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Sample records for erie intensive study

  1. The Gutenberg Health Study: measuring psychosocial factors at work and predicting health and work-related outcomes with the ERI and the COPSOQ questionnaire.

    Science.gov (United States)

    Nuebling, Matthias; Seidler, Andreas; Garthus-Niegel, Susan; Latza, Ute; Wagner, Mandy; Hegewald, Janice; Liebers, Falk; Jankowiak, Sylvia; Zwiener, Isabella; Wild, Philipp S; Letzel, Stephan

    2013-06-04

    Several instruments have been developed to assess psychosocial workload. We compared two of these instruments, the Effort-Reward Imbalance (ERI) model and the Copenhagen Psychosocial Questionnaire (COPSOQ) with regard to congruent validity and internal validity. This analysis is based on a population-based sample of the baseline examination of 2,783 employees from the Gutenberg Health Study (GHS). About half of the participants completed the ERI questionnaire (n = 1,342), the other half completed the COPSOQ (n = 1,441). First, the two samples were compared and descriptive analyses were carried out calculating mean values for both instruments in general, then separately for age, gender and main occupational groups. Second, we analyzed the relationship between ERI and COPSOQ scales on the workplace situation and on the workplace outcomes: job satisfaction, general health, burnout, satisfaction with life, by applying stepwise logistic regression analysis. For the majority of occupations, high effort as reflected by the ERI corresponded with high demands as reflected by the COPSOQ. Comparably, high reward (according to ERI) yielded a good agreement with high "influence and development" (according to COPSOQ). However, we could also find differences between ERI and COPSOQ concerning the intensity of psychosocial workload in some occupations (e.g., physicians/pharmacists or warehouse managers/warehousemen/transport workers). These differences point to differing theoretical concepts of ERI and COPSOQ. When the ability of ERI and COPSOQ was examined to determine the associations with health and work outcomes, burnout could be better predicted by the COPSOQ; this might be due to the fact that COPSOQ comprises the constructs "work-privacy conflict" and "emotional demand", which are closely related to burnout. However, methodological differences between these instruments limit their direct comparability. The ERI and COPSOQ instrument yielded similar results for most

  2. A preliminary study of the Hg flux from selected Ohio watersheds to Lake Erie

    International Nuclear Information System (INIS)

    Fitzgibbon, T.O.; Berry Lyons, W.; Gardner, Christopher B.; Carey, Anne E.

    2008-01-01

    New measurements of riverine dissolved and particulate Hg fluxes into Lake Erie from 12 northern Ohio watersheds have been determined from samples collected in April 2002 and analyzed using ultra-clean techniques with cold-vapor atomic fluorescence spectrometry. Total Hg concentrations ranged through 2.5-18.5 ng L -1 , with a mean of 10.4 ng L -1 with most Hg in particulate form. Dissolved Hg concentrations ranged through 0.8-4.3 ng L -1 , with a mean of 2.5 ng L -1 . Highest total Hg concentrations were observed in western rivers with primarily agricultural land use and eastern rivers with mixed land use in their watersheds. Total suspended solid concentrations ranged through 10-180 mg L -1 with particulate Hg concentrations ranging through 47-170 ng g -1 , with a mean of 99 ng g -1 . Particulate Hg was similar to published data for central Lake Erie bottom sediments but much lower than for bottom sediments in western Lake Erie. Total Hg concentrations were positively correlated with suspended sediment concentrations and negatively with dissolved NO 3 - concentrations. The total estimated annual Hg fluxes from these rivers into Lake Erie is estimated to be 85 kg, but because only one event was sampled during high flow conditions, this may be an overestimate. This is much lower than previous published estimates of riverine Hg input into Lake Erie

  3. Increasingly, Data Availability Limits Model Predictive Capacity: the Western Lake Erie Basin, a Case Study

    Science.gov (United States)

    Behrman, K. D.; Johnson, M. V. V.; Atwood, J. D.; Norfleet, M. L.

    2016-12-01

    Recent algal blooms in Western Lake Erie Basin (WLEB) have renewed scientific community's interest in developing process based models to better understand and predict the drivers of eutrophic conditions in the lake. At the same time, in order to prevent future blooms, farmers, local communities and policy makers are interested in developing spatially explicit nutrient and sediment management plans at various scales, from field to watershed. These interests have fueled several modeling exercises intended to locate "hotspots" in the basin where targeted adoption of additional agricultural conservation practices could provide the most benefit to water quality. The models have also been used to simulate various scenarios representing potential agricultural solutions. The Soil and Water Assessment Tool (SWAT) and its sister model, the Agricultural Policy Environmental eXtender (APEX), have been used to simulate hydrology of interacting land uses in thousands of scientific studies around the world. High performance computing allows SWAT and APEX users to continue to improve and refine the model specificity to make predictions at small-spatial scales. Consequently, data inputs and calibration/validation data are now becoming the limiting factor to model performance. Water quality data for the tributaries and rivers that flow through WLEB is spatially and temporally limited. Land management data, including conservation practice and nutrient management data, are not publicly available at fine spatial and temporal scales. Here we show the data uncertainties associated with modeling WLEB croplands at a relatively large spatial scale (HUC-4) using site management data from over 1,000 farms collected by the Conservation Effects Assessment Project (CEAP). The error associated with downscaling this data to the HUC-8 and HUC-12 scale is shown. Simulations of spatially explicit dynamics can be very informative, but care must be taken when policy decisions are made based on models

  4. Liikennesuunnittelu eri kaavoitusvaiheissa

    OpenAIRE

    Verkamo, Harri

    2008-01-01

    Tässä insinöörityössä kartoitettiin eri kaavavaiheiden liikennesuunnitelmia ja niiden sisältöä. Kartoituksen pohjalta laadittiin ohjeistus Helsingin kaupunkisuunnitteluviraston liikennesuunnitteluosastolle. Nykyään kaupunkisuunnitteluvirastossa ei ole ohjeita suunnittelijoiden avuksi eri kaavavaiheiden liikennesuunnitelmien laadintaan, mutta sellaiselle on selkeä tarve. Johdonmukaisella ohjeistuksella saadaan luotua yhtenäisempi käytäntö eri kaavavaiheiden liikennesuunnitelmien laatimiselle. ...

  5. Biogenic Aerosol - Effect on Clouds and Climate (BAECC-ERI). Extended Radiosonde Intensive Operational Period Final Campaign Summary

    Energy Technology Data Exchange (ETDEWEB)

    Nicoll, Ken A. [Univ. of Reading (United Kingdom); O' Connor, E. [Univ. of Helsinki (Finland)

    2016-02-01

    Large-scale properties of clouds such as lifetime, optical thickness, and precipitation are all dependent on small-scale cloud microphysical processes. Such processes determine when droplets will grow or shrink, their size, and the number of cloud droplets. Although our understanding of cloud microphysics has vastly improved over the past several decades with the development of remote sensing methods such as lidar and radar, there remain a number of processes that are not well understood, such as the effect of electrical charge on cloud microphysics. To understand the various processes and feedback mechanisms, high-vertical–resolution observations are required. Radiosondes provide an ideal platform for providing routine vertical profiles of in situ measurements at any location (with a vertical resolution of a few meters). Modified meteorological radiosondes have been extensively developed at the University of Reading for measuring cloud properties, to allow measurements beyond the traditional thermodynamic quantities (pressure, temperature and relative humidity) to be obtained cost-effectively. This project aims to investigate a number of cloud processes in which in situ cloud observations from these modified radiosondes can provide information either complementary to or not obtainable by lidar/radar systems. During two intensive operational periods (IOPs) in May and August 2014 during deployment to Hyytiälä, Finland, the Atmospheric Radiation Measurement (ARM) Climate Research Facility’s Second ARM Mobile Facility (AMF2) launched a total of 24 instrumented radiosondes through a number of different cloud types ranging from low-level stratiform cloud to cumulonimbus. Twelve balloon flights of an accelerometer turbulence sensor were made, which detected significant turbulence on eleven of these flights. Most of the turbulent episodes encountered were due to convective processes, but several were associated with the transition from troposphere to stratosphere at

  6. Longshore water-current velocity and the potential for transport of contaminants—A pilot study in Lake Erie from Walnut Creek to Presque Isle State Park beaches, Erie, Pennsylvania, June and August 2015

    Science.gov (United States)

    Hittle, Elizabeth A.

    2017-04-20

    Bacteria-driven restrictions and (or) advisories on swimming at beaches in Presque Isle State Park (PISP), Erie, Pennsylvania, can occur during the summer months. One of the suspected sources of bacteria is sediment. A terrestrial sediment source to the west of PISP is Walnut Creek, which discharges to Lake Erie about 8.5 kilometers southwest of PISP Beach 1. On June 24, June 25, August 18, and August 19, 2015, synoptic surveys were conducted by the U.S. Geological Survey, in cooperation with the Pennsylvania Sea Grant, in Lake Erie between Walnut Creek and PISP Beach 1 to characterize the water-current velocity and direction to determine whether sediment from Walnut Creek could be affecting the PISP beaches. Water-quality data (temperature, specific conductance, and turbidity) were collected in conjunction with the synoptic surveys in June. Water-quality data (Escherichia coli [E. coli] bacteria, temperature, and turbidity) were collected about a meter from the shore (nearshore) on June 24, August 19, and after a precipitation event on August 11, 2015. Additionally, suspended sediment was collected nearshore on June 24 and August 11, 2015. Samples collected near Walnut Creek during all three bacterial sampling events contained higher counts than other samples. Counts steadily decreased from west to east, then increased about 1–2 kilometers from PISP Beach 1; however, this study was not focused on examining other potential sources of bacteria.The Velocity Mapping Toolbox (VMT) was used to process the water-current synoptic surveys, and the results were visualized within ArcMap. For the survey accomplished on June 24, 2015, potential paths a particle could take between Walnut Creek and PSIP Beach 1 if conditions remained steady over a number of hours were visualized. However, the water-current velocity and direction were variable from one day to the other, indicating this was likely an unrealistic assumption for the study area. This analysis was not accomplished

  7. Annotated Bibliography for Lake Erie. Volume I. Biological,

    Science.gov (United States)

    1974-10-01

    maculosa Le Sueur; calico bass, or Lake Erie bass, Pomoxis sparoides Lacepede. (SM) 52. Reardslee, Clark S. 1944. Bonapart’s gull on the Niagara...of the burbot, Lota lota maculosa (LeSueur), in Lake Erie. Trans. Am. Fish. Soc. 80:163-173. Growth studies were made on 2,329 Lake Erie burbot...almo -- hystus; whitefish, oe onus albus; common shad salmon, Coregonus a upelformis; aobony pike, Lepisosteus bison; spotted burbot, Lota maculosa ; and

  8. "Middletown" as a Model for Community Studies (With Comparative Data from Erie, Pennsylvania).

    Science.gov (United States)

    Frank, Carl M.

    1985-01-01

    In 1920 Robert S. and Helen M. Lynd published the results of their exhaustive study of everyday life in Muncie, Indiana, dubbing the city "Middletown" as a symbol of the typical American community. Salient conclusions of the study are summarized, and significant recent literature on Middletown is assessed. (RM)

  9. Thermal and Hydraulic Conditions Supporting the Recruitment of Asian Carp in Seiche Affected Rivers of Lake Erie Basin - A Case Study of the Lower Sandusky River in Ohio

    Science.gov (United States)

    Soong, D. T.; Santacruz, S.; Jones, L.; Garcia, T.; Kočovský, P. M.; Embke, H.

    2017-12-01

    Grass Carp Ctenopharyngodon idella (Cyprinidae) is an invasive fish species that spawns in rivers during high-flow events. In their native range, it is believed eggs must hatch within the riverine environment in order to eventually result in production of adult fish. The lower Sandusky River is approximately 26 km long extending from its confluence with Sandusky Bay upstream to the Ballville Dam, which is impassible for Grass Carp. Grass Carp are known to have spawned in the Sandusky River, a tributary to Lake Erie, in 2011, 2013, 2015, and 2017. This study characterizes the thermal and hydraulic conditions under which these eggs could hatch in the lower Sandusky River, a relatively short river reach for egg hatching. Grass Carp eggs collected in 2015 were previously analyzed for hatching locations using a one-dimensional steady-state HEC-RAS hydraulic model. In this study we refine estimates of hatching locations by incorporating the influence of fluctuating water levels downstream due to seiches in Lake Erie and overland and tributary inflows using an unsteady 1D/2D HEC-RAS hydraulic model. Additionally, conditions conducive to successful hatching, which occurs when eggs reach the hatching stage within the river, were analyzed from nine high-flow events between 2011 and 2015. Simulated hydraulic and water temperature data were used as inputs to the Fluvial Egg Drift Simulator (FluEgg) model, which was used to analyze the transport and dispersal of Grass carp eggs until hatching. We will describe the differences in steady- and unsteady-state hydraulic modeling in predicting hatching locations of Grass Carp eggs for the 2015 spawning events. Results will also include hydraulic and temperature variables that contribute to the successful/unsuccessful in-river hatching for the nine flow events simulated.

  10. The intense neutron generator study

    Energy Technology Data Exchange (ETDEWEB)

    Lewis, W B

    1966-07-01

    The study has confirmed that a beam of 65 mA of protons at 1000 MeV, striking a molten lead-bismuth target surrounded by heavy water moderator, would give the desired flux of 10{sup 16} thermal neutrons per cm{sup 2} per second to provide intense beams of neutrons and also to produce radioisotopes. The proton beam passing through a thin auxiliary target would also produce beams of mesons. The design and construction of the ion source, injector, accelerator, target and auxiliaries present challenging technical problems. Moreover, continued development for improved life and economy promises to be rewarding. The high neutron intensity is sought for research in solid and liquid state physics and also for nuclear physics. Participation by universities and industry, both in development and use, is expected to be extensive. (author)

  11. The intense neutron generator study

    International Nuclear Information System (INIS)

    Lewis, W.B.

    1966-01-01

    The study has confirmed that a beam of 65 mA of protons at 1000 MeV, striking a molten lead-bismuth target surrounded by heavy water moderator, would give the desired flux of 10 16 thermal neutrons per cm 2 per second to provide intense beams of neutrons and also to produce radioisotopes. The proton beam passing through a thin auxiliary target would also produce beams of mesons. The design and construction of the ion source, injector, accelerator, target and auxiliaries present challenging technical problems. Moreover, continued development for improved life and economy promises to be rewarding. The high neutron intensity is sought for research in solid and liquid state physics and also for nuclear physics. Participation by universities and industry, both in development and use, is expected to be extensive. (author)

  12. Ohio Lake Erie Commission Homepage

    Science.gov (United States)

    management of Lake Erie: including, water quality protection, fisheries management, wetlands restoration over 365 projects since 1993. Projects have focused on an array of issues critical to the effective quality of its waters and ecosystem, and to promote economic development of the region by ensuring the

  13. Novel 1,5,7-trihydroxy-3-hydroxy methyl anthraquinone isolated from terrestrial Streptomyces sp. (eri-26) with antimicrobial and molecular docking studies.

    Science.gov (United States)

    Duraipandiyan, V; Al-Dhabi, N A; Balachandran, C; Raj, M Karunai; Arasu, M Valan; Ignacimuthu, S

    2014-11-01

    Streptomyces sp. isolate ERI-26 was obtained from the Nilgiris forest soil of Western Ghats, Tamil Nadu, India. Novel anthraquinone compound was isolated from the active fraction 5; it was identified by spectroscopical data using UV, IR, NMR and MASS. The isolated compound 1,5,7-trihydroxy-3-hydroxy methyl anthraquinone was tested against bacteria and fungi at minimum inhibitory concentration level. The compound showed significant antimicrobial activity against bacteria, Staphylococcus aureus at 125 μg/ml, Staphylococcus epidermidis at 62.5 μg/m, Bacillus subtilis at 31.25 μg/ml, fungi; Epidermophyton floccosum at 62.5 μg/ml, Aspergillus niger at 31.25 μg/ml, Aspergiller flavus at 31.25 μg/ml, Trichophyton rubrum at 62.5 μg/ml and Botrytis cinerea at 62.5 μg/ml. The isolated compound was subjected to molecular docking studies for the inhibition of TtgR, topoisomerase IV and AmpC β-lactamase enzymes which are targets for antimicrobials. Docking studies of the compound showed low docking energy indicating its usefulness as antimicrobial agent. 1,5,7-Trihydroxy-3-hydroxy methyl anthraquinone is new, and its antimicrobial and molecular docking properties are reported for the first time.

  14. Evaluating the power to detect temporal trends in fishery independent surveys: A case study based on Gillnets Set in the Ohio waters of Lake Erie for walleye

    Science.gov (United States)

    Wagner, Tyler; Vandergoot, Christopher S.; Tyson, Jeff

    2009-01-01

    Fishery-independent (FI) surveys provide critical information used for the sustainable management and conservation of fish populations. Because fisheries management often requires the effects of management actions to be evaluated and detected within a relatively short time frame, it is important that research be directed toward FI survey evaluation, especially with respect to the ability to detect temporal trends. Using annual FI gill-net survey data for Lake Erie walleyes Sander vitreus collected from 1978 to 2006 as a case study, our goals were to (1) highlight the usefulness of hierarchical models for estimating spatial and temporal sources of variation in catch per effort (CPE); (2) demonstrate how the resulting variance estimates can be used to examine the statistical power to detect temporal trends in CPE in relation to sample size, duration of sampling, and decisions regarding what data are most appropriate for analysis; and (3) discuss recommendations for evaluating FI surveys and analyzing the resulting data to support fisheries management. This case study illustrated that the statistical power to detect temporal trends was low over relatively short sampling periods (e.g., 5–10 years) unless the annual decline in CPE reached 10–20%. For example, if 50 sites were sampled each year, a 10% annual decline in CPE would not be detected with more than 0.80 power until 15 years of sampling, and a 5% annual decline would not be detected with more than 0.8 power for approximately 22 years. Because the evaluation of FI surveys is essential for ensuring that trends in fish populations can be detected over management-relevant time periods, we suggest using a meta-analysis–type approach across systems to quantify sources of spatial and temporal variation. This approach can be used to evaluate and identify sampling designs that increase the ability of managers to make inferences about trends in fish stocks.

  15. Horizontal drilling under Lake Erie

    Energy Technology Data Exchange (ETDEWEB)

    Meller, R.

    2001-07-01

    Drilling oil wells under Lake Erie calls for horizontal drilling wells to be drilled from shore out into the pay-zone under the lake. The nature and characteristics of horizontal wells as compared to vertical wells are explored. Considerations that have to be taken into account in drilling horizontal wells are explained (the degree of curvature, drilling fluid quality, geosteering in the pay-zone, steering instrumentation, measurements while drilling (MWD), logging while drilling (LWD)). The concept and reasons for extended reach wells are outlined, along with characteristic features of multilateral wells.

  16. 75 FR 51379 - Safety Zone; Celebrate Erie, Presque Isle Bay, Erie, PA

    Science.gov (United States)

    2010-08-20

    ... display. DATES: This rule is effective from 9:30 p.m. until 10:30 p.m. on August 22, 2010. ADDRESSES...: Temporary final rule. SUMMARY: The Coast Guard is establishing a temporary safety zone on Presque Isle Bay... Presque Isle Bay in Erie, PA during the Celebrate Erie fireworks display, August 22, 2010. This temporary...

  17. 27 CFR 9.83 - Lake Erie.

    Science.gov (United States)

    2010-04-01

    ... on the islands of Lake Erie across the States of New York, Pennsylvania, and Ohio. The beginning... approximately one mile north of Rock Creek, Ohio. (7) The boundary proceeds southwestward, then westward, then... is reached which is due north of the easternmost point of Kelleys Island. (9) The boundary then...

  18. PHOTOLYTIC HAZES IN THE ATMOSPHERE OF 51 ERI B

    Energy Technology Data Exchange (ETDEWEB)

    Zahnle, K.; Marley, M. S. [NASA Ames Research Center, Moffett Field, CA 94035 (United States); Morley, C. V. [Department of Astronomy and Astrophysics, University of California, Santa Cruz, CA 95064 (United States); Moses, J. I., E-mail: Kevin.J.Zahnle@NASA.gov, E-mail: kzahnle@mail.arc.NASA.gov, E-mail: Mark.S.Marley@NASA.gov, E-mail: cmorley@ucolick.org, E-mail: jmoses@spacescience.org [Space Science Institute, 4750 Walnut Street, Suite 205, Boulder, CO 80301 (United States)

    2016-06-20

    We use a 1D model to address photochemistry and possible haze formation in the irradiated warm Jupiter, 51 Eridani b. The intended focus was to be carbon, but sulfur photochemistry turns out to be important. The case for organic photochemical hazes is intriguing but falls short of being compelling. If organic hazes form, they are likeliest to do so if vertical mixing in 51 Eri b is weaker than in Jupiter, and they would be found below the altitudes where methane and water are photolyzed. The more novel result is that photochemistry turns H{sub 2}S into elemental sulfur, here treated as S{sub 8}. In the cooler models, S{sub 8} is predicted to condense in optically thick clouds of solid sulfur particles, while in the warmer models S{sub 8} remains a vapor along with several other sulfur allotropes that are both visually striking and potentially observable. For 51 Eri b, the division between models with and without condensed sulfur is at an effective temperature of 700 K, which is within error its actual effective temperature; the local temperature where sulfur condenses is between 280 and 320 K. The sulfur photochemistry we have discussed is quite general and ought to be found in a wide variety of worlds over a broad temperature range, both colder and hotter than the 650–750 K range studied here, and we show that products of sulfur photochemistry will be nearly as abundant on planets where the UV irradiation is orders of magnitude weaker than it is on 51 Eri b.

  19. Targets set to reduce Lake Erie algae

    Science.gov (United States)

    Evans, Mary

    2016-01-01

    In February 2016, the Great Lakes Executive Committee, which oversees the implementation of the Great Lakes Water Quality Agreement (GLWQA) between the U.S. and Canada, approved phosphorus loading targets for Lake Erie to reduce the size of harmful algal blooms (HABs), reduce the presence of the low oxygen zone in the central basin, and protect nearshore water quality. The targets are set with respect to the nutrient loads calculated for 2008. To reduce the impacts of HABs on Lake Erie a target was set of a 40 percent reduction in total and soluble reactive phosphorus loads in the spring from two Canadian rivers and several Michigan and Ohio rivers, especially the Maumee River (https://binational.net/2016/02/22/ finalptargets-ciblesfinalesdep/). States and the province of Ontario are already developing Domestic Action Plans to accomplish the reductions and scientists are developing research and monitoring plans to assess progress.

  20. Zebra mussels invade Lake Erie muds

    Science.gov (United States)

    Berkman, Paul Arthur; Haltuch, Melissa A.; Tichich, Emily; Garton, David W.; Kennedy, Gregory W.; Gannon, John E.; Mackey, Scudder D.; Fuller, Jonathan A.; Liebenthal, Dale L.

    1998-01-01

    Zebra mussels (Dreissena polymorpha) originated in western Russia but have now become widespread in Europe and North America. They are widely known for their conspicuous invasion of rocks and other hard substrates in North American and European watersheds. We have found beds of zebra mussels directly colonizing sand and mud sediments each year across hundreds of square kilometres of North America's Lake Erie. This transformation of sedimentary habitats into mussel beds represents an unforeseen change in the invasive capacity of this species.

  1. Storage-Intensive Supercomputing Benchmark Study

    Energy Technology Data Exchange (ETDEWEB)

    Cohen, J; Dossa, D; Gokhale, M; Hysom, D; May, J; Pearce, R; Yoo, A

    2007-10-30

    Critical data science applications requiring frequent access to storage perform poorly on today's computing architectures. This project addresses efficient computation of data-intensive problems in national security and basic science by exploring, advancing, and applying a new form of computing called storage-intensive supercomputing (SISC). Our goal is to enable applications that simply cannot run on current systems, and, for a broad range of data-intensive problems, to deliver an order of magnitude improvement in price/performance over today's data-intensive architectures. This technical report documents much of the work done under LDRD 07-ERD-063 Storage Intensive Supercomputing during the period 05/07-09/07. The following chapters describe: (1) a new file I/O monitoring tool iotrace developed to capture the dynamic I/O profiles of Linux processes; (2) an out-of-core graph benchmark for level-set expansion of scale-free graphs; (3) an entity extraction benchmark consisting of a pipeline of eight components; and (4) an image resampling benchmark drawn from the SWarp program in the LSST data processing pipeline. The performance of the graph and entity extraction benchmarks was measured in three different scenarios: data sets residing on the NFS file server and accessed over the network; data sets stored on local disk; and data sets stored on the Fusion I/O parallel NAND Flash array. The image resampling benchmark compared performance of software-only to GPU-accelerated. In addition to the work reported here, an additional text processing application was developed that used an FPGA to accelerate n-gram profiling for language classification. The n-gram application will be presented at SC07 at the High Performance Reconfigurable Computing Technologies and Applications Workshop. The graph and entity extraction benchmarks were run on a Supermicro server housing the NAND Flash 40GB parallel disk array, the Fusion-io. The Fusion system specs are as follows

  2. Evaluating the power to detect temporal trends in fishery-independent time surveys: A case study based on gill nets set in the Ohio waters of Lake Erie for walleyes

    Science.gov (United States)

    Wagner, Tyler; Vandergoot, Christopher S.; Tyson, Jeff

    2011-01-01

    Fishery-independent (FI) surveys provide critical information used for the sustainable management and conservation of fish populations. Because fisheries management often requires the effects of management actions to be evaluated and detected within a relatively short time frame, it is important that research be directed toward FI survey evaluation, especially with respect to the ability to detect temporal trends. Using annual FI gill-net survey data for Lake Erie walleyes Sander vitreus collected from 1978 to 2006 as a case study, our goals were to (1) highlight the usefulness of hierarchical models for estimating spatial and temporal sources of variation in catch per effort (CPE); (2) demonstrate how the resulting variance estimates can be used to examine the statistical power to detect temporal trends in CPE in relation to sample size, duration of sampling, and decisions regarding what data are most appropriate for analysis; and (3) discuss recommendations for evaluating FI surveys and analyzing the resulting data to support fisheries management. This case study illustrated that the statistical power to detect temporal trends was low over relatively short sampling periods (e.g., 5–10 years) unless the annual decline in CPE reached 10–20%. For example, if 50 sites were sampled each year, a 10% annual decline in CPE would not be detected with more than 0.80 power until 15 years of sampling, and a 5% annual decline would not be detected with more than 0.8 power for approximately 22 years. Because the evaluation of FI surveys is essential for ensuring that trends in fish populations can be detected over management-relevant time periods, we suggest using a meta-analysis–type approach across systems to quantify sources of spatial and temporal variation. This approach can be used to evaluate and identify sampling designs that increase the ability of managers to make inferences about trends in fish stocks.

  3. Occurrence of zebra mussels in near-shore areas of western Lake Erie

    Science.gov (United States)

    Custer, Christine M.; Custer, T.W.

    1997-01-01

    Zebra mussels (Dreissena polymorpha) invaded the Great Lakes in the mid-1980s and quickly reached high densities. The objective of this study was to determine current consumption of zebra mussels by waterfowl in the Great Lakes region. Feeding Lesser Scaups (Aythya affinis), Greater Scaups (A. marila), Canvasbacks (A. valisineria), Redheads (A. americana), Buffleheads (Bucephala albeola) and Common Goldeneyes (B. clangula) were collected in western Lake Erie and in Lake St. Clair between fall and spring, 1992-1993 to determine food habits. All 10 Redheads, 97% of Lesser Scaups, 83% of Goldeneyes, 60% of Buffleheads and 9% of Canvasbacks contained one or more zebra mussels in their upper gastrointestinal tracts. The aggregate percent of zebra mussels in the diet of Lesser Scaups was higher in Lake Erie (98.6%) than in Lake St. Clair (54.4%). Zebra mussels, (aggregate percent) dominated the diet of Common Goldeneyes (79.2%) but not in Buffleheads (23.5%), Redheads (21%) or Canvasbacks (9%). Lesser Scaups from Lake Erie fed on larger zebra mussels ( = 10.7 i?? 0.66 mm SE) than did Lesser Scaups from Lake St. Clair ( = 4.4 i?? 0.22 mm). Lesser Scaups, Buffleheads and Common Goldeneyes from Lake Erie consumed zebra mussels of similar size.

  4. Eri silkworm: a source of edible oil with a high content of α-linolenic acid and of significant nutritional value.

    Science.gov (United States)

    Longvah, Thingnganing; Manghtya, Korra; Qadri, Syed S Y H

    2012-07-01

    The study was undertaken to provide value addition to spent eri silkworm as an alternative source of edible oil for the food and feed industry by carrying out a short-term nutritional and toxicological evaluation of eri silkworm pupae oil using Wistar NIN rats. Growth performance of rats fed either sunflower oil (Control) or eri silkworm pupae oil (Experimental) was comparable. Histopathological examination of the various tissues showed no signs of toxicity even after feeding the eri silkworm oil for 18 weeks. Serum cholesterol and triglyceride was significantly reduced (P oil. The study showed that eri silkworm pupae oil is safe and nutritionally equivalent to commonly used vegetable oils. Eri silkworm pupae can be harvested to provide a cost effective alternative edible oil that can be used to nutritional advantage in the food and feed industry. Therefore eri silkworm and its host plants offer an excellent example of multiple product crops and of sustainable agricultural practice with excellent opportunity for economic and nutritional benefits. Copyright © 2012 Society of Chemical Industry.

  5. Intelligent transportation system (ITS) study for the Buffalo and Niagara Falls metropolitan area, Erie and Niagara Counties, New York : functional requirements, working paper #4

    Science.gov (United States)

    1997-06-18

    This paper is the fourth in a series that together will comprise an Intelligent Transportation System (ITS) Study for the Buffalo / Niagara Falls region. This document presents the market packages for the deployment of the Buffalo/Niagara Falls area ...

  6. 2013 Asia-Pacific Education Research Institutes Network (ERI-Net) Regional Study on Transversal Competencies in Education Policy & Practice (Phase I). Regional Synthesis Report

    Science.gov (United States)

    Yoko, Satoko

    2015-01-01

    This report provides an understanding of how transversal competencies are viewed, implemented, and adapted in education policy and curriculum across the Asia-Pacific region. The publication consolidates the results of ten country studies carried out in 2013-2014 in ten countries and economies of the Asia-Pacific region, including: Australia; China…

  7. Intelligent transportation system (ITS) study for the Buffalo and Niagara Falls metropolitan area, Erie and Niagara Counties, New York : objectives, performance criteria & user service plan, working paper #3

    Science.gov (United States)

    1997-06-18

    This paper is the third in a series that together will comprise an Intelligent Transportation System Study (ITS) for the Buffalo/Niagara Falls region. In this document, the problems identified in Working Paper #1 are critically reviewed to develop go...

  8. Internal loading of phosphorus in western Lake Erie

    Science.gov (United States)

    Matisoff, Gerald; Kaltenberg, Eliza M.; Steely, Rebecca L.; Hummel, Stephanie K.; Seo, Jinyu; Gibbons, Kenneth J.; Bridgeman, Thomas B.; Seo, Youngwoo; Behbahani, Mohsen; James, William F.; Johnson, Laura; Doan, Phuong; Dittrich, Maria; Evans, Mary Anne; Chaffin, Justin D.

    2016-01-01

    This study applied eight techniques to obtain estimates of the diffusive flux of phosphorus (P) from bottom sediments throughout the western basin of Lake Erie. The flux was quantified from both aerobic and anaerobic incubations of whole cores; by monitoring the water encapsulated in bottom chambers; from pore water concentration profiles measured with a phosphate microelectrode, a diffusive equilibrium in thin films (DET) hydrogel, and expressed pore waters; and from mass balance and biogeochemical diagenetic models. Fluxes under aerobic conditions at summertime temperatures averaged 1.35 mg P/m2/day and displayed spatial variability on scales as small as a centimeter. Using two different temperature correction factors, the flux was adjusted to mean annual temperature yielding average annual fluxes of 0.43–0.91 mg P/m2/day and a western basin-wide total of 378–808 Mg P/year as the diffusive flux from sediments. This is 3–7% of the 11,000 Mg P/year International Joint Commission (IJC) target load for phosphorus delivery to Lake Erie from external sources. Using these average aerobic fluxes, the sediment contributes 3.0–6.3 μg P/L as a background internal contribution that represents 20–42% of the IJC Target Concentration of 15 μg P/L for the western basin. The implication is that this internal diffusive recycling of P is unlikely to trigger cyanobacterial blooms by itself but is sufficiently large to cause blooms when combined with external loads. This background flux may be also responsible for delayed response of the lake to any decrease in the external loading.

  9. Meetings and Events about Western Lake Erie Basin

    Science.gov (United States)

    Western Lake Erie Basin, near Toledo (Ohio), Louisiana of the Urban Waters Federal Partnership (UWFP) reconnects urban communities with their waterways by improving coordination among federal agencies and collaborating with community-led efforts

  10. Bathymetry of Lake Erie and Lake Saint Clair

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Bathymetry of Lake Erie and Lake Saint Clair has been compiled as a component of a NOAA project to rescue Great Lakes lake floor geological and geophysical data and...

  11. Lake Erie Water Level Study. Main Report.

    Science.gov (United States)

    1981-07-01

    indirectly through excessive turbidity, current or depth would impact the higher life forms. Phytoplankton , periphyton and aquatic macrophyte comprise...System. The hydro-electric interest relates to the facilities at the St. Marys River, Welland Canal, Niagara River, St. Lawrence River at Cornwall... relates to three components: water quality, fish, and wildlife. The economic evaluations of regulation plans were also made to determine effects on

  12. Hydrology and environmental aspects of Erie Canal (1817-99)

    Science.gov (United States)

    Langbein, Walter Basil

    1976-01-01

    As the first major water project in the United States, the old Erie Canal provides an example of the hydrological and environmental consequences of water development. The available record shows that the project aroused environmental fears that the canal might be impaired by the adverse hydrologic effects of land development induced by the canal. Water requirements proved greater than anticipated, and problems of floods and hydraulic inefficiencies beset navigation throughout its history. The Erie Canal proved the practicality of major hydraulic works to the extent that operations and maintenance could cope with the burdens of deficiencies in design. The weight of prior experience that upland streams, such as the Potomac and Mohawk Rivers, had proved unsatisfactory for dependable navigation, led to a decision to build an independent canal which freed the location from the constraints of river channels and made possible a cross-country water route directly to Lake Erie. The decision on dimensioning the canal prism--chiefly width and depth-involved balance between a fear of building too small and thus not achieving the economic potentials, and a fear of building too expensively. The constraints proved effective, and for the first part of its history the revenues collected were sufficient to repay all costs. So great was the economic advantage of the canal that the rising trend in traffic soon induced an enlargement of the canal cross section, based upon a new but riskier objective-build as large as the projected trend in toll revenues would finance. The increased revenues did not materialize. Water supplies were a primary concern for both the planners and the operators of the canal. Water required for lockage, although the most obvious to the planners, proved to be a relatively minor item compared with the amounts of water that were required to compensate for leakage through the bed and banks of the canal. Leakage amounted to about 8 inches of depth per day. The total

  13. Studying Treatment Intensity: Lessons from Two Preliminary Studies

    Science.gov (United States)

    Neil, Nicole; Jones, Emily A.

    2015-01-01

    Determining how best to meet the needs of learners with Down syndrome requires an approach to intervention delivered at some level of intensity. How treatment intensity affects learner acquisition, maintenance, and generalization of skills can help optimize the efficiency and cost-effectiveness of interventions. There is a growing body of research…

  14. Study protocol: The Intensive Care Outcome Network ('ICON' study

    Directory of Open Access Journals (Sweden)

    Barber Vicki S

    2008-06-01

    Full Text Available Abstract Background Extended follow-up of survivors of ICU treatment has shown many patients suffer long-term physical and psychological consequences that affect their health-related quality of life. The current lack of rigorous longitudinal studies means that the true prevalence of these physical and psychological problems remains undetermined. Methods/Design The ICON (Intensive Care Outcome Network study is a multi-centre, longitudinal study of survivors of critical illness. Patients will be recruited prior to hospital discharge from 20–30 ICUs in the UK and will be assessed at 3, 6, and 12 months following ICU discharge for health-related quality of life as measured by the Short Form-36 (SF-36 and the EuroQoL (EQ-5D; anxiety and depression as measured by the Hospital Anxiety and Depression Scale (HADS; and post traumatic stress disorder (PTSD symptoms as measured by the PTSD Civilian Checklist (PCL-C. Postal questionnaires will be used. Discussion The ICON study will create a valuable UK database detailing the prevalence of physical and psychological morbidity experienced by patients as they recover from critical illness. Knowledge of the prevalence of physical and psychological morbidity in ICU survivors is important because research to generate models of causality, prognosis and treatment effects is dependent on accurate determination of prevalence. The results will also inform economic modelling of the long-term burden of critical illness. Trial Registration ISRCTN69112866

  15. Energy intensity, target level of energy intensity, and room for improvement in energy intensity: An application to the study of regions in the EU

    International Nuclear Information System (INIS)

    Chang, Ming-Chung

    2014-01-01

    While the previous literature shows that a decline in energy intensity represents an improvement in energy use efficiency, it does not provide a target level of energy intensity, nor what room for improvement in terms of energy intensity could entail. This study establishes an indicator of such room for improvement in terms of energy intensity by measuring the difference between the target level of energy intensity and the actual energy intensity and thereby monitors energy use efficiency. The traditional indicator of energy intensity, defined as energy use over GDP, mainly estimates energy use efficiency, but is a partial effect between the energy input and GDP output. However, our proposed indicator of the room for improvement in terms of energy intensity is the total-factor effects based on the multiple-inputs model. By taking the 27 EU members to investigate their energy use efficiency using the indicator of the room for improvement in terms of energy intensity, this study concludes that an improvement in energy intensity does not fully depend on a decline in energy intensity, and we instead need to confirm whether the room for improvement in terms of energy intensity decreases. This finding is particularly relevant for energy policy-makers. - Highlights: • This paper establishes an indicator for the room for improvement in terms of energy intensity. • This study takes the 27 EU members to investigate their energy use efficiency. • A different result appears by using our proposed indicator

  16. Bilgi Erişim Platformu Olarak Bulut Bilişim: Riskler ve Hukuksal Koşullar Üzerine Bir İnceleme= Cloud Computing as an Information Access Platform: A Study on Threats and Legal Requirements

    Directory of Open Access Journals (Sweden)

    Özgür Külcü

    2013-06-01

    Full Text Available Bulut bilişim, bilgiye her yerden ve her an erişebilme kolaylığı ile internet üzerinden sunulan çok yönlü ve hızlı gelişen servis araçlarından biridir. Ancak bu yeni teknoloji servisi birçok faydasının yanı sıra; göz ardı edilmesi halinde büyük kayıplara neden olabilecek riskleri de içermektedir. Çalışma genelinde, küresel çapta yoğun olarak tartışılmakta olan “Bulut üzerinde bulunan bilgilerin sahibi kim? Kişisel verilerin korunmasından kim sorumlu? Kayıp ve zararların telafi edilmesi mümkün mü?” gibi birçok sorunun yanıtı literatür ve mevcut uygulamalar içinde aranarak; bulut bilişimde verilerin güvenliği ve gizliliği konusunda toplumda bilinçlenmenin artırılması hedeflenmiştir. Bu çalışmada, bulut bilişimin faydalı ve olumsuz yönleri ile birlikte; mevcut ABD hukuk mevzuatı, AB direktifleri ve AB sözleşmeleri kapsamlı olarak incelenerek, tüm hukuksal risk ve problemlere dikkat çekilmiştir. Çalışma sonunda, mevcut bulut hizmet sözleşmeleri ve yasal düzenlemeler çerçevesinde; Türkiye’de bulut bilişim kullanıcılarının veri güvenliğini ve gizliliğini yeterli seviyede koruyan bir hukuksal düzenlemenin bulunmadığı ortaya konulmuştur. Ayrıca; veri öznelerinin bulut bilişime olan güveninin sağlanabilmesi ve kişisel verilerin korunabilmesi amacıyla temel olarak kabul edilebilecek güvenli bulut bilişim modeli önerisinde bulunulmuştur./ Cloud computing is one of the services that are delivered over internet for transmission and access to user data at anytime from anywhere. In spite of numerous advantages provided with cloud computing, it is important to recognize the potential threats, including loss of user data, when disregarded. In scope of the study, it is aimed to raise public awareness on cloud computing by investigating security and privacy issues related to user data stored on remote servers based on the questions like “Who is the owner

  17. Lake Erie and Lake Michigan zebra mussel settlement monitoring and implications for chlorination treatment

    International Nuclear Information System (INIS)

    Demoss, D.; Mendelsberg, J.I.

    1992-01-01

    This paper reports on the 1991 zebra mussel veliger settlement monitoring program undertaken to record and evaluate zebra mussel veliger settlement in Lake Erie and Lake Michigan. Studies by Dr. Gerald Mackie of Canada in 1990 indicated veliger settlement may be occurring primarily during short time periods every season corresponding with warmer water temperatures. Veliger settlement monitoring was performed using a plexiglass sampler apparatus. The samplers were simple in design and consisted of a 20-inch-square plexiglass base panel with thirty-six 1 inch x 3 inch clear plexiglass microscope slides attached. The results of the monitoring program indicate the existence of preferential settlement periods for veligers correlating with sustained lake water temperatures above 70 degrees F. Veliger settlement concentrations in the south basin of Lake Michigan appear to be similar to those in western Lake Erie

  18. An experimental study on MRI signal intensity of albumin solution

    International Nuclear Information System (INIS)

    Ahn, In Oak; Chang, Kee Hyun; Han, Moon Hee; Song, Chi Sung; Yeon, Kyung Mo

    1990-01-01

    This in vitro study attempted to correlate magnetic resonance (MR) signal intensity with concentration of albumin solution in magnetic field strength of 2.0 Tesla (T) and 0.5T. MR imaging of bovine serum albumin solutions of various concentrations ranging from 0 to 40 g/dl was performed on both 2.0T and 0.5T MR units. The relative (with respect to normal saline) signal intensities of each albumin solution were measured in T1-weighted, proton density-weighted and T2-weighted MR images, correlated with albumin concentration on each pulse sequence, and compared between 2.0T and 0.5T. Additionally, the albumin concentrations showing signal intensities identical to those of white matter, cortical gray matter and cerebrospinal fluid (CSF) of normal brain MRI were determined by visual comparison of those images. 1. On T1-weighted (SE 400-500 msec/30 msec) images under 2.0T and 0.5T field strength, the signal intensity increased with increasing albumin concentrations up to about 30-35 g/dl and the decreased. For the solutions ranging from 0 to about 5 g/dl concentration, the signal intensities appeared isointense to normal saline on visual inspection. 2. On proton density-weighted (SE 2000-2500 msec/30 msec) images under 2.0T and 0.5T field strength, the signal intensity slightly increased with increasing albumin concentrations up to about 7.5-10 g/dl, and then gradually decreased. 3. On T2-weighted (SE 2000-2500 msec/80-100 msec) images under 2.0T and 0.5T field strength, the signal intensity slightly increased with increasing albumin concentrations up to about 7.5-10 g/dl, and then gradually decreased. Above the concentration of about 25-30 g/dl, the signal intensity appeared lower than that of normal saline on visual inspection. 4. Compared with the signal intensities of normal brain structures on T1-weighted images under 2.0T and 0.5T field strength, the signal intensities of the albumin solution below 2.5-5 g/dl concentration were similar to that of CSF, and those of

  19. Lucifer's Planet: Photolytic Hazes in the Atmosphere of 51 Eri b

    Science.gov (United States)

    Zahnle, Kevin

    2016-01-01

    We use a 1D model to address photochemistry and possible haze formation in the irradiated atmosphere of 51 Eri b (2016arXiv160407388Z). The intended focus was to have been on carbon and organic hazes, but sulfur photochemistry turns out to be interesting and possibly more important. The case for organic photochemical hazes is intriguing but falls short of being compelling. If organic hazes form abundantly, they are likeliest to do so if vertical mixing in 51 Eri b is weaker than in Jupiter, and they would be found below the altitudes where methane and water are photolyzed. The more novel result is that photochemistry turns H2S into elemental sulfur, here treated as S8. In the cooler models, S8 is predicted to condense in optically significant clouds of solid sulfur particles, whilst in the warmer models S8 remains a vapor along with several other sulfur allotropes that are both visually striking and potentially observable. For 51 Eri b, the division between models with and without condensed sulfur is at an effective temperature of 700 K, which is within error its actual effective temperature; the local temperature where sulfur condenses is between 280 and 320 K. The sulfur photochemistry we discuss is quite general and ought to be found in a wide variety of worlds over a broad temperature range, both colder and hotter than the 650-750 K range studied here, and we show that products of sulfur photochemistry will be nearly as abundant on planets where the UV irradiation is orders of magnitude weaker than it is on 51 Eri b.

  20. Recruitment of Hexagenia mayfly nymphs in western Lake Erie linked to environmental variability

    Science.gov (United States)

    Bridgeman, Thomas B.; Schloesser, Don W.; Krause, Ann E.

    2006-01-01

    After a 40-year absence caused by pollution and eutrophication, burrowing mayflies (Hexagenia spp.) recolonized western Lake Erie in the mid 1990s as water quality improved. Mayflies are an important food resource for the economically valuable yellow perch fishery and are considered to be major indicator species of the ecological condition of the lake. Since their reappearance, however, mayfly populations have suffered occasional unexplained recruitment failures. In 2002, a failure of fall recruitment followed an unusually warm summer in which western Lake Erie became temporarily stratified, resulting in low dissolved oxygen levels near the lake floor. In the present study, we examined a possible link between Hexagenia recruitment and periods of intermittent stratification for the years 1997-2002. A simple model was developed using surface temperature, wind speed, and water column data from 2003 to predict stratification. The model was then used to detect episodes of stratification in past years for which water column data are unavailable. Low or undetectable mayfly recruitment occurred in 1997 and 2002, years in which there was frequent or extended stratification between June and September. Highest mayfly reproduction in 2000 corresponded to the fewest stratified periods. These results suggest that even relatively brief periods of stratification can result in loss of larval mayfly recruitment, probably through the effects of hypoxia. A trend toward increasing frequency of hot summers in the Great Lakes region could result in recurrent loss of mayfly larvae in western Lake Erie and other shallow areas in the Great Lakes.

  1. Simulation study of the high intensity S-Band photoinjector

    Energy Technology Data Exchange (ETDEWEB)

    Zhu, Xiongwei; Nakajima, Kazuhisa [High Energy Accelerator Research Organization, Tsukuba, Ibaraki (Japan)

    2001-10-01

    In this paper, we report the results of simulation study of the high intensity S-Band photoinjector. The aim of the simulation study is to transport high bunch charge with low emittance evolution. The simulation result shows that 7nC bunch with rms emittance 22.3 {pi} mm mrad can be outputted at the exit of photoinjector. (author)

  2. Simulation study of the high intensity S-Band photoinjector

    International Nuclear Information System (INIS)

    Zhu, Xiongwei; Nakajima, Kazuhisa

    2001-01-01

    In this paper, we report the results of simulation study of the high intensity S-Band photoinjector. The aim of the simulation study is to transport high bunch charge with low emittance evolution. The simulation result shows that 7nC bunch with rms emittance 22.3 π mm mrad can be outputted at the exit of photoinjector. (author)

  3. 76 FR 50680 - Endangered and Threatened Wildlife and Plants; Removal of the Lake Erie Watersnake (Nerodia...

    Science.gov (United States)

    2011-08-16

    ... as a home range. In the winter, Lake Erie watersnakes hibernate below the frost level, in cracks or... undertaken on each island property to avoid injury and harm to the Lake Erie watersnake during typical land...

  4. 76 FR 59682 - Erie Boulevard Hydropower L.P.; Notice of Dispute Resolution Panel Meeting and Technical Conference

    Science.gov (United States)

    2011-09-27

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 7518-012] Erie Boulevard Hydropower L.P.; Notice of Dispute Resolution Panel Meeting and Technical Conference On September 16, 2011, Commission staff, in response to the filing of notice of study dispute by the New York State Department of...

  5. The nocturnal acoustical intensity of the intensive care environment: an observational study.

    Science.gov (United States)

    Delaney, Lori J; Currie, Marian J; Huang, Hsin-Chia Carol; Lopez, Violeta; Litton, Edward; Van Haren, Frank

    2017-01-01

    The intensive care unit (ICU) environment exposes patients to noise levels that may result in substantial sleep disruption. There is a need to accurately describe the intensity pattern and source of noise in the ICU in order to develop effective sound abatement strategies. The objectives of this study were to determine nocturnal noise levels and their variability and the related sources of noise within an Australian tertiary ICU. An observational cross-sectional study was conducted in a 24-bed open-plan ICU. Sound levels were recorded overnight during three nights at 5-s epochs using Extech (SDL 600) sound monitors. Noise sources were concurrently logged by two research assistants. The mean recorded ambient noise level in the ICU was 52.85 decibels (dB) (standard deviation (SD) 5.89), with a maximum noise recording at 98.3 dB (A). All recorded measurements exceeded the WHO recommendations. Noise variability per minute ranged from 9.9 to 44 dB (A), with peak noise levels >70 dB (A) occurring 10 times/hour (SD 11.4). Staff were identified as the most common source accounting for 35% of all noise. Mean noise levels in single-patient rooms compared with open-bed areas were 53.5 vs 53 dB ( p  = 0.37), respectively. Mean noise levels exceeded those recommended by the WHO resulting in an acoustical intensity of 193 times greater than the recommended and demonstrated a high degree of unpredictable variability, with the primary noise sources coming from staff conversations. The lack of protective effects of single rooms and the contributing effects that staffs have on noise levels are important factors when considering sound abatement strategies.

  6. Study of Ventilator Associated Pneumonia in Neonatal Intensive ...

    African Journals Online (AJOL)

    Neonates admitted to neonatal intensive care unit (NICU), over a period of 1 year and who required mechanical ventilation for more than 48 hours were enrolled consecutively into the study. Diagnosis of VAP was made by the guidelines given by National Nosocomial infection Surveillance System (NNIS, 1996).

  7. Intensive care medicine trainees' perception of professionalism: a qualitative study.

    NARCIS (Netherlands)

    Mook, W.N. van; Grave, W.S. De; Gorter, S.L.; Zwaveling, J.H.; Schuwirth, L.W.; Vleuten, C.P.M. van der

    2011-01-01

    The Competency-Based Training program in Intensive Care Medicine in Europe identified 12 competency domains. Professionalism was given a prominence equal to technical ability. However, little information pertaining to fellows' views on professionalism is available. A nationwide qualitative study was

  8. Annotated Bibliography for Lake Erie. Volume IV. Physical,

    Science.gov (United States)

    1974-10-01

    cruise 69-101, February 6-27; cruise 69-103, May 29-June 4; cruise 69-104, July 2-6; cruise 69-105, July 28-August 2, 1969. Canadian Oceano - graphic...ber 13 and covered 64 sampling locations. 98. Canada Centre for Inland Waters. 1969. Lake Erie cruise 66-11, August 8-14, 1966. Canadian Oceano - 59... sol - uble phosphorus is remarkably uniform at any one place in Lake Erie, with occasional variations. Concentrations gen- erally decrease from shore

  9. 78 FR 59649 - Approval of Subzone Status, Hardinger Transfer Co., Erie and Grove City, Pennsylvania

    Science.gov (United States)

    2013-09-27

    ..., Hardinger Transfer Co., Erie and Grove City, Pennsylvania On July 24, 2013, the Executive Secretary of the Foreign-Trade Zones (FTZ) Board docketed an application submitted by the Erie Western Pennsylvania Port..., on behalf of Hardinger Transfer Co., in Erie and Grove City, Pennsylvania. The application was...

  10. 77 FR 38490 - Safety Zone; Mentor Harbor Yachting Club Fireworks, Lake Erie, Mentor, OH

    Science.gov (United States)

    2012-06-28

    ...-AA00 Safety Zone; Mentor Harbor Yachting Club Fireworks, Lake Erie, Mentor, OH AGENCY: Coast Guard, DHS... Erie, Mentor, OH. This safety zone is intended to restrict vessels from a portion of Lake Erie during the Mentor Harbor Yachting Club fireworks display. This temporary safety zone is necessary to protect...

  11. Reconstructing Heat Fluxes Over Lake Erie During the Lake Effect Snow Event of November 2014

    Science.gov (United States)

    Fitzpatrick, L.; Fujisaki-Manome, A.; Gronewold, A.; Anderson, E. J.; Spence, C.; Chen, J.; Shao, C.; Posselt, D. J.; Wright, D. M.; Lofgren, B. M.; Schwab, D. J.

    2017-12-01

    The extreme North American winter storm of November 2014 triggered a record lake effect snowfall (LES) event in southwest New York. This study examined the evaporation from Lake Erie during the record lake effect snowfall event, November 17th-20th, 2014, by reconstructing heat fluxes and evaporation rates over Lake Erie using the unstructured grid, Finite-Volume Community Ocean Model (FVCOM). Nine different model runs were conducted using combinations of three different flux algorithms: the Met Flux Algorithm (COARE), a method routinely used at NOAA's Great Lakes Environmental Research Laboratory (SOLAR), and the Los Alamos Sea Ice Model (CICE); and three different meteorological forcings: the Climate Forecast System version 2 Operational Analysis (CFSv2), Interpolated observations (Interp), and the High Resolution Rapid Refresh (HRRR). A few non-FVCOM model outputs were also included in the evaporation analysis from an atmospheric reanalysis (CFSv2) and the large lake thermodynamic model (LLTM). Model-simulated water temperature and meteorological forcing data (wind direction and air temperature) were validated with buoy data at three locations in Lake Erie. The simulated sensible and latent heat fluxes were validated with the eddy covariance measurements at two offshore sites; Long Point Lighthouse in north central Lake Erie and Toledo water crib intake in western Lake Erie. The evaluation showed a significant increase in heat fluxes over three days, with the peak on the 18th of November. Snow water equivalent data from the National Snow Analyses at the National Operational Hydrologic Remote Sensing Center showed a spike in water content on the 20th of November, two days after the peak heat fluxes. The ensemble runs presented a variation in spatial pattern of evaporation, lake-wide average evaporation, and resulting cooling of the lake. Overall, the evaporation tended to be larger in deep water than shallow water near the shore. The lake-wide average evaporations

  12. Assessment of the Great Lakes Marine Renewable Energy Resources: Characterizing Lake Erie Surge, Seiche and Waves

    Science.gov (United States)

    Farhadzadeh, A.; Hashemi, M. R.

    2016-02-01

    Lake Erie, the fourth largest in surface area, smallest in volume and shallowest among the Great Lakes is approximately 400 km long and 90 km wide. Short term lake level variations are due to storm surge generated by high winds and moving pressure systems over the lake mainly in the southwest-northeast direction, along the lakes longitudinal axis. The historical wave data from three active offshore buoys shows that significant wave height can exceed 5 m in the eastern and central basins. The long-term lake level data show that storm surge can reach up to 3 m in eastern Lake Erie. Owing its shallow depth, Lake Erie frequently experiences seiching motions, the low frequency oscillations that are initiated by storm surge. The seiches whose first mode of oscillations has a period of nearly 14.2 hours can last from several hours to days. In this study, the Lake Erie potential for power generation, primarily using storm surge and seiche and also waves are assessed. Given the cyclic lake level variations due to storm-induced seiching, a concept similar to that of tidal range development is utilized to assess the potential of storm surge and seiche energy harvesting mechanisms for power generation. In addition, wave energy resources of the Lake is characterized -. To achieve these objectives, the following steps are taken : (1) Frequency of occurrence for extreme storm surge and wave events is determined using extreme value analysis such as Peak-Over-Threshold method for the long-term water level and wave data; (2) Spatial and temporal variations of wave height, storm surge and seiche are characterized. The characterization is carried out using the wave and storm surge outputs from numerical simulation of a number of historical extreme events. The coupled ADCIRC and SWAN model is utilized for the modeling; (3) Assessment of the potentials for marine renewable power generation in Lake Erie is made. The approach can be extended to the other lakes in the Great Lakes region.

  13. Patterns and sources of polychlorinated dibenzo-p-dioxins and polychlorinated dibenzofurans in surficial sediments of Lakes Erie and Ontario

    International Nuclear Information System (INIS)

    Shen Li; Gewurtz, Sarah B.; Reiner, Eric J.; MacPherson, Karen A.; Kolic, Terry M.; Helm, Paul A.; Brindle, Ian D.; Marvin, Chris H.

    2008-01-01

    This study determines spatial trends and congener patterns of 2378-substituted polychlorinated dibenzo-p-dioxins (PCDDs) and polychlorinated dibenzofurans (PCDFs) in surficial sediments of Lakes Erie and Ontario. Sediments are enriched in 2378-PCDFs in Lake Ontario, and the PCDD/F concentrations increased from shallow near-shore sediments towards deep-water depositional zone sediments. In Lake Erie, sediments were dominated by octachlorodibenzo-p-dioxin, and the highest PCDD/F concentrations were observed in the western basin and the southern shoreline of the central basin with a decrease towards the eastern basin and the northern shoreline of the central basin. Principal components analysis revealed that chemical manufacture and disposal of chemical waste along the Niagara River has been a major PCDD/F source to Lake Ontario; while PCDD/Fs in Lake Erie are from multiple sources including industrial sources along the Detroit River, major tributaries along the southern shoreline of the lake, and atmospherically-derived material from the upper lakes and connecting channels. - Lake-wide 2378-PCDD/F congener patterns are first reported in L. Erie and L. Ontario sediments

  14. Fisheries research and monitoring activities of the Lake Erie Biological Station, 2014

    Science.gov (United States)

    Bodamer Scarbro, Betsy L.; Edwards, William; Gawne, Carrie; Kocovsky, Patrick M.; Kraus, Richard T.; Rogers, Mark W.; Stewart, Taylor

    2015-01-01

    In 2014, the USGS LEBS successfully completed large vessel surveys in all three of Lake Erie’s basins. Lake Erie Biological Station’s primary vessel surveys included the Western Basin Forage Fish Assessment and East Harbor Forage Fish Assessment as well as contributing to the cooperative multi-agency Central Basin Hydroacoustics Assessment, the Eastern Basin Coldwater Community Assessment, and LTLA (see FTG, CWTG, and FTG reports, respectively). Results from the surveys contribute to Lake Erie Committee Task Group data needs and analyses of trends in Lake Erie’s fish communities. The cruise survey schedule in 2014 was greatly increased by LEBS’s participation in the Lake Erie CSMI, which consisted of up-to two weeks of additional sampling per month from April to October. CSMI is a bi-national effort that occurs at Lake Erie every five years with the purpose of addressing data and knowledge gaps necessary to management agencies and the Lake Erie LaMP. LEBS deepwater science capabilities also provided a platform for data collection by Lake Erie investigators from multiple agencies and universities including: the USGS GLSC, ODW, KSU, OSU, UM, PU, UT, and the USNRL. Samples from this survey are being processed and a separate report of the findings will be made available in a separate document. Our 2014 vessel operations were initiated in mid-April, as soon after ice-out as possible, and continued into early December. During this time, crews of the R/V Muskie and R/V Bowfin deployed 196 bottom trawls covering 48.5 km of lake-bottom, nearly 6 km of gillnet, collected data from 60 hydroacoustics transects, 285 lower trophic (i.e., zooplankton and benthos) samples, and 330 water quality measures (e.g., temperature profiles, water samples). Thus, 2014 was an intensive year of field activity. Our June and September bottom trawl surveys in the Western Basin were numerically dominated by Emerald Shiner, White Perch, and Yellow Perch; however, Freshwater Drum were

  15. Population models of burrowing mayfly recolonization in Western Lake Erie

    Science.gov (United States)

    Madenjian, C.P.; Schloesser, D.W.; Krieger, K.A.

    1998-01-01

    Burrowing mayflies, Hexagenia spp. (H. limbata and H. rigida), began recolonizing western Lake Erie during the 1990s. Survey data for mayfly nymph densities indicated that the population experienced exponential growth between 1991 and 1997. To predict the time to full recovery of the mayfly population, we fitted logistic models, ranging in carrying capacity from 600 to 2000 nymphs/m2, to these survey data. Based on the fitted logistic curves, we forecast that the mayfly population in western Lake Erie would achieve full recovery between years 1998 and 2000, depending on the carrying capacity of the western basin. Additionally, we estimated the mortality rate of nymphs in western Lake Erie during 1994 and then applied an age-based matrix model to the mayfly population. The results of the matrix population modeling corroborated the exponential growth model application in that both methods yielded an estimate of the population growth rate, r, in excess of 0.8 yr-1. This was the first evidence that mayfly populations are capable of recolonizing large aquatic ecosystems at rates comparable with those observed in much smaller lentic ecosystems. Our model predictions should prove valuable to managers of power plant facilities along the western basin in planning for mayfly emergences and to managers of the yellow perch (Perca flavescens) fishery in western Lake Erie.

  16. Managing inherent complexity for sustainable walleye fisheries in Lake Erie

    Science.gov (United States)

    Roseman, Edward F.; Drouin, Richard; Gaden, Marc; Knight, Roger; Tyson, Jeff; Zhao, Yingming; Taylor, William W.; Lynch, Abigail J.; Léonard, Nancy J.

    2012-01-01

    In Lake Erie, Walleye (Sander vitreus vitreus) is king. The naturally occurring species is the foundation of commercial fishing operations on the Canadian side of the lake and is a much-prized sport fish on the American side. Management of Lake Erie walleye fisheries is complex and takes place in an inter-jurisdictional setting composed of resource agencies from the states of Michigan (MDNR), Ohio (ODNR), Pennsylvania (PFBC), and New York (NYDEC) and the province of Ontario (OMNR). The complexity of walleye management is exacerbated by interactions among environmental and ecological changes in Lake Erie, complex life-history characteristics of the species, public demand for walleye, and cultural/governance differences among managing groups and their respective constituents. Success of future management strategies will largely hinge upon our ability to understand these inherent complexities and to employ tactics that successfully accommodate stock productivity and human demand in a highly dynamic environment. In this report, we review the history of Lake Erie walleye management, outline the multi-jurisdictional process for international management of walleye, and discuss strategies to address challenges facing managers.

  17. Detection of the spatiotemporal trends of mercury in Lake Erie fish communities: a Bayesian approach.

    Science.gov (United States)

    Azim, M Ekram; Kumarappah, Ananthavalli; Bhavsar, Satyendra P; Backus, Sean M; Arhonditsis, George

    2011-03-15

    The temporal trends of total mercury (THg) in four fish species in Lake Erie were evaluated based on 35 years of fish contaminant data. Our Bayesian statistical approach consists of three steps aiming to address different questions. First, we used the exponential and mixed-order decay models to assess the declining rates in four intensively sampled fish species, i.e., walleye (Stizostedion vitreum), yellow perch (Perca flavescens), smallmouth bass (Micropterus dolomieui), and white bass (Morone chrysops). Because the two models postulate monotonic decrease of the THg levels, we included first- and second-order random walk terms in our statistical formulations to accommodate nonmonotonic patterns in the data time series. Our analysis identified a recent increase in the THg concentrations, particularly after the mid-1990s. In the second step, we used double exponential models to quantify the relative magnitude of the THg trends depending on the type of data used (skinless-boneless fillet versus whole fish data) and the fish species examined. The observed THg concentrations were significantly higher in skinless boneless fillet than in whole fish portions, while the whole fish portions of walleye exhibited faster decline rates and slower rates of increase relative to the skinless boneless fillet data. Our analysis also shows lower decline rates and higher rates of increase in walleye relative to the other three fish species examined. The food web structural shifts induced by the invasive species (dreissenid mussels and round goby) may be associated with the recent THg trends in Lake Erie fish.

  18. Intensive Care in India: The Indian Intensive Care Case Mix and Practice Patterns Study.

    Science.gov (United States)

    Divatia, Jigeeshu V; Amin, Pravin R; Ramakrishnan, Nagarajan; Kapadia, Farhad N; Todi, Subhash; Sahu, Samir; Govil, Deepak; Chawla, Rajesh; Kulkarni, Atul P; Samavedam, Srinivas; Jani, Charu K; Rungta, Narendra; Samaddar, Devi Prasad; Mehta, Sujata; Venkataraman, Ramesh; Hegde, Ashit; Bande, B D; Dhanuka, Sanjay; Singh, Virendra; Tewari, Reshma; Zirpe, Kapil; Sathe, Prachee

    2016-04-01

    To obtain information on organizational aspects, case mix and practices in Indian Intensive Care Units (ICUs). An observational, 4-day point prevalence study was performed between 2010 and 2011 in 4209 patients from 124 ICUs. ICU and patient characteristics, and interventions were recorded for 24 h of the study day, and outcomes till 30 days after the study day. Data were analyzed for 4038 adult patients from 120 ICUs. On the study day, mean age, Acute Physiology and Chronic Health Evaluation (APACHE II) and sequential organ failure assessment (SOFA) scores were 54.1 ± 17.1 years, 17.4 ± 9.2 and 3.8 ± 3.6, respectively. About 46.4% patients had ≥1 organ failure. Nearly, 37% and 22.2% patients received mechanical ventilation (MV) and vasopressors or inotropes, respectively. Nearly, 12.2% patients developed an infection in the ICU. About 28.3% patients had severe sepsis or septic shock (SvSpSS) during their ICU stay. About 60.7% patients without infection received antibiotics. There were 546 deaths and 183 terminal discharges (TDs) from ICU (including left against medical advice or discharged on request), with ICU mortality 729/4038 (18.1%). In 1627 patients admitted within 24 h of the study day, the standardized mortality ratio was 0.67. The APACHE II and SOFA scores, public hospital ICUs, medical ICUs, inadequately equipped ICUs, medical admission, self-paying patient, presence of SvSpSS, acute respiratory failure or cancer, need for a fluid bolus, and MV were independent predictors of mortality. The high proportion of TDs and the association of public hospitals, self-paying patients, and inadequately equipped hospitals with mortality has important implications for critical care in India.

  19. An Exploratory Study of Intensive Neurofeedback Training for Schizophrenia

    Directory of Open Access Journals (Sweden)

    Wenya Nan

    2017-01-01

    Full Text Available Schizophrenia is a chronic and devastating brain disorder with ongoing cognitive, behavioral, and emotional deteriorated functions. Neurofeedback training, which enables the individuals to regulate their brain activity using a real-time feedback loop, is increasingly investigated as a potential alternative intervention for schizophrenia. This study aimed to explore the effect of short but intensive neurofeedback training for schizophrenic patients with difficulty for long-time training. A middle-aged woman with chronic schizophrenia completed the intensive training of alpha/beta2 (20–30 Hz in four consecutive days with a total training duration of 13.5 hours. The results showed that her alpha/beta2 increased over sessions, and her behavior performance including short-term memory, mood, and speech pattern was improved at the end of neurofeedback training. Importantly, a 22-month follow-up found a dramatic improvement in both positive and negative symptoms. These positive outcomes suggest that such intensive neurofeedback training may provide new insight into the treatment of schizophrenia and thus deserves further study to fully examine its scope.

  20. A DFT study of hydrogen adsorption on Be, Mg and Ca frameworks in erionite zeolite

    Energy Technology Data Exchange (ETDEWEB)

    Fellah, Mehmet Ferdi, E-mail: mferdi.fellah@btu.edu.tr

    2017-02-01

    Highlights: • Mg-ERI and Ca-ERI clusters have much lower chemical potential and hardness. • Adsorption enthalpies for Mg- and Ca-ERI are importantly greater than the liquefaction enthalpy of hydrogen. • Mg-ERI and Ca-ERI clusters have much HOMO-LUMO gap indicating higher reactivity. • Ca- and Mg-ERI are potential cryoadsorbent materials for hydrogen storage. - Abstract: The molecular hydrogen adsorption was investigated on additional frameworks with earth alkaline metal atoms (Be, Mg and Ca) in 24T ERI zeolite cluster model by means of Density Functional Theory study. HOMO and LUMO energy values, chemical potential, chemical hardness, electronegativity, adsorption energy and adsorption enthalpy values have been calculated in this study. Mg-ERI and Ca-ERI clusters have much lower chemical potentials with much lower adsorption energy values when compared to the value of Be-ERI cluster. Additionally, they are softer than Be-ERI cluster with respect to their lower chemical hardness values. Hydrogen adsorption enthalpy values were computed as −3.6 and −3.9 kJ/mol on Mg-ERI and Ca-ERI clusters, respectively. These adsorption enthalpy values are significantly larger than the enthalpy value of liquefaction for hydrogen molecule. This consequently specifies that Mg-ERI and Ca-ERI zeolite structures which have higher chemical reactivity appear to be a promising candidate cryoadsorbent for hydrogen storage.

  1. Predictors of intensive care unit refusal in French intensive care units: a multiple-center study.

    Science.gov (United States)

    Garrouste-Orgeas, Maité; Montuclard, Luc; Timsit, Jean-François; Reignier, Jean; Desmettre, Thibault; Karoubi, Philippe; Moreau, Delphine; Montesino, Laurent; Duguet, Alexandre; Boussat, Sandrine; Ede, Christophe; Monseau, Yannick; Paule, Thierry; Misset, Benoit; Carlet, Jean

    2005-04-01

    To identify factors associated with granting or refusing intensive care unit (ICU) admission, to analyze ICU characteristics and triage decisions, and to describe mortality in admitted and refused patients. Observational, prospective, multiple-center study. Four university hospitals and seven primary-care hospitals in France. None. Age, underlying diseases (McCabe score and Knaus class), dependency, hospital mortality, and ICU characteristics were recorded. The crude ICU refusal rate was 23.8% (137/574), with variations from 7.1% to 63.1%. The reasons for refusal were too well to benefit (76/137, 55.4%), too sick to benefit (51/137, 37.2%), unit too busy (9/137, 6.5%), and refusal by the family (1/137). In logistic regression analyses, two patient-related factors were associated with ICU refusal: dependency (odds ratio [OR], 14.20; 95% confidence interval [CI], 5.27-38.25; p refused patients, and 1.03 (95% CI, 0.28-1.75) for later-admitted patients. ICU refusal rates varied greatly across ICUs and were dependent on both patient and organizational factors. Efforts to define ethically optimal ICU admission policies might lead to greater homogeneity in refusal rates, although case-mix variations would be expected to leave an irreducible amount of variation across ICUs.

  2. Intensive mothering ideology in France: A pilot study.

    Science.gov (United States)

    Loyal, D; Sutter Dallay, A-L; Rascle, N

    2017-12-01

    The aim of this pilot study was to adapt the intensive mothering ideology concept in a French sample and to get an assessment tool. First, the Intensive Parenting Attitudes Questionnaire (IPAQ), a U.S. scale comprising 25 items, was translated and submitted online to French mothers and mothers-to-be (n=250). Structural validity was tested through confirmatory factor analysis with poor results. Secondly, to increase the cultural validity of a new tool, new items were derived from French women speech. French mothers and mothers-to-be (n=22) were asked about their views regarding motherhood and childcare (semi-structured interviews). A thematic content analysis was performed with good inter-judge agreement (0.53-0.86) and 27 items were created. Finally, the total set of 52 items was submitted online to French mothers and mothers-to-be (n=474). The structure was tested through exploratory factor analysis. A new tool called the Measure of Intensive Mothering Ideology (MIMI) was obtained. This 21 items scale with 6 dimensions (Essentialism, Consuming Fulfillment, Child-centrism, Challenge, Sacrifice and Stimulation) explains 59.75% of variance. Internal consistencies were satisfactory (0.61-0.83) and most dimensions were positively and moderately correlated (0.17-0.38). The MIMI is the first French-language scale assessing IMI and offers interesting research avenues notably regarding perinatal parental adaptation. Copyright © 2017 L'Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved.

  3. Multi-Spectral Remote Sensing of Phytoplankton Pigment Absorption Properties in Cyanobacteria Bloom Waters: A Regional Example in the Western Basin of Lake Erie

    Directory of Open Access Journals (Sweden)

    Guoqing Wang

    2017-12-01

    Full Text Available Phytoplankton pigments absorb sunlight for photosynthesis, protect the chloroplast from damage caused by excess light energy, and influence the color of the water. Some pigments act as bio-markers and are important for separation of phytoplankton functional types. Among many efforts that have been made to obtain information on phytoplankton pigments from bio-optical properties, Gaussian curves decomposed from phytoplankton absorption spectrum have been used to represent the light absorption of different pigments. We incorporated the Gaussian scheme into a semi-analytical model and obtained the Gaussian curves from remote sensing reflectance. In this study, a series of sensitivity tests were conducted to explore the potential of obtaining the Gaussian curves from multi-spectral satellite remote sensing. Results showed that the Gaussian curves can be retrieved with 35% or less mean unbiased absolute percentage differences from MEdium Resolution Imaging Spectrometer (MERIS and Moderate Resolution Imaging Spectroradiometer (MODIS-like sensors. Further, using Lake Erie as an example, the spatial distribution of chlorophyll a and phycocyanin concentrations were obtained from the Gaussian curves and used as metrics for the spatial extent of an intense cyanobacterial bloom occurred in Lake Erie in 2014. The seasonal variations of Gaussian absorption properties in 2011 were further obtained from MERIS imagery. This study shows that it is feasible to obtain Gaussian curves from multi-spectral satellite remote sensing data, and the obtained chlorophyll a and phycocyanin concentrations from these Gaussian peak heights demonstrated potential application to monitor harmful algal blooms (HABs and identification of phytoplankton groups from satellite ocean color remote sensing semi-analytically.

  4. Experimental study of intensive electron beam scattering in melting channel

    International Nuclear Information System (INIS)

    Balagura, V.S.; Kurilko, V.I.; Safronov, B.G.

    1988-01-01

    Multiple scattering of an intensive electron beam at 28 keV energy passing through a melting channel in iron targets is experimentally studied. The dependence of scattering on the melting current value is established. The material density in the channel on the basis of the binary collision method is evaluated. It is shown that these density values are of three orders less than the estimations made on the basis of the data on energy losses of electrons in the channel. 6 refs.; 4 figs

  5. Longitudinal tracking studies for a high intensity proton synchrotron

    International Nuclear Information System (INIS)

    Lessner, E.; Cho, Y.; Harkay, K.; Symon, K.

    1995-01-01

    Results from longitudinal tracking studies for a high intensity proton synchrotron designed for a 1-MW spallation source are presented. The machine delivers a proton beam of 0.5 mA time-averaged current at a repetition rate of 30 Hz. The accelerator is designed to have radiation levels that allow hands-on-maintenance. However, the high beam intensity causes strong space charge fields whose effects may lead to particle loss and longitudinal instabilities. The space charge fields modify the particle distribution, distort the stable bucket area and reduce the rf linear restoring force. Tracking simulations were conducted to analyze the space charge effects on the dynamics of the injection and acceleration processes and means to circumvent them. The tracking studies led to the establishment of the injected beam parameters and rf voltage program that minimized beam loss and longitudinal instabilities. Similar studies for a 10-GeV synchrotron that uses the 2-GeV synchrotron as its injector are also discussed

  6. Determinants of procedural pain intensity in the intensive care unit. The Europain® study

    DEFF Research Database (Denmark)

    Puntillo, Kathleen A; Max, Adeline; Timsit, Jean-Francois

    2014-01-01

    in 192 ICUs in 28 countries. MEASUREMENTS AND MAIN RESULTS: Pain intensity on a 0-10 numeric rating scale increased significantly from baseline pain during all procedures (P tube removal, wound drain removal, and arterial line insertion were the three most painful procedures, with median...

  7. Understanding the Atmosphere of 51 Eri b: Do Photochemical Hazes Cloud the Planets Spectrum?

    Science.gov (United States)

    Marley, Mark Scott; Zahnle, Kevin; Moses, J.; Morley, C.

    2015-01-01

    The first young giant planet to be discovered by the Gemini Planet Imager was the (is) approximately 2MJ planet 51 Eri b. This approximately 20 Myr old young Jupiter is the first directly imaged planet to show unmistakable methane in H band. To constrain the planet's mass, atmospheric temperature, and composition, the GPI J and H band spectra as well as some limited photometric points were compared to the predictions of substellar atmosphere models. The best fitting models reported in the discovery paper (Macintosh et al. 2015) relied upon a combination of clear and cloudy atmospheric columns to reproduce the data. However for an object as cool as 700 K, the origin of the cloud coverage is somewhat puzzling, as the global silicate and iron clouds would be expected to have sunk well below the photosphere by this effective temperature. While strong vertical mixing in these low gravity atmospheres remains a plausible explanation, we have explored whether atmospheric photochemistry, driven by the UV flux from the primary star, may yield hazes that also influence the observed spectrum of the planet. To explore this possibility we have modeled the atmospheric photochemistry of 51 Eri b using two state-of-the-art photochemical models, both capable of predicting yields of complex hydrocarbons under various atmospheric conditions. In our presentation we will summarize the modeling approach employed to characterize 51 Eri b, explaining constraints on the planet's effective temperature, gravity, and atmospheric composition and also present results of our studies of atmospheric photochemistry. We will discuss whether photochemical hazes could indeed be responsible for the particulate opacity that apparently sculpts the spectrum of the planet.

  8. Seasonal dynamics in dissolved organic matter, hydrogen peroxide, and cyanobacterial blooms in Lake Erie

    Directory of Open Access Journals (Sweden)

    Rose M. Cory

    2016-04-01

    Full Text Available Hydrogen peroxide (H2O2 has been suggested to influence cyanobacterial community structure and toxicity. However, no study has investigated H2O2 concentrations in freshwaters relative to cyanobacterial blooms when sources and sinks of H2O2 may be highly variable. For example, photochemical production of H2O2 from chromophoric dissolved organic matter (CDOM may vary over the course of the bloom with changing CDOM and UV light in the water column, while microbial sources and sinks of H2O2 may change with community biomass and composition. To assess relationships between H2O2 and harmful algal blooms dominated by toxic cyanobacteria in the western basin of Lake Erie, we measured H2O2 weekly at six stations from June – November, 2014 and 2015, with supporting physical, chemical, and biological water quality data. Nine additional stations across the western, eastern, and central basins of Lake Erie were sampled during August and October, 2015. CDOM sources were quantified from the fluorescence fraction of CDOM using parallel factor analysis (PARAFAC. CDOM concentration and source were significantly correlated with specific conductivity, demonstrating that discharge of terrestrially-derived CDOM from rivers can be tracked in the lake. Autochthonous sources of CDOM in the lake increased over the course of the blooms. Concentrations of H2O2 in Lake Erie ranged from 47 ± 16 nM to 1570 ± 16 nM (average of 371 ± 17 nM; n = 225, and were not correlated to CDOM concentration or source, UV light, or estimates of photochemical production of H2O2 by CDOM. Temporal patterns in H2O2 were more closely aligned with bloom dynamics in the lake. In 2014 and 2015, maximum concentrations of H2O2 were observed prior to peak water column respiration and chlorophyll a, coinciding with the onset of the widespread Microcystis blooms in late July. The spatial and temporal patterns in H2O2 concentrations suggested that production and decay of H2O2 from aquatic

  9. Isolation, Identification and Phenotypic Characterization of Microcystin-Degrading Bacteria from Lake Erie

    Science.gov (United States)

    Krishnan, A.; Mou, X. J.

    2015-12-01

    Lake Erie, the smallest and warmest lake among the Laurentian Great Lakes, is known for its problem of eutrophication and frequent occurrence of harmful cyanobacterial blooms (CyanoHABs). One major harmful effect of CyanoHABs is the production of cyanotoxins, especially microcystins. Microcystins (MC) are a group of hepatotoxins and the predominant variant of them is MC-LR. Field measurements and lab experiments indicate that MC degradation in Lake Erie is mainly carried out by indigenous bacteria. However, our knowledge on taxa involved in this process is very limited. This study aimed to fill this knowledge gap using a culture-dependent approach. Water and surface sediment samples were collected from Lake Erie in 2014 and 2015 and enriched with MC-LR. Cells were plated on a number of culturing media. The obtained pure bacterial cultures were screened for MC degrading abilities by MT2 BIO-LOG assays and by growing cells in liquid media containing MC-LR as the sole carbon source. In the latter experiment, MC concentrations were measured using HPLC. Isolates showing positive MC degradation activities in the screening steps were designated MC+ bacteria and characterized based on their phenotypic properties, including colony pigmentation, elevation, opacity, margin, gram nature and motility. The taxonomic identity of MC+ bacteria was determined by 16S rRNA gene full-length DNA sequencing. The presence of mlrA, a gene encoding MC cleavage pathway, was detected by PCR. Our culturing efforts obtained 520 pure cultures; 44 of them were identified as MC+. These MC+ isolates showed diversity in taxonomic identities and differed in their morphology, gram nature, colony characteristics and motility. PCR amplification of mlrA gene yield negative results for all MC+ isolates, indicating that the primers that were used may not be ubiquitous enough to cover the heterogeneity of mlrA genes or, more likely, alternative degradative genes/pathways were employed by Lake Erie bacteria

  10. Increase deposition of organic matter, polychlorinated biphenyls, and cadmium by zebra mussels (Dreissena polymorpha) in western Lake Erie

    Energy Technology Data Exchange (ETDEWEB)

    Dobson, E. P; Mackie, G. L. [Guelph Univ., Dept. of Zoology, ON (Canada)

    1998-05-01

    Biodeposition of polychlorinated biphenyls (PCBs)and cadmium by zebra mussels in the western basin of Lake Erie was investigated using sediment traps, and compared to natural rates of sedimentation. On a per unit area of organic matter, deposition rates by zebra mussels up to eight to ten times higher than natural rates of sedimentation were found. These results suggest that zebra mussels are altering contaminant movement in western Lake Erie. At the same time, it was also suggested that the net effect of biodeposition may not be as great as shown in this study since only the effects of zebra mussels on the flux of the contaminants was examined and the re-suspension factor was not considered. It was recommended that to better understand the overall effects of zebra mussels on contaminant dynamics in aquatic environments, future studies should incorporate the re-suspension factors. 27 refs., 8 tabs., 3 figs.

  11. 78 FR 34575 - Safety Zone; Bay Swim VI, Presque Isle Bay, Erie, PA

    Science.gov (United States)

    2013-06-10

    ... June 22, 2013, a large scale swimming event will be held on Presque Isle Bay near the Erie Yacht Club...'48.82'' W and extend in a straight line 1,000 feet wide to the Erie Yacht Club at position 42[deg]07... wide to the Erie Yacht Club at position 42[deg]07'21.74'' N, 80[deg]07'58.30'' W. (NAD 83) (b...

  12. Historical Sediment Budget (1860s to Present) for the United States Shoreline of Lake Erie

    Science.gov (United States)

    2016-08-01

    Soil Classification polygons with 1 km reaches. Each polygon has a 2- to 4-digit classification code indicating the dominant soil type...1988). Photograph shows high quantity of shale plates in soil column (USACE 2004). ................ 125 Figure A-1. New York shore stratigraphy... USLS 1935, NGVD29, USLS 1903, Mean Level of Lake Erie (1860–1875) (Toledo-Conneaut), Mean Lake Level of Lake Erie (1860–1875) (Erie-Buffalo), and Mean

  13. The AECL study for an intense neutron - generator (technical details)

    Energy Technology Data Exchange (ETDEWEB)

    Bartholomew, G A; Tunnicliffe, P R

    1966-07-01

    The AECL study for an intense neutron-generator has been in progress for two years. Recently the scientific and technical details and the conceptual designs were compiled in a report supporting proposals addressed to AECL's Board of Directors for further work. The compilation is being issued in this form to permit further discussion of the technical aspects. However readers are asked to appreciate that it was written primarily for an AECL audience, and specifically that those chapters giving tentative information about costs, the rate of investment and similar items have been omitted or modified, many references have been made to interim internal reports in order to complete the local documentation, but these references do not imply that the reports themselves can be made generally available. (author)

  14. Posttraumatic stress in intensive care unit survivors - a prospective study

    DEFF Research Database (Denmark)

    Ratzer, Mette; Brink, Ole; Knudsen, Linda

    2014-01-01

    Aims: This study aimed to estimate the prevalence of severe Posttraumatic Stress Disorder (PTSD) symptoms and to identify factors associated with PTSD in survivors of intensive care unit (ICU) treatment following traumatic injury. Methods: Fifty-two patients who were admitted to an ICU through...... the emergency ward following traumatic injury were prospectively followed. Information on injury severity and ICU treatment were obtained through medical records. Demographic information and measures of acute stress symptoms, experienced social support, coping style, sense of coherence (SOC) and locus...... of control were assessed within one-month post-accident (T1). At the six months follow-up (T2), PTSD was assessed with the Harvard Trauma Questionnaire (HTQ). Results: In the six months follow-up, 10 respondents (19.2%) had HTQ total scores reaching a level suggestive of PTSD (N = 52), and 11 respondents (21...

  15. The AECL study for an intense neutron - generator (technical details)

    Energy Technology Data Exchange (ETDEWEB)

    Bartholomew, G.A.; Tunnicliffe, P.R

    1966-07-01

    The AECL study for an intense neutron-generator has been in progress for two years. Recently the scientific and technical details and the conceptual designs were compiled in a report supporting proposals addressed to AECL's Board of Directors for further work. The compilation is being issued in this form to permit further discussion of the technical aspects. However readers are asked to appreciate that it was written primarily for an AECL audience, and specifically that those chapters giving tentative information about costs, the rate of investment and similar items have been omitted or modified, many references have been made to interim internal reports in order to complete the local documentation, but these references do not imply that the reports themselves can be made generally available. (author)

  16. The AECL study for an intense neutron - generator (technical details)

    International Nuclear Information System (INIS)

    Bartholomew, G.A.; Tunnicliffe, P.R.

    1966-01-01

    The AECL study for an intense neutron-generator has been in progress for two years. Recently the scientific and technical details and the conceptual designs were compiled in a report supporting proposals addressed to AECL's Board of Directors for further work. The compilation is being issued in this form to permit further discussion of the technical aspects. However readers are asked to appreciate that it was written primarily for an AECL audience, and specifically that those chapters giving tentative information about costs, the rate of investment and similar items have been omitted or modified, many references have been made to interim internal reports in order to complete the local documentation, but these references do not imply that the reports themselves can be made generally available. (author)

  17. Study on an intense dust storm over Greece

    Science.gov (United States)

    Kaskaoutis, D. G.; Kambezidis, H. D.; Nastos, P. T.; Kosmopoulos, P. G.

    Springtime constitutes the most favorable period for Sahara dust outbreaks and transport over Eastern Mediterranean. This study investigates the aerosol properties during April 2005 using remote-sensing and ground-based measurements. Three dust events with high aerosol optical depth (AOD) values have been observed during the measuring period, with duration of two days, i.e. 11-12, 16-17 and 25-26 April 2005. In this paper we mainly focus on the intense dust event of 16-17 April 2005, when a thick dust layer transported from Libya affected the whole Greek territory. Very high AOD values obtained from Aqua-MODIS sensor were observed over Greece (mean 2.42 ± 1.25) on 17 April, while the respective mean April value was 0.31 ± 0.09. The AOD at 550 nm (AOD 550) values over Crete were even larger, reaching ˜4.0. As a consequence, the PM 10 concentrations over Athens dramatically increased reaching up to 200 μg m -3. On the other hand, the fine-mode fraction values obtained from Terra-MODIS showed a substantial decrease in the whole Greek area on 17 April with values below 0.2 in the Southern regions. The intense dust layer showed a complex behavior concerning its spatial and temporal evolution and allowed us to study the changes in the optical properties of the desert dust particles along their transport routes due to the mixing processes with other aerosol types. The results from different measurements (ground-based and remote-sensing) did not contradict each other and, therefore, are adequate for monitoring of dust load over the Eastern Mediterranean.

  18. Material studies for pulsed high-intensity proton beam targets

    International Nuclear Information System (INIS)

    Simos, N.; Kirk, H.; Ludewig, H.; Thieberger, P.; Weng, W-T.; McDonald, K.; Yoshimura, K.

    2004-01-01

    Intense beams for muon colliders and neutrino facilities require high-performance target stations of 1-4 MW proton beams. The physics requirements for such a system push the envelope of our current knowledge as to how materials behave under high-power beams for both short and long exposure. The success of an adopted scheme that generates, captures and guides secondary particles depends on the useful life expectancy of this critical system. This paper presents an overview of what has been achieved during the various phases of the experimental effort including a tentative plan to continue the effort by expanding the material matrix. The first phase of the project was to study the changes after irradiation in mechanical properties and specially in thermal expansion coefficient of various materials. During phase-I the study attention was primarily focused on Super-invar and in a lesser degree on Inconel-718. Invar is a metal alloy which predominantly consists of 62% Fe, 32% Ni and 5% Co. It is showed that this metal, whose non-irradiated properties held such promise, can only be considered a serious target candidate for an intense proton beam only if one can anneal the atomic displacements followed by the appropriate heat treatment to restore its favorable expansion coefficient. New materials that have been developed for various industrial needs by optimizing key properties, might be of value for the accelerator community. These materials like carbon-carbon composites, titanium alloys, the Toyota 'gum metal', the Vascomax material and the AlBeMet alloy will be explored and tested in the second phase of the project. (A.C.)

  19. Detection of Potential Shallow Aquifer Using Electrical Resistivity Imaging (ERI) at UTHM Campus, Johor Malaysia

    Science.gov (United States)

    Izzaty Riwayat, Akhtar; Nazri, Mohd Ariff Ahmad; Hazreek Zainal Abidin, Mohd

    2018-04-01

    In recent years, Electrical Resistivity Imaging (ERI) has become part of important method in preliminary stage as to gain more information in indicate the hidden water in underground layers. The problem faces by engineers is to determine the exact location of groundwater zone in subsurface layers. ERI seen as the most suitable tools in exploration of groundwater as this method have been applied in geotechnical and geo-environment investigation. This study was conducted using resistivity at UTHM campus to interpret the potential shallow aquifer and potential location for borehole as observation well. A Schlumberger array was setup during data acquisition as this array is capable in imaging deeper profile data and suitable for areas with homogeneous layer. The raw data was processed using RES2DINV software for 2D subsurface image. The result obtained indicate that the thickness of shallow aquifer for both spread line varies between 7.5 m to 15 m. The analysis of rest raw data using IP showed that the chargeability parameter is equal to 0 which strongly indicated the presence of groundwater aquifer in the study area.

  20. The role of groundwater discharge fluxes on Si:P ratios in a major tributary to Lake Erie.

    Science.gov (United States)

    Maavara, Taylor; Slowinski, Stephanie; Rezanezhad, Fereidoun; Van Meter, Kimberly; Van Cappellen, Philippe

    2018-05-01

    Groundwater discharge can be a major source of nutrients to river systems. Although quantification of groundwater nitrate loading to streams is common, the dependence of surface water silicon (Si) and phosphorus (P) concentrations on groundwater sources has rarely been determined. Additionally, the ability of groundwater discharge to drive surface water Si:P ratios has not been contextualized relative to riverine inputs or in-stream transformations. In this study, we quantify the seasonal dynamics of Si and P cycles in the Grand River (GR) watershed, the largest Canadian watershed draining into Lake Erie, to test our hypothesis that regions of Si-rich groundwater discharge increase surface water Si:P ratios. Historically, both the GR and Lake Erie have been considered stoichiometrically P-limited, where the molar Si:P ratio is greater than the ~16:1 phytoplankton uptake ratio. However, recent trends suggest that eastern Lake Erie may be approaching Si-limitation. We sampled groundwater and surface water for dissolved and reactive particulate Si as well as total dissolved P for 12months within and downstream of a 50-km reach of high groundwater discharge. Our results indicate that groundwater Si:P ratios are lower than the corresponding surface water and that groundwater is a significant source of bioavailable P to surface water. Despite these observations, the watershed remains P-limited for the majority of the year, with localized periods of Si-limitation. We further find that groundwater Si:P ratios are a relatively minor driver of surface water Si:P, but that the magnitude of Si and P loads from groundwater represent a large proportion of the overall fluxes to Lake Erie. Copyright © 2017 Elsevier B.V. All rights reserved.

  1. RESOURCE MANAGEMENT AMONG INTENSIVE CARE NURSES: AN ETHNOGRAPHIC STUDY.

    Science.gov (United States)

    Heydari, Abbas; Najar, Ali Vafaee; Bakhshi, Mahmoud

    2015-12-01

    Nurses are the main users of supplies and equipment applied in the Intensive Care Units (ICUs) which are high-priced and costly. Therefore, understanding ICU nurses' experiences about resource management contributes to the better control of the costs. This study aimed to investigate the culture of nurses' working environment regarding the resource management in the ICUs in Iran. In this study, a focused ethnographic method was used. Twenty-eight informants among ICU nurses and other professional individuals were purposively selected and interviewed. As well, 400 hours of ethnographic observations as a participant observer was used for data gathering. Data analysis was performed using the methods described by Miles and Huberman (1994). Two main themes describing the culture of ICU nurses regarding resource management included (a) consumption monitoring and auditing, and (b) prudent use. The results revealed that the efforts for resource management are conducted in the conditions of scarcity and uncertainty in supply. ICU nurses had a sense of futurism in the supply and use of resources in the unit and do the planning through taking the rules and guidelines as well as the available resources and their values into account. Improper storage of some supplies and equipment was a reaction to this uncertain condition among nurses. To manage the resources effectively, improvement of supply chain management in hospital seems essential. It is also necessary to hold educational classes in order to enhance the nurses' awareness on effective supply chain and storage of the items in the unit stock.

  2. Concentrations and trophic magnification of cyclic siloxanes in aquatic biota from the Western Basin of Lake Erie, Canada

    International Nuclear Information System (INIS)

    McGoldrick, Daryl J.; Chan, Cecilia; Drouillard, Ken G.; Keir, Michael J.; Clark, Mandi G.; Backus, Sean M.

    2014-01-01

    We examine the concentrations and food web biomagnification of three cyclic volatile methylsiloxanes (cVMS) octamethylcyclotetrasiloxane (D4), decamethylcyclopentasiloxane (D5), and dodecamethylcyclohexasiloxane (D6) using aquatic biota collected from Lake Erie. Concentrations of cVMS in biota were within the range reported for other studies of cVMS in aquatic biota. Trophic magnification factors (TMF) were assessed in various food web configurations to investigate the effects of food web structure. TMF estimates were highly dependent on the inclusion/exclusion of the organisms occupying the highest and lowest trophic levels and were >1 for D4 and D5, indicating biomagnification, in only 1 of the 5 food web configurations investigated and were <1 in the remaining 4 food web configurations. TMF estimates for PCB180 were also dependant on food web configuration, but did not correspond with those obtained for cVMS materials. These differences may be attributed to environmental exposure and/or lipid partitioning differences between PCB180 and cVMS. -- Highlights: • We investigated trophic magnification of siloxanes in aquatic biota from Lake Erie. • Trophic magnification estimates were variable and sensitive to food web structure. • Lipid partitioning of siloxanes and PCBs differ and may contribute to variability. -- Biomagnification estimates for siloxanes in Lake Erie are sensitive to food web structure, contaminant exposure pathways, and lipid partitioning differences between PCBs and siloxanes

  3. Case Study on Justification: High Intensity Discharge Lamps. Annex II

    International Nuclear Information System (INIS)

    2016-01-01

    High intensity discharge lamps produce bright white light of a high intensity in an energy efficient manner. These lamps are typically used in large numbers in public and professional settings such as shops, warehouses, hotels and offices. They are also used in outdoor applications to illuminate streets, buildings, statues, flags and gardens and further as architectural lighting. They also have applications associated with film projection in cinemas, manufacture of semiconductors, fluorescence endoscopy and microscopy, schlieren photography, hologram projection, ultraviolet curing, sky beamers and car headlights. Some types of high intensity discharge lamp, as well as certain other consumer products for lighting, contain radioactive substances for functional reasons. The radionuclides that are typically incorporated into high intensity discharge lamps are 85 Kr and 232 Th. Given the wide range of uses, specific decisions on justification may be required for different applications. A small number of safety assessments for high intensity discharge lamps have been carried out and published. No published decisions at the national level specifically addressing the justification of the use of high intensity discharge lamps have been identified

  4. Environmental review of natural gas production in Lake Erie

    International Nuclear Information System (INIS)

    O'Shea, K.

    2002-01-01

    The water of Lake Erie is used as a source of drinking water for Ontario, New York, Pennsylvania, Ohio and Michigan. An environmental review has been conducted to determine the impact of drilling operations on the overall ecology of the lake. Since 1913, 2000 natural gas wells have been drilled in Lake Erie, of which 550 currently produce gas and account for 75 per cent of Ontario's total gas production. 180 wells are shut-in or suspended and the remaining wells have been abandoned. The gas wells are connected to onshore production facilities by approximately 1,600 km of small diameter pipelines that lie buried near shore or on top of the lake bed. Nearly 90 per cent of the in-lake infrastructure is in water depths of more than 20 metres. Talisman Energy is actively involved with the Canadian Coast Guard, the Department of Fisheries and Oceans, and the Ministry of Natural Resources to ensure cooperation between regulators and off-shore personnel. The environmental assessment of natural gas production in Lake Erie included a review of regulatory and best management practices, a biophysical overview of the lake, and a review of drilling practices, well completions, handling of waste streams, materials management, operations inspections, wastewater discharge, air emissions, and oil spills. It was revealed that for most drilling programs, cuttings are washed and discharged to the Lake. Ongoing testing will determine the impact that this practice has on benthic populations. The drill muds used for drilling operations are water based, environmentally friendly, and re-used between well locations. For completion programs, all well activities are closed circuit operations. Wells are abandoned through plugging with cement, removing wellheads and casing below the lake bottom. There has been a reported volume of about 23,000 litres of spilled product from 1990 to 2001, of which 68 per cent has come from 3 industrial companies that operate near Lake Erie. The offshore gas

  5. 33 CFR 162.134 - Connecting waters from Lake Huron to Lake Erie; traffic rules.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Connecting waters from Lake Huron to Lake Erie; traffic rules. 162.134 Section 162.134 Navigation and Navigable Waters COAST GUARD... REGULATIONS § 162.134 Connecting waters from Lake Huron to Lake Erie; traffic rules. (a) Detroit River. The...

  6. 33 CFR 162.132 - Connecting waters from Lake Huron to Lake Erie; communications rules.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Connecting waters from Lake Huron to Lake Erie; communications rules. 162.132 Section 162.132 Navigation and Navigable Waters COAST... NAVIGATION REGULATIONS § 162.132 Connecting waters from Lake Huron to Lake Erie; communications rules. (a...

  7. 33 CFR 162.130 - Connecting waters from Lake Huron to Lake Erie; general rules.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Connecting waters from Lake Huron to Lake Erie; general rules. 162.130 Section 162.130 Navigation and Navigable Waters COAST GUARD... REGULATIONS § 162.130 Connecting waters from Lake Huron to Lake Erie; general rules. (a) Purpose. The...

  8. 33 CFR 162.138 - Connecting waters from Lake Huron to Lake Erie; speed rules.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Connecting waters from Lake Huron to Lake Erie; speed rules. 162.138 Section 162.138 Navigation and Navigable Waters COAST GUARD... REGULATIONS § 162.138 Connecting waters from Lake Huron to Lake Erie; speed rules. (a) Maximum speed limit for...

  9. 33 CFR 162.136 - Connecting waters from Lake Huron to Lake Erie; anchorage grounds.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Connecting waters from Lake Huron to Lake Erie; anchorage grounds. 162.136 Section 162.136 Navigation and Navigable Waters COAST GUARD... REGULATIONS § 162.136 Connecting waters from Lake Huron to Lake Erie; anchorage grounds. (a) In the Detroit...

  10. 33 CFR 162.140 - Connecting waters from Lake Huron to Lake Erie; miscellaneous rules.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Connecting waters from Lake Huron to Lake Erie; miscellaneous rules. 162.140 Section 162.140 Navigation and Navigable Waters COAST... NAVIGATION REGULATIONS § 162.140 Connecting waters from Lake Huron to Lake Erie; miscellaneous rules. (a...

  11. Evaluation of different strains of eri silkworms ( Samia cynthia ricini B ...

    African Journals Online (AJOL)

    Eri silkworms, Samia cynthia ricini B., is one of the silkworm races under utilization in Ethiopia. However, it has several strains with wide variation in their commercial traits and selection and utilization of best suited strains of this eri silkworm race that adapt to different agro-ecologies will help to increase silk productivity and ...

  12. 76 FR 55564 - Safety Zone; Revolution 3 Triathlon, Sandusky Bay, Lake Erie, Cedar Point, OH

    Science.gov (United States)

    2011-09-08

    ...-AA00 Safety Zone; Revolution 3 Triathlon, Sandusky Bay, Lake Erie, Cedar Point, OH AGENCY: Coast Guard... Erie during the Revolution 3 Triathlon. This temporary safety zone is necessary to protect participants..., between 9 a.m. and 5 p.m., Monday through Friday, except Federal holidays. FOR FURTHER INFORMATION CONTACT...

  13. 75 FR 55477 - Safety Zone; Revolution 3 Triathlon, Lake Erie & Sandusky Bay, Cedar Point, OH

    Science.gov (United States)

    2010-09-13

    ...-AA00 Safety Zone; Revolution 3 Triathlon, Lake Erie & Sandusky Bay, Cedar Point, OH AGENCY: Coast Guard... portions of the Lake Erie during the Revolution 3 Cedar Point Triathlon. The temporary safety zone is... 5 p.m., Monday through Friday, except Federal holidays. FOR FURTHER INFORMATION CONTACT: If you have...

  14. Design study on an intense heavy-ion linac system

    International Nuclear Information System (INIS)

    Okamura, M.; Oguri, Y.; Takahashi, Y.; Hattori, T.; Takeda, O.; Satoh, K.; Tanabe, Y.

    1992-01-01

    A four-vane RFQ cavity is designed for an intense heavy-ion linac system. RFQ-vanes with small tip curvatures are applied in order to improve the RF power efficiency. Beam optical and RF parameters are investigated by beams of numerical methods. Using a scale model, the cavity structure is experimentally optimized. (Author) 7 refs., 4 figs

  15. Lake trout rehabilitation in Lake Erie: a case history

    Science.gov (United States)

    Cornelius, Floyd C.; Muth, Kenneth M.; Kenyon, Roger

    1995-01-01

    Native lake trout (Salvelinus namaycush) once thrived in the deep waters of eastern Lake Erie. The impact of nearly 70 years of unregulated exploitation and over 100 years of progressively severe cultural eutrophication resulted in the elimination of lake trout stocks by 1950. Early attempts to restore lake trout by stocking were unsuccessful in establishing a self-sustaining population. In the early 1980s, New York's Department of Environmental Conservation, Pennsylvania's Fish and Boat Commission, and the U.S. Fish and Wildlife Service entered into a cooperative program to rehabilitate lake trout in the eastern basin of Lake Erie. After 11 years of stocking selected strains of lake trout in U.S. waters, followed by effective sea lamprey control, lake trout appear to be successfully recolonizing their native habitat. Adult stocks have built up significantly and are expanding their range in the lake. Preliminary investigations suggest that lake trout reproductive habitat is still adequate for natural reproduction, but natural recruitment has not been documented. Future assessments will be directed toward evaluation of spawning success and tracking age-class cohorts as they move through the fishery.

  16. Controls of event-based nutrient transport within nested headwater agricultural watersheds of the western Lake Erie basin

    Science.gov (United States)

    Williams, Mark R.; Livingston, Stanley J.; Penn, Chad J.; Smith, Douglas R.; King, Kevin W.; Huang, Chi-hua

    2018-04-01

    Understanding the processes controlling nutrient delivery in headwater agricultural watersheds is essential for predicting and mitigating eutrophication and harmful algal blooms in receiving surface waters. The objective of this study was to elucidate nutrient transport pathways and examine key components driving nutrient delivery processes during storm events in four nested agricultural watersheds (298-19,341 ha) in the western Lake Erie basin with poorly drained soils and an extensive artificial drainage network typical of the Midwestern U.S. Concentration-discharge hysteresis patterns of nitrate-nitrogen (NO3-N), dissolved reactive phosphorus (DRP), and particulate phosphorus (PP) occurring during 47 storm events over a 6 year period (2004-2009) were evaluated. An assessment of the factors producing nutrient hysteresis was completed following a factor analysis on a suite of measured environmental variables representing the fluvial and wider watershed conditions prior to, and during the monitored storm events. Results showed the artificial drainage network (i.e., surface tile inlets and subsurface tile drains) in these watersheds was the primary flow pathway for nutrient delivery to streams, but nutrient behavior and export during storm events was regulated by the flow paths to and the intensity of the drainage network, the availability of nutrients, and the relative contributions of upland and in-stream nutrient sources. Potential sources and flow pathways for transport varied among NO3-N, PP, and DRP with results underscoring the challenge of mitigating nutrient loss in these watersheds. Conservation practices addressing both nutrient management and hydrologic connectivity will likely be required to decrease nutrient loss in artificially drained landscapes.

  17. Impacts of aquatic nonindigenous invasive species on the Lake Erie ecosystem

    Science.gov (United States)

    Austen, Madeline J.W.; Ciborowski, Jan J.H.; Corkum, Lynda D.; Johnson, Tim B.; MacIsaac, Hugh J.; Metcalfe-Smith, Janice L.; Schloesser, Donald W.; George, Sandra E.

    2002-01-01

    Lake Erie is particularly vulnerable to the introduction and establishment of aquatic nonindigenous invasive species (NIS) populations. A minimum of 144 aquatic NIS have been recorded in the Lake Erie basin including several species [e.g., Eurasian watermilfoil (Myriophyllum spicatum); zebra mussel (Dreissena polymorpha); quagga mussel (Dreissena bugensis); an amphipod (Echinogammarus ischnus); round goby (Neogobius melanostomus); and sea lamprey (Petromyzon marinus)] that have had discernible impacts on the lake's ecology. NIS pose threats to the Lake Erie ecosystem for a variety of reasons including their ability to proliferate quickly, compete with native species, and transfer contaminants (e.g., PCBs) and disease through the food web. Six of the 14 beneficial use impairments listed in Annex 2 of the Great Lakes Water Quality Agreement are impaired in Lake Erie, in part as a result of the introduction of NIS. The Lake Erie Lakewide Management Plan (LaMP) has adopted an ecosystem approach to restore beneficial use impairments in the lake. Furthermore, a research consortium, known as the Lake Erie Millennium Network, is working alongside the LaMP, to address research problems regarding NIS, the loss of habitat, and the role of contaminants in the Lake Erie ecosystem.

  18. Water resources of the Lake Erie shore region in Pennsylvania

    Science.gov (United States)

    Mangan, John William; Van Tuyl, Donald W.; White, Walter F.

    1952-01-01

    An abundant supply of water is available to the Lake Erie Shore region in Pennsylvania. Lake i£rie furnishes an almost inexhaustible supply of water of satisfactory chemical quality. Small quantities of water are available from small streams in the area and from the ground. A satisfactory water supply is one of the factors that affect the economic growth of a region. Cities and towns must have adequate amounts of pure water for human consumption. Industries must have suitable water ih sufficient quantities for all purposes. In order to assure. success and economy, the development of water resources should be based on adequate knowledge of the quantity and quality of the water. As a nation, we can not afford to run the risk of dissipating our resources, especially in times of national emergency, by building projects that are not founded on sound engineering and adequate water-resources information. The purpose of this report is to summarize and interpret all available water-resources information for the Lake Erie Shore region in Pennsylvania. The report will be useful for initial guidance in the location or expansion of water facilities for defense and nondefense industries and the municipalities upon which they are dependent. It will also be useful in evaluating the adequacy of the Geological Survey's part of the basic research necessary to plan the orderly development of the water resources of the Lake Erie Shore region. Most of the data contained inthis report have been obtained'by the U. S. Geological Survey in cooperation with the Pennsylvania Department of Forests and Waters, the Pennsylvania Department of Internal Affairs, and the Pennsylvania State Planning Board, Department of Commerce. The Pennsylv~nia Department of Health furnished information on water pollution. The report was prepared in the Water Resources Division of the U. S. Geological Survey b:y John W. Mangan (Surface Water). Donald W. VanTuyl (Ground Water). and Walter F. White, Jr. (Quality of

  19. Flow of an Erying-Powell fluid over a stretching sheet in presence of chemical reaction

    Directory of Open Access Journals (Sweden)

    Khan Ilyas

    2016-01-01

    Full Text Available In this paper we study the flow of an incompressible Erying-Powell fluid bounded by a linear stretching surface. The mass transfer analysis in the presence of destructive /generative chemical reactions is also analyzed. A similarity transformation is used to transform the governing partial differential equations into ordinary differential equations. Computations for dimensionless velocity and concentration fields are performed by an efficient approach namely the homotopy analysis method (HAM and numerical solution is obtained by shooting technique along with Runge-Kutta-Fehlberg integration scheme. Graphical results are prepared to illustrate the details of flow and mass transfer characteristics and their dependence upon the physical parameters. The values for gradient of mass transfer are also evaluated and analyzed. A comparison of the present solutions with published results in the literature is performed and the results are found to be in excellent agreement.

  20. Study of neutron fields around an intense neutron generator.

    Science.gov (United States)

    Kicka, L; Machrafi, R; Miller, A

    2017-12-01

    Neutron fields in the vicinity of the newly built neutron facility, at the University of Ontario Institute of Technology (UOIT), have been investigated in a series of Monte Carlo simulations and measurements. The facility hosts a P-385 neutron generator based on a deuterium-deuterium fusion reaction. The neutron fluence at different locations around the neutron generator facility has been simulated using MCNPX 2.7E Monte Carlo particle transport program. To characterize neutron fields, three neutron sources were modeled with distributions corresponding to different incident deuteron energies of 90kV, 110kV, and 130kV. Measurements have been carried out to determine the dose rate at locations adjacent to the generator using bubble detectors (BDs). The neutron intensity was evaluated and the total dose rates corresponding to different applied acceleration potentials were estimated at various locations. Copyright © 2017 Elsevier Ltd. All rights reserved.

  1. Dosimetric comparison between intensity modulated brachytherapy versus external beam intensity modulated radiotherapy for cervix cancer: a treatment planning study

    International Nuclear Information System (INIS)

    Subramani, V.; Sharma, D.N.; Jothy Basu, K.S.; Rath, G.K.; Gopishankar, N.

    2008-01-01

    To evaluate the dosimetric superiority of intensity modulated brachytherapy (IMBT) based on inverse planning optimization technique with classical brachytherapy optimization and also with external beam intensity modulated radiotherapy planning technique in patients of cervical carcinoma

  2. A description of the severity of equestrian-related injuries (ERIs) using clinical parameters and patient-reported outcomes.

    Science.gov (United States)

    Papachristos, Alexander; Edwards, Elton; Dowrick, Adam; Gosling, Cameron

    2014-09-01

    Despite a number of injury prevention campaigns and interventions, horse riding continues to be a dangerous activity, resulting in more accidents per hour than motorcycling, skiing and football. Injuries are often serious, with one in four patients requiring admission to hospital. This study aims to describe the severity of equestrian-related injuries (ERIs) using both clinical parameters and patient-reported outcomes. A retrospective study of all patients aged ≥18 years admitted to The Alfred Hospital between January 2003 and January 2008 with an ERI was performed. Specific clinical data were extracted from the medical record. In addition, a questionnaire was conducted identifying the details of the accident, the required recovery time and levels of ongoing pain and physical disability. During the study period 172 patients met the inclusion criteria. There were three deaths (2%). Eighty-two patients (48%) suffered head injuries. Forty-one patients (24%) were admitted to the ICU and 31 patients (18%) required mechanical ventilation. On discharge, 41 patients (24%) required transfer to a sub-acute rehabilitation facility. One-hundred-and-twenty-four patients (72%) completed the questionnaire. Thirty-nine respondents (31%) were not wearing a helmet. Among patients injured for more than 6 months, 38 (35%) still experienced moderate or severe pain or disability. Ninety-five patients had returned to work at the time of review, among which 47(50%) required longer than 6 months to recover, and 40 (42%) returned at a reduced capacity. The clinical and patient-reported outcomes of ERIs requiring hospital admission are poor. Persistent pain and disability are common, even up to 5 years post-injury. A large proportion of patients required longer than 6 months to return to work and many return at a reduced capacity. Copyright © 2014 Elsevier Ltd. All rights reserved.

  3. Compression of Semesters or Intensity of Study: What is it that Increases Student Success?

    Science.gov (United States)

    Spurling, Steven

    This study examined the relationship between intensity of study (defined as more hours per week of class within a subject matter area) and student success. The researcher identified two possible methods for increasing the intensity of study: (1) Compression Hypothesis--shortening the length of terms and increasing the amount of time per week spent…

  4. Production and Studies of Photocathodes for High Intensity Electron Beams

    CERN Document Server

    Chevallay, E; Legros, P; Suberlucq, Guy; Trautner, H

    2000-01-01

    For short, high-intensity electron bunches, alkali-tellurides have proved to be a reliable photo-cathode material. Measurements of lifetimes in an rf gun of the CLIC Test Facility II at field strengths greater than 100 MV/m are presented. Before and after using them in this gun, the spectral response of the CS-Te and Rb-Te cathodes were determined with the help of an optical parametric oscillator. The behaviour of both materials can be described by Spicer's 3-step model. Whereas during the use the threshold for photo-emission in Cs-Te was shifted to higher proton energies, that of Rb-Te did not change. Our latest investigations on the stoichiometric ratio of the components are shown. The preparation of the photo-cathodes was monitored with 320 nm wavelength light , with the aim of improving the measurement sensitivity. The latest results on the protection of Cs-Te cathode surfaces with CsBr against pollution are summarized. New investigations on high mean current production are presented.,

  5. Profiles of Wind and Turbulence in the Coastal Atmospheric Boundary Layer of Lake Erie

    KAUST Repository

    Wang, H

    2014-06-16

    Prediction of wind resource in coastal zones is difficult due to the complexity of flow in the coastal atmospheric boundary layer (CABL). A three week campaign was conducted over Lake Erie in May 2013 to investigate wind characteristics and improve model parameterizations in the CABL. Vertical profiles of wind speed up to 200 m were measured onshore and offshore by lidar wind profilers, and horizontal gradients of wind speed by a 3-D scanning lidar. Turbulence data were collected from sonic anemometers deployed onshore and offshore. Numerical simulations were conducted with the Weather Research Forecasting (WRF) model with 2 nested domains down to a resolution of 1-km over the lake. Initial data analyses presented in this paper investigate complex flow patterns across the coast. Acceleration was observed up to 200 m above the surface for flow coming from the land to the water. However, by 7 km off the coast the wind field had not yet reached equilibrium with the new surface (water) conditions. The surface turbulence parameters over the water derived from the sonic data could not predict wind profiles observed by the ZephlR lidar located offshore. Horizontal wind speed gradients near the coast show the influence of atmospheric stability on flow dynamics. Wind profiles retrieved from the 3-D scanning lidar show evidence of nocturnal low level jets (LLJs). The WRF model was able to capture the occurrence of LLJ events, but its performance varied in predicting their intensity, duration, and the location of the jet core.

  6. Historical Documentation of Warm-Season Grasses Management at Erie National Wildlife Refuge 1989

    Data.gov (United States)

    Department of the Interior — The early accounts of an active grassland management program at Erie National Wildlife Refuge dates back to 1977. This report is an attempt to document the refuge’s...

  7. 2008 Federal Emergency Management Agency (FEMA) New York Lidar: Erie County

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Using Leica Geosystems ALS50 Laser Systems, 89 flight lines with a nominal point spacing = 1.4 meters (4.59 feet) were collected over Erie County, NY (approximately...

  8. BOTULISM E IN LAKE ERIE: ECOLOGY AND LOWER FOOD WEB TRANSFER

    Science.gov (United States)

    This project will determine the environmental conditions that favor botulism Type E bacteria in Lake Erie and explore whether quagga mussels are altering bottom sediment conditions to favor C. botulinum growth. Analysis of environmental parameters, including water chemistry, alg...

  9. Profiles of Wind and Turbulence in the Coastal Atmospheric Boundary Layer of Lake Erie

    KAUST Repository

    Wang, H; Barthelmie, R J; Crippa, P; Doubrawa, P; Pryor, S C

    2014-01-01

    Prediction of wind resource in coastal zones is difficult due to the complexity of flow in the coastal atmospheric boundary layer (CABL). A three week campaign was conducted over Lake Erie in May 2013 to investigate wind characteristics and improve

  10. 78 FR 26416 - Environmental Impact Statement: City of Buffalo, Erie County, New York

    Science.gov (United States)

    2013-05-06

    ... from the US Border Port of Entry/Peace Bridge Plaza (Plaza), in the City of Buffalo, Erie County, New... Drive, and to provide alternate access from Porter Avenue to the Plaza. Letters describing the proposed...

  11. 'Best interests' in paediatric intensive care: an empirical ethics study.

    Science.gov (United States)

    Birchley, Giles; Gooberman-Hill, Rachael; Deans, Zuzana; Fraser, James; Huxtable, Richard

    2017-10-01

    In English paediatric practice, English law requires that parents and clinicians agree the 'best interests' of children and, if this is not possible, that the courts decide. Court intervention is rare and the concept of best interests is ambiguous. We report qualitative research exploring how the best interests standard operates in practice, particularly with decisions related to planned non-treatment. We discuss results in the light of accounts of best interests in the medical ethics literature. We conducted 39 qualitative interviews, exploring decision making in the paediatric intensive care unit, with doctors, nurses, clinical ethics committee members and parents whose children had a range of health outcomes. Interviews were audio-recorded and analysed thematically. Parents and clinicians indicated differences in their approaches to deciding the child's best interests. These were reconciled when parents responded positively to clinicians' efforts to help parents agree with the clinicians' view of the child's best interests. Notably, protracted disagreements about a child's best interests in non-treatment decisions were resolved when parents' views were affected by witnessing their child's physical deterioration. Negotiation was the norm and clinicians believed avoiding the courts was desirable. Sensitivity to the long-term interests of parents of children with life-limiting conditions is defensible but must be exercised proportionately. Current approaches emphasise negotiation but offer few alternatives when decisions are at an impasse. In such situations, the instrumental role played by a child's deterioration and avoidance of the courts risks giving insufficient weight to the child's interests. New approaches to decision making are needed. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  12. Nitrogen cycling in Sandusky Bay, Lake Erie: oscillations between strong and weak export and implications for harmful algal blooms

    Science.gov (United States)

    Salk, Kateri R.; Bullerjahn, George S.; McKay, Robert Michael L.; Chaffin, Justin D.; Ostrom, Nathaniel E.

    2018-05-01

    Recent global water quality crises point to an urgent need for greater understanding of cyanobacterial harmful algal blooms (cHABs) and their drivers. Nearshore areas of Lake Erie such as Sandusky Bay may become seasonally limited by nitrogen (N) and are characterized by distinct cHAB compositions (i.e., Planktothrix over Microcystis). This study investigated phytoplankton N uptake pathways, determined drivers of N depletion, and characterized the N budget in Sandusky Bay. Nitrate (NO3-) and ammonium (NH4+) uptake, N fixation, and N removal processes were quantified by stable isotopic approaches. Dissimilatory N reduction was a relatively modest N sink, with denitrification, anammox, and N2O production accounting for 84, 14, and 2 % of sediment N removal, respectively. Phytoplankton assimilation was the dominant N uptake mechanism, and NO3- uptake rates were higher than NH4+ uptake rates. Riverine N loading was sometimes insufficient to meet assimilatory and dissimilatory demands, but N fixation alleviated this deficit. N fixation made up 23.7-85.4 % of total phytoplankton N acquisition and indirectly supports Planktothrix blooms. However, N fixation rates were surprisingly uncorrelated with NO3- or NH4+ concentrations. Owing to temporal separation in sources and sinks of N to Lake Erie, Sandusky Bay oscillates between a conduit and a filter of downstream N loading to Lake Erie, delivering extensively recycled forms of N during periods of low export. Drowned river mouths such as Sandusky Bay are mediators of downstream N loading, but climate-change-induced increases in precipitation and N loading will likely intensify N export from these systems.

  13. The Eldicus prospective, observational study of triage decision making in European intensive care units. Part II: Intensive care benefit for the elderly

    DEFF Research Database (Denmark)

    Sprung, Charles L; Artigas, Antonio; Kesecioglu, Jozef

    2012-01-01

    on mortality and intensive care unit benefit, specifically for elderly patients. DESIGN:: Prospective, observational study of triage decisions from September 2003 until March 2005. SETTING:: Eleven intensive care units in seven European countries. PATIENTS:: All patients >18 yrs with an explicit request......RATIONALE:: Life and death triage decisions are made daily by intensive care unit physicians. Admission to an intensive care unit is denied when intensive care unit resources are constrained, especially for the elderly. OBJECTIVE:: To determine the effect of intensive care unit triage decisions...... care unit rejections than younger patients and have a higher mortality when admitted, the mortality benefit appears greater for the elderly. Physicians should consider changing their intensive care unit triage practices for the elderly....

  14. Learning from older peoples’ reasons for participating in demanding, intensive epidemiological studies: a qualitative study

    Directory of Open Access Journals (Sweden)

    Alicja M. Baczynska

    2017-12-01

    Full Text Available Abstract Background Recruitment rates of older people in epidemiological studies, although relatively higher than in clinical trials, have declined in recent years. This study aimed to explore motivating factors and concerns among older participants in an intensive epidemiological study (Hertfordshire Sarcopenia Study - HSS and identify those that could aid future recruitment to epidemiological studies and clinical trials. Methods Participants of the HSS fasted overnight and travelled several hours each way to the research facility at an English hospital for extensive diet/lifestyle questionnaires and investigations to assess muscle including blood tests and a muscle biopsy. We conducted semi-structured interviews with 13 participants (ten women at the research facility in May–October 2015. The interviews were audio-taped, transcribed verbatim, coded and analysed thematically by three researchers. Results We identified personal motives for participation (potential health benefit for self and family; curiosity; comparing own fitness to others; socialising. Altruistic motives (benefit for other people; belief in importance of research were also important. Participants voiced a number of external motives related to the study uniqueness, organisation and safety record; family support; and just ‘being asked’. Anxiety about the biopsy and travel distance were the only concerns and were alleviated by smooth and efficient running of the study. Conclusions Personal and altruistic reasons were important motivators for these older people to participate in demanding, intensive research. They valued belonging to a birth cohort with previous research experience, but personal contact with the research team before and after consent provided reassurance, aided recruitment to HSS and could be readily replicated by other researchers. Any fears or concerns related to certain aspects of a demanding, intensive study should ideally be explored at an early visit

  15. Intensive monitoring of new drugs based on first prescription signals from pharmacists : a pilot study

    NARCIS (Netherlands)

    Van Grootheest, AC; Groote, JK; de Jong-van den Berg, LTW

    Background Intensive monitoring can be a valuable tool in the early detection of adverse drug reactions, especially of new drugs. Aim of this pilot study was to investigate the practical possibilities of a system of intensive monitoring, using the pharmacy computer system to detect the first

  16. Motivational intensity modulates attentional scope: evidence from behavioral and ERP studies.

    Science.gov (United States)

    Liu, Lei; Zhang, Guangnan; Zhou, Renlai; Wang, Zuowei

    2014-10-01

    Previous studies have found that affective states with high motivational intensity narrow attentional scope, whereas affective states with low motivational intensity broaden attentional scope. This conclusion, however, is based on fragmented evidence based on several separate studies. The present study tests this conclusion within a single study using both behavioral (Experiment 1) and neurophysiological (Experiment 2) measures. Experiment 1 showed that individuals had the global precedence effect in the neutral affective state. However, the global precedence effect was reduced for affective states with high motivational intensity, whereas the global precedence effect was not significantly enhanced for those with low motivational intensity. Experiment 2 replicated these results with event-related potential (ERP) recording. ERP results showed that affective states with high motivational intensity induced smaller N2 and greater late positive potential (LPP) amplitudes than low motivational intensity and neutral affective states. However, no differences were found between the low motivational intensity and neutral affective states. Furthermore, smaller LPP predicted the tendency a global attentional focus in the frontal and central areas and larger LPP predicted a narrowed focus in the frontal area. The findings suggested that high motivational intensity of affective states can affect attentional scope.

  17. A Comparative Study of Intensity Markers in Engineering and Applied Linguistics

    Science.gov (United States)

    Behnam, Biook; Mirzapour, Fatemeh

    2012-01-01

    Writers use intensity markers as one of strategies in order to negotiate their claims and to make their writings persuasive and credible. This study is an attempt to examine the type, frequency, and functions of intensity markers in research articles of two disciplines of Applied Linguistics and Electrical Engineering by analyzing surface…

  18. Experimental study of a high intensity radio-frequency cooler

    Directory of Open Access Journals (Sweden)

    Ramzi Boussaid

    2015-07-01

    Full Text Available Within the framework of the DESIR/SPIRAL-2 project, a radio-frequency quadrupole cooler named SHIRaC has been studied. SHIRaC is a key device of SPIRAL-2, designed to enhance the beam quality required by DESIR. The preliminary study and development of this device has been carried out at Laboratoire de Physique Corpusculaire de CAEN (LPC Caen, France. The goal of this paper is to present the experimental studies conducted on a SHIRaC prototype. The main peculiarity of this cooler is its efficient handling and cooling of ion beams with currents going up as high as 1  μA which has never before been achieved in any of the previous coolers. Much effort has been made lately into these studies for development of appropriate optics, vacuum and rf systems which allow cooling of beams of large emittance (∼80π  mm mrad and high current. The dependencies of SHIRaC’s transmission and the cooled beam parameters in terms of geometrical transverse emittance and the longitudinal energy spread have also been discussed. Investigation of beam purity at optimum cooling condition has also been done. Results from the experiments indicate that an emittance reduction of less than 2.5π  mm mrad and a longitudinal energy spread reduction of less than 4 eV are obtained with more than 70% of ion transmission. The emittance is at expected values whereas the energy spread is not.

  19. Does behavioural thermoregulation underlie seasonal movements in Lake Erie walleye?

    Science.gov (United States)

    Raby, Graham D.; Vandergoot, Christopher; Hayden, Todd A.; Faust, Matthew D.; Kraus, Richard T.; Dettmers, John M.; Cooke, Steven J.; Zhao, Yingming; Fisk, Aaron T.; Krueger, Charles C.

    2018-01-01

    Thermoregulation is presumed to be a widespread determinant of behaviour in fishes, but has not often been investigated as a mechanism shaping long-distance migrations. We used acoustic telemetry and animal-borne thermal loggers to test the hypothesis that seasonal migration in adult walleye (Sander vitreus) in Lake Erie is size- and (or) sex-specific and related to behavioural thermoregulation. Female walleye migrated out of the warm, shallow western basin earlier than did males and were 1.8 times more likely to be detected on acoustic receivers in the deeper and cooler eastern basin. The few fish that remained in the western basin were restricted to a smaller range of higher temperatures (≥20 °C) than those that migrated to the central and eastern basins (∼16–21 °C). However, temperature records from walleye in the central basin were nearly indistinguishable from those in the eastern basin, suggesting thermal preferences alone could not explain migration to the eastern basin. As such, our effort to understand the mechanisms that cause migratory behaviours has generated mixed evidence on the role of temperature and that factors like foraging opportunities may have synergistic roles in the migration.

  20. Linac design study for an intense neutron-source driver

    International Nuclear Information System (INIS)

    Lynch, M.T.; Browman, A.; DeHaven, R.; Jameson, R.; Jason, A.; Neuschaefer, G.; Tallerico, P.; Regan, A.

    1993-01-01

    The 1-MW spallation-neutron source under design study at Los Alamos is driven by a linac-compressor-ring scheme that utilizes a large portion of the existing Los Alamos Meson Physics Facility (LAMPF) linac, as well as the facility infrastructure. The project is referred to as the National Center for Neutron Research (NCNR). A second phase of the proposal will upgrade the driver power to 5 MW. A description of the 1-MW scheme is given in this paper. In addition, the upgrade path to the substantial increase of beam power required for the 5 MW scenario is discussed

  1. [Nosocomial sinusitis in an intensive care unit: a microbiological study].

    Science.gov (United States)

    Balsalobre Filho, Leonardo Lopes; Vieira, Fernando Mirage Jardim; Stefanini, Renato; Cavalcante, Ricardo; Santos, Rodrigo de Paula; Gregório, Luis Carlos

    2011-01-01

    Nosocomial sinusitis is a common complication of patients in ICUs. Its diagnosis is important, and early treatment is required to avoid serious complications such as pneumonia, sepsis, meningitis, and intracranial abscesses. To identify the germs causing sinusitis in ICUs by nasal swabs and maxillary sinus puncture, and to correlate these results. ICU patients with a diagnosis (CT confirmed) of maxillary sinusitis underwent nasal swab and puncture of the sinus to collect material for culture and antibiogram. This study evaluated 22 patients. The microbial agent isolated in the swab correlated with the agent in the puncture in 14 of 22 cases (63%). Gram-negative bacteria were the most frequent, as follows: Pseudomonas aeruginosa (29% of punctures), following by Proteus mirabillis (26%) and Acinetobacter baumanni (14%). The resistance index in the antibiogram was high to antibiotics. Maxillary sinus puncture of ICU patients with sinusitis appears to be the best method for identifying bacteria; antibiograms demonstrate resistance to therapy. The swab has little diagnostic value; the correlation was 63%. It may be used when sinus puncture is contraindicated.

  2. Lake Erie Water Level Study. Appendix B. Regulatory Works.

    Science.gov (United States)

    1981-07-01

    128 IV(1gL.LE.4)13 TO ISO V(13lA(J#0-�t 13r?64*766 764 0Cv1(LA).1)L/? 6𔃻 TO to0 7bb IF(4NA.EO.2):1 to10 63 TO ISO 7? t(f4QLoLE0);1 T3 179...1290 463 5 1973 :o101 5S? 45900 56559 1220 530 S 1975 :0143 566 3153 56551 12rs 723 S 1975 call 564x 27000 5M69 1340 360 S 1975 :040 569 20701 56579

  3. Healthcare professionals' views of smart glasses in intensive care: A qualitative study.

    Science.gov (United States)

    Romare, Charlotte; Hass, Ursula; Skär, Lisa

    2018-04-01

    The aim of this study was to describe healthcare professionals' views of smart glasses before their implementation in an intensive care unit, both regarding quality of use of the glasses and to identify possible intensive care situations where the glasses could be used to increase patient safety. Data were generated through focus group interviews and analysed using thematic content analysis. The findings describe participants' views of smart glasses divided into three categories; Smart glasses to facilitate work at intensive care unit; Quality of use and Utilisation. Participants assumed smart glasses to cause both effect and affect in intensive care. Participants' concern for patients arose recurrently and through their concern intention to work to promote patient safety. Smart glasses are suggested as a complement to existing monitoring and routines and cannot replace human presence in intensive care. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

  4. LBA-ECO LC-01 Topographic Data for Intensive Study Areas, Northern Ecuadorian Amazon

    Data.gov (United States)

    National Aeronautics and Space Administration — ABSTRACT: This data set contains topographic/geomorphological data associated with the four Intensive Study Areas (ISAs) in the Northern Ecuadorian Amazon (northern...

  5. LBA-ECO LC-01 Topographic Data for Intensive Study Areas, Northern Ecuadorian Amazon

    Data.gov (United States)

    National Aeronautics and Space Administration — This data set contains topographic/geomorphological data associated with the four Intensive Study Areas (ISAs) in the Northern Ecuadorian Amazon (northern Oriente)...

  6. Intensive Versus Distributed Aphasia Therapy: A Nonrandomized, Parallel-Group, Dosage-Controlled Study.

    Science.gov (United States)

    Dignam, Jade; Copland, David; McKinnon, Eril; Burfein, Penni; O'Brien, Kate; Farrell, Anna; Rodriguez, Amy D

    2015-08-01

    Most studies comparing different levels of aphasia treatment intensity have not controlled the dosage of therapy provided. Consequently, the true effect of treatment intensity in aphasia rehabilitation remains unknown. Aphasia Language Impairment and Functioning Therapy is an intensive, comprehensive aphasia program. We investigated the efficacy of a dosage-controlled trial of Aphasia Language Impairment and Functioning Therapy, when delivered in an intensive versus distributed therapy schedule, on communication outcomes in participants with chronic aphasia. Thirty-four adults with chronic, poststroke aphasia were recruited to participate in an intensive (n=16; 16 hours per week; 3 weeks) versus distributed (n=18; 6 hours per week; 8 weeks) therapy program. Treatment included 48 hours of impairment, functional, computer, and group-based aphasia therapy. Distributed therapy resulted in significantly greater improvements on the Boston Naming Test when compared with intensive therapy immediately post therapy (P=0.04) and at 1-month follow-up (P=0.002). We found comparable gains on measures of participants' communicative effectiveness, communication confidence, and communication-related quality of life for the intensive and distributed treatment conditions at post-therapy and 1-month follow-up. Aphasia Language Impairment and Functioning Therapy resulted in superior clinical outcomes on measures of language impairment when delivered in a distributed versus intensive schedule. The therapy progam had a positive effect on participants' functional communication and communication-related quality of life, regardless of treatment intensity. These findings contribute to our understanding of the effect of treatment intensity in aphasia rehabilitation and have important clinical implications for service delivery models. © 2015 American Heart Association, Inc.

  7. Detection and Modeling of a Meteotsunami in Lake Erie During a High Wind Event on May 27, 2012

    Science.gov (United States)

    Anderson, E. J.; Schwab, D. J.; Lombardy, K. A.; LaPlante, R. E.

    2012-12-01

    water levels for the Great Lakes and connecting channels. The model is simulated for the storm period on May 27, 2012 to reproduce both the benign and the wave-inducing events using interpolated 6-minute meteorology (wind, pressure, air temperature) from shoreline observations recorded by the National Weather Service. Additional scenarios are carried out to understand the influence of storm speed and direction, wind speed, and pressure change on edge wave production near the southern shore of Lake Erie. Through this study, we hope to fully elucidate the early summer meteotsunami event and build an understanding that will enable the development of a meteotsunami forecasting system for the Great Lakes.

  8. Fabrication and characterization of biomaterial film from gland silk of muga and eri silkworms.

    Science.gov (United States)

    Dutta, Saranga; Talukdar, Bijit; Bharali, Rupjyoti; Rajkhowa, Rangam; Devi, Dipali

    2013-05-01

    This study discusses the possibilities of liquid silk (Silk gland silk) of Muga and Eri silk, the indigenous non mulberry silkworms of North Eastern region of India, as potential biomaterials. Silk protein fibroin of Bombyx mori, commonly known as mulberry silkworm, has been extensively studied as a versatile biomaterial. As properties of different silk-based biomaterials vary significantly, it is important to characterize the non mulberry silkworms also in this aspect. Fibroin was extracted from the posterior silk gland of full grown fifth instars larvae, and 2D film was fabricated using standard methods. The films were characterized using SEM, Dynamic contact angle test, FTIR, XRD, DSC, and TGA and compared with respective silk fibers. SEM images of films reveal presence of some globules and filamentous structure. Films of both the silkworms were found to be amorphous with random coil conformation, hydrophobic in nature, and resistant to organic solvents. Non mulberry silk films had higher thermal resistance than mulberry silk. Fibers were thermally more stable than the films. This study provides insight into the new arena of research in application of liquid silk of non mulberry silkworms as biomaterials. Copyright © 2012 Wiley Periodicals, Inc.

  9. Petrology of the Devonian gas-bearing shale along Lake Erie helps explain gas shows

    Energy Technology Data Exchange (ETDEWEB)

    Broadhead, R.F.; Potter, P.E.

    1980-11-01

    Comprehensive petrologic study of 136 thin sections of the Ohio Shale along Lake Erie, when combined with detailed stratigraphic study, helps explain the occurrence of its gas shows, most of which occur in the silty, greenish-gray, organic poor Chagrin Shale and Three Lick Bed. Both have thicker siltstone laminae and more siltstone beds than other members of the Ohio Shale and both units also contain more clayshales. The source of the gas in the Chagrin Shale and Three Lick Bed of the Ohio Shale is believed to be the bituminous-rich shales of the middle and lower parts of the underlying Huron Member of the Ohio Shale. Eleven petrographic types were recognized and extended descriptions are provided of the major ones - claystones, clayshales, mudshales, and bituminous shales plus laminated and unlaminated siltstones and very minor marlstones and sandstones. In addition three major types of lamination were identified and studied. Thirty-two shale samples were analyzed for organic carbon, whole rock hydrogen and whole rock nitrogen with a Perkin-Elmer 240 Elemental Analyzer and provided the data base for source rock evaluation of the Ohio Shale.

  10. High Intensity Laser Therapy (HILT) versus TENS and NSAIDs in low back pain: clinical study

    Science.gov (United States)

    Zati, Allesandro; Fortuna, Damiano; Valent, A.; Filippi, M. V.; Bilotta, Teresa W.

    2004-09-01

    Low back pain, caused by lumbar disc herniation, is prevalently treated with a conservative approach. In this study we valued the efficacy of High Intensity Laser Therapy (HILT), compared with accepted therapies such as TENS and NSAIDs. Laser therapy obtained similar results in the short term, but better clinical effect over time than TENS and NSAIDs. In conclusion high intensity laser therapy appears to be a interesting new treatment, worthy of further research.

  11. Thinking outside of the Lake: Can controls on nutrient inputs into Lake Erie benefit stream conservation in its watershed?

    Science.gov (United States)

    Investment in agricultural conservation practices (CPs) to address Lake Erie's re-eutrophication may offer benefits that extend beyond the lake, such as improved habitat conditions for fish communities throughout the watershed. If such conditions are not explicitly considered in Lake Erie nutrient ...

  12. 76 FR 66710 - Erie Boulevard Hydropower, L.P.; Notice of Application Accepted for Filing, Soliciting Comments...

    Science.gov (United States)

    2011-10-27

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 5984-063] Erie Boulevard Hydropower, L.P.; Notice of Application Accepted for Filing, Soliciting Comments, Motions To Intervene, and....: 5984-063. c. Date Filed: May 10, 2011. d. Applicant: Erie Boulevard Hydropower, L.P. (dba Brookfield...

  13. 78 FR 68044 - Erie Boulevard Hydropower, L.P.; Notice of Scoping Meetings and Environmental Site Review and...

    Science.gov (United States)

    2013-11-13

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 7320-042] Erie Boulevard Hydropower, L.P.; Notice of Scoping Meetings and Environmental Site Review and Soliciting Scoping Comments.... Date filed: July 1, 2013. d. Applicant: Erie Boulevard Hydropower, L.P. e. Name of Project: Chasm...

  14. 78 FR 62348 - Erie Boulevard Hydropower, L.P.; Notice of Application Accepted for Filing and Soliciting Motions...

    Science.gov (United States)

    2013-10-18

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 7320-042] Erie Boulevard Hydropower, L.P.; Notice of Application Accepted for Filing and Soliciting Motions To Intervene and Protests.... Date filed: July 1, 2013. d. Applicant: Erie Boulevard Hydropower, L.P. e. Name of Project: Chasm...

  15. 75 FR 51451 - Erie Boulevard Hydropower, L.P.; Notice of Intent To File License Application, Filing of Pre...

    Science.gov (United States)

    2010-08-20

    ... Hydropower, L.P.; Notice of Intent To File License Application, Filing of Pre-Application Document, and.... Project No.: 7320-040. c. Dated Filed: June 29, 2010. d. Submitted By: Erie Boulevard Hydropower, L.P. e...: John Mudre at (202) 502-8902; or e-mail at [email protected] . j. Erie Boulevard Hydropower, L.P...

  16. Stability of plutonium contaminated sediments in the Miami--Erie Canal

    International Nuclear Information System (INIS)

    Farmer, B.M.; Carfagno, D.G.

    1978-01-01

    This study was conducted to evaluate the stability of plutonium-contaminated sediment in the Miami-Erie Canal. Correlations were sought to relate concentrations at air sampling stations to plutonium-238 concentrations in air and stack emissions, wind direction, particulate loading, rainfall, and construction activities. There appears to be some impact on airborne concentrations at air sampling stations 122 and 123 from the contaminated sediment in the canal and ponds area. For purposes of this evaluation, it was assumed that the plutonium-238 found in the air samples came from the contaminated sediment in the canal/ponds area. To complete the evaluation of the inhalation pathway, dose calculations were performed using actual airborne concentrations of plutonium-238 measured at sampler 123. The dose equivalent to an individual in that area was calculated for 1 yr and 70 yr. Dose calculations were also performed on potential uptake of contaminated vegetation from that area for 1 yr and 70 yr. This study indicates that, although the contaminated sediments in the canal and pond area appear to contribute to airborne plutonium-238, the observed maximum monthly concentration of plutonium-238 in air is a small fraction of the DOE Radioactivity Concentration Guide (RCG) and the nine-month average concentration of plutonium-238 in air observed thus far during 1977 is less than 1% of the RCG. Dose equivalents, conservatively calculated from these actual data, are well within existing DOE standards and proposed EPA guidance

  17. Experimental Studies of Turbulent Intensity around a Tidal Turbine Support Structure

    Directory of Open Access Journals (Sweden)

    Stuart Walker

    2017-04-01

    Full Text Available Tidal stream energy is a low-carbon energy source. Tidal stream turbines operate in a turbulent environment, and the effect of the structure between the turbine and seabed on this environment is not fully understood. An experimental study using 1:72 scale models based on a commercial turbine design was carried out to study the support structure influence on turbulent intensity around the turbine blades. The study was conducted using the wave-current tank at the Laboratory of Maritime Engineering (LABIMA, University of Florence. A realistic flow environment (ambient turbulent intensity = 11% was established. Turbulent intensity was measured upstream and downstream of a turbine mounted on two different support structures (one resembling a commercial design, the other the same with an additional vertical element, in order to quantify any variation in turbulence and performance between the support structures. Turbine drive power was used to calculate power generation. Acoustic Doppler velocimetry (ADV was used to record and calculate upstream and downstream turbulent intensity. In otherwise identical conditions, performance variation of only 4% was observed between two support structures. Turbulent intensity at 1, 3 and 5 blade diameters, both upstream and downstream, showed variation up to 21% between the two cases. The additional turbulent structures generated by the additional element of the second support structure appears to cause this effect, and the upstream propagation of turbulent intensity is believed to be permitted by surface waves. This result is significant for the prediction of turbine array performance.

  18. Total Factor Productivity and Energy Intensity in Indian Manufacturing: A Cross-Sectional Study

    Directory of Open Access Journals (Sweden)

    Santosh Kumar Sahu

    2011-01-01

    Full Text Available The objective of the paper is to estimate the transcendental logarithmic production function and further study the determinants of total factor productivity (TFP of Indian manufacturing industries. The estimation of TFP is based on four inputs model, where apart from labour and capital, material and energy are the other two inputs. The findings of the paper suggest that labour and material inputs play major role as compared to the capital and energy input. Age of the firm, ownership, energy intensity, embodied and disembodied technology imports, research and development and exports were considered as the possible determinants of the TFP in the second stage regression. The finding of the estimates suggest that age of the firm, export intensity and disembodied technology import are positively related to the TFP, where ownership, energy intensity, embodied technology import and R&D intensity are negatively related to the TFP of the firms for Indian manufacturing.

  19. Systematic review of qualitative studies exploring parental experiences in the Neonatal Intensive Care Unit.

    Science.gov (United States)

    Al Maghaireh, Dua'a Fayiz; Abdullah, Khatijah Lim; Chan, Chong Mei; Piaw, Chua Yan; Al Kawafha, Mariam Mofleh

    2016-10-01

    To determine the feasibility and utility of a thematic analysis approach to synthesising qualitative evidence about parental experiences in the neonatal intensive care unit. Admission of infants to the neonatal intensive care unit is usually an unexpected event for parents who can cause them to experience psychosocial difficulties. A qualitative systematic review is the best method for exploring these parents' experiences regarding this type of admission. Systematic review. Qualitative studies in peer-reviewed journals aimed at understanding parental experiences regarding infant neonatal intensive care unit admission were identified in six electronic databases. Three reviewers selected relevant articles and assessed the quality of the methodological studies using the Critical Appraisal Skills Programme. A thematic analysis approach was used to identify the most common themes in the studies describing parental experiences in the neonatal intensive care unit. A total of eighty articles were identified; nine studies were included in this review. Four studies used semistructured interviews, three used interviews, one used self-reporting and one used both focus group and interview methodologies. Common themes across parents' experiences were the stress of hospitalisation, alteration in parenting roles and the impact of infant hospitalisation on psychological health. Having an infant hospitalised in the neonatal intensive care unit is a stressful experience for parents. This experience is the result of exposure to different stressors related to the infant's condition, an alteration in parenting roles or the neonatal intensive care unit environment and staffing. These parents suffered negative psychological effects, experienced an interrupted development of a healthy parent-infant attachment and/or felt parental role alteration. The study's findings are crucial for neonatal intensive care unit nurses to develop intervention strategies and programmes that help parents to

  20. Flatiron-Erie 115kV transmission line project, Larimer, Weld and Boulder Counties, Colorado

    International Nuclear Information System (INIS)

    1993-05-01

    Western Area Power Administration (Western) proposes to uprate its existing 115-kV Flatiron-Erie transmission line. The line is located in Larimer, Weld and Boulder Counties, Colorado, and passes through the City of Longmont. The line connects Flatiron Substation and several of the substations supplying Longmont. It is a single circuit 115-kV line, 31.5 miles long, and was built in 1950-51 on a 75-foot wide right-of-way (ROW) using wood H-frame structures. Western proposes to build 27 new structures along the line, to replace or modify 45 of the existing structures and to remote 11 of them. Many of these additions and changes would involve structures that are approximately 5 to 15 feet taller than the existing ones. The existing conductors and ground wires would remain in place. The purpose of these actions would be to allow the power carrying capability of the line to be increased and to replace deteriorating/structural members. Western would be the sole participant in the proposed project. This report gives an analysis of the study area environment and the development of alternative routes. An assessment is presented of the impacts of the primary alternative routes. The environmental consequences of this project are addressed

  1. [Comparative study of burnout in Intensive Care and Emergency Care nursing staff].

    Science.gov (United States)

    Ríos Risquez, M I; Godoy Fernández, C; Peñalver Hernández, F; Alonso Tovar, A R; López Alcaraz, F; López Romera, A; Garnés González, S; Salmerón Saura, E; López Real, M D; Ruiz Sánchez, R; Simón Domingo, P; Manzanera Nicolás, J L; Menchón Almagro, M A; Liébanas Bellón, R

    2008-01-01

    To assess and compare the burnout level between Intensive Care Unit and Emergency Unit, and study its association with the sociodemographic and work characteristics of the professionals surveyed. Cross-sectional, descriptive study. Emplacement. Intensive Care Unit of the university hospital Morales Meseguer, Murcia-Spain. STUDIED SAMPLE: 97 nursing professionals: 55 professionals belong to the Emergency Department, and 42 professionals belong to the Intensive Care Department. Two evaluation tools were used: a sociodemographic and work survey, and the Maslach Burnout Inventory, 1986. Quantitative variables expressed as mean +/- SD compared with the Student's T test and qualitative variables compared with the chi2 test. SPSS 12.0(c). The comparative analysis of the burnout dimensions shows that emotional exhaustion level is significantly higher in the intensive care service than in the emergency one (25.45 +/- 11.15 vs 22.09 +/- 10.99) p burnout dimensions do not show significant differences between both departments. The masculine gender obtains a higher score in the depersonalization dimension of burnout (10.12 +/- 5.38) than female one (6.7 +/- 5.21) p burnout levels are moderate to high among the nursing professionals studied. A total of 5.15% of the sample studied achieves a high score in the three dimensions of the burnout syndrome. The intensive care professionals are the most vulnerable to suffering high levels of emotional exhaustion, and the masculine gender is more susceptible to depersonalization attitudes.

  2. The experience of intensive care nurses caring for patients with delirium: A phenomenological study.

    Science.gov (United States)

    LeBlanc, Allana; Bourbonnais, Frances Fothergill; Harrison, Denise; Tousignant, Kelly

    2018-02-01

    The purpose of this research was to seek to understand the lived experience of intensive care nurses caring for patients with delirium. The objectives of this inquiry were: 1) To examine intensive care nurses' experiences of caring for adult patients with delirium; 2) To identify factors that facilitate or hinder intensive care nurses caring for these patients. This study utilised an interpretive phenomenological approach as described by van Manen. Individual conversational interviews were conducted with eight intensive care nurses working in a tertiary level, university-affiliated hospital in Canada. The essence of the experience of nurses caring for patients with delirium in intensive care was revealed to be finding a way to help them come through it. Six main themes emerged: It's Exhausting; Making a Picture of the Patient's Mental Status; Keeping Patients Safe: It's aReally Big Job; Everyone Is Unique; Riding It Out With Families and Taking Every Experience With You. The findings contribute to an understanding of how intensive care nurses help patients and their families through this complex and distressing experience. Copyright © 2017 Elsevier Ltd. All rights reserved.

  3. An experimental study on MRI signal intensity vs concentration of water-soluble contrast media

    International Nuclear Information System (INIS)

    Lee, Ghi Jai; Han, Chang Yul; Chang, Kee Hyun; Han, Moon Hee; Han, Man Chung

    1991-01-01

    There has been only one report that water-soluble contrast media containing iodine and used in conventional X -ray radiography reduce T1-and T2-relaxation times. We evaluated the relationship between signal intensity (relative signal intensity to normal saline) and T2-relaxation time of MRI and the concentration of 3 water-soluble contrast media [meglumine ioxithalamate (Telebrix 30), iopromide (Ultravist 300), iotrolan (Isovist 300)] through the phantom study, using both 2.0T and 0.5T MR units. We found that the signal intensity increased significantly on the T1-weighted images as the concentration of contrast media increased. The degree of the increase was larger on 0.5T MR than on 2.0T MR. The signal intensity on proton density image showed no significant difference at various concentrations. However, there were significant decreases of both signal intensity on the T2-weighted images and T2-relaxation time as the concentration of contrast media increased, which was more prominent on 2.0T MR than 0.5T MR. Between the contrast media of the same concentration, there was no significant difference in signal intensity and T2-relaxation time

  4. Numerical studies of acceleration of thorium ions by a laser pulse of ultra-relativistic intensity

    Directory of Open Access Journals (Sweden)

    Domanski Jaroslaw

    2018-01-01

    Full Text Available One of the key scientific projects of ELI-Nuclear Physics is to study the production of extremely neutron-rich nuclides by a new reaction mechanism called fission-fusion using laser-accelerated thorium (232Th ions. This research is of crucial importance for understanding the nature of the creation of heavy elements in the Universe; however, they require Th ion beams of very high beam fluencies and intensities which are inaccessible in conventional accelerators. This contribution is a first attempt to investigate the possibility of the generation of intense Th ion beams by a fs laser pulse of ultra-relativistic intensity. The investigation was performed with the use of fully electromagnetic relativistic particle-in-cell code. A sub-μm thorium target was irradiated by a circularly polarized 20-fs laser pulse of intensity up to 1023 W/cm2, predicted to be attainable at ELI-NP. At the laser intensity ~ 1023 W/cm2 and an optimum target thickness, the maximum energies of Th ions approach 9.3 GeV, the ion beam intensity is > 1020 W/cm2 and the total ion fluence reaches values ~ 1019 ions/cm2. The last two values are much higher than attainable in conventional accelerators and are fairly promising for the planned ELI-NP experiment.

  5. A retrospective study of long-term treatment outcomes for reduced vocal intensity in hypokinetic dysarthria

    Directory of Open Access Journals (Sweden)

    Christopher R. Watts

    2016-02-01

    Full Text Available Abstract Background Reduced vocal intensity is a core impairment of hypokinetic dysarthria in Parkinson’s disease (PD. Speech treatments have been developed to rehabilitate the vocal subsystems underlying this impairment. Intensive treatment programs requiring high-intensity voice and speech exercises with clinician-guided prompting and feedback have been established as effective for improving vocal function. Less is known, however, regarding long-term outcomes of clinical benefit in speakers with PD who receive these treatments. Methods A retrospective cohort design was utilized. Data from 78 patient files across a three year period were analyzed. All patients received a structured, intensive program of voice therapy focusing on speaking intent and loudness. The dependent variable for all analyses was vocal intensity in decibels (dBSPL. Vocal intensity during sustained vowel production, reading, and novel conversational speech was compared at pre-treatment, post-treatment, six month follow-up, and twelve month follow-up periods. Results Statistically significant increases in vocal intensity were found at post-treatment, 6 months, and 12 month follow-up periods with intensity gains ranging from 5 to 17 dB depending on speaking condition and measurement period. Significant treatment effects were found in all three speaking conditions. Effect sizes for all outcome measures were large, suggesting a strong degree of practical significance. Conclusions Significant increases in vocal intensity measured at 6 and 12 moth follow-up periods suggested that the sample of patients maintained treatment benefit for up to a year. These findings are supported by outcome studies reporting treatment outcomes within a few months post-treatment, in addition to prior studies that have reported long-term outcome results. The positive treatment outcomes experienced by the PD cohort in this study are consistent with treatment responses subsequent to other treatment

  6. Design of intense neutron source for fusion material study and the role of universities

    International Nuclear Information System (INIS)

    Ishino, Shiori

    1993-01-01

    Need and requirement for the intense neutron source for fusion materials study have been discussed for many years. Recently, international climate has been becoming gradually maturing to consider this problem more seriously because of the recognition of crucial importance of solving materials problems for fusion energy development. The present symposium was designed to discuss the problems associated with the intense neutron source for material irradiation studies which will have a potential for the National Institute for Fusion Science to become one of the important future research areas. The symposium comprises five sessions; first, the role of materials research in fusion development strategies was discussed followed by a brief summary of current IFMIF (International Fusion Materials Irradiation Facility) activity. Despite the pressing need for intense fusion neutron source, currently available neutron sources are reactor or accelerator based sources of which FFTF and LASREF were discussed. Then, various concepts of intense neutron source candidates were presented including ESNIT, which are currently under design by JAERI. In the fourth session, discussions were made on the study of materials with the intense neutron source from the viewpoint of materials scientists and engineers as the user of the facility. This is followed by discussions on the role of universities from the two stand points, namely, fusion irradiation studies and fusion materials development. Finally summary discussions were made by the participants, indicating important role fundamental studies in universities for the full utilization of irradiation data and the need of pure 14 MeV neutron source for fundamental studies together with the intense surrogate neutron sources. (author)

  7. Case study into the effect of intensive mass training on chronic pure alexia

    DEFF Research Database (Denmark)

    Wilms, Inge Linda

    2015-01-01

    This paper describes the results from a case study into the effects of intensive reading training on a patient with acquired pure alexia disorder. The training targeted the various stages of the basic reading process based on the theories of the psycholinguistic language model as a mixture......, the training was conducted over a short but intensive period of time and thirdly, the training was focused on regaining reading abilities without the use of compensatory techniques by targeting the various areas of the reading process according to the psycholinguistic model. The study demonstrated...

  8. Using wind setdown and storm surge on Lake Erie to calibrate the air-sea drag coefficient.

    Science.gov (United States)

    Drews, Carl

    2013-01-01

    The air-sea drag coefficient controls the transfer of momentum from wind to water. In modeling storm surge, this coefficient is a crucial parameter for estimating the surge height. This study uses two strong wind events on Lake Erie to calibrate the drag coefficient using the Coupled Ocean Atmosphere Wave Sediment Transport (COAWST) modeling system and the the Regional Ocean Modeling System (ROMS). Simulated waves are generated on the lake with Simulating WAves Nearshore (SWAN). Wind setdown provides the opportunity to eliminate wave setup as a contributing factor, since waves are minimal at the upwind shore. The study finds that model results significantly underestimate wind setdown and storm surge when a typical open-ocean formulation without waves is used for the drag coefficient. The contribution of waves to wind setdown and storm surge is 34.7%. Scattered lake ice also increases the effective drag coefficient by a factor of 1.1.

  9. Measuring spatial variation in secondary production and food quality using a common consumer approach in Lake Erie

    Science.gov (United States)

    Larson, James H.; Richardson, William B.; Evans, Mary Anne; Schaeffer, Jeff; Wynne, Timothy; Bartsch, Michelle; Bartsch, Lynn; Nelson, J. C.; Vallazza, Jon M.

    2016-01-01

    Lake Erie is a large lake straddling the border of the U.S. and Canada that has become increasingly eutrophic in recent years. Eutrophication is particularly focused in the shallow western basin. The western basin of Lake Erie is hydrodynamically similar to a large estuary, with riverine inputs from the Detroit and Maumee Rivers mixing together and creating gradients in chemical and physical conditions. This study was driven by two questions: How does secondary production and food quality for consumers vary across this large mixing zone? and Are there correlations between cyanobacterial abundance and secondary production or food quality for consumers? Measuring spatial and temporal variation in secondary production and food quality is difficult for a variety of logistical reasons, so here a common consumer approach was used. In a common consumer approach, individuals of a single species are raised under similar conditions until placed in the field across environmental gradients of interest. After some period of exposure, the response of that common consumer is measured to provide an index of spatial variation in conditions. Here, a freshwater mussel (Lampsilis siliquoidea) was deployed at 32 locations that spanned habitat types and a gradient in cyanobacterial abundance in the western basin of Lake Erie to measure spatial variation in growth (an index of secondary production) and fatty acid (FA) content (an index of food quality). We found secondary production was highest within the Maumee rivermouth and lowest in the open waters of the lake. Mussel tissues in the Maumee rivermouth also included more eicosapentaenoic and docosapentaenoic fatty acids (EPA and DPA, respectively), but fewer bacterial FAs, suggesting more algae at the base of the food web in the Maumee rivermouth compared to open lake sites. The satellite-derived estimate of cyanobacterial abundance was not correlated to secondary production, but was positively related to EPA and DPA content in the

  10. Culture-based Identification Of Microcystin-Degrading Bacteria In the Sandusky Bay and Maumee Bay of Lake Erie

    Science.gov (United States)

    Ormiston, A.; Mou, X.

    2012-12-01

    Harmful cyanobacteria blooms (cyanoHABs) are a serious issue that affects wildlife, human health, recreation and local economics worldwide. CyanoHABs produce cyanotoxins, such as microcystins (MCs) that lead to skin irritation, illness and liver tumors. Bacterially mediated degradation of MCs plays a key role to transform these toxic substrates to less harmful metabolites in natural environments. However, only a few Sphingomonos species have been isolated for degradation of MCs and many of which are from other habitats such as water plants. This project aims to isolate and identify bacteria that can degrade MC-LR and MC-RR, two major forms of MCs found during cyanoHABs in Lake Erie. Water samples were collected from the surface of Sandusky Bay and Maumee Bay of Lake Erie and immediately filtered through 3.0 -μm-pore-size membrane filters to obtain bacterioplankton fraction. The filtrates were amended with excessive inorganic nitrogen and phosphorus compounds and incubated in the dark for a week to purposely establish a carbon-limited condition. Afterwards, enrichment microcosms were established in flasks filled with pre-incubated bacterioplankton and single MC compounds (final concentration 10 μM). Once cell growth was confirmed by flow cytometry-based cell counting, bacterial cells in enriched microcosms were transferred onto solid surfaces, i.e., GFF filter and noble agar for colony isolation. Obtained single colonies were inoculated in defined liquid media with MCs as single carbon source. DNA was extracted from each purified isolate and analyzed by restriction fragment length polymorphism analysis (RFLP). A total of 18 different RFLP banding patterns were found, indicating MC-degrading bacteria may be heterogeneous in studied water samples. 16S rRNA genes of selected bacterial isolates were PCR amplified and sequenced for taxonomic identification. Our results demonstrated that MCs can be degraded by multiple bacterial species in Lake Erie. Future directions

  11. 78 FR 60009 - Environmental Impact Statement: Erie and Genesee Counties, New York

    Science.gov (United States)

    2013-09-30

    ... and Genesee Counties, New York AGENCY: Federal Highway Administration (FHWA), DOT; New York State... counties of Erie and Genesee, New York (NYSDOT Project Identification Number: 5528.28). A Notice of Intent... CONTACT: Jonathan McDade, Division Administrator, Federal Highway Administration, New York Division, Leo W...

  12. Associations between cyanobacteria and indices of secondary production in the western basin of Lake Erie

    Science.gov (United States)

    Larson, James H.; Evans, Mary Anne; Kennedy, Robert J.; Bailey, Sean; Loftin, Keith A.; Laughrey, Zachary; Femmer, Robin; Schaeffer, Jeff; Richardson, William B.; Wynne, Timothy; Nelson, J. C.; Duris, Joseph W.

    2018-01-01

    Large lakes provide a variety of ecological services to surrounding cities and communities. Many of these services are supported by ecological processes that are threatened by the increasing prevalence of cyanobacterial blooms which occur as aquatic ecosystems experience cultural eutrophication. Over the past 10 yr, Lake Erie experienced cyanobacterial blooms of increasing severity and frequency, which have resulted in impaired drinking water for the surrounding communities. Cyanobacterial blooms may impact ecological processes that support other services, but many of these impacts have not been documented. Secondary production (production of primary consumers) is an important process that supports economically important higher trophic levels. Cyanobacterial blooms may influence secondary production because cyanobacteria are a poor‐quality food resource and cyanotoxins may be harmful to consumers. Over 3 yr at 34 sites across the western basin of Lake Erie, we measured three indices of secondary production that focus on the dominant bivalve taxa: (1) growth of a native unionid mussel, (2) the size of young‐of‐year dreissenid mussels, and (3) the mass of colonizing animals on a Hester‐Dendy sampler. Associations between these indices and cyanobacterial data were estimated to assess whether cyanobacteria are associated with variation in secondary production in the western basin of Lake Erie. The results suggest cyanobacterial abundance alone is only weakly associated with secondary production, but that cyanotoxins have a larger effect on secondary production. Given recurring late‐summer cyanobacterial blooms, this impact on secondary production has the potential to undermine Lake Erie's ability to sustain important ecosystem services.

  13. 77 FR 40266 - Safety Zone; Conneaut 4th of July Festival, Lake Erie, Conneaut, OH

    Science.gov (United States)

    2012-07-09

    ... 1625-AA00 Safety Zone; Conneaut 4th of July Festival, Lake Erie, Conneaut, OH AGENCY: Coast Guard, DHS... the Conneaut 4th of July Festival Fireworks display. This temporary safety zone is necessary to... vessels during the Conneaut 4th of July Festival Fireworks. This zone will be effective and enforced from...

  14. 77 FR 35860 - Safety Zone; Bay Swim V, Presque Isle Bay, Erie, PA

    Science.gov (United States)

    2012-06-15

    ... Yacht Club at position 42[deg]07'21.74'' N, 80[deg]07'58.30'' W (DATUM: NAD 83). Entry into, transiting... extend in a straight line 1,000 feet wide to the Erie Yacht Club at position 42[deg]07'21.74'' N, 80[deg...

  15. 77 FR 39638 - Safety Zone; Barbara Harder Wedding Fireworks, Lake Erie, Lake View, NY

    Science.gov (United States)

    2012-07-05

    ... environmental risk to health or risk to safety that may disproportionately affect children. 10. Indian Tribal... be held on Lake Erie near Lake View, NY. The Captain of the Port Buffalo has determined that fireworks launched proximate to a gathering of watercraft pose a significant risk to public safety and...

  16. Lake Erie, phosphorus and microcystin: Is it really the farmer's fault?

    Science.gov (United States)

    Agricultural loss of phosphorus (P) have been identified as a primary contributor to eutrophication and the associated release of toxins (i.e., mycrocystin) in Lake Erie. These losses are commonly deemed excessive by the media and the public, singling out agriculture as the culprit in spite of redu...

  17. FERC approves process for Lake Erie link: Project meets significant regulatory milestone

    International Nuclear Information System (INIS)

    Anon

    2002-01-01

    The Federal Electric Regulatory Commission (FERC) of the United States has issued an order to TransEnergie US Ltd., and Hydro One Inc., authorizing the sale of transmission rights for the proposed Lake Erie link. This project will consists of bi-directional high voltage direct current facilities connecting the transmission grids of Ontario, Canada and the United States. The sale is authorized to proceed via a non-discriminatory 'open season' process. The project will consist of buried underwater cables under Lake Erie connecting the transmission systems near Simcoe, Ontario with those in the US at either, or both, of Springfield, Pennsylvania, and Ashtabula, Ohio. The project will provide an increase in transmission capability of up to 975 MW between the electric control areas of the Ontario Independent Electricity Market Operator, the East Central Area Reliability Coordination Agreement in Ohio and the Pennsylvania-New Jersey-Maryland Interconnection. The Lake Erie Link will be financially supported by those consumers who see value in the associated transmission rights, rather than through the regulated rates paid by transmission customers in general. The article provides an overview of the background of the Lake Erie Link, the cable system, the converter station, and the potential economic benefits

  18. Esteetilis-praktiline töö kui eriõppe alternatiiv / Uffe Bjerre

    Index Scriptorium Estoniae

    Bjerre, Uffe

    2005-01-01

    Milleks tuupida lapsele pähe seda, millega ta hakkama ei saa, selle asemel et arendada õpilase tugevaid külgi? Samas ka koolipsühholoogide, eripedagoogide Tove Hvidi ja Howard Gardneri väited eriõpet vajavate laste kohta

  19. Lessons Learned from Stakeholder-Driven Modeling in the Western Lake Erie Basin

    Science.gov (United States)

    Muenich, R. L.; Read, J.; Vaccaro, L.; Kalcic, M. M.; Scavia, D.

    2017-12-01

    Lake Erie's history includes a great environmental success story. Recognizing the impact of high phosphorus loads from point sources, the United States and Canada 1972 Great Lakes Water Quality Agreement set load reduction targets to reduce algae blooms and hypoxia. The Lake responded quickly to those reductions and it was declared a success. However, since the mid-1990s, Lake Erie's algal blooms and hypoxia have returned, and this time with a dominant algae species that produces toxins. Return of the algal blooms and hypoxia is again driven by phosphorus loads, but this time a major source is the agriculturally-dominated Maumee River watershed that covers NW Ohio, NE Indiana, and SE Michigan, and the hypoxic extent has been shown to be driven by Maumee River loads plus those from the bi-national and multiple land-use St. Clair - Detroit River system. Stakeholders in the Lake Erie watershed have a long history of engagement with environmental policy, including modeling and monitoring efforts. This talk will focus on the application of interdisciplinary, stakeholder-driven modeling efforts aimed at understanding the primary phosphorus sources and potential pathways to reduce these sources and the resulting algal blooms and hypoxia in Lake Erie. We will discuss the challenges, such as engaging users with different goals, benefits to modeling, such as improvements in modeling data, and new research questions emerging from these modeling efforts that are driven by end-user needs.

  20. Assessing Vulnerability of Lake Erie Landscapes to Soil Erosion: Modelled and Measured Approaches

    Science.gov (United States)

    Joosse, P.; Laamrani, A.; Feisthauer, N.; Li, S.

    2017-12-01

    Loss of soil from agricultural landscapes to Lake Erie via water erosion is a key transport mechanism for phosphorus bound to soil particles. Agriculture is the dominant land use in the Canadian side of the Lake Erie basin with approximately 75% of the 2.3 million hectares under crop or livestock production. The variable geography and diversity of agricultural production systems and management practices makes estimating risk of soil erosion from agricultural landscapes in the Canadian Lake Erie basin challenging. Risk of soil erosion depends on a combination of factors including the extent to which soil remains bare, which differs with crop type and management. Two different approaches of estimating the vulnerability of landscapes to soil erosion will be compared among Soil Landscapes of Canada in the Lake Erie basin: a modelling approach incorporating farm census and soil survey data, represented by the 2011 Agriculture and Agri-Food Canada Agri-Environmental Indicator for Soil Erosion Risk; and, a measured approach using remotely sensed data that quantifies the magnitude of bare and covered soil across the basin. Results from both approaches will be compared by scaling the national level (1:1 million) Soil Erosion Risk Indicator and the remotely sensed data (30x30 m resolution) to the quaternary watershed level.

  1. 78 FR 36662 - Safety Zone; Fairport Harbor Mardi Gras, Lake Erie, Fairport, OH

    Science.gov (United States)

    2013-06-19

    ... the Fairport Harbor Mardi Gras Fireworks display. This temporary safety zone is necessary to protect spectators and vessels from the hazards associated with a fireworks display. DATES: This rule is effective...: Temporary final rule. SUMMARY: The Coast Guard is establishing a temporary safety zone on Lake Erie...

  2. 77 FR 24880 - Safety Zone; Jet Express Triathlon, Sandusky Bay, Lake Erie, Lakeside, OH

    Science.gov (United States)

    2012-04-26

    ... the Federal Register. Background and Purpose The organization Endurance Sports Productions is... safety zone would encompass all waters of Lake Erie within a direct line from 41-33'-49'' N, 082-47-8'' W to 41-33'- 25'' N, 82-48'-8'' W and 15 yards on either side of direct line. All geographic...

  3. 77 FR 50923 - Safety Zone; Jet Express Triathlon, Sandusky Bay, Lake Erie, Lakeside, OH

    Science.gov (United States)

    2012-08-23

    ... fireworks display. B. Basis and Purpose The organization Endurance Sports Productions is sponsoring a... waters of Lake Erie within a direct line from 41[deg]33'49'' N, 082[deg]47'8'' W to 41[deg]33'25'' N, 82[deg]48'8'' W and 15 yards on either side of direct line. All geographic coordinates are North American...

  4. 76 FR 46287 - Erie Boulevard Hydropower, L.P.; Notice of Availability of Environmental Assessment

    Science.gov (United States)

    2011-08-02

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 2047-049] Erie Boulevard Hydropower, L.P.; Notice of Availability of Environmental Assessment In accordance with the National Environmental Policy Act of 1969 and the Federal Energy Regulatory Commission's (Commission or FERC) regulations...

  5. 76 FR 65717 - Erie Boulevard Hydropower, L.P.; Notice of Availability of Environmental Assessment

    Science.gov (United States)

    2011-10-24

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 2713-082-New York] Erie Boulevard Hydropower, L.P.; Notice of Availability of Environmental Assessment In accordance with the National Environmental Policy Act of 1969 and the Federal Energy Regulatory Commission's (Commission...

  6. 76 FR 12103 - Erie Boulevard Hydropower, L.P; Notice of Settlement Agreement and Soliciting Comments

    Science.gov (United States)

    2011-03-04

    ... Hydropower, L.P; Notice of Settlement Agreement and Soliciting Comments Take notice that the following... Boulevard Hydropower, L.P. e. Location: The existing multi-development project is located on the Oswegatchie... 791 (a)-825(r) h. Applicant Contact: Daniel Daoust, Erie Boulevard Hydropower, 33 West 1st Street...

  7. The Fossil Fauna of the Islands Region of Western Lake Erie.

    Science.gov (United States)

    Bowe, Lulu M., Comp.

    The islands of western Lake Erie are rock-bound isles that abound in rocky outcrops and quarries. The rocks of these islands are of two distinct types, Silurian dolomites and Devonian limestones. The dolomites, exposed in the Bass Islands and Sister Islands are virtually devoid of fossils. Conversely, the limestones of Johnson Island, Marblehead,…

  8. 77 FR 35619 - Safety Zone; Old Fashion 4th July Fireworks, Presque Isle Bay, Erie, PA

    Science.gov (United States)

    2012-06-14

    ...-AA00 Safety Zone; Old Fashion 4th July Fireworks, Presque Isle Bay, Erie, PA AGENCY: Coast Guard, DHS... during the Old Fashion 4th July Fireworks display. This temporary safety zone is necessary to protect... ensure the safety of spectators and vessels during the Old Fashion 4th July Fireworks. [[Page 35620...

  9. The patient experience of intensive care: a meta-synthesis of Nordic studies.

    Science.gov (United States)

    Egerod, Ingrid; Bergbom, Ingegerd; Lindahl, Berit; Henricson, Maria; Granberg-Axell, Anetth; Storli, Sissel Lisa

    2015-08-01

    Sedation practices in the intensive care unit have evolved from deep sedation and paralysis toward lighter sedation and better pain management. The new paradigm of sedation has enabled early mobilization and optimized mechanical ventilator weaning. Intensive care units in the Nordic countries have been particularly close to goals of lighter or no sedation and a more humane approach to intensive care. The aim of our study was to systematically review and reinterpret newer Nordic studies of the patient experience of intensive care to obtain a contemporary description of human suffering during life-threatening illness. We conducted a meta-synthesis in which we collected, assessed, and analyzed published qualitative studies with the goal of synthesizing these findings into a new whole. Analysis was based on the scientific approach of Gadamerian hermeneutics. Nordic intensive care units. Patients in Nordic intensive care units. We performed a literature search of qualitative studies of the patient experience of intensive care based on Nordic publications in 2000-2013. We searched the following databases: PubMed, CINAHL, Scopus, and PsycINFO. Each original paper was assessed by all authors using the Critical Appraisal Skills Program instrument for qualitative research. We included 22 studies, all of which provided direct patient quotes. The overarching theme was identified as: The patient experience when existence itself is at stake. We constructed an organizing framework for analysis using the main perspectives represented in the included studies: body, mind, relationships, and ICU-environment. Final analysis and interpretation resulted in the unfolding of four themes: existing in liminality, existing in unboundedness, existing in mystery, and existing on the threshold. Our main finding was that human suffering during intensive care is still evident although sedation is lighter and the environment is more humane. Our interpretation suggested that patients with life

  10. Solar intensity measurement using a thermoelectric module; experimental study and mathematical modeling

    International Nuclear Information System (INIS)

    Rahbar, Nader; Asadi, Amin

    2016-01-01

    Highlights: • Solar intensity could be explained as a linear function of voltage and ambient temperature. • The maximum output voltage is approximately 120 mV which was occurred in midday. • The average value of the heat-sink thermal resistance could be measured with this device. • The average values of total heat transfer coefficients could be measured with this device. • Two correlations were proposed to predict the solar intensity with the accuracy of 10%. - Abstract: The present study is intended to design, manufacture, and modeling an inexpensive pyranometer using a thermoelectric module. The governing equations relating the solar intensity, output voltage, and ambient temperature have been derived by applying the mathematical and thermodynamic models. According to the thermodynamics modeling, the output voltage is a function of solar intensity, ambient temperature, internal parameters of thermoelectric module, convection and radiation coefficients, and geometrical characteristics of the setup. Moreover, the solar intensity can be considered as a linear function of voltage and ambient temperature within an acceptable range of accuracy. The experiments have been carried out on a typical winter day under climatic conditions of Semnan (35°33′N, 53°23′E), Iran. The results also indicated that the output voltage is dependent on the solar intensity and its maximum value was 120 mV. Finally, based on the experimental results, two correlations, with the accuracy of 10%, have been proposed to predict the solar intensity as a function of output voltage and ambient temperature. The average values of total heat transfer coefficient and thermal resistance of the heat-sink have been also calculated according to the thermodynamic modeling and experimental results.

  11. Intensive care nurses' perceptions of simulation-based team training for building patient safety in intensive care: a descriptive qualitative study.

    Science.gov (United States)

    Ballangrud, Randi; Hall-Lord, Marie Louise; Persenius, Mona; Hedelin, Birgitta

    2014-08-01

    To describe intensive care nurses' perceptions of simulation-based team training for building patient safety in intensive care. Failures in team processes are found to be contributory factors to incidents in an intensive care environment. Simulation-based training is recommended as a method to make health-care personnel aware of the importance of team working and to improve their competencies. The study uses a qualitative descriptive design. Individual qualitative interviews were conducted with 18 intensive care nurses from May to December 2009, all of which had attended a simulation-based team training programme. The interviews were analysed by qualitative content analysis. One main category emerged to illuminate the intensive care nurse perception: "training increases awareness of clinical practice and acknowledges the importance of structured work in teams". Three generic categories were found: "realistic training contributes to safe care", "reflection and openness motivates learning" and "finding a common understanding of team performance". Simulation-based team training makes intensive care nurses more prepared to care for severely ill patients. Team training creates a common understanding of how to work in teams with regard to patient safety. Copyright © 2014 Elsevier Ltd. All rights reserved.

  12. Double-Crested Cormorant ( Phalacrocorax auritus) Nesting Effects on Understory Composition and Diversity on Island Ecosystems in Lake Erie

    Science.gov (United States)

    McGrath, Darby M.; Murphy, Stephen D.

    2012-08-01

    The context for this study is the management concerns over the severity and extent of the impact of cormorants on island flora in the recent past on Lake Erie islands. Accordingly, this study sought to quantify the nesting colonies' influence on coarse woody litter and how nest densities and litter depth may influence the herbaceous layer, the seed bank composition and viability across the extent of three Lake Erie islands. The data for this study were collected from 2004 to 2008 on East Sister Island and Middle Island using two main strategies. First, herbaceous layer surveys, cormorant nest counts, soil seed bank cores, and litter depth measurements were executed using a plotless-point quarter method to test island-wide impacts from nesting activities (data were also collected on a third island, West Sister Island as a reference for the other two islands). Secondly, a sub-sample of the entire plot set was examined in particularly high nesting density areas for two islands (Middle Island and East Sister Island). Kruskal-Wallis tests indicated that there are subtle changes in the herbaceous diversity (total, native and exotic) and seed bank composition across the islands. The sub sample set of the plots demonstrated that Phalacrocorax auritus nest density does influence litter depth, herbaceous species abundance and diversity. Cormorant nesting pressures are restricted to areas of high nesting pressures and competition. However, there remains a risk to the interior herbaceous layer of the island if the effects of nesting pressures at the edges advance inward from this perimeter.

  13. Theoretical study of amplified spontaneous emission intensity and bandwidth reduction in polymer

    International Nuclear Information System (INIS)

    Hariri, A.; Sarikhani, S.

    2015-01-01

    Amplified spontaneous emission (ASE), including intensity and bandwidth, in a typical example of BuEH-PPV is calculated. For this purpose, the intensity rate equation is used to explain the reported experimental measurements of a BuEH-PPV sample pumped at different pump intensities from I p = 0.61 MW/cm 2 to 5.2 MW/cm 2 . Both homogeneously and inhomogeneously broadened transition lines along with a model based on the geometrically dependent gain coefficient (GDGC) are examined and it is confirmed that for the reported measurements the homogeneously broadened line is responsible for the light–matter interaction. The calculation explains the frequency spectrum of the ASE output intensity extracted from the sample at different pump intensities, unsaturated and saturated gain coefficients, and ASE bandwidth reduction along the propagation direction. Both analytical and numerical calculations for verifying the GDGC model are presented in this paper. Although the introduced model has shown its potential for explaining the ASE behavior in a specific sample it can be universally used for the ASE study in different active media. (paper)

  14. Intensive interdisciplinary outpatient pain management program for chronic back pain: a pilot study

    Directory of Open Access Journals (Sweden)

    Artner J

    2012-07-01

    Full Text Available Juraj Artner, Stephan Kurz, Balkan Cakir, Heiko Reichel, Friederike LattigDepartment of Orthopaedic Surgery, University of Ulm, RKU, GermanyBackground: Chronic back pain is relatively resistant to unimodal therapy regimes. The aim of this study was to introduce and evaluate the short-term outcome of a three-week intensive multidisciplinary outpatient program for patients with back pain and sciatica, measured according to decrease of functional impairment and pain.Methods: The program was designed for patients suffering from chronic back pain to provide intensive interdisciplinary therapy in an outpatient setting, consisting of interventional injection techniques, medication, exercise therapy, back education, ergotherapy, traction, massage therapy, medical training, transcutaneous electrical nerve stimulation, aquatraining, and relaxation.Results: Based on Oswestry Disability Index (ODI and Numeric Rating Scale (NRS scores, a significant improvement in pain intensity and functionality of 66.83% NRS and an ODI of 33.33% were achieved by our pain program within 3 weeks.Conclusion: This paper describes the organization and short-term outcome of an intensive multidisciplinary program for chronic back pain on an outpatient basis provided by our orthopedic department, with clinically significant results.Keywords: chronic back pain, intense, multidisciplinary, program, outpatient

  15. Study on applicability of stress intensity factor solutions for flaw evaluation

    International Nuclear Information System (INIS)

    Miura, Naoki; Nagai, Masaki; Takahashi, Yukio

    2014-01-01

    Stress intensity factor is the quantity which characterizes the singularity of the stress field near a crack tip in the scheme of the linear elastic fracture mechanics, and is used for fatigue and/or SCC crack propagation evaluation. Stress intensity factor depends on the shape and the size of cracked structures, and is frequently prepared as the tabulated correction factors which are the functions of crack depth ratio, aspect ratio, etc. Some stress intensity factor solutions have been included in the JSME rules on fitness-for-service for nuclear power plants. Many of them have been significantly revised on the latest (2012) version of the rules, however, the validation of the revised solutions was not adequate so far. In this study, the implication of the revision was investigated together with its technical basis. A comprehensive comparison was made between available solutions including the 2008 and 2012 version of the rules. It was ascertained that the solutions in the 2012 version provided stress intensity factors consistent with the previous version and the referential stress intensity factors. (author)

  16. NIST mixed stain study 3: signal intensity balance in commercial short tandem repeat multiplexes.

    Science.gov (United States)

    Duewer, David L; Kline, Margaret C; Redman, Janette W; Butler, John M

    2004-12-01

    Short-tandem repeat (STR) allelic intensities were collected from more than 60 forensic laboratories for a suite of seven samples as part of the National Institute of Standards and Technology-coordinated 2001 Mixed Stain Study 3 (MSS3). These interlaboratory challenge data illuminate the relative importance of intrinsic and user-determined factors affecting the locus-to-locus balance of signal intensities for currently used STR multiplexes. To varying degrees, seven of the eight commercially produced multiplexes used by MSS3 participants displayed very similar patterns of intensity differences among the different loci probed by the multiplexes for all samples, in the hands of multiple analysts, with a variety of supplies and instruments. These systematic differences reflect intrinsic properties of the individual multiplexes, not user-controllable measurement practices. To the extent that quality systems specify minimum and maximum absolute intensities for data acceptability and data interpretation schema require among-locus balance, these intrinsic intensity differences may decrease the utility of multiplex results and surely increase the cost of analysis.

  17. Changes in patient safety culture after restructuring of intensive care units: Two cross-sectional studies.

    Science.gov (United States)

    Vifladt, Anne; Simonsen, Bjoerg O; Lydersen, Stian; Farup, Per G

    2016-02-01

    Compare changes in registered nurses' perception of the patient safety culture in restructured and not restructured intensive care units during a four-year period. Two cross-sectional surveys were performed, in 2008/2009 (time 1) and 2012/2013 (time 2). During a period of 0-3 years after time 1, three of six hospitals merged their general and medical intensive care units (restructured). The other hospitals maintained their structure of the intensive care units (not restructured). Intensive care units in hospitals at one Norwegian hospital trust. The safety culture was measured with Hospital Survey on Patient Safety Culture. At times 1 and 2, 217/302 (72%) and 145/289 (50%) registered nurses participated. Restructuring was negatively associated with change in the safety culture, in particular, the dimensions of the safety culture within the unit level. The dimensions most vulnerable for restructuring were manager expectations and actions promoting safety, teamwork within hospital units and staffing. In this study, the restructuring of intensive care units was associated with a negative impact on the safety culture. When restructuring, the management should be particularly aware of changes in the safety culture dimensions manager expectations and actions promoting safety, teamwork within hospital units and staffing. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  18. Barriers and benefits to desired behaviors for single use plastic items in northeast Ohio's Lake Erie basin.

    Science.gov (United States)

    Bartolotta, Jill F; Hardy, Scott D

    2018-02-01

    Given the growing saliency of plastic marine debris, and the impact of plastics on beaches and aquatic environments in the Laurentian Great Lakes, applied research is needed to support municipal and nongovernmental campaigns to prevent debris from reaching the water's edge. This study addresses this need by examining the barriers and benefits to positive behavior for two plastic debris items in northeast Ohio's Lake Erie basin: plastic bags and plastic water bottles. An online survey is employed to gather data on the use and disposal of these plastic items and to solicit recommendations on how to positively change behavior to reduce improper disposal. Results support a ban on plastic bags and plastic water bottles, with more enthusiasm for a bag ban. Financial incentives are also seen as an effective way to influence behavior change, as are location-specific solutions focused on education and outreach. Copyright © 2017 Elsevier Ltd. All rights reserved.

  19. Innovation Intensity and Adoption at the Base of the Pyramid Market: A Study of Household Appliances

    Directory of Open Access Journals (Sweden)

    Vitor Koki da Costa Nogami

    2015-08-01

    Full Text Available The paper analyzes the innovation intensity and adoption characteristics at the base of the pyramid market. The innovation intensity is configured as radical and incremental, while the innovation adoption is configured as early and tardy. As an empirical approach it was conducted a study type survey. Data analysis is based on non-parametric statistics. The results indicate that the base of the pyramid consumers is characterized by adopting incremental innovations tardily, as pointed out by the literature. Furthermore, it was also observed that women have greater decision-making power in the families of this segment.

  20. Mid-thickness studies of the stress intensity factor in the bulk of bainitic steel

    Directory of Open Access Journals (Sweden)

    P. Lopez-Crespo

    2017-07-01

    Full Text Available The current work aims at estimating the stress intensity factor deep inside the bulk from elastic strain data measured by synchrotron X-ray diffraction. Key features affecting the evaluation of the stress intensity factor are the number of terms in the analytical model describing the crack tip field, the extension and position of the area of interest of the experimental data, the effect of the experimental data collected within the plastic zone and the number of elastic strain data points used. Here a parametric study of these features is presented in terms of their influence for the stress intensity factor determination. It was found that 3 or 4 terms in Williams’ expansion is often sufficient; the data should be collected from across the full range of angles around the crack tip; and the number of points/number of terms should be greater than 40.

  1. Experimental study of circle grid fractal pattern on turbulent intensity in pipe flow

    International Nuclear Information System (INIS)

    Manshoor, B; Zaman, I; Othman, M F; Khalid, Amir

    2013-01-01

    Fractal turbulence is deemed much more efficient than grid turbulence in terms of a turbulence generation. In this paper, the hotwire experimental results for the circle grids fractal pattern as a turbulent generator will be presented. The self-similar edge characteristic of the circle grid fractal pattern is thought to play a vital role in the enhancement of turbulent intensity. Three different beta ratios of perforated plates based on circle grids fractal pattern were used in the experimental work and each paired with standard circle grids with similar porosity. The objectives were to study the fractal scaling influence on the flow and also to explore the potential of the circle grids fractal pattern in enhancing the turbulent intensity. The results provided an excellent insight of the fractal generated turbulence and the fractal flow physics. Across the circle grids fractal pattern, the pressure drop was lower but the turbulent intensity was higher than those across the paired standard circle grids

  2. Study on the specificity of yeast cell damage by high-intensity UV radiation (266nm)

    International Nuclear Information System (INIS)

    Burchuladze, T.G.; Frajkin, G.Ya.; Rubin, L.B.

    1981-01-01

    Peculiarities of photoreactivation and photoprotection of the Candida guilliermondii and Candida utilis yeast cells, irradiated with far and near ultraviolet radiation, are considered. New results on the study of the dependence of the cells inactivation degree on the intensity of ultraviolet radiation are presented. The impulse rate density at 266 nm reached 10 10 Ix m -2 xs -1 at the impulse duration of 10 -8 s. Survival curves of the yeast cells during their irradiation with ultraviolet radiation of 266 nm and 254 nm are given. It is shown that with the increase of the irradiation intensity of 266 nm the rates and final levels of photoreactivation decrease. Under the effect of ultraviolet irradiation of high intensity contribution of pyrimidine dimers to the cell inactivation decreases [ru

  3. The clinical study on high intensity zone of magnetic resonance imaging using Scolopendrid Aquacupuncture.

    Directory of Open Access Journals (Sweden)

    Jeong-a Lim

    2006-12-01

    Full Text Available Objective : This study was designed to find out the effect of scolopendrid aquacupuncture on low back pain with or without sciatica showing high intensity zone of magnetic resonance imaging. Methods : The 30 patients who had a diagnosis of high intensity zone by lumbar-MRI and admitted to Gwangju oriental medical hospital in wonkwang university from January 2005 to August 2004 were observed. The symptom of inpatients is low back pain with or without sciatica. We treated 30 patients by scolopendrid aquacupuncture besides the general conservative treatment of oriental medicine. Results and Conclusion : The scolopendrid aquacupuncture treatment led to improvement in the pain and symptom of disability as determined by all efficacy measures. After scolopendrid aquacupuncture treatment, there was improvement in VAS, ROM and SLRT. This results suggest that scolopendrid aquacupuncture is good method for treatment of low back pain with or without sciatica showing high intensity zone of magnetic resonance imaging.

  4. European neonatal intensive care nursing research priorities: An e-delphi study

    NARCIS (Netherlands)

    J.M. Wielenga (Joke); L.N. Tume (Lyvonne); J.M. Latour (Jos); A. van den Hoogen (Agnes)

    2015-01-01

    textabstractObjective This study aimed to identify and prioritise neonatal intensive care nursing research topics across Europe using an e-Delphi technique.Design An e-Delphi technique with three questionnaire rounds was performed. Qualitative responses of round one were analysed by content analysis

  5. European neonatal intensive care nursing research priorities : an e-Delphi study

    NARCIS (Netherlands)

    Wielenga, Joke M; Tume, Lyvonne N; Latour, Jos M; van den Hoogen, Agnes

    OBJECTIVE: This study aimed to identify and prioritise neonatal intensive care nursing research topics across Europe using an e-Delphi technique. DESIGN: An e-Delphi technique with three questionnaire rounds was performed. Qualitative responses of round one were analysed by content analysis and

  6. European neonatal intensive care nursing research priorities: an e-Delphi study

    NARCIS (Netherlands)

    Wielenga, Joke M.; Tume, Lyvonne N.; Latour, Jos M.; van den Hoogen, Agnes

    2015-01-01

    This study aimed to identify and prioritise neonatal intensive care nursing research topics across Europe using an e-Delphi technique. An e-Delphi technique with three questionnaire rounds was performed. Qualitative responses of round one were analysed by content analysis and research statements

  7. Fecal energy losses in enterally fed intensive care patients: An explorative study using bomb calorimetry

    NARCIS (Netherlands)

    Strack van Schijndel, R.J.M.; Wierdsma, N.J.; van Heijningen, E.M.B.; Weijs, P.J.M.; de Groot, S.D.W.; Girbes, A.R.J.

    2006-01-01

    Background & Aims: Early enteral nutrition and tailored supply of nutrients have become standard in most of the intensive care units (ICU). So far little attention has been given to losses of energy in the stools. The purpose of this explorative study was to evaluate the energy losses of patients

  8. Experimental study of soft X-ray intensity with different anode tips in ...

    Indian Academy of Sciences (India)

    2016-06-15

    Jun 15, 2016 ... c Indian Academy of Sciences. DOI 10.1007/s12043-016-1224-8. Experimental study of soft X-ray intensity with different anode tips in Amirkabir plasma focus device. MORTEZA HABIBI. ∗ and MAHSA MAHTAB. Energy Engineering and Physics Department, Amirkabir University of Technology, Tehran, Iran.

  9. Study of 2ω and 3/2ω harmonics in ultrashort high-intensity laser ...

    Indian Academy of Sciences (India)

    An experimental study is presented on measurements of optical spectrum of the laser light scattered from solid surface irradiated by Ti:sapphire laser pulses up to an intensity of 1.2 × 1018 W cm-2. The spectrum has well-defined peaks at wavelengths corresponding to 2 and 3/2 radiations. The spectral features vary with ...

  10. 3D study of bifacial silicon solar cell under intense light ...

    African Journals Online (AJOL)

    This work presents a three-dimensional study of bifacial silicon solar cell under intense light concentration and under constant magnetic field. This approach is based on the resolution of the minority continuity equation, taking into account the distribution of the electric field in the bulk evaluated as a function of both majority ...

  11. The Study of Nosocomial Infections in Neonatal Intensive Care Unit, A prospective study in Northwest Iran

    Directory of Open Access Journals (Sweden)

    Mohammad Bagher Hosseini

    2014-08-01

    Full Text Available Background: Nosocomial infections are an important cause of mortality in neonatal intensive care units (NICUs. Therefore, in this study, the incidence and prevalence of nosocomial infections were determined in NICUs of the three largest neonatal centers in northwest Iran, and the causative bacteria were identified in order to provide potential solutions to control the infections in these hospitals. Materials and Methods: This is a descriptive-prospective study in which the cases of nosocomial infections were examined in the three largest hospitals in Tabriz in northwest Iran during 1 year (from June 2012 until May 2013 based on clinical findings, medical and nursing reports of patients, and laboratory results. Results: Of the 3129 patients hospitalized in NICUs of the three hospitals, 208 patients were diagnosed with nosocomial infections. The incidence rate of nosocomial infections was 11.34%.per 100 patient days with 52.4% bacteremia, 32.69% pneumonia, 5.77% urinary tract infections, 5.29% wound infections, and 3.85% necrotizing enterocolitis. There was a statistically significant relationship between invasive procedures (such as umbilical catheters, central venous catheters, surgery, and TPN and sepsis (P = 0.001. The relationships between urinary tract infection and urinary catheter (P = 0.000, and aggressive procedures (such as suctioning and intubation and pneumonia (P = 0.001 were also statistically significant. Conclusion: Incidence of nosocomial infections in premature and low birth weight newborns is considered as a health threat. The findings of this research reiterate the importance of giving further attention to prevention and control of nosocomial infections in the NICU.

  12. Assessment of subjective intensity of pain during ultrasonic supragingival calculus removal: A comparative study

    Directory of Open Access Journals (Sweden)

    Sachin Malagi

    2014-01-01

    Full Text Available Background: The background of the following study is to measure the subjective intensity of pain using the verbal rating scale (VRS during supragingival scaling in relation to mandibular anteriors, with an ultrasonic scaler, with 2 different inserts (Slimline and Focus spray- split mouth study. Materials and Methods: A total of 30 subjects with a combination of 17 males and 13 females with the chronic generalized gingivitis with a minimum calculus score of 1 (CSSI - Ennever J 1961 who reported to Department of Periodontics, Yenepoya Dental College, Mangalore were chosen for the study. Ultrasonic magnetostrictive scaler unit CAVITRON BOBCAT PRO ® - (DENTSPLY with maximum power setting at 130A and 25kHZ frequency with 2 different inserts i.e., Slim line insert and Focus spray (DENTSPLY were used for supragingival scaling in the study. A VRS was used to assess the subjective intensity of pain. Results: There was no statistically significant difference in pain perception when the scores were compared using Wilcoxon signed rank test. VRS rating scores with slimline inserts showed a pain intensity of 2 in 43.3%, 1 in 53.3% and 0 in 3.3%, whereas the focus spray insert showed a pain intensity of 1 in 23.3% and 0 in 76.7%. Statistical analysis showed a P = 0.251 and a z - 1.147 a . Conclusions: The use of both Slim line insert and Focus spray inserts when used at same settings of the scaling unit, showed no statistical significant difference in the intensity of pain perceived and it showed no correlation between patient acceptance and their pain perception.

  13. Spatial and temporal genetic diversity of lake whitefish (Coregonus clupeaformis (Mitchill)) from Lake Huron and Lake Erie

    Science.gov (United States)

    Stott, Wendylee; Ebener, Mark P.; Mohr, Lloyd; Hartman, Travis; Johnson, Jim; Roseman, Edward F.

    2013-01-01

    Lake whitefish (Coregonus clupeaformis (Mitchill)) are important commercially, culturally, and ecologically in the Laurentian Great Lakes. Stocks of lake whitefish in the Great Lakes have recovered from low levels of abundance in the 1960s. Reductions in abundance, loss of habitat and environmental degradation can be accompanied by losses of genetic diversity and overall fitness that may persist even as populations recover demographically. Therefore, it is important to be able to identify stocks that have reduced levels of genetic diversity. In this study, we investigated patterns of genetic diversity at microsatellite DNA loci in lake whitefish collected between 1927 and 1929 (historical period) and between 1997 and 2005 (contemporary period) from Lake Huron and Lake Erie. Genetic analysis of lake whitefish from Lakes Huron and Erie shows that the amount of population structuring varies from lake to lake. Greater genetic divergences among collections from Lake Huron may be the result of sampling scale, migration patterns and demographic processes. Fluctuations in abundance of lake whitefish populations may have resulted in periods of increased genetic drift that have resulted in changes in allele frequencies over time, but periodic genetic drift was not severe enough to result in a significant loss of genetic diversity. Migration among stocks may have decreased levels of genetic differentiation while not completely obscuring stock boundaries. Recent changes in spatial boundaries to stocks, the number of stocks and life history characteristics of stocks further demonstrate the potential of coregonids for a swift and varied response to environmental change and emphasise the importance of incorporating both spatial and temporal considerations into management plans to ensure that diversity is preserved.

  14. Conceptual source design and dosimetric feasibility study for intravascular treatment: a proposal for intensity modulated brachytherapy

    International Nuclear Information System (INIS)

    Kim, Si Yong; Han, Eun Young; Palta, Jatinder R.; Ha, Sung W.

    2003-01-01

    To propose a conceptual design of a novel source for intensity modulated brachytherapy. The source design incorporates both radioactive and shielding materials (stainless steel or tungsten), to provide an asymmetric dose intensity in the azimuthal direction. The intensity modulated intravascular brachytherapy was performed by combining a series of dwell positions and times, distributed along the azimuthal coordinates. Two simple designs for the beta-emitting sources, with similar physical dimensions to a 90 Sr/Y Novoste Beat-Cath source, were considered in the dosimetric feasibility study. In the first design, the radioactive and materials each occupy half of the cylinder and in the second, the radioactive material occupies only a quarter of the cylinder. The radial and azimuthal dose distributions around each source were calculated using the MCNP Monte Carlo code. The preliminary hypothetical simulation and optimization results demonstrated the 87% difference between the maximum and minimum doses to the lumen wall, due to off-centering of the radiation source, could be reduced to less than 7% by optimizing the azimuthal dwell positions and times of the partially shielded intravascular brachytherapy sources. The novel brachytherapy source design, and conceptual source delivery system, proposed in this study show promising dosimetric characteristics for the realization of intensity modulated brachytherapy in intravascular treatment. Further development of this concept will center on building a delivery system that can precisely control the angular motion of a radiation source in a small-diameter catheter

  15. Moderate intensity exercise as an adjunct to standard smoking cessation treatment for women: a pilot study.

    Science.gov (United States)

    Williams, David M; Whiteley, Jessica A; Dunsiger, Shira; Jennings, Ernestine G; Albrecht, Anna E; Ussher, Michael H; Ciccolo, Joseph T; Parisi, Alfred F; Marcus, Bess H

    2010-06-01

    Previous randomized controlled trials have not supported moderate intensity exercise as an efficacious adjunct to smoking cessation treatments for women; however, compliance with exercise programs in these studies has been poor. The purpose of this pilot study was to estimate the effects of moderate intensity exercise on smoking cessation outcomes under optimal conditions for exercise program compliance. Sixty previously sedentary, healthy, female smokers were randomized to an 8-week program consisting of brief baseline smoking cessation counseling and the nicotine patch plus either 150 min/week of moderate intensity exercise or contact control. Participants attended a median of 86.4% and 95.5% of prescribed exercise/control sessions, respectively. There was a moderate, though statistically nonsignificant, effect of exercise at post-treatment for objectively verified 7-day point prevalence abstinence (48.3% vs. 23.3%; OR = 3.07, 95% CI: 0.89-11.07) and prolonged abstinence (34.5% vs. 20.0%; OR = 2.11, 95% CI: 0.56-8.32). Effects were attenuated when controlling for potential confounders, and after a 1-month, no-treatment period. The findings provide a preliminary indication that, given adequate compliance, moderate intensity exercise may enhance short-term smoking cessation outcomes for women; however, a larger trial is warranted. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

  16. Conceptual source design and dosimetric feasibility study for intravascular treatment: a proposal for intensity modulated brachytherapy

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Si Yong; Han, Eun Young; Palta, Jatinder R. [College of Medicine, Florida Univ., Florida (United States); Ha, Sung W. [College of Medicine, Seoul National Univ., Seoul (Korea, Republic of)

    2003-06-01

    To propose a conceptual design of a novel source for intensity modulated brachytherapy. The source design incorporates both radioactive and shielding materials (stainless steel or tungsten), to provide an asymmetric dose intensity in the azimuthal direction. The intensity modulated intravascular brachytherapy was performed by combining a series of dwell positions and times, distributed along the azimuthal coordinates. Two simple designs for the beta-emitting sources, with similar physical dimensions to a {sub 90}Sr/Y Novoste Beat-Cath source, were considered in the dosimetric feasibility study. In the first design, the radioactive and materials each occupy half of the cylinder and in the second, the radioactive material occupies only a quarter of the cylinder. The radial and azimuthal dose distributions around each source were calculated using the MCNP Monte Carlo code. The preliminary hypothetical simulation and optimization results demonstrated the 87% difference between the maximum and minimum doses to the lumen wall, due to off-centering of the radiation source, could be reduced to less than 7% by optimizing the azimuthal dwell positions and times of the partially shielded intravascular brachytherapy sources. The novel brachytherapy source design, and conceptual source delivery system, proposed in this study show promising dosimetric characteristics for the realization of intensity modulated brachytherapy in intravascular treatment. Further development of this concept will center on building a delivery system that can precisely control the angular motion of a radiation source in a small-diameter catheter.

  17. Study on the Pollution-heaven Hypothesis Focusing on Pollution-Intensive Industries

    Energy Technology Data Exchange (ETDEWEB)

    Lho, S.W. [Kyungnam University, Masan (Korea)

    2002-03-01

    The purpose of this study is to test pollution-heaven hypothesis on the Korean pollution-intensive industries, that is, textile and clothing, petrochemical and primary metal industry. The empirical study examines that foreign direct investment(FDI) of Korean pollution-intensive industries regresses on couple of exogenous variables and the environmental regulation on FDI. As the environmental regulation is not directly observed, it uses C0{sub 2} emissions as the pollutant. The results of the study show that the environmental regulation in a host country is an insignificant determinant of FDI for the Korean polluting industries. That is, they do not support Leonard (1988), Xing and Kolstad (2000) that the hypothesis is a significant for heavily polluting industries. (author). 34 refs., 10 tabs.

  18. Carbon intensity of electricity generation and CDM baseline: case studies of three Chinese provinces

    International Nuclear Information System (INIS)

    Zhang Chi; Heller, T.C.; May, M.M.

    2005-01-01

    A difficult and persistent issue in the discussion of Clean Development Mechanism is estimating a carbon emissions baseline, against which tradable permits may be certified. This paper examines the proposition of adopting sectoral, as opposed to project level, baselines by conducting case studies of the electricity industry in three Chinese provinces. We find that complicated central planning, financial and institutional factors have been behind the declining trend of carbon intensity in electricity generation and its provincial variations. Government planned electricity development which incorporates many of these factors and the associated industry carbon intensity may serve as a second best baseline. However, the limitation of the baseline we examine in this study plus difficulties numerous studies have revealed in baseline setting suggests that using baselines based on counterfactuals of what would happen will in the end either miss good emission reduction opportunities, or compromise the integrity of the regime

  19. Study of intense pulse irradiation effects on silicon targets considered as ground matter for optical detectors

    International Nuclear Information System (INIS)

    Muller, O.

    1994-12-01

    This study aim was centered on morphological and structural alterations induced by laser irradiation on silicon targets considered as ground matter for optical detectors. First we recalled the main high light intensity effects on the condensed matter. Then we presented the experimental aspects. The experimental studies were achieved on two sample types: SiO 2 /Si and Si. Two topics were studied: the defect chronology according to wavelength and pulse length, and the crystalline quality as well as the structure defects of irradiated zones by Raman spectroscopy. Finally, irradiation of Si targets by intense pulsed beams may lead to material fusion. This phenomenon is particularly easy when the material is absorbent, when the pulse is short and when the material is superficially oxidized. (MML). 204 refs., 93 figs., 21 tabs., 1 appendix

  20. Ichthyoplankton assemblages of coastal west-central Lake Erie and associated habitat characteristics

    Science.gov (United States)

    McKenna, J.E.; Hunter, R. Douglas; Fabrizio, M.C.; Savino, J.F.; Todd, T.N.; Bur, M.

    2008-01-01

    Early life stage survival often determines fish cohort strength and that survival is affected by habitat conditions. The structure and dynamics of ichthyoplankton assemblages can tell us much about biodiversity and fish population dynamics, but are poorly understood in nearshore areas of the Great Lakes, where most spawning and nursery habitats exist. Ichthyoplankton samples were collected with a neuston net in waters 2-13 m deep weekly or biweekly from mid-April through August, during 3 years (2000-2002) as part of a study of fish assemblages in west-central Lake Erie. A suite of abiotic variables was simultaneously measured to characterize habitat. Cluster and ordination analyses revealed several distinct ichthyoplankton assemblages that changed seasonally. A lake whitefish (Coregonus clupeaformis) dominated assemblage appeared first in April. In May, assemblages were dominated by several percid species. Summer assemblages were overwhelmingly dominated by emerald shiner (Notropis atherinoides), with large gizzard shad (Dorosoma cepedianum) and alewife (Alosa pseudoharengus) components. This seasonal trend in species assemblages was also associated with increasing temperature and water clarity. Water depth and drift processes may also play a role in structuring these assemblages. The most common and widely distributed assemblages were not associated with substratum type, which we characterized as either hard or soft. The timing of hatch and larval growth separated the major groups in time and may have adaptive significance for the members of each major assemblage. The quality and locations (with reference to lake circulation) of spawning and nursery grounds may determine larval success and affect year class strength.

  1. A study on the correlation between the dewetting temperature of Ag film and SERS intensity.

    Science.gov (United States)

    Quan, Jiamin; Zhang, Jie; Qi, Xueqiang; Li, Junying; Wang, Ning; Zhu, Yong

    2017-11-07

    The thermally dewetted metal nano-islands have been actively investigated as cost-effective SERS-active substrates with a large area, good reproducibility and repeatability via simple fabrication process. However, the correlation between the dewetting temperature of metal film and SERS intensity hasn't been systematically studied. In this work, taking Ag nano-islands (AgNIs) as an example, we reported a strategy to investigate the correlation between the dewetting temperature of metal film and SERS intensity. We described the morphology evolution of AgNIs on the SiO 2 planar substrate in different temperatures and got the quantitative information in surface-limited diffusion process (SLDP) as a function of annealing temperature via classical mean-field nucleation theory. Those functions were further used in the simulation of electromagnetic field to obtain the correlation between the dewetting temperature of Ag film and theoretical analysis. In addition, Raman mapping was done on samples annealed at different temperatures, with R6G as an analyte, to accomplish the analysis of the correlation between the dewetting temperature of Ag film and SERS intensity, which is consistent with the theoretical analysis. For SLDP, we used the morphological characterization of five samples prepared by different annealing temperatures to successfully illustrate the change in SERS intensity with the temperature fluctuation, obtaining a small deviation between the experimental results and theoretic prediction.

  2. A study on MR signal intensity of calcifications according to calcium concentration and compound

    International Nuclear Information System (INIS)

    Chang, Sun Ae; Kim, Jae Hyoung; Chung, Sung Hoon

    1996-01-01

    The signal of intracranial calcification on magnetic resonance (MR) imaging has been known to be variable. The purpose of this study was to evaluate the MR signal of calcifications according to calcium concentration and compound. T1-weighted, proton density and T2-weighted images were obtained in phantoms with various conposition of calcium carbonate and calcium phosphate. The signal intensities and T1/T2 relaxation times were measured and analyzed according to calcium concentration and compound. The configurations of calcium particles were evaluated by scanning electron microscopy. The signal intensity of calcium carbonate on T1-weighted images gradually decreased as the concentration increased, while that of calcium phosphate showed a biphasic curve with a peak intensity at 0.2g/ml. The signal intensity of both calcium phosphate decreased up to 0.2g/ml and then remained constant. The T2 relaxation time of both calcium compounds decreased in a similar fashion with increasing concentration, Calcium phosphate showed larger surface area on scanning electron microscope. Calcifications show variable MR signal due to difference of T1 and T2 relaxation times according to calcium concentration and compound. Large surface area of calcium particle might cause shortening of T1 relaxation time leading to high signal on T1-weighted image. Understanding of these findings will help interpretation of MR images more precisely

  3. The Effect of Music on Exercise Intensity among Children with Autism Spectrum Disorder: A Pilot Study

    Directory of Open Access Journals (Sweden)

    Ashley C. Woodman

    2018-02-01

    Full Text Available Children with autism spectrum disorder (ASD are at risk for obesity, commonly have sleep disorders, and exhibit stereotypic behaviors that disrupt their learning. Vigorous levels of exercise have been shown to ameliorate these issues in children with ASD, but little research exists to provide techniques for motivating children with ASD to engage in exercise. The present study examined the effect of music on exercise intensity in a group of 13 elementary school students with ASD. Data were collected across six days during structured (e.g., verbal and physical prompts and unstructured (e.g., minimal prompting exercise periods. During these exercise periods, three music conditions were randomized: no music, slow-tempo music, and fast-tempo music. Exercise intensity, measured in Metabolic Equivalent of Tasks by triaxial accelerometers, was greatest during the structured exercise periods and during the slow music condition. Student characteristics moderated the impact of music condition on exercise intensity, such that students with high levels of adaptive behavior or lower levels of maladaptive behavior displayed greater exercise intensity during the fast music condition.

  4. The Effect of Music on Exercise Intensity among Children with Autism Spectrum Disorder: A Pilot Study.

    Science.gov (United States)

    Woodman, Ashley C; Breviglia, Emily; Mori, Yumiko; Golden, Rebecca; Maina, John; Wisniewski, Hannah

    2018-02-26

    Children with autism spectrum disorder (ASD) are at risk for obesity, commonly have sleep disorders, and exhibit stereotypic behaviors that disrupt their learning. Vigorous levels of exercise have been shown to ameliorate these issues in children with ASD, but little research exists to provide techniques for motivating children with ASD to engage in exercise. The present study examined the effect of music on exercise intensity in a group of 13 elementary school students with ASD. Data were collected across six days during structured (e.g., verbal and physical prompts) and unstructured (e.g., minimal prompting) exercise periods. During these exercise periods, three music conditions were randomized: no music, slow-tempo music, and fast-tempo music. Exercise intensity, measured in Metabolic Equivalent of Tasks by triaxial accelerometers, was greatest during the structured exercise periods and during the slow music condition. Student characteristics moderated the impact of music condition on exercise intensity, such that students with high levels of adaptive behavior or lower levels of maladaptive behavior displayed greater exercise intensity during the fast music condition.

  5. 75 FR 30319 - Endangered and Threatened Wildlife and Plants; Proposed Rule to remove the Lake Erie Watersnake...

    Science.gov (United States)

    2010-06-01

    ... frost level, in cracks or crevices in the bedrock, interstitial spaces of rocky substrates, tree roots... actions that will be undertaken on each island property to avoid injury and harm to the Lake Erie...

  6. Further studies on stress intensity factors of semi-elliptical cracks in pressurized cylinders

    International Nuclear Information System (INIS)

    Kobayashi, A.S.; Emery, A.F.; Love, W.J.; Jain, A.

    1979-01-01

    The authors have used, in the past, the three-dimensional stress intensity magnification factor, Msub(KS), for a semi-elliptical surface crack in a flat plate with a curvature correction factor, Msub(C), to estimate the stress intensity magnification factor, Msub(K) = Msub(C) x Msub(KS), for unpressurized and pressurized inner semi-elliptical cracks and unpressurized outer semi-elliptical cracks in pressurized and thermally shocked cylinders. Recent papers by Atluri/Kathiresan, Welliot/Labbens/Pellissier-Tanon and McGowan/Raymund, however, showed that while this plate analogy with curvature correction provided reasonable estimates of the stress intensity factors at the deepest crack penetration, it underestimated the stress intensity factors at the cylindrical surface. The source of this discrepancy was traced to the curvature correction factor Msub(C), which was re-evaluated for various crack configurations and cylindrical geometries studied. Using the updated Msub(C) together with the previously derived Msub(KS), stress intensity factor magnification factor, Msub(K), was rederived for: (1) Pressurized and unpressurized inner semi-elliptical cracks of two crack aspects ratios of b/a = 0.2 and 0.98 at crack depth of b/(Rsub(o)-Rsub(i)) = 0.4, 0.6, and 0.8 in pressurized cylinders with outside-to-inside radius ratios of Rsub(o)/Rsub(i) = 3/2, 5/4, 7/6, and 10/9. (2) Unpressurized outer semi-elliptical cracks of two crack aspect ratios of b/a = 0.2 and 0.98 at crack depths of b/(Rsub(o)-Rsub(i)) = 0.4, 0.6, and 0.8 in pressurized cylinders with outside-to-inside radius ratio of Rsub(o)/Rsub(i) = 3/2, 5/4, 7/6, and 10/9. (orig.)

  7. A comparative study on the influential factors of China's provincial energy intensity

    International Nuclear Information System (INIS)

    Yang, Guangfei; Li, Wenli; Wang, Jianliang; Zhang, Dongqing

    2016-01-01

    China has become the largest energy consumer worldwide, and it is important to study the energy intensity to realize the sustainable development goal of China. This paper focuses on investigating the influential factors of China's energy intensity using provincial-level panel data from 1985 to 2012. More specifically, we try to identify which factor is relatively more important to pay attention to. A novel approach based on evolutionary computation is proposed to intelligently mine the intrinsic relations between observed phenomena and to let the important factors automatically emerge from the discovered nonlinear models. However, due to China's vast territory and significant heterogeneities, this approach may fail to examine some detailed or hidden information when analyzing the country as a whole. Instead, we concentrate on the provincial level because the provinces play vital roles in reducing energy intensity in China. From our analytical results, the main findings are as follows: (1) the Total Population is the most important influential factor across China's provinces, while the Energy Price Index has the least impact; and (2) the provinces could be naturally classified into four categories based on the primary factors emerged from data, and such classification could reveal more about the true underlying features of each area. - Highlights: • Identify the important factors of China's energy intensity by symbolic regression. • Analyze China's energy intensity using provincial-level panel data from 1985 to 2012. • Intelligently investigate nonlinear models and the emergence of important factors. • The Total Population is discovered to be the most important influential factor. • Provinces are naturally classified into four categories by the influential factors.

  8. Study and realization of a beam analyser of high intensity (10610)

    International Nuclear Information System (INIS)

    Perret-Gallix, D.

    1975-01-01

    A beam analyser working under high-beam intensity in the range of 10 6 to 10 10 particles per burst and giving position profile and intensity of this beam is studied. The reasons of this study, the principle of measurement, the construction of hardware and the different tests carried out on the chamber in order to evaluate the main features are related. The analyser is a multi-cellular ionisation chamber or stripe chamber; each cell made by a copper stripe (0.25mm wide) inserted between two high voltage planes (500V) forms a small independent ionisation chamber. This system, working under the on-line control of a mini-computer allows to associate to each event or event group the instantaneous position and profile of the beam [fr

  9. High-intensity focused ultrasound to treat primary hyperparathyroidism: a feasibility study in four patients

    DEFF Research Database (Denmark)

    Kovatcheva, Roussanka D; Vlahov, Jordan D; Shinkov, Alexander D

    2010-01-01

    Many patients with primary hyperparathyroidism either decline or are not candidates for surgical parathyroidectomy. There are drawbacks to medical therapy as well as percutaneous ethanol injection as alternative therapies for primary hyperparathyroidism. Therefore, in this pilot study, our aim...... was to test the feasibility, safety, and efficacy of a newly developed noninvasive high-intensity focused ultrasound (HIFU) technique for the nonsurgical management of primary hyperparathyroidism....

  10. Refeeding syndrome influences outcome of anorexia nervosa patients in intensive care unit: an observational study

    OpenAIRE

    Vignaud, Marie; Constantin, Jean-Michel; Ruivard, Marc; Villemeyre-Plane, Michele; Futier, Emmanuel; Bazin, Jean-Etienne; Annane, Djillali

    2010-01-01

    Introduction Data on the epidemiology and management of anorexia nervosa (AN) in the intensive care unit (ICU) are scarce. The aim of this study was to evaluate the prevalence and associated morbidity and mortality of AN in French ICUs. Methods We randomly selected 30 ICUs throughout France. Thereafter, we retrospectively analyzed all patients with AN admitted to any of these 30 ICUs between May 2006 and May 2008. We considered demographic data, diagnosis at admission and complications occurr...

  11. Nonlinear δf Simulation Studies of Intense Charged Particle Beams with Large Temperature Anisotropy

    International Nuclear Information System (INIS)

    Startsev, Edward A.; Davidson, Ronald C.; Qin, Hong

    2002-01-01

    In this paper, a 3-D nonlinear perturbative particle simulation code (BEST) [H. Qin, R.C. Davidson and W.W. Lee, Physical Review Special Topics on Accelerators and Beams 3 (2000) 084401] is used to systematically study the stability properties of intense nonneutral charged particle beams with large temperature anisotropy (T perpendicularb >> T parallelb ). The most unstable modes are identified, and their eigenfrequencies, radial mode structure, and nonlinear dynamics are determined for axisymmetric perturbations with ∂/∂θ = 0

  12. Studying Intense Pulsed Light Method Along With Corticosteroid Injection in Treating Keloid Scars

    OpenAIRE

    Shamsi Meymandi, Simin; Rezazadeh, Azadeh; Ekhlasi, Ali

    2014-01-01

    Background: Results of various studies suggest that the hypertrophic and keloid scars are highly prevalent in the general population and are irritating both physically and mentally. Objective: Considering the variety of existing therapies, intense pulsed light (IPL) method along with corticosteroid injection was evaluated in treating these scars. Materials and Methods: 86 subjects were included in this clinical trial. Eight sessions of therapeutic intervention were done with IPL along with co...

  13. Laser-enhanced cavitation during high intensity focused ultrasound: An in vivo study

    OpenAIRE

    Cui, Huizhong; Zhang, Ti; Yang, Xinmai

    2013-01-01

    Laser-enhanced cavitation during high intensity focused ultrasound (HIFU) was studied in vivo using a small animal model. Laser light was employed to illuminate the sample concurrently with HIFU radiation. The resulting cavitation was detected with a passive cavitation detector. The in vivo measurements were made under different combinations of HIFU treatment depths, laser wavelengths, and HIFU durations. The results demonstrated that concurrent light illumination during HIFU has the potentia...

  14. Increasing upper limb training intensity in chronic stroke using embodied virtual reality: a pilot study.

    Science.gov (United States)

    Perez-Marcos, Daniel; Chevalley, Odile; Schmidlin, Thomas; Garipelli, Gangadhar; Serino, Andrea; Vuadens, Philippe; Tadi, Tej; Blanke, Olaf; Millán, José D R

    2017-11-17

    Technology-mediated neurorehabilitation is suggested to enhance training intensity and therefore functional gains. Here, we used a novel virtual reality (VR) system for task-specific upper extremity training after stroke. The system offers interactive exercises integrating motor priming techniques and embodied visuomotor feedback. In this pilot study, we examined (i) rehabilitation dose and training intensity, (ii) functional improvements, and (iii) safety and tolerance when exposed to intensive VR rehabilitation. Ten outpatient stroke survivors with chronic (>6 months) upper extremity paresis participated in a ten-session VR-based upper limb rehabilitation program (2 sessions/week). All participants completed all sessions of the treatment. In total, they received a median of 403 min of upper limb therapy, with 290 min of effective training. Within that time, participants performed a median of 4713 goal-directed movements. Importantly, training intensity increased progressively across sessions from 13.2 to 17.3 movements per minute. Clinical measures show that despite being in the chronic phase, where recovery potential is thought to be limited, participants showed a median improvement rate of 5.3% in motor function (Fugl-Meyer Assessment for Upper Extremity; FMA-UE) post intervention compared to baseline, and of 15.4% at one-month follow-up. For three of them, this improvement was clinically significant. A significant improvement in shoulder active range of motion (AROM) was also observed at follow-up. Participants reported very low levels of pain, stress and fatigue following each session of training, indicating that the intensive VR intervention was well tolerated. No severe adverse events were reported. All participants expressed their interest in continuing the intervention at the hospital or even at home, suggesting high levels of adherence and motivation for the provided intervention. This pilot study showed how a dedicated VR system could deliver high

  15. The effects of high intensity interval training in women with rheumatic disease: a pilot study.

    Science.gov (United States)

    Sandstad, Janne; Stensvold, Dorthe; Hoff, Mari; Nes, Bjarne M; Arbo, Ingerid; Bye, Anja

    2015-10-01

    Rheumatoid arthritis (RA) and juvenile idiopathic arthritis (JIA) are inflammatory diseases which involve increased risk of cardiovascular disease (CVD). High intensity interval training (HIIT) is known to be effective in improving cardiovascular health. The aim of this study was to investigate whether 10 weeks of HIIT at 85-95% of HRmax would improve important risk factors of CVD in rheumatic patients, and if these patients would tolerate exercise intensities above today's recommendations. Seven women with RA and eleven with adult-JIA, 20-50 years, were recruited to this cross-over study. Participants performed HIIT, consisting of 4 × 4 min intervals at 85-95% of HRmax twice a week for 10 weeks on spinning bikes. Maximal oxygen uptake (VO2max), heart rate recovery, blood pressure, body composition, and blood variables were measured before and after the exercise and control period. Disease activity was determined and questionnaire data were collected. HIIT resulted in 12.2% increase in VO2max and 2.9% improvement in heart rate recovery (p HIIT (p = 0.08). No changes were detected in disease activity or pain. Despite rigorous high intensity exercise, no increase was detected in disease activity or pain, indicating that HIIT was well tolerated by these patients. Furthermore, HIIT had positive effects on several CVD risk factors. In light of this pilot study, HIIT seems like a promising non-pharmacological treatment strategy for patients with RA and adult-JIA.

  16. A potent Brucella abortus 2308 Δery live vaccine allows for the differentiation between natural and vaccinated infection.

    Science.gov (United States)

    Zhang, Junbo; Yin, Shuanghong; Guo, Fei; Meng, Ren; Chen, Chuangfu; Zhang, Hui; Li, Zhiqiang; Fu, Qiang; Shi, Huijun; Hu, Shengwei; Ni, Wei; Li, Tiansen; Zhang, Ke

    2014-08-01

    Brucellosis is a globally distributed zoonotic disease that causes animal and human diseases. However, the current Brucella abortus vaccines (S19 and RB51) are deficient; they can cause abortion in pregnant animals. Moreover, when the vaccine S19 is used, tests cannot differentiate natural from vaccinated infection. Therefore, a safer and more potent vaccine is needed. A Brucella abortus 2308 ery promoter mutant (Δery) was constructed to overcome these drawbacks. The growth of the Δery mutant was significantly attenuated in macrophages and mice and induced high protective immunity in mice. Moreover, Δery induced an anti-Brucella-specific IgG (immunoglobulin G) response and stimulated the expression of interferon-gamma (INF-γ) and interleukin-4 (IL-4). Furthermore, the expression of EryA antigen allowed for the serological differentiation between natural and vaccinated infection in mice. These results indicate that the Δery mutant is a potential attenuated live vaccine candidate against virulent Brucella abortus 2308 (S2308) infection.

  17. Fall diets of red-breasted merganser (Mergus serrator) and walleye (Sander vitreus) in Sandusky Bay and adjacent waters of western Lake Erie

    Science.gov (United States)

    Bur, M.T.; Stapanian, M.A.; Bernhardt, G.; Turner, M.W.

    2008-01-01

    Although published studies indicate the contrary, there is concern among many sport anglers that migrating red-breasted mergansers (Mergus serrator) and other waterbirds pose a competitive threat to sport fish species such as walleye (Sander vitreus) in Lake Erie. We quantified the diet of autumn-migrant mergansers and walleye during 1998-2000 in Sandusky Bay and adjacent waters of western Lake Erie. We hypothesized that the diets of both predators would be similar in species composition, but because of different foraging ecologies their diets would differ markedly in size of prey consumed. In addition to predator samples, we used trawl data from the same general area as an index of prey availability. We found that mergansers fed almost exclusively on fish (nine species). Gizzard shad (Dorosoma cepedianum), emerald shiner (Notropis atherinoides) and round goby (Neogobius melanostomus) were consumed in the greatest numbers, most frequently and comprised the greatest biomass. Walleye fed exclusively on fish: gizzard shad, alewife (Alosa psuedoharengus) and emerald shiner were consumed in the greatest numbers, most frequently and comprised the greatest biomass. Diet overlap between mergansers and walleye was 67% by weight and 66% by species frequency. Mean total lengths of gizzard shad, emerald shiner and round goby found in walleye stomachs exceeded those captured in trawls by 47%, on average. Mean total lengths of gizzard shad, emerald shiner and round goby were greater in walleye stomachs than in merganser stomachs. Mean total lengths of emerald shiner and round goby were less in merganser stomachs than in trawls. Our results suggest that although the diets of walleye and mergansers overlapped considerably, mergansers generally consumed smaller fish than walleye. Given the abundance and diversity of prey species available, and the transient nature of mergansers on Lake Erie during migration, we conclude that competition for food between these species is minimal.

  18. First records of a European cladoceran, Bythotrephes cederstroemi, in Lakes Erie and Huron

    Science.gov (United States)

    Bur, Michael T.; Klarer, David M.; Krieger, Kenneth A.

    1986-01-01

    Adult forms of the cladoceran Bythotrephes cederstroemi Schoedler (Cercopagidae), a widespread European freshwater zooplankter, occurred in the stomachs of four common species of Lake Erie fish (yellow perch, Perca flavescens; white perch, Morone americana; white bass, M. chrysops; and walleye, Stizostedion vitreum vitreum) collected in early October 1985. The fish were collected at several stations in the nearshore open waters of the central basin between Ashtabula and Huron, Ohio. Other investigators have seen this species in other locations in Lake Erie and also in Lake Huron. The report of B. cederstroemi in Lake Huron in December 1984 appears to be the first record of this species in North America.

  19. Assessing and addressing the re-eutrophication of Lake Erie: central basin hypoxia

    Science.gov (United States)

    Scavia, Donald; Allan, J. David; Arend, Kristin K.; Bartell, Steven; Beletsky, Dmitry; Bosch, Nate S.; Brandt, Stephen B.; Briland, Ruth D.; Daloğlu, Irem; DePinto, Joseph V.; Dolan, David M.; Evans, Mary Anne; Farmer, Troy M.; Goto, Daisuke; Han, Haejin; Höök, Tomas O.; Knight, Roger; Ludsin, Stuart A.; Mason, Doran; Michalak, Anna M.; Richards, R. Peter; Roberts, James J.; Rucinski, Daniel K.; Rutherford, Edward; Schwab, David J.; Sesterhenn, Timothy M.; Zhang, Hongyan; Zhou, Yuntao

    2014-01-01

    Relieving phosphorus loading is a key management tool for controlling Lake Erie eutrophication. During the 1960s and 1970s, increased phosphorus inputs degraded water quality and reduced central basin hypolimnetic oxygen levels which, in turn, eliminated thermal habitat vital to cold-water organisms and contributed to the extirpation of important benthic macroinvertebrate prey species for fishes. In response to load reductions initiated in 1972, Lake Erie responded quickly with reduced water-column phosphorus concentrations, phytoplankton biomass, and bottom-water hypoxia (dissolved oxygen 2) requires cutting total phosphorus loads by 46% from the 2003–2011 average or reducing dissolved reactive phosphorus loads by 78% from the 2005–2011 average. Reductions to these levels are also protective of fish habitat. We provide potential approaches for achieving those new loading targets, and suggest that recent load reduction recommendations focused on western basin cyanobacteria blooms may not be sufficient to reduce central basin hypoxia to 2000 km2.

  20. Invertebrate communities associated with Bangia atropurpurea and Cladophora glomerata in western Lake Erie

    Science.gov (United States)

    Chilton, E.W.; Lowe, R.L.; Schurr, K.M.

    1986-01-01

    The appearance of the marine alga Bangia atropurpurea (Rhodophyta) in Lake Erie has been followed by its rapid dispersal throughout the eulittoral zone of the lake. Bangia was extensively sampled to determine its suitability as a habitat for littoral organisms. Present data indicate that the only organisms capable of maintaining populations on Bangia filaments are larval Chironomidae. Cladophora supports a larger and more diverse community. It is concluded that the mucilaginous cell wall of Bangia provides a less stable substrate for attached or clinging organisms than does the cellulose cell wall of Cladophora. The presence of Bangia in the littoral zone of Lake Erie results in a reduction of the quantity and diversity of algal epiphytes and may negatively impact the littoral food web.

  1. Thermodynamic assessments of the Ag-Er and Er-Y systems

    International Nuclear Information System (INIS)

    Wang, S.L.; Wang, C.P.; Liu, X.J.; Tang, A.T.; Pan, F.S.; Ishida, K.

    2010-01-01

    The phase diagrams and thermodynamic properties in the Ag-Er and Er-Y binary systems have been assessed by using the CALPHAD (Calculation of Phase Diagrams) method on the basis of the experimental data including the thermodynamic properties and phase equilibria. The Gibbs free energies of the liquid, bcc, fcc, and hcp phases were described by the subregular solution model with the Redlich-Kister equation, and those of intermetallic compounds (Ag 2 Er and AgEr phases) were treated as stoichiometric compounds, and Ag 51 Er 14 phase was modeled by the sublattice model in the Ag-Er binary system. The thermodynamic parameters of the Ag-Er and Er-Y binary systems were obtained, and an agreement between the calculated results and experimental data was obtained for each binary system.

  2. Effort-Reward Imbalance and Work Productivity Among Hotel Housekeeping Employees: A Pilot Study.

    Science.gov (United States)

    Rosemberg, Marie-Anne S; Li, Yang

    2018-03-01

    This study explored the relationship between effort-reward imbalance (ERI) at work and work productivity among hotel housekeepers. A community-based approach was used to recruit 23 hotel housekeepers who completed the ERI and Work Performance Questionnaires. Work productivity was determined by combining self-report absenteeism and presenteeism. More than 40% of the participants reported high ERI (ERI >1). Also, 59.1% reported low work productivity. Interestingly, despite the individualized high reports of ERI and low work productivity, correlation analysis showed that high ERI was correlated with high presenteeism and work productivity as a whole. This is the first study to explore work productivity among this worker group. Despite the small sample size and the cross-sectional nature of the study, this study points to the need for organization-based interventions to not only improve employee health but also their work productivity.

  3. Eri prosessointien vaikutus ruusunmarjan c-vitamiinipitoisuuteen : kuumennus, paseeraus ja pakastesäilytys

    OpenAIRE

    Heikkilä, Raili

    2007-01-01

    Tämä opinnäytetyön liittyy kotimaisten ruusunmarjojen sekä tuore- ja höyrysoseiden Cvitamiinin säilymiseen eri prosessointimenetelmien ja pakkassäilytyksen aikana. Näytteinä tutkimuksessa olivat kokonaisena poimitut pakastetut ruusunmarjat, tuore pakastettu ruusunmarjasose ja kuumakäsitelty (höyrytetty) ruusunmarjasose. Tutkittavan ruusunmarjan pakastesäilytysaika oli ollut kokonaisuudessaan yksi vuosi. Tutkimus toteutettiin Haapaveden ammattiopistolla. Ruusunmarjan C- vitamiinipitoisuudet an...

  4. Study related to the generation of the conditional intensities of ideal Bose-gas

    International Nuclear Information System (INIS)

    Al-Oklah, H.

    2007-01-01

    In this paper, we will answer on the following question: Are there any conditions on the chemical potential and temperature of an ideal BOSE gas when generating the conditional intensities of ideal Bose-gas, and will the position distribution of the ideal Bose-gas be a Gibbs-process. The study shows that there should be no conditions on the chemical potential and thermodynamical temperature of an ideal BOSE gas when we generate the conditional intensities of ideal Bose-gas except that the fundamental conditions, the chemical potential is negative and the inverse temperature is positive. Thus the position distribution of the ideal Bose-gas may only be a Gibbs-process, in the special case when the thermodynamical temperature of the ideal BOSE gas tends to the absolute zero. (author)

  5. [Effects of an intensive thalassotherapy and aquatic therapy program in stroke patients. A pilot study].

    Science.gov (United States)

    Morer, C; Boestad, C; Zuluaga, P; Alvarez-Badillo, A; Maraver, F

    2017-09-16

    Stroke remains the leading cause of acquired disability. Health and social planning and management may vary and although prevention is crucial, having better treatments and strategies to reduce disability is needed. To determine the effect of an intensive program of thalassotherapy and aquatic therapy in stroke patients, valuing clinical parameters and functional validated scales. A quasi-experimental prospective study consisting of a specific program assessed pre- and post- 3 weeks treatment to 26 stroke patients with a mild-moderate disability. The outcomes measured were: Berg Balance scale, Timed Up and Go test, 10-meter walking test, 6-minute walking test and pain Visual Analogue Scale. After intervention, participants had a significant improvement in all outcomes measured. Our results suggest that an intensive program of thalassotherapy and aquatic therapy could be useful during stroke rehabilitation to improve balance, gait and pain.

  6. Obstacles and facilitators of open visiting policy in Intensive Care Units:A qualitative study

    Directory of Open Access Journals (Sweden)

    Shiva Khaleghparast

    2016-07-01

    Full Text Available Open visiting policy in intensive care units is proposed as an essential requirement for patients and their families, so this study is aimed to explain open visiting policy obstacles and facilitators from patients, families and health team members’ viewpoint. This qualitative study implemented in intensive care units of a hospital specialized in cardiology in Tehran-Iran. Patients’, families’, nurses’, doctors’ and guards’ viewpoint was determined regarding open visiting policy obstacles and facilitators by semi-structured interviews. Data analysis method was conventional approach of qualitative content analysis with thematic technique. Data analysis was performed using Max QDA10 software. Two main categories of data regarding open visiting obstacles and facilitators were extracted. Factors related to service systems and visitors derived from open visiting obstacles, and factors related to management system and personnel derived from open visiting facilitators. One of the most important obstacles of open visiting policy implementation is shortage of staff and personnel negative attitude. Regarding open visiting policy facilitators, designing visiting cards for close family and observing specific rules, modification of intensive care unit structure and facilities for families are useful. Finally, what is important as an open visiting policy implementation facilitator is presence of nursing profession as a humanitarian and ethical profession.

  7. The Intensive Dysphagia Rehabilitation Approach Applied to Patients With Neurogenic Dysphagia: A Case Series Design Study.

    Science.gov (United States)

    Malandraki, Georgia A; Rajappa, Akila; Kantarcigil, Cagla; Wagner, Elise; Ivey, Chandra; Youse, Kathleen

    2016-04-01

    To examine the effects of the Intensive Dysphagia Rehabilitation approach on physiological and functional swallowing outcomes in adults with neurogenic dysphagia. Intervention study; before-after trial with 4-week follow-up through an online survey. Outpatient university clinics. A consecutive sample of subjects (N=10) recruited from outpatient university clinics. All subjects were diagnosed with adult-onset neurologic injury or disease. Dysphagia diagnosis was confirmed through clinical and endoscopic swallowing evaluations. No subjects withdrew from the study. Participants completed the 4-week Intensive Dysphagia Rehabilitation protocol, including 2 oropharyngeal exercise regimens, a targeted swallowing routine using salient stimuli, and caregiver participation. Treatment included hourly sessions twice per week and home practice for approximately 45 min/d. Outcome measures assessed pre- and posttreatment included airway safety using an 8-point Penetration Aspiration Scale, lingual isometric pressures, self-reported swallowing-related quality of life (QOL), and level of oral intake. Also, patients were monitored for adverse dysphagia-related effects. QOL and adverse effects were also assessed at the 4-week follow-up (online survey). The Intensive Dysphagia Rehabilitation approach was effective in improving maximum and mean Penetration Aspiration Scale scores (PDysphagia Rehabilitation approach was safe and improved physiological and some functional swallowing outcomes in our sample; however, further investigation is needed before it can be widely applied. Copyright © 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  8. The Chinese family-centered care survey for adult intensive care unit: A psychometric study.

    Science.gov (United States)

    Wang, Wen-Ling; Feng, Jui-Ying; Wang, Chi-Jen; Chen, Jing-Huei

    2016-02-01

    This study aimed to develop a family-centered care survey for Chinese adult intensive care units and to establish the survey's psychometric properties. Family-centered care (FCC) is widely recognized as an ideal model of care. Few studies have explored FCC perceptions among family members of adult critical care patients in Asian countries, and no Chinese FCC measurement has been developed. An English version of the 3-factor family-centered care survey for adult intensive care units (FCCS-AICU) was translated into Chinese using a modified back translation procedure. Based on the literature review, two additional concepts, information and empowerment, were added to the Chinese FCCS-AICU. The psychometric properties of the Chinese FCCS-AICU were determined with 249 family members from a medical center in Taiwan and were tested for construct and convergent validity, and internal consistency. Both the monolingual and bilingual equivalence tests of the English and Chinese versions of the 3-factor FCCS-AICU were supported. Exploratory factor analysis supported the 5-factor structure of the Chinese FCCS-AICU with a total explained variance of 58.34%. The Chinese FCCS-AICU was correlated with the Chinese Critical Care Family Needs Inventory. Internal consistency, determined by Cronbach's α, for the overall scale was .94. The Chinese FCCS-AICU is a valid and reliable tool for measuring perceptions of FCC by family members of adult intensive care patients within Chinese-speaking communities. Copyright © 2015 Elsevier Inc. All rights reserved.

  9. Infrared cross-sections and integrated band intensities of propylene: Temperature-dependent studies

    KAUST Repository

    Es-sebbar, Et-touhami

    2014-01-01

    Propylene, a by-product of biomass burning, thermal cracking of hydrocarbons and incomplete combustion of fossil fuels, is a ubiquitous molecule found in the environment and atmosphere. Accurate infrared (IR) cross-sections and integrated band intensities of propylene are essential for quantitative measurements and atmospheric modeling. We measured absolute IR cross-sections of propylene using Fourier Transform Infrared (FTIR) Spectroscopy over the wavenumber range of 400-6500cm-1 and at gas temperatures between 296 and 460K. We recorded these spectra at spectral resolutions ranging from 0.08 to 0.5cm-1 and measured the integrated band intensities for a number of vibrational bands in certain spectral regions. We then compared the integrated band intensities measured at room temperature with values derived from the National Institute of Standards and Technology (NIST) and the Pacific Northwest National Laboratory (PNNL) databases. Our results agreed well with the results reported in the two databases with a maximum deviation of about 4%. The peak cross-sections for the primary bands decreased by about 20-54% when the temperature increased from 296 to 460K. Moreover, we determined the integrated band intensities as a function of temperature for certain features in various spectral regions; we found no significant temperature dependence over the range of temperatures considered here. We also studied the effect of temperature on absorption cross-section using a Difference Frequency Generation (DFG) laser system. We compared the DFG results with those obtained from the FTIR study at certain wavenumbers over the 2850-2975cm-1 range and found a reasonable agreement with less than 10% discrepancy. © 2013 Elsevier Ltd.

  10. Intensity modulated radiation therapy using laser-accelerated protons: a Monte Carlo dosimetric study

    International Nuclear Information System (INIS)

    Fourkal, E; Li, J S; Xiong, W; Nahum, A; Ma, C-M

    2003-01-01

    In this paper we present Monte Carlo studies of intensity modulated radiation therapy using laser-accelerated proton beams. Laser-accelerated protons coming out of a solid high-density target have broad energy and angular spectra leading to dose distributions that cannot be directly used for therapeutic applications. Through the introduction of a spectrometer-like particle selection system that delivers small pencil beams of protons with desired energy spectra it is feasible to use laser-accelerated protons for intensity modulated radiotherapy. The method presented in this paper is a three-dimensional modulation in which the proton energy spectrum and intensity of each individual beamlet are modulated to yield a homogeneous dose in both the longitudinal and lateral directions. As an evaluation of the efficacy of this method, it has been applied to two prostate cases using a variety of beam arrangements. We have performed a comparison study between intensity modulated photon plans and those for laser-accelerated protons. For identical beam arrangements and the same optimization parameters, proton plans exhibit superior coverage of the target and sparing of neighbouring critical structures. Dose-volume histogram analysis of the resulting dose distributions shows up to 50% reduction of dose to the critical structures. As the number of fields is decreased, the proton modality exhibits a better preservation of the optimization requirements on the target and critical structures. It is shown that for a two-beam arrangement (parallel-opposed) it is possible to achieve both superior target coverage with 5% dose inhomogeneity within the target and excellent sparing of surrounding tissue

  11. European neonatal intensive care nursing research priorities: an e-Delphi study.

    Science.gov (United States)

    Wielenga, Joke M; Tume, Lyvonne N; Latour, Jos M; van den Hoogen, Agnes

    2015-01-01

    This study aimed to identify and prioritise neonatal intensive care nursing research topics across Europe using an e-Delphi technique. An e-Delphi technique with three questionnaire rounds was performed. Qualitative responses of round one were analysed by content analysis and research statements were generated to be ranged on importance on a scale of 1-6 (not important to most important). Neonatal intensive care units (NICUs) in 17 European countries. NICU clinical nurses, managers, educators and researchers (n=75). None. A list of 43 research statements in eight domains. The six highest ranking statements (≥5.0 mean score) were related to prevention and reduction of pain (mean 5.49; SD 1.07), medication errors (mean 5.20; SD 1.13), end-of-life care (mean 5.05; SD 1.18), needs of parents and family (mean 5.04; SD 1.23), implementing evidence into nursing practice (mean 5.02; SD 1.03), and pain assessment (mean 5.02; SD 1.11). The research domains were prioritised and ranked: (1) pain and stress; (2) family centred care; (3) clinical nursing care practices; (4) quality and safety; (5) ethics; (6) respiratory and ventilation; (7) infection and inflammation; and (8) professional issues in neonatal intensive care nursing. The results of this study might support developing a nursing research strategy for the nursing section of the European Society of Paediatric and Neonatal Intensive Care. In addition, this may promote more European researcher collaboratives for neonatal nursing research. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  12. A standardized approach to study human variability in isometric thermogenesis during low-intensity physical activity

    Directory of Open Access Journals (Sweden)

    Delphine eSarafian

    2013-07-01

    Full Text Available Limitations of current methods: The assessment of human variability in various compartments of daily energy expenditure (EE under standardized conditions is well defined at rest (as basal metabolic rate and thermic effect of feeding, and currently under validation for assessing the energy cost of low-intensity dynamic work. However, because physical activities of daily life consist of a combination of both dynamic and isometric work, there is also a need to develop standardized tests for assessing human variability in the energy cost of low-intensity isometric work.Experimental objectives: Development of an approach to study human variability in isometric thermogenesis by incorporating a protocol of intermittent leg press exercise of varying low-intensity isometric loads with measurements of EE by indirect calorimetry. Results: EE was measured in the seated position with the subject at rest or while intermittently pressing both legs against a press-platform at 5 low-intensity isometric loads (+5, +10, + 15, +20 and +25 kg force, each consisting of a succession of 8 cycles of press (30 s and rest (30 s. EE, integrated over each 8-min period of the intermittent leg press exercise, was found to increase linearly across the 5 isometric loads with a correlation coefficient (r > 0.9 for each individual. The slope of this EE-Load relationship, which provides the energy cost of this standardized isometric exercise expressed per kg force applied intermittently (30 s in every min, was found to show good repeatability when assessed in subjects who repeated the same experimental protocol on 3 separate days: its low intra-individual coefficient of variation (CV of ~ 10% contrasted with its much higher inter-individual CV of 35%; the latter being mass-independent but partly explained by height. Conclusion: This standardized approach to study isometric thermogenesis opens up a new avenue for research in EE phenotyping and metabolic predisposition to obesity

  13. The importance of physical activity and sleep for affect on stressful days: Two intensive longitudinal studies.

    Science.gov (United States)

    Flueckiger, Lavinia; Lieb, Roselind; Meyer, Andrea H; Witthauer, Cornelia; Mata, Jutta

    2016-06-01

    We investigated the potential stress-buffering effect of 3 health behaviors-physical activity, sleep quality, and snacking-on affect in the context of everyday life in young adults. In 2 intensive longitudinal studies with up to 65 assessment days over an entire academic year, students (Study 1, N = 292; Study 2, N = 304) reported stress intensity, sleep quality, physical activity, snacking, and positive and negative affect. Data were analyzed using multilevel regression analyses. Stress and positive affect were negatively associated; stress and negative affect were positively associated. The more physically active than usual a person was on a given day, the weaker the association between stress and positive affect (Study 1) and negative affect (Studies 1 and 2). The better than usual a person's sleep quality had been during the previous night, the weaker the association between stress and positive affect (Studies 1 and 2) and negative affect (Study 2). The association between daily stress and positive or negative affect did not differ as a function of daily snacking (Studies 1 and 2). On stressful days, increasing physical activity or ensuring high sleep quality may buffer adverse effects of stress on affect in young adults. These findings suggest potential targets for health-promotion and stress-prevention programs, which could help reduce the negative impact of stress in young adults. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  14. Predation of the zebra mussel (Dreissena polymorpha) by freshwater drum in western Lake Erie

    Science.gov (United States)

    French, John R. P.; Bur, Michael T.; Nalepa, Thomas F.; Schloesser, Donald W.

    1992-01-01

    Environmental and economic problems associated with the colonization of zebra mussels (Dreissena polymorpha) in western Lake Erie created a need to investigate control mechanisms. Predation by fishes is one potential means of control, but predation on zebra mussels by native fishes in Lake Erie is unknown. The freshwater drum (Aplodinotus grunniens) is the most likely fish predator since it is the only fish with pharyngeal teeth capable of crushing mollusk shells. In 1990, freshwater drum were collected in western Lake Erie from 9 sites near rocky reefs and 13 sites with silt or sand bottoms, and gut contents were examined. Predation on zebra mussels increased as drum size increased. Small drum (200-249 mm in length) fed mainly on dipterans, amphipods, and small fish; small zebra mussels (375 mm in length) fed almost exclusively on zebra mussels (seasons and locations combined). The smallest drum capable of crushing zebra mussel shells was 265 mm. Since freshwater drum over 375 mm feed heavily on zebra mussels, they may become a possible biological control mechanism for mussels in portions of North America.

  15. Minimum size limits for yellow perch (Perca flavescens) in western Lake Erie

    Science.gov (United States)

    Hartman, Wilbur L.; Nepszy, Stephen J.; Scholl, Russell L.

    1980-01-01

    During the 1960's yellow perch (Perca flavescens) of Lake Erie supported a commercial fishery that produced an average annual catch of 23 million pounds, as well as a modest sport fishery. Since 1969, the resource has seriously deteriorated. Commercial landings amounted to only 6 million pounds in 1976, and included proportionally more immature perch than in the 1960's. Moreover, no strong year classes were produced between 1965 and 1975. An interagency technical committee was appointed in 1975 by the Lake Erie Committee of the Great Lakes Fishery Commission to develop an interim management strategy that would provide for greater protection of perch in western Lake Erie, where declines have been the most severe. The committee first determined the age structure, growth and mortality rates, maturation schedule, and length-fecundity relationship for the population, and then applied Ricker-type equilibrium yield models to determine the effects of various minimum length limits on yield, production, average stock weight, potential egg deposition, and the Abrosov spawning frequency indicator (average number of spawning opportunities per female). The committee recommended increasing the minimum length limit of 5.0 inches to at least 8.5 inches. Theoretically, this change would increase the average stock weight by 36% and potential egg deposition by 44%, without significantly decreasing yield. Abrosov's spawning frequency indicator would rise from the existing 0.6 to about 1.2.

  16. Detailed studies of Minor Actinide transmutation-incineration in high-intensity neutron fluxes

    International Nuclear Information System (INIS)

    Bringer, O.; Al Mahamid, I.; Blandin, C.; Chabod, S.; Chartier, F.; Dupont, E.; Fioni, G.; Isnard, H.; Letourneau, A.; Marie, F.; Mutti, P.; Oriol, L.; Panebianco, S.; Veyssiere, C.

    2006-01-01

    The Mini-INCA project is dedicated to the measurement of incineration-transmutation chains and potentials of minor actinides in high-intensity thermal neutron fluxes. In this context, new types of detectors and methods of analysis have been developed. The 241 Am and 232 Th transmutation-incineration chains have been studied and several capture and fission cross sections measured very precisely, showing some discrepancies with existing data or evaluated data. An impact study was made on different based-like GEN-IV reactors. It underlines the necessity to proceed to precise measurements for a large number of minor-actinides that contribute to these future incineration scenarios. (authors)

  17. Radiation exposure of ventilated trauma patients in intensive care: a retrospective study comparing two time periods.

    Science.gov (United States)

    Yee, Micaela V; Barron, Rochelle A; Knobloch, Tom A; Pandey, Umesh; Twyford, Catherine; Freebairn, Ross C

    2012-08-01

    To describe the cumulative effective dose of radiation that was received during the initial Emergency Department assessment and ICU stay of patients admitted with trauma, who required mechanical ventilation, during two time periods. A retrospective analysis of radiological and clinical data, set in a regional nonurban ICU. Two cohorts (starting 1 January 2004 and 1 January 2009), each comprising 45 adult patients admitted with trauma who were mechanically ventilated in intensive care, were studied. Frequency and type of radiological examinations, demographic information, and clinical data were collated from the radiological database, hospital admission record and Australian Outcomes Research Tool for Intensive Care database. Cumulative effective doses were calculated and expressed as a total dose and average daily dose for each cohort. The median cumulative effective dose per patient (in milliSieverts) increased from 34.59 [interquartile range (IQR) 9.08-43.91] in 2004 to 40.51 (IQR 22.01-48.87) in 2009, P=0.045. An increased number of computed tomography examinations per patient was also observed over the same interval from an average of 2.11 (median 2, IQR 1-3) in 2004 to an average of 2.62 (2, 2-4) in 2009, P=0.046. The radiation exposure of mechanically ventilated trauma patients in intensive care has increased over time. Radiation exposure should be prospectively monitored and staff should be aware of the increased risk resulting from this change in practice.

  18. Exploring teams of learners becoming "WE" in the Intensive Care Unit--a focused ethnographic study.

    Science.gov (United States)

    Conte, Helen; Scheja, Max; Hjelmqvist, Hans; Jirwe, Maria

    2015-08-16

    Research about collaboration within teams of learners in intensive care is sparse, as is research on how the learners in a group develop into a team. The aim of this study was to explore the collaboration in teams of learners during a rotation in an interprofessional education unit in intensive care from a sociocultural learning perspective. Focused Ethnographic methods were used to collect data following eight teams of learners in 2009 and 2010. Each team consisted of one resident, one specialist nurse student and their supervisors (n = 28). The material consisted of 100 hours of observations, interviews, and four hours of sound recordings. A qualitative analysis explored changing patterns of interplay through a constant comparative approach. The learners' collaboration progressed along a pattern of participation common to all eight groups with a chronological starting point and an end point. The progress consisted of three main steps where the learners' groups developed into teams during a week's training. The supervisors' guided the progress by gradually stepping back to provide latitude for critical reflection and action. Our main conclusion in training teams of learners how to collaborate in the intensive care is the crucial understanding of how to guide them to act like a team, feel like a team and having the authority to act as a team.

  19. The effects of kinesio taping on the color intensity of superficial skin hematomas: A pilot study.

    Science.gov (United States)

    Vercelli, Stefano; Colombo, Claudio; Tolosa, Francesca; Moriondo, Andrea; Bravini, Elisabetta; Ferriero, Giorgio; Francesco, Sartorio

    2017-01-01

    To analyze the effects of kinesio taping (KT) -applied with three different strains that induced or not the formation of skin creases (called convolutions)- on color intensity of post-surgical superficial hematomas. Single-blind paired study. Rehabilitation clinic. A convenience sample of 13 inpatients with post-surgical superficial hematomas. The tape was applied for 24 consecutive hours. Three tails of KT were randomly applied with different degrees of strain: none (SN); light (SL); and full longitudinal stretch (SF). We expected to obtain correct formation of convolutions with SL, some convolutions with SN, and no convolutions with SF. The change in color intensity of hematomas, measured by means of polar coordinates CIE L*a*b* using a validated and standardized digital images system. Applying KT to hematomas did not significantly change the color intensity in the central area under the tape (p > 0.05). There was a significant treatment effect (p  0.05). The changes observed along the edges of the tape could be related to the formation of a pressure gradient between the KT and the adjacent area, but were not dependent on the formation of skin convolutions. Copyright © 2016 Elsevier Ltd. All rights reserved.

  20. Evaluation of hydrochemical changes due to intensive aquifer exploitation: case studies from Mexico.

    Science.gov (United States)

    Esteller, M V; Rodríguez, R; Cardona, A; Padilla-Sánchez, L

    2012-09-01

    The impact of intensive aquifer exploitation has been observed in numerous places around the world. Mexico is a representative example of this problem. In 2010, 101 out of the 653 aquifers recognized in the country, showed negative social, economic, and environmental effects related to intensive exploitation. The environmental effects include, among others, groundwater level decline, subsidence, attenuation, and drying up of springs, decreased river flow, and deterioration of water quality. This study aimed at determining the hydrochemical changes produced by intensive aquifer exploitation and highlighting water quality modifications, taking as example the Valle de Toluca, Salamanca, and San Luis Potosi aquifers in Mexico's highlands. There, elements such as fluoride, arsenic, iron, and manganese have been detected, resulting from the introduction of older groundwater with longer residence times and distinctive chemical composition (regional flows). High concentrations of other elements such as chloride, sulfate, nitrate, and vanadium, as well as pathogens, all related to anthropogenic pollution sources (wastewater infiltration, irrigation return flow, and atmospheric pollutants, among others) were also observed. Some of these elements (nitrate, fluoride, arsenic, iron, and manganese) have shown concentrations above Mexican and World Health Organization drinking water standards.

  1. A study on the evaluation of dynamic stress intensity factor in repeated impact bending test

    International Nuclear Information System (INIS)

    Sim, Jae Ki; Cho, Gyu Jae; Han, Gill Young

    1988-01-01

    The purpose of the present paper was to establish the evaluation of the dynamic stress intensity factor in repeated impact three point bending test. Contact force between the impact bar and the cracked beam (simple supported beam) was analyzed by the using Hertz's contact law. In order to clarify the validity of theoretical analysis, experiments of dynamic stress intensity factir k I (t) are made on the cracked beam. The results obtained from this study are as follow: 1. In case of impact force analysis the theoretical result was obtained by the use of the Hertz's contact law. It's result was agreemant with the experimental result. Particularly, it was good agreement in the low impact velocity range. 2. The time variation of the dynamic stress intensity was determined by using the simple formula developed in this pqper. And the validity of it's result can be confirmed by experiment. Particlarly, this theoretical analysis was a good agreement to actual phenomena on from 0.3 msec to 0.65 msec. (Author)

  2. Strange and scary memories of the intensive care unit: a qualitative, longitudinal study inspired by Ricoeur's interpretation theory

    DEFF Research Database (Denmark)

    Svenningsen, Helle; Egerod, Ingrid; Dreyer, Pia

    2016-01-01

    of patient experiences in intensive care unit, but large-scale studies are also needed to inform intensive care unit follow-up. Methods: The study had a qualitative design using phenomenological hermeneutic analysis inspired by Ricoeur's interpretive theory. Patients were assessed with Confusion Assessment...

  3. An Updated Algorithm for Estimation of Pesticide Exposure Intensity in the Agricultural Health Study

    Directory of Open Access Journals (Sweden)

    Aaron Blair

    2011-12-01

    Full Text Available An algorithm developed to estimate pesticide exposure intensity for use in epidemiologic analyses was revised based on data from two exposure monitoring studies. In the first study, we estimated relative exposure intensity based on the results of measurements taken during the application of the herbicide 2,4-dichlorophenoxyacetic acid (2,4-D (n = 88 and the insecticide chlorpyrifos (n = 17. Modifications to the algorithm weighting factors were based on geometric means (GM of post-application urine concentrations for applicators grouped by application method and use of chemically-resistant (CR gloves. Measurement data from a second study were also used to evaluate relative exposure levels associated with airblast as compared to hand spray application methods. Algorithm modifications included an increase in the exposure reduction factor for use of CR gloves from 40% to 60%, an increase in the application method weight for boom spray relative to in-furrow and for air blast relative to hand spray, and a decrease in the weight for mixing relative to the new weights assigned for application methods. The weighting factors for the revised algorithm now incorporate exposure measurements taken on Agricultural Health Study (AHS participants for the application methods and personal protective equipment (PPE commonly reported by study participants.

  4. Nurse staffing, medical staffing and mortality in Intensive Care: An observational study.

    Science.gov (United States)

    West, Elizabeth; Barron, David N; Harrison, David; Rafferty, Anne Marie; Rowan, Kathy; Sanderson, Colin

    2014-05-01

    To investigate whether the size of the workforce (nurses, doctors and support staff) has an impact on the survival chances of critically ill patients both in the intensive care unit (ICU) and in the hospital. Investigations of intensive care outcomes suggest that some of the variation in patient survival rates might be related to staffing levels and workload, but the evidence is still equivocal. Information about patients, including the outcome of care (whether the patient lived or died) came from the Intensive Care National Audit & Research Centre (ICNARC) Case Mix Programme. An Audit Commission survey of ICUs conducted in 1998 gave information about staffing levels. The merged dataset had information on 65 ICUs and 38,168 patients. This is currently the best available dataset for testing the relationship between staffing and outcomes in UK ICUs. A cross-sectional, retrospective, risk adjusted observational study. Multivariable, multilevel logistic regression. ICU and in-hospital mortality. After controlling for patient characteristics and workload we found that higher numbers of nurses per bed (odds ratio: 0.90, 95% confidence interval: [0.83, 0.97]) and higher numbers of consultants (0.85, [0.76, 0.95]) were associated with higher survival rates. Further exploration revealed that the number of nurses had the greatest impact on patients at high risk of death (0.98, [0.96, 0.99]) whereas the effect of medical staffing was unchanged across the range of patient acuity (1.00, [0.97, 1.03]). No relationship between patient outcomes and the number of support staff (administrative, clerical, technical and scientific staff) was found. Distinguishing between direct care and supernumerary nurses and restricting the analysis to patients who had been in the unit for more than 8h made little difference to the results. Separate analysis of in-unit and in-hospital survival showed that the clinical workforce in intensive care had a greater impact on ICU mortality than on

  5. Further studies on the problems of geomagnetic field intensity determination from archaeological baked clay materials

    Science.gov (United States)

    Kostadinova-Avramova, M.; Kovacheva, M.

    2015-10-01

    Archaeological baked clay remains provide valuable information about the geomagnetic field in historical past, but determination of the geomagnetic field characteristics, especially intensity, is often a difficult task. This study was undertaken to elucidate the reasons for unsuccessful intensity determination experiments obtained from two different Bulgarian archaeological sites (Nessebar - Early Byzantine period and Malenovo - Early Iron Age). With this aim, artificial clay samples were formed in the laboratory and investigated. The clay used for the artificial samples preparation differs according to its initial state. Nessebar clay was baked in the antiquity, but Malenovo clay was raw, taken from the clay deposit near the site. The obtained artificial samples were repeatedly heated eight times in known magnetic field to 700 °C. X-ray diffraction analyses and rock-magnetic experiments were performed to obtain information about the mineralogical content and magnetic properties of the initial and laboratory heated clays. Two different protocols were applied for the intensity determination-Coe version of Thellier and Thellier method and multispecimen parallel differential pTRM protocol. Various combinations of laboratory fields and mutual positions of the directions of laboratory field and carried thermoremanence were used in the performed Coe experiment. The obtained results indicate that the failure of this experiment is probably related to unfavourable grain sizes of the prevailing magnetic carriers combined with the chosen experimental conditions. The multispecimen parallel differential pTRM protocol in its original form gives excellent results for the artificial samples, but failed for the real samples (samples coming from previously studied kilns of Nessebar and Malenovo sites). Obviously the strong dependence of this method on the homogeneity of the used subsamples hinders its implementation in its original form for archaeomaterials. The latter are often

  6. Study of beryllium redeposition under bombardment by high intensity -low energy- hydrogen ion beams

    Energy Technology Data Exchange (ETDEWEB)

    Gureev, V.M.; Guseva, M.I.; Danelyan, L.S. [Russian Research Centre Kurchatov Inst., Moscow (Russian Federation)] [and others

    1998-01-01

    The results of studying the erosion of beryllium under an effect of intense ion fluxes with the energy of 250 eV, at the fluences {approx}10{sup 2}1 cm{sup -2}, at the MAGRAS-stand are given. The operating conditions under which a practically-complete redeposition of the sputtered beryllium upon the target surface were experimentally-realized. A change in the microstructure of a beryllium target under sputtering and redeposition is analyzed. Some technological applications are considered. (author)

  7. First observations of intensity-dependent effects for transversely split beams during multiturn extraction studies at the CERN Proton Synchrotron

    Directory of Open Access Journals (Sweden)

    Simone Gilardoni

    2013-05-01

    Full Text Available During the commissioning of the CERN Proton Synchrotron multiturn extraction, tests with different beam intensities were performed in order to probe the behavior of resonance crossing in the presence of possible space charge effects. The initial beam intensity before transverse splitting was varied and the properties of the five beamlets obtained by crossing the fourth-order horizontal resonance were studied. A clear dependence of the beamlets’ parameters on the total beam intensity was found, which is the first direct observation of intensity-dependent effects for such a peculiar beam type. The experimental results are presented and discussed in detail in this paper.

  8. Intensive care nursing students' perceptions of simulation for learning confirming communication skills: A descriptive qualitative study.

    Science.gov (United States)

    Karlsen, Marte-Marie Wallander; Gabrielsen, Anita Kristin; Falch, Anne Lise; Stubberud, Dag-Gunnar

    2017-10-01

    The aim of this study was to explore intensive care nursing students experiences with confirming communication skills training in a simulation-based environment. The study has a qualitative, exploratory and descriptive design. The participants were students in a post-graduate program in intensive care nursing, that had attended a one day confirming communication course. Three focus group interviews lasting between 60 and 80min were conducted with 14 participants. The interviews were transcribed verbatim. Thematic analysis was performed, using Braun & Clark's seven steps. The analysis resulted in three main themes: "awareness", "ice-breaker" and "challenging learning environment". The participants felt that it was a challenge to see themselves on the video-recordings afterwards, however receiving feedback resulted in better self-confidence in mastering complex communication. The main finding of the study is that the students reported improved communication skills after the confirming communication course. However; it is uncertain how these skills can be transferred to clinical practice improving patient outcomes. Copyright © 2017 Elsevier Ltd. All rights reserved.

  9. Acute tendon changes in intense CrossFit workout: an observational cohort study.

    Science.gov (United States)

    Fisker, F Y; Kildegaard, S; Thygesen, M; Grosen, K; Pfeiffer-Jensen, M

    2017-11-01

    CrossFit is a fitness program that has become increasingly popular in the Western world, but as in other sports, the risk of injury is present. Only a few studies have addressed health benefits and injuries in CrossFit. It is known that chronically overloaded tendons will thicken and increase the risk of tendinopathy. However, it remains unknown whether acute overload caused by strenuous, high-intensity exercise will exert changes in tendons and if these changes can be detected and described by ultrasonography. The aim of this study is to evaluate the effects of acute overload on tendon thickness using ultrasonography. Standardized ultrasound measurements of the patella, Achilles, and plantaris tendons were performed before and after a specific workout in 34 healthy subjects. Significant increases were observed in patella tendon thickness before (M = 4.5, SD = 0.6) and after (M = 5.0, SD = 0.7) highly intense strenuous exercise, with an estimated mean differences of 0.47 mm (95% CI: 0.35-0.59 mm; P CrossFit exercises. In order to understand the underlying mechanisms of the findings and possibly utilize this to gain a better understanding, further studies must be conducted. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  10. Bacteraemia in Intensive Care Unit: Clinical, Bacteriological, and Prognostic Prospective Study

    Directory of Open Access Journals (Sweden)

    Zineb Lachhab

    2017-01-01

    Full Text Available Objectives. We conducted a one-year observational study from December 2012 to November 2013 to describe the epidemiology of bacteraemia in intensive care units (ICU of Mohammed V Military Teaching Hospital of Rabat (Morocco. Methods. The study consisted of monitoring all blood cultures coming from intensive care units and studying the bacteriological profile of positive blood cultures as well as their clinical significance. Results. During this period, a total of 46 episodes of bacteraemia occurred, which corresponds to a rate of 15,4/1000 patients. The rate of nosocomial infections was 97% versus 3% for community infections. The most common source of bacteraemia was the lungs in 33%, but no source was identified in 52% of the episodes. Gram negative organisms were isolated in 83,6% of the cases with Acinetobacter baumannii being the most frequent. Antibiotic resistance was very high with 42,5% of extended-spectrum beta-lactamases (ESBLs in Enterobacteriaceae and 100% of carbapenemase in Acinetobacter baumannii. The antibiotherapy introduced in the first 24 hours was adequate in 72% of the cases. Conclusions. Bloodstream infections in ICU occur most often in patients over 55 years, with hypertension and diabetes. The bacteria involved are mainly Gram negative bacteria multiresistant to antibiotics. Early administration of antibiotics significantly reduces patients mortality.

  11. A pilot study of audiovisual family meetings in the intensive care unit.

    Science.gov (United States)

    de Havenon, Adam; Petersen, Casey; Tanana, Michael; Wold, Jana; Hoesch, Robert

    2015-10-01

    We hypothesized that virtual family meetings in the intensive care unit with conference calling or Skype videoconferencing would result in increased family member satisfaction and more efficient decision making. This is a prospective, nonblinded, nonrandomized pilot study. A 6-question survey was completed by family members after family meetings, some of which used conference calling or Skype by choice. Overall, 29 (33%) of the completed surveys came from audiovisual family meetings vs 59 (67%) from control meetings. The survey data were analyzed using hierarchical linear modeling, which did not find any significant group differences between satisfaction with the audiovisual meetings vs controls. There was no association between the audiovisual intervention and withdrawal of care (P = .682) or overall hospital length of stay (z = 0.885, P = .376). Although we do not report benefit from an audiovisual intervention, these results are preliminary and heavily influenced by notable limitations to the study. Given that the intervention was feasible in this pilot study, audiovisual and social media intervention strategies warrant additional investigation given their unique ability to facilitate communication among family members in the intensive care unit. Copyright © 2015 Elsevier Inc. All rights reserved.

  12. Does high intensity exercise affects irisin plasma levels in hemodialysis patients? A pilot study

    Directory of Open Access Journals (Sweden)

    Marta Gormicho Boavida Marques Esgalhado

    2018-04-01

    Full Text Available ABSTRACT Background: Irisin is a recently identified exercise-induced hormone that stimulates the "browning" of the white adipose tissue, at least in mice. In chronic kidney disease (CKD patients, irisin regulation is not fully understood, and little attention has been given to the effects of exercise on irisin levels in these patients. The purpose of this study was to assess the effects of high intensity exercise on irisin plasma levels in CKD patients under hemodialysis (HD. Methods: Fifteen HD patients (5 men, 44.4 ± 15.1 years old were studied and served as their own controls. High intensity (single session intradialytic strength exercises consisted of three sets of ten repetitions with four different movements in both lower limbs during 30 minutes. Blood samples were collected on different days (exercise and non-exercise day at exactly the same time (30 and 60 minutes after the start of dialysis session. Plasma irisin levels were measured by ELISA assay and anthropometric and biochemical parameters were evaluated. Results: Irisin plasma levels were significantly reduced in both exercise day (125.0 ± 18.5 to 117.4 ± 15.0 ng/mL, p=0.02 and non-exercise day (121.5 ± 13.7 to 115.4 ± 17.2 ng/mL, p=0.02 after 60 minutes of dialysis. Conclusion: These data suggest that intense intradialytic strength exercise was unable to increase the circulating concentration of irisin in HD patients. Moreover, our data show that after one hour of dialysis session, irisin plasma levels may be reduced.

  13. Directing osteogenesis of stem cells with hydroxyapatite precipitated electrospun eri-tasar silk fibroin nanofibrous scaffold.

    Science.gov (United States)

    Panda, N; Bissoyi, A; Pramanik, K; Biswas, A

    2014-01-01

    Stimulating stem cell differentiation without growth factor supplement offers a potent and cost-effective scaffold for tissue regeneration. We hypothesise that surface precipitation of nano-hydroxyapatite (nHAp) over blends of non-mulberry silk fibroin with better hydrophilicity and RGD amino acid sequences can direct the stem cell towards osteogenesis. This report focuses on the fabrication of a blended eri-tasar silk fibroin nanofibrous scaffold (ET) followed by nHAp deposition by a surface precipitation (alternate soaking in calcium and phosphate solution) method. Morphology, hydrophilicity, composition, and the thermal and mechanical properties of ET/nHAp were examined by field emission scanning electron microscopy, TEM, FT-IR, X-ray diffraction, TGA and contact angle measurement and compared with ET. The composite scaffold demonstrated improved thermal stability and surface hydrophilicity with an increase in stiffness and elastic modulus (778 ± 2.4 N/m and 13.1 ± 0.36 MPa) as compared to ET (160.6 ± 1.34 N/m and 8.3 ± 0.4 MPa). Mineralisation studies revealed an enhanced and more uniform surface deposition of HAp-like crystals, while significant differences in cellular viability and attachment were observed through 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay and confocal microscopy study. The cell viability and expression of adhesion molecules (CD 44 and CD 29) are found to be optimum for subsequent stages of growth proliferation and differentiation. The rates of proliferation have been observed to decrease owing to the transition of MSC from a state of proliferation to a state of differentiation. The confirmation of improved osteogenic differentiation was finally verified through the alkaline phosphatase assay, pattern of gene expression related to osteogenic differentiation and morphological observations of differentiated cord blood human mesenchymal stem cells under fluorescence microscope. The results

  14. The feasibility and effectiveness of high-intensity boxing training versus moderate-intensity brisk walking in adults with abdominal obesity: a pilot study.

    Science.gov (United States)

    Cheema, Birinder S; Davies, Timothy B; Stewart, Matthew; Papalia, Shona; Atlantis, Evan

    2015-01-01

    High-intensity interval training (HIIT) performed on exercise cycle or treadmill is considered safe and often more beneficial for fat loss and cardiometabolic health than moderate-intensity continuous training (MICT). The aim of this pilot study was to assess the feasibility and effectiveness of a 12-week boxing training (HIIT) intervention compared with an equivalent dose of brisk walking (MICT) in obese adults. Men and women with abdominal obesity and body mass index >25 kg/m(2) were randomized to either a boxing group or a brisk walking (control) group for 12 weeks. Each group engaged in 4 training sessions per week, equated for total physical activity. Feasibility outcomes included recruitment rates, assessment of training intensities, adherence and adverse events. Effectiveness was assessed pre and post intervention via pertinent obesity-, cardiovascular-, and health-related quality of life (HRQoL) outcomes. Nineteen individuals expressed an interest and 63% (n = 12) consented. Recruitment was slower than anticipated (1.3 participants/week). The boxing group trained at a significantly higher intensity each week versus the brisk walking group (p body fat percentage (p = 0.047), systolic blood pressure (p = 0.026), augmentation index (AIx; p training (HIIT) in adults with abdominal obesity is feasible and may elicit a better therapeutic effect on obesity, cardiovascular, and HRQoL outcomes than an equivalent dose of brisk walking (MICT). Robustly designed randomized controlled trials are required to confirm these findings and inform clinical guidelines and practice for obesity treatment. ACTRN12615000007538.

  15. On the curvature of transmitted intensity plots in broad beam studies

    International Nuclear Information System (INIS)

    El-Kateb, A.H.

    2000-01-01

    Transmission of a broad beam of gamma rays of 81- and 356-keV energies from 133 Ba is studied singly and dually. This study is the first to deal with the curvatures of the intensity plots. The targets are dextrose solutions of percentage concentrations up to 0.125 and soil containing water with concentrations up to 0.319. The logarithmic intensity plots are expressed in terms of a polynomial in the concentration. The curvatures of the plots are measured and calculated on the basis of the theoretical mass attenuation coefficients. The results are discussed in conjunction with buildup factors and the probability of photoelectric and Compton interactions. The curvatures show maxima when incoherent interaction prevails. This is evidently proved in case of the single 356-keV and of the dual 81- and 356-keV applied energies. Comparison is performed between the measured and calculated curvatures. The concept of curvature is applied and discussed for published results of narrow beam geometry. Correspondingly, this is the first search to introduce curvature instead of buildup as a measure for transmitted collided photons

  16. Effect of intense pulsed light on immature burn scars: A clinical study

    Directory of Open Access Journals (Sweden)

    Arindam Sarkar

    2014-01-01

    Full Text Available Introduction: As intense pulsed light (IPL is widely used to treat cutaneous vascular malformations and also used as non-ablative skin rejunuvation to remodel the skin collagen. A study has been undertaken to gauze the effect of IPL on immature burn scars with regard to vascularity, pliability and height. Materials and Methods: This study was conducted between June 2013 and May 2014, among patients with immature burn scars that healed conservatively within 2 months. Photographic evidence of appearance of scars and grading and rating was done with Vancouver Scar Scale parameters. Ratings were done for both case and control scar after the completion of four IPL treatment sessions and were compared. Results: Out of the 19 cases, vascularity, pliability and height improved significantly (P < 0.05 in 13, 14 and 11 scars respectively following IPL treatment. Conclusions: Intense pulsed light was well-tolerated by patients, caused good improvement in terms of vascularity, pliability, and height of immature burn scar.

  17. Prospective cohort study on noise levels in a pediatric cardiac intensive care unit.

    Science.gov (United States)

    Garcia Guerra, Gonzalo; Joffe, Ari R; Sheppard, Cathy; Pugh, Jodie; Moez, Elham Khodayari; Dinu, Irina A; Jou, Hsing; Hartling, Lisa; Vohra, Sunita

    2018-04-01

    To describe noise levels in a pediatric cardiac intensive care unit, and to determine the relationship between sound levels and patient sedation requirements. Prospective observational study at a pediatric cardiac intensive care unit (PCICU). Sound levels were measured continuously in slow A weighted decibels dB(A) with a sound level meter SoundEarPro® during a 4-week period. Sedation requirement was assessed using the number of intermittent (PRNs) doses given per hour. Analysis was conducted with autoregressive moving average models and the Granger test for causality. 39 children were included in the study. The average (SD) sound level in the open area was 59.4 (2.5) dB(A) with a statistically significant but clinically unimportant difference between day/night hours (60.1 vs. 58.6; p-value noise levels were > 90 dB. There was a significant association between average (p-value = 0.030) and peak sound levels (p-value = 0.006), and number of sedation PRNs. Sound levels were above the recommended values with no differences between day/night or open area/single room. High sound levels were significantly associated with sedation requirements. Copyright © 2017 Elsevier Inc. All rights reserved.

  18. Meaning of caring in pediatric intensive care unit from the perspective of parents: A qualitative study.

    Science.gov (United States)

    Mattsson, Janet Yvonne; Arman, Maria; Castren, Maaret; Forsner, Maria

    2014-12-01

    When children are critically ill, parents still strive to be present and participate in the care of their child. Pediatric intensive care differs from other realms of pediatric care as the nature of care is technically advanced and rather obstructing than encouraging parental involvement or closeness, either physically or emotionally, with the critically ill child. The aim of this study was to elucidate the meaning of caring in the pediatric intensive care unit from the perspective of parents. The design of this study followed Benner's interpretive phenomenological method. Eleven parents of seven children participated in observations and interviews. The following aspects of caring were illustrated in the themes arising from the findings: being a bridge to the child on the edge, building a sheltered atmosphere, meeting the child's needs, and adapting the environment for family life. The overall impression is that the phenomenon of caring is experienced exclusively when it is directed toward the exposed child. The conclusion drawn is that caring is present when providing expert physical care combined with fulfilling emotional needs and supporting continuing daily parental care for the child in an inviting environment. © The Author(s) 2013.

  19. An Evaluation of 1-Deoxynojirimycin Oral Administration in Eri Silkworm through Fat Body Metabolomics Based on 1H Nuclear Magnetic Resonance

    Directory of Open Access Journals (Sweden)

    Chao-wei Wen

    2016-01-01

    Full Text Available 1-Deoxynojirimycin (DNJ, the main hypoglycemic constituent in mulberry (Morus alba latex, has been extensively researched. Although there is considerable interest in the biological effects of DNJ, the roles of 1-deoxynojirimycin (DNJ in glycometabolism and energy metabolism in insects have received little attention. In this paper, 1H nuclear magnetic resonance (1H NMR based metabonomic was performed to study the effects of the oral supplementation of 0.25% DNJ, 0.5% DNJ, latex, and the mixture of 0.5% DNJ and latex (1 : 1 on the fat body glycometabolism and energy metabolism of the fourth-instar larvae of Eri silkworms, Samia cynthia ricini. Metabolic pattern recognition analysis (partial least square-discriminant analysis, PLS-DA of fat body extracts indicated that the groups of 0.25% DNJ, 0.5% DNJ, latex, and the mixture of 0.5% DNJ and latex (1 : 1 were significantly different from the control group. Further, compared to the control group, the metabolites levels of lactate, trehalose, succinate, malate, and fumarate were remarkably changed in experimental groups, which were involved in glycolysis, hydrolysis of trehalose, and tricarboxylic acid (TCA cycle. Our results indicate that DNJ has a positive impact on the reverse energy metabolism of Eri silkworms and metabonomic analysis based on NMR can be used as a tool to identify potential biomarkers.

  20. Day-to-day variations in health behaviors and daily functioning: two intensive longitudinal studies.

    Science.gov (United States)

    Flueckiger, Lavinia; Lieb, Roselind; Meyer, Andrea H; Witthauer, Cornelia; Mata, Jutta

    2017-04-01

    In two intensive longitudinal studies we examined the daily dynamics in health behaviors and their associations with two important indicators of young adults' daily functioning, namely, affect and academic performance. Over a period of 8 months, university students (Study 1: N = 292; Study 2: N = 304) reported sleep, physical activity, snacking, positive and negative affect, and learning goal achievement. A subsample wore an actigraph to provide an additional measurement of sleep and physical activity and participated in a controlled laboratory snacking situation. Multilevel structural equation models showed that better day-to-day sleep quality or more physical activity than usual, but not snacking, were associated with improved daily functioning, namely, affect and learning goal achievement. Importantly, self-report measurements of health behaviors correlated with behavioral measurements. These findings have the potential to inform health promotion programs aimed at supporting young adults in their daily functioning in good physical and mental health.

  1. Personalizing death in the intensive care unit: the 3 Wishes Project: a mixed-methods study.

    Science.gov (United States)

    Cook, Deborah; Swinton, Marilyn; Toledo, Feli; Clarke, France; Rose, Trudy; Hand-Breckenridge, Tracey; Boyle, Anne; Woods, Anne; Zytaruk, Nicole; Heels-Ansdell, Diane; Sheppard, Robert

    2015-08-18

    Dying in the complex, efficiency-driven environment of the intensive care unit can be dehumanizing for the patient and have profound, long-lasting consequences for all persons attendant to that death. To bring peace to the final days of a patient's life and to ease the grieving process. Mixed-methods study. 21-bed medical-surgical intensive care unit. Dying patients and their families and clinicians. To honor each patient, a set of wishes was generated by patients, family members, or clinicians. The wishes were implemented before or after death by patients, families, clinicians (6 of whom were project team members), or the project team. Quantitative data included demographic characteristics, processes of care, and scores on the Quality of End-of-Life Care-10 instrument. Semistructured interviews of family members and clinicians were transcribed verbatim, and qualitative description was used to analyze them. Participants included 40 decedents, at least 1 family member per patient, and 3 clinicians per patient. The 159 wishes were implemented and classified into 5 categories: humanizing the environment, tributes, family reconnections, observances, and "paying it forward." Scores on the Quality of End-of-Life Care-10 instrument were high. The central theme from 160 interviews of 170 persons was how the 3 Wishes Project personalized the dying process. For patients, eliciting and customizing the wishes honored them by celebrating their lives and dignifying their deaths. For families, it created positive memories and individualized end-of-life care for their loved ones. For clinicians, it promoted interprofessional care and humanism in practice. Impaired consciousness limited understanding of patients' viewpoints. The 3 Wishes Project facilitated personalization of the dying process through explicit integration of palliative and spiritual care into critical care practice. Hamilton Academy of Health Science Research Organization, Canadian Intensive Care Foundation.

  2. Cadence Feedback With ECE PEDO to Monitor Physical Activity Intensity: A Pilot Study.

    Science.gov (United States)

    Ardic, Fusun; Göcer, Esra

    2016-03-01

    The purpose of this study was to examine the monitoring capabilities of the equipment for clever exercise pedometer (ECE PEDO) that provides audible feedback when the person exceeds the upper and lower limits of the target step numbers per minute and to compare step counts with Yamax SW-200 (YX200) as the criterion pedometer.A total of 30 adult volunteers (15 males and 15 females) were classified as normal weight (n = 10), overweight (n = 10), and obese (n = 10). After the submaximal exercise test on a treadmill, the moderate intensity for walking was determined by using YX200 pedometer and then the number of steps taken in a minute was measured. Lower and upper limits of steps per minute (cadence) were recorded in ECE PEDO providing audible feedback when the person's walking speed gets out of the limits. Volunteers walked for 30 minutes in the individual step count range by attaching the ECE PEDO and YX200 pedometer on both sides of the waist belt in the same session. Step counts of the volunteers were recorded. Wilcoxon, Spearman correlation, and Bland-Altman analyses were performed to show the relationship and agreement between the results of 2 devices.Subjects took an average of 3511 ± 426 and 3493 ± 399 steps during 30 minutes with ECE PEDO and criterion pedometer, respectively. About 3500 steps taken by ECE PEDO reflected that this pedometer has capability of identifying steps per minute to meet moderate intensity of physical activity. There was a strong correlation between step counts of both devices (P PEDO and YX200 pedometer in the Bland-Altman analysis.Although both devices showed a strong similarity in counting steps, the ECE PEDO provides monitoring of intensity such that a person can walk in a specified time with a desired speed.

  3. Clinical Realization of Sector Beam Intensity Modulation for Gamma Knife Radiosurgery: A Pilot Treatment Planning Study

    International Nuclear Information System (INIS)

    Ma, Lijun; Mason, Erica; Sneed, Penny K.; McDermott, Michael; Polishchuk, Alexei; Larson, David A.; Sahgal, Arjun

    2015-01-01

    Purpose: To demonstrate the clinical feasibility and potential benefits of sector beam intensity modulation (SBIM) specific to Gamma Knife stereotactic radiosurgery (GKSRS). Methods and Materials: SBIM is based on modulating the confocal beam intensities from individual sectors surrounding an isocenter in a nearly 2π geometry. This is in contrast to conventional GKSRS delivery, in which the beam intensities from each sector are restricted to be either 0% or 100% and must be identical for any given isocenter. We developed a SBIM solution based on available clinical planning tools, and we tested it on a cohort of 12 clinical cases as a proof of concept study. The SBIM treatment plans were compared with the original clinically delivered treatment plans to determine dosimetric differences. The goal was to investigate whether SBIM would improve the dose conformity for these treatment plans without prohibitively lengthening the treatment time. Results: A SBIM technique was developed. On average, SBIM improved the Paddick conformity index (PCI) versus the clinically delivered plans (clinical plan PCI = 0.68 ± 0.11 vs SBIM plan PCI = 0.74 ± 0.10, P=.002; 2-tailed paired t test). The SBIM plans also resulted in nearly identical target volume coverage (mean, 97 ± 2%), total beam-on times (clinical plan 58.4 ± 38.9 minutes vs SBIM 63.5 ± 44.7 minutes, P=.057), and gradient indices (clinical plan 3.03 ± 0.27 vs SBIM 3.06 ± 0.29, P=.44) versus the original clinical plans. Conclusion: The SBIM method is clinically feasible with potential dosimetric gains when compared with conventional GKSRS

  4. Elemental contaminants in livers of mute swans on lakes Erie and St. Clair.

    Science.gov (United States)

    Schummer, Michael L; Petrie, Scott A; Badzinski, Shannon S; Deming, Misty; Chen, Yu-Wei; Belzile, Nelson

    2011-11-01

    Contaminant inputs to the lower Great Lakes (LGL) have decreased since the 1960s and 1970s, but elemental contaminants continue to enter the LGL watershed at levels that are potentially deleterious to migratory waterfowl. Mute swans (Cygnus olor) using the LGL primarily eat plants, are essentially nonmigratory, forage exclusively in aquatic systems, and have increased substantially in number in the last few decades. Therefore, mute swans are an ideal sentinel species for monitoring elemental contaminants available to herbivorous and omnivorous waterfowl that use the LGL. We investigated hepatic concentrations, seasonal dynamics, and correlations of elements in mute swans (n = 50) collected at Long Point, Lake Erie, and Lake St. Clair from 2001 to 2004. Elements detected in liver at levels potentially harmful to waterfowl were copper (Cu) [range 60.3 to 6063.0 μg g(-1) dry weight (dw)] and selenium (SE; range 1.6 to 37.3 μg g(-1) dw). Decreases in aluminum, Se, and mercury (Hg) concentrations were detected from spring (nesting) through winter (nonbreeding). Elemental contaminants may be more available to waterfowl during spring than fall and winter, but study of seasonal availability of elements within LGL aquatic systems is necessary. From April to June, 68% of mute swans had Se levels >10 μg g(-1), whereas only 18% of swans contained these elevated levels of Se from July to March. An increase in the number of mute swans at the LGL despite elevated levels of Cu and Se suggests that these burdens do not substantially limit their reproduction or survival. Se was correlated with Cu (r = 0.85, p < 0.01) and Hg (r = 0.65, p < 0.01), which might indicate interaction between these elements. Some element interactions decrease the toxicity of both elements involved in the interaction. We recommend continued research of elemental contaminant concentrations, including detailed analyses of biological pathways and element forms (e.g., methylmercury) in LGL waterfowl to help

  5. The BRACELET Study: surveys of mortality in UK neonatal and paediatric intensive care trials

    Directory of Open Access Journals (Sweden)

    Platt Martin

    2010-05-01

    Full Text Available Abstract Background The subject of death and bereavement in the context of randomised controlled trials in neonatal or paediatric intensive care is under-researched. The objectives of this phase of the Bereavement and RAndomised ControlLEd Trials (BRACELET Study were to determine trial activity in UK neonatal and paediatric intensive care (2002-06; numbers of deaths before hospital discharge; and variation in mortality across intensive care units and trials and to determine whether bereavement support policies were available within trials. These are essential prerequisites to considering the implications of future policies and practice subsequent to bereavement following a child's enrolment in a trial. Methods The units survey involved neonatal units providing level 2 or 3 care, and paediatric units providing level II care or above; the trials survey involved trials where allocation was randomized and interventions were delivered to intensive care patients, or to parents but designed to affect patient outcomes. Results Information was available from 191/220 (87% neonatal units (149 level 2 or 3 care; and 28/32 (88% paediatric units. 90/177 (51% eligible responding units participated in one or more trial (76 neonatal, 14 paediatric and 54 neonatal units and 6 paediatric units witnessed at least one death. 50 trials were identified (36 neonatal, 14 paediatric. 3,137 babies were enrolled in neonatal trials, 210 children in paediatric trials. Deaths ranged 0-278 (median [IQR interquartile range] 2 [1, 14.5] per neonatal trial, 0-4 (median [IQR] 1 [0, 2.5] per paediatric trial. 534 (16% participants died post-enrolment: 522 (17% in neonatal trials, 12 (6% in paediatric trials. Trial participants ranged 1-236 (median [IQR] 21.5 [8, 39.8] per neonatal unit, 1-53 (median [IQR] 11.5 [2.3, 33.8] per paediatric unit. Deaths ranged 0-37 (median [IQR] 3.5 [0.3, 8.8] per neonatal unit, 0-7 (median [IQR] 0.5 [0, 1.8] per paediatric unit. Three trials had a

  6. Influence of the selection from incremental stages on lactate minimum intensity: a pilot study

    Directory of Open Access Journals (Sweden)

    Willian Eiji Miyagi

    2013-09-01

    Full Text Available The purposes of this study were to assess the influence of stage selection from the incremental phase and the use of peak lactate after hyperlactatemia induction on the determination of the lactate minimum intensity (iLACmin. Twelve moderately active university students (23±5 years, 78.3±14.1 kg, 175.3±5.1 cm performed a maximal incremental test to determine the respiratory compensation point (RCP (initial intensity at 70 W and increments of 17.5 W every 2 minutes and a lactate minimum test (induction with the Wingate test, the incremental test started at 30 W below RCP with increments of 10 W every 3 minutes on a cycle ergometer. The iLACmin was determined using second order polynomial adjustment applying five exercise stage selection: 1 using all stages (iLACmin P; 2 using all stages below and two stages above iLACminP (iLACminA; 3 using two stages below and all stages above iLACminP (iLACminB; 4 using the largest and same possible number of stages below and above the iLACminP (iLACminI; 5 using all stages and peak lactate after hyperlactatemia induction (iLACminD. No differences were found between the iLACminP (138.2±30.2 W, iLACminA (139.1±29.1 W, iLACminB (135.3±14.2 W, iLACminI (138.6±20.5 W and iLACmiD (136.7±28.5 W protocols, and a high level of agreement between these intensities and iLACminP was observed. Oxygen uptake, heart rate, rating of perceived exertion and lactate corresponding to these intensities was not different and was strongly correlated. However, the iLACminB presented the lowest success rate (66.7%. In conclusion, stage selection did not influence the determination of iLACmin but modified the success rate

  7. A case-control pilot study of low-intensity IVF in good-prognosis patients.

    Science.gov (United States)

    Gleicher, Norbert; Weghofer, Andrea; Barad, David H

    2012-04-01

    Low-intensity IVF (LI-IVF) is rapidly gaining in popularity. Yet studies comparing LI-IVF to standard IVF are lacking. This is a case-control pilot study, reporting on 14 first LI-IVF and 14 standard IVF cycles in women with normal age-specific ovarian reserve under age 38, matched for age, laboratory environment, staff and time of cycle. LI-IVF cycles underwent mild ovarian stimulation, utilizing clomiphene citrate, augmented by low-dose gonadotrophin stimulation. Control patients underwent routine ovarian stimulation. LI-IVF and regular IVF patients were similar in age, body mass index, FSH and anti-Müllerian hormone. Standard IVF utilized more gonadotrophins (PIVF demonstrated better odds for pregnancy (OR 7.07; P=0.046) and higher cumulative pregnancy rates (63.3% versus 21.4%; OR 6.6; P=0.02). Adjustments for age, ethnicity and diagnosis maintained significance but oocyte adjustment did not. Cost assessments failed to reveal differences between LI-IVF and standard IVF. In this small study, LI-IVF reduced pregnancy chances without demonstrating cost advantages, raising questions about its utility. In the absence of established clinical and/or economic foundations, LI-IVF should be considered an experimental procedure. Low-intensity IVF (LI-IVF) is increasingly propagated as an alternative to standard IVF. LI-IVF has, however, never been properly assessed in comparison to standard IVF. Such a comparison is presented in the format of a small pilot study, matching LI-IVF cycles with regular IVF cycles and comparing outcomes as well as costs. The study suggests that LI-IVF, at least in this setting, is clinically inferior and economically at best similar to standard IVF. LI-IVF should, therefore, as of this point not be offered as routine IVF treatment but only as an experimental procedure. Copyright © 2012 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

  8. Does a single specialty intensive care unit make better business sense than a multi-specialty intensive care unit? A costing study in a trauma center in India.

    Science.gov (United States)

    Kumar, Parmeshwar; Jithesh, Vishwanathan; Gupta, Shakti Kumar

    2015-01-01

    Though intensive care units (ICUs) only account for 10% of hospital beds, they consume nearly 22% of hospital resources. Few definitive costing studies have been conducted in Indian settings that would help determine appropriate resource allocation. To evaluate and compare the cost of intensive care delivery between multi-specialty and neurosurgery ICU in an apex trauma care facility in India. The study was conducted in a polytrauma and neurosurgery ICU at a 203 bedded level IV trauma care facility in New Delhi, India from May, 2012 to June 2012. The study was cross-sectional, retrospective, and record-based. Traditional costing was used to arrive at the cost for both direct and indirect cost estimates. The cost centers included in study were building cost, equipment cost, human resources, materials and supplies, clinical and nonclinical support services, engineering maintenance cost, and biomedical waste management. Fisher's two-tailed t-test. Total cost/bed/day for the multi-specialty ICU was Rs. 14,976.9/- and for the neurosurgery ICU was Rs. 14,306.7/-, manpower constituting nearly half of the expenditure in both ICUs. The cost center wise and overall difference in the cost among the ICUs were statistically significant. Quantification of expenditure in running an ICU in a trauma center would assist healthcare decision makers in better allocation of resources. Although multi-specialty ICUs are more expensive, other factors will also play a role in defining the kind of ICU that need to be designed.

  9. The study towards high intensity high charge state laser ion sources.

    Science.gov (United States)

    Zhao, H Y; Jin, Q Y; Sha, S; Zhang, J J; Li, Z M; Liu, W; Sun, L T; Zhang, X Z; Zhao, H W

    2014-02-01

    As one of the candidate ion sources for a planned project, the High Intensity heavy-ion Accelerator Facility, a laser ion source has been being intensively studied at the Institute of Modern Physics in the past two years. The charge state distributions of ions produced by irradiating a pulsed 3 J/8 ns Nd:YAG laser on solid targets of a wide range of elements (C, Al, Ti, Ni, Ag, Ta, and Pb) were measured with an electrostatic ion analyzer spectrometer, which indicates that highly charged ions could be generated from low-to-medium mass elements with the present laser system, while the charge state distributions for high mass elements were relatively low. The shot-to-shot stability of ion pulses was monitored with a Faraday cup for carbon target. The fluctuations within ±2.5% for the peak current and total charge and ±6% for pulse duration were demonstrated with the present setup of the laser ion source, the suppression of which is still possible.

  10. High resolution study of the inclusive production of massive muon pairs by intense pion beams

    CERN Multimedia

    2002-01-01

    This experiment measures with high resolution and large acceptance the inclusive production of massive muon pairs with the intense pion beam (up to $10^{10} \\pi/$pulse) in the experimental hall ECN3. The experiment explores extended M$^{2}$/s, x and transverse momentum ranges. The study of the departures of the lepton-pair production cross- section from scaling constitutes a good test of QCD ideas; in the framework of the 'Drell-Yan' process, the experiment allows a detailed study of the pion parton distribution functions. The detector consists of a beam dump, a pulsed toroidal a magnet, MWPC's and scintillator hodoscopes. Its $\\sim 2$% mass resolution at 10 GeV is adequate for the substraction of resonances in the high-mass region.

  11. Semi-analytical fluid study of the laser wake field excitation in the strong intensity regime

    Energy Technology Data Exchange (ETDEWEB)

    Jovanović, D., E-mail: djovanov@ipb.ac.rs [Institute of Physics, University of Belgrade, Belgrade (Serbia); Fedele, R., E-mail: renato.fedele@na.infn.it [Dipartimento di Fisica, Universitá di Napoli Federico II, Napoli (Italy); INFN Sezione di Napoli, Napoli (Italy); Belić, M., E-mail: milivoj.belic@qatar.tamu.edu [Texas A & M University at Qatar, Doha (Qatar); De Nicola, S., E-mail: sergio.denicola@spin.cnr.it [Dipartimento di Fisica, Universitá di Napoli Federico II, Napoli (Italy); INFN Sezione di Napoli, Napoli (Italy); CNR-SPIN, Complesso Universitario di Monte S' Angelo, Napoli (Italy)

    2016-09-01

    We present an analytical and numerical study of the interaction of a multi-petawatt, pancake-shaped laser pulse with an unmagnetized plasma. The study has been performed in the ultrarelativistic regime of electron jitter velocities, in which the plasma electrons are almost completely expelled from the pulse region. The calculations are applied to a laser wake field acceleration scheme with specifications that may be available in the next generation of Ti:Sa lasers and with the use of recently developed pulse compression techniques. A set of novel nonlinear equations is derived using a three-timescale description, with an intermediate timescale associated with the nonlinear phase of the electromagnetic wave and with the spatial bending of its wave front. They describe, on an equal footing, both the strong and the moderate laser intensity regimes, pertinent to the core and to the edges of the pulse.

  12. Detailed studies of Minor Actinide transmutation-incineration in high-intensity neutron fluxes

    Energy Technology Data Exchange (ETDEWEB)

    Bringer, O. [CEA/Saclay/DSM/DAPNIA, Gif-sur-Yvette (France); Al Mahamid, I. [Lawrence Berkeley National Laboratory, E.H. and S. Div., CA (United States); Blandin, C. [CEA/Cadarache/DEN/DER/SPEX, Saint-Paul-lez-Durances (France); Chabod, S. [CEA/Saclay/DSM/DAPNIA, Gif-sur-Yvette (France); Chartier, F. [CEA/Cadarache/DEN/DPC/SECR, Gif-sur-Yvette (France); Dupont, E.; Fioni, G. [CEA/Saclay/DSM/DAPNIA, Gif-sur-Yvette (France); Isnard, H. [CEA/Cadarache/DEN/DPC/SECR, Gif-sur-Yvette (France); Letourneau, A.; Marie, F. [CEA/Saclay/DSM/DAPNIA, Gif-sur-Yvette (France); Mutti, P. [Institut Laue-Langevin, Grenoble (France); Oriol, L. [CEA/Cadarache/DEN/DER/SPEX, Saint-Paul-lez-Durances (France); Panebianco, S.; Veyssiere, C. [CEA/Saclay/DSM/DAPNIA, Gif-sur-Yvette (France)

    2006-07-01

    The Mini-INCA project is dedicated to the measurement of incineration-transmutation chains and potentials of minor actinides in high-intensity thermal neutron fluxes. In this context, new types of detectors and methods of analysis have been developed. The {sup 241}Am and {sup 232}Th transmutation-incineration chains have been studied and several capture and fission cross sections measured very precisely, showing some discrepancies with existing data or evaluated data. An impact study was made on different based-like GEN-IV reactors. It underlines the necessity to proceed to precise measurements for a large number of minor-actinides that contribute to these future incineration scenarios. (authors)

  13. Numerical Studies of Electromagnetic Instabilities in Intense Charged Particle Beams with Large Energy Anisotropy

    CERN Document Server

    Startsev, Edward; Lee, Wei-li

    2005-01-01

    In intense charged particle beams with large energy anisotropy, free energy is available to drive transverse electromagnetic Weibel-type instabilities. Such slow-wave transverse electromagnetic instabilities can be described by the so-called Darwin model, which neglects the fast-wave portion of the displacement current. The Weibel instability may also lead to an increase in the longitudinal velocity spread, which would make the focusing of the beam difficult and impose a limit on the minimum spot size achievable in heavy ion fusion experiments. This paper reports the results of recent numerical studies of the Weibel instability using the Beam Eigenmode And Spectra (bEASt) code for space-charge-dominated, low-emittance beams with large tune depression. To study the nonlinear stage of the instability, the Darwin model is being developed and incorporated into the Beam Equilibrium Stability and Transport(BEST) code.

  14. Self-consistent simulation studies of periodically focused intense charged-particle beams

    International Nuclear Information System (INIS)

    Chen, C.; Jameson, R.A.

    1995-01-01

    A self-consistent two-dimensional model is used to investigate intense charged-particle beam propagation through a periodic solenoidal focusing channel, particularly in the regime in which there is a mismatch between the beam and the focusing channel. The present self-consistent studies confirm that mismatched beams exhibit nonlinear resonances and chaotic behavior in the envelope evolution, as predicted by an earlier envelope analysis [C. Chen and R. C. Davidson, Phys. Rev. Lett. 72, 2195 (1994)]. Transient effects due to emittance growth are studied, and halo formation is investigated. The halo size is estimated. The halo characteristics for a periodic focusing channel are found to be qualitatively the same as those for a uniform focusing channel. A threshold condition is obtained numerically for halo formation in mismatched beams in a uniform focusing channel, which indicates that relative envelope mismatch must be kept well below 20% to prevent space-charge-dominated beams from developing halos

  15. Positron annihilation studies on bulk metallic glass and high intensity positron beam developments

    International Nuclear Information System (INIS)

    Asoka-Kumar, P.; Stoeffl, W.

    2003-01-01

    Positron annihilation spectroscopy is an ideal probe to examine atomic scale open-volume regions in materials. Below, we summarize the recent results on studies of open-volume regions of a multicomponent Zr-Ti-Ni-Cu-Be bulk metallic glass. Our studies establish two types of open-volume regions, one group that is too shallow to trap positrons at room temperature and becomes effective only at low temperatures and the other group that localizes positrons at room temperature and is large enough to accommodate hydrogen. The second half of the paper will concentrate on the high intensity positron program at Lawrence Livermore National Laboratory. A new positron production target is under development and we are constructing two experimental end stations to accommodate a pulsed positron microprobe and an experiment on positron diffraction and holography. Important design considerations of these experiments will be described. (author)

  16. Floodplain Mapping for Erie County, New York, USA

    Data.gov (United States)

    Federal Emergency Management Agency, Department of Homeland Security — The Floodplain Mapping/Redelineation study deliverables depict and quantify the flood risks for the study area. The primary risk classifications used are the...

  17. Inquiry based Teacher Professional development from a multidisciplinary perspective: The NEOGEO Lake Erie Earth Science Field Trip

    Science.gov (United States)

    Ortiz, J. D.; Munro-Stasiuk, M. J.; Hart, B. I.; Mokaren, D. M.; Arnold, B.; Chermansky, J. V.; Vlack, Y. A.

    2006-12-01

    State and national educational standards stress the need to incorporate inquiry-based approaches into the K- 12 science curriculum. However, many teachers either lack training in these pedagogical techniques or science content mastery. Both of these are needed to confidently approach science teaching in the less structured framework associated with a real world exploration of the natural environment. To overcome these barriers to implementation, we have developed an intensive, field-based professional development workshop which explores the connections between the bedrock geology, glacial geomorphology, ecology, and geography of the Lake Erie Islands and the shore of its western basin. This workshop is part of a series of three workshops that form the professional development activities of our NSF funded Graduate Teaching Fellows in K-12 Education (GK-12) project, the Northeast Ohio Geoscience Education Outreach (NEOGEO) Program which seeks to improve the quality of Earth Science education at the middle and high school levels in Northeast Ohio. During the workshop students explored the ecology and geomorphology of a series of coastal wetlands, collecting instrumental data and field observations to evaluate water quality and the forces that created these surface features. Exceptional exposure of glacial scours and striations at Kelleys Island and along the Marblehead Peninsula allowed the participants to reconstruct evolving ice flow paths to see how recent geological history shaped the landscape. Finally, stratigraphic observations in a local quarry enabled the students to understand why the observed glacial features varied as a function of bedrock type. Response to the workshop was overwhelming positive with participants commenting positively on quality and quantity of the material presented and the manner in which inquiry based teaching was modeled. End of term projects which included the conceptualization of a teaching plan to incorporate the approaches learned

  18. High-intensity focused ultrasound treatment of placenta accreta after vaginal delivery: a preliminary study.

    Science.gov (United States)

    Bai, Y; Luo, X; Li, Q; Yin, N; Fu, X; Zhang, H; Qi, H

    2016-04-01

    To evaluate the safety and efficiency of high-intensity focused ultrasound (HIFU) in the treatment of placenta accreta after vaginal delivery. Enrolled into this study between September 2011 and September 2013 were 12 patients who had been diagnosed with placenta accreta following vaginal delivery and who had stable vital signs. All patients were treated using an ultrasound-guided HIFU treatment system. As indication of the effectiveness of the treatment we considered decreased vascular index on color Doppler imaging, decrease in size of residual placenta compared with pretreatment size on assessment by three-dimensional ultrasound with Virtual Organ Computer-aided Analysis, reduced signal intensity and degree of enhancement on magnetic resonance imaging and avoidance of hysterectomy following treatment. To assess the safety of HIFU treatment, we recorded side effects, hemorrhage, infection, sex steroid levels, return of menses and subsequent pregnancy. Patients were followed up in this preliminary study until December 2013. The 12 patients receiving HIFU treatment had an average postpartum hospital stay of 6.8 days and an average period of residual placental involution of 36.9 days. HIFU treatment did not apparently increase the risk of infection or hemorrhage and no patient required hysterectomy. In all patients menstruation recommenced after an average of 80.2 days, and sex steroid levels during the middle luteal phase of the second menstrual cycle were normal. Two patients became pregnant again during the follow-up period. This preliminary study suggests that ultrasound-guided HIFU is a safe and effective non-invasive method to treat placenta accreta patients after vaginal delivery who have stable vital signs and desire to preserve fertility. Copyright © 2015 ISUOG. Published by John Wiley & Sons Ltd. Copyright © 2015 ISUOG. Published by John Wiley & Sons Ltd.

  19. Outcomes of telemedicine intervention in a regional intensive care unit: a before and after study.

    Science.gov (United States)

    Panlaqui, O M; Broadfield, E; Champion, R; Edington, J P; Kennedy, S

    2017-09-01

    Telemedicine consultations in remote intensive care units (ICUs) overseas were found to be effective in reducing mortality and hospital length of stay (LOS). In Australia, there were anecdotal reports of these clinical outcomes. This retrospective before and after study assessed the improvement in patient outcomes with the implementation of a telemedicine program in a regional high dependency unit. Daily virtual consultations were conducted between the rural facility and the intensivists at the regional centre. A total of 525 patients received intensive care support between 2010 and 2015. Hospital and High Dependency Unit mortality showed no evidence of significant differences between the telemedicine group and the baseline (relative risk 1.02, 95% confidence interval [CI] 0.99-1.06, P =0.25 and relative risk 1.00, 95% CI 0.98-1.03, P =0.67 respectively). The hospital LOS was lower in the baseline group by 1.5 days. There was no significant difference in High Dependency Unit LOS. To adjust for the covariates in LOS, log linear regression analysis was performed. The telemedicine intervention, Acute Physiology and Chronic Health Evaluation II scores and inter-hospital transfers were found to contribute significantly to hospital LOS. The most important result of the study was that the proportion of inter-hospital transfers was lower in the telemedicine group (relative risk 0.88, 95% CI 0.80-0.98, P =0.03) compared to baseline. This means that critically ill patients in our regional centre can continue to receive specialist care remotely through tele-ICU consultations thus avoiding the need for patient transport. However, further study is needed to establish the benefits and risks of telemedicine intervention in ICUs in Australia.

  20. Eri aistijärjestelmiä aktivoivat tasapainoharjoitteluvälineet

    OpenAIRE

    Kytölinna, Pauliina

    2017-01-01

    Opinnäytetyön tarkoituksena oli selvittää tämänhetkiset näyttöön perustuvat tasapainoharjoittelukeinot sekä – välineet, jonka perusteella Satakunnan ammattikorkeakoulun fysioterapian koulutusohjelmille laaditaan tasapainovälineiden hankintasuunnitelma. Tasapainovälineiden hankintasuunnitelman näkökulmaksi valittiin tasapainoharjoittelun pienvälineet, jotka monipuolisesti aktivoivat eri aistijärjestelmiä. Kuvailevan kirjallisuuskatsauksen keinoin opinnäytetyössä selvitettiin aistijärjeste...

  1. Review of Reports on Lake Erie - Lake Ontario Waterway, New York. Appendix D. Economics.

    Science.gov (United States)

    1973-10-01

    Venezuela (29 percent). Canada produced 48.3 million tons of iron ore in 1970 ,of which 23.9 million tons were exported to the United States (14.4 million...grain traffic, 1971 D-14 D-6 U.S. - Great Lakes grain exports 1960 - 1971 and projected D-15 D-7 U.S. doal traffic, Lake Erie - Lake Ontario, 1958-1970...Soybeans Wheat Barley Oats Rice Sorghum Grains Flaxseed Oilseeds, n.e.c. Tobacco, leaf Hay and Fodder Field crops, n.e.c. Fresh fruits Co ffee Cocoa beans

  2. Binary Star Orbits. V. The Nearby White Dwarf/Red Dwarf Pair 40 Eri BC

    Science.gov (United States)

    Mason, Brian D.; Hartkopf, William I.; Miles, Korie N.

    2017-11-01

    A new relative orbit solution with new dynamical masses is determined for the nearby white dwarf-red dwarf pair 40 Eri BC. The period is 230.09 ± 0.68 years. It is predicted to close slowly over the next half-century, getting as close as 1.″32 in early 2066. We determine masses of 0.575 ± 0.018 {{ M }}⊙ for the white dwarf and 0.2041 ± 0.0064 {{ M }}⊙ for the red dwarf companion. The inconsistency of the masses determined by gravitational redshift and dynamical techniques, due to a premature orbit calculation, no longer exists.

  3. Effects of complex effluents on photosynthesis in Lake Erie and Lake Huron

    International Nuclear Information System (INIS)

    Bridgham, S.D.; McNaught, D.C.; Meadows, C.

    1988-01-01

    Phytoplankton are the base of the food chain in most large lake ecosystems; if affected by environmental pollutants, significant ecosystem changes can result with potential impact on higher trophic levels. The research determined the effects of a complex effluent discharge from the River Raisin in Monroe County, Michigan, on the Lake Erie ecosystem. The river flows through southern Michigan and has large nutrient and industrial inputs, especially in the Monroe Harbor area. The functional parameters measured were bacterial uptake rate of acetate, zooplankton feeding and reproduction rates, and primary production. The results of the effects of complex effluents on gross photosynthesis, measured as carbon-14 ((14)C) uptake, are presented in the paper

  4. SU-E-J-112: Intensity-Based Pulmonary Image Registration: An Evaluation Study

    Energy Technology Data Exchange (ETDEWEB)

    Yang, F; Meyer, J; Sandison, G [Department of Radiation Oncology, University of Washington Medical Center, Seattle, WA (United States)

    2015-06-15

    Purpose: Accurate alignment of thoracic CT images is essential for dose tracking and to safely implement adaptive radiotherapy in lung cancers. At the same time it is challenging given the highly elastic nature of lung tissue deformations. The objective of this study was to assess the performances of three state-of-art intensity-based algorithms in terms of their ability to register thoracic CT images subject to affine, barrel, and sinusoid transformation. Methods: Intensity similarity measures of the evaluated algorithms contained sum-of-squared difference (SSD), local mutual information (LMI), and residual complexity (RC). Five thoracic CT scans obtained from the EMPIRE10 challenge database were included and served as reference images. Each CT dataset was distorted by realistic affine, barrel, and sinusoid transformations. Registration performances of the three algorithms were evaluated for each distortion type in terms of intensity root mean square error (IRMSE) between the reference and registered images in the lung regions. Results: For affine distortions, the three algorithms differed significantly in registration of thoracic images both visually and nominally in terms of IRMSE with a mean of 0.011 for SSD, 0.039 for RC, and 0.026 for LMI (p<0.01; Kruskal-Wallis test). For barrel distortion, the three algorithms showed nominally no significant difference in terms of IRMSE with a mean of 0.026 for SSD, 0.086 for RC, and 0.054 for LMI (p=0.16) . A significant difference was seen for sinusoid distorted thoracic CT data with mean lung IRMSE of 0.039 for SSD, 0.092 for RC, and 0.035 for LMI (p=0.02). Conclusion: Pulmonary deformations might vary to a large extent in nature in a daily clinical setting due to factors ranging from anatomy variations to respiratory motion to image quality. It can be appreciated from the results of the present study that the suitability of application of a particular algorithm for pulmonary image registration is deformation-dependent.

  5. Erie Nuclear Plant, Units 1 and 2. License application, preliminary safety analysis report, volume 1: chapter 1

    International Nuclear Information System (INIS)

    1977-01-01

    Erie 1 and 2 reactors will be located on a site consisting of 1,740 acres in Berlin Township about 2.4 miles south of Lake Erie and 8.9 miles southeast of Sandusky, Ohio. Lake Erie will provide makeup water. The ultimate heat sink will be a 40 acre cooling reservoir shared by both units. Each unit has a proposed core thermal power level of 3,760 MW(t) and a nominal net capacity of about 1282 MW(e). Unit 1 is scheduled for commercial operation by 4/1/84 and Unit 2 by 4/1/86. Fuel will be Zircaloy-4 clad tubes containing cylindrical fuel pellets of UO 2 . B and W pressurized water reactor units to be employed are described in DOCKET-STN-50561

  6. Collapse and coalescence of spherical voids subject to intense shearing: studied in full 3D

    DEFF Research Database (Denmark)

    Nielsen, Kim Lau; Dahl, Jonas; Tvergaard, Viggo

    2012-01-01

    the numerical analysis, which is also reflected in published literature. Rather than moving towards very low triaxiality shearing, work has focused on extracting wide-ranging results for moderate stress triaxiality (T ~ 1), in order to achieve sufficient understanding of the influence of initial porosity, void...... significant straining of the matrix material located on the axis of rotation. In particular, the void surface material is severely deformed during shearing and void surface contact is established early in the deformation process. This 3D effect intensifies with decreasing stress triaxiality and complicates...... shape, void orientation etc. The objective of this work is to expand the range of stress triaxiality usually faced in 3D cell model studies, such that intense shearing is covered, and to bring forward details on the porosity and void shape evolution. The overall material response is presented...

  7. Safety and Security Concerns of Nurses Working in the Intensive Care Unit: A Qualitative Study.

    Science.gov (United States)

    Keys, Yolanda; Stichler, Jaynelle F

    Intensive care units (ICUs) exist to serve as a safe place for critically ill patients to receive care from skilled practitioners. In this qualitative study, ICU nurses shared their perspectives on elements that promote safety and security on their units. After obtaining institutional review board approval, participants participated in telephone interviews with a nurse researcher who has experience as a bedside ICU nurse. Five categories and 14 themes were identified and then confirmed using member checking. Results indicate that participants prefer to provide care in ICUs with no more than 12 to 14 beds and provide the following: visibility of patients and coworkers; more than 1 way to exit; and can be locked in case of emergency or threat. Nearly all respondents mentioned adequate staffing as the most important attribute of a safe, secure care environment for patients and families. More research is needed to identify design features that make the most impact on providing a safe, secure ICU environment.

  8. [The work of the intensive care nurse: a study on the social representations structure].

    Science.gov (United States)

    Silva, Iranete Almeida Sousa; da Cruz, Enêde Andrade

    2008-09-01

    This study aims at characterizing the social representations of the nurse in the intensive care unit (ICU) by identifying the central core and the peripheral system. It was carried out in five ICUs from both public and philanthropic teaching, research and assistance hospitals in Salvador (Bahia, Brazil). Data were gathered from ninety nurses by means of free evocation from the phrase: nurse's work in an ICU and then processed with the EVOC software. Analysis was performed by building a four-digit chart based on the structural approach to the theory of social representations. Results point out stress, responsibility, integral care and gratification as the core elements. The peripheral system comprised personal and professional attitudes deemed necessary to perform the work. Therefore, it could be concluded that stress and responsible work are relieved by the gratifying feeling of providing integral care, which demands a range of personal and professional attitudes.

  9. Study on the intense relativistic electron beam propagation in a collisionless plasma of small density

    International Nuclear Information System (INIS)

    Korenev, S.A.; Rubin, N.B.; Khodataev, K.V.

    1982-01-01

    The results of the experimental studies of the intense relativistic electron beam (IREB) propagation with ν/γ approximately 0.1, and γ approximately 1.6 (γ is an electron beam relativistic factor) in a collisionless plasma of small density over the 180 cm length are presented. Plasma is generated with the incomplete discharge over dielectric surface at the residual gas pressure of P approximately 10 -5 Torr. It is shown that the transportation efficiency may be essentially high, if the electron concentration in plasma satisfies the equilibrium conditions and if it is less or equal to the electron concentration in a beam. At concentration less than optimum one, the transportation efficiency decreases due to violations of equilibrium conditions. At high concentration the transportation efficiency also decreased due to the scattering and breaking on excited small-scale and plasma oscillations. The IREB propagation occurs without essential time delay under optimum conditions

  10. Biexcitons in π-conjugated oligomers: Intensity-dependent femtosecond transient-absorption study

    Science.gov (United States)

    Klimov, V. I.; McBranch, D. W.; Barashkov, N.; Ferraris, J.

    1998-09-01

    We report femtosecond transient-absorption (TA) studies of a five-ring oligomer of poly(para-phenylene vinylene) prepared in two different forms: solid-state films and dilute solutions. At high pump fluences, in both types of samples, we observe generation of two-exciton states, which are detected by the evolution of TA spectra and dynamics with increasing pump intensity. In solutions, double excitation of molecules results in the formation of stable biexcitons with enhanced oscillator strength, leading to an increased efficiency of the radiative decay and a superlinear pump dependence of the stimulated emission. In solid-state samples, the two-exciton states are unstable and decay on the subpicosecond time scale due to ultrafast charge transfer, accompanied by generation of interchain excitons.

  11. Biexcitons in {pi}-conjugated oligomers: Intensity-dependent femtosecond transient-absorption study

    Energy Technology Data Exchange (ETDEWEB)

    Klimov, V.I.; McBranch, D.W. [Chemical Science and Technology Division, CST-6, Mail Stop J585, Los Alamos National Laboratory, Los Alamos, New Mexico 87545 (United States); Barashkov, N.; Ferraris, J. [Chemistry Department, University of Texas, Dallas, Texas 75083 (United States)

    1998-09-01

    We report femtosecond transient-absorption (TA) studies of a five-ring oligomer of poly({ital para}-phenylene vinylene) prepared in two different forms: solid-state films and dilute solutions. At high pump fluences, in both types of samples, we observe generation of two-exciton states, which are detected by the evolution of TA spectra and dynamics with increasing pump intensity. In solutions, double excitation of molecules results in the formation of stable biexcitons with enhanced oscillator strength, leading to an increased efficiency of the radiative decay and a superlinear pump dependence of the stimulated emission. In solid-state samples, the two-exciton states are unstable and decay on the subpicosecond time scale due to ultrafast charge transfer, accompanied by generation of interchain excitons. {copyright} {ital 1998} {ital The American Physical Society}

  12. Interlaboratory Study (ILS) for F 548-01, The Standard Test Method for Intensity of Scratches on Aerospace Transparent Plastics

    National Research Council Canada - National Science Library

    Pinkus, Alan

    2003-01-01

    ...) as outlined in ASTM E 691. This report, which conforms to the ILS reporting format required by ASTM, describes the study that was conducted for ASTM test standard F 548-01, Intensity of Scratches on Aerospace Transparent Plastics...

  13. Intensive group-based CBT for child social phobia: a pilot study.

    Science.gov (United States)

    Donovan, Caroline L; Cobham, Vanessa; Waters, Allison M; Occhipinti, Stefano

    2015-05-01

    Although CBT has proven efficacious in the treatment of child social phobia (SP), most children do not present for treatment and child SP may be less responsive to treatment than other anxiety disorders. Intensive, group-based, SP-specific CBT may improve the efficacy of, and access to, treatment for child SP. The aim of this study was to provide a preliminary examination of such a program. Forty Australian children aged 7-12 years (15 male and 25 female) were allocated into treatment and waitlist groups. Clinical interviews to determine diagnostic status were conducted prior to treatment, following treatment and at 6-month follow-up. Parent and child questionnaire measures of child anxiety symptoms, internalizing symptoms, depression, social skills, social competence, and parental social anxiety were administered at the same time points. Treatment was delivered in 4 separate 3-hour sessions conducted over 3 consecutive weekends. At postassessment, 52.4% of children in the treatment group and 15.8% of children in the waitlist group were free of their SP diagnosis. At postassessment, compared to waitlist children, treatment group children demonstrated a greater drop in clinical severity, a greater increase in overall functioning, and held fewer clinical diagnoses. Treatment group children also reported a greater reduction in SP symptoms compared to waitlist children, and treatment group parents reported a greater reduction in child internalizing and anxiety symptoms, a greater increase in child social competence, and a greater decrease in parental SP symptoms, compared to parents of children in the waitlist group. By 6-month follow-up, 76.9% of the treatment group were free of their SP diagnosis and gains on all other measures were maintained. The results of this study are encouraging, and suggest that brief, intensive, group CBT for children with social anxiety is beneficial for many youngsters. Copyright © 2014. Published by Elsevier Ltd.

  14. Does neonatal pain management in intensive care units differ between night and day? An observational study.

    Science.gov (United States)

    Guedj, Romain; Danan, Claude; Daoud, Patrick; Zupan, Véronique; Renolleau, Sylvain; Zana, Elodie; Aizenfisz, Sophie; Lapillonne, Alexandre; de Saint Blanquat, Laure; Granier, Michèle; Durand, Philippe; Castela, Florence; Coursol, Anne; Hubert, Philippe; Cimerman, Patricia; Anand, K J S; Khoshnood, Babak; Carbajal, Ricardo

    2014-02-20

    To determine whether analgesic use for painful procedures performed in neonates in the neonatal intensive care unit (NICU) differs during nights and days and during each of the 6 h period of the day. Conducted as part of the prospective observational Epidemiology of Painful Procedures in Neonates study which was designed to collect in real time and around-the-clock bedside data on all painful or stressful procedures. 13 NICUs and paediatric intensive care units in the Paris Region, France. All 430 neonates admitted to the participating units during a 6-week period between September 2005 and January 2006. During the first 14 days of admission, data were collected on all painful procedures and analgesic therapy. The five most frequent procedures representing 38 012 of all 42 413 (90%) painful procedures were analysed. Observational study. We compared the use of specific analgesic for procedures performed during each of the 6 h period of a day: morning (7:00 to 12:59), afternoon, early night and late night and during daytime (morning+afternoon) and night-time (early night+late night). 7724 of 38 012 (20.3%) painful procedures were carried out with a specific analgesic treatment. For morning, afternoon, early night and late night, respectively, the use of analgesic was 25.8%, 18.9%, 18.3% and 18%. The relative reduction of analgesia was 18.3%, pnight-time and 28.8%, pday. Parental presence, nurses on 8 h shifts and written protocols for analgesia were associated with a decrease in this difference. The substantial differences in the use of analgesics around-the-clock may be questioned on quality of care grounds.

  15. Low Intensity laser therapy in patients with burning mouth syndrome: a randomized, placebo-controlled study

    Directory of Open Access Journals (Sweden)

    Norberto Nobuo SUGAYA

    Full Text Available Abstract The aim of this study was to assess the effectiveness of low intensity laser therapy in patients with Burning Mouth Syndrome (BMS. Thirty BMS subjects were randomized into two groups – Laser (LG and Placebo (CG. Seven patients dropped out, leaving 13 patients in LG and 10 patients in CG. Each patient received 4 irradiations (laser or placebo twice a week, for two consecutive weeks (blinded to the type of irradiation received. Infrared laser (AsGaAI irradiations were applied to the affected mucosa in scanning mode, wavelength of 790 nm, output power of 20 mW and fluence of 6 J/cm2. A visual analogue scale (VAS was used to assess the therapeutic effect before and after each irradiation, and at all the control time periods: 7, 14, 30, 60 and 90 days after the last irradiation. One researcher delivered irradiation and another recorded the results. Both researchers were blinded, the first to the results, and the second to the type of radiation applied. The results were categorized according to the percentage of symptom level variation, and showed a statistically better response in LG in only two categories of the control checkpoints (p=0.02; Fisher’s Exact Test. According to the protocol used in this study, low intensity laser therapy is as beneficial to patients with BMS as placebo treatment, indicating a great emotional component of involvement in BMS symptomatology. Nevertheless, there were positive results in some statistical analyses, thus encouraging further research in BMS laser therapy with other irradiation parameters.

  16. Comparative study of 2 oral care protocols in intensive care units.

    Science.gov (United States)

    Ory, Jérôme; Raybaud, Evelyne; Chabanne, Russell; Cosserant, Bernard; Faure, Jean Sébastien; Guérin, Renaud; Calvet, Laure; Pereira, Bruno; Mourgues, Charline; Guelon, Dominique; Traore, Ousmane

    2017-03-01

    The quality of oral care is important in limiting the emergence of ventilator-associated pneumonia (VAP) in intubated patients. Our main objective was to measure the quality improvement in oral care following the implementation of a new oral care protocol. We also monitored VAP rates. This was a cohort study of patients in 5 adult ICUs covering different specialties. During period 1, caregivers used a foam stick for oral care and during period 2 a stick and tooth brushing with aspiration. Oral chlorhexidine was used during both periods. The caregivers rated improvement in oral health on the basis of 4 criteria (tongue, mucous membranes, gingivae, and teeth). Caregiver satisfaction was also assessed. The incidence of VAP was monitored. A total of 2,030 intubated patients admitted to intensive care units benefited from oral care. The patient populations during the 2 periods were similar with regard to demographic data and VAP potential risk factors. Oral health was significantly better from the third day of oral care in period 2 onward (period 1, 6.4 ± 2.1; period 2, 5.6 ± 1.8; P = .043). Caregivers found the period 2 protocol easier to implement and more effective. VAP rates decreased significantly between the 2 periods (period 1, 12.8%; period 2, 8.5%; P = .002). Our study showed that the implementation of a simple strategy improved the quality of oral care of patients in intensive care units, and decreased VAP rates. Copyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

  17. Intensive gait training in toddlers with cerebral palsy: A pilot study

    Directory of Open Access Journals (Sweden)

    Anna Herskind

    2016-07-01

    Full Text Available Background: Reduced muscle growth may be involved in the development of contractures in children with cerebral palsy (CP. Here, we report data from a pilot study of intensive gait training in CP toddlers. Methods: Five children with CP aged 8-30 months performed activity-based gait training for one hour/day, five days/week for three consecutive months. Included children were diagnosed with spastic CP, had a Gross Motor Function Classification System (GMFCS score of I–II, and were not epileptic. All children wore pedometers during training. Before and after the training period, kinematic and qualitative gait analysis, clinical and objective evaluation of spasticity, Gross Motor Function Measure-66 (GMFM-66, and ultrasound of the affected medial gastrocnemius (MG muscle were performed. Two children were also tested before and after three months of receiving only standard care (SC. Results: On average 1410 steps/session were logged during 63 days of training. More steps were achieved at home than at a central facility. During training, MG muscle volume increased significantly, while it decreased for SC children. Gait improved qualitatively in all children, and GMFM-66 score improved in four of the five children. Similar improvements were seen among the SC children. Two children had pathologically increased muscle stiffness prior to training, which was reduced during training. Reflex stiffness was unchanged in all five children. Conclusions: This pilot study suggests that intensive gait training may increase muscle volume, improve walking skills and reduce passive muscle stiffness in toddlers with CP.

  18. Cutaneous adverse drug reactions in a tertiary care teaching hospital in India: An intensive monitoring study

    Directory of Open Access Journals (Sweden)

    Sejal Thakkar

    2017-01-01

    Full Text Available Background: The epidemiological data based on intensive monitoring studies are limited for the cutaneous adverse drug reactions (CADRs in terms of incidence. Most of earlier Indian studies focused only on types and causative drugs of CADRs. Aim: The aim of this study is to analyze the CADRs with reference to the incidence, its subgroup analysis, causative drugs, and other clinical characteristics in Indian population. Methodology: Intensive monitoring study was carried out over a period of 3 years in the dermatology outpatient and inpatient department. CADRs due to only systematically administered drugs were considered. The WHO definition for CADR, the WHO causality definitions, modified Schumock and Thornton's criteria for preventability, and International Conference on Harmonisation E2A guidelines for seriousness were considered. Incidence was expressed in percentage and its 95% confidence interval. The incidence was analyzed on basis of characteristics of study population and CADRs. Results: A total of 171 CADRs were observed from 37,623 patients. The CADR incidence was 0.45% (95% CI: 0.39–0.53. The incidence did not significantly differ in different age groups and gender. Commonly observed CADRs were maculopapular rash (23.98%, urticaria (21.64%, and fixed drug eruptions (FDEs (18.13%. Antimicrobials (35.18% and nonsteroidal anti-inflammatory drugs (NSAIDs were suspected in all common CADRs. Anti-infective and NSAIDs were most commonly suspected drugs in overall CADRs, maculopapular rash, urticaria, FDEs, and erythema multiforme. The exact nature of drugs remained inaccessible in one-fourth cases due to use of the over-the-counter self-medications. The incidence of preventable and serious and fatal CADRs was 0.08% (95% CI: 0.05–0.11, 0.04% (95% CI: 0.02–0.06, and 0.003% (95% CI: 0.000–0.001, respectively. Conclusion: Ethnic characteristics should be considered while interpreting incidence from the international studies. The

  19. Effects of Light Intensity Activity on CVD Risk Factors: A Systematic Review of Intervention Studies

    Directory of Open Access Journals (Sweden)

    Romeo B. Batacan

    2015-01-01

    Full Text Available The effects of light intensity physical activity (LIPA on cardiovascular disease (CVD risk factors remain to be established. This review summarizes the effects of LIPA on CVD risk factors and CVD-related markers in adults. A systematic search of four electronic databases (PubMed, Academic Search Complete, SPORTDiscus, and CINAHL examining LIPA and CVD risk factors (body composition, blood pressure, glucose, insulin, glycosylated hemoglobin, and lipid profile and CVD-related markers (maximal oxygen uptake, heart rate, C-reactive protein, interleukin-6, tumor necrosis factor-alpha, and tumor necrosis factor receptors 1 and 2 published between 1970 and 2015 was performed on 15 March 2015. A total of 33 intervention studies examining the effect of LIPA on CVD risk factors and markers were included in this review. Results indicated that LIPA did not improve CVD risk factors and CVD-related markers in healthy individuals. LIPA was found to improve systolic and diastolic blood pressure in physically inactive populations with a medical condition. Reviewed studies show little support for the role of LIPA to reduce CVD risk factors. Many of the included studies were of low to fair study quality and used low doses of LIPA. Further studies are needed to establish the value of LIPA in reducing CVD risk.

  20. A study on CT attenuation and MR signal intensity of protein solution

    International Nuclear Information System (INIS)

    Kim, Joung Hae; Choi, Dae Seob; Kim, Soon; Lee, Hyeon Kyeong; Oh, Hyeon Hee; Kim, Seung Hyeon; Lee, Sung Woo; Chang, Kee Hyun; Chung, Jun Ho

    2001-01-01

    To correlate CT attenuation and MR signal intensity with concentration of protein solution. CT and MR examinations of a phantom containing bovine serum albumin solutions of various concentrations ranging from 0 to 55% were performed. CT Hounsfield units(HUs), MR signal intensities, and apparent diffusion coefficients (ADCs) of each albumin solution were measured, and CT HUs and MR signal intensities of the solutions were compared with those of cerebrospinal fluid (CSF), white matter, and cortical gray matter. CT HU increased gradually with increasing albumin concentration. On T1-weighted images(T1WI), signal intensity increased with increasing albumin concentrations of up to 35% but then decreased. On T2-weighted images(T2Wl), gradually decreasing signal intensity and increasing albumin concentration were observed Fluid-attenuated inversion recovery (FLAIR) and diffusion-weighted images (DWls) showed that signal intensity peaked at a concentration of 10% and then gradually decreased. The ADC of the solution gradually decreased as concentration increased. Compared with those of normal brain structures, the CT HUs of solutions at concentrations of over 20% were higher than those of white and gray matter. At T1WI, the signal intensities of 10-45% solutions were similar to or higher than that of the gray matter. At T2Wl, the signal intensities of solutions above 25, 35, and 40% were lower than those of CSF, gray matter, and white matter, respectively. FLAIR images showed that the signal intensities of 5-35% solutions were higher than that of gray matter. The CT attenuation of albumin solution increased gradually with increasing concentration. MR signal intensities peaked at 35% concentration on T1WI and at 10% on FLAIR and DW images, respectively, and then gradually decreased. T2Wl and ADC map images showed gradually decreasing signal intensity and ADC as albumin concentration increased

  1. Water data to answer urgent water policy questions: Monitoring design, available data and filling data gaps for determining the effectiveness of agricultural management practices for reducing tributary nutrient loads to Lake Erie

    Science.gov (United States)

    Bentanzo, Elin A.; Choquette, Anne F.; Reckhow, Kenneth H.; Hayes, Laura; Hagan, Erik R; Argue, Denise M.; Cangelosi, A.A.

    2015-01-01

    Throughout its history, the United States has made major investments in assessing natural resources, such as soils, timber, oil and gas, and water. These investments allow policy makers, the private sector and the American public to make informed decisions about cultivating, harvesting or conserving these resources to maximize their value for public welfare, environmental conservation and the economy. As policy issues evolve, new priorities and challenges arise for natural resource assessment, and new approaches to monitoring are needed. For example, informed conservation and use of the nation’s finite fresh water resources in the context of increasingly intensive land development is a priority for today’s policy decisionmakers. There is a need to evaluate whether today’s water monitoring programs are generating the information needed to answer questions surrounding these new policy priorities. The Northeast-Midwest Institute (NEMWI), in cooperation with the U.S. Geological Survey (USGS) National Water-Quality Assessment (NAWQA) Program, initiated this project to explore the types and amounts of water data needed to address water-quality related policy questions of critical concern to today’s policy makers. The collaborating entities identified two urgent water policy questions and conducted case studies in the Northeast-Midwest region to determine the water data needed, water data available, and the best ways to fill the data gaps relative to those questions. This report details the output from one case study and focuses on the Lake Erie drainage basin, a data-rich area expected to be a best-case scenario in terms of water data availability.

  2. Seiche-induced unsteady flows in the Huron-Erie Corridor: Spectral analysis of oscillations in stage and discharge in the St. Clair and Detroit Rivers

    Science.gov (United States)

    Jackson, P. Ryan; Contantinescu, G.; Garcia, M.; Hanes, D.

    2016-01-01

    Animations of highly dynamic water-surface profiles through the St. Clair and Detroit Rivers have identified transient disturbances propagating from Lakes Huron and Erie into the St. Clair and Detroit Rivers, respectively. To determine any relation to seiche and tidal oscillations on Lakes Huron and Erie, a spectral analysis was performed on stage and discharge data from the Huron-Erie Corridor. There is excellent agreement between the observed oscillations in stage and discharge in the St. Clair and Detroit Rivers and the documented frequencies of oscillations in Lakes Huron and Erie. The fundamental seiche, some higher-order seiche modes, and the semidiurnal tide from Lakes Huron and Erie are evident in the stage and discharge records at gages along the St. Clair and Detroit Rivers, respectively. Lake St. Clair appears to act as a damper in the system. If not accounted for, these oscillations may complicate monitoring, modeling, and restoration of this system.

  3. El idealismo en la filosofía medieval: el caso de Juan Escoto Eriúgena

    OpenAIRE

    Moran, Dermont

    2012-01-01

    Quiero sostener en este artículo (en contra de la posición de Myles Burnyeat) que el idealismo es una posibilidad filosófica genuina previa a Descartes. En efecto, podemos encontrar una versión del idealismo que supone un concepto desarrollado de subjetividad en una sofisticada versión del  Periphyseon de Escoto Eriúgena. El inmaterialismo intelectualista extremo de Eriúgena difiere del idealismo moderno en la medida en que aquél no está motivado tanto por una consideración epistemológica de ...

  4. Experimental study of the transport limits of intense heavy ion beams in the HCX

    International Nuclear Information System (INIS)

    Prost, L.R.; Bieniosek, F.M.; Celata, C.M.; Dugan, C.C.; Faltens, A.; Seidl, P.A.; Waldron, W.L.; Cohen, R.; Friedman, A.; Kireeff Covo, M.; Lund, S.M.; Molvik, A.W.; Haber, I.

    2004-01-01

    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 space-charge intensity (line charge density up to ∼ 0.2 (micro)C/m) over long pulse durations (4 (micro)s) in alternating gradient focusing lattices of electrostatic or magnetic quadrupoles. The experiment also contributes to the practical baseline knowledge of intense beam manipulations necessary for the design, construction and operation of a heavy ion driver for inertial fusion. This experiment is testing transport issues resulting from nonlinear space-charge effects and collective modes, beam centroid alignment and beam steering, matching, image charges, halo, electron cloud effects, and longitudinal bunch control. We first present the results for a coasting 1 MeV K + ion beam transported through the first ten electrostatic transport quadrupoles, measured with optical beam-imaging and double-slit phase-space diagnostics. This includes studies at two different radial fill factors (60% and 80%), for which the beam transverse distribution was characterized in detail. Additionally, beam energy measurements will be shown. We then discuss the first results of beam transport through four pulsed room-temperature magnetic quadrupoles (located downstream of the electrostatic quadrupoles), where the beam dynamics become more sensitive to the presence of secondary electrons

  5. Experimental study of proton acceleration with ultra-high intensity, high contrast laser beam

    International Nuclear Information System (INIS)

    Flacco, A.

    2008-07-01

    This thesis reports experimental work in the domain of laser-matter interaction to study the production of energetic proton beams. The ion beams accelerated by laser have been increasing in quality, in energy and in repeatability as laser technology keeps improving. The presence of the pedestal before the high peak laser pulse introduces many unknowns in the accelerating conditions that are created on the front and on the rear surface of the target. The first part of the experimental activities is focused to a better comprehension and the experimental validation of the interaction of a 'pedestal-like', moderate intensity, laser pulse on Aluminum targets. The developed interferometric technique proved to be reliable and produced a complete set of maps of the early stages of the plasma expansion. The reflectometry experiment stresses the importance of the quality of the metallic targets and underlines some obscure points on the behaviour of the rear surface of the illuminated foil. For instance the reflectometry measurements on the thicker targets are significantly different from what is foreseen by the simulations about the timescale of the shock break out. In the second part, the XPW laser pulse is used in ion acceleration from thin metal foils. The laser and target parameters are varied to put in evidence the dependence of the ion beam to the experimental condition. In conclusion I can say that first, during the variation of the target thickness, an optimum is put in evidence. Secondly, the correlation between the laser pulse duration and the proton cutoff energy is qualitatively different between thicker (15 μm) and thinner (1.5 μm, 3 μm) targets. For the first, an optimal pulse duration exists while for the seconds, no variation is found - in the searched space - from the monotonic decreasing of the cutoff energy with the peak intensity. The experimental results put however in evidence some points that are not completely understood. (A.C.)

  6. Transfusion strategy in hematological intensive care unit: study protocol for a randomized controlled trial.

    Science.gov (United States)

    Chantepie, Sylvain P; Mear, Jean-Baptiste; Guittet, Lydia; Dervaux, Benoît; Marolleau, Jean-Pierre; Jardin, Fabrice; Dutheil, Jean-Jacques; Parienti, Jean-Jacques; Vilque, Jean-Pierre; Reman, Oumedaly

    2015-11-23

    Packed red blood cell (PRBC) transfusion is required in hematology patients treated with chemotherapy for acute leukemia, autologous (auto) or allogeneic (allo) hematopoietic stem cell transplantation (HSCT). In certain situations like septic shock, hip surgery, coronary disease or gastrointestinal hemorrhage, a restrictive transfusion strategy is associated with a reduction of infection and death. A transfusion strategy using a single PRBC unit has been retrospectively investigated and showed a safe reduction of PRBC consumption and costs. We therefore designed a study to prospectively demonstrate that the transfusion of a single PRBC unit is safe and not inferior to standard care. The 1versus2 trial is a randomized trial which will determine if a single-unit transfusion policy is not inferior to a double-unit transfusion policy. The primary endpoint is the incidence of severe complication (grade ≥ 3) defined as stroke, transient ischemic attack, acute coronary syndrome, heart failure, elevated troponin level, intensive care unit transfer, death, new pulmonary infiltrates, and transfusion-related infections during hospital stays. The secondary endpoint is the number of PRBC units transfused per patient per hospital stay. Two hundred and thirty patients will be randomized to receive a single unit or double unit every time the hemoglobin level is less than 8 g/dL. All patients admitted for induction remission chemotherapy, auto-HSCT or allo-HSCT in hematology intensive care units will be eligible for inclusion. Sample size calculation has determined that a patient population of 230 will be required to prove that the 1-unit PRBC strategy is non-inferior to the 2-unit PRBC strategy. Hemoglobin threshold for transfusion is below 8 g/dL. Estimated percentage of complication-free hospital stays is 93 %. In a non-inferiority hypothesis, the number of patients to include is 230 with a power of 90 % and an alpha risk of 5 %. 14-128; Clinicaltrials.gov NCT02461264

  7. Nursing Errors in Intensive Care Unit by Human Error Identification in Systems Tool: A Case Study

    Directory of Open Access Journals (Sweden)

    Nezamodini

    2016-03-01

    Full Text Available Background Although health services are designed and implemented to improve human health, the errors in health services are a very common phenomenon and even sometimes fatal in this field. Medical errors and their cost are global issues with serious consequences for the patients’ community that are preventable and require serious attention. Objectives The current study aimed to identify possible nursing errors applying human error identification in systems tool (HEIST in the intensive care units (ICUs of hospitals. Patients and Methods This descriptive research was conducted in the intensive care unit of a hospital in Khuzestan province in 2013. Data were collected through observation and interview by nine nurses in this section in a period of four months. Human error classification was based on Rose and Rose and Swain and Guttmann models. According to HEIST work sheets the guide questions were answered and error causes were identified after the determination of the type of errors. Results In total 527 errors were detected. The performing operation on the wrong path had the highest frequency which was 150, and the second rate with a frequency of 136 was doing the tasks later than the deadline. Management causes with a frequency of 451 were the first rank among identified errors. Errors mostly occurred in the system observation stage and among the performance shaping factors (PSFs, time was the most influencing factor in occurrence of human errors. Conclusions Finally, in order to prevent the occurrence and reduce the consequences of identified errors the following suggestions were proposed : appropriate training courses, applying work guidelines and monitoring their implementation, increasing the number of work shifts, hiring professional workforce, equipping work space with appropriate facilities and equipment.

  8. Study of 2ω and 3/2ω harmonics in ultrashort high-intensity laser ...

    Indian Academy of Sciences (India)

    Intense laser pulses from such laser systems may have many pre-pulses like picosecond ... ultrashort laser–matter interaction, as well as to control the source parameters. In situ monitoring of ultrashort ... central wavelength of 790 nm with a bandwidth of 16 ± 2 nm after the compressor. The picosecond intensity contrast ...

  9. A study of the impact of long-term tobacco smoking on postoperative intensive care admission

    DEFF Research Database (Denmark)

    Møller, A M; Pedersen, T; Villebro, N

    2003-01-01

    , American Society of Anesthesiologists (ASA) physical classification, intensive care admission and postoperative complications. Two thousand five hundred and twenty-six (46%) were smokers but for 620 patients (10.3%) smoking status was not confirmed. Postoperative intensive care admission was required...

  10. Configurations of corporate strategy systems in knowledge-intensive enterprises : an explorative study

    NARCIS (Netherlands)

    Kemp, J.L.C.

    2006-01-01

    This research focuses on the specific contexts of knowledge-intensive enterprises (KIE). Knowledge-intensive enterprises are defined as purposeful, living systems with mainly knowledge workers in the primary process or at least in the technical staff when this has a dominant influence on the

  11. Controlled Study of the Impact on Child Behaviour Problems of Intensive Interaction for Children with ASD

    Science.gov (United States)

    Tee, Abi; Reed, Phil

    2017-01-01

    Pupils with autism spectrum disorder (ASD) received 6 months of intensive interaction or treatment as usual. They were assessed for behaviour problems at the start and end of the period, and changes were related to child and parent factors. Intensive interaction did not offer any greater advantages to child behaviour than treatment as usual.…

  12. Mapping on Slope Seepage Problem using Electrical Resistivity Imaging (ERI)

    Science.gov (United States)

    Hazreek, Z. A. M.; Nizam, Z. M.; Aziman, M.; Dan, M. F. Md; Shaylinda, M. Z. N.; Faizal, T. B. M.; Aishah, M. A. N.; Ambak, K.; Rosli, S.; Rais, Y.; Ashraf, M. I. M.; Alel, M. N. A.

    2018-04-01

    The stability of slope may influenced by several factors such as its geomaterial properties, geometry and environmental factors. Problematic slope due to seepage phenomenon will influenced the slope strength thus promoting to its failure. In the past, slope seepage mapping suffer from several limitation due to cost, time and data coverage. Conventional engineering tools to detect or mapped the seepage on slope experienced those problems involving large and high elevation of slope design. As a result, this study introduced geophysical tools for slope seepage mapping based on electrical resistivity method. Two spread lines of electrical resistivity imaging were performed on the slope crest using ABEM SAS 4000 equipment. Data acquisition configuration was based on long and short arrangement, schlumberger array and 2.5 m of equal electrode spacing interval. Raw data obtained from data acquisition was analyzed using RES2DINV software. Both of the resistivity results show that the slope studied consists of three different anomalies representing top soil (200 – 1000 Ωm), perched water (10 – 100 Ωm) and hard/dry layer (> 200 Ωm). It was found that seepage problem on slope studied was derived from perched water zones with electrical resistivity value of 10 – 100 Ωm. Perched water zone has been detected at 6 m depth from the ground level with varying thickness at 5 m and over. Resistivity results have shown some good similarity output with reference to borehole data, geological map and site observation thus verified the resistivity results interpretation. Hence, this study has shown that the electrical resistivity imaging was applicable in slope seepage mapping which consider efficient in term of cost, time, data coverage and sustainability.

  13. Does a single specialty intensive care unit make better business sense than a multi-specialty intensive care unit? A costing study in a trauma center in India

    Science.gov (United States)

    Kumar, Parmeshwar; Jithesh, Vishwanathan; Gupta, Shakti Kumar

    2015-01-01

    Context: Though intensive care units (ICUs) only account for 10% of hospital beds, they consume nearly 22% of hospital resources. Few definitive costing studies have been conducted in Indian settings that would help determine appropriate resource allocation. Aim: To evaluate and compare the cost of intensive care delivery between multi-specialty and neurosurgery ICU in an apex trauma care facility in India. Materials and Methods: The study was conducted in a polytrauma and neurosurgery ICU at a 203 bedded level IV trauma care facility in New Delhi, India from May, 2012 to June 2012. The study was cross-sectional, retrospective, and record-based. Traditional costing was used to arrive at the cost for both direct and indirect cost estimates. The cost centers included in study were building cost, equipment cost, human resources, materials and supplies, clinical and nonclinical support services, engineering maintenance cost, and biomedical waste management. Statistical Analysis: Fisher's two-tailed t-test. Results: Total cost/bed/day for the multi-specialty ICU was Rs. 14,976.9/- and for the neurosurgery ICU was Rs. 14,306.7/-, manpower constituting nearly half of the expenditure in both ICUs. The cost center wise and overall difference in the cost among the ICUs were statistically significant. Conclusions: Quantification of expenditure in running an ICU in a trauma center would assist healthcare decision makers in better allocation of resources. Although multi-specialty ICUs are more expensive, other factors will also play a role in defining the kind of ICU that need to be designed. PMID:25829909

  14. Does a single specialty intensive care unit make better business sense than a multi-specialty intensive care unit? A costing study in a trauma center in India

    Directory of Open Access Journals (Sweden)

    Parmeshwar Kumar

    2015-01-01

    Full Text Available Context: Though intensive care units (ICUs only account for 10% of hospital beds, they consume nearly 22% of hospital resources. Few definitive costing studies have been conducted in Indian settings that would help determine appropriate resource allocation. Aim: To evaluate and compare the cost of intensive care delivery between multi-specialty and neurosurgery ICU in an apex trauma care facility in India. Materials and Methods: The study was conducted in a polytrauma and neurosurgery ICU at a 203 bedded level IV trauma care facility in New Delhi, India from May, 2012 to June 2012. The study was cross-sectional, retrospective, and record-based. Traditional costing was used to arrive at the cost for both direct and indirect cost estimates. The cost centers included in study were building cost, equipment cost, human resources, materials and supplies, clinical and nonclinical support services, engineering maintenance cost, and biomedical waste management. Statistical Analysis: Fisher′s two-tailed t-test. Results: Total cost/bed/day for the multi-specialty ICU was Rs. 14,976.9/- and for the neurosurgery ICU was Rs. 14,306.7/-, manpower constituting nearly half of the expenditure in both ICUs. The cost center wise and overall difference in the cost among the ICUs were statistically significant. Conclusions: Quantification of expenditure in running an ICU in a trauma center would assist healthcare decision makers in better allocation of resources. Although multi-specialty ICUs are more expensive, other factors will also play a role in defining the kind of ICU that need to be designed.

  15. GC-MS analysis of polybrominated diphenyl ethers in Lake Erie

    Science.gov (United States)

    Vagula, Mary C.; Vartak, Marissa; Tallmadge, Weslene

    2012-06-01

    Lake Erie is one of the five great lakes of North America. It is the shallowest, the warmest, and the most biologically productive of the Great Lakes producing more fish than all of the other four lakes combined. It is also a source of drinking water for 11 million people and a recreational asset. On the flipside, it is also very vulnerable and troubled with environmental challenges because it has the smallest water volume, but the greatest pressures from the human settlement. One of the many issues faced by the Lake is pollution. It receives larger loads of many pollutants than any other Great Lake. Even with the best pollution controls many pesticides and organohalogens continue to enter the lake. Polybrominated diphenyl ethers (PBDEs) are a class of flame-retardants that have been used in a variety of consumer products since the 1970s. They are added to many commercial and household products such as computers, foam mattresses, carpets, etc. Being largely non-polar and chemically stable, these chemicals are extremely lipophilic and resist degradation in the environment, thus giving them a high affinity for their bioaccumulation. Due to these properties PBDEs have become ubiquitous environmental contaminants. These compounds are reported to be endocrine disruptors and could cause oxidative damage. This report presents the sample preparation protocol, the GC-MS analysis of PBDEs in Lake Erie sediment samples.

  16. Metagenomic identification of bacterioplankton taxa and pathways involved in microcystin degradation in lake erie.

    Directory of Open Access Journals (Sweden)

    Xiaozhen Mou

    Full Text Available Cyanobacterial harmful blooms (CyanoHABs that produce microcystins are appearing in an increasing number of freshwater ecosystems worldwide, damaging quality of water for use by human and aquatic life. Heterotrophic bacteria assemblages are thought to be important in transforming and detoxifying microcystins in natural environments. However, little is known about their taxonomic composition or pathways involved in the process. To address this knowledge gap, we compared the metagenomes of Lake Erie free-living bacterioplankton assemblages in laboratory microcosms amended with microcystins relative to unamended controls. A diverse array of bacterial phyla were responsive to elevated supply of microcystins, including Acidobacteria, Actinobacteria, Bacteroidetes, Planctomycetes, Proteobacteria of the alpha, beta, gamma, delta and epsilon subdivisions and Verrucomicrobia. At more detailed taxonomic levels, Methylophilales (mainly in genus Methylotenera and Burkholderiales (mainly in genera Bordetella, Burkholderia, Cupriavidus, Polaromonas, Ralstonia, Polynucleobacter and Variovorax of Betaproteobacteria were suggested to be more important in microcystin degradation than Sphingomonadales of Alphaproteobacteria. The latter taxa were previously thought to be major microcystin degraders. Homologs to known microcystin-degrading genes (mlr were not overrepresented in microcystin-amended metagenomes, indicating that Lake Erie bacterioplankton might employ alternative genes and/or pathways in microcystin degradation. Genes for xenobiotic metabolism were overrepresented in microcystin-amended microcosms, suggesting they are important in bacterial degradation of microcystin, a phenomenon that has been identified previously only in eukaryotic systems.

  17. Growth, reproduction, mortality, distribution, and biomass of freshwater drum in Lake Erie

    Science.gov (United States)

    Bur, Michael T.

    1984-01-01

    Predominant age-groups in the Lake Erie freshwater drum Aplodinotus grunnienspopulation were 3, 4, and 5 as determined from gill net, trap net, bottom trawl, and midwater trawl samples. Age and growth calculations indicated that females grew faster than males. However, the length-weight relation did not differ between sexes and was described by the equation: log W = −5.4383 + 3.1987 log L. Some males became sexually mature at age 2 and all were mature by age 6. Females matured 1 year later than males. Three sizes of eggs were present in ovaries; the average total number was 127,000 per female for 20 females over a length range of 270 to 478 mm. Seasonal analysis of the ovary-body weight ratio indicated that spawning extended from June to August. A total annual mortality rate of 49% for drum aged 4 through 11 was derived from catch-curve analysis. Freshwater drum were widely distributed throughout Lake Erie in 1977–1979, the greatest concentration being in the western basin. They moved into warm, shallow water (less than 10 m deep) during summer, and returned to deeper water in late fall. Summer biomass estimates for the western basin, based on systematic surveys with bottom trawls, were 9,545 t in 1977 and 2,333 t in 1978.

  18. Long-term ecosystem monitoring and assessment of the Detroit River and Western Lake Erie.

    Science.gov (United States)

    Hartig, J H; Zarull, M A; Ciborowski, J J H; Gannon, J E; Wilke, E; Norwood, G; Vincent, A N

    2009-11-01

    Over 35 years of US and Canadian pollution prevention and control efforts have led to substantial improvements in environmental quality of the Detroit River and western Lake Erie. However, the available information also shows that much remains to be done. Improvements in environmental quality have resulted in significant ecological recovery, including increasing populations of bald eagles (Haliaeetus leucocephalus), peregrine falcons (Falco columbarius), lake sturgeon (Acipenser fulvescens), lake whitefish (Coregonus clupeaformis), walleye (Sander vitreus), and burrowing mayflies (Hexagenia spp.). Although this recovery is remarkable, many challenges remain, including population growth, transportation expansion, and land use changes; nonpoint source pollution; toxic substances contamination; habitat loss and degradation; introduction of exotic species; and greenhouse gases and global warming. Research/monitoring must be sustained for effective management. Priority research and monitoring needs include: demonstrating and quantifying cause-effect relationships; establishing quantitative endpoints and desired future states; determining cumulative impacts and how indicators relate; improving modeling and prediction; prioritizing geographic areas for protection and restoration; and fostering long-term monitoring for adaptive management. Key management agencies, universities, and environmental and conservation organizations should pool resources and undertake comprehensive and integrative assessments of the health of the Detroit River and western Lake Erie at least every 5 years to practice adaptive management for long-term sustainability.

  19. The Inner 25 au Debris Distribution in the ϵ Eri System

    Energy Technology Data Exchange (ETDEWEB)

    Su, Kate Y. L.; Rieke, George H.; Ballering, Nicholas P. [Steward Observatory, University of Arizona, 933 N Cherry Avenue, Tucson, AZ 85721 (United States); De Buizer, James M.; Vacca, William D. [SOFIA-USRA, NASA Ames Research Center, MS 232-12, Moffett Field, CA 94035 (United States); Krivov, Alexander V.; Löhne, Torsten [Astrophysikalisches Institut und Universitätssternwarte, Friedrich-Schiller-Universität Jena, Schillergäßchen 2–3, D-07745 Jena (Germany); Marengo, Massimo [Department of Physics and Astronomy, Iowa State University, Ames, IA 50011 (United States); Stapelfeldt, Karl R. [Jet Propulsion Laboratory, California Institute of Technology, 4800 Oak Grove Drive, Pasadena, CA 91109 (United States)

    2017-05-01

    Debris disk morphology is wavelength dependent due to the wide range of particle sizes and size-dependent dynamics influenced by various forces. Resolved images of nearby debris disks reveal complex disk structures that are difficult to distinguish from their spectral energy distributions. Therefore, multi-wavelength resolved images of nearby debris systems provide an essential foundation to understand the intricate interplay between collisional, gravitational, and radiative forces that govern debris disk structures. We present the Stratospheric Observatory for Infrared Astronomy (SOFIA) 35 μ m resolved disk image of ϵ Eri, the closest debris disk around a star similar to the early Sun. Combining with the Spitzer resolved image at 24 μ m and 15–38 μ m excess spectrum, we examine two proposed origins of the inner debris in ϵ Eri: (1) in situ planetesimal belt(s) and (2) dragged-in grains from the cold outer belt. We find that the presence of in situ dust-producing planetesmial belt(s) is the most likely source of the excess emission in the inner 25 au region. Although a small amount of dragged-in grains from the cold belt could contribute to the excess emission in the inner region, the resolution of the SOFIA data is high enough to rule out the possibility that the entire inner warm excess results from dragged-in grains, but not enough to distinguish one broad inner disk from two narrow belts.

  20. Nonlinear convective flow of Powell-Erying magneto nanofluid with Newtonian heating

    Directory of Open Access Journals (Sweden)

    Sajid Qayyum

    Full Text Available Objective of present article is to describe magnetohydrodynamic (MHD non-linear convective flow of Powell-Erying nanofluid over a stretching surface. Characteristics of Newtonian heat and mass conditions in this attempt is given attention. Heat and mass transfer analysis is examined in the frame of thermal radiation and chemical reaction. Brownian motion and thermophoresis concept is introduced due to presence of nanoparticles. Nonlinear equations of momentum, energy and concentration are transformed into dimensionless expression by invoking suitable variables. The series solutions are obtained through homotopy analysis method (HAM. Impact of embedded variables on the velocity, temperature and nanoparticles concentration is graphically presented. Numerical values of skin friction coefficient, local Nusselt and Sherwood numbers are computed and analyzed. It is concluded that velocity field enhances for fluid variable while reverse situation is noticed regarding Hartman number. Temperature and heat transfer rate behave quite reverse for Prandtl number. It is also noted that the concentration and local Sherwood number have opposite behavior in the frame of Brownian motion. Keywords: Powell-Erying nanofluid, Magnetohydrodynamic (MHD, Nonlinear convection, Thermal radiation, Chemical reaction, Newtonian heat and mass conditions

  1. Effects of the exotic zebra mussel (Dreissena polymorpha) on metal cycling in Lake Erie

    International Nuclear Information System (INIS)

    Klerks, P.L.; Fraleigh, P.C.; Lawniczak, J.E.

    1997-01-01

    This research demonstrated the impact of high densities of the zebra mussel (Dreissena polymorpha) on the cycling of copper, nickel, and zinc in a lake environment. Experiments with mussels on sedimentation traps in western Lake Erie and with mussels in flow-through tanks receiving Lake Erie water showed that zebra mussels remove metals from the water column, incorporate metals in their tissues, and deposit metals on the lake bottom. Removal of metals from the water column was estimated at 10-17%·day -1 of the amounts present. This material was largely deposited on the lake bottom; zebra mussels more than doubled the rate at which metals were being added to the lake bottom. Metal biodeposition rates were extremely high (e.g., 50 mg Zn·m -2 ·day -1 ) in high-turbidity areas with elevated metal levels. Two factors contributed to metal biodeposition by zebra mussels. First, their production of feces and pseudofeces increased the rate at which suspended matter was being added to the sediment (accounting for 92% of the increased metal biodeposition). Second, the material coming out of suspension had higher metal concentrations when zebra mussels were present (constituting 8% of the increased biodeposition). (author)

  2. Effects of the exotic zebra mussel (Dreissena polymorpha) on metal cycling in Lake Erie

    Energy Technology Data Exchange (ETDEWEB)

    Klerks, P.L. [Univ. of Southwestern Louisiana, Dept. of Biology, Lafayette, Louisiana (United States)]. E-mail: klerks@usl.edu; Fraleigh, P.C.; Lawniczak, J.E. [Univ. of Toledo, Dept. of Biology, Toledo, Ohio (United States)

    1997-07-15

    This research demonstrated the impact of high densities of the zebra mussel (Dreissena polymorpha) on the cycling of copper, nickel, and zinc in a lake environment. Experiments with mussels on sedimentation traps in western Lake Erie and with mussels in flow-through tanks receiving Lake Erie water showed that zebra mussels remove metals from the water column, incorporate metals in their tissues, and deposit metals on the lake bottom. Removal of metals from the water column was estimated at 10-17%{center_dot}day{sup -1} of the amounts present. This material was largely deposited on the lake bottom; zebra mussels more than doubled the rate at which metals were being added to the lake bottom. Metal biodeposition rates were extremely high (e.g., 50 mg Zn{center_dot}m{sup -2}{center_dot}day{sup -1}) in high-turbidity areas with elevated metal levels. Two factors contributed to metal biodeposition by zebra mussels. First, their production of feces and pseudofeces increased the rate at which suspended matter was being added to the sediment (accounting for 92% of the increased metal biodeposition). Second, the material coming out of suspension had higher metal concentrations when zebra mussels were present (constituting 8% of the increased biodeposition). (author)

  3. High-Intensity Focused Ultrasound (HIFU) in Uterine Fibroid Treatment: Review Study

    International Nuclear Information System (INIS)

    Mahmoud, Mustafa Z.; Alkhorayef, Mohammed; Alzimami, Khalid S.; Aljuhani, Manal Saud; Sulieman, Abdelmoneim

    2014-01-01

    High-intensity focused ultrasound (HIFU) is a highly precise medical procedure used locally to heat and destroy diseased tissue through ablation. This study intended to review HIFU in uterine fibroid therapy, to evaluate the role of HIFU in the therapy of leiomyomas as well as to review the actual clinical activities in this field including efficacy and safety measures beside the published clinical literature. An inclusive literature review was carried out in order to review the scientific foundation, and how it resulted in the development of extracorporeal distinct devices. Studies addressing HIFU in leiomyomas were identified from a search of the Internet scientific databases. The analysis of literature was limited to journal articles written in English and published between 2000 and 2013. In current gynecologic oncology, HIFU is used clinically in the treatment of leiomyomas. Clinical research on HIFU therapy for leiomyomas began in the 1990s, and the majority of patients with leiomyomas were treated predominantly with HIFUNIT 9000 and prototype single focus ultrasound devices. HIFU is a non-invasive and highly effective standard treatment with a large indication range for all sizes of leiomyomas, associated with high efficacy, low operative morbidity and no systemic side effects. Uterine fibroid treatment using HIFU was effective and safe in treating symptomatic uterine fibroids. Few studies are available in the literature regarding uterine artery embolization (UAE). HIFU provides an excellent option to treat uterine fibroids

  4. Studying intense pulsed light method along with corticosteroid injection in treating keloid scars.

    Science.gov (United States)

    Shamsi Meymandi, Simin; Rezazadeh, Azadeh; Ekhlasi, Ali

    2014-02-01

    Results of various studies suggest that the hypertrophic and keloid scars are highly prevalent in the general population and are irritating both physically and mentally. Considering the variety of existing therapies, intense pulsed light (IPL) method along with corticosteroid injection was evaluated in treating these scars. 86 subjects were included in this clinical trial. Eight sessions of therapeutic intervention were done with IPL along with corticosteroid intralesional injection using 450 to 1200 NM filter, Fluence 30-40 J/cm2, pulse duration of 2.1-10 ms and palsed delay 10-40 ms with an interval of three weeks. To specify the recovery consequences and complication rate and to determine features of the lesion, the criteria specified in the study of Eroll and Vancouver scar scale were used. The level of clinical improvement, color improvement and scar height was 89.1%, 88.8% and 89.1% respectively. The incidence of complications (1 telangiectasia case, 7 hyperpigmentation cases and 2 atrophy cases) following treatment with IPL was 11.6%. Moreover, the participants' satisfaction with IPL method was 88.8%. This study revealed that a combined therapy (intralesional corticosteroid injection + IPL) increases the recovery level of hypertrophic and keloid scars. It was also demonstrated that this method had no significant side effect and patients were highly satisfied with this method.

  5. Design study of a radio-frequency quadrupole for high-intensity beams

    Science.gov (United States)

    Bahng, Jungbae; Kim, Eun-San; Choi, Bong-Hyuk

    2017-07-01

    The Rare isotope Accelerator Of Newness (RAON) heavy-ion accelerator has been designed for the Rare Isotope Science Project (RISP) in Korea. The RAON will produce heavy-ion beams from 660-MeV-proton to 200-MeV/u-uranium with continuous wave (CW) power of 400 kW to support research in various scientific fields. Its system consists of an ECR ion source, LEBTs with 10 keV/u, CW RFQ accelerator with 81.25 MHz and 500 keV/u, a MEBT system, and a SC linac. In detail, the driver linac system consists of a Quarter Wave Resonator (QWR) section with 81.25 MHz and a Half Wave Resonator (HWR) section with 162.5 MHz, Linac-1, and a Spoke Cavity section with 325 MHz, Linac-2. These linacs have been designed to optimize the beam parameters to meet the required design goals. At the same time, a light-heavy ion accelerator with high-intensity beam, such as proton, deuteron, and helium beams, is required for experiments. In this paper, we present the design study of the high intensity RFQ for a deuteron beam with energies from 30 keV/u to 1.5 MeV/u and currents in the mA range. This system is composed of an Penning Ionization Gauge ion source, short LEBT with a RF deflector, and shared SC Linac. In order to increase acceleration efficiency in a short length with low cost, the 2nd harmonic of 162.5 MHz is applied as the operation frequency in the D+ RFQ design. The D+ RFQ is designed with 4.97 m, 1.52 bravery factor. Since it operates with 2nd harmonic frequency, the beam should be 50% of the duty factor while the cavity should be operated in CW mode, to protect the downstream linac system. We focus on avoiding emittance growth by the space-charge effect and optimizing the RFQ to achieve a high transmission and low emittance growth. Both the RFQ beam dynamics study and RFQ cavity design study for two and three dimensions will be discussed. Supported by Korea University Future Research Grant

  6. [Cross sectional study of structural quality of German intensive care units. A reevaluation of the DIVI register].

    Science.gov (United States)

    Fölsch, C; Kofahl, N; Waydhas, C; Stiletto, R

    2013-09-01

    Effectiveness of intensive care treatment is essential to cope with increasing costs. The German national register of intensive care established by the German Interdisciplinary Association for Intensive Care Medicine (DIVI) contains basic data on the structure of intensive care units in Germany. A repeat analysis of data of the DIVI register within 8 years provides information for the development of intensive care units under different economic circumstances. The recent data on the structure of intensive care units were obtained in 2008 and compared with the primary multicenter study from 2000. The hospitals selected were a representative sample for the whole of Germany. Data on the status of the hospital, staff and technical facilities, foundation of the hospital and the statistics of mechanically ventilated patients were analyzed. The technical facilities and the number of staff have improved from 2000 to 2008. A smaller availability of diagnostic procedures and staff remain in hospitals for basic treatment outside normal working hours. The average utilization of intensive care unit beds was not altered. The existence of intermediate care units did not significantly change the proportion of patients with artificial ventilation or ventilation times. The number of beds in intensive care units was unchanged as was the average number of beds in units and the number of patients treated. A relevant number of beds of intensive care units shifted towards hospitals with private foundation without changes in the overall numbers. The structure of the hospitals was comparable at both time points. The introduction of intermediate care units did not alter ventilation parameters of patients in 2008 compared with 2000. There is no obvious medical reason for the shift of intensive care beds towards private hospitals. The number of staff and patients varied considerably between the intensive care units. The average number of patients treated per bed was not different between the

  7. Barriers to intensive care unit nurses' autonomy in Iran: A qualitative study.

    Science.gov (United States)

    AllahBakhshian, Maryam; Alimohammadi, Nasrollah; Taleghani, Fariba; Nik, Ahmadreza Yazdan; Abbasi, Saeed; Gholizadeh, Leila

    The acute nature of the intensive care unit (ICU) environment necessitates that urgent clinical decisions are frequently made by the health care team. Therefore, it is important that critical care nurses have the authority to make decisions about their patient care. The purpose of this study was to explore perceived barriers to the practice of professional autonomy from the perspectives of ICU nurses in Iran. In this qualitative study, 28 critical care nurses were interviewed using a semistructured in-depth interview method. The interviews were recorded, transcribed verbatim, and analyzed using content analysis. Data analysis led to identification of two main themes and five subthemes: (a) the profession-related barriers with two associated subthemes of "lack of capacity to exercise autonomy" and "lack of strong professional bodies"; (b) organizational barriers with the associated subthemes of "role ambiguity," "a directive rather than supportive workplace," and "lack of motivation." ICU nurses in Iran may face many challenges in gaining professional autonomy. The identified inter- and intraprofessional barriers to the exercise of autonomy need to be addressed to promote critical thinking, job satisfaction, and motivation of ICU nurses, which can in turn lead to improved patient outcomes. Copyright © 2016 Elsevier Inc. All rights reserved.

  8. An Ethnographic Study of Health Information Technology Use in Three Intensive Care Units.

    Science.gov (United States)

    Leslie, Myles; Paradis, Elise; Gropper, Michael A; Kitto, Simon; Reeves, Scott; Pronovost, Peter

    2017-08-01

    To identify the impact of a full suite of health information technology (HIT) on the relationships that support safety and quality among intensive care unit (ICU) clinicians. A year-long comparative ethnographic study of three academic ICUs was carried out. A total of 446 hours of observational data was collected in the form of field notes. A subset of these observations-134 hours-was devoted to job-shadowing individual clinicians and conducting a time study of their HIT usage. Significant variation in HIT implementation rates and usage was noted. Average HIT use on the two "high-use" ICUs was 49 percent. On the "low-use" ICU, it was 10 percent. Clinicians on the high-use ICUs experienced "silo" effects with potential safety and quality implications. HIT work was associated with spatial, data, and social silos that separated ICU clinicians from one another and their patients. Situational awareness, communication, and patient satisfaction were negatively affected by this siloing. HIT has the potential to accentuate social and professional divisions as clinical communications shift from being in-person to electronically mediated. Socio-technically informed usability testing is recommended for those hospitals that have yet to implement HIT. For those hospitals already implementing HIT, we suggest rapid, locally driven qualitative assessments focused on developing solutions to identified gaps between HIT usage patterns and organizational quality goals. © Health Research and Educational Trust.

  9. A Descriptive Study of Decision-Making Conversations during Pediatric Intensive Care Unit Family Conferences.

    Science.gov (United States)

    Smith, Michael A; Clayman, Marla L; Frader, Joel; Arenson, Melanie; Haber-Barker, Natalie; Ryan, Claire; Emanuel, Linda; Michelson, Kelly

    2018-06-19

    Little is known about how decision-making conversations occur during pediatric intensive care unit (PICU) family conferences (FCs). Describe the decision-making process and implementation of shared decision making (SDM) during PICU FCs. Observational study. University-based tertiary care PICU, including 31 parents and 94 PICU healthcare professionals involved in FCs. We recorded, transcribed, and analyzed 14 PICU FCs involving decision-making discussions. We used a modified grounded theory and content analysis approach to explore the use of traditionally described stages of decision making (DM) (information exchange, deliberation, and determining a plan). We also identified the presence or absence of predefined SDM elements. DM involved the following modified stages: information exchange; information-oriented deliberation; plan-oriented deliberation; and determining a plan. Conversations progressed through stages in a nonlinear manner. For the main decision discussed, all conferences included a presentation of the clinical issues, treatment alternatives, and uncertainty. A minority of FCs included assessing the family's understanding (21%), assessing the family's need for input from others (28%), exploring the family's desired decision-making role (35%), and eliciting the family's opinion (42%). In the FCs studied, we found that DM is a nonlinear process. We also found that several SDM elements that could provide information about parents' perspectives and needs did not always occur, identifying areas for process improvement.

  10. High-intensity interval training programme for obese youth (HIP4YOUTH): A pilot feasibility study.

    Science.gov (United States)

    Lee, SoJung; Spector, Jenna; Reilly, Stephanie

    2017-09-01

    Recently, there has been growing interest in high-intensity interval training (HIT) as a strategy to improve health. In this pilot study, we examined the feasibility of a 4-week low-volume HIT and its effects on cardiorespiratory fitness (CRF), blood pressure (BP) and enjoyment in overweight and obese youth. Twelve adolescents (body mass index (BMI): 34.8 ± 3.9 kg · m ‒ 2 , 14.9 ± 1.5 years) participated in 12 sessions of HIT (10 × 60 s cycling bouts eliciting ~90% maximal heart rate, interspersed with 90 s recovery, 30 min/session, 3 sessions/week) over ~4 weeks. All the participants completed the study and exercise attendance averaged 92%. Despite no changes in body weight and total fat, HIT resulted in significant (P HIT and more than half of the participants (58%) reported that HIT is a more enjoyable form of exercise compared to other types of exercises. Low-volume HIT is a useful strategy to promote exercise participation and improve cardiovascular health in overweight and obese youth.

  11. "Radiative Closure Studies for Clear Skies During the ARM 2003 Aerosol Intensive Observation Period"

    Energy Technology Data Exchange (ETDEWEB)

    J. J. Michalsky, G. P. Anderson, J. Barnard, J. Delamere, C. Gueymard, S. Kato, P. Kiedron, A. McComiskey, and P. Ricchiazzi

    2006-04-01

    The Department of Energy's Atmospheric Radiation Measurement (ARM) program sponsored a large intensive observation period (IOP) to study aerosol during the month of May 2003 around the Southern Great Plains (SGP) Climate Research Facility (CRF) in north central Oklahoma. Redundant measurements of aerosol optical properties were made using different techniques at the surface as well as in vertical profile with sensors aboard two aircraft. One of the principal motivations for this experiment was to resolve the disagreement between models and measurements of diffuse horizontal broadband shortwave irradiance at the surface, especially for modest aerosol loading. This paper focuses on using the redundant aerosol and radiation measurements during this IOP to compare direct beam and diffuse horizontal broadband shortwave irradiance measurements and models at the surface for a wide range of aerosol cases that occurred during 30 clear-sky periods on 13 days of May 2003. Models and measurements are compared over a large range of solar-zenith angles. Six different models are used to assess the relative agreement among them and the measurements. Better agreement than previously achieved appears to be the result of better specification of input parameters and better measurements of irradiances than in prior studies. Biases between modeled and measured direct irradiances are less than 1%, and biases between modeled and measured diffuse irradiances are less than 2%.

  12. Dose-response relationships between exercise intensity, cravings, and inhibitory control in methamphetamine dependence: An ERPs study.

    Science.gov (United States)

    Wang, Dongshi; Zhou, Chenglin; Zhao, Min; Wu, Xueping; Chang, Yu-Kai

    2016-04-01

    The present study integrated behavioral and neuroelectric approaches for determining the dose-response relationships between exercise intensity and methamphetamine (MA) craving and between exercise intensity and inhibitory control in individuals with MA dependence. Ninety-two individuals with MA dependence were randomly assigned to an exercise group (light, moderate, or vigorous intensity) or to a reading control group. The participants then completed a craving self-report at four time points: before exercise, during exercise, immediately after exercise, and 50 min after exercise. Event-related potentials were also recorded while the participants completed a standard Go/NoGo task and an MA-related Go/NoGo task approximately 20 min after exercise cessation. The reduction in self-reported MA craving scores of the moderate and vigorous intensity groups was greater than that of the light intensity and control groups during acute exercise as well as immediately and 50 min following exercise termination. Additionally, an inverted-U-shaped relationship between exercise intensity and inhibitory control was generally observed for the behavioral and neuroelectric indices, with the moderate intensity group exhibiting shorter Go reaction times, increased NoGo accuracy, and larger NoGo-N2 amplitudes. Acute exercise may provide benefits for MA-associated craving and inhibitory control in MA-dependent individuals, as revealed by behavioral and neuroelectric measures. Moderate-intensity exercise may be associated with more positive effects, providing preliminary evidence for the establishment of an exercise prescription regarding intensity for MA dependence. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  13. Far-Infrared Magneto-Optical Studies in Germanium and Indium-Antimonide at High Intensities

    Science.gov (United States)

    Leung, Michael

    Observations of nonlinear magneto-optical phenomena occurring in p-type Germanium and n-type Indium Antimonide are reported. These include multi-photon ionization of impurity states, and a new observation, the magneto-photon ionization of impurity states, and a new observation, the magneto-photon drag effect. A novel source of far-infrared radiation has been used. This source uses a pulsed CO(,2) LASER to optically pump a super-radiant cell, generating light with intensities up to 100 KW/cm('2) and wavelengths from 66 (mu)m to 496 (mu)m in a pulse of 150 nanoseconds duration. The Germanium samples were doped with Gallium, which is a shallow acceptor with an ionization potential of 11 meV. At liquid Helium temperature virtually all charge carriers are bound to acceptor sites. However, the high intensity radiation unexpectedly ionizes the acceptors. This is demonstrated through measurements of photoconductivity, transmission and the photo-Hall Effect. This observation is unexpected because the photon energy is one-fourth the ionization potential. Rate equations describing sequential multiphoton excitations are in agreement with the experimental results. The intermediate states are postulated to be acceptor exciton band states. Studies of the photoexcited mobility at 496 (mu)m suggest that at non-saturating levels of photoexcitation, the primary scattering mechanism of hot holes in Germanium is by neutral impurities. A new magneto-optical effect, the magneto-photon drag effect, has been studied in both Germanium and Indium Antimonide. This is simply the absorption of momentum by free carriers, from an incident photon field. It has been found that the mechanism for this effect is different in the two materials. In Germanium, the effect occurs when carriers make optical transitions from the heavy hole band to the light hole band. Thus, the magneto-optical behavior depends heavily upon the band structure. On the other hand, a modified Drude model (independent electron

  14. The Lived Experience of Jordanian Parents in a Neonatal Intensive Care Unit: A Phenomenological Study.

    Science.gov (United States)

    Abuidhail, Jamila; Al-Motlaq, Mohammad; Mrayan, Lina; Salameh, Taghreed

    2017-04-01

    Many international studies in the field of neonatal nursing have identified parental stress, coping difficulties, support issues, and various other experiences that are related to the birth of a preterm infant. However, no studies have assessed the interrelated issues of parental stress, social support, satisfaction, and nursing support in neonatal intensive care units (NICUs) in Jordan. This study describes the lived experiences, needs in relation to care, and support systems of parents whose neonates were admitted to the NICU. A qualitative design using a phenomenological approach was used to explore the experiences of Jordanian parents who gave birth to neonates in the NICU setting. Participants were recruited from the NICUs of government, teaching, and private hospitals. Data were collected using semistructured interviews that were conducted with parents in a suitable place. Ten participants were interviewed: eight mothers and two fathers. After interviews were transcribed, the methodology suggested by van Manen (1990) was used to analyze the data. The shock, worry, and anxiety experienced by parents; the influences of NICU admission on the experiences of parents and families; the information and assistance required and received by parents from healthcare professionals; and the emotions and satisfaction of parents were the main themes that emerged from the study to reflect the lived experience of parents of neonates in the NICU. The parents in this study were satisfied with the healthcare process in the NICUs, even when this care did not fulfill their expectations or needs for their infants. Nurses in the NICUs must develop interventions and strategies that minimize the stress experienced by parents and that support the emotional capacity of parents to deal with this stressful situation.

  15. Research nurses in New Zealand intensive care units: A qualitative descriptive study.

    Science.gov (United States)

    Mackle, Diane; Nelson, Katherine

    2018-04-20

    This study explored the role of the research nurse in New Zealand (NZ) Level III intensive care units (ICU). Little was known about this role in NZ prior to this study. To describe the role and responsibilities of NZ ICU research nurses. A qualitative, descriptive approach, using semi structured interviews was used. The study was conducted in six Level III ICUs throughout NZ that employed a research nurse. Interviews were conducted with research nurses (n = 11), principal investigators (n = 6) and nurse managers (n = 6), and the findings were triangulated. The views across all ICUs and stakeholders were generally similar, with differences only being in some operational areas. This study found that the primary role of the research nurse was trial management, where they coordinated all elements of trial conduct. Almost half of the research nurses were involved in trial design through their positions on management committees. Research nurses also played a vital role in patient and trial advocacy, and they bridged the knowledge gap by bringing research to staff nurses, patients and their families. The majority of research nurses reported to a nursing line manager, and had an informal accountability to the PI. The role of NZ ICU research nurses is similar to their international counterparts. This study provides clarity about the research nurse role and showcases their key contribution in ensuring that NZ ICUs undertake high quality research, thus contributing to potential improvements for future patients' outcomes. Copyright © 2018 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.

  16. Intensity of training sessions among professional indoor soccer players: a case study

    Directory of Open Access Journals (Sweden)

    Francimara Budal Arins

    2007-09-01

    Full Text Available > This study aimed to characterize physiological responses of indoor soccer (futsal professional players to training sessions, according to playing position. The sample was composed by five players ( X =23.9±3.0 yrs of an adult professional futsal team from Florianópolis, SC, Brazil. The athletes performed a maximal exercise test for measuring oxygen consumption, heart rate (HR and respiratory quotient (RQ, variables used to create regression equations for energy expenditure (EE, kcal prediction and to estimate relative work intensity (% max HR. During the sessions, HR was measured with a S610i Polar® monitor. The results showed that the goalkeeper played at 60% to 70% max HR. The mid-fi elders and the attacker worked at more intense levels (81% to 100%, while the defender varied the intensity at intermediate exercise range (71% to 90%. Total EE was similar among mid-fi elders and attacker ( X =339.5 kcal, while the defender presented lower values ( X =255.0 kcal. The goalkeeper had the lowest EE ( X =106.9 kcal. The results agreed with those reported in soccer studies and facilitate planning and control of an individualized training program according to playing position. ABSTRACT Este estudo objetivou caracterizar as respostas fi siológicas de atletas profissionais de futsal durante o treinamento coletivo, de acordo com a posição tática desempenhada. A amostra foi composta pelos cinco jogadores titulares ( X =23,9±3,0 anos de uma equipe de futsal masculino profi ssional adulto da cidade de Florianópolis, SC. Os atletas foram avaliados por um teste ergoespirométrico máximo, que forneceu o consumo de oxigênio, a freqüência cardíaca (FC e o quociente respiratório (RQ, valores utilizados para gerar equações de regressão para estimativa do gasto calórico (GCal e da intensidade do trabalho (expressa em % FC máxima predita pela idade (% FC máx. Durante os coletivos, a FC foi mensurada com um monitor Polar modelo S610i®. Os

  17. On-board sound intensity tire-pavement noise study in North Carolina.

    Science.gov (United States)

    2011-12-01

    "This research investigated tire-pavement noise on various types of pavements across North Carolina by using On- : Board Sound Intensity (OBSI) method. To mitigate traffic noise, quieter pavement may provide advantages that : noise barriers cannot. T...

  18. A study of an intensive home-based treatment program and its ...

    African Journals Online (AJOL)

    Adele

    Key words: Intensive home based program, health services, admission, outpatient, inpatient, aged care. Received: ... vate agencies were sometimes also used and funded by APS or more .... result of other structural changes in the system.

  19. Infrared cross-sections and integrated band intensities of propylene: Temperature-dependent studies

    KAUST Repository

    Es-sebbar, Et-touhami; Alrefae, Majed; Farooq, Aamir

    2014-01-01

    intensities of propylene are essential for quantitative measurements and atmospheric modeling. We measured absolute IR cross-sections of propylene using Fourier Transform Infrared (FTIR) Spectroscopy over the wavenumber range of 400-6500cm-1 and at gas

  20. Accumulation of advanced glycation end (AGEs products in intensive care patients: an observational, prospective study

    Directory of Open Access Journals (Sweden)

    Rommes Johannes H

    2010-05-01

    Full Text Available Abstract Background Oxidative stress plays an important role in the course and eventual outcome in a majority of patients admitted to the intensive care unit (ICU. Markers to estimate oxidative stress are not readily available in a clinical setting. AGEs accumulation has been merely described in chronic conditions, but can also occur acutely due to oxidative stress. Since AGEs have emerged to be stable end products, these can be a marker of oxidative stress. Skin autofluorescence (AF is a validated marker of tissue content of AGEs. We hypothesized that AGEs accumulate acutely in ICU patients. Methods We performed an observational prospective study in a medical surgical ICU in a university affiliated teaching hospital. All consecutively admitted ICU patients in a 2 month period were included. Skin AF was measured using an AGE reader in 35 consecutive ICU patients > 18 yrs. As a comparison, historical data of a control group (n = 231 were used. These were also used to calculate age-adjusted AF-levels (AFadj. Values are expressed as median and interquartile range [P25-P75]. Differences between groups were tested by non parametric tests. P Results AFadj values were higher in ICU patients (0.33 [0.00 - 0.68] than in controls (-0.07 [-0.29 - 0.24]; P adj were observed between acute or planned admissions, or presence of sepsis, nor was skin AFadj related to severity of disease as estimated by APACHE-II score, length of ICU, hospital stay or mortality. Conclusion Acute AGE accumulation in ICU patients was shown in this study, although group size was small. This can possibly reflect oxidative stress in ICU patients. Further studies should reveal whether AGE-accumulation will be a useful parameter in ICU patients and whether skin AF has a predictive value for outcome, which was not shown in this small study.

  1. Intensive care delirium - effect on memories and health-related quality of life - a follow-up study

    DEFF Research Database (Denmark)

    Svenningsen, Helle; Tønnesen, Else K; Videbech, Poul

    2013-01-01

    after intensive care unit. Interviews were repeated after two and six months and supplemented with Short Form-36 and the Barthel Index. RESULTS: Delirium was detected in 60% of the patients in our study, and delirious patients had significantly fewer factual memories and more memories of delusion than...... than half of the patients in intensive care unit experience delirium, which is associated with fewer factual memories and more memories of delusions. Short Form-36 might not be sensitive to delirium-related outcomes. Future research should include the development of better assessment tools to determine...... the long-term consequences of intensive care unit delirium. RELEVANCE TO CLINICAL PRACTICE: We recommend regular assessment to prevent, detect and treat delirium. We also recommend an intensive care unit follow-up programme providing an opportunity for postintensive care unit patients, particularly...

  2. Forest - added Turbulence: A parametric study on Turbulence intensity in and around forests

    International Nuclear Information System (INIS)

    Pedersen, Henrik Sundgaard; Langreder, Wiebke

    2007-01-01

    The scope of the investigation is to take on-site measured wind data from a number of sites inside and close to forests. From the collected on-site data the ambient turbulence intensity is calculated and analysed depending on the distance to the forest and height above the forest. From this forest turbulence intensity database it is possible to get an overview of the general behaviour of the turbulence above and down stream from the forest. The database currently consists of 65 measurements points from around the globe, and it will be continually updated as relevant sites are made available. Using the database a number of questions can be answered. How does the ambient turbulence intensity decay with height? What does the turbulence profile look like according to wind speed? Is it the general situation that high wind speeds are creating movement in the canopy tops, resulting in higher turbulence? How does the ambient turbulence intensity decay at different height as a function of distance to the forest? From the forest turbulence database it can be seen that in general, the majority of the turbulence intensity created by the forest is visible within a radius of 5 times the forest height in vertical and 500 meters downstream from the forest edge in horizontal direction. Outside these boundaries the ambient turbulence intensity is rapidly approaching normal values

  3. Comparison study of intensity modulated arc therapy using single or multiple arcs to intensity modulated radiation therapy for high-risk prostate cancer

    International Nuclear Information System (INIS)

    Ashamalla, Hani; Tejwani, Ajay; Parameritis, Loannis; Swamy, Uma; Luo, Pei Ching; Guirguis, Adel; Lavaf, Amir

    2013-01-01

    Intensity modulated arc therapy (IMAT) is a form of intensity modulated radiation therapy (IMRT) that delivers dose in single or multiple arcs. We compared IMRT plans versus single-arc field (1ARC) and multi-arc fields (3ARC) IMAT plans in high-risk prostate cancer. Sixteen patients were studied. Prostate (PTV P ), right pelvic (PTV RtLN ) and left pelvic lymph nodes (PTV LtLN ), and organs at risk were contoured. PTVP, PTV RtLN , and PTV LtLN received 50.40 Gy followed by a boost to PTV B of 28.80 Gy. Three plans were per patient generated: IMRT, 1ARC, and 3ARC. We recorded the dose to the PTV, the mean dose (D MEAN ) to the organs at risk, and volume covered by the 50% isodose. Efficiency was evaluated by monitor units (MU) and beam on time (BOT). Conformity index (CI), Paddick gradient index, and homogeneity index (HI) were also calculated. Average Radiation Therapy Oncology Group CI was 1.17, 1.20, and 1.15 for IMRT, 1ARC, and 3ARC, respectively. The plans' HI were within 1% of each other. The D MEAN of bladder was within 2% of each other. The rectum D MEAN in IMRT plans was 10% lower dose than the arc plans (p < 0.0001). The GI of the 3ARC was superior to IMRT by 27.4% (p = 0.006). The average MU was highest in the IMRT plans (1686) versus 1ARC (575) versus 3ARC (1079). The average BOT was 6 minutes for IMRT compared to 1.3 and 2.9 for 1ARC and 3ARC IMAT (p < 0.05). For high-risk prostate cancer, IMAT may offer a favorable dose gradient profile, conformity, MU and BOT compared to IMRT.

  4. Control of hyperglycaemia in paediatric intensive care (CHiP: study protocol

    Directory of Open Access Journals (Sweden)

    Percy Deborah

    2010-02-01

    Full Text Available Abstract Background There is increasing evidence that tight blood glucose (BG control improves outcomes in critically ill adults. Children show similar hyperglycaemic responses to surgery or critical illness. However it is not known whether tight control will benefit children given maturational differences and different disease spectrum. Methods/Design The study is an randomised open trial with two parallel groups to assess whether, for children undergoing intensive care in the UK aged ≤ 16 years who are ventilated, have an arterial line in-situ and are receiving vasoactive support following injury, major surgery or in association with critical illness in whom it is anticipated such treatment will be required to continue for at least 12 hours, tight control will increase the numbers of days alive and free of mechanical ventilation at 30 days, and lead to improvement in a range of complications associated with intensive care treatment and be cost effective. Children in the tight control group will receive insulin by intravenous infusion titrated to maintain BG between 4 and 7.0 mmol/l. Children in the control group will be treated according to a standard current approach to BG management. Children will be followed up to determine vital status and healthcare resources usage between discharge and 12 months post-randomisation. Information regarding overall health status, global neurological outcome, attention and behavioural status will be sought from a subgroup with traumatic brain injury (TBI. A difference of 2 days in the number of ventilator-free days within the first 30 days post-randomisation is considered clinically important. Conservatively assuming a standard deviation of a week across both trial arms, a type I error of 1% (2-sided test, and allowing for non-compliance, a total sample size of 1000 patients would have 90% power to detect this difference. To detect effect differences between cardiac and non-cardiac patients, a target sample

  5. Studies and conception of a radiofrequency cooler for high intensity beams

    International Nuclear Information System (INIS)

    Duval, Florian

    2009-01-01

    The topic of this thesis is the study and the conception of a RFQ Cooler with buffer gas for high intensity radioactive beams. This project is in the frame of the next extension of GANIL, Spiral2, and the future low-energy facility DESIR ('Decay, Excitation and Storage of Radioactive ions'). The goal is to reduce the beams emittance of Spiral2 beams to allow their purification (ideally at isobaric level) with a high resolution separator. This cooler consists on a quadrupolar structure on which ions are confined by RF potential in opposite phase at an energy of 100 eV. A light buffer-gas, typically helium, is injected in the quadrupole and, after each collision, the ion lose a part of its energy and is finally cooled. The main problem on our project concerns the space charge. The existing devices are able to cool currents of few 10 nA whereas we have to treat beam intensities around 1 μA which induce an increase of the Coulomb repulsion between ions. That needs to produce strong RF fields which induce high RF potentials (≅ 10 kV_p_p) and a low inner radius (r_0 ≅ 3 a 5 mm). We have worked on a first prototype, SHIRaC-Phase1 ('Spiral2 High Intensity Radiofrequency Cooler'), with a 3 mm-inner radius, built at CSNSM-Orsay and moved at LPC-Caen at the end of 2007. The main R and D effort concerns the electronic part. A first RF system, based on a LC resonant circuit, has been developed and has provided up to 2500 V_p_p between 4.5 and 6.3 MHz. In these conditions, we have checked that we didn't have strong limitations from electrical breakdown between our electrodes. With this device, we have reduced the beam emittance to a value around 2 π.mm.mrad at 60 keV and the longitudinal energy spread to 146 meV. The maximum transmission of Sodium "2"3Na"+ and Rubidium "8"7Rb"+ is 25% with an ionization source for which the beam quality is better than Spiral2. For this reason, we have conceived a new cooler with an acceptance of 80 π.mm.mrad at 60 keV. This second

  6. Comparative study of the fluorescence intensity of dental composites and human teeth submitted to artificial aging.

    Science.gov (United States)

    Jablonski, Tatiana; Takahashi, Marcos Kenzo; Brum, Rafeal Torres; Rached, Rodrigo Nunes; Souza, Evelise M

    2014-01-01

    The aim of this study was to evaluate quantitatively the fluorescence of resin composites and human teeth, and to determine the stability of fluorescence after aging. Ten specimens were built using a 1 mm thick increment of dentin composite overlapped by a 0.5 mm thick increment of enamel composite. Ten sound human molars were sectioned and silicon carbide-polished to obtain enamel and dentin slabs 1.5 mm in thickness. Fluorescence measurements were carried out by a fluorescence spectrophotometer before and after thermocycling (2000 cycles, 5°C and 55°C). One-way analysis of variance (ANOVA) with repeated measures and Tukey's test were performed at a significance level of 5%. Most of the tested composites showed significant differences in fluorescence both before and after aging (P 0.05), and was the only composite that showed comparable results of fluorescence to the tooth structure before and after thermocycling. With the exception of Filtek Supreme, there were significant reductions in fluorescence intensity for all the tested composites (P < 0.05).

  7. Advanced hemodynamic monitoring in intensive care medicine : A German web-based survey study.

    Science.gov (United States)

    Saugel, B; Reese, P C; Wagner, J Y; Buerke, M; Huber, W; Kluge, S; Prondzinsky, R

    2018-04-01

    Advanced hemodynamic monitoring is recommended in patients with complex circulatory shock. To evaluate the current attitudes and beliefs among German intensivists, regarding advanced hemodynamic monitoring, the actual hemodynamic management in clinical practice, and the barriers to using it. Web-based survey among members of the German Society of Medical Intensive Care and Emergency Medicine. Of 284 respondents, 249 (87%) agreed that further hemodynamic assessment is needed to determine the type of circulatory shock if no clear clinical diagnosis can be made. In all, 281 (99%) agreed that echocardiography is helpful for this purpose (transpulmonary thermodilution: 225 [79%]; pulmonary artery catheterization: 126 [45%]). More than 70% of respondents agreed that blood flow variables (cardiac output, stroke volume) should be measured in patients with hemodynamic instability. The parameters most respondents agreed should be assessed in a patient with hemodynamic instability were mean arterial pressure, cardiac output, and serum lactate. Echocardiography is available in 99% of ICUs (transpulmonary thermodilution: 91%; pulmonary artery catheter: 63%). The respondents stated that, in clinical practice, invasive arterial pressure measurements and serum lactate measurements are performed in more than 90% of patients with hemodynamic instability (cardiac output monitoring in about 50%; transpulmonary thermodilution in about 40%). The respondents did not feel strong barriers to the use of advanced hemodynamic monitoring in clinical practice. This survey study shows that German intensivists deem advanced hemodynamic assessment necessary for the differential diagnosis of circulatory shock and to guide therapy with fluids, vasopressors, and inotropes in ICU patients.

  8. Sensory dynamics of intense microwave irradiation: A comparative study of aversive behaviors by mice and rats

    Energy Technology Data Exchange (ETDEWEB)

    Justesen, D.R.

    1981-10-01

    The results of two experiments are reported, the first on 24 mice and 14 rats, all experimentally naive, that were observed for evidence of adventitious escape from faradic shock or from a potentially lethal, 2450-MHz microwave field in a multi-mode cavity. All of ten rats irradiated at a whole-body-averaged dose rate of 60 mW/g convulsed and expired, presumably from radiation-induced hyperpyrexia. Eight of ten mice irradiated at 60 mW/g survived the four sessions of irradiation, but reliable evidence of escape learning was not observed. The data of the second experiment, which was a pilot study of four rats with an extensive history of exposure to intense but intermittently applied microwave fields, revealed that the animals learned to thermoregulate behaviorally by locomoting in and out of the safe-area circle. A strong relation between dose rate (30, 60, and 120 mW/g) and proportion of time spent in the safe area was observed (r = .97). Post-exposure means of colonic temperature during three sets of sessions under the different rates of energy dosing were highly stable and averaged 39.6 deg C.

  9. Intensity-modulated radiation therapy to bilateral lower limb extremities concurrently: a planning case study

    Energy Technology Data Exchange (ETDEWEB)

    Fitzgerald, Emma, E-mail: emmafitz1390@gmail.com; Miles, Wesley; Fenton, Paul; Frantzis, Jim [Radiation Oncology, Epworth HealthCare, Victoria (Australia)

    2014-09-15

    Non-melanomatous skin cancers represent 80% of all newly diagnosed cancers in Australia with basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) being the most common. A previously healthy 71-year-old woman presented with widespread and tender superficial skin cancers on the lower bilateral limbs. External beam radiation therapy through the use of intensity-modulated radiation therapy (IMRT) was employed as the treatment modality of choice as this technique provides conformal dose distribution to a three-dimensional treatment volume while reducing toxicity to surrounding tissues. The patient was prescribed a dose of 60 Gy to the planning target volume (PTV) with 1.0 cm bolus over the ventral surface of each limb. The beam arrangement consisted of six treatment fields that avoided entry and exit through the contralateral limb. The treatment plans met the International Commission on Radiation Units and Measurements (ICRU) guidelines and produced highly conformal dosimetric results. Skin toxicity was measured against the National Cancer Institute: Common Terminology Criteria for Adverse Events (NCI: CTCAE) version 3. A well-tolerated treatment was delivered with excellent results given the initial extent of the disease. This case study has demonstrated the feasibility and effectiveness of IMRT for skin cancers as an alternative to surgery and traditional superficial radiation therapy, utilising a complex PTV of the extremities for patients with similar presentations.

  10. Comparative Study Between Intense Pulsed Light IPLAND Pulsed Dye Laser In The Treatment Of Striae Distensae

    International Nuclear Information System (INIS)

    El-Khalafawy, Gh.M.K.A.

    2013-01-01

    Pulsed dye laser (PDL) and Intense Pulsed Light (IPL) have been used to treat Striae Distensae (SD). Thirty patients with age ranging from 14 - 42 years were included in this study. Twenty patients were treated on one side of their bodies with PDL and on the other side with IPL while seven patients were treated on both sides by IPL and three patients were treated on both sides by PDL for five sessions with four weeks interval between sessions. Skin biopsies were stained with H and E, Masson Trichrome, Orcein, Alcian blue and anti-collagen I Α1. After both PDL and IPL treatments striae width was decreased and the texture was improved in a highly significant manners where P value was 0.001. Collagen expression was increased in a highly significant manner and P values were <0.001 and 0.004 after PDL and IPL treatments respectively. However, PDL induced expression of collagen I in a highly significant manner compared to the treatment with IPL where P values were <0.001 and 0.193 respectively. Striae rubra gave a superior response with either PDL or IPL compared to striae alba which was evaluated clinically by the width, color and texture, although the histological changes could not verify this consequence. Both PDL and IPL can enhance the clinical picture of striae through collagen stimulation therapeutic modalities

  11. Studies on the production of high energy densities in matter by intense heavy-ion beams

    International Nuclear Information System (INIS)

    Jacoby, J.

    1989-08-01

    In the framework of the present thesis the interaction of an intense heavy-ion beam with a small, but macroscopical amount of matter is studied. Thereby high energy densities in the target matter are produced. For this experiment it was for the first time possible to heat matter with ion beams from conventional heavy-ion accelerators up to plasma conditions. A KR + -ion beam was first accelerated with the heavy-ion accelerator MAXILAC to 45 keV/u and then focussed by a fine-focusing lens to a closed xenon gas target. The light emitted from the target was space- and time resolved taken up by a spectrometer as well as by a streak and CCD camera. Thereby the radial development of the plasma and the penetration behaviour of the ion beam was observed. The free electron density of the plasma was determined from the Stark broadening of emission lines (n e ≅ 4x10 16 cm -3 ). The temperature could be determined by different methods (shock-wave velocity, degree of ionization, line ratios). The electron temperature amounted in the center of the pipe to kT ≅ 0.75 eV. For the opacity of the target by which the emitted light power is determined under the assumption of the two-dimensional model (equilibrium between emitted and absorbed energy) the value κ p ≅ 7700 cm 2 /g resulted. (orig./HSI) [de

  12. Studies on the production of high energy density in matter with intense heavy-ion beams

    International Nuclear Information System (INIS)

    Jacoby, J.

    1989-01-01

    In the framework of the present thesis the interaction of an intense heavy-ion beam with a small, but macroscopic, amount of matter is studied. Thereby high energy densities are produced in the target matter. For this experiment it was for the first time possible to heat matter with ion beams from conventional heavy-ion accelerators up to plasma conditions. A Kr + ion beam was first accelerated with the heavy-ion accelerator MAXILAC to 45 keV/u and then focused by a fine-focusing lens on a closed xenon gas target. The light emitted from the target was space- and time-resolved taken up with a spectrometer as well a streak and CCD camera. Thereby the radial development of the plasma and the penetration behaviour of the ion beam were consecuted. The free-electron density of the plasma was determined from the Stark-broadening of emission lines (n e ≅ 4x10 16 cm -3 ). The electron temperature amounted in the center of the pipelet kT ≅ 0.75 eV. (orig./HSI) [de

  13. The perceived quality of interprofessional teamwork in an intensive care unit: A single centre intervention study.

    Science.gov (United States)

    Van den Bulcke, Bo; Vyt, Andre; Vanheule, Stijn; Hoste, Eric; Decruyenaere, Johan; Benoit, Dominique

    2016-05-01

    This article describes a study that evaluated the quality of teamwork in a surgical intensive care unit and assessed whether teamwork could be improved significantly through a tailor-made intervention. The quality of teamwork prior to and after the intervention was assessed using the Interprofessional Practice and Education Quality Scales (IPEQS) using the PROSE online diagnostics and documenting system, which assesses three domains of teamwork: organisational factors, care processes, and team members' attitudes and beliefs. Furthermore, team members evaluated strengths and weaknesses of the teamwork through open-ended questions. Information gathered by means of the open questions was used to design a tailor-made 12-week intervention consisting of (1) optimising the existing weekly interdisciplinary meetings with collaborative decision-making and clear communication of goal-oriented actions, including the psychosocial aspects of care; and (2) organising and supporting the effective exchange of information over time between all professions involved. It was found that the intervention had a significant impact on organisational factors and care processes related to interprofessional teamwork for the total group and within all subgroups, despite baseline differences between the subgroups in interprofessional teamwork. In conclusion, teamwork, and more particularly the organisational aspects of interprofessional collaboration and processes of care, can be improved by a tailor-made intervention that takes into account the professional needs of healthcare workers.

  14. Impact of aminoglycoside cycling in six tertiary intensive care units: prospective longitudinal interventional study.

    Science.gov (United States)

    Francetić, Igor; Kalenić, Smilja; Huić, Mirjana; Mercep, Iveta; Makar-Ausperger, Ksenija; Likić, Robert; Erdeljić, Viktorija; Tripković, Vesna; Simić, Petra

    2008-04-01

    To determine the effect of aminoglycoside cycling in six tertiary intensive care units (ICU) on the rates of sepsis, aminoglycoside resistance patterns, antibiotic consumption, and costs. This was a prospective longitudinal interventional study that measured the effect of change from first-line gentamicin usage (February 2002-February 2003) to amikacin usage (February 2003-February 2004) on the aminoglycoside resistance patterns, number of patients with gram-negative bacteremia, consumption of antibiotics, and the cost of antimicrobial drugs in 6 tertiary care ICUs in Zagreb, Croatia. The change from first-line gentamicin to amikacin usage led to a decrease in the overall gentamicin resistance of gram-negative bacteria (GNB) from 42% to 26% (PAcinetobacter baumanni (P=0.014). Sepsis rate in ICUs was reduced from 3.6% to 2.2% (P<0.001; chi(2) test), with a decline in the number of nosocomial bloodstream infections from 55/100 patient-days to 26/100 patient-days (P=0.001, chi(2) test). Furthermore, amikacin use led to a 16% decrease in the overall antibiotic consumption and 0.1 euro/patient/d cost reduction. Exclusive use of amikacin significantly reduced the resistance of GNB isolates to gentamicin and netilmicin, the number of GNB nosocomial bacteremias, and the cost of total antibiotic usage in ICUs.

  15. Improving delirium care in the intensive care unit: The design of a pragmatic study

    Directory of Open Access Journals (Sweden)

    Hui Siu L

    2011-06-01

    Full Text Available Abstract Background Delirium prevalence in the intensive care unit (ICU is high. Numerous psychotropic agents are used to manage delirium in the ICU with limited data regarding their efficacy or harms. Methods/Design This is a randomized controlled trial of 428 patients aged 18 and older suffering from delirium and admitted to the ICU of Wishard Memorial Hospital in Indianapolis. Subjects assigned to the intervention group will receive a multicomponent pharmacological management protocol for delirium (PMD and those assigned to the control group will receive no change in their usual ICU care. The primary outcomes of the trial are (1 delirium severity as measured by the Delirium Rating Scale revised-98 (DRS-R-98 and (2 delirium duration as determined by the Confusion Assessment Method for the ICU (CAM-ICU. The PMD protocol targets the three neurotransmitter systems thought to be compromised in delirious patients: dopamine, acetylcholine, and gamma-aminobutyric acid. The PMD protocol will target the reduction of anticholinergic medications and benzodiazepines, and introduce a low-dose of haloperidol at 0.5-1 mg for 7 days. The protocol will be delivered by a combination of computer (artificial intelligence and pharmacist (human intelligence decision support system to increase adherence to the PMD protocol. Discussion The proposed study will evaluate the content and the delivery process of a multicomponent pharmacological management program for delirium in the ICU. Trial Registration ClinicalTrials.gov: NCT00842608

  16. Signal intensity of lanthanum carbonate on magnetic resonance images: phantom study.

    Science.gov (United States)

    Nakamura, Shinichi; Awai, Kazuo; Komi, Masanori; Morita, Kosuke; Namimoto, Tomohiro; Yanaga, Yumi; Utsunomiya, Daisuke; Date, Shuji; Yamashita, Yasuyuki

    2011-06-01

    Lanthanum carbonate (LC) is used to treat hyperphosphatemia. The purpose of this study was to investigate the signal intensity (SI) of LC on magnetic resonance imaging (MRI) scans of phantoms. LC tablets were thoroughly ground and mixed with distilled water or edible agar (0.05, 0.25, 0.5, and 2.5 mg/ml) in plastic bottles. Four intact tablets were placed in plastic bottles that did or did not contain distilled water or agar. Two radiologists consensually evaluated T1- and T2-weighted images (WIs) obtained with 1.5- and 3.0-T MRI systems for the SI of unground and ground tablets. On T1- and T2WI, the SIs of the LC suspensions and the solvents alone were similar; the SIs of unground tablets alone and of the air were also similar. Unground tablets in phantoms filled with solvent exhibited lower SI than the solvent. Ground tablets in suspension were not visualized on MRI or computed tomography. These results remained unchanged regardless of differences in magnetic field strength or the solvent used. Ground LC had no contrast enhancement effect on T1WI; on T2WI it did not affect the SI of the solvent. Unground LC tablets may be visualized as a "filling defect" on MRI.

  17. Signal intensity of lanthanum carbonate on magnetic resonance images. Phantom study

    International Nuclear Information System (INIS)

    Nakamura, Shinichi; Awai, Kazuo; Namimoto, Tomohiro; Yanaga, Yumi; Utsunomiya, Daisuke; Date, Shuji; Yamashita, Yasuyuki; Komi, Masanori; Morita, Kosuke

    2011-01-01

    Lanthanum carbonate (LC) is used to treat hyperphosphatemia. The purpose of this study was to investigate the signal intensity (SI) of LC on magnetic resonance imaging (MRI) scans of phantoms. LC tablets were thoroughly ground and mixed with distilled water or edible agar (0.05, 0.25, 0.5, and 2.5 mg/ml) in plastic bottles. Four intact tablets were placed in plastic bottles that did or did not contain distilled water or agar. Two radiologists consensually evaluated T1- and T2-weighted images (WIs) obtained with 1.5- and 3.0-T MRI systems for the SI of unground and ground tablets. On T1- and T2WI, the SIs of the LC suspensions and the solvents alone were similar; the SIs of unground tablets alone and of the air were also similar. Unground tablets in phantoms filled with solvent exhibited lower SI than the solvent. Ground tablets in suspension were not visualized on MRI or computed tomography. These results remained unchanged regardless of differences in magnetic field strength or the solvent used. Ground LC had no contrast enhancement effect on T1WI; on T2WI it did not affect the SI of the solvent. Unground LC tablets may be visualized as a 'filling defect' on MRI. (author)

  18. Interprofessional intensive care unit team interactions and medical crises: a qualitative study.

    Science.gov (United States)

    Piquette, Dominique; Reeves, Scott; Leblanc, Vicki R

    2009-05-01

    Research has suggested that interprofessional collaboration could improve patient outcomes in the intensive care unit (ICU). Maintaining optimal interprofessional interactions in a setting where unpredictable medical crises occur periodically is however challenging. Our study aimed to investigate the perceptions of ICU health care professionals regarding how acute medical crises affect their team interactions. We conducted 25 semi-structured interviews of ICU nurses, staff physicians, and respiratory therapists. All interviews were audio-taped and transcribed, and the analysis was undertaken using an inductive thematic approach. Our data indicated that the nature of interprofessional interactions changed as teams passed through three key temporal periods around medical crises. During the "pre-crisis period", interactions were based on the mutual respect of each other's expertise. During the "crisis period", hierarchical interactions were expected and a certain lack of civility was tolerated. During the "post-crisis period", divergent perceptions emerged amongst health professionals. Post-crisis team dispersion left the nurses with questions and emotions not expressed by other team members. Nurses believed that systematic interprofessional feedback sessions held immediately after a crisis could address some of their needs. Further research is needed to establish the possible benefits of strategies addressing ICU health care professionals' specific needs for interprofessional feedback after a medical crisis.

  19. [Hematemesis in Togo: findings of a 12-month study in an intensive care unit].

    Science.gov (United States)

    Djibril, A M; Tomta, K; Balaka, K; Bagny, A; M'ba, K B; Kaaga, L; Redah, D; Agbetra, A

    2010-06-01

    This prospective study was conducted over a 12-month period on patients who underwent upper digestive endoscopy for hematemesis in the medical intensive care unit (ICU) of the Tokoin University Hospital Center in Lomé, Togo. A total of 44 patients with a mean age of 44 years were included. The sex-ratio was 2.61. Risk factors included use of non-steroid anti-inflammatory (NSAI) in 16 patients (36.4%) and alcohol abuse in 13 (29.6%). At the time of admission to the ICU, 21 patients (47.7%) were in hemodynamic shock and 11 (25%) presented signs of portal hypertension. The underlying etiology was peptic ulcer in 18 cases (40.9%) including 13 cases of duodenal ulcer and 5 cases of stomach ulcer, rupture of esophageal varicosities in 8 (18.2%), gastric tumor in 6 (13.6%), Mallory Weiss syndrome in 5 (11.4%), gastritis in 4 (9,1%), and esophagitis in 3 (6.8%) due to peptic inflammation in 2 and mycotic infection in 1. The mortality rate was 45.5%. The main causes of hematemesis were peptic ulcer and rupture of esophageal varicosities. The death rate was high due to inadequate care facilities.

  20. Intensive vs. free-range organic beef. A preference study through consumer liking and conjoint analysis.

    Science.gov (United States)

    García-Torres, S; López-Gajardo, A; Mesías, F J

    2016-04-01

    This paper evaluates consumer liking and preferences towards organic beef from two production systems allowed by EU regulation: i) free-range and ii) intensive (fattened in feed-lot with organic feedstuff) as compared with conventionally produced beef. Data were obtained in April-May 2014 with a sample of 150 regular beef consumers who completed two tasks: firstly a sensory test where consumers tasted and rated the meats and secondly a conjoint analysis to study beef purchasing preferences. Willingness-to-pay for the different meats was also calculated from conjoint results. Results show that consumers preferred organic-from-concentrate beef at sensory level while organic beef from animals fed on grass was preferred when process characteristics (i.e. farming system) or attributes perceived at the point of purchase (i.e. colour) were evaluated. It was also found that the price-premium for organic beef is over 40%, with organic-fed-on grass beef preferred slightly over that fed-on-concentrate. Copyright © 2015 Elsevier Ltd. All rights reserved.

  1. Asthma changes at a Pediatric Intensive Care Unit after 10 years: Observational study

    Directory of Open Access Journals (Sweden)

    Ayman A Al-Eyadhy

    2015-01-01

    Full Text Available Objectives: To describe the change in the management, and outcome of children with acute severe asthma (ASA admitted to Pediatric Intensive Care Unit (PICU at tertiary institute, as compared to previously published report in 2003. Methods : This is a retrospective observational study. All consecutive pediatric ASA patients who were admitted to PICU during the study period were included. The data were extracted from PICU database and medical records. The Cohort in this study (2013 Cohort was compared with the Cohort of ASA, which was published in 2003 from the same institution (2003 Cohort. Results: In comparison to previous 2003 Cohort, current Cohort (2013 revealed higher mean age (5.5 vs. 3.6 years; P ≤ 0.001, higher rate of PICU admission (20.3% vs. 3.6%; P ≤ 0.007, less patients who received maintenance inhaled steroids (43.3% vs. 62.4%; P ≤ 0.03, less patients with pH <7.3 (17.9% vs. 42.9%; P ≤ 0.001. There were more patients in 2013 Cohort who received: Inhaled Ipratropium bromide (97% vs. 68%; P ≤ 0.001, intravenous magnesium sulfate (68.2% vs. none, intravenous salbutamol (13.6% vs. 3.6%; P ≤ 0.015, and noninvasive ventilation (NIV (35.8% vs. none while no patients were treated with theophylline (none vs. 62.5%. The median length of stay (LOS was 2 days while mean LOS was half a day longer in the 2013 Cohort. None of our patients required intubation, and there was no mortality. Conclusion: We observed slight shift toward older age, considerably increased the rate of PICU admission, increased utilization of Ipratropium bromide, magnesium sulfate, and NIV as important modalities of treatment.

  2. Personality, stress and coping in intensive care nurses: a descriptive exploratory study.

    Science.gov (United States)

    Burgess, Lorraine; Irvine, Fiona; Wallymahmed, Akhtar

    2010-01-01

    The aim of the study was to investigate the relationship between personality traits, perception of workplace stress and coping among intensive care unit (ICU) nurses. Research has indicated that ICUs are stressful environments. There is a tendency for research studies to investigate causes of stress and ways of coping, but few studies, particularly in recent years, have considered the personality traits of the staff who thrive in this challenging environment, the work stress they perceive and the coping strategies they use. A convenience sample of critical care nurses (n = 46) completed three standardised questionnaires during September 2007: the revised NEO personality inventory (NEO-PI-R); the nurses stress scale (NSI) and the Brief Coping Orientations to Problems Experienced (COPE) scale. ICU nurses did not perceive their workplaces to be stressful. Certain personality traits, openness, agreeableness and conscientiousness, were associated with problem-solving coping strategies such as active planning and reframing. Openness and extraversion were associated with less perceived stress from the 'patients and relatives' dimension of the NSI; there were also negative correlations between conscientiousness and the 'workload stress' and stress from lack of 'confidence and competence' dimensions of the NSI. Certain personality traits may have a buffering effect on workplace stress. Pre-employment screening to identify staff that exhibit personality and coping traits associated with low perceived stress may be considered as part of the recruitment strategy to address problems relating to stress, sickness and retention. The retention and recruitment of staff who have lower perceived workplace stress and who utilise problem-focused coping may result in less reported absences and fewer critical incidents and errors.

  3. 78 FR 62348 - Erie Boulevard Hydropower L.P.; Notice of Application Tendered for Filing With the Commission and...

    Science.gov (United States)

    2013-10-18

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 7518-015] Erie Boulevard... and a maximum storage capacity of approximately 112 acre-feet; (2) a 247- foot-long, 11.5-foot-high concrete gravity dam with a spillway crest elevation of 165.2 feet above mean sea level; (3) a 34-foot-long...

  4. 76 FR 4097 - Erie Boulevard Hydropower, L.P.; Notice of Application Tendered for Filing With the Commission...

    Science.gov (United States)

    2011-01-24

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 2713-082] Erie Boulevard... Oswegatchie River and consists of: (1) A 941-foot-long dam with a 192-foot-long, 69-foot-high concrete gravity... seasonal flash boards; (2) a 168-acre reservoir with a gross storage capacity of 3,234 acre-feet and a...

  5. Using water quality to assess ecological condition in the St. Marys River and Huron-Erie Corridor

    Science.gov (United States)

    The St. Marys River and Huron-Erie-Corridor were assessed by EPA for the first time in 2014-2016 as part of the National Coastal Condition Assessment (NCCA). NCCA uses a probabilistic survey design to allow unbiased assessment of ecological condition across the entire Great Lakes...

  6. A description of the nearshore fish communities in the Huron-Erie Corridor using multiple gear types

    Science.gov (United States)

    Francis, James T.; Chiotti, Justin A.; Boase, James C.; Thomas, Mike V.; Manny, Bruce A.; Roseman, Edward F.

    2013-01-01

    Great Lakes coastal wetlands provide a critical habitat for many fish species throughout their life cycles. Once home to one of the largest wetland complexes in the Great Lakes, coastal wetlands in the Huron–Erie Corridor (HEC) have decreased dramatically since the early 1900s. We characterized the nearshore fish communities at three different wetland complexes in the HEC using electrofishing, seines, and fyke nets. Species richness was highest in the Detroit River (63), followed by the St. Clair Delta (56), and Western Lake Erie (47). The nearshore fish communities in the Detroit River and St. Clair Delta consisted primarily of shiners, bluntnose minnow, centrarchids, and brook silverside, while the Western Lake Erie sites consisted of high proportions of non-native taxa including common carp, gizzard shad, goldfish, and white perch. Species richness estimates using individual-based rarefaction curves were higher when using electrofishing data compared to fyke nets or seine hauls at each wetland. Twelve fish species were captured exclusively during electrofishing assessments, while one species was captured exclusively in fyke nets, and none exclusively during seine hauls. Western Lake Erie wetlands were more indicative of degraded systems with lower species richness, lower proportion of turbidity intolerant species, and increased abundance of non-native taxa. This work highlights the importance of coastal wetlands in the HEC by capturing 69 different fish species utilizing these wetlands to fulfill life history requirements and provides insight when selecting gears to sample nearshore littoral areas.

  7. 76 FR 23799 - Erie Boulevard Hydropower, L.P.; Notice of Application Accepted for Filing, Soliciting Motions To...

    Science.gov (United States)

    2011-04-28

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. P-2713-082] Erie Boulevard...: Kimberly D. Bose, Secretary, Federal Energy Regulatory Commission, 888 First Street, NE., Washington, DC... Environmental Conservation, New York State Council of Trout Unlimited, U.S. Fish and Wildlife Service, the...

  8. Comparative Sensor Fusion between Hyperspectral and Multispectral Remote Sensing Data for Monitoring Microcystin Distribution in Lake Erie

    Science.gov (United States)

    Urban growth and agricultural production have caused an influx of nutrients into Lake Erie, leading to eutrophic zones. These conditions result in the formation of algal blooms, some of which are toxic due to the presence of Microcystis (a cyanobacteria), which produces the hepat...

  9. 75 FR 71122 - Erie Boulevard Hydropower L.P.; Notice of Scoping Meetings and Environmental Site Review

    Science.gov (United States)

    2010-11-22

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 7518-012--New York] Erie Boulevard Hydropower L.P.; Notice of Scoping Meetings and Environmental Site Review November 15, 2010. Commission staff will be conducting two public scoping meetings and an environmental site review in support...

  10. High-accuracy dosimetry study for intensity-modulated radiation therapy(IMRT) commissioning

    International Nuclear Information System (INIS)

    Jeong, Hae Sun

    2010-02-01

    Intensity-modulated radiation therapy (IMRT), an advanced modality of high-precision radiotherapy, allows for an increase in dose to the tumor volume without increasing the dose to nearby critical organs. In order to successfully achieve the treatment, intensive dosimetry with accurate dose verification is necessary. A dosimetry for IMRT, however, is a challenging task due to dosimetric ally unfavorable phenomena such as dramatic changes of the dose at the field boundaries, dis-equilibrium of the electrons, non-uniformity between the detector and the phantom materials, and distortion of scanner-read doses. In the present study, therefore, the LEGO-type multi-purpose dosimetry phantom was developed and used for the studies on dose measurements and correction. Phantom materials for muscle, fat, bone, and lung tissue were selected after considering mass density, atomic composition, effective atomic number, and photon interaction coefficients. The phantom also includes dosimeter holders for several different types of detectors including films, which accommodates a construction of different designs of phantoms as necessary. In order to evaluate its performance, the developed phantom was tested by measuring the point dose and the percent depth dose (PDD) for small size fields under several heterogeneous conditions. However, the measurements with the two types of dosimeter did not agree well for the field sizes less than 1 x 1 cm 2 in muscle and bone, and less than 3 x 3 cm 2 in air cavity. Thus, it was recognized that several studies on small fields dosimetry and correction methods for the calculation with a PMCEPT code are needed. The under-estimated values from the ion chamber were corrected with a convolution method employed to eliminate the volume effect of the chamber. As a result, the discrepancies between the EBT film and the ion chamber measurements were significantly decreased, from 14% to 1% (1 x 1 cm 2 ), 10% to 1% (0.7 x 0.7 cm 2 ), and 42% to 7% (0.5 x 0

  11. High-accuracy dosimetry study for intensity-modulated radiation therapy(IMRT) commissioning

    Energy Technology Data Exchange (ETDEWEB)

    Jeong, Hae Sun

    2010-02-15

    Intensity-modulated radiation therapy (IMRT), an advanced modality of high-precision radiotherapy, allows for an increase in dose to the tumor volume without increasing the dose to nearby critical organs. In order to successfully achieve the treatment, intensive dosimetry with accurate dose verification is necessary. A dosimetry for IMRT, however, is a challenging task due to dosimetric ally unfavorable phenomena such as dramatic changes of the dose at the field boundaries, dis-equilibrium of the electrons, non-uniformity between the detector and the phantom materials, and distortion of scanner-read doses. In the present study, therefore, the LEGO-type multi-purpose dosimetry phantom was developed and used for the studies on dose measurements and correction. Phantom materials for muscle, fat, bone, and lung tissue were selected after considering mass density, atomic composition, effective atomic number, and photon interaction coefficients. The phantom also includes dosimeter holders for several different types of detectors including films, which accommodates a construction of different designs of phantoms as necessary. In order to evaluate its performance, the developed phantom was tested by measuring the point dose and the percent depth dose (PDD) for small size fields under several heterogeneous conditions. However, the measurements with the two types of dosimeter did not agree well for the field sizes less than 1 x 1 cm{sup 2} in muscle and bone, and less than 3 x 3 cm{sup 2} in air cavity. Thus, it was recognized that several studies on small fields dosimetry and correction methods for the calculation with a PMCEPT code are needed. The under-estimated values from the ion chamber were corrected with a convolution method employed to eliminate the volume effect of the chamber. As a result, the discrepancies between the EBT film and the ion chamber measurements were significantly decreased, from 14% to 1% (1 x 1 cm{sup 2}), 10% to 1% (0.7 x 0.7 cm{sup 2}), and 42

  12. The association between spiritual well-being and burnout in intensive care unit nurses: A descriptive study.

    Science.gov (United States)

    Kim, Hyun Sook; Yeom, Hye-Ah

    2018-06-01

    To describe the spiritual well-being and burnout of intensive care unit nurses and examine the relationship between these factors. This was a cross-sectional descriptive study. The participants were 318 intensive care unit recruited from three university hospitals in South Korea. The survey questionnaire included demographic information, work-related characteristics and end-of-life care experience, along with the Spiritual Well-Being Scale and Burnout Questionnaire. The data were analysed using descriptive statistics, t-tests, ANOVA with Scheffé test and a multiple regression analysis. The burnout level among intensive care unit nurses was 3.15 out of 5. A higher level of burnout was significantly associated with younger age, lower education level, single marital status, having no religion, less work experience and previous end-of-life care experience. Higher levels of spiritual well-being were associated with lower levels of burnout, even after controlling for the general characteristics in the regression model. Intensive care unit nurses experience a high level of burnout in general. Increased spiritual well-being might reduce burnout among intensive care unit nurses. Younger and less experienced nurses should receive more attention as a vulnerable group with lower spirituality and greater burnout in intensive care unit settings. Copyright © 2017 Elsevier Ltd. All rights reserved.

  13. Studies of the Core Conditions of the Earth and Super-Earths Using Intense Ion Beams at FAIR

    Energy Technology Data Exchange (ETDEWEB)

    Tahir, N. A.; Neumayer, P.; Bagnoud, V. [GSI Helmholtzzentrum für Schwerionenforschung, Planckstraße 1, D-64291 Darmstadt (Germany); Lomonosov, I. V.; Shutov, A. [Institute of Problems of Chemical Physics, Russian Academy of Sciences, Institutskii pr. 18, 142432 Chernogolovka (Russian Federation); Borm, B. [Goethe-Universität Frankfurt, D-60438 Frankfurt (Germany); Piriz, A. R.; Piriz, S. A. [E.T.S.I. Industriales, Universidad de Castilla-La Mancha, E-13071 Ciudad Real (Spain)

    2017-09-01

    Using detailed numerical simulations, we present the design of an experiment that will generate samples of iron under extreme conditions of density and pressure believed to exist in the interior of the Earth and interior of extrasolar Earth-like planets. In the proposed experiment design, an intense uranium beam is used to implode a multilayered cylindrical target that consists of a thin Fe cylinder enclosed in a thick massive W shell. Such intense uranium beams will be available at the heavy-ion synchrotron, SIS100, at the Facility for Antiprotons and Ion Research (FAIR), at Darmstadt, which is under construction and will become operational in the next few years. It is expected that the beam intensity will increase gradually over a couple of years to its maximum design value. Therefore, in our studies, we have considered a wide range of beam parameters, from the initial beam intensity (“Day One”) to the maximum specified value. It is also worth noting that two different focal spot geometries have been used. In one case, a circular focal spot with a Gaussian transverse intensity distribution is considered, whereas in the other case, an annular focal spot is used. With these two beam geometries, one can access different parts of the Fe phase diagram. For example, heating the sample with a circular focal spot generates a hot liquid state, while an annular focal spot can produce a highly compressed liquid or a highly compressed solid phase depending on the beam intensity.

  14. Studies of the Core Conditions of the Earth and Super-Earths Using Intense Ion Beams at FAIR

    International Nuclear Information System (INIS)

    Tahir, N. A.; Neumayer, P.; Bagnoud, V.; Lomonosov, I. V.; Shutov, A.; Borm, B.; Piriz, A. R.; Piriz, S. A.

    2017-01-01

    Using detailed numerical simulations, we present the design of an experiment that will generate samples of iron under extreme conditions of density and pressure believed to exist in the interior of the Earth and interior of extrasolar Earth-like planets. In the proposed experiment design, an intense uranium beam is used to implode a multilayered cylindrical target that consists of a thin Fe cylinder enclosed in a thick massive W shell. Such intense uranium beams will be available at the heavy-ion synchrotron, SIS100, at the Facility for Antiprotons and Ion Research (FAIR), at Darmstadt, which is under construction and will become operational in the next few years. It is expected that the beam intensity will increase gradually over a couple of years to its maximum design value. Therefore, in our studies, we have considered a wide range of beam parameters, from the initial beam intensity (“Day One”) to the maximum specified value. It is also worth noting that two different focal spot geometries have been used. In one case, a circular focal spot with a Gaussian transverse intensity distribution is considered, whereas in the other case, an annular focal spot is used. With these two beam geometries, one can access different parts of the Fe phase diagram. For example, heating the sample with a circular focal spot generates a hot liquid state, while an annular focal spot can produce a highly compressed liquid or a highly compressed solid phase depending on the beam intensity.

  15. Intensive short-term vasodilation effect in the pain area of sciatica patients--case study.

    Science.gov (United States)

    Skorupska, Elżbieta; Rychlik, Michał; Pawelec, Wiktoria; Bednarek, Agata; Samborski, Włodzimierz

    2014-09-09

    Varied and complicated etiology of low back pain radiating distally to the extremities is still causing disagreement and controversy around the issue of its diagnosis and treatment. Most clinicians believe that the source of that pain is generally radicular. While some of them postulate the clinical significance of the sacroiliac joint syndrome, others demonstrate that almost one in five people with back pain experience symptoms indicative of the neuropathic pain component. To date, neuropathic involvement has not been completely understood, and different mechanisms are thought to play an important role. It has been established that muscle pain (myofascial pain) e.g. active trigger points from the gluteus minimus, can mimic pain similar to sciatica, especially in the chronic stage. This paper describes patients presenting with radicular sciatica (case one and two) and sciatica-like symptoms (case three). For the first time, intensive short-term vasodilation in the pain area following needle infiltration of the gluteus minimus trigger point was recorded. Three Caucasian, European women suffering from radicular sciatica (case one and two) and sciatica-like symptoms (case three) at the age of 57, 49 and 47 respectively underwent infrared camera observation during needle infiltration of the gluteus minimus trigger point. The patients were diagnosed by a neurologist; they underwent magnetic resonance imaging, electromyography, neurography and blood test analysis. Apart from that, the patients were diagnosed by a clinician specializing in myofascial pain diagnosis. In the examined cases, trigger points-related short-term vasodilation was recorded. Confirmation of these findings in a controlled, blinded study would indicate the existence of a link between the pain of sciatica patients (radicular or sciatica-like pain) and the activity of the autonomic nervous system. Further studies on a bigger group of patients are still needed.

  16. Refeeding syndrome influences outcome of anorexia nervosa patients in intensive care unit: an observational study.

    Science.gov (United States)

    Vignaud, Marie; Constantin, Jean-Michel; Ruivard, Marc; Villemeyre-Plane, Michele; Futier, Emmanuel; Bazin, Jean-Etienne; Annane, Djillali

    2010-01-01

    Data on the epidemiology and management of anorexia nervosa (AN) in the intensive care unit (ICU) are scarce. The aim of this study was to evaluate the prevalence and associated morbidity and mortality of AN in French ICUs. We randomly selected 30 ICUs throughout France. Thereafter, we retrospectively analyzed all patients with AN admitted to any of these 30 ICUs between May 2006 and May 2008. We considered demographic data, diagnosis at admission and complications occurring during the stay, focusing on refeeding syndrome and management of refeeding. Eleven of the 30 ICUs participated in the retrospective study, featuring 68 patients, including 62 women. Average body mass index at the admission was 12 ± 3 kg/m2. Twenty one were mechanically ventilated, mainly for neurological reasons. The reported average calorie intake was 22.3 ± 13 kcal/kg/24 h. Major diagnoses at admission were metabolic problems, refeeding survey and voluntary drug intoxication and infection. The most common complications were metabolic, hematological, hepatic, and infectious events, of which 10% occurred during refeeding. Seven patients developed refeeding syndrome. At day one, the average calorie intake was higher for patients who developed refeeding syndrome (23.2 ± 5 Kcal/kg/j; n = 7) versus patients without refeeding syndrome (14.1 ± 3 Kcal/kg/j; n = 61) P = 0.02. Seven patients died, two from acute respiratory distress syndrome and five from multiorgan-failure associated with major hydroelectrolytic problems. The frequency of AN in ICU patients is very low and the crude mortality in this group is about 10%. Prevention and early-detection of refeeding syndrome is the key point.

  17. Crew resource management training in the intensive care unit. A multisite controlled before-after study.

    Science.gov (United States)

    Kemper, Peter F; de Bruijne, Martine; van Dyck, Cathy; So, Ralph L; Tangkau, Peter; Wagner, Cordula

    2016-08-01

    There is a growing awareness today that adverse events in the intensive care unit (ICU) are more often caused by problems related to non-technical skills than by a lack of technical, or clinical, expertise. Team training, such as crew resource management (CRM), aims to improve these non-technical skills. The present study evaluated the effectiveness of CRM in the ICU. Six ICUs participated in a paired controlled trial, with one pretest and two post-test measurements (after 3 and 12 months). Three ICUs received CRM training and were compared with a matched control unit. The 2-day classroom-based training was delivered to multidisciplinary groups (ie, ICU physicians, nurses, managers). All levels of Kirkpatrick's evaluation framework were assessed using a mixed method design, including questionnaires, observations and routinely administered patient outcome data. Level I-reaction: participants were very positive directly after the training. Level II-learning: attitudes towards behaviour aimed at optimising situational awareness were relatively high at baseline and remained stable. Level III-behaviour: self-reported behaviour aimed at optimising situational awareness improved in the intervention group. No changes were found in observed explicit professional oral communication. Level IV-organisation: patient outcomes were unaffected. Error management culture and job satisfaction improved in the intervention group. Patient safety culture improved in both control and intervention units. We can conclude that CRM, as delivered in the present study, does not change behaviour or patient outcomes by itself, yet changes how participants think about errors and risks. This indicates that CRM requires a combination with other initiatives in order to improve clinical outcomes. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  18. Prospective study of device-related complications in intensive care unit detected by virtual autopsy.

    Science.gov (United States)

    Wichmann, D; Heinemann, A; Zähler, S; Vogel, H; Höpker, W; Püschel, K; Kluge, S

    2018-06-01

    There has been increasing use of invasive techniques, such as extracorporeal organ support, in intensive care units (ICU), and declining autopsy rates. Thus, new measures are needed to maintain high-quality standards. We investigated the potential of computed tomography (CT)-based virtual autopsy to substitute for medical autopsy in this setting. We investigated the potential of virtual autopsy by post-mortem CT to identify complications associated with medical devices in a prospective study of patients who had died in the ICU. Clinical records were reviewed to determine the number and types of medical devices used, and findings from medical and virtual autopsies, related and unrelated to the medical devices, were compared. Medical and virtual autopsies could be performed in 61 patients (Group M/V), and virtual autopsy only in 101 patients (Group V). In Group M/V, 41 device-related complications and 30 device malpositions were identified, but only with a low inter-method agreement. Major findings unrelated to a device were identified in about 25% of patients with a high level of agreement between methods. In Group V, 8 device complications and 36 device malpositions were identified. Device-related complications are frequent in ICU patients. Virtual and medical autopsies showed clear differences in the detection of complications and device malpositions. Both methods should supplement each other rather than one alone for quality control of medical devices in the ICU. Further studies should focus on the identification of special patient populations in which virtual autopsy might be of particular benefit. NCT01541982. Copyright © 2018 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved.

  19. Thrombolysis using multi-frequency high intensity focused ultrasound at MHz range: an in vitro study

    International Nuclear Information System (INIS)

    Suo, Dingjie; Guo, Sijia; Jiang, Xiaoning; Jing, Yun; Lin, Weili

    2015-01-01

    High intensity focused ultrasound (HIFU) based thrombolysis has emerged as a promising drug-free treatment approach for ischemic stroke. The large amount of acoustic power required by this approach, however, poses a critical challenge to the future clinical translation. In this study, multi-frequency acoustic waves at MHz range (near 1.5 MHz) were introduced as HIFU excitations to reduce the required power for treatment as well as the treatment time. In vitro bovine blood clots weighing around 150 mg were treated by single-frequency and multi-frequency HIFU. The pulse length was 2 ms for all experiments except the ones where the duty cycle was changed. It was found that dual-frequency thrombolysis efficiency was statistically better than single-frequency under the same acoustic power and excitation condition. When varying the acoustic power but fixing the duty cycle at 5%, it was found that dual-frequency ultrasound can save almost 30% power in order to achieve the same thrombolysis efficiency. In the experiment where the duty cycle was increased from 0.5% to 10%, it was shown that dual-frequency ultrasound can achieve the same thrombolysis efficiency with only half of the duty cycle of single-frequency. Dual-frequency ultrasound could also accelerate the thrombolysis by a factor of 2–4 as demonstrated in this study. No significant differences were found between dual-frequencies with different frequency differences (0.025, 0.05, and 0.1 MHz) and between dual-frequency and triple-frequency. The measured cavitation doses of dual-frequency and triple-frequency excitations were at about the same level but both were significantly higher than that of single-frequency. (paper)

  20. Clinical features and outcomes in patients with disseminated toxoplasmosis admitted to intensive care: a multicenter study.

    Science.gov (United States)

    Schmidt, Matthieu; Sonneville, Romain; Schnell, David; Bigé, Naike; Hamidfar, Rebecca; Mongardon, Nicolas; Castelain, Vincent; Razazi, Keyvan; Marty, Antoine; Vincent, François; Dres, Martin; Gaudry, Stephane; Luyt, Charles Edouard; Das, Vincent; Micol, Jean-Baptiste; Demoule, Alexandre; Mayaux, Julien

    2013-12-01

    Characteristics and outcomes of adult patients with disseminated toxoplasmosis admitted to the intensive care unit (ICU) have rarely been described. We performed a retrospective study on consecutive adult patients with disseminated toxoplasmosis who were admitted from January 2002 through December 2012 to the ICUs of 14 university-affiliated hospitals in France. Disseminated toxoplasmosis was defined as microbiological or histological evidence of disease affecting >1 organ in immunosuppressed patients. Isolated cases of cerebral toxoplasmosis were excluded. Clinical data on admission and risk factors for 60-day mortality were collected. Thirty-eight patients were identified during the study period. Twenty-two (58%) had received an allogeneic hematopoietic stem cell transplant (median, 61 [interquartile range {IQR}, 43-175] days before ICU admission), 4 (10%) were solid organ transplant recipients, and 10 (27%) were infected with human immunodeficiency virus (median CD4 cell count, 14 [IQR, 6-33] cells/µL). The main indications for ICU admission were acute respiratory failure (89%) and shock (53%). The 60-day mortality rate was 82%. Allogeneic hematopoietic stem cell transplant (hazard ratio [HR] = 2.28; 95% confidence interval [CI], 1.05-5.35; P = .04) and systolic cardiac dysfunction (HR = 3.54; 95% CI, 1.60-8.10; P toxoplasmosis leading to ICU admission has a poor prognosis. Recipients of allogeneic hematopoietic stem cell transplant appear to have the highest risk of mortality. We identified systolic cardiac dysfunction as a major determinant of outcome. Strategies aimed at preventing this fatal opportunistic infection may improve outcomes.

  1. Stimulus control and affect in dietary behaviours. An intensive longitudinal study.

    Science.gov (United States)

    Schüz, Benjamin; Bower, Jodie; Ferguson, Stuart G

    2015-04-01

    Dietary behaviours are substantially influenced by environmental and internal stimuli, such as mood, social situation, and food availability. However, little is known about the role of stimulus control for eating in non-clinical populations, and no studies so far have looked at eating and drinking behaviour simultaneously. 53 individuals from the general population took part in an intensive longitudinal study with repeated, real-time assessments of eating and drinking using Ecological Momentary Assessment. Eating was assessed as main meals and snacks, drinks assessments were separated along alcoholic and non-alcoholic drinks. Situational and internal stimuli were assessed during both eating and drinking events, and during randomly selected non-eating occasions. Hierarchical multinomial logistic random effects models were used to analyse data, comparing dietary events to non-eating occasions. Several situational and affective antecedents of dietary behaviours could be identified. Meals were significantly associated with having food available and observing others eat. Snacking was associated with negative affect, having food available, and observing others eat. Engaging in activities and being with others decreased the likelihood of eating behaviours. Non-alcoholic drinks were associated with observing others eat, and less activities and company. Alcoholic drinks were associated with less negative affect and arousal, and with observing others eat. RESULTS support the role of stimulus control in dietary behaviours, with support for both internal and external, in particular availability and social stimuli. The findings for negative affect support the idea of comfort eating, and results point to the formation of eating habits via cue-behaviour associations. Copyright © 2015 Elsevier Ltd. All rights reserved.

  2. [Prospective evaluation on ventilator-associated events: a cohort study from eight intensive care units].

    Science.gov (United States)

    Chen, W S; Liu, J; Liu, H; Song, Y Y; Chen, H Y; Wang, R; Zhang, Y P; Jiang, W; Li, H F; Li, S Q; Zhang, S M; Liu, B; Zhang, X; Zhang, W H

    2016-08-10

    The aim of this study was to prospectively investigate the incidence of ventilator associated events (VAEs) in intensive care units (ICUs) among adult patients, and to evaluate the correlation between VAEs and ventilator associated pneumonia (VAP). A prospective 3-month cohort study (January 2015 to March 2015) was carried out. VAEs were divided into three groups: with ventilator-associated condition (VAC), with infection related ventilator-associated complication (IVAC) and with possible VAP (PVAP). Sensitivity and specificity of VAEs were evaluated and compared to the traditional VAP. Kappa test was applied to judge the consistency of VAC and VAP. During Jan. 2015 and Mar. 2015, 1 014 patients were admitted to 8 ICUs, with 7 977 patients per day. In total, 197 patients used the mechanical ventilation installation, with, a total number of 3 152 ventilator-days. Finally, 1 214 ventilation days in the VAC group and 1 938 ventilation days in the non-VAC group) that were available for final analysis. 46 VAC cases were identified including 22 classified as IVAC (14.59 and 6.98 per 1 000 ventilation days, respectively). Length of ICU stay and duration on mechanical ventilation for VAC patients were both significantly longer than those for non-VAC patients (PVAC criteria for the detection of VAP were 36.92% and 83.33%, respectively. The VAEs surveillance paradigms could be applied to monitor patients on the use of mechanical ventilation installation. However, sensitivity and specificity of VAC were under pool for the diagnosis of VAP. However, automatically surveillance programs was relied on the improvement of auto-information systems.

  3. Age and growth of the lake whitefish, Coregonus clupeaformis (Mitchill), in Lake Erie

    Science.gov (United States)

    Van Oosten, John; Hile, Ralph

    1949-01-01

    Although the whitefish has by no means ranked first from the standpoint of production, it has always been an important commercial species in Lake Erie. Trends in the output of whitefish have differed in the United States and Canadian waters of the lake. The 1893–1946 average annual yield of 1,201,000 pounds in the United States was only 38.3 percent of the 1879–1890 mean of 3,133,000 pounds, whereas in Canada the more recent (1907–1946) average annual take of 1,397,000 pounds has been 5.48 times the 1871–1906 mean of 255,000 pounds. The United States fishery was centered in the western part of Lake Erie (61.5 percent of the production in Michigan and Ohio) before 1921 and in the eastern part (62.6 percent in Pennsylvania and New York) in 1921–1946. The eastern part of Lake Erie (east of Port Burwell) dominated the Canadian production in 1900–1909 (65.4 percent) and in 1922–1946 (57.2 percent) but the western end was the more productive in 1871–1899 (79.8 percent) and 1910–1921 (69.7 percent). Ages were determined and individual growth histories calculated from the examination and measurement of the scales of 3,399 Lake Erie whitefish captured off four ports (Sandusky, Lorain, and Conneaut, Ohio, and Erie, Pennsylvania) over the period, 1927–1930. The number of specimens used for the investigation of other phases of the life history varied according to the amount of data available or required. Age-group III was typically (but not invariably) dominant in random samples from gear employed for the commercial production of whitefish (trap nets, pound nets, and large-mesh gill nets). The same age group also dominated most samples of the marketable catch (that is, whitefish that equalled or exceeded the minimum legal weight of 1 3/4 pounds) taken in late summer, autumn, and early winter. Age-group IV, however, was strongest among marketable fish from trap nets in early July although the III group was dominant in the random samples from the same nets

  4. Simultaneous X-ray, UV, and Optical Variations in lambda ERI (B2e)

    Science.gov (United States)

    Smith, M. A.; Murakami, T.; Anandarao, B.

    1996-12-01

    We have carried out a simultaneous observing campaign on the prototypical Be star lambda Eri using ground stations and ROSAT, ASCA, IUE, and Voyager spacecrafts during the week of February-March 1995; a smaller campaign was carried out the following September. In late February lambda Eri showed extraordinary disk-wind activity. ROSAT/HRI monitoring disclosed no large flares such as ROSAT observed in 1991 in lambda Eri. Possible low amplitude fluctuations in the 1995 data occurred at the same time with unusual activity in Hα , HeI lambda 6678, HeII lambda 1640, CIII, and the CIV doublet. The helium line activity suggests that mass ejection occurred at the base of the wind. The strong CIII and CIV lines implies that shock interactions originated in the wind flow. It is not clear that the X-ray fluctuations are directly related to the increases in wind line absorption. Within hours of the mild X-ray flux variations found by ROSAT on February 28, the Voyager UVS observed a ``ringing" that decayed over three 3-hr. cycles. The amplitude of these fluctuations was large (50%) at lambda lambda 950-1100, decreased rapidly with wavelength, and faded to nondetection above lambda 1300. Various considerations indicate that these continuum variations were not due to an instrument pathology in the UVS. Rather, they appear to be due to a time-dependent flux deficit in the lambda lambda 1250 during the minima of these cycles. We outline a scenario in which dense plasma over the star's surface is alternately heated and cooled quasi-periodically to produce the flux changes. Additional examples of this new phenomenon are needed. Amateur astronomers can make a significant contribution to the understanding of flickering in Be star light curves during their outburst phases. We also draw attention to an increase in the emission of the Hα line that occurred at about the same time the FUV ringing started. This increased emission hints that ~ 50,000K plasma near the star's surface can

  5. Home to die from the intensive care unit: A qualitative descriptive study of the family's experience.

    Science.gov (United States)

    Hutchinson, Amy L; Van Wissen, Kim A

    2017-12-01

    Many people would choose to die at home, and this can be an option for intensive care patients. However, there is limited exploration of the impact on the family. To gain insight into family members' experiences when an adult intensive care unit patient is taken home to die. Methodology is qualitative description, utilising purposeful sampling, unstructured interviews and thematic analysis. Four participants, from two different families were interviewed. The setting was a tertiary level Intensive Care Unit in New Zealand. The experience was described as a kaleidoscope of events with two main themes: 'value' family member's found in the patient going home, and their experience of the 'process'. 'Value' subthemes: going home being the patient's own decision, home as an end-of-life environment, and the patient's positive response to being at home. 'Process' subthemes: care and support received, stress of a family member being in intensive care, feeling that everything happened quickly, and concerns and uncertainties. Going home to die from the intensive care unit can be a positive but challenging experience for the family. Full collaboration between the patient, family and staff is essential, to ensure the family are appropriately supported. Copyright © 2017 Elsevier Ltd. All rights reserved.

  6. Knowledge-intensive work in the oil and gas industry: A case study

    Energy Technology Data Exchange (ETDEWEB)

    Hjelle, Torstein Elias Loeland

    2012-07-01

    This thesis examines collaborative work practices within a large international oil and gas company (OGC). The work is founded on the introduction of a new standardised and integrated collaboration infrastructure based on Microsoft SharePoint technology, which was intended to improve knowledge sharing across both disciplinary and geographical boundaries within the company and with external partners. Using a longitudinal case study, the thesis investigates how the introduction of this new solution has been received in different organisational contexts. The work is inspired by social studies of information systems (IS) and seeks to explain the role of the new collaboration infrastructure in an enterprise context with actors and stakeholders that have different interests, experiences and expectations. The focus of the thesis was to investigate how the collaboration infrastructure has been received and has become an integral part of the users' daily work. Previous research has shown that the introduction of different information systems does not adequately account for local, established practices and thus results in systems that are not used optimally. In many cases, users have to establish informal practices to work around the limitations of the system. In this research, we investigate this potential divergence between the intended and actual usage of these large information systems. Based on our empirical findings, we argue that in knowledge-intensive, interdisciplinary work such as oil and gas production, an integrated collaboration solution does not ensure knowledge sharing and a collaborative work environment. In fact, such a system plays a surprisingly small role in supporting the daily work. Other factors, such as a strong community, an open and inclusive atmosphere, work locations and expert tools, play significantly stronger roles. The thesis does not exclusively focus on the new collaboration solution that is based on Microsoft SharePoint. Rather, it

  7. Impact of high-intensity concurrent training on cardiovascular risk factors in persons with multiple sclerosis - pilot study.

    Science.gov (United States)

    Keytsman, Charly; Hansen, Dominique; Wens, Inez; O Eijnde, Bert

    2017-10-27

    High-intensity concurrent training positively affects cardiovascular risk factors. Because this was never investigated in multiple sclerosis, the present pilot study explored the impact of this training on cardiovascular risk factors in this population. Before and after 12 weeks of high-intense concurrent training (interval and strength training, 5 sessions per 2 weeks, n = 16) body composition, resting blood pressure and heart rate, 2-h oral glucose tolerance (insulin sensitivity, glycosylated hemoglobin, blood glucose and insulin concentrations), blood lipids (high- and low-density lipoprotein, total cholesterol, triglyceride levels) and C-reactive protein were analyzed. Twelve weeks of high-intense concurrent training significantly improved resting heart rate (-6%), 2-h blood glucose concentrations (-13%) and insulin sensitivity (-24%). Blood pressure, body composition, blood lipids and C-reactive protein did not seem to be affected. Under the conditions of this pilot study, 12 weeks of concurrent high-intense interval and strength training improved resting heart rate, 2-h glucose and insulin sensitivity in multiple sclerosis but did not affect blood C-reactive protein levels, blood pressure, body composition and blood lipid profiles. Further, larger and controlled research investigating the effects of high-intense concurrent training on cardiovascular risk factors in multiple sclerosis is warranted. Implications for rehabilitation High-intensity concurrent training improves cardiovascular fitness. This pilot study explores the impact of this training on cardiovascular risk factors in multiple sclerosis. Despite the lack of a control group, high-intense concurrent training does not seem to improve cardiovascular risk factors in multiple sclerosis.

  8. Recolonization and possible recovery of burrowing mayflies (Ephemeroptera: Ephemeridae: Hexagenia spp.) in Lake Erie of the Laurentian Great Lakes

    Science.gov (United States)

    Schloesser, Don W.; Krieger, Kenneth A.; Ciborowski, Jan J.H.; Corkum, Lynda D.

    2000-01-01

    Burrowing mayflies of the genus Hexagenia spp. were widely distributed (ca. 80% of sites) and abundant (ca. 160 nymphs/m2) in the western basin of Lake Erie of the Laurentian Great Lakes in 1929–1930, prior to a period of anoxia in the mid 1950s. Nymphs were absent or rare in the basin between 1961 and 1973–1975. In 1979–1991, nymphs were infrequently found (13–46% of sites) in low abundance (3–40 nymphs/m2) near shore (recolonized sediments of western Lake Erie and that their abundance may be similar to levels observed before their disappearance in the mid 1950s. However, prior to the mid 1950s, densities were greater in offshore than nearshore waters, but between 1979 and 1998 greater densities occurred near shore than offshore. In addition, there were two areas in the 1990s where low densities consistently occurred. Therefore, recovery of nymphs in western Lake Erie may not have been complete in 1998. At present we do not know the cause for the sudden recolonization of nymphs in large portions of western Lake Erie. Undoubtedly, pollution-abatement programs contributed to improved conditions that would have ultimately led to mayfly recovery in the future. However, the explosive growth of the exotic zebra mussel, Dreissena polymorpha, undoubtedly diverted plankton foods to bottom substrates which could have increased the speed at which Hexagenia spp. nymphs recolonized sediments in western Lake Erie in the 1990s.

  9. FEMALE LABOR WORKING INTENSITY: A STUDY CASE IN A CONSTRUCTION JOB

    Directory of Open Access Journals (Sweden)

    Agus Suseno

    2015-12-01

    Full Text Available This paper analyzes demographic and socio-economic characteristics of female labor in Bantul District. The characteristics are measured by their education, ages, marital status, number of children, house location, distance from workplace, and salary. The contribution of female labor to their families are analyzed by arithmetic mean. To model the behaviour of female labor work intensity, this paper uses salary, number of children, distance to work location, husband income, and dummy variables on free rice program, health insurance program, and house location. Using a multiple regression model, it finds that variables significantly increase work intensity are salary and husband’s income, while those significantly decreases work intensity are number of children, distance to workplace, and rice free program.

  10. Intensive gait training with rhythmic auditory stimulation in individuals with chronic hemiparetic stroke: a pilot randomized controlled study.

    Science.gov (United States)

    Cha, Yuri; Kim, Young; Hwang, Sujin; Chung, Yijung

    2014-01-01

    Motor relearning protocols should involve task-oriented movement, focused attention, and repetition of desired movements. To investigate the effect of intensive gait training with rhythmic auditory stimulation on postural control and gait performance in individuals with chronic hemiparetic stroke. Twenty patients with chronic hemiparetic stroke participated in this study. Subjects in the Rhythmic auditory stimulation training group (10 subjects) underwent intensive gait training with rhythmic auditory stimulation for a period of 6 weeks (30 min/day, five days/week), while those in the control group (10 subjects) underwent intensive gait training for the same duration. Two clinical measures, Berg balance scale and stroke specific quality of life scale, and a 2-demensional gait analysis system, were used as outcome measure. To provide rhythmic auditory stimulation during gait training, the MIDI Cuebase musical instrument digital interface program and a KM Player version 3.3 was utilized for this study. Intensive gait training with rhythmic auditory stimulation resulted in significant improvement in scores on the Berg balance scale, gait velocity, cadence, stride length and double support period in affected side, and stroke specific quality of life scale compared with the control group after training. Findings of this study suggest that intensive gait training with rhythmic auditory stimulation improves balance and gait performance as well as quality of life, in individuals with chronic hemiparetic stroke.

  11. Study to validate the outcome goal, competencies and educational objectives for use in intensive care orientation programs.

    Science.gov (United States)

    Boyle, M; Butcher, R; Kenney, C

    1998-03-01

    Intensive care orientation programs have become an accepted component of intensive care education. To date, however, there have been no Australian-based standards defining the appropriate level of competence to be attained upon completion of orientation. The aim of this study was to validate a set of aims, competencies and educational objectives that could form the basis of intensive care orientation and which would ensure an outcome standard of safe and effective practice. An initial document containing a statement of the desired outcome goal, six competency statements and 182 educational objectives was developed through a review of the orientation programs developed by the investigators. The Delphi technique was used to gain consensus among 13 nurses recognised for their expertise in intensive care education. The expert group rated the acceptability of each of the study items and provided suggestions for objectives to be included. An approval rating of 80 per cent was required to retain each of the study items, with the document refined through three Delphi rounds. The final document contains a validated statement of outcome goal, competencies and educational objectives for intensive care orientation programs.

  12. Study of ultra-high gradient wakefield excitation by intense ultrashort laser pulses in plasma

    International Nuclear Information System (INIS)

    Kotaki, Hideyuki

    2002-12-01

    We investigate a mechanism of nonlinear phenomena in laser-plasma interaction, a laser wakefield excited by intense laser pulses, and the possibility of generating an intense bright electron source by an intense laser pulse. We need to understand and further employ some of these phenomena for our purposes. We measure self-focusing, filamentation, and the anomalous blueshift of the laser pulse. The ionization of gas with the self-focusing causes a broad continuous spectrum with blueshift. The normal blueshift depends on the laser intensity and the plasma density. We, however, have found different phenomenon. The laser spectrum shifts to fixed wavelength independent of the laser power and gas pressure above some critical power. We call the phenomenon 'anomalous blueshift'. The results are explained by the formation of filaments. An intense laser pulse can excite a laser wakefield in plasma. The coherent wakefield excited by 2 TW, 50 fs laser pulses in a gas-jet plasma around 10 18 cm -3 is measured with a time-resolved frequency domain interferometer (FDI). The density distribution of the helium gas is measured with a time-resolved Mach-Zehnder interferometer to search for the optimum laser focus position and timing in the gas-jet. The results show an accelerating wakefield excitation of 20 GeV/m with good coherency, which is useful for ultrahigh gradient particle acceleration in a compact system. This is the first time-resolved measurement of laser wakefield excitation in a gas-jet plasma. The experimental results are compared with a Particle-in-Cell (PIC) simulation. The pump-probe interferometer system of FDI and the anomalous blueshift will be modified to the optical injection system as a relativistic electron beam injector. In 1D PIC simulation we obtain the results of high quality intense electron beam acceleration. These results illuminate the possibility of a high energy and a high quality electron beam acceleration. (author)

  13. Influence of Exercise Intensity for Improving Depressed Mood in Depression: A Dose-Response Study.

    Science.gov (United States)

    Meyer, Jacob D; Koltyn, Kelli F; Stegner, Aaron J; Kim, Jee-Seon; Cook, Dane B

    2016-07-01

    Exercise effectively improves mood in major depressive disorder (MDD), but the optimal exercise stimulus to improve depressed mood is unknown. To determine the dose-response relationship of acute exercise intensity with depressed mood responses to exercise in MDD. We hypothesized that the acute response to exercise would differ between light, moderate, and hard intensity exercise with higher intensities yielding more beneficial responses. Once weekly, 24 women (age: 38.6±14.0) diagnosed with MDD underwent a 30-minute session at one of three steady-state exercise intensities (light, moderate, hard; rating of perceived exertion 11, 13 or 15) or quiet rest on a stationary bicycle. Depressed mood was evaluated with the Profile of Mood States before, 10 and 30 minutes post-exercise. Exercise reduced depressed mood 10 and 30 minutes following exercise, but this effect was not influenced by exercise intensity. Participants not currently taking antidepressants (n=10) had higher baseline depression scores, but did not demonstrate a different antidepressant response to exercise compared to those taking antidepressants. To acutely improve depressed mood, exercise of any intensity significantly improved feelings of depression with no differential effect following light, moderate, or hard exercise. Pharmacological antidepressant usage did not limit the mood-enhancing effect of acute exercise. Acute exercise should be used as a symptom management tool to improve mood in depression, with even light exercise an effective recommendation. These results need to be replicated and extended to other components of exercise prescription (e.g., duration, frequency, mode) to optimize exercise guidelines for improving depression. Copyright © 2016. Published by Elsevier Ltd.

  14. A study on liquid lithium flow in rectangular duck perpendicular to a intense magnetic field

    International Nuclear Information System (INIS)

    Shen Xiuzhong; Chen Ke; Liu Yang; Zhang Qinshun

    2001-01-01

    A research on high-speed liquid-metal lithium flow through a non-expanding rectangular duck under uniform intense magnetic field is presented. A equations set with Poisson equation and Helmholtz equation, which control the electrical field and flow field respectively, has been deduced by analysis and PHsolver, a program to solve the equations set, has also been finished. The current density distribution and flow field in the non-expanding rectangular channel with intense magnetic field have been obtained from PHsolver by applying the wall-function in the boundary wall. The velocity profile in the duck appears M-shaped

  15. Family centered brief intensive treatment: a pilot study of an outpatient treatment for acute suicidal ideation.

    Science.gov (United States)

    Anastasia, Trena T; Humphries-Wadsworth, Terresa; Pepper, Carolyn M; Pearson, Timothy M

    2015-02-01

    Family Centered Brief Intensive Treatment (FC BIT), a hospital diversion treatment program for individuals with acute suicidal ideation, was developed to treat suicidal clients and their families. Individuals who met criteria for hospitalization were treated as outpatients using FC BIT (n = 19) or an intensive outpatient treatment without the family component (IOP; n = 24). Clients receiving FC BIT identified family members or supportive others to participate in therapy. FC BIT clients had significantly greater improvement at the end of treatment compared to IOP clients on measures of depression, hopelessness, and suicidality. Further research is needed to test the efficacy of FC BIT. © 2014 The American Association of Suicidology.

  16. Clinical and epidemiological study of stress hyperglycemia among medical intensive care unit patients in Central India

    Directory of Open Access Journals (Sweden)

    Jitendra Sharma

    2017-01-01

    Full Text Available Background: Stress hyperglycemia is common in patients presenting at the emergency medical ward and is associated with poor prognosis and increased risk of mortality. Aims and Objective: To study and determine the prevalence and factors associated with stress hyperglycemia. Materials and Methods: A cross-sectional observational study was performed on 536 nondiabetic patients presented to the Intensive Care Unit (ICU at Gandhi Medical College and allied Hamidia Hospital, Bhopal, between March 31, 2015, and May 28, 2015. A detailed history including demographic profile, presence of chronic disease, history of hospitalization and ICU admission, surgical status, and major reason for ICU admission (i.e., predominant diagnostic category was collected. Hematological and other parameters based on profile of study population were also analyzed. Results: Out of 536 patients, 109 (20.33% had stress hyperglycemia. Out of 109 patients with stress hyperglycemia, 87 (16.23% patients had glycated hemoglobin (HbA1c <5.7% and 22 (4.10% patients had HbA1c between 5.7% and 6.4%. Mean age of the study population was 40.27 ± 1.44 years, with male dominance. Mean random blood glucose level was 181.46 ± 3.80 mg/dl. Frequency of stress hyperglycemia was 24.13% in stroke, 19.54% in multiple organ dysfunction syndrome (MODS, 17.24% in chronic kidney disease (CKD, 12.64% in central nervous system (CNS infection, 8.05% in chronic liver disease (CLD, and 8.05% in seizure patients. Association between stroke and stress hyperglycemia was significant (P = 0.036. Association between hospital stay more than 7 days and stress hyperglycemia was significant in stroke patients (P = 0.0029, CKD patients (P = 0.0036, CLD (P = 0.0099, and MODS patients (P = 0.0328. Conclusions: The factors associated with stress hyperglycemia were stroke, MODS, CKD, CNS infection, CLD, seizure patients, with prolonged hospital stay and expected proportion.

  17. Predictors of stress among parents in pediatric intensive care unit: a prospective observational study.

    Science.gov (United States)

    Aamir, Mohd; Mittal, Kundan; Kaushik, Jaya Shankar; Kashyap, Haripal; Kaur, Gurpreet

    2014-11-01

    To determine the sociodemographic and clinical factors leading to stress among parents whose children are admitted in pediatric intensive care unit (PICU). A prospective observational study was conducted in PICU of a tertiary care hospital of north India. Parents of children admitted to PICU for at least 48 h duration were eligible for participation. At the end of 48 h, parental stress was assessed using parental stress scale (PSS:PICU) questionnaire which was administered to the parents. Baseline demographic and clinical parameters of children admitted to PICU were recorded. The parental stress was compared with demographic and clinical characteristics of children using appropriate statistical methods. A total of 49 parents were finally eligible for participation. Mean (SD) parental stress scores was highest in domains of procedures [1.52 (0.66)] and behavior and emotional [1.32 (0.42)] subscales. Mean (SD) total parental stress score among intubated children [1.31 (0.25)] was significantly more than among non intubated children [0.97 (0.26)] (p parental stress score were comparable in terms of gender (p = 0.15) and socioeconomic status (p = 0.32). On subscale analysis, it was found that professional communication is a significant stressor in age groups 0-12 mo [0.61(0.41)] (p = 0.02). It was observed that parents of intubated children were significantly stressed by the physical appearance of their children (p parental role (p = 0.002). Total parental stress score had a positive correlation with PRISM score (r = 0.308). Indian parents are stressed maximally with environment of PICU. Factor leading to parental stress was intubation status of the child and was not affected by gender or socio demographic profile of the parents.

  18. High energy-intensity atomic oxygen beam source for low earth orbit materials degradation studies

    International Nuclear Information System (INIS)

    Cross, J.B.; Blais, N.C.

    1988-01-01

    A high intensity (10 19 O-atoms/s-sr) high energy (5 eV) source of oxygen atoms has been developed that produces a total fluence of 10 22 O-atoms/cm 2 in less than 100 hours of continuous operation at a distance of 15 cm from the source. The source employs a CW CO 2 laser sustained discharge to form a high temperature (15,000 K) plasma in the throat of a 0.3-mm diameter nozzle using 3--8 atmospheres of rare gas/O 2 mixtures. Visible and infrared photon flux levels of 1 watt/cm 2 have been measured 15 cm downstream of the source while vacuum UV (VUV) fluxes are comparable to that measured in low earth orbit. The reactions of atomic oxygen with kapton, Teflon, silver, and various coatings have been studied. The oxidation of kapton (reaction efficiency = 3 /times/ 10/sup /minus/24/ cm /+-/ 50%) has an activation energy of 0.8 Kcal/mole over the temperature range of 25/degree/C to 100/degree/C at a beam energy of 1.5 eV and produces low molecular weight gas phase reaction products (H 2 O, NO, CO 2 ). Teflon reacts with ∼0.1--0.2 efficiency to that of kapton at 25/degree/C and both surfaces show a rug-like texture after exposure to the O-atom beam. Angular scattering distribution measurements of O-atoms show a near cosine distribution from reactive surfaces indicating complete accommodation of the translational energy with the surface while a nonreactive surface (nickel oxide) shows specular-like scattering with 50% accommodation of the translational energy with the surface. A technique for simple on orbit chemical experiments using resistance measurements of coated silver strips is described. 9 figs

  19. A Study on Biocompatibility of Three Endodontic Sealers: Intensity and Duration of Tissue Irritation

    Science.gov (United States)

    Christian Gomes Moura, Camilla; Cristina Cunha, Thais; Oliveira Crema, Virgínia; Dechichi, Paula; Carlos Gabrielli Biffi, João

    2014-01-01

    Introduction: Several studies have evaluated the inflammatory reaction triggered by Epiphany (EPH), a contemporary endodontic sealer. However, they used conventional parameters, which need additional analysis to better understand the reactions induced by this sealer compared to other traditional sealers. Methods and Materials: The intensity and time span of tissue irritations for three endodontic sealers were assessed by inflammatory reactions, fibrous capsule measurement and mast cell counts. Tubes containing freshly mixed EPH, AH plus (AHP) and Endofill (ENF) were subcutaneously implanted into the backs of 28 Wistar rats. The side wall of the tube was used as the control. At 14, 21, 42 and 60 days, the connective tissue surrounding the implants (n=7) was stained for histopathological analysis. The Friedman test was applied to compare the results. The level of significance was set at 0.05. Results: At days 14 and 21, a significant difference among the groups was observed, with the ENF showing the worst tissue response (P<0.001). ENF remained the most aggressive sealer at 42 and 60 days, compared with EPH (P<0.05). No differences were found for the fibrous capsule thicknesses among the groups in each period. The number of mast cells per field did not show difference among the sealers at 21 and 60 days. Conclusions: EPH and AHP elicited similar patterns of irritation, as demonstrated by the inflammatory scores and fibrous capsule thicknesses. ENF caused the highest degree of tissue damage. The increase in mast cell counts observed during the early and late periods shows the possibility of late hypersensitivity to the test materials. PMID:24688584

  20. Carotid sparing intensity modulated radiotherapy on early glottic cancer: Preliminary study

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Hoon Sik; Jeong, Bae Kwon; Jeong, Ho Jin; Song, Jin Ho; Kim, Jin Pyeong; Park, Jung Je; Woo, Seung Hoon; Kang, Ki Mun [Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju (Korea, Republic of)

    2016-03-15

    To compare the dose distribution between carotid sparing intensity modulated radiotherapy (IMRT) and opposed lateral field technique (LAFT), and to determine the effects of carotid sparing IMRT in early glottic cancer patients who have risk factors for atherosclerosis. Ten early glottic cancer patients were treated with carotid sparing IMRT. For each patient, the conventional LAFT plan was developed for comparison. IMRT and LAFT plans were compared in terms of planning target volume (PTV) coverage, conformity index, homogeneity index, and the doses to planning organ at risk volume (PRV) for carotid arteries, spinal cord and pharyngeal constrictor muscle. Recurrence was not observed in any patients during the follow-up period. V95% for PTV showed no significant difference between IMRT and LAFT plans, while V100% was significantly higher in the IMRT plan (95.5% vs. 94.6%, p = 0.005). The homogeneity index (11.6%) and conformity index (1.4) in the IMRT plan were significantly better than those in the LAFT plans (8.5% and 5.1, respectively) (p = 0.005). The median V5Gy (90.0%), V25Gy (13.5%), and V50Gy (0%) for carotid artery PRV in the IMRT plan were significantly lower than those in the LAFT plan (99.1%, 89.0%, and 77.3%, respectively) (p = 0.005). Our study suggests that carotid sparing IMRT can significantly decrease the dose to carotid arteries compared to LAFT, and it would be considered for early glottic cancer patient with high risk of atherosclerosis.

  1. Linear Energy Transfer-Guided Optimization in Intensity Modulated Proton Therapy: Feasibility Study and Clinical Potential

    Energy Technology Data Exchange (ETDEWEB)

    Giantsoudi, Drosoula, E-mail: dgiantsoudi@partners.org [Department of Radiation Oncology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts (United States); Grassberger, Clemens; Craft, David; Niemierko, Andrzej; Trofimov, Alexei; Paganetti, Harald [Department of Radiation Oncology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts (United States)

    2013-09-01

    Purpose: To investigate the feasibility and potential clinical benefit of linear energy transfer (LET) guided plan optimization in intensity modulated proton therapy (IMPT). Methods and Materials: A multicriteria optimization (MCO) module was used to generate a series of Pareto-optimal IMPT base plans (BPs), corresponding to defined objectives, for 5 patients with head-and-neck cancer and 2 with pancreatic cancer. A Monte Carlo platform was used to calculate dose and LET distributions for each BP. A custom-designed MCO navigation module allowed the user to interpolate between BPs to produce deliverable Pareto-optimal solutions. Differences among the BPs were evaluated for each patient, based on dose–volume and LET–volume histograms and 3-dimensional distributions. An LET-based relative biological effectiveness (RBE) model was used to evaluate the potential clinical benefit when navigating the space of Pareto-optimal BPs. Results: The mean LET values for the target varied up to 30% among the BPs for the head-and-neck patients and up to 14% for the pancreatic cancer patients. Variations were more prominent in organs at risk (OARs), where mean LET values differed by a factor of up to 2 among the BPs for the same patient. An inverse relation between dose and LET distributions for the OARs was typically observed. Accounting for LET-dependent variable RBE values, a potential improvement on RBE-weighted dose of up to 40%, averaged over several structures under study, was noticed during MCO navigation. Conclusions: We present a novel strategy for optimizing proton therapy to maximize dose-averaged LET in tumor targets while simultaneously minimizing dose-averaged LET in normal tissue structures. MCO BPs show substantial LET variations, leading to potentially significant differences in RBE-weighted doses. Pareto-surface navigation, using both dose and LET distributions for guidance, provides the means for evaluating a large variety of deliverable plans and aids in

  2. Study on the possibility of using a 60 Co therapeutical unity in Intensity Modulated Radiotherapy (IMRT)

    International Nuclear Information System (INIS)

    Dantas, Samuel Cesar

    2009-06-01

    With the increasing advances in complex treatment techniques, there is a tendency to obtain more sophisticated equipment to deliver the dose. The use of 3D conformal radiotherapy is now routine in many radiotherapy facilities as well as the utilization of intensity modulated radiotherapy (IMRT). Both are usually implemented using linear accelerators equipped with multi leaves collimators, which create the conformity and the fluence distributions required. However, the complexity of increasingly sophisticated equipment, such as linear accelerators, requires a frequent quality control of their operation, as well as a detailed and constant maintenance. Even carrying out these procedures, the accelerators may present technical problems interrupting for a long time a treatment using the IMRT technique. Despite the clear practical and technological advantages that linear accelerators have on 60 Co irradiators, these devices occupy an important place in radiotherapy, mainly due to the low cost of equipment installation and maintenance when compared to those required by accelerators. Many radiotherapy facilities that work with IMRT have tele therapeutic isocentric 60 Co units. In principle, such equipment would be able to be used for treatment with IMRT using compensating blocks to modulate the beam. This study investigates this possibility and shows that it is feasible. The comparison of treatment plans of a head-and-neck cancer and other of a cancer of the central nervous system, based on a 60 Co irradiator and a Linac 2300 C/D, presented advantages for the 60 Co irradiator. Furthermore; the delivery of dose obtained with the two systems showed themselves equivalent when compared to their respective plans. (author)

  3. How health behaviors relate to academic performance via affect: an intensive longitudinal study.

    Directory of Open Access Journals (Sweden)

    Lavinia Flueckiger

    Full Text Available OBJECTIVE: This intensive longitudinal study examined how sleep and physical activity relate to university students' affect and academic performance during a stressful examination period. METHODS: On 32 consecutive days, 72 first-year students answered online questionnaires on their sleep quality, physical activity, positive and negative affect, learning goal achievement, and examination grades. First-year university students are particularly well-suited to test our hypotheses: They represent a relatively homogeneous population in a natural, but controlled setting, and simultaneously deal with similar stressors, such as examinations. Data were analyzed using multilevel structural equation models. RESULTS: Over the examination period, better average sleep quality but not physical activity predicted better learning goal achievement. Better learning goal achievement was associated with increased probability of passing all examinations. Relations of average sleep quality and average physical activity with learning goal achievement were mediated by experienced positive affect. In terms of day-to-day dynamics, on days with better sleep quality, participants reported better learning goal achievement. Day-to-day physical activity was not related to daily learning goal achievement. Daily positive and negative affect both mediated the effect of day-to-day sleep quality and physical activity on daily learning goal achievement. CONCLUSION: Health behaviors such as sleep quality and physical activity seem important for both academic performance and affect experience, an indicator of mental health, during a stressful examination period. These results are a first step toward a better understanding of between- and within-person variations in health behaviors, affect, and academic performance, and could inform prevention and intervention programs for university students.

  4. How health behaviors relate to academic performance via affect: an intensive longitudinal study.

    Science.gov (United States)

    Flueckiger, Lavinia; Lieb, Roselind; Meyer, Andrea H; Mata, Jutta

    2014-01-01

    This intensive longitudinal study examined how sleep and physical activity relate to university students' affect and academic performance during a stressful examination period. On 32 consecutive days, 72 first-year students answered online questionnaires on their sleep quality, physical activity, positive and negative affect, learning goal achievement, and examination grades. First-year university students are particularly well-suited to test our hypotheses: They represent a relatively homogeneous population in a natural, but controlled setting, and simultaneously deal with similar stressors, such as examinations. Data were analyzed using multilevel structural equation models. Over the examination period, better average sleep quality but not physical activity predicted better learning goal achievement. Better learning goal achievement was associated with increased probability of passing all examinations. Relations of average sleep quality and average physical activity with learning goal achievement were mediated by experienced positive affect. In terms of day-to-day dynamics, on days with better sleep quality, participants reported better learning goal achievement. Day-to-day physical activity was not related to daily learning goal achievement. Daily positive and negative affect both mediated the effect of day-to-day sleep quality and physical activity on daily learning goal achievement. Health behaviors such as sleep quality and physical activity seem important for both academic performance and affect experience, an indicator of mental health, during a stressful examination period. These results are a first step toward a better understanding of between- and within-person variations in health behaviors, affect, and academic performance, and could inform prevention and intervention programs for university students.

  5. An intensive study on the optical, rheological, and electrokinetic properties of polyvinyl alcohol-capped nanogold

    Science.gov (United States)

    Behera, Manoranjan

    2015-05-01

    Low-temperature-assisted wet chemical synthesis of nanogold (NG) using gold hydroxide, a new precursor salt in the presence of a macroscopic ligand poly(vinyl alcohol) PVA in water in the form of nanofluid, is reported for the first time in this article. In the absorption spectra, the surface Plasmon resonance absorption band in the range of 520-545 nm signifies the formation of NG via a controlled Au3+ + 3e → Au reaction grafted in small assemblies with polymer. Absorption maximum increases nonlinearly with Au-contents up to 100 µM Au in Au-PVA charge-transfer complex. Marked enhancement in the peak intensity of some of the vibration bands of PVA polymer such as C-H stretching, C=O stretching, CH2 bending, and C-C in-plane bending in the presence of NG reveals an interfacial interaction between NG and oxidized PVA via C=O group. Execution of shear thinning behavior regardless of the Au-content strongly suggests that crosslinking exists between NG and PVA in Au-PVA rheo-optical nanofluids. Hydrodynamic diameter and polydispersity index draw a nonlinear path with the Au doping with 30.0 g/L PVA in water over a wide region of 5-100 μM Au covered in this study. Enhancement in the zetapotential of Au-PVA nanofluid over bare PVA in water is ascribed to buildup of nonbonding electrons of "-C=O" moieties from the oxidized PVA on the NG surface. Displaying of lattice fringes in the microscopic image of core-shell Au-PVA nanostructure confirms that crystalline nature of NG core with inter planar spacing 0.235 nm corresponds to Au (111) plane.

  6. Nasal hyperresponders and atopic subjects report different symptom intensity to air quality: a climate chamber study.

    Science.gov (United States)

    Bodin, L; Andersson, K; Bønløkke, J H; Mølhave, L; Kjaergaard, S K; Stridh, G; Juto, J-E; Sigsgaard, T

    2009-06-01

    Short-term exposure to dust and dust added with beta-(1,3)-d-glucan or aldehydes may cause sensory reactions. In random order, we exposed 36 volunteers in a climate chamber to clean air, office dust, dust with glucan, and dust with aldehydes. Three groups of subjects were exposed, eleven were non-atopic with nasal histamine hyperreactivity, 13 were non-atopic, and 12 were atopic. Subjective ratings of symptoms and general health were registered four times during four 6-h exposure sessions. Six symptom intensity indices were constructed. The nasal hyperreactive group had a high and time-dependent increase of mucous membrane irritations, whereas the atopic group had a low and stable rate of irritations with exposure time, close to the reference group (P = 0.02 for differences between the groups with respect to time under exposure for Weak Inflammatory Responses and P = 0.05 for Irritative Body Perception, significance mainly because of the nasal hyperreactive group). Exposure to dust, with or without glucan or aldehydes, showed increased discomfort measured by the index for Constant Indoor Climate, and dust with glucan had a similar effect for the index for Lower Respiratory Effects. For Psychological and Neurological Effects these were dependent on group affiliation, thus preventing a uniform statement of exposure effects for all three investigated groups. Opportunities for identifying persons with high or low sensitivity to low-level exposures are important in preventive medicine and will reduce intra-group variability and thus increase the power of experimental and epidemiological studies searching for correlations between exposures and health effects. The contrast between nasal hyperreactive on one side and atopic and reference subjects on the other side is particularly important. The atopic group indicated a non-homogenous reaction depending on their hyperreactive status, a finding that could be important but needs further confirmation.

  7. Linear Energy Transfer-Guided Optimization in Intensity Modulated Proton Therapy: Feasibility Study and Clinical Potential

    International Nuclear Information System (INIS)

    Giantsoudi, Drosoula; Grassberger, Clemens; Craft, David; Niemierko, Andrzej; Trofimov, Alexei; Paganetti, Harald

    2013-01-01

    Purpose: To investigate the feasibility and potential clinical benefit of linear energy transfer (LET) guided plan optimization in intensity modulated proton therapy (IMPT). Methods and Materials: A multicriteria optimization (MCO) module was used to generate a series of Pareto-optimal IMPT base plans (BPs), corresponding to defined objectives, for 5 patients with head-and-neck cancer and 2 with pancreatic cancer. A Monte Carlo platform was used to calculate dose and LET distributions for each BP. A custom-designed MCO navigation module allowed the user to interpolate between BPs to produce deliverable Pareto-optimal solutions. Differences among the BPs were evaluated for each patient, based on dose–volume and LET–volume histograms and 3-dimensional distributions. An LET-based relative biological effectiveness (RBE) model was used to evaluate the potential clinical benefit when navigating the space of Pareto-optimal BPs. Results: The mean LET values for the target varied up to 30% among the BPs for the head-and-neck patients and up to 14% for the pancreatic cancer patients. Variations were more prominent in organs at risk (OARs), where mean LET values differed by a factor of up to 2 among the BPs for the same patient. An inverse relation between dose and LET distributions for the OARs was typically observed. Accounting for LET-dependent variable RBE values, a potential improvement on RBE-weighted dose of up to 40%, averaged over several structures under study, was noticed during MCO navigation. Conclusions: We present a novel strategy for optimizing proton therapy to maximize dose-averaged LET in tumor targets while simultaneously minimizing dose-averaged LET in normal tissue structures. MCO BPs show substantial LET variations, leading to potentially significant differences in RBE-weighted doses. Pareto-surface navigation, using both dose and LET distributions for guidance, provides the means for evaluating a large variety of deliverable plans and aids in

  8. Acinetobacter baumannii in intensive care unit: A novel system to study clonal relationship among the isolates

    Directory of Open Access Journals (Sweden)

    Leonardis Francesca

    2008-06-01

    Full Text Available Abstract Background The nosocomial infections surveillance system must be strongly effective especially in highly critic areas, such as Intensive Care Units (ICU. These areas are frequently an epidemiological epicentre for transmission of multi-resistant pathogens, like Acinetobacter baumannii. As an epidemic outbreak occurs it is very important to confirm or exclude the genetic relationship among the isolates in a short time. There are several molecular typing systems used with this aim. The Repetitive sequence-based PCR (REP-PCR has been recognized as an effective method and it was recently adapted to an automated format known as the DiversiLab system. Methods In the present study we have evaluated the combination of a newly introduced software package for the control of hospital infection (VIGI@ct with the DiversiLab system. In order to evaluate the reliability of the DiversiLab its results were also compared with those obtained using f-AFLP. Results The combination of VIGI@ct and DiversiLab enabled an earlier identification of an A. baumannii epidemic cluster, through the confirmation of the genetic relationship among the isolates. This cluster regards 56 multi-drug-resistant A. baumannii isolates from several specimens collected from 13 different patients admitted to the ICU in a ten month period. The A. baumannii isolates were clonally related being their similarity included between 97 and 100%. The results of the DiversiLab were confirmed by f-AFLP analysis. Conclusion The early identification of the outbreak has led to the prompt application of operative procedures and precautions to avoid the spread of pathogen. To date, 6 months after the last A. baumannii isolate, no other related case has been identified.

  9. The Optimization of Molecular Detection of Clinical Isolates of Brucella in Blood Cultures by eryD Transcriptase Gene for Confirmation of Culture-Negative Samples.

    Science.gov (United States)

    Tabibnejad, Mahsa; Alikhani, Mohammad Yousef; Arjomandzadegan, Mohammad; Hashemi, Seyed Hamid; Naseri, Zahra

    2016-04-01

    Brucellosis is a zoonosis disease which is widespread across the world. The aim of the present study is the evaluation of culture-negative blood samples. A total of 100 patients with suspected brucellosis were included in this experimental study and given positive serological tests. Diagnosis was performed on patients with clinical symptoms of the disease, followed by the detection of a titer that was equal to or more than 1:160 (in endemic areas) by the standard tube agglutination method. Blood samples were cultured by a BACTEC 9050 system, and subsequently by Brucella agar. At the same time, DNA from all blood samples was extracted by Qiagen Kit Company (Qia Amp Mini Kit). A molecular assay of blood samples was carried out by detection of eryD transcriptase and bcsp 31 genes in specific double PCR reactions. The specificity of the primers was evaluated by DNA from pure and approved Brucella colonies found in the blood samples, by DNA from other bacteria, and by ordinary PCR. DNA extraction from the pure colonies was carried out by both Qiagen Kit and Chelex 100 methods; the two were compared. 39 cases (39%) had positive results when tested by the BACTEC system, and 61 cases (61%) became negative. 23 culture-positive blood samples were randomly selected for PCR reactions; all showed 491 bp for the eryD gene and 223 bp for the bcsp 31 gene. Interestingly, out of 14 culture-negative blood samples, 13 cases showed positive bonds in PCR. The specificity of the PCR method was equal to 100%. DNA extraction from pure cultures was done by both Chelex 100 and Qiagen Kit; these showed the same results for all samples. The results prove that the presented double PCR method could be used to detect positive cases from culture-negative blood samples. The Chelex 100 method is simpler and safer than the use of Qiagen Kit for DNA extraction.

  10. Fecundity of walleyes in western Lake Erie, 1966 and 1990-91

    Science.gov (United States)

    Muth, Kenneth M.; Ickes, Brian S.

    1993-01-01

    Ovaries were collected from walleyes (Stizostedion vitreum vitreum) in western Lake Erie just prior to spawning in 1990 and 1991 to determine current fecundity. Results were compared with fecundity determined in 1966 prior to stock rehabilitation when walleye abundance was lower and fish size at age was greater. Fecundity estimates determined from 121 fish aged 3-10 ranged from 53,000 to 426,000 eggs per female. Increases in egg production correlated with increases in length and weight, and weight accounting for most of the variability. In 1990-91 the mean egg production of the dominant age groups of spawners (ages 4 to 8) was approximately 25% lower than fishes of similar age in 1966. The mean egg diameter in 1990-91 (1.63 mm) was not related to the size or age of the fish and was not significantly smaller than the egg diameter in 1966 (1.72 mm).

  11. Effectiveness of Intense Pulsed Light treatment in solar lentigo: a retrospective study

    Directory of Open Access Journals (Sweden)

    İlgen Ertam

    2014-03-01

    Full Text Available Intense Pulsed Light (IPL; is a light system of 500-1200 nm wavelength which is used for the treatment of hair removal, hyperpigmentation, non-ablative skin resurfacing and superficial vascular lesions. The mechanism of action is thought to be the focal epidermal coagulation due to selective photothermolysis in the epidermal keratinocytes and melanocytes. A variety of laser systems can be used in the treatment of lsolar entigo. The aim of this study is to investigate the effectiveness of IPL in solar lentigo. Materials and Methods: The archives of Cosmetology Unit retrospectively reviewed for the patients with the diagnosis of solar lentigo from March 2007 to November 2010. There were 139 files of patients who were diagnosed as solar lentigo clinically and dermoscopically and treated by IPL (L900 a & m IPL. Informed consent was taken from all patients. Among them, 42 patients who had come to controls regularly and had photographed before and after treatment included into the study. Results: A total of 52 lesions of 42 female and 1 male patient included into the study. Patients’ mean age was 42±9.6 years, ranging between 33 to 88. Of the lesions, 27 lesions(51.9% were on cheek, 7 lesions (13.5% were on zygoma, 6 lesions (11.5% were on chin, 4 lesions (7.7% were on hands, 4 lesions (7.7% were on forehead, 2 lesions(3.8% were on nose, 2 lesions (3.8% were on forearm. The mean number of sessions was 3.28 ranging between 1 and 7. After treatment, improvement was over 75% in 57,7% lesions, 50-75% in 17.3% of the lesions, 25-50% in 17.3% of the lesions, under 25% in 7.7% of the lesions. Conclusion: According to the results of our work, IPL can be accepted as an effective, cheap and safety method in terms of its side effects in treatment of solar lentigo.

  12. Reviewing the effort-reward imbalance model: drawing up the balance of 45 empirical studies

    NARCIS (Netherlands)

    Vegchel, van N.; Jonge, de J.; Bosma, H.; Schaufeli, W.B.

    2005-01-01

    The present paper provides a review of 45 studies on the Effort–Reward Imbalance (ERI) Model published from 1986 to 2003 (inclusive). In 1986, the ERI Model was introduced by Siegrist et al. (Biological and Psychological Factors in Cardiovascular Disease, Springer, Berlin, 1986, pp. 104–126; Social

  13. Widespread pain - do pain intensity and care-seeking influence sickness absence? - A population-based cohort study

    DEFF Research Database (Denmark)

    Mose, Søren; Christiansen, David Høyrup; Jensen, Jens Christian

    2016-01-01

    BACKGROUND: Both musculoskeletal pain-intensity in relation to a specific location (e.g. lower back or shoulder) and pain in multiple body regions have been shown to be associated with impaired function and sickness absence, but the impact of pain intensity on the association between widespread...... between number of musculoskeletal pain sites and sickness absence, and to analyze the impact on absenteeism from care-seeking in general practice due to musculoskeletal disorders.METHODS: 3745 Danish adults registered with eight General Practitioners (GPs) in one primary medical center reported location...... pain and sickness absence has not been studied. Additionally it is unknown whether care-seeking in general practice due to musculoskeletal disorders has a positive or negative impact on future absenteeism. The purpose of this study was to examine the influence of pain intensity on the association...

  14. Work stress, occupational burnout and depression levels: a clinical study of paediatric intensive care unit nurses in Taiwan.

    Science.gov (United States)

    Lin, Tzu-Ching; Lin, Huey-Shyan; Cheng, Su-Fen; Wu, Li-Min; Ou-Yang, Mei-Chen

    2016-04-01

    This study aimed to examine the relationship between work stress and depression; and investigate the mediating effect of occupational burnout among nurses in paediatric intensive care units. The relationships among work stress, occupational burnout and depression level have been explored, neither regarding occupational burnout as the mediating role that causes work stress to induce depression nor considering the paediatric intensive care unit context. A cross-sectional correlational design was conducted. One hundred and forty-four female paediatric intensive care unit nurses from seven teaching hospitals in southern Taiwan were recruited as the participants. Data were collected by structured questionnaires including individual demographics, the Nurse Stress Checklist, the Occupational Burnout Inventory and the Taiwan Depression Questionnaire. The results indicated that after controlling for individual demographic variables, the correlations of work stress with occupational burnout, as well as work stress and occupational burnout with depression level were all positive. Furthermore, occupational burnout may exert a partial mediating effect on the relationship between work stress and depression level. This study provides information about work stress, occupational burnout and depression level, and their correlations, as well as the mediating role of occupational burnout among paediatric intensive care unit nurses. It suggests government departments and hospital administrators when formulating interventions to prevent work stress and occupational burnout. These interventions can subsequently prevent episodes of depression in paediatric intensive care unit nurses, thereby providing patients with a safe and high-quality nursing environment. © 2016 John Wiley & Sons Ltd.

  15. Seasonal and interannual effects of hypoxia on fish habitat quality in central Lake Erie

    Science.gov (United States)

    Arend, Kristin K.; Beletsky, Dmitry; DePinto, Joseph; Ludsin, Stuart A.; Roberts, James J.; Rucinski, Daniel K.; Scavia, Donald; Schwab, David J.; Höök, Tomas O.

    2011-01-01

    1. Hypoxia occurs seasonally in many stratified coastal marine and freshwater ecosystems when bottom dissolved oxygen (DO) concentrations are depleted below 2–3 mg O2 L-1. 2. We evaluated the effects of hypoxia on fish habitat quality in the central basin of Lake Erie from 1987 to 2005, using bioenergetic growth rate potential (GRP) as a proxy for habitat quality. We compared the effect of hypoxia on habitat quality of (i) rainbow smelt, Osmerus mordax mordax Mitchill (young-of-year, YOY, and adult), a cold-water planktivore, (ii) emerald shiner, Notropis atherinoides Rafinesque (adult), a warm-water planktivore, (iii) yellow perch, Perca flavescens Mitchill (YOY and adult), a cool-water benthopelagic omnivore and (iv) round goby Neogobius melanostomus Pallas (adult) a eurythermal benthivore. Annual thermal and DO profiles were generated from 1D thermal and DO hydrodynamics models developed for Lake Erie’s central basin. 3. Hypoxia occurred annually, typically from mid-July to mid-October, which spatially and temporally overlaps with otherwise high benthic habitat quality. Hypoxia reduced the habitat quality across fish species and life stages, but the magnitude of the reduction varied both among and within species because of the differences in tolerance to low DO levels and warm-water temperatures. 4. Across years, trends in habitat quality mirrored trends in phosphorus concentration and water column oxygen demand in central Lake Erie. The per cent reduction in habitat quality owing to hypoxia was greatest for adult rainbow smelt and round goby (mean: -35%), followed by adult emerald shiner (mean: -12%), YOY rainbow smelt (mean: -10%) and YOY and adult yellow perch (mean: -8.5%). 5. Our results highlight the importance of differential spatiotemporally interactive effects of DO and temperature on relative fish habitat quality and quantity. These effects have the potential to influence the performance of individual fish species as well as population dynamics

  16. Meteotsunamis in the Great Lakes and Investigation into the May 27, 2012 Event on Lake Erie

    Science.gov (United States)

    Anderson, E. J.; Bechle, A.; Wu, C. H.; Schwab, D. J.; Mann, G.

    2016-02-01

    Meteotsunami events have been documented in several countries around the world in the coastal ocean, semi-enclosed basins, and in the Great Lakes. In particular, investigations in the Great Lakes have raised the issue of dangers posed by enclosed basins due to the reflection and interaction of meteotsunami waves, in which the destructive waves can arrive several hours after the atmospheric disturbance has passed. This disassociation in time and space between the atmospheric disturbance and resultant meteotsunami wave can pose a significant threat to the public. In a recent event on May 27, 2012, atmospheric conditions gave rise to two convective systems that generated a series of waves in the meteotsunami band on Lake Erie. The resulting waves swept three swimmers a half-mile offshore, inundated a marina, and may have led to a capsized boat along the southern shoreline. Examination of the observed conditions shows that these events occurred at a time between the arrivals of these two storm systems when atmospheric conditions were relatively calm but water level displacements were at their greatest. In this work, we attempt to explain the processes that led to these conditions through a combination of atmospheric and hydrodynamic modeling and an analysis of the observed radial velocities associated with the meteotsunami-inducing front. Results from a high-resolution atmospheric model and hydrodynamic model reveal that the formation of these destructive waves resulted from a combination of wave reflection, focusing, and edge waves that impacted the southern shore of Lake Erie. This event illustrates the unique danger posed by temporal lags between the inducing atmospheric conditions and resulting dangerous nearshore wave conditions.

  17. Value choices and considerations when limiting intensive care treatment: a qualitative study.

    Science.gov (United States)

    Halvorsen, K; Førde, R; Nortvedt, P

    2009-01-01

    To shed light on the values and considerations that affect the decision-making processes and the decisions to limit intensive care treatment. Qualitative methodology with participant observation and in-depth interviews, with an emphasis on eliciting the underlying rationale of the clinicians' actions and choices when limiting treatment. Informants perceived over-treatment in intensive care medicine as a dilemma. One explanation was that the decision-making base was somewhat uncertain, complex and difficult. The informants claimed that those responsible for taking decisions from the admitting ward prolonged futile treatment because they may bear guilt or responsibility for something that had gone wrong during the course of treatment. The assessments of the patient's situation made by physicians from the admitting ward were often more organ-oriented and the expectations were less realistic than those of clinicians in the intensive care unit who frequently had a more balanced and overall perspective. Aspects such as the personality and the speciality of those involved, the culture of the unit and the degree of interdisciplinary cooperation were important issues in the decision-making processes. Under-communicated considerations jeopardise the principle of equal treatment. If intensive care patients are to be ensured equal treatment, strategies for interdisciplinary, transparent and appropriate decision-making processes must be developed in which open and hidden values are rendered visible, power structures disclosed, employees respected and the various perspectives of the treatment given their legitimate place.

  18. Three-dimensional numerical studies of the temperature anisotropy instability in intense charged particle beams

    International Nuclear Information System (INIS)

    Startsev, Edward A.; Davidson, Ronald C.; Qin, Hong

    2005-01-01

    In neutral plasmas with a uniform magnetic field and strongly anisotropic distribution function (T parallel /T perpendicular 0 <<1). Such high-intensity beams are relevant to next-step experiments such as the Integrated Beam Experiment (IBX), which would serve as proof-of-principal experiment for heavy-ion fusion

  19. Crew resource management training in the intensive care unit. A multisite controlled before–after study

    NARCIS (Netherlands)

    Kemper, Peter F.; de Bruijne, Martine; van Dyck, C.; Wagner, Cordula

    Introduction There is a growing awareness today that adverse events in the intensive care unit (ICU) are more often caused by problems related to non-technical skills than by a lack of technical, or clinical, expertise. Team training, such as crew resource management (CRM), aims to improve these

  20. Crew resource management training in the intensive care unit: a multisite controlled before-after study.

    NARCIS (Netherlands)

    Kemper, P.F.; Bruijne, M. de; Dyck, C. van; So, R.L.; Tangkau, P.; Wagner, C.

    2016-01-01

    Introduction There is a growing awareness today that adverse events in the intensive care unit (ICU) are more often caused by problems related to non-technical skills than by a lack of technical, or clinical, expertise. Team training, such as crew resource management (CRM), aims to improve these

  1. Effectiviteit van een klassieke Crew Resource Management training in de Intensive Care: een gecontroleerde studie.

    NARCIS (Netherlands)

    Kemper, P.F.; Bruijne, M. de; Dyck, C. van; So, K.L.; Tangkau, P.; Wagner, C.

    2013-01-01

    Achtergrond: Er is een toenemende bewustwording dat onbedoelde zorg gerelateerde schade in de gezondheidszorg vaker voortvloeit uit problemen met niet-technische vaardigheden, dan door een gebrek in technische, of klinische, vaardigheden. Dit is vooral van belang in de Intensive Care (IC), waar

  2. Sedation and analgesia practices in neonatal intensive care units (EUROPAIN): results from a prospective cohort study

    NARCIS (Netherlands)

    Carbajal, Ricardo; Eriksson, Mats; Courtois, Emilie; Boyle, Elaine; Avila-Alvarez, Alejandro; Andersen, Randi Dovland; Sarafidis, Kosmas; Polkki, Tarja; Matos, Cristina; Lago, Paola; Papadouri, Thalia; Montalto, Simon Attard; Ilmoja, Mari-Liis; Simons, Sinno; Tameliene, Rasa; van Overmeire, Bart; Berger, Angelika; Dobrzanska, Anna; Schroth, Michael; Bergqvist, Lena; Lagercrantz, Hugo; Anand, Kanwaljeet J. S.; Kiechl-Kohlendorfer, Ursula; Trinkl, Anna; Deindl, Philipp; Wald, Martin; Rigo, Vincent; Dussart, Anneliese; Dierckx, Elke; Coppens, Sophie; Kiilsapaa, Birgit; Metsvaht, Tuuli; Metsäranta, Marjo; Nikolajev, Kari; Saarela, Timo; Peltoniemi, Outi; Tammela, Outi; Lehtonen, Liisa; Savagner, Christophe; Sevestre, Anna; Alexandre, Cénéric; Bouchon-Guedj, Nathalie; Saumureau, Simone; Grosse, Camille; Jouvencel, Philippe; Ramful, Duksha; Clamadieu, Catherine; Mourdie, Julien; Montcho, Yannis; Cambonie, Gilles; Di Maio, Massimo; Patural, Hugues; Asrtuc, Dominique; Norbert, Karine; Bouchera, Kassis; Lang, Mathieu; Galene Gromez, Sophie; Hamon, Isabelle; Nolent, Paul; Ntwari, René-Christian; Lallemant, Carine; Chary Tardy, Anne Cécile; Pelluau, Sonia; Roue, Jean Michel; Picaud, Jean Charles; Camelio, Aurélie; Tourneux, Pierre; Saint-Faust, Marie; Morville, Patrice; David, Alexandra; Theret, Bernard; Frédérique, Martin; Topf, Georg; Menendez-Castro, Ricardo; Fujiwara-Pichler, Erhard; Deeg, Karl Heinz; Anatolitou, Fani; Baroutis, George; Papazafeiratou, Chrissoulan; Giannakopoulou, Christine; Baltogianni, Maria; Delivoria, Varvara; Sterpi, Magdalena; Saklamaki-Kontou, Melpomeni; Dimitriou, Gabriel; Charitou, Antonia; Thomaidou, Agathi; Chatziioannidis, Ilias; Salvanos, Iraklis; Pirelli, Anna; Poggiani, Carlo; Fasolato, Valeria; Cristofori, Gloria; Gomirato, Serena; Allegro, Antonella; Alfiero, Michela; Biban, Paolo; Bertolini, Alessandra; Golin, Rosanna; Franco, Elena; Molinaro, Grazia; Federica, Visintini; Rossini, Roberto; Garetti, Elisabetta; Faraoni, Maddalena; Dani, Carlo; Germini, Cristina; Braguglia, Annabella; Benigni, Gina; Azzali, Adriano; Santa, Barresi; Romoli, Raffaella; Carrera, Giuseppe; Miria, Natile; Savant, Patrizia; Cossu, Maria Antonia; Giancarlo, Gargano; Cassar, Robert; Bos, Annelis; van Kaam, Anton; Brouwer, Mieke; van Lingen, Richard; Bambang Oetomo, Sidarto; Sivertsen, Wiebke; Nakstad, Britt; Solhjell, Kari; Flagstad, Gro; Salvesen, Bodil; Nessestrand, Ingunn A. M.; Nordhov, Marianne; Anderssen, Sven-Harald; Wasland, Kristin; Danielsen, Kåre; Kristoffersen, Laila Marie; Ytterdahl Bergland, Unni; Borghild Stornes, Randi; Andresen, Jannicke; Solberg, Rønnaug; Hochnowski, Kristoffer; Terpinska, Ewa; Kociszewska-Najman, Bozena; Melka, Andrzej; Głuszczak, Ewa; Niezgoda, Anna; Borszewska-Kornacka, Maria Katarzyna; Witwicki, Jacek M.; Korbal, Piotr; Ramos, Helena; Garcia, Pedro; Machado, Cidália; Clemente, Fátima; Costa, Miguel; Trindade, Cristina; Salazar, Anabela; Martins Barroso, Laura; Resende, Cristine; Afonso, Maria Eulàlia; Torres, Jacinto; Maciel, Paula; Nunes, José Luis; Neve Dos Santos, Vera Alexandra; Melgar Bonis, Ana; Euba Lopez, Aintzane; Tapia Collados, Caridad; Jesus Ripalda, María; Solis Sanchez, Gonzalo; Martin Parra, Belén; Botet, Francesc; Fernandez Trisac, Jose Luis; Elorza Fernandez, María Dolores; Arriaga Redondo, María; Bargallo Ailagas, Eva; Saenz, Pilar; Lopez Ortego, Paloma; Ventura, Purificación; Galve, Zenaida; Perez Ocon, Amaya; Crespo Suarez, Pilar; Dianez Vega, Gloria; San Feliciano, Laura; Herranz Carillo, Gloria; Esteban Diez, Inés; Reyné, Mar; Garcia Borau, María José; de Las Cuevas, Isabel; Couce, María L.; González Carrasco, Ersilia; Montoro Exposito, Aurora; Concheiro Guisan, Ana; Luna Lagares, Salud; Sanchez Redondo, Maria Dolores; Hellström Westas, Lena; Moren, Stefan; Norman, Elisabeth; Olsson, Emma; Åberg, Emma; Printz, Gordana; Turner, Mark; McBride, Tim; Bomont, Robert; Webb, Delyth; Saladi, Murthy; Thirumurugan, Arumugavelu; Brooke, Nigel; Skene, Caryl; Bilolikar, Harsha; Noble, Vibert; Vora, Amish; Thompson, Fiona; Deorukhkar, Anjum; El-Refee, Sherif; McIntyre, John; Millman, Guy; Reed, Joanne; Babirecki, Matthew; Kumar, Dev; Yadav, Mahesh; O'Brien, Margaret; Gasiorowski, Edward Robert; Rawlingson, Chris; Shastri, Aravind; Tibby, Shane; Walsh, Sandra; Azzopardi, Denis; Soe, Aung; MaCrae, Duncan; Eyre, Elizabeth; Menon, Gopi; Gupta, Samir; James, Anitha; Surana, Pinki; Adams, Eleri; Wolf, Andrew; Maxwell, Nicola; Wagstaff, Miles; Mann, Rebecca; Kumar, Yadlapalli; Quinn, Michael; Jones Dyson, Steve; Mannix, Paul; Morris, Kevin; Ewer, Andrew; Gurusamy, Kalyana; Deshpande, Sanjeev; Alexander, John; Blake, Kathryn; Kumar, Siva; Oddie, Sam; Ohadike, Pamela; McKechnie, Liz; Gibson, David; Shirsalkar, Anand; Suryanarayanan, Balaji; Hubbard, Marie; Lal, Mithilesh; Ali, Imdad; Shah, Divyen; Sketchley, Suzanne; Gupta, Richa; Schofield, Joanne; Ezzat, Medhat; Mupanemunda, Richard; Gallagher, Andrew; Kronsberg, Shari

    2015-01-01

    Background Neonates who are in pain or are stressed during care in the intensive care unit (ICU) are often given sedation or analgesia. We investigated the current use of sedation or analgesia in neonatal ICUs (NICUs) in European countries. Methods EUROPAIN (EUROpean Pain Audit In Neonates) was a

  3. Study on low intensity aeration oxygenation model and optimization for shallow water

    Science.gov (United States)

    Chen, Xiao; Ding, Zhibin; Ding, Jian; Wang, Yi

    2018-02-01

    Aeration/oxygenation is an effective measure to improve self-purification capacity in shallow water treatment while high energy consumption, high noise and expensive management refrain the development and the application of this process. Based on two-film theory, the theoretical model of the three-dimensional partial differential equation of aeration in shallow water is established. In order to simplify the equation, the basic assumptions of gas-liquid mass transfer in vertical direction and concentration diffusion in horizontal direction are proposed based on engineering practice and are tested by the simulation results of gas holdup which are obtained by simulating the gas-liquid two-phase flow in aeration tank under low-intensity condition. Based on the basic assumptions and the theory of shallow permeability, the model of three-dimensional partial differential equations is simplified and the calculation model of low-intensity aeration oxygenation is obtained. The model is verified through comparing the aeration experiment. Conclusions as follows: (1)The calculation model of gas-liquid mass transfer in vertical direction and concentration diffusion in horizontal direction can reflect the process of aeration well; (2) Under low-intensity conditions, the long-term aeration and oxygenation is theoretically feasible to enhance the self-purification capacity of water bodies; (3) In the case of the same total aeration intensity, the effect of multipoint distributed aeration on the diffusion of oxygen concentration in the horizontal direction is obvious; (4) In the shallow water treatment, reducing the volume of aeration equipment with the methods of miniaturization, array, low-intensity, mobilization to overcome the high energy consumption, large size, noise and other problems can provide a good reference.

  4. Patient safety event reporting in critical care: a study of three intensive care units.

    Science.gov (United States)

    Harris, Carolyn B; Krauss, Melissa J; Coopersmith, Craig M; Avidan, Michael; Nast, Patricia A; Kollef, Marin H; Dunagan, W Claiborne; Fraser, Victoria J

    2007-04-01

    To increase patient safety event reporting in three intensive care units (ICUs) using a new voluntary card-based event reporting system and to compare and evaluate observed differences in reporting among healthcare workers across ICUs. Prospective, single-center, interventional study. A medical ICU (19 beds), surgical ICU (24 beds), and cardiothoracic ICU (17 beds) at a 1,371-bed urban teaching hospital. Adult patients admitted to these three study ICUs. Use of a new, internally designed, card-based reporting program to solicit voluntary anonymous reporting of medical errors and patient safety concerns. During a 14-month period, 714 patient safety events were reported using a new card-based reporting system, reflecting a significant increase in reporting compared with pre-intervention Web-based reporting (20.4 reported events/1,000 patient days pre-intervention to 41.7 reported events/1,000 patient days postintervention; rate ratio, 2.05; 95% confidence interval, 1.79-2.34). Nurses submitted the majority of reports (nurses, 67.1%; physicians, 23.1%; other reporters, 9.5%); however, physicians experienced the greatest increase in reporting among their group (physicians, 43-fold; nurses, 1.7-fold; other reporters, 4.3-fold) relative to pre-intervention rates. There were significant differences in the reporting of harm by job description: 31.1% of reports from nurses, 36.2% from other staff, and 17.0% from physicians described events that did not reach/affect the patient (p = .001); and 33.9% of reports from physicians, 27.2% from nurses, and 13.0% from other staff described events that caused harm (p = .005). Overall reported patient safety events per 1,000 patient days differed by ICU (medical ICU = 55.5, cardiothoracic ICU = 25.3, surgical ICU = 40.2; p reporting system increased reporting significantly compared with pre-intervention Web-based reporting and revealed significant differences in reporting by healthcare worker and ICU. These differences may reveal

  5. Sedation and analgesia practices at Italian neonatal intensive care units: results from the EUROPAIN study.

    Science.gov (United States)

    Lago, Paola; Frigo, Anna Chiara; Baraldi, Eugenio; Pozzato, Roberta; Courtois, Emilie; Rambaud, Jérôme; Anand, Kanwaljeet J S; Carbajal, Ricardo

    2017-03-07

    We aimed to examine current bedside analgesia/sedation (A/S) and pain assessment (PA) practices in Italian neonatal intensive care units (NICUs) in relation to the findings of an epidemiological European study and recently-introduced national guidelines. We analyzed the Italian data from the EUROPAIN (EUROpean-Pain-Audit-In-Neonates) prospective observational study on A/S practices that involved 6680 newborns admitted to tertiary-level NICUs in 18 European countries. Demographics, type of assisted ventilation, type and mode of A/S administration and PA were analyzed. Multivariate linear regression models were used to identify factors predicting A/S and PA practices. From October 1 st , 2012 to June 30 th , 2013, thirty Italian NICUs gathered data on 422 newborn: 131 on invasive ventilation (IV); 150 on noninvasive ventilation (NIV); and 141 on spontaneous ventilation (SV). A/S was documented for 35.3% of all infants admitted (86.3% IV; 17.3% NIV; 7.1% SV [p = 0.0001]), and varied considerably between NICUs (as reported in other European countries). Strong analgesics were used in 32.5% of cases, sedatives in 10.2%, mild analgesics in 3.8%. Fentanyl was used in 78.6% of cases, morphine in 8.4%, neuromuscular blockers in 5.3%, midazolam in 22.1%. The performance of PA was documented in 67.5% of all newborn (85.5% IV; 67.3% NIV; 51.1% SV [p = 0.001]). Illness severity, type of ventilation, bedside PA, and number of NICU beds were all factors associated with A/S use on multivariate analysis, while gestational age ≤ 32 weeks, and type of ventilation and presence of a pain team were associated with PA. We documented a generally widespread, but still highly variable use of A/S and PA at Italian NICUs, despite the diffusion of national guidelines. There is an urgent need to improve routine PA to enable customized pain and stress control (and prevention) in all infants. Clinical Trials.gov # NCT01694745 .

  6. Large-scale Watershed Modeling: NHDPlus Resolution with Achievable Conservation Scenarios in the Western Lake Erie Basin

    Science.gov (United States)

    Yen, H.; White, M. J.; Arnold, J. G.; Keitzer, S. C.; Johnson, M. V. V.; Atwood, J. D.; Daggupati, P.; Herbert, M. E.; Sowa, S. P.; Ludsin, S.; Robertson, D. M.; Srinivasan, R.; Rewa, C. A.

    2016-12-01

    By the substantial improvement of computer technology, large-scale watershed modeling has become practically feasible in conducting detailed investigations of hydrologic, sediment, and nutrient processes. In the Western Lake Erie Basin (WLEB), water quality issues caused by anthropogenic activities are not just interesting research subjects but, have implications related to human health and welfare, as well as ecological integrity, resistance, and resilience. In this study, the Soil and Water Assessment Tool (SWAT) and the finest resolution stream network, NHDPlus, were implemented on the WLEB to examine the interactions between achievable conservation scenarios with corresponding additional projected costs. During the calibration/validation processes, both hard (temporal) and soft (non-temporal) data were used to ensure the modeling outputs are coherent with actual watershed behavior. The results showed that widespread adoption of conservation practices intended to provide erosion control could deliver average reductions of sediment and nutrients without additional nutrient management changes. On the other hand, responses of nitrate (NO3) and dissolved inorganic phosphorus (DIP) dynamics may be different than responses of total nitrogen and total phosphorus dynamics under the same conservation practice. Model results also implied that fewer financial resources are required to achieve conservation goals if the goal is to achieve reductions in targeted watershed outputs (ex. NO3 or DIP) rather than aggregated outputs (ex. total nitrogen or total phosphorus). In addition, it was found that the model's capacity to simulate seasonal effects and responses to changing conservation adoption on a seasonal basis could provide a useful index to help alleviate additional cost through temporal targeting of conservation practices. Scientists, engineers, and stakeholders can take advantage of the work performed in this study as essential information while conducting policy

  7. Intensity-Modulated Whole Abdominal Radiotherapy After Surgery and Carboplatin/Taxane Chemotherapy for Advanced Ovarian Cancer: Phase I Study

    International Nuclear Information System (INIS)

    Rochet, Nathalie; Sterzing, Florian; Jensen, Alexandra D.; Dinkel, Julien; Herfarth, Klaus K.; Schubert, Kai; Eichbaum, Michael H.; Schneeweiss, Andreas; Sohn, Christof; Debus, Juergen; Harms, Wolfgang

    2010-01-01

    Purpose: To assess the feasibility and toxicity of consolidative intensity-modulated whole abdominal radiotherapy (WAR) after surgery and chemotherapy in high-risk patients with advanced ovarian cancer. Methods and Materials: Ten patients with optimally debulked ovarian cancer International Federation of Gynecology and Obstetrics Stage IIIc were treated in a Phase I study with intensity-modulated WAR up to a total dose of 30 Gy in 1.5-Gy fractions as consolidation therapy after adjuvant carboplatin/taxane chemotherapy. Treatment was delivered using intensity-modulated radiotherapy in a step-and-shoot technique (n = 3) or a helical tomotherapy technique (n = 7). The planning target volume included the entire peritoneal cavity and the pelvic and para-aortal node regions. Organs at risk were kidneys, liver, heart, vertebral bodies, and pelvic bones. Results: Intensity-modulated WAR resulted in an excellent coverage of the planning target volume and an effective sparing of the organs at risk. The treatment was well tolerated, and no severe Grade 4 acute side effects occurred. Common Toxicity Criteria Grade III toxicities were as follows: diarrhea (n = 1), thrombocytopenia (n = 1), and leukopenia (n = 3). Radiotherapy could be completed by all the patients without any toxicity-related interruption. Median follow-up was 23 months, and 4 patients had tumor recurrence (intraperitoneal progression, n = 3; hepatic metastasis, n = 1). Small bowel obstruction caused by adhesions occurred in 3 patients. Conclusions: The results of this Phase I study showed for the first time, to our knowledge, the clinical feasibility of intensity-modulated whole abdominal radiotherapy, which could offer a new therapeutic option for consolidation treatment of advanced ovarian carcinoma after adjuvant chemotherapy in selected subgroups of patients. We initiated a Phase II study to further evaluate the toxicity of this intensive multimodal treatment.

  8. Intensity-modulated whole abdominal radiotherapy after surgery and carboplatin/taxane chemotherapy for advanced ovarian cancer: phase I study.

    Science.gov (United States)

    Rochet, Nathalie; Sterzing, Florian; Jensen, Alexandra D; Dinkel, Julien; Herfarth, Klaus K; Schubert, Kai; Eichbaum, Michael H; Schneeweiss, Andreas; Sohn, Christof; Debus, Juergen; Harms, Wolfgang

    2010-04-01

    To assess the feasibility and toxicity of consolidative intensity-modulated whole abdominal radiotherapy (WAR) after surgery and chemotherapy in high-risk patients with advanced ovarian cancer. Ten patients with optimally debulked ovarian cancer International Federation of Gynecology and Obstetrics Stage IIIc were treated in a Phase I study with intensity-modulated WAR up to a total dose of 30 Gy in 1.5-Gy fractions as consolidation therapy after adjuvant carboplatin/taxane chemotherapy. Treatment was delivered using intensity-modulated radiotherapy in a step-and-shoot technique (n = 3) or a helical tomotherapy technique (n = 7). The planning target volume included the entire peritoneal cavity and the pelvic and para-aortal node regions. Organs at risk were kidneys, liver, heart, vertebral bodies, and pelvic bones. Intensity-modulated WAR resulted in an excellent coverage of the planning target volume and an effective sparing of the organs at risk. The treatment was well tolerated, and no severe Grade 4 acute side effects occurred. Common Toxicity Criteria Grade III toxicities were as follows: diarrhea (n = 1), thrombocytopenia (n = 1), and leukopenia (n = 3). Radiotherapy could be completed by all the patients without any toxicity-related interruption. Median follow-up was 23 months, and 4 patients had tumor recurrence (intraperitoneal progression, n = 3; hepatic metastasis, n = 1). Small bowel obstruction caused by adhesions occurred in 3 patients. The results of this Phase I study showed for the first time, to our knowledge, the clinical feasibility of intensity-modulated whole abdominal radiotherapy, which could offer a new therapeutic option for consolidation treatment of advanced ovarian carcinoma after adjuvant chemotherapy in selected subgroups of patients. We initiated a Phase II study to further evaluate the toxicity of this intensive multimodal treatment.

  9. Does weather affect daily pain intensity levels in patients with acute low back pain? A prospective cohort study.

    Science.gov (United States)

    Duong, Vicky; Maher, Chris G; Steffens, Daniel; Li, Qiang; Hancock, Mark J

    2016-05-01

    The aim of this study was to investigate the influence of various weather parameters on pain intensity levels in patients with acute low back pain (LBP). We performed a secondary analysis using data from the PACE trial that evaluated paracetamol (acetaminophen) in the treatment of acute LBP. Data on 1604 patients with LBP were included in the analysis. Weather parameters (precipitation, temperature, relative humidity, and air pressure) were obtained from the Australian Bureau of Meteorology. Pain intensity was assessed daily on a 0-10 numerical pain rating scale over a 2-week period. A generalised estimating equation analysis was used to examine the relationship between daily pain intensity levels and weather in three different time epochs (current day, previous day, and change between previous and current days). A second model was adjusted for important back pain prognostic factors. The analysis did not show any association between weather and pain intensity levels in patients with acute LBP in each of the time epochs. There was no change in strength of association after the model was adjusted for prognostic factors. Contrary to common belief, the results demonstrated that the weather parameters of precipitation, temperature, relative humidity, and air pressure did not influence the intensity of pain reported by patients during an episode of acute LBP.

  10. Study of NH3 Line Intensities in the THz and Far-IR Region

    Science.gov (United States)

    Yu, Shanshan

    Ammonia (NH3) exists in the interstellar medium, late-type stars and giant planets of our solar system. Its temperature and abundance profiles in these environments, which are derived with its line parameters as fixed input , are commonly used to provide constraints on retrieving minor species. Therefore NH3 line parameters are essential for interpreting astrophysical and planetary spectra from Herschel, SOFIA, ALMA and JWST. However, our work under a predecessor grant with the APRA program revealed significant deficiencies in NH3 intensities in the terahertz and FIR region, including some weak Delta(K)=3 forbidden transitions predicted to be 100 times stronger. The Delta(K)=3 transitions are the ones connecting levels with different K values and therefore the only way other than collisions and l-doubled states to excite NH3 to K>0 levels. Their intensities have to be corrected to explain the observed high K excitation, such as the detection of NH3 (J,K) = (1,1), (2,2)&(14,14) and (18,18) transitions toward the galactic center star forming region Sgr B2, and to provide insights into the radiative- transfer vs. collision excitation mechanics of interstellar NH3. This proposal will remedy the serious deficiencies in the current databases involving NH3 line parameters in the terahertz and FIR region. We will target transitions with intensities greater than 10^{-23} cm-1/ (molecule/cm2) at 296 K, which will be among new astrophysical detections made by SOFIA, ALMA and JWST, and are 1000 times weaker than the strongest ground state transitions. We will retrieve new positions and intensities from existing laboratory spectra, use them to evaluate the current databases and ab initio calculations, and repair the line positions and intensities by replacing poorly calculated values with our new measurements. The proposed research will result in (1) a validated linelist containing the positions, intensities and lower state energies for the very important Delta(K)=3 NH3 FIR

  11. Study on silicon oxide coated on silver nanocrystal to enhance fluorescence intensity of rare earth complexes

    Energy Technology Data Exchange (ETDEWEB)

    Qu, Yan-rong; Lin, Xue-mei; Wang, Ai-ling; Wang, Zhong-xia; Kang, Jie; Chu, Hai-bin, E-mail: binghai99@gmail.com; Zhao, Yong-liang, E-mail: hxzhaoyl@163.com

    2014-10-15

    Twelve kinds of rare earth complexes were synthesized using halo-benzoic acid as anion ligand and Sm{sup 3+} and Dy{sup 3+} as central ions, respectively. The complexes were characterized by elemental analysis, rare earth coordination titration and electrospray ionization mass spectra, from which the compositions of the complexes were confirmed to be RE(p-FBA){sub 3}·H{sub 2}O, RE(p-ClBA){sub 3}·2H{sub 2}O, RE(p-BrBA){sub 3}·H{sub 2}O, RE(o-FBA){sub 3}·2H{sub 2}O, RE(o-ClBA){sub 3}·H{sub 2}O, RE(o-BrBA){sub 3}·H{sub 2}O (RE=Sm{sup 3+}, Dy{sup 3+}). Besides, IR spectra and UV–visible absorption spectroscopy indicated that the carboxyl oxygen atoms of ligands coordinated to the rare earth ions. Moreover, Ag@SiO{sub 2} core–shell nanoparticles (NPs) were prepared via a modified Stöber method. The average diameters of silver cores were typically between 60 nm and 70 nm, and the thicknesses of the SiO{sub 2} shells were around 10 nm, 15 nm and 25 nm, respectively. The influence of Ag@SiO{sub 2} NPs on the luminescence properties of the rare earth complexes showed that the luminescence intensities of rare earth complexes were enhanced remarkably. As the thickness of SiO{sub 2} shell increases in the range of 10–25 nm, the effect of metal-enhanced fluorescence become obvious. The mechanism of the changes of the fluorescence intensity is also discussed. - Highlights: • Among 10–25 nm, the thicker the shell thickness, the better the fluorescence effect. • The strong the intensity of the pure complexes, the smaller the multiple enhanced. • The intensity of Sm(p-BrBA){sub 3}·H{sub 2}O is the strongest among Sm(p-XBA){sub 3}·nH{sub 2}O complexes. • The intensity of Dy(p-ClBA){sub 3}·2H{sub 2}O is the strongest among Dy(p-XBA){sub 3}·nH{sub 2}O complexes. • When halogen is in o-position, the intensity of RE(o-ClBA){sub 3}·H{sub 2}O is the strongest.

  12. A study of the effect of low intensity laser therapy on the osseointegration of hydroxyapatite implants

    International Nuclear Information System (INIS)

    Rajab, A.A.

    1999-01-01

    Three significant developments over the last decade in the maxillofacial region have been the predictable use of dental implants, the employment of hydroxyapatite as an implant coating, with a potential for more rapid osseointegration, and the introduction of Low Intensity Laser Therapy (LILT) for the enhancement of healing. Implants, although proving a major advance in prosthetics have the disadvantage that loading has to be delayed for a period, which in the case of the mouth needs to be 3 - 6 months after insertion. Hydroxyapatite offers the possibility of a shortened period of delay. Low Intensity Laser Therapy (LILT) has been shown to accelerate the healing of bony fractures, both experimentally and clinically. This thesis sets out to evaluate whether LILT could enhance the process of osseointegration, particularly when used with ceramic hydroxyapatite implants in an animal model. If so, this could provide a future clinical combination which would allow earlier loading of hydroxyapatite coated dental implants and also their counterparts in femoral head replacement. There has been virtually no research work undertaken on this aspect. An animal research study has been undertaken to investigate the effect of LILT on the osseointegration of endosseous implants. HA ceramic implants were inserted in two different anatomical sites, namely the mandible and femur in 40 rabbits. The animals were divided into three groups, comprising a low energy laser group (25 J/cm 2 per treatment), a high energy group (125 J/cm 2 per treatment ) and a control group. Animals were sacrificed at four and twelve weeks, with equivalent numbers of representatives of the three groups. The evolved method of evaluation involved radiographic methods (plain x-ray, radiovisiography RVG and the innovative technique of x-ray microtomography XMT), mechanical push out testing (Instron machine) and histological examination (qualitative and quantitative histomorphometry). The conclusions of the study

  13. Exploring the "intensity fading" phenomenon in the study of noncovalent interactions by MALDI-TOF mass spectrometry

    DEFF Research Database (Denmark)

    Yanes, Oscar; Aviles, Francesc X; Roepstorff, Peter

    2007-01-01

    the intensity fading phenomenon, as well as a comparison with the strategy based on the direct detection of intact complexes by MALDI MS. For this purpose, the study is focused on two different protease-inhibitor complexes naturally occurring in solution, together with a heterogeneous mixture of nonbinding...... molecules derived from a biological extract, to examine the specificity of the approach, i.e., those of carboxypeptidase A (CPA) bound to potato carboxypeptidase inhibitor (PCI) and of trypsin bound to bovine pancreatic trypsin inhibitor (BPTI). Our results show that the intensity fading phenomenon occurs...

  14. Spectroscopic study of the interaction of Nd{sup +3} with amino acids: phenomenological 4f-4f intensity parameters

    Energy Technology Data Exchange (ETDEWEB)

    Jerico, Soraya; Carubelli, Celia R.; Massabni, Ana M.G.; Stucchi, Elizabeth B.; Leite, Sergio R. de A. [UNESP, Araraquara, SP (Brazil). Inst. de Quimica; Malta, Oscar [Pernambuco Univ., Recife, PE (Brazil). Dept. de Quimica Fundamental

    1998-10-01

    We have studied behaviour of the phenomenological 4f-4f intensity parameters in compounds of the Nd{sup 3+} ion with glycine, L-aspartic acid, L-glutamic acid, L-histidine, DL-malic acid and Aspartame{sup TM} in aqueous solution, as function of the pK values and partial charges on the oxygens of the carboxylate groups of these molecules. The results are discussed and qualitatively interpreted in terms of the forced electric dipole and dynamic coupling mechanisms of the 4f-4f intensities, thus indicating that the forced electric dipole mechanism is dominant. (author)

  15. Spectroscopic study of the interaction of Nd+3 with amino acids: phenomenological 4f-4f intensity parameters

    International Nuclear Information System (INIS)

    Jerico, Soraya; Carubelli, Celia R.; Massabni, Ana M.G.; Stucchi, Elizabeth B.; Leite, Sergio R. de A.; Malta, Oscar

    1998-01-01

    We have studied behaviour of the phenomenological 4f-4f intensity parameters in compounds of the Nd 3+ ion with glycine, L-aspartic acid, L-glutamic acid, L-histidine, DL-malic acid and Aspartame TM in aqueous solution, as function of the pK values and partial charges on the oxygens of the carboxylate groups of these molecules. The results are discussed and qualitatively interpreted in terms of the forced electric dipole and dynamic coupling mechanisms of the 4f-4f intensities, thus indicating that the forced electric dipole mechanism is dominant. (author)

  16. Radiation Preservation of fresh pork from semi-intensive and intensive pig production systems. A case study in the Greater Accra Region

    International Nuclear Information System (INIS)

    Amoakoaa, T. L

    2011-07-01

    The Ministry of Food and Agriculture estimates that about 40,000 Ghanaians suffer from several food borne diseases yearly and this poses a great drain on the economy. Meat contains 75% water and is a good substrate for organisms to grow. There are many food microorganisms and parasites associated with pigs, making it practically impossible to be used by many as a main source of protein even though it contains a lot of nutrients and less harmful fat. There is also the problem of recontamination of pork after packaging. Irradiation of food is one method of food preservation that can reduce microbial and parasitic load, prevent recontamination of food and increase its shelf life. The main objective of this study was to use radiation to make pork from semi-intensive and intensive pig production systems safe for human consumption and extend its shelf life. Questionnaires were administrate to 20 farmers and 10 pork samples were collected from 10 different locations within the Greater Accra Region, for both pig production systems. One location in each pig production systems with the least microbial count was selected for pork sampling for irradiation and shelf life studies. The pork samples were irradiated with irradiation doses of 0, 1.5 and 3kGy and stored at 4°C for 28 days. Statistical tools used were Microsoft Excel and Stat Graphics. Means were separated using tukey test and Duncan's Multiple Range Test. The study observed that most farmers did not have any measures in place to control microbial contamination. However the total mean count of total aerobic mesophillic bacteria and the coliform for pork samples from differentiated locations within Greater Accra in both pig production systems were 4.958 ± 0.90 log 10 cfu/g and ranged from 2.9 to 6.0 and 3.277 ± 1.066 log 10 cfu/g which ranged from 2.0 to 5.67 respectively. Results from the pooled means of total aerobic mesophilic bacteria and total coliform count indicated that a combination treatment of irradiation

  17. Early tracheostomy in intensive care trauma patients improves resource utilization: a cohort study and literature review

    Science.gov (United States)

    2004-01-01

    Introduction Despite the integral role played by tracheostomy in the management of trauma patients admitted to intensive care units (ICUs), its timing remains subject to considerable practice variation. The purpose of this study is to examine the impact of early tracheostomy on the duration of mechanical ventilation, ICU length of stay, and outcomes in trauma ICU patients. Methods The following data were obtained from a prospective ICU database containing information on all trauma patients who received tracheostomy over a 5-year period: demographics, Acute Physiology and Chronic Health Evaluation II score, Simplified Acute Physiology Score II, Glasgow Coma Scale score, Injury Severity Score, type of injuries, ICU and hospital outcomes, ICU and hospital length of stay (LOS), and the type of tracheostomy procedure (percutaneous versus surgical). Tracheostomy was considered early if it was performed by day 7 of mechanical ventilation. We compared the duration of mechanical ventilation, ICU LOS and outcome between early and late tracheostomy patients. Multivariate analysis was performed to assess the impact of tracheostomy timing on ICU stay. Results Of 653 trauma ICU patients, 136 (21%) required tracheostomies, 29 of whom were early and 107 were late. Age, sex, Acute Physiology and Chronic Health Evaluation II score, Simplified Acute Physiology Score II and Injury Severity Score were not different between the two groups. Patients with early tracheostomy were more likely to have maxillofacial injuries and to have lower Glasgow Coma Scale score. Duration of mechanical ventilation was significantly shorter with early tracheostomy (mean ± standard error: 9.6 ± 1.2 days versus 18.7 ± 1.3 days; P tracheostomy, patients were discharged from the ICU after comparable periods in both groups (4.9 ± 1.2 days versus 4.9 ± 1.1 days; not significant). ICU and hospital mortality rates were similar. Using multivariate analysis, late tracheostomy was an independent predictor of

  18. Effect of turbulence intensity on PM emission of heavy duty diesel trucks - Wind tunnel studies

    Science.gov (United States)

    Littera, D.; Cozzolini, A.; Besch, M.; Carder, D.; Gautam, M.

    2017-08-01

    Stringent emission regulations have forced drastic technological improvements in diesel aftertreatment systems, particularly in reducing Particulate Matter (PM) emissions. The formation and evolution of PM from modern engines are more sensitive to overall changes in the dilution process, such as rapidity of mixing, background PM present in the air. These technological advancements were made in controlled laboratory environments compliant with measurement standards (i.e. Code of Federal Regulation CFR in the USA) and are not fully representative of real-world emissions from these engines or vehicles. In light of this, a specifically designed and built wind tunnel by West Virginia University (WVU) is used for the study of the exhaust plume of a heavy-duty diesel vehicle, providing a better insight in the dilution process and the representative nanoparticles emissions in a real-world scenario. The subsonic environmental wind tunnel is capable of accommodating a full-sized heavy-duty truck and generating wind speeds in excess of 50mph. A three-dimensional gantry system allows spanning the test section and sample regions in the plume with accuracy of less than 5 mm. The gantry system is equipped with engine exhaust gas analyzers and PM sizing instruments. The investigation involves three different heavy-duty Class-8 diesel vehicles representative of three emission regulation standards, namely a US-EPA 2007 compliant, a US-EPA 2010 compliant, and a baseline vehicle without any aftertreatment technologies as a pre US-EPA 2007, respectively. The testing procedure includes three different vehicle speeds: idling, 20mph, and 35mph. The vehicles were tested on WVU's medium-duty chassis dynamometer, with the load applied to the truck reflecting the road load equation at the corresponding vehicle test speeds. Wind tunnel wind speed and vehicle speed were maintained in close proximity to one another during the entire test. Results show that the cross-sectional plume area

  19. A study of type and intensity of disease infecting banana plants Musa sp at Tegalagung village Semanding subdistrict

    Directory of Open Access Journals (Sweden)

    Supiana Dian Nurtjahyani

    2014-12-01

    Full Text Available Diseases affecting banana plants are very detrimental to farmers as these can lower production and economic income. The purpose of this study was to determine the type and intensity of the disease affecting banana plants. This research was an observational analytic study that observe and analyze condition or symptoms of diseases affecting banana plants in Tegalagung village, Semanding subdistrict, Tuban as many as 38 samples. Parameters observed were type of disease and measure intensity of the disease, data obtained were analyzed descriptively. Based on the symptoms that occurred on the leaves, the study found four disease types affecting banana plant that were fusarium wilt, bacterial wilt (Blood, Sigatoka leaf spot and stunting disease. The diseases intensity were 50% of Fusarium wilt; 26,66% of bacterial wilt (Blood; 26.32% of Sigatoka leaf spot and 15.38% of stunting disease. Conclusion of the study, the highest intensity of the disease that attacks banana plants is Fusarium wilt as high as 50%.

  20. Effectiveness of classroom based crew resource management training in the intensive care unit: Study design of a controlled trial

    NARCIS (Netherlands)

    Kemper, P.F.; de Bruijne, M.C.; van Dyck, C.; Wagner, C.

    2011-01-01

    Background: Crew resource management (CRM) has the potential to enhance patient safety in intensive care units (ICU) by improving the use of non-technical skills. However, CRM evaluation studies in health care are inconclusive with regard to the effect of this training on behaviour and

  1. Effectiveness of classroom based crew resource management training in the intensive care unit: study design of a controlled trial.

    NARCIS (Netherlands)

    Kemper, P.F.; Bruijne, M. de; Dyck, C. van; Wagner, C.

    2011-01-01

    Background: Crew resource management (CRM) has the potential to enhance patient safety in intensive care units (ICU) by improving the use of non-technical skills. However, CRM evaluation studies in health care are inconclusive with regard to the effect of this training on behaviour and

  2. Construction and temporal behaviour study of multi RLC intense light pulses for dermatological applications.

    Science.gov (United States)

    Hamoudi, Walid K; Ismail, Raid A; Shakir, Hussein A

    2017-10-01

    Driving a flash lamp in an intense pulsed light system requires a high-voltage DC power supply, capacitive energy storage and a flash lamp triggering unit. Single, double, triple and quadruple-mesh discharge and triggering circuits were constructed to provide intense light pulses of variable energy and time durations. The system was treated as [Formula: see text] circuit in some cases and [Formula: see text] circuit in others with a light pulse profile following the temporal behaviour of the exciting current pulse. Distributing the energy delivered to one lamp onto a number of LC meshes permitted longer current pulses, and consequently increased the light pulse length. Positive results were obtained when using the system to treat skin wrinkles.

  3. [The application of low-intensity electromagnetic radiation under immobilization stress conditions (an experimental study)].

    Science.gov (United States)

    Korolev, Iu N; Bobrovnitskiĭ, I P; Nikoulina, L A; Mikhaĭlik, L V; Geniatulina, M S; Bobkova, A S

    2014-01-01

    The experiments carried out on outbred male white rats with the use of optical, electron-microscopic, biochemical, and radioimmunological methods have demonstrated that the application of low-intensity electromagnetic radiation (LI-EMR) with a flow density of 1 mcW/cm2 and a frequency of around 1,000 MHz both in the primary prophylaxis regime and as the therapeuticpreventive modality arrested the development of post-stress disorders in the rat testicles, liver, and thymus; moreover, it promoted activation of the adaptive, preventive, and compensatory processes. The data obtained provide a rationale for the application of low-intensity electromagnetic radiation to protect the organism from negative effects of stressful factors.

  4. Numerical Study of Correlation of Fluid Particle Acceleration and Turbulence Intensity in Swirling Flow

    Directory of Open Access Journals (Sweden)

    Nan Gui

    2015-01-01

    Full Text Available Numerical investigation of correlation between the fluid particle acceleration and the intensity of turbulence in swirling flows at a large Reynolds number is carried out via direct numerical simulation. A weak power-law form correlation ur.m.sE~C(aLφ between the Lagrangian acceleration and the Eulerian turbulence intensity is derived. It is found that the increase of the swirl level leads to the increase of the exponent φ and the trajectory-conditioned correlation coefficient ρ(aL,uE and results in a weak power-law augmentation of the acceleration intermittency. The trajectory-conditioned convection of turbulence fluctuation in the Eulerian viewpoint is generally linearly proportional to the fluctuation of Lagrangian accelerations, indicating a weak but clear relation between the Lagrangian intermittency and Eulerian intermittency effects. Moreover, except the case with vortex breakdown, the weak linear dependency is maintained when the swirl levels change, only with the coefficient of slope varied.

  5. Beam Dynamics Studies for High-Intensity Beams in the CERN Proton Synchrotron

    CERN Document Server

    AUTHOR|(CDS)2082016; Benedikt, Michael

    With the discovery of the Higgs boson, the existence of the last missing piece of the Standard Model of particle physics (SM) was confirmed. However, even though very elegant, this theory is unable to explain, for example, the generation of neutrino masses, nor does it account for dark energy or dark matter. To shed light on some of these open questions, research in fundamental particle physics pursues two complimentary approaches. On the one hand, particle colliders working at the high-energy frontier, such as the Large Hadron Collider (LHC) at the European Organization for Nuclear Research (CERN), located in Geneva, Switzerland, are utilized to investigate the fundamental laws of nature. Alternatively, fixed target facilities require high-intensity beams to create a large flux of secondary particles to investigate, for example, rare particle decay processes, or to create neutrino beams. This thesis investigates limitations arising during the acceleration of high-intensity beams at the CERN Proton Synchrotro...

  6. Family members' lived experience in the intensive care unit: a phemenological study.

    LENUS (Irish Health Repository)

    McKiernan, Margaret

    2012-01-31

    AIM: To describe the lived experience of family members of patients in the intensive care unit. BACKGROUND: Admission of a critically ill relative to an intensive care unit causes anxiety and stress to family members. Nursing care is initially focused on maintaining the physiological stability of the patient and less on the needs and concerns of family members. Understanding how families make sense of this experience may help nurses focus on the delivery of family centred care. METHODOLOGY: A phenomenological method was used to describe the lived experiences of family members of patients in an intensive care unit. In-depth interviews were conducted with six family members and analysed using qualitative thematic analysis. RESULTS: Four main themes emerged from the data: the need to know, making sense of it all, being there with them and caring and support. Family members needed honest information about the patient\\'s progress and outcome to make the situation more bearable for them. Making sense of the situation was a continuous process which involved tracking and evaluating care given. Being with their relative sustained their family bond and was a way to demonstrate love and support. Caring reassurance provided by the nurses enabled a sense of security. Support was needed by family members to assist them in coping. CONCLUSION: The research provided an insight into how family members viewed the impact of the admission and how they subsequently found ways of dealing with the situation. RELEVANCE TO CLINICAL PRACTICE: Using a holistic approach to nursing assessment and care delivery in intensive care necessitates that nurses interact with and care for family members of patients. Development of a philosophy of family centred care is necessary, with formal assessment of families to take place soon after admission and an appropriate plan of care drawn up at this time.

  7. Launch Effort and NPD Success: A Study of Technology Intensive Companies in Finland

    OpenAIRE

    Matti J. Haverila; Nicholas Ashill

    2014-01-01

    In this paper, we present an exploratory investigation of the types of product launch tactics managers use in technology-intensive companies in Finland and explore the role that such tactics play in differentiating between successful and unsuccessful NPD outcomes. Our findings indicate that managers perceive two types of tactical product launch tactics during the NPD process, which we label "promotions and sales-distribution effort" and "production start-up effort". All tactical launch effort...

  8. Transient Social-Ecological Stability: the Effects of Invasive Species and Ecosystem Restoration on Nutrient Management Compromise in Lake Erie

    Directory of Open Access Journals (Sweden)

    Eric D. Roy

    2010-03-01

    Full Text Available Together, lake ecosystems and local human activity form complex social-ecological systems (SESs characterized by feedback loops and discontinuous change. Researchers in diverse fields have suggested that complex systems do not have single stable equilibria in the long term because of inevitable perturbation. During this study, we sought to address the general question of whether or not stable social-ecological equilibria exist in highly stressed and managed lacustrine systems. Using an integrated human-biophysical model, we investigated the impacts of a species invasion and ecosystem restoration on SES equilibrium, defined here as a compromise in phosphorus management among opposing stakeholders, in western Lake Erie. Our integrated model is composed of a calibrated ecological submodel representing Sandusky Bay, and a phosphorus management submodel that reflects the societal benefits and costs of phosphorus regulation. These two submodels together form a dynamic feedback loop that includes freshwater ecology, ecosystem services, and phosphorus management. We found that the invasion of dreissenid mussels decreased ecosystem resistance to eutrophication, necessitating increased phosphorus management to preserve ecosystem services and thus creating the potential for a shift in social-ecological equilibrium. Additionally, our results suggest that net benefits in the region following the invasion of dreissenids may never again reach the pre-invasion level if on-site phosphorus control is the sole management lever. Further demonstrating transient system stability, large-scale wetland restoration shifted points of management compromise to states characterized by less on-site phosphorus management and higher environmental quality, resulting in a significant increase in net benefits in the region. We conclude that lacustrine SESs are open and dynamic, and we recommend that future models of these systems emphasize site-specific perturbation over

  9. Parameter study for polymer solar modules based on various cell lengths and light intensities

    Energy Technology Data Exchange (ETDEWEB)

    Slooff, L.H.; Burgers, A.R.; Bende, E.E.; Kroon, J.M. [ECN Solar Energy, P.O. Box 1, 1755 ZG Petten (Netherlands); Veenstra, S.C. [ECN Solar Energy, Solliance, High Tech Campus 5, P63, 5656AE Eindhoven (Netherlands)

    2013-10-15

    Polymer solar cells may be applied in portable electronic devices, where light intensity and spectral distribution of the illuminating source can be very different compared to outdoor applications. As the power output of solar cells depends on temperature, light intensity and spectrum, the design of the module must be optimized for the specific illumination conditions in the different applications. The interconnection area between cells in a module must be as narrow as possible to maximize the active area, also called geometrical fill factor, of the module. Laser scribing has the potential to realize this. The optimal width of the interconnection zone depends both on technological limitations, e.g. laser scribe width and the minimal distance between scribes, and electrical limitations like resistive losses. The latter depends on the generated current in the cell and thus also on illumination intensity. Besides that, also the type of junction, i.e. a single or tandem junction, will influence the optimal geometry. In this paper a calculation model is presented that can be used for electrical modeling of polymer cells and modules in order to optimize the performance for the specific illumination conditions.

  10. Experimental study of intense radiation in terahertz region based on cylindrical surface wave resonator

    International Nuclear Information System (INIS)

    Gong, Shaoyan; Ogura, Kazuo; Yambe, Kiyoyuki; Nomizu, Shintaro; Shirai, Akihiro; Yamazaki, Kosuke; Kawamura, Jun; Miura, Takuro; Takanashi, Sho; San, Min Thu

    2015-01-01

    Periodical corrugations structured on a cylindrical conductor have cylindrical surface waves (CSWs), which are reflected at the corrugation ends and form a CSW-resonator. In this paper, intense radiations in terahertz region based on the CSW-resonator are reported. The CSW-resonators with upper cut off frequencies in the modern IEEE G-band (110–300 GHz) are excited by a coaxially injected annular beam in a weakly relativistic region less than 100 kV. It is shown that there exists an oscillation starting energy for the CSW-resonator. Above the starting energy, very intense terahertz radiations on the order of kW are obtained. The operation frequencies in the range of 166–173 GHz and 182–200 GHz are obtained using two types of CSW-resonator with the different corrugation amplitude. Electromagnetic properties of the CSW-resonator can be controlled by the artificial structure and may play an important role in high-intensity terahertz generations and applications

  11. An ex vivo feasibility experimental study on targeted cell surgery by high intensity focused ultrasound

    Science.gov (United States)

    Wang, Zhi Biao; Wu, Junru; Fang, Liao Qiong; Wang, Hua; Li, Fa Qi; Tian, Yun Bo; Gong, Xiao Bo; Zhang, Hong; Zhang, Lian; Feng, Ruo

    2012-10-01

    High intensity focused ultrasound (HIFU) has become a new noninvasive surgical modality in medicine. A portion of tissue seated inside a patient's body may experience coagulative necrosis after a few seconds of insonification by high intensity focused ultrasound (US) generated by an extracorporeal focusing US transducer. The region of tissue affected by coagulative necrosis (CN) usually has an ellipsoidal shape when the thermal effect due to US absorption plays the dominant role. Its long and short axes are parallel and perpendicular to the US propagation direction respectively. It was shown by ex vivo experiments that the dimension of the short and long axes of the tissue which experiences CN can be as small as 50 μm and 250 μm respectively after one second exposure of US pulse (the spatial and pulse average acoustic power is on the order of tens of Watts and the local acoustic spatial and temporal pulse averaged intensity is on the order of 3 × 104 W/cm2) generated by a 1.6 MHz HIFU transducer of 12 cm diameter and 11 cm geometric focal length (f-number = 0.92). The numbers of cells which suffered CN were estimated to be on the order of 40. This result suggests that HIFU is able to interact with tens of cells at/near its focal zone while keeping the neighboring cells minimally affected, and thus the targeted cell surgery may be achievable.

  12. Beam loss studies in high-intensity heavy-ion linacs

    International Nuclear Information System (INIS)

    Ostroumov, P.N.; Aseev, V.N.; Lessner, E.S.; Mustapha, B.

    2004-01-01

    A low beam-loss budget is an essential requirement for high-intensity machines and represents one of their major design challenges. In a high-intensity heavy-ion machine, losses are required to be below 1 W/m for hands-on-maintenance. The driver linac of the Rare Isotope Accelerator (RIA) is designed to accelerate beams of any ion to energies from 400 MeV per nucleon for uranium up to 950 MeV for protons with a beam power of up to 400 kW. The high intensity of the heaviest ions is achieved by acceleration of multiple-charge-state beams, which requires a careful beam dynamics optimization to minimize effective emittance growth and beam halo formation. For beam loss simulation purposes, large number of particles must be tracked through the linac. Therefore the computer code TRACK has been parallelized and calculations are being performed on the JAZZ cluster recently inaugurated at ANL. This paper discusses how this powerful tool is being used for simulations for the RIA project to help decide on the high-performance and cost-effective design of the driver linac

  13. Meteorological Modeling Using the WRF-ARW Model for Grand Bay Intensive Studies of Atmospheric Mercury

    Directory of Open Access Journals (Sweden)

    Fong Ngan

    2015-02-01

    Full Text Available Measurements at the Grand Bay National Estuarine Research Reserve support a range of research activities aimed at improving the understanding of the atmospheric fate and transport of mercury. Routine monitoring was enhanced by two intensive measurement periods conducted at the site in summer 2010 and spring 2011. Detailed meteorological data are required to properly represent the weather conditions, to determine the transport and dispersion of plumes and to understand the wet and dry deposition of mercury. To describe the mesoscale features that might influence future plume calculations for mercury episodes during the Grand Bay Intensive campaigns, fine-resolution meteorological simulations using the Weather Research and Forecasting (WRF model were conducted with various initialization and nudging configurations. The WRF simulations with nudging generated reasonable results in comparison with conventional observations in the region and measurements obtained at the Grand Bay site, including surface and sounding data. The grid nudging, together with observational nudging, had a positive effect on wind prediction. However, the nudging of mass fields (temperature and moisture led to overestimates of precipitation, which may introduce significant inaccuracies if the data were to be used for subsequent atmospheric mercury modeling. The regional flow prediction was also influenced by the reanalysis data used to initialize the WRF simulations. Even with observational nudging, the summer case simulation results in the fine resolution domain inherited features of the reanalysis data, resulting in different regional wind patterns. By contrast, the spring intensive period showed less influence from the reanalysis data.

  14. Sedation and analgesia practices in neonatal intensive care units (EUROPAIN): results from a prospective cohort study.

    Science.gov (United States)

    Carbajal, Ricardo; Eriksson, Mats; Courtois, Emilie; Boyle, Elaine; Avila-Alvarez, Alejandro; Andersen, Randi Dovland; Sarafidis, Kosmas; Polkki, Tarja; Matos, Cristina; Lago, Paola; Papadouri, Thalia; Montalto, Simon Attard; Ilmoja, Mari-Liis; Simons, Sinno; Tameliene, Rasa; van Overmeire, Bart; Berger, Angelika; Dobrzanska, Anna; Schroth, Michael; Bergqvist, Lena; Lagercrantz, Hugo; Anand, Kanwaljeet J S

    2015-10-01

    Neonates who are in pain or are stressed during care in the intensive care unit (ICU) are often given sedation or analgesia. We investigated the current use of sedation or analgesia in neonatal ICUs (NICUs) in European countries. EUROPAIN (EUROpean Pain Audit In Neonates) was a prospective cohort study of the management of sedation and analgesia in patients in NICUs. All neonates admitted to NICUs during 1 month were included in this study. Data on demographics, methods of respiration, use of continuous or intermittent sedation, analgesia, or neuromuscular blockers, pain assessments, and drug withdrawal syndromes were gathered during the first 28 days of admission to NICUs. Multivariable linear regression models and propensity scores were used to assess the association between duration of tracheal ventilation (TV) and exposure to opioids, sedatives-hypnotics, or general anaesthetics in neonates (O-SH-GA). This study is registered with ClinicalTrials.gov, number NCT01694745. From Oct 1, 2012, to June 30, 2013, 6680 neonates were enrolled in 243 NICUs in 18 European countries. Mean gestational age of these neonates was 35.0 weeks (SD 4.6) and birthweight was 2384 g (1007). 2142 (32%) neonates were given TV, 1496 (22%) non-invasive ventilation (NIV), and 3042 (46%) were kept on spontaneous ventilation (SV). 1746 (82%), 266 (18%), and 282 (9%) neonates in the TV, NIV, and SV groups, respectively, were given sedation or analgesia as a continuous infusion, intermittent doses, or both (panalgesia was 89.3% (70.0-100) for neonates in the TV group. Opioids were given to 1764 (26%) of 6680 neonates and to 1589 (74%) of 2142 neonates in the TV group. Midazolam was given to 576 (9%) of 6680 neonates and 536 (25%) neonates of 2142 neonates in the TV group. 542 (25%) neonates in the TV group were given neuromuscular blockers, which were administered as continuous infusions to 146 (7%) of these neonates. Pain assessments were recorded in 1250 (58%) of 2138, 672 (45%) of 1493, and

  15. A Randomized, Rater-Blinded, Parallel Trial of Intensive Speech Therapy in Sub-Acute Post-Stroke Aphasia: The SP-I-R-IT Study

    Science.gov (United States)

    Martins, Isabel Pavao; Leal, Gabriela; Fonseca, Isabel; Farrajota, Luisa; Aguiar, Marta; Fonseca, Jose; Lauterbach, Martin; Goncalves, Luis; Cary, M. Carmo; Ferreira, Joaquim J.; Ferro, Jose M.

    2013-01-01

    Background: There is conflicting evidence regarding the benefits of intensive speech and language therapy (SLT), particularly because intensity is often confounded with total SLT provided. Aims: A two-centre, randomized, rater-blinded, parallel study was conducted to compare the efficacy of 100 h of SLT in a regular (RT) versus intensive (IT)…

  16. Estimating Accuracy at Exercise Intensities: A Comparative Study of Self-Monitoring Heart Rate and Physical Activity Wearable Devices.

    Science.gov (United States)

    Dooley, Erin E; Golaszewski, Natalie M; Bartholomew, John B

    2017-03-16

    Physical activity tracking wearable devices have emerged as an increasingly popular method for consumers to assess their daily activity and calories expended. However, whether these wearable devices are valid at different levels of exercise intensity is unknown. The objective of this study was to examine heart rate (HR) and energy expenditure (EE) validity of 3 popular wrist-worn activity monitors at different exercise intensities. A total of 62 participants (females: 58%, 36/62; nonwhite: 47% [13/62 Hispanic, 8/62 Asian, 7/62 black/ African American, 1/62 other]) wore the Apple Watch, Fitbit Charge HR, and Garmin Forerunner 225. Validity was assessed using 2 criterion devices: HR chest strap and a metabolic cart. Participants completed a 10-minute seated baseline assessment; separate 4-minute stages of light-, moderate-, and vigorous-intensity treadmill exercises; and a 10-minute seated recovery period. Data from devices were compared with each criterion via two-way repeated-measures analysis of variance and Bland-Altman analysis. Differences are expressed in mean absolute percentage error (MAPE). For the Apple Watch, HR MAPE was between 1.14% and 6.70%. HR was not significantly different at the start (P=.78), during baseline (P=.76), or vigorous intensity (P=.84); lower HR readings were measured during light intensity (P=.03), moderate intensity (P=.001), and recovery (P=.004). EE MAPE was between 14.07% and 210.84%. The device measured higher EE at all stages (PApple Watch, and Garmin Forerunner 225. An advantage and novel approach of the study is the examination of HR and EE at specific physical activity intensities. Establishing validity of wearable devices is of particular interest as these devices are being used in weight loss interventions and could impact findings. Future research should investigate why differences between exercise intensities and the devices exist. ©Erin E Dooley, Natalie M Golaszewski, John B Bartholomew. Originally published in JMIR

  17. Certainty and uncertainty about end of life care nursing practices in New Zealand Intensive Care Units: a mixed methods study.

    Science.gov (United States)

    Coombs, Maureen; Fulbrook, Paul; Donovan, Sarah; Tester, Rachel; deVries, Kay

    2015-05-01

    With end-of-life (EOL) central to the nursing role in intensive care, few studies have been undertaken to explore EOL care in the context of New Zealand (NZ) intensive care nursing. To investigate NZ intensive care nurses' experiences of, and attitudes towards EOL care. Sequential mixed methods study using cross sectional survey with follow-on focus groups. NZ intensive care nurses (N=465) across four large tertiary intensive care units (ICUs) were contacted to complete a 43-item web-based survey. A follow-on focus group was conducted in each of the sites to explore specific aspects of the survey findings. 203 fully completed surveys were returned (response rate 44%) from the four ICUs. Over half of nurses surveyed (55%, n=111) disagreed that withholding and withdrawing life support treatment were ethically the same. 78% (n=159) of nurses stated that withholding treatment was ethically more acceptable than withdrawing it. Whilst nurses generally supported reducing inspired oxygen to air for ventilated patients at EOL (71%, n=139) this was also an area that demonstrated one of the highest levels of uncertainty (21%, n=41). Just under a quarter of respondents were also uncertain about the use of continued nutritional support, continued passive limb exercises and use of deep sedation during EOL. The 18 nurses who participated in follow-on focus groups detailed the supportive, culturally sensitive, collaborative environment that EOL was conducted in. However diverse opinions and understandings were held on the use of passive limb and use of fluids at EOL. Whilst results from this NZ study broadly align with European studies, uncertainty about specific areas of EOL practices highlight that further guidance for nurses is required. Copyright © 2015 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.

  18. Patient Safety Culture in Intensive Care Units from the Perspective of Nurses: A Cross-Sectional Study.

    Science.gov (United States)

    Farzi, Sedigheh; Moladoost, Azam; Bahrami, Masoud; Farzi, Saba; Etminani, Reza

    2017-01-01

    One of the goals of nursing is providing safe care, prevention of injury, and health promotion of patients. Patient safety in intensive care units is threatened for various reasons. This study aimed to survey patient safety culture from the perspective of nurses in intensive care units. This cross-sectional study was conducted in 2016. Sampling was done using the convenience method. The sample consisted of 367 nurses working in intensive care units of teaching hospitals affiliated to Isfahan University of Medical Sciences. Data collection was performed using a two-part questionnaire that included demographic and hospital survey on Patient Safety Culture (HSOPSC) questionnaire. Data analysis was done using descriptive statistics (mean and standard deviation). Among the 12 dimensions of safety culture, the nurses assigned the highest score to "team work within units" (97.3%) and "Organizational learning-continuous improvement" (84%). They assigned the least score to "handoffs and transitions"(21.1%), "non-punitive response to errors" (24.7%), "Staffing" (35.6%), "Communication openness" (47.5%), and "Teamwork across units" (49.4%). The patient safety culture dimensions have low levels that require adequate attention and essential measures of health care centers including facilitating teamwork, providing adequate staff, and developing a checklist of handoffs and transitions. Furthermore, to increase reporting error and to promote a patient safety culture in intensive care units, some strategies should be adopted including a system-based approach to deal with the error.

  19. Transitions in the communication experiences of tracheostomised patients in intensive care: a qualitative descriptive study.

    Science.gov (United States)

    Flinterud, Stine Irene; Andershed, Birgitta

    2015-08-01

    To describe how tracheostomised patients in intensive care experience acts of communication and to better understand their experiences in the context of the transitions theory. Waking up in an intensive care unit unable to speak because of mechanical ventilation can be challenging. Communication aids are available, but patients still report difficulties communicating. Investigating how mechanically ventilated patients experience communication in the context of the transitions theory might elucidate new ways of supporting them during their transitions while being ventilated. A qualitative, descriptive design. Eleven patients who had previously been tracheostomised in an intensive care unit were included in this quality improvement project conducted in a university hospital in Norway. Participants were tracheostomised from 3-27 days. Semistructured interviews were conducted from June 2013-August 2013, 3-18 months after hospital discharge. Transcripts were analysed using inductive content analysis. Participants reported a great diversity of emotions and experiences attempting to communicate while being tracheostomised. One overarching theme emerging from the analysis was the 'Experience of caring and understanding despite having uncomfortable feelings due to troublesome communication.' The theme consists of three categories. The category 'Emotionally challenging' shows that patients struggled initially. With time, their coping improved, as revealed in the category 'The experience changes with time.' Despite difficulties, participants described positive experiences, as shown in the category 'Successful communication.' The importance of patients experiencing caring and understanding despite their difficult situation constitutes the core finding. The findings suggest that participants went through different transitions. Some reached the end of their transition, experiencing increased stability. Despite challenges with communication, participants reported that caring

  20. Multipurpose intense 14 MeV neutron source at Bratislava: Design study

    International Nuclear Information System (INIS)

    Pivarc, J.; Hlavac, S.; Kral, J.; Oblozinsky, P.; Ribansky, I.; Turzo, I.

    1980-05-01

    The present state of design of the multipurpose intense 14 MeV neutron source based on a D + ion beam and a metal tritide target is reported. It is essentially a 300 keV electrostatic air insulated accelerator capable to accelerate a deuterium ion beam up to 10 mA. With such a beam and a beam spot of 1 cm 2 , a neutron yield typically 10 12 n/s and a useful target lifetime of around 10 h are expected. Various users requirements are met by means of three beam lines: an intense, low current dc and a low current fast pulsed. The key components of the intense source section are the rotating target and the ion source. The rotating target is proposed, with respect of the heat dissipation and the removal of 3 kW/cm 2 , in continuous operation. A rotation speed up to 1100 rpm is considered. The ion source should deliver about 0.5 kW of extracted D + ion beam power. A duoplasmatron source with an electrostatic beam focusing system has been selected. Low current sections of the neutron source may operate with a high frequency ion source as well. The dc section for maximum yields around 10 10 n/s is designed with special regard to beam monitoring. The fast pulsed section should produce up to 1 ns compressible pulsed D + ion beam on a target spot with 5 MHz repetition rate. The report includes information about other components of the neutron source as a high voltage power supply, a vacuum system, beam transport, a diagnostic and control system and basic information about neutron source cells and radiation protection. (author)

  1. Production and study of high intensity discharges; Production et etude de decharges a forte intensite

    Energy Technology Data Exchange (ETDEWEB)

    Breton, C.; Charbon, J.; Hubert, P.; Vendryes, G.; Yvon, P. [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1957-07-01

    High intensity discharges have been induced in a pyrex toroid filled with argon or deuterium at low pressure. An attempt was made to stabilise the ring of plasma by the joint action of a metal screen and a longitudinal magnetic field. Penetrating X-ray have been observed under certain conditions. (author) [French] Des decharges a forte intensite ont ete induites dans une tore en pyrex rempli d'argon ou de deuterium sous basse pression. On a cherche a stabiliser l'anneau de plasma par l'action conjuguee d'un champ magnetique longitudinal. Un rayon X penetrant a ete observe dans certaines conditions. (auteur)

  2. Production and study of high intensity discharges; Production et etude de decharges a forte intensite

    Energy Technology Data Exchange (ETDEWEB)

    Breton, C; Charbon, J; Hubert, P; Vendryes, G; Yvon, P [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1957-07-01

    High intensity discharges have been induced in a pyrex toroid filled with argon or deuterium at low pressure. An attempt was made to stabilise the ring of plasma by the joint action of a metal screen and a longitudinal magnetic field. Penetrating X-ray have been observed under certain conditions. (author) [French] Des decharges a forte intensite ont ete induites dans une tore en pyrex rempli d'argon ou de deuterium sous basse pression. On a cherche a stabiliser l'anneau de plasma par l'action conjuguee d'un champ magnetique longitudinal. Un rayon X penetrant a ete observe dans certaines conditions. (auteur)

  3. Plutonium concentrations and Pu/Am ratios in small vertebrates from NAEG Intensive Study Areas of NTS

    International Nuclear Information System (INIS)

    Bradley, W.G.; Moor, K.S.; Naegle, S.R.

    1977-01-01

    Radioecological studies of small vertebrates in Pu-contaminated areas of NTS began in spring 1972 and have continued to date. Species conposition, relative abundance, and other pertinent ecological data have been presented in previous reports. In addition, data analysis of Pu and Am concentrations in selected rodent and lizard species has been presented for all NAEG Intensive Study Areas. This report provides further analysis of Pu concentration in small vertebrates of Areas 5 and 11, NTS

  4. Mind the gap? An intensive longitudinal study of between-person and within-person intention-behavior relations

    OpenAIRE

    Inauen Jennifer; Shrout Patrick E; Bolger Niall; Stadler Gertraud; Scholz Urte

    2016-01-01

    BACKGROUND: Despite their good intentions people often do not eat healthily. This is known as the intention behavior gap. Although the intention behavior relationship is theorized as a within person process most evidence is based on between person differences. PURPOSE: The purpose of the present study is to investigate the within person intention behavior association for unhealthy snack consumption. METHODS: Young adults (N?=?45) participated in an intensive longitudinal study. They reported ...

  5. Snipper, an Eri1 homologue, affects histone mRNA abundance and is crucial for normal Drosophila melanogaster development.

    Science.gov (United States)

    Alexiadis, Anastasios; Delidakis, Christos; Kalantidis, Kriton

    2017-07-01

    The conserved 3'-5' RNA exonuclease ERI1 is implicated in RNA interference inhibition, 5.8S rRNA maturation and histone mRNA maturation and turnover. The single ERI1 homologue in Drosophila melanogaster Snipper (Snp) is a 3'-5' exonuclease, but its in vivo function remains elusive. Here, we report Snp requirement for normal Drosophila development, since its perturbation leads to larval arrest and tissue-specific downregulation results in abnormal tissue development. Additionally, Snp directly interacts with histone mRNA, and its depletion results in drastic reduction in histone transcript levels. We propose that Snp protects the 3'-ends of histone mRNAs and upon its absence, histone transcripts are readily degraded. This in turn may lead to cell cycle delay or arrest, causing growth arrest and developmental perturbations. © 2017 Federation of European Biochemical Societies.

  6. Beam dynamics studies of the ISOLDE post-accelerator for the high intensity and energy upgrade

    CERN Document Server

    Fraser, M A

    2012-01-01

    The High Intensity and Energy (HIE) project represents a major upgrade of the ISOLDE (On-Line Isotope Mass Separator) nuclear facility at CERN with a mandate to significantly increase the energy, intensity and quality of the radioactive nuclear beams provided to the European nuclear physics community for research at the forefront of topics such as nuclear structure physics and nuclear astrophysics. The HIE-ISOLDE project focuses on the upgrade of the existing Radioactive ion beam EXperiment (REX) post-accelerator with the addition of a 40MVsuperconducting linac comprising 32 niobium sputter-coated copper quarter-wave cavities operating at 101.28 MHz and at an accelerating gradient close to 6 MV/m. The energy of post-accelerated radioactive nuclear beams will be increased from the present ceiling of 3 MeV/u to over 10 MeV/u, with full variability in energy, and will permit, amongst others, Coulomb interaction and few-nucleon transfer reactions to be carried out on the full inventory of radionuclides available ...

  7. Beam Dynamics Studies of the ISOLDE Post-accelerator for the High Intensity and Energy Upgrade

    CERN Document Server

    Fraser, Matthew Alexander; Pasini, M

    2012-01-01

    The High Intensity and Energy (HIE) project represents a major upgrade of the ISOLDE (On-Line Isotope Mass Separator) nuclear facility at CERN with a mandate to significantly increase the energy, intensity and quality of the radioactive nuclear beams provided to the European nuclear physics community for research at the forefront of topics such as nuclear structure physics and nuclear astrophysics. The HIE-ISOLDE project focuses on the upgrade of the existing Radioactive ion beam EXperiment (REX) post-accelerator with the addition of a 40MVsuperconducting linac comprising 32 niobium sputter-coated copper quarter-wave cavities operating at 101.28 MHz and at an accelerating gradient close to 6 MV/m. The energy of post-accelerated radioactive nuclear beams will be increased from the present ceiling of 3 MeV/u to over 10 MeV/u, with full variability in energy, and will permit, amongst others, Coulomb interaction and few-nucleon transfer reactions to be carried out on the full inventory of radionuclides available ...

  8. Anesthesiologists’ Choice of Nutritional Therapy of Intensive Care Patients: A Survey Study

    Directory of Open Access Journals (Sweden)

    Ahmet Şen

    2015-08-01

    Full Text Available Objective: Providing adequate nutrition to critical patients as early as possible following internalization is important. Hospitalized patients are among the highest risk groups for malnutrition. Material and Method: A questionnaire including 21 questions about clinician’s demographics and nutritional therapies in intensive care units was e-mailed to anesthesiologists only. Partially answered questionnaires were not included in the analysis. Results: A total of 121 questionnaires were analyzed. Every three out of four clinician reported application of nutritional therapy in intensive care unit, and according to the guidelines. While 75% of the clinicians following the guidelines were routinely evaluating nutritional status of their patients, this ratio was only 19% in clinicians not following the guidelines (p=0.0003. Enteral nutrition was the first choice of all clinicians, and majority of the clinicians (90, 74.4% preferred central venous catheter for parenteral nutrition. The most important criteria for the choice of parenteral nutritional solution were reported as calories per volume and presence of the solution at the hospital by all clinicians. Among the clinicians following the guidelines, 70% were administering fish oil, 95% were administering glutamin to their patients. Among the clinicians not following the guidelines, these ratios were 44% and 80%, respectively (p=0.01 and 0.02. Conclusion: We are in opinion that following the guidelines instead of the clinician’s individual forecasts may improve the nutritional therapy.

  9. Developing a minimum dataset for nursing team leader handover in the intensive care unit: A focus group study.

    Science.gov (United States)

    Spooner, Amy J; Aitken, Leanne M; Corley, Amanda; Chaboyer, Wendy

    2018-01-01

    Despite increasing demand for structured processes to guide clinical handover, nursing handover tools are limited in the intensive care unit. The study aim was to identify key items to include in a minimum dataset for intensive care nursing team leader shift-to-shift handover. This focus group study was conducted in a 21-bed medical/surgical intensive care unit in Australia. Senior registered nurses involved in team leader handovers were recruited. Focus groups were conducted using a nominal group technique to generate and prioritise minimum dataset items. Nurses were presented with content from previous team leader handovers and asked to select which content items to include in a minimum dataset. Participant responses were summarised as frequencies and percentages. Seventeen senior nurses participated in three focus groups. Participants agreed that ISBAR (Identify-Situation-Background-Assessment-Recommendations) was a useful tool to guide clinical handover. Items recommended to be included in the minimum dataset (≥65% agreement) included Identify (name, age, days in intensive care), Situation (diagnosis, surgical procedure), Background (significant event(s), management of significant event(s)) and Recommendations (patient plan for next shift, tasks to follow up for next shift). Overall, 30 of the 67 (45%) items in the Assessment category were considered important to include in the minimum dataset and focused on relevant observations and treatment within each body system. Other non-ISBAR items considered important to include related to the ICU (admissions to ICU, staffing/skill mix, theatre cases) and patients (infectious status, site of infection, end of life plan). Items were further categorised into those to include in all handovers and those to discuss only when relevant to the patient. The findings suggest a minimum dataset for intensive care nursing team leader shift-to-shift handover should contain items within ISBAR along with unit and patient specific

  10. A geophysical analysis of hydro-geomorphic controls within a headwater wetland in a granitic landscape, through ERI and IP

    OpenAIRE

    E. S. Riddell; S. A. Lorentz; D. C. Kotze

    2010-01-01

    Wetlands are undergoing considerable degradation in South Africa. As interventions are often technical and costly, there is a requirement to develop conceptual process models for these wetland systems so that rehabilitation attempts will be successful. This paper presents an approach using the geophysical methods of Electrical Resistivity Imaging (ERI) and Induced Polarization (IP) to delineate sub-surface hydro-geomorphic controls that maintain equilibrium disconnectivity of wetland-catchmen...

  11. Efficacy of hijamat bila shurt (dry cupping) on intensity of pain in dysmenorrhoea-a preliminary study.

    Science.gov (United States)

    Sultana, Arshiya; Ur Rahman, Khaleeq; Farzana, Muzn; Lone, Azad

    2010-10-01

    Waje rehm (Dysmenorrhoea) means painful menstruation. Since ancient times, hijamat bila shurt (Dry cupping) is a method of treatment of for this disease. Therefore, objective of this preliminary study was to evaluate the efficacy of hijamat bila shurt on intensity of pain in waje rehm by using Visual Analogue Scale for pain. It was conducted from May 2009 to July 2010 on 25 patients in National Institute of Unani Medicine, Bangalore. Patients suffering from primary and secondary dysmenorrhoea with regular cycles, age group 12-37years were selected. For dry cupping, two glass cup of medium size were applied below the umbilicus for 15 minutes on day land/or day 2 of the menstrual phase for one cycle and pain intensity was assessed by Visual Analogue Scale score for pain before and after the treatment. The Mean and Standard Error Mean for pain intensity before and after the treatment was 6.48 (0.32) and 2.12 (0.32) respectively with P<0.001, considered significant. Thus, hijamat bila shurt was effective in reducing pain intensity in dysmenorrhoea.

  12. Proteomic study related to vascular connections in watermelon scions grafted onto bottle-gourd rootstock under different light intensities.

    Directory of Open Access Journals (Sweden)

    Sowbiya Muneer

    Full Text Available Although grafting is broadly used in the production of crops, no information is available about the proteins involved in vascular connections between rootstock and scion. Similarly, proteome changes under the light intensities widely used for grafted seedlings are of practical use. The objective of this study was to determine the proteome of vascular connections using watermelon (Citrullus vulgaris Schrad. 'Sambok Honey' and 'Speed' as the scion and bottle gourd (Lagenaria siceraria Stanld. 'RS Dongjanggun' as the rootstock grown under different light intensities (25, 50, 75 and 100 μmol m-2 s-1. Our proteomic analysis revealed 24 and 27 differentially expressed proteins in 'Sambok Honey' and 'Speed', respectively, under different light intensities. The identified proteins were largely involved in ion binding, amino acid metabolism, transcriptional regulation and defense response. The enhancement of ion-binding, transcriptional regulation, amino acid metabolism, and defense response proteins suggests a strengthening of the connection between the rootstock and scion under high light intensity. Indeed, the accumulation of key enzymes in the biological processes described above appears to play an important role in the vascular connections of grafted seedlings. Moreover, it appears that 100 μmol m-2 s-1 results in better protein expression responses in grafted seedlings.

  13. Double pulse laser induced breakdown spectroscopy: Experimental study of lead emission intensity dependence on the wavelengths and sample matrix

    Energy Technology Data Exchange (ETDEWEB)

    Piscitelli S, V; Martinez L, M A; Fernandez C, A J [Laboratorio de Espectroscopia Laser, Escuela de Quimica, Facultad de Ciencias, Universidad Central de Venezuela, Caracas, DC 1020 (Venezuela, Bolivarian Republic of); Gonzalez, J J; Mao, X L [Lawrence Berkeley National Laboratory, Berkeley, CA 94720 (United States); Russo, R.E. [Lawrence Berkeley National Laboratory, Berkeley, CA 94720 (United States)], E-mail: RERusso@lbl.gov

    2009-02-15

    Lead (Pb) emission intensity (atomic line 405.78 nm) dependence on the sample matrix (metal alloy) was studied by means of collinear double pulse (DP)-laser induced breakdown spectroscopy (LIBS). The measurement of the emission intensity produced by three different wavelength combinations (i.e. I:532 nm-II:1064 nm, I:532 nm-II:532 nm, and I:532 nm-II:355 nm) from three series of standard reference materials showed that the lead atomic line 405.78 nm emission intensity was dependent on the sample matrix for all the combination of wavelengths, however reduced dependency was found for the wavelength combination I:532 nm-II:355 nm. Two series of standard reference materials from the National Institute of Standards and Technology (NIST) and one series from the British Chemical Standards (BCS) were used for these experiments. Calibration curves for lead ablated from NIST 626-630 ('Zn{sub 95}Al{sub 4}Cu{sub 1}') provided higher sensitivity (slope) than those calibration curves produced from NIST 1737-1741 ('Zn{sub 99.5}Al{sub 0.5}') and with the series BCS 551-556 ('Cu{sub 87}Sn{sub 11}'). Similar trends between lead emission intensity (calibration curve sensitivities) and reported variations in plasma temperatures caused by the differing ionization potentials of the major and minor elements in these samples were established.

  14. Recruiting intensity

    OpenAIRE

    R. Jason Faberman

    2014-01-01

    To hire new workers, employers use a variety of recruiting methods in addition to posting a vacancy announcement. The intensity with which employers use these alternative methods can vary widely with a firm’s performance and with the business cycle. In fact, persistently low recruiting intensity helps to explain the sluggish pace of US job growth following the Great Recession.

  15. Voluntary peer review as innovative tool for quality improvement in the intensive care unit--a retrospective descriptive cohort study in German intensive care units.

    Science.gov (United States)

    Kumpf, Oliver; Bloos, Frank; Bause, Hanswerner; Brinkmann, Alexander; Deja, Maria; Marx, Gernot; Kaltwasser, Arnold; Dubb, Rolf; Muhl, Elke; Greim, Clemens-A; Weiler, Norbert; Chop, Ines; Jonitz, Günther; Schaefer, Henning; Felsenstein, Matthias; Liebeskind, Ursula; Leffmann, Carsten; Jungbluth, Annemarie; Waydhas, Christian; Pronovost, Peter; Spies, Claudia; Braun, Jan-Peter

    2014-01-01

    Quality improvement and safety in intensive care are rapidly evolving topics. However, there is no gold standard for assessing quality improvement in intensive care medicine yet. In 2007 a pilot project in German intensive care units (ICUs) started using voluntary peer reviews as an innovative tool for quality assessment and improvement. We describe the method of voluntary peer review and assessed its feasibility by evaluating anonymized peer review reports and analysed the thematic clusters highlighted in these reports. Retrospective data analysis from 22 anonymous reports of peer reviews. All ICUs - representing over 300 patient beds - had undergone voluntary peer review. Data were retrieved from reports of peers of the review teams and representatives of visited ICUs. Data were analysed with regard to number of topics addressed and results of assessment questionnaires. Reports of strengths, weaknesses, opportunities and threats (SWOT reports) of these ICUs are presented. External assessment of structure, process and outcome indicators revealed high percentages of adherence to predefined quality goals. In the SWOT reports 11 main thematic clusters were identified representative for common ICUs. 58.1% of mentioned topics covered personnel issues, team and communication issues as well as organisation and treatment standards. The most mentioned weaknesses were observed in the issues documentation/reporting, hygiene and ethics. We identified several unique patterns regarding quality in the ICU of which long-term personnel problems und lack of good reporting methods were most interesting Conclusion: Voluntary peer review could be established as a feasible and valuable tool for quality improvement. Peer reports addressed common areas of interest in intensive care medicine in more detail compared to other methods like measurement of quality indicators.

  16. Voluntary peer review as innovative tool for quality improvement in the intensive care unit – a retrospective descriptive cohort study in German intensive care units

    Science.gov (United States)

    Kumpf, Oliver; Bloos, Frank; Bause, Hanswerner; Brinkmann, Alexander; Deja, Maria; Marx, Gernot; Kaltwasser, Arnold; Dubb, Rolf; Muhl, Elke; Greim, Clemens-A.; Weiler, Norbert; Chop, Ines; Jonitz, Günther; Schaefer, Henning; Felsenstein, Matthias; Liebeskind, Ursula; Leffmann, Carsten; Jungbluth, Annemarie; Waydhas, Christian; Pronovost, Peter; Spies, Claudia; Braun, Jan-Peter

    2014-01-01

    Introduction: Quality improvement and safety in intensive care are rapidly evolving topics. However, there is no gold standard for assessing quality improvement in intensive care medicine yet. In 2007 a pilot project in German intensive care units (ICUs) started using voluntary peer reviews as an innovative tool for quality assessment and improvement. We describe the method of voluntary peer review and assessed its feasibility by evaluating anonymized peer review reports and analysed the thematic clusters highlighted in these reports. Methods: Retrospective data analysis from 22 anonymous reports of peer reviews. All ICUs – representing over 300 patient beds – had undergone voluntary peer review. Data were retrieved from reports of peers of the review teams and representatives of visited ICUs. Data were analysed with regard to number of topics addressed and results of assessment questionnaires. Reports of strengths, weaknesses, opportunities and threats (SWOT reports) of these ICUs are presented. Results: External assessment of structure, process and outcome indicators revealed high percentages of adherence to predefined quality goals. In the SWOT reports 11 main thematic clusters were identified representative for common ICUs. 58.1% of mentioned topics covered personnel issues, team and communication issues as well as organisation and treatment standards. The most mentioned weaknesses were observed in the issues documentation/reporting, hygiene and ethics. We identified several unique patterns regarding quality in the ICU of which long-term personnel problems und lack of good reporting methods were most interesting Conclusion: Voluntary peer review could be established as a feasible and valuable tool for quality improvement. Peer reports addressed common areas of interest in intensive care medicine in more detail compared to other methods like measurement of quality indicators. PMID:25587245

  17. Screening for eri silkworm (Samia ricini Donovan ecoraces using morphological characters, growth, yields, and ISSR marker

    Directory of Open Access Journals (Sweden)

    Duanpen Wongsorn

    2015-10-01

    Full Text Available The selection of eri silkworm ecoraces with high yield and distinct morphological characters is necessary for variety improvement. The five ecoraces SaKKU1, SaKKU2, SaKKU3, SaKKU4 and SaKKU5 were derived mostly by international academic cooperation. They were cultured using castor leaves of TCO 101 cultivar as food plant at 25±2°C, 80±5% R.H. Based on morphological characters, they are similar, except the body of the 5th instar larva of SaKKU1 is clearly covered with more creamy white powder and the mature larva has a shiny dominant yellow color. The duration of the life cycle among ecoraces was also similar; 46-53 days (SaKKU1, 42-53 days (SaKKU2, 42-52 days (SaKKU3, 40-56 days (SaKKU4 and 41-52 days (SaKKU5. SaKKU1 had the highest survival rate at larval stage (1st – 5th instar (100.00% and larva (1st – 5th instar - adult (88.89%, including the predominant heaviest average larva weight of all instars, 0.0317 g (2nd instar, 0.2206 g (3rd instar, 1.0788 g (4th instar, 4.0102 g (5th instar, and 8.9940 g (5 days of 5th instar, which was significantly different (P<0.05 to other ecoraces. Moreover, this ecorace gave the highest average yields: fresh cocoon weight (3.8016 g, pupa weight (3.2532 g, shell weight (0.5287 g, shell ratio (14.01%, fresh cocoon weight/10,000 larvae (38.01 kg, eggs/moth (531.13 eggs, total eggs (6,375.27 eggs and total hatching eggs (6,006.13 eggs, which was also significantly different (P<0.05 than other ecoraces. Of those properties, especially survival rates and yields, this ecorace (SaKKU1 is favored for further varietal improvement program. In parallel, genetic relationship analysis of eri silkworm ecoraces using inter-simple sequence repeat (ISSR technique was also carried out. The result revealed from dendrogram analysis that SaKKU1 was the farthest distance than other ecoraces, especially against SaKKU3. Based on all above results, the SaKKU1 ecorace was considered to be the most suitable for heat tolerant

  18. Turbidity as a factor in the decline of Great Lakes fishes with special reference to Lake Erie

    Science.gov (United States)

    Van Oosten, John

    1948-01-01

    Fish live and thrive in water with turbidities that range above 400 p.p.m. and average 200 p.p.m. The waters of the Great Lakes usually are clear except in Lake Erie where the turbidities of the inshore areas averaged 37 p.p.m.; the turbidities of the offshore waters averaged less. Lake Erie waters were no clearer 50 years ago than they are now. In fact, the turbidity values are less now than they were in the earlier years; the annual average of the inshore waters dropped from 44 p.p.m. before 1930 to 32 p.p.m. in 1930 and later, and the April-May values decreased from 72 p.p.m. to 46 p.p.m. Any general decline in the Lake Erie fishes cannot be attributed to increased turbidities. Furthermore, these turbidities averaged well below 100 p.p.m. and, therefore, were too low to affect fishes adversely.

  19. Spawning site fidelity and apparent annual survival of walleye (Sander vitreus) differ between a Lake Huron and Lake Erie tributary

    Science.gov (United States)

    Hayden, Todd A.; Binder, Thomas; Holbrook, Christopher; Vandergoot, Christopher; Fielder, David G.; Cooke, Steven J.; Dettmers, John M.; Krueger, Charles C.

    2018-01-01

    Fidelity to spawning habitats can maximise reproductive success of fish by synchronising movements to sites of previous recruitment. To determine the role of reproductive fidelity in structuring walleye Sander vitreus populations in the Laurentian Great Lakes, we used acoustic telemetry combined with Cormack–Jolly–Seber capture–recapture models to estimate spawning site fidelity and apparent annual survival for the Tittabawassee River in Lake Huron and Maumee River in Lake Erie. Walleye in spawning condition were tagged from the Tittabawassee River in Lake Huron and Maumee River in Lake Erie in 2011–2012. Site fidelity and apparent annual survival were estimated from return of individuals to the stream where tagged. Site fidelity estimates were higher in the Tittabawassee River (95%) than the Maumee River (70%) and were not related to sex or fish length at tagging. Apparent annual survival of walleye tagged in the Tittabawassee did not differ among spawning seasons but was higher for female than male walleye and decreased linearly as fish length increased. Apparent annual survival of walleye tagged in the Maumee River did not differ among spawning seasons but was higher for female walleye than male walleye and increased linearly as fish length increased. Greater fidelity of walleye tagged in the Tittabawassee River than walleye tagged in the Maumee River may be related to the close proximity to the Maumee River of other spawning aggregations and multiple spawning sites in Lake Erie. As spawning site fidelity increases, management actions to conserve population structure require an increasing focus on individual stocks.

  20. Study on intense relativistic electron beam propagation in a low density collisionless plasma

    International Nuclear Information System (INIS)

    Korenev, S.A.; Rubin, N.B.; Khodataev, K.V.

    1982-01-01

    The results of investigations into the increase in effectivity of transport of an intensive relativistic electron beam (IREB) in a collisionless plasma of low density are presented. The electron beam with the current of 1.5 kA, energy of 300 keV, radius of 1.5 cm is in ected into a plasma channel 180 cm long which is a metallic cylinder covered with a biniplast layer from inside 0.5 cm thickness on which there is a metallic net from the vacuum side. Plasma production is carried out during the supply of voltage pulse to the net. A condition of the optimum IREB distribution is found. It is sohwn that self-focusing IREB transport in plasma of low density can be effective if equilibrium conditions are carried out in plasma with the concentration of electrons less (or equal) to the concentration of electrons in a beam

  1. Classical and quantum mechanical studies of HF in an intense laser field

    International Nuclear Information System (INIS)

    Dardi, P.S.; Gray, S.K.

    1982-01-01

    The behavior of an HF molecule in an intense laser field is investigated with both classical trajectories and quantum dynamics. Vibration-rotation transition probabilities and energy absorption as a function of laser pulse time are calculated for the diatomic initially in its ground state. For comparison, results are also reported for a model nonrotating HF molecule. It is found that classical mechanics does not predict the correct time behavior of the system, nor does it predict the correct rotational state distributions. Classical mechanics does, however, predict pulse time averaged quantities to be the correct order of magnitude. There is also a correct general trend of increased multiphoton excitation for laser frequencies red-shifted from the one-photon resonance, although multiphoton resonance peaks are not observed in the classical results and far too little multiphoton excitation is predicted. The effect of laser phase has also been investigated and shown to be relatively unimportant in both the classical and quantum dynamics

  2. NATO Advanced Study Institute on Sprites, Elves and Intense Lightning Discharges

    CERN Document Server

    Füllekrug, Martin; Rycroft, Michael J

    2006-01-01

    Particularly intense lightning discharges can produce transient luminous events above thunderclouds, termed sprites, elves and jets. These short lived optical emissions in the mesosphere can reach from the tops of thunderclouds up to the ionosphere; they provide direct evidence of coupling from the lower atmosphere to the upper atmosphere. Sprites are arguably the most dramatic recent discovery in solar-terrestrial physics. Shortly after the first ground based video recordings of sprites, observations on board the Space Shuttle detected sprites and elves occurring all around the world. These reports led to detailed sprite observations in North America, South America, Australia, Japan, and Europe. Subsequently, sprites were detected from other space platforms such as the International Space Station and the ROCSAT satellite. During the past 15 years, more than 200 contributions on sprites have been published in the scientific literature to document this rapidly evolving new research area.

  3. Key performance indicators in intensive care medicine. A retrospective matched cohort study.

    Science.gov (United States)

    Kastrup, M; von Dossow, V; Seeling, M; Ahlborn, R; Tamarkin, A; Conroy, P; Boemke, W; Wernecke, K-D; Spies, Claudia

    2009-01-01

    Expert panel consensus was used to develop evidence-based process indicators that were independent risk factors for the main clinical outcome parameters of length of stay in the intensive care unit (ICU) and mortality. In a retrospective, matched data analysis of patients from five ICUs at a tertiary university hospital, agreed process indicators (sedation monitoring, pain monitoring, mean arterial pressure [MAP] >or= 60 mmHg, tidal volume [TV] or= 80 and or= 60 mmHg and BG >or= 80 mg/dl were relevant for survival. Linear regression of the 634 patients showed that analgesia monitoring, PIP or= 60 mmHg, BG >or= 80 mg/dl and indicating that adherence to evidence-based key process indicators may reduce mortality and length of ICU stay.

  4. Spectroscopic study of site selective DNA damage induced by intense soft X-rays

    CERN Document Server

    Fujii, K

    2003-01-01

    To investigate the mechanisms of DNA damage induced by direct photon impact, we observed the near edge X-ray absorption fine structures (NEXAFS) of DNA nucleobases using monochromatic synchrotron soft X-rays around nitrogen and oxygen K-shell excitation regions. Each spectrum obtained has unique structure corresponding to pi* excitation of oxygen or nitrogen 1s electron. These aspects open a way of nucleobase-selective photo-excitation in a DNA molecule using high resolution monochromatized soft X-rays. From the analysis of polarization-dependent intensities of the pi* resonance peak, it is clarified that adenine, guanine an uracil form orientated surface structure. Furthermore from the direct measurement of positive ions desorbed from photon irradiated DNA components, it is revealed that the sugar moiety is a fragile site in a DNA molecule. (author)

  5. Future prospect of the research study using intense and bright synchrotron radiation in VUV and soft x-ray region

    International Nuclear Information System (INIS)

    Tanaka, Kenichiro; Miyahara, Tsuneaki

    1987-02-01

    This report is the summary of the contents of the study meeting 'Future prospect of the research study using intense and bright synchrotron radiation in VUV and soft x-ray region' sponsored by PF, held on October 20 and 21, 1986. This study meeting was held by inviting those who are particularly interested in the basic field among the users of VUV and soft x-ray region, and the research on the application field was excluded. The objective of the discussion of this study meeting was to talk about the dream that if a high luminance light source which is 100 - 1000 times more intense in terms of luminous flux intensity is completed, what can we do with it. Three sessions on the themes 'How the existing research fields will develop', 'What the possible new research fields are' and 'Comment from the technical aspect' were held. More than seven years elapsed since the beginning of construction of the Photon Factory. Many excellent results have been obtained. As of October, 1986, the beam lines available for experiment are 11, the themes of common utilization experiment in progress are 300, and the number of registered researchers exceeded 1000. The development of a new light emission source is to be undertaken. (Kako, I.)

  6. Effect of Early Intensive Care on Recovery From Whiplash-Associated Disorders: Results of a Population-Based Cohort Study.

    Science.gov (United States)

    Skillgate, Eva; Côté, Pierre; Cassidy, J David; Boyle, Eleanor; Carroll, Linda; Holm, Lena W

    2016-05-01

    To determine whether the results from previous research suggesting that early intensive health care delays recovery from whiplash-associated disorders (WADs) were confounded by expectations of recovery and whether the association between early health care intensity and time to recovery varies across patterns of health care. Population-based inception cohort. All adults (≥18y) injured in motor vehicle collisions who received treatment from a regulated health professional or reported their injuries to the single provincially administered motor vehicle insurer. Participants with WAD (N=5204). Self-report visits to physicians, chiropractors, physiotherapists, massage therapists, and other professionals during the first 42 days postcollision were used to define health care intensity. Not applicable. Self-perceived recovery. Individuals with high utilization health care had slower recovery independent of expectation of recovery and other confounders. Compared with individuals who reported low utilization of physician services, recovery was slower for those with high health care utilization, regardless of the type of profession. For instance, those with high physician (hazard rate ratio [HRR]=.56; 95% confidence interval [CI], .42-.75), physician and high physiotherapy utilization (HRR=.68; 95% CI, .61-.77), physician and high chiropractor utilization (HRR=.74; 95% CI, .64-.85), and physician and high massage therapy utilization (HRR=.78; 95% CI, .68-.90) had significantly slower recovery. Our study adds to the existing evidence that early intensive care is associated with slower recovery from WAD, independent of expectation of recovery. The results have policy implications and suggest that the optimal management of WADs focuses on reassurance and education instead of intensive care. Copyright © 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  7. Low intensity interventions for Obsessive-Compulsive Disorder (OCD): a qualitative study of mental health practitioner experiences.

    Science.gov (United States)

    Gellatly, Judith; Pedley, Rebecca; Molloy, Christine; Butler, Jennifer; Lovell, Karina; Bee, Penny

    2017-02-22

    Obsessive-compulsive disorder (OCD) is a debilitating mental health disorder that can substantially impact upon quality of life and everyday functioning. Guidelines recommend pharmacological and psychological treatments, using a cognitive behaviour therapy approach (CBT) including exposure and response prevention, but access has generally been poor. Low intensity psychological interventions have been advocated. The evidence base for these interventions is emerging but there is a paucity of information regarding practitioners' perceptions and experiences of supporting individuals with OCD using this approach. Qualitative interviews were undertaken with psychological wellbeing practitioners (PWPs) (n = 20) delivering low intensity psychological interventions for adults with OCD within the context of a large pragmatic effectiveness trial. Interviews explored the feasibility and acceptability of delivering two interventions; guided self-help and supported computerised cognitive behaviour therapy (cCBT), within Improving Access to Psychological Therapies (IAPT) services in NHS Trusts. Interviews were recorded with consent, transcribed and analysed using thematic analysis. PWPs acknowledged the benefits of low intensity psychological interventions for individuals experiencing OCD symptoms on an individual and population level. Offering low intensity support provided was perceived to have the opportunity to overcome existing service barriers to access treatment, improve patient choice and flexibility. Professional and service relevant issues were also recognised including self-beliefs about supporting people with OCD and personal training needs. Challenges to implementation were recognised in relation to practitioner resistance and intervention delivery technical complications. This study has provided insight into the implementation of new low intensity approaches to the management of OCD within existing mental health services. Benefits from a practitioner, service

  8. Prevalence and intensity of chronic pain and self-perceived health among elderly people: a population-based study

    Directory of Open Access Journals (Sweden)

    Lilian Varanda Pereira

    2014-08-01

    Full Text Available OBJECTIVE: to identify the prevalence and intensity of chronic pain among elderly people of the community and to analyze associations with the self-perceived health status.METHOD: cross-sectional study with a populational sample (n=934, conducted through household interviews in the city of Goiânia, Brazil. The intensity of chronic pain (existing for 6 months or more was measured using a numerical scale (0-10 and the self-perceived health through a verbal scale (very good, good, fair, poor, very poor. For the statistical analysis, the absolute frequency and percentage, CI (95%, Chi-square test, Odds ratio, and regression analysis were used. Significance of 5%.RESULTS: The prevalence of chronic pain was 52.8% [CI (95%:49.4-56.1]; most frequently located in the lower limbs (34.5% and lumbar region (29.5%; with high or the worst possible intensity for 54.6% of the elderly people. The occurrence of chronic pain was associated with (p<0.0001 a worse self-perception of health (OR=4.2:2.5-7.0, a greater number of chronic diseases (OR=1.8:1.2-2.7, joint disease (OR=3.5:2.4-5.1 and the female gender (OR=2.3:1.7-3.0. A lower intensity of chronic pain was associated with a better self-perception of health (p<0.0001.CONCLUSION: the majority of the elderly people of the community reported chronic pain, of a severe intensity, and located in areas related to movement activities, thus influencing the morbidity and mortality of this population.

  9. Intensive exercise program after spinal cord injury (“Full-On”): study protocol for a randomized controlled trial

    Science.gov (United States)

    2013-01-01

    Background Rehabilitation after spinal cord injury (SCI) has traditionally involved teaching compensatory strategies for identified impairments and deficits in order to improve functional independence. There is some evidence that regular and intensive activity-based therapies, directed at activation of the paralyzed extremities, promotes neurological improvement. The aim of this study is to compare the effects of a 12-week intensive activity-based therapy program for the whole body with a program of upper body exercise. Methods/Design A multicenter, parallel group, assessor-blinded randomized controlled trial will be conducted. One hundred eighty-eight participants with spinal cord injury, who have completed their primary rehabilitation at least 6 months prior, will be recruited from five SCI units in Australia and New Zealand. Participants will be randomized to an experimental or control group. Experimental participants will receive a 12-week program of intensive exercise for the whole body, including locomotor training, trunk exercises and functional electrical stimulation-assisted cycling. Control participants will receive a 12-week intensive upper body exercise program. The primary outcome is the American Spinal Injuries Association (ASIA) Motor Score. Secondary outcomes include measurements of sensation, function, pain, psychological measures, quality of life and cost effectiveness. All outcomes will be measured at baseline, 12 weeks, 6 months and 12 months by blinded assessors. Recruitment commenced in January 2011. Discussion The results of this trial will determine the effectiveness of a 12-week program of intensive exercise for the whole body in improving neurological recovery after spinal cord injury. Trial registration NCT01236976 (10 November 2010), ACTRN12610000498099 (17 June 2010). PMID:24025260

  10. Intensive exercise program after spinal cord injury ("Full-On"): study protocol for a randomized controlled trial.

    Science.gov (United States)

    Galea, Mary P; Dunlop, Sarah A; Davis, Glen M; Nunn, Andrew; Geraghty, Timothy; Hsueh, Ya-seng Arthur; Churilov, Leonid

    2013-09-11

    Rehabilitation after spinal cord injury (SCI) has traditionally involved teaching compensatory strategies for identified impairments and deficits in order to improve functional independence. There is some evidence that regular and intensive activity-based therapies, directed at activation of the paralyzed extremities, promotes neurological improvement. The aim of this study is to compare the effects of a 12-week intensive activity-based therapy program for the whole body with a program of upper body exercise. A multicenter, parallel group, assessor-blinded randomized controlled trial will be conducted. One hundred eighty-eight participants with spinal cord injury, who have completed their primary rehabilitation at least 6 months prior, will be recruited from five SCI units in Australia and New Zealand. Participants will be randomized to an experimental or control group. Experimental participants will receive a 12-week program of intensive exercise for the whole body, including locomotor training, trunk exercises and functional electrical stimulation-assisted cycling. Control participants will receive a 12-week intensive upper body exercise program. The primary outcome is the American Spinal Injuries Association (ASIA) Motor Score. Secondary outcomes include measurements of sensation, function, pain, psychological measures, quality of life and cost effectiveness. All outcomes will be measured at baseline, 12 weeks, 6 months and 12 months by blinded assessors. Recruitment commenced in January 2011. The results of this trial will determine the effectiveness of a 12-week program of intensive exercise for the whole body in improving neurological recovery after spinal cord injury. NCT01236976 (10 November 2010), ACTRN12610000498099 (17 June 2010).

  11. MEASUREMENT OF ENDOTRACHEAL TUBE CUFF PRESSURE IN MECHANICALLYVENTILATED PATIENTS ON ARRIVAL TO INTENSIVE CARE UNIT - A CROSS-SECTIONAL STUDY

    Directory of Open Access Journals (Sweden)

    Arun Kumar Ajjappa

    2017-04-01

    Full Text Available BACKGROUND The monitoring of Endotracheal Tube (ETT cuff pressure in intubated patients on arrival to intensive care unit is very essential. The cuff pressure must be within an optimal range of 20-30cm H2O ensuring ventilation with no complications related to cuff overinflation and underinflation. This can be measured with a cuff pressure manometer. The aim of the study is to measure the endotracheal tube cuff pressure in patients on arrival to intensive care unit and to identify prevalence of endotracheal cuff underinflation and overinflation. MATERIALS AND METHODS A cross-sectional study was done on mechanically-ventilated patients who were intubated in casualty (emergency department on arrival to intensive care unit in S.S. Institute of Medical Sciences and Research Centre, Davangere. About 50 critically-ill patients intubated with a high volume, low pressure endotracheal tube were included in the study. An analogue manometer was used to measure the endotracheal tube cuff pressure. It was compared with the recommended level. The settings of mechanical ventilation, endotracheal tube size and peak airway pressure were recorded. RESULTS It was found that the mean cuff pressure was 64.10 cm of H2O with a standard deviation of 32.049. Of the measured cuff pressures, only 2% had pressures within an optimal range (20-30cm of H2O. 88% had cuff pressures more than 30cm of H2O. The mean peak airway pressure found to be 20.50cm of H2O with a Standard Deviation (SD of 5.064. CONCLUSION This study is done to emphasise the importance of cuff pressure measurement in all mechanically-ventilated patients as cuff pressure is found to be high in most of the patients admitted to intensive care unit. Complications of overinflation and underinflation can only be prevented if the acceptable cuff pressures are achieved.

  12. The organizational structure of an intensive care unit influences treatment of hypotension among critically ill patients: A retrospective cohort study

    Science.gov (United States)

    Boone, M. Dustin; Massa, Jennifer; Mueller, Ariel; Jinadasa, Sayuri P; Lee, Joon; Kothari, Rishi; Scott, Daniel J.; Callahan, Julie; Celi, Leo Anthony; Hacker, Michele R.

    2016-01-01

    Purpose Prior studies report that weekend admission to an intensive care unit is associated with increased mortality, potentially attributed to the organizational structure of the unit. This study aims to determine whether treatment of hypotension, a risk factor for mortality, differs according to level of staffing. Methods Using the Multiparameter Intelligent Monitoring in Intensive Care database, we conducted a retrospective study of patients admitted to an intensive care unit at Beth Israel Deaconess Medical Center who experienced one or more episodes of hypotension. Episode(s) were categorized according to the staffing level, defined as high during weekday daytime (7am–7pm) and low during weekends or nighttime (7pm–7am). Results Patients with a hypotensive event on a weekend were less likely to be treated compared to those that occurred during the weekday daytime (p=0.02). No association between weekday daytime versus weekday nighttime staffing levels and treatment of hypotension was found (RR 1.02; 95% CI 0.98–1.07). Conclusion Patients with a hypotensive event on a weekend were less likely to be treated than patients with an event during high-staffing periods. No association between weekday nighttime staffing and hypotension treatment was observed. We conclude that treatment of a hypotensive episode relies on more than solely staffing levels. PMID:26975737

  13. What influences acceptability and engagement with a high intensity exercise programme for people with stroke? A qualitative descriptive study.

    Science.gov (United States)

    Signal, Nada; McPherson, Kathryn; Lewis, Gwyn; Kayes, Nicola; Saywell, Nicola; Mudge, Suzie; Taylor, Denise

    2016-10-14

    Intensity refers to the amount of effort or rate of work undertaken during exercise. People receiving rehabilitation after stroke frequently do not reach the moderate to high intensity exercise recommended to maximise gains. To explore the factors that influence the acceptability of, and engagement with, a high intensity group-based exercise programme for people with stroke. This qualitative descriptive study included 14 people with stroke who had completed a 12-week, high intensity group-based exercise rehabilitation programme. Semi-structured interviews were used to explore the acceptability of high intensity exercise and the barriers and facilitators to engagement. Interviews were recorded, transcribed and analysed using qualitative content analysis. The participants found high intensity exercise rehabilitation acceptable despite describing the exercise intensity as hard and reporting post-exercise fatigue. Participants accepted the fatigue as a normal response to exercise, and it did not appear to negatively influence engagement. The ease with which an individual engaged in high intensity exercise rehabilitation appeared to be mediated by inter-related factors, including: seeing progress, sourcing motivation, working hard, the people involved and the fit with the person and their life. Participants directly related the intensity of their effort to the gains that they made. In this study, people with stroke viewed training at higher intensities as a facilitator, not a barrier, to engagement in exercise rehabilitation. The findings may challenge assumptions about the influence of exercise intensity on engagement.

  14. Prospective study on prevalence, intensity, type, and therapy of acute pain in a second-level urban emergency department

    Directory of Open Access Journals (Sweden)

    Mura P

    2017-12-01

    Full Text Available Paolo Mura,1 Elisabetta Serra,1 Franco Marinangeli,2 Sebastiano Patti,3 Mario Musu,1 Ilenia Piras,3 Maria Valeria Massidda,1 Giorgio Pia,3 Maurizio Evangelista,4 Gabriele Finco1 1Department of Medical Sciences “M. Aresu”, University of Cagliari, Cagliari, Italy; 2Department of Anesthesiology, Intensive Care and Pain Medicine, University of L’Aquila, L’Aquila, Italy; 3Department of Emergency Medicine, Santissima Trinità Hospital, Cagliari, Italy; 4Department of Anesthesiology and Pain Medicine, Cattolica University, Rome, Italy Aim: Pain represents the most frequent cause for patient admission to emergency departments (EDs. Oligoanalgesia is a common problem in this field. The aims of this study were to assess prevalence and intensity of pain in patients who visited a second-level urban ED and to evaluate the efficacy of pharmacological treatment administered subsequent to variations in pain intensity. Methods: A 4-week prospective observational study was carried out on 2,838 patients who visited a second-level urban ED. Pain intensity was evaluated using the Numeric Rating Scale at the moment of triage. The efficacy of prescribed analgesic therapy was evaluated at 30 and 60 minutes, and at discharge. Data concerning pain intensity were classified as absent, slight, mild, or severe. Pain was evaluated in relation to the prescribed therapy. Results: Pain prevalence was 70.7%. Traumatic events were the primary cause in most cases (40.44%, followed by pain linked to urologic problems (13.52%, abdominal pain (13.39%, and nontraumatic musculoskeletal pain (7.10%. Only 32.46% of patients were given pharmacological therapy. Of these, 76% reported severe pain, 19% moderate, and 5% slight, and 66% received nonsteroidal anti-inflammatory drugs or paracetamol, 4% opioids, and 30% other therapies. A difference of at least 2 points on the Numerical Rating Scale was observed in 84% of patients on reevaluation following initial analgesic therapy

  15. Levels and patterns of objectively-measured physical activity volume and intensity distribution in UK adolescents: the ROOTS study.

    Science.gov (United States)

    Collings, Paul J; Wijndaele, Katrien; Corder, Kirsten; Westgate, Kate; Ridgway, Charlotte L; Dunn, Valerie; Goodyer, Ian; Ekelund, Ulf; Brage, Soren

    2014-02-24

    Few studies have quantified levels of habitual physical activity across the entire intensity range. We aimed to describe variability in total and intensity-specific physical activity levels in UK adolescents across gender, socio-demographic, temporal and body composition strata. Physical activity energy expenditure and minutes per day (min/d) spent sedentary and in light, moderate, and vigorous intensity physical activity were assessed in 825 adolescents from the ROOTS study (43.5% boys; mean age 15.0 ± 0.30 years), by 4 days of individually calibrated combined heart rate and movement sensing. Measurement days were classified as weekday or weekend and according to the three school terms: summer (April-July), autumn (September-December), and spring (January-March). Gender and age were self-reported and area-level SES determined by postcode data. Body composition was measured by anthropometry and bio-electrical impedance. Variability in physical activity and sedentary time was analysed by linear multilevel modelling, and logistic multilevel regression was used to determine factors associated with physical inactivity (physical activity/d). During awake hours (15.8 ± 0.9 hrs/d), adolescents primarily engaged in light intensity physical activity (517 min/d) and sedentary time (364 min/d). Boys were consistently more physically active and less sedentary than girls, but gender differences were smaller at weekends, as activity levels in boys dropped more markedly when transitioning from weekday to weekend. Boys were more sedentary on both weekend days compared to during the week, whereas girls were more sedentary on Sunday but less sedentary on Saturday. In both genders light intensity physical activity was lower in spring, while moderate physical activity was lower in autumn and spring terms, compared to the summ