The share of renewable energy in the EU. Country Profiles. Overview of Renewable Energy Sources in the Enlarged European Union

International Nuclear Information System (INIS)

2004-01-01

The promotion of renewable energy has an important role to play in addressing the growing dependence on energy imports in Europe and in tackling climate change. Since 1997, the Union has been working towards the ambitious target of a 12% share of renewable energy in gross inland consumption by 2010. In 1997, the share of renewable energy was 5.4%; by 2001 it had reached 6%. This Staff Working Document gives an overview of the different situations of renewable energy sources in the European Union. It includes part of the formal report that the Commission is required to make under Article 3 of Directive 2001/77/EC on electricity from renewable energy sources, and it completes the overall picture with information at a country level on the heat produced from renewable energies and biofuels in the transport sector. This Staff Working Document complements the Communication on 'The share of Renewable Energy sources in the EU'. Data is based on different sources. Firstly, on the reports from Member States on national progress in achieving the targets on electricity from renewable energy sources. Secondly, on a study launched by the Commission on the evolution of renewable energy sources. And thirdly, on a variety of sources like the European Barometer of renewable energies, data from the industry, etc. With the enlargement of the European Union, the new Member States are required to adopt the RES-E Directive (renewable energy sources for electricity) by 1 May 2004. In the accession treaty, national indicative targets are set and the overall renewable electricity target for the enlarged Union will therefore be 21% of gross electricity consumption by 2010. The Commission has the legal obligation to report on the degree of achievement of new Member States' targets by 2006. Although it is too early to assess RES-policy in the new Member States due to very recently adopted regulations, this document also includes national information on the States now joining the European Union

EU Enlargement

DEFF Research Database (Denmark)

Pedersen, Peder J.; Pytlikova, Mariola

We look at migration flows from 8 Central and Eastern European Countries (CEECs) to 5 Nordic countries over the years 1985 - 2005 and we can exploit a natural experiment that arose from the fact that while Sweden opened its labour market from the day one of the 2004 EU enlargement, the other Nordic...... countries chose a transition period in relation to the "new" EU members. We employ a differences-in-differences estimator in our analysis. The results show that the estimated effect of the opening of Swedish labour market in 2004 on migration is insignificantly different from zero. Further, we...... are interested in the overall effect of the "EU entry" on migration. Therefore we look at migration flows from CEECs during the first round EU enlargement towards CEECs in 2004 and compare them with migration flows from Bulgaria and Romania. We again used a DD estimator in our analysis. The estimated effect...

The fifth wave of the European Union enlargement: pro et contra

Directory of Open Access Journals (Sweden)

Batorshina Irina

2011-09-01

Full Text Available This article analyses the principal complex of economic and political motivations of the states of Central and Eastern Europe and the EU members related to the EU enlargement towards the East. Special attention is paid to the discussion on the reasonableness of the EU enlargement and the positions of certain EU members.

Genişlemelerle Birlikte Avrupa Birliği Bakanlar Konseyi’nde Oylama Gücü Dağılımı(Voting Power Distribution With The Enlargements In The Council of The European Union

Directory of Open Access Journals (Sweden)

Hatice Burcu ESKİCİ

2013-12-01

Full Text Available Nowadays, enlargement is one of the most important issue for European Union. The situation that makes this issue important is the influence of membership of the candidate states on the voting power distribution. With the enlargements, European Union decision-making processes were regulated several times. The last regulation to the European Union voting system was brought by the Treaty of Lisbon. In this study, voting power distribution in Council of the European Union is evaluated for candidate states and member states considering the acts adopted by the Treaty of Lisbon and determined as candidate states determined as Turkey, Croatia, Iceland, Former Yugoslav Republic of Macedonia. In the analysis, member states are grouped the according to the enlargement of the EU and the effect of the states that take part in these groups on the decision and changes of voting power are calculated using Banzhaf power index for power measurement.

Nuclear power and European Union enlargement challenge

International Nuclear Information System (INIS)

Chirica, T.; Bilegan, C.; Pall, S.; Sandru, P.

2000-01-01

In the nuclear power sector, the main concern for the candidate countries entering the European Union, remains the nuclear safety. New standards and regulation will be issued for improving the general quality of life in a sound environment. For the candidate countries entering the European Union, this situation represents a real challenge. Their national legislation must be improved to meet the European standards. The conditions are different from country to country, and more difficult for those, which operate ''non west European reactor type''. The paper also present the actual status of the Romanian legislation related to nuclear power and environment. There are presented the principles, terms and responsibilities contained in this legislation. The authors discuss some aspects related to the possibilities to improve the national legislation to meet the actual European Commission or EURATOM standards. (author)

Agriculture of central and eastern European countries in the European Union

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Redžepagić Srđan

2006-01-01

Full Text Available Agriculture posed considerable tensions for the processes of enlargement of the European Union, because of its continuing importance both in the economies of the applicant countries of Central and Eastern European countries which have joined EU on the 1st may 2004., and in the EU budget and acquits communautaire. The preparation of agriculture in the candidate countries to join the EU was rendered more complex by the fact that the Community's Common Agricultural Policy was a moving target. The aim of this paper is to show the bases elements of the Common Agricultural Policy, but also to provide a survey of recent developments relating to agriculture in the EU and new member states of the EU before their accession to EU and their preparation to access on the enlarged market, in order to indicate the main challenges and difficulties posed by enlargement. It seems likely that agricultural policy in the enlarged EU will attach increased priority to objectives such as rural development and the environment. However, these new priorities may be expensive to realize, and may impose a growing burden on the national budgets of EU member states.

Nuclear power and European Union enlargement challenge

International Nuclear Information System (INIS)

Chirica, Teodor; Bilegan, Constantin

2001-01-01

From 1991 through 1996 the European Union signed the Association Agreements with ten East European countries (EE10), namely: Czech Republic, Estonia, Hungary, Poland, Slovenia, Latvia, Lithuania, Slovakia, Bulgaria and Romania. In the period 1994-1996 European Union received membership applications from all ten countries. The paper analyzes the approach of complying the requirements and regulations for European Union accession in the field of the Romanian nuclear power based on the CANDU technology. In this process, the real challenge is represented by the preparation and implementation of new regulations aiming to improve the general business environment by introducing International Accounting Standards simplification of bankruptcy laws, reform of taxation procedures and secureness of financial instruments. A new stand-by agreement with the International Monetary Fund and World Bank was set out in late April 1999 for an one-year loan of 475 million dollars. (authors)

NATO Enlargement

National Research Council Canada - National Science Library

Gallis, Paul E

2003-01-01

This report provides a brief summary of the last round of NATO enlargement. The report analyzes the key military and political issues in the debate over seven prospective members named at NATO's Prague summit...

THE IMPACT OF EU ENLARGEMENT ON THE RUSSIAN FEDERATION

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Alfred E. Kellermann

2004-10-01

Full Text Available EU Enlargement is a consequence of the success story of the creation of the European Communities, as many applicant countries were attracted to the new legal order based on the rule of law, rather than to an order or disorder based on the rule of politics. As from May 1st 2004, the EU enlargement, unprecedented in its size, marks a historic milestone for the European Union and its Member States, and also for the whole continent. Given this new context, the EU has to find and define new cooperation partnerships with its neighbours. A major partner, not to be neglected in this new policy is by all means Russia. The first Summit between the enlarged EU and Russia held in Moscow on 21 May 2004 was the first high-level meeting of the 25 EU and Russia following the successful conclusion of negotiations between the European Commission and Russia on the extension of the EU-Russia Partnership and Cooperation Agreement (PCA to the ten new EU Member States. The Summit calls for the reinforcement of EU-Russia relations via the creation of Four Common Spaces: a common economic space (with specific reference to environment and energy; a common space of Freedom, Security and Justice; a field of external security; as well as a space of research and education including culture. The next step will be to define shared priorities and concrete measures for each of the Four Common Spaces in a mutually agreed Action Plan.

Income, Deprivation and Economic Stress in the Enlarged European Union

Science.gov (United States)

Whelan, Christopher T.; Maitre, Bertrand

2007-01-01

At risk of poverty indicators based on relative income measures suggest that within the enlarged EU societies located at quite different points on a continuum of affluence have similar levels of poverty. Substantial differences in levels of income between societies do not in themselves invalidate this approach. However, the relative income…

Editorial Foreword: The Internal Dynamics of the Enlarged Single European Market

Directory of Open Access Journals (Sweden)

Ruth Wittlinger

2009-12-01

Full Text Available This Special Issue consists of a small selection of the wide range of papers which were delivered at the seminars. It can thus only provide a snapshot. We have, however, tried to ensure that the choice of the papers included in this volume also reflects the fact that it was academics AND practitioners who contributed to the overall success of the series. Whereas the first five contributors (Schweiger, de la Porte, Funk, Allen and Aldred, Pogátsa examine their various topics from an academic perspective, the last two papers (Galgóczi and Medhurst/Tortolano provide assessments of the impact of the Single European Market on Central and Eastern European and wider EU member state economies and societies from a trade union perspective.

Communities, Boundaries and New Neighbours: the Discursive Construction of EU Enlargement

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Giuditta Caliendo

2008-12-01

Full Text Available The institutional discourse of the European Union (EU is undergoing important changes that are also reflected by new initiatives in its communication policy. Against a background of widespread scepticism towards EU enlargement among the public, this change is driven by the need to promote the widening of its borders in a more effective way in order to prompt popular endorsement. Through the use of its textual and visual communicative strategies, the EU is thus finding new ways to buttress its legitimacy and raise consensus around its political actions. The node of interaction between citizens and institutions is represented by the informative publications of the EU (also made available on the europa website, which become a constitutive element in building Union-to-citizen communication. The analysis of textual and visual formulations of the European Commission’s key booklets on EU enlargement in the period from 2004 to 2007 - in terms of their content and pragmatic aims - reveals the emergence of new consensus-building strategies. Results show that a sense of allegiance and belonging attributed to a deepening of European integration is now increasingly linked to the practical advantages of EU enlargement, as expressed through the use of ‘promotional’ and strategic discursive practices. Moving away from a merely informative content, communication modes ‘migrate’ towards a more direct and ‘commodified’ type of message, while an increase in visual elements plays a complementing role in promoting legitimacy and a feeling of mutual belonging between ‘old’ and ‘new’ members of the European family.

The future of nuclear energy in the enlarged European Union

International Nuclear Information System (INIS)

Comsa, Olivia; Mingiuc, C.; Paraschiva, M.V.

2002-01-01

The paper presents an analysis of the future of nuclear energy at the European level taking into account the main factors which influence its development among which the most important are: - enlargement of EU to 30 member states with different energy structure; - the increase of energy consumption; - the constant increasing of external dependence for energy which is estimated at 70% in the next 20-30 years; - liberalisation of the energy sources and supply sector; - environmental concerns, including climate change. In the Green Paper, nuclear is grouped together with coal, oil, gas and renewables as 'less than perfect' energy options and together with coal it is classed as an 'undesirable' and referred to as a 'source of energy in doubt ' which is ' tainted by the original sin of dual usage (civil and military) in the fuel cycle'. The final conclusion is 'the future of nuclear energy in Europe is uncertain'. It depends on several factors beyond energy demand; including: a solution to the problems of managing nuclear waste, the economic viability of the new generation of power stations, the safety of reactors in Eastern Europe, in particular applicant countries and policies to combat global warming. The 'essential questions' for nuclear is 'How can the community develop fusion technology and reactors for the future, reinforce nuclear safety and find a solution to the problem of nuclear waste?' There are a number of very important factors that will influence the future of nuclear energy inside the European Union. The first and foremost of these is continuing the safe operation of the existing nuclear facilities. The second is the demand for energy, in particular electricity. The third is the nuclear sector's ability to meet a share of this demand in a competitive way. If the demand materialises, there are likely to be reactors available that can further improve nuclear competitiveness while maintaining its recent excellent safety record. It will be the market that

Opposition to enlargement as a symbolic defence of group position: multilevel analyses of attitudes toward candidates' entries in the EU-25.

Science.gov (United States)

Dixon, Jeffrey C

2010-03-01

Despite the sociological and geopolitical significance of EU enlargement and opinion toward it, extant literature is lacking a theory of enlargement opinion and an examination of opinion in the wake of the 2004 enlargement. This paper fills these gaps by developing a symbolic defence of group position model to explain opposition to the entries of candidate states (as of 2005: Bulgaria, Romania, Croatia, and Turkey) and to examine how these explanations differ for post-Communist EU members. Results of hierarchical multinomial logistic models of Eurobarometer (European Commission 2005) data from the EU-25 support the notion that the symbolic nature of enlargement shapes the effects of interests, threat, and other factors on opinion depending on candidates' position in a culturally and historically-rooted hierarchy of 'European-ness'. Attitudes toward Turkey's entry are less shaped by material interests than attitudes toward other candidates' entries, which is explained by Turkey's position at the bottom - and post-Communist countries' position in the middle - of this hierarchy in the post-Cold War era. Attitudes toward Turkey's entry are rather a function of the perceived threat that it poses to the group position and identity of Europeans, which is defended by the politically knowledgeable. While the lower levels of threat in post-socialist EU member countries help to account for their lower levels of opposition to candidates' entries, people in these countries to a greater extent use European identity as a way of symbolically distancing themselves from Turkey. Implications are discussed.

Nuclear safety research at the European Commission's Joint Research Centre

International Nuclear Information System (INIS)

Toerroenen, K.

2003-01-01

Nuclear power plants currently generate some 35 % of electricity used in the European Union and applicant countries. Nuclear safety will therefore remain a priority for the EU, particularly in view of enlargement, the need to monitor ageing nuclear installations and the licencing of advanced new reactor systems. The European Commission's Joint Research Centre (JRC), with its long involvement and recognised competence in nuclear safety related activities, provides direct support to the European Commission services responsible for nuclear safety and civil protection. (author)

Liberalization and enlargement: effects of the industrial organisation of natural gas markets in Eastern Europe

International Nuclear Information System (INIS)

Pirovska, M.

2005-01-01

After half a century of political division within the European continent, and of State control over national energy industries, a new industrial and political organisation model aiming at creating a single natural gas market tends to emerge currently within the enlarged European Union. Yet new member countries are former centrally planned, socialist economies, with very different industrial structures for natural gas. However, those countries should adjust to the institutional framework applicable in the European Union, including bringing their gas industries into compliance with the liberalization process that old member countries initiated years ago. In that unprecedented context, one basic issue is whether the gas industry liberalization, in the framework of the enlargement, will have expected results in terms of competition, efficiency and profits for Eastern countries, whether new members or candidates for membership. The objective of the research work behind this article was to analyse the effects of that complex trend on the industrial organisation of gas markets in eastern Europe. (author)

The Balkans: Between Economic Crisis And European Integration

Directory of Open Access Journals (Sweden)

Andrei RĂDULESCU

2012-06-01

Full Text Available The Balkans region (also known as the „Powder keg of Europe” has always been an European question, a Western question, as underlined by Arnold Toynbee, in 1922. At present, European Union is confronted with the fifth enlargement, also known as the “post-conflict” enlargement – the integration of Balkan states. Bulgaria joined European Union in 2007. Croatia signed the Accession Treaty in 2011 and is expected to become an EU member in 2013. The other countries encounter in different stages of European integration. However, this process presents several challenges and dilemmas, either for European Union, or for the Balkan enclave. The main challenge in the case of this enlargement is to reconcile the nation-state building and the European integration. From the economic point of view, the Balkans region is underdeveloped. Several factors determined this stance of the region: the poor endowment in terms of natural resources, the political situation over the centuries (the military conflicts – impeding the economic development, the cultural factors. At present, the region is confronted with the consequences of the worst economic and financial crisis o global economy since the end of World War II.

Enlargement of filtration with finance in view

CERN Document Server

Aksamit, Anna

2017-01-01

This volume presents classical results of the theory of enlargement of filtration. The focus is on the behavior of martingales with respect to the enlarged filtration and related objects. The study is conducted in various contexts including immersion, progressive enlargement with a random time and initial enlargement with a random variable.  The aim of this book is to collect the main mathematical results (with proofs) previously spread among numerous papers, great part of which is only available in French. Many examples and applications to finance, in particular to credit risk modelling and the study of asymmetric information, are provided to illustrate the theory. A detailed summary of further connections and applications is given in bibliographic notes which enables to deepen study of the topic.  This book fills a gap in the literature and serves as a guide for graduate students and researchers interested in the role of information in financial mathematics and in econometric science. A basic knowledge of...

Mapping farm animal welfare research in an enlarged Europe

DEFF Research Database (Denmark)

Kirchner, Marlene K.; Košťál, Ľubor; Bilčík, Boris

2017-01-01

Against the background of divergent political developments across Europe, farm animal welfare (FAW) science has evolved during the last three decades as an inter-disciplinary research area. Recent achievements include pan-European research projects and the implementation of animal welfare...... on questionnaires sent out to a wide researcher network in regions of an enlarged Europe, we found differences with regard to ‘input factors’ such as human resources, animal and laboratory facilities and national and international research funding and ‘output factors’ such as inter/national collaboration...

THE FINANCIAL SETTLEMENT IN THE ENLARGEMENT OF THE EUROPEAN UNION: LESSONS FOR ROMANIA?

Directory of Open Access Journals (Sweden)

Alan Mayhew

2003-07-01

Full Text Available At the end of every European Union accession negotiation, there is a fight about finance. Yet finance is by no means the most important element of the negotiations. Matters affecting the vital interests of new and old members like the free movement of labour or the representation of the new member state in the institutions of the Union are usually far more important in the longer term. But it is easier for politicians to talk to voters about money than about policy. The budgetary negotiations in this first enlargement to the countries of Central and Eastern Europe were perhaps more important in that these are relatively poor countries compared to the Union average per capita gross domestic product. They all will have to invest heavily in transport and environmental infrastructure in the coming decades in order to catch up with the standards of the EU-15 and support higher economic growth and development. Assuming responsible macro-economic policy in the new member states, EU budgetary transfers can speed up this investment process considerably, allowing these countries to catch up with the old member states in terms of per capita income more quickly. Higher transfers to the new member states means of course larger net budgetary contributions for the old member states (EU-15. This comes at a time when budget deficits are high and rising throughout the EURO-zone and when member states are making politically controversial cuts in social spending. The fiscal discipline involved in membership of the monetary union and implementation of the Broad Economic Policy Guidelines therefore means that the existing member states of the Union are not keen to see their net budgetary position with Brussels deteriorate or even their gross contributions to the budget rise. This paper investigates the background to the budget negotiations and the political economy behind them.

Multiple Sources of Pressure for Change: The Barroso Commission and Energy Policy for an Enlarged EU

Directory of Open Access Journals (Sweden)

Jan Frederik Braun

2009-11-01

Full Text Available This article presents a preliminary analysis of how and why the role, work and status of the European Commission are changing in an enlarged European Union. It does so by focusing on multiple sources of pressure for change. These include: enlargement, new modes of governance, administrative reforms and changed leadership under Barroso. Combined, though not interlinked, these multiple sources of pressure are evidence of the increasing difficulty for the Commission to design and propose Community-wide answers to complex challenges in a more diverse Union. For this reason, the Commission under Barroso relies less on its traditional monopoly power to propose formal legislation and more on non-traditional modes of policy-making. Energy policy, especially its external dimension, constitutes a policy field that has been affected by enlargement, i.e. characterised by an increasing heterogeneity of needs and preferences among the member states. Not only does it resists Community-wide answers, it also allows the Commission, as an agent, to make use of bureaucratic drifts, i.e. exploit its strategic position in the EU’s governance system and use of a range of formal and informal resources of expertise. To deliver sustainable European added value to this complex policy area, however, the Commission must focus more on pragmatic policy results by making smart use of the EU’s increasing asymmetry, diversity and subsidiarity in a bottom-up approach. A non-legislative approach can serve as a modus vivendi to keep the momentum going in the Union’s difficult struggle to establish a workable energy regime.

The “transforming power” of EU Enlargement policy in Serbia. An anthropological reflection

Directory of Open Access Journals (Sweden)

Francesco Florindi

2012-05-01

Full Text Available The enlargement process of the European Union contributed substantially to the harmonisation of legal systems over the continent. The article provides an anthropological critique to the way harmonisation to EU law is implemented in the Balkans, underlining the general lack of awareness by both Serbian government and the EU of Serbian social and legal systems. While applying the anthropological method to EU law’s effects in Serbia, the author investigates also the inner value of the EU project itself. For instance the State's failure to regulate anti-corruption matters has been experienced even when the State's provision in question were in full compliance with several other international obligations and with a positively hierarchically superior legal system: the Constitution.

Enlarged Heart

Science.gov (United States)

... rheumatic fever, a heart defect, infections (infectious endocarditis), connective tissue disorders, certain medications or radiation treatments for cancer, your heart may enlarge. Disease of the heart ...

Fiscal policy surveillance in the enlarged European Union: Procedural checks or simple arithmetic?

NARCIS (Netherlands)

Groenendijk, Nico; Batten, Jonathan A.; Kearney, Colm

2006-01-01

In its recommendation on the 2004 update of the Broad Economic Policy Guidelines (BEPGs), the European Commission (2004) issued country-specific recommendations for fiscal policy in the Central and Eastern European (CEE) countries that have recently joined the European Union (EU) (henceforth the

TURKEY’S ACCESSION TO THE EUROPEAN UNION – PRESENT OR PERSPECTIVES?

Directory of Open Access Journals (Sweden)

Ileana Voica

2017-12-01

Full Text Available The enlargement of the European Union is a sui generis process, which involves internal preparation of the candidate countries, the European Union and accession negotiations as well. The EU enlargement process is based on the desire to create a close relationschip between the European countries in a common economic and political project. Guided by tha values of the European Union and subject to strict conditions, the enlargement proved to be one of the most effective tools for promoting political, economic and social reforms and to strengthen pceace, stability and democracy across the continent. A controversial topic in the last period is Turkey’s accession to the European Union. Turkey’s European ambitions date back to the 1963 Ankara Agreements, although it has formally submitted the membership application in 1987. Following the Helsinki European Council of 10 – 11 December 1999, accession negotiations between the EU and Romania, Latvia, Lithuania, Slovakia, Malta and Bulgaria started on 15 February 2000. Regarding the accession negotiations with Turkey, il was considered that this country does not meet, at this stage, the criteria set by the Copenhagen European Council on the rule of law, democracy and human rights. For Turkey, an Accession Partnership was adopted on 8 March 2001. Currently, Turkey is far from concluding the process of joining the European Union. However, Turkey is a state that can no longer be ignored by anyone in the world politics, being remarked by the infrastructure projects, the developed tourism, the steady economic growth and, last but not least, by the impressive military power, being the second NATO army. Given that, in the framework of the enlargement process, both the candidate states and the old members must be prepared for integration and cohabitation as well as the negative opinion on the Turkish membership of the influential states, such as Germany and France, it remains to be seen whether Turkey will

The Political Psychology of European Integration

DEFF Research Database (Denmark)

Manners, Ian James

2015-01-01

express for the EU and fellow Europeans, and the passion with which supporters of the EU argue for greater integration and enlargement are today central to understanding European integration. Being mindful of Europe - reflecting on the ways in which psychology and politics are deeply implicated in under......In an era of European crises over political legitimacy, economic austerity, and collapse of confidence in the EU the topic of European integration has be-come a very emotional subject. The anger which protestors demonstrate against economic austerity, the hate which nationalist far-right parties...

The impact of citizenship on intermarriage: Quasi-experimental evidence from two European Union Eastern enlargements

Directory of Open Access Journals (Sweden)

Davide Azzolini

2017-04-01

Full Text Available Background: According to assimilation theory, the more immigrants are integrated within host countries the more likely they are to intermarry. However, status exchange theory argues instead that when integration is low, immigrants may use intermarriage as a means of improving their integration prospects in host countries, in which case an increase in levels of integration would reduce immigrants' propensity to intermarry. Objective: To test these two hypotheses, this paper assesses the causal effect of a positive shift in immigrants' level of integration, namely the acquisition of citizenship, on intermarriage in Italy. Over the past 20 years Italy has experienced an unprecedented growth in intermarriage involving primarily Eastern European women. Methods: We study two EU Eastern enlargements, following which citizens of the new EU member countries became EU citizens and thus experienced a marked improvement in their legal status. We apply the synthetic control method to data on marriages between native men and foreign women. Results: We find that the acquisition of citizenship has a significant negative impact on immigrant women's propensity to marry native men. That impact is much greater for immigrants coming from less affluent countries. Conclusions: Our results support the status exchange hypothesis. This can be explained by the poor socioeconomic integration and precarious legal status of immigrants in Italy. Contribution: The growth of intermarriage per se cannot be seen as an indicator of greater immigrant integration. The negative impact of citizenship acquisition on immigrants' propensity to intermarry also calls for a rethinking of the role of institutions such as marriage and citizenship in the process of immigrant integration.

Enlarged prostate

Science.gov (United States)

... for drugs that may make your symptoms worse : SAW PALMETTO Many herbs have been tried for treating an enlarged prostate. Many men use saw palmetto to ease symptoms. Some studies have shown that ...

Enlarged adenoids

Science.gov (United States)

... lips Dry mouth Persistent runny nose or nasal congestion Enlarged adenoids may also cause sleep problems. A ... in the mouth or by inserting a flexible tube (called an endoscope) placed through the nose. Tests ...

Liver enlargement demonstrated by scintigraphy in rheumatoid arthritis

Energy Technology Data Exchange (ETDEWEB)

Tiger, L.H.; Gordon, M.H.; Ehrlich, G.E.; Shapiro, B.

1976-03-01

Scintigraphic scanning employing technetium-99m sulfur colloid was used to assess the size of the liver and spleen in 32 consecutive patients with rheumatoid arthritis. The data were correlated with clinical and laboratory assessment. Seven patients had enlarged livers, three enlarged spleens. An expected correlation of liver enlargement with Sjogren's syndrome did not materialize. Splenic enlargement and liver enlargement were discordant. Liver enlargement correlation best with elevations of rheumatoid factor as measured by latex fixation. As liver enlargement is not an appreciated feature of rheumatoid arthritis, these findings suggest that hepatomegaly need not necessarily imply adverse treatment results or the development of lymphoproliferative disorders.

Gingival Enlargement

Science.gov (United States)

... cover the crowns of the teeth causing periodontal (gum) disease (due to difficulty in keeping the teeth clean) ... localized and/or generalized gingival enlargement such as pregnancy, hormonal imbalances, and leukemia. To the right is ...

Czech-German Cross-Border Cooperation in the enlarged European Union

Czech Academy of Sciences Publication Activity Database

Houžvička, Václav

2005-01-01

Roč. 3, č. 1 (2005), s. 1-3 ISSN 1214-7567 R&D Projects: GA AV ČR(CZ) IBS7028301 Institutional research plan: CEZ:AV0Z70280505 Keywords : European Union * local elites * cross/border cooperation Subject RIV: AO - Sociology, Demography

Aortic Root Enlargement or Sutureless Valve Implantation?

Directory of Open Access Journals (Sweden)

Nikolaos G. Baikoussis

2016-11-01

Full Text Available Aortic valve replacement (AVR in patients with a small aortic annulus is a challenging issue. The importance of prosthesis–patient mismatch (PPM post aortic valve replacement (AVR is controversial but has to be avoided. Many studies support the fact that PPM has a negative impact on short and long term survival. In order to avoid PPM, aortic root enlargement may be performed. Alternatively and keeping in mind that often some comorbidities are present in old patients with small aortic root, the Perceval S suturelles valve implantation could be a perfect solution. The Perceval sutureless bioprosthesis provides reasonable hemodynamic performance avoiding the PPM and providing the maximum of aortic orifice area. We would like to see in the near future the role of the aortic root enlargement techniques in the era of surgical implantation of the sutureless valve (SAVR and the transcatheter valve implantation (TAVI.

European Neighbourhood Policy. A Polish Perspective

Directory of Open Access Journals (Sweden)

Paula Marcinkowska

2016-01-01

Full Text Available Before the bing-bang enlargement of the EU in 2004, the Union needed to define a coherent policy towards its new neighbours. The European Neighbourhood Policy was formulated when Poland became a member of the EU. Due to its close ties with the Eastern European countries, Poland tried to shape the EU foreign policy towards its neighbouring countries and became their advocate in Brussels. In 2009 it succeeded in establishing the Eastern Partnership as one of the dimensions of the European Neighbourhood Policy.

The Next Round of NATO Enlargement

National Research Council Canada - National Science Library

Simon, Jeffrey

2000-01-01

.... Political, geostrategic, and technical factors will frame policy options on enlargement though the shifting importance of these factors will likely influence any decision on enlarging the Alliance...

Suggesting a New European Language Policy

OpenAIRE

H. Nelde, Peter

2004-01-01

Conflict is the most intriguing aspect of contact linguistics. Throughout history ever since the Tower of Bable was left unfinished, contacts between speakers of different languages have unavoidably resulted in conflicts between speakers of those languages. Without any doubt, the European Union (EU) – above all after the decision to enlarge the community – has accepted the multidisciplinary symbolic function of language and culture as a basis for European political unification....

Welfare reform in European countries

DEFF Research Database (Denmark)

Immervoll, Herwig; Kleven, Henrik Jacobsen; Kreiner, Claus Thustrup

2007-01-01

This article compares the effects of increasing traditional welfare to introducing in-work benefits in the 15 (pre-enlargement) countries of the European Union. We use a labour supply model encompassing responses to taxes and transfers along both the intensive and extensive margins, and the EUROMOD...

Thymic enlargement in patients with hyperthyroidism

Energy Technology Data Exchange (ETDEWEB)

Myung, Jae Sung; Goo, Jin Mo; Im, Jung Gi [College of medicine and the Institute of Radiation Medicine, Seoul National University, Seoul (Korea, Republic of); Kim, Mi Young [Sejong General Hospital, Seoul (Korea, Republic of); Park, Yang Hee [National Police Hospital, Seoul (Korea, Republic of)

2000-08-01

To evaluate the radiologic findings and clinical feasibility of thymic enlargement in patients with hyperthyroidism. Seven patients with hyperthyroidism and anterior mediastinal bulging revealed by chest radiography were evaluated. The CT findings were analyzed with regard to the shape of the anterior mediastinal mass, surrounding infiltration, and enlargement of mediastinal lymph nodes. Whether or not tumor markers (alpha-fetoprotein, beta-human chorionic gonadotrophin, and chorionic embryonic antigen) showed increased levels was determined, and the size and thickness of the anterior mediastinal mass were measured and compared with previously described age-matched thymus data. In addition, changes in the thyroid gland were evaluated. In all seven patients, anterior mediastinal masses were bi-lobed, with no surrounding infiltration or enlarged mediastinal lymph node, and tumor marker levels showed no increase. The masses were therefore considered to be thymus. In six patients, the size of the thymus exceeded two upper standard deviations of mean value and in one patient, it was smaller than this. In three patients, PCNB (percutaneous needle biopsy) revealed normal thymic tissue and in two, follow-up chest PA demonstrated no interval change. CT showed that in three patients, the thyroid glands were diffusely enlarged. In patients with hyperthyroidism, an anterior mediastinal mass seen on chest radiographs was due to thymic enlargement. The recognition of CT findings of thymic enlargement in such patients may avoid unnecessary biopsy. (author)

Past and Current Paths to European Union Accession: Romania and Turkey a Comparative Approach

Directory of Open Access Journals (Sweden)

Tatiana-Camelia Dogaru

2015-05-01

Full Text Available Several decades ago, leaders of six European countries with an inclusive vision of Europe and strong courage started a construction without precedent, the European Union. The remarkable construction evolved not only concerning the number of the Member States, but also in terms of institutional and functional development. Nowadays, the European Union is one of the most important changing factor concerning the governance and the policy-making process at European level and not only, and there is no doubt that the EU will continue to grow as an increasing number of countries express interest in membership. This paper reveals in a comparative perspective the path to European Union Accession, and is based on documentary analysis, using strategy-level documents of the countries and the Progress Reports the European Commission provided during the past enlargement.

Penis-Enlargement Products: Do They Work?

Science.gov (United States)

... and surgeries. By Mayo Clinic Staff Ads for penis-enlargement products and procedures are everywhere. A plethora of ... your penis. Companies offer many types of nonsurgical penis-enlargement treatments, and often promote them with serious-looking ...

Airport Performance and Construction Enlargement Activities

Science.gov (United States)

Hanun, Y.; Setiawan, M. I.; Kurniasih, N.; Hasyim, C.; Ahmar, A. S.

2018-01-01

The evaluation of transportation infrastructure project should consider the contribution towards infrastructure growth. This research aims to analyze the effect of Construction enlargement activities towards airport performance. This research is correlation study. The population includes 148 airports in Indonesia. By using total sampling, there were 148 sample airports. The result shows that the construction enlargement activities variable has relatively strong relationship to Airport Performance variable, while the adjusted R Square score shows the increasing construction enlargement activities that affected by the other factors aside from airport performance.

Patterns and determinants of business cycle synchronization in the enlarged European Economic and Monetary Union

Directory of Open Access Journals (Sweden)

Iulia SIEDSCHLAG

2010-06-01

Full Text Available This paper provides empirical evidence about the degree of business cycle synchronization between the euro area countries and eight new European Union member states. We analyze the direct and indirect effects of similarity of economic structures and trade intensity on the co-movement of fluctuations of economic activity across these countries and find that bilateral similarity of economic structures and trade intensity were positively and significantly associated with business cycle correlations. This result is robust to different estimation techniques. Similarity of economic structures had an additional indirect positive effect on business cycle synchronization via its positive effect on trade intensity. The bilateral business cycle correlations are found to be endogenous with respect to bilateral similarity of economic structures and bilateral trade intensity suggesting that the new European Union countries will better satisfy the Optimum Currency Area criteria after the adoption of the euro.

Radioactive waste management in European Union countries

International Nuclear Information System (INIS)

Vico, E.

2002-01-01

Although the Euratom Treaty does not assign direct authorities to the European Union in the Field of radioactive waste, the Commission has developed a series of activities related to this type of waste. The article deals with these Community initiatives, and the problems of radioactive waste management in the different Member States, and future plans in the field in the light of forthcoming European Union enlargement in 2004. (Author)

Hilar enlargement in respiratory syncytial virus pneumonia

International Nuclear Information System (INIS)

Odita, J.C.; Aghahowa, J.E.; Nwankwo, M.

1989-01-01

The clinical and radiographic features of ten children with hilar enlargement in association with proven Respiratory Syncytial Virus (RSV) infection are described. Hilar enlargement was seen in 10/35 children with RSV infection, and was invariably unilateral and right sided. It is recommended that RSV pneumonia be considered in children with unilateral hilar enlargement if tuberculosis has been excluded, and the onset of disease is rapid. (orig.)

Strategy to avoid patient-prosthesis mismatch: aortic root enlargement.

Science.gov (United States)

Srivastava, Dharmendra Kumar; Sanki, Prokash; Bhattacharya, Subhankar; Siddique, Javed Veqar

2014-02-01

The choice of a valve with an effective orifice area matching the body surface area and providing efficient hemodynamics is an important factor affecting mortality and morbidity in patients undergoing aortic valve replacement. Our preventative strategy was to implant a larger prosthetic valve by aortic root enlargement using the Nunez procedure in 17 patients between February 2010 and January 2011. The decision to enlarge the aortic root was taken when the 19-mm sizer could not be negotiated easily through the aortic root, or on the basis of body surface area of the patient or type of prosthesis available. Postoperative reductions in peak and mean pressure gradients across aortic valve of 12.8-16.5 and 10.2-12.6 mm Hg, respectively, were observed. Postoperative effective orifice areas of the aortic valves were 1.1-1.5 cm(2). By upsizing the aortic valve, we were able to eliminate patient-prosthesis mismatch in 5 patients, and reduce severe patient-prosthesis mismatch to moderate in 11. Aortic root enlargement is a safe procedure. Therefore, cardiac surgeons should not be reluctant to enlarge the aortic root with an autologous pericardial patch to permit implantation of an adequate size of aortic valve prosthesis, with minimal additional aortic crossclamp time and no added cost.

New predictor of aortic enlargement in uncomplicated type B aortic dissection based on elliptic Fourier analysis.

Science.gov (United States)

Sato, Hiroshi; Ito, Toshiro; Kuroda, Yosuke; Uchiyama, Hiroki; Watanabe, Toshitaka; Yasuda, Naomi; Nakazawa, Junji; Harada, Ryo; Kawaharada, Nobuyoshi

2017-12-01

This study aimed to re-examine the conventional predictive factors for dissected aortic enlargement, such as the aortic and false lumen diameter and to consider whether the morphological elements of the dissected aorta could be predictors by quantifying the 'shape' of the true lumen based on elliptic Fourier analysis. A total of 80 patients with uncomplicated type B aortic dissection were included. The patients were divided into 'Enlargement group' and 'No Change group.' Between the 2 groups, the mean systolic blood pressure during follow-up, aortic and false lumen maximum diameters, and analysed morphological data were compared using each statistical method. The maximum aortic and false lumen diameters were significantly larger in the Enlargement group than in the No Change group (39.3 vs 35.9 mm; P = 0.0058) (23.5 vs 18.2 mm; P = 0.000095). The principal component 1, which is the data calculated by elliptic Fourier analysis, was significantly lower in the Enlargement group than in the No Change group (0.020 vs - 0.072; P = 0.000049). The mean systolic blood pressure ≥130 mmHg, aortic diameter, false lumen diameter and principal component 1 were included in the Cox proportional hazard model as covariates to determine the significant predictive variable. Principal component 1 demonstrated the only significance with aortic enlargement on multivariate analysis (odds ratio = 0.32; P = 0.048). The analysed and calculated morphological data of the shape of the true lumen can be more effective predictive factors of aortic enlargement of type B dissection than the conventional factors. © The Author 2017. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

Fetal adrenal gland enlargement - prenatal and postnatal management.

Science.gov (United States)

Lackova, Eliska; Cunderlik, Anton; Ticha, Lubica; Gabor, Maria

2017-11-01

The enlargement of suprarenal gland is related to preterm birth and the birth weight. The ultrasound measurement of fetal adrenal gland volume may identify women at risk for impending preterm birth. The aim of our study was to investigate the newborns in the region of western Slovakia followed up due to suprarenal gland enlargement. To set the ratio of prenatally diagnosed suprarenal gland enlargment, postnatal managment and treatment and interventions. The newborns with congenital adrenal hyperplasia were excluded. We have analyzed 6 years of medical records of all cases from the western Slovakia region of suprarenal gland enlargement encountered to 1st Pediatric Department, Children's University Hospital Bratislava Republic in the time period of January 2010 to Janurary 2016. The diagnosis of suprarenal gland enlargement was set by ultrasound examination performed on the 4th postnatal day as an overall screening test. Newborns with positive laboratory screening on congenital adrenal hyperplasia (CAH) were excluded from our study. We analyzed the origin of surarenal gland enlargement, gestation week on the due date, the birth weight and other comorbidities and genetic pathologies in newborns with the enlarged suprarenal glands. There were 6 newborns followed up due to suprarenal gland enlargement. All of the patients had diagnosed the adrenal haemorrhage. Adrenal lesions like adrenal cysts or neuroblastomas were not confirmed. All of the adrenal enlargements were benign with no need of other medical or surgical intervention. None of the newborn patients had other genetic abnormalities, mineral or hormonal imbalances, problems with arterial pressure or haemodynamic instability. All of the patients underwent at least 5 prenatal ultrasound tests and at least 2 postnatal ultrasound measurements. The avarage birth weight was 3030 grams (2700 grams - to 3750 grams). The avarage birth lenght was 50 cm (47 centimeter to 53 cm).The average gestation week (gw) on due date

Sodium valproate induced gingival enlargement with pre-existing chronic periodontitis

Directory of Open Access Journals (Sweden)

Vaibhavi Joshipura

2012-01-01

Full Text Available Gingival enlargement is a common clinical feature of gingival and periodontal diseases. Currently, more than 20 prescription medications are associated with gingival enlargement. Although the mechanisms of action may be different, the clinical and microscopic appearance of drug-induced gingival enlargement is similar with any drug. Gingival enlargement produces esthetic changes, and clinical symptoms including pain, tenderness, bleeding, speech disturbances, abnormal tooth movement, dental occlusion problems, enhancement of caries development and periodontal disorders. Sodium valproate is considered to produce gingival enlargement, but very rarely. This case report features sodium valproate induced gingival enlargement in a patient with pre-existing chronic periodontitis, who came to the Dental Department, Chinmaya Mission Hospital, Bangalore. The case is special as the patient did not develop the enlargement in spite of taking phenytoin for 1 year and developed enlargement with sodium valproate within 6 months.

Sodium valproate induced gingival enlargement with pre-existing chronic periodontitis.

Science.gov (United States)

Joshipura, Vaibhavi

2012-04-01

Gingival enlargement is a common clinical feature of gingival and periodontal diseases. Currently, more than 20 prescription medications are associated with gingival enlargement. Although the mechanisms of action may be different, the clinical and microscopic appearance of drug-induced gingival enlargement is similar with any drug. Gingival enlargement produces esthetic changes, and clinical symptoms including pain, tenderness, bleeding, speech disturbances, abnormal tooth movement, dental occlusion problems, enhancement of caries development and periodontal disorders. Sodium valproate is considered to produce gingival enlargement, but very rarely. This case report features sodium valproate induced gingival enlargement in a patient with pre-existing chronic periodontitis, who came to the Dental Department, Chinmaya Mission Hospital, Bangalore. The case is special as the patient did not develop the enlargement in spite of taking phenytoin for 1 year and developed enlargement with sodium valproate within 6 months.

Enlarged facial pores: an update on treatments.

Science.gov (United States)

Dong, Joanna; Lanoue, Julien; Goldenberg, Gary

2016-07-01

Enlarged facial pores remain a common dermatologic and cosmetic concern from acne and rosacea, among other conditions, that is difficult to treat due to the multifactorial nature of their pathogenesis and negative impact on patients' quality of life. Enlarged facial pores are primarily treated through addressing associative factors, such as increased sebum production and cutaneous aging. We review the current treatment modalities for enlarged or dense facial pores, including topical retinoids, chemical peels, oral antiandrogens, and lasers and devices, with a focus on newer therapies.

Enlargement of the Baldone near-surface radioactive waste repository

International Nuclear Information System (INIS)

Dreimanis, A.

2007-01-01

A unified analysis of the enlargement of the Baldone near-surface radioactive waste (RW) repository RADONS considers the interplay of the existing engineering, safety and infrastructure premises, with the foreseen newly socio-technical features. This enlargement consists in construction of two additional RW disposal vaults and in building a long-term storage facility for spent sealed sources at the RADONS territory. Our approach is based on consecutive analysis of following basic elements: - the origin of enlargement - the RADONS safety analysis and a set of optimal socio-technical solutions of Salaspils research reactor decommissioning waste management; - the enlargement - a keystone of the national RW management concept, including the long-term approach; - the enlargement concept - the result of international co-operation and obligations; - arrangement optimization of new disposal and storage space; - environmental impact assessment for the repository enlargement - the update of socio-technical studies. The study of the public opinion revealed: negative attitude to repository enlargement is caused mainly due to missing information on radiation level and on the RADONS previous operations. These results indicate: basic measures to improve the public attitude to repository enlargement: the safety upgrade, public education and compensation mechanisms. A detailed stakeholders engagement and public education plan is elaborated. (author)

High-skilled labour mobility in Europe before and after the 2004 enlargement.

Science.gov (United States)

Petersen, Alexander M; Puliga, Michelangelo

2017-03-01

The extent to which international high-skilled mobility channels are forming is a question of great importance in an increasingly global knowledge-based economy. One factor facilitating the growth of high-skilled labour markets is the standardization of certifiable degrees meriting international recognition. Within this context, we analysed an extensive high-skilled mobility database comprising roughly 382 000 individuals from five broad profession groups (Medical, Education, Technical, Science & Engineering and Business & Legal) over the period 1997-2014, using the 13-country expansion of the European Union (EU) to provide insight into labour market integration. We compare the periods before and after the 2004 enlargement, showing the emergence of a new east-west migration channel between the 13 mostly eastern EU entrants (E) and the rest of the western European countries (W). Indeed, we observe a net directional loss of human capital from E → W, representing 29% of the total mobility after 2004. Nevertheless, the counter-migration from W → E is 7% of the total mobility over the same period, signalling the emergence of brain circulation within the EU. Our analysis of the country-country mobility networks and the country-profession bipartite networks provides timely quantitative evidence for the convergent integration of the EU, and highlights the central role of the UK and Germany as high-skilled labour hubs. We conclude with two data-driven models to explore the structural dynamics of the mobility networks. First, we develop a reconfiguration model to explore the potential ramifications of Brexit and the degree to which redirection of high-skilled labourers away from the UK may impact the integration of the rest of the European mobility network. Second, we use a panel regression model to explain empirical high-skilled mobility rates in terms of various economic 'push-pull' factors, the results of which show that government expenditure on education, per capita

Twisted Acceleration-Enlarged Newton-Hooke Hopf Algebras

International Nuclear Information System (INIS)

Daszkiewicz, M.

2010-01-01

Ten Abelian twist deformations of acceleration-enlarged Newton-Hooke Hopf algebra are considered. The corresponding quantum space-times are derived as well. It is demonstrated that their contraction limit τ → ∞ leads to the new twisted acceleration-enlarged Galilei spaces. (author)

Chronic inflammatory gingival enlargement associated with orthodontic therapy--a case report.

Science.gov (United States)

Jadhav, Tanya; Bhat, K Mahalinga; Bhat, G Subraya; Varghese, Jothi M

2013-02-01

Gingival enlargement, also synonymous with the terms gingival hyperplasia or hypertrophy, is defined as an abnormal overgrowth of gingival tissues. A case of a 19-year-old male presenting with maxillary and mandibular chronic inflammatory gingival enlargement associated with prolonged orthodontic therapy is reported here. Surgical therapy was carried out to provide a good aesthetic outcome. No recurrence was reported at the end of 1 year. The importance of patient motivation and compliance during and after therapy as a critical factor in the success of treatment has also been highlighted through this case report.

EMODNet Bathymetry - building and providing a high resolution digital bathymetry for European seas

Science.gov (United States)

Schaap, Dick M. A.

2016-04-01

Access to marine data is a key issue for the EU Marine Strategy Framework Directive and the EU Marine Knowledge 2020 agenda and includes the European Marine Observation and Data Network (EMODNet) initiative. EMODNet aims at assembling European marine data, data products and metadata from diverse sources in a uniform way. The EMODNet data infrastructure is developed through a stepwise approach in three major phases. Currently EMODNet is entering its 3rd phase with operational portals providing access to marine data for bathymetry, geology, physics, chemistry, biology, seabed habitats and human activities, complemented by checkpoint projects, analyzing the fitness for purpose of data provision. The EMODNet Bathymetry project develops and publishes Digital Terrain Models (DTM) for the European seas. These are produced from survey and aggregated data sets that are indexed with metadata by adopting from SeaDataNet the Common Data Index (CDI) data discovery and access service and the Sextant data products catalogue service. SeaDataNet is a network of major oceanographic data centers around the European seas that manage, operate and further develop a pan-European infrastructure for marine and ocean data management. SeaDataNet is also setting and governing marine data standards, and exploring and establishing interoperability solutions to connect to other e-infrastructures on the basis of standards such as ISO and OGC. The SeaDataNet portal provides users a number of interrelated meta directories, an extensive range of controlled vocabularies, and the various SeaDataNet standards and tools. SeaDataNet at present gives overview and access to more than 1.8 million data sets for physical oceanography, chemistry, geology, geophysics, bathymetry and biology from more than 100 connected data centers from 34 countries riparian to European seas. The latest EMODNet Bathymetry DTM has a resolution of 1/8 arc minute * 1/8 arc minute and covers all European sea regions. Use is made of

European Market Making and Policy Duplication

DEFF Research Database (Denmark)

Frankel, Christian

2013-01-01

This paper argues that private regulation has been essential to the making of the common European market. The distinction between negative and positive integration, usually used to understand the making of the common European market, only gives us part of the picture, as it focuses on public...... authorities and the regulation issued by them, and tends to ignore private authorities. A focus on private regulation is suggested to enlarge the focus on positive and negative integration, and this is used in an analysis of EU's removal of barriers to trade from 1958 to 2000. The paper shows that private...... regulation in the form of technical standardisation has become essential to European market making....

The "New Politics" of EU's Eastern Enlargement

DEFF Research Database (Denmark)

Zank, Wolfgang

The paper gives an overview of EU's eastern enlargement and draws some theoretical conclusions. In particular, it stresses the point that the EU member states in the process of enlargement have entered a phase of "new politics", characterised by multilateralism, conditionality, help and binding...

European Studies and Public Engagement: A Conceptual Toolbox

Directory of Open Access Journals (Sweden)

Andreas Müllerleile

2014-11-01

Full Text Available Journal of Contemporary European Research User Username Password Remember me Subscribe... Sign up for issue alerts Follow JCER on Twitter Font Size Make font size smaller Make font size default Make font size larger Journal Content Search Search Scope Browse By Issue By Author By Title Information For Readers For Authors For Librarians Journal Help Keywords CFSP Communication ESDP EU EU enlargement EU trade policy Energy, EU, External Policy Europe European Commission European Parliament European Union European integration Europeanisation First Enlargement Germany Liberty Lisbon Treaty Poland Russia Security teaching European studies The UACES Blog The Commission after the 2014 EP... Power shift? The EU’s pivot to Asia 100 Books on Europe to be Remembered For a Global European Studies? EU Member State Building in the... Open Journal Systems Home About Login Register Search Current Archives Announcements UACES Home > Vol 10, No 4 (2014 > Müllerleile European Studies and Public Engagement: A Conceptual Toolbox Andreas Müllerleile Abstract This article examines public engagement strategies for academics working in the field of European Studies. Should academics engage with the public? What are the most effective outreach strategies? And what are the implications for universities and departments? The article argues that engaging with the public should be considered an integral part for academics working on topics that relate to the European Union or European politics. The article has a theoretical and a practical dimension. The first part of the paper deals with the nature of public engagement, explaining why it is an important issue and how it differs from the mainstream understanding of public engagement. The practical part of the paper presents the idea of building an online presence through which academics can engage with the public debate both during periods of low issue salience and high issue salience. The final section includes a toolbox

EMODNet Bathymetry - building and providing a high resolution digital bathymetry for European seas

Science.gov (United States)

Schaap, D.

2016-12-01

Access to marine data is a key issue for the EU Marine Strategy Framework Directive and the EU Marine Knowledge 2020 agenda and includes the European Marine Observation and Data Network (EMODnet) initiative. The EMODnet Bathymetry project develops and publishes Digital Terrain Models (DTM) for the European seas. These are produced from survey and aggregated data sets that are indexed with metadata by adopting from SeaDataNet the Common Data Index (CDI) data discovery and access service and the Sextant data products catalogue service. SeaDataNet is a network of major oceanographic data centres around the European seas that manage, operate and further develop a pan-European infrastructure for marine and ocean data management. SeaDataNet is also setting and governing marine data standards, and exploring and establishing interoperability solutions to connect to other e-infrastructures on the basis of standards such as ISO and OGC. The SeaDataNet portal provides users a number of interrelated meta directories, an extensive range of controlled vocabularies, and the various SeaDataNet standards and tools. SeaDataNet at present gives overview and access to more than 1.8 million data sets for physical oceanography, chemistry, geology, geophysics, bathymetry and biology from more than 100 connected data centres from 34 countries riparian to European seas. The latest EMODnet Bathymetry DTM has a resolution of 1/8 arcminute * 1/8 arcminute and covers all European sea regions. Use is made of available and gathered surveys and already more than 13.000 surveys have been indexed by 27 European data providers from 15 countries. Also use is made of composite DTMs as generated and maintained by several data providers for their areas of interest. Already 44 composite DTMs are included in the Sextant data products catalogue. For areas without coverage use is made of the latest global DTM of GEBCO who is partner in the EMODnet Bathymetry project. In return GEBCO integrates the EMODnet

Enlarged prostate - after care

Science.gov (United States)

... page: //medlineplus.gov/ency/patientinstructions/000398.htm Enlarged prostate - after care To use the sharing features on this page, please enable JavaScript. The prostate is a gland that produces the fluid that ...

Sodium valproate induced gingival enlargement with pre-existing chronic periodontitis

OpenAIRE

Joshipura, Vaibhavi

2012-01-01

Gingival enlargement is a common clinical feature of gingival and periodontal diseases. Currently, more than 20 prescription medications are associated with gingival enlargement. Although the mechanisms of action may be different, the clinical and microscopic appearance of drug-induced gingival enlargement is similar with any drug. Gingival enlargement produces esthetic changes, and clinical symptoms including pain, tenderness, bleeding, speech disturbances, abnormal tooth movement, dental oc...

Tracks for Eastern/Western European Future Launch Vehicles Cooperation

Science.gov (United States)

Eymar, Patrick; Bertschi, Markus

2002-01-01

exclusively upon Western European elements indigenously produced. Yet some private initiatives took place successfully in the second half of the nineties (Eurockot and Starsem) bringing together companies from Western and Eastern Europe. Evolution of these JV's are already envisioned. But these ventures relied mostly on already existing vehicles. broadening the bases in order to enlarge the reachable world market appears attractive, even if structural difficulties are complicating the process. had recently started to analyze, with KSRC counterparts how mixing Russian and Western European based elements would provide potential competitive edges. and RKA in the frame of the new ESA's Future Launch Preparatory Programme (FLPP). main technical which have been considered as the most promising (reusable LOx/Hydrocarbon engine, experimental reentry vehicles or demonstrators and reusable launch vehicle first stage or booster. international approach. 1 patrick.eymar@lanceurs.aeromatra.com 2

REASSESSING EUROPEAN UNION LIMITS: WHAT ROLE FOR THE NEW REGIONAL PARTNERSHIPS?

Directory of Open Access Journals (Sweden)

Adriana Berbec

2010-06-01

Full Text Available As every enlargement brings new neighbours to the European Union, the European Neighbourhood Policy is facing new challenges regarding its policy towards the countries in its proximity. Although the ENP does not offer perspectives for accession, nor does it preclude it, new forms of cooperation between the EU and its neighbours are taken into consideration as an alternative to full membership. This essay will analyze how the latest enlargements have brought new opportunities and challenges to the EU in relation to its new neighbours, the role of the "Eastern Partnership" and the "Union for Mediterranean" initiatives in fostering cooperation with the contiguous countries and whether these community projects, together with the ENP, can have a contribution to the understanding of what the EU limits are.

Consequences of EU enlargement for supply and demand in the electricity market with special emphasis on nuclear power

International Nuclear Information System (INIS)

Jaeger, G.

2004-01-01

After the enlargement of the European Union, Europe has acquired a new dimension which is reflected also on the electricity market. The aggregate European electricity requirement of 3 000 TWh in Europe constitutes approximately one quarter of the world electricity generation. Nuclear power contributes a major share of 966 TWh. In electricity generation from nuclear power, EU-25 is No. 1 in the world. The rising demand for electricity cannot be met by the existing power plant park in the next few decades. Insufficient possibilities of exchange among countries and, especially, the enormous requirement to replace more than 200,000 MW of electricity generating capacity in Europe by 2020, plus another 100,000 MW arising from growing demand, make a comprehensive renewal of the European power plant park indispensable. After the EU enlargement, the standards of the ''old'' European Union are the yardstick for the entire ''new'' Union. This gives rise to enormous efforts, especially in the accession countries, to curb emissions and increase safety. The need for modern power plant technology is becoming particularly apparent in these cases. The example of the ten new member countries clearly shows the options realistically available for electricity generation in the future and indispensable for a favorable infrastructure. The conventional energy resources, i. e. coal, gas, and nuclear power, will be the main sources of electricity generation in Europe over the next few decades. This finding does not meet the expectations of many members of the public who feel that renewables would make the largest contribution to power supply in twenty years' time. This makes it imperative to regain popular acceptance in order to ensure electricity generation at favorable conditions and at a high level of environmental protection in the whole of Europe, with enough leeway to further advance the expansion of renewables and support a positive economic development of Europe. (orig.)

Suggesting a new European language policy.

Science.gov (United States)

Nelde, Peter H

2004-01-01

Conflict is the most intriguing aspect of contact linguistics. Throughout history ever since the Tower of Babel was left unfinished, contacts between speakers of different languages have unavoidably resulted in conflicts between speakers of those languages. Without any doubt, the European Union (EU)--above all after the decision to enlarge the community--has accepted the multidisciplinary symbolic function of language and culture as a basis for European political unification. Accordingly, European Union policy makers have had to analyze conflicts caused by monolingualism and multilingualism, all aspects of contact linguistics. Can these conflicts be solved, minimized or neutralized by strategies of language planning, language policies and language politics? Initial results of European language policy strategies permit at least a cautious measure of optimism and open broad perspectives for the future of a New Multilingualism which will be discussed in our contribution.

Rib enlargement in premature infants with bronchopulmonary dysplasia

Energy Technology Data Exchange (ETDEWEB)

Yoon, Hye Kyung; Han, Kim Bokyung; Chang, Yun Sil; Choo, In Wook [Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul (Korea, Republic of); Kim, Kyeong Ah [Anyang General Hospital, Anyang (Korea, Republic of)

2000-04-01

The purpose of this study is to describe the rib changes seen in patients with brochopulmonary dysplasia (BPD). Serial chest radiographs of nine premature infants with BPD who showed diffuse rib enlargement were reviewed for hyperinflation, which was compared with the observed degree of rib enlargement. Vibrator chest physiotherapy was performed in all cases, and five infants underwent conventional ventilation plus high frequency oscillatory ventilation therapy. Their calcium level was normal whereas alkaline phosphatase and phosphate levels were high. In all infants except one, liver enzyme levels were normal. For the treatment of patent ductus arteriosus, infection, and BPD, medications including indomethacin, antibiotics, and dexamethasone were administered. Vitamin D was given to all patients with total parenteral nutrition. Rib enlargement was found to be severe (n=3D4), moderate (n=3D3), or mild (n=3D2) with undulating margins or posterior tapering (n=3D2). Hyperinflation was noted in eight patients, in seven of whom it was moderate to severe. Among these seven, rib enlargement was severe (n=3D2), moderate (n=3D3), or mild (n=3D2). In one infant with mild hyperinflation, rib enlargement was severe. Bilateral irregular infiltrates and atelectases were noted in all patients. In BPD patients, rib enlargement may be seen. In order to differentiate this process from systemic bone disease or bony dysplasia, an awareness of the rib changes occurring in patients with BPD may be important. (author)

Rib enlargement in premature infants with bronchopulmonary dysplasia

International Nuclear Information System (INIS)

Yoon, Hye Kyung; Han, Kim Bokyung; Chang, Yun Sil; Choo, In Wook; Kim, Kyeong Ah

2000-01-01

The purpose of this study is to describe the rib changes seen in patients with brochopulmonary dysplasia (BPD). Serial chest radiographs of nine premature infants with BPD who showed diffuse rib enlargement were reviewed for hyperinflation, which was compared with the observed degree of rib enlargement. Vibrator chest physiotherapy was performed in all cases, and five infants underwent conventional ventilation plus high frequency oscillatory ventilation therapy. Their calcium level was normal whereas alkaline phosphatase and phosphate levels were high. In all infants except one, liver enzyme levels were normal. For the treatment of patent ductus arteriosus, infection, and BPD, medications including indomethacin, antibiotics, and dexamethasone were administered. Vitamin D was given to all patients with total parenteral nutrition. Rib enlargement was found to be severe (n=3D4), moderate (n=3D3), or mild (n=3D2) with undulating margins or posterior tapering (n=3D2). Hyperinflation was noted in eight patients, in seven of whom it was moderate to severe. Among these seven, rib enlargement was severe (n=3D2), moderate (n=3D3), or mild (n=3D2). In one infant with mild hyperinflation, rib enlargement was severe. Bilateral irregular infiltrates and atelectases were noted in all patients. In BPD patients, rib enlargement may be seen. In order to differentiate this process from systemic bone disease or bony dysplasia, an awareness of the rib changes occurring in patients with BPD may be important. (author)

Development of an anaesthesia resident curriculum at the European level

DEFF Research Database (Denmark)

Ostergaard, Helle Thy

2013-01-01

The European Section and Board of Anaesthesiology has recently published new guidelines for specialist education. These guidelines have undergone a major revision towards a competence-based approach. Basically, apart from having to take into account the development of the specialty, with enlarged...

Drug-induced gingival enlargement: Series of cases

Directory of Open Access Journals (Sweden)

Isabella Manzur-Villalobos

2018-01-01

Full Text Available Introduction: Gingival enlargement (GA is a benign condition of the oral cavity that is characterized by the excessive growth of the gingiva in mass and volume. This lesion is not only caused by hereditary factors or poor oral hygiene, but also by the intake of medications, including antihypertensive, anticonvulsant and immunosuppressive drugs. Objective: To sensitize the prevention or early care in patients with pathologies that merit the use of antihypertensive and anticonvulsants in conjunction with the dentist, to treat or avoid the drug-induced gingival enlargement (DIGE. Materials and methods: A series of clinical cases of patients with gingival enlargement by various drugs are reported, including Phenytoin, Amlodipine and Nifedipine. Periodontal and gingivectomy hygienic phase measures were applied to obtain better effects. Results: Satisfactory results were obtained with a considerable decrease in DIGE. Conclusions: The integral management is important in conjunction with the treating physician to follow up the drug that can be generating gingival enlargement. It is necessary to employ an initial approach with strategies of periodontal hygiene, and in severe cases and, as last resort, the periodontal surgery with gingivectomy and gingivoplasty.

Enlarged Adenoids (For Parents)

Science.gov (United States)

... frequent "sinus" symptoms ongoing middle ear infections or middle ear fluid in a school-aged child If enlarged adenoids are suspected, the doctor may ... apnea repeated infections frequent sinus infections ear infections, ... your child's adenoids removed is especially important if repeated infections ...

Mapping ecosystem services provided by benthic habitats in the European North Atlantic Ocean

Directory of Open Access Journals (Sweden)

Ibon eGalparsoro

2014-07-01

Full Text Available Mapping and assessing the ecosystem services provided by benthic habitats are a highly valuable source of information for understanding their current and potential benefits to society. The main objective of this investigation is to assess and map the ecosystem services provided by benthic habitats of the European North Atlantic Ocean, in the context of Mapping and Assessment of Ecosystems and their Services (MAES programme, the European Biodiversity Strategy and the implementation of the Marine Strategy Framework Directive. In total, 62 habitats have been analysed in relation to 12 ecosystem services over 1.7 million km2. Results indicated that more than 90% of the mapped area provides biodiversity maintenance and food provision services; meanwhile grounds providing reproduction and nursery services are limited to half of the mapped area. Benthic habitats generally provide more services closer to shore than offshore and in shallower waters. This gradient is likely to be explained by difficult access (i.e. distance and depth and lack of scientific knowledge for most of the services provided by distant benthic habitats. This research has provided a first assessment of the benthic ecosystem services at Atlantic European scale, with the provision of ecosystem services maps and their general spatial distribution patterns. Related to the objectives of this research, the conclusions are: (i benthic habitats provide a diverse set of ecosystem services, being the food provision and biodiversity maintenance services the ones that are more extensively represented. In addition, other regulating and cultural services are provided in a more limited area; and (ii the ecosystem services assessment categories are significantly related to the distance to the coast and with depth (higher near the coast and in shallow waters.

Environmental sustainability in European public healthcare.

Science.gov (United States)

Chiarini, Andrea; Vagnoni, Emidia

2016-01-01

Purpose - The purpose of this paper is to enlarge the debate concerning the influence of leadership on environmental sustainability implementation in European public healthcare organisations. Design/methodology/approach - This paper is a viewpoint. It is based on preliminary analysis of European standards dedicated to environmental sustainability and their spread across Europe in public healthcare organisations. Viewpoints concerning leadership are then discussed and asserted. Findings - This paper found a limited implementation of standards such as Green Public Procurement criteria, Eco-Management and Audit Scheme and ISO 14001 in public healthcare. Some clues indicate that the lack of implementation is related to leadership and management commitment. Originality/value - For the first time, this paper investigates relationships between leadership and environmental sustainability in European public healthcare opening further avenues of research on the subject.

EU Enlargement: Migration flows from Central and Eastern Europe into the Nordic countries - exploiting a natural experiment

DEFF Research Database (Denmark)

Pytlikova, Mariola; Pedersen, Peder J.

We look at migration flows from 8 Central and Eastern European Countries (CEECs) to 5 Nordic countries over the years 1985 - 2005 and we can exploit a natural experiment that arose from the fact that while Sweden opened its labour market from the day one of the 2004 EU enlargement, the other Nordic...... countries chose a transition period in relation to the "new" EU members. We employ a differences-in-differences estimator in our analysis. The results show that the estimated effect of the opening of Swedish labour market in 2004 on migration is insignificantly different from zero. Further, we...... are interested in the overall effect of the "EU entry" on migration. Therefore we look at migration flows from CEECs during the first round EU enlargement towards CEECs in 2004 and compare them with migration flows from Bulgaria and Romania. We again used a DD estimator in our analysis. The estimated effect...

Enlargement and Integration Action Activity Workshop on Costs, Benefits and Impact Assessment of Smart Grids for Europe and Beyond

OpenAIRE

MIROSEVIC Marija; AKINC Hulya

2014-01-01

Smart Grids are a key component of the European strategy toward a low-carbon energy future. Growing environmental and energy security concerns represent a major driver for the renovation and improvement of existing energy infrastructure. In this context, Enlargement and Integration countries will have to face substantial investments in the coming years to upgrade and modernise their energy networks towards smart power grids. Wind and solar electricity retain the greatest potential to contr...

Challenges to NATO’s Fifth Enlargement Round: Turkey’s Attitude towards Romanian’s Admission

Directory of Open Access Journals (Sweden)

İsmail Köse

2015-12-01

Full Text Available The relations between Romania – the only Latin nation in Balkan Peninsula, in a broader sense – and Turkey has a long history, which is traced back to the Ottoman period. These relations were relatively ceased during the Cold War. After the collapse of Soviet Union, a new era started for Turkish-Romanian relations. During the WWI, Tsarist Russia forced Romania to be its ally, in order to besiege Germany from South, and also to threat Austria. Its aim was intended to direct the Central Powers’ attacks to the Balkans, in order to keep the warfare away from the front lines and from the Russian heartland. Following the Tsarist pan-Slavist policy, the Bolshevist Russia designated Balkans territories as vital for its security and defence. At the first opportunity emerged after the WWII, Stalin had included those lands behind the Iron Curtain area. After a fairly lengthy period under the Iron Curtain, after 1989, Romania like other eastern European countries achieved its freedom, but post-Cold War attitude of Russia towards the Balkans has remained unchanged. This paper seeks to explore the post-Cold War policies of NATO and the Turkey’s attitude towards the enlargements of alliance. It focuses on the fifth round of enlargement, when Romania and other six Balkans and Baltic countries were invited to join the North Atlantic Alliance. In addition, it will insist on the role of Turkey in the enlargement process, and its firm support for Romania's accession to NATO.

Democratization in Albania: The OSCE, NATO and the European Union

Science.gov (United States)

2010-06-01

html? maca =en-rss-en-all-1573-rdf (accessed 4 March 2010). 263 Manuel Montobbio de Balanzo, Spanish Ambassador to Albania, http://www.dw- world.de/dw...article/0,,5259561,00.html? maca =en-rss-en-all-1573-rdf (accessed 4 March 2010). 264 Reinhard Priebe, The Western Balkan European Perspective, http...world.de/dw/article/0,,5259561,00.html? maca =en-rss-en-all-1573-rdf (accessed 4 March 2010). European Commission Enlargement, Albania – Questions

The performance of a centrifugal fan with enlarged impeller

International Nuclear Information System (INIS)

Li Chunxi; Song Lingwang; Jia Yakui

2011-01-01

Highlights: → The influence of impeller enlargement is evaluated numerically and experimentally. → Variation equations of the operation points for enlarged impellers are derived. → Impeller enlargement leads to louder fan noise due to reduced impeller-volute gap. - Abstract: The influence of enlarged impeller in unchanged volute on G4-73 type centrifugal fan performance is investigated in this paper. Comparisons are conducted between the fan with original impeller and two larger impellers with the increments in impeller outlet diameter of 5% and 10% respectively in the numerical and experimental investigations. The internal characteristics are obtained by the numerical simulation, which indicate there is more volute loss in the fan with larger impeller. Experiment results show that the flow rate, total pressure rise, shaft power and sound pressure level have increased, while the efficiency have decreased when the fan operates with larger impeller. Variation equations on the performance of the operation points for the fan with enlarged impellers are suggested. Comparisons between experiment results and the trimming laws show that the trimming laws for usual situation can predict the performance of the enlarged fan impeller with less error for higher flow rate, although the situation of application is not in agreement. The noise frequency analysis shows that higher noise level with the larger impeller fan is caused by the reduced impeller-volute gap.

The performance of a centrifugal fan with enlarged impeller

Energy Technology Data Exchange (ETDEWEB)

Li Chunxi, E-mail: leechunxi@163.com [School of Energy and Power Engineering, North China Electric Power University, 071003 Baoding, Hebei (China); Song Lingwang [School of Energy and Power Engineering, North China Electric Power University, 071003 Baoding, Hebei (China); Jia Yakui [Hebei Electric Power Design and Research Institute, 050031 Shijiazhuang, Hebei (China)

2011-08-15

Highlights: {yields} The influence of impeller enlargement is evaluated numerically and experimentally. {yields} Variation equations of the operation points for enlarged impellers are derived. {yields} Impeller enlargement leads to louder fan noise due to reduced impeller-volute gap. - Abstract: The influence of enlarged impeller in unchanged volute on G4-73 type centrifugal fan performance is investigated in this paper. Comparisons are conducted between the fan with original impeller and two larger impellers with the increments in impeller outlet diameter of 5% and 10% respectively in the numerical and experimental investigations. The internal characteristics are obtained by the numerical simulation, which indicate there is more volute loss in the fan with larger impeller. Experiment results show that the flow rate, total pressure rise, shaft power and sound pressure level have increased, while the efficiency have decreased when the fan operates with larger impeller. Variation equations on the performance of the operation points for the fan with enlarged impellers are suggested. Comparisons between experiment results and the trimming laws show that the trimming laws for usual situation can predict the performance of the enlarged fan impeller with less error for higher flow rate, although the situation of application is not in agreement. The noise frequency analysis shows that higher noise level with the larger impeller fan is caused by the reduced impeller-volute gap.

Use of Macrolane VRF 30 in emicircumferential penis enlargement.

Science.gov (United States)

Sito, Giuseppe; Marlino, Sergio; Santorelli, Adriano

2013-02-01

Penis enlargement is increasingly in demand. Methods for penis enlargement can be classified into surgical, nonsurgical (filling), and mechanical. Each method has shown only relatively successful results. A new formulation of injectable, stabilized, hyaluronic acid (HA)-based, nonanimal gel is available that may have applications for this use. The authors propose a new technique for emicircumferential-injection filling of the penis and assess the safety and efficacy of this procedure compared with lipofilling. The authors retrospectively reviewed the charts of 83 patients who underwent penis enlargement with either their HA-injection technique or lipofilling between December 2007 and July 2011. Safety, efficacy, and patient satisfaction were assessed. The circumferential enlargement obtained from both techniques ranged from 3.2 to 4.5 cm, with a decrement during erection. In all patients, the increase in penis length ranged from 1.8 to 3.6 cm. No complications were seen in patients treated with HA, whereas 8 patients treated with lipofilling developed granuloma, and another experienced fat necrosis. The vast majority (n = 72) of patients reported being "very satisfied" with the results. The ideal technique for penis enlargement should be nonsurgical, with a satisfactory and predictable result, a low rate of complications, and long-term stability. Emicircumferential enlargement with HA filler meets these requirements. However, results have been durable but not definitive, and repeated treatment (with associated costs) is necessary.

Clinical and morphological study of calf enlargement following S-1 radiculopathy

Directory of Open Access Journals (Sweden)

Osvaldo J. M. Nascimento

1992-09-01

Full Text Available Calf enlargement following sciatica is a rare condition. It is reported the case of a 28-year-old woman who complained of repeated episodes of lower back pain radiating into the left buttock and foot. One year after the beginning of her symptoms, she noticed enlargement of her left calf. X-ray studies disclosed L5-S1 disk degeneration. EMG showed muscle denervation with normal motor conduction velocity. Open biopsies of the gastrocnemius muscles were performed. The left gastrocnemius muscle showed hypertrophic type 2 fibers in comparison with the right gastrocnemius. Electron microscopy showed mildly increased number of mitochondria in these fibers. A satisfactory explanation for denervation hypertrophy has yet to be provided.

A fossil brain from the Cretaceous of European Russia and avian sensory evolution.

Science.gov (United States)

Kurochkin, Evgeny N; Dyke, Gareth J; Saveliev, Sergei V; Pervushov, Evgeny M; Popov, Evgeny V

2007-06-22

Fossils preserving traces of soft anatomy are rare in the fossil record; even rarer is evidence bearing on the size and shape of sense organs that provide us with insights into mode of life. Here, we describe unique fossil preservation of an avian brain from the Volgograd region of European Russia. The brain of this Melovatka bird is similar in shape and morphology to those of known fossil ornithurines (the lineage that includes living birds), such as the marine diving birds Hesperornis and Enaliornis, but documents a new stage in avian sensory evolution: acute nocturnal vision coupled with well-developed hearing and smell, developed by the Late Cretaceous (ca 90Myr ago). This fossil also provides insights into previous 'bird-like' brain reconstructions for the most basal avian Archaeopteryx--reduction of olfactory lobes (sense of smell) and enlargement of the hindbrain (cerebellum) occurred subsequent to Archaeopteryx in avian evolution, closer to the ornithurine lineage that comprises living birds. The Melovatka bird also suggests that brain enlargement in early avians was not correlated with the evolution of powered flight.

Normalization of Bilateral Adrenal Gland Enlargement after Treatment for Cryptococcosis

Directory of Open Access Journals (Sweden)

Yuka Muraoka

2017-01-01

Full Text Available Cryptococcosis usually occurs in immunocompromised patients and can cause enlargement of the adrenal glands, although the morphologic changes after treatment have not been reported in detail. We report the case of 24-year-old man with fevers, headaches, and impaired consciousness who had been treated with glucocorticoids for a protein-losing gastroenteropathy. The cerebrospinal fluid analysis revealed cryptococcal meningitis. Computed tomography showed bilateral adrenal enlargement. A retrospective analysis revealed that the enlargement had been detected 5 months before admission and gradually increased. The enlargement was improved with antifungal therapy and normalized 6 months later. This is the first report describing morphological changes in the adrenal glands associated with cryptococcal meningitis. Adrenal enlargement by cryptococcosis can be improved without any abnormal findings, including calcifications, which may be a unique characteristic from other diseases, including tuberculosis.

SOLID-DER. Reaching large-scale integration of Distributed Energy Resources in the enlarged European electricity market

International Nuclear Information System (INIS)

Van Oostvoorn, F.; Ten Donkelaar, M.

2007-05-01

The integration of DER (distributed energy resources) in the European electricity networks has become a key issue for energy producers, network operators, policy makers and the R and D community. In some countries it created already a number of challenges for the stability of the electricity supply system, thereby creating new barriers for further expansion of the share of DER in supply. On the other hand in many Member States there exists still a lack of awareness and understanding of the possible benefits and role of DER in the electricity system, while environmental goals and security of supply issues ask more and more for solutions that DER could provide in the future. The project SOLID-DER, a Coordination Action, will assess the barriers for further integration of DER, overcome both the lack of awareness of benefits of DER solutions and fragmentation in EU R and D results by consolidating all European DER research activities and report on its common findings. In particular awareness of DER solutions and benefits will be raised in the new Member States, thereby addressing their specific issues and barriers and incorporate them in the existing EU DER R and D community. The SOLID-DER Coordination Action will run from November 2005 to October 2008

Enlargement of the iliopsoas comportment

International Nuclear Information System (INIS)

Garcia, M.; Gonzalez, J.; Martinez, A.; Garcia, M.A.; Relea, A.; Narajo, G.

1996-01-01

The iliopsoas or iliopectineal comportment is a normal structure that occasionally communicates with the synovial cavity of the hip. Rarely, in association with certain pathologies that raise the intraarticular pressure, it becomes enlarged, producing an inguinal or pelvic mass, also referred to as iliopsas bursitis. We present five cases of this pathology detected over the past year in our hospitals. Three of the patients had undergone previous vascular punctures in the hip involved, one presented brucellosis-related arthropathy and the fifth had generative joint abnormalities. The plain radiography, arthrography, ultrasound, CT,CT-guided arthrography and MR images are provided and discussed. We present an etiological factor of this process (previous vascular puncture) that has not been previously reported in the literature. 13 refs

Public-Elite Gap on European Integration : The Missing Link between Discourses about EU Enlargement among Citizens and Elites in Serbia

NARCIS (Netherlands)

Kortenska, E.G.; Sircar, I.; Steunenberg, B.

2016-01-01

Enlargement is often regarded as an elite-driven process, which does not or not sufficiently include the views of ordinary citizens. At the same time, support for integration has been eroding over the last decade, contributing to a public-elite gap in preferences towards the process. This paper

Ubx regulates differential enlargement and diversification of insect hind legs.

Directory of Open Access Journals (Sweden)

Najmus Mahfooz

2007-09-01

Full Text Available Differential enlargement of hind (T3 legs represents one of the hallmarks of insect evolution. However, the actual mechanism(s responsible are yet to be determined. To address this issue, we have now studied the molecular basis of T3 leg enlargement in Oncopeltus fasciatus (milkweed bug and Acheta domesticus (house cricket. In Oncopeltus, the T3 tibia displays a moderate increase in size, whereas in Acheta, the T3 femur, tibia, and tarsus are all greatly enlarged. Here, we show that the hox gene Ultrabithorax (Ubx is expressed in the enlarged segments of hind legs. Furthermore, we demonstrate that depletion of Ubx during embryogenesis has a primary effect in T3 legs and causes shortening of leg segments that are enlarged in a wild type. This result shows that Ubx is regulating the differential growth and enlargement of T3 legs in both Oncopeltus and Acheta. The emerging view suggests that Ubx was co-opted for a novel role in regulating leg growth and that the transcriptional modification of its expression may be a universal mechanism for the evolutionary diversification of insect hind legs.

EMODNet Bathymetry - building and providing a high resolution digital bathymetry for European seas

Science.gov (United States)

Schaap, Dick M. A.

2015-04-01

Access to marine data is a key issue for the implementation of the EU Marine Strategy Framework Directive (MSFD). The EU communication 'Marine Knowledge 2020' underpins the importance of data availability and harmonising access to marine data from different sources. The European Marine Observation and Data Network (EMODnet) is a long term marine data initiative from the European Commission Directorate-General for Maritime Affairs and Fisheries (DG MARE) underpinning the Marine Knowledge 2020 strategy. EMODnet is a consortium of organisations assembling European marine data, data products and metadata from diverse sources in a uniform way. The main purpose of EMODnet is to unlock fragmented and hidden marine data resources and to make these available to individuals and organisations (public and private), and to facilitate investment in sustainable coastal and offshore activities through improved access to quality-assured, standardised and harmonised marine data which are interoperable and free of restrictions on use. The EMODnet data infrastructure is developed through a stepwise approach in three major phases. Currently EMODnet is in the 2nd phase of development with seven sub-portals in operation that provide access to marine data from the following themes: bathymetry, geology, physics, chemistry, biology, seabed habitats and human activities. EMODnet development is a dynamic process so new data, products and functionality are added regularly while portals are continuesly improved to make the service more fit for purpose and user friendly with the help of users and stakeholders. The EMODnet Bathymetry project develops and publishes Digital Terrain Models (DTM) for the European seas. These are produced from survey and aggregated data sets, that are indexed with metadata by adopting the SeaDataNet Common Data Index (CDI) data discovery and access service and the SeaDataNet Sextant data products catalogue service. The new EMODnet DTM will have a resolution of 1

The paradox of EU enlargement and member states' policies: Dilemmas and challenges: The case of Portugal

Directory of Open Access Journals (Sweden)

Neves Santos Miguel

2016-01-01

Full Text Available The paper addresses the issue of EU enlargement with its dual nature: of an intra-EU process, related to the consolidation of a democratic-peace based on collective security, and an external process, involving EU foreign policy and impact on relations with other major global players. Although enlargement is a multidimensional process that combines different perspectives - candidate countries' enlargement politics, member states' politics/policy, EU enlargement politics and external global impact - the paper focuses on Member States policies towards enlargement by looking at the case of Portugal, in particular in relation with the Big Bang Eastern enlargement, and aims at explaining the paradox of Portugal's strong political support to enlargement while it was one of the main potential losers in terms of economic interests. A 'foreign policy analysis' framework is adopted in order to understand the process of decision-making and the interaction between the domestic and the EU levels. The argument put forward is that an exclusive constructivist approach does not provide a satisfactory explanation, as there was also rationalist-interest logic at play. The Portuguese policy towards enlargement was determined not only by the 'solidaritysimilarity' logic, dominant in the formal political discourse but also by the consideration of long-term interests in the EU related to the preservation of the strategic alliance with Germany. The overall systemic impact of enlargement tends to weaken the EU as it presents a major paradox functioning as a double-edged sword. While it has a positive impact by contributing to the enhancement of the EU international profile as it grows in size raising expectations about its potential global role, it also leads to greater heterogeneity, undermining the EU cohesion and its ability to act together with a single voice becoming a robust global player, thus frustrating the expectations raised in the first place.

Bacterial Cell Enlargement Requires Control of Cell Wall Stiffness Mediated by Peptidoglycan Hydrolases.

Science.gov (United States)

Wheeler, Richard; Turner, Robert D; Bailey, Richard G; Salamaga, Bartłomiej; Mesnage, Stéphane; Mohamad, Sharifah A S; Hayhurst, Emma J; Horsburgh, Malcolm; Hobbs, Jamie K; Foster, Simon J

2015-07-28

Most bacterial cells are enclosed in a single macromolecule of the cell wall polymer, peptidoglycan, which is required for shape determination and maintenance of viability, while peptidoglycan biosynthesis is an important antibiotic target. It is hypothesized that cellular enlargement requires regional expansion of the cell wall through coordinated insertion and hydrolysis of peptidoglycan. Here, a group of (apparent glucosaminidase) peptidoglycan hydrolases are identified that are together required for cell enlargement and correct cellular morphology of Staphylococcus aureus, demonstrating the overall importance of this enzyme activity. These are Atl, SagA, ScaH, and SagB. The major advance here is the explanation of the observed morphological defects in terms of the mechanical and biochemical properties of peptidoglycan. It was shown that cells lacking groups of these hydrolases have increased surface stiffness and, in the absence of SagB, substantially increased glycan chain length. This indicates that, beyond their established roles (for example in cell separation), some hydrolases enable cellular enlargement by making peptidoglycan easier to stretch, providing the first direct evidence demonstrating that cellular enlargement occurs via modulation of the mechanical properties of peptidoglycan. Understanding bacterial growth and division is a fundamental problem, and knowledge in this area underlies the treatment of many infectious diseases. Almost all bacteria are surrounded by a macromolecule of peptidoglycan that encloses the cell and maintains shape, and bacterial cells must increase the size of this molecule in order to enlarge themselves. This requires not only the insertion of new peptidoglycan monomers, a process targeted by antibiotics, including penicillin, but also breakage of existing bonds, a potentially hazardous activity for the cell. Using Staphylococcus aureus, we have identified a set of enzymes that are critical for cellular enlargement. We

The Impact of European Economic Integration on Migration in the European Union

Directory of Open Access Journals (Sweden)

Simionescu Mihaela

2018-05-01

Full Text Available The recent enlargement of the EU (since 2004 and the United Kingdom's decision to leave the European Union have prompted a growing research interest in the political and academic environment because of the causes and consequences of migration between the CEE countries and those in the Western Europe. In this study, the effects of European economic integration on the number of EU-15 immigrants from the newly integrated EU countries were assessed by econometric techniques. According to panel data models, in the period 2000-2015, the number of migrants from the new member states of the EU has increased, in average, with more than 2200 people only due to their EU membership. This result reflects the positive impact of European economic integration on the number of emigrants from the CEE countries that chose the EU-15 states as destination countries. Moreover, according to some ridge Bayesian regressions, during the period 2004-2015, the EU-15 immigrants coming from the EU-13 states did not negatively affect the economic growth of the EU-15 countries.

National responsibility in an enlarged European Union?

International Nuclear Information System (INIS)

Cramer, Per; Stendahl, Sara; Erhag, Thomas

2007-04-01

-proliferation aspects. The political decision to take part in such international cooperation lies however without any doubt within the national competence. In the European Union the question about responsibility for spent nuclear fuel is not directly regulated. Common legislation initiatives from the commission concerning methods for disposal and storage of spent nuclear fuel has been blocked by member states. The EURATOM-treaty and the EU treaty have a potential reach to national regulation about handling of nuclear wastes and spent nuclear fuel. It should also be noted that there is no binding community legislation where the principle of national responsibility comes to expressions, although the the national legislation competence in the area is expressed in miscellaneous political documents. There exists a hypothetical possibility that the question about the member states' right to maintain a principle of national responsibility can be examined of the EU Court of Justice

Editorial - A new European Neighbourhood Policy to strengthen the European project

Directory of Open Access Journals (Sweden)

Gilles ROUET

2016-12-01

Full Text Available It is now common to link the difficulties of the European project with the instability of the “European Union’s neighbours” and the repeated crises. The “Europeans” would no longer have confidence in a political project, however innovative and hopeful, at least of peace and stability, if not of economic growth. After the beginning of its largest enlargement, twelve years ago, the EU has discovered a new Eastern Neighbourhood, the same one as the Western Neighbourhood of Russia . Even if the “demand of Europe” seems to remain large, for example in Belgrade, Skopje, Kiev or Tbilisi, an important part of the concerned populations express their regret not of previous political situations but of lost stability. And these people express themselves in votes, clearly, as in the last Bulgarian presidential elections, for example. And these votes cannot only be analysed in “sanction vote”.

Prevalence of enlarged mediastinal lymph nodes in heavy smokers - a comparative study

Energy Technology Data Exchange (ETDEWEB)

Kirchner, Johannes; Lorenz, Vivian-Wilma [Allgemeines Krankenhaus Hagen, Department of Diagnostic and Interventional Radiology, Hagen (Germany); Kirchner, Esther Maria [Staedtisches Klinikum Wedau, Clinic for Medicine, Duisburg (Germany); Goltz, Jan Peter; Kickuth, Ralph [University Hospital of Wuerzburg, Department of Radiology, Wuerzburg (Germany)

2011-08-15

To evaluate the frequency of enlarged hilar or mediastinal lymph nodes in heavy smokers (more than 10 pack years) compared with non- smokers. In a prospective study the CT findings of 88 consecutive patients (44 heavy smokers, 44 non- smokers) were analysed. Exclusion criteria were history of thoracic malignancy, sarcoidosis, occupational dust exposure or clinical evidence of pneumonia. Prevalence, size and site of enlarged lymph nodes were assessed by multidetector computed tomography (MDCT) and correlated with the cigarette consumption and the CT- findings of bronchitis and emphysema. Twenty-three of the 44 heavy smokers (52%) showed enlarged mediastinal lymph nodes. Non- smokers showed enlarged lymph nodes in 9% (4/44). The most common site of enlarged lymph nodes was the regional station 7 according to the ATS mapping (subcarinal). The difference between the frequency of enlarged lymph nodes in heavy smokers and non- smokers was significant (chi- square 19.3, p < 0.0001). Airway wall thickening and emphysema were often associated with an increased number of enlarged nodes. The present study demonstrates that enlarged mediastinal lymph nodes may occur in a rather high percentage of heavy smokers, especially in those with a MDCT finding of severe bronchitis. (orig.)

Prevalence of enlarged mediastinal lymph nodes in heavy smokers - a comparative study

International Nuclear Information System (INIS)

Kirchner, Johannes; Lorenz, Vivian-Wilma; Kirchner, Esther Maria; Goltz, Jan Peter; Kickuth, Ralph

2011-01-01

To evaluate the frequency of enlarged hilar or mediastinal lymph nodes in heavy smokers (more than 10 pack years) compared with non- smokers. In a prospective study the CT findings of 88 consecutive patients (44 heavy smokers, 44 non- smokers) were analysed. Exclusion criteria were history of thoracic malignancy, sarcoidosis, occupational dust exposure or clinical evidence of pneumonia. Prevalence, size and site of enlarged lymph nodes were assessed by multidetector computed tomography (MDCT) and correlated with the cigarette consumption and the CT- findings of bronchitis and emphysema. Twenty-three of the 44 heavy smokers (52%) showed enlarged mediastinal lymph nodes. Non- smokers showed enlarged lymph nodes in 9% (4/44). The most common site of enlarged lymph nodes was the regional station 7 according to the ATS mapping (subcarinal). The difference between the frequency of enlarged lymph nodes in heavy smokers and non- smokers was significant (chi- square 19.3, p < 0.0001). Airway wall thickening and emphysema were often associated with an increased number of enlarged nodes. The present study demonstrates that enlarged mediastinal lymph nodes may occur in a rather high percentage of heavy smokers, especially in those with a MDCT finding of severe bronchitis. (orig.)

Enlargement of lumbar spinal canal in lumbar degenerative spondylolisthesis. Evaluation with three-dimensional computed tomography

International Nuclear Information System (INIS)

Kunishi, Yoshihiko

2003-01-01

A number of clinical studies have demonstrated that enlargement of the lumbar spinal canal is one of the effective surgical procedures for the treatment of the lumbar degenerative spondylolisthesis and provides a good result. In the present study, we have evaluated the long-term outcome of the enlargement of the lumbar canal without fusion in thirty eight patients with lumbar degenerative spondylolisthesis using three-dimensional computed tomography (3D-CT) The improvement rate was excellent in 80% of the patients (mean improvement ratio, 83%) according to the Japanese Orthopedic Association scoring system. We found that the sufficient enlargement of the canal was obtained by the surgery and maintained for a long period of time. The results from 3D-CT suggested that a round shape was maintained in the canal after the surgery because of pressures of the dura mater against to the bony canal. None of patients showed lumbar instability. In conclusion, enlargement of lumbar canal without fusion is useful for the treatment of lumbar degenerative spondylolisthesis, and the enlarged canal has been maintained for a long period of time after the surgery. The results demonstrated the clinical utility of 3D-CT to evaluate the preoperative and postoperative shape of the spine. (author)

The Western European countryside from an Eastern European perspective: Case of migrant workers in Norwegian agriculture

OpenAIRE

Rye, Johan Fredrik

2014-01-01

In the wake of the EU enlargements in 2004 and 2007, large numbers of migrant workers from Eastern Europe in-migrated to the Western European countryside. In this paper I discuss how these migration streams in important ways challenge the dominant perspectives in contemporary rural studies, in particular their focus on lifestyle-related rural in-migration, on the post-productivist character of the countryside, and on the social constructions of the rural as idyllic space. These perspectives a...

Attachment in cultural context : Differences in attachment between Eastern and Western Europeans

NARCIS (Netherlands)

Polek, Elzbieta

2008-01-01

Political changes after 1989 and resulting from the European Union enlargement increased emigration from Eastern to Western Europe. In the introductory Chapter 1 the data about migration from the Eastern to Western Europe are presented, as well as the data about cultural, social and economic

Doorkeepers and Gatecrashers: EU Enlargement and Negotiation Strategies

DEFF Research Database (Denmark)

Brücker, Herbert; Schröder, Philipp; Weise, Christian

2004-01-01

This paper discusses the eastward enlargement process of the EU in the framework of a simple war of attrition bargaining game. Both players -- the existing EU members and the applicants -- benefit from enlargement, yet for the applicants, reform to the acquis is costly, while the EU prefers subst...... the benefits for new members are all effective negotiation strategies for the EU that have been applied in the process....

Surgical management of generalized gingival enlargement - a case series

International Nuclear Information System (INIS)

Akhtar, M.U.; Nazir, A.; Montmorency College of Dentistry, Lahore; Kiran, S.; Montmorency College of Dentistry, Lahore

2014-01-01

Generalized gingival enlargement is characterized by massive and exuberant gingival overgrowth that poses social, aesthetic, phonetic and functional problems for the patient. Therefore, it requires meticulous management. Objective: To describe the surgical management of generalized gingival enlargement by electrosurgical excision of patients presenting to a tertiary care centre. Study Design: Case series. Materials and Methods: The study was conducted at the Department of Oral and Maxillofacial Surgery, de'Montmorency College of Dentistry, Lahore, from January 2010 to December 2012. A total of sixteen patients were operated by using electrosurgical approach under general anaesthesia for surgical excision of generalized gingival enlargement. Results: All of the sixteen patients, 11 males and 5 females, showed excellent healing postoperatively without any recurrent gingival overgrowth. Discussion: To the best of our knowledge, the current study presents the largest case series of generalized gingival enlargement. Most of these cases were with massive disease due to lack of information of the study population about their disease, delay in referral by the general dental practitioners, painless and innocent nature of the problem. Early referral of such patients to tertiary care centers can prevent the patients from social and psychological embarrassment. Conclusion: Electrosurgical excision is an excellent surgical technique for management of generalized gingival enlargement. Moreover, cross comparative studies are required to establish some diagnostic and therapeutic standards for such patients. (author)

Experimental investigation of impingement cooling with turbulators or surface enlarging elements

Energy Technology Data Exchange (ETDEWEB)

Persson, Johan

2000-02-01

For the materials in modern gas turbines to sustain, a considerable amount of cooling is required. In cases where large amounts of heat need to be removed, impingement cooling with its high heat transfer coefficients may be the only alternative. In this work the possibilities of enhancing impingement cooling by introducing surface enlarging - turbulence enhancing elements are examined experimentally. A configuration consisting of a staggered array of 45 impingement jets distributed over 10 rows is used for the purpose. A thermo camera is used to measure the temperature distribution on the target plate, giving an opportunity to separately evaluate the Nusselt number enhancement for different areas. Experiments are conducted for five different area enlarging geometries: triangle, wing, cylinder, dashed rib, and angel, all made from aluminium. Comparison between each area enlarged surface and a flat plate is made, with results presented as Nusselt number enhancement factors. The effect of pumping power required is also investigated in order to maximize the cooling efficiency. Parameters varied are Reynolds number and jet to plate distance. Overall Nusselt number enhancement factors show values of 1 to 1.3, the trend being decreasing with increased jet to plane distance and Reynolds number. When taking into account pumping power the enhancement factors drop to 0.4 to 1.2. The best results are achieved with the rib geometry and when not using a too large value of enlarger height over jet to plate distance (h/z). Row wise evaluation of Nusselt number enhancement shows an increased enhancement with row number and thereby crossflow ratio (Gc/Gj). Typical increases in enhancement of 1 to 1.5 with Gc/Gj from 0 to 0.8 are found. The thermo camera pictures reveal that the enhancement is found in three different areas, on the enlarger base area, the area just downstream the enlarger and in diagonal streaks with increased turbulence caused by the enlargers. Tests using an

SOLARGE - European programme for the development of collective thermal solar

International Nuclear Information System (INIS)

Grimmig, Bodo; Chastanet, Aymeric; Gagnepain, Bruno

2006-01-01

The European programme SOLARGE aims at enlarging solar thermal systems in multi-family houses, hotels, public and social buildings in Europe. This publication first outlines that it is a way to struggle against climate change at a rather large scale. It indicates the members of this European consortium, and proposes sheets of presentation of operations (in La Rochelle, Paris, Venissieux, Ostwald, Strasbourg, Val Thorens, Echirolles, Asnieres, Saint-Raphael, Sophia Antipolis, Saignon, Beziers) which mainly concern solar production of domestic hot water in collective building (often social housing), and hotels

Analysis of the number of enlarged pores according to site, age, and sex.

Science.gov (United States)

Jung, H J; Ahn, J Y; Lee, J I; Bae, J Y; Kim, H L; Suh, H Y; Youn, J I; Park, M Y

2018-02-02

Increasing the number of enlarged pores causes cosmetic problems. The difference in the number of enlarged pores according to facial site, age, and sex is unclear. To analyze the distribution of the number of enlarged pores according to facial site, age, and sex. We analyzed the number of the enlarged pores and the percentage of wrinkles in the nose, forehead, and cheek from 434 polarized images. The measurement results were analyzed according to site, age, and sex. Relationship between enlarged pore counts and wrinkle severity was also analyzed. The study was conducted by using DermaVision,™ which can take cross-polarization, parallel polarization, and ultraviolet light images. The enlarged pores of the nose and forehead were more prominent than in the cheeks. Pore counts were increased with age, and the increment was significant between the 30's and 40's. There was no significant difference by gender. Enlarged pore counts were related to wrinkle severity. The number of enlarged pores differs depending on body site and increased with age. The enlarged pore counts correlate with wrinkle severity and the correlation varies depending on the body site. © 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Fleeing to Europe : Europeanization and the right to seek refugee status

NARCIS (Netherlands)

W.M. Maas (Wies)

2008-01-01

textabstractThis paper deals with a sensitive topic that one may call the borderline syndrome of Europe: the efforts to harmonize the national policies of the enlarged European Union with respect to the right to enter Europe as a refugee or as an asylum seeker. The right to seek refugee status, a

Aortic Annular Enlargement during Aortic Valve Replacement

Directory of Open Access Journals (Sweden)

Selman Dumani

2016-09-01

Full Text Available In the surgery of aortic valve replacement is always attempted, as much as possible, to implant the larger prosthesis with the mains goals to enhance the potential benefits, to minimise transvalvular gradient, decrease left ventricular size and avoid the phenomenon of patient-prosthesis mismatch. Implantation of an ideal prosthesis often it is not possible, due to a small aortic annulus. A variety of aortic annulus enlargement techniques is reported to avoid patient-prosthesis mismatch. We present the case that has submitted four three times open heart surgery. We used Manouguian technique to enlarge aortic anulus with excellent results during the fourth time of surgery.

Reversible enlargement of the hypophysis in clinically latent hypothyroidism

Energy Technology Data Exchange (ETDEWEB)

Schuemichen, C.

1982-12-01

A case is reported, in which the combination of high TT/sub 3/- and FT/sub 4/ plasma levels, increased TSH basal secretion and enlargement of the pituitary gland did not reflect secondary hyperthyroidism, but was cuased by clinically latent hypothyroidism, probably due to thyroid hormone antibodies. High doses of thyroid hormones lowered the TSH and prolactin basal secretion, and reduced the enlargement of the pituitary gland.

Reversible enlargement of the hypophysis in clinically latent hypothyroidism

International Nuclear Information System (INIS)

Schuemichen, C.

1982-01-01

A case is reported, in which the combination of high TT 3 - and FT 4 plasma levels, increased TSH basal secretion and enlargement of the pituitary gland did not reflect secondary hyperthyroidism, but was cuased by clinically latent hypothyroidism, probably due to thyroid hormone antibodies. High doses of thyroid hormones lowered the TSH and prolactin basal secretion, and reduced the enlargement of the pituitary gland. (orig.) [de

Clinical correlates of enlarged prostate size in subjects with sexual dysfunction

Directory of Open Access Journals (Sweden)

Giovanni Corona

2014-10-01

Full Text Available Digito-rectal examination (DRE of the prostate provides useful information on the state of prostate growth and on the presence of suspected peripheral nodules. The aim of this study is to describe the clinical and biochemical correlates of finding an enlarged prostate size at DRE in subjects with sexual dysfunction (SD. A consecutive series of 2379 patients was retrospectively studied. The analysis was focused on a subset of subjects (n = 1823; mean age 54.7 ± 11.4 selected for being free from overt prostatic diseases. Several parameters were investigated. After adjusting for confounders, the presence of an enlarged prostate size at DRE was associated with a higher risk of metabolic syndrome (HR = 1.346 (1.129-1.759; P = 0.030, type 2 diabetes mellitus (HR = 1.489 (1.120-1.980; P = 0.006, increased LDL cholesterol (>100 mg dl−1 ; HR = 1.354 (1.018-1.801; P = 0.037 and increased mean blood pressure (BP values (HR = 1.017 (1.007-1.027 for each mmHg increment; P = 0.001. Accordingly, enlarged prostate size was also associated with a higher risk of arteriogenic erectile dysfunction (ED, as well as with other andrological conditions, such as varicocele and premature ejaculation (PE. PSA levels were significantly higher in subjects with enlarged prostate size when compared to the rest of the sample (HR = 3.318 (2.304; 4.799 for each log unit increment in PSA levels; P < 0.0001. Arteriogenic ED, according to different criteria, was also associated with increased PSA levels. In conclusion, our data support the need to examine prostate size either by clinical (DRE or biochemical (PSA inspection in subjects with SD, in order to have insights into the nature of the SD and the metabolic and cardiovascular (CV background of the patient.

European Union Energy Research

International Nuclear Information System (INIS)

Valdalbero, D.R.; Schmitz, B.; Raldow, W.; Poireau, M.

2007-01-01

This article presents an extensive state of the art of the energy research conducted at European Union level between 1984 and 2006, i.e. from the first to the sixth European Community Framework Programmes (FP1-FP6) for Research, Technological Development and Demonstration (RTD and D). The FP is the main legal tool and financial instrument of EU RTD and D policy. It sets the objectives, priorities and budgets for a period of several years. It has been complemented over time with a number of policy oriented initiatives and notably with the launch of the European Research Area. FP7 will cover the period 2007-2013 and will have a total budget of more than euros 50 billion. Energy has been a main research area in Europe since the founding Treaties (European Coal and Steel Community, European Atomic Energy Community-Euratom and European Economic Community), and energy RTD and D has always been a substantial part of common EU research. Nevertheless, when inflation and successive European enlargements are taken into account, over time the RTD and D effort in the field of energy has decreased significantly in relative terms. In nominal terms it has remained relatively stable at about euros 500 million per year. For the next years (FP7), it is expected that energy will still represent about 10 % of total EU research effort but with an annual budget of more than euros 800 million per year. This article presents a detailed review of the thematic areas and budget in both European nuclear energy research (fusion and fission) and non-nuclear energy research (energy efficiency/rational use of energy, fossil fuels, CO 2 capture and storage, fuel cells and hydrogen, renewable energy sources, strategic energy research/socio-economy). (authors)

Nato enlarging into the Baltic States

Index Scriptorium Estoniae

2003-01-01

Prahas 21.-22. novembrini 2002 toimunud NATO tippkohtumisest ja seal vastu võetud otsusest Balti riikide alliansiga ühinemise kohta. Vt. samas: Russia's attitude to the NATO enlargement; Bush in Vilnius; Baltic states' prime ministers' met; Supporting USA?

Fifth Situation Report - Radioactive Waste Management in the Enlarged European Union

International Nuclear Information System (INIS)

Webster, S.

2003-02-01

The present report is the fifth in the series of reports on radioactive waste management in the European Union (EU). It presents, in the form of tables, the status in current EU Member States and in Candidate Countries of Central and Eastern Europe at the end of the year 2000. The fourth situation report was published in January 1999 and contained an in-depth evaluation of the situation and prospects for radioactive waste management in the Community, including such topics as waste generation, financing, transport, research and social issues. The report contains a comprehensive set of tables of waste generation, storage, disposal and predicted trends in the various waste categories, based on the status at the end of 1994. In comparison, the present report is an interim re-evaluation only and concentrates on waste quantities at the end of the year 2000, though it also presents a summary of national strategies and other pertinent information. (author)

Enlarged perivascular spaces and cognitive impairment after stroke and transient ischemic attack.

Science.gov (United States)

Arba, Francesco; Quinn, Terence J; Hankey, Graeme J; Lees, Kennedy R; Wardlaw, Joanna M; Ali, Myzoon; Inzitari, Domenico

2018-01-01

Background Previous studies suggested that enlarged perivascular spaces are neuroimaging markers of cerebral small vessel disease. However, it is not clear whether enlarged perivascular spaces are associated with cognitive impairment. We aimed to determine the cross-sectional relationship between enlarged perivascular spaces and small vessel disease, and to investigate the relationship between enlarged perivascular spaces and subsequent cognitive impairment in patients with recent cerebral ischemic event. Methods Anonymized data were accessed from the virtual international stroke trial archive. We rated number of lacunes, white matter hyperintensities, brain atrophy, and enlarged perivascular spaces with validated scales on magnetic resonance brain images after the index stroke. We defined cognitive impairment as a mini mental state examination score of ≤26, recorded at one year post stroke. We examined the associations between enlarged perivascular spaces and clinical and imaging markers of small vessel disease at presentation and clinical evidence of cognitive impairment at one year using linear and logistic regression models. Results We analyzed data on 430 patients with mean (±SD) age 64.7 (±12.7) years, 276 (64%) males. In linear regression analysis, age (β = 0.24; p cognitive impairment at one year after adjusting for clinical confounders (OR = 1.72, 95% CI = 1.22-2.42) and for clinical and imaging confounders (OR = 1.54; 95% CI = 1.03-2.31). Conclusions Our data show that in patients with ischemic cerebral events, enlarged perivascular spaces are cross-sectionally associated with age, hypertension, and white matter hyperintensities and suggest that enlarged perivascular spaces in the basal ganglia are associated with cognitive impairment after one year.

THE ALLOCATION OF EUROPEAN FUNDS IN ROMANIA

Directory of Open Access Journals (Sweden)

Ana Monica POP

2014-04-01

Full Text Available In this paper we try to analyze the extent to which economic and social cohesion of the enlarged European Union in order to develop a harmonious, balanced and sustainable community has been achieved with the Funds, the European Investment Bank (EIB and other financial instruments and how Romania attracts or not such funds. We analyzed using the statistical data, the absorption and implementation of funds in Romania. Consequently, we present only the results. Conclusions outlined the reducing of the economic, social and territorial disparities which have arisen particularly in regions with developmental delays and in relation to economic and social reorganization. The most important benefits of funding (in general are the growth, the competitive advantage, the employment and improvement of the environment.

Mitral-aortic annular enlargement: modification of Manouguian's technique

Directory of Open Access Journals (Sweden)

Costa Mario Gesteira

2002-01-01

Full Text Available We hereby present a technical modification for mitral-aortic annular enlargement. The mitral valve is replaced through the retro-septal approach, avoiding patches for left atrial roof closure. We report a mitral-aortic valve replacement in a patient whose original annuli would preclude adequate prostheses. The simultaneous annular enlargement may be necessary for avoiding patient-prosthesis mismatch and for reconstructing destroyed mitral and aortic annuli. The technique may minimize the risk of bleeding and of paravalvular leakage, using an approach well known to cardiac surgeons.

European Union energy policy integration: A case of European Commission policy entrepreneurship and increasing supranationalism

International Nuclear Information System (INIS)

Maltby, Tomas

2013-01-01

Focusing on gas, this article explores the role of the European Commission in the process of European Union energy security policy development, and the extent to which the policy area is becoming increasingly supranational. Situating the article within the literature on agenda-setting and framing, it is argued that a policy window was opened as a result of: enlargement to include more energy import dependent states, a trend of increasing energy imports and prices, and gas supply disruptions. From the mid-2000s, the Commission contributed to a shift in political norms, successfully framing import dependency as a problem requiring an EU-level solution, based on the institution’s pre-existing preferences for a diversified energy supply and internal energy market. Whilst Member States retain significant sovereignty, the Commission has achieved since 2006 creeping competencies in the internal, and to a lesser extent external, dimensions of EU energy policy. - Highlights: ► We examine the development of EU energy security policy, focusing on gas. ► We examine changes in European Commission competence in energy policy. ► The European Commission has gained increased competence in the internal market. ► In the external dimension of EU energy policy Member States retain competence. ► The European Commission has had qualified success as a policy entrepreneur

Ventricular enlargement in patients with affective disorders

International Nuclear Information System (INIS)

Murashita, Jun; Kato, Tadafumi; Shioiri, Toshiki; Hamakawa, Inubushi, Toshiro; Hiroshi; Takahashi, Saburo

1994-01-01

Ventricular enlargement was determined using linear measurement on MR images in a total of 71 patients with affective disorders, including bipolar affective disorder (41) and depression (30). Fourty-one healthy persons served as controls. Evans ratio, Huckman number and minimum distance of caudate nuclei (MDCN) were used as indices for ventricular enlargment. No significant difference in Evans ratio was observed between both the group of bipolar affective disorder and the group of depression and the control group. Nor did it correlate with age in any of the groups. Huckman number was significantly higher in the group of bipolar affective disorder than the other two groups. It positively correlated with age in the group of depression. MDCN was significantly increased in the group of bipolar affective disorder, as compared with the control group; and there was a positive correlation between MDCN and age in both the group of dipolar affective disorder and the group of depression. In conclusion, ventricular enlargement was dependent upon aging in affetive disorder patients. This tendency was more noticeable in the group of depression. In addition, atrophy of the caudate nuclei was likely to be severer in the group of dipolar affective disorder than the group of depression. (N.K.)

Calf enlargement associated with neurologic disease: two uncommon cases.

Science.gov (United States)

Harwood, S C; Honet, J C

1988-01-01

Muscle enlargement and hypertrophy are rare findings in neurogenic lesions. The two in combination have been reported in cases of peripheral nerve lesions, polyneuropathy, and poliomyelitis. True and pseudo muscle hypertrophy are the two possible etiologies, whereas infiltration, stretch, or exercise of the muscle are the causative factors. We report two cases of unilateral calf enlargement, one occurring after surgery for S1 radiculopathy with associated cramping, and the other after poliomyelitis.

Penile Enlargement : From Medication to Surgery

NARCIS (Netherlands)

Nugteren, Helena M.; Balkema, G. T.; Pascal, A. L.; Schultz, W. C. M. Weijmar; Nijman, J. M.; Van Driel, M. F.

2010-01-01

Penis lengthening pills, stretch apparatus, vacuum pumps, silicone injections, and lengthening and thickening operations are available for men who worry about their penis size. Surgery is thus far the only proven scientific method for penile enlargement. In this article, we consider patient

Supply-chain trade and labor market outcomes : The case of the 2004 European Union enlargement

NARCIS (Netherlands)

Kaplan, Lennart C.; Kohl, Tristan; Martínez-Zarzoso, Inmaculada

2018-01-01

The structure of international trade is increasingly characterized by fragmentation of production processes and trade policy. Yet, how trade policy affects supply-chain trade is largely unexplored territory. This paper shows how the accession of 10 Central and Eastern European Countries (CEECs) to

U.S. Decision Making and Post-Cold War NATO Enlargement

Science.gov (United States)

2015-03-01

interactions with one another and by external events. Additionally, enlarging NATO entails modifying the North Atlantic Treaty, which, by constitutional ...III discusses NATO’s second enlargement round, which welcomed Bulgaria, Estonia, Lithuania, Latvia, Romania, Slovakia, and Slovenia into the...membership for Romania and Slovenia , it might give the impression that Russian objections carried weight, discouraging the future pursuit of membership and

The prevalence of incidentally detected adrenal enlargement on CT

International Nuclear Information System (INIS)

Tang, Y.Z.; Bharwani, N.; Micco, M.; Akker, S.; Rockall, A.G.; Sahdev, A.

2014-01-01

Aim: To assess the prevalence and the department's detection rate of adrenocortical hyperplasia. Materials and methods: All computed tomography (CT) examinations of the adrenal glands between February and April 2011 were reviewed. The study excluded patients with known underlying cancer, abdominal trauma, or endocrine disease. The adrenal gland was deemed enlarged if its body was greater than 10 mm diameter, or a limb greater than 5 mm. Results: There were a total of 564 eligible CT studies during this period. A total of 64 cases of incidental adrenal enlargement were found giving a prevalence of 11.3%. Only nine cases were reported in the contemporaneous CT report. Conclusion: The results of the present study show that incidental adrenal enlargement has a significant prevalence. It is often dismissed during reporting, and awareness needs to be raised in the radiological community. Equally, the clinical and biochemical significance needs to be assessed with endocrine correlation

[Transient enlargement of craniopharyngioma cysts after stereotactic radiotherapy and radiosurgery].

Science.gov (United States)

Mazerkina, N A; Savateev, A N; Gorelyshev, S K; Konovalov, A N; Trunin, Yu Yu; Golanov, A V; Medvedeva, O A; Kalinin, P L; Kutin, M A; Astafieva, L I; Krasnova, T S; Ozerova, V I; Serova, N K; Butenko, E I; Strunina, Yu V

Stereotactic radiotherapy/radiosurgery (RT/ES) is an effective technique for treating craniopharyngiomas (CPs). However, enlargement of the cystic part of the tumor occurs in some cases after irradiation. The enlargement may be transient and not require treatment or be a true relapse requiring treatment. In this study, we performed a retrospective analysis of 79 pediatric patients who underwent stereotactic RT or RS after resection of craniopharyngioma. Five-year relapse-free survival after complex treatment of CP was 86%. In the early period after irradiation, 3.5 months (2.7-9.4) on average, enlargement of the cystic component of the tumor was detected in 10 (12.7%) patients; in 9 (11.4%) of them, the enlargement was transient and did not require treatment; in one case, the patient underwent surgery due to reduced visual acuity. In 8 (10.1%) patients, an increase in the residual tumor (a solid component of the tumor in 2 cases and a cystic component of the tumor in 6 cases) occurred in the long-term period after irradiation - after 26.3 months (16.6-48.9) and did not decrease during follow-up in none of the cases, i.e. continued growth of the tumor was diagnosed. A statistical analysis revealed that differences in the terms of transient enlargement and true continued growth were statistically significant (pcraniopharyngioma cyst in the early period (up to 1 year) after RT/RS is usually transient and does not require surgical treatment (except cases where worsening of neurological symptoms occurs, or occlusive hydrocephalus develops).

Great Escapes from the Past. Memory and Identity in European Transnational Television News

Directory of Open Access Journals (Sweden)

Andreas Widholm

2013-06-01

Full Text Available Over the last couple of decades, Europe has undergone fundamental political transformations that have challenged old stereotypes about the ‘essence’ of the European identity. This article analyses televisual narratives of the 2004 enlargement of the European Union, turning the analytical spotlight on two of Europe’s largest news broadcasters: BBC World and Euronews. The article focuses on how Europe is remembered in the news, but also how references to the past are used to explain what Europe is today and what it might look like in the future.

NATO Enlargement: Balancing Economic and Military Objectives

National Research Council Canada - National Science Library

Bostick, Thomas

1997-01-01

The military requirements of NATO Enlargement should be tied to NATO's overall goal of seeking stability in all of Europe such that it does not undermine political and economic success in new member countries...

Validation of the Automated Method VIENA: An Accurate, Precise, and Robust Measure of Ventricular Enlargement

NARCIS (Netherlands)

Vrenken, H.; Vos, E.K.; van der Flier, W.M.; Sluimer, I.C.; Cover, K.S.; Knol, D.L.; Barkhof, F.

2014-01-01

Background: In many retrospective studies and large clinical trials, high-resolution, good-contrast 3DT1 images are unavailable, hampering detailed analysis of brain atrophy. Ventricular enlargement then provides a sensitive indirect measure of ongoing central brain atrophy. Validated automated

The European crisis and global economy dynamics: Continental enlargement versus Atlantic opening

Directory of Open Access Journals (Sweden)

Mendonça António

2014-01-01

Full Text Available The fundamental idea we discuss in this paper is that the failure of Europe to deal with the international crisis is due, first and foremost, to the deepening of a more specific crisis that affected the very process of European integration and developed through two main channels: one, broader, linked to the erosion of the original driving forces underpinning integration in Europe; another, more circumscribed, linked to the malfunctioning of the euro as an internal adjustment mechanism of the currency zone. To deal with these structural dimensions of the crisis, we put forward a model of a Global Europe against the model of Continental Europe that has dominated the integration process until now and in this alternative framework we discuss the potential role of Portugal and of the Community of Portuguese Speaking Countries.

MRI of enlarged dorsal ganglia, lumbar nerve roots, and cranial nerves in polyradiculoneuropathies

International Nuclear Information System (INIS)

Castillo, M.; Mukherji, S.K.

1996-01-01

This paper describes the MRI findings in four patients with a clinical diagnosis of hypertrophic polyradiculoneuropathies. In two examination of the lumbar spine showed enlarged nerve roots and dorsal ganglia, and similar findings were present in the cervical spine in a third. The cisternal portions of the cranial nerves were enlarged in another patient. MRI allows identification of enlarged nerves in hypertrophic polyradiculopathies. (orig.)

Salivary gland enlargement during oesophageal stricture dilatation.

OpenAIRE

Martin, D.

1980-01-01

A case of recurrent salivary gland enlargement occurring during fibreoptic oesophagoscopy and oesophageal stricture dilatation with Eder-Puestow dilators is described. The genesis of this condition is discussed and its transient and usually benign nature emphasized.

Body-enlarging effect of royal jelly in a non-holometabolous insect species, Gryllus bimaculatus

Directory of Open Access Journals (Sweden)

Atsushi Miyashita

2016-06-01

Full Text Available Honeybee royal jelly is reported to have body-enlarging effects in holometabolous insects such as the honeybee, fly and silkmoth, but its effect in non-holometabolous insect species has not yet been examined. The present study confirmed the body-enlarging effect in silkmoths fed an artificial diet instead of mulberry leaves used in the previous literature. Administration of honeybee royal jelly to silkmoth from early larval stage increased the size of female pupae and adult moths, but not larvae (at the late larval stage or male pupae. We further examined the body-enlarging effect of royal jelly in a non-holometabolous species, the two-spotted cricket Gryllus bimaculatus, which belongs to the evolutionarily primitive group Polyneoptera. Administration of royal jelly to G. bimaculatus from its early nymph stage enlarged both males and females at the mid-nymph and adult stages. In the cricket, the body parts were uniformly enlarged in both males and females; whereas the enlarged female silkmoths had swollen abdomens. Administration of royal jelly increased the number, but not the size, of eggs loaded in the abdomen of silkmoth females. In addition, fat body cells were enlarged by royal jelly in the silkmoth, but not in the cricket. These findings suggest that the body-enlarging effect of royal jelly is common in non-holometabolous species, G. bimaculatus, but it acts in a different manner than in holometabolous species.

The European Union and its Neighbours:

Directory of Open Access Journals (Sweden)

Alberto Chilosi

2007-06-01

Full Text Available The paper considers the status of the European Neighbourhood Policy in the light of the new Financial Perspective 2007-2013 and of the present internal state of the European Union. Even if in theory the ENP could have been a valid substitute for enlargement, it does not seem to have reached its aim of providing an adequate surrogate for full membership. Considering the figures of the new Financial Perspective 2007-2013, the issue of market access, and the internal power dynamics of the EU, we see that it is hardly conceivable that the ENP could ever give to its neighbours the same economic advantages that membership gives to the poorer members of the EU. Another controversial aspect is the clear asymmetric nature of the ENP, whereby the payoff for neighbours is conditioned on their “good behaviour”, thus amounting to a form of soft imperialism. While ENP tries to establish a comprehensive and coherent framework of the EU’s relations with its neighbourhood, the actual behaviour of EU towards its neighbours is shown to present some inconsistences due to political expedience and pragmatic concerns. The consideration of some related basic issues of EU institutional reform, such as the weakening of the powers of the member states, or the introduction of some intermediate forms of partial membership, concludes the paper.

Severe Gingival Enlargement with Coexisting Erosive Lichen Planus in Severe Chronic Periodontitis Patient

Directory of Open Access Journals (Sweden)

Ambika Sharma

2015-01-01

Full Text Available Plaque induced gingival enlargement is most commonly seen and when encountered simultaneously with erosive lichen planus poses a challenge to the treating dentist. Prognosis of one condition may influence the prognosis of another condition. The presented case highlights the significance of proper diagnosis and the management of simultaneously occurring gingival lesions. A 49-year-old hypertensive female presented with painful enlarged bleeding and suppurating gums with burning sensation on eating food along with long-term usage of antihypertensive drug amlodipine known for its gingival enlargement effect. All these multiple factors led to diagnostic dilemma. Effective management of the gingival enlargement was done by using electrocautery to rehabilitate the functions and esthetics of the patient. Gingival condition was also complicated by the presence of coexisting lichen planus which was predominantly erosive for which topical corticosteroid, antifungal, and antimicrobial agents were prescribed. Eight-month follow-up did not show recurrence of gingival enlargement. Electrocautery is an effective tool for the gingivectomy in severe inflammatory type of gingival enlargement because of rapid postoperative hemostasis. For the management of erosive lichen planus, long-term use of topical corticosteroids is an effective approach. Maintenance of oral hygiene and regular follow-ups are essential for these conditions.

An introduction to environmental law. 2. enlarged ed.

International Nuclear Information System (INIS)

Schmidt, R.; Mueller, H.

1989-01-01

The author outlines the environmental law in the Federal Republic of Germany and surveys the main legal regulations in the field of environmental protection. Inter alia he deals with problems of installations subject to permission and with legal questions of transfrontier environmental pollution. This second edition brings up to date or enlarges the first by information and facts concerning in particular the deficits in enforcement, informal acts of the administration, the protection of animals and endangered species of wild fauna and flora, the environmental impact statement, liability for environmental pollution, the problems involved in the management of waste found at abandoned industrial sites or dumps, radiological protection issues, and environmental protection provided by the EEC Treaty. (orig./HP) [de

Salivary gland enlargement during oesophageal stricture dilatation.

Science.gov (United States)

Martin, D.

1980-01-01

A case of recurrent salivary gland enlargement occurring during fibreoptic oesophagoscopy and oesophageal stricture dilatation with Eder-Puestow dilators is described. The genesis of this condition is discussed and its transient and usually benign nature emphasized. Images Fig. 1 PMID:7393809

Tumescent power liposuction in the treatment of the enlarged male breast.

Science.gov (United States)

Boni, Roland

2006-01-01

Tumescent power liposuction is widely used on various parts of the body for minimal-access lipectomy. The undesired fat deposits are injected with tumescence fluid containing saline, epinephrine, bicarbonate and lidocaine; the latter is used as the only source of pain control. The fat is then removed using vibrating microcannulas. To evaluate the value of tumescent power liposuction in the treatment of the enlarged male breast. 38 male patients aged 23-64 years (mean age 39.8 +/- 9.7 years) with enlarged breasts were enrolled in the study. In 32 patients, breasts were enlarged due to fat tissue, and the ductal glands were not palpable (pseudogynecomastia). In 6 patients, the ductal glands were enlarged (gynecomastia). All patients were treated with tumescent liposuction over a 2-year period using a single entry site from the axillary fossa. Both fat as well as ductal and stromal tissue were removed by microcannulas. None of the patients had early postoperative complications of infection, hematoma or seroma. There were no treatment-induced asymmetries, contour deformities or irregularities. No open excision or skin reduction procedures were required. Tumescent liposuction using a single entry site in the axillary fossa is a minimally invasive technique to treat enlarged male breasts. Both fat (pseudogynecomastia in adipose patients) as well as ductal and stromal tissue (in gynecomastia) can be removed with tumescent liposuction, resulting in a high level of patient satisfaction. Copyright 2006 S. Karger AG, Basel.

Childhood obesity: knowledge, attitudes, and practices of European pediatric care providers.

Science.gov (United States)

Mazur, Artur; Matusik, Pawel; Revert, Krista; Nyankovskyy, Sergey; Socha, Piotr; Binkowska-Bury, Monika; Grzegorczyk, Joanna; Caroli, Margherita; Hassink, Sandra; Telega, Grzegorz; Malecka-Tendera, Ewa

2013-07-01

To determine and compare attitudes, skills, and practices in childhood obesity management in 4 European countries with different obesity prevalence, health care systems, and economic situations. A cross-sectional survey was distributed to primary health care providers from France, Italy, Poland, and Ukraine. The questionnaire was returned by 1119 participants with a response rate of 32.4%. The study revealed that most of the primary health care providers were convinced of their critical role in obesity management but did not feel sufficiently competent to perform effectively. The adherence to recommended practices such as routine weight and height measurements, BMI calculation, and plotting growth parameters on recommended growth charts was poor. Most primary health care providers recognized the need for continuing professional education in obesity management, stressing the importance of appropriate dietary counseling. The study underlines insufficient implementation of national guidelines for management of obesity regardless of the country and its health system. It also makes clear that the critical problem is not elaboration of guidelines but rather creating support systems for implementation of the medical standards among the primary care practitioners.

Relationship between intracranial internal carotid artery calcification and enlarged cerebral perivascular space

Energy Technology Data Exchange (ETDEWEB)

Tao, Xiao-Xiao [Shanghai Ninth People' s Hospital, Shanghai Jiao Tong University School of Medicine, Department of Neurology, Shanghai (China); The First People' s Hospital of Wenling, Department of Neurology, Wenling (China); Li, Ge-Fei; Wu, Yi-Lan; Liu, Yi-Sheng; Zhao, Ying; Shi, Yan-Hui; Zhuang, Mei-Ting; Hou, Tian-Yu; Zhao, Rong; Liu, Feng-Di; Wang, Xue-Mei; Shen, Ying; Cui, Guo-Hong; Su, Jing-Jing; Chen, Wei [Shanghai Ninth People' s Hospital, Shanghai Jiao Tong University School of Medicine, Department of Neurology, Shanghai (China); Tang, Xue-Mei; Sun, Ji; Liu, Jian-Ren [Shanghai Ninth People' s Hospital, Shanghai Jiao Tong University School of Medicine, Department of Neurology, Shanghai (China); Shanghai Jiao Tong University School of Medicine, Clinical Research Center, Shanghai (China)

2017-06-15

The association between intracranial internal carotid artery (IICA) calcification and lacunes, white matter hyperintensity (WMH), and cerebral microbleeds (CMBs) has been well researched. However, enlarged cerebral perivascular space (PVS) has not yet been reported to correlate with intracranial internal carotid artery calcification. Therefore, the primary aim of this study was to investigate the relationship between IICA calcification and enlarged PVS. A total of 189 patients with ischemic stroke in the middle cerebral artery territory who presented within 7 days of ictus from 2012 to 2015 were enrolled respectively. All patients were required to have undergone head computed tomography, magnetic resonance imaging, susceptibility-weighted magnetic resonance imaging, magnetic resonance angiography, or computed tomography angiography. Clinical characteristics were recorded. IICA calcification and enlarged PVS were semi-quantitatively evaluated, and the presence of lacunes, WMH, and CMBs was recorded. Of the 189 patients, 63.5% were male. Mean age of the patients was 68.6 ± 12.2 years. There were 104 patients with IICA calcification. Age, diabetes mellitus, lacunes, and white matter hyperintensity were significantly associated with IICA calcification (P < 0.05). Multivariate logistic regression analysis showed that age, diabetes mellitus, and lacunes were independent predictors of IICA calcification (P < 0.05). A lower risk of IICA calcification was found in patients with a higher enlarged PVS score (P = 0.004). Higher enlarged PVS scores were associated with a lesser degree of IICA calcification. There appears to be a relationship between reduced risk of IICA calcification and enlarged PVS. (orig.)

Dimension, Egalitarianism and Decisiveness of European Voting Systems

Directory of Open Access Journals (Sweden)

Francesc Carreras

2016-01-01

Full Text Available An analysis of three major aspects has been carried out that may apply to any of the successive voting systems used for the European Union Council of Ministers, from the first one established in the Treaty of Rome in 1958 to the current one established in Lisbon. We mainly consider the voting systems designed for the enlarged European Union adopted in the Athens summit, held in April 2003 but this analysis can be applied to any other system. First, it is shown that the dimension of these voting systems does not, in general, reduce. Next, the egalitarian effects of superposing two or three weighted majority games (often by introducing additional consensus are considered. Finally, the decisiveness of these voting systems is evaluated and compared. (original abstract

Peculiar enlargement of the nasopharynx in patients with anorexia nervosa

Energy Technology Data Exchange (ETDEWEB)

Okamoto, K. [Department of Radiology, School of Dentistry, Niigata Univ. (Japan); Ito, J. [Department of Radiology, School of Dentistry, Niigata Univ. (Japan); Tokiguchi, S. [Department of Radiology, School of Dentistry, Niigata Univ. (Japan); Kuwabara, G. [Department of Radiology, School of Medicine, Niigata University, Niigata (Japan); Nishihara, M. [Department of Radiology, School of Medicine, Niigata University, Niigata (Japan)

1995-11-01

We examined the nasopharynx and brain in 17 patients with anorexia nervosa by CT and compared the findings with those of 44 normal subjects and of 5 patients of the same age with marked emaciation caused by various psychiatric disorders. An enlarged nasopharyngeal space with a flattened posterior wall and enlarged lateral pharyngeal recesses were demonstrated in all patients with anorexia nervosa whose weight was lowest at the time of the CT examination, and these CT features regressed or became normal quickly after they had gained some weight. This characteristic enlargement of the nasopharynx and lateral pharyngeal recesses was observed neither in the markedly emaciated patients (2 with schizophrenia, 1 with major depression, 1 with stupor and the other with an extremely unbalanced diet) nor in 44 normal subjects without emaciation. These features were therefore thought to be characteristic and of diagnostic significance. (orig.). With 5 figs., 3 tabs.

Peculiar enlargement of the nasopharynx in patients with anorexia nervosa

International Nuclear Information System (INIS)

Okamoto, K.; Ito, J.; Tokiguchi, S.; Kuwabara, G.; Nishihara, M.

1995-01-01

We examined the nasopharynx and brain in 17 patients with anorexia nervosa by CT and compared the findings with those of 44 normal subjects and of 5 patients of the same age with marked emaciation caused by various psychiatric disorders. An enlarged nasopharyngeal space with a flattened posterior wall and enlarged lateral pharyngeal recesses were demonstrated in all patients with anorexia nervosa whose weight was lowest at the time of the CT examination, and these CT features regressed or became normal quickly after they had gained some weight. This characteristic enlargement of the nasopharynx and lateral pharyngeal recesses was observed neither in the markedly emaciated patients (2 with schizophrenia, 1 with major depression, 1 with stupor and the other with an extremely unbalanced diet) nor in 44 normal subjects without emaciation. These features were therefore thought to be characteristic and of diagnostic significance. (orig.). With 5 figs., 3 tabs

A rapidly enlarging cutaneous hemangioma in pregnancy.

LENUS (Irish Health Repository)

Ma'ayeh, Marwan

2014-06-18

This is a case of a rapidly enlarging cutaneous pedunculated tumor on a patient\\'s thumb during her pregnancy. This was excised and identified as a hemangioma. A literature search identified a possible hormonal factor in causing an accelerated growth of this tumor.

Gingival enlargement unveiling sarcoidosis: Report of a rare case

Directory of Open Access Journals (Sweden)

Sabeeha Abbas Kadiwala

2013-01-01

Full Text Available Sarcoidosis is classified as an acquired systemic granulomatous disease. Because of the fact that sarcoidosis affects multiple tissues and organs, it is characterized by many potential signs and symptoms, as well as by the presence of non-caseating granulomas in the organs involved. Although oral sarcoidosis is relatively rare, it may however, present in the oral cavity. This report presents a rare case of sarcoidosis with the initial presenting symptom as severe generalized gingival enlargement. The gingival enlargement was treated by gingivectomy. After histopathological examination of gingival biopsy and certain special investigations, a diagnosis of sarcoidosis was made.

A high-throughput colorimetric assay for glucose detection based on glucose oxidase-catalyzed enlargement of gold nanoparticles

Science.gov (United States)

Xiong, Yanmei; Zhang, Yuyan; Rong, Pengfei; Yang, Jie; Wang, Wei; Liu, Dingbin

2015-09-01

We developed a simple high-throughput colorimetric assay to detect glucose based on the glucose oxidase (GOx)-catalysed enlargement of gold nanoparticles (AuNPs). Compared with the currently available glucose kit method, the AuNP-based assay provides higher clinical sensitivity at lower cost, indicating its great potential to be a powerful tool for clinical screening of glucose.We developed a simple high-throughput colorimetric assay to detect glucose based on the glucose oxidase (GOx)-catalysed enlargement of gold nanoparticles (AuNPs). Compared with the currently available glucose kit method, the AuNP-based assay provides higher clinical sensitivity at lower cost, indicating its great potential to be a powerful tool for clinical screening of glucose. Electronic supplementary information (ESI) available: Experimental section and additional figures. See DOI: 10.1039/c5nr03758a

CROATIAN HONEY MARKET IN EUROPEAN ENVIRONMENT

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Dragana Dukić

2004-06-01

Full Text Available This examination is based on comparison of honey production, in countries of European Union, transition countries and The Republic of Croatia. The situation in Croatia is shown with all information about honey production. All data are compared with already managed European countries. In comparison with registrated number of beekeepers and hives, Croatia belongs to transition countries with the smallest number of beekepers and hives. On the other hand, values, such as, number of hives per beekeper and average honey production by hive, classify Croatia ahead of transition countries. There are very few professional beekepers in Croatia, as well as in other transition countries, but not countries of The European Union. Honey production in Croatia has been increasing last seven years and in the last few it increased more than 50%. Export of honey in the last 2 years is half of the complete honey production, which accomplish conditions for export enlargement. At the same time, import of honey is considerable reduced. Conditions for export can be better with production of biological clean honey (eco-honey, since Croatia has great resources for it. Also, cost of Croatian honey on the foreign market, will be considerable higher.

Enlarged cavum septum pellucidum as a neurodevelopmental marker in adolescent-onset opiate dependence.

Directory of Open Access Journals (Sweden)

Jaeuk Hwang

Full Text Available Adolescent-onset exposure to highly addictive substances such as opiates may induce far-reaching deleterious effects on later mental and physical health. However, little is known about the neurodevelopmental basis for adolescent-onset opiate dependence. Here we examined whether having an abnormally large cavum septum pellucidum (CSP, a putative marker of limbic structural maldevelopment, is associated with opiate dependence particularly beginning in adolescence.The overall length of the CSP and the prevalence of abnormal enlargement of the CSP were assessed and compared in 65 opiate-dependent subjects (41 adolescent-onset opiate users and 24 adult-onset opiate users and 67 healthy subjects.Opiate-dependent subjects showed a greater prevalence of abnormal CSP enlargement relative to healthy subjects (odds ratio [OR]=3.64, p=0.034. The overall CSP length of adolescent-onset opiate-dependent subjects was greater, as compared not only with healthy subjects (F₁,₁₀₄=11.03, p=0.001 but also with those who began opiate use during adulthood (F₁,₆₁=4.43, p=0.039.The current findings provide the first evidence that abnormal CSP enlargement, which reflects limbic system dysgenesis of neurodevelopmental origin, may be linked to later development of opiate dependence. In addition, a greater CSP length, which indicates more severe limbic abnormalities, appears to confer higher risk for earlier onset of opiate use.

Morphological analysis of enlarged ventricle on CT image, using multivariate analysis

International Nuclear Information System (INIS)

Iwasaki, Satoru; Kichikawa, Kimihiko; Otsuji, Hideyuki; Fukusumi, Akio; Kobayashi, Yasuo.

1983-01-01

Multivariate analysis of enlarged cerebral ventricle on CT was undertaken to study the characteristics of ventricular morphology. Several ventricular segments of enlarged ventricle, defined on the basis of the study of normal group, were linearly measured on CT image. Then the discriminant analysis with the increase and decrease of variable was applied. The following are the results obtained. The error ratio of discrimination between pressure hydrocephalus and cerebral atrophy was 8.4 %, and between obstructive hydrocephalus and communicating hydrocephalus was 11.3 %. Ventricular segments were divided into three groups according to their character of enlargement: (1) the temporal horn and trigone are large in pressure hydrocephalus; (2) the hypothalamic segment of the third ventricle and the body of lateral ventricle are larger in obstructive hydrocephalus than in communicating hydrocephalus; (3) the anterior horn, cellae mediae at the level of the head of caudate nuclei and thalamic segment of the third ventricle are relatively large in cerebral atrophy and communicating hydrocephalus. The hypothalamic segment of the third ventricle assumes a round or oval shape in pressure hydrocephalus but a rectangular or teardrop shape in cerebral atrophy. These findings are contributory to pathological evaluation of ventricular enlargement. (author)

Policy-making in the European Union

CERN Document Server

Pollack, Mark A; Young, Alasadair R

2015-01-01

Constantly evolving, and with far-reaching implications, European Union policy-making is of central importance to the politics of the European Union. From defining the processes, institutions and modes through which policy-making operates, the text moves on to situate individual policies within these modes, detail their content, and analyse how they are implemented, navigating policy in all its complexities. The first part of the text examines processes, institutions, and the theoretical and analytical underpinnings of policy-making, while the second part considers a wide range of policy areas, from economics to the environment, and security to the single market. Throughout the text, theoretical approaches sit side by side with the reality of key events in the EU, including enlargement, the ratification of the Lisbon Treaty, and the financial crisis and resulting euro area crisis, exploring what determines how policies are made and implemented. In the final part, the editors consider trends in EU policy-makin...

Clinical biochemistry and MRI follow up study in postpartum pituitary enlargement

International Nuclear Information System (INIS)

Chen Weipeng; Huang Shaoqiang; Lu Xiaofan; Cai Baimang; Liu Xuguang

2004-01-01

Objective: To investigate the relationship between enlargement of pituitary in postpartum females and the clinical biochemistry. Methods: In total 6 postpartum women were studied by MRI of pituitary and clinical biochemistry assessment, the data was collected especially in puerperium period. Results: Enlargement of pituitary gland was most remarkable in the first week of puerperium period, while endocrine changes including HCG, Progesterone, E 2 also reached considerable high peak in the same time especially the first and second day after labor. Prolactin also increased. βHCG, Progesterone, and E 2 rapidly decreased after the first week of puerperium period and the size of pituitary gland recovered to normal size. Conclusion: Postpartum enlargement of pituitary gland is physiological and related with internal environment change in gravitation, which is not to be misdiagnosed as a lesion

The analysis of initial cranial CT of early hematoma enlargement in spontaneous intracerebral hemorrhage

OpenAIRE

BEI Yu-zhang; CHEN Ben-yang; QI Hao-bo; ZHOU Zheng-ping; LI Yu-bo

2012-01-01

Objective To investigate the predictive effect of initial cranial CT on early hematoma enlargement in spontaneous intracerebral hemorrhage. Methods Three hundred patients with spontaneous intracerebral hemorrhage within 6 hours after onset were studied. Chi-square test and logistic regression analysis were used to detect the related factors which may indicate hematoma enlargement. Results Sixty-one (20.33% ) patients presented hematoma enlargement on cranial CT. Single factor and multivariate...

Penis enlargement: complication of lipotransfer

OpenAIRE

Conde, C.G.; Soria, J.H.; Orduna, O.D.; Alcoba, E.

2012-01-01

La solicitud de engrosamiento del pene por parte de los pacientes tiene un crecimiento sostenido. El empleo de grasa autóloga como relleno puede causar una deformidad que provoca un menoscabo funcional y estético. Presentamos un caso de complicación que requirió de tratamiento quirúrgico.Penis enlargement is a practice widely requested by the patients. The use of autologous fat transplantation can produce deformity and functional and aesthetic deficiency. The authors present a clinical case o...

Chest CT findings in EBUS-TBNA-proven anthracosis in enlarged mediastinal lymph nodes

Energy Technology Data Exchange (ETDEWEB)

Kirchner, J. [Allgemeines Krankenhaus Hagen (Germany). Dept. of Interventional and Diagnostic Radiology; Mueller, P. [Allgemeines Krankenhaus Hagen (Germany). Dept. of Medicine; Broll, M.; Kirchner, E.M. [Sana Klinikum Duisburg (Germany). Dept. of Medicine; Pomjanski, N.; Biesterfeld, S. [University Hospital Duesseldorf (Germany). Dept. of Pathology; Liermann, D. [Marien Hospital, Herne (Germany). Dept. of Diagnostic and Interventional Radiology and Nuclear Medicine; Kickuth, R. [University Hospital Wuerzburg (Germany). Dept. of Radiology

2014-12-15

We demonstrate the multislice computed tomography (MSCT) findings of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA)-proven hilar and mediastinal lymph node enlargement with signs of anthracosis. 53 enlarged lymph nodes in 39 patients (28 male, 11 female) with EBUS-TBNA-confirmed anthracosis were analyzed retrospectively. The mean short axis diameter of the enlarged lymph nodes with signs of anthracosis was 13.7 mm. Lymph nodes most often showed an oval shape (84%) and were well defined in 66% of cases. Lymph node confluence was observed in 32% of cases. Calcifications were documented in 24.5% of cases. Contrast enhancement and fatty involution were seen seldom (3.8%). Lymph node necrosis was not seen. Lymph node anthracosis may be found most often in enlarged, well defined lymph nodes with an oval shape, frequently associated with confluence and calcifications.

Role of radionuclide studies in cases of enlarged prostate

International Nuclear Information System (INIS)

Singhvi, S.D.; Shrimali, R.; Singhal, N.C.

1985-01-01

The present study of radionuclide 131 I hyppuran in 30 positive cases of enlarged prostate and 10 normal subjects has been found effective in giving information about functional status of the kidneys and presence of obstructive unropathy by renography, enlargement of the prostate causing bladder base contour deformity in bladder scan and the presence of residual urine by external counting method over bladder. It is a non-invasive method of investigation and can be undertaken safely in cases sensitive iodine-containing contrast medium. It is also cheap, easy to perform and does not require any pre-examination preparation and can be repeated frequently. (author)

How current are EURATOM provisions on nuclear supply and ownership in view of the European Union's enlargement?

International Nuclear Information System (INIS)

Bouquet, A.

2001-01-01

This contribution is mainly based on two papers presented at nuclear law conferences in 1998 and 2001, respectively setting out the special provisions governing supplies of nuclear fuels to the European Union (Chapter 6 of the Treaty establishing the European Atomic Energy Community, hereinafter referred to as the 'Euratom Treaty') and the right of ownership of the Euratom Community (Chapter 8 of the Euratom Treaty). These special Treaty provisions cannot be compared to anything observed in other legal systems. Hence, with their introduction into the legal systems of the new European Union member states, the question arises as to how current these provisions are and how they have been implemented in practice. Two of the fundamental objectives of the Euratom Treaty most relevant in this field are to ensure that all users in the Community receive a regular and equitable supply of ores and nuclear fuels (Article 2d Euratom) and to exercise the Community's right of ownership with respect to special fissile materials (Article 2f Euratom). Furthermore, the objectives of ensuring the establishment of the basic installations necessary for the development of nuclear energy in the Community (Article 2c Euratom), of safeguarding that material is not diverted from its intended use (Article 2e Euratom), of establishing a common market (Article 2g Euratom) and of maintaining external relations (Article 2h Euratom) can be relevant to nuclear trade and to the Supply Agency's action. The Treaty's philosophy with regard to supply and ownership is the result of a delicate compromise between public authority interventionism and a more free market approach. The interventionism resulted in a monopolistic system of supplies (exclusive right to conclude contracts, right of option, public authority ownership), whereas the free market approach brought about the commercial organisation of the entity responsible for the implementation of supply provisions (separate legal entity, market

CT screening for lung cancer: Frequency of enlarged adrenal glands identified in baseline and annual repeat rounds

Energy Technology Data Exchange (ETDEWEB)

Hu, Minxia [Icahn School of Medicine at Mount Sinai, Department of Radiology, New York, NY (United States); Capital Medical University, Department of Diagnostic Ultrasound, Beijing Tongren Hospital, Beijing (China); Yip, Rowena; Yankelevitz, David Y.; Henschke, Claudia I. [Icahn School of Medicine at Mount Sinai, Department of Radiology, New York, NY (United States)

2016-12-15

To determine the frequency of adrenal enlargement of participants in a CT-screening program for lung cancer and demonstrate the progression during follow-up, separately for baseline and annual repeat rounds. HIPAA-compliant informed consent was obtained in 4,776 participants. The adrenal gland was defined as enlarged if it measured ≥6 mm at its largest diameter. Logistic regression analyses were performed. At baseline, 202 (4 %) of 4,776 participants had adrenal enlargement. Significant factors were age (OR = 1.4, 95 % CI: 1.2-1.7) and current smoker (OR = 1.8, 95 % CI: 1.3-2.4). Follow-up 7-18 months after baseline for 133 cases with adrenal enlargement <40 mm showed it decreased or was stable in 85 (64 %), and increased by <10 mm in 48 (36 %). Five (0.04 %) cases of adrenal enlargement were newly identified, none increased beyond 40 mm on follow-up. Adrenal enlargement was a significant predictor of a subsequent diagnosis of lung cancer (OR = 2.0, 95 % CI: 1.2-3.4). Participants with adrenal enlargement <40 mm identified at baseline and on repeat screening could be reasonably assessed on subsequent annual screening. Adrenal enlargement increased with increasing pack-years of smoking. Adrenal enlargement was an independent predictor of a subsequent diagnosis of lung cancer. (orig.)

Penile enlargement: from medication to surgery.

Science.gov (United States)

Nugteren, Helena M; Balkema, G T; Pascal, A L; Schultz, W C M Weijmar; Nijman, J M; van Driel, M F

2010-01-01

Penis lengthening pills, stretch apparatus, vacuum pumps, silicone injections, and lengthening and thickening operations are available for men who worry about their penis size. Surgery is thus far the only proven scientific method for penile enlargement. In this article, we consider patient selection, outcome evaluation, and techniques applied. In our view, sexological counseling and detailed explanation of risks and complications are mandatory before any operative intervention.

Mediastinal lymph node enlargement on CT scans in idiopathic pulmonary fibrosis

International Nuclear Information System (INIS)

Ahn, Joong Mo; Im, Jung Gi; Yu, Kyu In; Kim, Hyeong Seog; Kim, Dae Young; Yu, Pil Mun

1992-01-01

The increase in size of lymph node on CT scan is the single most important finding of lymphadenopathy. The purpose of this study was to evaluate the size of mediastinal lymph nodes in patients with idiopathic pulmonary fibrosis with no evidence of malignancy or current infection. CT scans of 70 patients (16 with conventional CT and 54 with high-resolution CT) were assessed for lymph node size and location. The duration of symptoms, and the extent and pattern of the parenchymal lung disease on CT scans were correlated with lymph node enlargement. In 54 of 70 patients, more than one lymph nodes were large than 1-1.5 cm. The prevalence of node enlargement increased significant with a longer duration of symptom (p=0.001), large extent of the disease (p=0.043), and with a greater proportion of honeycomb pattern (p=0.033). Right paratracheal, subcarinal, right tracheobronchial, and paraesophageal nodes were the most common sites of node enlargement. In conclusion, mediastinal lymph node enlargement is common in patients with idiopathic pulmonary fibrosis and is more frequently seen in patients with a longer duration of clinical symptoms, greater extent of the disease, and with a larger proportion of honeycomb pattern

Mediastinal lymph node enlargement on CT scans in idiopathic pulmonary fibrosis

Energy Technology Data Exchange (ETDEWEB)

Ahn, Joong Mo; Im, Jung Gi; Yu, Kyu In; Kim, Hyeong Seog [Seoul National University College of Medicine, Seoul (Korea, Republic of); Kim, Dae Young [Chung Buk National University College of Medicine, Chungju (Korea, Republic of); Yu, Pil Mun [Dankuk University College of Medicine, Seoul (Korea, Republic of)

1992-09-15

The increase in size of lymph node on CT scan is the single most important finding of lymphadenopathy. The purpose of this study was to evaluate the size of mediastinal lymph nodes in patients with idiopathic pulmonary fibrosis with no evidence of malignancy or current infection. CT scans of 70 patients (16 with conventional CT and 54 with high-resolution CT) were assessed for lymph node size and location. The duration of symptoms, and the extent and pattern of the parenchymal lung disease on CT scans were correlated with lymph node enlargement. In 54 of 70 patients, more than one lymph nodes were large than 1-1.5 cm. The prevalence of node enlargement increased significant with a longer duration of symptom (p=0.001), large extent of the disease (p=0.043), and with a greater proportion of honeycomb pattern (p=0.033). Right paratracheal, subcarinal, right tracheobronchial, and paraesophageal nodes were the most common sites of node enlargement. In conclusion, mediastinal lymph node enlargement is common in patients with idiopathic pulmonary fibrosis and is more frequently seen in patients with a longer duration of clinical symptoms, greater extent of the disease, and with a larger proportion of honeycomb pattern.

Spleen and liver enlargement in a patient with rheumatoid arthritis.

Science.gov (United States)

Bedoya, María Eugenia; Ceccato, Federico; Paira, Sergio

2015-01-01

We describe the case of a 51-year-old woman with a seropositive, erosive, and non-nodular rheumatoid arthritis of 15 year of evolution. The patient had poor compliance with medical visits and treatment. She came to the clinic with persistent pancytopenia and spleen and liver enlargement. Liver and bone marrow biopsies were carried out and amyloidosis, neoplasias and infections were ruled out. We discuss the differential diagnosis of pancytopenia and spleen and liver enlargement in a long-standing rheumatoid arthritis patient. Copyright © 2014 Elsevier España, S.L.U. All rights reserved.

CHALLENGES AND DILLEMAS WITHIN THE RELATIONS BETWEEN RUSSIA AND THE EUROPEAN UNION

Directory of Open Access Journals (Sweden)

Loredana Maria Simionov

2011-12-01

Full Text Available Every EU enlargement signified a step towards Central and Eastern Europe, therefore, the 2004 „big bang enlargement”, followed by the one in 2007, modified the geopolitical context within the „old continent” and also increased the importance of the European Union regionally, as well as globally. Integrating the ex-soviet countries into the EU meant taking them out of the Russian sphere of influence, as well as attempting to super size the EU territory in order to increase the European power on a long term. Despite the weakening of Russia after the Cold War, the federation still represents a challenge regarding „pax europea”, as Russia still has an amazing military capacity, as well as important natural resources. The entrance into the Russian sphere of influence, the European energetic dependency on Russia, the conflicts within the separatist regions situated at the EU eastern borders are just few of the many challenges regarding the relations between the European Union and Russia.

Etiologic significance of enlargement of the left atrial appendage in adults

International Nuclear Information System (INIS)

Green, C.E.; Kelley, M.J.; Higgins, C.B.

1982-01-01

Fifty-one patients were divided into two groups: 20 patients with proven rheumatic mitral valve disease (RMVD) and 31 patients with left atrial enlargement (LAE) of a nonrheumatic etiology. The latter group included patients with ischemic papillary muscle dysfunction, mitral valve prolapse, and congestive cardiomyopathy. Radiographic studies showed that enlargement of the left atrial appendage (LAAE) was present in 18 of 20 rheumatics but in only one of 31 nonrheumatics. There was no direct relationship between enlargement of the LAA and radiographic or echocardiographic left atrial size, degree of pulmonary venous hypertension (PVH), or presence of atrial fibrillation. It is postulated that rheumatic influammation of the LAA allows it to dilate out of proportion to the body of the left atrium. In the adult patient with radiographic findings of PVH, LAAE is a valuable and specific radiographic sign of rheumatic mitral valve disease

Isolated amygdala enlargement in temporal lobe epilepsy: A systematic review.

Science.gov (United States)

Beh, S M Jessica; Cook, Mark J; D'Souza, Wendyl J

2016-07-01

The objective of this study was to compare the seizure characteristics and treatment outcomes in patient groups with temporal lobe epilepsy (TLE) identified with isolated amygdala enlargement (AE) on magnetic resonance imaging studies. PubMed, Embase, and the Cochrane Library were searched for relevant studies using the keywords 'amygdala enlargement', 'epilepsy', and 'seizures' in April 2015. Human studies, written in English, that investigated cohorts of patients with TLE and AE were included. Of 204 abstracts initially identified using the search strategy, 14 studies met the inclusion criteria (11 epilepsy studies and 3 psychiatry studies). Ultimately, 8 full studies on AE and TLE involving 107 unique patients were analyzed. Gender distribution consisted of 50 males and 57 females. Right amygdala enlargement was seen in 39 patients, left enlargement in 58 patients, and bilateral enlargement in 7 patients. Surgical resection was performed in 28 patients, with the most common finding being dysplasia/hamartoma or focal cortical dysplasia. Most studies involved small samples of less than 12 patients. There was a wide discrepancy in the methods used to measure amygdala volume, in both patients and controls, hindering comparisons. Most TLE with AE studies observed a later age of seizure onset (mean: 32.2years) compared with studies involving TLE with HS (mean of mid- to late childhood). A higher frequency of complex partial seizures compared with that of convulsive seizures is seen in patients with AE (67-100% vs. 26-47%), and they have an excellent response to antiepileptic drugs (81.8%-100% of seizure-free patients). All studies that included controls also found a significant difference in frequency of seizure types between their cases and controls. Reliable assessment of amygdala volume remains a critical issue hindering better understanding of the clinical management and research of this focal epilepsy syndrome. Within these limitations, the literature suggests

Long term follow up of idiopathic gingival enlargement associated with chronic periodontitis: A case report and review

OpenAIRE

Girish P Nagarale; S Ravindra; Srinath Thakur; Swati Setty

2013-01-01

Background: Idiopathic gingival enlargement is a rare condition characterized by massive enlargement of the gingiva. It may be associated with other diseases/conditions characterizing a syndrome, but rarely associated with periodontitis. Case Description: This case report describes an unusual clinical form of gingival enlargement associated with chronic periodontitis. Clinical examination revealed diffuse gingival enlargement. The lesion was asymptomatic, firm, and pinkish red. Generalized pe...

A new context for cooperation between Russia an the European Union

International Nuclear Information System (INIS)

Belyi, A.V.

2003-01-01

The energy issue is assuming a strategic importance in relations between Russia and the European Union. Among other things, this is characterised by the debates concerning the energy Charter Treaty, by negotiations concerning Russia's application to join the WTO as well as by establishment of a dialogue between Europe and Russia concerning energy. This article analyses the new factors of this energy partnership which explain the potential for cooperation and at the same time its limits. These factors are: (1) the peripherization of Russia in the international labour market, (2) the enlargement of the European Union to take in countries dependent on Russia for imports of gas and oil, (3) the liberalization of the gas and electricity markets within the European Union which constitutes a challenge for short and long-term energy security and (4) the inclusion of sustainable development within the definition of energy security. (authors)

Asymmetric Meckel Cave Enlargement: A Potential Marker of PHACES Syndrome.

Science.gov (United States)

Wright, J N; Wycoco, V

2017-06-01

PHACES syndrome is a complex of morphologic abnormalities of unknown cause and includes posterior fossa abnormalities; head and neck infantile hemangiomas; arterial, cardiac, and eye anomalies; and sternal or abdominal wall defects. Accurate identification of the syndrome is important for optimal treatment. The purpose of this study was to investigate the incidence of asymmetric Meckel cave enlargement, a potential novel imaging marker, in a population of patients referred for evaluation of possible PHACES syndrome. Eighty-five patients referred for neuroimaging evaluation of possible PHACES syndrome were identified and stratified on the basis of their ultimate clinical PHACES diagnosis categorization into PHACES, possible PHACES, or not PHACES. MR imaging studies were subsequently reviewed for the presence or absence of unilateral Meckel cave enlargement, with the reviewer blinded to the ultimate PHACES syndrome categorization. Twenty-five of 85 patients (29%) were ultimately categorized as having PHACES or possible PHACES according to consensus guidelines. Asymmetric Meckel cave enlargement was present in 76% (19/25) of these patients and in 82% (19/23) of only those patients with definite PHACES. This finding was present in none of the 60 patients determined not to have PHACES syndrome. In 7/19 patients (37%) with this finding, subtle MR imaging abnormalities consistent with PHACES were missed on the initial MR imaging interpretation. Asymmetric Meckel cave enlargement was a common feature of patients with PHACES in our cohort and may serve as a novel imaging marker. Increased awareness of this imaging feature has the potential to increase the diagnostic accuracy of PHACES. © 2017 by American Journal of Neuroradiology.

Attachment in cultural context: Differences in attachment between Eastern and Western Europeans

OpenAIRE

Polek, Elzbieta

2008-01-01

Political changes after 1989 and resulting from the European Union enlargement increased emigration from Eastern to Western Europe. In the introductory Chapter 1 the data about migration from the Eastern to Western Europe are presented, as well as the data about cultural, social and economic differences between Russia, Hungary, the Netherlands and Poland. In this chapter we also introduce A theoretical basis of acculturation and attachment theory. In Chapter 2 we focused on the replicability ...

Development of Romanian Nuclear Power Program implications for future's EU enlargement

International Nuclear Information System (INIS)

Havris, A.

2002-01-01

Energy and transport are two areas for which relations with third countries are crucial. Transport is of course essential in order to ensure smooth movements of people and economic operators within the EU but also with the outside world. Its importance becomes even more apparent in a period characterised by globalization. If modes of transport are the arteries of our society, then energy is the blood. The Green Paper on the security of EU energy supply issued by the Commission shows that whereas the EU economy is energy-intensive, Community energy resources are limited. Consequently, the EU is dependent on external sources of energy, a situation which will not change with the forthcoming enlargement. Hence, most of the EU's external relations include an important chapter on energy. The instrument for applying Romania's pre-accession strategy is the National Programme for Accession (NPAR). I focused on the current situation, short and medium term priorities of the Nuclear Energy as part of the Energy Chapter of the NPAR. In spite of the Romanian Authorities' strong commitment for the completion of Unit2, obtaining the EURATOM loan, for which Societatea Nationala Nuclearelectrica S.A. applied to the European Commission in 1999, remained a critical component of the overall financing requirements of this project. The National Strategy for the Development of the Energy Sector on Medium Term 2001- 2004, as part of our national economic strategy, concludes that on a least-cost basis and considering programs for improving energy efficiency, it is necessary to have Cernavoda Unit 2 in operation by 2006. Finally, are presented the benefits for Romania, as a country involved in the process of European Integration, with a view to obtaining the EURATOM loan and finalizing Cernavoda NPP - Unit2.(author)

European Funds – Instrument for Economic Stability/Growth

Directory of Open Access Journals (Sweden)

Anca Simina POPESCU

2014-11-01

Full Text Available The enlargement of European Union has finally brought a growth of public resources designed for regional policy, but also visible disparities between the member states. The objective of a stronger social and economic cohesion, of reduction of differences of social and economic development between the member states and EU regions, as well as the promotion of sustainable development of EU are reached through structural funds, the European financing being designed to serve as lever regarding public investments in associated countries. This work analyses the elements which assure economic stability in Romania, in the last year of programming period 2007-2013, following the crisis which disturbed global economy. The emphasis is laid on non-refundable EU funds allotted for Romania, which were analyzed both from the point of view of approved projects (but whose implementation did not start yet and regarding the contracted projects under way.

Price war or instrumentalization of price uncertainty: which strategy for a dominant provider on the European gas market

International Nuclear Information System (INIS)

Boussena, Sadek; Locatelli, Catherine

2016-03-01

The objective of this article is to try to assess which strategy could be implemented by a European dominant provider (or a group of big providers) during the current phase of transition of the European gas market in order to keep (or increase) his market shares and maximise his revenues. The authors aim at exploring possibilities of strategic actions on the long term other than those of defence of volumes through a price war, or the possibility of a strategy similar to that of Saudi Arabia which instrumentalises uncertainty on future prices. This last type of strategy is defined for the case of natural gas. The authors show that it could be implemented on the EU gas market, provided some specific conditions. They show that Gazprom has not enough power to become a price maker, and explore which kind of strategy of uncertainty could be implemented by this actor

Efficacy of the fractional photothermolysis system with dynamic operating mode on acne scars and enlarged facial pores.

Science.gov (United States)

Cho, Sung Bin; Lee, Ju Hee; Choi, Moon Jung; Lee, Kyu-Yeop; Oh, Sang Ho

2009-01-01

Current treatments for acne scars and enlarged facial pores have shown limited efficacy. To evaluate the efficacy and safety of the fractional photothermolysis system (FPS) with dynamic operating mode on acne scars and enlarged pores. Twelve patients with mild to moderate atrophic acne scars and enlarged pores were included in this study. Three sessions of FPS treatment were performed for acne scars and facial pores monthly. Two blinded dermatologists who compared before and after photos based on a quartile grading scale conducted objective clinical assessments of acne scar- and facial pore-treated areas. We took a biopsy immediately after one treatment with the laser from one of the authors to assess the histologic effects of the laser on facial pores. Follow-up results at 4 months after the last treatment revealed that, of the 12 patients, for acne scars, five demonstrated clinical improvements of 51% to 75% and three demonstrated improvements of 76% to 100%, and for facial pores, five demonstrated moderate clinical improvements of 26% to 50% and three demonstrated improvements of 76% to 100%. Side effects, including pain, post-treatment erythema, and edema, were resolved within 1 week. We suggest that the FPS may provide a new treatment algorithm in some cases with acne scars and enlarged pores. Considering the lack of placebo-controlled, split-face design of our study, optimized, prospective studies should be conducted to fully assess the efficacy of FPS with dynamic operating mode.

Proceedings of the enlargement workshop on Neutron Measurements and Evaluations for Applications - NEMEA

International Nuclear Information System (INIS)

Plompen, A.J.M.

2004-01-01

The workshop on Neutron Measurements and Evaluation for Applications, NEMEA, was held 5-8 November 2003 in Budapest, Hungary. The objective of this workshop was to strengthen the contacts between laboratories working on nuclear data in member states of the European Union, Accession Countries joining the enlarged Union in 2004, and Candidate Countries which will join later. The workshop was organised by the Neutron Physics unit of the Institute for Reference Materials and Measurements (IRMM) together with the local organisers. The workshop included six sessions and three laboratory visits. The sessions were, in order of the agenda, Material Analysis; Data Evaluation; Safeguards, Illicit Trafficking and Demining; Biology, Medicine and Environment; Single Event Upsets; and Neutron Data for Energy Applications . In total there were thirty-seven presentations of excellent quality, illustrating the many different lines of research featuring neutron measurements and neutron data. Laboratory visits were made to the Atomki and the Institute for Experimental Physics on a one day trip from Budapest to Debrecen and to the KFKI research reactor in Budapest. Both at the Atomki and at the KFKI, laboratory visits were preceded by an excellent comprehensive overview of the facility, its history and its activities. At Debrecen, an overview was provided of the capabilities at the cyclotron laboratory in particular for neutron measurement, while at the Institute for Experimental Physics the neutron generator laboratory and the experimental setup for the demining experiments were shown. At KFKI, the participants were shown the laboratory for PGAA at the neutron beam guides of the reactor

Amygdala and hippocampus enlargement during adolescence in autism.

NARCIS (Netherlands)

Groen, W.B.; Teluij, M.; Buitelaar, J.K.; Tendolkar, I.

2010-01-01

OBJECTIVE: The amygdala and hippocampus are key components of the neural system mediating emotion perception and regulation and are thought to be involved in the pathophysiology of autism. Although some studies in children with autism suggest that there is an enlargement of amygdala and hippocampal

Childhood asymmetrical labium majus enlargement sonographic and MR imaging appearances

Energy Technology Data Exchange (ETDEWEB)

Gokli, Ami; Neuman, Jeremy; Lukse, Ruby; Koshy, June [Staten Island University Hospital, Department of Radiology, Staten Island, NY (United States); Kong, Fanyi [Staten Island University Hospital, Department of Pathology, Staten Island, NY (United States); Laor, Tal [Cincinnati Children' s Hospital Medical Center, Department of Radiology, Cincinnati, OH (United States)

2016-05-15

Childhood asymmetrical labium majus enlargement (CALME) has been described sparsely in recent surgery, pathology, pediatric and gynecology literature; however, no comprehensive description from a radiology perspective has been developed. The purpose of this case series is to describe the imaging findings of CALME and to review the current understanding of this recently described clinical entity with regard to clinical presentation, pathophysiology, differential diagnosis and treatment options. This is a retrospective analysis of 3 girls, ages 5-7 years, who presented for imaging evaluation with subsequent pathologically proven CALME. Each child's clinical history, length of symptoms, imaging appearance and pathological findings were reviewed. All three girls presented with unilateral enlargement of the labium majus (two right-side, one left-side) with no history of trauma or other inciting cause. Two girls had painless labial enlargement that was recognized for weeks, and one had similar symptoms for 1 year prior to presentation. One girl was evaluated initially with sonography, and all three children underwent MR imaging. Sonographic evaluation showed asymmetrical labial enlargement without a definable mass. In each girl, the MR imaging findings were characterized by relatively ill-defined T1-weighted hypointense signal, T2-weighted hypo- to isointense signal with interspersed hyperintense septae, and heterogeneous patchy and feathery strands of enhancement on post-contrast imaging. Biopsy from each child showed benign fibrous tissue with intervening mature fibroadipose tissue, vessels and nerves without findings of inflammation or neoplasia. The MR imaging appearance of CALME is consistent. Recognition and appreciation of this unique pediatric entity by the radiologist may be essential for appropriate diagnosis and can help to guide therapy. Current preferred treatment approach is conservative. (orig.)

Childhood asymmetrical labium majus enlargement sonographic and MR imaging appearances

International Nuclear Information System (INIS)

Gokli, Ami; Neuman, Jeremy; Lukse, Ruby; Koshy, June; Kong, Fanyi; Laor, Tal

2016-01-01

Childhood asymmetrical labium majus enlargement (CALME) has been described sparsely in recent surgery, pathology, pediatric and gynecology literature; however, no comprehensive description from a radiology perspective has been developed. The purpose of this case series is to describe the imaging findings of CALME and to review the current understanding of this recently described clinical entity with regard to clinical presentation, pathophysiology, differential diagnosis and treatment options. This is a retrospective analysis of 3 girls, ages 5-7 years, who presented for imaging evaluation with subsequent pathologically proven CALME. Each child's clinical history, length of symptoms, imaging appearance and pathological findings were reviewed. All three girls presented with unilateral enlargement of the labium majus (two right-side, one left-side) with no history of trauma or other inciting cause. Two girls had painless labial enlargement that was recognized for weeks, and one had similar symptoms for 1 year prior to presentation. One girl was evaluated initially with sonography, and all three children underwent MR imaging. Sonographic evaluation showed asymmetrical labial enlargement without a definable mass. In each girl, the MR imaging findings were characterized by relatively ill-defined T1-weighted hypointense signal, T2-weighted hypo- to isointense signal with interspersed hyperintense septae, and heterogeneous patchy and feathery strands of enhancement on post-contrast imaging. Biopsy from each child showed benign fibrous tissue with intervening mature fibroadipose tissue, vessels and nerves without findings of inflammation or neoplasia. The MR imaging appearance of CALME is consistent. Recognition and appreciation of this unique pediatric entity by the radiologist may be essential for appropriate diagnosis and can help to guide therapy. Current preferred treatment approach is conservative. (orig.)

Effect analysis of intradermal hyaluronic acid injection to treat enlarged facial pores.

Science.gov (United States)

Qian, Wei; Zhang, Yan-Kun; Hou, Ying; Lyu, Wei; Cao, Qian; Li, Yan-Qi; Fan, Ju-Feng

2017-08-08

To investigate the clinical application and efficacy of intradermal injection of low molecular weight hyaluronic acid (LMW-HA) for treating enlarged facial pores. From January 2015 to May 2016, 42 subjects who sought aesthetic treatment underwent intradermal injection of LMW-HA to improve enlarged facial pores. For each treatment, 2.5 mL (25 mg) of LMW-HA was injected into the skin of the full face. The treatment was repeated 2-5 times with an interval of 1 to 1.5 months between consecutive treatments. The postoperative follow-up period was 1 to 6 months. Statistical analysis was used to compare the degree of enlargement of facial pores before and after injection. The clinical efficacy and adverse effects were recorded. The enlarged facial pores before and after treatment were categorized and subjected to the Wilcoxon matched-pairs signed-rank test. The difference was statistically significant (Pinjection sites in the subjects who sought aesthetic treatment. The overall satisfaction rate was 92.8%. Intradermal injection of LMW-HA can significantly improve skin texture, reduce pore size, and enhance skin radiance. The injection technique was simple, safe, and effective and could easily be extended to clinical practice. © 2017 Wiley Periodicals, Inc.

The European Nuclear Education Network Association - ENEN

International Nuclear Information System (INIS)

De Regge, P.P.

2005-01-01

The temporary network, established through the European 5 th Framework Programme project ENEN, was given a more permanent character by the foundation of the European Nuclear Education Network Association, a non-profit-making association according to the French law of 1901, pursuing a pedagogic and scientific aim. Its main objective is the preservation and the further development of higher nuclear education and expertise. This objective is realized through the co-operation between the European universities, involved in education and research in the nuclear engineering field, the nuclear research centres and the nuclear industry. The membership of the ENEN Association now consists of 35 universities members and 6 research centres. The paper briefly describes the history and structure of the ENEN Association and elaborates on the objectives and activities of its five committees during its first two years of operation. Supported by the 5 th and 6 th Framework Programme of the European Community, the ENEN Association established the delivery of the European Master of Science in Nuclear Engineering certificate. In particular, education and training courses have been developed and offered to materialise the core curricula and optional fields of study in a European exchange structure. Pilot editions of those courses and try-outs of training programmes have been successfully organised with a satisfying interest, attendance and performance by the students and the support of nuclear industries and international organisations. The involvement of ENEN in the 6 th EC Framework project EUROTRANS will further enlarge its field of activities into a realm of nuclear disciplines. The ENEN Association further contributes to the management of nuclear knowledge within the European Union as well as on a world-wide level, through contacts with its sister Network ANENT in Asia, and by its participation to activities of the World Nuclear University. (author)

The European Nuclear Education Network Association - ENEN

International Nuclear Information System (INIS)

Gentile, D.

2006-01-01

The temporary network, established through the European 5. Framework Programme project ENEN, was given a more permanent character by the foundation of the European Nuclear Education Network Association, a non-profit-making association according to the French law of 1901, pursuing a pedagogic and scientific aim. Its main objective is the preservation and the further development of higher nuclear education and expertise. This objective is realized through the co-operation between the European universities, involved in education and research in the nuclear engineering field, the nuclear research centres and the nuclear industry. The membership of the ENEN Association now consists of 35 universities members and 6 research centres. The paper briefly describes the history and structure of the ENEN Association and elaborates on the objectives and activities of its five committees during its first two years of operation. Supported by the 5. and 6. Framework Programme of the European Community, the ENEN Association established the delivery of the European Master of Science in Nuclear Engineering certificate. In particular, education and training courses have been developed and offered to materialize the core curricula and optional fields of study in a European exchange structure. Pilot editions of those courses and try-outs of training programmes have been successfully organised with a satisfying interest, attendance and performance by the students and the support of nuclear industries and international organisations. The involvement of ENEN in the 6. EC Framework project EUROTRANS will further enlarge its field of activities into a realm of nuclear disciplines. The ENEN Association further contributes to the management of nuclear knowledge within the European Union as well as on a world-wide level, through contacts with its sister Network ANENT in Asia, and by its participation to activities of the World Nuclear University. (author)

The European Nuclear Education Network Association - ENEN

Energy Technology Data Exchange (ETDEWEB)

Gentile, D. [Institut des Sciences et Techniques Nucleaires, CEA - Centre de Saclay, Bat. 395, F-91191 Gif-sur-Yvette (France)

2006-07-01

The temporary network, established through the European 5. Framework Programme project ENEN, was given a more permanent character by the foundation of the European Nuclear Education Network Association, a non-profit-making association according to the French law of 1901, pursuing a pedagogic and scientific aim. Its main objective is the preservation and the further development of higher nuclear education and expertise. This objective is realized through the co-operation between the European universities, involved in education and research in the nuclear engineering field, the nuclear research centres and the nuclear industry. The membership of the ENEN Association now consists of 35 universities members and 6 research centres. The paper briefly describes the history and structure of the ENEN Association and elaborates on the objectives and activities of its five committees during its first two years of operation. Supported by the 5. and 6. Framework Programme of the European Community, the ENEN Association established the delivery of the European Master of Science in Nuclear Engineering certificate. In particular, education and training courses have been developed and offered to materialize the core curricula and optional fields of study in a European exchange structure. Pilot editions of those courses and try-outs of training programmes have been successfully organised with a satisfying interest, attendance and performance by the students and the support of nuclear industries and international organisations. The involvement of ENEN in the 6. EC Framework project EUROTRANS will further enlarge its field of activities into a realm of nuclear disciplines. The ENEN Association further contributes to the management of nuclear knowledge within the European Union as well as on a world-wide level, through contacts with its sister Network ANENT in Asia, and by its participation to activities of the World Nuclear University. (author)

Efficient stereological approaches for the volumetry of a normal or enlarged spleen from MDCT images

Energy Technology Data Exchange (ETDEWEB)

Mazonakis, Michalis; Stratakis, John; Damilakis, John [University of Crete, Department of Medical Physics, Faculty of Medicine, P.O. Box 2208, Iraklion, Crete (Greece)

2015-06-01

To introduce efficient stereological approaches for estimating the volume of a normal or enlarged spleen from MDCT. All study participants underwent an abdominal MDCT. The first group included 20 consecutive patients with splenomegaly and the second group consisted of 20 subjects with a normal spleen. Splenic volume estimations were performed using the stereological point counting method. Stereological assessments were optimized using the systematic slice sampling procedure. Planimetric measurements based on manual tracing of splenic boundaries on each slice were taken as reference values. Stereological analysis using five to eight systematically sampled slices provided enlarged splenic volume estimations with a mean precision of 4.9 ± 1.0 % in a mean time of 2.3 ± 0.4 min. A similar measurement duration and error was observed for normal splenic volume assessment using four to seven systematically selected slices. These stereological approaches slightly but insignificantly overestimated the volume of a normal and enlarged spleen compared to planimetry (P > 0.05) with a mean difference of -1.3 ± 4.3 % and -2.7 ± 5.2 %, respectively. The two methods were highly correlated (r ≥ 0.96). The variability of repeated stereological estimations was below 3.8 %. The proposed stereological approaches enable the rapid, reproducible, and accurate splenic volume estimation from MDCT data in patients with or without splenomegaly. (orig.)

North Atlantic Treaty Organization: Implications Related to Eastward Enlargement

National Research Council Canada - National Science Library

Vaagland, John

1997-01-01

... Truman's Marshall Plan. The study concludes that the main issue as far as Western security is concerned is not a hasty enlargement of NATO but rather how to guarantee peaceful relations between Russia and NATO...

The enlargement of geniculate fossa of facial nerve canal: a new CT finding of facial nerve canal fracture

International Nuclear Information System (INIS)

Gong Ruozhen; Li Yuhua; Gong Wuxian; Wu Lebin

2006-01-01

Objective: To discuss the value of enlargement of geniculate fossa of facial nerve canal in the diagnosis of facial nerve canal fracture. Methods: Thirty patients with facial nerve canal fracture underwent axial and coronal CT scan. The correlation between the fracture and the enlargement of geniculate fossa of facial nerve canal was analyzed. The ability of showing the fracture and enlargement of geniculate fossa of facial nerve canal in axial and coronal imaging were compared. Results: Fracture of geniculate fossa of facial nerve canal was found in the operation in 30 patients, while the fracture was detected in CT in 18 patients. Enlargement of geniculate ganglion of facial nerve was detected in 30 patients in the operation, while the enlargement of fossa was found in CT in 28 cases. Enlargement and fracture of geniculate fossa of facial nerve canal were both detected in CT images in 18 patients. Only the enlargement of geniculate fossa of facial nerve canal was shown in 12 patients in CT. Conclusion: Enlargement of geniculate fossa of facial nerve canal was a useful finding in the diagnosis of fracture of geniculate fossa in patients with facial paralysis, even no fracture line was shown on CT images. (authors)

European communion

DEFF Research Database (Denmark)

Manners, Ian James

2013-01-01

Political theory of European union, through an engagement between political concepts and theoretical understandings, provides a means of identifying the EU as a political object. It is argued that understanding the projects, processes and products of European union, based on ‘sharing’ or ‘communion......’, provides a better means of perceiving the EU as a political object rather than terms such as ‘integration’ or ‘co-operation’. The concept of ‘European communion’ is defined as the ‘subjective sharing of relationships’, understood as the extent to which individuals or groups believe themselves to be sharing...... relations (or not), and the consequences of these beliefs for European political projects, processes and products. By exploring European communion through an engagement with contemporary political theory, using very brief illustrations from the Treaty of Lisbon, the article also suggests that European...

Prolactin deficiency, obesity, and enlarged testes--a new syndrome?

Science.gov (United States)

Roitman, A; Assa, S; Kauli, R; Laron, Z

1980-01-01

A 4-year-old boy is described who was obese and slightly mentally retarded. His testes were enlarged. The only endocrine disorder present was a failure to increase plasma prolactin after stimulation. Images Figure PMID:7436524

How much room is left for European gas incumbents?

Energy Technology Data Exchange (ETDEWEB)

Schwark, Bastian

2007-07-01

In the context of the liberalization of the European natural gas market former monopolists face a challenge to react to market opening by realigning their strategies. Three major groups of companies can be identified that are capable to influence the European gas market significantly each with a distinctive competitive advantage. They consist of the historical gas incumbents, the power incumbents moving into gas as well as the integrated oil and gas producers moving downwards the supply chain by enlarging their supply division. The aim of the paper is to identify the strategic opportunities of the aforementioned three groups and to asses their success. The analysis is done by means of 22 selected companies that are highly active in the EU gas market. An assessment of their market data and comparisons between the three groups will be done. The firms will be matched according to the potential strategic groups and an outlook given in terms of the development of competition in the European gas market. The results sustain the assumption that the playing field for European gas incumbents is going to decrease as both electricity incumbents and integrated oil and gas producers have significant competitive advantages in their potential moves. (auth)

Pain following foraminal enlargement in mandibular molars with necrosis and apical periodontitis: A randomized controlled trial.

Science.gov (United States)

Saini, H R; Sangwan, P; Sangwan, A

2016-12-01

This randomized controlled trial was conducted to evaluate the effect of foraminal enlargement during chemomechanical root canal preparation on postoperative pain. Seventy mandibular first molars with asymptomatic pulp necrosis and chronic apical periodontitis were randomized into two groups - foraminal enlargement (FE) and conventional nonforaminal enlargement (NFE). Canals were prepared according to the respective protocols, and the teeth were restored temporarily. Postoperatively, the patients were prescribed ibuprofen 400 mg, to be taken if required. Pain experience and analgesic intake were recorded for 7 days following chemomechanical preparation. The data were analysed using Mann-Whitney U-test and chi-square tests. Pain experience was higher with foraminal enlargement than when using a conventional technique. A significant difference was observed in postoperative pain during the first 4 days and the sixth day (P  0.05). Enlargement of the apical foramen during root canal treatment increased the incidence and intensity of postoperative pain. © 2015 International Endodontic Journal. Published by John Wiley & Sons Ltd.

A case of the persistence of the primitive hypoglossal artery with an enlarged hypoglossal canal

International Nuclear Information System (INIS)

Tomura, Noriaki; Inugami, Atsushi; Uemura, Kazuo; Asakura, Ken

1987-01-01

A case of the persistence of the primitive hypoglossal artery is reported, with a roentgenographic demonstration of the enlarged hypoglossal canal. A 63-year-old man was admitted to this hospital as a result of a malfunction of the ventriculo-peritoneal shunt. At the age of 51, the patient had been operated on in this hospital for an aneurysm of the right middle cerebral artery; at that time, the right primitive hypoglossal artery was observed on right carotid angiograms. On the day following admission, bilateral retrograde vertebral angiography was performed and the right persistent primitive hypoglossal artery was recognized again. Stenvers views of the skull demonstrated an enlargement of the hypoglossal canal, with a smooth sclerotic rim. High-resolution computed tomography with a contrast infusion delineated the right primitive hypoglossal artery through the enlarged hypoglossal canal. The diameter of the enlarged right hypoglossal canal and that of the left one were found to be 8 mm and 4 mm respectively on the CT. When an enlargement of the hypoglossal canal with a sclerotic rim is observed, the persistence of the primitive hypoglossal artery should be considered in the differential diagnosis. (author)

Enlarged thalamostriate vein causing unilateral Monro foramen obstruction. Case report.

Science.gov (United States)

Leonardo, Jody; Grand, Walter

2009-06-01

Causes of unilateral hydrocephalus resulting from an obstruction at the Monro foramen include foraminal atresia, tumors, gliosis, contralateral shunting, and infectious and inflammatory conditions. However, few reports in the literature cite vascular lesions as the cause of the obstruction. To their knowledge, the authors present the first report of unilateral hydrocephalus occurring due to an abnormally enlarged thalamostriate vein independent of an arteriovenous malformation or developmental venous angioma. The condition was treated successfully by endoscopic septum pellucidum fenestration. A 28-year-old man was referred for evaluation due to a 10-year history of chronic headaches that worsened in severity over the past year. A CT scan of the head revealed unilateral right ventricular dilation. Cranial MR imaging with and without contrast administration showed a dilated right thalamostriate-internal vein complex without any evidence of associated arteriovenous malformation or venous angioma. Endoscopic exploration of the right lateral ventricle showed an enlarged subependymal thalamostriate vein obstructing the Monro foramen. An endoscopic fenestration of the septum pellucidum was performed, resulting in alleviation of the patient's symptoms. Abnormally enlarged venous structures may cause obstructive unilateral hydrocephalus and can be a rare cause of chronic, intermittent headaches in adults. Endoscopic fenestration of the septum pellucidum is an effective treatment.

Comparative evaluation of oral hygiene status and gingival enlargement among epileptic and healthy children as related to various antiepileptic drugs

Directory of Open Access Journals (Sweden)

Neelam Hasmukhbhai Joshi

2017-01-01

Full Text Available Background: Epilepsy is a gathering of neurological disorders characterized by epileptic seizures. Epileptic children, who are on active treatment with antiepileptic drugs, have a well-recognized side effect of gingival enlargement. Therefore, all efforts should be made, particularly for the population who are diagnosed or affected by the systemic disease. This study was conducted with an aim to determine oral hygiene status and gingival enlargement among epileptic and healthy children as related to various antiepileptic drugs. Materials and Methods: The cross-sectional observational study was conducted in the department of pedodontics and attached general hospital. A sample size of 120 participants with 60 healthy and 60 epileptic children between age 2 and 14 years were included. Oral health status of participants was examined using oral hygiene simplified index and plaque index. Gingival enlargement was assessed using Miranda–Brunet index. For statistical analysis, one-way ANOVA test, independent t-test, and Pearson's Chi-square test were used. Results: From the total participants included in the study, 49% of participants had good oral hygiene from healthy group, and 28% participants had poor oral hygiene from the epileptic group. Sodium valproate was the most common drug used and was associated with increased gingival enlargement. Conclusion: Conclusion can be drawn that epileptic children under medication had poor oral hygiene and an increased risk for gingival enlargement as compared to their healthy counterparts. It must be stressed that the epileptic patients should be given dental care without conditions and provided with best possible care to restore esthetics and functions.

Long term follow up of idiopathic gingival enlargement associated with chronic periodontitis: A case report and review.

Science.gov (United States)

Nagarale, Girish P; Ravindra, S; Thakur, Srinath; Setty, Swati

2013-03-01

Idiopathic gingival enlargement is a rare condition characterized by massive enlargement of the gingiva. It may be associated with other diseases/conditions characterizing a syndrome, but rarely associated with periodontitis. This case report describes an unusual clinical form of gingival enlargement associated with chronic periodontitis. Clinical examination revealed diffuse gingival enlargement. The lesion was asymptomatic, firm, and pinkish red. Generalized periodontal pockets were observed. Radiographic evaluation revealed generalized severe alveolar bone loss. Histopathological investigations revealed atrophic epithelium with dense fibrocollagenous tissue. Lesions healed successfully following extraction and surgical excision, and no recurrence was observed after 1 year follow-up but recurrence was observed at 3 and 5-years follow-up. Successful treatment of idiopathic gingival enlargement depends on proper identification of etiologic factors and improving esthetics and function through surgical excision of the over growth. However, there may be recurrence.

Amygdala and Hippocampus Enlargement during Adolescence in Autism

Science.gov (United States)

Groen, Wouter; Teluij, Michelle; Buitelaar, Jan; Tendolkar, Indira

2010-01-01

Objective: The amygdala and hippocampus are key components of the neural system mediating emotion perception and regulation and are thought to be involved in the pathophysiology of autism. Although some studies in children with autism suggest that there is an enlargement of amygdala and hippocampal volume, findings in adolescence are sparse.…

Acceleration-enlarged symmetries in nonrelativistic space-time with a cosmological constant TH1"-->

Science.gov (United States)

Lukierski, J.; Stichel, P. C.; Zakrzewski, W. J.

2008-05-01

By considering the nonrelativistic limit of de Sitter geometry one obtains the nonrelativistic space-time with a cosmological constant and Newton Hooke (NH) symmetries. We show that the NH symmetry algebra can be enlarged by the addition of the constant acceleration generators and endowed with central extensions (one in any dimension (D) and three in D=(2+1)). We present a classical Lagrangian and Hamiltonian framework for constructing models quasi-invariant under enlarged NH symmetries that depend on three parameters described by three nonvanishing central charges. The Hamiltonian dynamics then splits into external and internal sectors with new noncommutative structures of external and internal phase spaces. We show that in the limit of vanishing cosmological constant the system reduces to the one, which possesses acceleration-enlarged Galilean symmetries.

Analysis of reforming process of large distorted ring in final enlarging forging

International Nuclear Information System (INIS)

Miyazawa, Takeshi; Murai, Etsuo

2002-01-01

In the construction of reactors or pressure vessels for oil chemical plants and nuclear power stations, mono block open-die forging rings are often utilized. Generally, a large forged ring is manufactured by means of enlarging forging with reductions of the wall thickness. During the enlarging process the circular ring is often distorted and becomes an ellipse in shape. However the shape control of the ring is a complicated work. This phenomenon makes the matter still worse in forging of larger rings. In order to make precision forging of large rings, we have developed the forging method using a v-shape anvil. The v-shape anvil is geometrically adjusted to fit the distorted ring in the final circle and reform automatically the shape of the ring during enlarging forging. This paper has analyzed the reforming process of distorted ring by computer program based on F.E.M. and examined the effect on the precision of ring forging. (author)

EU Enlargement: Migration flows from Central and Eastern Europe into the Nordic countries - exploiting a natural experiment

DEFF Research Database (Denmark)

Pedersen, Peder J.; Pytlikova, Mariola

In this paper we look at migration flows from 10 Central and Eastern European Countries (CEEC) to 5 Nordic countries over the years 1985 - 2007. We exploit a natural experiment that arose from the fact that while Sweden opened its labour market from the day one of the 2004 EU enlargement......, and Finland and Iceland from year 2006, the other Nordic countries chose a transition period in relation to the "new" EU members. The results based on a differences-in-differences estimator show that the estimated effect of the opening of the Swedish, Finnish and Icelandic labour markets on migration from...... the CEECs that entered the EU in 2004 is not significantly different from zero. However, the effect of the opening of the Swedish and Finnish labour markets in 2007 on migration from the 2007 EU entrants, Bulgaria and Romania, is significantly positive. Further, we are interested in the overall effect...

Britain, France and Germany: Priorities for the European Union’s Security and Defense Policy

Science.gov (United States)

2009-12-01

David M. Triesman, “A Strong, Competitive Europe is Vital” ( Mansion House, London, 9 January 2007), Denis MacShane, “Enlarging the EU: Peace and...Europe” ( Humboldt University, Berlin, 16 May 2006), http://www.fco.gov.uk/en/newsroom/latest-news/?view=Speech&id=1893537 (accessed 18 April 2009... Humboldt University, Berlin, 16 May 2006. Howorth, Jolyon. Security and Defence Policy in the European Union. New York: Palgrave Macmillan, 2007

A Rare Case Report of Amlodipine-Induced Gingival Enlargement and Review of Its Pathogenesis

Directory of Open Access Journals (Sweden)

Sanjeev Joshi

2013-01-01

Full Text Available Gingival enlargement is a common clinical feature of gingival and periodontal diseases. It is an unwanted side effect of certain systemic drugs given for nondental treatment. It is being reported with three main groups of drugs like calcium channel blockers (CCBs, immunosuppressants, and anticonvulsants. Among calcium channel blockers, nifedipine causes gingival hyperplasia in about 10% of patients, whereas the incidence of amlodipine-, a third generation calcium channel blocker, induced gingival hyperplasia is very limited. There are very few reports of amlodipine-induced gingival enlargement at a dose of 5 mg. We report a case of amlodipine-induced gingival enlargement in a 45-year-old hypertensive patient taking amlodipine at a dose of 5 mg.

Long term follow up of idiopathic gingival enlargement associated with chronic periodontitis: A case report and review

Directory of Open Access Journals (Sweden)

Girish P Nagarale

2013-01-01

Full Text Available Background: Idiopathic gingival enlargement is a rare condition characterized by massive enlargement of the gingiva. It may be associated with other diseases/conditions characterizing a syndrome, but rarely associated with periodontitis. Case Description: This case report describes an unusual clinical form of gingival enlargement associated with chronic periodontitis. Clinical examination revealed diffuse gingival enlargement. The lesion was asymptomatic, firm, and pinkish red. Generalized periodontal pockets were observed. Radiographic evaluation revealed generalized severe alveolar bone loss. Histopathological investigations revealed atrophic epithelium with dense fibrocollagenous tissue. Lesions healed successfully following extraction and surgical excision, and no recurrence was observed after 1 year follow-up but recurrence was observed at 3 and 5-years follow-up. Clinical Implications: Successful treatment of idiopathic gingival enlargement depends on proper identification of etiologic factors and improving esthetics and function through surgical excision of the over growth. However, there may be recurrence.

The Integration of MEPs from Central and Eastern Europe into the European Parliament

Directory of Open Access Journals (Sweden)

Radko Hokovský

2012-04-01

Full Text Available This article evaluates the level of integration of Members of the European Parliament from Central and Eastern Europe in the European Parliament after the EU enlargements of 2004 and 2007. The main objective is to address the puzzle of how the European Parliament’s political groups could maintain or even increase their voting cohesion after the influx of a significantly large number of new MEPs coming from countries with different historical experience, socio-economic characteristics, and political and party systems. Three indicators of MEP integration are defined: integration into parliamentary leadership, integration into parliamentary work, and integration into voting patterns. The article uses data from the VoteWatch.eu website on MEPs’ activities and voting between the years 2004-2011, as well as data from official documents of the European Parliament and its political groups. Analysis of the data reveals that the new member states’ MEPs were significantly under-represented in parliamentary leadership and key legislative activities, despite the fact that their voting loyalty to their political groups was greater than that of their colleagues from older member states.

The European Cooperation is Facing New Challenges - Some Impact on Citizenship Education in the Netherlands

Directory of Open Access Journals (Sweden)

Henk Oonk

2014-04-01

Full Text Available The crisis in Europe constitutes a major test for the very pursuit of European integration and for its legitimacy in the eyes of the citizens. In this paper a number of striking economic aspects of the crisis will be discussed next to political tensions concerning sensitive issues. Given the decline in the support for the European integration among the public over the past years it is necessary to improve the quality of citizenship education on European issues and to use a more critical approach. Teaching and learning in a balanced manner is necessary about issues like migration, free movement, populist political parties, enlargement and other themes, besides other regular topics. In contrast to current opinions we argue that to reach not only the higher levels of secondary schools but also the lower levels a too strong social-constructivist approach is not effective. Complicated European issues need a good instruction by the teacher in combination with an attractive didactical approach that builds on a common core European orientation curriculum improving students’ knowledge and skills and thus enhancing opinions and attitudes.

Business process integration between European manufacturers and transport and logistics service providers

DEFF Research Database (Denmark)

Mortensen, Ole; Lemoine, W

2005-01-01

The goal of the Supply Chain Management process is to create value for customers, stakeholders and all supply chain members, through the integration of disparate processes like manufacturing flow management, customer service and order fulfillment. However, many firms fail in the path of achieving...... a total integration. This study illustrates, from an empirical point of view, the problems associated to SC integration among European firms operating in global/international markets. The focus is on the relationship between two echelons in the supply chain: manufacturers and their transport and logistics...... service providers (TLSPs). The paper examines (1) the characteristics of the collaborative partnerships established between manufacturers and their TLSPs; (2) to what extent manufacturers and their TLSPs have integrated SC business processes; (3) the IT used to support the SC cooperation and integration...

Disappearance of enlarged nuchal translucency before 14 weeks' gestation: relationship with chromosomal abnormalities and pregnancy outcome.

Science.gov (United States)

Müller, M A; Pajkrt, E; Bleker, O P; Bonsel, G J; Bilardo, C M

2004-08-01

The aim of this study was to investigate the natural course of enlarged nuchal translucency (NT) and to determine if its disappearance before 14 weeks' gestation is a favorable prognostic sign in relation to fetal karyotype and pregnancy outcome. A total of 147 women with increased NT (> 95th centile) at first measurement were included in this study. A second measurement was performed in all cases, at an interval of at least 2 days. Both measurements were taken between 10 + 3 and 14 + 0 weeks. All women underwent chorionic villus sampling or amniocentesis for subsequent karyotyping. In those women with a normal karyotype, a fetal anomaly scan was performed at 20 weeks' gestation. Pregnancy outcome was recorded in all cases. The finding of persistent or disappearing NT enlargement was analyzed in relation to fetal karyotype and pregnancy outcome. Of the 147 paired measurements, NT remained enlarged at the second measurement in 121 (82%) cases. An abnormal karyotype was found in 35% of these cases. In 26 (18%) fetuses the NT measurement was found to be below the 95th percentile at the second measurement and in only two of them an abnormal karyotype was found (8%). In the 103 chromosomally normal fetuses an adverse outcome (i.e. fetal loss or structural defects) was recorded in 22 fetuses with persistent enlargement (28%) and in four fetuses with disappearing enlargement (17%). Disappearance of an enlarged NT before 14 weeks' gestation is not a rare phenomenon and seems to be a favorable prognostic sign with respect to fetal karyotype. Overall, no significant difference in pregnancy outcome was found between chromosomally normal fetuses with persisting or disappearing NT enlargement. Copyright 2004 ISUOG

Main Characteristics of Nuclear Power Plants in the European Union and Candidate Countries

International Nuclear Information System (INIS)

Lillington, J.N.; Turland, B.D.; Haste, T.J.; Seiler, J.M.; Tapia, J.; Carretero, A.; Perez, T.; Geutges, A.; Sehgal, B.R.; Mattila, L.; Holmstrom, H.; Karwat, H.; Maroti, L.; Husarcek, J.

2001-10-01

The main objective was to advise the EC on future challenges and opportunities in terms of enhanced co-operation in the area of nuclear safety and harmonization of safety requirements and practices in an enlarged European Union Part of this activity was to provide a summary of the plant characteristics of the operating civil nuclear power plants in the EU Member and Candidate Countries. The present report provides these data in three formats: A reference table which lists the main characteristics of nuclear power-producing reactors operating in the European Union (EU) and Candidate Countries, as at 31 December 1999. Also included, for the sake of completeness, are data for reactors in the former Soviet Union, such as Russia and the Ukraine. The format adopted follows that in the annual International Atomic Energy Agency (IAEA) reference data report ''Nuclear Power Reactors of the World'', from which much of the information was taken; A summary table indicating totals by reactor type covering Western and Eastern Europe separately, again from IAEA sources, giving number of plant, total generating capacity and total years in operation. A list of the abbreviations for different reactor types is also provided; A set of detailed data sheets giving main plant characteristics for different reactor types ordered by country. These data sheets cover reactors in EU Member and Candidate Countries only. Details are provided on the origin of the data where these are available, so that further information may be obtained if desired and where permitted by commercial and/or proprietary considerations. (author)

Wellbore enlargement investigation: Potential analogs to the Waste Isolation Pilot Plant during inadvertent intrusion of the repository

International Nuclear Information System (INIS)

Boak, D.M.; Dotson, L.; Aguilar, R.

1997-01-01

This study involved the evaluation and documentation of cases in which petroleum wellbores were enlarged beyond the nominal hole diameter as a consequence of erosion during exploratory drilling, particularly as a function of gas flow into the wellbore during blowout conditions. A primary objective was to identify analogs to potential wellbore enlargement at the Waste Isolation Pilot Plant (WIPP) during inadvertent human intrusion. Secondary objectives were to identify drilling scenarios associated with enlargement, determine the physical extent of enlargement, and establish the physical properties of the formation in which the enlargement occurred. No analogs of sufficient quality to establish quantitative limits on wellbore enlargement at the WIPP disposal system were identified. However, some information was obtained regarding the frequency of petroleum well blowouts and the likelihood that such blowouts would bridge downhole, self-limiting the surface release of disposal-system material. Further work would be necessary, however, to determine the conditions under which bridging could occur and the extent to which the bridging might be applicable to WIPP. In addition, data on casing sizes of petroleum boreholes in the WIPP vicinity support the use of a 12-1/4 inch borehole size in WIPP performance assessment calculations. Finally, although data are limited, there was no evidence of significant wellbore enlargement in any of three blowouts that occur-red in wellbores in the Delaware Basin (South Culebra Bluff Unit No. 1, Energy Research and Development Administration (ERDA) 6, and WIPP 12)

Dissolution-Enlarged Fractures Imaging Using Electrical Resistivity Tomography (ERT)

Science.gov (United States)

Siami-Irdemoosa, Elnaz

In recent years the electrical imaging techniques have been largely applied to geotechnical and environmental investigations. These techniques have proven to be the best geophysical methods for site investigations in karst terrain, particularly when the overburden soil is clay-dominated. Karst is terrain with a special landscape and distinctive hydrological system developed by dissolution of rocks, particularly carbonate rocks such as limestone and dolomite, made by enlarging fractures into underground conduits that can enlarge into caverns, and in some cases collapse to form sinkholes. Bedding planes, joints, and faults are the principal structural guides for underground flow and dissolution in almost all karstified rocks. Despite the important role of fractures in karst development, the geometry of dissolution-enlarged fractures remain poorly unknown. These features are characterized by an strong contrast with the surrounding formations in terms of physical properties, such as electrical resistivity. Electrical resistivity tomography (ERT) was used as the primary geophysical tool to image the subsurface in a karst terrain in Greene County, Missouri. Pattern, orientation and density of the joint sets were interpreted from ERT data in the investigation site. The Multi-channel Analysis of Surface Wave (MASW) method and coring were employed to validate the interpretation results. Two sets of orthogonal visually prominent joints have been identified in the investigation site: north-south trending joint sets and west-east trending joint sets. However, most of the visually prominent joint sets are associated with either cultural features that concentrate runoff, natural surface drainage features or natural surface drainage.

Hearing loss and enlarged internal auditory canal in children.

Science.gov (United States)

Santos, Saturnino; Domínguez, M Jesús; Cervera, Javier; Suárez, Alicia; Bueno, Antonio; Bartolomé, Margarita; López, Rafael

2014-01-01

Among the temporal bone abnormalities that can be found in the etiological study of paediatric sensorineural hearing loss (SNHL) by imaging techniques, those related to the internal auditory canal (IAC) are the least frequent. The most prevalent of these abnormalities that is associated with SNHL is stenotic IAC due to its association with cochlear nerve deficiencies. Less frequent and less concomitant with SNHL is the finding of an enlarged IAC (>8mm). Retrospective and descriptive review of clinical associations, imaging, audiological patterns and treatment of 9 children with hearing loss and enlarged IAC in the period 1999 to 2012. Two groups of patients are described. The first, without association with vestibulocochlear dysplasias, consisted of: 2 patients with SNHL without other temporal bone or systemic abnormalities, one with bilateral mixed HL from chromosome 18q deletion, one with a genetic X-linked DFN3 hearing loss, one with unilateral hearing loss in neurofibromatosis type 2 with bilateral acoustic neuroma, and one with unilateral hearing loss with cochlear nerve deficiency. The second group, with association with vestibulocochlear dysplasias, was comprised of: one patient with moderate bilateral mixed hearing loss in branchio-oto-renal syndrome, one with profound unilateral SNHL with recurrent meningitis, and another with profound bilateral SNHL with congenital hypothyroidism. The presence of an enlarged IAC in children can be found in different clinical and audiological settings with relevancies that can range from life-threatening situations, such as recurrent meningitis, to isolated hearing loss with no other associations. Copyright © 2013 Elsevier España, S.L. All rights reserved.

The Fungal Defensin Family Enlarged

Directory of Open Access Journals (Sweden)

Jiajia Wu

2014-08-01

Full Text Available Fungi are an emerging source of peptide antibiotics. With the availability of a large number of model fungal genome sequences, we can expect that more and more fungal defensin-like peptides (fDLPs will be discovered by sequence similarity search. Here, we report a total of 69 new fDLPs encoded by 63 genes, in which a group of fDLPs derived from dermatophytes are defined as a new family (fDEF8 according to sequence and phylogenetic analyses. In the oleaginous fungus Mortierella alpine, fDLPs have undergone extensive gene expansion. Our work further enlarges the fungal defensin family and will help characterize new peptide antibiotics with therapeutic potential.

Analysis of the Voting Method used in the European Central Bank

Directory of Open Access Journals (Sweden)

Honorata Sosnowska

2013-01-01

Full Text Available Game theoreticians usually deal with standard voting methods such as plurality voting or approval voting. In reality however, some complicated non-standard voting methods are used. In this paper the voting method and rotation scheme have been presented used by the Governing Council of the European Central Bank (ECB, as it enlarges to accommodate new members of the economic and monetary union. We present game theoretical approaches for analyzing this method and different methods of computing the Shapley value for games connected with voting under such rotation schemes. (original abstract

[Non-neoplastic enlargement of salivary glands: clinico-histologic analysis].

Science.gov (United States)

González Guevara, Martha Beatriz; Torres Tejero, Marco Antonio; Martínez Mata, Guillermo

2005-01-01

We carried out a retrospective study on non-neoplastic enlargement of the salivary glands at the Oral Histopathology Diagnostic Center of the Autonomous Metropolitan University at Xochimilco (UAM-Xochimilco) in Mexico during a period of 24 years (1979-2003). From 5,625 biopsies received and analyzed, a total of 461 (8.2%) were non-neoplastic enlargement of the salivary glands; for each case, we registered demographic data as well as clinic characteristics. These lesions were characterized as a heterogeneous group of pathologic entities among which we included local, obstructive, infectious, and immunopathologic lesions. The most frequent lesion was the extravasation cyst in 341 (74%) cases, followed by chronic sialoadenitis and Sjögren's syndrome with 54 (11.7%) and 41 (8.8%) cases, respectively, and at a lesser percentage mucous retention cyst, sialosis, benign lymphoepithelial lesions and those related with sialolytes. Females were affected more frequently; mean age was second to third life decades. These lesions were most frequently localized on inferior labial mucosa.

Trade integration and synchronization of shocks : implications for EU enlargement

Czech Academy of Sciences Publication Activity Database

Babetskii, Ian

2005-01-01

Roč. 13, č. 1 (2005), s. 105-138 ISSN 0967-0750 Institutional research plan: CEZ:AV0Z70850503 Keywords : EU enlargement * business cycle * trade Subject RIV: AH - Economics Impact factor: 0.774, year: 2005

Parotid enlargement in children with AIDS

International Nuclear Information System (INIS)

Soberman, N.; Leonidas, J.C.; Berdon, W.E.; Haller, J.O.; Posner, M.; Bonagura, V.

1990-01-01

PURPOSE: Painless parotid enlargement has been recently reported as a sign of AIDS, but little is known of the imaging characteristics of parotid involvement in affected children. The aim of this paper is to use US, CT and MR imaging to determine the anatomic changes of the parotid; study their possible association with pulmonary lymphoid hyperplasia (PLH); and define the immunologic parameters and clinical course. Eighteen children were evaluated clinically, radiologically, and immunologically. All patients underwent US of the parotids and chest radiography; some children had CT of the chest and MR imaging of the parotids

Diagnosis Of Thyroid Enlargement: Use Of Fine Needle Aspiration ...

African Journals Online (AJOL)

One hundred and ten Fine Needle Aspiration Biopsies (FNAC) obtained from 87 patients with thyroid enlargement or nodules were retrospectively reviewed. Aspiration biopsy was accomplished using 21-gauge needle attached with 20-ml plastic syringe. There were 14 males and 73 females involved in the study. Sixty- four ...

Characteristics and significance of D-tagatose-induced liver enlargement in rats: An interpretative review.

Science.gov (United States)

Bär, A

1999-04-01

This review addresses the issue of asymptomatic liver enlargement in rats. It was necessitated by the observation of significantly increased liver weights in rats fed diets with 10 to 20% D-tagatose, a potential new bulk sweetener, for between 28 and 90 days. Increases of liver size without accompanying histopathological changes or impairment of organ function have been observed in rats in response to the ingestion of various xenobiotic compounds (including some food additives), changes of dietary composition (e.g. , high doses of fructose and sucrose), metabolic aberrations (e.g., diabetes), as well as normal pregnancy and lactation. The underlying mechanism(s) are not yet understood in detail but peroxisome proliferation, microsomal enzyme induction, increased storage of glycogen or lipids, and hyperfunction due to an excessive workload are well-established causes of hepatomegaly in rats. In D-tagatose- and fructose-fed rats, a treatment-related increase of hepatic glycogen storage was identified as a likely cause of the liver enlargement. Dietary levels of 5% and about 15-20% were determined as no-effect levels (NOEL) for D-tagatose- and fructose-induced liver enlargement, respectively. At doses above the NOEL, D-tagatose is about four times more efficient than fructose in inducing liver enlargement. On the other hand, the estimated intake of D-tagatose from its intended uses in food is about four times lower than the actual fructose intake. Consequently, a similar safety margin would apply for both sugars. Considering the similarity of the liver effects in rats of fructose, a safe food ingredient, and D-tagatose, the absence of histopathological changes in rats fed a diet with 20% D-tagatose for 90 days, and the absence of adverse long-term consequences of glycogen-induced liver enlargement in rats, it is concluded that the observed liver enlargement in D-tagatose-fed rats has no relevance for the assessment of human safety of this substance. Copyright 1999

Enlargement gingival treatment on teeth 11 and 21

Directory of Open Access Journals (Sweden)

Umi Ghoni Tjiptoningsih

2016-12-01

Full Text Available Gingival enlargement in the interdental papillae, thickened, rounded gingival contour and discomfort became major issues that must be treated in order to be optimal appearance and function. Gingival enlargement that experienced fibrosis would not disappear with only plaque control, but required surgery that is gingivectomy and gingivoplasty. The 24-year-old woman came to the periodonsia clinic with complaints maxillary anterior gingiva swelled at teeth 11-21 with plaque index 52%. The depth of the tooth pocket 11: labial (mesial: 4, medial: 1, distal: 3. Palatal (mesial: 3, medial: 2, distal 1. The depth of the tooth pocket 21 is labial (mesial: 4, medial: 1, distal: 1, palatal (mesial: 3, medial: 1, distal 1. Gingivectomy treatment and gingivoplasty were performed with the aim of eliminating pockets and restore physiologic gingival contour which can help prevent the recurrence of the disease periodontal. In performing surgical gingivectomy and gingivoplasty, which must be considered is to minimize the disposal of gingival tissue to maintain the aesthetic, adequate access to the bone defect in order to make good corrections, and the minimization of bleeding and discomfort after surgery.

Preventive effect of aggressive blood pressure lowering on hematoma enlargement in patients with ultra-acute intracerebral hemorrhage

International Nuclear Information System (INIS)

Nishikawa, Tomofumi; Ueba, Tetsuya; Kajiwara, Motohiro; Iwata, Ryoichi; Yamashita, Kohsuke; Miyamatsu, Naomi

2010-01-01

The preventive effect of aggressive blood pressure lowering on hematoma enlargement was investigated in patients with ultra-acute spontaneous intracerebral hemorrhage (ICH). Retrospective review of 248 patients (145 males, 103 females) with spontaneous ICH treated in our hospital between 2005 and 2008 identified patients with ultra-acute ICH who were directly taken to our institute by ambulance within 3 hours after onset. Patients who could not be assessed twice by computed tomography (CT) within 24 hours after arrival were excluded. Systolic blood pressure (SBP) was aggressively controlled in all patients using intravenous nicardipine to below 140 mmHg as soon as possible after diagnosis of ICH with CT. Hematoma enlargement was defined as increase in volume of more than 33% or more than 12.5 ml in the first 24 hours. Hematoma enlargement was observed in 11 of the 73 patients (15.0%). The time course of SBP change was not significantly different in patients with and without hematoma enlargement. The incidence of hematoma enlargement in patients with ultra-acute ICH in this study was 15.0%, which was lower than that in other series in which blood pressure was not reduced aggressively. This finding suggests that aggressive SBP lowering to below 140 mmHg has a preventive effect on hematoma enlargement in patients with ultra-acute ICH. (author)

Association between gingivitis and anterior gingival enlargement in subjects undergoing fixed orthodontic treatment

Science.gov (United States)

Zanatta, Fabricio Batistin; Ardenghi, Thiago Machado; Antoniazzi, Raquel Pippi; Pinto, Tatiana Militz Perrone; Rösing, Cassiano Kuchenbecker

2014-01-01

Objective The aim of this study was to investigate the association among gingival enlargement (GE), periodontal conditions and socio-demographic characteristics in subjects undergoing fixed orthodontic treatment. Methods A sample of 330 patients undergoing fixed orthodontic treatment for at least 6 months were examined by a single calibrated examiner for plaque and gingival indexes, probing pocket depth, clinical attachment loss and gingival enlargement. Socio-economic background, orthodontic treatment duration and use of dental floss were assessed by oral interviews. Associations were assessed by means of unadjusted and adjusted Poisson's regression models. Results The presence of gingival bleeding (RR 1.01; 95% CI 1.00-1.01) and excess resin around brackets (RR 1.02; 95% CI 1.02-1.03) were associated with an increase in GE. No associations were found between socio-demographic characteristics and GE. Conclusion Proximal anterior gingival bleeding and excess resin around brackets are associated with higher levels of anterior gingival enlargement in subjects under orthodontic treatment. PMID:25162567

State Power and the Acquis Communautaire in the European Community of the early 1970s

DEFF Research Database (Denmark)

Rasmussen, Morten

2007-01-01

This article analyses in a historical perspective the so-called acquis communautaire, i.e. the body of law, rules, including informal decisions/norms, taken by the European Community/European Union. In the first part of the article the early history of the concept from the establishment of the EC...... in 1958 to the early 1970s is analysed. The second part of the article analyses the impact of the acquis communautaire on the way the EC negotiated during the first successful enlargement negotiations from 1970 to 1972 with Denmark, Ireland, Norway and Britain. The article demonstrates empirically...... that even if national governments continued to play a leading role in European cooperation, the existence of a common body of law, rules and norms was difficult for single governments to set aside in their pursuance after of narrow national interest. This did not mean that laws could not be bent, or broken...

Quantifying the prevalence of fuel poverty across the European Union

International Nuclear Information System (INIS)

Thomson, Harriet; Snell, Carolyn

2013-01-01

The literature and policy base for fuel poverty in the UK and Ireland is well established, and there is a growing body of single country studies beyond these two EU member states (for example Brunner et al. (2012), Dubois (2012), and Tirado Herrero and Ürge-Vorsatz (2010)), however, on a European level, the last analysis of fuel poverty was conducted in 2004, prior to the enlargement of the EU. Using survey data this paper presents an updated overview of the prevalence of European fuel poverty in the context of the accession of numerous former social states, and rising fuel prices. Analysis reveals the phenomenon of fuel poverty is occurring across the EU, with particularly high levels of fuel poverty found in Eastern and Southern European states. It is argued that there are both EU and national policy frameworks in place that address climate change and these could be used as a starting point for countries to address fuel poverty through improved domestic energy efficiency measures. This paper reflects research undertaken in 2011, supported by eaga Charitable Trust, within the umbrella of work examining issues of poverty and social exclusion across the EU, which has enabled access to the EU-SILC dataset. - Highlights: ► This research is the first comparative analysis of European fuel poverty since 2004. ► Fuel poverty is a particular problem for eastern and southern European member states. ► Recommendations include the improved integration with current EU climate policies.

Morphology and morphometry of the human sublingual glands in mouth floor enlargements of edentulous patients

Directory of Open Access Journals (Sweden)

Josiane Costa Rodrigues de SA

2013-12-01

Full Text Available Asymptomatic mouth floor enlargements may be observed in edentulous patients. These masses, which protrude from the mouth floor, may complicate the fitting of dentures and require surgery. Whether this "entity" may be considered an anatomical variation of the mouth floor or represent specific alterations in the sublingual gland is not known. Objective: The aim of this work is to investigate the morphological and morphometric aspects of the sublingual glands of edentulous patients with mouth floor enlargements and compare the glands of these patients with the sublingual glands of human cadavers. Material and Methods: Microscopic evaluation was performed on human sublingual glands from edentulous patients with mouth floor enlargements (n=20 and edentulous cadavers (n=20. The patients and cadavers were of similar ages. The data were compared using Mann-Whitney U, Fisher's exact and Student's t tests (p0.05. Only the variables "autolysis" and "congested blood vessels" presented statistical difference between groups (p=0.014; p=0.043. The morphometric study revealed that the volume densities of acini, ducts, stroma and adipose tissue were similar between the groups (p>0.05. CONCLUSION: The microscopic characteristics of the sublingual glands in mouth floor enlargements in edentulous patients correspond to characteristics associated with the normal aging process. The glands are not pathological and represent an age-related alteration that occurs with or without the presence of the mouth floor enlargements.

The European Union in International Politics: Acting as a Global Civilian Power (GCP

Directory of Open Access Journals (Sweden)

Bedrudin Brljavac

2011-01-01

Full Text Available During the Cold War the European Community lacking common military instruments was perceived as the example of a civilian power. However, in the early 1990s, under the framework of CFSP, the first concrete defence initiatives have been launched. By the end of the 1990s and after the agreement on the Common Security and Defence Policy (CSDP the first Rapid Reaction Forces were on the European military agenda. Such defence and military capabilities challenged the idea of the EU as a civil or civilian power. Thus, a main concern in the paper has been to assess the character and identity of the EU`s activities in the context of international relations. For this purpose, this study has explored the EU policy instruments such as the enlargement policy, external aid, environmental policy at the global level, multilateralism, and the EU armed forces. The study concludes that the enlargement policy accounts for an important EU strategy to shape the international environment through civilian means. Furthermore, the international aid policy of the EU states has primarily been based on the sense of duty to other countries as constructivists point out. The EU has also been vocal and has used environmental foreign policy as an instrument to demonstrate its global leadership role which is a clear indication of its commitment to global welfare. Thanks to its presence in the major multilateral interventions of the last decade, the EU has qualified itself as great supporter of multilateralism. Lastly, the EU military capabilities are not achieved by creating permanent European armed forces but are still based on the voluntary contributions of its member states. Therefore, the EU still can be portrayed as a global civilian power (GCP or civilian power Europe (CPE.

E-CUSTOMS PROGRAMME - NEW QUALITY OF SERVICES PROVIDED BY CUSTOMS ADMINISTRATIONS TO EUROPEAN BUSINESS

Directory of Open Access Journals (Sweden)

Małgorzata Czermińska

2016-09-01

Full Text Available E-Customs initiative includes a number of IT projects, organizational and legal measures. They are designed to creation of a simple and paperless environment for trade and customs, to short the duration of customs clearance and to ensure an appropriate level of security of commercial transactions. Modern customs administration must operate on the basis of advanced infrastructure in the field of information and communication technologies. Only then will it be able to provide cheaper and more efficient customs services. Therefore, the greatest challenge and the main goal of the e-Customs programme is to harmonize customs procedures and systems in the 28 Member States. The article describes the assumptions and objectives of the e-Customs, presents its genesis and evolution. Particular attention was paid to the activities that are aimed at improving the quality of customs services provided to European companies.

Enlargement of thalamic nuclei in Tourette syndrome

DEFF Research Database (Denmark)

Miller, Ann M; Bansal, Ravi; Hao, Xuejun

2010-01-01

CONTEXT: The basal ganglia and thalamus together connect in parallel closed-loop circuits with the cortex. Previous imaging studies have shown modifications of the basal ganglia and cortical targets in individuals with Tourette syndrome (TS), but less is known regarding the role of the thalamus......-subcortical circuits constitute an anatomical crossroad wherein enlargement of motor nuclei may represent activity-dependent hypertrophy within this component of cortical-subcortical motor circuits, or an adaptive response within a larger putative compensatory system that could thereby directly modulate activity...

Immunoglobulin G4-related dacyroadenitis presenting as bilateral chorioretinal folds from severely enlarged lacrimal glands

Directory of Open Access Journals (Sweden)

Toru Kurokawa

2018-03-01

Conclusions and importance: This is the first account of chorioretinal fold formation by severely enlarged lacrimal glands appearing in IgG4-related dacryoadenitis. Chorioretinal fold formation by an enlarged lacrimal gland occurring bilaterally may represent a basis for suspecting IgG4-related dacryoadenitis. Prompt treatment is recommended for patients presenting with very large lacrimal glands to avoid visual impairment.

Fossil fuel power generation within the European Research Area

Energy Technology Data Exchange (ETDEWEB)

NONE

2003-12-10

The report is the first in a series of three produced by the PowerClean Thematic Network that looks at and defines future requirements for research and development of fossil fuel power generation in the European Union. It makes the case for fossil fuel R & D with emphasis on the need for clean coal technologies (to increased efficiency and other CO{sub 2} capture and storage) For satisfying future energy demands of the enlarged European Union between now and 2030. The report concludes that affirmative R, D and D action is needed to support the EU power industry, working together on a Europe-wide basis, to establish the use of coal and other fossil fuels in near-zero emissions power plant. The role model would be the European Research Area, as in the Sixth Framework Programme (FP6), but with a more comprehensive range of technical objectives recognising the importance of fossil fuels. Section headings are: introduction; current energy use; future needs and requirements; the future for clean fossil fuel energy in Europe; comparison with approaches adopted elsewhere (USA Vision 21 and FutureGen programmes, Japan); and responsibilities for EU coal R, D & D. 14 refs., 9 figs., 4 tabs.

THE ROLE OF ECONOMIC POLICIES FOR EXTERNAL CROSSBORDER AREAS IN SHAPING THE NEW EUROPEAN UNION

Directory of Open Access Journals (Sweden)

Marcela Șlusarciuc

2012-06-01

Full Text Available As history proves, any enlargement of an overstate structure produces disarticulation and an increase of pressure on the borders of it. On the other side the economy produces integrative effects along the border despite of the original significance of separation that a border has. The crossborder policies of the European Union as regional player are meant to contribute to the economic structure building and enhance the stability inside and outside the Union area. Setting up the normative framework for crossborder relations is a very present-day field, being subject of study and research in all Union bodies, in the Member States governments, candidate countries or beneficiaries of the relations with the Union as well. This normative framework is meant to propel the economic increase and the raise of the daily life conditions in the neighbor countries. Alongside the border there are happening complex phenomena, some of them easy to be quantified, such as economic ones, some of them more difficult that cannot be controlled but only sociologically researched, such as cultural-identity-emotional ones. The paper aims to draw the guiding marks of the European Union external crossborder areas and the crossborder cooperation frame for Romania, to identify already visible and potential effects of the enlargement on the external borders and to make an inventory of policies that should integrate the crossborder economy.

OneGeology-Europe: architecture, portal and web services to provide a European geological map

Science.gov (United States)

Tellez-Arenas, Agnès.; Serrano, Jean-Jacques; Tertre, François; Laxton, John

2010-05-01

OneGeology-Europe is a large ambitious project to make geological spatial data further known and accessible. The OneGeology-Europe project develops an integrated system of data to create and make accessible for the first time through the internet the geological map of the whole of Europe. The architecture implemented by the project is web services oriented, based on the OGC standards: the geological map is not a centralized database but is composed by several web services, each of them hosted by a European country involved in the project. Since geological data are elaborated differently from country to country, they are difficult to share. OneGeology-Europe, while providing more detailed and complete information, will foster even beyond the geological community an easier exchange of data within Europe and globally. This implies an important work regarding the harmonization of the data, both model and the content. OneGeology-Europe is characterised by the high technological capacity of the EU Member States, and has the final goal to achieve the harmonisation of European geological survey data according to common standards. As a direct consequence Europe will make a further step in terms of innovation and information dissemination, continuing to play a world leading role in the development of geosciences information. The scope of the common harmonized data model was defined primarily by the requirements of the geological map of Europe, but in addition users were consulted and the requirements of both INSPIRE and ‘high-resolution' geological maps were considered. The data model is based on GeoSciML, developed since 2006 by a group of Geological Surveys. The data providers involved in the project implemented a new component that allows the web services to deliver the geological map expressed into GeoSciML. In order to capture the information describing the geological units of the map of Europe the scope of the data model needs to include lithology; age; genesis and

CT appearance of hilar and mediastinal enlarged lymph nodes of coal worker's pneumoconiosis

International Nuclear Information System (INIS)

Ma Daqing; Guan Yansheng; Tang Hongqu; He Wen; Chen Budong; Zhang Yansong; Li Jun

2000-01-01

Objective: To study the CT appearance of the hilar and mediastinal enlarged lymph nodes in coal worker's pneumoconiosis (CWP), its pathological basis and diagnostic value for CWR complicated with lung cancer. Methods: (1) Twelve isolated lungs with CWP obtained at autopsy were inflated and fixed. CT scan was performed. The pathologic findings of enlarged lymph nodes were identified. (2) CT findings of hilar and mediastinal enlarged lymph nodes of 71 cases with CWP and 22 cases of CWP complicated with lung cancer were analyzed. Results: (1) Most of the enlarged hilar and mediastinal lymph nodes in simple CWR was in third stage of fibrosis. The fourth stage of fibrosis was only seen in lymph nodes of a case with complicated CWP. In this case the necrotic materials of lymph nodes eroded adjacent bronchi and vessels, and coalesced with progressive massive fibrosis (PMF). (2) The average number of lymph nodes in cases of complicated CWP was more than that of simple CWP (P 2 cm was 7.4%. (3) The prevalence of lymph nodes calcification in CWP was 61.1%, but egg shell calcification was only 14.7%. (4) In the cases of CWP complicated with lung cancer, lymph node > 2 cm was 20.8%, that was more than CWP (P 3 cm was 7.6%. Conclusion: Lymph nodes up to 1 cm may have dust fibrosis and coal silicosis nodules. The lymph nodes >2 cm is more common in CWP complicated with lung cancer than in simple CWP. The lymph nodes > 3 cm indicates higher probability of CWP with lung cancer than PMF

The eastward enlargement of the eurozone: social and policy aspects in Portugal, Spain and Italy

OpenAIRE

Galego, Aurora; Caétano, José; Costa, Sofia; Liiv, Reilika

2003-01-01

This report explores some features of the social dimension of enlargement regarding the Southern EU-Member countries, namely Portugal, Spain and Italy. Economic theory suggests that integration may affect wages, employment and income distribution through changes on trade, FDI and migration flows. By removing all barriers to the free movement of goods and services, capital and labour, Eastward Enlargement will affect the location of economic activities, innovation, and technology. Subsequently...

Orbital T-Cell Lymphoma with Discrete Enlargements of All Extraocular Muscles Bilaterally in Patient with Moon Face Countenance

Directory of Open Access Journals (Sweden)

Hideaki Kawakami

2017-01-01

Full Text Available Purpose. To report our findings in a case of orbital T-cell lymphoma in which all of the extraocular muscles (EOMs were bilaterally and discretely enlarged and the patient had a moon face countenance. Case. A 59-year-old woman presented with visual disturbances in her left eye, hyperemia in both eyes, and a moon face countenance. Examinations showed limited upward gaze in the right eye, blepharoptosis, hypertropia, and limited downward and rightward gaze in the left eye. Slit-lamp examination showed only chemosis and hyperemia of both eyes. Magnetic resonance imaging with contrast revealed discrete enlargements of the muscle bellies in all EOMs without abnormalities of the orbital fat in both eyes. Blood examinations excluded thyroid- and IgG4-related ophthalmopathy, and EOM biopsy revealed peripheral T-cell lymphoma. After beginning aggressive chemotherapy, the enlarged EOMs, limited eye motility, and moon face countenance improved. Unfortunately, the patient died of sepsis during the chemotherapy. Conclusions. A lymphoma should be included in the differential diagnosis of eyes with enlarged EOMs. Because lymphomas can lead to death, it is important for clinicians to consider lymphomas in eyes with enlarged EOMs.

Business cycle synchronization among member countries of Eurozone during the process of European integration

Directory of Open Access Journals (Sweden)

Svatopluk Kapounek

2007-01-01

Full Text Available The paper deals with the correlation of the business cycles between the Eurozone member states in the period 1957–2003. The analysed period is divided into the four parts (1959–1972, 1973–1985, 1986–1994, 1995–2003, which correspond to integration waves and relate approximately to the European integration process. The empirical analysis is based on the time series correlation. The authors discuss the impact of the EC enlargements on the business cycles correlation as well as on qualitative changes in the interaction between the states.

INDIUM AND ZINC MEDIATED ONE-ATOM CARBOCYCLE ENLARGEMENT IN WATER. (R822668)

Science.gov (United States)

AbstractSix-, seven-, eight-membered rings are enlarged by one carbon-atom into seven-, eight- and nine-membered ring derivatives respectively, via indium or zinc mediated reactions in aqueous medium.

Compositional Approach to Designing Fcc High-Entropy Alloys that Have an Enlarged Equiaxed Zone

Directory of Open Access Journals (Sweden)

Minju Kang

2018-01-01

Full Text Available A compositional approach to designing alloys that have an enlarged equiaxed zone is suggested in this study. The partitioning of elements during the solidification of CoCrFeMnNi high-entropy alloy (HEA was confirmed through a directional solidification quenching experiment. Several HEAs were designed to maximize the effects of constitutional and thermal undercooling by considering factors including solute enrichment at the columnar front and the melting temperatures and thermal conductivities of the individual elements. The newly designed HEAs were shown to have successfully enlarged equiaxed zones, and improved anisotropic properties.

Significant Risk Factors for Postoperative Enlargement of Basal Ganglia Hematoma after Frameless Stereotactic Aspiration: Antiplatelet Medication and Concomitant IVH.

Science.gov (United States)

Son, Wonsoo; Park, Jaechan

2017-09-01

Frameless stereotactic aspiration of a hematoma can be the one of the treatment options for spontaneous intracerebral hemorrhage in the basal ganglia. Postoperative hematoma enlargement, however, can be a serious complication of intracranial surgery that frequently results in severe neurological deficit and even death. Therefore, it is important to identify the risk factors of postoperative hematoma growth. During a 13-year period, 101 patients underwent minimally invasive frameless stereotactic aspiration for basal ganglia hematoma. Patients were classified into two groups according to whether or not they had postoperative hematoma enlargement in a computed tomography scan. Baseline demographic data and several risk factors, such as hypertension, preoperative hematoma growth, antiplatelet medication, presence of concomitant intraventricular hemorrhage (IVH), were analysed via a univariate statistical study. Nine of 101 patients (8.9%) showed hematoma enlargement after frameless stereotactic aspiration. Among the various risk factors, concomitant IVH and antiplatelet medication were found to be significantly associated with postoperative enlargement of hematomas. In conclusion, our study revealed that aspirin use and concomitant IVH are factors associated with hematoma enlargement subsequent to frameless stereotactic aspiration for basal ganglia hematoma.

Principles of European Contract Law

DEFF Research Database (Denmark)

Lando, Ole; Beale, Hugh

This text provides a comprehensive guide to the principles of European contract law. They have been drawn up by an independent body of experts from each Member State of the EU, under a project supported by the European Commission and many other organizations. The principles are stated in the form...... of articles, with a detailed commentary explaining the purpose and operation of each article and its relation to the remainder. Each article also has extensive comparative notes surveying the national laws and other international provisions on the topic. "The Principles of European Contract Law Parts I &...... in developing a common European legal culture. The European Parliament has twice called for the creation of a European Civil Code. The principles of European contract law are essential steps in these projects. This text provides a comprehensive guide to the Principles of European contract law. They have been...

European origin of placodont marine reptiles and the evolution of crushing dentition in Placodontia.

Science.gov (United States)

Neenan, James M; Klein, Nicole; Scheyer, Torsten M

2013-01-01

Sauropterygia was the most successful marine reptile radiation in history, spanning almost the entire Mesozoic and exploiting a wide range of habitats and ecological niches. Here we report a new, exceptionally preserved skull of a juvenile stem placodont from the early Middle Triassic of the Netherlands, thus indicating a western Tethyan (European) origin for Placodontia, the most basal group of sauropterygians. A single row of teeth on an enlarged palatine supports this close relationship, although these are small and pointed instead of broad and flat, as is the case in placodonts, which demonstrate the strongest adaptation to a durophagous diet known in any reptile. Peg-like, slightly procumbent premaxillary teeth and an 'L-shaped' jugal also confirm a close relationship to basal placodonts. The new taxon provides insight into the evolution of placodont dentition, representing a transitional morphology between the plesiomorphic diapsid condition of palatal denticles and the specialized crushing teeth of placodonts.

Effects of Q-switched and long-pulsed 1064 nm Nd:YAG laser on enlarged facial pores.

Science.gov (United States)

Lee, Chang Nam; Kim, You Jeong; Lee, Hyun Seung; Kim, Hei Sung

2009-12-01

'Enlarged facial pore' is a subjective term, which is not clearly defined but often complained by many. A diverse range of treatments are used though evidence of efficacy remains largely anecdotal. We report a series of nine patients who underwent a split face trial with Q-switched 1064 nm Nd:YAG and long-pulsed 1064 nm Nd:YAG laser to treat enlarged facial pores.

Micro-CT analyses of apical enlargement and molar root canal complexity

DEFF Research Database (Denmark)

Markvart, Merete; Darvann, Tron Andre; Larsen, Per

2012-01-01

AIM: To compare the effectiveness of two rotary hybrid instrumentation techniques with focus on apical enlargement in molar teeth and to quantify and visualize spatial details of instrumentation efficacy in root canals of different complexity. METHODOLOGY: Maxillary and mandibular molar teeth wer...

European mobility cultures

DEFF Research Database (Denmark)

Haustein, Sonja; Nielsen, Thomas A. Sick

2016-01-01

More targeted European policies promoting green travel patterns require better knowledge on differing mobility cultures across European regions. As a basis for this, we clustered the EU population into eight mobility styles based on Eurobarometer data. The mobility styles - including, for example...... positions on the path towards sustainable mobility and therefore different requirements towards European platforms and support measures, e.g. for 'Sustainable Urban Mobility Plans'. The country clusters can provide a starting point for future communication and targeting of European efforts in sustainable...

European Clearinghouse for Nuclear Power Plants Operational Experience Feedback

International Nuclear Information System (INIS)

Martin Ramos, M.; Noel, M.

2010-01-01

In the European Union, in order to support the Community activities on operational experience, a centralized regional network on nuclear power plants operational experience feedback (European Clearinghouse on Operational Experience Feedback for Nuclear Power Plants) was established in 2008 at the EC JRC-IE, Petten (The Netherlands) on request of nuclear Safety Authorities of several Member States. Its main goal is to improve the communication and information sharing on OEF, to promote regional collaboration on analyses of operational experience and dissemination of the lessons learned. The enlarged EU Clearinghouse was launched in April 2010, and it is currently gathering the Regulatory Authorities of Finland, Hungary, Lithuania, the Netherlands, Romania, Slovenia, Switzerland, Bulgaria, Czec Republic, France, Germany, Slovak Republic, and Spain (these last six countries as observers). The OECD Nuclear Energy Agency, the IAEA, the EC Directorates General of the JRC and ENER are also part of the network. Recently, collaboration between some European Technical Support Organizations (such IRSN and GRS) and the EU Clearinghouse has been initiated. This paper explains in detail the objectives and organization of the EU Clearinghouse, as well as the most relevant activities carried out, like research work in trend analysis of events ocurred in NPP, topical reports on particular events, dissemination of the results, quarterly reports on events reported publicly and operational experience support to the members of the EU Clearinghouse. (Author)

The European Location Framework - from National to European

Science.gov (United States)

Pauknerova, E.; Sidlichovsky, P.; Urbanas, S.; Med, M.

2016-06-01

The European Location Framework (ELF) means a technical infrastructure which will deliver authoritative, interoperable geospatial reference data from all over Europe for analysing and understanding information connected to places and features. The ELF has been developed and set up through the ELF Project, which has been realized by a consortium of partners (public, private and academic organisations) since March 2013. Their number increased from thirty to forty in the year 2016, together with a project extension from 36 to 44 months. The project is co-funded by the European Commission's Competitiveness and Innovation Framework Programme (CIP) and will end in October 2016. In broad terms, the ELF Project will deliver a unique gateway to the authoritative reference geospatial information for Europe (harmonised pan-European maps, geographic and land information) sourced from the National Mapping and Cadastral Authorities (NMCAs) around Europe and including transparent licensing. This will be provided as an online ELF web service that will deliver an up-to-date topographic base map and also as view & download services for access to the ELF datasets. To develop and build up the ELF, NMCAs are accompanied and collaborate with several research & academia institutes, a standardisation body, system integrators, software developers and application providers. The harmonisation is in progress developing and triggering a number of geo-tools like edge-matching, generalisation, transformation and others. ELF will provide also some centralised tools like Geo Locator for searching location based on geographical names, addresses and administrative units, and GeoProduct Finder for discovering the available web-services and licensing them. ELF combines national reference geo-information through the ELF platform. ELF web services will be offered to users and application developers through open source (OSKARI) and proprietary (ArcGIS Online) cloud platforms. Recently, 29 NMCAs plus the

Innovative treatment modalities for urinary incontinence: a European survey identifying experience and attitude of healthcare providers.

Science.gov (United States)

Kastelein, Arnoud W; Dicker, Maarten F A; Opmeer, Brent C; Angles, Sonia S; Raatikainen, Kaisa E; Alonso, Joan F; Tăut, Diana; Airaksinen, Olavi; Cardozo, Linda D; Roovers, Jan-Paul W R

2017-11-01

Urinary incontinence is a common condition in women, with a reported prevalence ranging from 25% to 51%. Of these women, an estimated 38% suffer from stress urinary incontinence (SUI). A European research consortium is investigating an innovative system based on information and communication technology for the conservative treatment of women with SUI. When introducing a new intervention, implementation barriers arise and need to be identified. Therefore, we investigated healthcare providers' experience with and attitude towards innovative care options. We performed an online survey to assess (1) the characteristics and practice of healthcare providers, (2) current protocols for SUI, (3) current use of biofeedback, and (4) knowledge about serious gaming. The survey was sent to members of professional societies in Europe (EUGA), UK (BSUG) and The Netherlands (DPFS). Of 341 questionnaires analyzed (response rate between 18% and 30%), 64% of the respondents had access to a protocol for the treatment of SUI, and 31% used biofeedback when treating patients with SUI. However, 92% considered that biofeedback has a clear or probable added value, and 97% of those who did not use biofeedback would change their practice if research evidence supported its use. Finally, 89% of respondents indicated that they had no experience of serious gaming, but 92% considered that it could be useful. Although inexperienced, European urogynecologists and physical therapists welcome innovative treatment options for the conservative treatment of SUI such as portable wireless biofeedback and serious gaming. Scientific evidence is considered a prerequisite to incorporate such innovations into clinical practice.

Readability assessment of online patient education materials provided by the European Association of Urology.

Science.gov (United States)

Betschart, Patrick; Zumstein, Valentin; Bentivoglio, Maico; Engeler, Daniel; Schmid, Hans-Peter; Abt, Dominik

2017-12-01

To assess the readability of the web-based patient education material provided by the European Association of Urology. English patient education materials (PEM) as available in May 2017 were obtained from the EAU website. Each topic was analyzed separately using six well-established readability assessment tools, including Flesch-Kincaid Grade Level (FKGL), SMOG Grade Level (SMOG), Coleman-Liau Index (CLI), Gunning Fog Index (GFI), Flesch Reading Ease Formula (FRE) and Fry Readability Graph (FRG). A total of 17 main topics were identified of which separate basic and in-depth information is provided for 14 topics. Calculation of grade levels (FKGL, SMOG, CLI, GFI) showed readability scores of 7th-13th grade for basic information, 8th-15th grade for in-depth information and 7th-15th grade for single PEM. Median FRE score was 54 points (range 45-65) for basic information and 56 points (41-64) for in-depth information. The FRG as a graphical assessment revealed only 13 valid results with an approximate 8th-17th grade level. The EAU provides carefully worked out PEM for 17 urological topics. Although improved readability compared to similar analyses was found, a simplification of certain chapters might be helpful to facilitate better patient understanding.

Current policy and research on radioactive waste management in the European Union

International Nuclear Information System (INIS)

Forsstroem, H.; Taylor, D.M.

2000-01-01

Each Member State of the European Union is responsible for the safe management and disposal of the radioactive waste produced on its own territory. This includes setting the policy and taking the necessary steps to ensure that the radioactive waste does not constitute a threat to the health of workers and to the general public. For the practical implementation of the policy, specific waste management organizations have been established. Extensive cooperation, not least in the area of research, is taking place between these organizations and between the regulatory authorities, both bilaterally and through the European Commission. Cooperation takes place through the European Commission by two different mechanisms, the Community Plan of Action in the field of radioactive waste and the EURATOM framework programme on research and training. In view of the future enlargement of the European Union, the Commission is also actively involved in the development of waste management practices in the Central and Eastern European countries. Waste management is also an important aspect of the Tacis and other nuclear safety support programmes to the States of the former Soviet Union. The general policies for waste management in all Member States are in harmony with the Joint Convention on the Safety of Spent Fuel Management and on the Safety of Radioactive Waste Management. The specific policies are, however, dependent on the specific conditions of that State, e.g. the existence, size and time perspective of the nuclear power programme, the geological formations available for disposal (clay, salt, crystalline rock), etc. The management of short lived waste is an established practice in many Member States and the research needs are consequently low. Most of the policy efforts and research are thus dedicated to the management, treatment, conditioning and geological disposal of long lived waste and spent fuel. Each Member State with a nuclear power programme also has an important

The security of energy supply. The European Commission's Green Paper stimulates debate

International Nuclear Information System (INIS)

2000-01-01

The growing dependence of the European Union (EU) on external supplies of energy is the central focus of a ''Green Paper'' issued in late November 2000 by the Commission of the European Communities in Brussels. Entitled ''Towards a European Strategy for the Security of Energy Supply'', the Green Paper is intended to stimulate debate on the EU's energy policies and strategies. European member States are ''interdependent'', the Green Paper states, ''both because of climate change issues and the creation of the internal energy market. Any energy policy decision taken by a Member State will inevitably have repercussions on the functioning of the market in other Member States. Energy policy has assumed a new, Community dimension.'' Three main points emerge from the Green Paper: The EU will become increasingly dependent on external energy sources; its enlargement will not change this situation. Based on current forecasts, energy dependence will reach 70% by the year 2030. - The EU has very limited scope to influence energy supply conditions; it is essentially on the demand side that the EU can intervene, mainly by promoting energy saving in buildings and the transport sector. - The EU presently is not in a position to respond to the challenge of climate change and to meet its commitments, notably under the Kyoto Protocol. Featured here is the Executive Summary of the Green Paper

Obstructive Hydrocephalus Secondary to Enlarged Virchow-Robin Spaces: A Rare Cause of Pulsatile Tinnitus.

Science.gov (United States)

Donaldson, Christopher; Chatha, Gurkirat; Chandra, Ronil V; Goldschlager, Tony

2017-05-01

Obstructive hydrocephalus secondary to enlarged Virchow-Robin Spaces (VRS) is a rare entity, with only a few cases reported in the literature. Presenting symptoms vary widely from headaches to dizziness. We report a case of a 31-year-old man who presented with pulsatile tinnitus and magnetic resonance imaging showing obstructive hydrocephalus secondary to tumefactive VRS. After a cerebrospinal fluid diversion procedure in the form of an endoscopic third ventriculostomy, he had almost complete resolution of his symptoms. This is the first case of obstructive hydrocephalus secondary to enlarged VRS, presenting with pulsatile tinnitus. Copyright © 2017 Elsevier Inc. All rights reserved.

Clinical and Histological Evaluations of Enlarged Facial Skin Pores After Low Energy Level Treatments With Fractional Carbon Dioxide Laser in Korean Patients.

Science.gov (United States)

Kwon, Hyuck Hoon; Choi, Sun Chul; Lee, Won-Yong; Jung, Jae Yoon; Park, Gyeong-Hun

2018-03-01

Enlarged facial pores can be an early manifestation of skin aging and they are a common aesthetic concern for Asians. However, studies of improving the appearance of enlarged pores have been limited. The authors aimed to study the application of CO2 fractional laser treatment in patients with enlarged facial pores. A total of 32 patients with dilated facial pores completed 3 consecutive sessions of low energy level treatments with a fractional CO2 laser at 4-week intervals. Image analysis was performed to calculate the number of enlarged pores before each treatment session and 12 weeks after the final treatment. After application of laser treatments, there was a significant decrease in the number of enlarged pores. The mean number of enlarged pores was decreased by 28.8% after the second session and by 54.5% at post-treatment evaluation. Post-treatment side effects were mild and transitory. Histological and immunohistochemical analyses demonstrated clear increases in the number of collagen fibers and the expression of transforming growth factor-β1. The short-term results showed that treatment with low energy level CO2 fractional laser therapy could be a safe and effective option for patients with Fitzpatrick skin Types III and IV who are concerned with enlarged pores.

Paternal care and male mate-attraction effort in the European starling is adjusted to clutch size.

Science.gov (United States)

Komdeur, Jan; Wiersma, Popko; Magrath, Michael

2002-06-22

In facultative polygynous birds with biparental care, a trade-off may occur between male parental care and attraction of additional mates. If there is a cost associated with reduced male parental care, the relative benefit of mate attraction may be predicted to decrease as the size of a male's clutch or brood increases. We tested this prediction in monogamous pairs of facultatively polygynous European starlings (Sturnus vulgaris). The larger the clutch, the more time the male spent incubating and the less time he spent attracting an additional female (i.e. singing near and carrying green nesting material into adjacent empty nest-boxes). Reduced paternal incubation resulted in lower overall incubation (the female did not compensate) and lower hatching success. Immediately after experimental reduction of clutches, males spent significantly less time incubating and more time singing and carrying greenery, and vice versa for experimentally enlarged clutches. Males with experimentally reduced clutches attracted a second female more often than males with experimentally enlarged clutches. This is the first study, to our knowledge, to provide experimental evidence for an adjustment of paternal care and male mate-attraction effort to clutch size. However, a trade-off between paternal nestling provisioning and mate attraction was not revealed, probably due to the absence of unpaired females by that time in the breeding season. Experiments showed that the relative contribution of the male and female to nestling provisioning was unrelated to brood size.

Opportunities Provided by the Design of a Website Focused on the Promotion of Collaborative Projects Within European IT Industry

Directory of Open Access Journals (Sweden)

Alexandru CAPATINA

2011-11-01

Full Text Available Our paper emphasizes the opportunities provided both for the academic research and business partnerships by the design of a website which promotes the collaborative projects within European IT industry. From the academic perspective, the companies registered in the website database will represent the sample for different researches focused on cross-cultural interactions, intellectual capital components and competitive intelligence strategies. From the business perspective, the registration of the companies will allow the access to the list with all the potential future partners’ in the field of software development. In the first part of the paper dedicated to literature review, we highlighted the main types of IT collaborative projects; then, we presented the tools provided by the website that was designed in view to increase the awareness of the European IT companies. In the last part of the paper, we tested by means of chi-square statistical method the correlation between R&D investments and average length of time for software design in the case of a sample of 58 IT companies included in the database. We also revealed our future research intentions related to the domain of IT partnerships patterns.

Micro‐CT analyses of apical enlargement and molar root canal complexity

DEFF Research Database (Denmark)

Markvart, M.; Darvann, Tron Andre; Larsen, P.

2012-01-01

Markvart M, Darvann TA, Larsen P, Dalstra M, Kreiborg S, Bjørndal L. Micro‐CT analyses of apical enlargement and molar root canal complexity. International Endodontic Journal, 45, 273–281, 2012. Aim To compare the effectiveness of two rotary hybrid instrumentation techniques with focus on apical...

Extremely discrepant mutation spectrum of SLC26A4 between Chinese patients with isolated Mondini deformity and enlarged vestibular aqueduct

OpenAIRE

Huang, Shasha; Han, Dongyi; Yuan, Yongyi; Wang, Guojian; Kang, Dongyang; Zhang, Xin; Yan, Xiaofei; Meng, Xiaoxiao; Dong, Min; Dai, Pu

2011-01-01

Abstract Background Mutations in SLC26A4 cause Pendred syndrome (hearing loss with goiter) or DFNB4 (non-syndromic hearing loss with inner ear malformation, such as enlarged vestibular aqueduct or Mondini deformity). The relationship between mutations in SLC26A4 and Mondini deformity without enlarged vestibular aqueduct has not been studied in any Chinese deaf population. The purpose of this study was to assess whether mutations in the SLC26A4 gene cause Mondini deformity without an enlarged ...

QUANTITATIVE HISTOPATHOLOGICAL ANALYSIS OF ENLARGED CELLS DERIVED FROM HUMPBACK GROUPER, Cromileptes altivelis INFECTED WITH GROUPER SLEEPY DISEASE IRIDOVIRUS (GSDIV

Directory of Open Access Journals (Sweden)

Indah Mastuti

2010-12-01

Full Text Available Pathognomonic sign of grouper sleepy disease iridovirus (GSDIV was proposed to be the formation of enlarged cells and necrotic cells, in which under electron microscope, it is revealed to be the inclusion body bearing cells (IBCs and necrotic cells containing GSDIV viral particles. Spleen and kidney tissues are the major sites for formation of enlarged cells. This paper described the result of histopatological analysis of enlarged cells found in the spleen and kidney of moribund fish after GSDIV challenge. A pathogenicity test was conducted on fish stocked in two tanks for infected groups and the other two tanks for uninfected control groups (15 fish per tank. The infected groups were injected intramuscularly with 0.1 ml of the viral inoculum. The uninfected groups were injected with the same amount of EMEM-2. The GSDIV-infected humpback grouper began to die after 6 days post infection and all died after 7 dpi, excluding one fish which had survived until the end of experimental infection periods (93% to 100% mortality. All of the diseased fish showed massive formation of enlarged cells in their spleen, head kidney and trunk kidney. The largest number of enlarged cells was observed on head kidneys and subsequently followed by spleens, trunk kidney (2.0-200.3/field of view. This result suggested that the number of enlarged cells in the affected organs was not the direct factor that led to the mortality of fish.

European environmental stratifications and typologies

DEFF Research Database (Denmark)

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

2011-01-01

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

Stabilizing model predictive control : on the enlargement of the terminal set

NARCIS (Netherlands)

Brunner, F.D.; Lazar, M.; Allgöwer, F.

2015-01-01

It is well known that a large terminal set leads to a large region where the model predictive control problem is feasible without the need for a long prediction horizon. This paper proposes a new method for the enlargement of the terminal set. Different from existing approaches, the method uses the

Left Atrial Enlargement in Young High-Level Endurance Athletes – Another Sign of Athlete’s Heart?

Directory of Open Access Journals (Sweden)

Król Wojciech

2016-12-01

Full Text Available Enlargement of the left atrium is perceived as a part of athlete’s heart syndrome, despite the lack of evidence. So far, left atrial size has not been assessed in the context of exercise capacity. The hypothesis of the present study was that LA enlargement in athletes was physiological and fitness-related condition. In addition, we tried to assess the feasibility and normal values of left atrial strain parameters and their relationship with other signs of athlete’s heart. The study group consisted of 114 international-level rowers (17.5 ± 1.5 years old; 46.5% women. All participants underwent a cardio-pulmonary exercise test and resting transthoracic echocardiography. Beside standard echocardiographic measurements, two dimensional speckle tracking echocardiography was used to assess average peak atrial longitudinal strain, peak atrial contraction strain and early left atrial diastolic longitudinal strain. Mild, moderate and severe left atrial enlargement was present in 27.2°%, 11.4% and 4.4% athletes, respectively. There were no significant differences between subgroups with different range of left atrial enlargement in any of echocardiographic parameters of the left ventricle diastolic function, filling pressure or hypertrophy. A significant correlation was found between the left atrial volume index and maximal aerobic capacity (R > 0.3; p < 0.001. Left atrial strain parameters were independent of atrial size, left ventricle hypertrophy and left ventricle filling pressure. Decreased peak atrial longitudinal strain was observed in 4 individuals (3.5%. We concluded that LA enlargement was common in healthy, young athletes participating in endurance sport disciplines with a high level of static exertion and was strictly correlated with exercise capacity, therefore, could be perceived as another sign of athlete’s heart.

Spinal perimedullary vein enlargement sign: an added value for the differentiation between intradural-extramedullary and intramedullary tumors on magnetic resonance imaging

International Nuclear Information System (INIS)

Gong, Tao; Wang, Guangbin; Gao, Fei; Chen, Xin; Liu, Yubo; Yang, Li; Chen, Weibo

2016-01-01

The purpose of this study was to determine the added value of the perimedullary spinal vein enlargement sign on magnetic resonance imaging (MRI) in distinguishing intradural-extramedullary tumors (IDEMTs) from intramedullary spinal tumors (IMTs). Two hundred and eight consecutive spinal intradural tumors with histopathologic confirmation (21 IMTs, 187 IDEMTs) were enrolled. Two readers blinded to the final pathological diagnosis and clinical data independently assessed the venous enlargement sign to determine the agreement between them and jointly distinguished IDEMTs from IMTs according to the common MRI findings. Sensitivity, specificity, and accuracy for the diagnosis of IDEMTs were calculated for the common MRI findings, vein enlargement sign, and a combination of both. Intraobserver agreement and interobserver agreement for both readers was excellent. The sensitivity, specificity, and accuracy of common MRI findings for differentiating IDEMTs from IMTs were 83.4, 95.2, and 89.3 %, respectively. Thirty-one IDEMTs were mistakenly diagnosed as IMTs, in which seven were cases with vein enlargement signs. By applying the vein enlargement sign to the common MRI findings, the specificity remained at 95.2 %, while the sensitivity improved to 89.3 % and the accuracy increased to 92.3 %. The spinal perimedullary vein enlargement sign is useful in assessing intradural tumors and to differentiate IDEMTs from IMTs. (orig.)

Spinal perimedullary vein enlargement sign: an added value for the differentiation between intradural-extramedullary and intramedullary tumors on magnetic resonance imaging

Energy Technology Data Exchange (ETDEWEB)

Gong, Tao; Wang, Guangbin; Gao, Fei; Chen, Xin [Shandong University, Department of Shandong Medical Imaging Research Institute, Jinan (China); Liu, Yubo [Provincial Hospital Affiliated to Shandong University, Department of Radiology, Jinan (China); Yang, Li [Zhongshan Hospital, Department of Radiology, Shanghai (China); Chen, Weibo [Philips Healthcare, Shanghai (China)

2016-11-15

The purpose of this study was to determine the added value of the perimedullary spinal vein enlargement sign on magnetic resonance imaging (MRI) in distinguishing intradural-extramedullary tumors (IDEMTs) from intramedullary spinal tumors (IMTs). Two hundred and eight consecutive spinal intradural tumors with histopathologic confirmation (21 IMTs, 187 IDEMTs) were enrolled. Two readers blinded to the final pathological diagnosis and clinical data independently assessed the venous enlargement sign to determine the agreement between them and jointly distinguished IDEMTs from IMTs according to the common MRI findings. Sensitivity, specificity, and accuracy for the diagnosis of IDEMTs were calculated for the common MRI findings, vein enlargement sign, and a combination of both. Intraobserver agreement and interobserver agreement for both readers was excellent. The sensitivity, specificity, and accuracy of common MRI findings for differentiating IDEMTs from IMTs were 83.4, 95.2, and 89.3 %, respectively. Thirty-one IDEMTs were mistakenly diagnosed as IMTs, in which seven were cases with vein enlargement signs. By applying the vein enlargement sign to the common MRI findings, the specificity remained at 95.2 %, while the sensitivity improved to 89.3 % and the accuracy increased to 92.3 %. The spinal perimedullary vein enlargement sign is useful in assessing intradural tumors and to differentiate IDEMTs from IMTs. (orig.)

The integration of rural regions of Ireland and Poland into the European Union

Directory of Open Access Journals (Sweden)

Nienaber Birte

2007-01-01

Full Text Available Against the background of the enlargement of the European Union, Ireland is often mentioned as a key example for the Central and Eastern European countries of a successful European integration process. Thereby, the development of the complete Republic of Ireland since the EU accession in 1973 is analyzed. If you survey separately the economic and social development of urban and rural regions, it emerges that the rural regions could hardly participate in the economic success of Ireland and that disparities have increased. Many farmers are dependent on public welfare to make a living, as the Irish living costs have increased during the last years. Consequently today about one third of the Irish households live - in spite of the economic success of the Celtic Tiger - under the relative poverty line. Against the background of this depletion process, the question comes up whether Ireland can act as a paradigm for the European integration process of Poland. Looking at the initial situation of Ireland in 1973 and the current situation in Poland, several parallels exist, however, also strong distinctions. While major similarities can be determined with the agricultural structures as well as with the social value system, developments in Poland are still subject to the not yet completed transformation process from a socialist to a democratic and capitalist system.

NATO Enlargement and the National Agendas of America, Great Britain, France, and Germany

National Research Council Canada - National Science Library

Irving, William

1997-01-01

This thesis examines the enlargement of NATO from the collapse of the Warsaw Pact and the Soviet Union, through the formation of the North Atlantic Cooperation Council and the Partnership for Peace...

Reversible and non-reversible enlargement of cerebral spinal fluid spaces in anorexia nervosa

International Nuclear Information System (INIS)

Artmann, H.; Grau, H.; Adelmann, M.; Schleiffer, R.

1985-01-01

Brain CT studies of 35 patients with anoxia nervosa confirmed the observations of other authors: cerebral dystrophic changes correlate with weight loss and the reversibility of these changes also correlates with the normalization of body weight. Other corroborated facts are: the most numerous and most pronounced enlargements are of the cortical sulci and the interhemispheric fissure, moderate widening affects the ventricles and the rarest and most insignificant changes are those of the cerebellum. The reversibility of the changes showed a parallel to the extent of the changes themselves and to the duration of improvement of the body weight. The reversibility of the enlargement of the cortical sulci and of the distances between the frontal horns of the lateral ventricles was more often significant than that of the abnormal measurements of the cella media. This difference is based on minimal early acquired brain damage which occurs in 60% of our patients. This high incidence of early acquired minimal brain disease in patients with anorexia nervosa is here discussed as a nonspecific predisposing factor. Although there is no exact explanation of the etiology of the reversible enlargement of cerenral spinal fluid (CSF) spaces in anorexia nervosa, the changes resemble those in alcoholics. The mechanisms of brain changes in alcoholism, as shown experimentally, seem to us to throw light on the probable mechanism of reversible dystrophic brain changes in anorexia nervosa. (orig.)

Reversible and non-reversible enlargement of cerebral spinal fluid spaces in anorexia nervosa

Energy Technology Data Exchange (ETDEWEB)

Artmann, H.; Grau, H.; Adelmann, M.; Schleiffer, R.

1985-07-01

Brain CT studies of 35 patients with anoxia nervosa confirmed the observations of other authors: cerebral dystrophic changes correlate with weight loss and the reversibility of these changes also correlates with the normalization of body weight. Other corroborated facts are: the most numerous and most pronounced enlargements are of the cortical sulci and the interhemispheric fissure, moderate widening affects the ventricles and the rarest and most insignificant changes are those of the cerebellum. The reversibility of the changes showed a parallel to the extent of the changes themselves and to the duration of improvement of the body weight. The reversibility of the enlargement of the cortical sulci and of the distances between the frontal horns of the lateral ventricles was more often significant than that of the abnormal measurements of the cella media. This difference is based on minimal early acquired brain damage which occurs in 60% of our patients. This high incidence of early acquired minimal brain disease in patients with anorexia nervosa is here discussed as a nonspecific predisposing factor. Although there is no exact explanation of the etiology of the reversible enlargement of cerenral spinal fluid (CSF) spaces in anorexia nervosa, the changes resemble those in alcoholics. The mechanisms of brain changes in alcoholism, as shown experimentally, seem to us to throw light on the probable mechanism of reversible dystrophic brain changes in anorexia nervosa.

An anatomic risk model to screen post endovascular aneurysm repair patients for aneurysm sac enlargement.

Science.gov (United States)

Png, Chien Yi M; Tadros, Rami O; Beckerman, William E; Han, Daniel K; Tardiff, Melissa L; Torres, Marielle R; Marin, Michael L; Faries, Peter L

2017-09-01

Follow-up computed tomography angiography (CTA) scans add considerable postimplantation costs to endovascular aneurysm repairs (EVARs) of abdominal aortic aneurysms (AAAs). By building a risk model, we hope to identify patients at low risk for aneurysm sac enlargement to minimize unnecessary CTAs. 895 consecutive patients who underwent EVAR for AAA were reviewed, of which 556 met inclusion criteria. A Probit model was created for aneurysm sac enlargement, with preoperative aneurysm morphology, patient demographics, and operative details as variables. Our final model included 287 patients and had a sensitivity of 100%, a specificity of 68.9%, and an accuracy of 70.4%. Ninety-nine (35%) of patients were assigned to the high-risk group, whereas 188 (65%) of patients were assigned to the low-risk group. Notably, regarding anatomic variables, our model reported that age, pulmonary comorbidities, aortic neck diameter, iliac artery length, and aneurysms were independent predictors of post-EVAR sac enlargement. With the exception of age, all statistically significant variables were qualitatively supported by prior literature. With regards to secondary outcomes, the high-risk group had significantly higher proportions of AAA-related deaths (5.1% versus 1.1%, P = 0.037) and Type 1 endoleaks (9.1% versus 3.2%, P = 0.033). Our model is a decent predictor of patients at low risk for post AAA EVAR aneurysm sac enlargement and associated complications. With additional validation and refinement, it could be applied to practices to cut down on the overall need for postimplantation CTA. Copyright © 2017 Elsevier Inc. All rights reserved.

Primary tuberculous gingival enlargement - A rare clinical entity: Case report and brief review of the literature

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Suhail Majid Jan

2014-01-01

Full Text Available Tuberculosis (TB is a chronic specific granulomatous disease and a major cause of death in developing countries. The clinical presentation of TB lesions of the oral cavity varies widely and can manifest as ulcerations, diffuse inflammatory lesions, granulomas and fissures. Oral lesions generally appear secondary to primary TB infection elsewhere, although primary infection of the oral mucosa by Mycobacterium tuberculosis has also been described. We hereby report a case of primary TB of the gingiva manifesting as gingival enlargement. Diagnosis was based on histopathological examination, complete blood count, X-ray chest and immunological investigations with detection of antibodies against M. tuberculosis. Anti-tuberculous therapy was carried out for over 6 months and was followed by surgical excision of the residual enlargement under local anesthesia. After 1-year follow-up, there was no recurrence of the disease. This case report emphasizes the need for dentists to include TB in the differential diagnosis of various types of gingival enlargements.

Cell enlargement of plant tissue explants oscillates with a temperature-compensated period of ca. 24 min

Science.gov (United States)

Morre, D. James; Ternes, Philipp; Morre, Dorothy M.

2002-01-01

Rate of plant cell enlargement, measured at intervals of 3 min using a sensitive linear transducer, oscillates with a minimum period of about 24 min that parallels the 24-min periodicity observed with the oxidation of NADH by the external plasma membrane NADH oxidase and of single cells measured previously by video-enhanced light microscopy. Also exhibiting 24-min oscillations is the steady-state rate of cell enlargement induced by the addition of the auxin herbicide 2,4-dichlorophenoxyacetic acid (2,4-D) or the natural auxin indole-3-acetic acid (IAA). Immediately following 2,4-D addition, a very complex pattern of oscillations is frequently observed. However, after several hours a dominant 24-min period emerges. The length of the 24-min period is temperature compensated and remains constant at 24 min when measured at 15, 25 or 35 degrees C, despite the fact that the rate of cell enlargement approximately doubles for each 10 degree C rise over this same range of temperatures.

Management of phenytoin-induced gingival enlargement in a patient with antiphospholipid antibody syndrome: A rare case report

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Shilpa Sarvesh Urolagin

2016-01-01

Full Text Available Antiphospholipid antibody (APLA syndrome is a noninflammatory autoimmune disease, with innumerable clinical manifestations ranging from recurrent thrombosis and pregnancy morbidity to valvular lesions, transverse myelitis, thrombocytopenia, and hemolytic anemia. APLAs in antiphospholipid syndrome (APS are well-known risk factors for cerebrovascular accidents. Stroke is the most common manifestation of APS in the central nervous system. Gingival enlargement is a known side effect of phenytoin which is an antiepileptic drug. This can have a significant effect on the quality of life as well as increasing the oral bacterial load by generating plaque retention sites. The management of gingival overgrowth seems to be directed at controlling gingival inflammation through a good oral hygiene regimen. Thus, this case report aims to describe the conservative management of phenytoin-induced gingival enlargement combined with inflammatory enlargement in a patient with APLA syndrome.

Envri Cluster - a Community-Driven Platform of European Environmental Researcher Infrastructures for Providing Common E-Solutions for Earth Science

Science.gov (United States)

Asmi, A.; Sorvari, S.; Kutsch, W. L.; Laj, P.

2017-12-01

European long-term environmental research infrastructures (often referred as ESFRI RIs) are the core facilities for providing services for scientists in their quest for understanding and predicting the complex Earth system and its functioning that requires long-term efforts to identify environmental changes (trends, thresholds and resilience, interactions and feedbacks). Many of the research infrastructures originally have been developed to respond to the needs of their specific research communities, however, it is clear that strong collaboration among research infrastructures is needed to serve the trans-boundary research requires exploring scientific questions at the intersection of different scientific fields, conducting joint research projects and developing concepts, devices, and methods that can be used to integrate knowledge. European Environmental research infrastructures have already been successfully worked together for many years and have established a cluster - ENVRI cluster - for their collaborative work. ENVRI cluster act as a collaborative platform where the RIs can jointly agree on the common solutions for their operations, draft strategies and policies and share best practices and knowledge. Supporting project for the ENVRI cluster, ENVRIplus project, brings together 21 European research infrastructures and infrastructure networks to work on joint technical solutions, data interoperability, access management, training, strategies and dissemination efforts. ENVRI cluster act as one stop shop for multidisciplinary RI users, other collaborative initiatives, projects and programmes and coordinates and implement jointly agreed RI strategies.

CURRENCY WARFARE AS PRACTICE OF THE EUROZONE’S EFFILOCHEMENT: THE LOGIC OF GEO–ECONOMY IN LIEU OF THE EUROPEAN INTEGRATION THEORIES

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Maria DUNIN-WĄSOWICZ

2013-06-01

Full Text Available Since the Eurozone’s Effilochement has become a fact and European integration theories, as defined in existing theories, falls short of offering a hope for the salvation of EU’s monetary integrity, the logic of geo-economy is prevailing among the European states. In particular, it means that the Eurozone has introduced currency warfare against the currencies of EU states that do not use the euro. The argument is that a paradigm shift away from solidarity towards quite narrow-minded policy has occurred; different from what has been understood by European integration thus far. This paper outlines a two - level geo-economic approach to analyse how and why the current Eurozone’s Effilochement - structural and political - are solved by means of currency wars. On a theoretical level, the paper argues that such behaviour systematically undermines the status of the euro as a currency of public trust and reframes the economic benefits and international importance of the EU. The empirical tier of the work shows that the euro is perceived as a differentiation tool to impede the tempo of the real enlargement process of the EU that began in 2004. The Eurozone’s efforts to adopt its exclusive institutional and governance structure despite the potential risks involved, provide all the elements of this demonstration. The conclusion leads to the thesis that we need to be think more about geo-economics, this specific example being currency wars, to discern whether this paradigm of IPE became either a hindrance or a vehicle of the European integration ‘game’.

Principles of veterinary radiography. 2. rev. and enlarged ed.

International Nuclear Information System (INIS)

Douglas, S.W.; Herrtage, M.E.; Williamson, H.D.

1991-01-01

This book by Douglas and Williamson about the physical-technical fundamentals of radiology in veterinary medicine was first published in 1977 and the second edition now available has been revised and enlarged. Part 1 gives coverage of the basic physical and technical requirements of the necessary equipment and installations as well as the laws governing radiation protection. In Part 2, exposure techniques and special examinations procedures are described in detail. Contrast-enhanced examinations are dealt with exhaustively. (orig./MG) With 166 figs., 10 tabs [de

Nontumorous enlargement of the internal auditory canal. A risk factor for sensorineural hearing loss? A high resolution CT-study

Energy Technology Data Exchange (ETDEWEB)

Stimmer, H.; Rummeny, E.J. [Technical University Munich, Klinikum rechts der Isar (Germany). Dept. of Radiology; Niedermeyer, H.P. [Technical University Munich, Klinikum rechts der Isar (Germany). ENT-Clinic; Kehl, V. [Technical University Munich, Klinikum rechts der Isar (Germany). Inst. for Medical Statistics and Epidemiology

2015-06-15

First aim of the study was to define normal shape and diameter of the internal auditory canal (IAC). In the second part the clinical relevance of IAC-enlargement was analyzed, considering also lesions of the subtle structures at the fundus of the internal auditory canal. 440 high resolution CT-scans of the temporal bone were used for retrospective analysis of the internal auditory canal and its fundus region. The mean value of the IAC diameter in axial and coronal plane was determined. In 20 of 440 patients IAC enlargement was found. In the group with pronounced enlargement (3fold SD) nearly all patients suffered from hearing impairment. In some of them we found structural abnormalities near the IAC fundus in the CSF/perilymph border zone. A new CT-based definition of normal shape and diameter of the internal auditory canal is presented. There is some evidence that a pathologic transmission of CSF-pressure in case of IAC-enlargement and/or abnormal fistulous communications could play an important role in the pathophysiology of hearing loss.

Industrial Policy Approaches from Theory to Practice in European Union

Directory of Open Access Journals (Sweden)

Anca Dachin

2006-12-01

Full Text Available The main debate about industrial policy consists of the attitude regarding the role of state versus market. The admission of possible market failures was the inspiration source for policies in the field of competition strengthening, supply of public goods, overcoming the deficit of capital etc. The general objectives of industrial policy may vary from the absolute role of the market to the market control. The European Community has applied a diversity of policies, differentiated from one period to another, in connection with the competition pressure on the world market and with the European integration stages. The EC had at its beginning a complete faith in the market mechanism, then a period of protectionism followed, as an answer to the oil shock and to the pressure of competition on international markets, especially coming from large American and Japanese companies. During the period 1985-1990, the European Community began to establish an industrial policy to encourage partnership between European companies and to promote cooperation in the field of research and development. In 1990 the European Commission proposed a new coherent concept of market oriented industrial policy, according to the model of neutral policy. Industrial policy is strongly connected to the competition policy. Especially after 1995, there have been signs of worry about the lower competitiveness in terms of productivity growth rate, expenditures for research and innovation capacity compared to USA and Japan. In addition, the European industry must face the competition pressure coming from the emergence of countries, mainly those from South-East Asia. In this context, the key factor which ensures a favorable perspective for the industry is competitiveness. This also implies expected positive effects of EU enlargement. The decision to sustain competitiveness was already taken in Lisbon, where a modern strategy was presented. Its priorities are the creation of a suitable

Industrial Policy Approaches from Theory to Practice in European Union

Directory of Open Access Journals (Sweden)

Anca Dachin

2006-10-01

Full Text Available The main debate about industrial policy consists of the attitude regarding the role of state versus market. The admission of possible market failures was the inspiration source for policies in the field of competition strengthening, supply of public goods, overcoming the deficit of capital etc. The general objectives of industrial policy may vary from the absolute role of the market to the market control. The European Community has applied a diversity of policies, differentiated from one period to another, in connection with the competition pressure on the world market and with the European integration stages. The EC had at its beginning a complete faith in the market mechanism, then a period of protectionism followed, as an answer to the oil shock and to the pressure of competition on international markets, especially coming from large American and Japanese companies. During the period 1985-1990, the European Community began to establish an industrial policy to encourage partnership between European companies and to promote cooperation in the field of research and development. In 1990 the European Commission proposed a new coherent concept of market oriented industrial policy, according to the model of neutral policy. Industrial policy is strongly connected to the competition policy. Especially after 1995, there have been signs of worry about the lower competitiveness in terms of productivity growth rate, expenditures for research and innovation capacity compared to USA and Japan. In addition, the European industry must face the competition pressure coming from the emergence of countries, mainly those from South-East Asia. In this context, the key factor which ensures a favorable perspective for the industry is competitiveness. This also implies expected positive effects of EU enlargement. The decision to sustain competitiveness was already taken in Lisbon, where a modern strategy was presented. Its priorities are the creation of a suitable

Mediastinal lymph node enlargement in patients with valvular heart disease: CT evaluation and clinical correlation

International Nuclear Information System (INIS)

Park, Hye Ju; Jung, Jung Im; Ahn, Myeong Im; Han, Dae Hee; Park, Seog Hee

2016-01-01

To evaluate the presence, size and location of enlarged mediastinal lymph nodes (LNs) in patients with valvular heart disease (VHD) using computed tomography scans in correlation with ejection fraction (EF). We retrospectively evaluated 30 patients with VHD, without pre-existing diseases that could cause lymphadenopathy (LAP). The presence, size, and location of LNs greater than 1 cm in short axis diameter were evaluated. The location of mediastinal LNs was recorded according to the International Association for the Study of Lung Cancer. Furthermore, we evaluated the presence of pulmonary edema, pleural effusion, and other thoracic abnormalities and evaluated EF of the heart on transthoracic echocardiography. Sixteen patients (53%) had at least 1 enlarged mediastinal LN. The most frequent locations were lower paratracheal (4R, n = 8/4L, n = 6), subcarinal (7, n = 5) and right upper paratracheal (2R, n = 4) regions. The frequency of mediastinal LAP was higher in patients with aortic regurgitation (2 of 2, 100%) followed by mitral regurgitation (8 of 11, 73%); it was also high in patients with pulmonary edema (80%), pleural effusion (81%), or both (77%), as compared to patients without pulmonary edema or pleural effusion (17%) (p = 0.001). Ten of 30 patients showed an abnormal EF of < 55%; among them, 8 had mediastinal LAP. However, the relationship between EF and LAP was not statistically significant (p = 0.058). Mediastinal LN enlargement is common in patients with VHD, especially in cases of pulmonary edema and pleural effusion. Enlarged mediastinal LNs were frequently observed with abnormal EF, however, the relationship between EF and mediastinal LAP was not statistically significant.

Mediastinal lymph node enlargement in patients with valvular heart disease: CT evaluation and clinical correlation

Energy Technology Data Exchange (ETDEWEB)

Park, Hye Ju; Jung, Jung Im; Ahn, Myeong Im; Han, Dae Hee; Park, Seog Hee [Dept. of Radiology, Seoul St. Mary' s Hospital, College of Medicine, The Catholic University of Korea, Seoul (Korea, Republic of)

2016-04-15

To evaluate the presence, size and location of enlarged mediastinal lymph nodes (LNs) in patients with valvular heart disease (VHD) using computed tomography scans in correlation with ejection fraction (EF). We retrospectively evaluated 30 patients with VHD, without pre-existing diseases that could cause lymphadenopathy (LAP). The presence, size, and location of LNs greater than 1 cm in short axis diameter were evaluated. The location of mediastinal LNs was recorded according to the International Association for the Study of Lung Cancer. Furthermore, we evaluated the presence of pulmonary edema, pleural effusion, and other thoracic abnormalities and evaluated EF of the heart on transthoracic echocardiography. Sixteen patients (53%) had at least 1 enlarged mediastinal LN. The most frequent locations were lower paratracheal (4R, n = 8/4L, n = 6), subcarinal (7, n = 5) and right upper paratracheal (2R, n = 4) regions. The frequency of mediastinal LAP was higher in patients with aortic regurgitation (2 of 2, 100%) followed by mitral regurgitation (8 of 11, 73%); it was also high in patients with pulmonary edema (80%), pleural effusion (81%), or both (77%), as compared to patients without pulmonary edema or pleural effusion (17%) (p = 0.001). Ten of 30 patients showed an abnormal EF of < 55%; among them, 8 had mediastinal LAP. However, the relationship between EF and LAP was not statistically significant (p = 0.058). Mediastinal LN enlargement is common in patients with VHD, especially in cases of pulmonary edema and pleural effusion. Enlarged mediastinal LNs were frequently observed with abnormal EF, however, the relationship between EF and mediastinal LAP was not statistically significant.

Association of prothrombin complex concentrate administration and hematoma enlargement in non-vitamin K antagonist oral anticoagulant-related intracerebral hemorrhage.

Science.gov (United States)

Gerner, Stefan T; Kuramatsu, Joji B; Sembill, Jochen A; Sprügel, Maximilian I; Endres, Matthias; Haeusler, Karl Georg; Vajkoczy, Peter; Ringleb, Peter A; Purrucker, Jan; Rizos, Timolaos; Erbguth, Frank; Schellinger, Peter D; Fink, Gereon R; Stetefeld, Henning; Schneider, Hauke; Neugebauer, Hermann; Röther, Joachim; Claßen, Joseph; Michalski, Dominik; Dörfler, Arnd; Schwab, Stefan; Huttner, Hagen B

2018-01-01

To investigate parameters associated with hematoma enlargement in non-vitamin K antagonist oral anticoagulant (NOAC)-related intracerebral hemorrhage (ICH). This retrospective cohort study includes individual patient data for 190 patients with NOAC-associated ICH over a 5-year period (2011-2015) at 19 departments of neurology across Germany. Primary outcome was the association of prothrombin complex concentrate (PCC) administration with hematoma enlargement. Subanalyses were calculated for blood pressure management and its association with the primary outcome. Secondary outcomes include associations with in-hospital mortality and functional outcome at 3 months assessed using the modified Rankin Scale. The study population for analysis of primary and secondary outcomes consisted of 146 NOAC-ICH patients with available follow-up imaging. Hematoma enlargement occurred in 49/146 (33.6%) patients with NOAC-related ICH. Parameters associated with hematoma enlargement were blood pressure ≥ 160mmHg within 4 hours and-in the case of factor Xa inhibitor ICH-anti-Xa levels on admission. PCC administration prior to follow-up imaging was not significantly associated with a reduced rate of hematoma enlargement either in overall NOAC-related ICH or in patients with factor Xa inhibitor intake (NOAC: risk ratio [RR] = 1.150, 95% confidence interval [CI] = 0.632-2.090; factor Xa inhibitor: RR = 1.057, 95% CI = 0.565-1.977), regardless of PCC dosage given or time interval until imaging or treatment. Systolic blood pressure levels < 160mmHg within 4 hours after admission were significantly associated with a reduction in the proportion of patients with hematoma enlargement (RR = 0.598, 95% CI = 0.365-0.978). PCC administration had no effect on mortality and functional outcome either at discharge or at 3 months. In contrast to blood pressure control, PCC administration was not associated with a reduced rate of hematoma enlargement in NOAC-related ICH

Enlarged clitoris in wild polar bears (Ursus maritimus) can be misdiagnosed as pseudohermaphroditism

DEFF Research Database (Denmark)

Sonne, C.; Leifsson, Páll Skuli; Dietz, R.

2005-01-01

A 23-year-old female polar bear (Ursus maritimus) killed in an Inuit hunt in East Greenland on July 9, 1999 had a significantly enlarged clitoris resembling, in size, form and colour, those of previously reported 'pseudohermaphroditic' polar bears from Svalbard. It has been suggested that an enzyme...... and internal reproductive organs of the present were similar to a reference group of 23 normal adult female polar bears from East Greenland collected in 1999-2002. The aberrant bear was a female genotype, and macroscopic examination of her internal reproductive organs indicated that she was reproductively....... It is hence possible that the previously reported adult female polar bear pseudohermaphrodites from Svalbard are in fact misdiagnoses. Therefore, future studies examining pseudohermaphroditism in wildlife should consider that certain occurrences are natural events, e.g., enlarged clitoris in the present East...

Can axial-based nodal size criteria be used in other imaging planes to accurately determine "enlarged" head and neck lymph nodes?

Science.gov (United States)

Bartlett, Eric S; Walters, Thomas D; Yu, Eugene

2013-01-01

Objective. We evaluate if axial-based lymph node size criteria can be applied to coronal and sagittal planes. Methods. Fifty pretreatment computed tomographic (CT) neck exams were evaluated in patients with head and neck squamous cell carcinoma (SCCa) and neck lymphadenopathy. Axial-based size criteria were applied to all 3 imaging planes, measured, and classified as "enlarged" if equal to or exceeding size criteria. Results. 222 lymph nodes were "enlarged" in one imaging plane; however, 53.2% (118/222) of these were "enlarged" in all 3 planes. Classification concordance between axial versus coronal/sagittal planes was poor (kappa = -0.09 and -0.07, resp., P planes. Conclusion. Classification of "enlarged" lymph nodes differs between axial versus coronal/sagittal imaging planes when axial-based nodal size criteria are applied independently to all three imaging planes, and exclusively used without other morphologic nodal data.

The Crisis of Democracy in Europe: Between National State and European Governance

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Damir Grubiša

2006-01-01

Full Text Available In this article the symptoms of the crises of democracy are analyzed. The author concentrates on three sets of symptoms: fi rst, on the symptoms emerged in transition, post-communist countries that joined the EU within the Fifth enlargement. One of the main indicators of such crises is the low turnout in the European Parliament elections in 2004, only one month after their joining the EU. The reasons for such a bad turnout are the disappointment in democracy and in transition, as well as the formal fulfi llment of the Copenhagen criteria for accession. The second symptom of the crises is the negative result of the European Constitutional referenda in France and in the Netherlands, which triggered the chain reaction of rejection in other European countries and a stalemate in the ratifi cation process. The third element of the crises is the democratic defi cit in the EU and the diff erent views on how to overcome it, either by strengthening federalist elements or by the domination of intergovernmentalist procedures. In conclusion, the author agrees with Larry Siedentop that three appeals of democracy exist in today’s Europe: democracy simpliciter, democratic government appeal and the appeal of a democratic society. However, most European countries are still on the fi rst or second step, and therefore the crisis of democracy is still potentially dangerous for the future development of European societies. The victory over communism did not bring about the expected triumph of democracy, and today democracy is exposed to diff erent forms of political pathology that corroborate the delusions and failed expectations of democratization.

Streamlining Education System Through Waqf Enlargement

Directory of Open Access Journals (Sweden)

Imam Bahroni

2016-06-01

Full Text Available This paper is aimed at discussing the development of education systembased on the Waqf Empowerment. It is an experience of Gontor ModernIntegrated Islamic Institution to maintain its existence through the activitiesof Waqf Enlargement. The spirit of self-reliance which has been implementedby Gontor through various economic enterprise activities inside the campus isthe total processes of educational activities, carried out by students andteachers themselves. They act as the subjects and objects of the education atthe same time. They teach themselves through various activities, creativitiesand social interaction for their character and personality building. Thislearning process is purposely undertaken in Gontor, because the basicprinciple of this system is to actualize the community orientation throughwhich the students in the campus guided and prepared to have a spirit ofself reliance. So when they back to the society to undertake the real life theyconfidently take their role to develop their society for the sake of Allah andunity of muslim ummah.

An enlarged superfluid model of atomic nucleus

International Nuclear Information System (INIS)

Dumitrescu, O.; Horoi, M.

1989-01-01

The well known superfluid model (or quasiparticle phonon nuclear model (QPNM)) of atomic nucleus is enlarged by including an adequate four-nucleon effective interaction in addition to the pairing and long-range effective residual interactions. New experimental data can be explained without affecting those observables already described by the QPNM and in addition new features can be enumerated: 1) superfluidities of the neutron and proton systems may be generated by one another; 2) the phase structure is enriched by a new superfluid phase dominated by alpha-type correlations (ATC) and 3) superfluid isomers and their bands of elementary excitations are predicted. Unusual large two-nucleon and alpha transfer reactions cross sections as well as some unusual large alpha decay widths can be explained. (author). 46 refs, 3 figs, 2 tabs

Customization of the voice prosthesis to prevent leakage from the enlarged tracheoesophageal puncture: results of a prospective trial.

Science.gov (United States)

Lewin, Jan S; Hutcheson, Katherine A; Barringer, Denise A; Croegaert, Lindsay E; Lisec, Asher; Chambers, Mark S

2012-08-01

Customization of the tracheoesophageal (TE) voice prosthesis (VP) is often preferred over surgical closure to prevent aspiration around the VP in laryngectomized patients with an enlarged tracheoesophageal puncture (TEP), but it has not been thoroughly evaluated. Single-institution prospective trial. A prospective trial was conducted to evaluate the effectiveness of a customized VP with the addition of an enlarged tracheal and/or esophageal collar in patients with leakage around an enlarged TEP. Absence of leakage around the VP after placement defined immediate effectiveness. Long-term success was defined by the prevention of adverse events related to leakage during the study period. Events that defined failure included: permanent gastrostomy dependence, aspiration pneumonia, and/or surgical TEP closure. Twenty-one patients with enlarged TEP were enrolled (2003-2006). Insertion of a customized VP was unsuccessful in one patient; 145 customizations were performed in the remaining 20 patients (median, 3.5 customizations) during the trial period. Of the customizations, 77% (112/145) prevented leakage immediately after VP insertion. The most common adverse event was dislodgement of the prosthesis (11%) or the collar alone (7%) in 18% (26/145) of customized VP placements. Six patients who died of disease were not evaluable for long-term outcomes. Long-term success was achieved in 80% (12/15) of evaluable patients who avoided permanent gastrostomy, aspiration pneumonia, and surgical TEP closure. Prosthetic customization offers an effective method to prevent leakage around the VP in many patients with an enlarged TEP, thereby preserving TE voice while avoiding surgical closure in this high-risk population. Copyright © 2012 The American Laryngological, Rhinological, and Otological Society, Inc.

European Union. Court of Justice of the European Union: EU Law and Fundamental Rights Preclude Requested Filtering Injunction against Hosting Provider

NARCIS (Netherlands)

Breemen, K.

2012-01-01

On 16 February 2012, the Court of Justice of the European Union delivered its preliminary ruling in the case of SABAM v. Netlog NV. The judgment was issued on a request made by the Court of First Instance of Brussels.

Dissemination of European Cinema in the European Union and the International Market

OpenAIRE

Wutz, Josef; Pérez, Valentin

2014-01-01

This report by Josef Wutz aims to take stock of the dissemination of European films in Europe and in the world from 2002 to 2014. To do so, it takes all those working in the film industry into account: filmmakers, distributors, cinema operators, but also video content providers and public bodies providing funding to films. It focuses on four countries: Germany, Spain, France and Italy. Valentin Pérez then makes recommendations aiming at raising the profile of the European film industry. Fo...

Gingival enlargment treatment on 11 and 21 teeth: A case report

Directory of Open Access Journals (Sweden)

Umi Ghoni Tjiptoningsih

2016-06-01

Full Text Available The main problem of gingival enlargement in the interdental papillae is thickening of gingival contour, rounde and uncomfort feeling, that must be needed immediate in order to be optimal appearance and functionale. Fibrosis gingival enlargement  wont be healed  with plaque control only, but must be require a surgery treatment such as gingivectomy and gingivoplasty. A 24-year-old woman  came into periodontia clinic complaining a hard swelling at anterior maxillary gingiva at 11-21. Plaque index 52%. Gingival pocket depth at tooth 11 is labial (mesial: 4, medial:1, distal:3. Palatal (mesial:3, medial:2, distal:1 and Tooth 21 is labial (mesial:4, medial:1, distal:1, palatal (mesial:3, medial:1, distal:1. Treatment planning done by gingivectomy and gingivoplasty. The aim of the treatment is to eliminating the gingival pocket and physiologic gingival recontouring that can be help to prevent the recurrence of the disease. We must be considered in gingivectomy and gingivoplasty surgery is to minimize disposal the gingival to maintain the aesthetic, adequate access to the bone defect in order to good correction, minimized the bleeding and discomfort after surgery.

A retrospective review of bone tunnel enlargement after anterior cruciate ligament reconstruction with hamstring tendons fixed with a metal round cannulated interference screw in the femur.

Science.gov (United States)

Kobayashi, Masahiko; Nakagawa, Yasuaki; Suzuki, Takashi; Okudaira, Shuzo; Nakamura, Takashi

2006-10-01

To assess bone tunnel enlargement after anterior cruciate ligament (ACL) reconstruction with the use of hamstring tendons fixed with a round cannulated interference (RCI) screw in the femur. A consecutive series of 30 ACL reconstructions performed with hamstring tendons fixed with an RCI screw in the femur and with staples via Leeds-Keio ligament in the tibia was retrospectively reviewed. The clinical outcome was evaluated through the Lysholm score. Anterior instability was tested by Telos-SE (Telos Japan, Tokyo, Japan) measurement. The location and angle of each femoral and tibial tunnel were measured with the use of plain radiographs, and bone tunnel enlargement greater than 2 mm detected any time 3, 6, 12, and 24 months postoperatively was defined as positive. Each factor (location and angle of the tunnels, sex, affected side, age, Lysholm score, and Telos-SE measurement) was compared between enlarged and nonenlarged groups. Positive enlargement of the bone tunnel (>2.0 mm) was observed in 36.7% (11 of 30) on the femoral side and 33.3% (10 of 30) on the tibial side, and in 6 knees of both sides. Half of patients (15 of 30) had an enlarged tunnel on the femoral or the tibial side until 1 year postoperatively. In most cases, enlargement reached maximum at 6 months postoperatively. Female patients tended to have an enlarged tunnel, especially on the femoral side (P < .05). Tunnel enlargement was not correlated with location and angle of the tunnels. Moreover, no difference was found in Lysholm score and Telos-SE measurement between enlarged and nonenlarged groups, although the nonenlarged group tended to exhibit higher Lysholm score and lesser instability. Bone tunnel enlargement of the femoral or tibial side was observed in half of patients (6 in both sides, 5 only in the femur, and 4 only in the tibia) after ACL reconstruction was performed with a hamstring tendon fixed with an RCI screw. Female patients had a greater chance for enlargement of the femoral tunnel

Enlargement of the External Mobility Programme

CERN Multimedia

HR Department

2008-01-01

The External Mobility Programme was launched at the end of September 2007. Initially, the programme was aimed at staff members on limited-duration contracts, having received formal notification of the termination of their employment contract at CERN, to help them towards their next employment. The programme provides a privileged, fast-track entry into the recruitment process of partner companies. Despite the short time since its inception, the programme has already delivered some encouraging and concrete results in terms of interviews granted to participating staff. The Programme has raised considerable interest from both CERN personnel as well as from several major European companies. CERN Management has decided to broaden the scope of the External Mobility Programme. The Programme is now open to: All staff members whose limited duration contract will end in less than one year, as well as all those with indefinite contracts. All fellows who have been employed by CERN fo...

Enlargement of the External Mobility Programme

CERN Multimedia

HR Department

2008-01-01

The External Mobility Programme was launched at the end of September 2007. Initially, the programme was aimed at staff members on limited-duration contracts having received formal notification of the termination of their employment contract at CERN, to help them towards their next employment. The programme provides a privileged, fast-track entry into the recruitment process of partner companies. Despite the short time since its inception, the programme has already delivered some encouraging and concrete results in terms of interviews granted to participating staff. The Programme has attracted considerable interest from both CERN personnel as well as from several major European companies. The CERN Management has decided to broaden the scope of the External Mobility Programme. The Programme is now open to: All staff members whose limited duration contract will end in less than one year, as well as all those with indefinite contracts. All fellows who have been employed by CE...

Generalised Leukaemic Gingival Enlargement: a Case Report

Directory of Open Access Journals (Sweden)

Mechery Reenesh

2012-09-01

Full Text Available Background: Acute myeloblastic leukaemia is a malignant bone marrow neoplasm of myeloid precursors of white blood cells. Due to its high morbidity rate, early diagnosis and appropriate medical therapy is essential. Methods: The article highlights normal blood alterations like anaemia, thrombocytopenia, leukocytosis and advanced diagnostic aids like flow cytometry, special staining as a diagnostic modality as well as for prognostic information in acute leukaemia, particularly as a tool for assigning lineage and facilitating further pathologic classification which may be helpful in influencing treatment strategies.Results: On clinical examination the case presented with features of inflammatory gingival enlargement with presence of local deposits and calculus. Routine blood examination anaemia, thrombocytopenia, leukocytosis with haemoglobin 5.6 gm% and total leukocyte count of 1,12,000 / cu mm suggestive of leukaemia. Myeloperoxidase and leukocyte nonspecific esterase (NSE special stain were used which showed presence of myeloblasts in the peripheral smear suggestive of acute myelocytic leukaemia. Flow cytometry were done which further helped in interpretation of these cells which showed to be strongly positive for CD45, CD13, CD14, and anti HLADR and moderately positive for CD4, CD34 and Anti MPO confirming to be case of AML-M4 with 57.73% gating.Conclusions: Fact that gingival alterations are sometimes the first manifestations of the disease implies that dental professionals must be sufficiently familiarized with the clinical manifestations of systemic diseases. The timely referral by the general dentist for a suspicious lesion provided an early diagnosis and early intervention reducing the patient morbidity.

The top five research priorities in physician-provided pre-hospital critical care: a consensus report from a European research collaboration

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Lockey David

2011-10-01

Full Text Available Abstract Background Physician-manned emergency medical teams supplement other emergency medical services in some countries. These teams are often selectively deployed to patients who are considered likely to require critical care treatment in the pre-hospital phase. The evidence base for guidelines for pre-hospital triage and immediate medical care is often poor. We used a recognised consensus methodology to define key priority areas for research within the subfield of physician-provided pre-hospital critical care. Methods A European expert panel participated in a consensus process based upon a four-stage modified nominal group technique that included a consensus meeting. Results The expert panel concluded that the five most important areas for further research in the field of physician-based pre-hospital critical care were the following: Appropriate staffing and training in pre-hospital critical care and the effect on outcomes, advanced airway management in pre-hospital care, definition of time windows for key critical interventions which are indicated in the pre-hospital phase of care, the role of pre-hospital ultrasound and dispatch criteria for pre-hospital critical care services. Conclusion A modified nominal group technique was successfully used by a European expert group to reach consensus on the most important research priorities in physician-provided pre-hospital critical care.

Correlation between adenoidal nasopharyngeal ratio and symptoms of enlarged adenoids in children with adenoidal hypertrophy

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Taiwo Olugbemiga Adedeji

2016-01-01

Full Text Available Background: Adenoid hypertrophy is one of the most common health problems affecting the paediatric population. This study aims to correlate adenoidal nasopharyngeal ratio (ANR with symptoms of enlarged adenoids in children with enlarged adenoids. Materials and Methods: It was a year, cross-sectional, hospital-based study conducted at Lautech Teaching Hospital, Osogbo. ANR was determined by dividing adenoidal depth with nasopharyngeal depth on the plain lateral radiographs. Results: A total of 90 consecutive children consisting of 61 males and 29 females were included in the study with M:F ratio of 2.1:1. Their ages ranged from 8 months to 11 years. All the patients presented with nasal obstruction, mouth breathing and noisy breathing. Majority (64.5% had severe obstructions with preponderance among children of 3-5 years (39.9%. Linear regression analysis showed significant association between age and ANR (t = 10.447, P < 0.001. There was high significant association (P < 0.05 between presenting symptoms and degree of nasopharyngeal airway obstruction; for snoring (r = 0.251, P = 0.000, sleep apnoea (r = 0.594, P = 0.000, nasal discharge (r = 0.314, P = 0.001, excessive daytime sleepiness (r = 0.219, P = 0.019 and failure to thrive (r = 0.240, P = 0.011. Conclusion: Lateral X-ray of the nasopharynx is an effective tool to evaluate children with suspected adenoid hypertrophy. It correlates well with patients′ symptoms and provides objective measures of adenoid hypertrophy.

Enlarging the underground hydroelectric plant at Villarino, Spain

Energy Technology Data Exchange (ETDEWEB)

Oriard, L.L.

1997-05-01

Near the village of Villarino de los Aires, in the province of Salamanca, Spain, was an existing underground hydroelectric power plant. A major enlargement was undertaken to increase the electrical generating capacity, under a contract awarded to a joint venture of Dragados y Construcciones, S. A. (Spain), Entrecanales y Tavora, S. A. (Spain), and S.A. Conrad Zschokke (Switzerland). The enlargement required the excavation of a large and complex underground system of tunnels, shafts and chambers adjacent to existing facilities and interconnected with these facilities. The existing machine hall and transformer chamber were both extended, requiring the blasting of the existing end walls. The drilling, blasting and excavating of the underground system had to be done without damage to existing underground chambers and tunnels, or any of the existing structures, equipment or instrumentation facilities, often within just a few feet of the blasting. This required careful control of vibrations, airblast overpressures and dust. Because the only available non-electric detonating systems were found to be unreliable and unsafe, electric systems would be preferred if they could be used in a safe manner at this site. High electrical potentials existed at the site, and the facilities could not be shut down. Electrical fields were studied carefully, both in the underground environment and above the ground surface. Based on these results, it was concluded that electric detonators could be used if special blasting procedures were developed and followed. In accord with contracting practices of this Spanish agency, the contract was not awarded to the lowest bidder, but to the bidder who demonstrated the best understanding of the project and who presented the best technical proposal for conducting the work to a conclusion that would be satisfactory to the owner. The development of the technical proposal was a two-month effort for a technical group and support staff, prepared in Madrid.

Hearing loss in enlarged vestibular aqueduct and incomplete partition type II.

Science.gov (United States)

Ahadizadeh, Emily; Ascha, Mustafa; Manzoor, Nauman; Gupta, Amit; Semaan, Maroun; Megerian, Cliff; Otteson, Todd

The purpose of this work is to identify the role of incomplete partition type II on hearing loss among patients with enlarged vestibular aqueduct (EVA). EVA is a common congenital inner ear malformation among children with hearing loss, where vestibular aqueduct morphology in this population has been shown to correlate to hearing loss. However, the impact of incomplete partition between cochlear turns on hearing loss has not been, despite meaningful implications for EVA pathophysiology. A retrospective review of radiology reports for patients who had computed tomography (CT) scans with diagnoses of hearing loss at a tertiary medical center between January 2000 and June 2016 were screened for EVA. CT scans of the internal auditory canal (IAC) for those patients with EVA were examined for evidence of incomplete partition type II (IP-II), measurements of midpoint width and operculum width a second time, and patients meeting Cincinnati criteria for EVA selected for analysis. Statistical analysis including chi-square, Wilcoxon rank-sum, and t-tests were used to identify differences in outcomes and clinical predictors, as appropriate for the distribution of the data. Linear mixed models of hearing test results for all available tests were constructed, both univariable and adjusting for vestibular aqueduct morphometric features, with ear-specific intercepts and slopes over time. There were no statistically significant differences in any hearing test results or vestibular aqueduct midpoint and operculum widths. Linear mixed models, both univariable and those adjusting for midpoint and operculum widths, did not indicate a statistically significant effect of incomplete partition type II on hearing test results. Hearing loss due to enlarged vestibular aqueduct does not appear to be affected by the presence of incomplete partition type II. Our results suggest that the pathophysiological processes underlying hearing loss in enlarged vestibular aqueduct may not be a result of

Is Territorial Cohesion Necessary for the Sustainable Development of the European Regions?

Directory of Open Access Journals (Sweden)

RADU C. BARNA

2011-01-01

Full Text Available The Regional policy of the EU is pursuing the harmonious development of the European territory; this is a necessary condition for the creation of an environment that is favourable to the convergence of the Union’s policies. But, for these policies to converge, it is necessary that there are common objectives and these can arise only from the existence of common needs. It is obvious that a very different level of development leads to different needs for people and territories and therefore, to the pursuit of different objectives. The introduction of the territorial cohesion as an objective of the European Union through the Treaty of Lisbon has concluded many years of debate over the essence and future of the EU. But is this a prerequisite for the sustainable development of the EU regions? To answer this question, in this paper we will try to show the importance of the territorial cohesion in the EU. In order to do this, we will place the evolution of this concept in parallel with that of development and also with the process of enlargement and of deepening of the EU. We will thus try to determine the influence that territorial cohesion has on regions and on the European construction so that in the end we should be able to explain the effects that it has on their sustainable development.

An enlarged parietal foramen in the late archaic Xujiayao 11 neurocranium from Northern China, and rare anomalies among Pleistocene Homo.

Science.gov (United States)

Wu, Xiu-Jie; Xing, Song; Trinkaus, Erik

2013-01-01

We report here a neurocranial abnormality previously undescribed in Pleistocene human fossils, an enlarged parietal foramen (EPF) in the early Late Pleistocene Xujiayao 11 parietal bones from the Xujiayao (Houjiayao) site, northern China. Xujiayao 11 is a pair of partial posteromedial parietal bones from an adult. It exhibits thick cranial vault bones, arachnoid granulations, a deviated posterior sagittal suture, and a unilateral (right) parietal lacuna with a posteriorly-directed and enlarged endocranial vascular sulcus. Differential diagnosis indicates that the perforation is a congenital defect, an enlarged parietal foramen, commonly associated with cerebral venous and cranial vault anomalies. It was not lethal given the individual's age-at-death, but it may have been associated with secondary neurological deficiencies. The fossil constitutes the oldest evidence in human evolution of this very rare condition (a single enlarged parietal foramen). In combination with developmental and degenerative abnormalities in other Pleistocene human remains, it suggests demographic and survival patterns among Pleistocene Homo that led to an elevated frequency of conditions unknown or rare among recent humans.

An enlarged parietal foramen in the late archaic Xujiayao 11 neurocranium from Northern China, and rare anomalies among Pleistocene Homo.

Directory of Open Access Journals (Sweden)

Xiu-Jie Wu

Full Text Available We report here a neurocranial abnormality previously undescribed in Pleistocene human fossils, an enlarged parietal foramen (EPF in the early Late Pleistocene Xujiayao 11 parietal bones from the Xujiayao (Houjiayao site, northern China. Xujiayao 11 is a pair of partial posteromedial parietal bones from an adult. It exhibits thick cranial vault bones, arachnoid granulations, a deviated posterior sagittal suture, and a unilateral (right parietal lacuna with a posteriorly-directed and enlarged endocranial vascular sulcus. Differential diagnosis indicates that the perforation is a congenital defect, an enlarged parietal foramen, commonly associated with cerebral venous and cranial vault anomalies. It was not lethal given the individual's age-at-death, but it may have been associated with secondary neurological deficiencies. The fossil constitutes the oldest evidence in human evolution of this very rare condition (a single enlarged parietal foramen. In combination with developmental and degenerative abnormalities in other Pleistocene human remains, it suggests demographic and survival patterns among Pleistocene Homo that led to an elevated frequency of conditions unknown or rare among recent humans.

Large-scale association analysis provides insights into the genetic architecture and pathophysiology of type 2 diabetes

Science.gov (United States)

Morris, Andrew P; Voight, Benjamin F; Teslovich, Tanya M; Ferreira, Teresa; Segrè, Ayellet V; Steinthorsdottir, Valgerdur; Strawbridge, Rona J; Khan, Hassan; Grallert, Harald; Mahajan, Anubha; Prokopenko, Inga; Kang, Hyun Min; Dina, Christian; Esko, Tonu; Fraser, Ross M; Kanoni, Stavroula; Kumar, Ashish; Lagou, Vasiliki; Langenberg, Claudia; Luan, Jian'an; Lindgren, Cecilia M; Müller-Nurasyid, Martina; Pechlivanis, Sonali; Rayner, N William; Scott, Laura J; Wiltshire, Steven; Yengo, Loic; Kinnunen, Leena; Rossin, Elizabeth J; Raychaudhuri, Soumya; Johnson, Andrew D; Dimas, Antigone S; Loos, Ruth J F; Vedantam, Sailaja; Chen, Han; Florez, Jose C; Fox, Caroline; Liu, Ching-Ti; Rybin, Denis; Couper, David J; Kao, Wen Hong L; Li, Man; Cornelis, Marilyn C; Kraft, Peter; Sun, Qi; van Dam, Rob M; Stringham, Heather M; Chines, Peter S; Fischer, Krista; Fontanillas, Pierre; Holmen, Oddgeir L; Hunt, Sarah E; Jackson, Anne U; Kong, Augustine; Lawrence, Robert; Meyer, Julia; Perry, John RB; Platou, Carl GP; Potter, Simon; Rehnberg, Emil; Robertson, Neil; Sivapalaratnam, Suthesh; Stančáková, Alena; Stirrups, Kathleen; Thorleifsson, Gudmar; Tikkanen, Emmi; Wood, Andrew R; Almgren, Peter; Atalay, Mustafa; Benediktsson, Rafn; Bonnycastle, Lori L; Burtt, Noël; Carey, Jason; Charpentier, Guillaume; Crenshaw, Andrew T; Doney, Alex S F; Dorkhan, Mozhgan; Edkins, Sarah; Emilsson, Valur; Eury, Elodie; Forsen, Tom; Gertow, Karl; Gigante, Bruna; Grant, George B; Groves, Christopher J; Guiducci, Candace; Herder, Christian; Hreidarsson, Astradur B; Hui, Jennie; James, Alan; Jonsson, Anna; Rathmann, Wolfgang; Klopp, Norman; Kravic, Jasmina; Krjutškov, Kaarel; Langford, Cordelia; Leander, Karin; Lindholm, Eero; Lobbens, Stéphane; Männistö, Satu; Mirza, Ghazala; Mühleisen, Thomas W; Musk, Bill; Parkin, Melissa; Rallidis, Loukianos; Saramies, Jouko; Sennblad, Bengt; Shah, Sonia; Sigurðsson, Gunnar; Silveira, Angela; Steinbach, Gerald; Thorand, Barbara; Trakalo, Joseph; Veglia, Fabrizio; Wennauer, Roman; Winckler, Wendy; Zabaneh, Delilah; Campbell, Harry; van Duijn, Cornelia; Uitterlinden89-, Andre G; Hofman, Albert; Sijbrands, Eric; Abecasis, Goncalo R; Owen, Katharine R; Zeggini, Eleftheria; Trip, Mieke D; Forouhi, Nita G; Syvänen, Ann-Christine; Eriksson, Johan G; Peltonen, Leena; Nöthen, Markus M; Balkau, Beverley; Palmer, Colin N A; Lyssenko, Valeriya; Tuomi, Tiinamaija; Isomaa, Bo; Hunter, David J; Qi, Lu; Shuldiner, Alan R; Roden, Michael; Barroso, Ines; Wilsgaard, Tom; Beilby, John; Hovingh, Kees; Price, Jackie F; Wilson, James F; Rauramaa, Rainer; Lakka, Timo A; Lind, Lars; Dedoussis, George; Njølstad, Inger; Pedersen, Nancy L; Khaw, Kay-Tee; Wareham, Nicholas J; Keinanen-Kiukaanniemi, Sirkka M; Saaristo, Timo E; Korpi-Hyövälti, Eeva; Saltevo, Juha; Laakso, Markku; Kuusisto, Johanna; Metspalu, Andres; Collins, Francis S; Mohlke, Karen L; Bergman, Richard N; Tuomilehto, Jaakko; Boehm, Bernhard O; Gieger, Christian; Hveem, Kristian; Cauchi, Stephane; Froguel, Philippe; Baldassarre, Damiano; Tremoli, Elena; Humphries, Steve E; Saleheen, Danish; Danesh, John; Ingelsson, Erik; Ripatti, Samuli; Salomaa, Veikko; Erbel, Raimund; Jöckel, Karl-Heinz; Moebus, Susanne; Peters, Annette; Illig, Thomas; de Faire, Ulf; Hamsten, Anders; Morris, Andrew D; Donnelly, Peter J; Frayling, Timothy M; Hattersley, Andrew T; Boerwinkle, Eric; Melander, Olle; Kathiresan, Sekar; Nilsson, Peter M; Deloukas, Panos; Thorsteinsdottir, Unnur; Groop, Leif C; Stefansson, Kari; Hu, Frank; Pankow, James S; Dupuis, Josée; Meigs, James B; Altshuler, David; Boehnke, Michael; McCarthy, Mark I

2012-01-01

To extend understanding of the genetic architecture and molecular basis of type 2 diabetes (T2D), we conducted a meta-analysis of genetic variants on the Metabochip involving 34,840 cases and 114,981 controls, overwhelmingly of European descent. We identified ten previously unreported T2D susceptibility loci, including two demonstrating sex-differentiated association. Genome-wide analyses of these data are consistent with a long tail of further common variant loci explaining much of the variation in susceptibility to T2D. Exploration of the enlarged set of susceptibility loci implicates several processes, including CREBBP-related transcription, adipocytokine signalling and cell cycle regulation, in diabetes pathogenesis. PMID:22885922

Kleptochloroplast Enlargement, Karyoklepty and the Distribution of the Cryptomonad Nucleus in Nusuttodinium (= Gymnodinium) aeruginosum (Dinophyceae).

Science.gov (United States)

Onuma, Ryo; Horiguchi, Takeo

2015-05-01

The unarmoured freshwater dinoflagellate Nusuttodinium (= Gymnodinium) aeruginosum retains a cryptomonad-derived kleptochloroplast and nucleus, the former of which fills the bulk of its cell volume. The paucity of studies following morphological changes to the kleptochloroplast with time make it unclear how the kleptochloroplast enlarges and why the cell ultimately loses the cryptomonad nucleus. We observed, both at the light and electron microscope level, morphological changes to the kleptochloroplast incurred by the enlargement process under culture conditions. The distribution of the cryptomonad nucleus after host cell division was also investigated. The volume of the kleptochloroplast increased more than 20-fold, within 120h of ingestion of the cryptomonad. Host cell division was not preceded by cryptomonad karyokinesis so that only one of the daughter cells inherited a cryptomonad nucleus. The fate of all daughter cells originating from a single cell through five generations was closely monitored, and this observation revealed that the cell that inherited the cryptomonad nucleus consistently possessed the largest kleptochloroplast for that generation. Therefore, this study suggests that some important cryptomonad nucleus division mechanism is lost during ingestion process, and that the cryptomonad nucleus carries important information for the enlargement of the kleptochloroplast. Copyright © 2015 Elsevier GmbH. All rights reserved.

Spontaneous breast enlargement following liposuction of the abdominal wall : Does a link exist?

NARCIS (Netherlands)

van der Lei, Berend; Halbesma, Gert-Jan; van Nieuwenhoven, Christianne A.; van Wingerden, Jan J.

2007-01-01

Background: A retrospective study was undertaken to determine the specific incidence of breast enlargement following liposuction of the abdomen (alone or in combination with the flanks), and to compare its effect with a control group of patients who had undergone abdominoplasty only and, where

Spontaneous breast enlargement following liposuction of the abdominal wall: does a link exist?

NARCIS (Netherlands)

van der Lei, Berend; Halbesma, Gert-Jan; van Nieuwenhoven, Christianne A.; van Wingerden, Jan J.

2007-01-01

A retrospective study was undertaken to determine the specific incidence of breast enlargement following liposuction of the abdomen (alone or in combination with the flanks), and to compare its effect with a control group of patients who had undergone abdominoplasty only and, where possible,

Hepatic Epithelioid Hemangioendothelioma Presenting as an Enlarging Vascular Lesion within the Spleen

Directory of Open Access Journals (Sweden)

Juliet A. Emamaullee

2018-01-01

Full Text Available Epithelioid hemangioendothelioma (EHE is a rare vascular neoplasm with variable malignant potential that most often presents within the liver. Many patients present with bilobar or extrahepatic disease, and the current treatment paradigm involves liver transplantation, with favorable long term results. Up to 25% of patients are diagnosed incidentally following imaging for other indications, and confirmation of diagnosis requires histologic analysis, as there are no classical imaging features to distinguish hepatic EHE (HEHE from other solid hepatic lesions. Here we describe a case of microscopic HEHE that was diagnosed following splenectomy for an enlarging vascular tumor within the spleen. Due to the unexpected diagnosis of EHE within the spleen and coexisting but stable appearing liver hemangiomata, a left hepatic lobectomy was performed. Explant histology revealed benign hemangiomata and diffuse, microscopic HEHE. The patient ultimately underwent liver transplantation. HEHE can be a challenging diagnosis, and this case emphasizes that any enlarging vascular lesion, even within the spleen, should prompt a high index of suspicion for HEHE in the setting of known hemangiomata.

Coil embolization of an enlarging fusiform myxomatous cerebral aneurysm

Directory of Open Access Journals (Sweden)

Frances Lazarow, MD

2018-04-01

Full Text Available Myxomatous cerebral aneurysms are rare sequelae of cardiac atrial myxoma. These aneurysms are generally fusiform, multiple, and distal. Pathogenesis and evolution of these aneurysms is still debated. There are currently no guidelines on the management of aneurysms secondary to atrial myxoma. We present a case of a 52-year-old man with multiple fusiform aneurysms 3 years after resection of a left atrial myxoma. One of these aneurysms was followed with cerebral angiography and showed substantial interval enlargement. This aneurysm was subsequently embolized. All aneurysms were stable 6 months post-embolization. Keywords: Myxomatous aneurysm, Fusiform, Coil embolization

EU Enlargement between Economic and Political Criteria

Directory of Open Access Journals (Sweden)

Romeo-Victor Ionescu

2013-05-01

Full Text Available The paper answers at two important questions: Is the EU able to support new adhering processes? and Is the Euro area able to enlarge in 2014? The comparative analysis in the paper covers four economic competitors: EU, USA, China and Japan, and is based on GDP growth rate, unemployment and inflation rates. The second part of the paper deals with an economic forecast during 2015-2016, focused on EU27, Euro area, Croatia and Latvia, in order to discuss the effects of the adhering to EU and Euro area. The results of the two-level analysis are supported by pertinent diagrams and annexes. The analysis uses a neutral statistical database – Eurostat – and dedicated forecast software. The main conclusion of the paper is that the adhering processes from 2013 and 2014 are based on economic and political criteria.

European Nutrition and Health Report 2009

DEFF Research Database (Denmark)

Elmadfa, Ibrahim; Meyer, A.; Nowak, V.

The general aim of the ENHR II project is to provide a comprehensive and up-to-date report on the nutrition and health situation in Europe that focuses on diet, physical activity, tobacco use and alcohol consumption. The European Nutrition and Health Report 2009 will contribute to the identificat......The general aim of the ENHR II project is to provide a comprehensive and up-to-date report on the nutrition and health situation in Europe that focuses on diet, physical activity, tobacco use and alcohol consumption. The European Nutrition and Health Report 2009 will contribute...... to the identification of major nutrition and health problems in the EU regions and to the monitoring and evaluation of food and nutrition policies already in place within the Member States. The method implies collecting and critically reviewing available data on the most common indicators used for the assessment...... of nutrition and health situation of 25 European countries. The European Nutrition and Health Report 2009 will provide information on dietary habits, diet related health indicators as well as established food and nutrition policies in European countries....

The Palm-Heart Diameter: A Prospective Simple Screening Tool for Identifying Heart Enlargement

Directory of Open Access Journals (Sweden)

Adegbenro Omotuyi John Fakoya

2017-11-01

CONCLUSION: This study establishes the correlation between the palm and heart diameters. Since the heart tissue and the upper limb share a similar embryonic origin, being the mesoderm, this study prospects the fact that heart enlargement could be preliminarily identified by measuring the size of the hand.

[Enlargement in managment of lumbar spinal stenosis].

Science.gov (United States)

Steib, J P; Averous, C; Brinckert, D; Lang, G

1996-05-01

Lumbar stenosis has been well discussed recently, especially at the 64th French Orthopaedic Society (SOFCOT: July 1989). The results of different surgical treatments were considered as good, but the indications for surgical treatment were not clear cut. Laminectomy is not the only treatment of spinal stenosis. Laminectomy is an approach with its own rate of complications (dural tear, fibrosis, instability... ).Eight years ago, J. Sénégas described what he called the "recalibrage" (enlargement). His feeling was that, in the spinal canal, we can find two different AP diameters. The first one is a fixed constitutional AP diameter (FCAPD) at the cephalic part of the lamina. The second one is a mobile constitutional AP diameter (MCAPD) marked by the disc and the ligamentum flavum. This diameter is maximal in flexion, minimal in extension. The nerve root proceeds through the lateral part of the canal: first above, between the disc and the superior articular process, then below, in the lateral recess bordered by the pedicle, the vertebral body and the posterior articulation. With the degenerative change the disc space becomes shorter, the superior articular process is worn out with osteophytes. These degenerative events are complicated by inter vertebral instability increasing the stenosis. The idea of the "recalibrage" is to remove only the upper part of the lamina with the ligamentum flavum and to cut the hypertrophied anterior part of the articular process from inside. If needed the disc and other osteophytes are removed. The surgery is finished with a ligamentoplasty reducing the flexion and preventing the extension by a posterior wedge.Our experience in spine surgery especially in scoliosis surgery, showed us that it was possible to cure a radicular compression without opening the canal. The compression is then lifted by the 3D reduction and restoration of an anatomy as normal as possible. Lumbar stenosis is the consequence of a degenerative process. Indeed, hip

The Europeanization of National Judiciaries

DEFF Research Database (Denmark)

Jaremba, Urszula; Mayoral, Juan A.

2018-01-01

judiciaries is still somewhat scattered and fragmented. The central ambition of this article is to provide a theoretical framework that would contribute to the understanding of Europeanization of judiciaries by: 1) offering a definition and theoretical developments useful for the study Europeanization and its......The article is underpinned by the idea that the national courts/judges are expected to act as decentralized European Union judges. However, the general knowledge concerning the impact of EU law on the functioning of national courts as EU judges and the process of Europeanization of national...

BRIDGING THE COMPETING VIEWS OF EUROPEAN CULTURAL INTEGRATION: THE TRANSFORMATIVE VIEW OF CULTURE AS A MEANS TO PROMOTE GROWTH, EMPLOYMENT AND SOCIAL COHESION

Directory of Open Access Journals (Sweden)

María Luz SUÁREZ CASTIÑEIRA

2018-05-01

Full Text Available The concept of a European culture became very complex with the enlargement of 2004 towards the East, when the EU, as Delanty pointed out, moved “beyond postnationality to an encounter with multiple civilizational forms,” multiple histories and competing visions of European integration. The “unity-in-diversity” paradigm turned into a huge challenge for the European institutions. On the one hand, achieving a European image of cultural unity without excluding all the local, regional and national cultures is a very complex, if not impossible, task. On the othe hand, culture remains an ambiguous term in European institutions due to the lack of a full-fledged European cultural policy. This paper focuses first on how in the early 1970s the EC/EU started to be concerned with defining the role of culture, and second on how since the year 2000 culture has progressively acquired a new status with potentially transformative powers to bridge the competing views of cultural integration. Programmes, such as the “2014-2020 Creative Europe” programme, focus on culture as a creative accelerator and promotor of different forms of cultural participation and production. Culture generates “smart, sustainable and inclusive growth”, and contributes to “high employment, high productivity, and high social cohesion.”

Associate Status at CERN for non-European States

CERN Document Server

2002-01-01

On a number of occasions in the past, the Committee of Council has examined proposals to create an Associate Status for non-European States wishing to participate in, and make substantial contributions to, a CERN activity or activities. The immediate purpose of the proposed status was to permit those States to participate in the LHC Project. In 1995, the Committee of Council decided not to follow up the matter at that stage since the mechanism of Co-operation Agreements with individual countries (USA, Japan, Russian Federation etc.) was considered more appropriate. At its meeting of 20 June 2002, the Committee of Council reviewed the proposal prepared by the Working Group appointed by the Committee of Council to examine the question of CERN's enlargement. Taking into account the comments received from the Delegations, the Working Group has finalised its proposal, which is now submitted to the Committee of Council for recommendation to the Council and to the Council for a decision.

European Integration, Labour Market Dynamics and Migration Flows

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Martinoia, Michela

2011-06-01

Full Text Available The paper has two objectives. Firstly, we wish to evaluate whether a greater economic integration has effects, and of what type, on migration flows from Central and Eastern Europe (New Member States of the EU, NMS towards the fifteen countries of the European Union (EU-15. Secondly, we wish to understand what effect the migration flows from the NMS have on the labour market of the receiving countries in the EU-15. The most suitable theoretical context that seems to summarise European labour market characteristics is that of the insider/outsider model by Layard, Nickell and Jackman (Layard et al., 1991. We have modified the above mentioned model by introducing two innovations. Firstly, we constructed three measures that act as a proxy for economic integration: the Intra Regional Trade Index (IRTI, Global Trade Index (GTI and Financial Market Integration (FMI. Then we placed the three indicators into the insider/outsider model to arrive at a modified version of Layard, Nickell and Jackman (Layard et al., 1991. The second innovative contribution was the introduction of an equation modelling migration flows. The creation of this equation is inspired by the neo-classical approach to migration theory (Harris-Todaro, 1970. The theoretical model, based on rational expectations, has been solved to find the equilibrium solution and the impact multipliers. We then carried out an empirical analysis, which involved estimating a Structural Vector Autoregression Model (SVAR. The aim of this estimation was to evaluate, on the one hand, the effect that greater European integration (a positive shock to the integration indicators has on migration flows, and, on the other, to measure the type of effect that migration flows could have on the labour market of the EU-15 countries, considered as a single entity. The results of our empirical evidence show that economic integration does generate significant effects on migration flows from the enlargement countries

Improving the Effect and Efficiency of FMD Control by Enlarging Protection or Surveillance Zones

DEFF Research Database (Denmark)

Hisham Beshara Halasa, Tariq; Toft, Nils; Boklund, Anette

2015-01-01

An epidemic of foot-and-mouth disease (FMD) in a FMD-free country with large exports of livestock and livestock products would result in profound economic damage. This could be reduced by rapid and efficient control of the disease spread. The objectives of this study were to estimate the economic...... impact of a hypothetical FMD outbreak in Denmark based on changes to the economic assumptions of the model, and to investigate whether the control of an FMD epidemic can be improved by combining the enlargement of protection or surveillance zones with pre-emptive depopulation or emergency vaccination....... The stochastic spatial simulation model DTU-DADS was used to simulate the spread of FMD in Denmark. The control strategies were the basic EU and Danish strategy, pre-emptive depopulation, suppressive or protective vaccination, enlarging protection or surveillance zones, and a combination of pre...

Acinar cell carcinoma of the pancreas presenting as diffuse pancreatic enlargement: Two case reports and literature review.

Science.gov (United States)

Luo, Yaping; Hu, Guilan; Ma, Yanru; Guo, Ning; Li, Fang

2017-09-01

Pancreatic acinar cell carcinoma (ACC) is a rare malignant tumor of exocrine pancreas. It is typically a well-marginated large solid mass arising in a certain aspect of the pancreas. Diffuse involvement of ACC in the pancreas is very rare, and may simulate pancreatitis in radiological findings. We report 2 cases of ACC presenting as diffuse enlargement of the pancreas due to tumor involvement without formation of a distinct mass. The patients consisted of a 41-year-old man with weight loss and a 77-year-old man who was asymptomatic. Computed tomography (CT) and 18F-fluorodeoxyglucose (FDG) positron emission tomography (PET)/CT showed diffuse enlargement of the pancreas forming a sausage-like shape with homogenously increased FDG activity. Endoscopic ultrasound (EUS)-guided fine needle aspiration (FNA) biopsy of the pancreatic lesion was performed. Histopathology results from the pancreas confirmed the diagnosis of pancreatic ACC. Because diffuse enlargement of the pancreas is a common imaging feature of pancreatitis, recognition of this rare morphologic pattern of ACC is important for radiological diagnosis of this tumor.

Emotional stimuli-provoked seizures potentially misdiagnosed as psychogenic non-epileptic attacks: A case of temporal lobe epilepsy with amygdala enlargement

Directory of Open Access Journals (Sweden)

Hidetaka Tamune

Full Text Available The association between emotional stimuli and temporal lobe epilepsy (TLE is largely unknown. Here, we report the case of a depressed, 50-year-old female complaining of episodes of a “spaced out” experience precipitated by emotional stimuli. Psychogenic non-epileptic attacks were suspected. However, video-EEG coupled with emotional stimuli-provoked procedures and MRI findings of amygdala enlargement, led to the diagnosis of left TLE. Accurate diagnosis and explanation improved her subjective depression and seizure frequency. This case demonstrated that emotional stimuli can provoke seizures in TLE and suggested the involvement of the enlarged amygdala and the modulation of emotion-related neural circuits. Keywords: Video-EEG, Psychogenic non-epileptic attacks, Temporal lobe epilepsy, Amygdala enlargement, Reflex seizure, Provoked seizure

Postoperative pain after foraminal enlargement in anterior teeth with necrosis and apical periodontitis: a prospective and randomized clinical trial.

Science.gov (United States)

Silva, Emmanuel João Nogueira Leal; Menaged, Karyne; Ajuz, Natasha; Monteiro, Maria Rachel Figueiredo Penalva; Coutinho-Filho, Tauby de Souza

2013-02-01

The aim of this randomized, controlled, prospective clinical study was to determine if foraminal enlargement instrumentation during endodontic treatment is associated with more postoperative pain compared with standard nonenlargement instrumentation. Forty volunteers with a single root canal were diagnosed with asymptomatic necrosis with apical periodontitis and randomized into 2 experimental groups (ie, the control group and the foraminal enlargement group). Endodontic treatment was performed in a single visit, and volunteers were instructed to record pain intensity (ie, none, slight, moderate, and severe). Scores from 1 to 4 were attributed to each kind of pain after 12, 24, and 48 hours. The Kolmogorov-Smirnov and Student's t tests were used to determine significant differences at P .05, Student's t test). Postoperative pain showed no statistically significant difference between the groups at any observation period (P > .05). Also, no significant difference was observed in the mean number of analgesic tablets used between the groups (P > .05). The foraminal enlargement and nonenlargement techniques resulted in the same postoperative pain and necessity for analgesic medication. This may suggest that the use of foraminal enlargement should be performed for endodontic treatment previsibility without increasing postoperative pain. Copyright © 2013 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

Diagnostic criteria for enlarged vestibular aqueduct (EVA) on CT of the temporal bones. Borderline cases of EVA

International Nuclear Information System (INIS)

Matsumoto, Mariko; Hoshino, Tomoyuki; Kikura, Mikino; Kikawada, Keiko; Kikawada, Toru

2005-01-01

The objective of this study was to examine measurements of the vestibular aqueduct on axial CT figures and to examine the cases with borderline EVA. The width of the vestibular aqueduct was measured in two places, the midpoint of the duct and the external aperture in the posterior cranial fossa. Criteria was as follow: Enlargement; ≥1.5 mm at the midpoint, ≥2 mm at the aperture, Borderline; 1-1.4 mm at the midpoint, 1.5-1.9 mm at the aperture. Three hundred forty-five cases with CT scans of the temporal bones taken during July 2003 to June 2004 in the secondary ENT referral center. Those patients include sensorinearal, mixed or conductive deafness, vertigo, ear infections and other ear diseases. Enlarged vestibular aqueduct was found in 10 ears with sensorineural deafness (SD) and 2 ears without SD. Borderline measurements were found in 19 ears with SD and 33 ears without SD. The enlarged midpoint measurement was not seen in the cases without SD. More than 1.5 mm of the definition for the enlargement at the midpoint of the vestibular aqueduct seemed to be appropriate in the clinical situation. The measurement at the midpoint of the duct is more reliable than at the external aperture. The conductive component in EVA Syndrome with mixed hearing loss is present only at the lower frequencies (250, 500 Hz), not at the middle and higer frequencies. Long-term follow-up of hearing should be done in the borderline cases with check-up of PDS gene anomaly if necessary. (author)

Endolymphatic Sac Enlargement in a Girl with a Novel Mutation for Distal Renal Tubular Acidosis and Severe Deafness

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Rink Nikki

2012-01-01

Full Text Available Hereditary distal renal tubular acidosis (dRTA is caused by mutations of genes encoding subunits of the H+-ATPase (ATP6V0A4 and ATP6V1B1 expressed in α-intercalated cells of the distal renal tubule and in the cochlea. We report on a 2-year-old girl with distal RTA and profound speech delay which was initially misdiagnosed as autism. Genetic analysis showed compound heterozygous mutations with one known and one novel mutation of the ATP6V1B1 gene; cerebral magnetic resonance imaging (MRI revealed bilateral enlargement of the endolymphatic sacs of the inner ear. With improved cooperation, audiometric testing showed that hearing loss was most profound on the right, where endolymphatic sac enlargement was greatest, demonstrating a clear link between the degree of deafness and the degree of inner ear abnormality. This case indicates the value of MRI for diagnosis of inner ear involvement in very young children with distal RTA. Although citrate therapy quickly corrects the acidosis and restores growth, early diagnosis of deafness is crucial so that hearing aids can be used to assist acquisition of speech and to provide enough auditory nerve stimulation to assure the affected infants remain candidates for cochlear implantation.

Bronchial compression by an enlarged left atrium in infants; a cause of hypovascularity of the left lung

Energy Technology Data Exchange (ETDEWEB)

Corr, L.; Hallidie-Smith, K.A.; McCarthy, P.A.; Lavender, J.P.

1988-09-01

In three infants seen recently at our institution we noted signs of compression of the left main bronchus associated with enlarged left atria. None of our cases demonstrated the more usual signs of hyperinflation which are a hyperlucent lung field, depressed hemidiaphragm and mediastinal shift away from the affected side. In addition, hypoperfusion of the left lung was noted in each case. We believe that bronchial compression due to an enlarged left atrium, with consequent hypoxic vasoconstriction is a clinically significant entity, which is not well described and may be unappreciated in infants in whom the typical signs of hyperinflation are absent.

Patient with bilateral breast enlargement and hypospadias.

Science.gov (United States)

Ali, A A; Ahmed, T; Rashid, M M

2009-01-01

A 20 year old man was admitted in the surgical unit of Dhaka Medical College Hospital on August 2007 presented with Hypospadias & underdeveloped penis from childhood, gradual enlargement of both breasts for the last 10 years, absence of axillary and pubic hair from puberty & painful swelling of both testes for the last 3 years. The patient was regarded as a female upto the age of 10 years. He has got no voice change since puberty. On examination he had average body built, there was bilateral gynaecomastia, hypospadias, rudimentary penis & absence of pubic and axillary hair. His testosterone level, serum prolactin level, serum progesterone level, serum estradiol level was done. Cytology on buccal smear done and ultrasonography revealed no ovary and uterus. Ultimately patient was diagnosed as a case of androgen insensitivity syndrome (AIS). The case is reported for clinical awareness & to share our experience.

Size enlargement of radioactive and hazardous species and their separation by microfiltration and ultrafiltration membranes

International Nuclear Information System (INIS)

Vijayan, S.; Wong, C.F.; Buckley, L.P.

1993-01-01

Separation and volume reduction of aqueous solutions involving membranes is evolving into an expanding and diversified field. Numerous commercially successful membranes and their applications are now available. Among different driving forces used in membrane separation, pressure-driven separation has gained wide application. Depending on the size of the dissolved species in solution to be separated, the pressure needed to achieve the desired separation varies. The microfiltration and ultrafiltration membrane systems are low-pressure processes that generally operate below 350 kPa. To exploit these membranes in applications involving the removal of dissolved contaminants from solutions, it is essential to create a suitable size for the dissolved contaminants, so that the membranes can effectively retain them while producing a filtrate stream essentially free of contaminants. Size enlargement of the dissolved contaminants can be achieved through solution conditioning with the addition of one or a combination of chemical reagents and powdered materials. Examples of typical additives include: pH chemicals, polyelectrolytes, microorganisms and powdered adsorption/ion-exchange materials. In many situations, adequate control and optimization of the system chemistry and hydraulic conditions provide high selectivity and efficiency for contaminant removal. This paper summarizes removal efficiency data for cadmium, lead, mercury, uranium, arsenic, strontium-90/85, cesium-137 and iron. These data resulted from various initiatives on membrane technology undertaken during the past five years by the Waste Processing Technology group at Chalk River Laboratories. The technology involves size enlargement of contaminants present in waste solution, and their separation using either microfiltration or ultrafiltration. The data support remedial applications involving treatment of contaminated groundwater and soils

Results of environmental radioactivity measurements in the member states of the European Community for air, deposition, water, milk, 1975-1976

International Nuclear Information System (INIS)

1978-01-01

The present document is the sixteenth report published by the Health and Safety Directorate of the Commission of the European Communities concerning ambient radioactivity. It was drawn up using the data collected by the stations in charge of the surveillance of environmental radioactivity in the Member States. The results are extracts from the data sent to the Commission in application of Article 36 of the Treaty of Rome instituting the European Atomic Energy Community. This is the second document which includes data from the enlarged community-viz. Belgium, the Federal Republic of Germany, France, Italy, Luxembourg, the Netherlands, plus Denmark, Ireland and the United Kingdom, who joined the Community on 1 January 1973. The results presented in this report deal with radioactive contamination of the air, precipitaton and fallout, surface water and milk during 1975 and 1976

Outer retinal tubulation as a predictor of the enlargement amount of geographic atrophy in age-related macular degeneration.

Science.gov (United States)

Hariri, Amirhossein; Nittala, Muneeswar G; Sadda, SriniVas R

2015-02-01

To determine the prognostic value of outer retinal tubulation (ORT) in the enlargement amount of geographic atrophy (GA) in eyes with age-related macular degeneration (AMD). Cohort study. One hundred eight fellow untreated eyes of 143 patients with GA resulting from AMD enrolled in the MAHALO study (clinicaltrials.gov identifier, NCT01229215) who completely satisfied the study term and had gradable spectral-domain optical coherence tomography (OCT) images obtained at both baseline and month 18 visits. The MAHALO study enrolled 143 subjects into a phase 1b/2 multicenter, randomized, single-masked, sham-injection controlled clinical trial of the safety, tolerability, and evidence of activity of lampalizumab in patients with GA associated with AMD. Spectral-domain optical coherence tomography images were obtained at multiple time points in both eyes, although only the baseline and month 18 data of the fellow (nonstudy) eyes were considered in this exploratory analysis. The Cirrus HD-OCT review software was used for automatic segmentation and measurement of GA areas, with manual correction of segmentation errors by certified OCT graders. Baseline OCT images also were assessed for the presence of ORT. The enlargement amount of GA in eyes with ORT was compared with that of eyes without ORT. Comparison of the enlargement amount of GA in eyes with and without ORT. Twenty-four of these 108 eyes demonstrated evidence of ORT. The amount of enlargement of GA in eyes with ORT was significantly slower than that of eyes without ORT (1.85±0.78 vs. 2.67±1.61; P = 0.001). This difference remained significant when considering subgroups with unifocal or multifocal GA lesions, because eyes with ORT in both subgroups had a slower enlargement amount of GA than eyes without ORT (2.91±1.70 vs. 2.08±0.88 [P = 0.01], in eyes with multifocal GA lesions; and 2.24±1.40 vs. 1.63±0.57 [P = 0.02], in eyes with unifocal GA lesions). In eyes with ORT, GA lesions seem to enlarge at a

Analysis of a monetary union enlargement in the framework of linear-quadratic differential games

NARCIS (Netherlands)

Plasmans, J.E.J.; Engwerda, J.C.; van Aarle, B.; Michalak, T.

2009-01-01

"This paper studies the effects of a monetary union enlargement using the techniques and outcomes from an extensive research project on macroeconomic policy coordination in the EMU. Our approach is characterized by two main pillars: (i) linear-quadratic differential games to capture externalities,

Explosive (chemical) substances. 6. rev. and enlarged ed. Explosivstoffe

Energy Technology Data Exchange (ETDEWEB)

Meyer, R

1985-01-01

The sixth edition of this review manual again has been enlarged and actualized, the proved concept has been maintained. The text describes in large more than 550 items alphabetically, among them about 120 chemical compounds attributed with structure formulas and data. The properties, preparation procedures, and application possibilities of these substances and of about 70 additives, fuels and oxidants are presented for the reader. By nearly 1500 keywords in the index, English and French translations, and explanations of abbreviations, this book becomes a comprehensive and actual dictionary, not only for the specialist, but also for translators, interpreters, newspaper editors, and patent lawyers. (orig./HK).

Painful unilateral temporalis muscle enlargement: reactive masticatory muscle hypertrophy.

Science.gov (United States)

Katsetos, Christos D; Bianchi, Michael A; Jaffery, Fizza; Koutzaki, Sirma; Zarella, Mark; Slater, Robert

2014-06-01

An instance of isolated unilateral temporalis muscle hypertrophy (reactive masticatory muscle hypertrophy with fiber type 1 predominance) confirmed by muscle biopsy with histochemical fiber typing and image analysis in a 62 year-old man is reported. The patient presented with bruxism and a painful swelling of the temple. Absence of asymmetry or other abnormalities of the craniofacial skeleton was confirmed by magnetic resonance imaging and cephalometric analyses. The patient achieved symptomatic improvement only after undergoing botulinum toxin injections. Muscle biopsy is key in the diagnosis of reactive masticatory muscle hypertrophy and its distinction from masticatory muscle myopathy (hypertrophic branchial myopathy) and other non-reactive causes of painful asymmetric temporalis muscle enlargement.

Northern Steps of EU Enlargement: The Impact of “Cohesion” Policies on Iceland’s Accession Process

Directory of Open Access Journals (Sweden)

Adriana Di Stefano

2011-03-01

Full Text Available This paper focuses on the EU accession process of Iceland, reading the latest northern steps of EU enlargement under a “cohesion” perspective, i.e., through the lens of the cohesion “theory”, namely the method resulting from interactions of the general principles of subsidiarity and cooperation or partnership. From the Mediterranean to the Arctic, the territorial dimension of cohesion policies, as grounded in different EU policies, plays different roles and meets a wide range of economic and social needs. By implementing Nordicum-Mediterraneum analogies, a cohesion-minded EU enlargement approach requires the overall reframing of territorial-based policies and a better allocation of shared responsibilities at the more efficient level of governance.

Unusual presentation of hidradenitis suppurativa with massive enlargement of penis.

Science.gov (United States)

Baughman, Steven M; Cespedes, R Duane

2004-08-01

Hidradenitis suppurativa is a chronic, recurrent inflammatory disease affecting the cutaneous apocrine glands and resulting in their obstruction. This enigmatic disease causes recurrent episodes of infection, edema, scarring, and fibrosis of surrounding tissues. We present the case of a 55-year-old man with two decades of inguinal hidradenitis suppurativa that resulted in extensive penile subcutaneous lymphedema and enlargement secondary to scarring and obstructive lymphadenopathy. Reconstructive phalloplasty to restore normal penile function was required. Minimal recurrent induration, normal cutaneous sensation, and normal voiding and erectile function were noted at 3 years of follow-up.

European future natural gas demand and supply diversification: key issues for Central and Eastern Europe

International Nuclear Information System (INIS)

Mueller-Elschner, E.

1996-01-01

After the breakdown of the former Soviet Union and the COMECON the demarcation line between western Europe and central/eastern Europe has disappeared. The central and eastern European economies as a whole and their gas industries as well as the western European gas companies are preparing for the future enlarged market in creating the prerequisites to participate successfully in such a market and to seize the opportunities this market is offering. The framework for this future European Gas Market has to be created now. The European gas industries and gas markets are in transition and are in a process of reshaping, with the following challenges: (1) In Central and Eastern European countries: To complete the privatization and restructuring process from centrally-planned economies to market-oriented structures with deregulated prices, market-oriented tariff systems and new legal and regulatory frameworks. These are the essential prerequisites for an integration of the central and eastern European countries into a single European gas market and the basis for an effective and successful trans border gas co-operation between east and west. (2) In western European countries: To pursue nearly similar processes of restructuring which are underway: privatization by reducing state participation and influence in gas and energy companies, with the accent on liberalization and deregulation of market structures with fewer market entry barriers, and more competition by reducing the influence of state or private monopolies. Gas companies are undertaking cost-efficiency measures to be prepared to meet the requirements of more competitive market structures and also of a more advanced internationalized gas business. The fundamental rules on which western European gas industries based their operations up to now have to be reconsidered. The old western European structures which have developed under the shelter of governmental protection are under pressure from several sources. EU energy

European Metals Conference

CERN Document Server

Vereecken, Jean

1991-01-01

This volume contains the papers that will be presented at 'EMC '91 '-the European Metals Conference-to be held in Brussels, Belgium, from 15 to 20 September 1991, and organized by Benelux Metallurgie, GDMB (Gesellschaft Deutscher Metallhutten­ und Bergleute) and IMM (the Institution of Mining and Metallurgy). 'EMC '91' is the first of an intended major series organized at the European level with the aim of bringing together all those who are involved with the extraction and processing of non-ferrous metals-European metallurgists and their international colleagues-to provide them with the opportunity to exchange views on the state and evolution of their industry. The programme covers all the different aspects of the metallurgy of non-ferrous metals from mining to fabricated products. Particular attention is being paid to the European non -ferrous industry with respect to changes in demand, the technology used, pressures on the environment and the competitive position of manufacturers. The contributions of the...

Laboratory determination of normal operating flow rates with enlarged outlet fittings -- BDF reactors

Energy Technology Data Exchange (ETDEWEB)

Waters, E.D.

1960-02-02

Experiments have been conducted in the Hydraulics Laboratory, at the request of IPD`s Mechanical Development-A Operation, to determine the energy losses of various enlarged outlet fitting combinations. These experiments were conducted an steady state runs and allow the determination of the normal operating point (flow rate) of a reactor process channel under selected conditions of front header pressure and fuel charge. No attempt is made to make a mechanical or economic evaluation of the particular fitting combinations, although observations were noted which might bear on this evaluation. It is very important for the reader to bear in mind that changing outlet fittings will definitely affect the reactor tube power limits and outlet vater temperature limits. The size of the outlet fittings largely determines the present outlet temperature limits of the old reactors. The flow characteristics of these present fittings cause some degree of pressurization to suppress boiling on the fuel charge and also cause dual Panellit trip protection for certain flow changes and for power surges. Enlargement of the outlet fittings may actually reduce the allowable outlet coolant temperature limits. Since these effects cannot be determined on the apparatus used in these experiments, a complete discussion of this point is not included in this report. However, the seriousness of these effects should be known and carefully analyzed before a final selection of enlarged outlet fittings in made. This report will be one of a series. New reports in the series will be issued as data are obtained for other such outlet fitting combinations or for new concepts of outlet fitting assemblies such as the new nozzle being developed by C. E. Trantz for use on F-reactor stuck gunbarrel tubes.

Tuberculosis among migrant populations in the European Union and the European Economic Area.

Science.gov (United States)

Odone, Anna; Tillmann, Taavi; Sandgren, Andreas; Williams, Gemma; Rechel, Bernd; Ingleby, David; Noori, Teymur; Mladovsky, Philipa; McKee, Martin

2015-06-01

Although tuberculosis (TB) incidence has been decreasing in the European Union/European Economic Area (EU/EEA) in the last decades, specific subgroups of the population, such as migrants, remain at high risk of TB. This study is based on the report 'Key Infectious Diseases in Migrant Populations in the EU/EEA' commissioned by The European Centre for Disease Prevention and Control. We collected, critically appraised and summarized the available evidence on the TB burden in migrants in the EU/EEA. Data were collected through: (i) a comprehensive literature review; (ii) analysis of data from The European Surveillance System (TESSy) and (iii) evidence provided by TB experts during an infectious disease workshop in 2012. In 2010, of the 73,996 TB cases notified in the EU/EEA, 25% were of foreign origin. The overall decrease of TB cases observed in recent years has not been reflected in migrant populations. Foreign-born people with TB exhibit different socioeconomic and clinical characteristics than native sufferers. This is one of the first studies to use multiple data sources, including the largest available European database on infectious disease notifications, to assess the burden and provide a comprehensive description and analysis of specific TB features in migrants in the EU/EEA. Strengthened information about health determinants and factors for migrants' vulnerability is needed to plan, implement and evaluate targeted TB care and control interventions for migrants in the EU/EEA. © The Author 2014. Published by Oxford University Press on behalf of the European Public Health Association.

Subsidy policy and the enlargement of choice

International Nuclear Information System (INIS)

Srinivasan, Sunderasan

2009-01-01

Development is the enlargement of people's choices. Optimal subsidy policy is intended to create the right incentives for each of the value chain participants. This paper contends that the interest subsidy offered by the Indian federal Ministry of New and Renewable Energy for solar thermal systems, through mainstream banking channels is superior in intent and outcome compared to the capital subsidy as currently offered for solar PV systems, routed through government controlled delivery channels. The interest subsidy enhances innovation, improves service delivery and expands the range of product available to consumers enjoying a wide range of endowments, thus leading to more inclusive development. The simple monopoly model developed by Atkinson [Atkinson AB. Capabilities, exclusion and the supply of goods. In: Basu K, Pattanaik P, Suzumura K, editor, Choice, Welfare and Development. Oxford University Press; 1995] is applied to the context of solar home systems to demonstrate price reduction and choice expansion in a liberalized market, facilitated by an interest subsidy scheme. (author)

Cooperative diplomacy: Citizens, sovereignty, and the logic of democratic enlargement

Science.gov (United States)

Ndungu, Anthony Mark

2000-12-01

The contemporary theory of international regimes holds that governments collaborate when they reach a consensus on a centralized supervisory mechanism for resolving compliance, monitoring, and distributive questions. Yet, in the least likely case of international nuclear security, governments have repeatedly established major international regimes without such a consensus, even though undetected defection would impose substantial long-term costs on those continuing to comply, and seriously complicate attempts at retaliation. For example, despite more than ten years of almost continuous East-West negotiations, governments could not reach a consensus on the compliance questions related to the International Atomic Energy Agency's (IAEA) safeguards regime. Yet, threshold and potential nuclear powers, such as France and India, respectively, exempted themselves from the IAEA's safeguards regime, but gained access to the knowledge, facilities and materials intended exclusively for full participants. Similarly, France, Italy, and Germany failed to agree on a centralized mechanism for supervising the production of nuclear warheads for a Western European nuclear force. Indeed, even the member states of the European Atomic Energy Community (EURATOM) could not agree on an effective centralized mechanism for supervising the regional production of fissionable materials. Yet, under the 1958 United States-EURATOM Nuclear Cooperation agreement, the United States agreed to expand its sales of enriched uranium and other special nuclear materials to the discordant members of EURATOM, who jointly assumed responsibility for an independent regional system of safeguards. Finally, the U.S. and Soviet governments could not agree on a centralized mechanism for solving the compliance questions related to the Partial Test Ban Treaty concluded in 1963, but the two superpowers and the U.K. left the resolution of those questions to the domestic authorities of the signatory states. I hypothesize

Acrolein Induces Endoplasmic Reticulum Stress and Causes Airspace Enlargement

Science.gov (United States)

Hanaoka, Masayuki; Natarajan, Ramesh; Kraskauskas, Donatas; Voelkel, Norbert F.

2012-01-01

Background Given the relative abundance and toxic potential of acrolein in inhaled cigarette smoke, it is surprising how little is known about the pulmonary and systemic effects of acrolein. Here we test the hypothesis whether systemic administration of acrolein could cause endoplasmic reticulum (ER) stress, and lung cell apoptosis, leading to the enlargement of the alveolar air spaces in rats. Methods Acute and chronic effects of intraperitoneally administered acrolein were tested. Mean alveolar airspace area was measured by using light microscopy and imaging system software. TUNEL staining and immunohistochemistry (IHC) for active caspase 3 and Western blot analysis for active caspase 3, and caspase 12 were performed to detect apoptosis. The ER-stress related gene expression in the lungs was determined by Quantitative real-time PCR analysis. Acrolein-protein adducts in the lung tissue were detected by IHC. Results Acute administration of acrolein caused a significant elevation of activated caspase 3, upregulation of VEGF expression and induced ER stress proteins in the lung tissue. The chronic administration of acrolein in rats led to emphysematous lung tissue remodeling. TUNEL staining and IHC for cleaved caspase 3 showed a large number of apoptotic septal cells in the acrolein-treated rat lungs. Chronic acrolein administration cause the endoplasmic reticulum stress response manifested by significant upregulation of ATF4, CHOP and GADd34 expression. In smokers with COPD there was a considerable accumulation of acrolein-protein adducts in the inflammatory, airway and vascular cells. Conclusions Systemic administration of acrolein causes endoplasmic reticulum stress response, lung cell apoptosis, and chronic administration leads to the enlargement of the alveolar air spaces and emphysema in rats. The substantial accumulation of acrolein-protein adducts in the lungs of COPD patients suggest a role of acrolein in the pathogenesis of emphysema. PMID:22675432

Community Policy Initiatives. In search of European Union added value

International Nuclear Information System (INIS)

Beceiro, Rodriguez A.

2004-01-01

objectives that aims to achieve, this is to say to motivate the decision-making processes aiming at implementing solutions, but it would be unrealistic and even counterproductive if pretends to regulate 'how' and 'when' implement solutions. The objective to develop a common framework aiming at harmonizing policies, practices and regulations is not new at Community level, because the Community Plans of Action on matters of radioactive waste, approved in 1980 and renewed in 1992 by Council Resolutions, already pursued it. In fact, a Council Resolution containing the elements for a Community strategy was approved in 1994. The enlargement of the European Union with the access of new countries from Eastern and Central Europe certainly provides a new dimension to the debate and, in case, stresses the need of legally binding instruments for the whole new European Union. Technical assistance programmes to these countries revealed the necessity for them to review radioactive waste management practices in terms of Western standards and to establish long term management programmes. The same requirements and obligations should apply to all countries. In summary, a legally binding instrument, like the proposed Directive, would provide added value to Member States, provided that establish the bases to motivate the development of decision-making processes and leave flexibility for Member States to define 'how' and 'when' implement solutions according to national programmes. In author's opinion, a non-legally binding instrument would be much less efficient for the pretended objectives and so the added value on, for instance the existing Joint Convention, would be questionable

NET European Network on Neutron Techniques Standardization for Structural Integrity

International Nuclear Information System (INIS)

Youtsos, A.

2004-01-01

Improved performance and safety of European energy production systems is essential for providing safe, clean and inexpensive electricity to the citizens of the enlarged EU. The state of the art in assessing internal stresses, micro-structure and defects in welded nuclear components -as well as their evolution due to complex thermo-mechanical loads and irradiation exposure -needs to be improved before relevant structural integrity assessment code requirements can safely become less conservative. This is valid for both experimental characterization techniques and predictive numerical algorithms. In the course of the last two decades neutron methods have proven to be excellent means for providing valuable information required in structural integrity assessment of advanced engineering applications. However, the European industry is hampered from broadly using neutron research due to lack of harmonised and standardized testing methods. 35 European major industrial and research/academic organizations have joined forces, under JRC coordination, to launch the NET European Network on Neutron Techniques Standardization for Structural Integrity in May 2002. The NET collaborative research initiative aims at further development and harmonisation of neutron scattering methods, in support of structural integrity assessment. This is pursued through a number of testing round robin campaigns on neutron diffraction and small angle neutron scattering - SANS and supported by data provided by other more conventional destructive and non-destructive methods, such as X-ray diffraction and deep and surface hole drilling. NET also strives to develop more reliable and harmonized simulation procedures for the prediction of residual stress and damage in steel welded power plant components. This is pursued through a number of computational round robin campaigns based on advanced FEM techniques, and on reliable data obtained by such novel and harmonized experimental methods. The final goal of

Trepanation and enlarged parietal foramen on skulls from the Loyalty Islands (Melanesia).

Science.gov (United States)

Vasilyev, Sergey V; Sviridov, Alexey A

2017-06-01

The goal of this study is a comprehensive examination of openings discovered on two skulls in the collection of skeletal remains from the Loyalty Islands (Melanesia). The skull No. 1524 displayed an evidence of successful trepanation, and the skull No. 7985 revealed openings that were reminiscent of a trepanation, however, we are inclined to believe that in the latter case we are dealing with a rare genetic anomaly - enlarged parietal foramen.

Modernization and enlarging of the Marcoule pilot plant for R and D

International Nuclear Information System (INIS)

Calame-Longjean, A.; Revol, G.; Roux, J.P.; Ranger, G.

1987-01-01

The aim of the pilot plant is the testing of process and equipment in actual conditions with spent fuels on a half-industrial scale and for a significant time. From 1963 to 1983 more than 11t of spent fuels (mainly from fast reactors) were reprocessed. Since 1983 is modernized and enlarged and the new plant of the TOR project (treatment of oxides from fast reactors) are described [fr

A Digitally Programmable Differential Integrator with Enlarged Time Constant

Directory of Open Access Journals (Sweden)

S. K. Debroy

1994-12-01

Full Text Available A new Operational Amplifier (OA-RC integrator network is described. The novelties of the design are used of single grounded capacitor, ideal integration function realization with dual-input capability and design flexibility for extremely large time constant involving an enlargement factor (K using product of resistor ratios. The aspect of the digital control of K through a programmable resistor array (PRA controlled by a microprocessor has also been implemented. The effect of the OA-poles has been analyzed which indicates degradation of the integrator-Q at higher frequencies. An appropriate Q-compensation design scheme exhibiting 1 : |A|2 order of Q-improvement has been proposed with supporting experimental observations.

European hadrons

International Nuclear Information System (INIS)

Anon.

1986-01-01

The European Hadron Facility (EHF) is a project for particle and nuclear physics in the 1990s which would consist of a fast cycling high intensity proton synchrotron of about 30 GeV primary energy and providing a varied spectrum of intense high quality secondary beams (polarized protons, pions, muons, kaons, antiprotons, neutrinos). The physics case of this project has been studied over the last two years by a European group of particle and nuclear physicists (EHF Study Group), whilst the conceptual design for the accelerator complex was worked out (and is still being worked on) by an international group of machine experts (EHF Design Study Group). Both aspects have been discussed in recent years in a series of working parties, topical seminars, and workshops held in Freiburg, Trieste, Heidelberg, Karlsruhe, Les Rasses and Villigen. This long series of meetings culminated in the International Conference on a European Hadron Facility held in Mainz from 10-14 March

European Non Destructive Examination Forum (ENDEF)

International Nuclear Information System (INIS)

Deffrennes, M.; Engl, G.; Estorff, U. von

1998-01-01

Non destructive examination (NDE) during fabrication, Pre-service inspection (PSI) and In service inspection (ISI) are considered key issues for the safe use of nuclear energy. They are important elements of plant lifetime management which is a critical item in decision making on nuclear policies. The European non destructive examination forum (ENDEF) founded by European Commission provides a platform for open discussion between representatives of the European industries with the purpose to establish cooperation between EU, Central and Eastern European Countries and New Independent States in the field of NDE and ISI

The European Utility Requirements (EUR). Status and near term activities

International Nuclear Information System (INIS)

Berbey, Pierre; Hedin, Francois

2010-01-01

In 1991 5 major European Utilities participating in the US ALWR program decided to develop together a common specification that would contribute to keep the nuclear option open. The European Utility Requirements (EUR) are addressed to the designers and suppliers of LWR plants in order to allow the development of standards designs that can be build and licensed in several European countries with only minor variations. The EUR organization has kept enlarging; today 16 utilities are members of the EUR organization. Seven compliance analyses dedicated respectively to the BWR90, EPR, EPP, ABWR, SWR1000, AP1000 and to the AES92 projects have been already published. The revised version of the EPR subset of the EUR volume 3 was finalized in mid 2009. New LWR projects of potential interest for the EUR utilities are being contemplated. For instance a preliminary assessment of compliance of MHI's APWR project has been worked out in the first months of 2008. Recently EUR organization has decided to launch coordinated actions with other industry groups and other stakeholders. In particular EUR and ENISS organizations have decided to join their efforts in their relations with the IAEA and WENRA organizations with respect to the LWR Gen3 designs. In addition EUR and CORDEL (Cooperation in Reactor Design Evaluation and Licensing), which is a WNA (World Nuclear Association) working group decided also to coordinate their efforts for the industry benefit, in relation with the MDEP (Multinational Design Evaluation Program) initiative of safety nuclear regulators. Contacts have been also initiated with ENEN and the WNU in order to develop new courses for young professionals. (orig.)

Hierarchical structure of the European countries based on debts as a percentage of GDP during the 2000-2011 period

Science.gov (United States)

Kantar, Ersin; Deviren, Bayram; Keskin, Mustafa

2014-11-01

We investigate hierarchical structures of the European countries by using debt as a percentage of Gross Domestic Product (GDP) of the countries as they change over a certain period of time. We obtain the topological properties among the countries based on debt as a percentage of GDP of European countries over the period 2000-2011 by using the concept of hierarchical structure methods (minimal spanning tree, (MST) and hierarchical tree, (HT)). This period is also divided into two sub-periods related to 2004 enlargement of the European Union, namely 2000-2004 and 2005-2011, in order to test various time-window and observe the temporal evolution. The bootstrap techniques is applied to see a value of statistical reliability of the links of the MSTs and HTs. The clustering linkage procedure is also used to observe the cluster structure more clearly. From the structural topologies of these trees, we identify different clusters of countries according to their level of debts. Our results show that by the debt crisis, the less and most affected Eurozone’s economies are formed as a cluster with each other in the MSTs and hierarchical trees.

The Aperture and Layout of the LHC Extraction Septa and TCDS Diluter with an Enlarged MSDC Vacuum Chamber

CERN Document Server

Goddard, B

2003-01-01

The LHC beam dumping system must safely abort the LHC beams over the whole energy range, under all realistically possible fault conditions. These include normal operation, failure of machine elements and also abnormal performance of subsystems of the beam dumping system itself. To avoid unnecessary irradiation and even equipment damage, the MSD extraction septa must provide sufficient aperture both for the circulating and extracted beams. In order to satisfy this requirement, a modified (enlarged) vacuum chamber design will be used for the limiting MSDC septa. The analysis of the available apertures is presented, with emphasis on the dependence on the local orbit and beam emittance.

Enlarged superior cervical sympathetic ganglion mimicking a metastatic lymph node in the retropharyngeal space: A case report

Energy Technology Data Exchange (ETDEWEB)

Kim, Jae Min; Kim, Jin Na; Kim, Se Hoon; Choi, Eun Chang [Severance Hospital, Yonsei University College of Medicine, Seoul (Korea, Republic of)

2017-04-15

The superior cervical sympathetic ganglion, the largest and most cranial of the three cervical sympathetic ganglia, transfers sympathetic signals to specific targets on the head and neck. This ganglion is located just lateral to the retropharyngeal space along the medial margin of the carotid sheath. Located thus, an enlarged superior cervical sympathetic ganglion can mimic a metastatic lymph node in the retropharyngeal space of the suprahyoid neck in head and neck cancer patients. However, this is often disregarded by radiologists due to lack of interest in its anatomic location. We present a case of an enlarged superior cervical sympathetic ganglion mimicking a retropharyngeal metastatic lymph node in a 42-year-old man with oral tongue cancer.

First steps towards a European atlas of natural radiation: status of the European indoor radon map

International Nuclear Information System (INIS)

Dubois, G.; Bossew, P.; Tollefsen, T.; De Cort, M.

2010-01-01

Within the context of its institutional scientific support to the European Commission, in 2005 the Radioactivity Environmental Monitoring (REM) group at the Joint Research Centre of the European Commission, started to explore the possibility of mapping indoor radon in European houses as a first step towards preparing a European Atlas of Natural Radiations. The main objective of such an atlas is to contribute to familiarizing the public with its naturally radioactive environment. The process of preparing the atlas should also provide the scientific community with a database of information that can be used for further studies and for highlighting regions with elevated levels of natural radiation. This document presents the status of the European indoor radon (Rn) map, first statistical results, and outlines of forthcoming challenges.

Pan European Phenological database (PEP725): a single point of access for European data

Science.gov (United States)

Templ, Barbara; Koch, Elisabeth; Bolmgren, Kjell; Ungersböck, Markus; Paul, Anita; Scheifinger, Helfried; Rutishauser, This; Busto, Montserrat; Chmielewski, Frank-M.; Hájková, Lenka; Hodzić, Sabina; Kaspar, Frank; Pietragalla, Barbara; Romero-Fresneda, Ramiro; Tolvanen, Anne; Vučetič, Višnja; Zimmermann, Kirsten; Zust, Ana

2018-02-01

The Pan European Phenology (PEP) project is a European infrastructure to promote and facilitate phenological research, education, and environmental monitoring. The main objective is to maintain and develop a Pan European Phenological database (PEP725) with an open, unrestricted data access for science and education. PEP725 is the successor of the database developed through the COST action 725 "Establishing a European phenological data platform for climatological applications" working as a single access point for European-wide plant phenological data. So far, 32 European meteorological services and project partners from across Europe have joined and supplied data collected by volunteers from 1868 to the present for the PEP725 database. Most of the partners actively provide data on a regular basis. The database presently holds almost 12 million records, about 46 growing stages and 265 plant species (including cultivars), and can be accessed via http://www.pep725.eu/. Users of the PEP725 database have studied a diversity of topics ranging from climate change impact, plant physiological question, phenological modeling, and remote sensing of vegetation to ecosystem productivity.

Pan European Phenological database (PEP725): a single point of access for European data

Science.gov (United States)

Templ, Barbara; Koch, Elisabeth; Bolmgren, Kjell; Ungersböck, Markus; Paul, Anita; Scheifinger, Helfried; Rutishauser, This; Busto, Montserrat; Chmielewski, Frank-M.; Hájková, Lenka; Hodzić, Sabina; Kaspar, Frank; Pietragalla, Barbara; Romero-Fresneda, Ramiro; Tolvanen, Anne; Vučetič, Višnja; Zimmermann, Kirsten; Zust, Ana

2018-06-01

The Pan European Phenology (PEP) project is a European infrastructure to promote and facilitate phenological research, education, and environmental monitoring. The main objective is to maintain and develop a Pan European Phenological database (PEP725) with an open, unrestricted data access for science and education. PEP725 is the successor of the database developed through the COST action 725 "Establishing a European phenological data platform for climatological applications" working as a single access point for European-wide plant phenological data. So far, 32 European meteorological services and project partners from across Europe have joined and supplied data collected by volunteers from 1868 to the present for the PEP725 database. Most of the partners actively provide data on a regular basis. The database presently holds almost 12 million records, about 46 growing stages and 265 plant species (including cultivars), and can be accessed via http://www.pep725.eu/ . Users of the PEP725 database have studied a diversity of topics ranging from climate change impact, plant physiological question, phenological modeling, and remote sensing of vegetation to ecosystem productivity.

GINGIVAL ENLARGEMENT ASSOCIATED WITH NOCTURNAL FRONTAL LOBE EPILEPSY. A CASE REPORT

Directory of Open Access Journals (Sweden)

Sharma ANAMIKA

2012-12-01

Full Text Available „Epilepsy” refers to a group of neurological disorders characterized by chronic, recurrent, paroxysmal seizure activity. Nocturnal frontal lobe epilepsy is a neurological disorder characterized by brief, recurring seizures produ‑ ced in the frontal lobes of the brain, often while the patient is sleeping, and also by clusters of brief motor seizures. Seizure disorders may affect the dental status and oral health of patients. Epileptic drugs lead to gingival hyper‑ plasia, namely tissue enlargement, caused by an increased number of cells.

Intra-European labour migration and deteriorating employment relations in Danish Cleaning and Agriculture

DEFF Research Database (Denmark)

Refslund, Bjarke

2016-01-01

Eastern and Central European labour migration following the EU enlargement has significant impact on the Nordic labour markets. This article demonstrates, through sector-based case studies in Denmark, how labour migration influences working condition and wages in two sectors that have so far only...... been sparsely studied: the agriculture and cleaning industries. The high inflow of labour migrants is used by some employers to bypass and undermine the institutionalized class compromise, by employing EU8/2-workers at lower wages and often without collective agreements coverage frequently combined...... with below average working conditions. This put strains on the Danish agreement-based model of industrial relations, potentially leading to a more segmented labour market as well as replacement of native, mainly low-skilled workers with EU8/2-workers....

Impact of carbon constraint on the European electricity sector

International Nuclear Information System (INIS)

Stankeviciute, Loreta

2010-01-01

Two sets of factors will be decisive for the future evolution of European electricity sector: on the one hand, the necessity of new wave of investments for the renewal and the expansion of production capacities and, on the other hand, the emergency and the reinforcement of greenhouse gas emissions (GHG) constraints imposed by European policies and directives. The general idea of thesis is that European Emissions Trading system (ETS) is the instrument that can facilitate the decarbonization of European electricity system. However, the necessary conditions ought to be brought together in the context of liberalisation in terms of risk management, market architecture and setting up of the complementary public policy instruments, in order for the carbon price signal to be effective. The purpose of the thesis is to provide details on these conditions and to examine the potentials scenarios for the evolution of European electricity production mix under the carbon constraint. The introduction of liberalisation in the electricity industry conditions significantly the investment choice. The analysis of theoretical market model allows demonstrating organisational inadequacy for developing an optimal technological mix and for adapting to long-term issues due to the extreme difficulty of interpreting the price signals. Indeed, the logic of a market and a concurrence disadvantages the investments in capital-intensive technologies, even though some of them less polluting like renewable energies, nuclear, hydraulic and thermal technologies integrating carbon capture and sequestration (CCS). In face of numerous uncertainties, the role of long-term risk management becomes therefore crucial. The employment of transaction cost theory allows studying the combinations of vertical arrangements that remain necessary in order to manage the risk and to facilitate the investments (e.g. vertical integration). The introduction of ETS overlaps with the market risks inherent to liberalisation

European Consulting Survey 2012 : The Future of European Management Consulting Firms' Business Models

OpenAIRE

Kreutzer, Markus; Menz, Markus

2012-01-01

This study report provides European management consulting firms' assessment of trends and currently prevailing business models in the industry. It depicts the different threats and opportunities that consulting firms with different business models, consulting foci, sizes, leverage ratios, international orientations, and geographical footprints face; it also reveals these firms' adaptation strategies. Based on an analysis of a survey of 311 consulting firms from 26 European countries, the repo...

Achondroplasia in children: correlation of ventriculomegaly, size of foramen magnum and jugular foramina, and emissary vein enlargement.

Science.gov (United States)

Bosemani, Thangamadhan; Orman, Gunes; Hergan, Benedikt; Carson, Kathryn A; Huisman, Thierry A G M; Poretti, Andrea

2015-01-01

Achondroplasia is a skeletal dysplasia with diminished growth of the skull base secondary to defective enchondral bone formation. This leads to narrowing of the foramen magnum and jugular foramina, which further leads to ventricular dilatation and prominence of the emissary veins. The primary goal of our study was to determine a correlation between the degree of ventricular dilatation, jugular foramina and foramen magnum narrowing, as well as emissary vein enlargement. Conventional T2-weighted MR images were evaluated for surface area of the foramen magnum and jugular foramina, ventricular dilatation, and emissary veins enlargement in 16 achondroplasia patients and 16 age-matched controls. Ratios were calculated for the individual parameters using median values from age-matched control groups to avoid age as a confounder. Compared to age-matched controls, in children with achondroplasia, the surface area of the foramen magnum (median 0.50 cm(2), range 0.23-1.37 cm(2) vs. 3.14 cm(2), 1.83-6.68 cm(2), p achondroplasia, (1) the variation in ventricular dilatation may be related to an unquantifiable interdependent relationship of emissary vein enlargement, venous channel narrowing, and foramen magnum compression and (2) stable ventricular size facilitated by interdependent factors likely obviates the need for ventricular shunt placement.

Serum total prostate-specific antigen values in men with symptomatic prostate enlargement in Nigeria: role in clinical decision-making

Directory of Open Access Journals (Sweden)

Nnabugwu II

2014-12-01

Full Text Available Ikenna I Nnabugwu,1,2 Fred O Ugwumba,1 Oghenekaro A Enivwenae,2 Emeka I Udeh,1 Chris O Otene,2 Chinwe A Nnabugwu3 1Urology Unit, Department of Surgery, College of Medicine, University of Nigeria, Nsukka, 2Urology Unit, Department of Surgery, 3Department of Medical Laboratory Services, Federal Medical Centre, Asaba, Nigeria Background: Prostatic enlargement is a common cause of bladder outlet obstruction in men in Nigeria. Malignant enlargements must be differentiated from benign enlargements for adequate treatment of each patient. High serum total prostate-specific antigen (tPSA levels suggest malignancy, but some of the biopsies done due to a serum tPSA value >4 ng/mL would be negative for malignancy because of the low specificity of tPSA for prostate cancer. This study aims to compare the histologic findings of all prostate specimens obtained from core needle biopsy, open simple prostatectomy, and transurethral resection of the prostate with the respective serum tPSA values in an attempt to decipher the role of serum tPSA in the management of these patients.Methods: The case notes of patients attended to from April 2009 to March 2012 were analyzed. Essentially, the age of the patient, findings on digital rectal examination, abdominopelvic ultrasonography report on the prostate, serum tPSA, and histology reports from biopsy or prostatectomy specimens as indicated were extracted for analysis.Results: The relationship between age, findings on digital rectal examination, serum tPSA, abdominopelvic ultrasonography report, and histology are compared. A statistically significant relationship existed between a malignant histology and age 65 years and older, suspicious findings on digital rectal examination, suspicious ultrasonography findings, and serum tPSA >10 ng/mL, but not tPSA >4 ng/mL.Conclusion: In Nigerian patients with symptomatic prostate enlargement, serum tPSA should be seen as a continuum with increasing risk of prostate malignancy

Cryptococcus neoformans capsular enlargement and cellular gigantism during Galleria mellonella infection.

Directory of Open Access Journals (Sweden)

Rocío García-Rodas

Full Text Available We have studied infection of Cryptococcus neoformans in the non-vertebrate host Galleria mellonella with particular interest in the morphological response of the yeast. Inoculation of C. neoformans in caterpillars induced a capsule-independent increase in haemocyte density 2 h after infection. C. neoformans manifested a significant increase in capsule size after inoculation into the caterpillar. The magnitude of capsule increase depended on the temperature, being more pronounced at 37°C than at 30°C, which correlated with an increased virulence of the fungus and reduced phagocytosis at 37°C. Capsule enlargement impaired phagocytosis by haemocytes. Incubation of the yeast in G. mellonella extracts also resulted in capsule enlargement, with the polar lipidic fraction having a prominent role in this effect. During infection, the capsule decreased in permeability. A low proportion of the cells (<5% recovered from caterpillars measured more than 30 µm and were considered giant cells. Giant cells recovered from mice were able to kill the caterpillars in a manner similar to regular cells obtained from in vivo or grown in vitro, establishing their capacity to cause disease. Our results indicate that the morphological transitions exhibited by C. neoformans in mammals also occur in a non-vertebrate host system. The similarities in morphological transitions observed in different animal hosts and in their triggers are consistent with the hypothesis that the cell body and capsular responses represent an adaptation of environmental survival strategies to pathogenesis.

Lumbar facet joint fat pads: Their normal anatomy and their appearance when enlarged

International Nuclear Information System (INIS)

Taylor, J.R.; McCormick, C.C.

1991-01-01

The polar recesses, superior and inferior to lumbar facet joints, are filled by fat pads from which fat-filled synovial folds project between the articular surfaces for a distance of two to four millimetres. The intracapsular superior recess lies between the ligamentum flavum and the lamina above. The extracapsular inferior recess lies on the back of the lamina below and communicates with the joint through a hole in the inferior capsule. The intracapsular folds move freely in and out of the joint during movements. These features are demonstrated in anatomic studies using transverse sections and radiologic studies using computed tomography. In about 4% of lumbar spines examined, the intraarticular fat pads are enlarged and extend from the joint recess(es) into the middle third of one or more facet joints. The fat pads can be identified in CT scans by their radiolucency and distinguished from vacuum phenomenon by measuring their attenuation values. The cause of the intra-articular enlargement of the fat pads is unknown, but it is suggested that their extension into the middle third of the joint may be secondary to degenerative change in the motion segment with capsular laxity in the affected joint. (orig.)

Capacity Utilization in European Railways

DEFF Research Database (Denmark)

Khadem Sameni, Melody; Landex, Alex

2013-01-01

and unprecedented approach for this aim. Relative operational efficiency of 24 European railways in capacity utilization is studied for the first time by data envelopment analysis (DEA). It deviates from previous applications of DEA in the railway industry that are conducted to analyze cost efficiency of railways....... Six DEA models quantify various aspects of micro, macro and quality of railway capacity utilization in these countries. New inputs like gross domestic product, population and area of the country help to provide a better picture of the status of railways. Passenger satisfaction data about different...... aspects of railway services in European countries has recently been quantified by European commission and are used for the first time in the literature. Invaluable insights can be inferred from the results which can provide a ground basis for railway practitioners and policy makers....

EUROPEAN UNION SUPPORT AND TRANSITIONAL JUSTICE PROCESSES IN KOSOVO

Directory of Open Access Journals (Sweden)

Remzije Istrefi

2017-12-01

Full Text Available The legacy of systematic human rights violations committed during 1999 violent conflict and the previous repressive rule still impact the everyday life of Kosovo citizens. That is why transitional justice processes are a necessary component in Kosovo’s state building efforts. With the end of the 1999 conflict, Kosovo has been administered by the United Nations Mission in Kosovo (UNMIK and also supported by European Union (EU presences: the EU Special Representative in Kosovo, and European Union Rule of Law Mission known as EULEX. In the course of implementation of their mandates transitional justice processes were not a priority for UNMIK and EU presences. With the signing of the Stabilization and Association Agreement (SAA the EU made transitional justice part of the Kosovo accession demands. In December 2015, the Government of Kosovo approved its National Action Plan for the Implementation of the Stabilization and Association Agreement (NAPISAA. The General Principles of the SAA, included within the NAPISAA oblige Kosovo Government to approve a National Transitional Justice Strategy. This paper analyses EU peace and institution-building support and their impact in transitional justice processes in Kosovo. Through analysing the mandate and actions on the ground it draws conclusions if EU is an active participant in transitional justice process in Kosovo or transitional justice policies are promoted by EU only as part of its enlargement strategy. Finally, the paper gives recommendations as a basis for future elaboration of an EU approach to transitional justice.

Fermionic zero-norm states and enlarged supersymmetries of Type II string

International Nuclear Information System (INIS)

Lee, J.-C.

2000-01-01

We calculate the NS-R fermionic zero-norm states of the type II string spectrum. The massless and some possible massive zero-norm states are seen to be responsible for the space-time supersymmetry. The existence of other fermionic massive zero-norm states with higher spinor-tensor indices correspond to new enlarged boson-fermion symmetries of the theory at high energy. We also discuss the R-R charges and R-R zero-norm states and justify the idea that the perturbative string does not carry the massless R-R charges. (orig.)

European Identity through Space Space Activities and Programmes as a Tool to Reinvigorate the European Identity

CERN Document Server

Baranes, Blandina

2013-01-01

Space activities are one particularly visible area, where Europe can shape its identity. This publication investigates the effect space activities have already had on building a European “spirit” (e.g. through European missions or European astronauts). It also looks into the effects that activities labelled “national” have on the emergence of a European identity. Based on this analysis, the book's intention is to identify creative ways and means for how to further use space for shaping the European identity. For this purpose the focus is not only on policy analysis but also on expertise from the fields of cultural science and the arts in order to tap their creative potential and also their theoretical approaches to the topic. Selecting this theme provides ESPI with another opportunity to develop its trans-disciplinary approach.

European Utility Requirements: European nuclear energy

International Nuclear Information System (INIS)

Komsi, M.; Patrakka, E.

1997-01-01

The work procedure and the content of the European Utility Requirements (EUR) concerning the future LWRs is described in the article. European Utility Requirements, produced by utilities in a number of European countries, is a document specifying the details relating to engineered safety, operating performance, reliability and economics of the reactors to be built by manufacturers for the European market

Serum total prostate-specific antigen values in men with symptomatic prostate enlargement in Nigeria: role in clinical decision-making.

Science.gov (United States)

Nnabugwu, Ikenna I; Ugwumba, Fred O; Enivwenae, Oghenekaro A; Udeh, Emeka I; Otene, Chris O; Nnabugwu, Chinwe A

2015-01-01

Prostatic enlargement is a common cause of bladder outlet obstruction in men in Nigeria. Malignant enlargements must be differentiated from benign enlargements for adequate treatment of each patient. High serum total prostate-specific antigen (tPSA) levels suggest malignancy, but some of the biopsies done due to a serum tPSA value >4 ng/mL would be negative for malignancy because of the low specificity of tPSA for prostate cancer. This study aims to compare the histologic findings of all prostate specimens obtained from core needle biopsy, open simple prostatectomy, and transurethral resection of the prostate with the respective serum tPSA values in an attempt to decipher the role of serum tPSA in the management of these patients. The case notes of patients attended to from April 2009 to March 2012 were analyzed. Essentially, the age of the patient, findings on digital rectal examination, abdominopelvic ultrasonography report on the prostate, serum tPSA, and histology reports from biopsy or prostatectomy specimens as indicated were extracted for analysis. The relationship between age, findings on digital rectal examination, serum tPSA, abdominopelvic ultrasonography report, and histology are compared. A statistically significant relationship existed between a malignant histology and age 65 years and older, suspicious findings on digital rectal examination, suspicious ultrasonography findings, and serum tPSA >10 ng/mL, but not tPSA >4 ng/mL. In Nigerian patients with symptomatic prostate enlargement, serum tPSA should be seen as a continuum with increasing risk of prostate malignancy.

Quality standards of the European Pharmacopoeia.

Science.gov (United States)

Bouin, Anne-Sophie; Wierer, Michael

2014-12-02

The European Pharmacopoeia (Ph. Eur.) provides a legal and scientific reference for the quality control of medicines. It is legally binding in the 38 signatory parties of the Convention on the elaboration of a European Pharmacopoeia (37 member states and the European Union). The requirements for a specific herbal drug are prescribed in the corresponding individual monograph and the relevant general monographs. Criteria for pesticides and heavy metals for example are defined in the general monograph on Herbal drugs. The Ph. Eur. also provides general methods including methods for determination of aflatoxins B1 and ochratoxin A. Screening methods for aristolochic acids are applied for herbal drugs that may be subject to adulteration or substitution with plant material containing aristolochic acids. The Ph. Eur. collaborate in many areas with the European Medicines Agency (EMA) to ensure close collaboration as regards the respective work programmes and approach. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

AGRICULTURAL PRODUCTIVITY ASSESSMENT IN EUROPEAN COUNTRIES

OpenAIRE

Serrao, Amilcar

2001-01-01

This research work examines levels and trends in global agricultural productivity in fifteen European Union countries and four Eastern European countries that have already applied for European Union membership. The study makes use of data collected from the Food and Agriculture Organization of the United Nations and covers the period 1980-1998. An approach based on Data Envelopment Analysis is used to provide information on the peers of the (inefficient) i-th country and to derive the Malmqui...

Network of Research Infrastructures for European Seismology (NERIES)—Web Portal Developments for Interactive Access to Earthquake Data on a European Scale

OpenAIRE

A. Spinuso; L. Trani; S. Rives; P. Thomy; F. Euchner; Danijel Schorlemmer; Joachim Saul; Andres Heinloo; R. Bossu; T. van Eck

2009-01-01

The Network of Research Infrastructures for European Seismology (NERIES) is European Commission (EC) project whose focus is networking together seismological observatories and research institutes into one integrated European infrastructure that provides access to data and data products for research. Seismological institutes and organizations in European and Mediterranean countries maintain large, geographically distributed data archives, therefore this scenario suggested a design approach bas...

Captopril improves tumor nanomedicine delivery by increasing tumor blood perfusion and enlarging endothelial gaps in tumor blood vessels.

Science.gov (United States)

Zhang, Bo; Jiang, Ting; Tuo, Yanyan; Jin, Kai; Luo, Zimiao; Shi, Wei; Mei, Heng; Hu, Yu; Pang, Zhiqing; Jiang, Xinguo

2017-12-01

Poor tumor perfusion and unfavorable vessel permeability compromise nanomedicine drug delivery to tumors. Captopril dilates blood vessels, reducing blood pressure clinically and bradykinin, as the downstream signaling moiety of captopril, is capable of dilating blood vessels and effectively increasing vessel permeability. The hypothesis behind this study was that captopril can dilate tumor blood vessels, improving tumor perfusion and simultaneously enlarge the endothelial gaps of tumor vessels, therefore enhancing nanomedicine drug delivery for tumor therapy. Using the U87 tumor xenograft with abundant blood vessels as the tumor model, tumor perfusion experiments were carried out using laser Doppler imaging and lectin-labeling experiments. A single treatment of captopril at a dose of 100 mg/kg significantly increased the percentage of functional vessels in tumor tissues and improved tumor blood perfusion. Scanning electron microscopy of tumor vessels also indicated that the endothelial gaps of tumor vessels were enlarged after captopril treatment. Immunofluorescence-staining of tumor slices demonstrated that captopril significantly increased bradykinin expression, possibly explaining tumor perfusion improvements and endothelial gap enlargement. Additionally, imaging in vivo, imaging ex vivo and nanoparticle distribution in tumor slices indicated that after a single treatment with captopril, the accumulation of 115-nm nanoparticles in tumors had increased 2.81-fold with a more homogeneous distribution pattern in comparison to non-captopril treated controls. Finally, pharmacodynamics experiments demonstrated that captopril combined with paclitaxel-loaded nanoparticles resulted in the greatest tumor shrinkage and the most extensive necrosis in tumor tissues among all treatment groups. Taken together, the data from the present study suggest a novel strategy for improving tumor perfusion and enlarging blood vessel permeability simultaneously in order to improve

Comparison on the Efficacy between Partially Covered Self-Expandable Metal Stent with Funnel-Shaped Enlarged Head versus Uncovered Self-Expandable Metal Stent for Palliation of Gastric Outlet Obstruction

Directory of Open Access Journals (Sweden)

Jung Wan Choe

2018-01-01

Full Text Available Background. Shape modification has been one of the methods adopted to improve stent patency but has not always translated into positive outcome. The aim of this study was to compare the efficacy of shape-modified partially covered self-expandable metal stent (SEMS that has enlarged head versus uncovered SEMS for palliation of gastric outlet obstruction (GOO. Methods. A total of 48 patients underwent insertion of either enlarged-head SEMS (n=24 or uncovered SEMS (uSEMS (n=24 for palliation of GOO from July 2009 to July 2016. Patients with inoperable or advanced malignancy were included. Technical feasibility and clinical outcomes were compared. Results. Technical success rate was 100% (24/24 and 95.8% (23/24 for enlarged-head SEMS group and uSEMS group, respectively. Clinical success rate was 87.5% (21/24 and 87.0% (20/23 for enlarged-head SEMS group and uSEMS group, respectively. The gastric outlet obstruction scoring system score significantly improved in both groups (p<0.001 for both. Mean survival was similar between the groups: enlarged-head SEMS group, 99.3 days (range, 19–358 days versus uSEMS group, 82.1 days (range, 11–231 days (p=0.418. The mean stent patency also showed no difference between the groups: enlarged-head SEMS group, 87.1 days (range, 8–358 days versus uSEMS group, 60.4 days (range, 2–231 days (p=0.204. With enlarged-head SEMS, distal migration did not occur, but proximal migration was observed in four cases. Conclusions. Distal migration was prevented by shaping the SEMS to have an enlarged head, but improvement in stent patency could not be observed.

ACTINET: a European Network for Actinide Sciences

International Nuclear Information System (INIS)

Bernard Boullis; Pascal Chaix

2006-01-01

Full text of publication follows: The research in Actinide sciences appear as a strategic issue for the future of nuclear systems. Sustainability issues are clearly in connection with the way actinide elements are managed (either addressing saving natural resource, or decreasing the radiotoxicity of the waste). The recent developments in the field of minor actinide P and T offer convincing indications of what could be possible options, possible future processes for the selective recovery of minor actinides. But they point out, too, some lacks in the basic understanding of key-issues (such as for instance the control An versus Ln selectivity, or solvation phenomena in organic phases). Such lacks could be real obstacles for an optimization of future processes, with new fuel compounds and facing new recycling strategies. This is why a large and sustainable work appears necessary, here in the field of basic actinide separative chemistry. And similar examples could be taken from other aspects of An science, for various applications (nuclear fuel or transmutation targets design, or migration issues,): future developments need a strong, enlarged, scientific basis. The Network ACTINET, established with the support of the European Commission, has the following objectives: - significantly improve the accessibility of the major actinide facilities to the European scientific community, and form a set of pooled facilities, as the corner-stone of a progressive integration process, - improve mobility between the member organisations, in particular between Academic Institutions and National Laboratories holding the pooled facilities, - merge part of the research programs conducted by the member institutions, and optimise the research programs and infrastructure policy via joint management procedures, - strengthen European excellence through a selection process of joint proposals, and reduce the fragmentation of the community by putting critical mass of resources and expertise on

Impact of EU Enlargement on Business Environment of Small and Medium-Sized Enterprises in Slovakia

OpenAIRE

Ján Vravec; Marián Gál; Tomás Sabol

2005-01-01

The paper discusses the impact of EU enlargement on business environment in the Slovak Republic. Integration of Slovakia into EU has significantly influenced operating conditions for small and medium enterprises. Prosperity of small and medium enterprises depends mainly on their ability to adapt themselves to these new conditions.

Spatial bandwidth enlargement and field enhancement of shear horizontal waves in finite graded piezoelectric layered media

KAUST Repository

Xu, Yanlong

2015-01-01

structure and transmission in this paper show that the graded layered media possess very large band gaps. Harmonic wave simulation by finite element method (FEM) confirms that the reason of bandwidth enlargement is that waves within the band gap ranges

Evaluation of secondary surgery to enlarge the peeling of the internal limiting membrane following the failed surgery of idiopathic macular holes.

Science.gov (United States)

Che, Xin; He, Fanglin; Lu, Linna; Zhu, Dongqing; Xu, Xiaofang; Song, Xin; Fan, Xianqun; Wang, Zhiliang

2014-03-01

The aim of the present study was to evaluate the clinical results of pars plana vitrectomy (PPV) combined with the surgical enlargement of internal limiting membrane (ILM) peeling in patients who had previously undergone failed idiopathic macular hole (IMH) surgery. In the study, 134 eyes from 130 IMH patients who had received PPV combined with ILM peeling surgery (2 disk diameters) were analyzed. Within this cohort, 14 eyes had IMHs that were not closed, of which 13 eyes underwent a second surgery involving enlargement of the ILM peeling. The extent of the ILM peeling was increased to the vascular arcades of the posterior fundus in the secondary surgery. Of the 13 eyes that underwent secondary surgery, five were in stage III and nine were in stage IV. The second surgery successfully achieved IMH closure in 61.5% (8/13) of the eyes. The IMH was completely closed following surgery and the logMAR vision increased from 0.98 to 0.84 (P=0.013) in the 8 successfully treated cases. The surgical enlargement of ILM peeling closed the IMHs and improved vision in the majority of patients. In addition, the procedures were safe. Therefore, the results of the present study indicate that enlargement of ILM peeling may be an effective therapy for patients who have previously undergone the failed surgical correction of an IMH.

Enlarging bilateral femoral condylar bone cysts without scintigraphic uptake in a yearling foal

International Nuclear Information System (INIS)

Squire, K.R.E.; Fessler, J.F.; Cantwell, H.D.; Widmer, W.R.

1992-01-01

Bilateral subchondral bone cysts of the femoral condyles were diagnosed by conventional radiography in a 14 month old Appaloosa colt. Surgical debridement was performed, and over the next 18 months the appearance of the cysts was evaluated with radiography and bone scintigraphy. On the preoperative scintigrams, increased radiopharmaceutical uptake was associated with the cysts. Despite continued radiographic enlargement, the cysts did not demonstrate increased radiopharmaceutical uptake post-operatively

European practices of providing of efficiency of self-organizations institutions of population in the context of public services

Directory of Open Access Journals (Sweden)

T. V. Serohina

2017-06-01

Full Text Available The research revealed that European countries devote sufficient attention to ensuring the effectiveness of the institutions of self-organization in the context of their public services. The most common areas where they operate are a system of health, education and assistance during emergencies. The study showed that in the development of public services, there were significant transformations in terms of subject-provider. Historically it was confessional organizations working on a voluntary basis, and linked their activity with the realization of Christian mission. Subsequently, when there had been formation of a «welfare state», the state took over responsibility for the area of public services. In favor of institutions of self-organization has been a change in the system when it became clear that they are best in the provide public services, especially in the social sphere, because they are the demonstrating of social needs. The main mechanisms of cooperation between institutions of self-organization and the public sector are, first, subsidies for statutory activities of the organization. Another mechanism is delegating services or outsourcing and in this case contracts mostly are for one year with possibility of further extension. In addition there is auxiliary element of providing of effectiveness institutions of self-organization, it consists in deprivation of their donors from taxes. Although institutions of self-organization are financed mainly by public authorities, they remain independent, because they have opportunity of funding from other sources. German experience showed that the starting point in the system of public services is the understanding of the necessity of paying taxes as acknowledgment of the rights of all members of society. That is why every taxpayer expects to receive public services at the appropriate level. This unwritten rule contributes to a very high level of provision of public services through an adequate

Multivariate analysis of morphological pathology in ventricular enlargement by computed tomography

International Nuclear Information System (INIS)

Iwasaki, Satoru

1981-01-01

Several ventricular segments were first measured linearly on the CT image to determine the normal upper limit in adolescent and mature subjects. On the basis of the values obtained, large ventricules were defined, and discriminant analysis with the increase and decrease of the variable was applied. The error ratio of discrimination between pressure hydrocephalus and cerebral atrophy was 8.4%. The temporal horn and trigone are larger in pressure hydrocephalus than in cerebral atrophy, in which the anterior horn is larger. The error ratio of discrimination between obstructive hydrocephalus and communicating hydrocephalus was 11.3%. The hypothalamic segment of the third ventricle and the body of the lateral ventricle are larger in obstructive hydrocephalus than in communicating hydrocephalus, in which the anterior horn and the cellae mediae at the level of the head of caudate nuclei are relatively large. Enlarged ventricles were divided into three groups with characteristic segment: one with large temporal horn and trigone in pressure hydrocephalus; one with larger hypothalamic segment of the third ventricle and larger body of the lateral ventricle in obstructive hydrocephalus than in communicating hydrocephalus; and relatively large anterior horn, cellae mediae at the level of the head of caudate nuclei, and thalamic segment of the third ventricle in cerebral atrophy and communicating hydrocephalus. These findings contribute to the pathological evaluation of ventricular enlargement. The hypothalamic segment of the third ventricle assumes a round or oval shape in pressure hydrocephalus but a rectangular or teardrop shape in cerebral atrophy. (J.P.N.)

Expression of HPV16 E5 produces enlarged nuclei and polyploidy through endoreplication

International Nuclear Information System (INIS)

Hu Lulin; Potapova, Tamara A.; Li Shibo; Rankin, Susannah; Gorbsky, Gary J.; Angeletti, Peter C.; Ceresa, Brian P.

2010-01-01

Anogenital cancers and head and neck cancers are causally associated with infection by high-risk human papillomavirus (HPV). The mechanism by which high-risk HPVs contribute to oncogenesis is poorly understood. HPV16 encodes three genes (HPV16 E5, E6, and E7) that can transform cells when expressed independently. HPV16 E6 and E7 have well-described roles causing genomic instability and unregulated cell cycle progression. The role of HPV16 E5 in cell transformation remains to be elucidated. Expression of HPV16 E5 results in enlarged, polyploid nuclei that are dependent on the level and duration of HPV16 E5 expression. Live cell imaging data indicate that these changes do not arise from cell-cell fusion or failed cytokinesis. The increase in nuclear size is a continual process that requires DNA synthesis. We conclude that HPV16 E5 produces polyploid cells by endoreplication. These findings provide insight into how HPV16 E5 can contribute to cell transformation.

Communicable disease policy development in response to changing European political frontiers in Finland, Norway and Sweden.

Science.gov (United States)

Bernitz, Brita Kaltenbrunner

2008-11-01

The European Union (EU) enlargement of 2004 brings both opportunities and challenges for public health. It is believed that further integration will bring direct health benefits, mainly through improved socioeconomic conditions, but there are also risks associated with the EU expansion, in particular cross-border health risks, such as the impact of the internal EU market policy of free movement and migration on communicable disease patterns. Against this background, this article examines communicable disease policy development in Finland, Norway and Sweden in response to changing European political frontiers, in particular the EU accession of the Baltic States. The emphasis is on HIV/AIDS and tuberculosis. The study is based on a qualitative and quantitative approach, using two complementary methods: documentary analysis and stakeholder analysis. The article identifies a distinct pattern in communicable disease policy development between 1990 and 2005. The turn of the new millennium saw a sharp increase in national attention and the priority assigned to communicable diseases in Finland, Norway and Sweden. The article argues that this development is likely to be related to the rising national, regional and European awareness of the public health challenges associated with communicable diseases in today's borderless Europe. It also shows that the Baltic health situation is a particular concern for Finland. Although there is increasing national and regional activity within the communicable disease area, there is a need for a more effective European approach to tackle the future communicable disease challenges that may follow in an increasingly interdependent and integrated Europe.

Effects of various parameters of the 1064 nm Nd:YAG laser for the treatment of enlarged facial pores.

Science.gov (United States)

Roh, Mi Ryung; Chung, Hye Jin; Chung, Kee Yang

2009-01-01

A variety of treatment modalities have been used to reduce the size of enlarged facial pores without obvious success. To assess and compare the effects of various parameters of a 1064 nm Nd:YAG laser in the treatment of enlarged facial pores. This was a prospective intra-individual left-right comparative study. A total of 40 individuals with enlarged facial pores were recruited for this study. Ten individuals were respectively treated on one half of the face with a quasi long-pulsed 1064 nm Nd:YAG laser (method 1), a Q-switched 1064 nm Nd:YAG laser (method 2), both quasi long-pulsed and Q-switched 1064 nm Nd:YAG lasers without carbon-suspended lotion (method 3), and both quasi long-pulsed and Q-switched 1064 nm Nd:YAG lasers with carbon-suspended lotion (method 4). The other half of the face was left untreated as a control. Five laser sessions were performed with a 3-week interval. The pore sizes were measured using an image analysis program and the sebum level was measured with a Sebumeter before and after the treatments. The pore size and sebum level decreased in all four methods on the treated side compared to the control (p pore size and sebum level.

The efficacy and safety of intense focused ultrasound in the treatment of enlarged facial pores in Asian skin.

Science.gov (United States)

Lee, Hee Jung; Lee, Kyung Real; Park, Jae Yang; Yoon, Moon Soo; Lee, Sang Eun

2015-02-01

Intense focused ultrasound (IFUS) has been used successfully for skin tightening. To investigate the efficacy of IFUS in treating enlarged pores and to evaluate changes in skin elasticity and sebum production following IFUS. Twenty-two subjects with enlarged pores were randomized to receive a single treatment with IFUS using 1.5-mm transducer on one side of the face, and 3.0-mm transducer on the other. OBJECTIVE clinical assessments were made by blinded photographic evaluation. Subjective satisfaction and adverse effects were evaluated. Measurements of elasticity and sebum were performed at baseline, 3 and 6 weeks post-treatment. Physicians' evaluation showed clinical pore improvements in 86% and 91% of the IFUS-treated sites using 1.5-mm and 3.0-mm transducer, respectively. The mean improvement scores were 1.7 and 1.9 for 1.5-mm and 3.0-mm transducer, respectively, with no statistical differences. Cutometer measurement demonstrated a significant improvement in skin elasticity. Sebum level showed a reduction without statistical significance. There was a positive correlation between improvement in elasticity and pore improvement grades. All treatments were well tolerated without significant side effects. IFUS using 1.5-mm or 3.0-mm transducer was safe and effective for reducing enlarged pores in Asian skin with an improvement in skin elasticity.

Evaluating and projecting the European security system

International Nuclear Information System (INIS)

Dean, J.

1991-01-01

Components of the new European security system are described taking into account the new policy making and possibilities to resolve conflicts. Programmes for political and economic integration and co-operation managed by the European Community will provide main positive content of the new European security system. An insight of the future of nuclear armaments in Europe is included together with confidence building measure and the role of NATO

Knowledge base for growth and innovation in ocean economy: assembly and dissemination of marine data for seabed mapping - European Marine Observation Data Network - EMODnet Physics

Science.gov (United States)

Novellino, Antonio; Gorringe, Patrick; Schaap, Dick; Pouliquen, Sylvie; Rickards, Lesley; Manzella, Giuseppe

2014-05-01

The Physics preparatory action (MARE/2010/02 - Lot [SI2.579120]) had the overall objectives to provide access to archived and near real-time data on physical conditions as monitored by fixed stations and Ferrybox lines in all the European sea basins and oceans and to determine how well the data meet the needs of users. The existing EMODnet-Physics portal, www.emodnet-physics.eu, includes systems for physical data from the whole Europe (wave height and period, temperature of the water column, wind speed and direction, salinity of the water column, horizontal velocity of the water column, light attenuation, and sea level) provided mainly by fixed stations and ferry-box platforms, discovering related data sets (both near real time and historical data sets), viewing and downloading of the data from about 470 platforms across the European Sea basins. It makes layers of physical data and their metadata available for use and contributes towards the definition of an operational European Marine Observation and Data Network (EMODnet). It is based on a strong collaboration between EuroGOOS member institutes and its regional operational oceanographic systems (ROOSs), and it brings together two marine, but different, communities : the "real time" ocean observing institutes and centers and the National Oceanographic Data Centres (NODCs) that are in charge for archived ocean data validation, quality check and continuous update of data archives for marine environmental monitoring. EMODnet Physics is a Marine Observation and Data Information System that provides a single point of access to near real time and historical achieved data, it is built on existing infrastructure by adding value and avoiding any unnecessary complexity, it provides data access to any relevant user, and is aimed at attracting new data holders and providing better and more data. With a long term-vision for a sustained pan European Ocean Observation System EMODnet Physics is supporting the coordination of the

The European Activation File, EAF-2005

International Nuclear Information System (INIS)

Forrest, R.A.

2005-01-01

The current version of the European Activation File is EAF-2003. This contains various libraries of nuclear data required for activation calculations. An important component is the neutron-induced cross-section library. Plans to expose fusion components to high neutron fluxes include the IFMIF materials testing facility. This accelerator-based device will produce neutrons with a high-energy tail up to about 55 MeV. In order to carry out activation calculations on materials exposed to such neutrons it is necessary to extend the energy range of the cross-section library. Work on extending the energy range to 60 MeV is nearing completion. A test version (EAF-2004) was produced at the end of 2003 showing the feasibility of the chosen approach. This library required calculated data to extend the existing data from 20-60 MeV and to enlarge it with new classes of reactions with high thresholds. A summary of the new library EAF-2005, which is under development and is planned for distribution at the beginning of 2005, is given. The other files in EAF-2005 are briefly described; these cover cross-section uncertainty information and decay data. Both these have been extended beyond the current version to allow activation calculations at energies up to 60 MeV

Right heart enlargement in heartworm-infected dogs: a radiographic, electrocardiographic, and echocardiographic correlation

International Nuclear Information System (INIS)

Lombard, C.W.; Ackerman, N.

1984-01-01

Radiographically, the size of the right ventricle of 54 heartworm-infected dogs was graded subjectively as normal, 1 +, 2 +, and 3 + and served to classify the dogs into groups A, B, C, and D. With M-mode echocardiograms, right ventricular enlargement ratios (RVE ratios) were determined for each dog by dividing the measured right ventricular internal diastolic dimension (RVIDd) by the expected RVIDd of a normal dog of the same body weight. The normal RVIDd relation to body weight was derived from 25 healthy heartworm-free control dogs. These two variables were linearly related with a correlation coefficient r 2 = 0.59. Means and standard deviations of the RVE ratio were calculated for each group. Despite wide ranges and considerable overlap, the ratio was significantly different (t-test, p < 0.005) between groups with the exception of groups A and B, and C and D. The incidence of electrocardiographic signs of right ventricular hypertrophy was also determined for each group; it was 38% in group C and 62% in group D. From this data, it was concluded that M-mode echocardiography is a very sensitive technique for the documentation of right ventricular dilatation in heartworm-infected dogs, correlating with radiographic impressions of right ventricular enlargement. (author)

Serial MR imaging studies in enlarged endolymphatic duct and sac syndrome

International Nuclear Information System (INIS)

Naganawa, Shinji; Koshikawa, Tokiko; Fukatsu, Hiroshi; Ishigaki, Takeo; Nakashima, Tsutomu

2002-01-01

Large vestibular aqueduct syndrome (LVAS) is a congenital disorder characterized by progressive or fluctuating sensorineural hearing loss of unknown etiology. Serial MR examinations were performed before and after the development of hearing loss in two patients with LVAS. The signal and volume of the enlarged endolymphatic sac (EES) vary even in ears with stable hearing. In ears with fluctuating hearing, changes in EES signals were observed in only one of two patients. The finding that the EES volume and signal intensity vary dynamically independently of hearing is important for future research into the pathophysiology of hearing loss in this syndrome. (orig.)

Lysosomal enlargement and lysosomal membrane destabilisation in mussel digestive cells measured by an integrative index

International Nuclear Information System (INIS)

Izagirre, Urtzi; Marigomez, Ionan

2009-01-01

Lysosomal responses (enlargement and membrane destabilisation) in mussel digestive cells are well-known environmental stress biomarkers in pollution effects monitoring in marine ecosystems. Presently, in laboratory and field studies, both responses were measured separately (in terms of lysosomal volume density - Vv - and labilisation period -LP) and combined (lysosomal response index - LRI) in order to contribute to their understanding and to develop an index useful for decisions makers. LRI integrates Vv and LP, which are not necessarily dependent lysosomal responses. It is unbiased and more sensitive than Vv and LP alone and diminishes background due to confounding factors. LRI provides a simple numerical index (consensus reference = 0; critical threshold = 1) directly related to the pollution impact degree. Moreover, LRI can be represented in a way that allows the interpretation of lysosomal responses, which is useful for environmental scientists. - Lysosomal responses to pollutants measured by an integrative index.

On bacteria oxidizing enlargement scale test for uranium in-situ leaching at. 381 mine

International Nuclear Information System (INIS)

Hu Kaiguang; Wang Qingliang; Liu Yingjiu; Shi Wenge; Hu Shihe; Hu Yincai; Fang Qiu

1999-01-01

The results of enlarged scale test of bacteria as oxidizer for uranium in-situ leaching at No 381 mine showed that redox potential of the oxidized absorbed tailing water by bacteria is more than 510 mV, without any effects on after treatments by using bacteria as oxidizer and reduce oxidizer costs 70% compared with H 2 O 2 as oxidizer

Cross border reproductive care in six European countries

DEFF Research Database (Denmark)

de Mouzon, J; Pennings, G; Ferraretti, A P

2010-01-01

The quantity and the reasons for seeking cross border reproductive care are unknown. The present article provides a picture of this activity in six selected European countries receiving patients.......The quantity and the reasons for seeking cross border reproductive care are unknown. The present article provides a picture of this activity in six selected European countries receiving patients....

Chinese outbound tourism: new challenges for European tourism

OpenAIRE

Andreu, Rosario; Claver-Cortés, Enrique; Quer, Diego

2013-01-01

The growth of China’s outbound tourism is a source of both threats and opportunities for European countries. Therefore, European tourism institutions and companies should focus their attention on this emerging market. The objective of this paper is to analyze the consequences that the boom in Chinese tourism could have for European tourism. A critical analysis provides the basis for actions and measures that the main European tourism institutions and companies should adopt in order to face th...

To enlarge the travel markets from Shanghai to Turku (Shanghai CITS, Ltd.)

OpenAIRE

Wang, Chunyang

2010-01-01

This paper is made in order to make thorough analysis in current Chinese travel markets and travel agencies, as well as the analysis on Turku’s travel markets, with which it can know the feasibility in enlarge the travel markets for CITS into Turku. In details, as the background information, the brief overview of history of China’s domestic travel agencies and a brief description of Shanghai CITS in terms of its business and management status are posed with the aim of getting enough suppo...

Formations, anomalies and variants of the mediastinum and the lung roots in children, simulating enlarged intrathoracic lymph nodes

International Nuclear Information System (INIS)

Rabkin, I.Kh.; Borisova, N.K.

1983-01-01

Timely detection of enlarged intrathoracic lymph nodes is of great importance in pediatric practice. Meanwhile there exist various mediastinal and lung root as well as anomalies and variants of their development, which could imitate the mediastinal lymph node hyperplasia. Their diagnosis is individually designed employing a complex of X-ray methods. In recent years the anatomo-physiological development of thoracic organs in children and teenagers has been affected by the acceleration process. Under the latters' impact the phenomenon of an increase in the large pulmonary vessels appeared in children with signs of high physical development, which caused lung root dilatation and produced an impression of the intrathoracic lymph node enlargement. The Valsalva functional tests should be used in combination with X-ray research methods

Common clinical features of children with enlarged vestibular aqueduct and Mondini dysplasia.

Science.gov (United States)

Wu, Chen-Chi; Chen, Yuh-Shyang; Chen, Pei-Jer; Hsu, Chuan-Jen

2005-01-01

The purpose of the study was to investigate the etiological factors and the audiological data of different types of inner ear malformations, which the authors thought might be helpful in elucidating the inter-relation among malformations and shedding light on pathogenesis. Retrospective study from 1998 to 2002 at a tertiary care university hospital. One hundred sixty consecutive children with a total of 302 affected ears undergoing high-resolution computed tomography of the temporal bone for sensorineural hearing loss were enrolled. The image results were correlated with causes and origins, hearing loss patterns, hearing levels, and audiogram configurations. Inner ear malformation was present in 114 (38%) ears. The most common malformations were enlarged vestibular aqueduct, incomplete partition of cochlea (Mondini dysplasia), large vestibule, and semicircular canal dysplasia, presenting either as isolated finding or in combination. Eighty-four (74%) ears had abnormalities confined to these four malformations; only 30 (26%) ears showed other malformations. Patients with complex of enlarged vestibular aqueduct, Mondini dysplasia, large vestibule, and semicircular canal dysplasia (EMVS complex) demonstrated a significantly higher incidence of fluctuating hearing loss (93%) and a better hearing level compared with those with other malformations. Homogeneity in audiological features among these four malformations was also disclosed. The authors identified a distinct clinical entity, the EMVS complex, which is characterized by fluctuating hearing loss and a better hearing level. The authors proposed that malformations belonging to this complex result from a common pathogenetic mechanism.

European immigration a sourcebook

CERN Document Server

Triandafyllidou, Anna

2016-01-01

Fully updated and containing chapters on the new EU member states and the attempt to form a common EU migration policy, this new edition of European Immigration: A Sourcebook provides a comprehensive overview of the trends and developments in migration in all EU countries. With chapters following a common structure to facilitate direct international comparisons, it not only examines the internal affairs of each member state, but also explores both migratory trends within the EU itself and the implications for European immigration of wider global events, including the Arab Spring and the world financial crisis.

European oil product supply modelling

International Nuclear Information System (INIS)

Saint-Antonin, V.

1998-01-01

Over the last few years, trends in European oil product consumption (in terms of level as structure and quality) has important implications of the refining industry. In this context, the purpose of this thesis consists in building a mathematical programming model applied to the European refineries in order to determine oil product supply prices, European refining industry investments and oil product exchanges of the European Union. The first part presents the reason for our choice for a long-term aggregate multi-refineries linear programming model, based on European refineries characteristics and the objectives of our model. Its dual properties are studied in detail and we focus particularly on the European exchange modelling. In the second part, an analysis of the European refining trends leads us to identify parameters and variables of the model that are essential to the aggregate representation of the European oil product supply. The third part is devoted to the use of this model, regarding two scenarios of increasingly stringent specifications for gasoline and diesel oil. Our interest for these products is due to their important share of the European oil product consumption and the not insignificant responsibility of the transport sector for atmospheric pollution. Finally, in order to have the use of an overall picture of the European refining industry, we build a regression model summarizing, though a few equations, the main relations between the major endogenous and exogenous variables o the LP model. Based on pseudo-data, this kind of model provides a simple and robust representation of the oil product supply. But a more specialized analysis of the refining industry operations, turning on a technical assessment of processing units, is reliant on the use of an optimization model such as the model we have built. (author)

An introduction to European intergovernmental organizations

CERN Document Server

Cogen, Marc

2015-01-01

An Introduction to European Intergovernmental Organizations provides an up-to-date and accessible reference to European intergovernmental organizations other than the European Union. The EU is so dominant that people often overlook the multitude of older and newer, smaller and larger intergovernmental organizations rooted in the history of contemporary Europe which continue to help shape its future. The specialized character of these organizations adds value to cooperation in Europe as a whole, creates permanent channels of communication regardless of EU membership and allows the possibility for non-European involvement through organizations such as the European Bank for Reconstruction and Development and NATO. It also allows sub regional groups of states, such as the Nordic countries or the Benelux countries to exist and express their own identity via their own organizations. This book looks at the history of Non-EU organizations, their decision-making characteristics, membership policies, legal powers actio...

European economic area in the system of the EU foreign policy: norwegian perspective

Directory of Open Access Journals (Sweden)

Bohdan Y. Barna

2016-02-01

Full Text Available European Economic Area was one of the first examples of developing the relations between the EU and other partner countries on the continent that rejected a full membership in this organization. This form of cooperation for over twenty years provides stability, predictability and constructive development of relations with the three European partners, including Norway. Currently, the EEA is seen as a model of deeper integration without getting a full-fledged membership in the EU. It should also be noted that this arrangement has proven its resistance to external shocks as reduction of members of EFTA, EU enlargement and adoption of new EU treaties. Therefore, Brussels supports the existence of the EEA and never officially put on the agenda of the termination of the agreement or revision of its provisions. For their part, most Norwegian political parties also defend the status quo. However, there are voices on the need to modernize the EEA, especially after the adoption of the Lisbon Treaty. It is also necessary to point out that the Norwegian model of cooperation with the EU has lost its original exceptionality, especially after the entry into force of the Association Agreement with Ukraine. Oslo has also to compete with a number of other countries, NGOs and other lobby groups for attention from the EU. Relations between Norway and the EU are characterized by the asymmetry of obligations under the EEA, as Oslo is obliged to unilaterally implement acquis communautaire, while having no effective leverage over decision-making in the EU. Another challenge is the weakness of the EFTA pillars in the EEA, as it is necessary to interact with an organization, which has 28 European member-countries. There are other negative aspects that gradually reduce the role of Norway in relations with the EU. Given the current challenges, different scenarios have been prepared focusing on for the further development of relations between the EU and Norway. According to

Engrosamiento peneano: complicación de lipotransferencia Penis enlargement: complication of lipotransfer

Directory of Open Access Journals (Sweden)

C.G. Conde

2012-12-01

Full Text Available La solicitud de engrosamiento del pene por parte de los pacientes tiene un crecimiento sostenido. El empleo de grasa autóloga como relleno puede causar una deformidad que provoca un menoscabo funcional y estético. Presentamos un caso de complicación que requirió de tratamiento quirúrgico.Penis enlargement is a practice widely requested by the patients. The use of autologous fat transplantation can produce deformity and functional and aesthetic deficiency. The authors present a clinical case of complication and its surgical resolution.

Compensatory enlargement of Ossabaw miniature swine coronary arteries in diffuse atherosclerosis

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Jenny S. Choy

2015-03-01

Full Text Available Studies in human and non-human primates have confirmed the compensatory enlargement or positive remodeling (Glagov phenomenon of coronary vessels in the presence of focal stenosis. To our knowledge, this is the first study to document arterial enlargement in a metabolic syndrome animal model with diffuse coronary artery disease (DCAD in the absence of severe focal stenosis. Two different groups of Ossabaw miniature pigs were fed a high fat atherogenic diet for 4 months (Group I and 12 months (Group II, respectively. Group I (6 pigs underwent contrast enhanced computed tomographic angiography (CCTA and intravascular ultrasound (IVUS at baseline and after 4 months of high fat diet, whereas Group II (7 pigs underwent only IVUS at 12 months of high fat diet. IVUS measurements of the left anterior descending (LAD, left circumflex (LCX and right coronary (RCA arteries in Group I showed an average increase in their lumen cross-sectional areas (CSA of 25.8%, 11.4%, and 43.4%, respectively, as compared to baseline. The lumen CSA values of LAD in Group II were found to be between the baseline and 4 month values in Group I. IVUS and CCTA measurements showed a similar trend and positive correlation. Fractional flow reserve (FFR was 0.91 ± 0.07 at baseline and 0.93 ± 0.05 at 4 months with only 2.2%, 1.6% and 1% stenosis in the LAD, LCX and RCA, respectively. The relation between percent stenosis and lumen CSA shows a classical Glagov phenomenon in this animal model of DCAD.

Necrotic enlargement of cone photoreceptor cells and the release of high-mobility group box-1 in retinitis pigmentosa

Science.gov (United States)

Murakami, Y; Ikeda, Y; Nakatake, S; Tachibana, T; Fujiwara, K; Yoshida, N; Notomi, S; Nakao, S; Hisatomi, T; Miller, J W; Vavvas, DG; Sonoda, KH; Ishibashi, T

2015-01-01

Retinitis pigmentosa (RP) refers to a group of inherited retinal degenerations resulting form rod and cone photoreceptor cell death. The rod cell death due to deleterious genetic mutations has been shown to occur mainly through apoptosis, whereas the mechanisms and features of the secondary cone cell death have not been fully elucidated. Our previous study showed that the cone cell death in rd10 mice, an animal model of RP, involves necrotic features and is partly mediated by the receptor interacting protein kinase. However, the relevancy of necrotic cone cell death in human RP patients remains unknown. In the present study, we showed that dying cone cells in rd10 mice exhibited cellular enlargement, along with necrotic changes such as cellular swelling and mitochondrial rupture. In human eyes, live imaging of cone cells by adaptive optics scanning laser ophthalmoscopy revealed significantly increased percentages of enlarged cone cells in the RP patients compared with the control subjects. The vitreous of the RP patients contained significantly higher levels of high-mobility group box-1, which is released extracellularly associated with necrotic cell death. These findings suggest that necrotic enlargement of cone cells is involved in the process of cone degeneration, and that necrosis may be a novel target to prevent or delay the loss of cone-mediated central vision in RP. PMID:27551484

Tax Shift by Economic Functions and Its Effect on Economic Growth in the European Union

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Irena Szarowská

2015-01-01

Full Text Available The aim of the paper is to examine effects of tax shift on economic growth and provide a direct empirical evidence in the European Union (EU. It is used the Eurostat’s definition to categorize tax burden by economic functions and implicit tax rates of consumption, labour and capital are investigated. First, paper summarizes main development of tax shift in a whole EU till 2014 and followed empirical analysis is based on annual panel data of 22 EU Member States in years 1995–2012 (time span is divided into a pre-crisis and a post-crisis period. Explanatory variables are not examined in individual regressions, but the study uses Generalized Method of Moments applied on dynamic panel data and estimations are based on Arellan-Bond estimator (1991. Results confirm positive and statistically significant impact of consumption taxes and weaker but negative effect of labour taxation on economic growth. In a post-crisis period, findings report raising labour taxes as the strongest and the only significant variable. It suggests that harmful effect of labour taxation is enlarging in a time of unfavorable economic conditions. A tax shift on capital taxation has negative but often statistically insignificant impact on economic growth.

Training Issues for the European Automotive Industry

NARCIS (Netherlands)

Dankbaar, B.

1996-01-01

Provides an overview of the results of an investigation carried out for the European Commission. Aims to identify themes and issues in the field of continuing training in the European automotive industry. A large number of interviews were carried out in all the major car manufacturing countries of

Training issues for the European automotive industry

NARCIS (Netherlands)

Dankbaar, B.

1999-01-01

Provides an overview of the results of an investigation carried out for the European Commission. Aims to identify themes and issues in the field of continuing training in the European automotive industry. A large number of interviews were carried out in all the major car manufacturing countries of

The size and burden of mental disorders and other disorders of the brain in Europe 2010

DEFF Research Database (Denmark)

Wittchen, H U; Jacobi, F; Rehm, J

2011-01-01

To provide 12-month prevalence and disability burden estimates of a broad range of mental and neurological disorders in the European Union (EU) and to compare these findings to previous estimates. Referring to our previous 2005 review, improved up-to-date data for the enlarged EU on a broader ran...

Does ultrasound contrast agent improve the diagnostic value of colour and power Doppler sonography in superficial lymph node enlargement?

International Nuclear Information System (INIS)

Schulte-Altedorneburg, Gernot; Demharter, Johannes; Linne, Renate; Droste, Dirk W.; Bohndorf, Klaus; Buecklein, Wolfgang

2003-01-01

Objective: to analyse whether ultrasound contrast agent (UCA) improves the diagnostic accuracy to differentiate between benign and malignant superficial lymph node enlargement by using colour-coded duplex sonography (CCDS) and power Doppler (PD). Methods: 32 patients with suspected malignant superficial lymph node enlargement prospectively underwent standardised ultrasound examinations using B-mode sonography and native and contrast-enhanced CCDS and PD immediately before biopsy. Solbiati-Index (longitudinal-transverse diameter ratio) and intranodal flow patterns by using different vascularisation types were assessed. Histological and sonographical findings were correlated. Results: 27 malignant and 5 benign lymph nodes were found. Solbiati-Index was lower in malignant lymph nodes than in benign nodes (mean 1.5 vs. 2.4, P<0.045). More intranodal flow patterns could be detected after UCA (53 vs. 43) but the number of correctly identified malignant nodes decreased after UCA (26 vs. 24) and the number of correctly identified benign nodes remained constant compared with native CCDS and PD. In 31% of the colour-mode studies, PD was considered to visualise more clearly intranodal vascular flow patterns than CCDS. Conclusion: despite depicting more intranodal vascular patterns, the use of an ultrasound contrast agent seems not to improve the diagnostic value of CCDS and PD compared with native colour-mode studies in superficial lymph node enlargement

The European Trauma Course (ETC) and the team approach

DEFF Research Database (Denmark)

Lott, Carsten; Araujo, Rui; Cassar, Mary Rose

2009-01-01

The European Trauma Course (ETC) was officially launched during the international conference of the European Resuscitation Council (ERC) in 2008. The ETC was developed on behalf of ESTES (European Society of Trauma and Emergency Surgery), EuSEM (European Society of Emergency Medicine), the ESA...... (European Society of Anaesthesiology) and the ERC. The objective of the ETC is to provide an internationally recognised and certified life support course, and to teach healthcare professionals the key principles of the initial care of severely injured patients. Its core elements, that differentiates it from...

Chinese outbound to tourism : new challenges for european tourism

OpenAIRE

Andreu, Rosario; Claver, Enrique; Quer, Diego

2013-01-01

The growth of China’s outbound tourism is a source of both threats and opportunities for European countries. Therefore, European tourism institutions and companies should focus their attention on this emerging market. The objective of this paper is to analyze the consequences that the boom in Chinese tourism could have for European tourism. A critical analysis provides the basis for actions and measures that the main European tourism institutions and companies should adopt i...

Comprehensive personal witness: a model to enlarge missional involvement of the local church

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Hancke, Frans

2013-06-01

Full Text Available In the The Split-Level Fellowship, Wesley Baker analysed the role of individual members in the Church. He gave a name to a tragic phenomenon with which Church leaders are familiar. Although true of society in general it is especially true of the church. Baker called the difference between the committed few and the uninvolved many, Factor Beta. This reality triggers the question: Why are the majority of Christians in the world not missionally involved through personal witness and which factors consequently influence personal witness and missional involvement? This article explains how the range of personal witness and missional involvement found in local churches are rooted in certain fundamental factors and conditions which are mutually influencing each other and ultimately contribute towards forming a certain paradigm. This paradigm acts as the basis from which certain behavioural patterns (witness will manifest. The factors influencing witness are either described as accelerators or decelerators and their relativity and mutual relationships are considered. Factors acting as decelerators can severely hamper or even annul witness, while accelerators on the other hand, can have an immensely positive effect to enlarge the transformational influence of witness. In conclusion a transformational model is developed through which paradigms can be influenced and eventually changed. This model fulfils a diagnostic and remedial function and will support local churches to enlarge the individual and corporate missional involvement of believers.

The newsletter 'European Research in Radiological Sciences'

International Nuclear Information System (INIS)

Pihet, P.; D'Errico, F.; Doerr, W.; Gruenberger, M.; Schofield, P.

2004-01-01

The newsletter 'European Research in Radiological Sciences' is jointly published by the European Late Effects Project Group and the European Radiation Dosimetry Group to disseminate information about research projects and activities carried out under the EURATOM Framework Programme. Since May 2003, the Newsletter is operated interactively from the Internet. The new site uses a dedicated database that automatically generates HTML pages. This system developed at the Univ. of Cambridge provides an innovative approach to improve the dissemination of project information. (authors)

The European Social Survey and European research policy

DEFF Research Database (Denmark)

Kropp, Kristoffer

2017-01-01

This article analyses the history of the European Social Survey (ESS) and its relationship to changes in European research policy, using Bourdieu’s field-analytical approach. It argues that the success of the ESS relied on three interwoven processes that we can understand theoretically in terms...... of the establishment of homological structures and the formation of conjunctural alliances between the field of European social-scientific research and the field of European policy. The three interwoven processes that I depict are: first, the production of a European field of social research, connected to both...... European and national scientific institutions; second, the establishment of European Union (EU) institutions and organisations that were able to identify and link up with social researchers; and third, the formation of conjunctural alliances between the two fields (social science and EU research policy...

Association between optic nerve blood flow and objective examinations in glaucoma patients with generalized enlargement disc type

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Nakazawa T

2011-10-01

Full Text Available Naoki Chiba, Kazuko Omodaka, Yu Yokoyama, Naoko Aizawa, Satoru Tsuda, Masayuki Yasuda, Takaaki Otomo, Shunji Yokokura, Nobuo Fuse, Toru Nakazawa Department of Ophthalmology, Tohoku University Graduate School of Medicine, Sendai, Japan Background: The purpose of this study was to investigate the correlations between microcirculation in the optic disc, average peripapillary retinal nerve fiber layer thickness cupping parameters, and visual field defects in glaucoma patients with the generalized enlargement disc type. Methods: A total of 38 eyes from 38 glaucoma patients with the generalized enlargement disc type were included. The microcirculation of the optic nerve head was examined with laser speckle flow graphy, and the mean blur rate in all areas, in vessel area, and in tissue area were calculated using the laser speckle flow graphy analyzer software. Average peripapillary retinal nerve fiber layer thickness was measured using Stratus optical coherence tomography, and cupping parameters were accessed using the Heidelberg retina tomograph. The mean deviation in the Humphrey field analyzer (30-2 SITA standard was analyzed. The correlation between these parameters was evaluated using the Spearman rank correlation coefficient. Results: The correlation coefficient of mean blur rate in all optic disc area to the average peripapillary retinal nerve fiber layer thickness, vertical C/D, and mean deviation were r = 0.7546 (P < 0.0001, r = –0.6208 (P < 0.0001, and r = 0.6010 (P = 0.0001, respectively. The mean blur rate in tissue area of the optic disc showed r = 0.7305 (P < 0.0001, r = –0.6438 (P < 0.0001, and r = 0.6338 (P < 0.0001. Conclusion: We found that the mean blur rate in the optic disc was significantly correlated with the average peripapillary retinal nerve fiber layer thickness, vertical C/D, and mean deviation in patients with the generalized enlargement disc type of glaucoma. In particular, the mean blur rate in tissue area was more

Premotor nitric oxide synthase immunoreactive pathway connecting lumbar segments with the ventral motor nucleus of the cervical enlargement in the dog.

Science.gov (United States)

Marsala, Jozef; Lukácová, Nadezda; Cízková, Dása; Lukác, Imrich; Kuchárová, Karolína; Marsala, Martin

2004-03-01

injection of Fluorogold into the ventral motor nucleus. In summary, the present study provides evidence for a hitherto unknown ascending premotor propriospinal nitric oxide synthase-immunoreactive pathway connecting the lumbosacral enlargement with the motoneurons of the ventral motor nucleus in the dog.

European investment projects in third countries: Legally green?

NARCIS (Netherlands)

D.N. Ratsiborinskaya (Daria)

2012-01-01

textabstractThis article provides an overview of the corporate self-regulation by five European-based multilateral financial institutions where European environmental acquis is applied in investment projects in the third countries. Academic research on environmental standards suffers from a certain

Opting Out of the European Union

DEFF Research Database (Denmark)

Adler-Nissen, Rebecca

controversial cases of differentiated integration: the British and Danish opt-outs from Economic and Monetary Union and European policies on borders, asylum, migration, internal security and justice. Drawing on over one hundred interviews with national representatives and EU officials, the author demonstrates......European integration continues to deepen despite major crises and attempts to take back sovereignty. A growing number of member states are reacting to a more constraining EU by negotiating opt-outs. This book provides the first in-depth account of how opt-outs work in practice. It examines the most...... how representatives manage the stigma of opting out, allowing them to influence even politically sensitive areas covered by their opt-outs. Developing a practice approach to European integration, the book shows how everyday negotiations transform national interests into European ideals. It is usually...

Reconstruction of deformities resulting from penile enlargement surgery.

Science.gov (United States)

Alter, G J

1997-12-01

More than 30 patients presented for reconstruction of penile deformities secondary to penile enlargement surgery performed by other physicians. Lengthening was performed by releasing the suspensory ligament of the penis and advancing pubic skin with a V-Y advancement flap. Girth was increased by injecting autologous fat. Specific complaints relating to the lengthening procedure involve hypertrophic and/or wide scars, a proximal penile hump from a thick, hair-bearing V-Y flap, and a low hanging penis. Complications relating to autologous fat injections include disappearance of fat, penile lumps and nodules, and shaft deformities. The repair of these deformities is described. From 1994 through October 1996, 19 men underwent 24 various combinations of reconstructive operations, such as scar revisions, V-Y advancement flap reversal, and removal of fat nodules and asymmetrical fat deposits. Penile appearance and function were improved. Complications include 1 hematoma requiring drainage, minor wound complications and 1 inadequately reversed V-Y flap. The methods of various repairs are discussed, including reconstructive limitations, timing and staging. Significant improvement can be achieved with proper reconstruction of penile deformities.

Potential Measurement Errors Due to Image Enlargement in Optical Coherence Tomography Imaging

Science.gov (United States)

Uji, Akihito; Murakami, Tomoaki; Muraoka, Yuki; Hosoda, Yoshikatsu; Yoshitake, Shin; Dodo, Yoko; Arichika, Shigeta; Yoshimura, Nagahisa

2015-01-01

The effect of interpolation and super-resolution (SR) algorithms on quantitative and qualitative assessments of enlarged optical coherence tomography (OCT) images was investigated in this report. Spectral-domain OCT images from 30 eyes in 30 consecutive patients with diabetic macular edema (DME) and 20 healthy eyes in 20 consecutive volunteers were analyzed. Original image (OR) resolution was reduced by a factor of four. Images were then magnified by a factor of four with and without application of one of the following algorithms: bilinear (BL), bicubic (BC), Lanczos3 (LA), and SR. Differences in peak signal-to-noise ratio (PSNR), retinal nerve fiber layer (RNFL) thickness, photoreceptor layer status, and parallelism (reflects the complexity of photoreceptor layer alterations) were analyzed in each image type. The order of PSNRs from highest to lowest was SR > LA > BC > BL > non-processed enlarged images (NONE). The PSNR was statistically different in all groups. The NONE, BC, and LA images resulted in significantly thicker RNFL measurements than the OR image. In eyes with DME, the photoreceptor layer, which was hardly identifiable in NONE images, became detectable with algorithm application. However, OCT photoreceptor parameters were still assessed as more undetectable than in OR images. Parallelism was not statistically different in OR and NONE images, but other image groups had significantly higher parallelism than OR images. Our results indicated that interpolation and SR algorithms increased OCT image resolution. However, qualitative and quantitative assessments were influenced by algorithm use. Additionally, each algorithm affected the assessments differently. PMID:26024236

National parliaments and European constitutionalism: accountability beyond borders

NARCIS (Netherlands)

Jancic, D.

2011-01-01

The structure and quality of EU democracy is greatly determined by the status that the European Union accords both to the European Parliament and to national parliaments. The potential that national parliaments carry for providing political accountability and democratic legitimacy to the EU

Východné rozšírenie a politika EÚ v oblasti energetiky: smerom ku spoločnej európskej energetickej politike?

Directory of Open Access Journals (Sweden)

Matúš Mišík

2012-12-01

Full Text Available Eastern Enlargement and the EU Energy Policy: towards Common European Energy Policy?The paper analyses the development of the EU energy policy since the beginning of the European integration and argues that the eastern enlargement and two gas crises in 2006 and 2009 have crucially impacted its evolution. Originally, the ES/EU dealt primarily with the formation and liberalisation of internal energy market, however after 2004 the focus has shifted towards issues of energy security and external energy relations in general. The paper uses the spillover concept to analyse the development of the EU energy policy. It argues that the development of internal energy market was caused by a spillover from internal market as such, while the progress in the area of energy policy after the eastern enlargement was an outcome of efforts to achieve energy security; efforts that resulted in further spillover effects in areas such as diversification, external energy relations or efficiency. The paper thus claims that common European energy policy in its internal and external dimensions started to evolve gradually after the Eastern enlargement.

Role of the European Food Safety Authority (EFSA in providing scientific advice on the welfare of food producing animals

Directory of Open Access Journals (Sweden)

Jordi Serratosa

2010-01-01

Full Text Available The survey describes the work of the Animal Health and Welfare (AHAW Panel of the European Food Safety Authority (EFSA in the provision of scientific advice on the welfare of food producing animals including animal health and food safety aspects, where relevant, and on the impact of these scientific assessments on the EU regulatory framework. EFSA was created in 2002 with the mission to provide advice and scientific and technical support for the Community legislation and policies in all fields which have a direct or indirect impact on food and feed safety, plant health, environment and animal health and animal welfare. When providing objective and independent science-based advice, the risk assessment approach should be followed, whenever possible. The AHAW Panel of EFSA provides specific advices on risk factors related to animal diseases and welfare, mainly of food producing animals, including fish. According to EFSA’s remit, ethical, socio-economic, cultural and religious aspects are outside the scope of the EFSA’s assessments. Since 2004, the Animal Health and Welfare Panel of EFSA adopted a total of 21 scientific opinions on animal welfare. Animal diseases and food safety aspects have also been taken into account, where relevant. Animal welfare aspects have been considered in some scientific opinions on animal diseases (e.g. AI, FMD. The AHAW Panel is currently working on five scientific opinions on the welfare of dairy cows and on the welfare aspects of the stunning and killing of farmed fish for eight fish species (salmon, trout, carp, eel, tuna, sea bass, sea bream and turbot. The possible interactions and implications for food safety and animal disease have been considered, when relevant, in most of the AW scientific opinions, involving other areas of expertise in EFSA, like Biohazards, Contaminants and Plant Health. The final aim of EFSA’s scientific assessments on animal welfare is to support animal welfare EU legislation on the

The EU’s Black Sea Policies: Any Hopes for Success?

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Sinem Akgül Açıkmeşe

2012-01-01

Full Text Available he 2004-2007 enlargements brought the EU onto the shores of the Black Sea region which is encircled with complex insecurities. Since then, the EU has been actively engaged in developing a vision for this problematic region through the various instruments of enlargement, CFSP/CSDP, European Neighborhood Policy, Black Sea Synergy as well as the Eastern Partnership. This paper aims at analysing the efficacy of EU’s Black Sea policies in providing regional security, with a particular and a comparative focus on the impact of the Synergy as the only genuine regional Black Sea strategy.

Large-scale lagovirus disease outbreaks in European brown hares (Lepus europaeus) in France caused by RHDV2 strains spatially shared with rabbits (Oryctolagus cuniculus).

Science.gov (United States)

Le Gall-Reculé, Ghislaine; Lemaitre, Evelyne; Bertagnoli, Stéphane; Hubert, Céline; Top, Sokunthea; Decors, Anouk; Marchandeau, Stéphane; Guitton, Jean-Sébastien

2017-10-28

Rabbit haemorrhagic disease virus (RHDV) is a lagovirus that causes rabbit haemorrhagic disease (RHD) in European rabbits (Oryctolagus cuniculus). In 2010, a new genotype called RHDV2 emerged in France. It exhibits a larger host range than classical RHDV strains by sporadically infecting different hare species, including the European hare (Lepus europaeus). Phylogenetic analyses revealed that closely related RHDV2 strains circulate locally in both hares and rabbits, and therefore that RHDV2 strains infecting hares do not belong to a lineage that has evolved only in this species. We showed that RHDV2 is widely distributed in France and that it was responsible for more than a third of cases of lagovirus disease in European hare populations in 2015. The oldest RHDV2 positive hare was sampled in November 2013 and we reported two hares co-infected by EBHSV and RHDV2. All together, our results raise important epidemiological and evolutionary issues. In particular, along with the potential emergence of recombinant EBHSV/RHDV2 strains in hares, the enlargement of the host range changes the host population structure of RHDV2 and may alter the impact of the virus on rabbit and hare populations.

Uptake of thallium-201 in enlarged thyroid glands. Concise communication

International Nuclear Information System (INIS)

Fukuchi, M.; Kido, A.; Hyodo, K.; Tachibana, K.; Onoue, K.; Morita, T.; Nagai, K.

1979-01-01

We have investigated the thyroid uptake of Tl-201 in 37 patients with various types of goiter, and in six with normal thyroids. Significant thallium uptake was found in all cases in which there was thyroid enlargement, including Graves' disease, toxic thyroid nodule, primary hypothyroidism, simple goiter, Hashimoto's disease, thyroid carcinoma, and thyroid adenoma. If goiter was absent, however, there was no demonstrable uptake - e.g., in secondary hypothyroidism, subacute thyroiditis, and the normal controls. Thallium uptake did not correlate with thyroid function tests such as BMR, T 3 -RU, T 3 , T 4 , TSH, antithyroid antibodies, or the 24-hr I-131 uptake. In 23 patients with diffuse goiter, on the other hand, maximum Tl-201 uptake correlated well with thyroid weight: r = 0.836 (p < 0.001); y = 0.02 x + 0.06

Penis invalidating cicatricial outcomes in an enlargement phalloplasty case with polyacrylamide gel (Formacryl).

Science.gov (United States)

Parodi, P C; Dominici, M; Moro, U

2006-01-01

The present article reports the case of a patient subjected to polyacrylamide polymers-composed gel cutaneous infiltration in the penis for cosmetic purposes, resulting in severe invalidating outcomes. A significant tissue reaction to the subcutaneous injection of polyacrylamide gel for the penis enlargement purpose resulted in permanent and invalidating scars both on the esthetic and functional levels. Such a result must be simply taken into account both singly and in the light of the international literature to exclude this method as standard uro-andrologic activity.

Proximal tubular hypertrophy and enlarged glomerular and proximal tubular urinary space in obese subjects with proteinuria.

Directory of Open Access Journals (Sweden)

Ana Tobar

Full Text Available BACKGROUND: Obesity is associated with glomerular hyperfiltration, increased proximal tubular sodium reabsorption, glomerular enlargement and renal hypertrophy. A single experimental study reported an increased glomerular urinary space in obese dogs. Whether proximal tubular volume is increased in obese subjects and whether their glomerular and tubular urinary spaces are enlarged is unknown. OBJECTIVE: To determine whether proximal tubules and glomerular and tubular urinary space are enlarged in obese subjects with proteinuria and glomerular hyperfiltration. METHODS: Kidney biopsies from 11 non-diabetic obese with proteinuria and 14 non-diabetic lean patients with a creatinine clearance above 50 ml/min and with mild or no interstitial fibrosis were retrospectively analyzed using morphometric methods. The cross-sectional area of the proximal tubular epithelium and lumen, the volume of the glomerular tuft and of Bowman's space and the nuclei number per tubular profile were estimated. RESULTS: Creatinine clearance was higher in the obese than in the lean group (P=0.03. Proteinuria was similarly increased in both groups. Compared to the lean group, the obese group displayed a 104% higher glomerular tuft volume (P=0.001, a 94% higher Bowman's space volume (P=0.003, a 33% higher cross-sectional area of the proximal tubular epithelium (P=0.02 and a 54% higher cross-sectional area of the proximal tubular lumen (P=0.01. The nuclei number per proximal tubular profile was similar in both groups, suggesting that the increase in tubular volume is due to hypertrophy and not to hyperplasia. CONCLUSIONS: Obesity-related glomerular hyperfiltration is associated with proximal tubular epithelial hypertrophy and increased glomerular and tubular urinary space volume in subjects with proteinuria. The expanded glomerular and urinary space is probably a direct consequence of glomerular hyperfiltration. These effects may be involved in the pathogenesis of obesity

THE EMERGENCE OF THE EUROPEAN COUNTERFEIT MARKETS

Directory of Open Access Journals (Sweden)

Loredana Maftei

2013-07-01

Full Text Available The European market of counterfeit goods has become a subject of increasing concern for businesses, private firms and policymakers. With a growing demand in consumption for this kind of goods, each sector is damaged from the toy industries to the pharmaceuticals industry. This article is aimed to expose the dynamic of the European counterfeiting markets, to highlight the main factors of production, the main providers, the smuggling routes, the overall profit, the main counterfeit products and also to offer a general perspective on the affected European markets.

BRIEF OVERVIEW ON THE CONDITIONALITY IN THE EUROPEAN NEIGHBOURHOOD POLICY

Directory of Open Access Journals (Sweden)

Oana Mocanu

2010-12-01

Full Text Available The European Neighbourhood Policy (ENP has become a top issue on the EU agenda after the EU enlargement wave of 2004, completed in 2007. The question of efficiently managing the new borders of EU, by facing the new-fangled challenges related to security, combating trafficking, ensuring economic prosperity and environment protection has driven new and restructured EU mechanisms in order to manage the relations with its new neighbourhood - rather diverse in terms of economic and social welfare. Conditionality from the part of EU towards the ENP partner states has been an intricate issue even from the start. How committed can these countries be on the path of rough economic, political and social reforms, in the absence of a perspective of EU accession? If conditionality, as we know it from the pre-accession process of the former candidate states for example, is going to be a success or a failure in the case of the ENP states is still a matter of perception. This paper attempts to give an overview of different opinions upon the potential effect of the conditionality mechanism within the ENP. The victory or breakdown of conditionality within the ENP depends both on the commitment of the ENP partner states to the goals, values, concrete projects promoted through this policy and its consolidated initiatives (Eastern Partnership, Union for Mediterranean, but most of all on the capacity of the European Union to replace the traditional incentive of accession with a proper alternative, mostly in economic, financial, social and security terms.

Enlarge the training set based on inter-class relationship for face recognition from one image per person.

Science.gov (United States)

Li, Qin; Wang, Hua Jing; You, Jane; Li, Zhao Ming; Li, Jin Xue

2013-01-01

In some large-scale face recognition task, such as driver license identification and law enforcement, the training set only contains one image per person. This situation is referred to as one sample problem. Because many face recognition techniques implicitly assume that several (at least two) images per person are available for training, they cannot deal with the one sample problem. This paper investigates principal component analysis (PCA), Fisher linear discriminant analysis (LDA), and locality preserving projections (LPP) and shows why they cannot perform well in one sample problem. After that, this paper presents four reasons that make one sample problem itself difficult: the small sample size problem; the lack of representative samples; the underestimated intra-class variation; and the overestimated inter-class variation. Based on the analysis, this paper proposes to enlarge the training set based on the inter-class relationship. This paper also extends LDA and LPP to extract features from the enlarged training set. The experimental results show the effectiveness of the proposed method.

Aerodynamic Analysis of Trailing Edge Enlarged Wind Turbine Airfoils

DEFF Research Database (Denmark)

Xu, Haoran; Shen, Wen Zhong; Zhu, Wei Jun

2014-01-01

characteristics of blunt trailing edge airfoils are caused by blunt body vortices at low angles of attack, and by the combined effect of separation and blunt body vortices at large angles of attack. With the increase of thickness of blunt trailing edge, the vibration amplitudes of lift and drag curves increase......The aerodynamic performance of blunt trailing edge airfoils generated from the DU- 91-W2-250, DU-97-W-300 and DU-96-W-350 airfoils by enlarging the thickness of trailing edge symmetrically from the location of maximum thickness to chord to the trailing edge were analyzed by using CFD and RFOIL...... methods at a chord Reynolds number of 3 × 106. The goal of this study is to analyze the aerodynamic performance of blunt trailing edge airfoils with different thicknesses of trailing edge and maximum thicknesses to chord. The steady results calculated by the fully turbulent k-ω SST, transitional k-ω SST...

European Union Enlargement, European Spatial Development Perspective and Regional Policy: Lessons from Population Potentials

Directory of Open Access Journals (Sweden)

Andrés Faíña

2006-01-01

Full Text Available En este trabajo se aplica el concepto del potencial de población al estudio de la estructura territorial del Espacio Económico Europeo (UE-15 y sus principales cambios a causa de la ampliación a los países del Centro y Este Europeo. El análisis muestra un reforzamiento de las áreas centrales y una ampliación y deslocalización a las zonas del Este de las áreas medias en el patrón espacial europeo. Además la idea de potencial de población permite destacar algunas orientaciones de política para la Perspectiva Europea de Ordenación del Territorio y para el futuro de la Política Regional Europea

An Optional Instrument for European Insurance Contract Law

Directory of Open Access Journals (Sweden)

Helmut Heiss

2010-08-01

Full Text Available The Principles of European Insurance Contract Law, also referred tousing the acronym PEICL, were published in September 2009. They are the result of ten years of academic work undertaken by the"Restatement of European Insurance Contract Law" Project Group. In the time since its establishment in 1999, the project has been transformed from being a stand-alone project to a part of the CoPECL (Common Principles of European Insurance Contract Law network, drafting a specific part of the Common Frame of Reference. Having continually worked under the guiding principle that "the law of insurance [in Europe] must be one," it now represents a serious option for providing Europe with a single legal framework for insurance contracts.Despite the European Council's proclamations that the Common Frame of Reference will remain a non-binding instrument, the implementation of one or more optional instruments in the future does not appear to beimprobable considering recent developments. The possibility of anoptional instrument has been expressed more than once by the European Commission in its Action Plan and Communication on European Contract Law. Other indications in favour of an optional instrument include the European Parliament's repeated references to the Common Frame of Reference as providing, at the very least, a model for a futureoptional instrument, as well as the EESC's earlier proposal of anoptional instrument as an alternative to standardising insurancecontract law. The preparation by the EESC of another (own-initiative opinion on European contract law is underway, and its presentation is anticipated in 2010. Hence, the optional instrument is evidently the subject of serious political deliberation. Using Article 1:102, the Principles of European Insurance Contract Law represent a prototype for such an instrument.

An Optional Instrument for European Insurance Contract Law

Directory of Open Access Journals (Sweden)

Mandeep Lakhan

2010-08-01

Full Text Available The Principles of European Insurance Contract Law, also referred tousing the acronym PEICL, were published in September 2009. They are the result of ten years of academic work undertaken by the"Restatement of European Insurance Contract Law" Project Group. In the time since its establishment in 1999, the project has been transformed from being a stand-alone project to a part of the CoPECL (Common Principles of European Insurance Contract Law network, drafting a specific part of the Common Frame of Reference. Having continually worked under the guiding principle that "the law of insurance [in Europe] must be one," it now represents a serious option for providing Europe with a single legal framework for insurance contracts. Despite the European Council's proclamations that the Common Frame of Reference will remain a non-binding instrument, the implementation of one or more optional instruments in the future does not appear to beimprobable considering recent developments. The possibility of anoptional instrument has been expressed more than once by the European Commission in its Action Plan and Communication on European Contract Law. Other indications in favour of an optional instrument include the European Parliament's repeated references to the Common Frame of Reference as providing, at the very least, a model for a futureoptional instrument, as well as the EESC's earlier proposal of anoptional instrument as an alternative to standardising insurancecontract law. The preparation by the EESC of another (own-initiative opinion on European contract law is underway, and its presentation is anticipated in 2010. Hence, the optional instrument is evidently the subject of serious political deliberation. Using Article 1:102, the Principles of European Insurance Contract Law represent a prototype for such an instrument.

European union standards for tuberculosis care.

Science.gov (United States)

Migliori, G B; Zellweger, J P; Abubakar, I; Ibraim, E; Caminero, J A; De Vries, G; D'Ambrosio, L; Centis, R; Sotgiu, G; Menegale, O; Kliiman, K; Aksamit, T; Cirillo, D M; Danilovits, M; Dara, M; Dheda, K; Dinh-Xuan, A T; Kluge, H; Lange, C; Leimane, V; Loddenkemper, R; Nicod, L P; Raviglione, M C; Spanevello, A; Thomsen, V Ø; Villar, M; Wanlin, M; Wedzicha, J A; Zumla, A; Blasi, F; Huitric, E; Sandgren, A; Manissero, D

2012-04-01

The European Centre for Disease Prevention and Control (ECDC) and the European Respiratory Society (ERS) jointly developed European Union Standards for Tuberculosis Care (ESTC) aimed at providing European Union (EU)-tailored standards for the diagnosis, treatment and prevention of tuberculosis (TB). The International Standards for TB Care (ISTC) were developed in the global context and are not always adapted to the EU setting and practices. The majority of EU countries have the resources and capacity to implement higher standards to further secure quality TB diagnosis, treatment and prevention. On this basis, the ESTC were developed as standards specifically tailored to the EU setting. A panel of 30 international experts, led by a writing group and the ERS and ECDC, identified and developed the 21 ESTC in the areas of diagnosis, treatment, HIV and comorbid conditions, and public health and prevention. The ISTCs formed the basis for the 21 standards, upon which additional EU adaptations and supplements were developed. These patient-centred standards are targeted to clinicians and public health workers, providing an easy-to-use resource, guiding through all required activities to ensure optimal diagnosis, treatment and prevention of TB. These will support EU health programmes to identify and develop optimal procedures for TB care, control and elimination.

European Non Destructive Examination Forum (ENDEF)

International Nuclear Information System (INIS)

Deffrennes, M.; Engl, G.; Estorff, U. von

1998-01-01

ENDEF, an initiative of the European Commission, DG XVII (Energy) was well supported by the European industrial institutions working in assistance with nuclear industrial organisations in the CEEC's (Central and Eastern European Countries) and NIS's (New Independent States). This Forum provides effectively a platform for open discussion between representatives of industrial actors active in the NDE (Non Destructive Examination)/ISI (In Service Inspection) field with the purpose to establish a co-operation pattern between qualified representatives of the EU (European Union) industry to offer a better co-ordinated and well defined assistance to the CEEC's and NIS in the field of NDE/ISI, and to lay the ground for further industrial co-operation. ENDEF developed a strategy to follow for the establishment of co-operation projects. This strategy is now used to understand the extent of past or present assistance projects and to identify the areas where more co-operation is needed. ENDEF encourages the creation in the NIS's and CEEC's of similar forums in order to increase the co-operation and co-ordination. ENDEF is also working in perfect agreement with the European Network ENIQ, piloted by the European plant operators. This identity of views lead to the leadership by the ENDEF co-ordinator of the ENIQ Task 3 involving Applications of the European Methodology for ISI qualification in the CEEC's and NIS's and presently fully integrated in ENDEF. (orig.)

Ordering of ''ladder'' operators, the Wigner function for number and phase, and the enlarged Hilbert space

International Nuclear Information System (INIS)

Luks, A.; Perinova, V.

1993-01-01

A suitable ordering of phase exponential operators has been compared with the antinormal ordering of the annihilation and creation operators of a single mode optical field. The extended Wigner function for number and phase in the enlarged Hilbert space has been used for the derivation of the Wigner function for number and phase in the original Hilbert space. (orig.)

Extremely discrepant mutation spectrum of SLC26A4 between Chinese patients with isolated Mondini deformity and enlarged vestibular aqueduct.

Science.gov (United States)

Huang, Shasha; Han, Dongyi; Yuan, Yongyi; Wang, Guojian; Kang, Dongyang; Zhang, Xin; Yan, Xiaofei; Meng, Xiaoxiao; Dong, Min; Dai, Pu

2011-09-30

Mutations in SLC26A4 cause Pendred syndrome (hearing loss with goiter) or DFNB4 (non-syndromic hearing loss with inner ear malformation, such as enlarged vestibular aqueduct or Mondini deformity). The relationship between mutations in SLC26A4 and Mondini deformity without enlarged vestibular aqueduct has not been studied in any Chinese deaf population. The purpose of this study was to assess whether mutations in the SLC26A4 gene cause Mondini deformity without an enlarged vestibular aqueduct (isolated Mondini deformity) in a Chinese population. In total, 144 patients with sensorineural hearing loss were included and subjected to high-resolution temporal bone CT. Among them, 28 patients with isolated Mondini dysplasia (MD group), 50 patients with enlarged vestibular aqueduct with Mondini dysplasia (EVA with MD group), 50 patients with enlarged vestibular aqueduct without Mondini dysplasia (EVA group), and 16 patients with other types of inner ear malformations (IEM group) were identified. The coding exons of SLC26A4 were analyzed in all subjects. DNA sequence analysis of SLC26A4 was performed in all 144 patients. In the different groups, the detection rate of the SLC26A4 mutation differed. In the isolated MD group, only one single allelic mutation in SLC26A4 was found in one patient (1/28, 3.6%). In the EVA with MD group, biallelic and monoallelic SLC26A4 mutations were identified in 46 patients (46/50, 92.0%) and three patients (3/50, 6.0%), respectively. Also, in the EVA group, biallelic and monoallelic SLC26A4 mutations were identified in 46 patients (46/50, 92.0%) and three patients (3/50, 6.0%), respectively. These percentages were identical to those in the EVA plus MD group. Only two patients carried monoallelic mutations of the SLC26A4 gene in the IEM group (2/16, 12.5%). There were significant differences in the frequency of SLC26A4 mutation among the groups (P0.5). Although mutations in the SLC26A4 gene were frequently found in Chinese EVA patients with and

Migration and European integration of Serbia

Directory of Open Access Journals (Sweden)

Lutovac Zoran

2016-01-01

Full Text Available This paper focuses on migration in the context of European integration which implies, on the one hand, internal integration, integration within the EU and, on the other hand, the enlargement process related to the countries that have applied to join the EU. The aim is to determine in which way the migration, especially refugee crisis in 2015, had influence on the EU, as a supranational political community, and what was the impact on Serbia which is in the process of integration into the European Union. Migrant crisis has shown that the EU has to confront many different issues including several issues of great importance for its survival and strengthening: how to influence on global processes to a greater extent instead of dealing with the consequences of the global politics of others; how to preserve and keep the values that the EU itself is founded and the values on which should be built upon further construction of the political community and, finally, weather the EU can be transformed in the direction of the United European States, in both the functional and in terms of values, or the EU will move towards deepening of Europe of concentric circles. Faced with extremely complex migration situation, Serbia does not have the appropriate institutional and regulatory framework, nor a political response to a series of complex issues in the area of migration and migration-related issues, such as asylum system, irregular migration, sustainable return of our citizens asylum seekers in EU member states, implementation of the agreement on readmission, the departure of highly educated - brain drain, migration and development, the fight against human trafficking (protection of victims, prevention, criminal prosecution of traffickers, and smuggling of migrants, issues of border management, demarcation and boundary determination (as well as the agreement that should be concluded. Some of these problems migrant crisis has made visible by encouraging coping

Enlarged pores treated with a combination of Q-switched and micropulsed 1064 nm Nd:YAG laser with and without topical carbon suspension: A simultaneous split-face trial

OpenAIRE

Chung, HJ; Goo, BC; Lee, HJ; Roh, MR; Chung, KY

2011-01-01

Background and aims: Enlarged facial pores remain one of the major cosmetic concerns among Asian females. This study attempted to assess and compare the efficacy of a combination of the Q-switched and quasi long-pulsed (micropulsed) Nd:YAG laser to reduce the size of the enlarged pores with and without an exogenous photoenhancer.

Mapping farm animal welfare research in an enlarged Europe

DEFF Research Database (Denmark)

Kirchner, Marlene K.; Košťál, Ľubor; Bilčík, Boris

2017-01-01

)’ was moderately correlated with the input factors for FAW research such as the average number of PhDs currently employed in the institutions (rs = 0.66; p researchers (rs = 0.56; p ...Against the background of divergent political developments across Europe, farm animal welfare (FAW) science has evolved during the last three decades as an inter-disciplinary research area. Recent achievements include pan-European research projects and the implementation of animal welfare...... assessment systems on-farm. The aim of this study was mapping activities for FAW science and investigating geographical differences in FAW research in Europe (EU28 + candidate countries and the European Economic Area) with regard to available resources (e.g. human resources, infrastructure, funding...

Habermas on European Constitution and European Identity

Directory of Open Access Journals (Sweden)

Éva Biró-Kaszás

2010-12-01

Full Text Available For the last two decades or so philosophers have been reflecting on a set of practical and political concerns in connection with the new political structural arrangements beyond the nation-state. In this article two essays by Jürgen Habermas shall be examined. An attempt shall be made to tackle Habermas’ philosophical concepts of personal and collective identity as well as the role that a constitution may play in building the post-national constellation. It has been shown that Habermas has normative answers. Firstly, according to him, the fragile balance between the legal order and the particular cultures and traditions of a community has to be protected by the constitutional state. For that reason the political culture has to be “decoupled” from the majority culture. Secondly, the democratically structured attempt to achieve shared meaning has to find the delicate balance between the context-transcending universal normative claims and the claims of particular individual and collective life. Thirdly, it is possible to expand legally mediated civil solidarity trans-nationally, across Europe – we may recognize this development as the emergence of European identity –, since the process of democratic will-formation of citizens may get loose from the structures provided by the state if both shared democratic political cultures as well as a European-wide public sphere exist. The European Constitution may have a catalytic function in materialization of these conditions. It has been shown that in his deliberations Habermas tried to find a reflective equilibrium between the normative and the empirical.

Cell and nuclear enlargement of SW480 cells induced by a plant lignan, arctigenin: evaluation of cellular DNA content using fluorescence microscopy and flow cytometry.

Science.gov (United States)

Kang, Kyungsu; Lee, Hee Ju; Yoo, Ji-Hye; Jho, Eun Hye; Kim, Chul Young; Kim, Minkyun; Nho, Chu Won

2011-08-01

Arctigenin is a natural plant lignan previously shown to induce G(2)/M arrest in SW480 human colon cancer cells as well as AGS human gastric cancer cells, suggesting its use as a possible cancer chemopreventive agent. Changes in cell and nuclear size often correlate with the functionality of cancer-treating agents. Here, we report that arctigenin induces cell and nuclear enlargement of SW480 cells. Arctigenin clearly induced the formation of giant nuclear shapes in SW480, as demonstrated by fluorescence microscopic observation and quantitative determination of nuclear size. Cell and nuclear size were further assessed by flow cytometric analysis of light scattering and fluorescence pulse width after propidium iodide staining. FSC-H and FL2-W values (parameters referring to cell and nuclear size, respectively) significantly increased after arctigenin treatment; the mean values of FSC-H and FL2-W in arctigenin-treated SW480 cells were 572.6 and 275.1, respectively, whereas those of control cells were 482.0 and 220.7, respectively. Our approach may provide insights into the mechanism behind phytochemical-induced cell and nuclear enlargement as well as functional studies on cancer-treating agents.

Non-Hodgkin's lymphoma presenting with uterine and renal enlargement in a young girl

International Nuclear Information System (INIS)

Moon, L.D.; Brenner, C.; McHugh, K.; DeBruyn, R.; Ancliff, P.

2004-01-01

Non-Hodgkin's lymphoma (NHL) is the fourth most common childhood malignancy. Uterine involvement with NHL is well described in adults, rare in children and has not been described in the first 2 years of life. While renal involvement in NHL is well recognised, diffuse renal enlargement is an uncommon finding. We report a unique case of B-cell lymphoma of primitive phenotype in a 15-month-old girl with uterine and renal involvement at presentation. We describe the US and MRI features at presentation that helped in the prospective diagnosis of this condition. (orig.)

Dual Enlargement of Gold Nanoparticles: From Mechanism to Scanometric Detection of Pathogenic Bacteria

DEFF Research Database (Denmark)

Cao, Cuong; Gontard, Lionel Cervera; Le Ly, Tram Thuy

2011-01-01

the electron density of the nanostructures, leading to a stronger intensity for colorimetric discrimination as well as better sensitivity for quantitative measurement. Based on this, a simple scanometric assay for the on‐slide detection of the food‐born pathogen Campylobacter jejuni is developed. After...... capturing the target bacteria, gold‐tagged immunoprobes are added to create a signal on a solid substrate. The signal is then amplified by the dual enlargement process, resulting in a strong color intensity that can easily be recognized by the unaided eye, or measured by an inexpensive flatbed scanner...

A European Drought Reference Database: Design and Online Implementation

NARCIS (Netherlands)

Stagge, J.H.; Tallaksen, L.M.; Kohn, I.; Stahl, K.; Loon, van A.

2013-01-01

This report presents the structure and status of the online European Drought Reference (EDR) database. This website provides detailed historical information regarding major historical European drought events. Each drought event is summarized using climatological drought indices, hydrological drought

Networks and Innovation: An Economic Model for European Regions (2002-2006)

OpenAIRE

Alfonso Badiola; Pedro Casares-Hontañón; Pablo Coto-Millán; Miguel Ángel Pesquera

2012-01-01

This research provides a new theoretical approach to innovation. The work also provides data processed in recent years (2002-2006) to regions of European regions, providing relevant empirical evidence on the relationship between Human Capital, Technological Capital, Innovation Capital, Network Capital and Innovation. In econometric modeling is considered especially for the regions of the European Union.

Comprehensive European dietary exposure model (CEDEM) for food additives.

Science.gov (United States)

Tennant, David R

2016-05-01

European methods for assessing dietary exposures to nutrients, additives and other substances in food are limited by the availability of detailed food consumption data for all member states. A proposed comprehensive European dietary exposure model (CEDEM) applies summary data published by the European Food Safety Authority (EFSA) in a deterministic model based on an algorithm from the EFSA intake method for food additives. The proposed approach can predict estimates of food additive exposure provided in previous EFSA scientific opinions that were based on the full European food consumption database.

Uptake of thallium-201 in enlarged thyroid glands. Concise communication

Energy Technology Data Exchange (ETDEWEB)

Fukuchi, M.; Kido, A.; Hyodo, K.; Tachibana, K.; Onoue, K.; Morita, T.; Nagai, K.

1979-08-01

We have investigated the thyroid uptake of Tl-201 in 37 patients with various types of goiter, and in six with normal thyroids. Significant thallium uptake was found in all cases in which there was thyroid enlargement, including Graves' disease, toxic thyroid nodule, primary hypothyroidism, simple goiter, Hashimoto's disease, thyroid carcinoma, and thyroid adenoma. If goiter was absent, however, there was no demonstrable uptake - e.g., in secondary hypothyroidism, subacute thyroiditis, and the normal controls. Thallium uptake did not correlate with thyroid function tests such as BMR, T/sub 3/-RU, T/sub 3/, T/sub 4/, TSH, antithyroid antibodies, or the 24-hr I-131 uptake. In 23 patients with diffuse goiter, on the other hand, maximum Tl-201 uptake correlated well with thyroid weight: r = 0.836 (p < 0.001); y = 0.02 x + 0.06.

Breathing oscillations in enlarged cylindrical-anode-layer Hall plasma accelerator

Energy Technology Data Exchange (ETDEWEB)

Geng, S. F.; Wang, C. X. [Southwestern Institute of Physics, Chengdu 610041 (China); Department of Physics and Materials Science, City University of Hong Kong, Tat Chee Avenue, Kowloon, Hong Kong (China); Tang, D. L.; Qiu, X. M. [Southwestern Institute of Physics, Chengdu 610041 (China); Fu, R. K. Y. [Plasma Technology Limited, Festival Walk Tower, Tat Chee Avenue, Kowloon, Hong Kong (China); Chu, Paul K. [Department of Physics and Materials Science, City University of Hong Kong, Tat Chee Avenue, Kowloon, Hong Kong (China)

2013-05-28

Breathing oscillations in the discharge of an enlarged cylindrical-anode-layer Hall plasma accelerator are investigated by three-dimensional particle-in-cell (PIC) simulation. Different from the traditional breathing mode in a circular Hall plasma accelerator, the bulk plasma oscillation here is trigged by the potential barrier generated by the concentrated ion beam and substantial enough to compete with the anode voltage. The electric field near the anode is suppressed by the potential barrier thereby decreasing the electron density by {approx}36%. The discharge is restored to the normal level after the concentrated beam explodes and then it completes one cycle of electro-driven breathing oscillation. The breathing mode identified by the PIC simulation has a frequency range of {approx}156 kHz-{approx}250 kHz and does not vary monotonically with the discharge voltage.

What is the Role of Parental Leave policies in shaping Work and Care in the Enlarged EU?

DEFF Research Database (Denmark)

Ejrnæs, Anders

2008-01-01

The aim of the article is to examine the role of parental leave in shaping a mother's choice between work and care in the enlarged EU. A central question is how parental leave schemes affect mothers' employment and the occupational consequences for mothers who spend time on full-time caring...

European Society of Cardiology smartphone and tablet applications for patients with atrial fibrillation and their health care providers.

Science.gov (United States)

Kotecha, Dipak; Chua, Winnie W L; Fabritz, Larissa; Hendriks, Jeroen; Casadei, Barbara; Schotten, Ulrich; Vardas, Panos; Heidbuchel, Hein; Dean, Veronica; Kirchhof, Paulus

2018-02-01

We are in the midst of a digital revolution in health care, although the application of new and useful technology in routine clinical practice is variable. The Characterizing Atrial fibrillation by Translating its Causes into Health Modifiers in the Elderly (CATCH ME) Consortium, in collaboration with the European Society of Cardiology (ESC), has funded the creation of two applications (apps) in atrial fibrillation (AF) for use in smartphones and tablets. The patient app aims to enhance patient education, improve communication between patients and health care professionals, and encourage active patient involvement in the management of their condition. The health care professional app is designed as an interactive management tool incorporating the new ESC Practice Guidelines on AF and supported by the European Heart Rhythm Association (EHRA), with the aim of improving best practice approaches for the care of patients with AF. Both stand-alone apps are now freely available for Android and iOS devices though the Google Play, Amazon, and Apple stores. In this article, we outline the rationale for the design and implementation of these apps. Our objective is to demonstrate the value of integrating novel digital technology into clinical practice, with the potential for patient engagement, optimization of pharmacological and interventional therapy in AF, and ultimately to improve patient outcomes. © The Author 2017. Published by Oxford University Press on behalf of the European Society of Cardiology.

Dietary practices in isovaleric acidemia: A European survey

Directory of Open Access Journals (Sweden)

A. Pinto

2017-09-01

Conclusions: This survey demonstrates wide differences in dietary practice in the management of IVA across European centres. It provides unique dietary data collectively representing European practices in IVA which can be used as a foundation to compare dietary management changes as a consequence of the first E-IMD IVA guidelines availability.

A methodology to enlarge narrow stability windows

Energy Technology Data Exchange (ETDEWEB)

Araujo, Ewerton M.P.; Pastor, Jorge A.S.C.; Fontoura, Sergio A.B. [Pontificia Univ. Catolica do Rio de Janeiro (PUC-Rio), RJ (Brazil). Dept. de Engenharia Civil. Grupo de Tecnologia e Engenharia de Petroleo

2004-07-01

The stability window in a wellbore design is defined by the difference between fracture pressure and collapse pressure. Deep water environments typically present narrow stability windows, because rocks have low strength due to under-compaction process. Often also, horizontal wells are drilled to obtain a better development of reservoirs placed in thin layers of sandstone. In this scenario, several challenges are faced when drilling in deep water. The traditional approach for predicting instabilities is to determine collapses and fractures at borehole wall. However, the initiation of rupture does not indicate that the borehole fails to perform its function as a wellbore. Thus, a methodology in which the stability window may be enlarged is desirable. This paper presents one practical analytical methodology that consists in allowing wellbore pressures smaller than the conventional collapse pressure, i.e., based upon failure on the borehole wall. This means that a collapse region (shear failure) will be developed around the borehole wall. This collapse region is pre-defined and to estimate its size is used a failure criterion. The aforementioned methodology is implemented in a user-friendly software, which can perform analyses of stress, pore pressure, formation failure, mud weight and mud salinity design for drilling in shale formations. Simulations of a wellbore drilling in a narrow stability window environment are performed to demonstrate the improvements of using the methodology. (author)

European Population Genetic Substructure: Further Definition of Ancestry Informative Markers for Distinguishing Among Diverse European Ethnic Groups

Science.gov (United States)

Tian, Chao; Kosoy, Roman; Nassir, Rami; Lee, Annette; Villoslada, Pablo; Klareskog, Lars; Hammarström, Lennart; Garchon, Henri-Jean; Pulver, Ann E.; Ransom, Michael; Gregersen, Peter K.; Seldin, Michael F.

2009-01-01

The definition of European population genetic substructure and its application to understanding complex phenotypes is becoming increasingly important. In the current study using over 4000 subjects genotyped for 300 thousand SNPs we provide further insight into relationships among European population groups and identify sets of SNP ancestry informative markers (AIMs) for application in genetic studies. In general, the graphical description of these principal components analyses (PCA) of diverse European subjects showed a strong correspondence to the geographical relationships of specific countries or regions of origin. Clearer separation of different ethnic and regional populations was observed when northern and southern European groups were considered separately and the PCA results were influenced by the inclusion or exclusion of different self-identified population groups including Ashkenazi Jewish, Sardinian and Orcadian ethnic groups. SNP AIM sets were identified that could distinguish the regional and ethnic population groups. Moreover, the studies demonstrated that most allele frequency differences between different European groups could be effectively controlled in analyses using these AIM sets. The European substructure AIMs should be widely applicable to ongoing studies to confirm and delineate specific disease susceptibility candidate regions without the necessity to perform additional genome-wide SNP studies in additional subject sets. PMID:19707526

The Role of Competition in the Europeanization of the Professional Complex

DEFF Research Database (Denmark)

Hartmann, Eva

2015-01-01

provided by European Studies. The theoretical framework developed in this contribution will then be used to explore in a second part, through the magnifying glass of seminal rulings of the European Court of Justice, the Europeanization of the professional complex and the role of competition law...

Source Classification Framework for an optimized European wide Emission Control Strategy

DEFF Research Database (Denmark)

Lützhøft, Hans-Christian Holten; Donner, Erica; Ledin, Anna

2011-01-01

of the PS environmental emission. The SCF also provides a well structured approach for European pollutant source and release classification and management. With further European wide implementation, the SCF has the potential or an optimized ECS in order to obtain good chemical status of European water...

Constructing a European Governance Space

DEFF Research Database (Denmark)

Pontoppidan, Caroline Aggestam; Alijarde, Isabel Brusca; Chow, Danny

Financial crisis has emphasized the need for harmonized public sector accounts in Europe. After a public consultation on the suitability of the IPSAS for EU Member States, the European Commission considers that the proper way is the development of European Union Standards adapted to IPSAS (renaming....... On the basis of that discussion, Eurostat launched another public consultation named; ‘Towards implementing European Public Sector Accounting Standards for EU member states-Public consultation on future EPSAS governance principles and structures’. This paper seeks to provide an in-depth understanding...... of the negotiations and interactions that took place prior to, during and after the issuance of the public consultation on the ‘Suitability of IPSAS’. The focus of this paper is therefore on a systematic analysis of the construction of regional-transnational governance of public sector accounting, using the EPSAS...

Complying with US and European complaint handling requirements.

Science.gov (United States)

Donawa, M E

1997-09-01

The importance of customer complaints for providing valuable information on the use of medical devices is clearly reflected in United States (US) and European quality system requirements for handling complaints. However, there are significant differences in US and European complaint handling requirements. This article will discuss those differences and methods for ensuring compliance.

Investing in European market real property through reits

Science.gov (United States)

Adamuscin, A.

2010-03-01

For institutional and private investors, investing in real estate represents an attractive form of the consignment of their money. Real estate provides a regular source of income in the form of the rent from or interest on the credit provided. At the same time, real estate is a good investment instrument, because it provides diversified contributions and security against inflation for investors. In their efforts to diversify risk, investors are expressing growing interest in investing in the whole European Union. The success of Real Estate Investment Trusts (REITs) in the U.S. also opened the door for investing in this market for small investors, which is the reason for the development of this type of investment company in the European arena. One problem concerning the development of European real estate investment funds is the unsolved issue of the harmonization of the legislation and regulatory safety measures, which would enable the creation of a common market for new investment products in Europe.

Enlarging the nosological spectrum of hereditary diffuse leukoencephalopathy with axonal spheroids (HDLS).

Science.gov (United States)

Hoffmann, Sarah; Murrell, Jill; Harms, Lutz; Miller, Kelly; Meisel, Andreas; Brosch, Thomas; Scheel, Michael; Ghetti, Bernardino; Goebel, Hans-Hilmar; Stenzel, Werner

2014-09-01

Hereditary diffuse leukoencephalopathy with axonal spheroids (HDLS) is an autosomal dominant disease clinically characterized by cognitive decline, personality changes, motor impairment, parkinsonism and seizures. Recently, mutations in the colony-stimulating factor-1 receptor (CSF1R) gene have been shown to be associated with HDLS. We report clinical, neuropathological and molecular genetic findings of patients from a new family with a mutation in the CSF1R gene. Disease onset was earlier and disease progression was more rapid compared with previously reported patients. Psychiatric symptoms including personality changes, alcohol abuse and severe depression were the first symptoms in male patients. In the index, female patient, the initial symptom was cognitive decline. Magnetic resonance imaging (MRI) showed bilateral, confluent white matter lesions in the cerebrum. Stereotactic biopsy revealed loss of myelin and microglial activation as well as macrophage infiltration of the parenchyma. Numerous axonal swellings and spheroids were present. Ultrastructural analysis revealed pigment-containing macrophages. Axonal swellings were detected by electron microscopy not only in the central nervous system (CNS) but also in skin nerves. We identified a heterozygous mutation (c.2330G>A, p.R777Q) in the CSF1R gene. Through this report, we aim to enlarge the nosological spectrum of HDLS, providing new clinical descriptions as well as novel neuropathological findings from the peripheral nervous system. © 2014 International Society of Neuropathology.

Energy industry in central and eastern Europe status of the accession negotiations

International Nuclear Information System (INIS)

Schreiber, K.

2003-01-01

Energy was the starting point for the European Union with the signature of the European Coal and Steel Community (ECSC) Treaty back in 1951. Germany, France, the Netherlands, Belgium, Italy and Luxembourg decided for the first time to create supranational and democratic institutions in the common interest of the European citizens. This was the basis for guiding Europe over the past fifty years towards the European Union of today. Now we are on the point of making a historic decision. Far more is at stake in this enlargement round than the simple acceptance of new Member States and the enlargement of the Union. It is a question of ending the artificial division of Europe brought about by two world wars and of taking a decisive step towards the completion of European unification. (orig.) [de

European Non Destructive Examination Forum (ENDEF)

Energy Technology Data Exchange (ETDEWEB)

Deffrennes, M [EC, DG XVII, Nuclear Energy, Brussels (Belgium); Engl, G [Siemens AG Energieerzeugung KWU, Erlangen (Germany); Estorff, U von [EC, JRC/IAM, Petten (Netherlands)

1998-11-01

ENDEF, an initiative of the European Commission, DG XVII (Energy) was well supported by the European industrial institutions working in assistance with nuclear industrial organisations in the CEEC`s (Central and Eastern European Countries) and NIS`s (New Independent States). This Forum provides effectively a platform for open discussion between representatives of industrial actors active in the NDE (Non Destructive Examination)/ISI (In Service Inspection) field with the purpose to establish a co-operation pattern between qualified representatives of the EU (European Union) industry to offer a better co-ordinated and well defined assistance to the CEEC`s and NIS in the field of NDE/ISI, and to lay the ground for further industrial co-operation. ENDEF developed a strategy to follow for the establishment of co-operation projects. This strategy is now used to understand the extent of past or present assistance projects and to identify the areas where more co-operation is needed. ENDEF encourages the creation in the NIS`s and CEEC`s of similar forums in order to increase the co-operation and co-ordination. ENDEF is also working in perfect agreement with the European Network ENIQ, piloted by the European plant operators. This identity of views lead to the leadership by the ENDEF co-ordinator of the ENIQ Task 3 involving Applications of the European Methodology for ISI qualification in the CEEC`s and NIS`s and presently fully integrated in ENDEF. (orig.)

The European Hematology Association Roadmap for European Hematology Research

DEFF Research Database (Denmark)

Engert, Andreas; Balduini, Carlo; Brand, Anneke

2016-01-01

The European Hematology Association (EHA) Roadmap for European Hematology Research highlights major achievements in diagnosis and treatment of blood disorders and identifies the greatest unmet clinical and scientific needs in those areas to enable better funded, more focused European hematology...... research. Initiated by the EHA, around 300 experts contributed to the consensus document, which will help European policy makers, research funders, research organizations, researchers, and patient groups make better informed decisions on hematology research. It also aims to raise public awareness...... of the burden of blood disorders on European society, which purely in economic terms is estimated at €23 billion per year, a level of cost that is not matched in current European hematology research funding. In recent decades, hematology research has improved our fundamental understanding of the biology...

Survey of surveillance systems and select prevention activities for hepatitis B and C, European Union/European Economic Area, 2009.

Science.gov (United States)

Duffell, E F; van de Laar, M J

2015-04-02

Hepatitis B and C viral infections are leading causes of hepatic cirrhosis and cancer. The incidence and prevalence of both hepatitis B and C varies across European countries. European wide surveillance data help to understand the dynamic epidemiology of hepatitis B and C, which is important for the implementation and effectiveness of prevention and control activities.Comparison of surveillance data between countries in Europe is hampered by the differences in national healthcare and reporting systems. This report presents the results of a survey in 2009 which was undertaken to collect baseline information on surveillance systems and core prevention programmes for hepatitis B and C in individual European Union/ European Economic Area countries. The results provide key information to aid the interpretation of surveillance data, and while indicating heterogeneity in national surveillance systems and programmes, they highlight the potential of these systems. This resource has supported the implementation of a standardised European enhanced surveillance programme.

Eastern Dimension of the European Neighbourhood Policy: Europeanization Mutual Trap

Directory of Open Access Journals (Sweden)

V. A. Latkina

2014-01-01

Full Text Available The article analyses the Europeanization policy of the European Union towards the Eastern Partnership participant countries. Suffering from the lack of clear strategy and ultimate goal in the European Neighbourhood Policy the European Union enhances external democratization and its governance in post soviet states without immediate Union's membership perspective. Underestimation of common neighbourhood geopolitical duality in the context of growing rivalry between European (EU and Eurasian (Custom Union/Eurasian Economic Union integration gravitation centers presents the Eastern partners of the EU with a fierce dilemma of externally forced immediate geopolitical and civilizational choice while not all of them are well prepared to such a choice. The mutual Europeanization trap here to be studied both for the EU and its Eastern partners (involving Russia is a deficiency of regulating cooperation mechanism in the situation of European and Eurasian free trades zones overlapping. Vilnius Summit 2013 results test the "European aspirations" of the New Independent States and upset the ongoing process of the European Neighbourhood Policy in the context of growing economic interdependence in Wider Europe. Besides, the Ukrainian crisis escalation during 2014 as a new seat of tension provokes unbalance of the whole European security system and creates new dividing lines in Europe from Vancouver to Vladivostok.

A novel PLP1 mutation associated with optic nerve enlargement in two siblings with Pelizaeus-Merzbacher disease: A new MRI finding.

Science.gov (United States)

Pavlidou, Efterpi; Ramachandran, Vijaya; Govender, Veronica; Wilson, Clare; Das, Rini; Vlachou, Victoria; Pavlou, Evangelos; Saggar, Anand; Mankad, Kshitij; Kinali, Maria

2017-03-01

Pelizaeus-Merzbacher disease (PMD) is a rare, X-linked disorder characterized by hypomyelination of the Central Nervous System due to mutations in the PLP1 gene. Certain mutations of the PLP1 gene correlate with specific clinical phenotypes and neuroimaging findings. We herein report a novel mutation of the PLP1 gene in two siblings with PMD associated with a rare and protean neuroimaging finding of optic nerve enlargement. To the best of our knowledge this is the first time that this novel mutation H133P of PLP1 gene is identified and clinically associated with optic nerve enlargement in PMD patients. Copyright © 2016 The Japanese Society of Child Neurology. All rights reserved.

EUROPEAN UNION AND THE PROCESS OF GLOBALIZATION

Directory of Open Access Journals (Sweden)

Mihail CARADAICĂ

2014-05-01

Full Text Available What is the relation between globalization and the process of European integration? Does the European integration have its own way, or is it deeply dependent on globalization? Those are the main questions I will try to answer in this paper by using an alternative critical approach: neo-gramscianism. Neo-gramscianism is a historical materialist view on the European integration process and international political economy which offers a better understanding of the social changes in terms of social forces agency and super structural influence (the neoliberal ideology of globalization and European integration. My aim is to analyze the globalization process through a neo-gramscian theoretical framework and to observe how its main components affect European Integration. I will do this by assuming the definition of globalization provided by Andreas Bieler, who understands this process through three main pillars: transnationalization of finance, transnationalization of production and ideological shift from Keynesianism to neoliberalism. Finally I will try to formulate some conclusions regarding the emergence of European Round Table of Industrialists – the first lobby group of big capital at the European Union level – and Economic and Monetary Union – the internal market program that symbolizes the shift to neo-liberalism.

Analysis and application of European genetic substructure using 300 K SNP information.

Directory of Open Access Journals (Sweden)

Chao Tian

2008-01-01

Full Text Available European population genetic substructure was examined in a diverse set of >1,000 individuals of European descent, each genotyped with >300 K SNPs. Both STRUCTURE and principal component analyses (PCA showed the largest division/principal component (PC differentiated northern from southern European ancestry. A second PC further separated Italian, Spanish, and Greek individuals from those of Ashkenazi Jewish ancestry as well as distinguishing among northern European populations. In separate analyses of northern European participants other substructure relationships were discerned showing a west to east gradient. Application of this substructure information was critical in examining a real dataset in whole genome association (WGA analyses for rheumatoid arthritis in European Americans to reduce false positive signals. In addition, two sets of European substructure ancestry informative markers (ESAIMs were identified that provide substantial substructure information. The results provide further insight into European population genetic substructure and show that this information can be used for improving error rates in association testing of candidate genes and in replication studies of WGA scans.

VERAM - Vision and Roadmap for European Raw Materials

Science.gov (United States)

Baumgarten, Wibke; Vashev, Boris

2017-04-01

The overall objective of VERAM project is to produce a Vision and Roadmap for European Raw Materials in 2050 based on raw materials research and innovation (R&I) coordination. Two leading European Technology Platforms (ETPs): ETP SMR (Sustainable Minerals Resources) and FTP (Forest Technology Platform) are joining forces to develop a common vison and roadmap with the support of ECTP (European Construction Technology Platform), represented by UNIVPM, SusChem (ETP for Sustainable Chemistry), represented by Cefic, EuMaT (Advanced Materials ETP), represented by VITO, ERAMIN 2, represented by Research Centre JUELICH and WoodWisdom Network Plus represented by the Agency for Renewable Resources (FNR). This partnership provides VERAM with expertise from downstream applications and additional knowledge on non-biotic and biotic raw materials. The project encourages capacity building as well as transfer of knowledge. It expects to provide an innovation reference point for the European Institute of Innovation & Technology (EIT) Raw Materials (formerly the KIC Raw MatTERS), to coordinate the network involved in the European Innovation Partnership (EIP) on Raw Materials Commitments and relevant proposals funded under Horizon 2020. It provides a platform for identifying gaps and complementarities and enables their bridging. VERAM will be able to advise the European Commission and Member States on future research needs and policies to stimulate innovation and assist in overcoming fragmentation in the implementing the EIP Raw Materials Strategic Implementation Plan. VERAM looks for mutually beneficial information exchange, encourages cross-fertilization between actions undertaken by different raw material industries, and expects to accelerate exploitation of breakthrough innovations. One of the main outcomes of the project is the presentation of a common long term 2050 Vision and Roadmap for relevant raw materials including metals, industrial minerals and aggregates and wood. The

European trauma guideline compliance assessment: the ETRAUSS study.

Science.gov (United States)

Hamada, Sophie Rym; Gauss, Tobias; Pann, Jakob; Dünser, Martin; Leone, Marc; Duranteau, Jacques

2015-12-08

Haemorrhagic shock is the leading cause of preventable death in trauma patients. The 2013 European trauma guidelines emphasise a comprehensive, multidisciplinary, protocol-based approach to trauma care. The aim of the present Europe-wide survey was to compare 2015 practice with the 2013 guidelines. A group of members of the Trauma and Emergency Medicine section of the European Society of Intensive Care Medicine developed a 50-item questionnaire based upon the core recommendations of the 2013 guidelines, employing a multistep approach. The questionnaire covered five fields: care structure and organisation, haemodynamic resuscitation targets, fluid management, transfusion and coagulopathy, and haemorrhage control. The sampling used a two-step approach comprising initial purposive sampling of eminent trauma care providers in each European country, followed by snowball sampling of a maximum number of trauma care providers. A total of 296 responses were collected, 243 (81 %) from European countries. Those from outside the European Union were excluded from the analysis. Approximately three-fourths (74 %) of responders were working in a designated trauma centre. Blunt trauma predominated, accounting for more than 90 % of trauma cases. Considerable heterogeneity was observed in all five core aspects of trauma care, along with frequent deviations from the 2013 guidelines. Only 92 (38 %) of responders claimed to comply with the recommended systolic blood pressure target, and only 81 (33 %) responded that they complied with the target pressure in patients with traumatic brain injury. Crystalloid use was predominant (n = 209; 86 %), and vasopressor use was frequent (n = 171, 76 %) but remained controversial. Only 160 respondents (66 %) declared that they used tranexamic acid always or often. This is the first European trauma survey, to our knowledge. Heterogeneity is significant across centres with regard to the clinical protocols for trauma patients and as to locally

Secondary markets for transmission rights in the North West European Market. Position Paper of the North West European Market Parties Platform

International Nuclear Information System (INIS)

Van Haaster, G.

2006-06-01

The most important way to acquire cross border transmission rights in the North West European electricity market is through explicit auctions. Although market driven flexibility and therefore efficiency can be further enhanced. One way to this is to introduce a secondary market for transmission rights. In this paper the North West European Market Parties Platform (NWE MPP) proposes a model that is developed and preferred by the market parties. The paper will provide a converging contribution to the congestion management discussions in the North Western European region

Improved performance of the microbial electrolysis desalination and chemical-production cell with enlarged anode and high applied voltages.

Science.gov (United States)

Ye, Bo; Luo, Haiping; Lu, Yaobin; Liu, Guangli; Zhang, Renduo; Li, Xiao

2017-11-01

The aim of this study was to improve performance of the microbial electrolysis desalination and chemical-production cell (MEDCC) using enlarged anode and high applied voltages. MEDCCs with anode lengths of 9 and 48cm (i.e., the 9cm-anode MEDCC and 48cm-anode MEDCC, respectively) were tested under different voltages (1.2-3.0V). Our results demonstrated for the first time that the MEDCC could maintain high performance even under the applied voltage higher than that for water dissociation (i.e., 1.8V). Under the applied voltage of 2.5V, the maximum current density in the 48cm-anode MEDCC reached 32.8±2.6A/m 2 , which is one of the highest current densities reported so far in the bioelectrochemical system (BES). The relative abundance of Geobacter was changed along the anode length. Our results show the great potential of the BES with enlarged anode and high applied voltages. Copyright © 2017 Elsevier Ltd. All rights reserved.

A rare case report of grade III gingival enlargement associated with chronic periodontitis: Comparison of two treatment techniques.

Science.gov (United States)

Pant, Vandana A; Pandey, Suraj

2015-01-01

Idiopathic gingival enlargement (GE) is a rare entity characterized by massive enlargement of the gingiva. It may be associated with other diseases/conditions characterizing a syndrome, but rarely documented in literature occurring along with chronic periodontitis. This case report describes a rare case of long standing massive GE in a systemically healthy, nonsyndromic young female involving both the arches, thereby posing a diagnostic dilemma. Furthermore, in this case, we compared two surgical approaches, that is, scalpel and electrosurgery for the convenience as well as the postoperative comfort of the patient. Quadrants 1 and 3 were treated by ledge and wedge technique using scalpel and blade while quadrants 2 and 4 were treated by electrosurgery. The patient was followed postoperatively up to 1-year. The massive GE subsided without recurrence and patient was completely satisfied with the treatment, though better compliance was observed at the site treated by conventional scalpel and blade technique.

Enlarge the training set based on inter-class relationship for face recognition from one image per person.

Directory of Open Access Journals (Sweden)

Qin Li

Full Text Available In some large-scale face recognition task, such as driver license identification and law enforcement, the training set only contains one image per person. This situation is referred to as one sample problem. Because many face recognition techniques implicitly assume that several (at least two images per person are available for training, they cannot deal with the one sample problem. This paper investigates principal component analysis (PCA, Fisher linear discriminant analysis (LDA, and locality preserving projections (LPP and shows why they cannot perform well in one sample problem. After that, this paper presents four reasons that make one sample problem itself difficult: the small sample size problem; the lack of representative samples; the underestimated intra-class variation; and the overestimated inter-class variation. Based on the analysis, this paper proposes to enlarge the training set based on the inter-class relationship. This paper also extends LDA and LPP to extract features from the enlarged training set. The experimental results show the effectiveness of the proposed method.

A new peroxisomal disorder with enlarged peroxisomes and a specific deficiency of acyl-CoA oxidase (pseudo-neonatal adrenoleukodystrophy)

NARCIS (Netherlands)

Poll-The, B. T.; Roels, F.; Ogier, H.; Scotto, J.; Vamecq, J.; Schutgens, R. B.; Wanders, R. J.; van Roermund, C. W.; van Wijland, M. J.; Schram, A. W.

1988-01-01

In the present paper two siblings are presented with clinical manifestations very similar to those of patients affected by neonatal adrenoleukodystrophy. In contrast to neonatal adrenoleukodystrophy patients, hepatic peroxisomes in these siblings were enlarged in size and not decreased in number.

The use of long term agreements to improve energy efficiency in the industrial sector: Overview of the European experiences and proposal for a common framework

International Nuclear Information System (INIS)

Bertoldi, P.

1999-01-01

In the European Union efficiency improvements in the industrial sector are regarded as a key element of Member States' strategies to meet their Kyoto target. Besides the traditional policy instruments, such as fiscal and financial aids, minimum efficiency standards, R and D and technology programs, there is an increasing interest by both public authorities and industry for voluntary approaches to improve industrial energy efficiency. In the European context the term voluntary approach is often used to describe a wide range of industry actions including, inter alia: industry covenants, negotiated agreements, long term agreements, self regulations, codes of conduct, benchmarking and monitoring schemes. These voluntary approaches differ in relation to their form, legal status, provisions and enforceability. The paper provides an up-to-date overview of the present status of the different voluntary approaches for the industrial sector in several Member States (the Netherlands, Sweden, Germany, Denmark, Finland, Ireland, and the United Kingdom). The paper will focus on the particular type of voluntary approach implemented in the Netherlands and commonly called Long Term Agreements (LTA). The paper analyses the opportunities and advantages for creating a common EU framework for the conclusion and implementation of LTAs, based on the successful Dutch model. In doing so, the paper intends also to contribute to the approximation of the LTA's essential elements throughout the Community in order to reduce possible distortions of the internal market and of the competitive position of national industries, thus enlarging the acceptability of this instrument by public authorities and industry. For some industrial sectors, which are quite homogeneous throughout the Community and represent a limited number of companies, the paper analyses the advantages of having European LTAs and recommends their implementation. The paper presents the achievable results at EU level in terms of

Formalized classification of European fen vegetation at the alliance level

DEFF Research Database (Denmark)

Peterka, Tomáš; Hájek, Michal; Jiroušek, Martin

2017-01-01

Aims Phytosociological classification of fen vegetation (Scheuchzerio palustris-Caricetea fuscae class) differs among European countries. Here we propose a unified vegetation classification of European fens at the alliance level, provide unequivocal assignment rules for individual vegetation plot...

White paper of the European Association of Nuclear Medicine (EANM) and the European Society of Radiology (ESR) on multimodality imaging

International Nuclear Information System (INIS)

Bischof Delaloye, Angelika; Carrio, Ignasi; Cuocolo, Alberto; Knapp, Wolfram; Gourtsoyiannis, Nicholas; McCall, Iain; Reiser, Maximilian; Silberman, Bruno

2007-01-01

New multimodality imaging systems bring together anatomical and molecular information and require the competency and accreditation of individuals from both nuclear medicine and radiology. This paper sets out the positions and aspirations of the European Association of Nuclear Medicine (EANM) and the European Society of Radiology (ESR) working together on an equal and constructive basis for the future benefit of both specialties. EANM and ESR recognise the importance of coordinating working practices for multimodality imaging systems and that undertaking the nuclear medicine and radiology components of imaging with hybrid systems requires different skills. It is important to provide adequate and appropriate training in the two disciplines in order to offer a proper service to the patient using hybrid systems. Training models are proposed with the overall objective of providing opportunities for acquisition of special competency certification in multimodality imaging. Both organisations plan to develop common procedural guidelines and recognise the importance of coordinating the purchasing and management of hybrid systems to maximise the benefits to both specialties and to ensure appropriate reimbursement of these examinations. European multimodality imaging research is operating in a highly competitive environment. The coming years will decide whether European research in this area manages to defend its leading position or whether it falls behind research in other leading economies. Since research teams in the Member States are not always sufficiently interconnected, more European input is necessary to create interdisciplinary bridges between research institutions in Europe and to stimulate excellence. EANM and ESR will work with the European Institute for Biomedical Imaging Research (EIBIR) to develop further research opportunities across Europe. European Union grant-funding bodies should allocate funds to joint research initiatives that encompass clinical research

White paper of the European Society of Radiology (ESR) and the European Association of Nuclear Medicine (EANM) on multimodality imaging

International Nuclear Information System (INIS)

Gourtsoyiannis, Nicholas; McCall, Iain; Reiser, Maximilian; Silberman, Bruno; Bischof Delaloye, Angelika; Carrio, Ignacio; Cuocolo, Alberto; Knapp, Wolfram

2007-01-01

New multimodality imaging systems bring together anatomical and molecular information and require the competency and accreditation of individuals from both radiology and nuclear medicine. This paper sets out the positions and aspirations of the European Society of Radiology (ESR) and the European Association of Nuclear Medicine (EANM) working together on an equal and constructive basis for the future benefit of both specialties. ESR and EANM recognise the importance of coordinating working practices for multimodality imaging systems and that undertaking the radiology and nuclear medicine components of imaging with hybrid systems requires different skills. It is important to provide adequate and appropriate training in the two disciplines in order to offer a proper service to the patient using hybrid systems. Training models are proposed with the overall objective of providing opportunities for acquisition of special competency certification in multimodality imaging. Both organisations plan to develop common procedural guidelines and recognise the importance of coordinating the purchasing and management of hybrid systems to maximise the benefits to both specialties and to ensure appropriate reimbursement of these examinations. European multimodality imaging research is operating in a highly competitive environment. The coming years will decide whether European research in this area manages to defend its leading position or whether it falls behind research in other leading economies. Since research teams in the member states are not always sufficiently interconnected, more European input is necessary to create interdisciplinary bridges between research institutions in Europe and to stimulate excellence. ESR and EANM will work with the European Institute for Biomedical Imaging Research (EIBIR) to develop further research opportunities across Europe. European Union grant-funding bodies should allocate funds to joint research initiatives that encompass clinical research

Financing Trans-European Energy Infrastructures - Past, Present and Perspectives

International Nuclear Information System (INIS)

Hirschhausen, Christian von

2011-01-01

The transformation of the European energy system towards a low carbon industry requires substantial investment and financing. According to the Energy Infrastructure Package (EIP), around one trillion euros must be invested in the European energy system until 2020. Out of the euro 200 billion required investment for transmission networks, only half of the capital will be provided by markets. This leaves a financial gap of ca. euro 100 bn. and poses a question on the EU role in financing European energy infrastructures. This policy paper by Christian Von Hirschhausen focuses on the future financing of trans-European energy infrastructures. After providing an overview of the long-term infrastructure needs and of the various instruments that currently exist to finance these infrastructures, the author discusses various aspects related with the planning and financing of cross border energy infrastructures with the help of a case study: the North Sea Grid Project. On the basis of the North Sea example, he highlights the importance of adopting a regulatory approach balancing European and Member States' interests as well as of streamlining and expanding the EU financial support to sustainable energy infrastructures

European Research Reloaded : Cooperation and Integration Among Europeanized States

NARCIS (Netherlands)

Holzhacker, Ron; Haverland, Markus

2006-01-01

European integration has had an ever deepening impact on the member states. The first wave of research concerned the process of institution building and policy developments at the European Union (EU) level. The second wave, on Europeanization used the resulting integration as an explanatory factor

Collective legal protection: The European approach

Directory of Open Access Journals (Sweden)

Petrušić Nevena

2014-01-01

Full Text Available One of the basic goals of the EU justice policy is to ensure an efficient and effective legal protection, particularly in cross-border disputes and cases concerning the violation of rights guaranteed under the EU legislation. In order to accomplish this goal, the EU embarked on a horizontal harmonization of civil procedure in some sectors and reinforced the institutional cooperation of Member States in the field of civil justice. Concurrently, there were some legal interventions in the field of civil procedure, which contributed to establishing a number of European procedural mechanisms, such as: the European Small Claims Procedure (2007, the European Payment Order Procedure (2006, etc. Many studies and analyses show that procedural mechanisms of collective legal protection are essential for ensuring an efficient and effective legal protection of rights guaranteed by the EU law. The idea of introducing the collective legal protection instruments into the EU law has been present for more than two decades. It has been endorsed by the European Economic and Social Committee, which has played the key role in its promotion. In June 2013, after extensive consultations, the European Commission adopted the Recommendation on common principles for injunctive and compensatory collective redress mechanisms in the Members States concerning violations of rights guaranteed under the EU law. This document has provided a coherent horizontal framework for the collective legal protection at the EU level by establishing the common European principles for collective redress mechanisms which the Member States should incorporate into their national systems. Analysis of the common principles governing the collective legal protection shows that the European approach to shaping the collective redress claims is significantly different from the American class action model, which is considered to be incompatible with the European legal tradition and deemed to provide a wide

The Impact of Globalization and Technology on Teaching Business Communication: Reframing and Enlarging World View, Methods, and Content

Science.gov (United States)

Berry, Priscilla

2013-01-01

This paper explores the current paradigm shift in the use of technology in the classroom, which is occurring because of technology explosion in society, impact of globalization, necessary reframing, and enlarging of the world view, methods, and content to make business communication classes relevant. The question is whether the classroom should…

The european ALARA network

International Nuclear Information System (INIS)

Croueail, P.; Lefaure, C.; Croft, J.

2000-01-01

Throughout the 1980s and early 1990s the European Commission sponsored projects on the understanding and practical implementation of the ALARA principle. These projects helped ensure that ALARA was integrated into many organisations radiation protection programmes, particularly in the nuclear industry. However there was still much to be done in the non-nuclear sector, as well as for the management of internal exposure. Therefore, the European Commission decided to set up, as of the first January 1996, a European ALARA Network (EAN) whose main goals are to: Further promote ALARA within non nuclear industry, research and the nuclear cycle; Provide a means for feedback experience and the exchange and dissemination of good radiological protection practices in these areas; Initiate proposals for research projects and workshops on topics dealing with optimisation of radiological protection for all types of occupational exposure. The Network has a Steering Committee of experts from 11 countries, with CEPN being the co-ordinator. Twice yearly, the EAN products for the international community a European ALARA Newsletter that reaches several thousand individuals or institutions, mainly in Europe. Each year since 1997, the EAN has organised an ALARA workshop attended by 60 to 80 experts from about ten countries. The first three Workshops were devoted to: ALARA and Decommissioning (1997, Saclay, France), Good Radiation Practices in Industry and Research (1998, Chilton, United Kingdam), and ALARA and Internal Exposure (1999, Munich, Germany). Each of these Workshops gave rise to sets of recommendations to the European Commission which included proposals for further research, modification of regulations, and actions to support feedback experience within the member states. (author)

Effects of canal enlargement and irrigation needle depth on the cleaning of the root canal system at 3 mm from the apex

Directory of Open Access Journals (Sweden)

Ho-Jin Moon

2012-02-01

Full Text Available Objectives The aim of this study was to test the hypothesis, that the effectiveness of irrigation in removing smear layer in the apical third of root canal system is dependent on the depth of placement of the irrigation needle into the root canal and the enlargement size of the canal. Materials and Methods Eighty sound human lower incisors were divided into eight groups according to the enlargement size (#25, #30, #35 and #40 and the needle penetration depth (3 mm from working length, WL-3 mm and 9 mm from working length, WL-9 mm. Each canal was enlarged to working length with Profile.06 Rotary Ni-Ti files and irrigated with 5.25% NaOCl. Then, each canal received a final irrigation with 3 mL of 3% EDTA for 4 min, followed by 5 mL of 5.25% NaOCl at different level (WL-3 mm and WL-9 mm from working length. Each specimen was prepared for the scanning electron microscope (SEM. Photographs of the 3mm area from the apical constriction of each canal with a magnification of ×250, ×500, ×1,000, ×2,500 were taken for the final evaluation. Results Removal of smear layer in WL-3 mm group showed a significantly different effect when the canal was enlarged to larger than #30. There was a significant difference in removing apical smear layer between the needle penetration depth of WL-3 mm and WL-9 mm. Conclusions Removal of smear layer from the apical portion of root canals was effectively accomplished with apical instrumentation to #35/40 06 taper file and 3 mm needle penetration from the working length.

Use of minocycline as systemic antimicrobial therapy in refractory periodontitis with chronic gingival enlargement

Directory of Open Access Journals (Sweden)

Parag M Khatri

2012-01-01

Full Text Available Periodontal disease is a multifactorial disease having various risk factors, but a dynamic interaction between bacterial products and host response in association with genetic and environmental factors is considered as the primary cause for periodontal tissue destruction in periodontitis. This bacterial-host interaction which is ever-so-present in periodontitis directs us toward utilizing antimicrobial agents along with the routine mechanical debridement. This case report present a case of a female patient with recurrent periodontal infections with gingival enlargement treated with systemic Minocycline in conjunction with the conventional non-surgical approach.

Use of minocycline as systemic antimicrobial therapy in refractory periodontitis with chronic gingival enlargement.

Science.gov (United States)

Khatri, Parag M; Kumar, Rajesh

2012-01-01

Periodontal disease is a multifactorial disease having various risk factors, but a dynamic interaction between bacterial products and host response in association with genetic and environmental factors is considered as the primary cause for periodontal tissue destruction in periodontitis. This bacterial-host interaction which is ever-so-present in periodontitis directs us toward utilizing antimicrobial agents along with the routine mechanical debridement. This case report present a case of a female patient with recurrent periodontal infections with gingival enlargement treated with systemic Minocycline in conjunction with the conventional non-surgical approach.

Appraisal of the European Commission's Energy Roadmap 2050

International Nuclear Information System (INIS)

Meeus, L.

2012-01-01

What is the European energy strategy for 2050? How different is it from the 2020 energy strategy? What are the technology options? What are the policy options? The European Commission provided a first answer to these questions in its Energy Roadmap 2050. This article gives an appraisal of that answer based on the recommendations we made during the preparation of the roadmap.

European red list of habitats. Part 1: Marine habitats

NARCIS (Netherlands)

Gubbay, S.; Sanders, N.; Haynes, T.; Janssen, J.A.M.; Rodwell, J.R.; Nieto, A.; Garcia Criado, M.; Beal, S.; Borg, J.

2016-01-01

The European Red List of Habitats provides an overview of the risk
of collapse (degree of endangerment) of marine, terrestrial and
freshwater habitats in the European Union (EU28) and adjacent
regions (EU28+), based on a consistent set of categories and
criteria, and detailed data

Energy challenges: European viewpoints and French answers

Directory of Open Access Journals (Sweden)

Marc Gjidara

2013-01-01

Full Text Available The European Union attempts to improve the European energy market so that it is better coordinated because in a unified Europe it is no longer possible to act in isolation. The production of energy form renewable sources of great proportions demands a mutually linked European energy market if the aims established in the “Energy and Climate” programme and adopted in 2009 are to be achieved. The aim of this paper is to establish how the principles of European Law influence legal norming in energy issues and in the battle against global warming. The development of energy which does not emit carbon dioxide is in accordance with the aims set by the European Union. In that area, this development relies on regions, and not just countries which are not always able to implement defined ambitious aims. Energy continues in the majority of cases to depend on the power of countries and European control is limited. The European Union participates mainly in the co-ordination and support of national policy, within provisions relating to trans-European networks and within environment protection policy. In principle, the measures relating to the choice of each country from the various sources of energy and on the general structure of providing energy have been unanimously accepted. Particular attention has been given to comparing the French legal rules which are applied in the development of renewable sources of energy and the adaptation of the law on renewable sources of energy and laws on environmental protection to urban planning and the importance of supervision with European legal standards of regulation.

The Staff Association (SA) in the Enlarged Directorate (ED) meeting!

CERN Multimedia

Staff Association

2017-01-01

The Vice-President and the President presented the plan of activities of the Staff Association for 2017 and expressed the Staff Association’s concerns at the meeting of the Enlarged Directorate (Directors and Heads of Departments and Units) on 3 April. Five topics were presented, starting with the implementation of the decisions made during the 2015 Five-Yearly Review. Five-Yearly Review – Follow-up (see Echo No. 257) 2016 – Key points of implementation Several changes were already implemented in 2016: review of the Staff Rules and Regulations in January 2016 for the diversity aspects, and in September 2016 to incorporate the new career structure and the new salary grid with grades; review of the Administrative Circular No. 26 (Rev. 11) on the “Recognition of Merit”; placement in grades and provisional placement in benchmark jobs of all staff members; definition of guidelines for the 2017 MERIT exercise. The Staff Association was extensively involved in the...

Hemorrhage from an enlarged emphysematous bulla during commercial air travel.

Science.gov (United States)

Chen, Chien-Wen; Perng, Wann-Cherng; Li, Min-Hui; Yan, Horng-Chin; Wu, Chin-Pyng

2006-12-01

Pulmonary bullae are a common late complication in patients with emphysema. Non-communicating emphysematous bullae may expand during air travel when the ambient pressure is reduced, resulting in various forms of barotrauma including pneumothorax and air embolism. We report a 62-yr-old man with emphysema who developed hemoptysis during international commercial air travel. CT scan of the chest obtained after the travel showed air-fluid level in an enlarged bulla. He underwent resection of the bulla and had a full recovery. This is a unique presentation of stretch injury of a bulla as a form of pulmonary barotrauma occurring during commercial air travel. With the most recent ruling by the Federal Aviation Administration to allow patients with advanced chronic obstructive lung disease to travel by air with their own supplemental oxygen devices, physicians need to be aware of this type of pulmonary barotrauma and properly advise such patients who are planning to travel by air.

4th European Turbulence Conference