highlighting how this was often not recognised by health care professionals. Patients' experiences also challenge medical convention, particularly around the concept of 'weakness' as a symptom, the use of morning stiffness as a measure of disease activity and the myth of full resolution of symptoms with steroid treatment. Treatment decisions were complex, with patients balancing glucocorticoid side effects against persistent symptoms. Patients often described their experience of PMR in terms of disability rather than focussing on localised symptoms. The associated psychological impact was significant. Recognising this is key to achieving shared understanding, reaching the correct diagnosis promptly, and formulating a patient-centred management plan. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  5. Current experiments in particle physics - particle data group

    Energy Technology Data Exchange (ETDEWEB)

    Galic, H. [Stanford Univ., CA (United States). Stanford Linear Accelerator Center; Lehar, F. [Centre d`Etudes Nucleaires de Saclay, Gif-sur-Yvette (France); Kettle, P.R. [Paul Scherrer Institute, Villigen (Switzerland)] [and others

    1996-09-01

    This report contains summaries of current and recent experiments in Particle Physics. Included are experiments at BEPC (Beijing), BNL, CEBAF, CERN, CESR, DESY, FNAL, Frascati, ITEP (Moscow), JINR (Dubna), KEK, LAMPF, Novosibirsk, PNPI (St. Petersburg), PSI, Saclay, Serpukhov, SLAC, and TRIUMF, and also several proton decay and solar neutrino experiments. Excluded are experiments that finished taking data before 1991. Instructions are given for the World Wide Web (WWW) searching of the computer database (maintained under the SLAC-SPIRES system) that contains the summaries.

  6. Proceedings of the sudden oak death sixth science symposium

    Science.gov (United States)

    Susan J. Frankel; Katharine M. Harrell

    2017-01-01

    The Sudden Oak Death Sixth Science Symposium provided a forum for current research on sudden oak death, caused by the exotic quarantine pathogen Phytophthora ramorum. More than 50 submissions describing papers or posters on the following sudden oak death/P. ramorum topics are included: biology, genetics, nursery and wildland...

  7. Compilation of current high-energy physics experiments

    Energy Technology Data Exchange (ETDEWEB)

    Wohl, C.G.; Kelly, R.L.; Armstrong, F.E.

    1981-05-01

    This is the fourth edition of the compilation of current high energy physics experiments. It is a collaborative effort of the Berkeley Particle Data Group, the SLAC library, and nine participating laboratories: Argonne (ANL), Brookhaven (BNL), CERN, DESY, Fermilab (FNAL), the Institute for Nuclear Study, Tokyo (INS), KEK, Serpukhov (SERP), and SLAC. The compilation includes summaries of all high energy physics experiments at the above laboratories that (1) were approved (and not subsequently withdrawn) before about April 1981, and (2) had not completed taking of data by 1 January 1977. Only approved experiments are included.

  8. LHCD during current ramp experiments on Alcator C-Mod

    Science.gov (United States)

    Wallace, G. M.; Poli, F.; Chilenski, M. A.; Hughes, J. W.; Mumgaard, R. T.; Scott, S. D.; Shiraiwa, S.; Wukitch, S. J.

    2017-10-01

    The lower hybrid current drive (LHCD) system on Alcator C-Mod is capable of sustaining fully non-inductive discharges for multiple current relaxation times (τcr ˜ 200 ms) at line averaged densities in the range of 5x1019 m-3. Some of these non-inductive discharges develop unstable MHD modes that can greatly reduce current drive performance, particularly in discharges with plasma current of 0.5 MA or less [1,2]. Avoiding these unstable MHD modes motivated an experiment to test if the stable current profile shape of a higher current non-inductive discharge could be achieved in a lower current discharge. Starting from a discharge at 0.8 MA, the plasma current was ramped down to 0.5 MA over 200 ms. The surface voltage of the plasma swings negative during the ramp, with the loop voltage reversal impacting the edge fast electron measurements immediately. Little change can be seen during the Ip ramp in the core fast electron measurements, indicating that the loop voltage reversal does not penetrate fully to the magnetic axis on the timescale of the current ramp. The resulting discharge did not exhibit deleterious MHD instabilities, however the existence of this one discharge does not necessarily represent a robust solution to the problem.

  9. LHCD during current ramp experiments on Alcator C-Mod

    Directory of Open Access Journals (Sweden)

    Wallace G.M.

    2017-01-01

    Full Text Available The lower hybrid current drive (LHCD system on Alcator C-Mod is capable of sustaining fully non-inductive discharges for multiple current relaxation times (τcr ∼ 200 ms at line averaged densities in the range of 5x1019 m-3. Some of these non-inductive discharges develop unstable MHD modes that can greatly reduce current drive performance, particularly in discharges with plasma current of 0.5 MA or less [1,2]. Avoiding these unstable MHD modes motivated an experiment to test if the stable current profile shape of a higher current non-inductive discharge could be achieved in a lower current discharge. Starting from a discharge at 0.8 MA, the plasma current was ramped down to 0.5 MA over 200 ms. The surface voltage of the plasma swings negative during the ramp, with the loop voltage reversal impacting the edge fast electron measurements immediately. Little change can be seen during the Ip ramp in the core fast electron measurements, indicating that the loop voltage reversal does not penetrate fully to the magnetic axis on the timescale of the current ramp. The resulting discharge did not exhibit deleterious MHD instabilities, however the existence of this one discharge does not necessarily represent a robust solution to the problem.

  10. Sudden Infant Death Syndrome.

    Science.gov (United States)

    Barnett, Henry L.; And Others

    There is a growing body of evidence that Sudden Infant Death Syndrome (SIDS) victims are not completely normal and healthy, as was once believed. A variety of new information from several disciplines strongly suggests that the infant who dies suddenly and unexpectedly may do so because of subtle developmental, neurologic, cardiorespiratory, and…

  11. Sudden death victims

    NARCIS (Netherlands)

    Ceelen, Manon; van der Werf, Christian; Hendrix, Anneke; Naujocks, Tatjana; Woonink, Frits; de Vries, Philip; van der Wal, Allard; Das, Kees

    2015-01-01

    The goal of this study was to ascertain accordance between cause of death established by the forensic physician and autopsy results in young sudden death victims in the Netherlands. Sudden death victims aged 1-45 years examined by forensic physicians operating in the participating regions which also

  12. Sudden cardiac death

    Directory of Open Access Journals (Sweden)

    Neeraj Parakh

    2015-01-01

    Full Text Available Sudden cardiac death is one of the most common cause of mortality worldwide. Despite significant advances in the medical science, there is little improvement in the sudden cardiac death related mortality. Coronary artery disease is the most common etiology behind sudden cardiac death, in the above 40 years population. Even in the apparently healthy population, there is a small percentage of patients dying from sudden cardiac death. Given the large denominator, this small percentage contributes to the largest burden of sudden cardiac death. Identification of this at risk group among the apparently healthy individual is a great challenge for the medical fraternity. This article looks into the causes and methods of preventing SCD and at some of the Indian data. Details of Brugada syndrome, Long QT syndrome, Genetics of SCD are discussed. Recent guidelines on many of these causes are summarised.

  13. Current status of the CHORUS experiment at CERN

    CERN Document Server

    Kodama, K

    2000-01-01

    Current status of the CHORUS experiment at CERN is presented with an emphasis on technical aspects. This experiment is aimed to search for nu /sub mu / to nu /sub tau / oscillation with a designed sensitivity of sin/sup 2/(2 theta )~2*10/sup -4/ at large delta m/sup 2/. Accumulation of neutrino interactions in the emulsion target with a data taking of electronic counters were performed from 1994 to 1997 at the CERN neutrino beam. Reading out track informations recorded in the emulsion target is then started using the Track Selector (a dedicated system which automatically reads out tracks recorded in emulsion). Successful development of the Track Selector enabled this experiment end opened a possibility for future experiments. (4 refs).

  14. Compilation of current high-energy-physics experiments

    Energy Technology Data Exchange (ETDEWEB)

    Wohl, C.G.; Kelly, R.L.; Armstrong, F.E.

    1980-04-01

    This is the third edition of a compilation of current high energy physics experiments. It is a collaborative effort of the Berkeley Particle Data Group, the SLAC library, and ten participating laboratories: Argonne (ANL), Brookhaven (BNL), CERN, DESY, Fermilab (FNAL), the Institute for Nuclear Study, Tokyo (INS), KEK, Rutherford (RHEL), Serpukhov (SERP), and SLAC. The compilation includes summaries of all high energy physics experiments at the above laboratories that (1) were approved (and not subsequently withdrawn) before about January 1980, and (2) had not completed taking of data by 1 January 1976.

  15. Current profile modification experiments in EXTRAP T2R

    Science.gov (United States)

    Cecconello, M.; Malmberg, J.-A.; Spizzo, G.; Chapman, B. E.; Gravestjin, R. M.; Franz, P.; Piovesan, P.; Martin, P.; Drake, J. R.

    2004-01-01

    Pulsed poloidal current drive (PPCD) experiments have been conducted in the resistive shell EXTRAP T2R reversed-field pinch experiment. During the current profile modification phase, the fluctuation level of the m = 1 internally resonant tearing modes decreases, and the velocity of these modes increases. The m = 0 modes are not affected during PPCD, although termination occurs with a burst in the m = 0 amplitude. The PPCD phase is characterized by an increase in the central electron temperature (up to 380 eV) and in the soft x-ray signal. Spectroscopic observations confirm an increase in the central electron temperature. During PPCD, the plasma poloidal beta increases to 14%, and the estimated energy confinement time doubles, reaching 380 µs. The reduction in the fluctuation level and the corresponding increase in the energy confinement time are qualitatively consistent with a reduction in parallel transport along stochastic magnetic field lines.

  16. Current Status and Future Perspectives of the COBRA Experiment

    Directory of Open Access Journals (Sweden)

    J. Ebert

    2013-01-01

    Full Text Available The aim of the COBRA experiment is to prove the existence of neutrinoless double-beta-decay (0νββ-decay and to measure its half-life. For this purpose a detector array made of cadmium-zinc-telluride (CdZnTe semiconductor detectors is operated at the Gran Sasso Underground Laboratory (LNGS in Italy. This setup is used to investigate the experimental issues of operating CdZnTe detectors in low-background mode and to identify potential background components, whilst additional studies are proceeding in surface laboratories. The experiment currently consists of monolithic, calorimetric detectors of coplanar grid design (CPG detectors. These detectors are 1 × 1 × 1 cm3 and are arranged in 4 × 4 detector layers. Ultimately four layers will be installed by the end of 2013, of which two are currently operating. To date 82.3 kg·days of data have been collected. In the region of interest for 116Cd around 2.8 MeV, the median energy resolution is 1.5% FWHM, and a background level near 1 counts/keV/kg/y has been reached. This paper gives an overview of the current status of the experiment and future perspectives.

  17. Beam current transformer (BCT) for experiment WA1/2

    CERN Multimedia

    CERN PhotoLab

    1978-01-01

    In experiment WA1/2, a 400 GeV proton beam from the SPS was directed at a target, downstream of which a hadron line selected, in several narrow momentum bands, a beam of either pi+ and K+ or pi- and K-. These neutrino-parent particles, before entering a 292 m long decay tunnel, passed through a set of 2 BCTs of a design seen here. They measured the hadron intensity (10^10 to 10^11 particles/pulse) with a precision of the order of 1%. There were 2 of them, for enhanced precision and confidence. After the discovery of neutral currents in the Gargamelle-experiment, WA1/2 was the first follow-up, high-precision experiment (Z.Phys.C35, 443-452, 1987 and Z.Phys.C45, 361-379, 1990). See also 7706516X.

  18. Electric Dipole Moment Experiment Systematic from Electric Field Discharge Current

    Science.gov (United States)

    Feinberg, B.; Gould, Harvey

    2014-09-01

    A magnetic field, in the direction of the electric field and synchronous with the electric field reversal, will mimic an EDM signal. One might expect a discharge across the electric field plates to produce magnetic fields with only small or vanishing components parallel to the electric field, minimizing its systematic effect. Our experimental model, using simulated discharge currents, found otherwise: the discharge current may be at an angle to the normal, and thus generate a normal magnetic field. Comparison of data from the experimental model with the results from calculations will be presented, along with estimates of the time-averaged normal magnetic field seen by atoms in an electron EDM experiment using a fountain of laser-cooled francium, as a function of discharge current.

  19. Lack of current implantable cardioverter defibrillator guidelines application for primary prevention of sudden cardiac death in Latin American patients with heart failure: a cross-sectional study.

    Science.gov (United States)

    Gonzalez-Zuelgaray, Jorge; Pellizon, Oscar; Muratore, Claudio A; Oropeza, Elsa Silva; Rabinovich, Rafael; Ramos, José Luis; Tentori, Maria Cristina; Reyes, Nicolás; Aguayo, Rubén; Marin, Jorge; Peterson, Brett J

    2013-02-01

    This cross-sectional study evaluated the application of accepted international implantable cardioverter defibrillator (ICD) guidelines for primary prevention of sudden cardiac death in patients with heart failure. The PLASMA (Probabilidad de Sufrir Muerte Arritmica) study was designed to characterize management of cardiac patients in Latin America. Twelve centres included 1958 consecutively admitted patients in cardiology units in 2008 and 2009. Discharged patients were evaluated for primary prevention, ICD indication and prescription by general cardiologists. Of 1711 discharged patients, 1525 (89%) had data available for evaluating indication status. Class I indications for ICD therapy were met for 153 (10%) patients based on collected data. Only 20 (13%, 95% confidence interval: 7.7-18.4%) patients with indication were prescribed an ICD. Patients prescribed an ICD were younger than patients who were not prescribed an ICD (62 vs. 68 years, P Latin America, international guidelines for primary prevention ICD implantation are not well followed. The main reason is that cardiologists believe that patients do not meet indication criteria, even though study data confirm that criteria are met. This poses a significant challenge and underlines the importance of continuous and improved medical education.

  20. Sudden Ionospheric Disturbances (SID)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Sudden ionospheric disturbances (SID) are caused by solar flare enhanced X-rays in the 1 to 10 angstrom range. Solar flares can produce large increases of ionization...

  1. Geomagnetic Storm Sudden Commencements

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Storm Sudden Commencements (ssc) 1868 to present: STORM1 and STORM2 Lists: (Some text here is taken from the International Association of Geomagnetism and Aeronomy...

  2. Sudden infant death syndrome

    Science.gov (United States)

    ... required by law into an unexplained cause of death may make these feelings more painful. A member of a local chapter of the National Foundation for Sudden Infant Death Syndrome may assist with counseling and reassurance to ...

  3. Current drive and current profile control studies in the Tokamak Physics Experiment (TPX)

    Energy Technology Data Exchange (ETDEWEB)

    Bonoli, P.T.; Porkolab, M.; Sugiyama, L. [MIT Plasma Fusion Center, Cambridge, Massachusetts 02139, (United States); Kessel, C. [PPPL, Princeton University, Princeton, New Jersey 08543, (United States)

    1996-02-01

    Simulation studies of noninductive current profile control have been carried out for the Tokamak Physics Experiment (TPX).{sup 1} The predicted MHD equilibria have been analyzed for ideal ballooning stability and stability to the low-{ital n}, external kink modes. An advanced rf physics technique for off-axis current profile control has also been investigated for TPX. This scheme utilizes mode conversion and electron absorption in a D-({sup 3}He) plasma mixture. {copyright} {ital 1996 American Institute of Physics.}

  4. Compilation of current high energy physics experiments - Sept. 1978

    Energy Technology Data Exchange (ETDEWEB)

    Addis, L.; Odian, A.; Row, G. M.; Ward, C. E. W.; Wanderer, P.; Armenteros, R.; Joos, P.; Groves, T. H.; Oyanagi, Y.; Arnison, G. T. J.; Antipov, Yu; Barinov, N.

    1978-09-01

    This compilation of current high-energy physics experiments is a collaborative effort of the Berkeley Particle Data Group, the SLAC library, and the nine participating laboratories: Argonne (ANL), Brookhaven (BNL), CERN, DESY, Fermilab (FNAL), KEK, Rutherford (RHEL), Serpukhov (SERP), and SLAC. Nominally, the compilation includes summaries of all high-energy physics experiments at the above laboratories that were approved (and not subsequently withdrawn) before about June 1978, and had not completed taking of data by 1 January 1975. The experimental summaries are supplemented with three indexes to the compilation, several vocabulary lists giving names or abbreviations used, and a short summary of the beams at each of the laboratories (except Rutherford). The summaries themselves are included on microfiche. (RWR)

  5. Maximizing the DUNE early physics output with current experiments

    Energy Technology Data Exchange (ETDEWEB)

    Ghosh, Monojit; Goswami, Srubabati [Physical Research Laboratory, Ahmedabad (India); Raut, Sushant K. [Physical Research Laboratory, Ahmedabad (India); School of Engineering Sciences, KTH Royal Institute of Technology-AlbaNova University Center, Department of Theoretical Physics, Stockholm (Sweden)

    2016-03-15

    The deep underground neutrino experiment (DUNE) is a proposed next generation superbeam experiment at Fermilab. Its aims include measuring the unknown neutrino oscillation parameters - the neutrino mass hierarchy, the octant of the mixing angle θ{sub 23}, and the CP-violating phase δ{sub CP}. The current and upcoming experiments T2K, NOνA, and ICAL rate at IN will also be collecting data for the same measurements. In this paper, we explore the sensitivity reach of DUNE in combination with these other experiments. We evaluate the least exposure required by DUNE to determine the above three unknown parameters with reasonable confidence.We find that for each case, the inclusion of data from T2K, NOνA, and ICAL rate at IN help to achieve the same sensitivity with a reduced exposure from DUNE thereby helping to economize the configuration. Further, we quantify the effect of the proposed near detector on systematic errors and study the consequent improvement in sensitivity. We also examine the role played by the second oscillation cycle in furthering the physics reach of DUNE. Finally, we present an optimization study of the neutrino-antineutrino running of DUNE. (orig.)

  6. Nurses' experiences of caring for the suddenly bereaved in adult acute and critical care settings, and the provision of person-centred care: A qualitative study.

    Science.gov (United States)

    Walker, Wendy; Deacon, Kate

    2016-04-01

    To explore nursing interventions for person-centred bereavement care in adult acute and critical care settings. A descriptive exploratory study, involving focused, face-to-face interviews. Participants comprised nine registered nurses and one auxiliary nurse, working in environments where sudden death was known to occur, i.e. emergency, cardiac and critical care. Interviews were transcribed verbatim and data subjected to directed content analysis. The provision of person-centred care was examined by applying a validated Person-Centred Nursing Framework. Five main themes were identified. Participants' accounts contained descriptions of bereavement care and the presence of person-centred interventions. Contextual, professional and attitudinal factors influenced the degree to which person-centred care operated. Caring for suddenly bereaved families was important to nurses, but also a source of tension and unrest. An important consideration for person-centred practice is movement away from sudden bereavement as a 'here and now' event, towards a pathway of supportive care that envisions the longer-term. Further research is required to gain a deeper understanding of person-centred care for the suddenly bereaved and the perceived effectiveness of nursing interventions. Copyright © 2016 Elsevier Ltd. All rights reserved.

  7. Pediatric Sudden Sensorineural Hearing Loss.

    Science.gov (United States)

    Kizilay, Ahmet; Koca, Çiğdem Firat

    2016-06-01

    Sudden sensorineural hearing loss is defined as sudden unilateral or bilateral sensorineural hearing loss with at least 30 dB decrease in threshold in 3 contiguous test frequencies occurring over 72 hours or less. It is rare among children. The mechanism of the process and prognosis of the disorder remains unclear. The current incidence of sudden sensorineural hearing loss among pediatric population is unknown. The authors carried out a retrospective chart analysis of patients under 15 years of age from 2004 to 2015, who consulted to the Otolaryngology Head and Neck Surgery Department of Inonu University Medical Faculty. Age, sex, number of affected ear and side, audiometric evaluations, medical follow-up, treatment method, duration of treatment recovery, associated complaints; tinnitus and/or vertigo, presence of mumps disease were recorded for each patient. A 4-frequency pure-tone average (500, 1000, 2000, and 4000 Hz) was calculated for each ear. Complete recovery, defined as some hearing level compared with the nonaffected ear, was observed in 3 patients (21.4 %) and there was no partial hearing recovery. The hearing loss of 11 patient remained unchanged after prednisolone treatment. Two of the 11 patients had bilaterally total sensorineural hearing loss and evaluated as appropriate for cochlear implantation. Sex of patient and laterality of hearing loss were not correlated with hearing recovery. Sensorineural hearing loss among pediatrics has been the issue of otolaryngologists. The incidence, etiology, and treatment methods should be more studied.

  8. Research Experience in Psychiatry Residency Programs Across Canada: Current Status

    Science.gov (United States)

    Shanmugalingam, Arany; Ferreria, Sharon G; Norman, Ross M G; Vasudev, Kamini

    2014-01-01

    Objective: To determine the current status of research experience in psychiatry residency programs across Canada. Method: Coordinators of Psychiatric Education (COPE) resident representatives from all 17 psychiatry residency programs in Canada were asked to complete a survey regarding research training requirements in their programs. Results: Among the 17 COPE representatives, 15 completed the survey, representing 88% of the Canadian medical schools that have a psychiatry residency program. Among the 15 programs, 11 (73%) require residents to conduct a scholarly activity to complete residency. Some of these programs incorporated such a requirement in the past 5 years. Ten respondents (67%) reported availability of official policy and (or) guidelines on resident research requirements. Among the 11 programs that have a research requirement, 10 (91%) require residents to complete 1 scholarly activity; 1 requires completion of 2 scholarly activities. Eight (53%) residency programs reported having a separate research track. All of the programs have a research coordinator and 14 (93%) programs provide protected time to residents for conducting research. The 3 most common types of scholarly activities that qualify for the mandatory research requirement are a full independent project (10 programs), a quality improvement project (8 programs), and assisting in a faculty project (8 programs). Six programs expect their residents to present their final work in a departmental forum. None of the residency programs require publication of residents’ final work. Conclusions: The current status of the research experience during psychiatry residency in Canada is encouraging but there is heterogeneity across the programs. PMID:25565474

  9. Comparison of U.S. and Italian experiences with sudden cardiac deaths in young competitive athletes and implications for preparticipation screening strategies.

    Science.gov (United States)

    Maron, Barry J; Haas, Tammy S; Doerer, Joseph J; Thompson, Paul D; Hodges, James S

    2009-07-15

    Controversy has evolved over the most practical and effective strategy for preparticipation cardiovascular screening of competitive athletes to detect unsuspected cardiovascular disease and prevent sudden death on the athletic field. Athlete screening in the Veneto region of Italy is part of a national program (with 12-lead electrocardiography) that has reported the detection of previously undiagnosed hypertrophic cardiomyopathy and a decrease in the cardiovascular death rate in young athletes. In this study, over time periods of similar length, cardiovascular-related mortality rates in Veneto athletes were compared with those of a demographically similar region of the United States (Minnesota) in which screening is limited to history and physical examination. There were 55 sudden cardiovascular deaths reported in Veneto over 26 years (2.1/year), compared with 22 deaths in 23 years (0.96/year) in Minnesota. Over the recent and comparable 11-year period, 1993 to 2004, 12 deaths were reported in Veneto and 11 in Minnesota. When analyzed as deaths per 100,000 person-years, Veneto exceeded Minnesota for all years combined (1.87 for 1979 to 2004 vs 1.06 for 1985 to 2007, respectively, p = 0.006), although the 2 regions did not differ significantly for 1993 to 2004 (0.87 vs 0.93, respectively, p = 0.88) or most recently for 2001 to 2004 (0.43 vs 0.90, respectively, p = 0.38). In conclusion, sudden cardiovascular deaths in young competitive athletes occurred at a low rate in both Veneto and Minnesota. Despite different preparticipation screening strategies, athlete sudden death rates in these demographically similar regions of the United States and Italy have not differed significantly in recent years. These data do not support a lower mortality rate associated with preparticipation screening programs involving routine electrocardiography and examinations by specially trained personnel.

  10. A SUDDEN DEATH OF SPORTSMEN

    Directory of Open Access Journals (Sweden)

    Miroslav Femić

    2006-06-01

    Full Text Available Introduction: A sudden death is defined as a sudden cessation of heart work which happens within six hours, revionsly of good helth(1. The main characteristio of this phenomenon is tipically its beginning during or directly after a training or a competition which means after an intensive physical effort a causal factor. The first case of a sudden death because of physical effort was recorded in ancient 490 BC when a Greec called Pheidippides was running from Marathon Feild to Athens (42km to announce the news about the victory of the Athenians over the Persians. That is howa long distance runners discipline was defined in sport and got its name marathon. In medicine it is defined as an entity of a sudden death of sportsmen after an intensive physical effort which is nowdays a current problem and an object of varions researches in medicine as well as in sports medicine of sports experts. A method of work: The authors published the statistic data processing obtained from accessible literature. The statistical analysis processes: a cause of a death on the basis of an autophsy, a frequency of the death in general population and death of sportsmen those under the age of 35 and over 35 (sportsmen and sportswotren, sort of sports the dead went in for, comparasion of them and giving conclusions and measures of prevention. Here we think about a big importance of sistematic checkup of the sportsmen, use and misuse of incriminated stimulants, the infuence of genetics in families of the sportsmen with heart diseases.The aim of work is to point to and warn of more and more frequent cases of sudden death of sportsmen and that it isn t drawn a moral from that:there are clubs and parents who still don t do the obligation to take their members and children to a sistematic checkup regularily. A systematic checkup should include all searches which would point out a negative influence of intensive physical effort (training, matches on heath. Those tests are also

  11. The high current transport experiment for heavy ion inertial fusion

    Energy Technology Data Exchange (ETDEWEB)

    Prost, L.R.; Baca, D.; Bieniosek, F.M.; Celata, C.M.; Faltens, A.; Henestroza, E.; Kwan, J.W.; Leitner, M.; Seidl, P.A.; Waldron, W.L.; Cohen, R.; Friedman, A.; Grote, D.; Lund, S.M.; Molvik, A.W.; Morse, E.

    2004-05-01

    The High Current Experiment (HCX) at Lawrence Berkeley National Laboratory is part of the US program to explore heavy-ion beam transport at a scale representative of the low-energy end of an induction linac driver for fusion energy production. The primary mission of this experiment is to investigate aperture fill factors acceptable for the transport of space-charge-dominated heavy-ion beams at high intensity (line charge density {approx} 0.2 {micro}C/m) over long pulse durations (4 {micro}s) in alternating gradient focusing lattices of electrostatic or magnetic quadrupoles. This experiment is testing transport issues resulting from nonlinear space-charge effects and collective modes, beam centroid alignment and steering, envelope matching, image charges and focusing field nonlinearities, halo and, electron and gas cloud effects. We present the results for a coasting 1 MeV K{sup +} ion beam transported through ten electrostatic quadrupoles. The measurements cover two different fill factor studies (60% and 80% of the clear aperture radius) for which the transverse phase-space of the beam was characterized in detail, along with beam energy measurements and the first halo measurements. Electrostatic quadrupole transport at high beam fill factor ({approx}80%) is achieved with acceptable emittance growth and beam loss, even though the initial beam distribution is not ideal (but the emittance is low) nor in thermal equilibrium. We achieved good envelope control, and rematching may only be needed every ten lattice periods (at 80% fill factor) in a longer lattice of similar design. We also show that understanding and controlling the time dependence of the envelope parameters is critical to achieving high fill factors, notably because of the injector and matching section dynamics.

  12. High current transport experiment for heavy ion inertial fusion

    Directory of Open Access Journals (Sweden)

    L. R. Prost

    2005-02-01

    Full Text Available The High Current Experiment at Lawrence Berkeley National Laboratory is part of the U.S. program to explore heavy-ion beam transport at a scale representative of the low-energy end of an induction linac driver for fusion energy production. The primary mission of this experiment is to investigate aperture fill factors acceptable for the transport of space-charge-dominated heavy-ion beams at high intensity (line charge density ∼0.2  μC/m over long pulse durations (4  μs in alternating gradient focusing lattices of electrostatic or magnetic quadrupoles. This experiment is testing transport issues resulting from nonlinear space-charge effects and collective modes, beam centroid alignment and steering, envelope matching, image charges and focusing field nonlinearities, halo, and electron and gas cloud effects. We present the results for a coasting 1 MeV K^{+} ion beam transported through ten electrostatic quadrupoles. The measurements cover two different fill factor studies (60% and 80% of the clear aperture radius for which the transverse phase space of the beam was characterized in detail, along with beam energy measurements and the first halo measurements. Electrostatic quadrupole transport at high beam fill factor (≈80% is achieved with acceptable emittance growth and beam loss, even though the initial beam distribution is not ideal (but the emittance is low nor in thermal equilibrium. We achieved good envelope control, and rematching may only be needed every ten lattice periods (at 80% fill factor in a longer lattice of similar design. We also show that understanding and controlling the time dependence of the envelope parameters is critical to achieving high fill factors, notably because of the injector and matching section dynamics.

  13. Analytical results for the time-dependent current density distribution of expanding ultracold gases after a sudden change of the confining potential

    Science.gov (United States)

    Boumaza, R.; Bencheikh, K.

    2017-12-01

    Using the so-called operator product expansion to lowest order, we extend the work in Campbell et al (2015 Phys. Rev. Lett 114 125302) by deriving a simple analytical expression for the long-time asymptotic one-body reduced density matrix during free expansion for a one-dimensional system of bosons with large atom number interacting through a repulsive delta potential initially confined by a potential well. This density matrix allows direct access to the momentum distribution and also to the mass current density. For initially confining power-law potentials we give explicit expressions, in the limits of very weak and very strong interaction, for the current density distributions during the free expansion. In the second part of the work we consider the expansion of ultracold gas from a confining harmonic trap to another harmonic trap with a different frequency. For the case of a quantum impenetrable gas of bosons (a Tonks–Girardeau gas) with a given atom number, we present an exact analytical expression for the mass current distribution (mass transport) after release from one harmonic trap to another harmonic trap. It is shown that, for a harmonically quenched Tonks–Girardeau gas, the current distribution is a suitable collective observable and under the weak quench regime, it exhibits oscillations at the same frequencies as those recently predicted for the peak momentum distribution in the breathing mode. The analysis is extended to other possible quenched systems.

  14. Compact submicrosecond, high current generator for wire explosion experiments

    Science.gov (United States)

    Aranchuk, L. E.; Chuvatin, A. S.; Larour, J.

    2004-01-01

    The PIAF generator was designed for low total energy and high energy density experiments with liners, X-pinch or fiber Z-pinch loads. These studies are of interest for such applications as surface and material science, microscopy of biological specimens, lithography of x-ray sensitive resists, and x-ray backlighting of pulsed-power plasmas. The generator is based on an RLC circuit that includes six NWL 180 nF-50 kV capacitors that store up to 1.3 kJ. The capacitors are connected in parallel to a single multispark switch designed to operate at atmospheric pressure. The switch allows reaching a time delay between the trigger pulse and the current pulse of less than 80 ns and has jitter of 6 ns. The total inductance without a load compartment was optimized to be as low as 16 nH, which leads to extremely low impedance of ˜0.12 Ω. A 40 kV initial voltage provides 250 kA maximum current in a 6 nH inductive load with a 180 ns current rise time. PIAF has dimensions of 660×660×490 mm and weight of less than 100 kg, thus manifesting itself as robust, simple to operate, and cost effective. A description of the PIAF generator and the initial experimental results on PIAF with an X-pinch type load are reported. The generator was demonstrated to operate successfully with an X-pinch type load. The experiments first started with investigation of the previously unexplored X-pinch conduction time range, 100 ns-1 μs. A single short radiation pulse was obtained that came from a small, point-like plasma. The following x-ray source characteristics were achieved: typical hot spot size of 50-100 μm, radiation pulse duration of 1.5-2 ns, and radiation yield of about 250-500 mJ in the softer spectral range (hν⩾700 eV) and 50-100 mJ in the harder one (hν⩾1 keV). These results provide the potential for further application of this source, such as use as a backlight diagnostic tool.

  15. Sudden Infant Death Syndrome (SIDS)

    Science.gov (United States)

    Sudden infant death syndrome (SIDS) Overview Sudden infant death syndrome (SIDS) is the unexplained death, usually during sleep, of a seemingly healthy baby ... year old. SIDS is sometimes known as crib death because the infants often die in their cribs. ...

  16. The Double Star Plasma Electron and Current Experiment

    Directory of Open Access Journals (Sweden)

    A. N. Fazakerley

    2005-11-01

    Full Text Available The Double Star Project is a collaboration between Chinese and European space agencies, in which two Chinese magnetospheric research spacecraft, carrying Chinese and European instruments, have been launched into equatorial (on 29 December 2003 and polar (on 25 July 2004 orbits designed to enable complementary studies with the Cluster spacecraft. The two Double Star spacecraft TC-1 and TC-2 each carry a Double Star Plasma Electron and Current Experiment (PEACE instrument. These two instruments were based on Cluster Flight Spare equipment, but differ from Cluster instruments in two important respects. Firstly, a Double Star PEACE instrument has only a single sensor, which must be operated in a manner not originally envisaged in the Cluster context in order to sample the full range of energies. Secondly, the DPU hardware was modified and major changes of onboard software were implemented, most notably a completely different approach to data compression has been adopted for Double Star, which allows high resolution 3-dimensional distributions to be transmitted almost every spin, a significant improvement over Cluster. This paper describes these instruments, and includes examples of data collected in various magnetospheric regions encountered by the spacecraft which have been chosen to illustrate the power of combined Double Star and Cluster measurements.

  17. Current profile control experiments in EXTRAP T2R

    Science.gov (United States)

    Brunsell, P.; Cecconello, M.; Drake, J.; Franz, P.; Malmberg, J. A.; Marrelli, L.; Martin, P.; Spizzo, G.

    2002-11-01

    EXTRAP T2R is a high aspect ratio (R=1.24 m, a = 0.183 m) reversed-field pinch device, characterised by a double, thin shell system. The simultaneous presence of many m=1, |n| > 11 tearing modes is responsible for a magnetic field turbulence, which is believed to produce the rather high energy and particle transport that is observed in this type of magnetic configuration. In this paper first results from current profile control experiments (PPCD) in a thin shell device are shown. When an edge poloidal electric field is transiently applied, an increase of the electron temperature and of the electron density is seen, which is consistent with an increase of the thermal content of the plasma. At the same time, the soft x-ray emission, measured with a newly installed miniaturised camera, shows a peaking of the profile in the core. Furthermore, the amplitudes of the m=1 tearing modes are reduced and and the rotation velocities increase during PPCD, which is also consistent with a reduction of magnetic turbulence and a heating of the plasma

  18. Current advances in synchrotron radiation instrumentation for MX experiments

    Energy Technology Data Exchange (ETDEWEB)

    Owen, Robin L.; Juanhuix, Jordi; Fuchs, Martin

    2016-07-01

    Following pioneering work 40 years ago, synchrotron beamlines dedicated to macromolecular crystallography (MX) have improved in almost every aspect as instrumentation has evolved. Beam sizes and crystal dimensions are now on the single micron scale while data can be collected from proteins with molecular weights over 10 MDa and from crystals with unit cell dimensions over 1000 Å. Furthermore it is possible to collect a complete data set in seconds, and obtain the resulting structure in minutes. The impact of MX synchrotron beamlines and their evolution is reflected in their scientific output, and MX is now the method of choice for a variety of aims from ligand binding to structure determination of membrane proteins, viruses and ribosomes, resulting in a much deeper understanding of the machinery of life. A main driving force of beamline evolution have been advances in almost every aspect of the instrumentation comprising a synchrotron beamline. In this review we aim to provide an overview of the current status of instrumentation at modern MX experiments. The most critical optical components are discussed, as are aspects of endstation design, sample delivery, visualisation and positioning, the sample environment, beam shaping, detectors and data acquisition and processing.

  19. Sudden Cardiac Death

    DEFF Research Database (Denmark)

    Risgaard, Bjarke; Winkel, Bo Gregers; Jabbari, Reza

    2017-01-01

    Objectives This study sought to describe the use of pharmacotherapy in a nationwide cohort of young patients with sudden cardiac death (SCD). Background Several drugs have been associated with an increased risk of SCD and sudden arrhythmic death syndrome (SADS). It remains unclear how...... pharmacotherapy may contribute to the overall burden of SCD in the general population. Methods This was a nationwide study that included all deaths that occurred between 2000 and 2009 and between 2007 and 2009 in people age 1 to 35 years and 36 to 49 years, respectively. Two physicians identified all SCDs through...... review of death certificates. Autopsy reports were collected. Pharmacotherapy prescribed within 90 days before SCD was identified in the Danish Registry of Medicinal Product Statistics. Results We identified 1,363 SCDs; median age was 38 years (interquartile range: 29 to 45 years), and 72% (n = 975) were men...

  20. [Sudden death in athletes].

    Science.gov (United States)

    Kulbertus, H

    2001-05-01

    Sudden death is rare in the young athlete. The causes may vary. In the US, hypertrophic cardiomyopathy plays the predominant role whereas in Europe right ventricular arrhythmogenic dysplasia and atherosclerosis of the coronary arteries are more frequent. Other causes such as congenital anomalies of the coronary vessels, myocarditis, Marfan's disease, the long QT, the Brugada and the Wollf-Parkinson-White syndromes exist, but are rare. Attentive preparticipation screening (clinical history and medical examination) is mandatory in all future young athletes.

  1. Current experiments in elementary-particle physics - March 1983

    Energy Technology Data Exchange (ETDEWEB)

    Wohl, C.G.; Armstrong, F.E.; Rittenberg, A.

    1983-03-01

    Microfiche are included which contain summaries of 479 experiments in elementary particle physics. Experiments are included at the following laboratories: Brookhaven (BNL); CERN; CESR; DESY; Fermilab (FNAL); Institute for Nuclear Studies (INS); KEK; LAMPF; Serpukhov (SERP); SIN; SLAC; and TRIUMF. Also, summaries of proton decay experiments are included. A list of experiments and titles is included; and a beam-target-momentum index and a spokesperson index are given. Properties of beams at the facilities are tabulated. (WHK)

  2. How Is Sudden Cardiac Arrest Treated?

    Science.gov (United States)

    ... Back To Health Topics / Sudden Cardiac Arrest Sudden Cardiac Arrest Also known as Cardiac Arrest , Sudden Cardiac Death ... the condition For People Who Have Survived Sudden Cardiac Arrest If you've already had SCA, you're ...

  3. How Is Sudden Cardiac Arrest Diagnosed?

    Science.gov (United States)

    ... Back To Health Topics / Sudden Cardiac Arrest Sudden Cardiac Arrest Also known as Cardiac Arrest , Sudden Cardiac Death ... the condition For People Who Have Survived Sudden Cardiac Arrest If you've already had SCA, you're ...

  4. Sudden ionospheric disturbances in solar cycle 24

    Science.gov (United States)

    Bothmer, Volker; Bernert, Barbara

    2014-05-01

    Sudden ionospheric disturbances in solar cycle 24 Within the framework of the UN International Space Weather Initiative, and building upon the achievements of the International Heliophysical Year, the German project SIMONE (Sun Ionosphere MOnitoring NEtwork) operates several SID monitors provided by the University of Stanford. Here we present an overview of sudden ionospheric disturbances recorded since 2006 at the high school Gymnasium Walsrode until to date. The continous measurements allow a detailed comparison of locally measured SIDs with the general trend of solar activity during the current solar maximum. We further show that the measurements reveal specific information on the variable response of the dayside ionosphere to solar flares.

  5. Classification of sudden and arrhythmic death

    DEFF Research Database (Denmark)

    Torp-Pedersen, C; Køber, L; Elming, H

    1997-01-01

    Since all death is (eventually) sudden and associated with cardiac arrhythmias, the concept of sudden death is only meaningful if it is unexpected, while arrhythmic death is only meaningful if life could have continued had the arrhythmia been prevented or treated. Current classifications of death...... as being arrhythmic or sudden are all biased by the difficulty of having to decide on the degree of unexpectedness or the likelihood that life could continue without the arrhythmia. The uncertainties are enlarged by the fact that critical data (such as knowledge of arrhythmias at the time of death...... or autopsy) are available in only a few percent of cases. A main problem in using classifications is the lack of validation data. This situation has, with the MADIT trial, changed in the case of the Thaler and Hinkle classification of arrhythmic death. The MADIT trial demonstrated that arrhythmic death...

  6. Current experiments in elementary particle physics. Revision 1-85

    Energy Technology Data Exchange (ETDEWEB)

    Wohl, C.G.; Armstrong, F.E.; Rittenberg, A.; Trippe, T.G.; Yost, G.P.; Oyanagi, Y.; Dodder, D.C.; Grudtsin, S.N.; Ryabov, Yu.G.; Frosch, R.

    1985-01-01

    This report contains summaries of 551 approved experiments in elementary particle physics (experiments that finished taking data before 1 January 1980 are excluded). Included are experiments at Brookhaven, CERN, CESR, DESY, Fermilab, Moscow Institute of Theoretical and Experimental Physics, Tokyo Institute of Nuclear Studies, KEK, LAMPF, Leningrad Nuclear Physics Institute, Saclay, Serpukhov, SIN, SLAC, and TRIUMF, and also experiments on proton decay. Properties of the fixed-target beams at most of the laboratories are summarized. Instructions are given for searching online the computer database (maintained under the SLAC/SPIRES system) that contains the summaries.

  7. Prolongation of action potential duration and QT interval during epilepsy linked to increased contribution of neuronal sodium channels to cardiac late Na+ current: potential mechanism for sudden death in epilepsy.

    Science.gov (United States)

    Biet, Michael; Morin, Nathalie; Lessard-Beaudoin, Melissa; Graham, Rona K; Duss, Sandra; Gagné, Jonathan; Sanon, Nathalie T; Carmant, Lionel; Dumaine, Robert

    2015-08-01

    Arrhythmias associated with QT prolongation on the ECG often lead to sudden unexpected death in epilepsy. The mechanism causing a prolongation of the QT interval during epilepsy remains unknown. Based on observations showing an upregulation of neuronal sodium channels in the brain during epilepsy, we tested the hypothesis that a similar phenomenon occurs in the heart and contributes to QT prolongation by altering cardiac sodium current properties (INa). We used the patch clamp technique to assess the effects of epilepsy on the cardiac action potential and INa in rat ventricular myocytes. Consistent with QT prolongation, epileptic rats had longer ventricular action potential durations attributable to a sustained component of INa (INaL). The increase in INaL was because of a larger contribution of neuronal Na channels characterized by their high sensitivity to tetrodotoxin. As in the brain, epilepsy was associated with an enhanced expression of the neuronal isoform NaV1.1 in cardiomyocyte. Epilepsy was also associated with a lower INa activation threshold resulting in increased cell excitability. This is the first study correlating increased expression of neuronal sodium channels within the heart to epilepsy-related cardiac arrhythmias. This represents a new paradigm in our understanding of cardiac complications related to epilepsy. © 2015 American Heart Association, Inc.

  8. Damping of unwanted turbulence in wave–current experiments

    DEFF Research Database (Denmark)

    Markus, D.; Jakobsen, Morten Møller; Bletzinger, K.-U.

    2015-01-01

    Laboratory testing of structures placed in combined wave–current flows is a valuable source of information for the fulfillment of offshore engineering related tasks and the development of ocean energy devices. In recirculating wave–current flumes, one of the problems encountered during such exper...

  9. Transport physics of ASDEX Upgrade current ramps: experiment and theory

    Energy Technology Data Exchange (ETDEWEB)

    Fable, E; Angioni, C; Fietz, S; Hobirk, J; Pereverzev, G, E-mail: emiliano.fable@ipp.mpg.de [Max-Planck-Institut fuer Plasmaphysik, EURATOM Association, 85748 Garching (Germany)

    2010-11-01

    Interpretative analysis of experimental data from the ASDEX Upgrade tokamak current ramps-up and ramps-down is carried out to shed light on the properties of confinement and transport in these particular phases of the plasma discharge. It is found that the two ramps are similar in parameters evolution, but are not symmetric with respect to the current level, for several reasons that will be elucidated. Theory-based energy transport modeling allows to understand the underlying transport processes at play, although there are limitations in describing the edge part of the plasma at very low currents, in particular during ramp-up. Possible reasons for this discrepancy are discussed. Finally, the relevant turbulence (linear) regime is identified simultaneously with calculations of quasi-linear particle transport, showing that a broad range of modes, from Trapped Electron Modes (TEM) to Ion Temperature Gradient (ITG) modes, is explored during both the ramp-up and ramp-down.

  10. Current results of the NOvA experiment

    Directory of Open Access Journals (Sweden)

    Kolupaeva Liudmila

    2016-01-01

    Full Text Available NOvA is a long baseline neutrino oscillation experiment at Fermi National Accelerator Laboratory, USA. It is one of the so-called “off-beam-axis” experiments with two highly active detectors separated by 810 km of Earth’s crust. Both detectors are identical and consist of PVC cells filled with a liquid scintillator. The NOvA collaboration has already published its first results for muon neutrino disappearance [1] and electron neutrino appearance [2] mode with data collected between July 2013 and March 2015. This talk is devoted to a discussion on NOvA’s first results.

  11. Experience-based teaching of therapeutics and clinical pharmacology of antiepileptic drugs. Sudden unexplained death in epilepsy: do antiepileptic drugs have a role?

    Science.gov (United States)

    Lathers, C M; Schraeder, P L

    1995-06-01

    The contents of this paper have been written to be used in a teaching program specifically designed for medical postgraduate education of resident physicians and fellows in training interested in the clinical pharmacology of antiepileptic drugs and their role in the treatment of epilepsy and/or in the prevention of sudden unexpected death associated with this disease. With some modifications, such as a specific lecture to provide an overview of the numerous concepts presented in the text, the article could be used when teaching fourth-year medical students. The format of the paper is a combination of didactic review and eight case reports in a self-learning format. A quiz for self-assessment is included at the end of the article (see Appendix). This material was covered in part in the 1992 Board Review Course for Clinical Pharmacology sponsored by the American College of Clinical Pharmacology. The format or setting of instruction for this material could include small learning groups composed of 10 to 15 students. When used in combination with other topics prepared in similar formats, this could become a take home course for those preparing to take the Boards in Clinical Pharmacology. Each instructor could select specific publications from the reference list for assigned readings depending upon the material emphasized by the instructor. The questions included at the end of the text could be used as either a closed or an open book quiz to assess student learning.

  12. The ELP through Time: Background Motivation, Growing Experience, Current Beliefs

    Science.gov (United States)

    Argondizzo, Carmen; Sasso, Maria I.

    2016-01-01

    This article offers an overview of research strategies currently in use at the Language Centre of the University of Calabria and aimed at observing university students' learning habits when they are asked to use the European Language Portfolio during language courses. We present evidence of how experimental groups of students belonging to…

  13. Initial Smoking Experiences and Current Smoking Behaviors and Perceptions among Current Smokers

    National Research Council Canada - National Science Library

    Klein, Hugh; Sterk, Claire E; Elifson, Kirk W

    2013-01-01

    .... Data analysis involved a multivariate analysis to determine whether age of smoking onset was related to current smoking practices when the effects of gender, age, race, marital/relationship status...

  14. Current Solutions: Recent Experience in Interconnecting Distributed Energy Resources

    Energy Technology Data Exchange (ETDEWEB)

    Johnson, M.

    2003-09-01

    This report catalogues selected real-world technical experiences of utilities and customers that have interconnected distributed energy assets with the electric grid. This study was initiated to assess the actual technical practices for interconnecting distributed generation and had a particular focus on the technical issues covered under the Institute of Electrical and Electronics Engineers (IEEE) 1547(TM) Standard for Interconnecting Distributed Resources With Electric Power Systems.

  15. Serratia Infections: from Military Experiments to Current Practice

    OpenAIRE

    Mahlen, Steven D.

    2011-01-01

    Summary: Serratia species, in particular Serratia marcescens, are significant human pathogens. S. marcescens has a long and interesting taxonomic, medical experimentation, military experimentation, and human clinical infection history. The organisms in this genus, particularly S. marcescens, were long thought to be nonpathogenic. Because S. marcescens was thought to be a nonpathogen and is usually red pigmented, the U.S. military conducted experiments that attempted to ascertain the spread of...

  16. Current Status and Future Prospects of the SNO+ Experiment

    Directory of Open Access Journals (Sweden)

    S. Andringa

    2016-01-01

    Full Text Available SNO+ is a large liquid scintillator-based experiment located 2 km underground at SNOLAB, Sudbury, Canada. It reuses the Sudbury Neutrino Observatory detector, consisting of a 12 m diameter acrylic vessel which will be filled with about 780 tonnes of ultra-pure liquid scintillator. Designed as a multipurpose neutrino experiment, the primary goal of SNO+ is a search for the neutrinoless double-beta decay (0νββ of 130Te. In Phase I, the detector will be loaded with 0.3% natural tellurium, corresponding to nearly 800 kg of 130Te, with an expected effective Majorana neutrino mass sensitivity in the region of 55–133 meV, just above the inverted mass hierarchy. Recently, the possibility of deploying up to ten times more natural tellurium has been investigated, which would enable SNO+ to achieve sensitivity deep into the parameter space for the inverted neutrino mass hierarchy in the future. Additionally, SNO+ aims to measure reactor antineutrino oscillations, low energy solar neutrinos, and geoneutrinos, to be sensitive to supernova neutrinos, and to search for exotic physics. A first phase with the detector filled with water will begin soon, with the scintillator phase expected to start after a few months of water data taking. The 0νββ Phase I is foreseen for 2017.

  17. Current-Driven Hydrogen Desorption from Graphene: Experiment and Theory

    Energy Technology Data Exchange (ETDEWEB)

    Gao, L.; Pal, Partha P.; Seideman, Tamar; Guisinger, Nathan P.; Guest, Jeffrey R.

    2016-02-04

    Electron-stimulated desorption of hydrogen from the graphene/SiC(0001) surface at room temperature was investigated with ultrahigh vacuum scanning tunneling microscopy and ab initio calculations in order to elucidate the desorption mechanisms and pathways. Two different desorption processes were observed. In the high electron energy regime (4-8 eV), the desorption yield is independent of both voltage and current, which is attributed to the direct electronic excitation of the C-H bond. In the low electron energy regime (2-4 eV), however, the desorption yield exhibits a threshold dependence on voltage, which is explained by the vibrational excitation of the C-H bond via transient ionization induced by inelastic tunneling electrons. The observed current-independence of the desorption yield suggests that the vibrational excitation is a singleelectron process. We also observed that the curvature of graphene dramatically affects hydrogen desorption. Desorption from concave regions was measured to be much more probable than desorption from convex regions in the low electron energy regime (~ 2 eV), as would be expected from the identified desorption mechanism

  18. Hypokalemia and sudden cardiac death

    DEFF Research Database (Denmark)

    Kjeldsen, Keld

    2010-01-01

    Worldwide, approximately three million people suffer sudden cardiac death annually. These deaths often emerge from a complex interplay of substrates and triggers. Disturbed potassium homeostasis among heart cells is an example of such a trigger. Thus, hypokalemia and, also, more transient...... of fatal arrhythmia and sudden cardiac death a patient is, the more attention should be given to the potassium homeostasis....

  19. Genetics of sudden cardiac death

    NARCIS (Netherlands)

    Bezzina, Connie R.; Lahrouchi, Najim; Priori, Silvia G.

    2015-01-01

    Sudden cardiac death occurs in a broad spectrum of cardiac pathologies and is an important cause of mortality in the general population. Genetic studies conducted during the past 20 years have markedly illuminated the genetic basis of the inherited cardiac disorders associated with sudden cardiac

  20. Therapeutic drug monitoring for imatinib: Current status and Indian experience.

    Science.gov (United States)

    Arora, Brijesh; Gota, Vikram; Menon, Hari; Sengar, Manju; Nair, Reena; Patial, Pankaj; Banavali, S D

    2013-07-01

    Imatinib is the current gold standard for treatment of chronic myeloid leukemia (CML). Recent pharmacokinetic studies have shown considerable variability in trough concentrations of imatinib due to variations in its metabolism, poor compliance, or drug-drug interactions and highlighted its impact on clinical response. A trough level close to 1000 ng/mL, appears to be correlated with better cytogenetic and molecular responses. Therapeutic Drug Monitoring (TDM) for imatinib may provide useful added information on efficacy, safety and compliance than clinical assessment alone and help in clinical decision making. It may be particularly helpful in patients with suboptimal response to treatment or treatment failure, severe or rare adverse events, possible drug interactions, or suspected nonadherence. Further prospective studies are needed to confirm relationship between imatinib plasma concentrations with response, and to define effective plasma concentrations in different patient populations.

  1. Initial Smoking Experiences and Current Smoking Behaviors and Perceptions among Current Smokers

    OpenAIRE

    Hugh Klein; Sterk, Claire E.; Elifson, Kirk W.

    2013-01-01

    Purpose. We examine early-onset cigarette smoking and how, if at all, it is related to subsequent smoking practices. Methods. From 2004 to 2007, face-to-face interviews were conducted with 485 adult cigarette smokers residing in the Atlanta metropolitan area. Data analysis involved a multivariate analysis to determine whether age of smoking onset was related to current smoking practices when the effects of gender, age, race, marital/relationship status, income, and educational attainment were...

  2. [Current diagnosis of gastroesophageal reflux disease: learning experience].

    Science.gov (United States)

    Tosato, F; Corsini, F; Marano, S; Palermmo, S; Piraino, A; Vasapollo, L; Scocchera, F; Paolini, A

    2001-02-01

    The authors report their study on gastro-esophageal reflux disease, a pathology that has become increasingly common over the past years reflecting both a real increase and the use of new and more sophisticated and reliable diagnostic methods and tests. It can be included in the group of pathologies absorbing the largest proportion of financial resources, even exceeding biliary lithiasic disease according to American studies. The authors start by analysing the symptoms of gastroesophageal reflux disease, drawing a distinction between typical (heartburn, epigastric pain and postprandial regurgitation) and atypical symptoms (laryngotracheal symptoms, bronchopulmonary symptoms and esophageal motor incoordination). They outline the diagnostic iter and tests most widely used today to achieve a correct diagnosis. Lastly, they report their experience of 160 patients attending their esophageal diagnostic unit since January 1999 who underwent a number of different instrumental tests, the results of which are compared. Three different aspects are compared: the presence of symptoms, 24-hour pH-metry and endoscopic tests. All these are necessary for a correct diagnosis of gastroesophageal reflux disease and to evaluate the possibility and efficacy of surgery. They emphasise the diagnostic importance of 24-hour pH-measurement as the only test that can directly reveal gastroesophageal reflux. Positive pH results represent a discriminating element in deciding whether the patient should undergo surgery.

  3. LOCAL BUDGETS UNDER CURRENT DECENTRALIZATION: UKRAINE AND FOREIGN EXPERIENCE

    Directory of Open Access Journals (Sweden)

    O. Cheberyako

    2016-04-01

    Full Text Available The article is devoted to the major trends and issues of development of local budgets in Ukraine. A study of the essence of fiscal decentralization as one of the components of the management, aimed at reducing the dependence of local governments from the central government with regard to foreign experience. Particular attention is paid to local budgets under decentralization of own and delegated financial powers. The theoretical principles of fiscal decentralization and its proven impact on the socio-economic development. Studied the European countries model of local budgets. The features of formation of revenues of local budgets under decentralization. The role in shaping tax revenues of local budgets in foreign countries and Ukraine. The analysis of state policy of financial support for regional development in Ukraine. The structure of tax revenue in the context of changes in the budget and tax legislation in a decentralized tax powers. Systematized features of fiscal decentralization in Ukraine. Problems and grounded main ways of optimizing the formation of local budgets in a decentralized tax powers. Formed selection of areas targeted as ways to increase economic and financial independence of regions of Ukraine.

  4. Serratia Infections: from Military Experiments to Current Practice

    Science.gov (United States)

    Mahlen, Steven D.

    2011-01-01

    Summary: Serratia species, in particular Serratia marcescens, are significant human pathogens. S. marcescens has a long and interesting taxonomic, medical experimentation, military experimentation, and human clinical infection history. The organisms in this genus, particularly S. marcescens, were long thought to be nonpathogenic. Because S. marcescens was thought to be a nonpathogen and is usually red pigmented, the U.S. military conducted experiments that attempted to ascertain the spread of this organism released over large areas. In the process, members of both the public and the military were exposed to S. marcescens, and this was uncovered by the press in the 1970s, leading to U.S. congressional hearings. S. marcescens was found to be a certain human pathogen by the mid-1960s. S. marcescens and S. liquefaciens have been isolated as causative agents of numerous outbreaks and opportunistic infections, and the association of these organisms with point sources such as medical devices and various solutions given to hospitalized patients is striking. Serratia species appear to be common environmental organisms, and this helps to explain the large number of nosocomial infections due to these bacteria. Since many nosocomial infections are caused by multiply antibiotic-resistant strains of S. marcescens, this increases the danger to hospitalized patients, and hospital personnel should be vigilant in preventing nosocomial outbreaks due to this organism. S. marcescens, and probably other species in the genus, carries several antibiotic resistance determinants and is also capable of acquiring resistance genes. S. marcescens and S. liquefaciens are usually identified well in the clinical laboratory, but the other species are rare enough that laboratory technologists may not recognize them. 16S rRNA gene sequencing may enable better identification of some of the less common Serratia species. PMID:21976608

  5. A Loop Current experiment: Field and remote measurements

    Science.gov (United States)

    Hamilton, Peter; Lugo-Fernández, Alexis; Sheinbaum, Julio

    2016-12-01

    An overview of a new comprehensive observational study of the Loop Current (LC) in the eastern Gulf of Mexico that encompassed full-depth and near-bottom moorings, pressure-equipped inverted echo sounders (PIES) and remote sensing is presented. The study array was designed to encompass the LC from the Campeche Bank to the west Florida escarpment. This overview centers about principal findings as they pertain to mesoscale dynamics. Two companion papers provide in-depth analyses. Three LC anticyclonic eddy separation events were observed with good 3D spatial coverage over the 2½ year extent of the field study; the three separations exhibited similar processes after the LC had extended into the eastern Gulf. Large scale (∼300 km wavelength, 40-60 day periods) southward propagating meanders developed on the eastern side of the LC over deep (∼3000 m) water that were the result of baroclinic instability between the upper layer meandering jet and lower layer cyclones and anticyclones. The lower layer was only highly energetic during relatively short (∼2-3 months) intervals just prior to or during eddy detachments because of baroclinic instability. The steepening of the meanders lead to a pinch-off of LC eddies. The deep lower-layer eddies, constrained by the closed topography of the southeastern Gulf, propagated westward across the detachment zone and appear to assist in achieving separation. Small scale (∼50-100 km, periods ∼10 days) frontal eddies, observed on the western side of the LC along the Campeche Bank slope, decay over the deep water of the northern part of an extended LC, and have little influence on lower layer eddies, the east side meanders and the eddy detachment processes.

  6. [Genetics of sudden unexplained death].

    Science.gov (United States)

    Campuzano, Oscar; Allegue, Catarina; Brugada, Ramon

    2014-03-20

    Sudden unexplained death is defined by death without a conclusive diagnosis after autopsy and it is responsible for a large percentage of sudden deaths. The progressive interaction between genetics and forensics in post-mortem studies has identified inheritable alterations responsible for pathologies associated with arrhythmic sudden death. The genetic diagnosis of the deceased enables the undertaking of preventive measures in family members, many of them asymptomatic but at risk. The implications of this multidisciplinary translational medical approach are complex, requiring the dedication of a specialized team. Copyright © 2013 Elsevier España, S.L. All rights reserved.

  7. Initial Smoking Experiences and Current Smoking Behaviors and Perceptions among Current Smokers.

    Science.gov (United States)

    Klein, Hugh; Sterk, Claire E; Elifson, Kirk W

    2013-01-01

    Purpose. We examine early-onset cigarette smoking and how, if at all, it is related to subsequent smoking practices. Methods. From 2004 to 2007, face-to-face interviews were conducted with 485 adult cigarette smokers residing in the Atlanta metropolitan area. Data analysis involved a multivariate analysis to determine whether age of smoking onset was related to current smoking practices when the effects of gender, age, race, marital/relationship status, income, and educational attainment were taken into account. Results. The mean age for smoking onset was 14.8, and more than one-half of all smokers had their first cigarette between the ages of 12 and 16. Most people reported an interval of less than one month between their first and second time using tobacco. Earlier onset cigarette smoking was related to more cigarette use and worse tobacco-related health outcomes in adulthood. Conclusions. Early prevention and intervention are needed to avoid early-onset smoking behaviors. Intervening after initial experimentation but before patterned smoking practices are established will be challenging, as the interval between initial and subsequent use tends to be short.

  8. Initial Smoking Experiences and Current Smoking Behaviors and Perceptions among Current Smokers

    Directory of Open Access Journals (Sweden)

    Hugh Klein

    2013-01-01

    Full Text Available Purpose. We examine early-onset cigarette smoking and how, if at all, it is related to subsequent smoking practices. Methods. From 2004 to 2007, face-to-face interviews were conducted with 485 adult cigarette smokers residing in the Atlanta metropolitan area. Data analysis involved a multivariate analysis to determine whether age of smoking onset was related to current smoking practices when the effects of gender, age, race, marital/relationship status, income, and educational attainment were taken into account. Results. The mean age for smoking onset was 14.8, and more than one-half of all smokers had their first cigarette between the ages of 12 and 16. Most people reported an interval of less than one month between their first and second time using tobacco. Earlier onset cigarette smoking was related to more cigarette use and worse tobacco-related health outcomes in adulthood. Conclusions. Early prevention and intervention are needed to avoid early-onset smoking behaviors. Intervening after initial experimentation but before patterned smoking practices are established will be challenging, as the interval between initial and subsequent use tends to be short.

  9. Sudden transition and sudden change from open spin environments

    Energy Technology Data Exchange (ETDEWEB)

    Hu, Zheng-Da [Zhejiang Institute of Modern Physics and Physics Department, Zhejiang University, Hangzhou 310027 (China); School of Science, Jiangnan University, Wuxi 214122 (China); Xu, Jing-Bo, E-mail: xujb@zju.edu.cn [Zhejiang Institute of Modern Physics and Physics Department, Zhejiang University, Hangzhou 310027 (China); Yao, Dao-Xin [State Key Laboratory of Optoelectronic Materials and Technologies, School of Physics and Engineering, Sun Yat-sen University, Guangzhou 510275 (China); Department of Physics and Astronomy, University of Tennessee, Knoxville, TN 37996 (United States)

    2014-11-15

    We investigate the necessary conditions for the existence of sudden transition or sudden change phenomenon for appropriate initial states under dephasing. As illustrative examples, we study the behaviors of quantum correlation dynamics of two noninteracting qubits in independent and common open spin environments, respectively. For the independent environments case, we find that the quantum correlation dynamics is closely related to the Loschmidt echo and the dynamics exhibits a sudden transition from classical to quantum correlation decay. It is also shown that the sudden change phenomenon may occur for the common environment case and stationary quantum discord is found at the high temperature region of the environment. Finally, we investigate the quantum criticality of the open spin environment by exploring the probability distribution of the Loschmidt echo and the scaling transformation behavior of quantum discord, respectively. - Highlights: • Sudden transition or sudden change from open spin baths are studied. • Quantum discord is related to the Loschmidt echo in independent open spin baths. • Steady quantum discord is found in a common open spin bath. • The probability distribution of the Loschmidt echo is analyzed. • The scaling transformation behavior of quantum discord is displayed.

  10. The 'patient journey' of adults with sudden-onset acquired hearing impairment: a pilot study.

    Science.gov (United States)

    Manchaiah, V K C; Stephens, D

    2012-05-01

    A previous study examined the 'patient journey' of adults with gradual-onset acquired hearing impairment. This study examined the same for adults with sudden-onset acquired hearing impairment, and assessed differences. Data were collected from 16 audiologists, using the Ida Institute template, and from four adults with sudden-onset acquired hearing impairment, through semi-structured interviews. Data were analysed using thematic analysis and presented using a process mapping model. A patient journey template for sudden-onset acquired hearing impairment was developed based on the professionals' and patients' perspectives. The main difference between these two groups' perspectives was seen in the self-evaluation phase: some stages within this phase were recognised by the patients but not by the professionals. The main difference between the current and the previous study was the absence of a pre-awareness phase in the journey described by patients with sudden-onset acquired hearing impairment, compared with that described by patients with gradual-onset acquired hearing impairment. Patient journey templates could be useful counselling tools for ear and hearing healthcare specialists. However, such templates should be used only as a baseline; it is important to take a detailed case history to understand each patient's unique experience, including the psychosocial impact of hearing impairment.

  11. Sudden infant death syndrome: methodological and patogenetical types of diagnosis

    Directory of Open Access Journals (Sweden)

    B.I. Glukhovets

    2011-01-01

    Full Text Available The review presents an analysis of literature data on pathogenesis of sudden infant death syndrome (SIDS in comparison with author’s experience of infants dead in home. Diagnostic significance of qualified autopsy examinations in analysis of infants’ death is shown. Frequent combination of morphogenetic cardiopathy and early signs of atrial myocarditis can be estimated as pathogenetic basis of SIDS.Key words: sudden infant death syndrome, morphogenetic cardiopathy, atrial myocarditis.

  12. Sudden cardiac death in athletes

    Directory of Open Access Journals (Sweden)

    Fábio Camilo Pellegrino dos Santos

    2012-11-01

    Full Text Available ABSTRACT The most accepted definition of sudden cardiac death nowadays is an unexplained death occurred suddenly within one hour of symptom onset. If it was not witnessed, individuals need to had been observed for at least 24 hours before the event and should be discarded the possibility of non cardiac causes of sudden death, pulmonary embolism or extensive malignancy. The term athlete refers to individuals of any age who participate in collective or individual regular physical activity, as well as physical training program for regular competitions. The sudden death of a young athlete, whether amateur or professional, especially during competitions, is always dramatic, with strong negative social impact and in the media. The fact that sports are recommended as a formula for longevity and quality of life makes these events a cause for concern in sports and society in general.

  13. [Sudden cardiac death in individuals with normal hearts: an update].

    Science.gov (United States)

    González-Melchor, Laila; Villarreal-Molina, Teresa; Iturralde-Torres, Pedro; Medeiros-Domingo, Argelia

    2014-01-01

    Sudden death (SD) is a tragic event and a world-wide health problem. Every year, near 4-5 million people experience SD. SD is defined as the death occurred in 1h after the onset of symptoms in a person without previous signs of fatality. It can be named "recovered SD" when the case received medical attention, cardiac reanimation effective defibrillation or both, surviving the fatal arrhythmia. Cardiac channelopathies are a group of diseases characterized by abnormal ion channel function due to genetic mutations in ion channel genes, providing increased susceptibility to develop cardiac arrhythmias and SD. Usually the death occurs before 40 years of age and in the autopsy the heart is normal. In this review we discuss the main cardiac channelopathies involved in sudden cardiac death along with current management of cases and family members that have experienced such tragic event. Copyright © 2014 Instituto Nacional de Cardiología Ignacio Chávez. Published by Masson Doyma México S.A. All rights reserved.

  14. Streaming currents in turbulent flows and metal capillaries. IV. Experiment (2). Results and conclusions

    NARCIS (Netherlands)

    Boumans, A.A.

    1957-01-01

    Some charactistic results of the experiments on the streaming current are described with the help of graphs. It is shown that in our case the streaming current in metal tubes is supplied by the wall of the tube; glass tubes give comparatively less streaming current. The mean charge density in

  15. Sudden death in eating disorders

    Directory of Open Access Journals (Sweden)

    Jáuregui-Garrido B

    2012-02-01

    Full Text Available Beatriz Jáuregui-Garrido1, Ignacio Jáuregui-Lobera2,31Department of Cardiology, University Hospital Virgen del Rocío, 2Behavioral Sciences Institute, 3Pablo de Olavide University, Seville, SpainAbstract: Eating disorders are usually associated with an increased risk of premature death with a wide range of rates and causes of mortality. “Sudden death” has been defined as the abrupt and unexpected occurrence of fatality for which no satisfactory explanation of the cause can be ascertained. In many cases of sudden death, autopsies do not clarify the main cause. Cardiovascular complications are usually involved in these deaths. The purpose of this review was to report an update of the existing literature data on the main findings with respect to sudden death in eating disorders by means of a search conducted in PubMed. The most relevant conclusion of this review seems to be that the main causes of sudden death in eating disorders are those related to cardiovascular complications. The predictive value of the increased QT interval dispersion as a marker of sudden acute ventricular arrhythmia and death has been demonstrated. Eating disorder patients with severe cardiovascular symptoms should be hospitalized. In general, with respect to sudden death in eating disorders, some findings (eg, long-term eating disorders, chronic hypokalemia, chronically low plasma albumin, and QT intervals >600 milliseconds must be taken into account, and it must be highlighted that during refeeding, the adverse effects of hypophosphatemia include cardiac failure. Monitoring vital signs and performing electrocardiograms and serial measurements of plasma potassium are relevant during the treatment of eating disorder patients.Keywords: sudden death, cardiovascular complications, refeeding syndrome, QT interval, hypokalemia

  16. Sudden releases of gases

    Directory of Open Access Journals (Sweden)

    Chaloupecká Hana

    2014-03-01

    Full Text Available Conurbations all over the world have enlarged for numberless years. The accidental or intentional releases of gases become more frequent. Therefore, these crises situations have to be studied. The aim of this paper is to describe experiments examining these processes that were carried out in the laboratory of Environmental Aerodynamics of the Institute of Thermomechanics AS CR in Nový Knín. Results show huge puff variability from replica to replica.

  17. Liquefaction and erosion of mud due to waves and current : Experiments on China Clay

    NARCIS (Netherlands)

    Kranenburg, C.; Winterwerp, J.C.; De Wit, P.J.

    1994-01-01

    A research project was started at the Delft University of Technology in order to study the interaction between waves as well as a current and a muddy bed. For this purpose several experiments were made on artificial clays. In the present report only flume experiments on China Clay are discussed. In

  18. Liquefaction and erosion of mud due to waves and current : Experiments on Westwald Clay

    NARCIS (Netherlands)

    De Wit, P.J.

    1994-01-01

    A research project was carried out at the Delft University of Technology in order to study the interaction between waves as weil as a current and a muddy bed. For this purpose several experiments were made on two artificial clays, namely China Clay and Westwald Clay. The results of the experiments

  19. Infectious causes of sudden infant death syndrome.

    Science.gov (United States)

    Alfelali, Mohammad; Khandaker, Gulam

    2014-12-01

    Investigators have long suspected the role of infection in sudden infant death syndrome (SIDS). Evidence of infectious associations with SIDS is accentuated through the presence of markers of infection and inflammation on autopsy of SIDS infants and isolates of some bacteria and viruses. Several observational studies have looked into the relation between seasonality and incidence of SIDS, which often showed a winter peak. These all may suggest an infectious aetiology of SIDS. In this review we have summarised the current literature on infectious aetiologies of SIDS by looking at viral, bacterial, genetic and environmental factors which are believed to be associated with SIDS. Copyright © 2014 Elsevier Ltd. All rights reserved.

  20. Numerical Investigation of magnetohydrodynamic flow through Sudden expansion pipes in Liquid Metal Blankets

    Energy Technology Data Exchange (ETDEWEB)

    Feng, Jingchao; He, Qingyun; Chen, Hongli, E-mail: hlchen1@ustc.edu.cn; Ye, Minyou

    2016-11-01

    In fusion liquid metal blanket, sudden expansions and sudden contractions are very common geometries. Changing of the cross-section causes 3-D magnetohydrodynamic (MHD) effects, which will affect the flow pattern, current distribution and pressure drop. In this paper the numerical code based on OpenFOAM platform developed by University of Science and Technology of China was used to investigate and optimize the sudden expansion pipe. The code has been validated by the recommended benchmark cases including Shercliff, Hunt, ALEX experiments (rectangular duct and round pipe) and KIT experiment cases. The obtained numerical results agreed well with those of all the benchmark cases. Previous and valuable analytical and experimental works have been done by L. Buhler, et. el. Based on these works, in the present paper, further investigation of different expansion lengths between the upstream pipe and downstream pipe at high Hartmann number and Reynolds number were conducted. Besides, different expansion ratios with a specific expansion length were conducted. The numerical results showed that with the increasing of expansion length, the 3D MHD effects gradually weakened. Especially, the 3D pressure drop decreases with the increasing of expansion length. Whereas, the expansion ratio factor shows no obvious influences on the total MHD pressure drop but greatly influence the local pressure distribution. These numerical simulations can be used to evaluate the MHD flow inside the expansion and contraction pipes.

  1. Investigating Insight as Sudden Learning

    Science.gov (United States)

    Ash, Ivan K.; Jee, Benjamin D.; Wiley, Jennifer

    2012-01-01

    Gestalt psychologists proposed two distinct learning mechanisms. Associative learning occurs gradually through the repeated co-occurrence of external stimuli or memories. Insight learning occurs suddenly when people discover new relationships within their prior knowledge as a result of reasoning or problem solving processes that re-organize or…

  2. Sudden Infant Death Syndrome: Facts for Caregivers.

    Science.gov (United States)

    Texas Child Care, 2000

    2000-01-01

    Presents risk factors and prevention measures related to Sudden Infant Death Syndrome. Offers infant sleep recommendations and five discussion questions to test knowledge of Sudden Infant Death Syndrome. (DLH)

  3. Sudden Cardiac Arrest (SCA) Risk Assessment

    Science.gov (United States)

    ... Specialist Share Twitter Facebook SCA Risk Assessment Sudden Cardiac Arrest (SCA) occurs abruptly and without warning, and two- ... and health conditions. Start Risk Assessment The Sudden Cardiac Arrest (SCA) Risk Assessment Tool is supported in part ...

  4. Sudden Unexpected Death in Epilepsy (SUDEP)

    Science.gov (United States)

    ... this? Submit What's this? Submit Button Sudden Unexpected Death in Epilepsy (SUDEP) Recommend on Facebook Tweet Share ... living with epilepsy, the risk of Sudden Unexpected Death in Epilepsy (SUDEP) is an important concern. SUDEP ...

  5. Lab Experiments Probe Interactions Between Dilute Pyroclastic Density Currents and 3D Barriers

    Science.gov (United States)

    Fauria, K.; Andrews, B. J.; Manga, M.

    2014-12-01

    We conducted scaled laboratory experiments of unconfined dilute pyroclastic density currents (PDCs) to examine interactions between three - dimensional obstacles and dilute PDCs. While it is known that PDCs can surmount barriers by converting kinetic energy into potential energy, the signature of topography on PDC dynamics is unclear. To examine the interplay between PDCs and topography, we turbulently suspended heated and ambient-temperature 20 μm talc powder in air within an 8.5 x 6.1 x 2.6 m tank. Experimental parameters (Froude number, densimetric and thermal Richardson number, particle Stokes and Settling numbers) were scaled such that the experimental currents were dynamically similar to natural PCS. The Reynolds number, however, is much smaller than in natural currents, but still large enough for the flows to be turbulent. We placed cylindrical and ridge-like objects in the path of the currents, illuminated the currents with orthogonal laser sheets, and recorded each experiment with high definition cameras. We observed currents surmounting ridge-like barriers (barrier height = current height). Slanted ridges redirected the currents upward and parallel to the upstream face of the ridges (~45° from horizontal). Down stream of the slanted ridges, ambient-temperature currents reattached to the floor. By comparison, hot currents reversed buoyancy and lifted off. These observations suggest that obstacles enhance air entrainment, a process key to affecting runout distance and the depletion of fine particles in ignimbrites. Moreover, we observed vortex shedding in the wake of cylinders. Our experiments demonstrate that barriers of various shapes affect PDC dynamics and can shorten PDC runout distances. Understanding the effects of topography on PDCs is required for interpreting many deposits because processes such as vortex shedding and topographically-induced changes in turbulent length scales and entrainment likely leave depositional signatures.

  6. Current CAPE-15: a measure of recent psychotic-like experiences and associated distress.

    Science.gov (United States)

    Capra, Carina; Kavanagh, David J; Hides, Leanne; Scott, James G

    2017-10-01

    Psychotic-like experiences (PLEs) are common in young people and are associated with both distress and adverse outcomes. The Community Assessment of Psychic Experiences-Positive Scale (CAPE-P) provides a 20-item measure of lifetime PLEs. A 15-item revision of this scale was recently published (CAPE-P15). Although the CAPE-P has been used to assess PLEs in the last 12 months, there is no version of the CAPE for assessing more recent PLEs (e.g. 3 months). This study aimed to determine the reliability and validity of the current CAPE-P15 and assess its relationship with current distress. A cross-sectional online survey of 489 university students (17-25 years) assessed lifetime and current substance use, current distress, and lifetime and 3-month PLEs on the CAPE-P15. Confirmatory factor analysis indicated that the current CAPE-P15 retained the same three-factor structure as the lifetime version consisting of persecutory ideation, bizarre experiences and perceptual abnormalities. The total score of the current version was lower than the lifetime version, but the two were strongly correlated (r = .64). The current version was highly predictive of generalized distress (r = .52) and indices that combined symptom frequency with associated distress did not confer greater predictive power than frequency alone. This study provided preliminary data that the current CAPE-P15 provides a valid and reliable measure of current PLEs. The current CAPE-P15 is likely to have substantial practical utility if it is later shown to be sensitive to change, especially in prevention and early intervention for mental disorders in young people. © 2015 Wiley Publishing Asia Pty Ltd.

  7. Sudden hearing loss in children.

    Science.gov (United States)

    Ječmenica, Jovana; Bajec-Opančina, Aleksandra

    2014-08-01

    Sudden sensorineural hearing loss (SSHL) is defined as a unilateral or bilateral sensorineural hearing loss with at least 30 dB decrease in threshold in 3 contiguous test frequencies occurring over 72 hours or less. It is very rare in children. Sudden hearing loss is a symptom that suggests that there is a problem in the inner ear, surrounding structures, or the whole organism. The etiology and development of this disorder are still not fully understood. The literature contains numerous models of the pathogenesis of SSHL, with childhood SSHL having certain peculiarities. In practical terms, the multifactorial nature of SSHL is important in the choice of diagnostic methods and treatment methods. It is important to determine the cause and effect relationship between the underlying disease and hearing loss. © The Author(s) 2014.

  8. [Sudden death in competitive athletes].

    Science.gov (United States)

    Juszczyk, Zdzisław

    2007-01-01

    In athletes under the age of 35 years the incidence of sudden death is low, most causes to be due to ventricular arrhythmias, usually provoked by exertion, and nearly always occur in the presence of structural heart disease or abnormalities in the conduction system. The most common structural disease is hypertrophic cardiomyopathy followed by coronary artery anomalies, idiopathic dilated cardiomyopathy, arrhythmogenic right ventricular dysplasia, aortic stenosis, myocarditis, the Wolff-Parkinson-White syndrome, and long QT syndrome. The evaluation of athletes with symptoms of cardiac arrhythmias, syncope, family history of sudden death require a complete cardiac workup. If they have documented hypertrophic cardiomyopathy, arrhythmogenic right ventricular dysplasia, idiopathic dilated cardiomyopathy, long QT syndrome, family history presentation with sudden death, and septal thickness greater than 20 mm competitive athletics are generally prohibited. In athletes with asymptomatic bradyarrhythmia, supraventricular tachycardias and atrial premature contractions without structural heart disease all competitive sports are allowed if heart rate in bradyarrhythmia appropriately increases with exercise. Athletes with premature ventricular contraction, nonsustained ventricular tachycardia and non structural heart disease are without athletic restriction as long as the arrhythmia does not worsen on exertion and cause dyspnea, presyncope or syncope.

  9. Escherichia coli and Sudden Infant Death Syndrome.

    Science.gov (United States)

    Bettelheim, Karl A; Goldwater, Paul N

    2015-01-01

    This review examines the association of strains of Escherichia coli with sudden infant death syndrome (SIDS) and the possible role these bacteria play in this enigmatic condition. The review addresses evidence for E. coli in SIDS infants, potential sources of E. coli in the environment, colonization by commensal and pathogenic strains, the variety of currently accepted pathotypes, and how these pathotypes could compromise intestinal integrity and induce inflammation. Both intestinal and extraintestinal pathotypes are compared in relation to the apparent liability in which virulence traits can be gained or lost by strains of E. coli. The way in which E. coli infections fit with current views on infant sleeping position and other SIDS risk factors is highlighted.

  10. Escherichia coli and Sudden Infant Death Syndrome

    Directory of Open Access Journals (Sweden)

    Paul Nathan Goldwater

    2015-07-01

    Full Text Available This review examines the association of strains of Escherichia coli with Sudden Infant Death Syndrome (SIDS and the possible role of these bacteria play in this enigmatic condition. The review addresses evidence for E. coli in SIDS infants, potential sources of E. coli in the environment, colonisation by commensal and pathogenic strains, the variety of currently accepted pathotypes, and how these pathotypes could compromise intestinal integrity and induce inflammation. Both intestinal and extraintestinal pathotypes are compared in relation to the apparent lability in which virulence traits can be gained or lost by strains of E. coli. The way in which E. coli infections fit with current views on infant sleeping position and other SIDS risk factors is highlighted.

  11. Infant sudden death: Mutations responsible for impaired Nav1.5 channel trafficking and function.

    Science.gov (United States)

    Gando, Ivan; Morganstein, Jace; Jana, Kundan; McDonald, Thomas V; Tang, Yingying; Coetzee, William A

    2017-06-01

    Two genetic variants in SCN5A, encoding the Nav1.5 Na+ channel α-subunit, were found in a 5-month-old girl who died suddenly in her sleep. The first variant is a missense mutation, resulting in an amino acid change (Q1832E), which has been described (but not characterized) in a patient with Brugada syndrome. The second is a nonsense mutation that produces a premature stop codon and a C-terminal truncation (R1944Δ). To investigate their functional relevance with patch clamp experiments in transfected HEK-293 cells. The Q1832E mutation drastically reduced Nav1.5 current density. The R1944Δ C-terminal truncation had negligible effects on Nav1.5 current density. Neither of the mutations affected the voltage dependence of steady activation and inactivation or influenced the late Na+ current or the recovery from inactivation. Biochemical and immunofluorescent approaches demonstrated that the Q1832E mutation caused severe trafficking defects. Polymerase chain reaction cloning and sequencing the victim's genomic DNA allowed us to determine that the two variants were in trans. We investigated the functional consequences by coexpressing Nav1.5(Q1832E) and Nav1.5(R1944Δ), which led to a significantly reduced current amplitude relative to wild-type. These sudden infant death syndrome (SIDS)-related variants caused a severely dysfunctional Nav1.5 channel, which was mainly due to trafficking defects caused by the Q1832E mutation. The decreased current density is likely to be a major contributing factor to arrhythmogenesis in Brugada syndrome and the sudden death of this SIDS victim. © 2017 Wiley Periodicals, Inc.

  12. Harmonic Analysis of Currents and Voltages Obtained in the Result of Computational Experiment

    Directory of Open Access Journals (Sweden)

    I. V. Novash

    2011-01-01

    Full Text Available The paper considers a methodology for execution of a harmonic analysis of current and voltage numerical values obtained in the result of a computational experiment and saved in an external data file. The harmonic analysis has been carried out in the Mathcad mathematical packet environment.

  13. Careers; Current Events; Government, U.S.; Insects; Science Experiments; Terrorism, War on.

    Science.gov (United States)

    Web Feet, 2001

    2001-01-01

    This annotated subject guide to Web sites for grades K-8 focuses on careers, current events, government, insects, science experiments, the war on terrorism, and calendar connections for Martin Luther King Day and other January observances. Specific grade levels are indicated for each annotation. (LRW)

  14. Measurement of 3-Axis Magnetic Fields Induced by Current Wires Using a Smartphone in Magnetostatics Experiments

    Science.gov (United States)

    Setiawan, B.; Septianto, R. D.; Suhendra, D.; Iskandar, F.

    2017-01-01

    This paper describes the use of an inexpensive smartphone's magnetic sensor to measure magnetic field components (B[subscript x], B[subscript y] and B[subscript z]) induced by current wires in magnetostatic experiments. The variable parameters used to measure the magnetic sensor's capabilities were: the geometrical shapes of the wire, current…

  15. Linking sudden oak death with spatial economic value transfer

    Science.gov (United States)

    Tom Holmes; Bill Smith

    2008-01-01

    Sudden oak death (caused by Phytophthora ramorum) is currently having a dramatic impact on the flow of ecosystem services provided by trees and forests in California. Timber species in California are not thought to be at risk of mortality from this pathogen and, consequently, economic impacts accrue to non-market values of trees such as aesthetics,...

  16. Myocardial infarction & sudden death in recreational master marathon runners.

    Science.gov (United States)

    Finn, Suzanne Elizabeth; Coviello, Jessica

    2011-02-01

    This review of the current literature on myocardial infarction and sudden death in recreational master marathon runners aims to help raise awareness of the scope of the problem to primary care providers, and to provide guidelines for educating and screening in recreational master marathon runners.

  17. Who Is at Risk for Sudden Cardiac Arrest?

    Science.gov (United States)

    ... Back To Health Topics / Sudden Cardiac Arrest Sudden Cardiac Arrest Also known as Cardiac Arrest , Sudden Cardiac Death ... the condition For People Who Have Survived Sudden Cardiac Arrest If you've already had SCA, you're ...

  18. How Can Death Due to Sudden Cardiac Arrest Be Prevented?

    Science.gov (United States)

    ... Back To Health Topics / Sudden Cardiac Arrest Sudden Cardiac Arrest Also known as Cardiac Arrest , Sudden Cardiac Death ... the condition For People Who Have Survived Sudden Cardiac Arrest If you've already had SCA, you're ...

  19. Sudden cardiac death in the pediatric population.

    Science.gov (United States)

    Gillette, P C; Garson, A

    1992-01-01

    Sudden death in children as in adults is usually due to cardiac disease. Sudden death in the pediatric population may be divided into the sudden infant death syndrome, sudden death in previously apparently healthy children, and sudden death in patients with known cardiac disease. The sudden infant death syndrome is not proved to be due to a cardiac cause and may well be due to central nervous system and/or pulmonary causes. However, interest remains in the cardiac hypothesis. Recent work from our laboratory shows that screening for prolonged QT interval in normal infants is not likely to detect those prone to sudden infant death syndrome. In children with apparently normal hearts, symptoms of syncope or palpitation should be given close attention. Detailed electrocardiography and echocardiography will detect many, but not all, children with subtle forms of heart disease. Vigorous treatment may prevent sudden death in many of these children. Some sort of screening program should be devised for varsity athletes. Children with congenital heart defects are now, for the most part, corrected early in life, so that the congenital heart defect itself rarely causes sudden, unexpected death. The residua and sequelae of the heart defect and the surgery to repair it, however, may lead to sudden death. Improvements in surgical technique and earlier repair of congenital cardiac defects will ameliorate this problem. Prospective evaluation of postoperative patients and attention to dysrhythmias can prevent sudden deaths in those who are prone to them.

  20. Current psychiatric disorders in patients with epilepsy are predicted by maltreatment experiences during childhood.

    Science.gov (United States)

    Labudda, Kirsten; Illies, Dominik; Herzig, Cornelia; Schröder, Katharina; Bien, Christian G; Neuner, Frank

    2017-09-01

    Childhood maltreatment has been shown to be a risk factor for the development of psychiatric disorders. Although the prevalence of psychiatric disorders is high in epilepsy patients, it is unknown if childhood maltreatment experiences are elevated compared to the normal population and if early maltreatment is a risk factor for current psychiatric comorbidities in epilepsy patients. This is the main purpose of this study. Structured interviews were used to assess current Axis I diagnoses in 120 epilepsy patients from a tertiary Epilepsy Center (34 TLE patients, 86 non-TLE patients). Childhood maltreatment in the family and peer victimization were assessed with validated questionnaires. Patients' maltreatment scores were compared with those of a representative matched control group. Logistic regression analysis was conducted to assess the potential impact of childhood maltreatment on current psychiatric comorbidity in epilepsy patients. Compared to a matched control group, epilepsy patients had higher emotional and sexual maltreatment scores. Patients with a current psychiatric diagnosis reported more family and peer maltreatment than patients without a psychiatric disorder. Family maltreatment scores predicted the likelihood of a current psychiatric disorder. TLE patients did not differ from non-TLE patients according to maltreatment experiences and rates of current psychiatric disorders. Our findings suggest that in epilepsy patients emotional and sexual childhood maltreatment is experienced more often than in the normal population and that early maltreatment is a general risk factor for psychiatric comorbidities in this group. Copyright © 2017 Elsevier B.V. All rights reserved.

  1. Experience of 12 kA / 16 V SMPS during the HTS Current Leads Test

    Science.gov (United States)

    Panchal, P.; Christian, D.; Panchal, R.; Sonara, D.; Purwar, G.; Garg, A.; Nimavat, H.; Singh, G.; Patel, J.; Tanna, V.; Pradhan, S.

    2017-04-01

    As a part of up gradation plans in SST-1 Tokamak, one pair of 3.3 kA rated prototype hybrid current leads were developed using Di-BSCCO as High Temperature Superconductors (HTS) and the copper heat exchanger. In order to validate the manufacturing procedure prior to go for series production of such current leads, it was recommended to test these current leads using dedicated and very reliable DC switch mode power supply (SMPS). As part of test facility, 12 kA, 16 VDC programmable SMPS was successfully installed, commissioned and tested. This power supply has special features such as modularity, N+1 redundancy, very low ripple voltage, precise current measurements with Direct Current Current Transformer, CC/CV modes with auto-crossover and auto-sequence programming. As a part of acceptance of this converter, A 5.8 mΩ water-cooled resistive dummy load and PLC based SCADA system is designed, developed for commissioning of power supply. The same power supply was used for the testing of the prototype HTS current leads. The paper describes the salient features and experience of state-of-art of power supply and results obtained from this converter during the HTS current leads test.

  2. Including Alternative Resources in State Renewable Portfolio Standards: Current Design and Implementation Experience

    Energy Technology Data Exchange (ETDEWEB)

    Heeter, J.; Bird, L.

    2012-11-01

    Currently, 29 states, the District of Columbia, and Puerto Rico have instituted a renewable portfolio standard (RPS). An RPS sets a minimum threshold for how much renewable energy must be generated in a given year. Each state policy is unique, varying in percentage targets, timetables, and eligible resources. This paper examines state experience with implementing renewable portfolio standards that include energy efficiency, thermal resources, and non-renewable energy and explores compliance experience, costs, and how states evaluate, measure, and verify energy efficiency and convert thermal energy. It aims to gain insights from the experience of states for possible federal clean energy policy as well as to share experience and lessons for state RPS implementation.

  3. Formation of Cyclic Steps due to the Surge-type Turbidity Currents in a Flume Experiment

    Science.gov (United States)

    Yokokawa, M.

    2016-12-01

    Supercritical turbidity currents often form crescentic step-like wavy structures, which have been found at the submarine canyons, and deltaic environments. Field observations of turbidity currents and seabed topography on the Squamish delta in British Columbia, Canada revealed that cyclic steps formed by the surge-type turbidity currents (e.g., Hughes Clarke et al., 2012a; 2012b; 2014). The high-density portion of the flow, which affects the sea floor morphology, lasted only 30-60 seconds. The questions arise if we can reconstruct paleo-flow condition from the morphologic features of these steps. We don't know answers right now because there have been no experiments about the formative conditions of cyclic steps due to the "surge-type" turbidity currents. Here we did preliminary experiments on the formation of cyclic steps due to the multiple surge-type density currents, and compare the morphology of the steps with those of Squamish delta. First of all, we measured wave length and wave height of each step from profiles of each channels of Squamish delta from the elevation data and calculated the wave steepness. Wave steepness of active steps ranges about 0.05 to 0.15, which is relatively larger compare with those of other sediment waves. And in general, wave steepness is larger in the proximal region. The experiments had been performed at Osaka Institute of Technology. A flume, which is 7.0 m long, 0.3 m deep and 2 cm wide, was suspended in a larger tank, which is 7.6 m long, 1.2 m deep and 0.3 m wide, filled with water. The inner flume tilted at 7 degrees. Mixture of salt water (1.17 g/cm3) and plastic particles (1.5 g/cm3, 0.1-0.18 mm in diameter), whose weight ratio is 10:1, poured into the upstream end of the inner flume from head tank for 5 seconds. Discharge of the mixture was 240mL/s, thus for 5seconds 1200mL of mixture was released into the inner flume. We made 130 surges. As a result, four steps were formed ultimately, which were moving toward upstream

  4. Modeling, measurement, and 3-D equilibrium reconstruction of the bootstrap current in the Helically Symmetric Experiment

    Energy Technology Data Exchange (ETDEWEB)

    Schmitt, J. C.; Talmadge, J. N.; Anderson, D. T. [Department of Electrical and Computer Engineering, University of Wisconsin-Madison, Madison, Wisconsin 53706 (United States); Hanson, J. D. [Department of Physics, Auburn University, Auburn, Alabama 36849 (United States)

    2014-09-15

    The bootstrap current for three electron cyclotron resonance heated plasma scenarios in a quasihelically symmetric stellarator (the Helically Symmetric Experiment) are analyzed and compared to a neoclassical transport code PENTA. The three conditions correspond to 50 kW input power with a resonance that is off-axis, 50 kW on-axis heating and 100 kW on-axis heating. When the heating location was moved from off-axis to on-axis with 50 kW heating power, the stored energy and the extrapolated steady-state current were both observed to increase. When the on-axis heating power was increased from 50 kW to 100 kW, the stored energy continued to increase while the bootstrap current slightly decreased. This trend is qualitatively in agreement with the calculations which indicate that a large positive electric field for the 100 kW case was driving the current negative in a small region close to the magnetic axis and accounting for the decrease in the total integrated current. This trend in the calculations is only observed to occur when momentum conservation between particle species is included. Without momentum conservation, the calculated bootstrap current increases monotonically. We show that the magnitude of the bootstrap current as calculated by PENTA agrees better with the experiment when momentum conservation between plasma species is included in the calculation. The total current was observed in all cases to flow in a direction to unwind the transform, unlike in a tokamak in which the bootstrap current adds to the transform. The 3-D inductive response of the plasma is simulated to predict the evolution of the current profile during the discharge. The 3-D equilibrium reconstruction code V3FIT is used to reconstruct profiles of the plasma pressure and current constrained by measurements with a set of magnetic diagnostics. The reconstructed profiles are consistent with the measured plasma pressure profile and the simulated current profile when the

  5. Sudden cardiac death in athletes

    OpenAIRE

    Bockeria O.L.; Ispir’yan A.Yu.

    2013-01-01

    Cases of sudden cardiac death (SCD) in young athletes during physical exercises are rare. According to the data of prospective population study performed in Veneto (Italy), incidence of SCD is 2.3 cases per year (2.6 among men and 1.1 among women) per 100,000 athletes aged 12 to 35 years for all reasons. Out of them 2.1 cases of SCD were caused by cardiovascular diseases. Coronary artery disease is the most frequent cause of SCD in athletes aged over 35 years. Also there are a number of other...

  6. Unravelling the mysteries of sudden unexpected death in epilepsy.

    Science.gov (United States)

    Hampel, K G; Rocamora Zuñiga, R; Quesada, C M

    2017-04-18

    Sudden unexpected death in epilepsy (SUDEP) is the most frequent cause of premature death in epileptic patients. Most SUDEP events occur at night and frequently go unnoticed; the exact pathophysiological mechanisms of this phenomenon therefore remain undetermined. Nevertheless, most cases of SUDEP are attributed to an infrequent yet extremely severe complication of epileptic seizures. We conducted a systematic literature search on PubMed. Our review article summarises scientific evidence on the classification, pathophysiological mechanisms, risk factors, biomarkers, and prevention of SUDEP. Likewise, we propose new lines of research and critically analyse findings that are relevant to clinical practice. Current knowledge suggests that SUDEP is a heterogeneous phenomenon caused by multiple factors. In most cases, however, SUDEP is thought to be due to postictal cardiorespiratory failure triggered by generalised tonic-clonic seizures and ultimately leading to cardiac arrest. The underlying pathophysiological mechanism involves multiple factors, ranging from genetic predisposition to environmental factors. Risk of SUDEP is higher in young adults with uncontrolled generalised tonic-clonic seizures. However, patients apparently at lower risk may also experience SUDEP. Current research focuses on identifying genetic and neuroimaging biomarkers that may help determine which patients are at high risk for SUDEP. Antiepileptic treatment is the only preventive measure proven effective to date. Night-time monitoring together with early resuscitation may reduce the risk of SUDEP. Copyright © 2017 Sociedad Española de Neurología. Publicado por Elsevier España, S.L.U. All rights reserved.

  7. Assigning cause for sudden unexpected infant death.

    Science.gov (United States)

    Hunt, Carl E; Darnall, Robert A; McEntire, Betty L; Hyma, Bruce A

    2015-06-01

    We have reached a conundrum in assigning cause of death for sudden unexpected infant deaths. We summarize the discordant perspectives and approaches and how they have occurred, and recommend a pathway toward improved consistency. This lack of consistency affects pediatricians and other health care professionals, scientific investigators, medical examiners and coroners, law enforcement agencies, families, and support or advocacy groups. We recommend that an interdisciplinary international committee be organized to review current approaches for assigning cause of death, and to identify a consensus strategy for improving consistency. This effort will need to encompass intrinsic risk factors or infant vulnerability in addition to known environmental risk factors including unsafe sleep settings, and must be sufficiently flexible to accommodate a progressively expanding knowledge base.

  8. Dentists' leadership-related educational experiences, attitudes, and past and current behavior.

    Science.gov (United States)

    Taichman, L Susan; Taichman, Russell S; Inglehart, Marita R

    2014-06-01

    The purpose of this study was to assess practicing dentists' perceptions of their leadership-related educational experiences during predoctoral education and after graduation, to investigate if these perceptions differed as a function of the respondents' graduation year and gender, and to explore the relationships between educational experiences and the respondents' understanding/perceptions of leadership, leadership-related attitudes, self-perceived effectiveness, and past and current leadership- related behavior. Of the 3,000 general dentist members of the American Dental Association who were invited to participate, 593 returned the survey for a response rate of 20 percent. Between 37 and 65 percent of the respondents indicated that their predoctoral dental education had not prepared them well on a series of factors related to being leaders in their practice, community, state, or at the national level. However, 33 to 77 percent of these dentists responded that educational experiences after graduation prepared them well for different types of leadership activities. Overall, respondents rated their predoctoral experiences significantly less positively than their experiences after graduation for each content area. The more recently the respondents had graduated, the higher they rated their leadership-related educational experiences. The better their educational experiences, the more important the respondents evaluated leadership activities in their practice, organized dentistry, and research/teaching, the more important they assessed leadership to be, and the more effective they evaluated themselves to be as leaders. The perceived quality of the respondents' predoctoral education was not correlated with their past and current leadership activities. The results of this study may suggest that improving leadership training during predoctoral education could positively affect future dentists' attitudes about leadership and ratings of their own effectiveness as leaders.

  9. Optimization of current waveform tailoring for magnetically driven isentropic compression experiments

    Science.gov (United States)

    Waisman, E. M.; Reisman, D. B.; Stoltzfus, B. S.; Stygar, W. A.; Cuneo, M. E.; Haill, T. A.; Davis, J.-P.; Brown, J. L.; Seagle, C. T.; Spielman, R. B.

    2016-06-01

    The Thor pulsed power generator is being developed at Sandia National Laboratories. The design consists of up to 288 decoupled and transit time isolated capacitor-switch units, called "bricks," that can be individually triggered to achieve a high degree of pulse tailoring for magnetically driven isentropic compression experiments (ICE) [D. B. Reisman et al., Phys. Rev. Spec. Top.-Accel. Beams 18, 090401 (2015)]. The connecting transmission lines are impedance matched to the bricks, allowing the capacitor energy to be efficiently delivered to an ICE strip-line load with peak pressures of over 100 GPa. Thor will drive experiments to explore equation of state, material strength, and phase transition properties of a wide variety of materials. We present an optimization process for producing tailored current pulses, a requirement for many material studies, on the Thor generator. This technique, which is unique to the novel "current-adder" architecture used by Thor, entirely avoids the iterative use of complex circuit models to converge to the desired electrical pulse. We begin with magnetohydrodynamic simulations for a given material to determine its time dependent pressure and thus the desired strip-line load current and voltage. Because the bricks are connected to a central power flow section through transit-time isolated coaxial cables of constant impedance, the brick forward-going pulses are independent of each other. We observe that the desired equivalent forward-going current driving the pulse must be equal to the sum of the individual brick forward-going currents. We find a set of optimal brick delay times by requiring that the L2 norm of the difference between the brick-sum current and the desired forward-going current be a minimum. We describe the optimization procedure for the Thor design and show results for various materials of interest.

  10. Optimization of current waveform tailoring for magnetically driven isentropic compression experiments

    Energy Technology Data Exchange (ETDEWEB)

    Waisman, E. M.; Reisman, D. B.; Stoltzfus, B. S.; Stygar, W. A.; Cuneo, M. E.; Haill, T. A.; Davis, J.-P.; Brown, J. L.; Seagle, C. T. [Sandia National Laboratories, Albuquerque, New Mexico 87185 (United States); Spielman, R. B. [Idaho State University, Pocatello, Idaho 83201 (United States)

    2016-06-15

    The Thor pulsed power generator is being developed at Sandia National Laboratories. The design consists of up to 288 decoupled and transit time isolated capacitor-switch units, called “bricks,” that can be individually triggered to achieve a high degree of pulse tailoring for magnetically driven isentropic compression experiments (ICE) [D. B. Reisman et al., Phys. Rev. Spec. Top.–Accel. Beams 18, 090401 (2015)]. The connecting transmission lines are impedance matched to the bricks, allowing the capacitor energy to be efficiently delivered to an ICE strip-line load with peak pressures of over 100 GPa. Thor will drive experiments to explore equation of state, material strength, and phase transition properties of a wide variety of materials. We present an optimization process for producing tailored current pulses, a requirement for many material studies, on the Thor generator. This technique, which is unique to the novel “current-adder” architecture used by Thor, entirely avoids the iterative use of complex circuit models to converge to the desired electrical pulse. We begin with magnetohydrodynamic simulations for a given material to determine its time dependent pressure and thus the desired strip-line load current and voltage. Because the bricks are connected to a central power flow section through transit-time isolated coaxial cables of constant impedance, the brick forward-going pulses are independent of each other. We observe that the desired equivalent forward-going current driving the pulse must be equal to the sum of the individual brick forward-going currents. We find a set of optimal brick delay times by requiring that the L{sub 2} norm of the difference between the brick-sum current and the desired forward-going current be a minimum. We describe the optimization procedure for the Thor design and show results for various materials of interest.

  11. Measurement of 3-axis magnetic fields induced by current wires using a smartphone in magnetostatics experiments

    Science.gov (United States)

    Setiawan, B.; Septianto, R. D.; Suhendra, D.; Iskandar, F.

    2017-11-01

    This paper describes the use of an inexpensive smartphone’s magnetic sensor to measure magnetic field components (B x , B y and B z ) induced by current wires in magnetostatic experiments. The variable parameters used to measure the magnetic sensor’s capabilities were: the geometrical shapes of the wire, current flow, and the distance between wire and observation point. The experimental results are in good agreement with the results obtained from calculations using an analytical and numerical approach. In addition, the 2D vectors and magnitude of the magnetic field have been successfully illustrated. This study confirmed that the inexpensive smartphone’s magnetic sensor had a good ability to accurately measure the components of a magnetic field in a magnetostatic experiment, which is especially suitable for undergraduate students.

  12. Assessment of eddy current effects on compression experiments in the TFTR tokamak

    Energy Technology Data Exchange (ETDEWEB)

    Wong, K.L.; Park, W.

    1986-05-01

    The eddy current induced on the TFTR vacuum vessel during compression experiments is estimated based on a cylindrical model. It produces an error magnetic field that generates magnetic islands at the rational magnetic surfaces. The widths of these islands are calculated and found to have some effect on electron energy confinement. However, resistive MHD simulation results indicate that the island formation process can be slowed down by plasma rotation.

  13. Determination of plasma displacement based on eddy current diagnostics for the Keda Torus eXperiment

    Science.gov (United States)

    Tu, Cui; Li, Hong; Liu, Adi; Li, Zichao; Zhang, Yuan; You, Wei; Tan, Mingsheng; Luo, Bing; Adil, Yolbarsop; Hu, Jintong; Wu, Yanqi; Yan, Wentan; Xie, Jinlin; Lan, Tao; Mao, Wenzhe; Ding, Weixing; Xiao, Chijin; Zhuang, Ge; Liu, Wandong

    2017-10-01

    The measurement of plasma displacement is one of the most basic diagnostic tools in the study of plasma equilibrium and control in a toroidal magnetic confinement configuration. During pulse discharge, the eddy current induced in the vacuum vessel and shell will produce an additional magnetic field at the plasma boundary, which will have a significant impact on the measurement of plasma displacement using magnetic probes. In the newly built Keda Torus eXperiment (KTX) reversed field pinch device, the eddy current in the composite shell can be obtained at a high spatial resolution. This device offers a new way to determine the plasma displacement for KTX through the multipole moment expansion of the eddy current, which can be obtained by unique probe arrays installed on the inner and outer surfaces of the composite shell. In an ideal conductor shell approximation, the method of multipole moment expansion of the poloidal eddy current for measuring the plasma displacement in toroidal coordinates, is more accurate than the previous method based on symmetrical magnetic probes, which yielded results in cylindrical coordinates. Through an analytical analysis of many current filaments and numerical simulations of the current distribution in toroidal coordinates, the scaling relation between the first moment of the eddy current and the center of gravity of the plasma current is obtained. In addition, the origin of the multipole moment expansion of the eddy current in KTX is retrieved simultaneously. Preliminary data on the plasma displacement have been collected using these two methods during short pulse discharges in the KTX device, and the results of the two methods are in reasonable agreement.

  14. Cytokines and sudden infant death.

    Science.gov (United States)

    Vennemann, Mechtild M T; Loddenkötter, Brigitte; Fracasso, Tony; Mitchell, Edwin A; Debertin, Annette S; Larsch, Klaus P; Sperhake, Jan P; Brinkmann, Bernd; Sauerland, Cristina; Lindemann, Monika; Bajanowski, Thomas

    2012-03-01

    It has been hypothesised that inflammatory reactions could play an important role in the pathway(s) leading to sudden and unexpected death in infancy. On a molecular level, these reactions are regulated by various cytokines. To characterise the role of IL-1ß, IL-6 and TNFα more precisely, the concentrations of these cytokines were determined quantitatively using specific ELISA techniques in serum and cerebrospinal fluid (CSF) in 119 cases of sudden infant death. The infants were grouped into four categories (SIDS, SIDS with infection, natural death due to infection and unnatural death). A good correlation was found between CSF and serum for IL-6 (Spearman correlation coefficients (SCC), 0.73) and also for TNFα (SCC, 0.57), although the CSF concentrations were lower than that from the serum. There were no significant differences between the categories of death for any of the serum or CSF cytokines. Compared with normal values, increased serum concentrations of IL-1ß, IL-6 and TNFα were found in 70%, 69% and 38% of the cases respectively, indicating possible agonal or post-mortem changes of cytokine concentrations. In three cases very high cytokine concentrations were found (mainly for IL-6). This may have contributed to the mechanism of death (cytokine storm) in two of the cases. In a small group of patients, very high cytokine concentrations are a possible explanation for the cause of death ("cytokine storm").

  15. Adult Sexual Experiences as a Mediator Between Child Abuse and Current Secretory Immunoglobulin A Levels.

    Science.gov (United States)

    Waldron, Jonathan C; Scarpa, Angela; Kim-Spoon, Jungmeen; Coe, Christopher L

    2016-03-01

    The current study investigated whether a history of child abuse is a predictor of adult immune status, with unwanted adult sexual experiences as a proximal mediator. Participants included 89 young adult women (M(age) = 19.24) who were classified as having experienced no child abuse, child physical abuse, or child sexual abuse, based upon self-reported victimization history before 14 years of age. Participants also reported on unwanted sexual experiences in young adulthood and provided four saliva samples, which were collected over two consecutive days to determine secretory immunoglobulin A (sIgA). Age and negative life events were considered as covariates. The results indicated that adult sexual victimization partially mediated the relationship between child abuse (physical and sexual) and sIgA. Specifically, child abuse experiences predicted more adult sexual victimization experiences, which in turn predicted lower sIgA levels. These findings support long-term health effects of victimization, and suggest that the influence of child abuse on sIgA may be perpetuated through adult victimization. Prevention efforts should aim to empower child maltreatment survivors with skills to prevent adult re-victimization. By thwarting future unwanted sexual experiences in adulthood, individuals will be better protected from the health impairments associated with early abuse experiences. © The Author(s) 2014.

  16. Sudden unexpected death caused by stroke

    DEFF Research Database (Denmark)

    Ågesen, Frederik Nybye; Risgaard, Bjarke; Zachariasardóttir, Sára

    2018-01-01

    Background Stroke is the fifth leading cause of death in young individuals globally. Data on the burden of sudden death by stroke are sparse in the young. Aims The aim of this study was to report mortality rates, cause of death, stroke subtype, and symptoms in children and young adults who suffered...... sudden death by stroke. Methods We conducted a retrospective, nationwide study including all deaths within Danish borders between 2000-2009 and 2007-2009 in persons aged 1-35 years and 36-49 years, respectively. Two physicians identified all sudden death cases through review of all death certificates....... All available autopsy reports and records from hospitals and general practitioners were retrieved and a neurologist identified all sudden death by stroke cases. Results Of the 14,567 deaths in the 10-year period, there were 1,698 sudden death cases, of which 52 (3%) were sudden death by stroke...

  17. The Heidelberg High Current Injector A Versatile Injector for Storage Ring Experiments

    CERN Document Server

    Von Hahn, R; Repnow, R; Schwalm, D; Welsch, C P

    2004-01-01

    The High Current Injector (HCI) was designed and built as a dedicated injector for the Test Storage Ring in Heidelberg to deliver mainly singly charged Li- and Be-ions. After start for routine operation in 1999 the HCI delivered stable beams during the following years for about 50 % of the experiments with very high reliability. Due to the requirements from the experiment the HCI changed during that period from a machine for singly charged positive ions to an injector for a large variety of molecules as well as positively or negatively charged light ions. After successful commissioning of the custom built 18 GHz high power ECR-source at its present test location various modifications and additions were made in preparation of a possible conversion into an injector for highly charged heavy ions as a second phase. This paper gives an overview of the experience gained in the passed 5 years and presents the status of the upgrade of the HCI.

  18. Lower hybrid current drive experiments in support of high confinement long pulse operation in EAST

    Science.gov (United States)

    Ekedahl, Annika; Ding, Bojiang; Gong, Xianzu; Goniche, Marc; Li, Miaohui; Peysson, Yves; Qian, Jinping; Hillairet, Julien; Hoang, Tuong; Liu, Fukun; Qin, Chengming; Song, Yuantao; Wang, Xiaojie; Zhang, Xinjun; Zhao, Yanping; Zou, Xiao-Lan

    2017-10-01

    The lower hybrid current drive (LHCD) system plays a crucial role in the mission of the Experimental Advanced Superconducting Tokamak (EAST) and is a prerequisite for reaching long pulse, high confinement plasmas on EAST [1, 2]. LHCD experiments and modelling [3] have been carried out on EAST in 2015-2016, with the aim to optimising EAST long pulse scenarios, and at the same time gain experience for the exploitation of WEST [4]. Experiments have been carried out to study the LH current drive efficiency in different plasma configurations (Upper Single Null and Lower Single Null). The effect of the gas feed location on the LH wave coupling was investigated by comparing gas fuelling from high field side, low field side and upper divertor. In view of long pulse H-mode scenarios, a series of H-mode experiments were conducted where all the heating power was provided by RF heating methods only, i.e. LHCD, ECRH and ICRH. H-modes were sustained in both Upper Single Null (W divertor) and Lower Single Null (carbon divertor) configurations, with loop voltage maintained as low as 50 mV.

  19. Laboratory experiment on the 3D tide-induced Lagrangian residual current using the PIV technique

    Science.gov (United States)

    Chen, Yang; Jiang, Wensheng; Chen, Xu; Wang, Tao; Bian, Changwei

    2017-12-01

    The 3D structure of the tide-induced Lagrangian residual current was studied using the particle image velocimetry (PIV) technique in a long shallow narrow tank in the laboratory. At the mouth of the tank, a wave generator was used to make periodic wave which represents the tide movement, and at the head of the tank, a laterally sloping topography with the length of one fifth of the water tank was installed, above which the tide-induced Lagrangian residual current was studied. Under the weakly nonlinear condition in the present experiment setup, the results show that the Lagrangian residual velocity (LRV) field has a three-layer structure. The residual current flows inwards (towards the head) in the bottom layer and flows outwards in the middle layer, while in the surface layer, it flows inwards along the shallow side of the sloping topography and outwards along the deep side. The depth-averaged and breadth-averaged LRV are also analyzed based on the 3D LRV observations. Our results are in good agreement with the previous experiment studies, the analytical solutions with similar conditions and the observational results in real bays. Moreover, the volume flux comparison between the Lagrangian and Eulerian residual currents shows that the Eulerian residual velocity violates the mass conservation law while the LRV truly represents the inter-tidal water transport. This work enriches the laboratory studies of the LRV and offers valuable references for the LRV studies in real bays.

  20. Potential scour for marine current turbines based on experience of offshore wind turbine

    Science.gov (United States)

    Chen, L.; Lam, W. H.; Shamsuddin, A. H.

    2013-06-01

    The oceans have tremendous untapped natural resources. These sources are capable to make significant contribution to our future energy demands. Marine current energy offers sustainable and renewable alternative to conventional sources. Survival problems of Marine Current Turbines (MCTs) need to be addressed due to the harsh marine environment. The analogous researches in wind turbine have been conducted. Some of the results and knowledge are transferable to marine current energy industry. There still exist some gaps in the state of knowledge. Scour around marine structures have been well recognised as an engineering issue as scour is likely to cause structural instability. This paper aims to review different types of foundation of MCTs and potential scour and scour protection around these foundations based on the experience of offshore wind turbine farm.

  1. [Sudden cardiac death: Are women different?

    Science.gov (United States)

    Karam, N; Marijon, E; Bougouin, W; Spaulding, C; Jouven, X

    2016-12-01

    Sudden cardiac death is a major public health problem with around 40,000 cases per year in France. Epidemiological, clinical and prognostic differences according to gender have been described in most cardiovascular diseases, including sudden cardiac death. In this article, we will review gender differences in sudden cardiac death incidence, circumstance of occurrence, management, and prognosis. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  2. Sudden infant death syndrome, sleep, and seizures.

    Science.gov (United States)

    Hoppenbrouwers, Toke

    2015-06-01

    benign febrile seizures seen in 7% of infants before 6 months play a role in the terminal pathway in a subset of sudden infant death syndrome victims. Supporting evidence: (1) lack of 5-hydroxitryptamine, one consistent finding in sudden infant death syndrome that Kinney et al coined a developmental serotonopathy, is consistent with risk for seizures. (2) Non-rapid eye movement sleep increasing during the age of highest risk for sudden infant death syndrome facilitates some seizures (seizure gate). (3) Sudden unexpected death in epilepsy is associated with severe hypoxemia and hypercapnia during postictal generalized electroencephalographic (EEG) suppression. In toddlers, sudden unexplained deaths are associated with hippocampal abnormalities and some seizures. (4) The sudden nature of both deaths warrants an exploration of similarities in the terminal pathway. Moreover, sudden infant death syndrome, febrile seizures, sudden unexplained death in childhood, and sudden unexpected death in epilepsy share some of the following risk factors: prone sleeping, infections, hyperthermia, preterm birth, male gender, maternal smoking, and mutations in genes that regulate sodium channels. State-of-the-art molecular studies can be exploited to test this hypothesis. © The Author(s) 2014.

  3. Sudden Unexpected Infant Death and Sudden Infant Death Syndrome: Reducing the Risk

    Science.gov (United States)

    ... caregivers can take to reduce the risk of sudden infant death syndrome (SIDS) and other sleep-related deaths. Grief ... researchers don’t know the exact causes of Sudden Infant Death Syndrome (SIDS). However, research shows parents and caregivers ...

  4. Characterization of the plasma current quench during disruptions in the National Spherical Torus Experiment

    Energy Technology Data Exchange (ETDEWEB)

    Gerhardt, S.P., Menard, J.E., and the NSTX Research Team

    2008-12-17

    A detailed analysis of the plasma current quench in the National Spherical Torus Experiment [M.Ono, et al Nuclear Fusion 40, 557 (2000)] is presented. The fastest current quenches are fit better by a linear waveform than an exponential one. Area-normalized current quench times down to .4 msec/m2 have been observed, compared to the minimum of 1.7 msec/m2 recommendation based on conventional aspect ratio tokamaks; as noted in previous ITPA studies, the difference can be explained by the reduced self-inductance at low aspect ratio and high-elongation. The maximum instantaneous dIp/dt is often many times larger than the mean quench rate, and the plasma current before the disruption is often substantially less than the flat-top value. The poloidal field time-derivative during the disruption, which is directly responsible for driving eddy currents, has been recorded at various locations around the vessel. The Ip quench rate, plasma motion, and magnetic geometry all play important roles in determining the rate of poloidal field change.

  5. Modeling, Simulation, and Experiment of Switched Reluctance Ocean Current Generator System

    Directory of Open Access Journals (Sweden)

    Hao Chen

    2013-01-01

    Full Text Available This paper presents nonlinear simulation model of switched reluctance (SR ocean current generator system on MATLAB/SIMULINK with describing the structure of generator system. The developed model is made up of main model, rotor position calculation module, controller module, gate module, power converter module, phase windings module, flux-linkage module, torque module, and power calculation module. The magnetization curves obtained by two-dimensional finite-element electromagnetic field calculation and the conjugated magnetic energy graphics obtained from the three-dimensional graphics of flux linkage are stored in the “Lookup Table” modules on MATLAB/SIMULINK. The hardware of the developed three-phase 12/8 structure SR ocean current generator system prototype with the experimental platform is presented. The simulation of the prototype is performed by the developed models, and the experiments have been carried out under the same condition with different output power, turn-off angle, and rotor speed. The simulated phase current waveforms agree well with the tested phase current waveforms experimentally. The simulated output voltage curves agree well with the tested output voltage curves experimentally. It is shown that the developed nonlinear simulation model of the three-phase 12/8 structure SR ocean current generator system is valid.

  6. The sudden success of prose

    DEFF Research Database (Denmark)

    Mortensen, Lars Boje

    2017-01-01

    . It is also suggested that the exactly contemporary rise of French and Old Norse prose (c. 1200-1230) most probably is connected. The four literatures are each shown in chronological charts so as to visualize the timeline and the relation between poetic and prosaic works. The article furthermore reflects......The article presents a new model for understanding the sudden success of prose in four literatures: Greek, Latin, French and Old Norse. Through comparison and quantitative observations, and by focusing on the success of prose rather than its invention, it is shown that in all four cases two...... reading aloud) has been underplayed in previous scholarship mostly focused on authorial choices and invention. For two of the literatures (Greek, French) the fast dynamics of the rise of prose has already been identified and discussed, but for the two others (Latin, Old Norse), the observation is new...

  7. Regeneration and tanoak mortality in coast redwood stands affected by sudden oak death

    Science.gov (United States)

    Benjamin S. Ramage; Kevin L. OHara; Alison B. Forreste

    2012-01-01

    Sudden oak death, an emerging disease caused by the exotic pathogen Phytophthora ramorum, is impacting coast redwood (Sequoia sempervirens) forests throughout coastal California. The most severely affected species, tanoak (Notholithocarpus densiflorus), is currently widespread and abundant in the redwood...

  8. Analysis of Current-mode Detectors For Resonance Detection In Neutron Optics Time Reversal Symmetry Experiment

    Science.gov (United States)

    Forbes, Grant; Noptrex Collaboration

    2017-09-01

    One of the most promising explanations for the observed matter-antimatter asymmetry in our universe is the search for new sources of time-reversal (T) symmetry violation. The current amount of violation seen in the kaon and B-meson systems is not sufficient to describe this asymmetry. The Neutron Optics Time Reversal Experiment Collaboration (NOPTREX) is a null test for T violation in polarized neutron transmission through a polarized 139La target. Due to the high neutron flux needed for this experiment, as well as the ability to effectively subtract background noise, a current-mode neutron detector that can resolve resonances at epithermal energies has been proposed. In order to ascertain if this detector design would meet the requirements for the eventual NOPTREX experiment, prototypical detectors were tested at the NOBORU beam at the Japan Proton Accelerator Research Complex (JPARC) facility. Resonances in In and Ta were measured and the collected data was analyzed. This presentation will describe the analysis process and the efficacy of the detectors will be discussed. Department of Energy under Contract DE-SC0008107, UGRAS Scholarship.

  9. Electron Neutrino Charged-Current Quasielastic Scattering in the MINERvA Experiment

    Energy Technology Data Exchange (ETDEWEB)

    Wolcott, Jeremy [Rochester U.

    2015-10-28

    The electron-neutrino charged-current quasielastic (CCQE) cross section on nuclei is an important input parameter to appearance-type neutrino oscillation experiments. Current experiments typically work from the muon neutrino cross section and apply corrections from theoretical arguments to obtain a prediction for the electron neutrino cross section, but to date there has been no experimental verification of the estimates for this channel at an energy scale appropriate to such experiments. We present the first measurement of an exclusive reaction in few-GeV electron neutrino interactions, namely, the cross section for a CCQE-like process, made using the MINERvA detector. The result is given as differential cross-sections vs. the electron energy, electron angle, and square of the four-momentum transferred to the nucleus, $Q^2$. We also compute the ratio to a muon neutrino cross-section in $Q^2$ from MINERvA. We find satisfactory agreement between this measurement and the predictions of the GENIE generator.

  10. Sudden gains in exposure-focused cognitive-behavioral group therapy for panic disorder.

    Science.gov (United States)

    Nogueira-Arjona, Raquel; Santacana, Martí; Montoro, María; Rosado, Silvia; Guillamat, Roser; Vallès, Vicenç; Fullana, Miquel A

    2017-11-01

    In the context of psychological treatment, a sudden gain is a large and enduring improvement in symptom severity that occurs between two single therapy sessions. The influence of sudden gains on long-term outcomes and functional impairment in anxiety disorders is not well understood, and little is known with regard to panic disorder in particular. In addition, previous research on patients with anxiety disorders has produced inconsistent results regarding the relationship between sudden gains and cognitive change. We examined the incidence of sudden gains in a large sample (n = 116) of panic disorder patients undergoing exposure-focused cognitive-behavioral group therapy, and compared panic severity, functional impairment, and cognitive change in patients with and without sudden gains at posttreatment and 6-month follow-up. Participants who experienced sudden gains displayed lower levels of panic severity and functional impairment at posttreatment and 6-month follow-up than those who did not experience sudden gains. However, we observed no difference in cognitive changes between groups, either at posttreatment or at follow-up. Our results demonstrate that the beneficial effects of sudden gains on therapeutic outcomes not only extend to long-term and functional outcome measures but are also evident in less cognitive (i.e., exposure-focused) forms of psychological treatment. Sudden gains are common in panic disorder patients undergoing exposure-based cognitive-behavioral group therapy. Sudden gains during exposure-focused therapy are linked to greater improvement in panic disorder severity and functional impairment. The positive impact of sudden gains on panic disorder severity and functional impairment is maintained in the long term. Copyright © 2017 John Wiley & Sons, Ltd.

  11. Drugs, QTc prolongation and sudden cardiac death

    NARCIS (Netherlands)

    S.M.J.M. Straus (Sabine)

    2005-01-01

    textabstract__Abstract__ The term sudden cardiac death pertains to an unexpected death from cardiac causes within a short time period and has been described throughout history. The ancient Egyptians inscribed on the tomb of a nobleman some 4500 years ago that he had died suddenly and without

  12. Athletes at Risk for Sudden Cardiac Death

    Science.gov (United States)

    Subasic, Kim

    2010-01-01

    High school athletes represent the largest group of individuals affected by sudden cardiac death, with an estimated incidence of once or twice per week. Structural cardiovascular abnormalities are the most frequent cause of sudden cardiac death. Athletes participating in basketball, football, track, soccer, baseball, and swimming were found to…

  13. Sudden Cardiac Death in Children. Part 1

    Directory of Open Access Journals (Sweden)

    Ye.V. Pshenichnaya

    2013-02-01

    Full Text Available This article presents the prevalence, terminology, classification of sudden cardiac death. A description of congenital structural heart diseases associated with a risk of sudden cardiac death is given. The issues of etiology and pathogenesis of life-threatening conditions are described in detail.

  14. An Experimental Study on Flow Boiling Critical Heat Flux Characteristics of Suddenly Expanded Region

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Yong Jin; Song, Sub Lee; Chang, Soon Heung [Korea Advanced Institute of Science and Technology, Daejeon (Korea, Republic of); Moon, Sang Ki [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2014-05-15

    In this experiment, test section has been designed to simulate sudden flow path change due to deformation of cladding. It was tended to simulate cladding deformation that has discontinuous diameter change so coolant flow path changes suddenly. Experiments are in progress. Experiments on test section that simulate deformed flow path which contains sudden contraction and sudden expansion part have been done. Location of CHF has been varied by different condition of experiment. CHF at the outlet of test section fits well into the Macbeth's correlation and data of reference experiment, which was held on plain test section that had same diameter with inlet diameter of deformed test section. CHF at sudden expansion part was in churn flow regime and CHF was very low compared to expectation. It is discussed that liquid film separation from wall or bubble accumulation by backflow might be the reason of this result. For future work, experiments for two additional blockage ratio conditions will be carried out. Also, discussion and model development for deformed channel with sudden expand flow path will be held on.

  15. A measurement of coherent neutral pion production in neutrino neutral current interactions in the NOMAD experiment

    Science.gov (United States)

    Kullenberg, C. T.; Mishra, S. R.; Seaton, M. B.; Kim, J. J.; Tian, X. C.; Scott, A. M.; Kirsanov, M.; Petti, R.; Alekhin, S.; Astier, P.; Autiero, D.; Baldisseri, A.; Baldo-Ceolin, M.; Banner, M.; Bassompierre, G.; Benslama, K.; Besson, N.; Bird, I.; Blumenfeld, B.; Bobisut, F.; Bouchez, J.; Boyd, S.; Bueno, A.; Bunyatov, S.; Camilleri, L.; Cardini, A.; Cattaneo, P. W.; Cavasinni, V.; Cervera-Villanueva, A.; Challis, R.; Chukanov, A.; Collazuol, G.; Conforto, G.; Conta, C.; Contalbrigo, M.; Cousins, R.; Degaudenzi, H.; De Santo, A.; Del Prete, T.; Di Lella, L.; do Couto e Silva, E.; Dumarchez, J.; Ellis, M.; Feldman, G. J.; Ferrari, R.; Ferrère, D.; Flaminio, V.; Fraternali, M.; Gaillard, J.-M.; Gangler, E.; Geiser, A.; Geppert, D.; Gibin, D.; Gninenko, S.; Godley, A.; Gomez-Cadenas, J.-J.; Gosset, J.; Gößling, C.; Gouanère, M.; Grant, A.; Graziani, G.; Guglielmi, A.; Hagner, C.; Hernando, J.; Hurst, P.; Hyett, N.; Iacopini, E.; Joseph, C.; Juget, F.; Kent, N.; Klimov, O.; Kokkonen, J.; Kovzelev, A.; Krasnoperov, A.; Kulagin, S.; Lacaprara, S.; Lachaud, C.; Lakić, B.; Lanza, A.; La Rotonda, L.; Laveder, M.; Letessier-Selvon, A.; Levy, J.-M.; Ling, J.; Linssen, L.; Ljubičić, A.; Long, J.; Lupi, A.; Lyubushkin, V.; Marchionni, A.; Martelli, F.; Méchain, X.; Mendiburu, J.-P.; Meyer, J.-P.; Mezzetto, M.; Moorhead, G. F.; Naumov, D.; Nédélec, P.; Nefedov, Yu.; Nguyen-Mau, C.; Orestano, D.; Pastore, F.; Peak, L. S.; Pennacchio, E.; Pessard, H.; Placci, A.; Polesello, G.; Pollmann, D.; Polyarush, A.; Poulsen, C.; Popov, B.; Rebuffi, L.; Rico, J.; Riemann, P.; Roda, C.; Rubbia, A.; Salvatore, F.; Samoylov, O.; Schahmaneche, K.; Schmidt, B.; Schmidt, T.; Sconza, A.; Sevior, M.; Sillou, D.; Soler, F. J. P.; Sozzi, G.; Steele, D.; Stiegler, U.; Stipčević, M.; Stolarczyk, Th.; Tareb-Reyes, M.; Taylor, G. N.; Tereshchenko, V.; Toropin, A.; Touchard, A.-M.; Tovey, S. N.; Tran, M.-T.; Tsesmelis, E.; Ulrichs, J.; Vacavant, L.; Valdata-Nappi, M.; Valuev, V.; Vannucci, F.; Varvell, K. E.; Veltri, M.; Vercesi, V.; Vidal-Sitjes, G.; Vieira, J.-M.; Vinogradova, T.; Weber, F. V.; Weisse, T.; Wilson, F. F.; Winton, L. J.; Wu, Q.; Yabsley, B. D.; Zaccone, H.; Zuber, K.; Zuccon, P.

    2009-11-01

    We present a study of exclusive neutral pion production in neutrino-nucleus Neutral Current interactions using data from the NOMAD experiment at the CERN SPS. The data correspond to 1.44 ×106 muon-neutrino Charged Current interactions in the energy range 2.5 ⩽Eν ⩽ 300 GeV. Neutrino events with only one visible π0 in the final state are expected to result from two Neutral Current processes: coherent π0 production, ν + A → ν + A +π0 and single π0 production in neutrino-nucleon scattering. The signature of coherent π0 production is an emergent π0 almost collinear with the incident neutrino while π0's produced in neutrino-nucleon deep inelastic scattering have larger transverse momenta. In this analysis all relevant backgrounds to the coherent π0 production signal are measured using data themselves. Having determined the backgrounds, and using the Rein-Sehgal model for the coherent π0 production to compute the detection efficiency, we obtain 4630 ± 522 (stat) ± 426 (syst) corrected coherent-π0 events with Eπ0 ⩾ 0.5 GeV. We measure σ (νA → νAπ0) = [ 72.6 ± 8.1 (stat) ± 6.9 (syst) ] ×10-40 cm2 /nucleus. This is the most precise measurement of the coherent π0 production to date.

  16. A HIGH CURRENT DENSITY LI+ ALUMINO-SILICATE ION SOURCE FOR TARGET HEATING EXPERIMENTS

    Energy Technology Data Exchange (ETDEWEB)

    Roy, Prabir K.; Greenway, Wayne G.; Kwan, Joe W.; Seidl, Peter A.; Waldron, William L.

    2011-03-23

    The NDCX-II accelerator for target heating experiments has been designed to use a large diameter ({approx_equal} 10.9 cm) Li{sup +} doped alumino-silicate source with a pulse duration of 0.5 {micro}s, and beam current of {approx_equal} 93 mA. Characterization of a prototype lithium alumino-silicate sources is presented. Using 6.35mm diameter prototype emitters (coated on a {approx_equal} 75% porous tungsten substrate), at a temperature of {approx_equal} 1275 C, a space-charge limited Li{sup +} beam current density of {approx_equal} 1 mA/cm{sup 2} was measured. At higher extraction voltage, the source is emission limited at around {approx_equal} 1.5 mA/cm{sup 2}, weakly dependent on the applied voltage. The lifetime of the ion source is {approx_equal} 50 hours while pulsing the extraction voltage at 2 to 3 times per minute. Measurements show that the life time of the ion source does not depend only on beam current extraction, and lithium loss may be dominated by neutral loss or by evaporation. The life time of a source is around {ge} 10 hours in a DC mode extraction, and the extracted charge is {approx_equal} 75% of the available Li in the sample. It is inferred that pulsed heating may increase the life time of a source.

  17. Heart Attack or Sudden Cardiac Arrest: How Are They Different?

    Science.gov (United States)

    ... Thromboembolism Aortic Aneurysm More Heart Attack or Sudden Cardiac Arrest: How Are They Different? Updated:Sep 19,2016 ... flow to the heart is blocked, and sudden cardiac arrest is when the heart malfunctions and suddenly stops ...

  18. Sudden Death in Young People--Heart Problems Often Blamed

    Science.gov (United States)

    Sudden death in young people: Heart problems often blamed Sudden death in young people is rare, but those at ... causes and treatments. By Mayo Clinic Staff Sudden death in people younger than 35, often due to ...

  19. High current, 0.5-MA, fast, 100-ns, linear transformer driver experiments

    Directory of Open Access Journals (Sweden)

    Michael G. Mazarakis

    2009-05-01

    Full Text Available The linear transformer driver (LTD is a new method for constructing high current, high-voltage pulsed accelerators. The salient feature of the approach is switching and inductively adding the pulses at low voltage straight out of the capacitors through low inductance transfer and soft iron core isolation. Sandia National Laboratories are actively pursuing the development of a new class of accelerator based on the LTD technology. Presently, the high current LTD experimental research is concentrated on two aspects: first, to study the repetition rate capabilities, reliability, reproducibility of the output pulses, switch prefires, jitter, electrical power and energy efficiency, and lifetime measurements of the cavity active components; second, to study how a multicavity linear array performs in a voltage adder configuration relative to current transmission, energy and power addition, and wall plug to output pulse electrical efficiency. Here we report the repetition rate and lifetime studies performed in the Sandia High Current LTD Laboratory. We first utilized the prototype ∼0.4-MA, LTD I cavity which could be reliably operated up to ±90-kV capacitor charging. Later we obtained an improved 0.5-MA, LTD II version that can be operated at ±100  kV maximum charging voltage. The experimental results presented here were obtained with both cavities and pertain to evaluating the maximum achievable repetition rate and LTD cavity performance. The voltage adder experiments with a series of double sized cavities (1 MA, ±100  kV will be reported in future publications.

  20. Prediction and Prevention of Sudden Cardiac Death.

    Science.gov (United States)

    Morin, Daniel P; Homoud, Munther K; Estes, N A Mark

    2017-12-01

    Sudden death is a major problem, with significant impact on public health. Many conditions predispose to sudden cardiac death and sudden cardiac arrest (SCA), foremost among them coronary artery disease, and an effective therapy exists in the form of the implantable cardioverter defibrillator. Risk stratification for SCA remains imperfect, especially for patients with nonischemic cardiomyopathy. Ongoing trials may make it easier to identify those at high risk, and potentially those at very low risk, in the future. Copyright © 2017 Elsevier Inc. All rights reserved.

  1. Drugs, QTc prolongation and sudden cardiac death

    OpenAIRE

    Straus, Sabine

    2005-01-01

    textabstract__Abstract__ The term sudden cardiac death pertains to an unexpected death from cardiac causes within a short time period and has been described throughout history. The ancient Egyptians inscribed on the tomb of a nobleman some 4500 years ago that he had died suddenly and without apparent cause. Another early case of sudden death was Phidippides, the young Greek messenger, who collapsed and died after he ran 26.2 miles from Marathon to Athens to deliver the news of the Greek victo...

  2. Supravalvular aortic stenosis with sudden cardiac death

    Directory of Open Access Journals (Sweden)

    Pradeep Vaideeswar

    2015-01-01

    Full Text Available Sudden cardiac death (SCD most commonly results from previously undiagnosed congenital, acquired, or hereditary cardiac diseases. Congenital aortic valvular, subvalvular, and supravalvular disease with left ventricular outflow tract obstruction is an important preventable cause of sudden death. This report documents sudden death presumably due to acute myocardial ischemia in a young male with an undiagnosed supravalvular aortic stenosis (SVAS due to a rare association of isolation of coronary sinuses of Valsalva. Congenital supravalvular pulmonary stenosis and mitral valvular dysplasia were also present.

  3. The flow structure of pyroclastic density currents: evidence from particle models and large-scale experiments

    Science.gov (United States)

    Dellino, Pierfrancesco; Büttner, Ralf; Dioguardi, Fabio; Doronzo, Domenico Maria; La Volpe, Luigi; Mele, Daniela; Sonder, Ingo; Sulpizio, Roberto; Zimanowski, Bernd

    2010-05-01

    Pyroclastic flows are ground hugging, hot, gas-particle flows. They represent the most hazardous events of explosive volcanism, one striking example being the famous historical eruption of Pompeii (AD 79) at Vesuvius. Much of our knowledge on the mechanics of pyroclastic flows comes from theoretical models and numerical simulations. Valuable data are also stored in the geological record of past eruptions, i.e. the particles contained in pyroclastic deposits, but they are rarely used for quantifying the destructive potential of pyroclastic flows. In this paper, by means of experiments, we validate a model that is based on data from pyroclastic deposits. It allows the reconstruction of the current's fluid-dynamic behaviour. We show that our model results in likely values of dynamic pressure and particle volumetric concentration, and allows quantifying the hazard potential of pyroclastic flows.

  4. The Social Lives of Global Policies against Malaria: Conceptual Considerations, Past Experiences, and Current Issues.

    Science.gov (United States)

    Eckl, Julian

    2017-07-01

    While a casual observer might easily get the impression that global policies against malaria have unanimous support, there are strongly divergent perspectives on malaria control. Analyzing ethnographic and historical material through a political science lens, I foreground the social negotiation of malaria both as an illness experience of affected populations and as a disease problem defined by experts. Taking the interrelationship between problems, solutions, and solution providers as a point of departure, I reconstruct recurrent tensions and social mechanisms that can account for the tendency to downplay conflicts and to produce technical-biomedical solutions that seem to be irresistible. This helps to overcome the perception that current policies have no alternatives and that aiming directly for malaria eradication is the only form of sustainability in times of resistances when "saving the established technical-biomedical solutions" has become a key concern.

  5. Patient engagement with infection management in secondary care: a qualitative investigation of current experiences

    Science.gov (United States)

    Rawson, Timothy M; Moore, Luke S P; Hernandez, Bernard; Castro-Sanchez, Enrique; Charani, Esmita; Georgiou, Pantelis; Ahmad, Raheelah; Holmes, Alison H

    2016-01-01

    Objective To understand patient engagement with decision-making for infection management in secondary care and the consequences associated with current practices. Design A qualitative investigation using in-depth focus groups. Participants Fourteen members of the public who had received antimicrobials from secondary care in the preceding 12 months in the UK were identified for recruitment. Ten agreed to participate. All participants had experience of infection management in secondary care pathways across a variety of South-East England healthcare institutes. Study findings were subsequently tested through follow-up focus groups with 20 newly recruited citizens. Results Participants reported feelings of disempowerment during episodes of infection in secondary care. Information is communicated in a unilateral manner with individuals ‘told’ that they have an infection and will receive an antimicrobial (often unnamed), leading to loss of ownership, frustration, anxiety and ultimately distancing them from engaging with decision-making. This poor communication drives individuals to seek information from alternative sources, including online, which is associated with concerns over reliability and individualisation. Failures in communication and information provision by clinicians in secondary care influence individuals’ future ideas about infections and their management. This alters their future actions towards antimicrobials and can drive prescription non-adherence and loss to follow-up. Conclusions Current infection management and antimicrobial prescribing practices in secondary care fail to engage patients with the decision-making process. Secondary care physicians must not view infection management episodes as discrete events, but as cumulative experiences which have the potential to shape future patient behaviour and understanding of antimicrobial use. PMID:27799238

  6. Staged Z-pinch experiments on the Mega-Ampere current driver COBRA

    Science.gov (United States)

    Valenzuela, Julio; Banasek, Jacob; Byvank, Thomas; Conti, Fabio; Greenly, John; Hammer, David; Potter, William; Rocco, Sophia; Ross, Michael; Wessel, Frank; Narkis, Jeff; Rahman, Hafiz; Ruskov, Emil; Beg, Farhat

    2017-10-01

    Experiments were conducted on the Cornell's 1 MA, 100 ns current driver COBRA with the goal of better understanding the Staged Z-pinch physics and validating MHD codes. We used a gas injector composed of an annular (1.2 cm radius) high atomic number (e.g., Ar or Kr) gas-puff and an on-axis plasma gun that delivers the ionized hydrogen target. Liner implosion velocity and stability were studied using laser shadowgraphy and interferometry as well as XUV imaging. From the data, the signature of the MRT instability and zippering effect can be seen, but time integrated X-ray imaging show a stable target plasma. A key component of the experiment was the use of optical Thomson scattering (TS) diagnostics to characterize the liner and target plasmas. By fitting the experimental scattered spectra with synthetic data, electron and ion temperature as well as density can be obtained. Preliminary analysis shows significant scattered line broadening from the plasma on-axis ( 0.5 mm diameter) which can be explained by either a low temperature H plasma with Te =Ti =75eV, or by a hot plasma with Ti =3keV, Te =350eV if an Ar-H mixture is present with an Ar fraction higher than 10%. Funded by the Advanced Research Projects Agency - Energy, DE-AR0000569.

  7. Measurement of Drug Craving in Persian Speaking Subjects; a Review on Current Experiences and Future Perspectives

    Directory of Open Access Journals (Sweden)

    Masoomeh Maarefvand

    2012-09-01

    Full Text Available Background: Drug craving is considered as one of the main cores of drug dependency and addiction. Multidimensionality of drug craving, its cultural-bounded features and its intra individual rapidly changing nature makes it difficult to be measured. Nowadays, regarding different psychometric approaches, there are various instruments available for measurement of different aspects of drug craving but mainly for Latin-based languages in North America and European countries. High prevalence and special conditions, and unique subcultures in substance abuse and addiction in many countries, like Iran, make the design of culturally validated instruments for drug craving assessment priority. Materials and Methods: Comprehensive review on drug craving measurement instruments for Persian speaking subjects have been performed by searching in databases (ELSEVIER, Science Direct and Scientific Information Database (SID and investigating of related documents on regional experiences. Results: In this article seven main categories of drug craving instruments have been reviewed focusing on validated versions in Persian language including: self-reports, reinforcement “proxies”, drug self administration, psycho physiological responding, neurobiological responding, cognitive processing and expressive methods. Conclusion: Reviewing on weak and strength points of each instrument group and national and regional experiences shows that designing and validating a new series of ecologically-validated instruments for multidimensional measurement of drug craving in different addiction subcultures should be prioritized to cover current methodological gaps in substance abuse studies in Iran.

  8. A Current-Mode Detector for Use in NOPTREX Time Reversal Experiment

    Science.gov (United States)

    Schaper, Danielle; Noptrex Collaboration

    2017-09-01

    Searches for new sources of time reversal (T) violation are one of the highest intellectual priorities in nuclear, particle, and astrophysics. The Neutron Optics Time Reversal Experiment (NOPTREX) Collaboration aims to conduct a sensitive null-test search for T-violation in polarized neutron transmission through a polarized nuclear target which possesses low-energy p-wave resonances. We are developing a low-noise current-mode neutron detector with near-unit efficiency and fast time response to resolve the resonance shapes. This talk will discuss the design of the detector as well as test measurements taken on indium and tantalum resonances at the NOBORU test beam at the Japan Proton Accelerator Complex (J-PARC) in June 2017 using a set of prototypical detectors, analog electronics, and data acquisition module. We will also briefly discuss plans for an experiment at LANSCE to measure the P-odd asymmetry in the 0.734 eV p-wave resonance in 139La to 1. This material is based upon work supported by the U.S. Department of Energy, Office of Science, Office of Nuclear Physics, under Award Number DE-SC-0014622. We would also like to acknowledge support by the NSF GRFP under Grant 1247392.

  9. Recalled peer relationship experiences and current levels of self-criticism and self-reassurance.

    Science.gov (United States)

    Kopala-Sibley, Daniel C; Zuroff, David C; Leybman, Michelle J; Hope, Nora

    2013-03-01

    Numerous studies have shown that personality factors may increase or decrease individuals' vulnerability to depression, but little research has examined the role of peer relationships in the development of these factors. Accordingly, this study examined the role of recalled parenting and peer experiences in the development of self-criticism and self-reassurance. It was hypothesized that, controlling for recalled parenting behaviours, specific recalled experiences of peer relationships would be related to current levels of specific forms of self-criticism and self-reassurance. Hypotheses were tested using a retrospective design in which participants were asked to recall experiences of parenting and peer relationships during early adolescence. This age was chosen as early adolescence has been shown to be a critical time for the development of vulnerability to depression. A total of 103 female and 97 male young adults completed measures of recalled parenting, overt and relational victimization and prosocial behaviour by peers, and current levels of self-criticism and self-reassurance. Hierarchical regression analyses showed that parents and peers independently contributed to the development of self-criticism and self-reassurance. Specifically, controlling for parental care and control, overt victimization predicted self-hating self-criticism, relational victimization predicted inadequacy self-criticism, and prosocial behaviour predicted self-reassurance. As well, prosocial behaviour buffered the effect of overt victimization on self-reassurance. Findings highlight the importance of peers in the development of personality risk and resiliency factors for depression, and suggest avenues for interventions to prevent the development of depressive vulnerabilities in youth. The nature of a patient's personality vulnerability to depression may be better understood through a consideration of the patient's relationships with their peers as well as with parents during

  10. Cardiac screening to prevent sudden death in young athletes.

    Science.gov (United States)

    Schmehil, Christopher; Malhotra, Devika; Patel, Dilip R

    2017-07-01

    Sudden cardiac death (SCD) is a sudden and unexpected death caused by loss of heart of function. SCD may occur in any population, but when it occurs on the playing field in a young individual, communities worldwide are affected. Although these events are rare, media coverage of sudden cardiac arrests in young athletes have created the impression that these events are far more common than they appear. With a heightened awareness of SCD in young athletes, screening methods have been developed to try and prevent these events from occurring. The American Heart Associations (AHA) currently employs history and physical examination alone during the preparticipation physical exam (PPE), which clears a young athlete for participation in sports. There has been recent discussion on whether to include screening electrocardiogram (ECG) in the PPE especially after one study in Italy by Corrado et al. found that using routine ECG reduced the annual incidence of SCD by 90%. In this article we will discuss how effective the current screening recommendations are, whether routine ECG use should be included in the PPE and if it is cost effective, and review other screening modalities that may be useful in the detection of young athletes at risk for SCD.

  11. Serotonin in the sudden infant death syndrome.

    Science.gov (United States)

    Waters, Karen

    2010-11-01

    It seems likely that some infants who die from sudden infant death syndrome (SIDS) have a brainstem abnormality of the serotonergic system. Evidence suggests that infants who died from SIDS had defective respiratory and/or autonomic responses that led to death instead of recovery after an acute insult. The serotonergic neuromodulator system has roles in the control of cardiac autonomic and respiratory function, as well as now being identified as abnormal in infants with SIDS. This manuscript reviews the multiple roles of serotonin with reference to the functional aspects of the relevant brain regions. Correlations with pre- or postnatal exposure to stressors, or an underlying genetic process are also reviewed. Together, these studies indicate that perturbed function of the serotonin system will have significant physiological impact during early development. Understanding the functional importance of these systems assists understanding of the pathogenesis of SIDS. In conclusion, whether an infant inherits serotonergic defects and is therefore "inherently vulnerable", or whether postnatal stressors can induce the abnormalities, any functional abnormalities of the serotonergic system that result are likely to be subclinical in the majority of cases and not easily detected with current medical tools. Copyright 2010 Prous Science, S.A.U. or its licensors. All rights reserved.

  12. Sudden Infant Death Syndrome (SIDS) and Vaccines

    Science.gov (United States)

    ... this? Submit What's this? Submit Button Sudden Infant Death Syndrome (SIDS) Recommend on Facebook Tweet Share Compartir ... an international network of vaccine safety experts. SIDS deaths declined due to recommendations to put infants on ...

  13. Sudden transition from finite temperature spin environments

    Energy Technology Data Exchange (ETDEWEB)

    Hu, Zheng-Da; He, Qi-Liang; Xu, Hang-Shi [Zhejiang Institute of Modern Physics and Physics Department, Zhejiang University, Hangzhou 310027 (China); Xu, Jing-Bo, E-mail: xujb@zju.edu.cn [Zhejiang Institute of Modern Physics and Physics Department, Zhejiang University, Hangzhou 310027 (China)

    2012-10-01

    We investigate the phenomenon of sudden transition from finite temperature critical environments in the study of quantum correlations of a two-qubit system coupled to independent thermal Ising baths. The influence of the temperature and external field of bath on the critical time of sudden transition is also explored. It is found that the phenomenon of sudden transition can be used to detect the critical points of thermal spin environments. How to protect quantum correlations of the system is also examined by applying a series of π-phase pulses. -- Highlights: ► The sudden transition phenomenon from thermal critical environments is studied. ► How to detect quantum critical points of thermal Ising baths is explored. ► The quantum discord can be protected against thermal bath by π-phase pulses.

  14. Counselling patients with sudden, irreversible sight loss

    Directory of Open Access Journals (Sweden)

    Jasmine Thombs

    2017-03-01

    Full Text Available Sudden loss of vision is devastating to the patient and close relatives. This article discusses how to talk with someone who has lost their vision and how to help them with their concerns and questions.

  15. Automated External Defibrillators and Emergency Planning for Sudden Cardiac Arrest in Vermont High Schools

    OpenAIRE

    Wasilko, Scott M.; Lisle, David K.

    2013-01-01

    Background: Sudden cardiac death (SCD) events are tragic. Secondary prevention of SCD depends on availability of automated external defibrillators (AEDs). High school athletes represent a high-risk group for SCD, and current efforts aim to place AEDs in all high schools. Hypothesis: The prevalence of AEDs and emergency planning for sudden cardiac arrest (SCA) in Vermont high schools is similar to other states. Understanding specific needs and limitations in rural states may prevent SCD in rur...

  16. Sudden cardiac death in children and adolescents (excluding Sudden Infant Death Syndrome

    Directory of Open Access Journals (Sweden)

    Gajewski Kelly

    2010-01-01

    Full Text Available Sudden death in the young is rare. About 25% of cases occur during sports. Most young people with sudden cardiac death (SCD have underlying heart disease, with hypertrophic cardiomyopathy and coronary artery anomalies being commonest in most series. Arrhythmogenic right ventricular dysplasia and long QT syndrome are the most common primary arrhythmic causes of SCD. It is estimated that early cardiopulmonary resuscitation and widespread availability of automatic external defibrillators could prevent about a quarter of pediatric sudden deaths.

  17. Sudden cardiac death in athletes.

    Science.gov (United States)

    Schmied, C; Borjesson, M

    2014-02-01

    A 'paradox of sport' is that in addition to the undisputed health benefits of physical activity, vigorous exertion may transiently increase the risk of acute cardiac events. In general, the risk of sudden cardiac death (SCD) approximately doubles during physical activity and is 2- to 3-fold higher in athletes compared to nonathletes. The incidence of SCD in young athletes is in fact very low, at around 1-3 per 100,000, but attracts much public attention. Variations in incidence figures may be explained by the methodology used for data collection and more importantly by differences between subpopulations of athletes. The incidence of SCD in older (≥ 35 years) athletes is higher and may be expected to rise, as more and older individuals take part in organized sports. SCD is often the first clinical manifestation of a potentially fatal underlying cardiovascular disorder and usually occurs in previously asymptomatic athletes. In the young (cardiac abnormalities, whilst coronary artery disease (CAD) is the most common cause in older athletes. Cardiac screening including family/personal history, physical examination and resting electrocardiogram (ECG) may identify individuals at risk and has the potential to decrease the risk of SCD in young athletes. Screening including the ECG has a high sensitivity for underlying disease in young athletes, but the specificity needs to be improved, whereas the sensitivity of screening without the use of ECG is very low. The screening modality recommended for young athletes is of limited value in older athletes, who should receive individualized screening with cardiac stress testing for patients with high risk of underlying CAD. As cardiovascular screening will never be able to identify all athletes at risk, adequate preparedness is vital in case of a potentially fatal event at the sporting arena/facility. Firstly, we will review the magnitude of the problem of SCD in athletes of different ages, as well as the aetiology. Secondly, we

  18. Eighteen years' experience applying old and current strategies in the pre-participation cardiovascular screening of athletes.

    Science.gov (United States)

    Deligiannis, Asterios P; Kouidi, Evangelia J; Koutlianos, Nikolaos A; Karagiannis, Vassilis; Anifanti, Maria A; Tsorbatzoglou, Katifenia; Farmakis, Dimitris; Avgerinos, Christos; Mameletzi, Dimitra N; Samara, Anastasia P

    2014-01-01

    Cardiovascular pre-participation screening (PPS) is recommended for the identification of athletes at risk for sudden cardiac death. However, there is currently no universally accepted screening protocol. Two distinct PPS strategies were studied in a large cohort of Greek athletes (5 to 39 years old): PPS I, with routine 12-lead ECG and echo, in addition to personal and family history, and physical examination; and PPS II, without routine echo. PPS I (12,353 athletes) was performed from 1992 to 2002, and PPS II (9852 athletes) from 2003 to 2010. "Abnormal" findings were observed in 49.3% of the athletes (49.6% in PPS I and 48.9% in PPS II, p=0.299). Most of them were age- or exercise-related. Further evaluation was recommended for 8.3% of the athletes. Finally, 39 athletes (22 from PPS I) were excluded from competitive sports. Hypertrophic cardiomyopathy was found in 7 athletes. Other abnormalities were: dilated cardiomyopathy; complete heart block; coronary artery disease; Wolf-Parkinson-White syndrome; and severe hypertension. The ECG played a critical role in the exclusion of 13 athletes, compared to only one for echo. Both PPS methods revealed an almost equal incidence of findings. We suggest that the routine use of ECG alone is sufficient for the successful screening of athletes.

  19. A survey on IVIVC/IVIVR development in the pharmaceutical industry - Past experience and current perspectives.

    Science.gov (United States)

    Nguyen, M A; Flanagan, T; Brewster, M; Kesisoglou, F; Beato, S; Biewenga, J; Crison, J; Holm, R; Li, R; Mannaert, E; McAllister, M; Mueller-Zsigmondy, M; Muenster, U; Ojala, K; Page, S; Parr, A; Rossenu, S; Timmins, P; Van Peer, A; Vermeulen, A; Langguth, P

    2017-05-01

    The present work aimed to describe the current status of IVIVC/IVIVR development in the pharmaceutical industry, focusing on the use and perception of specific approaches as well as successful and failed case studies. Two questionnaires have been distributed to 13 EFPIA partners of the Oral Biopharmaceutics Tools Initiative and to the Pharmacokinetics Working Party of the European Medicines Agency in order to capture the perspectives and experiences of industry scientists and agency members, respectively. Responses from ten companies and three European Agencies were received between May 21st 2014 and January 19th 2016. The majority of the companies acknowledged the importance of IVIVC/IVIVR throughout the drug development stages and a well-balanced rate of return on investment. However, the IVIVC/IVIVR approach seemed to be underutilized in regulatory submissions. Four of the ten companies stated to have an internal guidance related to IVIVC/IVIVR modelling, whereas three felt that an overall strategy is not necessary. Successful models mainly served to support formulation development and to provide a better mechanistic understanding. There was not yet much experience with safe-space IVIVRs as well as the use of physiologically based modelling in the field of IVIVC. At the same time, the responses from both industry and agencies indicated that there might be a need for a regulatory framework to guide the application of these novel approaches. The relevance of IVIVC/IVIVR for oral IR drug products was recognized by most of the companies. For IR formulations, relationships other than Level A correlation were more common outcomes among the provided case studies, such as multiple Level C correlation or safe-space IVIVR, which could be successfully used for requesting regulatory flexibility. Compared to the responses from industry scientists, there was a trend towards a higher appreciation of the BCS among the regulators, but a less positive attitude towards the utility

  20. Review of Current Experience on Intermediate Heat Exchanger (IHX) and A Recommended Code Approach

    Energy Technology Data Exchange (ETDEWEB)

    Duane Spencer; Kevin McCoy

    2010-02-02

    The purpose of the ASME/DOE Gen IV Task 7 Part I is to review the current experience on various high temperature reactor intermediate heat exchanger (IHX) concepts. There are several different IHX concepts that could be envisioned for HTR/VHTR applications in a range of temperature from 850C to 950C. The concepts that will be primarily discussed herein are: (1) Tubular Helical Coil Heat Exchanger (THCHE); (2) Plate-Stamped Heat Exchanger (PSHE); (3) Plate-Fin Heat Exchanger (PFHE); and (4) Plate-Machined Heat Exchanger (PMHE). The primary coolant of the NGNP is potentially subject to radioactive contamination by the core as well as contamination from the secondary loop fluid. To isolate the radioactivity to minimize radiation doses to personnel, and protect the primary circuit from contamination, intermediate heat exchangers (IHXs) have been proposed as a means for separating the primary circuit of the NGNP (Next Generation Nuclear Plant) or other process heat application from the remainder of the plant. This task will first review the different concepts of IHX that could be envisioned for HTR/VHTR applications in a range of temperature from 850 to 950 C. This will cover shell-and-tube and compact designs (including the platefin concept). The review will then discuss the maturity of the concepts in terms of design, fabricability and component testing (or feedback from experience when applicable). Particular attention will be paid to the feasibility of developing the IHX concepts for the NGNP with operation expected in 2018-2021. This report will also discuss material candidates for IHX applications and will discuss specific issues that will have to be addressed in the context of the HTR design (thermal aging, corrosion, creep, creep-fatigue, etc). Particular attention will be paid to specific issues associated with operation at the upper end of the creep regime.

  1. A current review of high speed railways experiences in Asia and Europe

    Science.gov (United States)

    Purba, Aleksander; Nakamura, Fumihiko; Dwsbu, Chatarina Niken; Jafri, Muhammad; Pratomo, Priyo

    2017-11-01

    High-Speed Railways (HSR) is currently regarded as one of the most significant technological breakthroughs in passenger transportation developed in the second half of the 20th century. At the beginning of 2008, there were about 10,000 kilometers of new high-speed lines in operation in Asia and Europe regions to provide high-speed services to passengers willing to pay for lower travel time and quality improvement in rail transport. And since 2010, HSR itself has received a great deal of attention in Indonesia. Some transportation analysts contend that Indonesia, particularly Java and Sumatera islands need a high-speed rail network to be economically competitive with countries in Asia and Europe. On April 2016, Indonesia-China consortium Kereta Cepat Indonesia China (KCIC) signed an engineering, procurement, and construction contract to build the HSR with a consortium of seven companies called the High-Speed Railway Contractor Consortium. The HSR is expected to debut by May 2019, offering a 45-minute trip covering a roughly 150 km route. However, building, maintaining and operating HSR line is expensive; it involves a significant amount of sunk costs and may substantially compromise both the transport policy of a country and the development of its transport sector for decades. The main objective of this paper is to discuss some characteristics of the HSR services from an economic viewpoint, while simultaneously developing an empirical framework that should help us to understand, in more detail, the factors determining the success of the HSR as transport alternative based on current experiences of selected Asian and European countries.

  2. Nuclear Quantum Effects in Water and Aqueous Systems: Experiment, Theory, and Current Challenges.

    Science.gov (United States)

    Ceriotti, Michele; Fang, Wei; Kusalik, Peter G; McKenzie, Ross H; Michaelides, Angelos; Morales, Miguel A; Markland, Thomas E

    2016-07-13

    Nuclear quantum effects influence the structure and dynamics of hydrogen-bonded systems, such as water, which impacts their observed properties with widely varying magnitudes. This review highlights the recent significant developments in the experiment, theory, and simulation of nuclear quantum effects in water. Novel experimental techniques, such as deep inelastic neutron scattering, now provide a detailed view of the role of nuclear quantum effects in water's properties. These have been combined with theoretical developments such as the introduction of the principle of competing quantum effects that allows the subtle interplay of water's quantum effects and their manifestation in experimental observables to be explained. We discuss how this principle has recently been used to explain the apparent dichotomy in water's isotope effects, which can range from very large to almost nonexistent depending on the property and conditions. We then review the latest major developments in simulation algorithms and theory that have enabled the efficient inclusion of nuclear quantum effects in molecular simulations, permitting their combination with on-the-fly evaluation of the potential energy surface using electronic structure theory. Finally, we identify current challenges and future opportunities in this area of research.

  3. Current Canadian And American Experiences In The Treatment Of Acute Ischemic Stroke

    Directory of Open Access Journals (Sweden)

    Parviz Dolati

    2017-02-01

    Full Text Available Stroke remains one of the main public health issues worldwide. It is the third leading cause of death in the United States, with more than 200,000 people dying from strokes each year. Approximately 80% of all acute ischemic strokes are due to intracranial artery occlusion, most commonly thromboembolic clot occlusion. Revascularization of occluded territories is the cornerstone of acute ischemic stroke and Thrombolysis for ischemic stroke has been systematically studied in large randomized trials only since the 1990s. To date, thrombolytic therapy for ischemic stroke has been investigated in 21 randomized controlled clinical trials enrolling more than 7,000 patients. The advent of modern imaging and endovascular tools and technology has revolutionized treatment of stroke. In this talk, I will review current clinical trials published in The NEJM (ESCAPE, MR Clean, EXTENDED IA, …. regarding superiority of the endovascular treatments, especially, the stent retrievers, over Iv tPA. I will also go over all endovascular techniques used in the endovascular treatment of acute stroke using my Canadian and American experiences.

  4. Current Canadian And American Experiences In The Treatment Of Acute Ischemic Stroke

    Directory of Open Access Journals (Sweden)

    Parviz Dolati

    2017-02-01

    Full Text Available Stroke remains one of the main public health issues worldwide. It is the third leading cause of death in the United States, with more than 200,000 people dying from strokes each year. Approximately 80% of all acute ischemic strokes are due to intracranial artery occlusion, most commonly thromboembolic clot occlusion. Revascularization of occluded territories is the cornerstone of acute ischemic stroke and Thrombolysis for ischemic stroke has been systematically studied in large randomized trials only since the 1990s. To date, thrombolytic therapy for ischemic stroke has been investigated in 21 randomized controlled clinical trials enrolling more than 7,000 patients. The advent of modern imaging and endovascular tools and technologyhas revolutionized treatment of stroke. In this talk, I will review current clinical trials published in The NEJM (ESCAPE, MR Clean, EXTENDED IA, …. regarding superiority of the endovascular treatments, especially, the stent retrievers, over Iv tPA. I will also go over all endovascular techniques used in the endovascular treatment of acute stroke using my Canadian and American experiences.

  5. Development of large-scale Birkeland currents determined from the Active Magnetosphere and Planetary Electrodynamics Response Experiment

    Science.gov (United States)

    Anderson, B. J.; Korth, H.; Waters, C. L.; Green, D. L.; Merkin, V. G.; Barnes, R. J.; Dyrud, L. P.

    2014-05-01

    The Active Magnetosphere and Planetary Electrodynamics Response Experiment uses magnetic field data from the Iridium constellation to derive the global Birkeland current distribution every 10 min. We examine cases in which the interplanetary magnetic field (IMF) rotated from northward to southward resulting in onsets of the Birkeland currents. Dayside Region 1/2 currents, totaling ~25% of the final current, appear within 20 min of the IMF southward turning and remain steady. Onset of nightside currents occurs 40 to 70 min after the dayside currents appear. Thereafter, the currents intensify at dawn, dusk, and on the dayside, yielding a fully formed Region 1/2 system ~30 min after the nightside onset. The results imply that the dayside Birkeland currents are driven by magnetopause reconnection, and the remainder of the system forms as magnetospheric return flows start and progress sunward, ultimately closing the Dungey convection cycle.

  6. Pre-participation screening of young competitive athletes for prevention of sudden cardiac death.

    Science.gov (United States)

    Corrado, Domenico; Basso, Cristina; Schiavon, Maurizio; Pelliccia, Antonio; Thiene, Gaetano

    2008-12-09

    In 1982 a nationwide program of pre-participation screening including 12-lead electrocardiography (ECG) was launched in Italy. The aim of this article is to examine whether this 25-year screening program should be considered a valid and advisable public health strategy. The analysis of data coming from the long-running Italian experience indicates that ECG screening has provided adequate sensitivity and specificity for detection of potentially lethal cardiomyopathy or arrhythmias and has led to substantial reduction of mortality of young competitive athletes by approximately 90%. Screening was feasible thanks to the Italian Health System, which is developed in terms of health care and prevention services, and because of the limited costs of cardiovascular evaluation in the setting of a mass program. On the basis of current scientific evidence the implementation of a mass-screening program aimed to prevent athletic-field sudden cardiac death should be at least carefully considered by public health administrators worldwide.

  7. Research on a Sudden Explosion and its Environmental Impact

    Science.gov (United States)

    Ye, Maosheng; Ma, Hui; Ni, Qingwei

    2017-12-01

    A sudden blast was chosen as the studied topic. Also, one computer based virtual experimentation was used to estimate the dimensional impact of initial pollutant plume from blasts. Self-made method using Mathcad code was used to generate the output for the period of the first tenth of a second (1deci-second) to 1minute (60s) of the blast at the point source. It also depicted long-range air pollution travel within the first 1 to 10 minutes. In the case study, it assumed an average directional diffusivity of 1720 m2s-1 which is about 25 per cent of the average generated speed of common explosives. The newly developed model revealed a plume cloud impact of 6.8×107µgm-3 in the first 1millisecond (0.01s) which decayed suddenly to a value of 1.7×107µgm-3 in the first 1decisecond (0.1s). The impact concentration at the point source by the end of the first second (1.0s) was 3.2×105µgm-3 which implied a 99.5% sudden decay when compared to 0.01s concentration value at the emission point source. Computerized experiments observed that air pollutants release from explosives/blasts were dispersed into the atmosphere in the first few seconds by forceful injection instead of by gradual dispersion as is the case with normal air pollutants plume releases.

  8. Histological findings in unclassified sudden infant death, including sudden infant death syndrome

    NARCIS (Netherlands)

    G. Liebrechts-Akkerman (Germaine); J.V.M.G. Bovée (Judith); L.C.D. Wijnaendts (Liliane); A. Maes (Ann); P.G.J. Nikkels (Peter); R.R. de Krijger (Ronald)

    2013-01-01

    textabstractOur objective was to study histological variations and abnormalities in unclassified sudden infant death (USID), including sudden infant death syndrome (SIDS), in The Netherlands. Two hundred Dutch USID cases between 1984 and 2005 were identified. The histology slides and autopsy reports

  9. Ovarian preservation in children for adenexal pathology, current trends in laparoscopic management and our experience

    Directory of Open Access Journals (Sweden)

    Preet Agarwal

    2014-01-01

    follow-up ultrasound, who were found to have normal shape, size and blood flow compared to the contra lateral side. Conclusion: We outline our experience from the management of 46 cases of various ovarian pathologies with and without ischemia and found that ovarian torsion with a benign pathology and ischemia is not a contraindication for ovarian preservation, as pointed out in the current literature.

  10. Sudden Assignment: Teach Prekindergarten Music.

    Science.gov (United States)

    Pautz, Mary P.; Persellin, Diane; Anderson, Jill K.; Sims, Wendy L.

    1998-01-01

    Discusses various methods for music teachers to adjust and prepare themselves for teaching prekindergarten students. Provides the two-track approach for teaching these younger students where the students work in large-group circle time experiences and also have opportunities to explore music on their own; singing, listening, moving, and playing…

  11. Lower hybrid current drive: an overview of simulation models, benchmarking with experiment, and predictions for future devices

    Energy Technology Data Exchange (ETDEWEB)

    Bonoli, P.T. [Plasma Science and Fusion Center (PSFC), MIT, Cambridge, MA (United States); Barbato, E. [ENEA, Frascati (Italy). Centro Ricerche Energia; Harvey, R.W. [CompX, Del Mar, California (United States); Imbeaux, F. [Association Euratom-CEA Cadarache, 13 - Saint-Paul-lez-Durance (France). Dept. de Recherches sur la Fusion Controlee

    2003-07-01

    This paper reviews the status of lower hybrid current drive (LHCD) simulation and modeling. We first discuss modules used for wave propagation, absorption, and current drive with particular emphasis placed on comparing exact numerical solutions of the Fokker Planck equation in 2-dimension with solution methods that employ 1-dimensional and adjoint approaches. We also survey model predictions for LHCD in past and present experiments showing detailed comparisons between simulated and observed current drive efficiencies and hard X-ray profiles. Finally we discuss several model predictions for lower hybrid current profile control in proposed next step reactor options. (authors)

  12. Sudden unexpected death in infancy in Denmark

    DEFF Research Database (Denmark)

    Winkel, Bo Gregers; Holst, Anders Gaarsdal; Theilade, Juliane

    2011-01-01

    Abstract Background. Incidence of sudden unexpected death in infancy (SUDI) and sudden infant death syndrome (SIDS) differs among studies and non-autopsied cases are difficult to assess. Objectives. To investigate causes of sudden death in infancy in a nationwide setting. Validate the use...... of the ICD-10 code for SIDS (R95) in the Danish Cause of Death registry. Design. A retrospective analysis of all infant deaths (death certificates and autopsy reports were read. Results. We identified 192 SUDI cases (10% of total deaths, 0.42 per 1000 births......) with autopsy performed in 87% of cases. In total, 49% of autopsied SUDI cases were defined as SIDS (5% of all deaths, 0.22 per 1000 births); Cardiac cause of death was denoted in 24% of cases. The Danish Cause of Death Registry misclassified 30% of SIDS cases. Conclusions. A large proportion of infant deaths...

  13. Sudden death in Lesch-Nyhan disease

    Science.gov (United States)

    Neychev, Vladimir Kostadinov; Jinnah, H A

    2012-01-01

    To increase awareness of sudden and unexpected death in Lesch-Nyhan disease (LND) and to explore its potential causes, we report the anteceding clinical features and laboratory evaluations of five males with LND who ultimately experienced sudden and unexpected death, along with three additional males who suffered serious respiratory events during life. The ages of patients ranged from 2 to 45 years. The cause of sudden death in LND appears to have a respiratory rather than a cardiogenic basis. All cases cannot be linked readily with a single respiratory process. Instead, different respiratory processes appear to operate in different cases. These may include aspiration, laryngospasm, central apnea, cyanotic breath-holding spells, and high cervical spine damage. Better recognition of these processes will help to guide appropriate workup and management that could include chest imaging, endoscopy of the airways, polysomnography, electroencephalogram, and brain and/or spine imaging. PMID:17044962

  14. Sudden Infant Death Syndrome with Harlequin Fetus

    Directory of Open Access Journals (Sweden)

    Selahattin Katar

    2007-01-01

    Full Text Available The harlequin fetus, a severe variant of ichthyosis, occurs rarely, and these babies die within the first few days of life. Early retinoid therapy may improve the disorder and help increase survival rates. The exact cause of the sudden infant death syndrome of the suckling is not known and the incidence approximately is 0.1-0.3 %. In general, these babies looked well and healthy at the time of the sleeping but were found dead in their bed in the morning. We report a harlequin fetus with sudden infant death syndrome.

  15. Undiagnosed intracranial lipoma associated with sudden death

    Directory of Open Access Journals (Sweden)

    Carlos Durão

    2017-03-01

    Full Text Available Intracranial lipomas represent less than 0.1% of all intracranial tumors. They are usually located in the callus area and often asymptomatic. This paper presents a sudden death case after an episode of convulsions on a 39 years old woman with a history of migraines and seizures since adolescence. The autopsy revealed the presence of an undiagnosed massive brain lipoma (60 × 35 mm associated with atrophy of the corpus callosum. Although very rare and seldom malignant these may be associated with seizures and sudden death.

  16. Electron-magnetohydrodynamic simulations of electron scale current sheet dynamics in the Vineta.II guide field reconnection experiment

    Science.gov (United States)

    Jain, Neeraj; von Stechow, Adrian; Muñoz, Patricio A.; Büchner, Jörg; Grulke, Olaf; Klinger, Thomas

    2017-09-01

    Three dimensional electron-magnetohydrodynamic (EMHD) simulations of electron current sheet dynamics in a background of stationary and unmagnetized ions and the subsequent generation of electromagnetic fluctuations are carried out. The physical parameters and initial magnetic configuration in the simulations are chosen to be similar to those in the Vineta.II magnetic reconnection experiment. Consistent with the experimental results, our 3D EMHD simulations show the formation of an elongated electron scale current sheet together with the excitation of electromagnetic fluctuations within this sheet. The fluctuations in the simulations are generated by an electron shear flow instability growing on the in-plane (perpendicular to the direction of the main current in the sheet) electron shear flow (or current) developed during the current sheet evolution. Similar to the experiments, the magnetic field fluctuations perpendicular to the guide magnetic field exhibit a broadband frequency spectrum following a power law and a positive correlation with the axial current density. Although the experimental results show that ions influence the spectral properties of the fluctuations, the simulations suggest that the electron dynamics, even in the absence of ion motion, primarily determines the formation of the current sheet and the generation of electromagnetic fluctuations observed in the experiments.

  17. Vertical biomass distribution drives flow through vegetation: An experiment under unidirectional currents

    Science.gov (United States)

    Villanueva, Raul; Paul, Maike; Vogt, Miriam; Schlurmann, Torsten

    2017-04-01

    affected throughout the meadow. Additionally, pressure sensors on the base of individual shoots are used to obtain the drag force induced by the current. Ultrasonic sensors are also deployed in order to measure any height fluctuations within the flume as an effect of vegetation. An efficient artificial plant setup for energy dissipation is assessed by using a constant biomass, but varying vertical distributions. The experiment shows the sheltering and filtering capacities of the artificial seagrass at a density similar to that found in nature. It allows assessment of the protection of settling seeds and sprouts, but also the availability of space for them to grow - thus fulfilling the restoration objectives. Drag measurements prove that the chosen material can hold the tested hydrodynamic conditions, which in turn proves the feasibility of the chosen base layer and anchoring systems. Artificial seagrass meadows prove to be a means of sedimentation good enough for restoration purposes. Results will be further used to inform a study on wave effects comparable to real conditions on northern European coasts.

  18. Diminishing proportional risk of sudden death with advancing age: implications for prevention of sudden death.

    Science.gov (United States)

    Krahn, Andrew D; Connolly, Stuart J; Roberts, Robin S; Gent, Michael

    2004-05-01

    Advances in primary and secondary prevention of sudden death have led to a wide array of potentially beneficial therapies. Identification of patients most likely to benefit would be of use when considering costly interventions such as an implantable defibrillator. We sought to determine the effect of advancing age on the mode of death in the Amiodarone Trialists Metanalysis. Patients (n = 6252; age, 61.2+/-10.5 years; 83% men) were included in an analysis of predictors of sudden death (SD) and all-cause death (ACD), based on baseline variables at enrollment. Patients were divided into 5 age groups: 80 years. During a mean of 16.8+/-10.3 months of follow-up, there were 1023 deaths, with an annual overall mortality rate of 11.7%. Both sudden death and nonsudden death rates increased with age, although the increase of nonsudden death with age was more dramatic. The overall proportion of death that was sudden (SD/ACD ratio) was 0.41, falling from 0.51 before age 50 years to 0.26 after age 80 years (P =.002 for trend). The SD/ACD ratio was not affected by sex, New York Heart Association Class, or left ventricular ejection fraction. Although the incidence of sudden death increases with age, the proportion of death that is sudden diminishes markedly. This finding may influence the yield of interventions targeted at prevention of sudden death.

  19. Potential Asphyxia and Brainstem Abnormalities in Sudden and Unexpected Death in Infants

    Science.gov (United States)

    Randall, Bradley B.; Paterson, David S.; Haas, Elisabeth A.; Broadbelt, Kevin G.; Duncan, Jhodie R.; Mena, Othon J.; Krous, Henry F.; Trachtenberg, Felicia L.

    2013-01-01

    OBJECTIVE: Sudden and unexplained death is a leading cause of infant mortality. Certain characteristics of the sleep environment increase the risk for sleep-related sudden and unexplained infant death. These characteristics have the potential to generate asphyxial conditions. We tested the hypothesis that infants may be exposed to differing degrees of asphyxia in sleep environments, such that vulnerable infants with a severe underlying brainstem deficiency in serotonergic, γ-aminobutyric acid-ergic, or 14-3-3 transduction proteins succumb even without asphyxial triggers (eg, supine), whereas infants with intermediate or borderline brainstem deficiencies require asphyxial stressors to precipitate death. METHODS: We classified cases of sudden infant death into categories relative to a “potential asphyxia” schema in a cohort autopsied at the San Diego County Medical Examiner’s Office. Controls were infants who died with known causes of death established at autopsy. Analysis of covariance tested for differences between groups. RESULTS: Medullary neurochemical abnormalities were present in both infants dying suddenly in circumstances consistent with asphyxia and infants dying suddenly without obvious asphyxia-generating circumstances. There were no differences in the mean neurochemical measures between these 2 groups, although mean measures were both significantly lower (P infants dying suddenly and unexpectedly. Brainstem abnormalities were associated with both asphyxia-generating and non–asphyxia generating conditions. Heeding safe sleep messages is essential for all infants, especially given our current inability to detect underlying vulnerabilities. PMID:24218471

  20. How Stereotypes Affect Current Collegiate Female Athletes' Athletic Experiences

    Science.gov (United States)

    James, Melissa

    2017-01-01

    Stereotype discrimination affects female athletes' athletic experiences. Studies have been conducted of former collegiate female athletes' perceptions of the lesbian stereotype found that they were discriminated against because of their sport participation. These limit the recalling of thoughts and experience from the female athletes' playing…

  1. A Phenomenological Approach to Experiences with Technology: Current State, Promise, and Future Directions for Research

    Science.gov (United States)

    Cilesiz, Sebnem

    2011-01-01

    In this paper I conceptualize experiences with technology as an object of study for educational technology research and propose phenomenology as a highly suitable method for studying this construct. I begin by reviewing existing research focusing on the construct of experiences with technology and the approaches utilized for its study. To augment…

  2. Morphological diagnosis of sudden cardiac death

    DEFF Research Database (Denmark)

    Hougen, H P; Valenzuela, Antonio Jesus Sanchez; Villanueva, E

    1989-01-01

    of pericardial fluid and myocardium in the same cases of sudden death of cardiac origin. Fifty cases were included, and the results of the macroscopic, histochemical, histological and cytological examinations revealed that the NBT test and microscopy are valuable methods in diagnosing infarctions, while...

  3. Alcohol Use and Sudden Infant Death Syndrome

    Science.gov (United States)

    Friend, Karen B.; Goodwin, Matthew S.; Lipsitt, Lewis P.

    2004-01-01

    Despite general evidence of fetal toxicities associated with sudden infant death syndrome (SIDS), there has been limited research focusing on the effects of parental alcohol use on SIDS occurrence, either directly or in interaction with other risk conditions. The purpose of this paper is to review the literature on parental, especially maternal,…

  4. Epidemiological Features of Sudden Infant Death Syndrome

    Directory of Open Access Journals (Sweden)

    V.V. Medvedevа

    2015-07-01

    Full Text Available The paper presents an analysis of some epidemiological characteristics of sudden infant death syndrome (SIDS in the Donbass region for a period of 1994–2014. The prevalence and specific relevance of SIDS, dynamics of specific gravity of SIDS in the structure of infantile mortality is shown.

  5. Cardiac channelopathies and sudden infant death syndrome

    DEFF Research Database (Denmark)

    Tfelt-Hansen, Jacob; Winkel, Bo Gregers; Grunnet, Morten

    2011-01-01

    Sudden infant death syndrome (SIDS) is always a devastating and unexpected occurrence. SIDS is the leading cause of death in the first 6 months after birth in the industrialized world. Since the discovery in 1998 of long QT syndrome as an underlying substrate for SIDS, around 10-20% of SIDS cases...

  6. Relationship between platelet parameters and sudden ...

    African Journals Online (AJOL)

    Relationship between platelet parameters and sudden sensorineural hearing loss: a systematic review and meta-analysis. ... Data source: A PubMed, Science Direct, Scopus, OVID, EMBASE and Google Scholar search (date last searchedApril2016) search was done. No restrictions of time, language and location were ...

  7. Sudden cardiac arrest risk in young athletes

    African Journals Online (AJOL)

    Underlying cardiac abnormalities are the main cause of unexpected death in athletes on field. These abnormalities have been associated with a previous history of syncope, a family history of sudden cardiac arrest (SCA), cardiac murmur, a history of over-exhaustion post exercise and ventricular tachyarrhythmia during ...

  8. Febrile convulsions and sudden infant death syndrome

    DEFF Research Database (Denmark)

    Vestergaard, Mogens; Basso, Olga; Henriksen, Tine Brink

    2002-01-01

    It has been suggested that sudden infant death syndrome (SIDS) and febrile convulsions are related aetiologically. We compared the risk of SIDS in 9877 siblings of children who had had febrile convulsions with that of 20.177 siblings of children who had never had febrile convulsions. We found...

  9. Sudden death syndrome of soybean in Argentina

    Science.gov (United States)

    Sudden death syndrome (SDS) is one of the most common and widely spread root disease affecting soybean [Glycine max (L.) Merr.] in Argentina where it is an economically important crop. This disease was first discovered in this country in 1992 in the Pampas Region, and the following year in Northwest...

  10. Sudden Sensory-Neural Hearing Loss

    OpenAIRE

    Fariba Slambol Nassaj

    1993-01-01

    Sudden hearing loss is a type of hearing loss that occurs in three successive frequencies by more than 30 dB and in less than 72 hours. Every 10 person in 100000 in the world and 25000 people in USA suffer this kind of hearing loss. The average age of the onset is 43 years old.

  11. Sudden Gains during Therapy of Social Phobia

    Science.gov (United States)

    Hofmann, Stefan G.; Schultz, Stefan M.; Meuret, Alicia E.; Moscovitch, David A.; Suvak, Michael

    2006-01-01

    The present study investigated the phenomenon of sudden gains in 107 participants with social phobia (social anxiety disorder) who received either cognitive-behavioral group therapy or exposure group therapy without explicit cognitive interventions, which primarily used public speaking situations as exposure tasks. Twenty-two out of 967…

  12. Sudden (reversible) sensorineural hearing loss in pregnancy.

    LENUS (Irish Health Repository)

    Kenny, R

    2011-03-01

    Sudden hearing loss directly associated with pregnancy or birth is a little known and rare occurrence. The temporary, unilateral, low-frequency sensorineural hearing loss in this case was reported after the birth of the patient\\'s first child, and again during the third trimester of her second pregnancy.

  13. Sudden viscous dissipation of compressing turbulence

    OpenAIRE

    Davidovits, S.; Fisch, N. J.

    2015-01-01

    Compression of turbulent plasma can amplify the turbulent kinetic energy, if the compression is fast compared to the viscous dissipation time of the turbulent eddies. A sudden viscous dissipation mechanism is demonstrated, whereby this amplified turbulent kinetic energy is rapidly converted into thermal energy, suggesting a new paradigm for fast ignition inertial fusion.

  14. Sudden Viscous Dissipation of Compressing Turbulence.

    Science.gov (United States)

    Davidovits, Seth; Fisch, Nathaniel J

    2016-03-11

    Compression of turbulent plasma can amplify the turbulent kinetic energy, if the compression is fast compared to the viscous dissipation time of the turbulent eddies. A sudden viscous dissipation mechanism is demonstrated, whereby this amplified turbulent kinetic energy is rapidly converted into thermal energy, suggesting a new paradigm for fast ignition inertial fusion.

  15. Range-based underwater vehicle localization in the presence of unknown ocean currents: Theory and experiments

    Digital Repository Service at National Institute of Oceanography (India)

    Bayat, M.; Crasta, N.; Aguiar, A.P.; Pascoal, A.M.

    This paper addresses the problem of range-based autonomous underwater vehicle (AUV) localization in the presence of unknown ocean currents. In the setup adopted, the AUV is equipped with an attitude and heading reference system, a depth sensor...

  16. Can current moisture responses predict soil CO2 efflux under altered precipitation regimes? A synthesis of manipulation experiments

    DEFF Research Database (Denmark)

    Vicca, S.; Bahn, M.; Estiarte, M.

    2014-01-01

    dependencies of SCE. Hence, the most justified answer to the question of whether current moisture responses of SCE can be extrapolated to predict SCE under altered precipitation regimes is 'no' - as based on the most reliable data sets available. We strongly recommend that future experiments focus more...

  17. Do positive or negative experiences of social support relate to current and future health? Results from the Doetinchem Cohort Study

    NARCIS (Netherlands)

    Croezen, S.; Picavet, H.S.J.; Haveman-Nies, A.; Verschuren, W.M.M.; Groot, de C.P.G.M.; Veer, van 't P.

    2012-01-01

    Background Cross-sectional studies have reported associations between social support and health, but prospective evidence is less conclusive. This study aims to investigate the associations of positive and negative experiences of social support with current and future lifestyle factors, biological

  18. Experiences of Incivility and Ageism in Currently Enrolled RN to BS Nursing Students and Their Intent to Quit

    Science.gov (United States)

    Balko, Kimberly A.

    2013-01-01

    Student registered nurses face barriers to successful completion of a bachelor's of science degree program when faced with memories of incivility within their basic nursing program and their current experiences of incivility and ageism in the classroom, as well as in the workplace. This incivility, along with generational differences, adds to the…

  19. An Experiment in BEBC to Compare Neutral and Charged Current Neutrino Interactions Induced by $\

    CERN Multimedia

    2002-01-01

    The CERN narrow-band neutrino beam provides a unique possibility to study whether there is a difference between neutrinos resulting from @p-decays and those from K-decays. Since any difference might most strongly appear in strange particle production, BEBC is particularly suited for this study thanks to the efficient strange particle detection it provides.\\\\ \\\\ The experiment consists of two exposures of about 100 K pictures each in BEBC filled with 75\\% Ne-H^2 mixture without TST. The parent energies are most conveniently chosen to be respectively 275 GeV and 75 GeV yielding E(@nK) = E(@n@p) @= 65 GeV as the common energy. This would make the higher energy run parasitic on NB operation of the approved WA1 counter experiment. The lower, approximately coincides with an energy proposed for the Gargamelle experiment WA23.

  20. ROMANIAN PUPILS AT THE SPANISH PRIMARY SCHOOLS: CONTINUITIES AND DISCONTINUITIES BETWEEN FORMER AND CURRENT EDUCATIONAL EXPERIENCES

    Directory of Open Access Journals (Sweden)

    Georgeta Ion

    2011-07-01

    Full Text Available During the last few years, East-Europeans, predominantly Romanians, have become the second largest cultural minority in Catalonia (Spain. Spanish educational institutions now have students from more than twenty different cultures. This paper focuses on the educational background and the factors which characterize the educational experience of Romanian students prior to attending schools in Spain, and how this affects their experiences into Catalonian primary schools. Twenty seven interviews were undertaken, of Catalonian and Romanian teachers, of experts and parents from the host primary schools where the proportion of Romanian students was highest. Two focus-group sessions were carried out with school teachers from Romania. The analysis shows that there is some consistency between educational practices and values in Romania and the practices and values of the host schools. The ability of children to assimilate into the host school is directly influenced by their previous experience in the schools in their country of origin.

  1. Remote Synchronization Experiments for Quasi-Senith Satellite System Using Current Geostationary Satellites

    Directory of Open Access Journals (Sweden)

    Toshiaki Iwata

    2010-01-01

    Full Text Available The remote synchronization system for the onboard crystal oscillator (RESSOX realizes accurate synchronization between an atomic clock at a ground station and the QZSS onboard crystal oscillator, reduces overall cost and satellite power consumption, as well as onboard weight and volume, and is expected to have a longer lifetime than a system with onboard atomic clocks. Since a QZSS does not yet exist, we have been conducting synchronization experiments using geostationary earth orbit satellites (JCSAT-1B or Intelsat-4 to confirm that RESSOX is an excellent system for timing synchronization. JCSAT-1B, the elevation angle of which is 46.5 degrees at our institute, is little affected by tropospheric delay, whereas Intelsat-4, the elevation angle of which is 7.9 degrees, is significantly affected. The experimental setup and the results of uplink experiments and feedback experiments using mainly Intelsat-4 are presented. The results show that synchronization within 10 ns is realized.

  2. Recent beam-beam experience with multiple high current bunches in PEP-II

    Energy Technology Data Exchange (ETDEWEB)

    Minty, M.G.

    2000-02-07

    Operation with colliding beams at PEP-II has progressed remarkably well with over half the design specific luminosity and 5.2 x 10{sup 32}cm{sup {minus}2}s{sup {minus}1} in multiple bunches demonstrated during the last commissioning period before installation of the BABAR detector. Further luminosity increases are anticipated as the vertical beam size is reduced and beam currents are raised towards design values. At high currents interesting multibunch dynamics, which depend strongly on current distribution, have been observed during single-beam commissioning studies. Transverse beam instabilities nominally controlled using bunch-by-bunch feedback were observed to be significantly suppressed, in the absence of feedback, with beams in collision.

  3. To Explore the Effect of Sub Consciousness on Sudden Moments of Inspiration (SMI) in the Sketching Process of Industrial Design

    Science.gov (United States)

    Wu, Qun; Wang, Yecheng

    2015-01-01

    The purpose of this study is to identify the occurrence of Sudden Moments of Inspiration (SMI) in the sketching process of industrial design through experiments to explain the effect of sub consciousness on SMI. There are a pre-experiment and a formal experiment. In the formal experiment, nine undergraduates majoring in industrial design with same…

  4. M-tourism as increasing trend within current tourism and recreation - Polish and international experience

    Science.gov (United States)

    Kuska, Michalina; Augustyńska, Beata; Mikołajewska, Emilia; Mikołajewski, Dariusz

    2017-11-01

    Mobile solutions (smartphones, tablet computers, smartwatches, smartbands, gps locallzators, and associated software) become normal part of our daily activities. Thus novel part of e-commerce named m-tourism is developing rapidly. It may maximise profitability across national boundaries and make tourism easier, quicker and cheaper than before. We should be prepared to associated changes and novel economics. Aim of the article is to investigate factors associated with m-tourism experiences, and the association between use of e-services and tourism experiences and subsequent satisfaction.

  5. On the seasonal variability and eddies in the North Brazil Current: insights from model intercomparison experiments

    Science.gov (United States)

    Barnier, Bernard; Reynaud, Thierry; Beckmann, Aike; Böning, Claus; Molines, Jean-Marc; Barnard, Sally; Jia, Yanli

    The time dependent circulation of the North Brazil Current is studied with three numerical ocean circulation models, which differ by the vertical coordinate used to formulate the primitive equations. The models are driven with the same surface boundary conditions and their horizontal grid-resolution (isotropic, 1/3° at the equator) is in principle fine enough to permit the generation of mesoscale eddies. Our analysis of the mean seasonal currents concludes that the volume transport of the North Brazil Current (NBC) at the equator is principally determined by the strength of the meridional overturning, and suggests that the return path of the global thermohaline circulation is concentrated in the NBC. Models which simulate a realistic overturning at 24°N of the order of 16-18 Sv also simulate a realistic NBC transport of nearly 35 Sv comparable to estimates deduced from the most recent observations. In all models, the major part of this inflow of warm waters from the South Atlantic recirculates in the zonal equatorial current system, but the models also agree on the existence of a permanent coastal mean flow to the north-west, from the equator into the Carribean Sea, in the form of a continuous current or a succession of eddies. Important differences are found between models in their representation of the eddy field. The reasons invoked are the use of different subgrid-scale parameterisations, and differences in stability of the NBC retroflection loop because of differences in the representation of the effect of bottom friction according to the vertical coordinate that is used. Finally, even if differences noticed between models in the details of the seasonal mean circulation and water mass properties could be explained by differences in the eddy field, nonetheless the major characteristics (mean seasonal currents, volume and heat transports) appears to be at first order driven by the strength of the thermohaline circulation.

  6. SAR data for the analysis of forest features: current Brazilian experiences

    Directory of Open Access Journals (Sweden)

    Fábio Guimarães Gonçalves

    2006-12-01

    Full Text Available This article presents some applications of airborne polarimetric and/or interferometric microwave data to improve the knowledge of forest structures. Three airborne SAR (Synthetic Aperture Radar experiments were done in the Amazon tropical forest: (a to study the spatial distribution of very large trees (VLTs in the primary forest using local maximum filtering and a series of Markov processes; (b to model the estimation of biomass variations in primary and secondary forests; (c to analyze the retrieval of timber volume over selective logging areas. Another experiment (d was to investigate the relation among SAR data and the volumetric configuration in stands of Eucalyptus sp. done by an airborne SAR imaging mission in SE-Brazil. To perform the objectives (b, (c and (d we carry out regression techniques, using variables got from multipolarimetric and/or interferometric SAR attributes and biophysical parameters from the forest cover. All data from the experiments were calibrated radiometrically to extract information during digital processing, besides an exhaustive field survey which was done simultaneously to SAR imaging, to know the physiognomy/structure of forest typology and to support the models produced for each case. The results of this series of experiments show advances at the techniques to treat SAR data, focusing on models of stand architecture and forest stock density. This will be helpful to increase the regional inventory and surveying procedures of forest conversion in the Brazilian territory in the near future.

  7. Survey of Current Practices in Field Experience Education. Michigan State University 1977-1978.

    Science.gov (United States)

    Duley, John S.

    During the 1978 winter term, the Learning and Evaluation Service of Michigan State University initiated, in collaboration with the Council for the Advancement of Experiential Learning (CAEL), an institutional development program in field experience education. Purposes of the study were to describe the nature and extent of field experience…

  8. Turbidity current hydraulics and sediment deposition in erodible sinuous channels: Laboratory experiments and numerical simulations

    NARCIS (Netherlands)

    Janocko, M.; Cartigny, M.J.B.; Nemec, W.; Hansen, E.W.M.

    2013-01-01

    This study explores the relationship between the hydraulics of turbidity currents in erodible sinuous channels and the resulting intra-channel sediment depocentres (channel bars). Four factors are considered to exert critical control on sedimentation in sinuous submarine channels: (1) the

  9. Sudden death of cardiac origin and psychotropic drugs.

    Science.gov (United States)

    Timour, Quadiri; Frassati, Dominique; Descotes, Jacques; Chevalier, Philippe; Christé, Georges; Chahine, Mohamed

    2012-01-01

    Mortality rate is high in psychiatric patients versus general population. An important cause of this increased mortality is sudden cardiac death (SCD) as a major side-effect of psychotropic drugs. These SCDs generally result from arrhythmias occurring when the posology is high and may attain a toxic threshold but also at dosages within therapeutic range, in the presence of risk factors. There are three kinds of risk factors: physiological (e.g., low cardiac rate of sportsmen), physiopathological (e.g., hepatic insufficiency, hypothyroidism) and "therapeutic" (due to interactions between psychotropic drugs and other medicines). Association of pharmacological agents may increase the likelihood of SCDs either by (i) a pharmacokinetic mechanism (e.g., increased torsadogenic potential of a psychotropic drug when its destruction and/or elimination are compromised) or (ii) a pharmacodynamical mechanism (e.g., mutual potentiation of proarrhythmic properties of two drugs). In addition, some psychotropic drugs may induce sudden death in cases of pre-existing congenital cardiopathies such as (i) congenital long QT syndrome, predisposing to torsade de pointes that eventually cause syncope and sudden death. (ii) A Brugada syndrome, that may directly cause ventricular fibrillation due to reduced sodium current through Nav1.5 channels. Moreover, psychotropic drugs may be a direct cause of cardiac lesions also leading to SCD. This is the case, for example, of phenothiazines responsible for ischemic coronaropathies and of clozapine that is involved in the occurrence of myocarditis. The aims of this work are to delineate: (i) the risk of SCD related to the use of psychotropic drugs; (ii) mechanisms involved in the occurrence of such SCD; (iii) preventive actions of psychotropic drugs side effects, on the basis of the knowledge of patient-specific risk factors, documented from clinical history, ionic balance, and ECG investigation by the psychiatrist.

  10. Sudden death of cardiac origin and psychotropic drugs

    Directory of Open Access Journals (Sweden)

    Quadiri eTimour

    2012-05-01

    Full Text Available Mortality rate is high in psychiatric patients versus general population. An important cause of this increased mortality is sudden cardiac death (SCD as a major side-effect of psychotropic drugs. These SCDs generally result from arrhythmias occurring when the posology is high and may attain a toxic threshold but also at dosages within therapeutic range, in the presence of risk factors. There are three kinds of risk factors: physiological (e.g.: low cardiac rate of sportsmen, physiopathological (e.g.: hepatic insufficiency, hypothyroidism and "therapeutic" (due to interactions between psychotropic drugs and other medicines. Association of pharmacological agents may increase the likelihood of SCDs either by i a pharmacokinetic mechanism (e.g.: increased torsadogenic potential of a psychotropic drug when its destruction and/or elimination are compromised or ii a pharmacodynamical mechanism (e.g.: mutual potentiation of proarrhythmic properties of two drugs. In addition, some psychotropic drugs may induce sudden death in cases of pre-existing congenital cardiopathies such as i congenital long QT syndrome, predisposing to torsade de pointes that eventually cause syncope and sudden death. ii a Brugada syndrome, that may directly cause ventricular fibrillation due to reduced sodium current through Nav1.5 channels. Moreover, psychotropic drugs may be a direct cause of cardiac lesions also leading to SCD. This is the case, for example, of phenothiazines responsible for ischemic coronaropathies and of clozapine that is involved in the occurrence of myocarditis. The aims of this work are to delineate: i the risk of SCD related to the use of psychotropic drugs; ii mechanisms involved in the occurrence of such SCD; iii preventive actions of psychotropic drugs side effects, on the basis of the knowledge of patient-specific risk factors, documented from clinical history, ionic balance and ECG investigation by the psychiatrist.

  11. Field-aligned currents and magnetospheric generator in experiments on a laser-produced plasma flowing around a magnetic dipole

    Science.gov (United States)

    Shaikhislamov, I. F.; Antonov, V. M.; Zakharov, Yu. P.; Boyarintsev, E. L.; Melekhov, A. V.; Posukh, V. G.; Ponomarenko, A. G.

    2014-07-01

    A laboratory experiment on modeling the magnetospheric generator of the field-aligned currents and the Earth's transpolar potential in the absence of IMF is illustrated. The measurements of the total field-aligned current in the generator shorted mode and the transpolar potential in the circuit disconnection mode made it possible to determine the generator internal resistance. A model that explains the saturation current and internal resistance by the feedback between the field-aligned current and plasma flank motions has been proposed. This feedback is described through the effective resistance, which is proportional to the flow rate and the ratio of the boundary layer to the dimension of the magnetosphere. For the experimental conditions, the calculated generator resistance was in good agreement with the measured value. The estimates for the Earth's magnetosphere indicate that the MHD generator internal resistance in the boundary layer is usually much lower than the reverse integral conductivity of the ionosphere.

  12. Sudden natural death in Khartoum Mortuary | Mohamed | Sudan ...

    African Journals Online (AJOL)

    Background: The sudden natural death is defined as: Death occurs within 24 hours from the onset of symptoms. The disclosing of the causes of sudden natural death is important for prevention and improving outcome. The objectives of this study were to determine the causes of sudden natural death in Khartoum Mortuary

  13. Symptoms Before Sudden Arrhythmic Death Syndrome

    DEFF Research Database (Denmark)

    Glinge, Charlotte; Jabbari, Reza; Risgaard, Bjarke

    2015-01-01

    INTRODUCTION: No studies in an unselected and nationwide setting have characterized the symptoms and medical history of patients with sudden arrhythmic death syndrome (SADS). The aim of this study was to identify and describe the symptoms and medical history of patients before the presentation...... of SADS. METHODS AND RESULTS: We have previously identified all of the autopsied sudden cardiac deaths (SCD; n = 314) in Danes aged 1-35 years between 2000 and 2006. After comprehensive pathological and toxicological investigation did not reveal a cause of SCD, 136 of the patients were identified as SADS....... The National Patient Registry was utilized to obtain information on all in- and outpatient activity in Danish hospitals. All medical records from hospitals and general practitioners, including death certificates and autopsy reports were reviewed. Before death, 48 (35%) SADS patients had cardiac symptoms; among...

  14. Rare cause of bilateral sudden deafness.

    Science.gov (United States)

    Vos, F I; Merkus, P; van Nieuwkerk, E B J; Hensen, E F

    2016-10-08

    In this paper, we describe the case of a 62-year-old female with recurring episodes of sudden deafness with vertigo and facial paresis. Within a month's time, this resulted in bilateral deafness and vestibular areflexia. Erroneously, the patient was diagnosed with sudden deafness of unknown origin and subsequently with neuroborreliosis (Lyme disease). The true diagnosis of relapsing polychondritis (RP) was revealed 9 months after initial presentation. The diagnostic delay is in part explained by the fact that, by definition, the disease has to relapse before the diagnosis can be made, but also by its pluriform clinical presentation. Timely identification of RP as the cause of this profound sensorineural hearing loss proved to be important. It was key in instigating adequate follow-up, and allowed for cochlear implantation before total cochlear obliteration, which might have hampered optimal hearing rehabilitation. 2016 BMJ Publishing Group Ltd.

  15. Measuring ac losses in superconducting cables using a resonant circuit:Resonant current experiment (RESCUE)

    DEFF Research Database (Denmark)

    Däumling, Manfred; Olsen, Søren Krüger; Rasmussen, Carsten

    1998-01-01

    A simple way to obtain true ac losses with a resonant circuit containing a superconductor, using the decay of the circuit current, is described. For the measurement a capacitor is short circuited with a superconducting cable. Energy in the circuit is provided by either charging up the capacitors...... the superconductor. The method has been successfully applied for the measurement of the ac loss in a 1 m long superconducting cable model....... be recorded using, for example, a digital oscilloscope. The amplitude decay of the periodic voltage or current accurately reflects the power loss in the system. It consists of two components-an ohmic purely exponential one (from leads, contacts, etc.), and a nonexponential component originating from...

  16. Experience and current issues with recovery management from the Fukushima accident.

    Science.gov (United States)

    Kai, M

    2015-06-01

    This paper describes the experiences of, and issues with, recovery management following the accident at Fukushima Daiichi nuclear power plant. The Fukushima accident has brought about socio-economic consequences with inevitable changes to daily life, as well as psychological effects. There is heightened concern amongst the population about the risk and effects of radiation at low doses. Experience has shown that the direct involvement of the affected population and local professionals is a decisive factor for management of the recovery phase. The radiological protection system of the International Commission on Radiological Protection (ICRP) seems to be relevant to the recovery requirements of the Fukushima accident, although some problems remain in implementation. Reference levels could play a role in improving the situation by requiring an iterative optimisation process. The Fukushima experience indicated that a routine, top-down approach using radiological criteria alone was unable to deal with the complexity of the problems, and that stakeholder engagement should be explored. The technical knowledge gap between radiation experts and the public caused a lot of confusion. Experts should understand the ethical values attached to recovery, and ICRP should be more active in promoting trustworthy radiological protection advice. © The International Society for Prosthetics and Orthotics Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  17. POLITICAL POWER IN THE PRISM OF POLITICAL ANALYSIS (EXPERIENCE REVIEW OF CURRENT RESEARCH DIRECTIONS

    Directory of Open Access Journals (Sweden)

    A. N. Kuryukin

    2010-01-01

    Full Text Available The broad theoretical material considered relevant areas of the study of political power. Reveals the patterns of occurrence and development of a strictly scientific views on political power as a phenomenon and a social process. Determined the current trends of development of theoreticalunderstanding of political power in relation to the stages of its evolution. The most urgent technological model of exercising political power.

  18. Experiments on Helicon Excitation and Off-Axis Current Drive on DIII-D: Status and Plans

    Science.gov (United States)

    Pinsker, R. I.; Prater, R.; Moeller, C. P.; Degrassie, J. S.; Tooker, J. F.; Anderson, J. P.; Torreblanca, H.; Hansink, M.; Nagy, A.; Porkolab, M.

    2015-11-01

    Fast waves in the LHRF, also called ``whistlers'' or ``helicons,'' will be studied in experiments on the DIII-D tokamak beginning in autumn 2015. In the first stage, a 12-element traveling wave antenna (``comb-line'') is installed in the DIII-D vessel for operation at very low power (~ 0.1 kW) at 476 MHz, with a well-defined launched n| | spectrum peaked at 3.0. The goals of the low-power experiment include: (1) determining the efficiency with which the desired fast waves can be excited under a variety of plasma conditions in discharges relevant to the subsequent high-power current drive experiments and (2) proving that the radial and poloidal location at which the antenna will be mounted does not cause deleterious effects in the DIII-D discharges with high neutral beam power, and that the antenna is not damaged by fast ion losses, etc. Plans for 1 MW-level experiments with a single klystron beginning in FY17 are discussed. In addition to demonstrating off-axis current drive at an efficiency of ~ 60 kA/MW in high-performance plasmas, these experiments will explore non-linear aspects of wave excitation, propagation and absorption such as ponderomotive effects and parametric decay instabilities. Supported by US DOE DE-FC02-04ER54698, DE-AC02-09CH11466 and DE-FG02-94ER54084.

  19. Cerebral Paragonimiasis Presenting with Sudden Death.

    Science.gov (United States)

    Amaro, Deirdre E; Cowell, Annie; Tuohy, Marion J; Procop, Gary W; Morhaime, Jacquelyn; Reed, Sharon L

    2016-12-07

    A 58-year-old Korean-born woman with a history of seizures and psychiatric issues was found dead at home. Autopsy was notable for large, calcified nodules that had nearly replaced her right temporal lobe. Histologic examination revealed the presence of Paragonimus eggs. This case demonstrates a rare manifestation of an aberrantly migrated lung fluke that resulted in epilepsy and sudden death years after the initial infection. © The American Society of Tropical Medicine and Hygiene.

  20. Current sheets in the Earth’s magnetosphere and in laboratory experiments: The magnetic field structure and the Hall effect

    Energy Technology Data Exchange (ETDEWEB)

    Frank, A. G., E-mail: annfrank@fpl.gpi.ru [Russian Academy of Sciences, Prokhorov General Physics Institute (Russian Federation); Artemyev, A. V.; Zelenyi, L. M. [Russian Academy of Sciences, Space Research Institute (Russian Federation)

    2016-10-15

    The main characteristics of current sheets (CSs) formed in laboratory experiments are compared with the results of satellite observations of CSs in the Earth’s magnetotail. We show that many significant features of the magnetic field structure and the distributions of plasma parameters in laboratory and magnetospheric CSs exhibit a qualitative similarity, despite the enormous differences of scales, absolute values of plasma parameters, magnetic fields, and currents. In addition to a qualitative comparison, we give a number of dimensionless parameters that demonstrate the possibility of laboratory modeling of the processes occurring in the magnetosphere.

  1. Imaging spectrum of sudden athlete cardiac death.

    LENUS (Irish Health Repository)

    Arrigan, M T

    2012-02-01

    Sudden athlete death (SAD) is a widely publicized and increasingly reported phenomenon. For many, the athlete population epitomize human physical endeavour and achievement and their unexpected death comes with a significant emotional impact on the public. Sudden deaths within this group are often without prior warning. Preceding symptoms of exertional syncope and chest pain do, however, occur and warrant investigation. Similarly, a positive family history of sudden death in a young person or a known family history of a condition associated with SAD necessitates further tests. Screening programmes aimed at detecting those at risk individuals also exist with the aim of reducing fatalities. In this paper we review the topic of SAD and discuss the epidemiology, aetiology, and clinical presentations. We then proceed to discuss each underlying cause, in turn discussing the pathophysiology of each condition. This is followed by a discussion of useful imaging methods with an emphasis on cardiac magnetic resonance and cardiac computed tomography and how these address the various issues raised by the pathophysiology of each entity. We conclude by proposing imaging algorithms for the investigation of patients considered at risk for these conditions and discuss the various issues raised in screening.

  2. Sudden hearing loss associated with methylphenidate therapy.

    Science.gov (United States)

    Karapinar, Ugur; Saglam, Omer; Dursun, Engin; Cetin, Bilal; Salman, Nergis; Sahan, Murat

    2014-01-01

    An 8-year-old child diagnosed with attention deficit/hyperactivity disorder presented to our Department of Otolaryngology 4 days after suffering hearing loss, loss of balance, tinnitus, and fullness sensation of the left ear. Her symptoms occured with the first dose of methylphenidate. The medical history and physical examination revealed no other diseases associated with sudden hearing loss. The audiogram revealed a total hearing loss on the left ear. Stapedial reflexes, distortion product and transient-evoked otoacoustic emissions were absent in left ear. The absence of clinical, laboratory and radiological evidence of a possible cause for complaints, an association between methylphenidate and sudden hearing loss was suggested. The patient received a standard course of oral corticosteroid and hyperbaric oxygen therapy. Weekly otological and audiological examinations were performed. Conservative and medical treatments offered no relief from hearing loss. Sudden hearing loss is a serious and irreversible adverse effect of methylphenidate. Therefore, the risk of hearing loss should be taken into consideration when initiating methylphenidate therapy.

  3. Arrhythmias and sudden death in heart failure.

    Science.gov (United States)

    Stevenson, W G; Sweeney, M O

    1997-09-01

    Survival of patients with heart failure has improved over the past decade due to advances in medical therapy. Sudden death continues to cause 20 to 50% of deaths. Ventricular arrhythmias are common in patients with heart failure. Ventricular hypertrophy, scars from prior myocardial infarction, sympathetic activation, and electrolyte abnormalities contribute. Some sudden deaths are due to bradyarrhythmias and electromechanical dissociation rather than ventricular arrhythmias. The risks and benefits of antiarrhythmic therapies continue to be defined. Class I antiarrhythmic drugs should be avoided due to proarrhythmic and negative inotropic effects that may increase mortality. For patients resuscitated from sustained ventricular tachycardia (VT) or ventricular fibrillation (VF) amiodarone or an implantable cardioverter defibrillator (ICD) should be considered. ICDs markedly reduce sudden death in VT/VF survivors, but in advanced heart failure, this may not markedly extend survival. Catheter or surgical ablation can be considered for selected patients with bundle branch reentry VT or difficult to control monomorphic VT. For patients who have not had sustained VT/VF antiarrhythmic therapy should generally be avoided, but may benefit some high risk patients. Amiodarone may be beneficial in patients with advanced heart failure and rapid resting heart rates. ICDs may improve survival in selected survivors of myocardial infarction who have inducible VT.

  4. Dentate gyrus abnormalities in sudden unexplained death in infants: morphological marker of underlying brain vulnerability.

    Science.gov (United States)

    Kinney, Hannah C; Cryan, Jane B; Haynes, Robin L; Paterson, David S; Haas, Elisabeth A; Mena, Othon J; Minter, Megan; Journey, Kelley W; Trachtenberg, Felicia L; Goldstein, Richard D; Armstrong, Dawna D

    2015-01-01

    Sudden unexplained death in infants, including the sudden infant death syndrome, is likely due to heterogeneous causes that involve different intrinsic vulnerabilities and/or environmental factors. Neuropathologic research focuses upon the role of brain regions, particularly the brainstem, that regulate or modulate autonomic and respiratory control during sleep or transitions to waking. The hippocampus is a key component of the forebrain-limbic network that modulates autonomic/respiratory control via brainstem connections, but its role in sudden infant death has received little attention. We tested the hypothesis that a well-established marker of hippocampal pathology in temporal lobe epilepsy-focal granule cell bilamination in the dentate, a variant of granule cell dispersion-is associated with sudden unexplained death in infants. In a blinded study of hippocampal morphology in 153 infants with sudden and unexpected death autopsied in the San Diego County medical examiner's office, deaths were classified as unexplained or explained based upon autopsy and scene investigation. Focal granule cell bilamination was present in 41.2% (47/114) of the unexplained group compared to 7.7% (3/39) of the explained (control) group (p infants with sudden unexplained death may represent a developmental vulnerability that leads to autonomic/respiratory instability or autonomic seizures, and sleep-related death when the infants are challenged with homeostatic stressors. Importantly, these lesions can be recognized in microscopic sections prepared in current forensic practice. Future research is needed to determine the relationship between hippocampal and previously reported brainstem pathology in sudden infant death.

  5. Improved upper bounds on Kaluza-Klein gravity with current Solar System experiments and observations

    Energy Technology Data Exchange (ETDEWEB)

    Deng, Xue-Mei [Chinese Academy of Sciences, Purple Mountain Observatory, Nanjing (China); Xie, Yi [Nanjing University, School of Astronomy and Space Science, Nanjing (China); Shanghai Key Laboratory of Space Navigation and Position Techniques, Shanghai (China); Nanjing University, Ministry of Education, Key Laboratory of Modern Astronomy and Astrophysics, Nanjing (China)

    2015-11-15

    As an extension of previous works on classical tests of Kaluza-Klein (KK) gravity and as an attempt to find more stringent constraints on this theory, its effects on physical experiments and astronomical observations conducted in the Solar System are studied. We investigate the gravitational time delay at inferior conjunction caused by KK gravity, and use new Solar System ephemerides and the observation of Cassini to strengthen constraints on KK gravity by up to two orders of magnitude. These improved upper bounds mean that the fifth-dimensional space in the soliton case is a very flat extra dimension in the Solar System, even in the vicinity of the Sun. (orig.)

  6. Cardiac Potassium Channel Dysfunction in Sudden Infant Death Syndrome

    Science.gov (United States)

    Rhodes, Troy E.; Abraham, Robert A.; Welch, Richard C.; Vanoye, Carlos G.; Crotti, Lia; Arnestad, Marianne; Insolia, Roberto; Pedrazzini, Matteo; Ferrandi, Chiara; Vege, Ashild; Rognum, Torleiv; Roden, Dan M.; Schwartz, Peter J.; George, Alfred L.

    2008-01-01

    Life-threatening arrhythmias have been suspected as one cause of the sudden infant death syndrome (SIDS), and this hypothesis is supported by the observation that mutations in arrhythmia susceptibility genes occur in 5–10% of cases. However, the functional consequences of cardiac potassium channel gene mutations associated with SIDS and how these alleles might mechanistically predispose to sudden death are unknown. To address these questions, we studied four missense KCNH2 (encoding HERG) variants, one compound KCNH2 genotype, and a missense KCNQ1 mutation all previously identified in Norwegian SIDS cases. Three of the six variants exhibited functional impairments while three were biophysically similar to wild-type channels (KCNH2 variants V279M, R885C, S1040G). When coexpressed with WT-HERG, R273Q and K897T/R954C generated currents resembling the rapid component of the cardiac delayed rectifier current (IKr) but with significantly diminished amplitude. Action potential modeling demonstrated that this level of functional impairment was sufficient to evoke increased action potential duration and pause-dependent early afterdepolarizations. By contrast, KCNQ1-I274V causes a gain-of-function in IKs characterized by increased current density, faster activation, and slower deactivation leading to accumulation of instantaneous current upon repeated stimulation. Action potential simulations using a Markov model of heterozygous I274V-IKs incorporated into the Luo-Rudy (LRd) ventricular cell model demonstrated marked rate-dependent shortening of action potential duration predicting a short QT phenotype. Our results indicate that certain potassium channel mutations associated with SIDS confer overt functional defects consistent with either LQTS or SQTS, and further emphasize the role of congenital arrhythmia susceptibility in this syndrome. PMID:18222468

  7. Current Status of the dark matter experiment DarkSide-50

    Energy Technology Data Exchange (ETDEWEB)

    Marini, L.; Pagani, Ioanna; Agnes, P.; Alexander, T.; Alton, A.; Arisaka, K.; Back, Henning O.; Baldin, B.; Biery, K.; Bonfini, G.; Bossa, M.; Brigatti, A.; Brodsky, J.; Budano, F.; Cadonati, L.; Calaprice, F.; Canci, N.; Candela, A.; Cao, H.; Cariello, M.; Cavalcante, P.; Chavarria, A.; Chepurnov, A.; Cocco, A. G.; D' Angelo, D.; D' Incecco, M.; Davini, S.; De Deo, M.; Derbin, A.; Devoto, A.; Di Eusanio, F.; Di Pietro, Giuseppe; Edkins, E.; Empl, Anton; Fan, A.; Fiorillo, G.; Fomenko, K.; Forster, G.; Franco, D.; Gabriele, F.; Galbiati, C.; Goretti, A.; Grandi, L.; Gromov, M.; Guan, M. Y.; Guardincerri, Y.; Hackett, B.; Herner, K.; Humble, Paul H.; Hungerford, Edward; Ianni, Al.; Ianni, An.; Jollet, C.; Keeter, K.; Kendziora, C.; Kidner, S.; Kobychev, V.; Koh, G.; Korablev, D.; Korga, G.; Kurlej, A.; Li, P. X.; Lombardi, P.; Love, C.; Ludhova, L.; Luitz, S.; Ma, Y. Q.; Machulin, I.; Mandarano, A.; Mari, S. M.; Maricic, J.; Martoff, C. J.; Meregaglia, A.; Meroni, E.; Meyers, P. D.; Milincic, R.; Montanari, D.; Montuschi, M.; Monzani, M. E.; Mosteiro, P.; Mount, B.; Muratova, V.; Musico, P.; Nelson, A.; Odrowski, S.; Okounkova, M.; Orsini, M.; Ortica, F.; Pallavicini, Marco; Pantic, E.; Papp, L.; Parmeggiano, S.; Parsells, R.; Pelczar, K.; Pelliccia, N.; Perasso, S.; Pocar, A.; Pordes, S.; Pugachev, D.; Qian, H.; Randle, K.; Ranucci, Gioacchino; Razeto, A.; Reinhold, B.; Renshaw, A.; Romani, A.; Rossi, B.; Rossi, N.; Rountree, S. D.; Sablone, D.; Saggese, P.; Saldanha, R.; Sands, W.; Sangiorgio, Samuele; Segreto, E.; Semenov, D.; Shields, E.; Skorokhvatov, Mikhail; Smirnov, Oleg; Sotnikov, Albert; Stanford, Chris; Suvorov, Yura; Tartaglia, Roberto; Tatarowicz, John; Testera, Gemma; Tonazzo, Alessandra; Unzhakov, Eugenii; Vogelaar, R. B.; Wada, Masayuki; Walker, Susan E.; Wang, H.; Wang, Yanan; Watson, A. W.; Westerdale, S.; Wojcik, M.; Wright, A.; Xiang, Xin; Xu, Jingke; Yang, C. G.; Yoo, J.; Zavatarelli, Sandra; Zec, Adam; Zhu, Chengliang; Zuzel, G.

    2016-07-12

    DarkSide-50 is a dark matter direct search experiment at LNGS, searching for rare nuclear recoils possibly induced by WIMPs. It has two nested vetoes and a dual phase liquid argon TPC as dark matter detector. Key features of this experiment are the use of underground argon as radio-pure target and of muon and neutron active vetoes to suppress the background. The first data-taking campaign was running from November 2013 to April 2015 with an atmospheric argon target and a reduced efficiency neutron veto due to internal contamination. However, an upper limit on the WIMP-nucleon cross section of 6.1×10−44 cm2 at 90% CL was obtained for a WIMP mass of 100 GeV/c2 and an exposure of (1422 ± 67) kg·d. At present DarkSide-50 started a 3 years run, intended to be background-free because the neutron veto was successfully recovered and underground argon replaced the atmospheric one. Additionally calibration campaigns for both the TPC and the neutron veto were completed. Thanks to the good performance of the background rejection, the results obtained so far suggest the scalability of DarkSide-50 to a ton-scale detector, which will play a key role into the dark matter search scenario.

  8. The Psychological Effects of Sudden Infant Death on Grandmothers and Grandfathers.

    Science.gov (United States)

    DeFrain, John D.; And Others

    1992-01-01

    Examined psychological and social impact of Sudden Infant Death Syndrome (SIDS) on 80 grandmothers and grandfathers. Results of quantitative and qualitative analyses suggest that SIDS for most grandparents is a devastating experience. Common feelings expressed included disbelief, anger, guilt, anxiety, depression, concern for their bereaved adult…

  9. Effect of phosphate treatments on sudden oak death in tanoak and Shreve's oak

    Science.gov (United States)

    Doug Schmidt; Matteo Garbelotto; Dave Chambers; Steve Tjosvold

    2006-01-01

    Field experiments were conducted to evaluate the effectiveness of phosphonate chemical treatments for control of sudden oak death in tanoak (Lithocarpus densiflorus) and Shreve's oak (Quercus parvula var. Shrevei). Native stands of mature trees were preventatively treated with Agrifos® systemic fungicide and...

  10. Sudden Oak Death in redwood forests: vegetation dynamics in the wake of tanoak decline

    Science.gov (United States)

    Benjamin Ramage; Kevin O’Hara

    2010-01-01

    Numerous lines of inquiry have concluded that tanoak (Lithocarpus densiflorus) will continue to experience drastic population declines and may even disappear entirely from redwood (Sequoia sempervirens) forests as a result of the exotic disease sudden oak death (SOD) (Maloney and others 2005, McPherson and others 2005,...

  11. Operational Experience and Consolidations for the Current Lead Control Valves of the Large Hadron Collider

    CERN Document Server

    Perin, A; Pirotte, O; Krieger, B; Widmer, A

    2012-01-01

    The Large Hadron Collider superconducting magnets are powered by more than 1400 gas cooled current leads ranging from 120 A to 13000 A. The gas flow required by the leads is controlled by solenoid proportional valves with dimensions from DN 1.8 mm to DN 10 mm. During the first months of operation, signs of premature wear were found in the active parts of the valves. This created major problems for the functioning of the current leads threatening the availability of the LHC. Following the detection of the problems, a series of measures were implemented to keep the LHC running, to launch a development program to solve the premature wear problem and to prepare for a global consolidation of the gas flow control system. This article describes first the difficulties encountered and the measures taken to ensure a continuous operation of the LHC during the first year of operation. The development of new friction free valves is then presented along with the consolidation program and the test equipment developed to val...

  12. Direct current electrotherapy for internal haemorrhoids: experience in a tertiary health institution.

    Science.gov (United States)

    Olatoke, Samuel; Adeoti, Moses; Agodirin, Olayide; Ajape, Abdulwahab; Agbola, John

    2014-01-01

    Haemorrhoids disease is one of the most frequently occurring disabling conditions of the anorectum. We re-present the method, advantages and results of using direct current electrotherapy in the treatment of haemorrhoids. Symptomatic grades 1, 2 or 3 internal and mixed haemorroids were treated. Exposure and evaluation was with an operative proctoscope which visualized one-eighth of the anal canal at a time. All diseased segments were treated per visit, indicators of successful treatment were, darkening of the treated segment, immediate shrinking of the haemorrhoid and ceasation of popping sound of gas release at the probe tip. Patients were followed up for two weeks. No bowel preparations, medications, anesthesia nor admission was required. Four hundred and fifty six segments were exposed, 252(55.3%) were diseased. eight patients with either grades 2 or 3 diseases required two treatment visits. The most common symptom was rectal bleeding (94.7%), followed by prolapsed but manually reduced hemorrhoids (68%). Prolapse of tuft of haemorrhoidal tissue with spontaneous return was seen in 59.6%, anal pain in 29.8%, and itching in 3.5%. the median number treated segments per patient was 4. No complication was encountered. All patients treated remained symptom free at a mean duration of follow up of 16 months. Direct current electrotherapy is an effective, painless and safe out-patient treatment method for grades 1 to 3 internal and mixed hemorrhoid disease.

  13. Operational experience in the use of 18 kA HTS current leads for Edipo

    Science.gov (United States)

    March, S.; Wesche, R.; Bruzzone, P.

    2014-05-01

    In spring 2013, the Edipo facility of CRPP was commissioned. The dipole is powered via two 18 kA HTS current leads, designed and manufactured at CRPP. As part of the Edipo commissioning framework, the operational parameters of the leads were implemented in the control system. The in-situ tests were found to be in good agreement with the tests performed without a background field in 2011. The leads consist of a conduction cooled HTS module, made of AgMgAu/Bi-2223 stacks, and a wire bundle heat exchanger. The heat exchanger is cooled by forced flow helium gas, the inlet temperature of which was measured to vary between 65 K and 85 K. During operation with field, the mass flow rate is a function of current (2.05 g/s per lead at full field, 12.35 T, 17.2 kA). Reduced cooling investigations showed that 0.31 g/s per lead is suitable for overnight standby and 0.2 g/s per lead for longer periods. For detection of and protection against quench in the HTS module, a threshold of 10 mV was found to be appropriate. The heat exchanger has a voltage protection threshold of 120 mV. The temperatures of the heat exchanger, the HTS, and the helium inlet temperature were monitored in order to provide a further layer of protection.

  14. Sudden infant death due to Lactococcal infective endocarditis.

    Science.gov (United States)

    Taniguchi, K; Nakayama, M; Nakahira, K; Nakura, Y; Kanagawa, N; Yanagihara, I; Miyaishi, S

    2016-03-01

    Infective endocarditis (IE) of infants is rare, most of which occur associated with congenital heart disease or its cardiac surgery. We experienced a case of sudden death of a four-month-old male infant without congenital heart disease. It was elucidated by postmortem examination that the dead had suffered severe IE, which led him to death. In the microbiological genetic analysis using histological section, the pathogen causing inflammation in the present case was identified as Lactococcus lactis subspecies, although Staphylococci have been reported to be common and important one. Previously reported infectious diseases by Lactococcus lactis subspecies were all adult cases and this is the first report of an infantile death due to Lactococcal IE according to our knowledge. Any fatal disease may be included in sudden death cases targeted for forensic autopsy, even if it is rare. It is expected for forensic pathologists that they note such case and share each experience among themselves and other medical fields to develop a strategy for prevention. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  15. Evaluation of HIV protease inhibitor use and the risk of sudden death or nonhemorrhagic stroke

    DEFF Research Database (Denmark)

    Worm, S W; Kamara, D A; Reiss, P

    2012-01-01

    Concerns have arisen about possible effects of protease inhibitors (PIs) on cardiac conductivity. We found no significant association between current or recent PI exposure and sudden death or nonhemorrhagic stroke (adjusted rate ratio, 1.22; 95% confidence interval, .95-1.57), whereas cumulative...

  16. Evaluation of HIV Protease Inhibitor Use and the Risk of Sudden Death or Nonhemorrhagic Stroke

    NARCIS (Netherlands)

    Worm, S. W.; Kamara, D. A.; Reiss, P.; Fontas, E.; de Wit, S.; El-Sadr, W.; d'Arminio Monforte, A.; Law, M.; Phillips, A.; Ryom, L.; Dabis, F.; Weber, R.; Sabin, C.; Lundgren, J. D.

    2012-01-01

    Concerns have arisen about possible effects of protease inhibitors (PIs) on cardiac conductivity. We found no significant association between current or recent PI exposure and sudden death or nonhemorrhagic stroke (adjusted rate ratio, 1.22; 95% confidence interval, .95-1.57), whereas cumulative

  17. The physiological determinants of sudden infant death syndrome.

    Science.gov (United States)

    Garcia, Alfredo J; Koschnitzky, Jenna E; Ramirez, Jan-Marino

    2013-11-01

    It is well-established that environmental and biological risk factors contribute to Sudden Infant Death Syndrome (SIDS). There is also growing consensus that SIDS requires the intersection of multiple risk factors that result in the failure of an infant to overcome cardio-respiratory challenges. Thus, the critical next steps in understanding SIDS are to unravel the physiological determinants that actually cause the sudden death, to synthesize how these determinants are affected by the known risk factors, and to develop novel ideas for SIDS prevention. In this review, we will examine current and emerging perspectives related to cardio-respiratory dysfunctions in SIDS. Specifically, we will review: (1) the role of the preBötzinger complex (preBötC) as a multi-functional network that is critically involved in the failure to adequately respond to hypoxic and hypercapnic challenges; (2) the potential involvement of the preBötC in the gender and age distributions that are characteristic for SIDS; (3) the link between SIDS and prematurity; and (4) the potential relationship between SIDS, auditory function, and central chemosensitivity. Each section underscores the importance of marrying the epidemiological and pathological data to experimental data in order to understand the physiological determinants of this syndrome. We hope that a better understanding will lead to novel ways to reduce the risk to succumb to SIDS. Copyright © 2013. Published by Elsevier B.V.

  18. Modulating affective experience and emotional intelligence with loving kindness meditation and transcranial direct current stimulation: A pilot study.

    Science.gov (United States)

    Robinson, Charles; Armenta, Mika; Combs, Angela; Lamphere, Melanie L; Garza, Gabrielle J; Neary, James; Wolfe, Janet H; Molina, Edward; Semey, Dominick E; McKee, Christina M; Gallegos, Stevi J; Jones, Aaron P; Trumbo, Michael C; Al-Azzawi, Hussein; Hunter, Michael A; Lieberman, Gregory; Coffman, Brian A; Aboseria, Mohamed; Bikson, Marom; Clark, Vincent P; Witkiewitz, Katie

    2017-10-31

    Positive emotional perceptions and healthy emotional intelligence (EI) are important for social functioning. In this study, we investigated whether loving kindness meditation (LKM) combined with anodal transcranial direct current stimulation (tDCS) would facilitate improvements in EI and changes in affective experience of visual stimuli. LKM has been shown to increase positive emotional experiences and we hypothesized that tDCS could enhance these effects. Eighty-seven undergraduates were randomly assigned to 30 minutes of LKM or a relaxation control recording with anodal tDCS applied to the left dorsolateral prefrontal cortex (left dlPFC) or right temporoparietal junction (right TPJ) at 0.1 or 2.0 milliamps. The primary outcomes were self-reported affect ratings of images from the International Affective Picture System and EI as measured by the Mayer, Salovey and Caruso Emotional Intelligence Test. Results indicated no effects of training on EI, and no main effects of LKM, electrode placement, or tDCS current strength on affect ratings. There was a significant interaction of electrode placement by meditation condition (p = 0.001), such that those assigned to LKM and right TPJ tDCS, regardless of current strength, rated neutral and positive images more positively after training. Results suggest that LKM may enhance positive affective experience.

  19. [Sudden death in Versailles: A review of a cardiovascular treatrise by Dionis (1710)].

    Science.gov (United States)

    Charlier, P

    2017-05-12

    In 1710, the surgeon Pierre Dionis publishes a Dissertation on sudden death. Echoing and expanding the work of his Roman colleague Jean Marie Lancisi, he describes and analyzes dozens of cases of sudden death observed by him. A large number of cases was followed by autopsies allowing clinicopathological confrontation. Are proposed causes of death (pulmonary embolism, myocardial infarction, hemorrhagic stroke, arterial rupture, etc.), pathophysiological mechanisms based on the ancient theory of humors, and preventive actions to avoid these unexpected deaths. In this article, we oppose these old data to those of current literature. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  20. Pulse count modulation based biphasic current stimulator for retinal prosthesis and in vitro experiment using rd1 mouse.

    Science.gov (United States)

    Sungjin Oh; Jae-Hyun Ahn; Jongyoon Shin; Hyoungho Ko; Yong-Sook Goo; Dong-Il Dan Cho

    2014-01-01

    For a retinal prosthesis, retinal nerve cells are electrically stimulated by current pulses. Typically, the amplitude of the current pulses is modulated to control the amount of injected charges. However, a high spatial resolution can be difficult to achieve with this amplitude modulation method, because the neural response spreads more widely as the amplitude of the current pulses is increased. In this paper, a biphasic current stimulator integrated circuit (IC) using a new modulation method called, the pulse count modulation, is proposed. In the pulse count modulation method, the amplitude and the width of the current pulses are fixed, and the amount of injected charges is controlled by the number of applied current pulses in a base period. The proposed stimulator IC is fabricated by a 0.35 μm bipolar-CMOS-DMOS (BCDMOS) technology. The operation and performance of the stimulator IC are evaluated in an in vitro experiment environment with rd 1 mice. It is shown that a higher spatial resolution can be achieved compared with the amplitude modulation method.

  1. Parkinson’s Disease Differentially Affects Adaptation to Gradual as Compared to Sudden Visuomotor Distortions

    Science.gov (United States)

    Venkatakrishnan, Anusha; Banquet, Jean P.; Burnod, Yves; Contreras-Vidal, José L.

    2011-01-01

    Patients with Parkinson’s disease (PD) have difficulties in movement adaptation to optimize performance in novel environmental contexts such as altered screen cursor-hand relationships. Prior studies have shown that the time course of the distortion differentially affects visuomotor adaptation to screen cursor rotations, suggesting separate mechanisms for gradual and sudden adaptation. Moreover, studies in human and non-human primates suggest that adaptation to sudden kinematic distortions may engage the basal ganglia, whereas adaptation to gradual kinematic distortions involves cerebellar structures. In the present studies, participants were patients with PD, who performed center-out pointing movements, using either a digitizer tablet and pen or a computer trackball, under normal or rotated screen cursor feedback conditions. The initial study tested patients with PD using a cross-over experimental design for adaptation to gradual as compared with sudden rotated hand-screen cursor relationships and revealed significant after-effects for the gradual adaptation task only. Consistent with these results, findings from a follow-up experiment using a trackball that required only small finger movements showed that patients with PD adapt better to gradual as against sudden perturbations, when compared to age-matched healthy controls. We conclude that Parkinson’s disease affects adaptation to sudden visuomotor distortions but spares adaptation to gradual distortions. PMID:21414678

  2. Formation and structure of a current sheet in pulsed-power driven magnetic reconnection experiments

    Science.gov (United States)

    Hare, J. D.; Lebedev, S. V.; Suttle, L. G.; Loureiro, N. F.; Ciardi, A.; Burdiak, G. C.; Chittenden, J. P.; Clayson, T.; Eardley, S. J.; Garcia, C.; Halliday, J. W. D.; Niasse, N.; Robinson, T.; Smith, R. A.; Stuart, N.; Suzuki-Vidal, F.; Swadling, G. F.; Ma, J.; Wu, J.

    2017-10-01

    We describe magnetic reconnection experiments using a new, pulsed-power driven experimental platform in which the inflows are super-sonic but sub-Alfvénic. The intrinsically magnetised plasma flows are long lasting, producing a well-defined reconnection layer that persists over many hydrodynamic time scales. The layer is diagnosed using a suite of high resolution laser based diagnostics, which provide measurements of the electron density, reconnecting magnetic field, inflow and outflow velocities, and the electron and ion temperatures. Using these measurements, we observe a balance between the power flow into and out of the layer, and we find that the heating rates for the electrons and ions are significantly in excess of the classical predictions. The formation of plasmoids is observed in laser interferometry and optical self-emission, and the magnetic O-point structure of these plasmoids is confirmed using magnetic probes.

  3. Can current moisture responses predict soil CO2 efflux under altered precipitation regimes? A synthesis of manipulation experiments

    DEFF Research Database (Denmark)

    Vicca, S.; Bahn, M.; Estiarte, M.

    2014-01-01

    As a key component of the carbon cycle, soil CO2 efflux (SCE) is being increasingly studied to improve our mechanistic understanding of this important carbon flux. Predicting ecosystem responses to climate change often depends on extrapolation of current relationships between ecosystem processes...... to fluctuations in soil temperature and soil water content can be used to predict SCE under altered rainfall patterns. Of the 58 experiments for which we gathered SCE data, 20 were discarded because either too few data were available or inconsistencies precluded their incorporation in the analyses. The 38...... remaining experiments were used to test the hypothesis that a model parameterized with data from the control plots (using soil temperature and water content as predictor variables) could adequately predict SCE measured in the manipulated treatment. Only for 7 of these 38 experiments was this hypothesis...

  4. The Debate in Cuba's Scientific Community on Sudden Cardiac Death.

    Science.gov (United States)

    Vilches, Ernesto; Ochoa, Luis A; Ramos, Lianne

    2015-10-01

    Sudden cardiac death poses a challenge to modern medicine because of its high incidence, the unexpected and dramatic nature of the event, and years of potential life lost. What's more, despite modest decreases in global mortality attributed to cardiovascular diseases, incidence of sudden cardiac death has not declined. Cuba, like most of the Americas, suffers from knowledge gaps that hamper adequate strategies to address sudden cardiac death as a population health problem. We suggest that a generally accepted operational definition of sudden cardiac death be agreed upon, and a national registry developed that recognizes this cause of death on death certificates. These two actions will enable Cuba's public health authorities to assess the extent of the problem and to design intervention strategies for the population with intermediate and lower cardiovascular risk, the group in which most cases occur. KEYWORDS Sudden cardiac death, cardiovascular disease, sudden death, sudden cardiac arrest, risk reduction, prevention and control, Cuba.

  5. Patient access schemes in Asia-pacific markets: current experience and future potential.

    Science.gov (United States)

    Lu, Christine Y; Lupton, Caitlin; Rakowsky, Shana; Babar, Zaheer-Ud-Din; Ross-Degnan, Dennis; Wagner, Anita K

    2015-01-01

    Patient access (or risk-sharing) schemes are alternative market access agreements between healthcare payers and medical product manufacturers for conditional coverage of promising health technologies. This study aims to identify and characterize patient access schemes to date in the Asia-Pacific region. We reviewed the literature on patient access schemes over the last two decades using publicly available databases, Internet, and grey literature searches. We extracted key features of each scheme identified, including the drug, clinical indication, stakeholders involved, and details of the scheme. We categorized schemes according to a previously published taxonomy of scheme types and by country. We identified 3 schemes in South Korea, 5 in New Zealand, and 98 in Australia. Most (97.2%; n = 103) schemes focused on pharmaceuticals, few on medical technologies. More than half of the schemes related to treatments for cancer and inflammatory diseases such as rheumatoid arthritis. The majority (77.4%; n =82) involved pricing arrangements. Evidence generation schemes were rarely used. About half (41.8%; n = 41) of schemes in Australia were hybrid by nature, consisting of pricing arrangements with a conditional treatment continuation component. Australia has the most experience with patient access schemes and its experience may provide useful insights for other Asia-Pacific countries. The main targets are pharmaceuticals likely to have high budget impact (due to high per-patient costs and/or large volumes of use), and pharmaceuticals that may be adopted more widely than indicated. With the proliferation of high-cost medicines, the use of schemes may increase to address rising cost pressures, consumer demands, and uncertainties, while attempting to provide patient access to innovative care within finite budgets. Future research is warranted to evaluate the performance of patient access schemes.

  6. Translational Science Project Team Managers: Qualitative Insights and Implications from Current and Previous Postdoctoral Experiences.

    Science.gov (United States)

    Wooten, Kevin C; Dann, Sara M; Finnerty, Celeste C; Kotarba, Joseph A

    2014-07-01

    The development of leadership and project management skills is increasingly important to the evolution of translational science and team-based endeavors. Team science is dependent upon individuals at various stages in their careers, inclusive of postdocs. Data from case histories, as well as from interviews with current and former postdocs, and those supervising postdocs, indicate six essential tasks required of project managers in multidisciplinary translational teams, along with eight skill-related themes critical to their success. To optimize the opportunities available and to ensure sequential development of team project management skills, a life cycle model for the development of translational team skills is proposed, ranging from graduate trainees, postdocs, assistant professors, and finally to mature scientists. Specific goals, challenges and project management roles and tasks are recommended for each stage for the life cycle.

  7. Evolution and significance of the triple risk model in sudden infant death syndrome.

    Science.gov (United States)

    Spinelli, Jade; Collins-Praino, Lyndsey; Van Den Heuvel, Corinna; Byard, Roger W

    2017-02-01

    Sudden infant death syndrome (SIDS) is a leading cause of death in infants, although the mechanisms leading to death remain unclear. Multiple theories have emerged over time, with one of the most influential hypotheses being the triple risk model. This model, first devised in 1972 and later revised in 1994 by Filiano and Kinney, is still widely used in assisting with conceptualising and understanding sudden death in infancy. This model has evolved over time, with each version stressing that SIDS is likely to occur when certain risk factors coincide, suggesting that the lethal mechanisms in SIDS are likely to be multifactorial. All versions of the triple risk model from 1972 to the present have emphasised the complexity of SIDS and serve as useful guides for current and future research into the enigma of sudden and unexpected death in infancy. © 2016 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).

  8. Screening and risk evaluation for sudden cardiac death in ischaemic and non-ischaemic cardiomyopathy

    DEFF Research Database (Denmark)

    Proclemer, Alessandro; Lewalter, Thorsten; Bongiorni, Maria Grazia

    2013-01-01

    The purpose of this EHRA survey was to examine the current clinical practice of screening and risk evaluation for sudden cardiac death in ischaemic and non-ischaemic cardiomyopathy with a focus on selection of candidates for implantable cardioverter-defibrillator (ICD) therapy, timing of ICD...... implantation, and use of non-invasive and invasive diagnostic tests across Europe. A systematic screening programme for sudden cardiac death existed in 19 out of 31 centres (61.3%). Implantation of ICDs according to the inclusion criteria of MADIT-II and SCD-HeFT trials was reported in 30 and 29% of centres......, respectively, followed by MADIT-CRT (18%), COMPANION (16%), and combined MADIT and MUSTT (7%) indications. In patients with severe renal impairment, ICD implantation for primary prevention of sudden death was always avoided in 8 centres (33.3%), was not used only if creatinine level was >2.5 mg/dL in 10...

  9. Sudden Hearing Loss with Vertigo Portends Greater Stroke Risk Than Sudden Hearing Loss or Vertigo Alone.

    Science.gov (United States)

    Chang, Tzu-Pu; Wang, Zheyu; Winnick, Ariel A; Chuang, Hsun-Yang; Urrutia, Victor C; Carey, John P; Newman-Toker, David E

    2017-11-01

    Because it is unknown whether sudden hearing loss (SHL) in acute vertigo is a "benign" sign (reflecting ear disease) or a "dangerous" sign (reflecting stroke), we sought to compare long-term stroke risk among patients with (1) "SHL with vertigo," (2) "SHL alone," and (3) "vertigo alone" using a large national health-care database. Patients with first-incident SHL (International Classification of Diseases, Ninth Edition, Clinical Modification [ICD-9-CM] 388.2) or vertigo (ICD-9-CM 386.x, 780.4) were identified from the National Health Insurance Research Database of Taiwan (2002-2009). We defined SHL with vertigo as a vertigo-related diagnosis ±30 days from the index SHL event. SHL without a temporally proximate vertigo diagnosis was considered SHL alone. The vertigo-alone group had no SHL diagnosis. All the patients were followed up until stroke, death, withdrawal from the database, or current end of the database (December 31, 2012) for a minimum period of 3 years. The hazards of stroke were compared across groups. We studied 218,656 patients (678 SHL with vertigo, 1998 with SHL alone, and 215,980 with vertigo alone). Stroke rates at study end were 5.5% (SHL with vertigo), 3.0% (SHL alone), and 3.9% (vertigo alone). Stroke hazards were higher in SHL with vertigo than in SHL alone (hazard ratio [HR], 1.93; 95% confidence interval [CI], 1.28-2.91) and in vertigo alone (HR, 1.63; 95% CI, 1.18-2.25). Defining a narrower window between SHL and vertigo (±3 days) increased the hazards. The combination of SHL plus vertigo in close temporal proximity is associated with increased subsequent stroke risk over SHL alone and vertigo alone. This suggests that SHL in patients with vertigo is not necessarily a benign peripheral vestibular sign. Copyright © 2017 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  10. Alternating current dielectrophoresis of core-shell nanoparticles: Experiments and comparison with theory

    Science.gov (United States)

    Yang, Chungja

    Nanoparticles are fascinating where physical and optical properties are related to size. Highly controllable synthesis methods and nanoparticle assembly are essential for highly innovative technological applications. Well-defined shaped and sized nanoparticles enable comparisons between experiments, theory and subsequent new models to explain experimentally observed phenomena. Among nanoparticles, nonhomogeneous core-shell nanoparticles (CSnp) have new properties that arise when varying the relative dimensions of the core and the shell. This CSnp structure enables various optical resonances, and engineered energy barriers, in addition to the high charge to surface ratio. Assembly of homogeneous nanoparticles into functional structures has become ubiquitous in biosensors (i.e. optical labeling), nanocoatings, and electrical circuits. Limited nonhomogenous nanoparticle assembly has only been explored. Many conventional nanoparticle assembly methods exist, but this work explores dielectrophoresis (DEP) as a new method. DEP is particle polarization via non-uniform electric fields while suspended in conductive fluids. Most prior DEP efforts involve microscale particles. Prior work on core-shell nanoparticle assemblies and separately, nanoparticle characterizations with dielectrophoresis and electrorotation, did not systematically explore particle size, dielectric properties (permittivity and electrical conductivity), shell thickness, particle concentration, medium conductivity, and frequency. This work is the first, to the best of our knowledge, to systematically examine these dielectrophoretic properties for core-shell nanoparticles. Further, we conduct a parametric fitting to traditional core-shell models. These biocompatible core-shell nanoparticles were studied to fill a knowledge gap in the DEP field. Experimental results (chapter 5) first examine medium conductivity, size and shell material dependencies of dielectrophoretic behaviors of spherical CSnp into 2D and

  11. Visualizing the Impact of Art: An Update and Comparison of Current Psychological Models of Art Experience

    Science.gov (United States)

    Pelowski, Matthew; Markey, Patrick S.; Lauring, Jon O.; Leder, Helmut

    2016-01-01

    The last decade has witnessed a renaissance of empirical and psychological approaches to art study, especially regarding cognitive models of art processing experience. This new emphasis on modeling has often become the basis for our theoretical understanding of human interaction with art. Models also often define areas of focus and hypotheses for new empirical research, and are increasingly important for connecting psychological theory to discussions of the brain. However, models are often made by different researchers, with quite different emphases or visual styles. Inputs and psychological outcomes may be differently considered, or can be under-reported with regards to key functional components. Thus, we may lose the major theoretical improvements and ability for comparison that can be had with models. To begin addressing this, this paper presents a theoretical assessment, comparison, and new articulation of a selection of key contemporary cognitive or information-processing-based approaches detailing the mechanisms underlying the viewing of art. We review six major models in contemporary psychological aesthetics. We in turn present redesigns of these models using a unified visual form, in some cases making additions or creating new models where none had previously existed. We also frame these approaches in respect to their targeted outputs (e.g., emotion, appraisal, physiological reaction) and their strengths within a more general framework of early, intermediate, and later processing stages. This is used as a basis for general comparison and discussion of implications and future directions for modeling, and for theoretically understanding our engagement with visual art. PMID:27199697

  12. Kaiser Permanente Northern California: current experiences with internet, mobile, and video technologies.

    Science.gov (United States)

    Pearl, Robert

    2014-02-01

    The US health care system has been slow to adopt Internet, mobile, and video technologies, which have the capability to engage patients in their own care, increase patients' access to providers, and possibly improve the quality of care while reducing costs. Nevertheless, there are some pockets of progress, including Kaiser Permanente Northern California (KPNC). In 2008 KPNC implemented an inpatient and ambulatory care electronic health record system for its 3.4 million members and developed a suite of patient-friendly Internet, mobile, and video tools. KPNC has achieved many successes. For example, the number of virtual "visits" grew from 4.1 million in 2008 to an estimated 10.5 million in 2013. This article describes KPNC's experience with Internet, mobile, and video technologies and the obstacles faced by other health care providers interested in embracing them. The obstacles include the predominant fee-for-service payment model, which does not reimburse for virtual visits; the considerable investment needed to deploy these technologies; and physician buy-in.

  13. Visualizing the Impact of Art: An Update and Comparison of Current Psychological Models of Art Experience.

    Science.gov (United States)

    Pelowski, Matthew; Markey, Patrick S; Lauring, Jon O; Leder, Helmut

    2016-01-01

    The last decade has witnessed a renaissance of empirical and psychological approaches to art study, especially regarding cognitive models of art processing experience. This new emphasis on modeling has often become the basis for our theoretical understanding of human interaction with art. Models also often define areas of focus and hypotheses for new empirical research, and are increasingly important for connecting psychological theory to discussions of the brain. However, models are often made by different researchers, with quite different emphases or visual styles. Inputs and psychological outcomes may be differently considered, or can be under-reported with regards to key functional components. Thus, we may lose the major theoretical improvements and ability for comparison that can be had with models. To begin addressing this, this paper presents a theoretical assessment, comparison, and new articulation of a selection of key contemporary cognitive or information-processing-based approaches detailing the mechanisms underlying the viewing of art. We review six major models in contemporary psychological aesthetics. We in turn present redesigns of these models using a unified visual form, in some cases making additions or creating new models where none had previously existed. We also frame these approaches in respect to their targeted outputs (e.g., emotion, appraisal, physiological reaction) and their strengths within a more general framework of early, intermediate, and later processing stages. This is used as a basis for general comparison and discussion of implications and future directions for modeling, and for theoretically understanding our engagement with visual art.

  14. [Drug supply chain safety in hospitals: current data and experience of the Grenoble university hospital].

    Science.gov (United States)

    Bedouch, P; Baudrant, M; Detavernier, M; Rey, C; Brudieu, E; Foroni, L; Allenet, B; Calop, J

    2009-01-01

    Drug supply chain safety has become a priority for public health which implies a collective process. This process associates all health professionals including the pharmacist who plays a major role. The objective of this present paper is to describe the several approaches proven effective in the reduction of drug-related problem in hospital, illustrated by the Grenoble University Hospital experience. The pharmacist gets involved first in the general strategy of hospital drug supply chain, second by his direct implication in clinical activities. The general strategy of drug supply chain combines risk management, coordination of the Pharmacy and Therapeutics Committee, selection and purchase of drugs and organisation of drug supply chain. Computer management of drug supply chain is a major evolution. Nominative drug delivering has to be a prior objective and its implementation modalities have to be defined: centralized or decentralized in wards, manual or automated. Also, new technologies allow the automation of overall drug distribution from central pharmacy and the implementation of automated drug dispensing systems into wards. The development of centralised drug preparation allows a safe compounding of high risk drugs, like cytotoxic drugs. The pharmacist should develop his clinical activities with patients and other health care professionals in order to optimise clinical decisions (medication review, drug order analysis) and patients follow-up (therapeutic monitoring, patient education, discharge consultation).

  15. The value of postmortem experience in undergraduate medical education: current perspectives

    Directory of Open Access Journals (Sweden)

    Bamber AR

    2015-03-01

    Full Text Available Andrew R Bamber,1 Thelma A Quince2 1UCL Institute of Child Health, London, UK; 2Department of Public Health and Primary Care, Primary Care Unit, School of Clinical Medicine, University of Cambridge, School of Clinical Medicine, Cambridge, UK Abstract: The autopsy has traditionally been used as a tool in undergraduate medical education, but recent decades have seen a sharp decline in their use for teaching. This study reviewed the current status of the autopsy as a teaching tool by means of systematic review of the medical literature, and a questionnaire study involving UK medical schools. Teachers and students are in agreement that autopsy-based teaching has many potential benefits, including a deeper knowledge of basic clinical sciences, medical fallibility, end of life issues, audit and the “hidden curriculum”. The reasons underlying the decline in teaching are complex, but include the decreasing autopsy rate, increasing demands on teachers' time, and confusion regarding the law in some jurisdictions. Maximal use of autopsies for teaching may be achieved by involvement of anatomical pathology technologists and trainee pathologists in teaching, the development of alternative teaching methods using the principles of the autopsy, and clarification of the law. Students gain most benefit from repeated attendance at autopsies, being taught by enthusiastic teachers, when they have been effectively prepared for the esthetic of dissection and the mortuary environment. Keywords: medical education, autopsy, postmortem 

  16. Paratuberculosis, a notifiable disease in Austria--current status, compulsory measures and first experiences.

    Science.gov (United States)

    Khol, J L; Damoser, J; Dünser, M; Baumgartner, W

    2007-12-14

    Paratuberculosis (Johne's disease) is one of the most important diseases in ruminants today. Its contribution is worldwide and the disease is causing severe financial losses among cattle producers in some countries [Hasanova, L., Pavlik, I., 2006. Economic impact of paratuberculosis in dairy cattle herds: a review. Vet. Med.-Czech. 51, 193-211]. Paratuberculosis is untreatable; diagnosis limited to the early stages of the infection and control of the disease is difficult. The prevalence of serologically positive Austrian cattle farms rose significantly to 19.0% during the past years [Baumgartner, W., Damoser, J., Khol, J.L., 2005. Comparison of two studies concerning the prevalence of bovine paratuberculosis (Johne's disease) in Austrian cattle in the years 1995-1997 and 2002/2003 (Article in German with extended English summary). Vet. Med. Austria/Wien. Tierärztl. Mschr. 92, 274-277]. Based on these findings clinical paratuberculosis in ruminants was declared a notifiable disease in Austria in April 2006. A survey of the current situation in Austria, the most important parts of the new compulsory measures and their practical implementation and impacts are presented in this short communication.

  17. Advanced electron cyclotron heating and current drive experiments on the stellarator Wendelstein 7-X

    Directory of Open Access Journals (Sweden)

    Stange Torsten

    2017-01-01

    Full Text Available During the first operational phase (OP 1.1 of Wendelstein 7-X (W7-X electron cyclotron resonance heating (ECRH was the exclusive heating method and provided plasma start-up, wall conditioning, heating and current drive. Six gyrotrons were commissioned for OP1.1 and used in parallel for plasma operation with a power of up to 4.3 MW. During standard X2-heating the spatially localized power deposition with high power density allowed controlling the radial profiles of the electron temperature and the rotational transform. Even though W7-X was not fully equipped with first wall tiles and operated with a graphite limiter instead of a divertor, electron densities of n e > 3·1019 m-3 could be achieved at electron temperatures of several keV and ion temperatures above 2 keV. These plasma parameters allowed the first demonstration of a multipath O2-heating scenario, which is envisaged for safe operation near the X-cutoff-density of 1.2·1020 m-3 after full commissioning of the ECRH system in the next operation phase OP1.2.

  18. Advanced electron cyclotron heating and current drive experiments on the stellarator Wendelstein 7-X

    Science.gov (United States)

    Stange, Torsten; Laqua, Heinrich Peter; Beurskens, Marc; Bosch, Hans-Stephan; Bozhenkov, Sergey; Brakel, Rudolf; Braune, Harald; Brunner, Kai Jakob; Cappa, Alvaro; Dinklage, Andreas; Erckmann, Volker; Fuchert, Golo; Gantenbein, Gerd; Gellert, Florian; Grulke, Olaf; Hartmann, Dirk; Hirsch, Matthias; Höfel, Udo; Kasparek, Walter; Knauer, Jens; Langenberg, Andreas; Marsen, Stefan; Marushchenko, Nikolai; Moseev, Dmitry; Pablant, Novomir; Pasch, Ekkehard; Rahbarnia, Kian; Mora, Humberto Trimino; Tsujimura, Toru; Turkin, Yuriy; Wauters, Tom; Wolf, Robert

    2017-10-01

    During the first operational phase (OP 1.1) of Wendelstein 7-X (W7-X) electron cyclotron resonance heating (ECRH) was the exclusive heating method and provided plasma start-up, wall conditioning, heating and current drive. Six gyrotrons were commissioned for OP1.1 and used in parallel for plasma operation with a power of up to 4.3 MW. During standard X2-heating the spatially localized power deposition with high power density allowed controlling the radial profiles of the electron temperature and the rotational transform. Even though W7-X was not fully equipped with first wall tiles and operated with a graphite limiter instead of a divertor, electron densities of n e > 3·1019 m-3 could be achieved at electron temperatures of several keV and ion temperatures above 2 keV. These plasma parameters allowed the first demonstration of a multipath O2-heating scenario, which is envisaged for safe operation near the X-cutoff-density of 1.2·1020 m-3 after full commissioning of the ECRH system in the next operation phase OP1.2.

  19. Potential Central Nervous System Involvement in Sudden Unexpected Infant Deaths and the Sudden Infant Death Syndrome.

    Science.gov (United States)

    Thach, Bradley T

    2015-07-01

    Sudden unexpected infant death (SUID) in infancy which includes Sudden Infant Death Syndrome (SIDS) is the commonest diagnosed cause of death in the United States for infants 1 month to 1 year of age. Central nervous system mechanisms likely contribute to many of these deaths. We discuss some of these including seizure disorders, prolonged breath holding, arousal from sleep and its habituation, laryngeal reflex apnea potentiated by upper airway infection, and failure of brainstem-mediated autoresuscitation. In the conclusions section, we speculate how lives saved through back sleeping might result in later developmental problems in certain infants who otherwise might have died while sleeping prone. © 2015 American Physiological Society.

  20. Implementing RFID in Libraries for Process Automation - Experiences from over Twenty Current Installations

    Directory of Open Access Journals (Sweden)

    Christian Kern

    2004-06-01

    Full Text Available In recent years libraries enhanced their offer from books to materials like videos, music cassettes and most important CDs and DVDs. These items are quite expensive to buy and therefore have a high demand by the library users. Many libraries also try to offer some kind of social meeting point and incorporate a café or an attractive reading room. This all contributes to the positive new image of libraries. The extension of the collection and the increased demand lead to an increased amount of work and requires more staff. However, it is difficult to get additional budget for continuous costs. It is easier to do one-time investments in order to shift the repetitive work away from the desk and to automatic self service stations. Radio Frequency Identification (RFID is an established technology (since 2001 to take over the repetitive tasks: check out, return of items, sorting and inventory control. RFID-Systems have a maximum effect if there is also a good room planning which supports their function and the frequency of their use (Kern, 2002, 2004; Wampfler, 2003. In this paper two approaches for the allocation of functional units in a library are compared: · the traditional central allocation of the functional units at the counter (used by the staff; · the decentral allocation of functional units, used by the library visitor. After this theoretical view some practical recommendations for the library and the architectural planner are given. These are derived from experiences of RFID installations in over 20 libraries (Bibliotheca RFID Library Systems AG.

  1. Entraining avalanches on slopes: results from experiments using PIV on viscoplastic gravity currents

    Science.gov (United States)

    Bates, Belinda; Ancey, Christophe

    2014-05-01

    In order to conduct experiments simulating entrainment by avalanches on slopes, it was necessary to select a material which could act as both a stationary entrainable layer, mimicking undisturbed mud or snow, and a flowing mass, representing the flowing avalanche. Carbopol Ultrez 10, a viscoplastic "micro-gel" exhibiting a yield stress does just that: it remains plastic on a slope until an avalanche arrives and increases the shear within, reducing the viscosity in some or all of the material which may begin to flow as a fluid. Carbopol is transparent and easily seeded with fluorescent tracking micro-particles, without significantly changing the material rheology. We take advantage of its properties to perform Particle Imaging Velocimetry (PIV) on an idealized avalanche, which flows into an entrainment zone where it interacts with a layer of stationary bed material. The internal velocity field is obtained for the flow as it passes over the loose material, showing the entrainment mechanisms active at different slope angles. At the shallowest slope the avalanche is slower and mobilizes the bed almost entirely, causing it to slip along the base and buckle downstream of the front. At steeper slopes the avalanche shears the bed, yet appears to glide over it more easily with a smaller effect downstream. Increasing the concentration of the Carbopol and thus increasing the apparent yield stress leads to more destruction of the bed layer by the avalanche. Three flow phases are identified, beginning with a "rolling phase" where the avalanche has minimal effect on the bed and seems to roll onto it as the front moves forward, then a "gliding phase" where the deposited fluid is pushed downwards and glides downstream, shearing the bed material. Finally, on the shallower slopes and at higher Carbopol concentration, the avalanche digs down to the rigid base, and completely displaces the bed material downstream, with its front riding atop an entirely mobilized plug-flow layer.

  2. Dependence of a rabbit's reaction on the frequency of repetition of an impulse and current exposition in experiment

    Directory of Open Access Journals (Sweden)

    Koklin А.Е.

    2013-12-01

    Full Text Available Now electroshock devices are used as a civilian weapon for self-defense and as a non-lethal weapon in the police. Therefore, medical-biological safety testing of electroshock devices should be carried out. Development of hygienic regulations is relevant as well. The aim of our work is the study of the biological effects of pulsed current depending on the pulse frequency, pulse amplitude and exposure. Material and methods. We compared the biological effects with varying frequency of the current pulse (50, 400, and 600 Hz with varying exposure (0.25, 0.5 and 1.0 s.. Average pulse power in all cases was equal, and the pulse energy was different. Experiments were performed on rabbits. Biological effects of stun device were evaluated by clinical lesions, as well as electrophysiological parameters: ECG and electro-pneumogram. Results. Response was observed only in the current period (0.25 s, 0.5 s or 1 s was disorientation, convulsing, dyspnea. The degree of severity of the reaction was determined by a combination of pulse repetition frequency and exposure. Immediately after switching off the current noted vocalization, decreased heart rate and breathing. Heart rate and respiration in 5 minutes back to the normal values. Conclusions. In the results of the research has got a comparative classification organism's response (based on a points system as well as the characteristic of the biological response of the individual systems of the body on the parameters of the current pulse.

  3. Ischaemic preconditioning - Current knowledge and potential future applications after 30 years of experience.

    Science.gov (United States)

    Stokfisz, Karolina; Ledakowicz-Polak, Anna; Zagorski, Maciej; Zielinska, Marzenna

    2017-05-13

    Ischaemic preconditioning (IPC) phenomenon has been known for thirty years. During that time several studies showed that IPC provided by brief ischaemic and reperfusion episodes prior to longer ischaemia can bestow a protective effect to both preconditioned and also remote organs. IPC affecting remote organs is called remote ischaemic preconditioning. Initially, most IPC studies were focused on enhancing myocardial resistance to subsequent ischaemia and reperfusion injury. However, preconditioning was found to be a universal phenomenon and was observed in various organs and tissues including the heart, liver, brain, retina, kidney, skeletal muscles and intestine. Currently, there are a lot of simultaneous studies are underway aiming at finding out whether IPC can be helpful in protecting these organs. The mechanism of local and remote IPC is complex and not well known. Several triggers, intracellular pathways and effectors, humoral, neural and induced by genetic changes may be considered potential pathways in the protective activity of local and remote IPC. Local and remote IPC mechanism may potentially serve as heart protection during cardiac surgery and may limit the infarct size of the myocardium, can be a strategy for preventing the development of acute kidney injury development and liver damage during transplantation, may protect the brain against ischaemic injury. In addition, the method is safe, non-invasive, cheap and easily applicable. The main purpose of this review article is to present new advances which would help to understand the potential mechanism of IPC. It also discusses both its potential applications and utility in clinical settings. Copyright © 2017 Medical University of Bialystok. Published by Elsevier B.V. All rights reserved.

  4. Biofuels in transport sector of Latvia: experience, current status and barriers

    Science.gov (United States)

    Smigins, R.; Shipkovs, P.

    2014-02-01

    During the last 10 years biofuel production and utilization in the European Union have become more extensive owing to support provided by the relevant EU Directives. Achievement of the main targets defined by Directives was not simple, being confronted with various barriers. Latvia is one of the EU member-countries that have set an ambitious goal as to the production of biofuel and its use in transport. The authors summarize the major achievements of the country in this area and analyze the main barriers to implementation of biofuels in the transport sector, providing an outlook on the current status of the bioenergy and the transport situation in Latvia. Pēdējo 10 gadu laikā biodegvielu ražošana un izmantošana ES ir kļuvusi daudz plašāka, pateicoties spēcīgam Direktīvu atbalstam. Galveno Direktīvu definēto mērķu sasniegšana nebija viegla un saskārās ar dažādiem sarežģījumiem. Latvija ir viena no ES valstīm, kas uzstādīja ambiciozu mērķi biodegvielu ražošanā un tālākā šīs degvielas izmantošanā transportā. Dotais raksts dod ieskatu galvenajos valsts sasniegumos šajā sfērā, kā arī analizē galvenās barjeras, kas traucē biodegvielu ieviešanu transporta sektorā. Tāpat tiek dots ieskats uz valsts esošo situāciju enerģētikā un transportā.

  5. Unpolarized neutral current e{sup {+-}}p cross section measurements at the H1 experiment, HERA

    Energy Technology Data Exchange (ETDEWEB)

    Habib, Shiraz Z.

    2009-11-15

    Measurements of the unpolarized inclusive neutral current reduced cross section in e{sup {+-}}p scattering at a center of mass energy {radical}(s) {approx_equal} 319 GeV are presented. The data was collected by the H1 detector during the HERA II running phase, after the 2000 luminosity upgrade, and corresponds to an integrated luminosity of 145 pb{sup -1} and 167 pb{sup -1} for the e{sup -}p and e{sup +}p periods respectively. The cross section measurements were made for the negative four-momentum transfer squared range 65{<=} Q{sup 2}{<=}30000 GeV{sup 2} and Bjorken-x range 0.00085{<=}x{<=}0.65. Dedicated measurements at inelasticity y=0.75 and Q{sup 2}{<=}800 GeV{sup 2} are also made. The details of the analysis are presented here. The cross section measurements presented here are found to agree with previously published data as well as predictions determined from various NLO QCD fits. Scaling violation of the F{sub 2} structure function as well differences between the e{sup -} and e{sup +} cross sections at high Q{sup 2} due to the xF{sub 3} structure function have been observed. The cross sections in the range Q{sup 2}{<=}800 GeV{sup 2} at inelasticity y=0.75 suggest non-zero values of the longitudinal structure function F{sub L}. (orig.)

  6. Training experiences of current and former community pharmacy residents, 1986-2000.

    Science.gov (United States)

    Unterwagner, Whitney L; Zeolla, Mario M; Burns, Anne L

    2003-01-01

    To identify why current and former community pharmacy residents chose a community pharmacy residency program (CPRP), what factors in the program were emphasized and not emphasized, what opportunities were available to them postresidency, and, for former residents, what skills learned during their residency have been most useful in their careers to date. Mail survey. 1999-2000 residents and former residents dating back to 1986. Reasons residents chose a CPRP over other residency or employment opportunities and respondents' ratings of the emphasis placed on a variety of skills and activities in their training programs. A total of 44 surveys were included in the final analysis, 18 (41%) of which were completed by 1999-2000 CPRP residents performing their residency at the time of the survey. The most common reasons for choosing a CPRP over other types of programs were opportunities for developing innovative services and direct patient interaction. Communication skills, clinical skills, and level of patient interaction were reported as being most highly emphasized. Management of the distribution system was most frequently cited as having "low" or "no" emphasis in their residency. Respondents listed marketing skills as the most common area requiring improvement or additional focus in their residency. Former residents cited leadership skills and the development of patient care services as the factors in their residency having the greatest impact on their careers to date. Postresidency opportunities most frequently sought included faculty, staff pharmacist, and clinical pharmacist positions. Candidates are drawn to CPRPs because of the opportunities such residencies offer to develop innovative services and provide direct patient care. Residents feel that many programs fail to provide adequate training in the areas of marketing services and obtaining reimbursement. Residency program directors should consider these findings when evaluating and marketing their programs.

  7. Parity Violation in Chiral Molecules: Current Status of Theory and Spectroscopic Experiment

    Science.gov (United States)

    Quack, Martin; Seyfang, Georg

    2013-06-01

    In the ordinary quantum chemistry based on the electromagnetic interaction the ground state energies of enantiomers of chiral molecules are exactly the same by symmetry. Parity violation in electroweak interactions leads to a small ``parity violating'' energy difference Δ_{pv}E between the ground states of enantiomers corresponding to a heat of reaction for stereomutation Δ_{{R}} {H}_0 ^ominus ˜eq 10^{-11} J mol^{-1}, (typically, or about 100 aeV corresponding to about 10^{-12} cm^{-1}). After our finding (in 1995) that a revised theory leads to about a factor of 10 to 100 higher values than previously calculated in older theoretical work prior to 1995, the theoretical results from many groups have now essentially converged to the new values (see reviews). However, experimental results for Δ_{pv}E are still missing. We shall discuss the status of ongoing experiments in the Zürich group to detect this exceedingly small effect by spectroscopy following a scheme proposed in 1986 and shall discuss also the comparison with other efforts. M. Quack, Frontiers in Spectroscopy, in Faraday Discussions, Vol. 150, pp. 533-565, 2011. M. Quack, Fundamental Symmetries and Symmetry Violations from High Resolution Spectroscopy, in Handbook of High Resolution Spectroscopy, Vol. 1, Chapt. 18, pp. 659-722 (Eds.: M. Quack, F. Merkt), Wiley, Chichester, New York, 2011, ISBN 978-0-470-06653-9. M. Quack, J. Stohner, M. Willeke, High-resolution spectroscopic studies and theory of parity violation in chiral molecules, Annu. Rev. Phys. Chem., 2008, 59, 741-769. M. Quack, On the measurement of the parity violating energy difference between enantiomers, Chem. Phys. Lett., 1986, 132, 147-153. P. Dietiker, M. Quack, A. Schneider, G. Seyfang, F. Ünlü, IR-laser induced population transfer from highly populated rotational levels of NH_3 in a molecular beam, in Proceedings of the 18th Symposium on Atomic, Cluster and Surface Physics 2012 (SASP 2012), Alpe d`Huez, France, 22 to 27 January 2012

  8. Sudden Death from Glue-Sniffing

    OpenAIRE

    Sugawara, Norisuke; Makisumi, Toshiro; Furuno, Junji

    1992-01-01

    This case dealswith an 18 year-old young male who suddenly died while amusing himself by glue-sniffing together with a friend in a very narrow toilet beneath a stairway in the company where he worked. Therefore, the purepose of elucidating the cause of death, gas chromatographic analyses were carried out on the laquer thinner which was discovered at the acene and on the variety of tissues of the cadaver. As a result, five ingredients (acetone, ethyl acetate, n-butanol, toluene, and n-butyl ac...

  9. Heart Failure and Sudden Cardiac Death.

    Science.gov (United States)

    Saour, Basil; Smith, Bryan; Yancy, Clyde W

    2017-12-01

    The Centers for Diseases Control and Prevention estimates that 5.7 million adults in the United States suffer from heart failure and 1 in 9 deaths in 2009 cited heart failure as a contributing cause. Almost 50% of patients who are diagnosed with heart failure die within 5 years of diagnosis. Cardiovascular disease is a public health burden. The prognosis of patients with heart failure has improved significantly. However, the risk for death remains high. Managing sudden death risk and intervening appropriately with primary or secondary prevention strategies are of paramount importance. Copyright © 2017 Elsevier Inc. All rights reserved.

  10. Development of large high current density superconducting solenoid magnets for use in high energy physics experiments. [Thesis

    Energy Technology Data Exchange (ETDEWEB)

    Green, M.A.

    1977-05-01

    The development of a unique type of large superconducting solenoid magnet, characterized by very high current density windings and a two-phase helium tubular cooling system is described. The development of the magnet's conceptual design and the construction of two test solenoids are described. The successful test of the superconducting coil and its tubular cooling refrigeration system is presented. The safety, environmental and economic impacts of the test program on future developments in high energy physics are shown. Large solid angle particle detectors for colliding beam physics will analyze both charged and neutral particles. In many cases, these detectors will require neutral particles, such as gamma rays, to pass through the magnet coil with minimum interaction. The magnet coils must be as thin as possible. The use of superconducting windings allows one to minimize radiation thickness, while at the same time maximizing charged particle momentum resolution and saving substantial quantities of electrical energy. The results of the experimental measurements show that large high current density solenoid magnets can be made to operate at high stored energies. The superconducting magnet development described has a positive safety and environmental impact. The use of large high current density thin superconducting solenoids has been proposed in two high energy physics experiments to be conducted at the Stanford Linear Accelerator Center and Cornell University as a result of the successful experiments described.

  11. Effect of Suddenly Turning on Interactions in the Luttinger Model

    Science.gov (United States)

    Cazalilla, M. A.

    2006-10-01

    The evolution of correlations in the exactly solvable Luttinger model (a model of interacting fermions in one dimension) after a suddenly switched-on interaction is analytically studied. When the model is defined on a finite-size ring, zero-temperature correlations are periodic in time. However, in the thermodynamic limit, the system relaxes algebraically towards a stationary state which is well described, at least for some simple correlation functions, by the generalized Gibbs ensemble recently introduced by Rigol et al. (cond-mat/0604476). The critical exponent that characterizes the decay of the one-particle correlation function is different from the known equilibrium exponents. Experiments for which these results can be relevant are also discussed.

  12. Sudden Cardiac Death During Sports Activities in the General Population.

    Science.gov (United States)

    Narayanan, Kumar; Bougouin, Wulfran; Sharifzadehgan, Ardalan; Waldmann, Victor; Karam, Nicole; Marijon, Eloi; Jouven, Xavier

    2017-12-01

    Regular exercise reduces cardiovascular and overall mortality. Participation in sports is an important determinant of cardiovascular health and fitness. Regular sports activity is associated with a smaller risk of sudden cardiac death (SCD). However, there is a small risk of sports-related SCD. Sports-related SCD accounts for approximately 5% of total SCD. SCD among athletes comprises only a fraction of all sports-related SCD. Sport-related SCD has a male predominance and an average age of affliction of 45 to 50 years. Survival is better than for other SCD. This review summarizes links between sports and SCD and discusses current knowledge and controversies. Copyright © 2017 Elsevier Inc. All rights reserved.

  13. Ventricular arrhythmias and sudden death in tetralogy of Fallot.

    Science.gov (United States)

    Maury, Philippe; Sacher, Frederic; Rollin, Anne; Mondoly, Pierre; Duparc, Alexandre; Zeppenfeld, Katja; Hascoet, Sebastien

    2017-05-01

    Malignant ventricular arrhythmias and sudden cardiac death may late happen in repaired tetralogy of Fallot, although probably less frequently than previously thought, especially with the advent of new surgical techniques/management. Ventricular tachycardias are caused by reentry around the surgical scars/patches and valves. Many predictive factors have been proposed, which suffer from poor accuracy. There is currently no recommended indication for prophylactic implantable cardioverter defibrillator implantation-except maybe in the case of multiple risk factors-while radiofrequncy ablation may be proposed in secondary prevention with or even without a back-up implantable cardioverter defibrillator in selected cases. Repeated cardiological investigations and monitoring should be proposed for every operated patient. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  14. Inside pyroclastic density currents - uncovering the enigmatic flow structure and transport behaviour in large-scale experiments

    Science.gov (United States)

    Breard, Eric C. P.; Lube, Gert

    2017-01-01

    Pyroclastic density currents (PDCs) are the most lethal threat from volcanoes. While there are two main types of PDCs (fully turbulent, fully dilute pyroclastic surges and more concentrated pyroclastic flows encompassing non-turbulent to turbulent transport) pyroclastic flows, which are the subject of the present study, are far more complex than dilute pyroclastic surges and remain the least understood type despite their far greater hazard, greater runout length and ability to transport vast quantities of material across the Earth's surface. Here we present large-scale experiments of natural volcanic material and gas in order to provide the missing quantitative view of the internal structure and gas-particle transport mechanisms in pyroclastic flows. We show that the outer flow structure with head, body and wake regions broadly resembles current PDC analogues of dilute gravity currents. However, the internal structure, in which lower levels consist of a concentrated granular fluid and upper levels are more dilute, contrasts significantly with the internal structure of fully dilute gravity currents. This bipartite vertical structure shows strong analogy to current conceptual models of high-density turbidity currents, which are responsible for the distribution of coarse sediment in marine basins and of great interest to the hydrocarbon industry. The lower concentrated and non-turbulent levels of the PDC (granular-fluid basal flow) act as a fast-flowing carrier for the more dilute and turbulent upper levels of the current (ash-cloud surge). Strong kinematic coupling between these flow parts reduces viscous dissipation and entrainment of ambient air into the lower part of the ash-cloud surge. This leads to a state of forced super-criticality whereby fast and destructive PDCs can endure even at large distances from volcanoes. Importantly, the basal flow/ash-cloud surge coupling yields a characteristically smooth rheological boundary across the non

  15. Temperature dependence of the critical current of the superconducting microladder in zero magnetic field: Theory and experiment

    Energy Technology Data Exchange (ETDEWEB)

    Fink, H.J. (Department of Electrical Engineering and Computer Science, University of California, Davis, Davis, California 95616 (USA)); Buisson, O.; Pannetier, B. (Centre de Recherches sur les Tres Basses Temperature, Centre National de la Recherche Scientifique, Boite Postale 166X, 38042 Grenoble CEDEX, France (FR))

    1991-05-01

    The largest supercurrent which can be injected into a superconducting microladder was calculated as a function of nodal spacing {ital scrL} and temperature for zero magnetic flux using (i) exact solutions of the Ginzburg-Landau equation in terms of Jacobian elliptic functions and (ii) approximate solutions in terms of hyperbolic functions. The agreement is good for {ital scrL}/{xi}({ital T}){lt}3, where {xi}({ital T}) is the temperature-dependent coherence length. Since solution (ii) is much simpler than solution (i), it is of considerable value when calculating critical currents of micronets with nodal spacings comparable to {xi}({ital T}). We find that the temperature-dependent critical current deviates significantly from the classical 3/2 power law of the Ginzburg-Landau theory. Preliminary experiments on a submicrometer ladder confirm such deviations.

  16. Pressure and energy balance of stagnating plasmas in z-pinch experiments: implications to current flow at stagnation.

    Science.gov (United States)

    Maron, Y; Starobinets, A; Fisher, V I; Kroupp, E; Osin, D; Fisher, A; Deeney, C; Coverdale, C A; Lepell, P D; Yu, E P; Jennings, C; Cuneo, M E; Herrmann, M C; Porter, J L; Mehlhorn, T A; Apruzese, J P

    2013-07-19

    Detailed spectroscopic diagnostics of the stagnating plasma in two disparate z pinches allow, for the first time, the examination of the plasma properties within a 1D shock wave picture, demonstrating a good agreement with this picture. The conclusion is that for a wide range of imploding-plasma masses and current amplitudes, in experiments optimizing non-Planckian hard radiation yields, contrary to previous descriptions the stagnating plasma pressure is balanced by the implosion pressure, and the radiation energy is provided by the imploding-plasma kinetic energy, rather than by the magnetic-field pressure and magnetic-field-energy dissipation, respectively.

  17. Febrile seizures prior to sudden cardiac death

    DEFF Research Database (Denmark)

    Stampe, Niels Kjær; Glinge, Charlotte; Jabbari, Reza

    2018-01-01

    Aims: Febrile seizure (FS) is a common disorder affecting 2-5% of children up to 5 years of age. The aim of this study was to determine whether FS in early childhood are over-represented in young adults dying from sudden cardiac death (SCD). Methods and results: We included all deaths (n = 4595...... with FS was sudden arrhythmic death syndrome (5/8; 62.5%). Conclusion: In conclusion, this study demonstrates a significantly two-fold increase in the frequency of FS prior to death in young SCD cases compared with the two control groups, suggesting that FS could potentially contribute in a risk......) nationwide and through review of all death certificates, we identified 245 SCD in Danes aged 1-30 years in 2000-09. Through the usage of nationwide registries, we identified all persons admitted with first FS among SCD cases (14/245; 5.7%) and in the corresponding living Danish population (71 027/2 369 785...

  18. Incidence and Etiology of Sudden Cardiac Death: New Updates for Athletic Departments.

    Science.gov (United States)

    Asif, Irfan M; Harmon, Kimberly G

    Sudden cardiac death (SCD) in a young athlete is a tragic event and is the leading medical cause of death in this population. The precise incidence of SCD in young athletes has been subject of debate, with studies reporting drastically different rates (1:917,000 athlete-years (AYs) to 1:3000 AYs) depending on the methodological design of the investigation or the targeted population. A literature search was performed in PubMed using the terms: incidence, sudden cardiac death, sudden death, sudden cardiac arrest, etiology, pathology, registry, athlete, young, children, and adolescents. Articles were reviewed for relevance and included if they contained information on the incidence of SCD in athletes or young persons up to the age of 35 years. Clinical review. Level 5. Studies of high quality and rigor consistently yield an incidence of 1:50,000 AYs in college athletes and between 1:50,000 and 1:80,000 AYs for high school athletes, with certain subgroups that appear to be at particularly high risk, including the following: men, basketball players, and African Americans. Initial reports suggest that the most common cause of SCD is hypertrophic cardiomyopathy (HCM). However, more comprehensive investigations in the United States and international populations-athletes, nonathletes, and military-support that the most common finding on autopsy in young individuals with SCD is actually a structurally normal heart (autopsy-negative sudden unexplained death). SCD is the leading cause of death in athletes during exercise and usually results from intrinsic cardiac conditions that are triggered by the physiologic demands of vigorous exercise. Current rates of SCD appear to be at least 4 to 5 times higher than previously estimated, with men, African Americans, and male basketball players being at greatest risk. Emerging data suggest that the leading finding associated with SCD in athletes is actually a structurally normal heart (autopsy-negative sudden unexplained death).

  19. Sudden cardiac death in Nigerians - The Ile - Ife experience | Rotimi ...

    African Journals Online (AJOL)

    Résultats: Les dossiers de 2,529 autopsies médico-légales ont été passés en revue parmi lesquels 79 dossiers etaient noté d'être des cas des morts soudaines à cause d'arrêt cardiaque (SCD). Les cas de SDC concernent 59 hommes soit 74,7% et 20 femmes soit 25,3% avec l'âge de l'ordre de 27 à 80ans. L'âge moyen ...

  20. Natural and Undetermined Sudden Death: Value of Post-Mortem Genetic Investigation.

    Directory of Open Access Journals (Sweden)

    Olallo Sanchez

    Full Text Available Sudden unexplained death may be the first manifestation of an unknown inherited cardiac disease. Current genetic technologies may enable the unraveling of an etiology and the identification of relatives at risk. The aim of our study was to define the etiology of natural deaths, younger than 50 years of age, and to investigate whether genetic defects associated with cardiac diseases could provide a potential etiology for the unexplained cases.Our cohort included a total of 789 consecutive cases (77.19% males <50 years old (average 38.6±12.2 years old who died suddenly from non-violent causes. A comprehensive autopsy was performed according to current forensic guidelines. During autopsy a cause of death was identified in most cases (81.1%, mainly due to cardiac alterations (56.87%. In unexplained cases, genetic analysis of the main genes associated with sudden cardiac death was performed using Next Generation Sequencing technology. Genetic analysis was performed in suspected inherited diseases (cardiomyopathy and in unexplained death, with identification of potentially pathogenic variants in nearly 50% and 40% of samples, respectively.Cardiac disease is the most important cause of sudden death, especially after the age of 40. Close to 10% of cases may remain unexplained after a complete autopsy investigation. Molecular autopsy may provide an explanation for a significant part of these unexplained cases. Identification of genetic variations enables genetic counseling and undertaking of preventive measures in relatives at risk.

  1. Cardiac screening to prevent sudden death in young athletes

    OpenAIRE

    Schmehil, Christopher; Malhotra, Devika; Patel, Dilip R.

    2017-01-01

    Sudden cardiac death (SCD) is a sudden and unexpected death caused by loss of heart of function. SCD may occur in any population, but when it occurs on the playing field in a young individual, communities worldwide are affected. Although these events are rare, media coverage of sudden cardiac arrests in young athletes have created the impression that these events are far more common than they appear. With a heightened awareness of SCD in young athletes, screening methods have been developed t...

  2. [Sudden cardiac death: A better understanting for a better prevention].

    Science.gov (United States)

    Waldmann, V; Bougouin, W; Karam, N; Albuisson, J; Cariou, A; Jouven, X; Marijon, E

    2017-09-01

    Sudden cardiac death is defined as a natural and unexpected death, in a previous apparently healthy individual. It represents a major public health issue, with up to 50% of the cardiovascular mortality. Using data from the Paris Sudden Death Expertise Centre registry, this article summarises the main cardiovascular abnormalities associated with sudden cardiac death, the different preventives approaches, and provides a systematic diagnostic approach. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  3. Gravity currents produced by constant and time varying inflow in a circular cross-section channel: Experiments and theory

    Science.gov (United States)

    Longo, S.; Ungarish, M.; Di Federico, V.; Chiapponi, L.; Addona, F.

    2016-04-01

    We investigate high-Reynolds number gravity currents (GC) in a horizontal channel of circular cross-section. We focus on GC sustained by constant or time varying inflow (volume of injected fluid ∝ tα, with α = 1 and α > 1). The novelty of our work is in the type of the gravity currents: produced by influx/outflux boundary conditions, and propagation in circular (or semi-circular) channel. The objective is to elucidate the main propagation features and correlate them to the governing dimensionless parameters; to this end, we use experimental observations guided by shallow-water (SW) theoretical models. The system is of Boussinesq type with the denser fluid (salt water) injected into the ambient fluid (tap water) at one end section of a circular tube of 19 cm diameter and 605 cm long. The ambient fluid fills the channel of radius r* up to a given height H* = βr* (0 channel. The two different configurations (with return and no-return flow) allow to analyze the impact of the motion of the ambient fluid on the front speed of the intruding current. For Q larger than some threshold value, the current is expected theoretically to undergo a choking process which limits the speed/thickness of propagation. Two series of experiments were conducted with constant and time varying inflow. The choking effect was observed, qualitatively, in both series. The theory correctly predicts the qualitative behavior, but systematically overestimates the front speed of the current (consistent with previously-published data concerning rectangular and non-rectangular cross-sections), with larger discrepancies for the no-return flow case. These discrepancies are mainly due to: (i) the variations of the free-surface of the ambient fluid with respect to its nominal value (the theoretical model assumes a fixed free-slip top of the ambient fluid), and (ii) mixing/entrainment effects, as shown by specific measurements of the open interface level and velocity profiles.

  4. KRITERIA DIAGNOSIS DAN DIAGNOSIS BANDING SUDDEN DEAFNESS (SSNHL

    Directory of Open Access Journals (Sweden)

    Arvindan Subramaniam

    2016-03-01

    Full Text Available Introduction: Sudden deafness or sudden sensorineural hearing loss (SSNHL is defined as sensorineural hearing loss of more than 30 dB at three consecutive frequencies within 3 days of onset, often unilateral and idiopathic. Etiology of sudden deafness is still not known, but there are many theories put forward by the experts as a risk factor for sudden deafness. The prevalence of sudden deafness 5-30 per 100,000 people per year. Distribution of men and women almost equally, with the peak age of 50-60 years. Sudden deafness diagnosis is made based on history, physical examination and audiometry. Sudden deafness has three characteristics; acute, sensorineural hearing loss and unknown etiology. Additional characteristics may include vertigo, tinnitus and the absence of cranial nerve involvement. Management of sudden deafness include conservative therapy with multiple modalities. Case: Patient male, 40 years, Bali, Hindu present with hearing loss since ± 2 weeks ago. Patients previously complained of heat in the ear ± 2 days ago accompanied by a downward hearing and ears. A history of vomiting, coughs and colds denied. History of treatment at the hospital and was hospitalized for ± 2 weeks. Patients had never suffered from the same disease. No history of sinusitis, allergy, anemia, autoimmune and other systemic diseases. Patients also had never experienced trauma and underwent nasal surgery before. Keywords:sudden deafness, sensorineural, audiometry.

  5. Sudden cardiac death in young athletes

    Directory of Open Access Journals (Sweden)

    Östman-Smith I

    2011-07-01

    Full Text Available Ingegerd Östman-SmithDivision of Paediatric Cardiology, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, SwedenAbstract: Athletic activity is associated with an increased risk of sudden death for individuals with some congenital or acquired heart disorders. This review considers in particular the causes of death affecting athletes below 35 years of age. In this age group the largest proportion of deaths are caused by diseases with autosomal dominant inheritance such as hypertrophic cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy, long QT-syndrome, and Marfan’s syndrome. A policy of early cascade-screening of all first-degree relatives of patients with these disorders will therefore detect a substantial number of individuals at risk. A strictly regulated system with preparticipation screening of all athletes following a protocol pioneered in Italy, including school-age children, can also detect cases caused by sporadic new mutations and has been shown to reduce excess mortality among athletes substantially. Recommendations for screening procedure are reviewed. It is concluded that ECG screening ought to be part of preparticipation screening, but using criteria that do not cause too many false positives among athletes. One such suggested protocol will show positive in approximately 5% of screened individuals, among whom many will be screened for these diseases. On this point further research is needed to define what kind of false-positive and false-negative rate these new criteria result in. A less formal system based on cascade-screening of relatives, education of coaches about suspicious symptoms, and preparticipation questionnaires used by athletic clubs, has been associated over time with a sizeable reduction in sudden cardiac deaths among Swedish athletes, and thus appears to be worth implementing even for junior athletes not recommended for formal preparticipation screening. It is strongly argued

  6. Trial Steering Committees in randomised controlled trials: A survey of registered clinical trials units to establish current practice and experiences.

    Science.gov (United States)

    Conroy, Elizabeth J; Harman, Nicola L; Lane, J Athene; Lewis, Steff C; Murray, Gordon; Norrie, John; Sydes, Matt R; Gamble, Carrol

    2015-12-01

    The Medical Research Council Guidelines for Good Clinical Practice outlines a three-committee trial oversight structure--the day-to-day Trial Management Group, the Data Monitoring Committee and the Trial Steering Committee. In this model, the Trial Steering Committee is the executive committee that oversees the trial and considers the recommendations from the Data Monitoring Committee. There is yet to be in-depth consideration establishing the Trial Steering Committee's role and functionality. A survey to establish Trial Steering Committee's current practices, role and the use and opinion on the Medical Research Council guidelines was undertaken within UK Clinical Research Collaborative registered Clinical Trials Units. Completed surveys were obtained from 38 of 47 fully and partially registered Units. Individual items in the survey were analysed and reported spanning current Trial Steering Committee practices including its role, requirement and experience required for membership; methods to identify members; and meeting frequency. Terms (a document describing the committee's remit, objectives and functionality) were obtained and analysed from 21 of 33 Units with documents in place at their Unit. A total of 20 responders suggested aspects of the current Medical Research Council Guidelines that need improvement. We present the first survey reporting on practices within UK Clinical Research Collaborative registered Clinical Trials Units on the experience and remits of Trial Steering Committees. We have identified a widespread adoption of Medical Research Council Guidelines for Trial Steering Committees in the United Kingdom, but limitations in this existing provision have been identified that need to be addressed. © The Author(s) 2015.

  7. Sudden losses and sudden gains during a DBT-PTSD treatment for posttraumatic stress disorder following childhood sexual abuse

    Directory of Open Access Journals (Sweden)

    Antje Krüger

    2014-09-01

    Full Text Available Background: Exposure-based treatment approaches are first-line interventions for patients suffering from posttraumatic stress disorder (PTSD. However, the dissemination of exposure-based treatments for PTSD is challenging, as a large proportion of clinicians report being concerned about symptoms worsening as a result of this type of intervention and are therefore reluctant to offer it to patients with PTSD. However, there is only little empirical evidence to date on the pattern of symptom worsening during exposure-based treatment for PTSD. Objective: The goal of the present study was to explore the frequency of sudden losses and sudden gains in the course of an exposure-based treatment programme for female patients suffering from PTSD related to childhood sexual abuse who also show severe comorbidity. In addition, the relationship between sudden changes and treatment outcome was examined. Methods: Female participants (N=74 were randomised to either a 12-week residential DBT-PTSD programme or a treatment-as-usual wait list. The pattern of symptom change was assessed via weekly assessments using the Posttraumatic Diagnostic Scale (PDS. Sudden changes were computed as suggested by the literature on sudden gains. Results: During treatment, only one participant (3% experienced a sudden loss, whereas 25% of participants experienced sudden gains. In the waiting condition, 8% of the participants experienced sudden losses and 5% experienced sudden gains during the same time period. No symptom worsening was observed in response to exposure sessions. However, sudden gains occurred during exposure and non-exposure treatment weeks. Patients with sudden gains showed better treatment outcome in the post-treatment and follow-up assessments. Conclusions: Exposure-based treatment did not lead to PTSD symptom worsening in the study sample. Results show that sudden gains occur frequently during PTSD treatment and have a prognostic value for treatment outcome.

  8. TCT-82 Evaluation of Current Practices in Transcatheter Aortic Valve Replacement: The WRITTEN (WoRldwIde TAVR ExperieNce) Survey

    DEFF Research Database (Denmark)

    Nombela-Franco, Luis; Cerrato, Enrico; Nazif, Tamim

    2016-01-01

    the main areas of consensus and divergence between centers. Methods An online questionnaire was distributed in centers performing TAVR irrespective of the number of procedures and valve type. The questionnaire was divided in 3 main blocks: pre-procedural evaluation, procedural practices and post......-procedural management. Regional experts were recruited to distribute the survey in each country or region. Results The survey was completed by 250 TAVR centers (with a cumulative experience of nearly 70,000 procedures) from 38 different countries. Heart team meetings were regularly scheduled in most (>95%) centers...... in patients with atrial fibrillation requiring anticoagulation therapy (anticoagulation alone, anticoagulation+aspirin, anticoagulation+clopidogrel, and triple therapy in 28%, 37%, 26% and 4% of centers, respectively). Conclusion The WRITTEN survey provided extensive data on current TAVR-related practice...

  9. Sudden infant death triggered by dive reflex

    Science.gov (United States)

    Matturri, L; Ottaviani, G; Lavezzi, A M

    2005-01-01

    The dive reflex is the reflex mechanism most frequently considered in the aetiopathogenesis of sudden infant death syndrome (SIDS). This seems to persist in human beings as an inheritance from diver birds and amphibians. It has been reported that washing the face with cold water or plunging into cold water can provoke cardiac deceleration through the intervention of the ambiguus and the vagal dorsal nuclei. This report describes a case of SIDS that offers a unique insight into the role of the dive reflex in determining a lethal outcome. Examination of the brainstem on serial sections revealed severe bilateral hypoplasia of the arcuate nucleus and gliosis of the other cardiorespiratory medullary nuclei. The coronary and cardiac conduction arteries presented early atherosclerotic lesions. The possible role of parental cigarette smoking in the pathogenesis of arcuate nucleus hypoplasia and early coronary atherosclerotic lesions is also discussed. PMID:15623488

  10. Pathophysiology and prevention of sudden cardiac death.

    Science.gov (United States)

    Goyal, Vineet; Jassal, Davinder S; Dhalla, Naranjan S

    2016-03-01

    Sudden cardiac death (SCD) is known to occur in individuals with diverse diseases. Each disease state has a specific etiology and pathophysiology, and is diagnosed and treated differently. Etiologies for SCD include cardiac arrhythmias, coronary artery disease, congenital coronary artery anomalies, hypertrophic cardiomyopathy, arrhythmogenic right ventricular dysplasia, dilated cardiomyopathy, and aortic valve stenosis. A potential unifying mechanism of SCD in these diseases involves a massive stimulation of the sympathetic nervous system's stress response and the subsequent elevation of circulating catecholamines. The diagnosis of cardiac diseases that contribute to an increased risk for SCD is accomplished by a combination of different techniques including electrocardiography, echocardiography, magnetic resonance imaging, and invasive cardiac catheterization. Several therapies including anti-arrhythmic drugs, β-blockers, and antiplatelet agents may be used as medical treatment in patients for the prevention of SCD. Invasive therapies including percutaneous angioplasty, coronary artery bypass surgery, and implantable cardioverter-defibrillators are also used in the clinical management of SCD.

  11. Disruptions in adaptation of sudden-onset and slow-onset risks: insights from a local case in the Andes of Peru for global policies

    Science.gov (United States)

    Huggel, Christian; Carey, Mark; Frey, Holger; Jurt, Christine; Mechler, Reinhard; Motschmann, Alina; Vicuña, Luis

    2017-04-01

    against the management of sudden-onset risks, more specifically against the technical components of the flood early warning system, because they believed that rainfall measuring and data transmitting devices keep the rains away. The background of this extraordinary local action is complex and rooted, among other, in cultural and historical experiences, mistrust in political and scientific institutions and local power relations. This local case, however, is highly instructive for global climate change policy. It shows that locally perceived priorities in terms of risks can be in great contrast to scientific knowledge and policies with profound implications for adaptation to sudden-onset and slow-onset risks. In fact, there may be a need to re-think current adaptation strategies which is also highly relevant in the context of current discussions on loss and damage related to negative effects of climate change. Furthermore, while the case certainly underlines the need to closely engage with local communities it also indicates where the limits of adaptation may be hit.

  12. Incidence of sudden cardiac death in professional cycling: Sudden cardiac death and exercise

    OpenAIRE

    Santos-Lozano, Alejandro; Sanchís-Gomar, Fabián; Garatachea, Nuria; Arrarás-Flores, Ángel; Pareja Galeano, Helios; Fiuza Luces, María del Carmen; Joyner, Michael J.; Lucía Mulas, Alejandro

    2016-01-01

    Low-moderate intensity aerobic exercise (e.g., brisk walking for 30–60 min/day) has well-documented beneficial cardiovascular effects, whereas those of strenuous endurance exercise (SEE) e.g., marathon running, are more controversial. Notably, the increasing popularity of SEE has contributed to the growth of sports-related sudden cardiac death (SCD) over the last decade. In this regard, Pineda et al. have underlined the importance of appropriate precompetition screening in order to minimize t...

  13. Sensitivity of the Humboldt Current system to global warming: a downscaling experiment of the IPSL-CM4 model

    Science.gov (United States)

    Echevin, Vincent; Goubanova, Katerina; Belmadani, Ali; Dewitte, Boris

    2012-02-01

    The impact of climate warming on the seasonal variability of the Humboldt Current system ocean dynamics is investigated. The IPSL-CM4 large scale ocean circulation resulting from two contrasted climate scenarios, the so-called Preindustrial and quadrupling CO2, are downscaled using an eddy-resolving regional ocean circulation model. The intense surface heating by the atmosphere in the quadrupling CO2 scenario leads to a strong increase of the surface density stratification, a thinner coastal jet, an enhanced Peru-Chile undercurrent, and an intensification of nearshore turbulence. Upwelling rates respond quasi-linearly to the change in wind stress associated with anthropogenic forcing, and show a moderate decrease in summer off Peru and a strong increase off Chile. Results from sensitivity experiments show that a 50% wind stress increase does not compensate for the surface warming resulting from heat flux forcing and that the associated mesoscale turbulence increase is a robust feature.

  14. Sudden infant death syndrome caused by cardiac arrhythmias: only a matter of genes encoding ion channels?

    Science.gov (United States)

    Sarquella-Brugada, Georgia; Campuzano, Oscar; Cesar, Sergi; Iglesias, Anna; Fernandez, Anna; Brugada, Josep; Brugada, Ramon

    2016-03-01

    Sudden infant death syndrome is the unexpected demise of a child younger than 1 year of age which remains unexplained after a complete autopsy investigation. Usually, it occurs during sleep, in males, and during the first 12 weeks of life. The pathophysiological mechanism underlying the death is unknown, and the lethal episode is considered multifactorial. However, in cases without a conclusive post-mortem diagnosis, suspicious of cardiac arrhythmias may also be considered as a cause of death, especially in families suffering from any cardiac disease associated with sudden cardiac death. Here, we review current understanding of sudden infant death, focusing on genetic causes leading to lethal cardiac arrhythmias, considering both genes encoding ion channels as well as structural proteins due to recent association of channelopathies and desmosomal genes. We support a comprehensive analysis of all genes associated with sudden cardiac death in families suffering of infant death. It allows the identification of the most plausible cause of death but also of family members at risk, providing cardiologists with essential data to adopt therapeutic preventive measures in families affected with this lethal entity.

  15. Sudden Unexpected Infant Deaths May Be Underestimated: Study

    Science.gov (United States)

    ... page: https://medlineplus.gov/news/fullstory_166269.html Sudden Unexpected Infant Deaths May Be Underestimated: Study Lack of standardized death ... U.S. Institute of Child Health and Human Development. Sudden Infant Death Syndrome (SIDS) is deemed a distinct form of ...

  16. New Areas for Preventive Programing: Sudden Infant Death Syndrome.

    Science.gov (United States)

    Lowman, Joseph

    Crisis intervention programs for persons experiencing the sudden death of family members or surviving natural disasters have been advocated as methods of primary prevention, although few have actually been implemented. A program utilizing nurses to deliver grief intervention to parents losing a baby to Sudden Infant Death Syndrome (SIDS) was…

  17. Antipsychotics and the risk of sudden cardiac death

    NARCIS (Netherlands)

    Straus, S.M.J.M.; Bleumink, G.S.; Dieleman, J.P.; van der Lei, J.; 't Jong, G.W.; Kingma, J. Herre; Sturkenboom, M.C J M; Stricker, B.H C

    2004-01-01

    Background Antipsychotics have been associated with prolongation of the corrected QT interval and sudden cardiac death. Only a few epidemiological studies have investigated this association. We performed a case-control study to investigate the association between use of antipsychotics and sudden

  18. Sudden cardiac arrest in sports - need for uniform registration

    DEFF Research Database (Denmark)

    Solberg, E E; Borjesson, M; Sharma, S

    2016-01-01

    There are large variations in the incidence, registration methods and reported causes of sudden cardiac arrest/sudden cardiac death (SCA/SCD) in competitive and recreational athletes. A crucial question is to which degree these variations are genuine or partly due to methodological incongruities....

  19. The prevalence of HIV in the sudden, unexplained and unexpected ...

    African Journals Online (AJOL)

    Purpose: To determine the prevalence of HIV in the sudden, unexplained and unexpected (SUU) death population admitted to the Pretoria Medico-Legal Laboratory. Methods: This study was conducted at the Pretoria Medico-Legal Laboratory. Blood samples were obtained from decedents who died suddenly and/or ...

  20. A honey bee can threat ear: Sudden sensorineural hearing loss.

    Science.gov (United States)

    Düzenli, Ufuk; Bozan, Nazım; Ayral, Abdurrahman; Yalınkılıç, Abdülaziz; Kıroğlu, Ahmet Faruk

    2017-11-01

    Sudden sensorineural hearing loss is an otologic emergency. Many etiological factors can lead to this pathology. Honey bee (Apis mellifera) sting may lead to local and systemic reactions due to sensitization of the patient. In this paper we described a sudden sensorineural hearing loss occurred after honey bee sting. Copyright © 2017 Elsevier Inc. All rights reserved.

  1. Influence of sudden stratospheric warmings on tropospheric winds

    NARCIS (Netherlands)

    Hinssen, Y.B.L.; van Delden, A.J.; Opsteegh, T.

    2011-01-01

    The influence of changes in the zonal mean stratospheric potential vorticity, associated with sudden stratospheric warmings, on the zonal mean zonal wind in the troposphere is investigated by piecewise potential vorticity inversion. The focus is on the major sudden stratospheric warming that

  2. Experiments on current-driven three-dimensional ion sound turbulence. I - Return-current limited electron beam injection. II - Wave dynamics

    Science.gov (United States)

    Stenzel, R. L.

    1978-01-01

    Pulsed electron beam injection into a weakly collisional magnetized background plasma is investigated experimentally; properties of the electron beam and background plasma, as well as the low-frequency instabilities and wave dynamics, are discussed. The current of the injected beam closes via a field-aligned return current of background electrons. Through study of the frequency and wavenumber distribution, together with the electron distribution function, the low-frequency instabilities associated with the pulsed injection are identified as ion acoustic waves driven unstable by the return current. The frequency cut-off of the instabilities predicted from renormalized plasma turbulence theory, has been verified experimentally.

  3. Experience with the assessment of stray currents according to prEN 50122-2:2008; Erfahrungen mit der Streustrombewertung gemaess prEN 50122-2

    Energy Technology Data Exchange (ETDEWEB)

    Fischer, Christian [Fischer und Ehms KG, Halle (Germany); Thiede, Jens [ELBAS GmbH, Dresden (Germany)

    2008-07-01

    Direct-current traction systems have an impact on buried reinforced-concrete or metal structures due to the action of stray currents. The draft standard prEN 50122-2:2008 recommends a new measuring technique for the assessment of hazards caused by stray currents. Measurements made on tramway tracks and a d.c. railway in South Africa supplied initial experience for determining the stray current activity. (orig.)

  4. Measurement of the neutral current reaction at high Q{sup 2} in the H1 experiment at HERA II

    Energy Technology Data Exchange (ETDEWEB)

    Shushkevich, Stanislav

    2012-12-15

    This thesis presents inclusive e{sup {+-}}p double and single differential cross section measurements for neutral current deep inelastic scattering of longitudinally polarized leptons on protons as a function of the negative four-momentum transfer squared Q{sup 2} and the Bjorken variable x. The data were collected in the years 2003-2007 in the H1 experiment at HERA with positively and negatively longitudinally polarized lepton beams of 27 GeV and a proton beam of 920 GeV corresponding to the centre-of-mass energy of {radical}(s)=319 GeV. The integrated luminosity is about 330 pb{sup -1}. An overview of the phenomenology of the deep inelastic scattering is given and the experimental apparatus is described. The NC cross section measurement procedure is presented and discussed in details. The measured cross sections are used to investigate electroweak effects at high Q{sup 2}. The proton structure function xF{sub 3}, sensitive to the valence quarks in the proton, is measured. The polarization effects sensitive to the chiral structure of neutral currents are investigated. The Standard Model predictions are found to be in a good agreement with the measurement.

  5. Risk factors and causes of sudden noncardiac death

    DEFF Research Database (Denmark)

    Risgaard, Bjarke; Lynge, Thomas Hadberg; Wissenberg, Mads

    2015-01-01

    BACKGROUND: On the performance of an autopsy, sudden deaths may be divided into 2 classifications: (1) sudden cardiac deaths and (2) sudden noncardiac deaths (SNCDs). Families of SNCD victims should not be followed up as a means of searching for cardiac disease. OBJECTIVE: The purpose of this study...... was to report the risk factors and causes of SNCD. METHODS: We conducted a retrospective, nationwide study including all deaths between 2000 and 2006 of individuals aged 1-35 years and all deaths between 2007 and 2009 of individuals aged 1-49 years. Two physicians identified all sudden death cases through...... review of death certificates. Autopsy reports were collected. A multivariable logistic regression model was used to identify both clinical characteristics and risk factors associated with SNCD. RESULTS: We identified 1039 autopsied cases of sudden death, of which 286 (28%) were classified as SNCD...

  6. Mobile phone usage does not affect sudden sensorineural hearing loss.

    Science.gov (United States)

    Sagiv, D; Migirov, L; Madgar, O; Nakache, G; Wolf, M; Shapira, Y

    2018-01-01

    Recent studies found that mobile phone users had a significantly greater risk of having elevated thresholds in speech frequencies. This study investigated the correlation between the laterality of sudden sensorineural hearing loss, handedness and the preferred ear for mobile phone use. The study included all patients who presented with sudden sensorineural hearing loss to the Department of Otolaryngology - Head and Neck Surgery in our tertiary referral medical centre between 2014 and 2016. Patients were asked to indicate their dominant hand and preferred ear for mobile phone use. The study comprised 160 patients. No correlation was found between the dominant hand or preferred ear for mobile phone use and the side of sudden sensorineural hearing loss. There was no correlation between the side of the sudden sensorineural hearing loss (preferable or non-preferable for mobile phone use) and audiometric characteristics. No correlation was found between the laterality of ears used for mobile phone and sudden sensorineural hearing loss.

  7. Bubble motion in sudden expansion in vertical pipe flow

    Energy Technology Data Exchange (ETDEWEB)

    Kondo, Koichi [Marine Technical College, Ashiya, Hyogo (Japan); Yoshida, Kenji; Matsumoto, Tadayoshi; Okawa, Tomio; Kataoka, Isao [Osaka Univ., Suita, Osaka (Japan)

    2002-07-01

    Experimental studies were made on the multi-dimensional behavior of upward gas-liquid two-phase flow through the vertical round tube with an axisymmetric sudden expansion, which is one of the typical multi-dimensional channel geometry. The direct observation using high-speed video camera was performed and revealed the multi-dimensional dynamic flow behavior affected by the sudden expansion. Characteristic phenomena were observed such as bubble break-up, deformation due to the strong share of liquid flow, or liquid micro jet penetration through the gas-slug, and so on. From these results, the flow regime map at the below or above of the sudden expansion part was classified. The phase distributions in sudden expansion were also showed in detail that how the two-phase flow develops along the direction of the downstream of the sudden expansion. (J.P.N.)

  8. Global variations in Magnetosphere-Ionosphere system due to Sudden Impulses under different IMF By conditions

    Science.gov (United States)

    Ozturk, D. S.; Zou, S.; Slavin, J. A.; Ridley, A. J.

    2016-12-01

    A sudden impulse (SI) event is a rapid increase in solar wind dynamic pressure, which compresses the Earth's magnetosphere from the dayside and travels towards the Earth's tail. During the SI events, compression front reconfigures the Magnetosphere-Ionosphere (MI) current systems. This compression launches fast magnetosonic waves that carry the SI through magnetosphere and Alfven waves that enhance the field-aligned currents (FACs) at high-latitudes. FAC systems can be measured by Active Magnetosphere and Polar Electrodynamics Response Experiment (AMPERE). The propagation front also creates travelling convection vortices (TCVs) in the ionosphere that map to the equatorial flank regions of the Earth's magnetosphere. The TCVs then move from dayside to the nightside ionosphere. To understand these SI-driven disturbances globally, we use the University of Michigan Space Weather Modeling Framework (SWMF) with Global Magnetosphere (GM), Inner Magnetosphere (IM) and Ionosphere (IE) modules. We study the changes in the FAC systems, which link ionospheric and magnetospheric propagating disturbances under different IMF By conditions and trace the ionospheric disturbances to magnetospheric system to better understand the connection between two systems. As shown by previous studies, IMF By can cause asymmetries in the magnetic perturbations measured by the ground magnetometers. By using model results we determine the global latitudinal and longitudinal dependencies of the SI signatures on the ground. We also use the SWMF results to drive the Global Ionosphere Thermosphere Model (GITM) to reveal how the Ionosphere-Thermosphere system is affected by the SI propagation. Comparisons are carried out between the IE model output and high latitude convection patterns from Super Dual Auroral Radar Network (SuperDARN) measurements and SuperMAG ground magnetic field perturbations. In closing we have modeled the field-aligned currents, ionospheric convection patterns, temperature and

  9. Sudden Death Following Exercise; a Case Series Study

    Directory of Open Access Journals (Sweden)

    Fares Najari

    2016-04-01

    Full Text Available Introduction: Natural and unexpected death that happens within less than one hour of first symptom occurrence is called sudden death. Cardiovascular diseases are the main known reason of sudden death and more than 75% of sudden deaths in athletes are assigned to it. Here we reported the autopsy results of all cases with sudden death following exercise that were referred to forensic center of Tehran, Iran, from 2009 to 2014. Methods: In this cross sectional study all subjects who were registered to forensic medicine center of Tehran, Iran, from 2009 to 2014, as a case of sudden death following exercise were evaluated. Demographic data and medical history as well as autopsy and toxicology findings were retrospectively gathered using profiles of the deceased. Results were reported using descriptive analysis. Results: 14 cases were registered as sudden death following exercise in forensic medicine profiles during the study period. Exploring the files of the mentioned deceased, revealed five non-compatible cases in this regard. Finally, 9 eligible cases were enrolled (88.9% male. The mean age of the deceased was 28.66 ± 10.86 years (range: 7 – 40. Toxicological tests were available for 7 cases, one of which was positive for tramadol. Sudden death following football was reported most frequently (44.4%. Only 3 (33.3% cases had herald signs such as chest pain, syncope, or loss of consciousness. 1 case (11.11% had a positive history of sudden death in relatives. Conclusion: Although most sudden death victims are asymptomatic until the event, all those who suffer from symptoms such as chest pain, shortness of breath, dizziness, fatigue and irregular heart rate during physical activities, should be screened regarding common probable causes of sudden death.

  10. Early Adverse Caregiving Experiences and Preschoolers' Current Attachment Affect Brain Responses during Facial Familiarity Processing: An ERP Study.

    Science.gov (United States)

    Kungl, Melanie T; Bovenschen, Ina; Spangler, Gottfried

    2017-01-01

    When being placed into more benign environments like foster care, children from adverse rearing backgrounds are capable of forming attachment relationships to new caregivers within the first year of placement, while certain problematic social behaviors appear to be more persistent. Assuming that early averse experiences shape neural circuits underlying social behavior, neurophysiological studies on individual differences in early social-information processing have great informative value. More precisely, ERP studies have repeatedly shown face processing to be sensitive to experience especially regarding the caregiving background. However, studies on effects of early adverse caregiving experiences are restricted to children with a history of institutionalization. Also, no study has investigated effects of attachment security as a marker of the quality of the caregiver-child relationship. Thus, the current study asks how adverse caregiving experiences and attachment security to (new) caregivers affect early- and mid-latency ERPs sensitive to facial familiarity processing. Therefore, pre-school aged foster children during their second year within the foster home were compared to an age matched control group. Attachment was assessed using the AQS and neurophysiological data was collected during a passive viewing task presenting (foster) mother and stranger faces. Foster children were comparable to the control group with regard to attachment security. On a neurophysiological level, however, the foster group showed dampened N170 amplitudes for both face types. In both foster and control children, dampened N170 amplitudes were also found for stranger as compared to (foster) mother faces, and, for insecurely attached children as compared to securely attached children. This neural pattern may be viewed as a result of poorer social interactions earlier in life. Still, there was no effect on P1 amplitudes. Indicating heightened attentional processing, Nc amplitude responses

  11. Early Adverse Caregiving Experiences and Preschoolers' Current Attachment Affect Brain Responses during Facial Familiarity Processing: An ERP Study

    Directory of Open Access Journals (Sweden)

    Melanie T. Kungl

    2017-12-01

    Full Text Available When being placed into more benign environments like foster care, children from adverse rearing backgrounds are capable of forming attachment relationships to new caregivers within the first year of placement, while certain problematic social behaviors appear to be more persistent. Assuming that early averse experiences shape neural circuits underlying social behavior, neurophysiological studies on individual differences in early social-information processing have great informative value. More precisely, ERP studies have repeatedly shown face processing to be sensitive to experience especially regarding the caregiving background. However, studies on effects of early adverse caregiving experiences are restricted to children with a history of institutionalization. Also, no study has investigated effects of attachment security as a marker of the quality of the caregiver-child relationship. Thus, the current study asks how adverse caregiving experiences and attachment security to (new caregivers affect early- and mid-latency ERPs sensitive to facial familiarity processing. Therefore, pre-school aged foster children during their second year within the foster home were compared to an age matched control group. Attachment was assessed using the AQS and neurophysiological data was collected during a passive viewing task presenting (foster mother and stranger faces. Foster children were comparable to the control group with regard to attachment security. On a neurophysiological level, however, the foster group showed dampened N170 amplitudes for both face types. In both foster and control children, dampened N170 amplitudes were also found for stranger as compared to (foster mother faces, and, for insecurely attached children as compared to securely attached children. This neural pattern may be viewed as a result of poorer social interactions earlier in life. Still, there was no effect on P1 amplitudes. Indicating heightened attentional processing, Nc

  12. NODC Standard Format Coastal Ocean Wave and Current (F181) Data from the Atlantic Remote Sensing Land/Ocean Experiment (ARSLOE) (1980) (NODC Accession 0014202)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains time series coastal ocean wave and current data collected during the Atlantic Remote Sensing Land/Ocean Experiment (ARSLOE). ARSLOE was...

  13. Infant dreaming and fetal memory: a possible explanation of sudden infant death syndrome.

    Science.gov (United States)

    Christos, G A

    1995-04-01

    During rapid-eye-movement sleep, when we dream, the brain is thought to be processing stored memory. The memory of a newborn infant is dominated by its fetal experience, and the infant is likely to dream about its life in the womb. Research with lucid (or conscious) dreaming has shown that dream images are supported by the corresponding body actions, using those muscles which remain active during rapid-eye-movement sleep. We suggest that sudden infant death syndrome or cot death may be a result of an infant dreaming about its life (or memory) as a fetus. In the course of that dream, since a fetus does not breathe (in the usual sense) the infant may cease to breathe and may die. This simple hypothesis is consistent with all of the known facts about sudden infant death syndrome (pathological and epidemiological), such as the age at death curve (the observed exponential decay and possibly the peak at 2-3 months), the higher risk with the prone sleeping position (but not excluding the supine position), and the observed climatic variation (seasonal and regional) in the incidence of sudden infant death syndrome. Many of these well-established facts have no other known explanation and other theories can generally only account for a few of the known facts about sudden infant death syndrome. Our hypothesis is also supported by recent findings that, as a group, sudden infant death syndrome infants have a higher proportion of rapid-eye-movement sleep, and also that they have an average higher heart rate (corresponding to possible fetal dreams) but only during rapid-eye-movement sleep.(ABSTRACT TRUNCATED AT 250 WORDS)

  14. Cardiac Innervation and Sudden Cardiac Death

    Science.gov (United States)

    Fukuda, Keiichi; Kanazawa, Hideaki; Aizawa, Yoshiyasu; Ardell, Jeffrey L.; Shivkumar, Kalyanam

    2015-01-01

    Afferent and efferent cardiac neurotransmission via the cardiac nerves intricately modulates nearly all physiological functions of the heart (chronotropy, dromotropy, lusitropy and inotropy). Afferent information from the heart is transmitted to higher levels of the nervous system for processing (intrinsic cardiac nervous system, extracardiac-intrathoracic ganglia, spinal cord, brain stem and higher centers) which ultimately results in efferent cardiomotor neural impulses (via the sympathetic and parasympathetic nerves). This system forms interacting feedback loops that provide physiological stability for maintaining normal rhythm and life-sustaining circulation. This system also ensures that there is fine-tuned regulation of sympathetic-parasympathetic balance in the heart under normal and stressed states in the short (beat to beat), intermediate (minutes-hours) and long term (days-years). This important neurovisceral /autonomic nervous system also plays a major role in the pathophysiology and progression of heart disease, including heart failure and arrhythmias leading to sudden cardiac death (SCD). Transdifferentiation of neurons in heart failure, functional denervation, cardiac and extra-cardiac neural remodeling have also been identified and characterized during the progression of disease. Recent advances in understanding the cellular and molecular processes governing innervation and the functional control of the myocardium in health and disease provides a rational mechanistic basis for development of neuraxial therapies for preventing SCD and other arrhythmias. Advances in cellular, molecular, and bioengineering realms have underscored the emergence of this area as an important avenue of scientific inquiry and therapeutic intervention. PMID:26044253

  15. Sudden decoherence transitions for quantum discord

    Science.gov (United States)

    Lim, Hyungjun; Joynt, Robert

    2014-04-01

    We investigate the disappearance of discord in 2- and multi-qubit systems subject to decohering influences. We formulate the computation of quantum discord and quantum geometric discord in terms of the generalized Bloch vector, which gives useful insights on the time evolution of quantum coherence for the open system, particularly the comparison of entanglement and discord. We show that the analytical calculation of the global geometric discord is NP-hard in the number of qubits, but a similar statement for global entropic discord is more difficult to prove. We present an efficient numerical method to calculating the quantum discord for a certain important class of multipartite states. In agreement with previous work for 2-qubit cases (Mazzola et al 2010 Phys. Rev. Lett. 104 200401), we find situations in which there is a sudden transition from classical to quantum decoherence characterized by the discord remaining relatively robust (classical decoherence) until a certain point from where it begins to decay quickly whereas the classical correlation decays more slowly (quantum decoherence). However, we find that as the number of qubits increases, the chance of this kind of transition occurring becomes small.

  16. [Bilateral versus unilateral sudden sensorineural hearing loss].

    Science.gov (United States)

    Ni, Maomei; Li, Dehong; Peng, Weihui; Peng, Yikun; Ren, Juanjuan

    2010-01-01

    To analyze the clinical characteristics and treatment effect between bilateral (bi-) and unilateral (uni-) sudden sensorineural hearing loss (SSNHL). Four hundred and eighty cases of SSNHL were retrospective study, which were divided into two groups of bi-SSNHL (n = 40) and uni-SSNHL (n = 440). Clinical characteristics and treatment effects were compared of the two groups. The incidence rate of bi-SSNHL was 8.3 percent and uni-SSNHL was 91.7 percent of all patients with SSNHL. Bi-SSNHL occurs more commonly in patients of old age, diabetes mellitus, and lipid panes abnormalities compared to uni-SSNHL. Twenty-eight ears in the bi-SSNHL group showed hearing recovery (35%), compared with 56.4 percent of patients with uni-SSNHL. Bi-SSNHL and uni-SSNHL may have a completely different clinical characteristics and treatment effect, that implies a different pathophysiology and prognosis. Recognition their different clinical characteristics and treatment effect between bilateral and unilateral SSNHL can help in counseling and managing the patients and correctly evaluate the prognosis.

  17. Hearing Recovey in Patients Suffering Sudden Deafness

    Directory of Open Access Journals (Sweden)

    Parviz Eslami

    1992-04-01

    Full Text Available The study included 80 patients treated for sudden deafness over the last 5-7 years. Case history, laboratory findings, pure-tone audiogram and electronystagmography (ENG findings were noted. If any abnormalities had been recorded in ENG studies, the studies were redone. ORL status was redefined and audiograms were obtained in all patients. When becoming ill, the 80 patients had not differed from the normal population in common cardiovascular risk factors. None of them had had signs of viral infection (paired serum samples had been taken at 2-week intervals; routine examinations had been done for common viral antigens. As many as 31 of the 80 patients with acute hearing loss had had abnormalities such as spontaneous nystagmus (PN, hypoexcitability (HE and directional preponderance (DP in the bithermal caloric tests (+44 degrees C, + 30 degrees C of their ENG studies. Twenty of the 31 patients still had abnormal ENG studies after 5-7 years. Only 1 subject had positional nystagmus, and none had subjective vertigo. Patients with an abnormal ENG study showed a poor recovery of the speech reception threshold, whereas those with a normal ENG study showed slightly significant (p less than 0.05 recovery.

  18. Perceived Stigma of Sudden Bereavement as a Risk Factor for Suicidal Thoughts and Suicide Attempt: Analysis of British Cross-Sectional Survey Data on 3387 Young Bereaved Adults

    Directory of Open Access Journals (Sweden)

    Alexandra Pitman

    2017-03-01

    Full Text Available The sudden death of a friend or relative, particularly by suicide, is a risk factor for suicide. People who experience sudden bereavement report feeling highly stigmatised by the loss, potentially influencing access to support. We assessed whether perceived stigma following sudden bereavement is associated with suicidal thoughts and suicide attempt. We analysed cross-sectional survey data on 3387 young adults bereaved by the sudden death of a close contact. We tested the association of high versus low perceived stigma (on the stigma sub-scale of the Grief Experience Questionnaire with post-bereavement suicidal ideation and suicide attempt, using random effects logistic regression, adjusting for socio-demographic factors, pre-bereavement psychopathology, and mode of sudden bereavement (natural causes/unnatural causes/suicide. Subjects with high perceived stigma scores were significantly more likely to report post-bereavement suicidal thoughts (adjusted odds ratio (AOR = 2.74; 95% confidence interval (CI = 1.93–3.89 and suicide attempt (AOR = 2.73; 95% CI = 2.33–3.18 than those with low stigma scores. People who feel highly stigmatised by a sudden bereavement are at increased risk of suicidal thoughts and suicide attempt, even taking into account prior suicidal behaviour. General practitioners, bereavement counsellors, and others who support people bereaved suddenly, should consider inquiring about perceived stigma, mental wellbeing, and suicidal thoughts, and directing them to appropriate sources of support.

  19. Perceived Stigma of Sudden Bereavement as a Risk Factor for Suicidal Thoughts and Suicide Attempt: Analysis of British Cross-Sectional Survey Data on 3387 Young Bereaved Adults.

    Science.gov (United States)

    Pitman, Alexandra; Rantell, Khadija; Marston, Louise; King, Michael; Osborn, David

    2017-03-09

    The sudden death of a friend or relative, particularly by suicide, is a risk factor for suicide. People who experience sudden bereavement report feeling highly stigmatised by the loss, potentially influencing access to support. We assessed whether perceived stigma following sudden bereavement is associated with suicidal thoughts and suicide attempt. We analysed cross-sectional survey data on 3387 young adults bereaved by the sudden death of a close contact. We tested the association of high versus low perceived stigma (on the stigma sub-scale of the Grief Experience Questionnaire) with post-bereavement suicidal ideation and suicide attempt, using random effects logistic regression, adjusting for socio-demographic factors, pre-bereavement psychopathology, and mode of sudden bereavement (natural causes/unnatural causes/suicide). Subjects with high perceived stigma scores were significantly more likely to report post-bereavement suicidal thoughts (adjusted odds ratio (AOR) = 2.74; 95% confidence interval (CI) = 1.93-3.89) and suicide attempt (AOR = 2.73; 95% CI = 2.33-3.18) than those with low stigma scores. People who feel highly stigmatised by a sudden bereavement are at increased risk of suicidal thoughts and suicide attempt, even taking into account prior suicidal behaviour. General practitioners, bereavement counsellors, and others who support people bereaved suddenly, should consider inquiring about perceived stigma, mental wellbeing, and suicidal thoughts, and directing them to appropriate sources of support.

  20. [Prevention of sudden cardiac death by the implantable cardioverter defibrilator].

    Science.gov (United States)

    Kovacević, Dragan V; Milosavljević, Anastazija Stojisić; Topalov, Vasilije; Mihajlović, Bogoljub; Sakac, Dejan; Kozlovacki, Ziva

    2011-01-01

    INTRODUCTION; Sudden cardiac death or, as it is also called, a modern man's killer occurs a few hours after the beginning of the disease. Sudden death is the one that happens within an hour from the onset of the subjective discomforts regardless of the existence of any previous disease. According to modern statistics, 450.000 people die suddenly in the USA and 150,000 in Germany. CAUSES OF SUDDEN DEATH: The most frequent causes of sudden death are cardiologic or, in other words, a heart rhythm disorder such as ventricular tachycardia, ventricular fibrillation and bradycardiac rhythm disorder. All these reasons can be efficiently prevented by the implantation of the cardioverter defibrillators. IMPLANTABLE CARDIOVERTER DEFIBRILLATOR: In comparison with the already known medications, the defibrillator seems to be the most efficient in prevention of sudden cardiac death. This fact has been confirmed by large multicentre studies. The implantation itself is a routine procedure. It lasts about an hour and it often passes without any complications. The patient leaves the hospital a few days after the procedure. About 150 of these procedures are performed per year at the Institute of Cardiovascular Diseases Vojvodina. The Social Insurance Fund bears medical costs and the patient only pays the participation fee, which is symbolical if compared to the value and use of the device. Owing to this fact, this device is available to every patient thus making the efficient sudden cardiac death prevention possible.

  1. [Sudden cardiovascular death in adults: Study of 361 autopsy cases].

    Science.gov (United States)

    Mesrati, M A; Belhadj, M; Aissaoui, A; HajSalem, N; Oualha, D; Boughattas, M; Messaoudi, I; Hammedi, F; Zakhama, A; Chadly, A

    2017-02-01

    To describe epidemiological aspects of sudden cardiovascular death and to specify the etiopathogenic characteristics. Our study is retrospective and descriptive. It included 361 cases of sudden cardiovascular death, which underwent autopsy in forensic medicine department of Monastir during eight years, from 1st January 2004 to 31st December 2011. The incidence of sudden cardiovascular death was 9 per 100,000 person. A marked male predominance was noted. The mean age was 55.75 years. In our series, myocardial infarction represents the leading cause of sudden cardiovascular death, 57.8% of cases. Other etiologies were hypertrophic cardiomyopathy (4.7%), heart failure (1.9%), arrhythmogenic right ventricular dysplasia (2.8%), valvular disease (2%), cardio-myo-pericarditis (1.9%), hydatid cyst of the heart (0.8%), ruptured aneurysm (2.5%), pulmonary embolism (1.9%) and aortic dissection (1.3%). A sudden cardiovascular death at work was found in 25 cases. These cases pose essentially a problem of imputability. Sudden cardiac death is usually the complication of underlying heart disease, sometimes overlooked. Several risk factors are involved. Sudden cardiac death in healthy heart or death caused by arrhythmia is an important entity seeking the intervention of several actors (forensic doctor, cardiologist, geneticist, media…) for prevention. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  2. The stigma perceived by people bereaved by suicide and other sudden deaths: A cross-sectional UK study of 3432 bereaved adults.

    Science.gov (United States)

    Pitman, Alexandra L; Osborn, David P J; Rantell, Khadija; King, Michael B

    2016-08-01

    To test the hypothesis that perceived stigma scores in young adults bereaved by suicide are significantly higher than in young adults bereaved by other sudden deaths, whether blood-related to the deceased or not. We conducted a cross-sectional study of all staff and students aged 18-40 at 37 UK higher educational institutions in 2010, and identified 3432 respondents who had experienced a sudden bereavement of a close contact since reaching the age of 10, either due to sudden natural causes, sudden unnatural causes, or suicide. We used multivariable regression to compare scores on the stigma, shame, responsibility and guilt subscales of the Grief Experience Questionnaire, adjusting for socio-demographic factors and pre-bereavement psychopathology. People bereaved by suicide (n=614) had higher stigma scores than people bereaved by sudden natural death (n=2106; adjusted coefficient=2.52; 95% CI=2.13-2.90; p=people bereaved by sudden unnatural death (n=712; adjusted coefficient=1.69; 95% CI=1.25-2.13; p=people bereaved by suicide, whether compared with bereavement by sudden natural death or sudden unnatural death. Associations were not modified by whether the bereaved was blood-related to the deceased or not. Stigma was perceived more acutely by the relatives and friends of those who died by suicide than those bereaved by other causes of sudden natural or sudden unnatural death. Their high levels of perceived stigma, shame, responsibility and guilt require qualitative investigation to identify whether these grief dimensions limit social functioning, help-seeking behaviour and/or support offered. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

  3. Causes of sudden cardiac arrest in young athletes.

    Science.gov (United States)

    Westrol, Michael S; Kapitanyan, Raffi; Marques-Baptista, Andreia; Merlin, Mark A

    2010-07-01

    Knowledge of sudden cardiac death in young athletes is imperative for all physicians and allied health professionals. The complete differential diagnosis of a young patient with sudden cardiac arrest will result in proper work-up and treatment. In this article, we review several etiologies of sudden cardiac death, including hypertrophic cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy, Wolff-Parkinson-White syndrome, long QT syndrome, Brugada syndrome, and commotio cordis. Clinical findings, work-up, treatment, long-term management, and athlete preparticipation screening guidelines are discussed.

  4. Sudden Cardiac Death in Athletes - What Can be Done?

    Directory of Open Access Journals (Sweden)

    Joydeep Ghosh

    2006-07-01

    Full Text Available Sudden death in athletes is a rare event but brings with it an impact that goes beyond sport. There are many causes of sudden death during exercise. While the responsibility of preventing or treating them lays with us physicians, preparticipation screening is largely ineffective and impractical. Definitive, large scale prospective research is required in order to design the most cost-effective system for screening of athletes. In the meanwhile rapid access to defibrillators by trained personnel remains the best possible approach to abort sudden death.

  5. Current problems of constitutional regulation of the status of local communities in Ukraine in the context of international experience

    Directory of Open Access Journals (Sweden)

    O. V. Batanov

    2016-03-01

    Full Text Available In the article, taking into account foreign experience of development of modern systems of municipal management and practice application of the provisions of new legislation on decentralization highlights the conceptual problems of reforming local government and territorial organization of power in modern Ukraine. Describes the characteristics of the legal status of the territorial community as the primary subject of the municipal authorities in Ukraine and foreign countries. Analyzed the current state of the legal status of the territorial community, the basic of the modern constitutional project initiatives in part on local self-government in Ukraine from the position of the principles of classical muncipalism. We separately consider the possible risks with the possibility of introduction in Ukraine of Institute of the prefects and new mechanism of control over activity of local governments, draws attention to the shortcomings of legal support of process of formation of territorial basis of local government - the creation of local communities who owned the resource base necessary to ensure compliance with the tasks and powers transferred to local government during the decentralization. Proposed separate proposals to prevent possible conflicts of laws and organizational conflicts that can arise in the application of the provisions of the law of Ukraine «On Association of territorial communities».

  6. A Review of Buprenorphine Diversion and Misuse: The Current Evidence Base and Experiences from Around the World

    Science.gov (United States)

    Lofwall, Michelle R.; Walsh, Sharon L.

    2014-01-01

    Outpatient opioid addiction treatment with sublingual buprenorphine pharmacotherapy (OBOT) has rapidly expanded in the United States and abroad, and, with this increase in medication availability, there have been increasing concerns about its diversion, misuse and related harms. This narrative review defines the behaviors of diversion and misuse, examines how the pharmacology of buprenorphine alone and in combination with naloxone influence its abuse liability, and describes the epidemiological data on buprenorphine diversion and intravenous misuse, risk factors for its intravenous misuse and the unintended consequences of misuse and diversion. Physician practices to prevent, screen for, and therapeutically respond to these behaviors, which are a form of medication non-adherence, are discussed and gaps in knowledge are identified. OBOT experiences from other countries that have varied health care systems, public policies, and access to addiction treatment are shared in order to make clear that diversion and misuse occur across the world in various contexts, for many different reasons, and are not limited to buprenorphine. Comparisons are made with other opioids with known abuse liability as well as medications with no known abuse. The objective is to facilitate understanding of diversion and misuse so that all factors influencing their expression (patient and provider characteristics and public policy) can be appreciated within a framework that also recognizes the benefits of addiction treatment. With this comprehensive perspective, further careful work can help determine how to minimize these behaviors without eroding the current benefits realized through improved addiction treatment access and expansion. PMID:25221984

  7. The first Italian Superconducting Fault Current Limiter: Results of the field testing experience after one year operation

    Science.gov (United States)

    Martini, L.; Bocchi, M.; Ascade, M.; Valzasina, A.; Rossi, V.; Ravetta, C.; Angeli, G.

    2014-05-01

    Ricerca sul Sistema Energetico S.p.A. (RSE) has been gaining a relevant experience in the simulation, design and installation of resistive-type Superconducting Fault Current Limiter (SFCL) devices for more than five years in the framework of a R&D national project funded by the Ricerca di Sistema (RdS). The most recent outcome of this research activity is the installation of a resistive-type BSCCO-based 9 kV / 3.4 MVA SFCL device in a single feeder branch of the Medium Voltage (MV) distribution network managed by A2A Reti Elettriche S.p.A (A2A) in the Milano area. This installation represents the first SFCL successfully installed in Italy. In this paper, we report on the main outcomes after a more than 1-year long steady-state field testing activity. The design of an upgraded device to be installed in the same substation has already been initiated: the new SFCL will allow to protect four different feeders, therefore implying a device upgrade up to 15.6 MVA.

  8. [12-Month Prevalence and Consequences of Current Experiences of Physical and Psychological Violence in a Sample of Patients who Entered First Time a Psychotherapeutic Outpatient Clinic].

    Science.gov (United States)

    Karger, André; Fetz, Katharina; Schäfer, Ralf; Schlack, Robert; Franz, Matthias; Joksimovic, Ljiljana

    2017-09-01

    Objective To examine current experiences of violence and its relationship with psychological burden in a psychotherapeutic outpatient sample. Methods 1074 patients of a psychotherapeutic outpatient-clinic of a university hospital completed a written violence screening questionnaire. Results Current experienced physical and psychological violence was two times higher compared to general population. Patients who experienced current violence reported significantly more psychological burden. Conclusion Use of violence screening in daily routine of a psychotherapeutic outpatient-clinic seems to be a promising approach to detect violence experiences. © Georg Thieme Verlag KG Stuttgart · New York.

  9. Histological findings in unclassified sudden infant death, including sudden infant death syndrome.

    Science.gov (United States)

    Liebrechts-Akkerman, Germaine; Bovée, Judith V M G; Wijnaendts, Liliane C D; Maes, Ann; Nikkels, Peter G J; de Krijger, Ronald R

    2013-01-01

    Our objective was to study histological variations and abnormalities in unclassified sudden infant death (USID), including sudden infant death syndrome (SIDS), in The Netherlands. Two hundred Dutch USID cases between 1984 and 2005 were identified. The histology slides and autopsy reports of 187 cases were available for systematic review, including brain autopsy in 135 cases. An explanation for the cause of death in 19 patients (10.2%) was found. Twelve patients had bronchopneumonia, 3 showed extensive aspiration, 2 had signs of a metabolic disorder, 1 had sepsis, and 1 had meningitis. Frequent nonspecific findings were congestion (66%), edema (47%), small hemorrhages (18%), and lymphoid aggregates (51%) in the lungs; congestion of the liver (23%); and asphyctic bleeding in the kidney (44%), adrenal gland (23%), and thymus (17%). Statistical associations were found for infection with starry sky macrophages in the thymus (P  =  0.004), with calcification (P  =  0.023), or with debris in the Hassal's corpuscles (P  =  0.034). In this study, in 10.2% of cases the histological findings were incompatible with SIDS or USID. Furthermore, several frequent nonspecific histological findings in the thymus that point toward an infection were found.

  10. Genomic risk factors in sudden infant death syndrome

    Science.gov (United States)

    2010-01-01

    Sudden infant death syndrome (SIDS) is a major contributor to postneonatal infant death, and is the third leading cause of infant mortality in the USA. While public health efforts have reduced these deaths in recent years, the pathogenesis of SIDS remains unclear. Epidemiological data on SIDS-related deaths have suggested genetic factors, and many studies have attempted to identify SIDS-associated genes. This has resulted in a large body of literature implicating various genes and their encoded proteins and signaling pathways in numerous cohorts of various sizes and ethnicities. This review has undertaken a systematic evaluation of these studies, identifying the pathways that have been implicated in these studies, including central nervous system pathways, cardiac channelopathies, immune dysfunction, metabolism/energy pathways, and nicotine response. This review also explores how new genomic techniques will aid in advancing our knowledge of the genomic risk factors associated with SIDS, including SNPs and copy number variation. Last, this review explores how the current information can be applied to aid in our assessment of the at risk infant population. PMID:21122164

  11. Comparative Simulation Study on Synchronous Generators Sudden Short Circuits

    Directory of Open Access Journals (Sweden)

    Lucian Lupşa-Tătaru

    2009-01-01

    Full Text Available Although of a great extent in time, the research works directed at studying transients in synchronous generators have not yet provided fully sufficient comparative studies in respect to sudden short circuits of the machine. The present paper puts forward novel and comprehensive process models for dynamic simulation of short circuit faults of initially unloaded synchronous generators, using the generalized d-q-0 mathematical model as starting point in derivation. Distinct from the time-domain analysis, the technique proposed here allows an effective comparative overview by employing a specialized procedure to perform repeated time-domain simulations accompanied by peak values recording for the various circumstances. The time consuming matrix numerical inversion at each step of integration, usually performed when selecting currents as state variables, is eliminated by advancing the process models in a convenient split matrix form that allows the symbolic processing. Also, the computational efficiency is being increased by introducing a set of auxiliary variables common to different state equations. The models derivation is carried out without altering the structural equations of the generalized d-q-0 mathematical model of synchronous generators whilst the simulation results are both compared and discussed in detail.

  12. Short-term QT variability markers for the prediction of ventricular arrhythmias and sudden cardiac death: A systematic review

    NARCIS (Netherlands)

    M.N. Niemeijer (Maartje); M.E. van den Berg (Marten); M. Eijgelsheim (Mark); G. van Herpen (Gerard); B.H.Ch. Stricker (Bruno); J.A. Kors (Jan); P.R. Rijnbeek (Peter)

    2014-01-01

    textabstractSudden cardiac death (SCD) is a major health burden and is primarily caused by ventricular arrhythmias. Currently, the most well-known marker for the risk of ventricular arrhythmias is QT/QTc prolongation. Animal studies indicate that QT variability might be a better indicator. Our

  13. On the causes of collapse and sudden death by Avicenna.

    Science.gov (United States)

    Nathan, B; Wray, R

    1997-06-01

    Avicenna's views on the causes of collapse and sudden death are presented from a literal translation of the mediaeval Arabic text. Medical knowledge based on observation mixed with pure abstract reasoning forms the essence of Avicenna's medical writings.

  14. Psychosocial Aspects of the Sudden Infant Death Syndrome ("Cot Death").

    Science.gov (United States)

    Bluglass, Kerry

    1981-01-01

    Reviews literature on reactions of parents and siblings to Sudden Infant Death Syndrome (SIDS). The prospects for prolonged, adverse reactions are considered, and professional concerns regarding abnormal adaptation are noted. (Author/DB)

  15. Familial Atrial Septal Defect and Sudden Cardiac Death

    DEFF Research Database (Denmark)

    Ellesøe, Sabrina Gade; Johansen, Morten Munk; Bjerre, Jesper Vandborg

    2016-01-01

    disturbances, cardiomyopathies, complex CHD, and sudden cardiac death as well. Here, we show that NKX2-5 mutations primarily occur in ASD patients with conduction disturbances and heritable ASD. Furthermore, these families are at increased risk of sudden cardiac death. RESULTS: We screened 39 probands.......1 × 10(-9) ). The majority of patients (74%) had ASD with conduction disturbance. Nineteen patients (15%) of 120 with familial ASD and conduction disturbance died from sudden cardiac death of which nine (8%) were confirmed mutation carriers, and 10 were possible carriers. CONCLUSIONS: NKX2-5 mutations...... mainly occur in familial CHD, the signature phenotype is ASD with conduction disturbances and mutation carriers are at increased risk of sudden cardiac death. We suggest that familial ASD patients should be screened for NKX2-5 mutations and, if they are mutation carriers, implantation of an implantable...

  16. QT Variability and Other Electrocardiographic Predictors of Sudden Cardiac Death

    NARCIS (Netherlands)

    M.E. van den Berg (Marten)

    2017-01-01

    markdownabstractThis thesis investigates sudden cardiac death, focusing of QT variability, heart-rate variability and other electrocardiographic markers. Topics include: - Normal values for heart-rate variability - Normal values for QT variability - The association of QT variability with

  17. Sudden insight is associated with shutting out visual inputs

    National Research Council Canada - National Science Library

    Salvi, Carola; Bricolo, Emanuela; Franconeri, Steven L; Kounios, John; Beeman, Mark

    2015-01-01

    ... window—all signs of shutting out distractions and turning attention inward. Prior research has demonstrated that attention-related brain areas are differently active when people solve problems with sudden insight (the Aha! phenomenon...

  18. The epidemiology of sudden oak death in Oregon forests

    Science.gov (United States)

    Ebba K. Peterson

    2011-01-01

    The phytopathogen Phytophthora ramorum (Werres, DeCock & Man in't Veld), causal agent of Sudden Oak Death (SOD) of oaks (Quercus spp.) and tanoaks (Notholithocarpus densiflorus syn. Lithocarpus densiflorus...

  19. Vaccination and unexplained sudden death risk in Taiwanese infants.

    Science.gov (United States)

    Huang, Wan-Ting; Chen, Robert T; Hsu, Yu-Chen; Glasser, John W; Rhodes, Philip H

    2017-01-01

    In March 1992, eight infants who had died within 36 hours of receiving whole-cell pertussis vaccine (diphtheria, tetanus, and whole-cell pertussis [DTwP]) prompted the Taiwan health authorities to suspend its use. We conducted an investigation of vaccination and sudden unexplained infant death (SUID) and repeated it more recently after Taiwan switched to acellular pertussis vaccine (diphtheria, tetanus, and acellular pertussis [DTaP]) in 2010. All SUIDs aged 31-364 days during 1990-1992 and 1996-2013 were selected from the death registration databases. The case-control investigation matched each case to two controls on clinic, sex, and birth date, whereas the follow-up self-controlled case series study compared risk of death during the 30-day post-vaccination risk periods with those in the control periods within the same case. Sudden unexplained infant death was associated with never receiving DTwP (odds ratio 2.28, 95% confidence interval 1.25-4.15) in the case-control investigation. The odds ratios within 0-1, 2-7, 8-14, and 15-30 days of DTwP administration were 1.18, 0.26, 0.50, and 0.77. In the 1996-2013 self-controlled case series studies, this temporal shift between DTwP and SUID was consistently observed for female (incidence rate ratio 1.70, 0.75, 1.01, and 0.84) but not male or DTaP recipients. A pooled analysis showed significant risk within 2 days of receiving DTwP in female infants (incidence rate ratio 1.66, 95% confidence interval 1.05-2.60). Being unvaccinated and recent receipt of DTwP in female infants was significantly associated with SUID; the latter was consistent with a temporal shift pattern without overall increase in risk. The currently used pertussis vaccine, DTaP, did not increase risk of SUID. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  20. Strong, sudden cooling alleviates the inflammatory responses in heat-stressed dairy cows based on iTRAQ proteomic analysis

    Science.gov (United States)

    Cheng, Jianbo; Min, Li; Zheng, Nan; Fan, Caiyun; Zhao, Shengguo; Zhang, Yangdong; Wang, Jiaqi

    2017-09-01

    This study was designed to investigate the effects of sudden cooling on the physiological responses of 12 heat-stressed Holstein dairy cows using an isobaric tags for relative and absolute quantification (iTRAQ) labeling approach. Plasma samples were collected from these cows during heat stress (HS), and after strong, sudden cooling in the summer (16 days later). We compared plasma proteomic data before and after sudden cooling to identify the differentially abundant proteins. The results showed that sudden cooling in summer effectively alleviated the negative consequences of HS on body temperature and production variables. Expressions of plasma hemoglobin alpha and hemoglobin beta were upregulated, whereas lipopolysaccharide-binding protein (LBP) and haptoglobin were downregulated in this process. The increase of hemoglobin after cooling may improve oxygen transport and alleviate the rise in respiration rates in heat-stressed dairy cows. The decrease of LBP and haptoglobin suggests that the inflammatory responses caused by HS are relieved after cooling. Our findings provide new insight into the physiological changes that occur when heat-stressed dairy cows experience strong, sudden cooling.

  1. Post-mortem toxicology in young sudden cardiac death victims

    DEFF Research Database (Denmark)

    Bjune, Thea; Risgaard, Bjarke; Kruckow, Line

    2017-01-01

    Aims: Several drugs increase the risk of ventricular fibrillation and sudden cardiac death (SCD). We aimed to investigate in detail the toxicological findings of all young SCD throughout Denmark. Methods and results: Deaths in persons aged 1-49 years were included over a 10-year period. Death...... death with positive toxicology had higher rates of sudden arrhythmic death syndrome (SADS), compared with SCD with negative toxicology (56% vs. 42%, P 

  2. Cardiac Potassium Channel Dysfunction in Sudden Infant Death Syndrome

    OpenAIRE

    Rhodes, Troy E.; Abraham, Robert A.; Welch, Richard C.; Vanoye, Carlos G.; Crotti, Lia; Arnestad, Marianne; Insolia, Roberto; Pedrazzini, Matteo; Ferrandi, Chiara; Vege, Ashild; Rognum, Torleiv; Roden, Dan M.; Schwartz, Peter J.; George, Alfred L.

    2007-01-01

    Life-threatening arrhythmias have been suspected as one cause of the sudden infant death syndrome (SIDS), and this hypothesis is supported by the observation that mutations in arrhythmia susceptibility genes occur in 5–10% of cases. However, the functional consequences of cardiac potassium channel gene mutations associated with SIDS and how these alleles might mechanistically predispose to sudden death are unknown. To address these questions, we studied four missense KCNH2 (encoding HERG) var...

  3. Training can modify back muscle response to sudden trunk loading.

    Science.gov (United States)

    Pedersen, Mogens Theisen; Essendrop, Morten; Skotte, Jørgen H; Jørgensen, Kurt; Fallentin, Nils

    2004-10-01

    Sudden, unexpected loading to the trunk has been reported in the literature as a potential cause of low-back disorders. This study's aim was to investigate the effect of "readiness training" on the response to sudden back loading among untrained healthy individuals. The study included 19 participants and 19 matched controls. All were employees at the National Institute of Occupational Health. The participants received ten 45-min training sessions during a 4-week period. The training focused on reactions to a variety of expected and unexpected sudden trunk loadings, including balance and coordination exercises. Before and after the training, all subjects were tested for reaction to sudden trunk loading (SL). This entailed applying a horizontal force of 58 N to the subject's upper back. Elapsed time--measured between SL and stopping--decreased significantly in the training group (from 337 to 311 ms) compared with the control group. The improved stopping time was associated with a changed EMG signal, characterized by an increase in the early parts of the response (up to 225 ms) and a subsequent decrease. EMG onset latency was unaffected by training. This study is apparently one of the first to demonstrate that the response to sudden trunk loading can be improved in healthy subjects without an increase in pre-activation and associated trunk stiffness. In perspective, the results indicate a possibility for a training-induced reduction of the risk of low-back injuries, e.g., in nurses exposed to sudden trunk perturbations during patient handling.

  4. First Results of the “Carbonaceous Aerosol in Rome and Environs (CARE” Experiment: Beyond Current Standards for PM10

    Directory of Open Access Journals (Sweden)

    Francesca Costabile

    2017-12-01

    Full Text Available In February 2017 the “Carbonaceous Aerosol in Rome and Environs (CARE” experiment was carried out in downtown Rome to address the following specific questions: what is the color, size, composition, and toxicity of the carbonaceous aerosol in the Mediterranean urban background area of Rome? The motivation of this experiment is the lack of understanding of what aerosol types are responsible for the severe risks to human health posed by particulate matter (PM pollution, and how carbonaceous aerosols influence radiative balance. Physicochemical properties of the carbonaceous aerosol were characterised, and relevant toxicological variables assessed. The aerosol characterisation includes: (i measurements with high time resolution (min to 1–2 h at a fixed location of black carbon (eBC, elemental carbon (EC, organic carbon (OC, particle number size distribution (0.008–10 μ m, major non refractory PM1 components, elemental composition, wavelength-dependent optical properties, and atmospheric turbulence; (ii 24-h measurements of PM10 and PM2.5 mass concentration, water soluble OC and brown carbon (BrC, and levoglucosan; (iii mobile measurements of eBC and size distribution around the study area, with computational fluid dynamics modeling; (iv characterisation of road dust emissions and their EC and OC content. The toxicological assessment includes: (i preliminary evaluation of the potential impact of ultrafine particles on lung epithelia cells (cultured at the air liquid interface and directly exposed to particles; (ii assessment of the oxidative stress induced by carbonaceous aerosols; (iii assessment of particle size dependent number doses deposited in different regions of the human body; (iv PAHs biomonitoring (from the participants into the mobile measurements. The first experimental results of the CARE experiment are presented in this paper. The objective here is to provide baseline levels of carbonaceous aerosols for Rome, and to address

  5. Programa Nordeste para transplante cardiaco "NE-Tx": experiência atual NE-Tx North East Brazil heart transplant program: current-experience

    Directory of Open Access Journals (Sweden)

    Ricardo Lima

    1992-09-01

    Full Text Available Os autores relatam a presente experiência clínica do programa NE-Tx, que é integrado por quatro diferentes Centros, bem como suas peculiaridades regionais. Foi idealizado um programa com baixo custo e integração regional. Na investigação pré-operatória, foi valorizado o nível social e intelectual do receptor e sua relação com os familiares. A busca de órgão à distância foi suprimida, com o deslocamento do receptor até o local da disponibilidade do órgáo. No pós-operatório não se utilizou dosagem sérica de ciclosporina, tendo os pacientes sido controlados com monitorização seriada da função renal. Com essa estratégia, foram operados 7 pacientes, no período compreendido entre 19.7.86 e 1.11.91., em três diferentes Centros Integrados. Todos eram do sexo masculino e a idade variou de 17 a 50 anos. Três (42,8% pacientes eram portadores de miocardiopatiachagásica, 2 (28,5% de miocardiopatiaidiopática, 1 (14,3% de miocardiopatia hipertrófica e 1 (14,3% de miocardiopatia reumática. Três (42,8% pacientes vieram de Centros diferentes: 1 de Natal para Recife, 1 de Maceió para Aracaju e um terceiro de Aracaju para Maceió. Dois (28,6% pacientes faleceram: um no período de pós-operatório imediato, de maneira ignorada e outro no pós-operatório tardio, devido a crise de rejeição. A mortalidade imediata foi de 14,3% e a tardia de 14,3%. Os restantes 5 (71,4% pacientes encontram-se evoluindo bem, tendo o follow-up variado de 2 a 48 meses. A incidência de infecção, rejeição e demais problemas relacionados com o pós-operatório tardio é superponível com outros Centros. O programa mostrou-se eficiente, prático, compatível com nossa realidade e reproduz resultados de outras experiências.The authors report their current clinical experience with the "NE-Tx" program, which covers four different centres, as well as its regional peculiarities. The program was designed to be of low cost and regionally integrated. In

  6. Current status of gas migration and swelling experiments using engineering scale model for immediate depth disposal in Japan

    Energy Technology Data Exchange (ETDEWEB)

    Higashihara, Tomohiro; Ono, Makoto; Kawaragi, Chie; Saito, Shigeyuki [Japan Nuclear Energy Society (JNES), Tokyo (Japan)

    2010-07-01

    In intermediate depth disposal facility of radioactive waste in Japan, waste is surrounded with bentonite layer to retard interaction of the waste and groundwater, because the bentonite layer saturated with the groundwater has very low hydraulic conductivity. On the other hand, it is important to confirm stability of barrier system for stress generated together with swelling of the bentonite and to understand effect of increase of gas pressure because of generation of hydrogen gas by corrosion of metallic waste. To understand and evaluate the swelling behavior of the bentonite layer, JNES carries out the experiment. In the experiments, we carry out the swelling experiment to examine the swelling behavior of the bentonite layer and the gas migration experiment to understand the gas migration behavior in the bentonite layer, using engineering scale model of the disposal facility. The swelling experiment has been in operation since June 2010. After this experiment, the gas migration experiment will start in July 2011. (orig.)

  7. Update on cardiovascular screening: can we prevent sudden cardiac death in adolescent athletes?

    Science.gov (United States)

    Patel, Dilip R; Luckstead, Eugene F

    2013-04-01

    Cardiovascular screening of athletes to prevent sudden death has been a subject of ongoing debate. In the United States, such screening is currently based on history and physical examination. The International Olympic Committee and the European Sports Council require an electrocardiogram (ECG) as part of screening athletes. The 2010 European Society of Cardiology guidelines and recent US studies suggest the usefulness of ECG in screening athletes. This article provides an overview of key aspects of cardiovascular screening currently recommended in the United States and the recommendations for the use of ECG.

  8. Sudden cardiac death and acute drunken state: Autopsy study

    Directory of Open Access Journals (Sweden)

    Miletić Borislav

    2010-01-01

    Full Text Available Introduction. Sudden natural death occurs unexpectedly in apparently healthy subjects, or in persons during an apparent benign phase in the course of disease. The most common cause is sudden cardiac death, which is sometimes the first and last manifestation of coronary heart disease. Alcohol directly influences excitation of myocytes, and therefore provokes arrhythmias and possibly, sudden cardiac death. Objective. To establish the frequency of sudden cardiac death in cases of acute alcohol intoxication, to determine blood alcohol concentration at the moment of death, and to determine frequency and level of ethanol intoxication in chronic alcohol abusers, as well as causes of sudden death in those cases. Method. Retrospective autopsy study was performed for a three-year-period. We analyzed cases of sudden natural death, in relation to age and gender, cause of death, and blood alcohol concentration (at least 0.5 g/L. We considered the person to be a chronic alcoholic abuser if gross examination of organs during autopsy showed changes typical for excessive and habitual alcohol consumption. Results. Our sample consisted of 997 cases: 720 men and 277 women, average age 62.0±15.2 years (min=11; max=98. Total of 753 of them died of sudden cardiac death: much more men (χ2=167.364; p=0.000, significantly younger than women (t=6.203; p=0.000. We determined acute alcohol intoxication in 73 persons - average blood alcohol concentration 1.85±1.01 g/L (min=0.55; max=3.85, and 61 of them died of cardiovascular diseases (χ2=236.781; df=5; p=0.000. Conclusion. In our observed sample, not many persons were under acute alcohol intoxication (around 7%. Most commonly, they were chronic alcohol abusers who died due to exacerbation of chronic heart disease, mildly or moderately intoxicated - the younger, the drunker.

  9. Control of trunk motion following sudden stop perturbations during cart pushing.

    Science.gov (United States)

    Lee, Yun-Ju; Hoozemans, Marco J M; van Dieën, Jaap H

    2011-01-04

    External perturbations during pushing tasks have been suggested to be a risk factor for low-back symptoms. An experiment was designed to investigate whether self-induced and externally induced sudden stops while pushing a high inertia cart influence trunk motions, and how flexor and extensor muscles counteract these perturbations. Twelve healthy male participants pushed a 200 kg cart at shoulder height and hip height. Pushing while walking was compared to situations in which participants had to stop the cart suddenly (self-induced stop) or in which the wheels of the cart were unexpectedly blocked (externally induced stop). For the perturbed conditions, the peak values and the maximum changes from the reference condition (pushing while walking) of the external moment at L5/S1, trunk inclination and electromyographic amplitudes of trunk muscles were determined. In the self-induced stop, a voluntary trunk extension occurred. Initial responses in both stops consisted of flexor and extensor muscle cocontraction. In self-induced stops this was followed by sustained extensor activity. In the externally induced stops, an external extension moment caused a decrease in trunk inclination. The opposite directions of the internal moment and trunk motion in the externally induced stop while pushing at shoulder height may indicate insufficient active control of trunk posture. Consequently, sudden blocking of the wheels in pushing at shoulder height may put the low back at risk of mechanical injury. Copyright © 2010 Elsevier Ltd. All rights reserved.

  10. Visitor experience and resource protection framework in the National Park System: rationale, current status, and future direction

    Science.gov (United States)

    Marilyn Hof; David W. Lime

    1997-01-01

    The Visitor Experience and Resource Protection (VERP) framework was developed by the National Park Service to address carrying capacity questions associated with visitation-related resource impacts and impacts to the quality of visitor experiences. The framework can be applied as part of a park’s general management planning process (general management plans, GMPs), to...

  11. Influence of High-Current-Density Impulses on the Compression Behavior: Experiments with Iron and a Nickel-Based Alloy

    Science.gov (United States)

    Demler, E.; Gerstein, G.; Dalinger, A.; Epishin, A.; Rodman, D.; Nürnberger, F.

    2017-01-01

    Difficulties of processing of high strength and/or brittle materials by plastic deformation, e.g., by forging, require to develop new industrial technologies. In particular, the feasible deformation rates are limited for low-ductile metallic materials. For this reason, processes were investigated to improve the deformability in which electrical impulses are to be applied to lower the yield strength. However, owing to the impulse duration and low current densities, concomitant effects always occur, e.g., as a result of Joule heating. Current developments in power electronics allow now to transmit high currents as short pulses. By reducing the impulse duration and increasing the current density, the plasticity of metallic materials can be correspondingly increased. Using the examples of polycrystalline iron and a single-crystal, nickel-based alloy (PWA 1480), current advances in the development of methods for forming materials by means of high-current-density impulses are demonstrated. For this purpose, appropriate specimens were loaded in compression and, using novel testing equipment, subjected to a current strength of 10 kA with an impulse duration of 2 ms. For a pre-defined strain, the test results show a significant decrease in the compressive stress during the compression test and a significant change in the dislocation distribution following the current impulse treatment.

  12. Amiodarone and "primary" prevention of sudden death: critical review of a decade of clinical trials.

    Science.gov (United States)

    Farré, J; Romero, J; Rubio, J M; Ayala, R; Castro-Dorticós, J

    1999-03-11

    Several trials have evaluated the role of amiodarone in decreasing mortality in patients at high risk of developing sudden death. Current evidence does not support the prophylactic use of amiodarone in myocardial infarction (MI) survivors with a depressed left ventricular function and/or frequent or complex ventricular ectopy. Some postinfarction trials (e.g., the Spanish Study of Sudden Death [SSSD]) found mortality rates in controls much lower than the expected figures. Other postinfarction trials--the European Amiodarone Myocardial Infarction Arrhythmia Trial (EMIAT) and the Canadian Amiodarone Myocardial Infarction Arrhythmia Trial (CAMIAT)--despite observing a 2-year mortality rate of about 15% as expected, could not demonstrate a significant reduction in mortality. Amiodarone decreases the risk of sudden death in postinfarction patients by about 35%. In patients with a history of heart failure and left ventricular dysfunction, evidence is not sufficiently strong to use amiodarone for prevention of sudden death. The 2 major trials on such patients, Group for the Study of Survival in Heart Failure in Argentina (Grupo de Estudio de la Sobrevida en la Insuficiencia Cardiaca en Argentina or GESICA) and the Survival Trial of Antiarrhythmic Therapy in Congestive Heart Failure (STAT-CHF), arrived at conflicting results. Meta-analyses have been performed to overcome the small sample size of these trials, with the aim of assessing the benefit of amiodarone on total mortality. Differences among the recruited populations make it difficult to extract clinically applicable conclusions from these overviews. Even accepting that amiodarone might decrease total mortality by 10%, it is difficult to identify the patients for whom such a beneficial effect applies. A practical consequence of amiodarone trials is that this drug can be used rather safely in patients with left ventricular dysfunction of any etiology as, in contrast to some class I agents, it does not increase

  13. Student athletes, sudden cardiac death, and lifesaving legislation: a review of the literature.

    Science.gov (United States)

    Garritano, Nicole F; Willmarth-Stec, Melissa

    2015-01-01

    The purpose of this article is to present findings of a literature review examining the use of automatic external defibrillators (AEDs) for student athletes experiencing sudden cardiac arrest and variances in state legislation regarding the mandatory placement of AEDs in school gymnasiums and athletic fields. A broad search of computerized databases was conducted utilizing PubMed, Medline, CINHAHL, and the Cochrane Databases, which provided a broad but not exhaustive review of the current literature related to student athletes, sudden cardiac death, and the use of AEDs. The articles were evaluated and graded using Stetler's strength of evidence guidelines. A total of 17 articles are included in this literature review (Stetler's Grade I, n = 1; Grade II, n = 2; Grade III, n =2; Grade IV, n = 5; Grade V, n = 3; and Grade VI, n = 4). The literature produced few meta-analyses of controlled studies, experimental studies, and quasi-experimental studies on the topic of student athletes at risk for sudden cardiac death. The majority of the literature is based on expert opinion, case reports, and retrospective data sets. The literature does support the correlation of early cardiopulmonary resuscitation and defibrillation with increased survival rates among persons experiencing sudden cardiac arrest. Additional evidence-based research is needed to support the long-term outcomes of AED legislation and its utility in sparing the lives of student athletes. However, the evidence supporting early intervention, a coordinated emergency plan, and rapid emergency medical services response is conclusive enough to warrant state or federal legislation mandating that AEDs be present in all school gyms and athletic fields. Copyright © 2015 National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.

  14. Sudden Cardiac Arrest during Participation in Competitive Sports.

    Science.gov (United States)

    Landry, Cameron H; Allan, Katherine S; Connelly, Kim A; Cunningham, Kris; Morrison, Laurie J; Dorian, Paul

    2017-11-16

    The incidence of sudden cardiac arrest during participation in sports activities remains unknown. Preparticipation screening programs aimed at preventing sudden cardiac arrest during sports activities are thought to be able to identify at-risk athletes; however, the efficacy of these programs remains controversial. We sought to identify all sudden cardiac arrests that occurred during participation in sports activities within a specific region of Canada and to determine their causes. In this retrospective study, we used the Rescu Epistry cardiac arrest database (which contains records of every cardiac arrest attended by paramedics in the network region) to identify all out-of-hospital cardiac arrests that occurred from 2009 through 2014 in persons 12 to 45 years of age during participation in a sport. Cases were adjudicated as sudden cardiac arrest (i.e., having a cardiac cause) or as an event resulting from a noncardiac cause, on the basis of records from multiple sources, including ambulance call reports, autopsy reports, in-hospital data, and records of direct interviews with patients or family members. Over the course of 18.5 million person-years of observation, 74 sudden cardiac arrests occurred during participation in a sport; of these, 16 occurred during competitive sports and 58 occurred during noncompetitive sports. The incidence of sudden cardiac arrest during competitive sports was 0.76 cases per 100,000 athlete-years, with 43.8% of the athletes surviving until they were discharged from the hospital. Among the competitive athletes, two deaths were attributed to hypertrophic cardiomyopathy and none to arrhythmogenic right ventricular cardiomyopathy. Three cases of sudden cardiac arrest that occurred during participation in competitive sports were determined to have been potentially identifiable if the athletes had undergone preparticipation screening. In our study involving persons who had out-of-hospital cardiac arrest, the incidence of sudden cardiac

  15. Plasma current start-up experiments without a central solenoid in the iron core STOR-M tokamak

    Science.gov (United States)

    Mitarai, O.; Tomney, G.; Rohollohi, A.; Lewis, E.; McColl, D.; Xiao, C.; Hirose, A.

    2015-06-01

    Reproducible plasma current start-up without a central solenoid (CS) has been demonstrated using the outer ohmic heating (OH) coils in the iron core STOR-M tokamak (Mitarai et al 2014 Fusion Eng. Des. 89 2467-71). Although the outer OH coil current saturates the iron core eventually, it has been demonstrated that the plasma current can be maintained during the iron core saturation phase. In this work, further studies have been conducted to investigate the effects of the turn number of the outer OH coils (N = 4 or N = 6) in the CS-less discharges and to evaluate the plasma stability with respect to the n-decay index of the vertical magnetic field. For the loose coupling of the iron core with N = 4 turns, the plasma current can be sustained after the additional third capacitor bank is applied near the iron core saturation phase, showing the slow transition from the unsaturated to the partially saturated phase. For the case of stronger coupling of N = 6 turns, the plasma current is increased at the same fast bank voltage, but the main discharge is shortened from 35 to 20 ms. As the magnetizing current is smaller due to stronger coupling between the OH coils and the plasma current, the transition from the unsaturated to the saturated phase is slightly difficult at present. The present experimental results suggest a feasible operation scenario in a future spherical tokamak (ST) at least using loose iron core coupling for smoother transition from the unsaturated to the saturated iron core phase. Thus, a reliable plasma current start-up by the outer OH coils and the current ramp-up to a steady state by additional heating power and vertical field coils could be considered as an operation scenario for future ST reactors with an iron core transformer.

  16. Occurrence of specific environmental risk factors in brain tissues of sudden infant death and sudden intrauterine unexpected death victims assessed with gas chromatography-tandem mass spectrometry.

    Science.gov (United States)

    Termopoli, Veronica; Famiglini, Giorgio; Palma, Pierangela; Magrini, Laura; Cappiello, Achille

    2015-03-01

    Sudden infant death syndrome (SIDS) and sudden intrauterine unexpected death syndrome (SIUDS) are an unresolved teaser in the social-medical and health setting of modern medicine and are the result of multifactorial interactions. Recently, prenatal exposure to environmental contaminants has been associated with negative pregnancy outcomes, and verification of their presence in fetal and newborn tissues is of crucial importance. A gas chromatography-tandem mass spectrometry (MS/MS) method, using a triple quadrupole analyzer, is proposed to assess the presence of 20 organochlorine pesticides, two organophosphate pesticides, one carbamate (boscalid), and a phenol (bisphenol A) in human brain tissues. Samples were collected during autopsies of infants and fetuses that died suddenly without any evident cause. The method involves a liquid-solid extraction using n-hexane as the extraction solvent. The extracts were purified with Florisil cartridges prior to the final determination. Recovery experiments using lamb brain spiked at three different concentrations in the range of 1-50 ng g(-1) were performed, with recoveries ranging from 79 to 106%. Intraday and interday repeatability were evaluated, and relative standard deviations lower than 10% and 18%, respectively, were obtained. The selectivity and sensitivity achieved in multiple reaction monitoring mode allowed us to achieve quantification and confirmation in a real matrix at levels as low as 0.2-0.6 ng g(-1). Two MS/MS transitions were acquired for each analyte, using the Q/q ratio as the confirmatory parameter. This method was applied to the analysis of 14 cerebral cortex samples (ten SIUDS and four SIDS cases), and confirmed the presence of several selected compounds.

  17. Numerical simulation of wave interactions during sudden stratospheric warming

    Science.gov (United States)

    Gavrilov, N. M.; Koval, A. V.; Pogoreltsev, A. I.; Savenkova, E. N.

    2017-11-01

    Parameterizations of normal atmospheric modes (NAMs) and orographic gravity waves (OGWs) are implemented into the mechanistic general circulation model of the middle and upper atmosphere (MUA). Numerical experiments of sudden stratospheric warming (SSW) events are performed for climatological conditions typical for January and February using meteorological reanalysis data from the UK MET Office in the MUA model averaged over the years 1992-2011 with the easterly phase of quasi-biennial oscillation (QBO). The simulation shows that an increase in the OGW amplitudes occurs at altitudes higher than 30 km in the Northern Hemisphere after SSW. The OGW amplitudes have maximums at altitudes of about 50 km over the North American and European mountain systems before and during SSW, as well as over the Himalayas after SSW. At high latitudes of the Northern Hemisphere, significant (up to 50-70%) variations in the amplitudes of stationary planetary waves (SPWs) are observed during and after the SSW. Westward travelling NAMs have local amplitude maximums not only in the Northern Hemisphere, but also in the Southern Hemisphere, where there are waveguides for the propagation of these modes. Calculated variations of SPW and NAM amplitudes correspond to changes in the mean temperature and wind fields, as well as the Eliassen-Palm flux and atmospheric refractive index for the planetary waves, during SSW. Including OGW thermal and dynamical effects leads to an increase in amplitude (by 30-70%) of almost all SPWs before and during SSW and to a decrease (up to 20-100%) after the SSW at middle and high latitudes of the Northern Hemisphere.

  18. A case of sudden, painless, and persistent urinary incontinence.

    Science.gov (United States)

    Delasobera, B Elizabeth; Rogers, William D

    2013-01-01

    Urinary incontinence is not a common emergency department (ED) complaint, and it is hard to imagine that a case involving this complaint could turn out to be interesting. We report the case of a patient who presented with the complaint of sudden onset of painless urinary incontinence for 1 day, who had an unexpected diagnosis. To describe a case of incontinence with an unexpected diagnosis and to review the various causes of incontinence. A 52-year-old woman with a history of kidney stones recently treated with lithotripsy, nephrostomy tubes, and ureteral stents, presented to the ED complaining of new-onset incontinence. The patient had awakened on the morning of presentation with urinary incontinence that persisted throughout the day. On examination she had normal vital signs, and other than a functioning nephrostomy tube, she had a normal examination. In addition to a urinalysis, a KUB (kidney, ureter, and bladder) X-ray study was performed, which showed that her recently placed right ureteral stent had migrated from its original location into the urethra. The stent was found by the urologist protruding from the urethral meatus and removed without difficulty. The patient's incontinence resolved immediately after the stent was removed. Emergency physicians frequently see patients with ureteral stents, but may not be aware of how frequently those stents can migrate or malfunction. Our experience suggests that radiologic determination of stent location may be helpful in patients who present with new-onset stress or overflow incontinence. Copyright © 2013 Elsevier Inc. All rights reserved.

  19. Sudden cardiac arrest during sports activity in middle age.

    Science.gov (United States)

    Marijon, Eloi; Uy-Evanado, Audrey; Reinier, Kyndaron; Teodorescu, Carmen; Narayanan, Kumar; Jouven, Xavier; Gunson, Karen; Jui, Jonathan; Chugh, Sumeet S

    2015-04-21

    Sports-associated sudden cardiac arrests (SCAs) occur mostly during middle age. We sought to determine the burden, characteristics, and outcomes of SCA during sports among middle-aged residents of a large US community. Patients with SCA who were 35 to 65 years of age were identified in a large, prospective, population-based study (2002-2013), with systematic and comprehensive assessment of their lifetime medical history. Of the 1247 SCA cases, 63 (5%) occurred during sports activities at a mean age of 51.1±8.8 years, yielding an incidence of 21.7 (95% confidence interval, 8.1-35.4) per 1 million per year. The incidence varied significantly by sex, with a higher incidence among men (relative risk, 18.68; 95% confidence interval, 2.50-139.56) for sports SCAs compared with all other SCAs (relative risk 2.58; 95% confidence interval, 2.12-3.13). Sports SCA was also more likely to be a witnessed event (87% versus 53%; Psports-associated SCA (23.2% versus 13.6%; P=0.04). Sports SCA cases presented with known preexisting cardiac disease in 16% and ≥1 cardiovascular risk factors in 56%, and overall, 36% of cases had typical cardiovascular symptoms during the week preceding the SCA. Sports-associated SCA in middle age represents a relatively small proportion of the overall SCA burden, reinforcing the idea of the high-benefit, low-risk nature of sports activity. Especially in light of current population aging trends, our findings emphasize that targeted education could maximize both safety and acceptance of sports activity in the older athlete. © 2015 American Heart Association, Inc.

  20. Determination of plasma sheath current distributions by comparison of Zeeman spectroscopy with B-dot measurements in laser ablation Z-pinch experiments

    Science.gov (United States)

    Dutra, Eric; Presura, Radu; Angermeier, William; Mancini, Roberto; Covington, Aaron

    2017-10-01

    In plasma pinch experiments, measurements of current distributions and losses across the anode-cathode (A-K) gap are needed to ensure uniform and repeatable implosions. Traditional B-dots measure current a considerable distance away from the plasma source and provide little detailed information on the current distribution across the plasma sheath near the pinch. In the experiments presented here, visible spectroscopic techniques were used to measure magnetically induced Zeeman splitting. Ionic plasma species were chosen such that the Zeeman splitting of different fine structure doublets split non-uniformly with increasing magnetic field strength in the plasma. This differential splitting enables measurements of non-directional B-field strengths in the plasma across a wide range of conditions. More specifically, the optical emission of Al III, C IV, and O VI doublets, 2P3/2 to 2S1/2 and 2P1/2 to 2S1/2 transitions were measured and used to determine the Zeeman broadening. We have applied this technique to diagnose time- and space-resolved B-field strengths in laser ablation Z-pinch experiments (LAZE). Experiments were conducted at the Nevada Terawatt Facility (NTF) using the TW-class Leopard laser and the 1 MA Zebra Z-pinch. The currents inferred from Zeeman spectroscopy measurements were compared to those determined from the B-dot diagnostics. DOE/NV/25946 ''3272.

  1. Mutations in calmodulin cause ventricular tachycardia and sudden cardiac death

    DEFF Research Database (Denmark)

    Nyegaard, Mette; Overgaard, Michael Toft; Sondergaard, M.T.

    2012-01-01

    a substantial part of sudden cardiac deaths in young individuals. Mutations in RYR2, encoding the cardiac sarcoplasmic calcium channel, have been identified as causative in approximately half of all dominantly inherited CPVT cases. Applying a genome-wide linkage analysis in a large Swedish family with a severe......Catecholaminergic polymorphic ventricular tachycardia (CPVT) is a devastating inherited disorder characterized by episodic syncope and/or sudden cardiac arrest during exercise or acute emotion in individuals without structural cardiac abnormalities. Although rare, CPVT is suspected to cause...... calmodulin-binding-domain peptide at low calcium concentrations. We conclude that calmodulin mutations can cause severe cardiac arrhythmia and that the calmodulin genes are candidates for genetic screening of individual cases and families with idiopathic ventricular tachycardia and unexplained sudden cardiac...

  2. The prevention of sudden death in hypertrophic cardiomyopathy.

    Science.gov (United States)

    Sachdev, Bhavesh; Hamid, M Shoaib; Elliott, Perry M

    2002-05-01

    Hypertrophic cardiomyopathy (HCM) is a familial myocardial disease caused by mutations in cardiac sarcomeric proteins. HCM is characterised by myocyte disarray and myocardial fibrosis. Most patients are largely asymptomatic but some are prone to a number of disease-related complications, the most problematic of which is sudden cardiac death. Diagnosing patients who are at risk has not been easy because of the clinical heterogeneity of the disease, the frequent absence of symptoms prior to sudden cardiac death and the relatively low disease prevalence and annual mortality rates. To date, both low-dose amiodarone and internal cardioverter/defibrillator implantation have been advocated in high-risk individuals. Further improvements in clinical understanding and risk stratification are necessary to identify HCM patients who are at high risk of sudden death.

  3. [SPORTS-RELATED SUDDEN DEATH: LESSONS FROM THE FRENCH REGISTRY].

    Science.gov (United States)

    Marijon, Eloi; Bougouin, Wulfran; Jouven, Xavier

    2015-09-01

    So far, sports-related sudden death has been mainly studied through young competitive athletes. The national sports-related sudden death French registry (2005-2010) is the first study evaluating sudden death during sports activities in the general population, estimating that approximately 1000 cases occur each year in France. The vast majority occurs among middle age men practicing recreational activities, with women presenting a very low risk (up to 30-fold lower) compared to men. Outcomes dramatically vary across districts with survival to hospital discharge from 0 to 50%. Those differences are mainly the result of major disparities between districts regarding cardiopulmonary resuscitation initiated by bystanders. Coronary artery disease remains the most frequent cardiovascular disease associated with such events.

  4. Coupled catastrophes: sudden shifts cascade and hop among interdependent systems

    CERN Document Server

    Brummitt, Charles D; D'Souza, Raissa M

    2014-01-01

    A profoundly important challenge in several disciplines today is to understand how sudden changes can propagate among coupled systems. Examples include the synchronization of business cycles, population collapse in patchy ecosystems, markets shifting to a new technology platform, collapses in prices and in confidence in financial markets, and protests erupting in multiple countries. We characterize these phenomena using a simple model grounded in the theory of fast--slow ordinary differential equations and in catastrophe theory. In the model, a system consists of multiple subsystems (e.g., countries in the global economy or patches of an ecosystem), each described by a scalar quantity (such as economic output or population) that undergoes sudden changes via saddle-node bifurcations. The subsystems are coupled via their scalar quantities (e.g., trade couples economic output, diffusion couples populations); that coupling moves their bifurcations. The model elucidates two ways in which sudden changes can propaga...

  5. Sudden death due to inhalant abuse in youth: Case report

    Directory of Open Access Journals (Sweden)

    Ramazan Akcan

    2010-06-01

    Full Text Available Intentional inhalation or abuse of volatile substances is a common public health problem all over the world. As these substances generate euphoria frequency of use among adolescents and young adults is increasing steadily. In cases using inhalants to achieve a euphoric state -without knowing possible consequences- sudden death may occurdue to acute cardio-pulmonary dysfunction.Here we present a case of sudden death of a nineteen-year-old female due to inhalation of volatile from butane containing lighter gas tube, with the findings of autopsy and death scene investigation.In the context of this case; it was aimed to draw attention to the risk of sudden death and steady increase of frequencyof volatile substance abuse among adolescents and young adults due to various psycho-social factors.

  6. Model intercomparison of sea-level response to sudden Antarctic ice-shelf collapse

    Science.gov (United States)

    Pattyn, Frank; Sun, Sainan; Golledge, Nicholas

    2017-04-01

    The magnitude of the Antarctic ice sheet's contribution to global sea level is dominated by the potential of its marine sectors to become unstable and collapse to ocean (and atmospheric) forcing. Ice shelf buttressing is a key element in the stability of the Antarctic ice sheet. Therefore, a useful model experiment to test this stability is the sudden removal of all floating ice shelves. It serves several purposes: (i) investigating an upper bound of Antarctic mass loss, and (ii) testing numerical ice sheet models on their sensitivity to grounding line migration and marine ice sheet instability (MISI). Two types of de-buttressing are investigated, i.e., (i) sudden removal followed by ice-shelf regrowth due to increased ice discharge across the grounding line, and (ii) without ice shelf regrowth after de-buttressing (so-called float-kill). Experiments are carried out with two state-of-the-art marine ice sheet models (f.ETISh and PISM) and different settings of grounding-line treatment. For the f.ETISh model these settings pertain to grounding-line flux conditions according to power-law basal sliding and Coulomb friction; for PISM this includes different settings on transition zone width and grounding-line interpolation. Results of the experiments show that regrowth of ice shelves after sudden de-buttressing stabilizes grounding lines and reduces the effect of MISI. Float-kill conditions lead to significant mass loss, which is further exacerbated by the type of grounding-line treatment, i.e., Coulomb friction renders grounding lines more sensitive (Tsai et al., 2015). However, compared to recent model studies where effects of hydro-fracturing and cliff-failure are considered (DeConto and Pollard, 2016), similar amounts of ice loss are only obtained when the highest grounding-line sensitivity is considered.

  7. Sudden sensorineural hearing loss following intramuscular administration of penicillin.

    Science.gov (United States)

    Escada, Pedro Alberto; Capucho, Clara; Madeira da Silva, José Francisco

    2004-02-01

    We report a case of sudden hearing loss in a patient with acute exudative tonsillitis, occurring 15 minutes after the intramuscular administration of penicillin. Audiological evaluation documented a profound sensorineural hearing loss of the cochlear type. The mechanism of the hearing loss was probably an immediate hypersensitivity (type I) allergic drug reaction. Penicillin is used frequently for the treatment of several infections. Allergic reactions to penicillin are well known and include urticaria, maculopapular exanthems, angio-oedema, bronchospasm and anaphylaxis, but sudden hearing loss has never been recorded.

  8. Sudden bilateral sensorineural hearing loss associated with urticarial vasculitis.

    Science.gov (United States)

    Hall, A C; Leong, A C; Jiang, D; Fitzgerald-O'Connor, A

    2013-07-01

    Bilateral sensorineural hearing loss associated with recurrent urticarial skin lesions may be signs of underlying Muckle-Wells syndrome. Previous reports have described the hearing loss to be progressive in nature. To our knowledge, this paper presents the first published case of sudden onset, bilateral sensorineural hearing loss associated with urticarial vasculitis due to underlying Muckle-Wells syndrome. The patient underwent a cochlear implantation with a modest outcome. Cochlear implantation may help to rehabilitate sudden hearing loss associated with this condition, but early diagnosis may allow treatment with interleukin-1β inhibitors such as anakinra.

  9. Sudden cardiac death in children (1-18 years)

    DEFF Research Database (Denmark)

    Winkel, Bo Gregers; Risgaard, Bjarke; Sadjadieh, Golnaz

    2014-01-01

    AIMS: Hitherto, sudden cardiac death in children (SCDc)-defined as sudden cardiac death (SCD) in the 1-18 years old-has been incompletely described in the general population. Knowledge on incidence rates, causes of death and symptoms prior to death is sparse and has been affected by reporting...... and referral bias. METHODS AND RESULTS: In a nationwide setting all deaths in children aged 1-18 years in Denmark in 2000-06 were included. To chart causes of death and incidence rates, death certificates and autopsy reports were collected and read. By additional use of the extensive healthcare registries...

  10. Sudden onset of pitting corrosion on stainless steel as a critical phenomenon.

    Science.gov (United States)

    Punckt, C; Bölscher, M; Rotermund, H H; Mikhailov, A S; Organ, L; Budiansky, N; Scully, J R; Hudson, J L

    2004-08-20

    Stainless steels undergo a sharp rise in pitting corrosion rate as the potential, solution concentration, or temperature is changed only slightly. We report experiments using real-time microscopic in situ visualizations that resolve the nucleation and evolution of individual pits during the transition. They suggest that the sudden onset of corrosion is explained by an explosive autocatalytic growth in the number of metastable pits and that stabilization of individual pits takes place only later. This finding agrees with a theoretical approach treating the onset of pitting corrosion as a cooperative critical phenomenon resulting from interactions among metastable pits, and it extends perspectives on the control and prevention of corrosion onset.

  11. Search for active neutrino disappearance using neutral-current interactions in the MINOS long-baseline experiment

    Energy Technology Data Exchange (ETDEWEB)

    Adamson, P.; /Fermilab; Andreopoulos, C.; /Rutherford; Arms, Kregg E.; /Minnesota U.; Armstrong, R.; /Indiana U.; Auty, D.J.; /Sussex U.; Ayres, D.S.; /Argonne; Backhouse, C. /Oxford U.; Baller, B.; /Fermilab; Barr, G.; /Oxford U.; Barrett, W.L.; /Western Washington U.; Becker, B.R.; /Minnesota U. /Rutherford

    2008-07-01

    We have measured the rates and spectra of neutral-current neutrino interactions in the MINOS detectors, which are separated by 734 km. A depletion in the rate at the far site would indicate mixing between {nu}{sub {mu}} and a sterile particle. The depletion of the total neutral-current event rate at the far site is limited to be below 17% at 90% confidence level without {nu}{sub e} appearance. Assuming oscillations occur at a single mass-squared splitting, a fit to the neutral- and charged-current energy spectra shows the fraction of {nu}{sub {mu}} oscillating to a sterile neutrino is 0.28{sub -0.28}{sup +0.25}(stat.+syst.). Including {nu}{sub e} appearance at the current experimental upper bound limits the depletion to be below 21% at 90% confidence level and the fit fraction of {nu}{sub {mu}} oscillating to a sterile neutrino is 0.43{sub -0.27}{sup +0.23}(stat.+syst.).

  12. Numerical modeling of lower hybrid current drive in fully non-inductive plasma start-up experiments on TST-2

    Science.gov (United States)

    Tsujii, N.; Takase, Y.; Ejiri, A.; Shinya, T.; Togashi, H.; Yajima, S.; Yamazaki, H.; Moeller, C. P.; Roidl, B.; Sonehara, M.; Takahashi, W.; Toida, K.; Yoshida, Y.

    2017-12-01

    Non-inductive plasma start-up is a critical issue for spherical tokamaks since there is not enough room to provide neutron shielding for the center solenoid. Start-up using lower hybrid (LH) waves has been studied on the TST-2 spherical tokamak. Because of the low magnetic field of a spherical tokamak, the plasma density needs to be kept at a very low value during the plasma current ramp-up so that the plasma core remains accessible to the LH waves. However, we have found that higher density was required to sustain larger plasma current. The achievable plasma current was limited by the maximum operational toroidal field of TST-2. The existence of an optimum density for LH current drive and its toroidal field dependence is explained through a numerical simulation based on a ray tracing code and a Fokker-Planck solver. In order to access higher density at the same magnetic field, a top-launch antenna was recently installed in addition to the existing outboard-launch antenna. Increase in the density limit was observed when the power was launched from the top antenna, consistently with the numerical predictions.

  13. Can current moisture responses predict soil CO2 efflux under altered precipitation regimes? A synthesis of manipulation experiments

    Science.gov (United States)

    S. Vicca; M. Bahn; M. Estiarte; E. E. van Loon; R. Vargas; G. Alberti; P. Ambus; M. A. Arain; C. Beier; L. P. Bentley; W. Borken; N. Buchmann; S. L. Collins; G. de Dato; J. S. Dukes; C. Escolar; P. Fay; G. Guidolotti; P. J. Hanson; A. Kahmen; G. Kröel-Dulay; T. Ladreiter-Knauss; K. S. Larsen; E. Lellei-Kovacs; E. Lebrija-Trejos; F. T. Maestre; S. Marhan; M. Marshall; P. Meir; Y. Miao; J. Muhr; P. A. Niklaus; R. Ogaya; J. Peñuelas; C. Poll; L. E. Rustad; K. Savage; A. Schindlbacher; I. K. Schmidt; A. R. Smith; E. D. Sotta; V. Suseela; A. Tietema; N. van Gestel; O. van Straaten; S. Wan; U. Weber; I. A. Janssens

    2014-01-01

    As a key component of the carbon cycle, soil CO2 efflux (SCE) is being increasingly studied to improve our mechanistic understanding of this important carbon flux. Predicting ecosystem responses to climate change often depends an extrapolation of current relationships between ecosystem processes and their climatic drivers to conditions not yet experienced by the...

  14. Continuous improvement in the Netherlands: current practices and experiences in Dutch manufacturing industry (awarded with ANBAR Citation of excellence)

    NARCIS (Netherlands)

    Gieskes, J.F.B.; Baudet, F.C.M.; Baudet, Frank; Schuring, R.W.; Boer, Harm

    1997-01-01

    In order to get insight into the current continuous-improvement practices in European industry, EuroCINet carried out a survey in its member countries. In this article, continuous-improvement activities in a sample of 135 Dutch industrial companies are described. The results show that CI is a

  15. A regime analysis of the North Atlantic eddy-driven jet stream following sudden stratospheric warmings

    Science.gov (United States)

    Masukwedza, Gibbon; Maycock, Amanda

    2017-04-01

    The North Atlantic eddy-driven jet stream (NAJ) in winter has been shown to exhibit three preferred latitudinal positions [1]. Here we consider, for the first time, the influence of major Sudden Stratospheric Warmings (SSWs) on the regime behaviour of the NAJ. We use cluster analysis to investigate NAJ regime behaviour in a large ensemble of climate model experiments with stratospheric conditions nudged towards a major SSW, but with each ensemble member having freely evolving tropospheric conditions [2]. This experiment is compared to a control case in which stratospheric variability is absent. The experiments show that the SSW leads to an increased occupancy of the southerly NAJ state and reduced occupancy of the northerly state. This effect is distinct from the mean southward shift of the NAJ identified in many previous studies, and instead represents changes in the characteristics of NAJ variability about its mean position as a result of SSWs. These results may aid in understanding the mechanisms by which SSWs impact on the North Atlantic circulation and European climate. References [1] Woollings, T. J., Hannachi, A., Hoskins, B., 2010, Variability of the North Atlan-tic eddy-driven jet stream, doi: 10.1002/qj.625 [2] Hitchcock, P., Simpson, I. R., 2014, The Downward Influence of Sudden Stratospheric Warmings, doi: 10.1175/JAS-D-14-0012.1

  16. Preparation of a N-Heterocyclic Carbene Nickel(II) Complex: Synthetic Experiments in Current Organic and Organometallic Chemistry

    Science.gov (United States)

    Ritleng, Vincent; Brenner, Eric; Chetcuti, Michael J.

    2008-01-01

    A four-part experiment that leads to the synthesis of a cyclopentadienyl chloro-nickel(II) complex bearing a N-heterocyclic carbene (NHC) ligand is presented. In the first part, the preparation of 1,3-bis-(2,4,6-trimethylphenyl)imidazolium chloride (IMes[middle dot]HCl) in a one-pot procedure by reaction of 2,4,6-trimethylaniline with…

  17. Childhood emotional experience within the family relation to the current partnership and the desire to have children

    Directory of Open Access Journals (Sweden)

    Tretjakova I.

    2016-01-01

    Full Text Available The paper studied the relationship between emotional experience in childhood and the quality of the existing partnerships. With a questionnaire, specifically designed by I. Tretjakova, 221 respondents aged 20–40 years were interviewed. The study leads to the conclusion that a positive emotional experience in childhood helps to develop emotionally healthy environment in marriage (including unregistered or civil partnership, and creates the desire to have children, and vice versa, emotionally negative experience in childhood disturbs the creation of an emotionally favourable environment for marriage and causes conflicts in relationships, provokes desire to divorce, but it cannot be stated that more interpersonal problems are the cause of lower birth rates than there are at fewer marital problems. The study confirms that a stable marriage can be an important factor contributing to the woman's desire to have children Thus it can be assumed that development of emotion regulation skills could be a contributing factor in order to form successful partnerships and promote birth of more children in the family context.

  18. Semantic information retrieval for geoscience resources : results and analysis of an online questionnaire of current web search experiences

    OpenAIRE

    Nkisi-Orji, I.

    2016-01-01

    An online questionnaire “Semantic web searches for geoscience resources” was completed by 35 staff of British Geological Survey (BGS) between 28th July 2015 and 28th August 2015. The questionnaire was designed to better understand current web search habits, preferences, and the reception of semantic search features in order to inform PhD research into the use of domain ontologies for semantic information retrieval. The key findings were that relevance ranking is important in fo...

  19. Current experience and attitudes to biomedical scientist cut-up: results of an online survey of UK consultant histopathologists.

    Science.gov (United States)

    Simmons, E J V; Sanders, D S A; Carr, R A

    2011-04-01

    To assess the current utilisation of biomedical scientist (BMS) surgical specimen cut-up in the UK and attitudes of consultant histopathologists to the practice. Email invitations were sent to all UK consultant histopathologists to participate in an online survey (SurveyMonkey) assessing attitudes to and utilisation of BMS surgical specimen cut-up. 463 individual replies were received (35% response rate) from 1320 invitations to participate, covering 181 UK histopathology departments. A majority of the respondents were either fully in favour of BMS cut-up (52.7%), or in favour but with some reservation (46.2%). Only five respondents (1.1%) were completely opposed to BMS cut-up. 267 (57.7%) respondents reported that their BMS staff loaded biopsies only. 148 (32%) reported BMS cut-up of more complex benign specimens, and 83 (17.9%) reported BMS handling of orientated skin specimens. Only 39 (8.4%) reported that BMS staff in their departments currently cut-up larger cancer resections. This survey is representative of current BMS cut-up practice in the UK. The majority of UK consultant histopathologists replying to this survey support BMS cut-up to some degree, but utilisation of BMS cut-up is rather limited and patchy at present. Cost, staffing constraints, perceived quality issues and individual consultant preferences are cited as reasons for limited uptake currently. Recognised benefits of promoting BMS cut-up include better use of consultant time, enhanced team working, BMS job satisfaction and career progression, and better adherence to standard operating procedures.

  20. Left ventricular cardiac myxoma and sudden death in a dog

    NARCIS (Netherlands)

    de Nijs, Maria Irene; Vink, Aryan; Bergmann, Wilhelmina; Szatmári, Viktor

    2016-01-01

    BACKGROUND: Myxoma is a very rare benign cardiac tumor in dogs. This is the first description of a cardiac myxoma originating from the left ventricular outflow tract, presumably causing sudden death. CASE PRESENTATION: A previously healthy 12-year-old male West Highland white terrier was found dead

  1. Left ventricular cardiac myxoma and sudden death in a dog

    NARCIS (Netherlands)

    de Nijs, M.I.; Vink, Aryan; Bergmann, W.; Szatmári, V.

    2016-01-01

    Background: Myxoma is a very rare benign cardiac tumor in dogs. This is the first description of a cardiac myxoma originating from the left ventricular outflow tract, presumably causing sudden death. Case presentation: A previously healthy 12-year-old male West Highland white terrier was found dead

  2. Steroid Use in Idiopathic Sudden Sensorineural Hearing Loss: What ...

    African Journals Online (AJOL)

    Idiopathic sudden sensorineural hearing loss is a disease of unknown etiology. Controversy in the literature argues whether the condition should be treated by steroid therapy. In this case study, a Medline literature search was completed to find out if there is any evidence to support its use in this condition.

  3. Neurochemical Alterations in Sudden Unexplained Perinatal Deaths—A Review

    Directory of Open Access Journals (Sweden)

    Nazeer Muhammad

    2018-01-01

    Full Text Available Sudden unexpected perinatal collapse is a major trauma for the parents of victims. Sudden infant death syndrome (SIDS is unexpected and mysterious death of an apparently healthy neonate from birth till 1 year of age without any known causes, even after thorough postmortem investigations. However, the incidence of sudden intrauterine unexplained death syndrome (SIUDS is seven times higher as compared with SIDS. This observation is approximated 40–80%. Stillbirth is defined as death of a fetus after 20th week of gestation or just before delivery at full term without a known reason. Pakistan has the highest burden of stillbirth in the world. This basis of SIDS, SIUDS, and stillbirths eludes specialists. The purpose of this study is to investigate factors behind failure in control of these unexplained deaths and how research may go ahead with improved prospects. Animal models and physiological data demonstrate that sleep, arousal, and cardiorespiratory malfunctioning are abnormal mechanisms in SIUDS risk factors or in newborn children who subsequently die from SIDS. This review focuses on insights in neuropathology and mechanisms of SIDS and SIUDS in terms of different receptors involved in this major perinatal demise. Several studies conducted in the past decade have confirmed neuropathological and neurochemical anomalies related to serotonin transporter, substance P, acetylcholine α7 nicotine receptors, etc., in sudden unexplained fetal and infant deaths. There is need to focus more on research in this area to unveil the major curtain to neuroprotection by underlying mechanisms leading to such deaths.

  4. Laryngeal inflammation in the sudden infant death syndrome.

    Science.gov (United States)

    Scadding, Glenis K; Brock, Christine; Chouiali, Fazila; Hamid, Qutayaba

    2014-01-01

    Sudden infant death syndrome (SIDS) is marked by 'the sudden death of an infant that is unexpected by history and remains unexplained after a thorough forensic autopsy and a detailed death scene investigation'. The cause is unknown. Excessive subglottic submucosal glandular tissue and excessive sulphated mucus glycoprotein in the larynges of SIDS babies have been previously reported from our institution. We now report on laryngeal immunohistology. Larynges from 7 children who died from Sudden Infant Death Syndrome (SIDS) at under 16 weeks of age were examined immunohistologically and compared to those from 8 age- matched control infants who died from other causes. The SIDS babies had increased inflammatory changes in the laryngeal epithelium and sub- epithelium with raised numbers of cells staining for elastase (pdeaths involve preceding inflammation. Although death may be sudden and unexpected it appears that, at least in some SIDS victims, there is a preceding inflammatory process in the larynx which may allow hyper-reactivity of laryngeal reflexes and consequent apnoea. This observation concurs with others in the SIDS literature and offers a field for further research and possible prevention.

  5. Training Emergency Responders: Sudden Infant Death Syndrome. An Instructor's Manual.

    Science.gov (United States)

    Applied Science Associates, Inc., Reston, VA.

    This manual was developed to help instructors train police and emergency medical technicians, who often are the first persons to arrive at the scene of a death (first responders), to serve families who lose a child to Sudden Infant Death Syndrome (SIDS). The manual begins with an introduction that discusses the purpose of the training and…

  6. Sudden Infant Death Syndrome, FY 1983. Special Report to Congress.

    Science.gov (United States)

    National Inst. of Child Health and Human Development (NIH), Bethesda, MD.

    This report describes research programs focusing on the sudden infant death syndrome (SIDS) and indicates some presently available results. Specific attention is given to research on sleep apnea, respiratory control, and hypoxia, as well as to infectious disease processes and immunology. Findings of a large-scale multidisciplinary SIDS project are…

  7. Was message of sudden infant death study misleading?

    OpenAIRE

    Gornall, Jonathan

    2006-01-01

    An investigation by the BMJ has uncovered serious concerns about an important paper on sudden infant deaths recurring within a family. The paper has featured in the appeal case at several recent high profile murder appeals and has also influenced international practice

  8. On the Developmental Dynamics of Sudden Stratospheric Warmings

    Science.gov (United States)

    1990-07-31

    had to deal with sudden wind shift encounterd in a major warming but would still have to be able to withstand the stress imposed by the steep...Hemisphere, Mon. Wea. Rev., 106, 762-770. 1979: An Introduction to Dynamic Meteorology, Acedemic Press, 391pp. --- , 1981: The Amplification of Height Wave 1

  9. Sudden Cardiac Death in Nigeria: Pathophysiology and Evidence ...

    African Journals Online (AJOL)

    Sudden death is an emerging phenomenon in Nigeria, a country with a burden of preventable communicable and non communicable diseases. The rapid adoption of western lifestyle, the almost complete dependence on vehicular transport as well as stress that accompany infrastructural development and processes of ...

  10. Guidelines for autopsy investigation of sudden cardiac death

    NARCIS (Netherlands)

    Basso, Cristina; Burke, Margaret; Fornes, Paul; Gallagher, Patrick J.; de Gouveia, Rosa Henriques; Sheppard, Mary; Thiene, Gaetano; van der Wal, Allard

    2010-01-01

    Although sudden cardiac death is one of the most important mode of death in Western Countries, pathologists and public health physicians have not given this problem the attention it deserves. New methods of preventing potentially fatal arrhythmias have been developed, and the accurate diagnosis of

  11. Fatal Gastrointestinal Perforations in sudden death cases in Last 10 ...

    African Journals Online (AJOL)

    Gastrointestinal perforation occurs when the wall of the gastro-intestinal tract like stomach, small intestine or large bowel develops a hole through its entire thickness. This retrospective study was aimed to identify pattern of GIT perforations that caused sudden deaths in this part of the world. The study was conducted in ...

  12. Guidelines for autopsy investigation of sudden cardiac death

    NARCIS (Netherlands)

    Basso, C.; Burke, M.; Fornes, P.; Gallagher, P. J.; de Gouveia, R. H.; Sheppard, M.; Thiene, G.; van der Wal, A.

    2010-01-01

    Although sudden cardiac death is one of the most important mode of death in Western Countries, pathologists and public health physicians have not given this problem the attention it deserves. New methods of preventing potentially fatal arrhythmias have been developed and the accurate diagnosis of

  13. Guidelines for autopsy investigation of sudden cardiac death

    NARCIS (Netherlands)

    Basso, Cristina; Burke, Margaret; Fornes, Paul; Gallagher, Patrick J.; de Gouveia, Rosa Henriques; Sheppard, Mary; Thiene, Gaetano; van der Wal, Allard

    2008-01-01

    Although sudden cardiac death is one of the most important mode of death in Western Countries, pathologists and public health physicians have not given this problem the attention it deserves. New methods of preventing potentially fatal arrhythmias have been developed, and the accurate diagnosis of

  14. Bidirectional infrasonic ducts associated with sudden stratospheric warming events

    NARCIS (Netherlands)

    Assink, J.D.; Waxler, R.; Smets, P.S.M.; Evers, L.G.

    2014-01-01

    In January 2011, the state of the polar vortex in the midlatitudes changed significantly due to a minor sudden stratospheric warming event. As a result, a bidirectional duct for infrasound propagation developed in the middle atmosphere that persisted for 2 weeks. The ducts were due to two zonal wind

  15. Protecting Trees from Sudden Oak Death before Infection

    Science.gov (United States)

    C. Lee; Y. Valachovic; M. Garbelotto

    2010-01-01

    Phytophthora ramorum, an introduced invasive plant pathogen that causes sudden oak death, has killed over a million tanoak, coast live oak, Shreve oak, and California black oak trees along the California coastal region from Monterey through Humboldt Counties. Most trees infected with P. ramorum will eventually die, including...

  16. Prevention of sudden cardiac death in young athletes

    OpenAIRE

    Katja Ažman Juvan; Petra Zupet

    2010-01-01

    Sudden cardiac deaths in young athletes (less than 35 years old) are rare though highly publicized tragedies, occurring mainly in athletes with underlying cardiovascular diseases. Since these diseases often have a clinically silent course, they should be actively searched for by preparticipation screening. Preparticipation screening of athletes varies among different countries. However, a common European protocol has been proposed, which comprises a history, clinica...

  17. Survivor-Victim Status, Attachment, and Sudden Death Bereavement.

    Science.gov (United States)

    Reed, Mark D.; Greenwald, Jason Y.

    1991-01-01

    Examined significance of survivor-victim relationship in understanding grief following sudden death bereavement by suicide or accident. Results showed that survivor-victim attachment was more important than survivor status (parent versus sibling/child) in explaining grief reactions. Compared to accident survivors, suicide survivors experienced…

  18. Sudden cardiac death in epilepsy disappoints, but epileptologists keep faith

    OpenAIRE

    Fulvio A. Scorza; Esper A. Cavalheiro; Jaderson Costa da Costa

    2016-01-01

    ABSTRACT Sudden unexpected death in epilepsy (SUDEP) is the most common cause of death in people with intractable epilepsy. Probably, optimization of seizure control will prevent some of these deaths. Briefly, we integrated in this paper some data about the epidemiology, risk factors, etiology, and preventative measures in the management of SUDEP.

  19. Sudden cardiac death in epilepsy disappoints, but epileptologists keep faith

    Directory of Open Access Journals (Sweden)

    Fulvio A. Scorza

    2016-07-01

    Full Text Available ABSTRACT Sudden unexpected death in epilepsy (SUDEP is the most common cause of death in people with intractable epilepsy. Probably, optimization of seizure control will prevent some of these deaths. Briefly, we integrated in this paper some data about the epidemiology, risk factors, etiology, and preventative measures in the management of SUDEP.

  20. Solar flare effects and storm sudden commencement even in ...

    African Journals Online (AJOL)

    1998-05-08

    Variations in the three components of geomagnetic field were observed at the twenty-two geomagnetic Euro-African Observatories during the solar flare that occurred on the 6 May, 1998 at 0080UT and storm sudden commencement that took place on May 8, 1998 at 15.00 UT. The geomagnetic field on 6 May, 1998 was ...

  1. Declining risk of sudden death in heart failure

    DEFF Research Database (Denmark)

    Shen, Li; Jhund, Pardeep S.; Petrie, Mark C.

    2017-01-01

    BACKGROUND The risk of sudden death has changed over time among patients with symptomatic heart failure and reduced ejection fraction with the sequential introduction of medications including angiotensin-converting-enzyme inhibitors, angiotensin-receptor blockers, beta-blockers, and mineralocorti......BACKGROUND The risk of sudden death has changed over time among patients with symptomatic heart failure and reduced ejection fraction with the sequential introduction of medications including angiotensin-converting-enzyme inhibitors, angiotensin-receptor blockers, beta......-blockers, and mineralocorticoid-receptor antagonists. We sought to examine this trend in detail. METHODS We analyzed data from 40,195 patients who had heart failure with reduced ejection fraction and were enrolled in any of 12 clinical trials spanning the period from 1995 through 2014. Patients who had an implantable...... rates of sudden death were assessed at different time points after randomization and according to the length of time between the diagnosis of heart failure and randomization. RESULTS Sudden death was reported in 3583 patients. Such patients were older and were more often male, with an ischemic cause...

  2. Temporal epidemiology of sudden oak death in Oregon

    Science.gov (United States)

    Ebba K. Peterson; Everett M. Hansen; Alan Kanaskie

    2015-01-01

    An effort to eradicate Phytophthora ramorum, causal agent of sudden oak death, has been underway since its discovery in Oregon forests. Using an information-theoretical approach, we sought to model yearly variation in the size of newly infested areas and dispersal distance. Maximum dispersal distances were best modeled by spring and winter...

  3. Collaboratively managing sudden oak death using tangible geospatial modeling

    Science.gov (United States)

    Ross K. Meentemeyer; Francesco Tonini; Douglas Shoemaker; Richard C. Cobb; Brendan A. Harmon; Vaclav Petras; Anna Petrasova; Helena Mitasova

    2017-01-01

    Failure to build consensus amongst stakeholders has been a primary obstacle barring progress in developing and implementing strategies to manage sudden oak death (SOD). Consensus as to the goals of in situ management of SOD has rarely been reached, because stakeholders’ visions of success vary widely and often compete with each other...

  4. Preventing Sudden Death: Cardiovascular Screening of Young Athletes.

    Science.gov (United States)

    Ades, Philip A.

    1992-01-01

    Efficiently and inexpensively identifying athletes at risk for exercise-related sudden death is difficult. The article discusses types of cardiac disorders and outlines a practical screening method that features a cardiac history questionnaire designed to identify symptomatic athletes and those with a family history of congenital heart disease.…

  5. Sudden cardiac arrest risk in young athletes | Gradidge | South ...

    African Journals Online (AJOL)

    Underlying cardiac abnormalities are the main cause of unexpected death in athletes on field. These abnormalities have been associated with a previous history of syncope, a family history of sudden cardiac arrest (SCA), cardiac murmur, a history of over-exhaustion post exercise and ventricular tachyarrhythmia during ...

  6. Sudden infant death syndrome (SIDS)--standardised investigations and classification

    DEFF Research Database (Denmark)

    Bajanowski, Thomas; Vege, Ashild; Byard, Roger W

    2007-01-01

    Sudden infant death syndrome (SIDS) still accounts for considerable numbers of unexpected infant deaths in many countries. While numerous theories have been advanced to explain these events, it is increasingly clear that this group of infant deaths results from the complex interaction of a variet...

  7. Social phobia with sudden onset-Post-panic social phobia?

    DEFF Research Database (Denmark)

    Kristensen, Ann Suhl; Mortensen, Erik Lykke; Mors, Ole

    2008-01-01

    Overlap between social phobia (SP) and panic disorder (PD) has been observed in epidemiological, family, and challenge studies. One possible explanation is that some cases of SP develop as a consequence of a panic attack in a social situation. By definition, these cases of SP have sudden onset...

  8. Detection of sudden death syndrome using a multispectral imaging sensor

    Science.gov (United States)

    Sudden death syndrome (SDS), caused by the fungus Fusarium solani f. sp. glycines, is a widespread mid- to late-season disease with distinctive foliar symptoms. This paper reported the development of an image analysis based method to detect SDS using a multispectral image sensor. A hue, saturation a...

  9. Sudden oak death in California: what is the potential?

    Science.gov (United States)

    Tara M. Barrett; Demetrios Gatziolis; Jeremy S. Fried; Karen L. Waddell

    2006-01-01

    Sudden oak death, a disease associated with the pathogen Phytophthora ramorum, has a large number of shrub and tree host species. Three of the tree species must susceptible to mortality from the disease, California black oak (Quercus kelloggii), coast live oak (Quercus agrifolia), and tanoak (...

  10. Systemic Analysis of Sudden Natural Deaths at Braithwaite ...

    African Journals Online (AJOL)

    Alasia Datonye

    30 Sempos C, Cooper R, Kover MG, McMillen M. Divergence of the recent trends in coronary mortality for the four major race- sex groups in the United States. Am J Public Health. 1988; 78:1422-1427. 31 Murai T, Baba M, Ro A, Murai N, Matsuo Y, Takada A,. Saito K. Sudden death due to cardiovascular disorders: a review ...

  11. Incidence of ventricular arrhythmias, brady-arrhythmias and sudden ...

    African Journals Online (AJOL)

    Ventricular arrhythmias (VAS), Including ventricular tachycardia (VT), ventricular fibrillation (VF) and Brady-arrhythmias, are life-threatening complications of acute myocardial infarction (MI). Objective: To study the incidence of ventricular arrhythmias, brady-arrhythmias and Sudden Cardiac Death (SCD) in Sudanese ...

  12. a sudden total loss of vision after routine cataract surgery

    African Journals Online (AJOL)

    David Ofori-Adjei

    2013-06-01

    Jun 1, 2013 ... June 2013. Volume 47, Number 2. GHANA MEDICAL JOURNAL. 96. A SUDDEN TOTAL LOSS OF VISION AFTER ROUTINE CATARACT. SURGERY. S. LARTEY1, P. ... Cataract surgery has its complications. The most feared ... mm Hg on oral nifedipine 40 mg daily who presented with 6/36 vision in both ...

  13. Analysis of charging and sudden-discharging characteristics of no-insulation REBCO coil using an electromagnetic coupling model

    Directory of Open Access Journals (Sweden)

    Donghui Liu

    2017-11-01

    Full Text Available No-insulation (NI high-temperature superconducting (HTS REBCO coil has been a promising candidate for manufacturing high-field superconducting magnets with high thermal stability and self-protecting features. When NI coil is operated at the external field, it is necessary to analyze charging and sudden-discharging characteristics of NI coil by considering the effect of magnetic field. In addition, the self-field effect has an obvious influence on the critical current for large-scale coil. Thus, an electromagnetic coupling model in which an equivalent circuit axisymmetric model considers the effect of magnetic field is proposed. The results show that when the radial current exists, the coil voltage and central field will tend to be stable faster. In a high field, the decrease of the critical current leads to the increase of radial current and this effect is more obvious for a larger field. And the charging time with the increase of the external field reduces significantly, while the sudden-discharging time is almost unchanged. For NI coils composed of many double-pancake coils, the charging time and sudden-discharging time proportionally increase with the increase of the number of double-pancake coil and turn number of single-pancake coil.

  14. Swimming Against the Current: A Qualitative Review of the Work Experiences and Adaptations made by Employees with Arthritis.

    Science.gov (United States)

    Purc-Stephenson, R J; Dostie, Jessica; Smith, Hailey J

    2018-01-30

    To describe the experiences and strategies of employees with arthritis (EwA) to maintain employment and to use this information to build a conceptual model. We conducted a systematic review of qualitative studies that examined the work experiences of EwA. Published studies on arthritis and employment were searched from electronic databases (1980-2017) and bibliographical reviews of relevant studies. We used meta-ethnography to synthesize the findings. We reviewed 17 studies reporting on the experiences of 873 employees. We identified 11 main themes that highlight common issues experienced by EwA, and grouped these into four higher-order categories: nature of the disease (emotional issues, cognitive struggles, physical symptoms), intrapersonal issues (personal meaning of work, preserving a work identity), interpersonal issues (managing disclosure, gaining co-worker support, organizational culture issues), and work-sustainability strategies (making personal adjustments, using social support, using workplace accommodations). Using these themes, we developed the Job Sustainability Model to illustrate how disease, personal, and work-related factors interact to influence what type of coping behaviors are used and when. Initially, EwA rely on making personal adjustments, using social support, and medical intervention. However, when these coping behaviors fail to be effective, they draw upon workplace accommodations and resources. Arthritis disrupts an employee's work life by impairing his or her capacity to be a productive worker. Our results highlight how EwA make strategic adaptations to maintain a productive work life for as long as possible. The findings of this study have implications for work-related interventions aimed at preserving employment. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  15. [Sudden death in traffic due to natural causes (author's transl)].

    Science.gov (United States)

    Krauland, W

    1978-03-28

    Together with the increase in motorisation sudden death at the wheel by natural causes has also gained more importance although this is not a very frequent occurrence. Scattered reports on such cases in the literature are summarized and discussed with regard to recognition, frequency, age and sex distribution, pathological changes and marginal problems, e. g. diagnostic difficulties, risk and prevention. At the top of the list of the causes of sudden natural death at the wheel are disturbances of the cardiovascular circulation and under this heading the ischemical heart diseases with 83%. The frequency peak lies in the sixties age group and in the case of the ischemical diseases generally in the seventies age group which is an indication that driving is particularly a burden for the circulation. The percentage of women (2.6%) is approx. 10 times less than it is in sudden deaths generally, this obviously being due to the fact that women in advanced years do not drive as often as men. In approx. 50% of cases the sudden natural death takes place when the vehicle is stationary. Serious accidents are seldom. Diagnostic difficulties occur when alcohol has been consumed or when in an accident caused by the sickness the victim is fatally injured or when the question of guilt is not clear. Restrictive measures will not completely prevent sudden death when driving; it is most important that a patient with a history of myocardial infarction or of advanced age should be advised of the dangers of driving by the physician treating him.

  16. A computer case definition for sudden cardiac death.

    Science.gov (United States)

    Chung, Cecilia P; Murray, Katherine T; Stein, C Michael; Hall, Kathi; Ray, Wayne A

    2010-06-01

    To facilitate studies of medications and sudden cardiac death, we developed and validated a computer case definition for these deaths. The study of community dwelling Tennessee Medicaid enrollees 30-74 years of age utilized a linked database with Medicaid inpatient/outpatient files, state death certificate files, and a state 'all-payers' hospital discharge file. The computerized case definition was developed from a retrospective cohort study of sudden cardiac deaths occurring between 1990 and 1993. Medical records for 926 potential cases had been adjudicated for this study to determine if they met the clinical definition for sudden cardiac death occurring in the community and were likely to be due to ventricular tachyarrhythmias. The computerized case definition included deaths with (1) no evidence of a terminal hospital admission/nursing home stay in any of the data sources; (2) an underlying cause of death code consistent with sudden cardiac death; and (3) no terminal procedures inconsistent with unresuscitated cardiac arrest. This definition was validated in an independent sample of 174 adjudicated deaths occurring between 1994 and 2005. The positive predictive value of the computer case definition was 86.0% in the development sample and 86.8% in the validation sample. The positive predictive value did not vary materially for deaths coded according to the ICO-9 (1994-1998, positive predictive value = 85.1%) or ICD-10 (1999-2005, 87.4%) systems. A computerized Medicaid database, linked with death certificate files and a state hospital discharge database, can be used for a computer case definition of sudden cardiac death. Copyright (c) 2009 John Wiley & Sons, Ltd.

  17. Sudden death during empiric amiodarone therapy in symptomatic hypertrophic cardiomyopathy.

    Science.gov (United States)

    Fananapazir, L; Leon, M B; Bonow, R O; Tracy, C M; Cannon, R O; Epstein, S E

    1991-01-15

    Amiodarone is reported to improve symptoms and to prevent sudden death in patients with hypertrophic cardiomyopathy (HC). Amiodarone treatment (loading dose 30 g given over 6 weeks; maintenance dose 400 mg/day) was prospectively evaluated in 50 patients with HC in whom the drug was initiated because of symptoms refractory to conventional drug therapy (calcium antagonists and beta blockers). Twenty-one (42%) patients had ventricular tachycardia (VT) during Holter monitoring. Amiodarone significantly and often markedly improved the patients' New York Heart Association functional class status (from 3.3 to 2.7 at 2 months, p less than 0.001) and treadmill exercise duration (p less than 0.001). Eight patients, however, died (7 suddenly) during a mean follow-up period of 2.2 +/- 1.8 years. Of the 7 sudden deaths, 6 occurred within 5 months of initiation of treatment. The 6-month and 1- and 2-year survival rates were 87, 85 and 80%, respectively. The survival rate of patients with VT was significantly worse than that of patients without VT (61 vs 97% at 2 years; p less than 0.01). Sudden death occurred despite abolition of VT on Holter monitoring. Amiodarone increased left ventricular peak filling rate by radionuclide angiography in 20 of 33 patients (61%) (p less than 0.01). Decrease in peak left ventricular filling rate within 10 days of amiodarone therapy (8 of 33 patients) was associated with subsequent sudden death (p less than 0.04).(ABSTRACT TRUNCATED AT 250 WORDS)

  18. The most common cause of sudden cardiac death in athletes

    Directory of Open Access Journals (Sweden)

    Topalović Nikola

    2016-01-01

    Full Text Available The positive impact of exercise on cardiovascular health is well known. Athletes, who are constantly physically active, are considered to be the healthiest members of our society. That is why their sudden death, during the training or competition, attracts the attention of the general public. Rarely, tragic events of sudden cardiac death (SCD are the reason for questioning if by many positive there are also negative impact of physical exercise. The first case of SCD is recorded as far back as the year 490 BC, when the Greek soldier Pheidippides died after he conveyed news of the great victory of the Greeks over the Persians. Risk of SCD is recognized in the middle of the twentieth century. In our region, discussion about this issue began after the World Basketball Championship, which was held in Ljubljana in 1970, because of the sudden death of the national team member Trajko Rajkovic. One of the important goals of modern sports medicine is to reduce the risk of SCD in athletes to 'inevitable rarity'. Definition of SCD is considered to be any unexpected death due to sudden cardiac arrest. Pedo (Pedoe has divided all causes of SCD in the sport into three categories: Commotio cordis (agitation of the heart, which results from blunt impact to the athletes chest with consequent fatal disorder of heart rhythm; SCD of athletes under the age of 35 because of structural, congenital and inflammatory heart disease, which includes hypertrophic cardiomyopathy as the most important cause of sudden cardiac death, congenital anomalies of the coronary arteries, arrhythmogenic right ventricular cardiomyopathy, myocarditis and other; SCD of athletes older than 35 years which is most common due coronary artery disease - atherosclerosis (the dominant risk in the marathon and half-marathon. .

  19. Sudden death victims forensic physician and autopsy results.

    Science.gov (United States)

    Ceelen, Manon; van der Werf, Christian; Hendrix, Anneke; Naujocks, Tatjana; Woonink, Frits; de Vries, Philip; van der Wal, Allard; Das, Kees

    2015-08-01

    The goal of this study was to ascertain accordance between cause of death established by the forensic physician and autopsy results in young sudden death victims in the Netherlands. Sudden death victims aged 1-45 years examined by forensic physicians operating in the participating regions which also underwent an autopsy between January 2006 and December 2011 were included (n = 70). Cause of death established by the forensic physician based on the external medicolegal examination was compared with autopsy findings using the ICD10-classification. Autopsy findings revealed that the majority of sudden death victims have died from a cardiac disease (n = 51, 73%). Most of the presumed heart disease related cases were confirmed by autopsy (n = 13, 87%). On the contrary, a large number of deaths caused by circulatory diseases were not recognised by the forensic physician (n = 38, 75%). In most of these cases, the forensic physician was forced to report an undetermined cause due to the lack of a solid explanation for death. Cause of death reported by the forensic physician appeared to be in agreement with the autopsy results in 12 cases (17%). Cause of death determination in young sudden death victims is a difficult task for forensic physicians due to the limited tools available during the medicolegal examination. An effort should be made to standardize extensive post-mortem investigation after sudden death in the young. Autopsy can provide valuable information regarding the cause of death, which is of great importance in view of the identification of inheritable diseases among decedents and their families. Copyright © 2015 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

  20. Simulation Studies of the Role of Reconnection in the ''Current Hole'' Experiments in the Joint European Torus

    Energy Technology Data Exchange (ETDEWEB)

    J.A. Breslau; S.C. Jardin; W. Park

    2003-01-21

    Injection of lower-hybrid current drive into the current ramp-up phase of the Joint European Torus (JET) plasma discharges has been observed to produce an annular current distribution with a core region of essentially zero current density [Hawkes, et al., Phys. Rev. Lett. 87 (2001) 115001]. Similar ''current holes'' have been observed in the Japan Atomic Energy Research Institute (JAERI) Tokamak 60 Upgrade (JT-60U) plasma discharges with off-axis current drive supplied by the bootstrap current [T. Fujita, et al., Phys. Rev. Lett. 87 (2001) 245001]. In both cases, the central current does not go negative although current diffusion calculations indicate that there is sufficient noninductive current drive for this to occur. This is explained by the Multi-level 3-D code (M3D) nonlinear 2-D and 3-D resistive magnetohydrodynamic (MHD) simulations in toroidal geometry, which predict that these plasma discharges undergo n = 0 reconnection events--''axisymmetric sawteeth''--that redistribute th e current to hold its core density near zero. Unlike conventional sawteeth, these events retain the symmetry of the equilibrium, and thus are best viewed as a transient loss of equilibrium caused when an iota = 0 rational surface enters the plasma. If the current-density profile has a central minimum, this surface will enter on axis; otherwise it will enter off-axis. In the first case, the reconnection is limited to a small region around the axis and clamps the core current at zero. In the second case, more typical of the JET experiments, the core current takes on a finite negative value before the iota = 0 surface appears, resulting in discrete periodic axisymmetric sawtooth events with a finite minor radius. Interpretation of the simulation results is given in terms of analytic equilibrium theory, and the relation to conventional sawteeth and to a recent reduced-MHD analysis of this phenomenon in cylindrical geometry [Huysmans, et al., Phys

  1. A miniature high voltage plasma interaction flight experiment - Project MINX. [for measuring solar cell array parasitic current drain

    Science.gov (United States)

    Riley, T. J.; Triner, J. E.; Sater, B. L.; Cohen, D.; Somberg, H.

    1974-01-01

    A miniature high-voltage array was fabricated, incorporating the multi-junction edge illuminated (MJC) cell technique. The array consists of 32 2x2.2 cm MJCs, series connected, capable of 1600 V open circuit at 1 AMO and 1.2 mA short circuit. A solid state, high-voltage relay is connected across each 4-cell subgroup of the array. It was built to test plasma current drain on space systems using high voltage as might occur when a high-voltage solar array is operated from low to synchronous orbit.

  2. The role of autobiographical memory networks in the experience of negative emotions: how our remembered past elicits our current feelings.

    Science.gov (United States)

    Philippe, Frederick L; Koestner, Richard; Lecours, Serge; Beaulieu-Pelletier, Genevieve; Bois, Katy

    2011-12-01

    The present research examined the role of autobiographical memory networks on negative emotional experiences. Results from 2 studies found support for an active but also discriminant role of autobiographical memories and their related networked memories on negative emotions. In addition, in line with self-determination theory, thwarting of the psychological needs for competence, autonomy, and relatedness was found to be the critical component of autobiographical memory affecting negative emotional experiences. Study 1 revealed that need thwarting in a specific autobiographical memory network related to the theme of loss was positively associated with depressive negative emotions, but not with other negative emotions. Study 2 showed within a prospective design a differential predictive validity between 2 autobiographical memory networks (an anger-related vs. a guilt-related memory) on situational anger reactivity with respect to unfair treatment. All of these results held after controlling for neuroticism (Studies 1 and 2), self-control (Study 2), and for the valence (Study 1) and emotions (Study 2) found in the measured autobiographical memory network. These findings highlight the ongoing emotional significance of representations of need thwarting in autobiographical memory networks. (c) 2011 APA, all rights reserved.

  3. Advancing user experience research to facilitate and enable patient-centered research: current state and future directions.

    Science.gov (United States)

    Payne, Philip R O

    2013-01-01

    Human-computer interaction and related areas of user experience (UX) research, such as human factors, workflow evaluation, and data visualization, are thus essential to presenting data in ways that can further the analysis of complex data sets such as those used in patient-centered research. However, a review of available data on the state of UX research as it relates to patient-centered research demonstrates a significant underinvestment and consequently a large gap in knowledge generation. In response, this report explores trends in funding and research productivity focused on UX and patient-centered research and then presents a set of recommendations to advance innovation at this important intersection point. Ultimately, the aim is to catalyze a community-wide dialogue concerning future directions for research and innovation in UX as it applies to patient-centered research.

  4. Global mental health and trauma exposure: the current evidence for the relationship between traumatic experiences and spirit possession

    Directory of Open Access Journals (Sweden)

    Tobias Hecker

    2015-11-01

    Full Text Available Background: We present a literature review on trauma exposure and spirit possession in low- and middle-income countries (LMICs. Despite the World Health Organization's objective of culturally appropriate mental health care in the Mental Health Action Plan 2013–2020, and the recommendations of the Inter-Agency Standing Committee to consider local idioms of distress and to collaborate with local resources, this topic still receives very little attention. Pathological spirit possession is commonly defined as involuntary, uncontrollable, and occurring outside of ritual settings. It is often associated with stigmatization, suffering, and dysfunctional behavior. While spirit possession has been discussed as an idiom of distress in anthropological literature, recent quantitative studies have presented support for a strong relationship between traumatic experiences and pathological possession states. Objective: The aim of this review was to investigate this relationship systematically in LMICs, in view of the debate on how to address the mental health gap in LMICs. Methods: Twenty-one articles, published in peer-reviewed English-language journals between 1994 and 2013, were identified and analyzed with regard to prevalence of possessive trance disorders, patients’ sociodemographic characteristics, and its relation to traumatic experiences. Results: The review and analysis of 917 patients with symptoms of possessive trance disorders from 14 LMICs indicated that it is a phenomenon occurring worldwide and with global relevance. This literature review suggests a strong relationship between trauma exposure and spirit possession with high prevalence rates found especially in postwar areas in African countries. Conclusions: More attention for possessive trance disorders in mental health and psychosocial intervention programs in humanitarian emergency settings as well as in societies in transition in LMICs is needed and justified by the results of this

  5. Resonant microwave fields and negative magnetic response, induced by displacement currents in dielectric rings: theory and the first experiments.

    Science.gov (United States)

    Shvartsburg, A B; Pecherkin, V Ya; Vasilyak, L M; Vetchinin, S P; Fortov, V E

    2017-05-19

    The theoretical basis and experimental verification of resonant phenomena in the electromagnetic fields generated by displacement current in the near zone of dielectric ring is presented. According to the traditional viewpoint, the dielectric has an influence on the electric field inside resonator. To the contrary, we demonstrate that the dielectric ring exhibits magnetic properties at resonance. The sliding incidence of plane microwave on this weakly absorbing ring is shown to provide the sharp and deep resonance in the components of generated field; this low loss circuit is operating as a resonant dielectric magnetic dipole. Splitting and broadening of resonance in the pair of these dipoles dependent upon their mutual arrangement is recorded. The phase shift equal to π between the magnetic components of incident and generated wave indicating the formation of negative magnetic response is demonstrated. Perspectives of using of this simple sub wavelength resonant magnetic dipoles in the all-dielectric circuitry are discussed.

  6. Limitation of myocardial infarct size in the clinical setting: current status and challenges in translating animal experiments into clinical therapy.

    Science.gov (United States)

    Miura, Tetsuji; Miki, Takayuki

    2008-11-01

    This review takes a critical look at the current effectiveness of reperfusion therapy for acute myocardial infarction and at the potential for cardioprotective agents to improve it. Reperfusion alone limits the median value of infarct size to approximately 50% of the ischemic region. However, the range of infarct sizes is very wide, and one-fourth of these patients have more than 75% of the ischemic zone infarcted despite successful coronary reperfusion. Available studies suggest that mortality and morbidity is increased when more than 20% of the left ventricle is infarcted. Therefore, to be effective infarct size-limiting therapy would have to reduce infarction to or below this 20% target. To achieve this goal in the quartile of patients with the biggest infarcts the cardioprotective agent would have to be potent enough to reduce infarct size from its current value of 75% of the ischemic zone to 40% or less. While ischemic preconditioning and some pretreatment drugs might be potent enough to achieve this goal, few of the agents given at the clinically relevant time of at or just before reperfusion have exhibited such potency. Several cardioprotective agents have recently been evaluated in clinical trials but their results have been disappointing. Some of the poor clinical trial performance may stem from study designs which fail to identify those patients falling within the upper quartile of infarct sizes, presumably the only group that would be expected to actually benefit from a reduction in infarct size. Other possible causes could be that co-morbidities or drugs patients are taking may block the pathways involved in the anti-infarct effect or that the drugs simply do not protect even in animal models. Few agents have been thoroughly tested in clinically relevant animal models prior to their testing in man.

  7. Sudden Cardiac Death in Young Athletes; a Literature Review and Special Considerations in Asia

    Science.gov (United States)

    Halabchi, Farzin; Seif-Barghi, Tohid; Mazaheri, Reza

    2011-01-01

    Sudden cardiac death (SCD) in a young athlete is rare, but catastrophic. Exercise acts as a risk factor for SCD in people with cardiovascular disease. A diversity of cardiovascular disorders including hypertrophic cardiomyopathy, congenital coronary anomalies, arrhythmogenic right ventricular dysplasia, dilated cardiomyopathy, aortic rupture due to Marfan syndrome, myocarditis, valvular disease and electrical disorders (Wolff–Parkinson–White syndrome, long QT syndrome, Brugada syndrome), as well as commotio cordis represent the common causes of SCD in young athletes. As the outcome of lethal cardiovascular disorders is not reversible except in few cases, effective measures should be addressed to reduce the burden of sudden cardiac death in young athletes. Currently, two types of recommendations are proposed by American and European countries. It seems that there are some special considerations in Asia, entirely different from North America or Europe, which warrant more comprehensive research on epidemiology and etiology of SCD in young Asian athletes by country and evaluation of current national preventive strategies and their achievements in decreasing the risk. Using these data and considering regional restrictions, an expert group will be able to plan a practical and feasible preventive strategy. PMID:22375212

  8. Sudden cardiac death in young athletes; a literature review and special considerations in Asia.

    Science.gov (United States)

    Halabchi, Farzin; Seif-Barghi, Tohid; Mazaheri, Reza

    2011-03-01

    Sudden cardiac death (SCD) in a young athlete is rare, but catastrophic. Exercise acts as a risk factor for SCD in people with cardiovascular disease. A diversity of cardiovascular disorders including hypertrophic cardiomyopathy, congenital coronary anomalies, arrhythmogenic right ventricular dysplasia, dilated cardiomyopathy, aortic rupture due to Marfan syndrome, myocarditis, valvular disease and electrical disorders (Wolff-Parkinson-White syndrome, long QT syndrome, Brugada syndrome), as well as commotio cordis represent the common causes of SCD in young athletes.As the outcome of lethal cardiovascular disorders is not reversible except in few cases, effective measures should be addressed to reduce the burden of sudden cardiac death in young athletes. Currently, two types of recommendations are proposed by American and European countries.It seems that there are some special considerations in Asia, entirely different from North America or Europe, which warrant more comprehensive research on epidemiology and etiology of SCD in young Asian athletes by country and evaluation of current national preventive strategies and their achievements in decreasing the risk. Using these data and considering regional restrictions, an expert group will be able to plan a practical and feasible preventive strategy.

  9. Genetics Home Reference: sudden infant death with dysgenesis of the testes syndrome

    Science.gov (United States)

    ... SIDDT Sudden infant death with dysgenesis of the testes syndrome Printable PDF Open All Close All Enable ... Description Sudden infant death with dysgenesis of the testes syndrome ( SIDDT ) is a rare condition that is ...

  10. Sudden death associated with QT interval prolongation and KCNQ1 gene mutation in a family of English Springer Spaniels.

    Science.gov (United States)

    Ware, W A; Reina-Doreste, Y; Stern, J A; Meurs, K M

    2015-01-01

    A 5-year-old, healthy English Springer Spaniel died suddenly 4 months after delivering a litter of 7 puppies. Within 4 months of the dam's death, 3 offspring also died suddenly. Abnormal cardiac repolarization, caused by an inherited long QT syndrome, is thought to be responsible for arrhythmias leading to sudden death in this family. Four remaining dogs from the affected litter and 11 related dogs. Physical examination and resting ECG were done on the littermates and 9 related dogs. Additional tests on some or all littermates included echocardiogram with Doppler, Holter monitoring, and routine serum biochemistry. Blood for DNA sequencing was obtained from all 15 dogs. Three of 4 littermates examined, but no other dogs, had prolonged QT intervals with unique T-wave morphology. DNA sequencing of the KCNQ1 gene identified a heterozygous single base pair mutation, unique to these 3 dogs, which changes a conserved amino acid from threonine to lysine and is predicted to change protein structure. This family represents the first documentation in dogs of spontaneous familial QT prolongation, which was associated with a KCNQ1 gene mutation and sudden death. Although the final rhythm could not be documented in these dogs, their phenotypic manifestations of QT interval prolongation and abnormal ECG restitution suggested increased risk for sudden arrhythmic death. The KCNQ1 gene mutation identified is speculated to impair the cardiac repolarizing current IKs, similar to KCNQ1 mutations causing long QT syndrome 1 in humans. Copyright © 2015 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals, Inc. on behalf of the American College of Veterinary Internal Medicine.

  11. Organ retrieval and banking in brain dead trauma patients: Our experience at level-1 trauma centre and current views

    Science.gov (United States)

    Sawhney, Chhavi; Kaur, Manpreet; Lalwani, Sanjeev; Gupta, Babita; Balakrishnan, Ira; Vij, Aarti

    2013-01-01

    Background: Organ retrieval from brain dead patients is getting an increased attention as the waiting list for organ recipients far exceeds the organ donor pool. In our country, despite a large population the number of brain dead donors undergoing organ donation is very less (2% in our study). Aims: The present study was undertaken to address issues related to organ donation and share our experience for the same. Methods: A retrospective case record analysis of over 5 years from September 2007 to August 2012 was performed and the patients fulfilling brain death criterion as per Transplantation of Human Organs and Tissue (Amendment) Act were included. Patient demographics (age, sex), mode of injury, time from injury to the diagnosis of brain death, time from diagnosis of brain death to organ retrieval and complications were analysed. Statistics Analysis: Student's t test was used for parametric data and Chi square was used for categorical data. Results: Out of 205 patients who were identified as brain dead, only 10 patients became potential organ donors. Conclusion: Aggressive donor management, increasing public awareness about the concept of organ donation, good communication between clinician and the family members and a well-trained team of transplant coordinators can help in improving the number of organ donations. PMID:23983281

  12. Organ retrieval and banking in brain dead trauma patients: Our experience at level-1 trauma centre and current views

    Directory of Open Access Journals (Sweden)

    Chhavi Sawhney

    2013-01-01

    Full Text Available Background: Organ retrieval from brain dead patients is getting an increased attention as the waiting list for organ recipients far exceeds the organ donor pool. In our country, despite a large population the number of brain dead donors undergoing organ donation is very less (2% in our study. Aims: The present study was undertaken to address issues related to organ donation and share our experience for the same. Methods: A retrospective case record analysis of over 5 years from September 2007 to August 2012 was performed and the patients fulfilling brain death criterion as per Transplantation of Human Organs and Tissue (Amendment Act were included. Patient demographics (age, sex, mode of injury, time from injury to the diagnosis of brain death, time from diagnosis of brain death to organ retrieval and complications were analysed. Statistics Analysis: Student′s t test was used for parametric data and Chi square was used for categorical data. Results: Out of 205 patients who were identified as brain dead, only 10 patients became potential organ donors. Conclusion: Aggressive donor management, increasing public awareness about the concept of organ donation, good communication between clinician and the family members and a well-trained team of transplant coordinators can help in improving the number of organ donations.

  13. [Current indications for invasive prenatal diagnosis. New proposals based on the experience of Institute Nacional de Perinatología].

    Science.gov (United States)

    Fernández-Hernández, Liliana; Domínguez-Castro, Mauricio; Ibañez-Salvador, Juan Carlos; Grether-González, Patricia; Aguinaga-Ríos, Mónica

    2013-08-01

    Invasive prenatal diagnosis (IPD) allows identification of fetal diseases, mainly aneuploidy. With the addition of first-trimester prenatal screening and structural ultrasound, IPD indications have changed. To describe the current indications for IPD in pregnant patients at INPer. Descriptive and retrospective study. We reviewed medical records of patients in which IPD was performed during a period of 2.5 years. A total of 339 studies were performed: 81% by amniocentesis (AC), 13% by chorionic villus sampling (CVS) and 6% by cordocentesis or somatocentesis. The most common indications for AC were: advanced maternal age (AMA) (43%), fetuses with multiple defects by ultrasonido (23%) and presence of soft markers for aneuploidies (9%). For CVS were: cystic hygroma (24%). Increased nuchal translucency (NT) (24%), and AMA (18%). When the indication was only AMA, 1.5% of fetus presented aneuploidy. In women under 38 years and normal ultrasoud, chromosomal abnormalities were not detected. The increased NT in women 35 years it increased to 33%. We observed that the group who had normal translucencia nucal and AMA presented a low risk of chromosomal abnormalities. In the presence of an increased NT, 33% of fetuses were affected, so that measuring TN is considered the best non invasive PD tool. The average age with cytogenetic abnormalities was above 38 years, so we suggest to offer IPD in women above 38 years-old.

  14. The Impact of Previous Athletic Experience on Current Physical Fitness in Former Collegiate Athletes and Noncollegiate Athletes.

    Science.gov (United States)

    Simon, Janet E; Docherty, Carrie L

    Physical activity performed at moderate intensity is associated with reduced risk of mortality, cardiovascular disease, hypertension, and some types of cancers. However, vigorous physical activity during participation in college athletics may increase the risk of injury, which might limit future physical activity levels. To evaluate differences in current physical fitness levels between former Division I athletes and noncollegiate athletes. Cross-sectional study. Level 3. The sample was recruited from a large midwestern university alumni database and consisted of 2 cohorts: (1) former Division I athletes (n = 100; mean age, 53.1 ± 7.4 years) and (2) nonathletes who were active in college (n = 100; age, 51.4 ± 7.3 years). Individuals answered a demographics questionnaire and completed a physical fitness assessment consisting of 7 measures: percent body fat, 1-mile walk, sit-to-stand test, push-up, half sit-up test, sit and reach test, and back scratch test. Performance was significantly worse for former Division I athletes compared with nonathletes for percent body fat (mean difference, 7.58%; F(1, 198) = 59.91; P athletes may be limited because of previous injury, inhibiting their ability to stay active later in life. It is imperative that clinicians, coaches, and strength and conditioning specialists understand the possible future repercussions from competing at the Division I level.

  15. Silver-based dressings for the reduction of surgical site infection: review of current experience and recommendation for future studies.

    Science.gov (United States)

    Abboud, Elia Charbel; Settle, Judson C; Legare, Timothy B; Marcet, Jorge E; Barillo, Dave J; Sanchez, Jaime E

    2014-12-01

    Surgical site infections (SSIs) are the most common hospital acquired infection in surgical patients, occurring in approximately 300,000-500,000 patients a year. SSIs occur across all surgical specialties, but have increased importance in abdominal, colorectal, obstetrical, gynecological, cardiac, vascular, neurological, transplant, and orthopedic procedures where either the inherent risk is elevated or the consequence of an infection would be severe. Current prevention guidelines reduce, but do not completely eliminate, the occurrence of SSIs. We have found the use of silver-nylon wound dressings to significantly reduce the risk SSI associated with colorectal surgery. In this review, we examine the incidence of SSI in high-risk groups, and identify procedures where silver dressings, and other silver products, have been evaluated for the prevention of SSI. Silver-nylon dressings are a useful adjunct in the prevention of SSI in colorectal surgery, neurological surgery, spinal surgery, and certain cardiovascular and orthopedic procedures. Gynecologic, obstetric, breast, transplant, neck, and bariatric procedures, and surgery in obese and diabetic patients, represent other areas where patients are at increased risk of SSI, but in which silver dressings have not been adequately evaluated yet. Recommendation is made for large prospective studies of silver dressings in these populations.

  16. Bose-Einstein Correlations in Charged Current Muon-Neutrino Interactions in the NOMAD Experiment at CERN

    CERN Document Server

    Astier, P.; Baldisseri, A.; Baldo-Ceolin, M.; Banner, M.; Bassompierre, G.; Benslama, K.; Besson, N.; Bird, I.; Blumenfeld, Barry J.; Bobisut, F.; Bouchez, J.; Boyd, S.; Bueno, A.; Bunyatov, S.; Camilleri, L.; Cardini, A.; Cattaneo, P.W.; Cavasinni, V.; Cervera-Villanueva, A.; Challis, R.C.; Chukanov, A.; Collazuol, G.; Conforto, G.; Conta, C.; Contalbrigo, M.; Cousins, R.; Daniels, D.; Degaudenzi, H.; Del Prete, T.; De Santo, A.; Dignan, T.; Di Lella, L.; do Couto e Silva, E.; Dumarchez, J.; Ellis, Malcolm; Feldman, G.J.; Ferrari, R.; Ferrere, D.; Flaminio, V.; Fraternali, M.; Gaillard, J.M.; Gangler, E.; Geiser, A.; Geppert, D.; Gibin, D.; Gninenko, S.; Godley, A.; Gomez-Cadenas, J.J.; Gosset, J.; Gossling, C.; Gouanere, M.; Grant, A.; Graziani, G.; Guglielmi, A.; Hagner, C.; Hernando, J.; Hubbard, D.; Hurst, P.; Hyett, N.; Iacopini, E.; Joseph, C.; Juget, F.; Kent, N.; Kirsanov, M.; Klimov, O.; Kokkonen, J.; Kovzelev, A.; Krasnoperov, A.; Lacaprara, S.; Lachaud, C.; Lakic, B.; Lanza, A.; La Rotonda, L.; Laveder, M.; Letessier-Selvon, A.; Levy, J.M.; Linssen, L.; Ljubicic, A.; Long, J.; Lupi, A.; Lyubushkin, V.; Marchionni, A.; Martelli, F.; Mechain, X.; Mendiburu, J.P.; Meyer, J.P.; Mezzetto, M.; Mishra, S.R.; Moorhead, G.F.; Naumov, D.; Nedelec, P.; Nefedov, Yu.; Nguyen-Mau, C.; Orestano, D.; Pastore, F.; Peak, L.S.; Pennacchio, E.; Pessard, H.; Petti, R.; Placci, A.; Polesello, G.; Pollmann, D.; Polyarush, A.; Popov, B.; Poulsen, C.; Rebuffi, L.; Rico, J.; Riemann, P.; Roda, C.; Rubbia, A.; Salvatore, F.; Schahmaneche, K.; Schmidt, B.; Schmidt, T.; Sconza, A.; Sevior, M.; Sillou, D.; Soler, F.J.P.; Sozzi, G.; Steele, D.; Stiegler, U.; Stipcevic, M.; Stolarczyk, Th.; Tareb-Reyes, M.; Taylor, G.N.; Tereshchenko, V.; Toropin, A.; Touchard, A.M.; Tovey, S.N.; Tran, M.T.; Tsesmelis, E.; Ulrichs, J.; Vacavant, L.; Valdata-Nappi, M.; Valuev, V.; Vannucci, F.; Varvell, K.E.; Veltri, M.; Vercesi, V.; Vidal-Sitjes, G.; Vieira, J.M.; Vinogradova, T.; Weber, F.V.; Weisse, T.; Wilson, F.F.; Winton, L.J.; Yabsley, Bruce D.; Zaccone, H.; Zei, R.; Zuber, K.; Zuccon, P.

    2004-01-01

    Bose-Einstein Correlations in one and two dimensions have been studied, with high statistics, in charged current muon-neutrino interaction events collected with the NOMAD detector at CERN. In one dimension the Bose-Einstein effect has been analyzed with the Goldhaber and the Kopylov-Podgoretskii phenomenological parametrizations. The Goldhaber parametrization gives the radius of the pion emission region R_G = 1.01+/-0.05(stat)+0.09-0.06(sys) fm and for the chaoticity parameter the value lambda = 0.40+/-0.03(stat)+0.01-0.06(sys). Using the Kopylov-Podgoretskii parametrization yields R_KP = 2.07+/-0.04(stat)+0.01-0.14(sys) fm and lambda_KP = 0.29+/-0.06(stat)+0.01-0.04(sys). Different parametrizations of the long-range correlations have been also studied. The two-dimensional shape of the source has been investigated in the longitudinal co-moving frame. A significant difference between the transverse and the longitudinal dimensions is observed. The high statistics of the collected sample allowed the study of the...

  17. Search for $tZ$ production via Flavour Changing Neutral Currents with the ATLAS experiment at the LHC

    CERN Document Server

    AUTHOR|(INSPIRE)INSPIRE-00576910

    The subject of the present dissertation is the search for $tZ$ event production by Flavour Changing Neutral Currents (FCNC) through the analysis of data collected by the ATLAS detector of the Large Hadron Collider located in CERN. The FCNC processes are very rare in the Standard Model of Particle Physics since they are not allowed at tree-level and extremely suppressed at loop-level. However, this processes have a higher probability to occur in several models beyond the Standard Model. In this thesis, a search for the production of a top quark and a boson $Z$ via FCNC in a trileptonic topology is discussed. The final state of the $tZ$ production consists in a pair of leptons with opposite sign and same flavour having a mass compatible with the decay of a $Z$ boson, a charged lepton and a neutral lepton classified as coming from the decay of a top quark and finally a jet coming from a bottom quark ($b$-tagged jet). The analyzed data coming from proton-proton collisions at the centre-of-mass energy of $\\sqrt{s}...

  18. How do current irrigation practices perform? Evaluation of different irrigation scheduling approaches based on experiements and crop model simulations

    Science.gov (United States)

    Seidel, Sabine J.; Werisch, Stefan; Barfus, Klemens; Wagner, Michael; Schütze, Niels; Laber, Hermann

    2014-05-01

    The increasing worldwide water scarcity, costs and negative off-site effects of irrigation are leading to the necessity of developing methods of irrigation that increase water productivity. Various approaches are available for irrigation scheduling. Traditionally schedules are calculated based on soil water balance (SWB) calculations using some measure of reference evaporation and empirical crop coeffcients. These crop-specific coefficients are provided by the FAO but are also available for different regions (e.g. Germany). The approach is simple but there are several inaccuracies due to simplifications and limitations such as poor transferability. Crop growth models - which simulate the main physiological plant processes through a set of assumptions and calibration parameter - are widely used to support decision making, but also for yield gap or scenario analyses. One major advantage of mechanistic models compared to empirical approaches is their spatial and temporal transferability. Irrigation scheduling can also be based on measurements of soil water tension which is closely related to plant stress. Advantages of precise and easy measurements are able to be automated but face difficulties of finding the place where to probe especially in heterogenous soils. In this study, a two-year field experiment was used to extensively evaluate the three mentioned irrigation scheduling approaches regarding their efficiency on irrigation water application with the aim to promote better agronomic practices in irrigated horticulture. To evaluate the tested irrigation scheduling approaches, an extensive plant and soil water data collection was used to precisely calibrate the mechanistic crop model Daisy. The experiment was conducted with white cabbage (Brassica oleracea L.) on a sandy loamy field in 2012/13 near Dresden, Germany. Hereby, three irrigation scheduling approaches were tested: (i) two schedules were estimated based on SWB calculations using different crop

  19. Using Freire's Participatory Educational Method to Understand the Experience of Living With Chronic Illness in the Current Age of Globalization.

    Science.gov (United States)

    Camargo Plazas, Maria del Pilar; Cameron, Brenda L

    2015-06-01

    Many approaches and efforts have been used to better understand chronic diseases worldwide. Yet, little is known about the meaning of living with chronic illness under the pressures of globalization and neoliberal ideologies. Through Freire's participatory educational method, this article presents an innovative approach to understanding the multiple dimensions of living with chronic illness. In this way, we hope to use an innovative approach to address the impact of globalization on the daily life of chronically ill people and thus expand to the body of knowledge on nursing. This article uses Freire's participatory educational method to understand the multiple dimensions of living with chronic illness. This qualitative study follows an interpretive inquiry approach and uses a critical hermeneutic phenomenological method and critical research methodologies. Five participants were recruited for this participatory educational activity. Data collection methods included digitally recorded semistructured individual interviews and a Freire's participatory educational method session. Data analysis included a thematic analysis. Participants reported lacking adequate access to healthcare services because of insurance policies; a general perception that they were an unwanted burden on the healthcare system; and a general lack of government support, advocacy, and political interest. This research activity assisted participants to gain a new critical perspective about the condition of others with chronic diseases and thus provided an enlightening opportunity to learn about the illnesses and experiences of others and to realize that others experienced the same oppression from the healthcare system. Participants became agents of change within their own families and communities. Chronic diseases cause many economic and social consequences in their victims. These findings urge us to move from merely acknowledging the difficulties of people who live with chronic illness in an age of

  20. Genetic investigation of 100 heart genes in sudden unexplained death victims in a forensic setting

    DEFF Research Database (Denmark)

    Christiansen, Sofie Lindgren; Hertz, Christin Løth; Ferrero, Laura

    2016-01-01

    In forensic medicine, one-third of the sudden deaths remain unexplained after medico-legal autopsy. A major proportion of these sudden unexplained deaths (SUD) are considered to be caused by inherited cardiac diseases. Sudden cardiac death (SCD) may be the first manifestation of these diseases...

  1. Current issues with lower extremity amputations in a country at war: experience from the National Military Hospital of Kabul.

    Science.gov (United States)

    Mathieu, L; Marty, A; Ramaki, A; Najib, A; Ahmadzai, W; Fugazzotto, D J; Rigal, S; Shirzai, N

    2014-06-01

    Management practices associated with war-related amputations in countries at war may be different from the recommendations of occidental Health Force Services due to the high numbers of wounded persons to treat in precarious conditions. This observational retrospective study documents the current management of local lower extremity amputees in Afghanistan. Surgical practices, with or without delayed primary closure (DPC), and prosthetic rehabilitation issues are analyzed. This retrospective study was conducted in the National Military Hospital (NMH) of Kabul from May 2011 to November 2011. Fifty-four Afghan patients who underwent a lower extremity combat-related amputation were included. Ten of them sustained a bilateral amputation. Injuries were caused by improvised explosive devices (IEDs) or mines in 48 cases, bullets in three cases, and exploding shell fragments in three cases. Of the 64 amputations studied, 46 were open length preserving amputations and primary closure (PC) was applied in 18 cases. Patients were reviewed with a mean follow-up of 5.4 months (range 1-28 months). In the DPC group, secondary closure was performed with a mean time of 18.7 days (range 4-45 days) from injury. The proportion of infectious complications seemed to be higher in the PC group (5/18) than in the DPC group (3/46), but it was only a statistical trend (p = 0.1). Forty-three patients were not prosthetic fitted at the last follow-up. This study supports the surgical strategy of a two-stage procedure for lower limb amputations in countries at war, but underlines the problems of late secondary closure and prosthetic fitting related to decreased sanitary conditions.

  2. A first measurement of the charged current DIS cross sections with longitudinally polarised electrons in the H1 experiment at HERA

    Energy Technology Data Exchange (ETDEWEB)

    Antunovic, B.

    2007-07-01

    The analysis presented in this thesis is based on data from electron-proton collisions with longitudinally polarised electron beams at a centre-of-mass energy of {radical}(s)=319 GeV. The data were taken with the H1 detector at the HERA collider in the year 2005 corresponding to two polarisation states: a left-handed electron polarisation of -27% and a right-handed electron polarisation of +37%, corresponding to integrated luminosities of 68.6 pb{sup -1} and 29.6 pb{sup -1}, respectively. The inclusive total deep inelastic charged current cross section and the differential cross sections are measured for both helicities in the kinematic domain Q{sup 2}>400 GeV{sup 2} and y<0.9. The entire analysis chain necessary for the determination of the cross sections is described with emphasis on the understanding of the performance of the Liquid Argon trigger system. The experimental results obtained are consistent with the predictions of the Standard Model. In particular, the measurement of the total polarised charged current cross section confirms the Standard Model expectation that there are no weak charged current interactions mediated by a hypothetical right-handed W boson. In addition, a measurement of the charged current structure function F{sup cc}{sub 2} has been performed at the H1 experiment for the first time. The measurements are well described by the theoretical expectations based on parton distributions derived from inclusive neutral current measurements in H1, and are in agreement with published data from the ZEUS (e{sup {+-}}p) and CCFR (anti {nu}{sub {mu}}Fe) experiments. (orig.)

  3. The Brainstem and Serotonin in the Sudden Infant Death Syndrome

    Science.gov (United States)

    Kinney, Hannah C.; Richerson, George B.; Dymecki, Susan M.; Darnall, Robert A.; Nattie, Eugene E.

    2012-01-01

    The sudden infant death syndrome (SIDS) is the sudden death of an infant under one year of age that is typically associated with sleep and that remains unexplained after a complete autopsy and death scene investigation. A leading hypothesis about its pathogenesis is that many cases result from defects in brainstem-mediated protective responses to homeostatic stressors occurring during sleep in a critical developmental period. Here we review the evidence for the brainstem hypothesis in SIDS with a focus upon abnormalities related to the neurotransmitter serotonin in the medulla oblongata, as these are the most robust pathologic findings to date. In this context, we synthesize the human autopsy data with genetic, whole-animal, and cellular data concerning the function and development of the medullary serotonergic system. These emerging data suggest an important underlying mechanism in SIDS that may help lead to identification of infants at risk and specific interventions to prevent death. PMID:19400695

  4. Sudden cardiac death and coronary disease in the young

    DEFF Research Database (Denmark)

    Zachariasardóttir, Sára; Risgaard, Bjarke; Ågesen, Frederik Nybye

    2017-01-01

    BACKGROUND: Sudden cardiac death caused by coronary artery disease (CAD-SCD) is the most frequent cause of SCD in persons ... have previously identified all sudden cardiac deaths in Denmark through review of death certificates and autopsy reports including all deaths between 2000 and 2006 in individuals aged 18-35years and all deaths between 2007 and 2009 in individuals aged 18-49years. In this study we included the 197...... to death. CONCLUSION: This nationwide study found several differences in the pathologic lesions of the heart in victims aged 18-35 and 36-49years, which might be associated with different disease progression leading to death in these age groups. We also report a high frequency of cardiac symptoms prior...

  5. Left ventricular cardiac myxoma and sudden death in a dog.

    Science.gov (United States)

    de Nijs, Maria Irene; Vink, Aryan; Bergmann, Wilhelmina; Szatmári, Viktor

    2016-06-22

    Myxoma is a very rare benign cardiac tumor in dogs. This is the first description of a cardiac myxoma originating from the left ventricular outflow tract, presumably causing sudden death. A previously healthy 12-year-old male West Highland white terrier was found dead during its 1-week stay in a kennel. The dog was known to have a cardiac murmur. On necropsy, a pedunculated neoplasia was found attached to the interventricular aspect of the left ventricular outflow tract, resulting in almost complete obstruction of the aorta. As this was the only abnormality identified, the tumor was considered as the cause of sudden death. Histopathologic findings were compatible with a myxoma. Benign intraluminal tumors of the heart are very rare in dogs, but may have fatal consequences. Echocardiography could have revealed the cause of the cardiac murmur of this previously asymptomatic dog. Surgical removal could have been possible, as the tumor was pedunculated.

  6. Sudden infant death syndrome: an unrecognized killer in developing countries

    Directory of Open Access Journals (Sweden)

    Ndu IK

    2016-02-01

    Full Text Available Ikenna Kingsley Ndu Department of Paediatrics, Enugu State University Teaching Hospital, Enugu, Nigeria Abstract: Sudden infant death syndrome (SIDS is defined as the sudden unexpected death of an infant <1 year of age, with onset of the fatal episode apparently occurring during sleep, that remains unexplained after a thorough investigation including performance of a complete autopsy and review of the circumstances of death and the clinical history. SIDS contributes to infant mortality and resulted in ~15,000 deaths globally in 2013. Most of the risk factors of SIDS are common in developing countries; yet, there has been little interest in SIDS by researchers in Africa. This review looks at the extent of the attention given to SIDS in a developing country like Nigeria, and factors responsible for the scarce data concerning this significant cause of mortality. Keywords: SIDS, mortality, Nigeria

  7. Sudden change of geometric quantum discord in finite temperature reservoirs

    Energy Technology Data Exchange (ETDEWEB)

    Hu, Ming-Liang, E-mail: mingliang0301@163.com; Sun, Jian

    2015-03-15

    We investigate sudden change (SC) behaviors of the distance-based measures of geometric quantum discords (GQDs) for two non-interacting qubits subject to the two-sided and the one-sided thermal reservoirs. We found that the GQDs defined by different distances exhibit different SCs, and thus the SCs are the combined result of the chosen discord measure and the property of a state. We also found that the thermal reservoir may generate states having different orderings related to different GQDs. These inherent differences of the GQDs reveal that they are incompatible in characterizing quantum correlations both quantitatively and qualitatively. - Highlights: • Comparable study of different distance-based geometric quantum discords. • Evolution of the geometric quantum discords in finite temperature reservoirs. • Different geometric quantum discords exhibit distinct sudden changes. • Nonunique states ordering imposed by different geometric quantum discords.

  8. Sudden death in a young patient with atrial fibrillation

    Directory of Open Access Journals (Sweden)

    María Tamargo

    2017-08-01

    Full Text Available Sudden cardiac death (SCD in young patients without structural heart disease is frequently due to inherited channelopathies such as long QT syndrome (LQTS, Brugada syndrome or Catecholaminergic polymorphic ventricular tachycardia. Accordingly, the addition of genetic testing to clinical data may be useful to identify the cause of the sudden death in this population. Mutations in the KCNQ1 encoded Kv7.1 channel are related to type 1 LQTS, familial atrial fibrillation (AF, short QT syndrome, and SCD. We present a clinical case where the presence of AF after resuscitation in a young man with cardiac arrest was the key clinical data to suspect an inherited disorder and genetic testing was the main determinant for identifying the cause of the cardiac arrest. The KCNQ1 p.Arg231His mutation explained the combined phenotype of AF and susceptibility to ventricular arrhythmias. The case highlights the importance of continued research in genetics and molecular mechanisms of channelopathies.

  9. Two-phase flow experiments on Counter-Current Flow Limitation in a model of the hot leg of a pressurized water reactor (2015 test series)

    Energy Technology Data Exchange (ETDEWEB)

    Beyer, Matthias; Lucas, Dirk; Pietruske, Heiko; Szalinski, Lutz

    2016-12-15

    Counter-Current Flow Limitation (CCFL) is of importance for PWR safety analyses in several accident scenarios connected with loss of coolant. Basing on the experiences obtained during a first series of hot leg tests now new experiments on counter-current flow limitation were conducted in the TOPFLOW pressure vessel. The test series comprises air-water tests at 1 and 2 bar as well as steam-water tests at 10, 25 and 50 bar. During the experiments the flow structure was observed along the hot leg model using a high-speed camera and web-cams. In addition pressure was measured at several positions along the horizontal part and the water levels in the reactor-simulator and steam-generator-simulator tanks were determined. This report documents the experimental setup including the description of operational and special measuring techniques, the experimental procedure and the data obtained. From these data flooding curves were obtained basing on the Wallis parameter. The results show a slight shift of the curves in dependency of the pressure. In addition a slight decrease of the slope was found with increasing pressure. Additional investigations concern the effects of hysteresis and the frequencies of liquid slugs. The latter ones show a dependency on pressure and the mass flow rate of the injected water. The data are available for CFD-model development and validation.

  10. Aetiology of sudden cardiac death in sport: a histopathologist's perspective.

    Science.gov (United States)

    Sheppard, Mary N

    2012-11-01

    In the UK, when a young person dies suddenly, the coroner is responsible for establishing the cause of death. They will ask a consultant pathologist to carry out an autopsy in order to ascertain when, where and how that person died. Once the cause of death is established and is due to natural causes, the coroner can issue a death certificate. Importantly, the coroner is not particularly interested in the cause of death as long as it is due to natural causes, which avoids the need for an inquest (a public hearing about the death). However, if no identifiable cause is established at the initial autopsy, the coroner can refer the heart to a cardiac pathologist, since the cause of death is usually due to heart disease in most cases. Consultant histopathologists are responsible for the analysis of human tissue from both living individuals and the dead in order to make a diagnosis of disease. With recent advancements in the management protocols for routine autopsy practice and assessment following the sudden death of a young individual, this review describes the role of the consultant histopathologist in the event of a sudden death of a young athletic individual, together with the older middle-aged 'weekend warrior' athlete. It provides concise mechanisms for the main causes of sudden cardiac death (including coronary artery disease, cardiomyopathies, valve abnormalities, major vessel ruptures and electrical conduction abnormalities) based on detailed autopsy data from our specialised cardiac pathology laboratory. Finally, the review will discuss the role of the histopathologist in the event of a 'negative' autopsy.

  11. Melatonin concentrations in the sudden infant death syndrome

    Science.gov (United States)

    Sturner, W. Q.; Lynch, H. J.; Deng, M. H.; Gleason, R. E.; Wurtman, R. J.

    1990-01-01

    The melatonin levels in various body fluids of the sudden infant death syndrome (SIDS) infants are compared with those of infants of comparable age who died of other causes to examine a possible relationship between pineal function and SIDS. After adjusting for age differences, cerebrospinal fluid melatonin levels are found to be significantly lower in the SIDS infants. It is suggested that diminished melatonin production may be characteristic of SIDS and could represent an impairment in the maturation of physiologic circadian organization.

  12. Sudden Onset Abdominal Pain in A 42yo Male

    Science.gov (United States)

    2017-03-16

    MURRAY FROM: 59 MDW/SGVU SUBJECT: Professional Presentation Approval 15MAR2017 1. Your paper, entitled Sudden Onset Abdominal Pain in A 42yo Male...papers, posters. etc .• should contain the following disclaimer statement for research involving animals . as required by AFMAN 40-401 IP: " The e...Care and Use of Laboratory Animals and the Animal Welfare Act of 1966, as amended." 59 MOW FORM 3039, 20160628 Prescribed by 59 MDWI 41 -108

  13. When, catastrophe happens. Assessment and intervention after sudden traumatic death.

    Science.gov (United States)

    DeRanieri, Joseph T; Clements, Paul T; Henry, Gloria C

    2002-04-01

    The goals of grief after sudden traumatic death is to acknowledge the loss, identify the changes the loss will have in the co-victim's life, and reinvest in life within the new structure. Although these goals seem simple, there is no definitive timeline for when these tasks will be engaged and completed by each of the family members. The pathway and time frame for each co-victim may differ.

  14. [Sudden cervical hematoma after hypertensive crisis. Report of a case].

    Science.gov (United States)

    Pino Rivero, V; Pantoja Hernández, C G; González Palomino, A; Pardo Romero, G; Trinidad Ramos, G; Montero García, C; Blasco Huelva, A

    2006-01-01

    We report the case ofa 61 years old woman with multiple pathologies: HTA, diabetes, relapsing polychondritis, hypercholesterolemia, iatrogenic Cushing, cardiopathy, cystic fibrosis, etc. She began, an increment of TA (220/130 mm Hg) or hypertensive crisis, with a sudden left cervical hematoma located on the carotid bifurcation according to CT imaging. We oractice an arteriography that was informed as normal and the patient was admitted and controlled of an ORL as Vascular Surgeon. The bleeding stop spontaneously we treat the patient conservativity.

  15. Munchausen Syndrome: A Case with Presenting Sudden Hearing Loss

    Directory of Open Access Journals (Sweden)

    Murat Ozturk

    2013-04-01

    Full Text Available Munchausen syndrome is a psychiatric disorder that patients direct professionals with plausible, feigned, factitious symptoms. It%u2019s uncommon in otolaryngology clinics. We present a patient, complaint with sudden hearing loss and vertigo, and who underwent additional medical and invasive treatment in this paper. Patients with Munchausen syndrome allow invasive medical care easily, and they can be very convincing. It has to be diagnosed and kept in mind because of avoiding from unnecessary treatment.

  16. Observations of Stratospheric Sudden Warmings in Earth Rotation Variations

    OpenAIRE

    Neef, Lisa Johanna; Walther, Sophia; Matthes, Katja; Kodera, Kunihiko

    2014-01-01

    Stratospheric sudden warmings (SSWs) are extreme events in the polar stratosphere that are both caused by and have effects on the tropospheric flow. This means that SSWs are associated with changes in the angular momentum of the atmosphere, both before and after their onset. Because these angular momentum changes are transferred to the solid Earth, they can be observed in the rate of the Earth's rotation and the wobble of its rotational pole. By comparing observed Earth rotation variations to...

  17. Wave vector modification of the infinite order sudden approximation

    Science.gov (United States)

    Sachs, Judith Grobe; Bowman, Joel M.

    1980-10-01

    A simple method is proposed to modify the infinite order sudden approximation (IOS) in order to extend its region of quantitative validity. The method involves modifying the phase of the IOS scattering matrix to include a part calculated at the outgoing relative kinetic energy as well as a part calculated at the incoming kinetic energy. An immediate advantage of this modification is that the resulting S matrix is symmetric. We also present a closely related method in which the relative kinetic energies used in the calculation of the phase are determined from quasiclassical trajectory calculations. A set of trajectories is run with the initial state being the incoming state, and another set is run with the initial state being the outgoing state, and the average final relative kinetic energy of each set is obtained. One part of the S-operator phase is then calculated at each of these kinetic energies. We apply these methods to vibrationally inelastic collinear collisions of an atom and a harmonic oscillator, and calculate transition probabilities Pn1→nf for three model systems. For systems which are sudden, or nearly so, the agreement with exact quantum close-coupling calculations is substantially improved over standard IOS ones when Δn=‖nf-ni‖ is large, and the corresponding transition probability is small, i.e., less than 0.1. However, the modifications we propose will not improve the accuracy of the IOS transition probabilities for any collisional system unless the standard form of IOS already gives at least qualitative agreement with exact quantal calculations. We also suggest comparisons between some classical quantities and sudden predictions which should help in determining the validity of the sudden approximation. This is useful when exact quantal data is not available for comparison.

  18. Underestimation of sudden deaths among patients with seizures and epilepsy.

    Science.gov (United States)

    Devinsky, Orrin; Friedman, Daniel; Cheng, Jocelyn Y; Moffatt, Ellen; Kim, Anthony; Tseng, Zian H

    2017-08-29

    To determine the definite and potential frequency of seizures and epilepsy as a cause of death (COD) and how often this goes unrecognized. Prospective determination of seizures or epilepsy and final COD for individuals aged 18-90 years with out-of-hospital sudden cardiac deaths (SCDs) from the population-based San Francisco POST SCD Study. We compared prospective seizure or epilepsy diagnosis and final COD as adjudicated by a multidisciplinary committee (pathologists, electrophysiologists, and a vascular neurologist) vs retrospective adjudication by 2 epileptologists with expertise in seizure-related mortality. Of 541 SCDs identified during the 37-month study period (mean age 62.8 years, 69% men), 525 (97%) were autopsied; 39/525 (7.4%) had seizures or epilepsy (mean age: 58 years, range: 27-92; 67% men), comprising 17% of 231 nonarrhythmic sudden deaths. The multidisciplinary team identified 15 cases of epilepsy, 6 sudden unexpected deaths in epilepsy (SUDEPs), and no deaths related to acute symptomatic seizures. The epileptologists identified 25 cases of epilepsy and 8 definite SUDEPs, 10 possible SUDEPs, and 5 potential cases of acute symptomatic seizures as a COD. Among the 25 patients identified with epilepsy by the epileptologists, they found definite or possible SUDEP in 72% (18/25) vs 24% (6/25) by the multidisciplinary group (6/15 cases they identified with epilepsy). The epileptologists identified acute symptomatic seizures as a potential COD in 5/14 patients with alcohol-related seizures. Epilepsy is underdiagnosed among decedents. Among patients with seizures and epilepsy who die suddenly, seizures and SUDEP often go unrecognized as a potential or definite COD. © 2017 American Academy of Neurology.

  19. Adult sudden death caused by aspiration of chewing gum.

    Science.gov (United States)

    Njau, S N

    2004-01-28

    A case of a fatal foreign material aspiration is presented in the following text. A 24-year-old white male died suddenly. A piece of chewing gum lodged in a pool of frothy fluid was revealed at autopsy. Microscopic examinations revealed atelectasia emphysema, eosinophilic exudate and empty spaces. Blood and urine samples were analyzed, for alcohol and drug use by fluorescence polarization immunoassay (FPIA) on an Abbott AXSYM system. No alcohol or other drugs were detected in blood or urine.

  20. Giant left anterior descending artery aneurysm resulting in sudden death

    Directory of Open Access Journals (Sweden)

    Chan-Hee Lee

    2016-07-01

    Full Text Available Coronary artery aneurysm is a rare congenital or vascular inflammation-based anomaly for which the clinical course and optimal timing of treatment remain unclear. Here, we report a case of sudden death caused by a giant coronary artery aneurysm of the left anterior descending artery that presented with chest pain. This case suggests that urgent interventional or surgical repair is needed when a large coronary aneurysm presents with acute ischemic symptoms.