WorldWideScience

Sample records for floor descent anatomic

  1. Dynamic MR colpocystorectography assessing pelvic-floor descent

    Energy Technology Data Exchange (ETDEWEB)

    Lienemann, A.; Kohz, P.; Reiser, M. [Department of Radiology, Klinikum Grosshadern, Ludwig-Maximilians-University, Marchioninistrasse 15, D-81 377 Munich (Germany); Anthuber, C.; Baron, A. [Department of Obstetrics and Gynecology, Klinikum Grosshadern, Ludwig-Maximilians-University, Marchioninistrasse 15, D-81 377 Munich (Germany)

    1997-10-01

    Magnetic resonance colpocystorectography (MR-CCRG) is presented in the evaluation of patients with pelvic-floor disorders. Five healthy volunteers and 44 female patients with isolated or combined visceral descent underwent dynamic MRI and dynamic fluoroscopy (DF). MR-CCRG was performed with the patient in a supine position using a True FISP sequence (1 image/1.2 s; in-plane resolution 1.02 mm) during pelvic floor contraction, relaxation, and straining maneuvers. Relevant organs, such as urethra, bladder, vagina, and rectum, were opacified by using a saline solution, Magnevist (Schering AG, Berlin, Germany), and sonography gel, respectively. The clinical evaluation and the intraoperative results (30 cases) were used as reference. MR-CCRG and DF were non-diagnostic in 3 cases each. Most patients had a combined type of visceral prolapse, the most frequent combination being a vaginal vault prolapse and a cystocele. The points of reference were sufficiently outlined by DF and MR-CCRG. In comparison with the clinical and intraoperative results, MR-CCRG proved to be especially beneficial in the diagnosis of different types of enteroceles including a uterovaginal prolapse. MR-CCRG showed an equal or higher sensitivity and specificity for all individual sites when compared with DF. Also, predominant herniation obscuring other concomitant prolapse could be verified in 8 cases. MR-CCRG is superior to DF and accurately depicts pelvic-floor descent and prolapse in women. The possibility of dynamic presentation (see enclosed CD-ROM) allows for a better understanding of the organ movements within a given topographic reference setting. (orig.). With 5 figs., 3 tabs.

  2. Traditional Gymnastic Exercises for the Pelvic Floor Often Lead to Bladder Neck Descent - a Study Using Perineal Ultrasound.

    Science.gov (United States)

    Baeßler, Kaven; Junginger, Bärbel

    2017-07-01

    The aims of physiotherapy in stress incontinent women are to improve pelvic floor function and the continence mechanism including bladder neck support and urethral closure pressure. In Germany, traditional conservative treatment often includes gymnastic exercises with unclear effects on the bladder neck. The aim of this study was to sonographically assess bladder neck movements during selected exercises. Fifteen healthy, continent women without previous vaginal births, who were able to voluntarily contract their pelvic floor muscels performed the shoulder bridge, the abdominal press, tiptoe and the Pilates clam exercises. The first set was performed without any additional instructions. During the second set directions were given to activate the pelvic floor before beginning each exercise and to maintain the contraction throughout the exercise. Bladder neck movement was measured on perineal ultrasound using a validated method with the pubic symphysis as a reference point. The median age of participants was 32 years, median BMI was 23. Eight women were nulliparous and seven had given birth to 1 - 2 children via caesarean section. When exercises were performed without voluntary pelvic floor contraction the bladder neck descended on average between 2.3 and 4.4 mm, and with pelvic floor contraction prior to the exercise only between 0.5 and 2.1 mm (p > 0.05 except for abdominal press p = 0.007). The Pilates clam exercise and toe stand stabilised the bladder neck most effectively. Bladder neck descent often occurs during pelvic floor gymnastic exercises as traditionally performed in Germany, and a voluntary pelvic floor contraction during the exercises does not necessarily prevent this.

  3. Tridimensional sonographic anatomical changes on pelvic floor muscle according to the type of delivery.

    Science.gov (United States)

    Cassadó Garriga, Jordi; Pessarrodona Isern, Antoni; Espuña Pons, Montserrat; Durán Retamal, Montserrat; Felgueroso Fabregas, Anna; Rodriguez-Carballeira, Monica

    2011-08-01

    The aim of the study was to evaluate the association of avulsion and postnatal hiatal dimensions with delivery mode. These anatomical changes on pelvic floor muscle may be assessed by 3-4D ultrasonography. This is a prospective observational study that included 164 women: 20 nulliparous, 20 primigravid, and 124 postpartum women (62 at 1 month, 62 at 9 months postpartum). We performed an introital 3-4D ultrasonography to assess levator ani muscle's integrity, levator hiatal area at rest, on Valsalva, and on contraction. Levator ani avulsion was diagnosed in 59.5% of forceps deliveries. There were no statistically significant differences in postnatal hiatal dimensions between normal vaginal deliveries at 9 months postpartum and nulligravid. Levator hiatal area was significantly higher after forceps delivery. Low incidence of levator avulsion takes place in normal vaginal deliveries. However, forceps delivery is the riskiest type of delivery for pelvic floor pathology and its recovery.

  4. [Anatomical characteristics of the pelvic floor muscles in young nulliparous women based on three-dimensional MRI].

    Science.gov (United States)

    Ping, Liu; Ruolan, Chen; Chunlin, Chen; Lu, Huang; Chuanjia, Guo; Lan, Chen; Cheng, Peng; Jun, Wang; Kedan, Liao; Xuan, Liang; Jianping, Wang; Daokun, Ren; Huanqing, Tan; Lei, Tang; Shizhen, Zhong

    2014-05-01

    To analyse anatomical characteristics of the pelvic floor in young nulliparous volunteers based on three-dimensional MRI. Thin-slice MRI was performed in 25 young nulliparous volunteers in Southern Medical University, MRI were imported into Mimics 10.01 for 3D reconstruction.Using 3D models we measured follow indicators: the levator ani muscle volume (LVOL) , levator plate angle (LPA), levator hiatus width (LH-W)and length (LH-L), distance between symphysis and levator sling muscle (LSG). (1) 25 cases of pelvic three-dimensional models was successfully constructed, including the pelvis, pelvic organs and the pelvic floor muscles (including the ischial coccyx muscle, levator ani muscle and its various components, perineal muscles), the models could be able to clearly reflect the level of the pelvic floor muscles; (2) 25 cases of levator ani muscle measurement results:LVOL: (34 ± 6) cm(3), LPA: (43 ± 4) °, LH-W: (33 ± 4) mm, LH-L: (54 ± 5) mm, left LSG: (18.8 ± 2.5) mm, right LSG: (18.3 ± 2.5) mm. It is an effective way to use the computer to reconstruct the 3D model of female pelvic floor muscles using MRI data set. The quantitative analysis of levator ani muscle three-dimensional model can be assessed pelvic floor function, which is of great value in clinical practice.It is helpful to understand the pelvic floor disorders pathogenesis, clinical diagnosis, treatment options and treatment evaluation to provide reference standards.

  5. Radiotherapy, cancer and some anatomical structures related with the pelvic floor: an evaluation of the scientific literature

    International Nuclear Information System (INIS)

    Santos-Filho, Sebastiao David; Fonseca, Adenilson de Souza da; Bernardo-Filho, Mario; Presta, Giuseppe Antonio; Paoli, Severo de; Missailids, Sotiris

    2008-01-01

    Radiotherapy is a cancer treatment that uses high-energy X-rays or other types of ionizing radiation to try to kill the cancer cells in various organs/tissues. PubMed is a database used as a tool in various publications. The aim of this work was to evaluate, in the PubMed, the number of publications (NP) in radiotherapy and cancer in various organs related to the pelvic floor as well as brachytherapy. The searches were performed (August 2008) in the PubMed (http://www.pubmed.com) using the words: radiotherapy (RT) or cancer (CA), RT and CA, RT and CA and prostate, RT and CA and testis, RT and CA and breast, RT and CA and kidneys, RT and CA and vulva, RT and CA and vagina, RT and CA and penis, RT and CA and uterus, RT and CA and ovary, RT and CA and bladder, and RT and CA and urethra. A search using brachytherapy was also performed. The NP in each subject was determined and was 2178635 to CA and about 9% of them are related with RT. The NP in RT and CA and breast or prostate is bigger than for the other organs, whereas brachytherapy is mainly cited in the studies about CA of prostate, bladder and breast. In conclusion, our findings demonstrate the importance of radiation therapy studies in the cancer of several organs. This information is crucial in understanding the field and demonstrates areas of significant progress or existing gaps of research in radiotherapy treatment of various cancers of the pelvis. Furthermore, it could significantly aid the interprofessional team in the determination of actions related to the treatment of patients that are undertaking radiotherapy, due to the possible complications of this modality of treatment. (author)

  6. Radiotherapy, cancer and some anatomical structures related with the pelvic floor: an evaluation of the scientific literature

    Energy Technology Data Exchange (ETDEWEB)

    Santos-Filho, Sebastiao David; Fonseca, Adenilson de Souza da; Bernardo-Filho, Mario [Universidade do Estado do Rio de Janeiro (UERJ), RJ (Brazil). Inst. de Biologia Roberto Alcantara Gomes. Dept. de Biofisica e Biometria; Presta, Giuseppe Antonio [Universidade Federal do Rio de Janeiro (UFRJ), RJ (Brazil). Inst. Biomedico. Dept. de Fisiologia Humana; Paoli, Severo de [Centro Universitario Serra dos Orgaos, Teresopolis, RJ (Brazil). Centro de Ciencias da Saude; Missailids, Sotiris [The Open University, Milton Keynes (United Kingdom). Dept. of Chemistry and Analytical Sciences

    2008-12-15

    Radiotherapy is a cancer treatment that uses high-energy X-rays or other types of ionizing radiation to try to kill the cancer cells in various organs/tissues. PubMed is a database used as a tool in various publications. The aim of this work was to evaluate, in the PubMed, the number of publications (NP) in radiotherapy and cancer in various organs related to the pelvic floor as well as brachytherapy. The searches were performed (August 2008) in the PubMed (http://www.pubmed.com) using the words: radiotherapy (RT) or cancer (CA), RT and CA, RT and CA and prostate, RT and CA and testis, RT and CA and breast, RT and CA and kidneys, RT and CA and vulva, RT and CA and vagina, RT and CA and penis, RT and CA and uterus, RT and CA and ovary, RT and CA and bladder, and RT and CA and urethra. A search using brachytherapy was also performed. The NP in each subject was determined and was 2178635 to CA and about 9% of them are related with RT. The NP in RT and CA and breast or prostate is bigger than for the other organs, whereas brachytherapy is mainly cited in the studies about CA of prostate, bladder and breast. In conclusion, our findings demonstrate the importance of radiation therapy studies in the cancer of several organs. This information is crucial in understanding the field and demonstrates areas of significant progress or existing gaps of research in radiotherapy treatment of various cancers of the pelvis. Furthermore, it could significantly aid the interprofessional team in the determination of actions related to the treatment of patients that are undertaking radiotherapy, due to the possible complications of this modality of treatment. (author)

  7. Radiotherapy, cancer and some anatomical structures related with the pelvic floor: an evaluation of the scientific literature

    Directory of Open Access Journals (Sweden)

    Sebastião David Santos-Filho

    2008-12-01

    Full Text Available Radiotherapy is a cancer treatment that uses high-energy X-rays or other types of ionizing radiation to try to kill the cancer cells in various organs/tissues. PubMed is a database used as a tool in various publications. The aim of this work was to evaluate, in the PubMed, the number of publications (NP in radiotherapy and cancer in various organs related to the pelvic floor as well as brachytherapy. The searches were performed (August 2008 in the PubMed (http://www.pubmed.com using the words: (i radiotherapy (RT or cancer (CA, (ii RT and CA, (iii RT and CA and prostate, RT and CA and testis, RT and CA and breast, RT and CA and kidneys, RT and CA and vulva, RT and CA and vagina, RT and CA and penis, RT and CA and uterus, RT and CA and ovary, RT and CA and bladder, and RT and CA and urethra. A search using brachytherapy was also performed. The NP in each subject was determined and was 2178635 to CA and about 9% of them are related with RT. The NP in RT and CA and breast or prostate is bigger than for the other organs, whereas brachytherapy is mainly cited in the studies about CA of prostate, bladder and breast. In conclusion, our findings demonstrate the importance of radiation therapy studies in the cancer of several organs. This information is crucial in understanding the field and demonstrates areas of significant progress or existing gaps of research in radiotherapy treatment of various cancers of the pelvis. Furthermore, it could significantly aid the interprofessional team in the determination of actions related to the treatment of patients that are undertaking radiotherapy, due to the possible complications of this modality of treatment.Radioterapia é uma forma de tratamento para câncer que usa raios X de alta energia ou outros tipos de radiação ionizante para tentar matar as células do câncer em vários órgãos/tecidos. O objetivo desse trabalho foi avaliar, no PubMed, o número de publicações (NP em radioterapia e câncer em

  8. Videourodynamic results in stress urinary incontinence patients after pelvic floor muscle training.

    Science.gov (United States)

    Kuo, Hann-Chorng

    2003-01-01

    The mechanism by which clinical improvement occurs through pelvic floor muscle training (PFMT) for genuine stress incontinence, detrusor instability, or mixed incontinence is not established. Videourodynamic assessment of the anatomical changes of the pelvic floor muscles has not been reported. This study investigated the anatomical change of bladder base descent as well as the functional changes of bladder and urethra after PFMT using videourodynamic study. Forty women aged 35 to 67 years (median 45 years) with stress urinary incontinence (SUI) with or without urgency incontinence were enrolled in a PFMT program consisting of a structured 12-week treatment course. Videourodynamic study, urethral pressure profilometry (UPP), and abdominal leak point pressure study were performed at baseline and after PFMT. Videourodynamic changes and UPP results were also compared between patients with successful treatment and those with treatment failure. Treatment was successful in 22 patients (55%) and failed in 18 patients. After PFMT, the volume at bladder sensation and the cystometric capacity increased significantly in patients with successful treatment. In all patients, the mean bladder neck descent was significantly reduced during stress compared with that at rest. When pelvic floor contractions were performed voluntarily, the bladder neck elevation was significantly greater after PFMT than at baseline. Patients with successful treatment had a significantly greater bladder neck elevation and pelvic floor contraction pressure both before and after PFMT compared to patients who failed treatment. No significant difference was found in UPP parameters such as maximal urethral closure pressure, functional profile length, or pressure transmission ratio. The results of this study indicate that pelvic floor muscles can be strengthened by PFMT in about one-half of women with SUI as shown by the increased bladder neck elevation during voluntary pelvic floor contraction in

  9. Floor interaction

    DEFF Research Database (Denmark)

    Petersen, Marianne Graves; Krogh, Peter; Ludvigsen, Martin

    2005-01-01

    Within architecture, there is a long tradition of careful design of floors. The design has been concerned with both decorating floors and designing floors to carry information. Ubiquitous computing technology offers new opportunities for designing interactive floors. This paper presents three...... different interactive floor concepts. Through an urban perspective it draws upon the experiences of floors in architecture, and provides a set of design issues for designing interactive floors....

  10. Descent of the testis

    DEFF Research Database (Denmark)

    Hutson, John M.; Thorup, Jørgen M.; Beasley, Spencer W.

    changes in the management of both congenital and acquired cryptorchidism, such as the widespread use of laparoscopy for impalpable testes inside the abdominal cavity, are fully described. Evidence for the benefits of orchidopexy within the first year of life is reviewed, and an individual chapter is also......This book provides a state of the art overview of all aspects of testicular descent and cryptorchidism, including the mechanisms of descent and the causes, consequences, diagnosis, and treatment of undescended testis. The advances in understanding that have been achieved over the past two decades...

  11. Anatomical and functional characteristics of the pelvic floor in nulliparous women submitted to three-dimensional endovaginal ultrasonography: case control study and evaluation of interobserver agreement Características anatômicas e funcionais do assoalho pélvico em nulíparas avaliadas por ultrassonografia tridimensional endovaginal: estudo caso-controle e avaliação da confiabilidade interobservador

    Directory of Open Access Journals (Sweden)

    Sthela Maria Murad-Regadas

    2013-03-01

    Full Text Available PURPOSE: To determine anatomical and functional pelvic floor measurements performed with three-dimensional (3-D endovaginal ultrasonography in asymptomatic nulliparous women without dysfunctions detected in previous dynamic 3-D anorectal ultrasonography (echo defecography and to demonstrate the interobserver reliability of these measurements. METHODS: Asymptomatic nulliparous volunteers were submitted to echo defecography to identify dynamic dysfunctions, including anatomical (rectocele, intussusceptions, entero/sigmoidocele and perineal descent and functional changes (non-relaxation or paradoxical contraction of the puborectalis muscle in the posterior compartment and assessed with regard to the biometric index of levator hiatus, pubovisceral muscle thickness, urethral length, anorectal angle, anorectal junction position and bladder neck position with the 3-D endovaginal ultrasonography. All measurements were compared at rest and during the Valsalva maneuver, and perineal and bladder neck descent was determined. The level of interobserver agreement was evaluated for all measurements. RESULTS: A total of 34 volunteers were assessed by echo defecography and by 3-D endovaginal ultrasonography. Out of these, 20 subjects met the inclusion criteria. The 14 excluded subjects were found to have posterior dynamic dysfunctions. During the Valsalva maneuver, the hiatal area was significantly larger, the urethra was significantly shorter and the anorectal angle was greater. Measurements at rest and during the Valsalva maneuver differed significantly with regard to anorectal junction and bladder neck position. The mean values for normal perineal descent and bladder neck descent were 0.6 cm and 0.5 cm above the symphysis pubis, respectively. The intraclass correlation coefficient ranged from 0.62-0.93. CONCLUSIONS: Functional biometric indexes, normal perineal descent and bladder neck descent values were determined for young asymptomatic nulliparous women

  12. Dictionary descent in optimization

    OpenAIRE

    Temlyakov, Vladimir

    2015-01-01

    The problem of convex optimization is studied. Usually in convex optimization the minimization is over a d-dimensional domain. Very often the convergence rate of an optimization algorithm depends on the dimension d. The algorithms studied in this paper utilize dictionaries instead of a canonical basis used in the coordinate descent algorithms. We show how this approach allows us to reduce dimensionality of the problem. Also, we investigate which properties of a dictionary are beneficial for t...

  13. THE GREAT DESCENT CONTINUES

    CERN Document Server

        With precise coordination YE+1 was lowered into the cavern (9-Jan), soon joined by the ?rst barrel wheel YB+2 (19-Jan), then YB+1(4-Feb) and HB+ (13-Feb). The 1920 ton central barrel wheel YB0 rests brie?y on the pit-head cover in anticipation of a monumental descent (28-Feb) that will also trigger an intense campaign of installation of services and detectors underground.  

  14. LA GRANDE DESCENTE

    CERN Multimedia

    The first endcap disc of CMS being lowered slowly and carefully 100 m underground into the experimental cavern. The disc is one of 15 large pieces to make the grand descent.  The uniquely shaped slice, 16 m high, about 50 cm thick weighs 400 tonnes. The two HF that were lowered earlier in November can also be seen in the foreground and background.  

  15. Videodefaecography combined with measurement of the anorectal angle and of perineal descent

    International Nuclear Information System (INIS)

    Skomorowska, E.; Henrichsen, S.; Christiansen, J.; Hegedues, V.; Glostrup Sygehus, Copenhagen

    1987-01-01

    Cineradiographic defaecography combined with measurement of the anorectal angle and descent of the pelvic floor is proposed. The method used in 73 women gave valuable information in 48 patients who complained of anal incompetence, rectal tenesmus, and chronic constipation. In these patients, high and low rectal intussusception, rectocele, and pathologic movement of the pelvic floor were detected. Some of these phenomena could only be diagnosed by the radiologic method here described. Quantitations of the anorectal angle and descent of the pelvic floor placed the group with constipation halfway between normal individuals and those with anal incompetence. The value of this finding is discussed. Recent improvements in anorectal surgery often make videodefaecography decisive for the choice of the optimal operative method. Therefore, videodefaecography together with measurement of the anorectal angle and pelvic floor descent is recommended whenever anorectal surgery for correction of functional disturbances is contemplated. (orig.)

  16. Complementary curves of descent

    Science.gov (United States)

    Mungan, Carl E.; Lipscombe, Trevor C.

    2013-01-01

    The shapes of two wires in a vertical plane with the same starting and ending points are described as complementary curves of descent if beads frictionlessly slide down both of them in the same time, starting from rest. Every analytic curve has a unique complement, except for a cycloid (solution of the brachistochrone problem), which is self complementary. A striking example is a straight wire whose complement is a lemniscate of Bernoulli. Alternatively, the wires can be tracks down which round objects undergo a rolling race. The level of presentation is appropriate for an intermediate undergraduate course in classical mechanics.

  17. Ultrasound Imaging of the Pelvic Floor.

    Science.gov (United States)

    Stone, Daniel E; Quiroz, Lieschen H

    2016-03-01

    This article discusses the background and appraisal of endoluminal ultrasound of the pelvic floor. It provides a detailed anatomic assessment of the muscles and surrounding organs of the pelvic floor. Different anatomic variability and pathology, such as prolapse, fecal incontinence, urinary incontinence, vaginal wall cysts, synthetic implanted material, and pelvic pain, are easily assessed with endoluminal vaginal ultrasound. With pelvic organ prolapse in particular, not only is the prolapse itself seen but the underlying cause related to the anatomic and functional abnormalities of the pelvic floor muscle structures are also visualized. Copyright © 2016 Elsevier Inc. All rights reserved.

  18. The grand descent has begun for CMS

    CERN Multimedia

    2006-01-01

    Until recently, the CMS experimental cavern looked relatively empty; its detector was assembled entirely at ground level, to be lowered underground in 15 sections. On 2 November, the first hadronic forward calorimeter led the way with a grand descent. The first section of the CMS detector (centre of photo) arriving from the vertical shaft, viewed from the cavern floor. There is something unusual about the construction of the CMS detector. Instead of being built in the experimental cavern, like all the other detectors in the LHC experiments, it was constructed at ground level. This was to allow for easy access during the assembly of the detector and to minimise the size of the excavated cavern. The slightly nerve-wracking task of lowering it safely into the cavern in separate sections came after the complete detector was successfully tested with a magnetic field at ground level. In the early morning of 2 November, the first section of the CMS detector began its eagerly awaited descent into the underground ca...

  19. Comparison between dynamic cystocolpoproctography and dynamic pelvic floor MRI: pros and cons: which is the "functional" examination for anorectal and pelvic floor dysfunction?

    Science.gov (United States)

    Maglinte, Dean D T; Hale, Douglass S; Sandrasegaran, Kumar

    2013-10-01

    "Functional" imaging of anorectal and pelvic floor dysfunction has assumed an important role in the diagnosis and management of these disorders. Although defecography has been widely practiced for decades to evaluate the dynamics of rectal emptying, debate concerning its clinical relevance, how it should be done and interpreted continues. Due to the recognition of the association of defecatory disorders with pelvic organ prolapse in women, the need to evaluate the pelvic floor as a unit has arisen. To meet this need, defecography has been extended to include not only evaluation of defecation disorders but also the rest of the pelvic floor by opacifying the small bowel, vagina, and the urinary bladder. The term "dynamic cystocolpoproctography" (DCP) has been appropriately applied to this examination. Rectal emptying performed with DCP provides the maximum stress to the pelvic floor resulting in complete levator ani relaxation. In addition to diagnosing defecatory disorders, this method of examination demonstrates maximum pelvic organ descent and provides organ-specific quantification of organ prolapse, information that is only inferred by means of physical examination. It has been found to be of clinical value in patients with defecation disorders and the diagnosis of associated prolapse in other compartments that are frequently unrecognized by history taking and the limitations of physical examination. Pelvic floor anatomy is complex and DCP does not show the anatomical details pelvic magnetic resonance imaging (MRI) provides. Technical advances allowing acquisition of dynamic rapid MRI sequences has been applied to pelvic floor imaging. Early reports have shown that pelvic MRI may be a useful tool in pre-operative planning of these disorders and may lead to a change in surgical therapy. Predictions of hypothetical increase cancer incidence and deaths in patients exposed to radiation, the emergence of pelvic floor MRI in addition to questions relating to the

  20. Luteinizing hormone in testicular descent

    DEFF Research Database (Denmark)

    Toppari, Jorma; Kaleva, Marko M; Virtanen, Helena E

    2007-01-01

    alone is not sufficient for normal testicular descent. The regulation of androgen production is influenced both by placental human chorionic gonadotropin (hCG) and pituitary luteinizing hormone (LH). There is evidence that the longer pregnancy continues, the more important role pituitary LH may have...... levels with slightly but significantly elevated LH levels as compared to healthy boys. This high gonadotropin drive may compensate for mild Leydig cell dysfunction in cryptorchidism....

  1. Pelvic Organ Prolapse: New Concepts in Pelvic Floor Anatomy.

    Science.gov (United States)

    Maldonado, Pedro A; Wai, Clifford Y

    2016-03-01

    As the field of reconstructive pelvic surgery continues to evolve, with descriptions of new procedures to repair pelvic organ prolapse, it remains imperative to maintain a functional understanding of pelvic floor anatomy and support. The goal of this review was to provide a focused, conceptual approach to differentiating anatomic defects contributing to prolapse in the various compartments of the vagina. Rather than provide exhaustive descriptions of pelvic floor anatomy, basic pelvic floor anatomy is reviewed, new and historical concepts of pelvic floor support are discussed, and relevance to the surgical management of specific anatomic defects is addressed. Copyright © 2016 Elsevier Inc. All rights reserved.

  2. Anatomy and Physiology of the Pelvic Floor.

    Science.gov (United States)

    Eickmeyer, Sarah M

    2017-08-01

    Understanding the anatomic relationship of the pelvic floor muscles with the pelvic girdle, spine, and hips aids the rehabilitation provider in diagnosis, management, and appropriate referrals. The bony anatomy of the pelvic girdle consists of 3 bones and 3 joints. The pelvic floor muscles are comprised mainly of the levator ani muscles with somatic innervation from the lumbosacral plexus. The bony and muscular pelvis is highly interconnected to the hip and gluteal musculature, which together provide support to the internal organs and core muscles. Pelvic floor physiology is centered on bladder and bowel control, sexual functioning, and pregnancy. Copyright © 2017 Elsevier Inc. All rights reserved.

  3. Imaging pelvic floor disorders. 2. rev. ed.

    International Nuclear Information System (INIS)

    Stoker, Jaap; Taylor, Stuart A.; DeLancey, John O.L.

    2008-01-01

    This volume builds on the success of the first edition of imaging pelvic floor disorders and is aimed at those practitioners with an interest in the imaging, diagnosis and treatment of pelvic floor dysfunction. Concise textual information from acknowledged experts is complemented by high-quality diagrams and images to provide a thorough update of this rapidly evolving field. Introductory chapters fully elucidate the anatomical basis underlying disorders of the pelvic floor. State of the art imaging techniques and their application in pelvic floor dysfunction are then discussed in detail. Additions since the first edition include consideration of the effect of aging and new chapters on perineal ultrasound, functional MRI and MRI of the levator muscles. The closing sections of the book describe the modern clinical management of pelvic floor dysfunction, including prolapse, urinary and faecal incontinence and constipation, with specific emphasis on the integration of diagnostic and treatment algorithms. (orig.)

  4. Imaging pelvic floor disorders. 2. rev. ed.

    Energy Technology Data Exchange (ETDEWEB)

    Stoker, Jaap [Amsterdam Univ. (Netherlands). Dept. of Radiology; Taylor, Stuart A. [University College Hospital, London (United Kingdom). Dept. of Specialist X-Ray; DeLancey, John O.L. (eds.) [Michigan Univ., Ann Arbor, MI (United States). L4000 Women' s Hospital

    2008-07-01

    This volume builds on the success of the first edition of imaging pelvic floor disorders and is aimed at those practitioners with an interest in the imaging, diagnosis and treatment of pelvic floor dysfunction. Concise textual information from acknowledged experts is complemented by high-quality diagrams and images to provide a thorough update of this rapidly evolving field. Introductory chapters fully elucidate the anatomical basis underlying disorders of the pelvic floor. State of the art imaging techniques and their application in pelvic floor dysfunction are then discussed in detail. Additions since the first edition include consideration of the effect of aging and new chapters on perineal ultrasound, functional MRI and MRI of the levator muscles. The closing sections of the book describe the modern clinical management of pelvic floor dysfunction, including prolapse, urinary and faecal incontinence and constipation, with specific emphasis on the integration of diagnostic and treatment algorithms. (orig.)

  5. Fabrication of patient specific composite orbital floor implants by stereolithography

    NARCIS (Netherlands)

    Geven, Mike Alexander; Varjas, V.; Kamer, L.; Wang, X.; Peng, J.; Eglin, D.; Grijpma, Dirk W.

    2015-01-01

    Fractures of the orbital floor are common in traffic accidents and assaults, and inadequate treatment can result in serious complications. Accurate anatomical reconstruction of the orbit using implants is the preferred treatment. Implants require degradability, adequate mechanical properties to

  6. Descent in buildings (AM-190)

    CERN Document Server

    Mühlherr, Bernhard; Weiss, Richard M

    2015-01-01

    Descent in Buildings begins with the resolution of a major open question about the local structure of Bruhat-Tits buildings. The authors then put their algebraic solution into a geometric context by developing a general fixed point theory for groups acting on buildings of arbitrary type, giving necessary and sufficient conditions for the residues fixed by a group to form a kind of subbuilding or "form" of the original building. At the center of this theory is the notion of a Tits index, a combinatorial version of the notion of an index in the relative theory of algebraic groups. These results

  7. Total pelvic floor ultrasound for pelvic floor defaecatory dysfunction: a pictorial review

    Science.gov (United States)

    Solanki, Deepa; Schizas, Alexis M P; Williams, Andrew B

    2015-01-01

    Total pelvic floor ultrasound is used for the dynamic assessment of pelvic floor dysfunction and allows multicompartmental anatomical and functional assessment. Pelvic floor dysfunction includes defaecatory, urinary and sexual dysfunction, pelvic organ prolapse and pain. It is common, increasingly recognized and associated with increasing age and multiparity. Other options for assessment include defaecation proctography and defaecation MRI. Total pelvic floor ultrasound is a cheap, safe, imaging tool, which may be performed as a first-line investigation in outpatients. It allows dynamic assessment of the entire pelvic floor, essential for treatment planning for females who often have multiple diagnoses where treatment should address all aspects of dysfunction to yield optimal results. Transvaginal scanning using a rotating single crystal probe provides sagittal views of bladder neck support anteriorly. Posterior transvaginal ultrasound may reveal rectocoele, enterocoele or intussusception whilst bearing down. The vaginal probe is also used to acquire a 360° cross-sectional image to allow anatomical visualization of the pelvic floor and provides information regarding levator plate integrity and pelvic organ alignment. Dynamic transperineal ultrasound using a conventional curved array probe provides a global view of the anterior, middle and posterior compartments and may show cystocoele, enterocoele, sigmoidocoele or rectocoele. This pictorial review provides an atlas of normal and pathological images required for global pelvic floor assessment in females presenting with defaecatory dysfunction. Total pelvic floor ultrasound may be used with complementary endoanal ultrasound to assess the sphincter complex, but this is beyond the scope of this review. PMID:26388109

  8. Introductory guide to floors and flooring

    CSIR Research Space (South Africa)

    Billingham, PA

    1977-01-01

    Full Text Available ............................................................................. In situ terrazzo 2 3 Natural stone ............................................................................... 25 . . Ceram~c t~les ................................................................................ 27 Brick floors... coverings) includes carpets, wooden floors and cork t~les. There is a third group (thin floor coverings) made from material which conducts heat poorly but which is usually applied too thinly (3 mm or less) for the insulating effect to have a great...

  9. Biomimetic matrices for pelvic floor repair

    NARCIS (Netherlands)

    Vashaghian, M.

    2017-01-01

    Pelvic organ prolapsed (POP) is a dysfunctional disease in female pelvic floor that affects a lot of women worldwide, and reduces their quality of life. Currently, trans-vaginal knitted polypropylene meshes are used as secondary treatment, for anatomical correction of the dysfunctional tissues.

  10. Study on the influence of the fetus head molding on the biomechanical behavior of the pelvic floor muscles, during vaginal delivery.

    Science.gov (United States)

    Silva, M E T; Oliveira, D A; Roza, T H; Brandão, S; Parente, M P L; Mascarenhas, T; Natal Jorge, R M

    2015-06-25

    Pelvic floor injuries during vaginal delivery are considered a significant risk factor to develop pelvic floor dysfunction. The molding of the fetus head during vaginal delivery facilitates the labor progress, since it adjusts to the birth canal geometry. In this work, a finite element model was used to represent the effects induced by the passage of the fetus head on the pelvic floor. The numerical model used for this simulation included the pelvic floor muscles attached to the bones, and a fetus body. The model of the fetus head included the skin and soft tissues, the skull with sutures and fontanelles, and the brain. The fetus head movements during birth in vertex position were simulated: descent, internal rotation and extension. Two models of the fetus head were compared: a rigid and a deformable one, with the inclusion of the cranial sutures. The influence of the fetus head molding on the pelvic floor muscles was analyzed by evaluating their reaction forces, stretch, and stress and strain fields. Additionally, anatomical indices for the molding of the fetal skull were obtained and compared with clinical data. The passage of the deformable fetus head through the birth canal leads to a reduction of 17.3% on the reaction forces on the pelvic floor muscles when compared to the ones of a rigid head. Furthermore, the fetus head molding implies inferior resistance to rotation resulting in a reduction of 1.86% in muscle stretching. Quantitative evaluation of the fetus head molding showed good agreement with clinical experiments. Copyright © 2015 Elsevier Ltd. All rights reserved.

  11. Continuous Descent Operations using Energy Principles

    NARCIS (Netherlands)

    De Jong, P.M.A.

    2014-01-01

    During today’s aircraft descents, Air Traf?c Control (ATC) commands aircraft to descend to specific altitudes and directions to maintain separation and spacing from other aircraft. When the aircraft is instructed to maintain an intermediate descent altitude, it requires engine thrust to maintain

  12. Functional imaging of the pelvic floor

    Energy Technology Data Exchange (ETDEWEB)

    Lienemann, Andreas E-mail: andreaslienemann@web.de; Fischer, Tanja

    2003-08-01

    Introduction/Objective: Pelvic floor dysfunction and associated pelvic organ prolapse represent a major problem in our present-day society, mostly afflicting parous women. Magnetic resonance imaging (MRI) is assuming an increasingly important role in the more accurate delineation of the extent of the problem. This article briefly reviews one of the main radiological methods for the dynamic evaluation of the pelvic floor: functional cine MRI. Methods and Material: Out of the literature the smallest common denominator for functional cine MRI can be defined as follows: high field system; patient either in supine or sitting position; fast gradient echo sequence; midsagittal slice orientation; either a stack of slices or repeated measurements at the same slice position with the patient at rest or straining; image analysis using the pubococcygeal reference line. Results: All except two publications stress the usefulness of functional cine MRI in the evaluation of patients with organ descent and prolapse. This well accepted method allows for the visualization of all relevant structures in the anterior, middle and posterior compartment. It is especially useful in the detection of enteroceles, and provides a reliable postoperative follow-up tool. Isolated urinary or stool incontinence are not an indication for functional cine MRI, as is the case in patients with equivocal clinical findings. To date it does not allow for real 3D imaging of the pelvic floor or sufficient determination of fascial defects. Discussion: Functional cine MRI of the pelvic floor is a promising new imaging method for the detection of organ descent and prolapse in patients with equivocal clinical findings. The combination of function and morphology allows for an innovative view of the pelvic floor, and thus adds to our understanding of the various interactions of the structures.

  13. Propulsive Descent Technologies (PDT): Original Content Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Future missions to Mars require landed mass that exceeds the capability of current entry, descent, and landing technology.  New technology and techniques are...

  14. Terminal Descent Lidar System, Phase I

    Data.gov (United States)

    National Aeronautics and Space Administration — A laser based terminal descent sensor is proposed that will provide real-time ground-relative altitude, attitude, and vertical velocity at high data rates to a...

  15. Steepest descent approximations for accretive operator equations

    International Nuclear Information System (INIS)

    Chidume, C.E.

    1993-03-01

    A necessary and sufficient condition is established for the strong convergence of the steepest descent approximation to a solution of equations involving quasi-accretive operators defined on a uniformly smooth Banach space. (author). 49 refs

  16. Stochastic Optimal Control for Powered Descent Guidance

    Data.gov (United States)

    National Aeronautics and Space Administration — Entry, descent, and landing (EDL) is the process of a spacecraft entering a planet's atmosphere, decelerating from orbit, and descending to a safe landing on the...

  17. Fastest Rates for Stochastic Mirror Descent Methods

    KAUST Repository

    Hanzely, Filip

    2018-03-20

    Relative smoothness - a notion introduced by Birnbaum et al. (2011) and rediscovered by Bauschke et al. (2016) and Lu et al. (2016) - generalizes the standard notion of smoothness typically used in the analysis of gradient type methods. In this work we are taking ideas from well studied field of stochastic convex optimization and using them in order to obtain faster algorithms for minimizing relatively smooth functions. We propose and analyze two new algorithms: Relative Randomized Coordinate Descent (relRCD) and Relative Stochastic Gradient Descent (relSGD), both generalizing famous algorithms in the standard smooth setting. The methods we propose can be in fact seen as a particular instances of stochastic mirror descent algorithms. One of them, relRCD corresponds to the first stochastic variant of mirror descent algorithm with linear convergence rate.

  18. Supporting shop floor intelligence

    DEFF Research Database (Denmark)

    Carstensen, Peter; Schmidt, Kjeld; Wiil, Uffe Kock

    1999-01-01

    Many manufacturing enterprises are now trying to introduce various forms of flexible work organizations on the shop floor. However, existing computer-based production planning and control systems pose severe obstacles for autonomous working groups and other kinds of shop floor control to become......-to-day production planning by supporting intelligent and responsible workers in their situated coordination activities on the shop floor....

  19. Descent among the Wayú. Concepts and social meanings

    OpenAIRE

    Mancuso, Alessandro

    2014-01-01

    Descent among the Wayú. Concepts and social meanings. Taking the contemporary rethinking of the descent notion in Lowland South American ethnography as a starting point, the article provides an analysis of matrilineal descent among the Wayú. Using new ethnographical data, special attention is paid to indigenous concepts and to the way matrilineal descent articulates with other principles of social classification. By virtue of the role that matrilineal descent plays in defining territoriality ...

  20. Biomimetic matrices for pelvic floor repair

    OpenAIRE

    Vashaghian, M.

    2017-01-01

    Pelvic organ prolapsed (POP) is a dysfunctional disease in female pelvic floor that affects a lot of women worldwide, and reduces their quality of life. Currently, trans-vaginal knitted polypropylene meshes are used as secondary treatment, for anatomical correction of the dysfunctional tissues. However, the meshes can create sever adverse complications in some patients, such as chronic pain and dypareunia, in longer-term. In the hope of finding an alternative surgical treatment, we developed ...

  1. Establishment of floor ownership

    OpenAIRE

    Robič, Gregor

    2016-01-01

    After the socioeconomic system had been changed in 1991 the right of ownership and land registry seemed to gain a much greater importance. In that time the concept of floor ownership has also started to develop, but after 25 years a significant number of multi-unit buildings without the established floor ownership still exist in Slovenia. In this thesis both theoretical background and practical solutions for establishing a floor ownership are presented, furthermore, possible causes for an ina...

  2. Supporting shop floor intelligence

    DEFF Research Database (Denmark)

    Carstensen, Peter; Schmidt, Kjeld; Wiil, Uffe Kock

    1999-01-01

    Many manufacturing enterprises are now trying to introduce various forms of flexible work organizations on the shop floor. However, existing computer-based production planning and control systems pose severe obstacles for autonomous working groups and other kinds of shop floor control to become r......-to-day production planning by supporting intelligent and responsible workers in their situated coordination activities on the shop floor....

  3. Descent principle in modular Galois theory

    Indian Academy of Sciences (India)

    Springer Verlag Heidelberg #4 2048 1996 Dec 15 10:16:45

    E-mail: ram@cs.purdue.edu; keskar@math.unipune.ernet.in. MS received 24 July 2000; revised 1 December 2000. Abstract. We propound a descent principle by which previously constructed equa- tions over GF(qn)(X) may be deformed to have incarnations over GF(q)(X) without changing their Galois groups. Currently this ...

  4. America's Descent into Madness

    Science.gov (United States)

    Giroux, Henry A.

    2014-01-01

    This article describes America's descent into madness under the regime of neoliberalism that has emerged in the United States since the late 1970s. In part, this is due to the emergence of a public pedagogy produced by the corporate-owned media that now saturates Americans with a market-driven value system that undermines those formative…

  5. Conjugate descent formulation of backpropagation error in ...

    African Journals Online (AJOL)

    The feedforward neural network architecture uses backpropagation learning to determine optimal weights between dierent interconnected layers. This learning procedure uses a gradient descent technique applied to a sum-of-squares error function for the given input-output pattern. It employs an iterative procedure to ...

  6. Minimizing convex functions by continuous descent methods

    Directory of Open Access Journals (Sweden)

    Sergiu Aizicovici

    2010-01-01

    Full Text Available We study continuous descent methods for minimizing convex functions, defined on general Banach spaces, which are associated with an appropriate complete metric space of vector fields. We show that there exists an everywhere dense open set in this space of vector fields such that each of its elements generates strongly convergent trajectories.

  7. Pelvic Floor Dysfunction

    Science.gov (United States)

    ... intake. Biofeedback, which is a special form of pelvic floor physical therapy aimed at improving a patient’s rectal sensation and ... therapy. As patients perform this specialized form of pelvic floor physical therapy, they are often able to view EMG or ...

  8. Solving decontaminable flooring problems

    International Nuclear Information System (INIS)

    Anon.

    1989-01-01

    Pennsylvania Power and Light wanted to cover deteriorating concrete in unit 2 of its Susquehanna BWR with a smooth, durable, decontaminable coating. Traditionally, floors in the plant had been coated with epoxy paint, but many of these floors suffered delamination, and failed in three to five years. Painting with epoxy would also interrupt operations for as much as three days while the floor dried, yet critical instruments in some areas had to be monitored at least once per shift. In addition, conventional floor surface preparation produced dust and vibration around sensitive equipment. The solution was a dustless scabbling system for surface preparation, followed by the installation of a high-strength acrylic industrial floor known as Silakal. The work was carried out by Pentek. Silikal bonds to the underlying concrete, so that delamination of the floor will not occur even under severe traffic conditions. Another advantage of this type of flooring is that it cures in one hour, so floor resurfacing has only minimal impact on plant operations. (author)

  9. Radiant Floor Cooling Systems

    DEFF Research Database (Denmark)

    Olesen, Bjarne W.

    2008-01-01

    In many countries, hydronic radiant floor systems are widely used for heating all types of buildings such as residential, churches, gymnasiums, hospitals, hangars, storage buildings, industrial buildings, and smaller offices. However, few systems are used for cooling.This article describes a floor...

  10. School Flooring Factors

    Science.gov (United States)

    McGrath, John

    2012-01-01

    With all of the hype that green building is receiving throughout the school facility-management industry, it's easy to overlook some elements that may not be right in front of a building manager's nose. It is helpful to examine the role floor covering plays in a green building project. Flooring is one of the most significant and important systems…

  11. Perceived floor slipperiness and floor roughness in a gait experiment.

    Science.gov (United States)

    Yu, Ruifeng; Li, Kai Way

    2015-01-01

    Slips and falls contribute to occupational injuries and fatalities globally. Both floor slipperiness and floor roughness affect the occurrence of slipping and falling. Investigations on fall-related phenomena are important for the safety and health of workers. The purposes of this study were to: compare the perceived floor slipperiness before and after walking on the floor; compare the perceived floor slipperiness with and without shoes for males and females; discuss the perceived floor roughness based on barefoot walking; and establish regression models to describe the relationship between perceived floor slipperiness and actual friction of the floors. Male and female subjects walked on 3 m walkways with or without shoes. The perceived floor slipperiness ratings both before and after their walk were collected. The perceived floor slipperiness both before and after walking were significantly affected by both floor and surface conditions. Gender, floor, surface, and footwear conditions were all significant factors affecting the adjustment of perceived floor slipperiness. The subjects made more adjustment on perceived floor slipperiness rating when they had shoes on than when they were barefooted. Regression models were established to describe the relationship between perceived floor slipperiness and floor coefficient of friction. These models may be used to estimate perceived floor slipperiness, or in reverse, the coefficient of friction of the floor, so as to prevent slipping and falling in workplaces.

  12. The anatomical diaspora: evidence of early American anatomical traditions in North Dakota.

    Science.gov (United States)

    Stubblefield, Phoebe R

    2011-09-01

    The current focus in forensic anthropology on increasing scientific certainty in ancestry determination reinforces the need to examine the ancestry of skeletal remains used for osteology instruction. Human skeletal remains were discovered on the University of North Dakota campus in 2007. After recovery, the osteological examination resulted in a profile for a 33- to 46-year-old woman of African descent with stature ranging from 56.3 to 61.0 in. The pattern of postmortem damage indicated that the remains had been prepared for use as an anatomical teaching specimen. Review of the American history of anatomical teaching revealed a preference for Black subjects, which apparently extended to states like North Dakota despite extremely low resident populations of people of African descent. This study emphasizes the need to examine the ancestry of older teaching specimens that lack provenience, rather than assuming they are derived from typical (i.e., Indian) sources of anatomical material. © 2011 American Academy of Forensic Sciences.

  13. Levator co-activation is a significant confounder of pelvic organ descent on Valsalva maneuver.

    Science.gov (United States)

    Ornö, A K; Dietz, H P

    2007-09-01

    A Valsalva maneuver is used clinically and on imaging in order to determine female pelvic organ prolapse. We have examined the potential confounding effect of levator co-activation at the time of a Valsalva maneuver and the impact of repetition with biofeedback instruction. Fifty nulliparous women at 36-38 weeks' gestation received 3D/4D translabial ultrasound investigation in the dorsal resting position after bladder emptying. Valsalva maneuvers were recorded initially and after repeated attempts with visual biofeedback both during the maneuver and after, with the operator demonstrating findings on the ultrasound monitor, in order to abolish levator co-activation. Offline analysis was subsequently undertaken. Significant differences between first and optimal Valsalva maneuver were found for bladder neck position, bladder neck descent, hiatal sagittal diameter and hiatal area on Valsalva. In a minority of women (22/50) we observed a reduction in the sagittal hiatal diameter on first Valsalva maneuver, indicating levator co-activation. A reduction in sagittal diameter was seen in only 11/50 after instruction. Levator co-activation was associated with significantly lower bladder neck descent. The Valsalva maneuver is frequently accompanied by a pelvic floor muscle contraction. Levator co-activation may be a substantial confounder, reducing pelvic organ descent. Without repetition and digital, auditory or visual biofeedback, women may not perform a correct Valsalva maneuver. Biofeedback markedly reduces the likelihood of levator co-activation but does not abolish it completely. Copyright 2007 ISUOG. Published by John Wiley & Sons, Ltd.

  14. Accuracy of integrated total pelvic floor ultrasound compared to defaecatory MRI in females with pelvic floor defaecatory dysfunction.

    Science.gov (United States)

    Hainsworth, Alison J; Pilkington, Sophie A; Grierson, Catherine; Rutherford, Elizabeth; Schizas, Alexis M P; Nugent, Karen P; Williams, Andrew B

    2016-12-01

    Defaecatory MRI allows multicompartmental assessment of defaecatory dysfunction but is often inaccessible. Integrated total pelvic floor ultrasound (transperineal, transvaginal, endoanal) may provide a cheap, portable alternative. The accuracy of total pelvic floor ultrasound for anatomical abnormalities when compared with defaecatory MRI was assessed. The dynamic images from 68 females who had undergone integrated total pelvic floor ultrasound and defaecatory MRI between 2009 and 2015 were blindly reviewed. The following were recorded: rectocoele, enterocoele, intussusception and cystocoele. There were 26 rectocoeles on MRI (49 rectocoeles on ultrasound), 24 rectocoeles with intussusception on MRI (19 rectocoeles on ultrasound), 23 enterocoeles on MRI (24 enterocoeles on ultrasound) and 49 cystocoeles on MRI (35 cystocoeles on ultrasound). Sensitivity and specificity of total pelvic floor ultrasound were 81% and 33% for rectocoele, 60% and 91% for intussusception, 65% and 80% for enterocoele and 65% and 84% for cystocoele when compared with defaecatory MRI. This gave a negative-predictive value and positive-predictive value of 74% and 43% for rectocoele, 80% and 79% for intussusception, 82% and 63% for enterocoele and 48% and 91% for cystocoele. Integrated total pelvic floor ultrasound may serve as a screening tool for pelvic floor defaecatory dysfunction; when normal, defaecatory MRI can be avoided, as rectocoele, intussusception and enterocoele are unlikely to be present. Advances in knowledge: This is the first study to compare integrated total pelvic floor ultrasound with defaecatory MRI. The results support the use of integrated total pelvic floor ultrasound as a screening tool for defaecatory dysfunction.

  15. Improving dimensionality reduction with spectral gradient descent.

    Science.gov (United States)

    Memisevic, Roland; Hinton, Geoffrey

    2005-01-01

    We introduce spectral gradient descent, a way of improving iterative dimensionality reduction techniques. The method uses information contained in the leading eigenvalues of a data affinity matrix to modify the steps taken during a gradient-based optimization procedure. We show that the approach is able to speed up the optimization and to help dimensionality reduction methods find better local minima of their objective functions. We also provide an interpretation of our approach in terms of the power method for finding the leading eigenvalues of a symmetric matrix and verify the usefulness of the approach in some simple experiments.

  16. Noise annoyance caused by continuous descent approaches compared to regular descent procedures

    NARCIS (Netherlands)

    White, Kim; Arntzen, Michael; Walker, Francesco; Waiyaki, Fredrick M.; Meeter, Martijn; Bronkhorst, Adelbert W.

    2017-01-01

    During Continuous Descent Approaches (CDAs) aircraft glide towards the runway resulting in reduced noise and fuel usage. Here, we investigated whether such landings cause less noise annoyance than a regular stepwise approach. Both landing types were compared in a controlled laboratory setting with a

  17. Development and descent of the testis in relation to cryptorchidism

    DEFF Research Database (Denmark)

    Virtanen, Helena E; Cortes, Dina; Rajpert-De Meyts, Ewa

    2007-01-01

    The testis descends in two phases. Animal studies suggest, that the transabdominal descent of the testis depends on the insulin-like hormone 3 (INSL3). Androgens are important in the inguinoscrotal testicular descent in animals and humans. In general, the cause of cryptorchidism is unknown...... and the aetiology is possibly multifactorial. Histological changes in cryptorchid testes demonstrate disturbed development. Conclusion: Since testicular descent is regulated by testis-derived hormones, cryptorchidism may reflect a functional defect of the testis....

  18. Gastroscopy in immigrants of Turkish descent.

    Science.gov (United States)

    Wegman, Anna-Isthar; Loffeld, Ruud Jlf

    2009-07-01

    Little data is known on morbidity and Helicobacter pylori in the upper part of the gastrointestinal tract in male and female patients of Turkish descent. A study was done in order to assess the presence of H. pylori in Turkish men and women in relation to the diagnostic yield of the endoscopy. All consecutive patients of Turkish descent were included in the present study. Detection of H. pylori was done with hematoxylin-eosin stain, an immunoperoxidase and Gram stain and culture. In 16 years, 2427 procedures (10.4%) were done in Turkish patients. After exclusions, 842 endoscopies in Turkish women and 827 procedures in Turkish men remained. Peptic ulcer disease was diagnosed in 101 (6%) patients and reflux esophagitis in 97 patients (5.8%). Seven patients had cancer. In 749 patients (64%), no macroscopic abnormalities were seen. Turkish men suffered more often from reflux esophagitis (81% vs 19%, P peptic ulcer disease (74% vs 26%, P peptic ulcer disease in women, while the peptic ulcers decreased, and reflux esophagitis increased in men. Men were significantly more often H. pylori-positive (P = 0.03). There was a clear trend towards a decrease in H. pylori-positives. There are differences in the presence of ulcer disease and reflux esophagitis between Turkish men and women. Men are significantly more often H. pylori-positive. Prevalence of H. pylori infection in Turkish patients slowly decreases in the consecutive years in both men and women.

  19. Pelvic floor imaging

    NARCIS (Netherlands)

    Stoker, J.; Halligan, S.; Bartram, C. I.

    2001-01-01

    A greater awareness of the therapies now available for pelvic floor dysfunction has increased demand for specialized imaging of this region. Some of the techniques required are available at relatively few centers, and the purpose of this review is to introduce the emerging subspecialty of pelvic

  20. Pelvic floor muscle function in women with pelvic floor dysfunction

    DEFF Research Database (Denmark)

    Tibaek, Sigrid; Dehlendorff, Christian

    2014-01-01

    The objectives of this study were to investigate the level of pelvic floor muscle (PFM) function in women with pelvic floor dysfunction (PFD) referred by gynaecologists and urologists for in-hospital pelvic floor muscle training (PFMT), and to identity associated factors for a low level of PFM...

  1. Error analysis of stochastic gradient descent ranking.

    Science.gov (United States)

    Chen, Hong; Tang, Yi; Li, Luoqing; Yuan, Yuan; Li, Xuelong; Tang, Yuanyan

    2013-06-01

    Ranking is always an important task in machine learning and information retrieval, e.g., collaborative filtering, recommender systems, drug discovery, etc. A kernel-based stochastic gradient descent algorithm with the least squares loss is proposed for ranking in this paper. The implementation of this algorithm is simple, and an expression of the solution is derived via a sampling operator and an integral operator. An explicit convergence rate for leaning a ranking function is given in terms of the suitable choices of the step size and the regularization parameter. The analysis technique used here is capacity independent and is novel in error analysis of ranking learning. Experimental results on real-world data have shown the effectiveness of the proposed algorithm in ranking tasks, which verifies the theoretical analysis in ranking error.

  2. Stochastic Spectral and Conjugate Descent Methods

    KAUST Repository

    Kovalev, Dmitry

    2018-02-11

    The state-of-the-art methods for solving optimization problems in big dimensions are variants of randomized coordinate descent (RCD). In this paper we introduce a fundamentally new type of acceleration strategy for RCD based on the augmentation of the set of coordinate directions by a few spectral or conjugate directions. As we increase the number of extra directions to be sampled from, the rate of the method improves, and interpolates between the linear rate of RCD and a linear rate independent of the condition number. We develop and analyze also inexact variants of these methods where the spectral and conjugate directions are allowed to be approximate only. We motivate the above development by proving several negative results which highlight the limitations of RCD with importance sampling.

  3. Distributed Control by Lagrangian Steepest Descent

    Science.gov (United States)

    Wolpert, David H.; Bieniawski, Stefan

    2004-01-01

    Often adaptive, distributed control can be viewed as an iterated game between independent players. The coupling between the players mixed strategies, arising as the system evolves from one instant to the next, is determined by the system designer. Information theory tells us that the most likely joint strategy of the players, given a value of the expectation of the overall control objective function, is the minimizer of a function o the joint strategy. So the goal of the system designer is to speed evolution of the joint strategy to that Lagrangian mhimbhgpoint,lowerthe expectated value of the control objective function, and repeat Here we elaborate the theory of algorithms that do this using local descent procedures, and that thereby achieve efficient, adaptive, distributed control.

  4. Planetary entry, descent, and landing technologies

    Science.gov (United States)

    Pichkhadze, K.; Vorontsov, V.; Polyakov, A.; Ivankov, A.; Taalas, P.; Pellinen, R.; Harri, A.-M.; Linkin, V.

    2003-04-01

    Martian meteorological lander (MML) is intended for landing on the Martian surface in order to monitor the atmosphere at landing point for one Martian year. MMLs shall become the basic elements of a global network of meteorological mini-landers, observing the dynamics of changes of the atmospheric parameters on the Red Planet. The MML main scientific tasks are as follows: (1) Study of vertical structure of the Martian atmosphere throughout the MML descent; (2) On-surface meteorological observations for one Martian year. One of the essential factors influencing the lander's design is its entry, descent, and landing (EDL) sequence. During Phase A of the MML development, five different options for the lander's design were carefully analyzed. All of these options ensure the accomplishment of the above-mentioned scientific tasks with high effectiveness. CONCEPT A (conventional approach): Two lander options (with a parachute system + airbag and an inflatable airbrake + airbag) were analyzed. They are similar in terms of fulfilling braking phases and completely analogous in landing by means of airbags. CONCEPT B (innovative approach): Three lander options were analyzed. The distinguishing feature is the presence of inflatable braking units (IBU) in their configurations. SELECTED OPTION (innovative approach): Incorporating a unique design approach and modern technologies, the selected option of the lander represents a combination of the options analyzed in the framework of Concept B study. Currently, the selected lander option undergoes systems testing (Phase D1). Several MMLs can be delivered to Mars in frameworks of various missions as primary or piggybacking payload: (1) USA-led "Mars Scout" (2007); (2) France-led "NetLander" (2007/2009); (3) Russia-led "Mars-Deimos-Phobos sample return" (2007); (4) Independent mission (currently under preliminary study); etc.

  5. Pelvic floor muscle training exercises

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/003975.htm Pelvic floor muscle training exercises To use the sharing features on this page, please enable JavaScript. Pelvic floor muscle training exercises are a series of exercises ...

  6. Enumerating set partitions according to the number of descents of ...

    Indian Academy of Sciences (India)

    ) according to the number of descents of size or more, where ≥ 1 is fixed. An explicit expression in terms of Stirling numbers of the second kind may be given for the total number of such descents in all the members of (,). We also ...

  7. 43 CFR 10.14 - Lineal descent and cultural affiliation.

    Science.gov (United States)

    2010-10-01

    ... evidence sufficient to: (i) Establish the identity and cultural characteristics of the earlier group, (ii... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Lineal descent and cultural affiliation... GRAVES PROTECTION AND REPATRIATION REGULATIONS General § 10.14 Lineal descent and cultural affiliation...

  8. Chronic pelvic floor dysfunction.

    Science.gov (United States)

    Hartmann, Dee; Sarton, Julie

    2014-10-01

    The successful treatment of women with vestibulodynia and its associated chronic pelvic floor dysfunctions requires interventions that address a broad field of possible pain contributors. Pelvic floor muscle hypertonicity was implicated in the mid-1990s as a trigger of major chronic vulvar pain. Painful bladder syndrome, irritable bowel syndrome, fibromyalgia, and temporomandibular jaw disorder are known common comorbidities that can cause a host of associated muscular, visceral, bony, and fascial dysfunctions. It appears that normalizing all of those disorders plays a pivotal role in reducing complaints of chronic vulvar pain and sexual dysfunction. Though the studies have yet to prove a specific protocol, physical therapists trained in pelvic dysfunction are reporting success with restoring tissue normalcy and reducing vulvar and sexual pain. A review of pelvic anatomy and common findings are presented along with suggested physical therapy management. Copyright © 2014 Elsevier Ltd. All rights reserved.

  9. Endoscopic anatomy of the orbital floor and maxillary sinus.

    Science.gov (United States)

    Moore, Corey C; Bromwich, Matthew; Roth, Kathy; Matic, Damir B

    2008-01-01

    Endoscopic repair of orbital blow-out fractures could become a predictable and efficient treatment alternative to traditional methods. However, maxillary sinus endoscopy provides a complex and disorienting view of the orbital floor. To be a useful and consistent technique for providing access to the orbital floor, specific knowledge of maxillary endoscopic anatomy is required. The purpose of the study was to provide an anatomic description of the orbital floor via the endoscopic approach. Objectives include defining consistent landmarks for use in endoscopic repair of orbital floor fractures. Using 0- and 30-degree rigid endoscopes, 6 fresh cadavers (12 maxillary sinuses) were examined via a standard Caldwell-Luc approach. Computed tomographic scans, plastic molds, and digital images were used to compare observable averages within bony anatomy. Potential bony landmarks were correlated with soft-tissue anatomy in fresh specimens. The maxillary ostium, orbital floor, and lateral ethmoid air cells were visualized, and their structures were described. Observations were made in relation to the anatomy of the orbital floor and maxillary sinus, including fracture pattern and force transmission pathways. An "orbitomaxillary" sinus bony thickening was identified and described for the first time. This study provides the basis for further refinement of surgical technique and opens the door for future clinical trials using endoscopic repair.

  10. Comparison of panoramic radiograph with cone-beam computed tomography in assessment of maxillary sinus floor and nasal floor

    Directory of Open Access Journals (Sweden)

    Vijay Kumar Bokkasam

    2015-01-01

    Full Text Available Introduction: Panoramic radiograph is frequently prescribed by dentists for implant planning and, hence, accurate assessment of anatomical structures in panoramic radiograph is of utmost importance. Aims: The aim of the present study is to know the accuracy of panoramic radiograph in assessment of relationship between maxillary sinus floor and posterior teeth roots, and the distance from alveolar crest to nasal floor by comparing it with that of cone-beam computed tomographic (CBCT image. Materials and Methods: Panoramic and CBCT images of 30 patients were analyzed. The topographic relationship of each root of posterior teeth to the maxillary sinus floor was evaluated and classified into three classes. The distance from the peak point on maxillary alveolar crest to nasal floor was measured in panoramic radiograph as well as in CBCT image. All the measurements were made by built-in measurement tools. Results: Class 1 roots in panoramic radiograph showed high agreement (86% with CBCT image, followed by class 0 (76%. There was a significant difference in the measurements of alveolar bone height (ABH in the nasal floor region with a P value of 0.018. Conclusion: Panoramic radiograph is reliable in assessment of nasal floor and maxillary sinus, provided position of the patient, distortion, and the inherent magnification factor are taken into consideration.

  11. in a Family of South Indian Descent

    Directory of Open Access Journals (Sweden)

    Muthiah Subramanian

    2015-01-01

    Full Text Available Inherited channelopathies are a heterogeneous group of disorders resulting from dysfunction of ion channels in cellular membranes. They may manifest as diseases affecting skeletal muscle contraction, the conduction system of the heart, nervous system function, and vision syndromes. We describe a family of South Indian descent with hypokalemic periodic paralysis in which four members also have idiopathic generalized epilepsy. Hypokalemic periodic paralysis is a genetically heterogeneous channelopathy that has been linked to mutations in genes encoding three ion channels CACNIAS, SCN4A, and KCNJ2 predominantly. Although data on specific gene in idiopathic generalized epilepsy is relatively scarce, mutations of voltage gated sodium channel subunit genes (CACNB4 and nonsense mutations in voltage gated calcium channels (CACNA1A have been linked to idiopathic generalized epilepsy in two families. We speculate that gene mutations altering the ability of the beta subunit to interact with the alpha subunit of the CaV1.1 channel and mutations in the pore-forming potassium channel subunit may be possible explanations for the combined manifestation of both diseases. Functional analysis of voltage gated calcium channel and other ion channels mutations may provide additional support and insight for the causal role of these mutations. The understanding of mutations in ion-channel genes will lead to improved diagnosis and treatment of such inherited channelopathies.

  12. Stochastic Spectral Descent for Discrete Graphical Models

    International Nuclear Information System (INIS)

    Carlson, David; Hsieh, Ya-Ping; Collins, Edo; Carin, Lawrence; Cevher, Volkan

    2015-01-01

    Interest in deep probabilistic graphical models has in-creased in recent years, due to their state-of-the-art performance on many machine learning applications. Such models are typically trained with the stochastic gradient method, which can take a significant number of iterations to converge. Since the computational cost of gradient estimation is prohibitive even for modestly sized models, training becomes slow and practically usable models are kept small. In this paper we propose a new, largely tuning-free algorithm to address this problem. Our approach derives novel majorization bounds based on the Schatten- norm. Intriguingly, the minimizers of these bounds can be interpreted as gradient methods in a non-Euclidean space. We thus propose using a stochastic gradient method in non-Euclidean space. We both provide simple conditions under which our algorithm is guaranteed to converge, and demonstrate empirically that our algorithm leads to dramatically faster training and improved predictive ability compared to stochastic gradient descent for both directed and undirected graphical models.

  13. [Pelvic floor muscle training and pelvic floor disorders in women].

    Science.gov (United States)

    Thubert, T; Bakker, E; Fritel, X

    2015-05-01

    Our goal is to provide an update on the results of pelvic floor rehabilitation in the treatment of urinary incontinence and genital prolapse symptoms. Pelvic floor muscle training allows a reduction of urinary incontinence symptoms. Pelvic floor muscle contractions supervised by a healthcare professional allow cure in half cases of stress urinary incontinence. Viewing this contraction through biofeedback improves outcomes, but this effect could also be due by a more intensive and prolonged program with the physiotherapist. The place of electrostimulation remains unclear. The results obtained with vaginal cones are similar to pelvic floor muscle training with or without biofeedback or electrostimulation. It is not known whether pelvic floor muscle training has an effect after one year. In case of stress urinary incontinence, supervised pelvic floor muscle training avoids surgery in half of the cases at 1-year follow-up. Pelvic floor muscle training is the first-line treatment of post-partum urinary incontinence. Its preventive effect is uncertain. Pelvic floor muscle training may reduce the symptoms associated with genital prolapse. In conclusion, pelvic floor rehabilitation supervised by a physiotherapist is an effective short-term treatment to reduce the symptoms of urinary incontinence or pelvic organ prolapse. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  14. Automation for Accommodating Fuel-Efficient Descents in Constrained Airspace

    Science.gov (United States)

    Coopenbarger, Richard A.

    2010-01-01

    Continuous descents at low engine power are desired to reduce fuel consumption, emissions and noise during arrival operations. The challenge is to allow airplanes to fly these types of efficient descents without interruption during busy traffic conditions. During busy conditions today, airplanes are commonly forced to fly inefficient, step-down descents as airtraffic controllers work to ensure separation and maximize throughput. NASA in collaboration with government and industry partners is developing new automation to help controllers accommodate continuous descents in the presence of complex traffic and airspace constraints. This automation relies on accurate trajectory predictions to compute strategic maneuver advisories. The talk will describe the concept behind this new automation and provide an overview of the simulations and flight testing used to develop and refine its underlying technology.

  15. Design and Development of the MSL Descent Stage Propulsion System

    Science.gov (United States)

    Weiss, Jeffrey M.; Guernsey, Carl S.

    2013-01-01

    On August 5, 2012, The Mars Science Laboratory mission successfully landed the largest interplanetary rover ever built, Curiosity, on the surface of Mars. The Entry, Descent, and Landing (EDL) phase of this mission was by far the most complex landing ever attempted on a planetary body. The Descent Stage Propulsion System played an integral and critical role during Curiosity's EDL. The Descent Stage Propulsion System was a one of a kind hydrazine propulsion system designed specifically for the EDL phase of the MSL mission. It was designed, built, and tested at the Jet Propulsion Laboratory (JPL). The purpose of this paper is to present an overview of the design and development of the MSL Descent Stage Propulsion System. Driving requirements, system design, component selection, operational sequence of the system at Mars, new developments, and key challenges will be discussed.

  16. Pelvic floor dysfunction in inflammatory bowel disease.

    Science.gov (United States)

    Bondurri, A; Maffioli, A; Danelli, P

    2015-12-01

    Advances in tailored medical therapy and introduction of biologic agents for inflammatory bowel disease (IBD) treatment have ensured long-term disease remission. Some patients, however, still report defecatory symptoms. Patients present with a wide spectrum of conditions - anal incontinence, obstructed defecation and pelvic pain among the most frequent - that have a great impact on their quality of life. Due to IBD diagnosis, little relevance is attributed to this type of symptoms and their epidemiologic distribution is unknown. Pathogenetic hypotheses are currently under investigation. Routine diagnostic workflow and therapeutic options in pelvic floor service are often underused. The evaluation of these disorders starts with an endoscopy to rule out ongoing disease; the following diagnostic workflow is the same as in patients without IBD. For fecal incontinence and obstructed defecation, simple conservative therapy with dietary modifications and appropriate fluid intake is effective in most cases. In non-responding patients, anorectal physiology tests and imaging are required to select patients for pelvic floor muscle training and biofeedback. These treatments have been proven effective in IBD patients. Some new minimally invasive alternative strategies are available for IBD patients, as sacral nerve and posterior tibial nerve stimulation; for other ones (e.g., bulking agent implantation) IBD still remains an exclusion criterion. In order to preserve anatomical areas that could be useful for future reconstructive techniques, surgical options to cure pelvic floor dysfunction are indicated only in a small group of IBD patients, due to the high risk of failure in wound healing and to the possible side effects of surgery, which can lead to anal incontinence or to a possible proctectomy. A particular issue among defecatory symptoms in patients with IBD is paradoxical puborectalis contraction after restorative proctocolectomy: if this disorder is properly diagnosed, a

  17. Sea floor magnetic observatory

    Science.gov (United States)

    Korepanov, V.; Prystai, A.; Vallianatos, F.; Makris, J.

    2003-04-01

    The electromagnetic precursors of seismic hazards are widely accepted as strong evidence of the approaching earthquake or volcano eruption. The monitoring of these precursors are of main interest in densely populated areas, what creates serious problems to extract them at the strong industrial noise background. An interesting possibility to improve signal-to-noise ratio gives the installation of the observation points in the shelf zones near the possible earthquake places, what is fairly possible in most seismically active areas in Europe, e. g. in Greece and Italy. The serious restriction for this is the cost of the underwater instrumentation. To realize such experiments it requires the unification of efforts of several countries (e. g., GEOSTAR) or of the funds of some great companies (e. g., SIO magnetotelluric instrument). The progress in electronic components development as well as the appearance of inexpensive watertight glass spheres made it possible to decrease drastically the price of recently developed sea floor magnetic stations. The autonomous vector magnetometer LEMI-301 for sea bed application is described in the report. It is produced on the base of three-component flux-gate sensor. Non-magnetic housing and minimal magnetism of electronic components enable the instrument to be implemented as a monoblock construction where the electronic unit is placed close to the sensor. Automatic circuit provides convenient compensation of the initial field offset and readings of full value (6 digits) of the measured field. Timing by internal clock provides high accuracy synchronization of data. The internal flash memory assures long-term autonomous data storage. The system also has two-axes tilt measurement system. The methodological questions of magnetometer operation at sea bed were studied in order to avoid two types of errors appearing at such experimental cases. First is sea waving influence and second one magnetometer orientation at its random positioning on

  18. Anatomical terminology in Ophthalmology

    OpenAIRE

    Abib, Fernando César; Oréfice, Fernando

    2005-01-01

    O objetivo deste artigo é informar à classe oftalmológica a existência da edição em língua portuguesa da Terminologia Anatômica Internacional, editada pela Federation Committee on Anatomical Terminology (FCAT). No Brasil a Terminologia Anatômica Internacional é traduzida pela Comissão de Terminologia Anatômica (CTA) da Sociedade Brasileira de Anatomia (SBA).The purpose of this article is inform ophthalmologists of the International Anatomical Terminology in the Portuguese language edited by t...

  19. [Pelvic floor rehabilitation for female urinary incontinence: mechanisms of action].

    Science.gov (United States)

    Deffieux, X; Billecocq, S; Demoulin, G; Rivain, A-L; Trichot, C; Thubert, T

    2013-06-01

    To analyze the proven mechanisms of action of pelvic rehabilitation in women presenting with urinary incontinence. Review of literature (PubMed, Embase, Cochrane Database) using following keywords: female; urinary incontinence; overactive bladder syndrome; stress urinary incontinence; bladder training; bladder diary; pelvic floor muscle training; pelvic floor rehabilitation; physiotherapy; cognitive therapies. Among 2906 articles (animal and anatomical studies have been excluded); 66 have been selected because they focused on the evaluation of the pathophysiological mechanisms of pelvic floor rehabilitation concerning female urinary incontinence. Studies on pelvic floor muscles training exercises showed a significant increase in the force of contraction of these muscles and it was correlated with improved scores of urinary incontinence and pad test (coefficient of correlation r ranged from 0.23 to 0.34) for women presenting with stress urinary incontinence. These studies have not observed an increase in the maximum urethral closure pressure (MUCP) or correction of urethral hypermobility related with the improvement of incontinence after rehabilitation sessions. Studies concerning pelvic floor stimulation observed an increase in the force of contraction of pelvic floor muscles after rehabilitation and a decrease in the intensity of detrusor contractions without changing the MUCP. There is very little data on the precise mechanisms of action of biofeedback and cognitive behavioral therapy. In studies that objectively evaluated the mechanisms of action of pelvic rehabilitation, it was observed that pelvic floor muscles voluntary exercises and electrostimulation resulted an increase in force of contraction of these muscles without changing the MUCP. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

  20. Feasibility of diffusion tensor imaging (DTI) with fibre tractography of the normal female pelvic floor

    International Nuclear Information System (INIS)

    Zijta, F.M.; Froeling, M.; Paardt, M.P. van der; Bipat, S.; Nederveen, A.J.; Stoker, J.; Lakeman, M.M.E.; Montauban van Swijndregt, A.D.; Strijkers, G.J.

    2011-01-01

    To prospectively determine the feasibility of diffusion tensor imaging (DTI) with fibre tractography as a tool for the three-dimensional (3D) visualisation of normal pelvic floor anatomy. Five young female nulliparous subjects (mean age 28 ± 3 years) underwent DTI at 3.0T. Two-dimensional diffusion-weighted axial spin-echo echo-planar (SP-EPI) pulse sequence of the pelvic floor was performed, with additional T2-TSE multiplanar sequences for anatomical reference. Fibre tractography for visualisation of predefined pelvic floor and pelvic wall muscles was performed offline by two observers, applying a consensus method. Three eigenvalues (λ1, λ2, λ3), fractional anisotropy (FA) and mean diffusivity (MD) were calculated from the fibre trajectories. In all subjects fibre tractography resulted in a satisfactory anatomical representation of the pubovisceral muscle, perineal body, anal - and urethral sphincter complex and internal obturator muscle. Mean FA values ranged from 0.23 ± 0.02 to 0.30 ± 0.04, MD values from 1.30 ± 0.08 to 1.73 ± 0.12 x 10- 3 mm 2 /s. Muscular structures in the superficial layer of the pelvic floor could not be satisfactorily identified. This study demonstrates the feasibility of visualising the complex three-dimensional pelvic floor architecture using 3T-DTI with fibre tractography. DTI of the deep female pelvic floor may provide new insights into pelvic floor disorders. (orig.)

  1. Feasibility of diffusion tensor imaging (DTI) with fibre tractography of the normal female pelvic floor

    Energy Technology Data Exchange (ETDEWEB)

    Zijta, F.M. [University of Amsterdam, Department of Radiology, Academic Medical Center, Amsterdam (Netherlands); Onze Lieve Vrouwe Gasthuis, Department of Radiology, Amsterdam (Netherlands); Froeling, M. [University of Amsterdam, Department of Radiology, Academic Medical Center, Amsterdam (Netherlands); Eindhoven University of Technology, Biomedical NMR, Department of Biomedical Engineering, Eindhoven (Netherlands); Paardt, M.P. van der; Bipat, S.; Nederveen, A.J.; Stoker, J. [University of Amsterdam, Department of Radiology, Academic Medical Center, Amsterdam (Netherlands); Lakeman, M.M.E. [University of Amsterdam, Department of Gynaecology, Academic Medical Center, Amsterdam (Netherlands); Montauban van Swijndregt, A.D. [Onze Lieve Vrouwe Gasthuis, Department of Radiology, Amsterdam (Netherlands); Strijkers, G.J. [Eindhoven University of Technology, Biomedical NMR, Department of Biomedical Engineering, Eindhoven (Netherlands)

    2011-06-15

    To prospectively determine the feasibility of diffusion tensor imaging (DTI) with fibre tractography as a tool for the three-dimensional (3D) visualisation of normal pelvic floor anatomy. Five young female nulliparous subjects (mean age 28 {+-} 3 years) underwent DTI at 3.0T. Two-dimensional diffusion-weighted axial spin-echo echo-planar (SP-EPI) pulse sequence of the pelvic floor was performed, with additional T2-TSE multiplanar sequences for anatomical reference. Fibre tractography for visualisation of predefined pelvic floor and pelvic wall muscles was performed offline by two observers, applying a consensus method. Three eigenvalues ({lambda}1, {lambda}2, {lambda}3), fractional anisotropy (FA) and mean diffusivity (MD) were calculated from the fibre trajectories. In all subjects fibre tractography resulted in a satisfactory anatomical representation of the pubovisceral muscle, perineal body, anal - and urethral sphincter complex and internal obturator muscle. Mean FA values ranged from 0.23 {+-} 0.02 to 0.30 {+-} 0.04, MD values from 1.30 {+-} 0.08 to 1.73 {+-} 0.12 x 10-{sup 3} mm{sup 2}/s. Muscular structures in the superficial layer of the pelvic floor could not be satisfactorily identified. This study demonstrates the feasibility of visualising the complex three-dimensional pelvic floor architecture using 3T-DTI with fibre tractography. DTI of the deep female pelvic floor may provide new insights into pelvic floor disorders. (orig.)

  2. Interobserver agreement of multicompartment ultrasound in the assessment of pelvic floor anatomy.

    Science.gov (United States)

    Lone, Farah; Sultan, Abdul H; Stankiewicz, Aleksandra; Thakar, Ranee

    2016-01-01

    To assess the interobserver agreement of pelvic floor anatomical measurements using multicompartment pelvic floor ultrasound. Females were recruited from the urogynaecology/gynaecology clinics between July and October 2009 and underwent multicompartment pelvic floor ultrasonography (PFUS) using two-dimensional (2D) transperineal ultrasound (TPUS), high-frequency 2D/three-dimensional (3D) endovaginal ultrasound (EVUS) using a biplane probe with linear and transverse arrays and a 360° rotational 3D-EVUS. PFUS measurements were independently analysed by two clinicians. 158 females had PFUS assessment. Good-to-excellent interobserver agreement was observed for bladder-symphysis distance at rest and valsalva, urethral thickness, urethral length, urethral volume, levator hiatus area and width, anteroposterior diameter and anorectal angle. Lins Correlation was used to calculate the interobserver agreement and Bland-Altman plots were created to demonstrate the agreement between the researchers. There was also a good-to-excellent agreement between the two clinicians for the assessment of pelvic organ prolapse (POP) in the anterior, middle and posterior compartment. Multicompartment PFUS is a reliable tool in the anatomical assessment of pelvic floor measurements and POP. We found a good-to-excellent agreement between the two assessors in the assessment of pelvic floor measurements for all three pelvic floor compartments and suggest that multicompartment PFUS could be considered as a systematic integrated approach to assess the pelvic floor.

  3. Anorectal and pelvic floor anatomy

    NARCIS (Netherlands)

    Stoker, Jaap

    2009-01-01

    The anorectum and pelvic floor are crucial in maintaining continence, facilitating evacuation, providing pelvic organ support while in females the pelvic floor is part of the birth canal. The anal sphincter is a multilayered cylindrical structure, including the smooth muscle internal sphincter and

  4. Floor heating maximizes residents` comfort

    Energy Technology Data Exchange (ETDEWEB)

    Tirkkanen, P.; Wikstroem, T.

    1996-11-01

    Storing heat in floors by using economical night-time electricity does not increase the specific consumption of heating. According to studies done by IVO, the optimum housing comfort is achieved if the room is heated mainly by means of floor heating that is evened out by window or ceiling heating, or by a combination of all three forms of heating. (orig.)

  5. Design of automation tools for management of descent traffic

    Science.gov (United States)

    Erzberger, Heinz; Nedell, William

    1988-01-01

    The design of an automated air traffic control system based on a hierarchy of advisory tools for controllers is described. Compatibility of the tools with the human controller, a key objective of the design, is achieved by a judicious selection of tasks to be automated and careful attention to the design of the controller system interface. The design comprises three interconnected subsystems referred to as the Traffic Management Advisor, the Descent Advisor, and the Final Approach Spacing Tool. Each of these subsystems provides a collection of tools for specific controller positions and tasks. This paper focuses primarily on the Descent Advisor which provides automation tools for managing descent traffic. The algorithms, automation modes, and graphical interfaces incorporated in the design are described. Information generated by the Descent Advisor tools is integrated into a plan view traffic display consisting of a high-resolution color monitor. Estimated arrival times of aircraft are presented graphically on a time line, which is also used interactively in combination with a mouse input device to select and schedule arrival times. Other graphical markers indicate the location of the fuel-optimum top-of-descent point and the predicted separation distances of aircraft at a designated time-control point. Computer generated advisories provide speed and descent clearances which the controller can issue to aircraft to help them arrive at the feeder gate at the scheduled times or with specified separation distances. Two types of horizontal guidance modes, selectable by the controller, provide markers for managing the horizontal flightpaths of aircraft under various conditions. The entire system consisting of descent advisor algorithm, a library of aircraft performance models, national airspace system data bases, and interactive display software has been implemented on a workstation made by Sun Microsystems, Inc. It is planned to use this configuration in operational

  6. Crustal Ages of the Ocean Floor - Poster

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Crustal Ages of the Ocean Floor Poster was created at NGDC using the Crustal Ages of the Ocean Floor database draped digitally over a relief of the ocean floor...

  7. Pelvic floor physical therapy in urogynecologic disorders.

    Science.gov (United States)

    Kotarinos, Rhonda K

    2003-08-01

    Physical therapists are uniquely qualified to treat pelvic floor dysfunction with conservative management techniques. Techniques associated with incontinence and support functions of the pelvic floor include bladder training and pelvic floor rehabilitation: pelvic floor exercises, biofeedback therapy, and pelvic floor electrical stimulation. Pain associated with mechanical pelvic floor dysfunction can be treated by physical therapists utilizing various manual techniques and modalities. Research documents that conservative management is effective in treating many conditions associated with pelvic floor dysfunction. Research should be conducted to determine if addressing diastasis recti and contracture of the pelvic floor musculature should be a component of the standard physical therapy protocol.

  8. Early fetal anatomical sonography.

    LENUS (Irish Health Repository)

    Donnelly, Jennifer C

    2012-10-01

    Over the past decade, prenatal screening and diagnosis has moved from the second into the first trimester, with aneuploidy screening becoming both feasible and effective. With vast improvements in ultrasound technology, sonologists can now image the fetus in greater detail at all gestational ages. In the hands of experienced sonographers, anatomic surveys between 11 and 14 weeks can be carried out with good visualisation rates of many structures. It is important to be familiar with the normal development of the embryo and fetus, and to be aware of the major anatomical landmarks whose absence or presence may be deemed normal or abnormal depending on the gestational age. Some structural abnormalities will nearly always be detected, some will never be and some are potentially detectable depending on a number of factors.

  9. Floor cooler for floor trough of a nuclear reactor

    International Nuclear Information System (INIS)

    Friedrich, H.J.

    1985-01-01

    Cooling pipes are situated below the floor trough of a BWR, which are connected to the annular distribution or collection pipes. The distribution and collection pipes are connected by parallel hairpin pipes with involute shape to the centre of the floor trough. These hairpin pipes are situated in a lower plane than the annular distribution pipe to the centre and in a higher plane from the centre to the outer annular collector pipe. (orig./HP) [de

  10. Gender difference in metacarpal descent of fifth metacarpal

    International Nuclear Information System (INIS)

    Rafique, A.; Ali, H.; Ghani, S.

    2006-01-01

    To determine the difference in metacarpal descent of fifth metacarpal between men and women. Skyline of the 2nd and 3rd metacarpals were used as reference line, from which the descent of the 5th metacarpal head was measured. The position of 5th metacarpal head was documented as angle X. Metacarpal descent was defined as the difference between angle 'X' in relaxed and clenched fist position. The relaxed position was standardized by placing the forearm, wrist and palm on a shaped woodblock such that the wrist would be held in 25 - 30 degree in extension by a triangular spur, supported the 3rd metacarpal only. It was ensured that the movement of 4th and 5th metacarpals were not impaired. Analysis of variance was performed to compare the significance of means between genders at p < 0.05 level of significance. Metacarpal descent of the 5th metacarpal of both hands was significantly greater for women, with a mean of 7 degree as compared with a mean of 4 degree for the men. This decrease in angle 'X' was significant for the right 5th metacarpal relaxed and fist position and the fist position on the left. In contrast, women showed no significant differences between the various age groups for any of the variables tested.There was no relationship between metacarpal descent and hand dominance.Difference in metacarpal descent between men and women is significant and must be kept in mind when hand function is evaluated in both genders to assess the outcome of treatment and rehabilitation. (author)

  11. Reference Man anatomical model

    Energy Technology Data Exchange (ETDEWEB)

    Cristy, M.

    1994-10-01

    The 70-kg Standard Man or Reference Man has been used in physiological models since at least the 1920s to represent adult males. It came into use in radiation protection in the late 1940s and was developed extensively during the 1950s and used by the International Commission on Radiological Protection (ICRP) in its Publication 2 in 1959. The current Reference Man for Purposes of Radiation Protection is a monumental book published in 1975 by the ICRP as ICRP Publication 23. It has a wealth of information useful for radiation dosimetry, including anatomical and physiological data, gross and elemental composition of the body and organs and tissues of the body. The anatomical data includes specified reference values for an adult male and an adult female. Other reference values are primarily for the adult male. The anatomical data include much data on fetuses and children, although reference values are not established. There is an ICRP task group currently working on revising selected parts of the Reference Man document.

  12. Flight Data Entry, Descent, and Landing (EDL) Repository

    Science.gov (United States)

    Martinez, Elmain M.; Winterhalter, Daniel

    2012-01-01

    Dr. Daniel Winterhalter, NASA Engineering and Safety Center Chief Engineer at the Jet Propulsion Laboratory, requested the NASA Engineering and Safety Center sponsor a 3-year effort to collect entry, descent, and landing material and to establish a NASA-wide archive to serve the material. The principle focus of this task was to identify entry, descent, and landing repository material that was at risk of being permanently lost due to damage, decay, and undocumented storage. To provide NASA-wide access to this material, a web-based digital archive was created. This document contains the outcome of the effort.

  13. Dynamic magnetic resonance imaging for assessment of minimally invasive pelvic floor reconstruction with polypropylene implant

    Energy Technology Data Exchange (ETDEWEB)

    Siegmann, Katja C., E-mail: katja.siegmann@med.uni-tuebingen.de [Department of Diagnostic and Interventional Radiology, University Hospital Tuebingen, Hoppe-Seyler-Str. 3, 72076 Tuebingen (Germany); Reisenauer, Christl, E-mail: christl.reisenauer@med.uni-tuebingen.de [Department of Obstetrics and Gynaecology, University Hospital Tuebingen, Calwerstr. 7, 72076 Tuebingen (Germany); Speck, Sina, E-mail: sina.speck@med.uni-tuebingen.de [Department of Diagnostic and Interventional Radiology, University Hospital Tuebingen, Hoppe-Seyler-Str. 3, 72076 Tuebingen (Germany); Barth, Sonja, E-mail: sonja.barth@med.uni-tuebingen.de [Department of Diagnostic and Interventional Radiology, University Hospital Tuebingen, Hoppe-Seyler-Str. 3, 72076 Tuebingen (Germany); Kraemer, Bernhard, E-mail: bernhard.kraemer@med.uni-tuebingen.de [Department of Obstetrics and Gynaecology, University Hospital Tuebingen, Calwerstr. 7, 72076 Tuebingen (Germany); Claussen, Claus D., E-mail: claus.claussen@med.uni-tuebingen.de [Department of Diagnostic and Interventional Radiology, University Hospital Tuebingen, Hoppe-Seyler-Str. 3, 72076 Tuebingen (Germany)

    2011-11-15

    Introduction: The purpose of the study was to assess the usefulness of dynamic MRI in patients with pelvic organ prolapse after pelvic floor repair with polypropylene mesh. Materials and methods: Fifteen consecutive patients (mean age 66.5 years) who were scheduled for either anterior (n = 9) or posterior (n = 6) pelvic floor repair were prospectively evaluated by clinical assessment and dynamic MRI 1 day before and 3 months after surgery. MRI diagnoses and MRI measurements of relevant anatomical points at rest and on straining were analysed before and after surgery. Results: At follow-up assessment 93.3% of all patients were clinically cured. Dynamic MRI showed newly developed (n = 6) or increased (n = 6) pelvic organ prolapse in 80% (n = 12) of all patients 3 months after pelvic floor repair. Most of them (n = 11; 91.7%) affected the untreated pelvic floor compartment. On straining anatomical points of reference in the anterior pelvic floor compartment were significantly (p < 0.05) elevated after anterior repair and rectal bulging was significantly (p = 0.036) reduced after posterior pelvic floor repair. Conclusions: In this study dynamic MRI could verify the effective support of anterior and posterior pelvic floor structures by anterior and posterior polypropylene implant respectively. But dynamic MRI demonstrates if one compartment of the pelvic floor is repaired another compartment frequently (73.3%) develops dysfunction. These results did not correspond to clinical symptoms on short-term follow-up (3 months). Studies with long-term follow-up are necessary to prove if dynamic MRI can reliably identify clinically significant pelvic organ prolapse after pelvic floor repair before the onset of symptoms.

  14. Price floors for emissions trading

    International Nuclear Information System (INIS)

    Wood, Peter John; Jotzo, Frank

    2011-01-01

    Price floors in greenhouse gas emissions trading schemes can guarantee minimum abatement efforts if prices are lower than expected, and they can help manage cost uncertainty, possibly as complements to price ceilings. Provisions for price floors are found in several recent legislative proposals for emissions trading. Implementation however has potential pitfalls. Possible mechanisms are government commitments to buy back permits, a reserve price at auction, or an extra fee or tax on acquittal of emissions permits. Our analysis of these alternatives shows that the fee approach has budgetary advantages and is more compatible with international permit trading than the alternatives. It can also be used to implement more general hybrid approaches to emissions pricing. - Research highlights: → Price floors for emissions trading schemes guarantee a minimum carbon price. → Price floors mean that emissions can be less than specified by the ETS cap. → We examine how price floors can relate to different policy objectives. → We compare different mechanisms for implementing a price floor. → We find that a mechanism where there is an extra tax or fee has advantages.

  15. Anatomical imaging for radiotherapy

    International Nuclear Information System (INIS)

    Evans, Philip M

    2008-01-01

    The goal of radiation therapy is to achieve maximal therapeutic benefit expressed in terms of a high probability of local control of disease with minimal side effects. Physically this often equates to the delivery of a high dose of radiation to the tumour or target region whilst maintaining an acceptably low dose to other tissues, particularly those adjacent to the target. Techniques such as intensity modulated radiotherapy (IMRT), stereotactic radiosurgery and computer planned brachytherapy provide the means to calculate the radiation dose delivery to achieve the desired dose distribution. Imaging is an essential tool in all state of the art planning and delivery techniques: (i) to enable planning of the desired treatment, (ii) to verify the treatment is delivered as planned and (iii) to follow-up treatment outcome to monitor that the treatment has had the desired effect. Clinical imaging techniques can be loosely classified into anatomic methods which measure the basic physical characteristics of tissue such as their density and biological imaging techniques which measure functional characteristics such as metabolism. In this review we consider anatomical imaging techniques. Biological imaging is considered in another article. Anatomical imaging is generally used for goals (i) and (ii) above. Computed tomography (CT) has been the mainstay of anatomical treatment planning for many years, enabling some delineation of soft tissue as well as radiation attenuation estimation for dose prediction. Magnetic resonance imaging is fast becoming widespread alongside CT, enabling superior soft-tissue visualization. Traditionally scanning for treatment planning has relied on the use of a single snapshot scan. Recent years have seen the development of techniques such as 4D CT and adaptive radiotherapy (ART). In 4D CT raw data are encoded with phase information and reconstructed to yield a set of scans detailing motion through the breathing, or cardiac, cycle. In ART a set of

  16. Hybrid Steepest Descent Viscosity Method for Triple Hierarchical Variational Inequalities

    Directory of Open Access Journals (Sweden)

    L.-C. Ceng

    2012-01-01

    Full Text Available We consider a triple hierarchical variational inequality problem (in short, THVIP. By combining hybrid steepest descent method, viscosity method, and projection method, we propose an approximation method to compute the approximate solution of THVIP. We also study the strong convergence of the sequences generated by the proposed method to a solution of THVIP.

  17. Stress within a Bicultural Context for Adolescents of Mexican Descent.

    Science.gov (United States)

    Romero, Andrea J.; Roberts, Robert E.

    2003-01-01

    Folkman and Lazarus's theory of stress and coping was used to develop a measure assessing the perceived stress within a bicultural context. Middle school students of Mexican descent (N=881) reported their perceived stress from intergenerational acculturation gaps, within-group discrimination, out-group discrimination, and monolingual stress.…

  18. Neuromuscular function during stair descent in meniscectomized patients and controls

    DEFF Research Database (Denmark)

    Thorlund, Jonas Bloch; Roos, Ewa M; Aagaard, Per

    2011-01-01

    The aim of this study was to identify differences in knee range of motion (ROM), movement speed, ground reaction forces (GRF) profile, neuromuscular activity, and muscle coactivation during the transition between stair descent and level walking in meniscectomized patients at high risk of knee...

  19. Women of African Descent: Persistence in Completing Doctorates

    Science.gov (United States)

    Iddrisu, Vannetta Bailey

    2010-01-01

    This study examines the educational persistence of women of African descent (WOAD) in pursuit of a doctorate degree at universities in the southeastern United States. WOAD are women of African ancestry born outside the African continent. These women are heirs to an inner dogged determination and spirit to survive despite all odds (Pulliam, 2003,…

  20. Screening for homozygosity by descent in families with autosomal

    Indian Academy of Sciences (India)

    Home; Journals; Journal of Genetics; Volume 81; Issue 2 ... Perspectives Volume 81 Issue 2 August 2002 pp 59-63 ... disease locus in families with the recessive form of the disease, we used the approach of screening for homozygosity by descent in offspring of consanguineous and nonconsanguineous families with RP.

  1. The Huygens Descent Trajectory Working Group and the Reconstruction of the Huygens Probe Entry and Descent Trajectory at Titan

    Science.gov (United States)

    Atkinson, David H.; Kazeminejad, Bobby; Lebreton*, Jean-Pierre

    2015-04-01

    Cassini/Huygens, a flagship mission to explore the rings, atmosphere, magnetic field, and moons that make up the Saturn system, is a joint endeavor of NASA, the European Space Agency, and Agenzia Spaziale Italiana. Comprising two spacecraft - a Saturn orbiter built by NASA and a Titan entry/descent probe built by the European Space Agency - Cassini/Huygens was launched in October 1997 and arrived at Saturn in 2004. The Huygens probe parachuted to the surface of Titan in January 2005. During the descent, six science instruments provided measurements of Titan's atmosphere, clouds, and winds, and photographed Titan's surface. It was recognized early in the Huygens program that to correctly interpret and correlate results from the probe science experiments and to provide a reference set of data for ground truth calibration of the Cassini orbiter remote sensing observations, an accurate reconstruction of the probe entry and descent trajectory and surface landing location would be necessary. The Huygens Descent Trajectory Working Group (DTWG) was chartered in 1996 as a subgroup of the Huygens Science Working Team. With membership comprising representatives from all the probe engineering and instrument teams as well as representatives of industry and the Cassini and Huygens Project Scientists, the DTWG presented an organizational framework within which instrument data was shared, the entry and descent trajectory reconstruction implemented, and the trajectory reconstruction efficiently disseminated. The primary goal of the Descent Trajectory Working Group was to develop retrieval methodologies for the probe descent trajectory reconstruction from the entry interface altitude of 1270 km to the surface using navigation data, and engineering and science data acquired by the instruments on the Huygens Probe, and to provide a reconstruction of the Huygens probe trajectory from entry to the surface of Titan that is maximally consistent with all available engineering and science

  2. Understanding anatomical terms.

    Science.gov (United States)

    Mehta, L A; Natrajan, M; Kothari, M L

    1996-01-01

    Words are our masters and words are our slaves, all depending on how we use them. The whole of medical science owes its origin to Greco-Roman culture and is replete with terms whose high sound is not necessarily accompanied by sound meaning. This is even more the case in the initial, pre-clinical years. Anatomical terminology seems bewildering to the initiate; and maybe that is a reason why love of anatomy as a subject does not always spill over through later years. Employing certain classifications of the origin of the anatomical terms, we have prepared an anthology that we hope will ease the student's task and also heighten the student's appreciation of the new terms. This centers on revealing the Kiplingian "how, why, when, where, what, and who" of a given term. This presentation should empower students to independently formulate a wide network of correlations once they understand a particular term. The article thus hopes to stimulate students' analytic and synthetic faculties as well. A small effort can reap large rewards in terms of enjoyment of the study of anatomy and the related subjects of histology, embryology, and genetics. It is helpful to teachers and students alike. This exercise in semantics and etymology does not demand of the student or his teacher any background in linguistics, grammar, Greek, Latin, Sanskrit, anatomy, or medicine.

  3. Functional anatomy of pelvic floor.

    Science.gov (United States)

    Rocca Rossetti, Salvatore

    2016-03-31

    Generally, descriptions of the pelvic floor are discordant, since its complex structures and the complexity of pathological disorders of such structures; commonly the descriptions are sectorial, concerning muscles, fascial developments, ligaments and so on. On the contrary to understand completely nature and function of the pelvic floor it is necessary to study it in the most unitary view and in the most global aspect, considering embriology, philogenesy, anthropologic development and its multiple activities others than urological, gynaecological and intestinal ones. Recent acquirements succeeded in clarifying many aspects of pelvic floor activity, whose musculature has been investigated through electromyography, sonography, magnetic resonance, histology, histochemistry, molecular research. Utilizing recent research concerning not only urinary and gynecologic aspects but also those regarding statics and dynamics of pelvis and its floor, it is now possible to study this important body part as a unit; that means to consider it in the whole body economy to which maintaining upright position, walking and behavior or physical conduct do not share less than urinary, genital, and intestinal functions. It is today possible to consider the pelvic floor as a musclefascial unit with synergic and antagonistic activity of muscular bundles, among them more or less interlaced, with multiple functions and not only the function of pelvic cup closure.

  4. Functional anatomy of pelvic floor

    Directory of Open Access Journals (Sweden)

    Salvatore Rocca Rossetti

    2016-03-01

    Full Text Available Generally, descriptions of the pelvic floor are discordant, since its complex structures and the complexity of pathological disorders of such structures; commonly the descriptions are sectorial, concerning muscles, fascial developments, ligaments and so on. On the contrary to understand completely nature and function of the pelvic floor it is necessary to study it in the most unitary view and in the most global aspect, considering embriology, philogenesy, anthropologic development and its multiple activities others than urological, gynaecological and intestinal ones. Recent acquirements succeeded in clarifying many aspects of pelvic floor activity, whose musculature has been investigated through electromyography, sonography, magnetic resonance, histology, histochemistry, molecular research. Utilizing recent research concerning not only urinary and gynecologic aspects but also those regarding statics and dynamics of pelvis and its floor, it is now possible to study this important body part as a unit; that means to consider it in the whole body economy to which maintaining upright position, walking and behavior or physical conduct do not share less than urinary, genital, and intestinal functions. It is today possible to consider the pelvic floor as a musclefascial unit with synergic and antagonistic activity of muscular bundles, among them more or less interlaced, with multiple functions and not only the function of pelvic cup closure.

  5. Magnetic resonance imaging of pelvic floor dysfunction - joint recommendations of the ESUR and ESGAR Pelvic Floor Working Group

    Energy Technology Data Exchange (ETDEWEB)

    El Sayed, Rania Farouk [Cairo University Hospitals, Genitourinary and Pelvic Floor MR Imaging Unit, Department of Radiology, Faculty of Medicine, Cairo (Egypt); Alt, Celine D. [University Dusseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology, Duesseldorf (Germany); Maccioni, Francesca [Sapienza University Rome, Department of Radiological Sciences, Oncology and Pathology Policlinico Umberto I Hospital, Rome (Italy); Meissnitzer, Matthias [University Hospital Salzburg, Paracelsus Medical University, Department of Radiology, Salzburg (Austria); Masselli, Gabriele [Sapienza University of Rome, Department of Radiology Dea, Umberto I Hospital, Rome (Italy); Manganaro, Lucia; Vinci, Valeria [Sapienza University of Rome, Department of Radiological Sciences, Policlinico Umberto I Hospital, Rome (Italy); Weishaupt, Dominik [Triemli Hospital Zurich, Institute of Radiology and Nuclear Medicine, Zurich (Switzerland); Collaboration: On behalf of the ESUR and ESGAR Pelvic Floor Working Group

    2017-05-15

    To develop recommendations that can be used as guidance for standardized approach regarding indications, patient preparation, sequences acquisition, interpretation and reporting of magnetic resonance imaging (MRI) for diagnosis and grading of pelvic floor dysfunction (PFD). The technique included critical literature between 1993 and 2013 and expert consensus about MRI protocols by the pelvic floor-imaging working group of the European Society of Urogenital Radiology (ESUR) and the European Society of Gastrointestinal and Abdominal Radiology (ESGAR) from one Egyptian and seven European institutions. Data collection and analysis were achieved in 5 consecutive steps. Eighty-two items were scored to be eligible for further analysis and scaling. Agreement of at least 80 % was defined as consensus finding. Consensus was reached for 88 % of 82 items. Recommended reporting template should include two main sections for measurements and grading. The pubococcygeal line (PCL) is recommended as the reference line to measure pelvic organ prolapse. The recommended grading scheme is the ''Rule of three'' for Pelvic Organ Prolapse (POP), while a rectocele and ARJ descent each has its specific grading system. This literature review and expert consensus recommendations can be used as guidance for MR imaging and reporting of PFD. (orig.)

  6. Magnetic resonance imaging of pelvic floor dysfunction - joint recommendations of the ESUR and ESGAR Pelvic Floor Working Group.

    Science.gov (United States)

    El Sayed, Rania Farouk; Alt, Celine D; Maccioni, Francesca; Meissnitzer, Matthias; Masselli, Gabriele; Manganaro, Lucia; Vinci, Valeria; Weishaupt, Dominik

    2017-05-01

    To develop recommendations that can be used as guidance for standardized approach regarding indications, patient preparation, sequences acquisition, interpretation and reporting of magnetic resonance imaging (MRI) for diagnosis and grading of pelvic floor dysfunction (PFD). The technique included critical literature between 1993 and 2013 and expert consensus about MRI protocols by the pelvic floor-imaging working group of the European Society of Urogenital Radiology (ESUR) and the European Society of Gastrointestinal and Abdominal Radiology (ESGAR) from one Egyptian and seven European institutions. Data collection and analysis were achieved in 5 consecutive steps. Eighty-two items were scored to be eligible for further analysis and scaling. Agreement of at least 80 % was defined as consensus finding. Consensus was reached for 88 % of 82 items. Recommended reporting template should include two main sections for measurements and grading. The pubococcygeal line (PCL) is recommended as the reference line to measure pelvic organ prolapse. The recommended grading scheme is the "Rule of three" for Pelvic Organ Prolapse (POP), while a rectocele and ARJ descent each has its specific grading system. This literature review and expert consensus recommendations can be used as guidance for MR imaging and reporting of PFD. • These recommendations highlight the most important prerequisites to obtain a diagnostic PFD-MRI. • Static, dynamic and evacuation sequences should be generally performed for PFD evaluation. • The recommendations were constructed through consensus among 13 radiologists from 8 institutions.

  7. Controlled time of arrival windows for already initiated energy-neutral continuous descent operations

    OpenAIRE

    Dalmau Codina, Ramon; Prats Menéndez, Xavier

    2017-01-01

    Continuous descent operations with controlled times of arrival at one or several metering fixes could enable environmentally friendly procedures without compromising terminal airspace capacity. This paper focuses on controlled time of arrival updates once the descent has been already initiated, assessing the feasible time window (and associated fuel consumption) of continuous descent operations requiring neither thrust nor speed-brake usage along the whole descent (i.e. only elevator control ...

  8. Prospective comparison between two different magnetic resonance defecography techniques for evaluating pelvic floor disorders: air-balloon versus gel for rectal filling

    Energy Technology Data Exchange (ETDEWEB)

    Francesca, Maccioni; Najwa, Al Ansari; Valeria, Buonocore; Fabrizio, Mazzamurro; Carlo, Catalano [Sapienza University of Rome, Department of Radiological Sciences, Oncology and Pathology, Policlinico Umberto I Hospital, Rome (Italy); Marileda, Indinnimeo; Massimo, Mongardini [Sapienza University of Rome, Department of Surgical Sciences, Policlinico Umberto I Hospital, Rome (Italy)

    2016-06-15

    to prospectively compare two rectal filling techniques for dynamic MRI of pelvic floor disorders (PFD). Twenty-six patients with PFD underwent the two techniques during the same procedure, one based on rectal placement of a balloon-catheter filled with saline and air insufflation (air-balloon technique or AB); another based on rectal filling with 180 cc of gel (gel-filling technique or GF). The examinations were compared for assessment and staging of PFD, including rectal-descent, rectocele, cystocele, colpocele, enterocele, rectal invagination. Surgery and clinical examinations were the gold standard. AB showed sensitivity of 96 % for rectal descent, 100 % for both rectocele and colpocele, 86 % for rectal invagination and 100 % for enterocele; understaged 11 % of rectal descents and 19 % of rectoceles. GF showed sensitivity of 100 % for rectal descent, 91 % for rectocele, 83 % for colpocele, 100 % for rectal invagination and 73 % for enterocele; understaged 3.8 % of rectal descent and 11.5 % of rectoceles. Both techniques showed 100 % of specificity. Agreement between air-balloon and gel filling was 84 % for rectal descent, 69 % for rectocele, 88 % for rectal invagination, 84 % for enterocele, 88 % for cystocele and 92 % for colpocele. Both techniques allowed a satisfactory evaluation of PFD. The gel filling was superior for rectal invagination, the air-balloon for rectocele and anterior/middle compartment disorders. (orig.)

  9. Additive genetic variation in schizophrenia risk is shared by populations of African and European descent

    NARCIS (Netherlands)

    De Candia, T.r.; Lee, S.H.; Yang, J.; Browning, B.L.; Gejman, P. V.; Levinson, D. F.; Mowry, B. J.; Hewitt, J.K.; Goddard, M.E.; O'Donovan, M.C.; Purcell, S.M.; Posthuma, D.; Visscher, P. M.; Wray, N.R.; Keller, M. C.

    2013-01-01

    To investigate the extent to which the proportion of schizophrenia's additive genetic variation tagged by SNPs is shared by populations of European and African descent, we analyzed the largest combined African descent (AD [n = 2,142]) and European descent (ED [n = 4,990]) schizophrenia case-control

  10. 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.

  11. Environmental effects on hormonal regulation of testicular descent

    DEFF Research Database (Denmark)

    Toppari, J; Virtanen, H E; Skakkebaek, N E

    2006-01-01

    Regulation of testicular descent is hormonally regulated, but the reasons for maldescent remain unknown in most cases. The main regulatory hormones are Leydig cell-derived testosterone and insulin-like factor 3 (INSL3). Luteinizing hormone (LH) stimulates the secretion of these hormones, but the ...... hypothesize that an exposure to a mixture of chemicals with anti-androgenic or estrogenic properties (either their own activity or their effect on androgen-estrogen ratio) may be involved in cryptorchidism....... cause some cases of undescended testis. Similarly, androgen insensitivity or androgen deficiency can cause cryptorchidism. Estrogens have been shown to down regulate INSL3 and thereby cause maldescent. Thus, a reduced androgen-estrogen ratio may disturb testicular descent. Environmental effects changing...

  12. Reversible cerebral vasoconstriction syndrome precipitated by airplane descent: Case report.

    Science.gov (United States)

    Hiraga, Akiyuki; Aotsuka, Yuya; Koide, Kyosuke; Kuwabara, Satoshi

    2017-10-01

    Background Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by segmental vasospasm. Vasoactive agents and childbirth have been reported as precipitating factors for RCVS; however, RCVS induced by altitude change or air travel has rarely been reported. Case We present a case of a 74-year-old woman who presented with thunderclap headache during airplane descent. Magnetic resonance angiography demonstrated segmental vasoconstriction that improved 9 days after onset. Conclusion These findings indicate that airplane descent may be a trigger of RCVS. The time course of headache in the present case was similar to that of prolonged headache attributed to airplane travel, indicating that RCVS during air travel may have previously been overlooked and that some headache attributed to airplane travel cases may represent a milder form of RCVS.

  13. Efficient Sensor Placement Optimization Using Gradient Descent and Probabilistic Coverage

    Directory of Open Access Journals (Sweden)

    Vahab Akbarzadeh

    2014-08-01

    Full Text Available We are proposing an adaptation of the gradient descent method to optimize the position and orientation of sensors for the sensor placement problem. The novelty of the proposed method lies in the combination of gradient descent optimization with a realistic model, which considers both the topography of the environment and a set of sensors with directional probabilistic sensing. The performance of this approach is compared with two other black box optimization methods over area coverage and processing time. Results show that our proposed method produces competitive results on smaller maps and superior results on larger maps, while requiring much less computation than the other optimization methods to which it has been compared.

  14. RITD - Adapting Mars Entry, Descent and Landing System for Earth

    Science.gov (United States)

    Haukka, H.; Heilimo, J.; Harri, A.-M.; Aleksashkin, S.; Koryanov, V.; Arruego, I.; Schmidt, W.; Finchenko, V.; Martynov, M.; Ponomarenko, A.; Kazakovtsev, V.; Martin, S.

    2015-10-01

    We have developed an atmospheric re-entry and descent system concept based on inflatable hypersonic decelerator techniques that were originally developed for Mars. The ultimate goal of this EU-funded RITD-project (Re-entry: Inflatable Technology Development) was to assess the benefits of this technology when deploying small payloads from low Earth orbits to the surface of the Earth with modest costs. The principal goal was to assess and develop a preliminary EDLS design for the entire relevant range of aerodynamic regimes expected to be encountered in Earth's atmosphere during entry, descent and landing. Low Earth Orbit (LEO) and even Lunar applications envisaged include the use of the EDLS approach in returning payloads of 4-8 kg down to the surface.

  15. Hyperrésolutions cubiques et descente cohomologique

    CERN Document Server

    Guillén, F; Pascual-Gainza, P; Puerta, F

    1988-01-01

    This monograph establishes a general context for the cohomological use of Hironaka's theorem on the resolution of singularities. It presents the theory of cubical hyperresolutions, and this yields the cohomological properties of general algebraic varieties, following Grothendieck's general ideas on descent as formulated by Deligne in his method for simplicial cohomological descent. These hyperrésolutions are applied in problems concerning possibly singular varieties: the monodromy of a holomorphic function defined on a complex analytic space, the De Rham cohmomology of varieties over a field of zero characteristic, Hodge-Deligne theory and the generalization of Kodaira-Akizuki-Nakano's vanishing theorem to singular algebraic varieties. As a variation of the same ideas, an application of cubical quasi-projective hyperresolutions to algebraic K-theory is given.

  16. MR imaging of pelvic floor in stress urinary incontinence=20

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Young Rae; Park, Heung Jae; Kook, Shin Ho; Chung, Eun Chul [Kangbuk Samsung Hospital, College of Medicine, Sungkyunkwan University, Seoul (Korea, Republic of)

    2000-04-01

    To demonstrate the anatomy of the female pelvic floor and to determine the anatomic differences between normal controls and women with stress urinary incontinence, using MRI. Five healthy, young, nulliparous women and 12 with stress urinary incontinence underwent MR imaging. We obtained FSE T2-weighted axial images, 3mm thick, of the region extending from the urethroversical junction to the perineal membrane. The following parameters were determined : angle, asymmetry and signal intensity of the levator ani muscles, the distance between the urethra and symphysis, and the presence, shape and angulation of urethropelvic ligament. In contrast to normal controls, frequent findings in women with stress incontinence were as follows : increased angle (43%), asymmetry (43%) and higher signal intensity (67%) of the levator ani muscles; increased distance between the urethra and symphysis; loss (43%), discontinuity (60%) and dorsal angulation (43%) of the urethropelvic ligament. In women with stress urinary incontinence, MRI clearly demonstrates the anatomy of the female pelvic floor, changes in the levator ani muscles, the distance between the urethra and symphysis, and the urethropelvic ligament. The modality can therefore be used to evaluate the anatomical changes occurring in cases of stress urinary incontinence. (author)

  17. Pelvic Floor Dysfunction in Aging Women

    Directory of Open Access Journals (Sweden)

    Gin-Den Chen

    2007-12-01

    Full Text Available The occurrence of pelvic floor dysfunction may increase steadily during the aging process in women. Pelvic floor dysfunction may be associated with dysfunctions of micturition, defecation, prolapse, and sex. The natural history and mechanism of pelvic floor dysfunction in aged women are not well understood or explored. In this article, we review the effect of age on the prevalence of pelvic floor dysfunction and on the structural and functional changes of the lower urinary tract, anorectum and pelvic floor. Altogether, the aging process has a negative impact on either the function or structure of the lower urinary tract, anorectum and pelvic floor in women.

  18. Additive preservers of the ascent, descent and related subsets

    Czech Academy of Sciences Publication Activity Database

    Mbekhta, M.; Müller, Vladimír; Oudghiri, M.

    2014-01-01

    Roč. 71, č. 1 (2014), s. 63-83 ISSN 0379-4024 R&D Projects: GA ČR GA201/09/0473; GA AV ČR IAA100190903 Institutional support: RVO:67985840 Keywords : additive preservers * ascent * descent Subject RIV: BA - General Mathematics Impact factor: 0.550, year: 2014 http://www.mathjournals.org/jot/2014-071-001/2014-071-001-004.html

  19. Enumerating set partitions according to the number of descents of ...

    Indian Academy of Sciences (India)

    Abstract. Let P(n, k) denote the set of partitions of {1, 2,..., n} having exactly k blocks. In this paper, we find the generating function which counts the members of. P(n, k) according to the number of descents of size d or more, where d ≥ 1 is fixed. An explicit expression in terms of Stirling numbers of the second kind may be ...

  20. Stair Descent in the Simple Hexapod ’RHex’

    Science.gov (United States)

    2003-01-01

    robots that successfully do so. Notable exceptions are the Honda bipeds - P2, P3 and Asimo, and Raibert’s tethered biped , yet no specific publications...Stair Descent in the Simple Hexapod ‘RHex’ D. Campbell and M. Buehler dcampb@cim.mcgill.ca, buehler@cim.mcgill.ca, Ambulatory Robotics ...first controller that allows our small hexapod robot , RHex, to descend a wide variety of regular sized, “real-world” stairs. After selecting one of

  1. Convergence results for a class of abstract continuous descent methods

    Directory of Open Access Journals (Sweden)

    Sergiu Aizicovici

    2004-03-01

    Full Text Available We study continuous descent methods for the minimization of Lipschitzian functions defined on a general Banach space. We establish convergence theorems for those methods which are generated by approximate solutions to evolution equations governed by regular vector fields. Since the complement of the set of regular vector fields is $sigma$-porous, we conclude that our results apply to most vector fields in the sense of Baire's categories.

  2. Victimization and revictimization among women of Mexican descent.

    Science.gov (United States)

    Liendo, Nora Montalvo; Wardell, Diane W; Engebretson, Joan; Reininger, Belinda M

    2011-01-01

    To gain an understanding of the experiences of women of Mexican descent, born in Mexico or the United States who live with intimate partner abuse. The study was part of a larger study of the process of disclosure by women of Mexican descent who are subjected to intimate partner abuse. Descriptive qualitative approach. Two sites in a South Texas-Mexico border community: a woman's shelter and an outreach agency. Twenty-six women of Mexican descent were interviewed. A semistructured interview guide was used to elicit participants' views of their experiences with intimate partner abuse. These narratives illuminate how the process of victimization and revictimization creates an environment that blinds people to abuse, promotes denial of abuse, and leads women to remain in a harmful situation. Nurses and other health care and service providers working with women must take the initiative to assess for abuse; a few simple questions might change the woman's life and her children(s). © 2011 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.

  3. Initial Descent of a Thermal and the Application to Downdraughts

    Science.gov (United States)

    Kruger, Emily; Burridge, Henry; Rooney, Gabriel; Linden, Paul

    2017-11-01

    Downward moving cold air within thunderstorms, known as downdraughts, can be used to determine the severity of a storm. Therefore an understanding of them is useful for weather forecasting. Typically in weather forecasting these downdrafts are modelled using the theory of a plume from from Morton, Taylor and Turner (1956), which inherently assumes that the plume is long and thin. Downdrafts are generally wider than they are high and hence deviate from the Morton, Taylor and Turner theory. We perform experiments using finite releases of dense fluid from a cylinder of varying lengths. By tracking the edges of the release we can find the velocity and radius of the descent and gravity current after impact. In doing so we find that the descent has two regimes, an initial phase and then a self similar thermal, and the axisymmetric gravity current varies depending on which regime the descent impacts the ground in. A theoretical model is proposed for this initial phase and compared to the experimental data. We hope that these results and future work will allow us to better inform forecasting of weather arising from such downdraughts.

  4. Design Gradient Descent Optimal Sliding Mode Control of Continuum Robots

    Directory of Open Access Journals (Sweden)

    Farzin Piltan

    2012-08-01

    Full Text Available In this research, a new approach for gradient descent optimal sliding mode controller for continuum robots is proposed. Based on the new dynamic models developed, a novel technique for nonlinear control of continuum manipulators to be employed in various situations has also been proposed and developed. A section of a continuum arm is modeled using lumped model elements (masses, springs and dampers and control by nonlinear methodology (sliding mode method and optimization the sliding surface slope by gradient descent method. It is shown that this type of control methodology, although used to a certain model, can be used to conveniently control the dynamics of the arm with suitable tradeoff in accuracy of modeling. This relatively controller is more plausible to implement in an actual real-time when compared to other techniques of nonlinear controller methodology of continuum arms. Principles of sliding mode methodology is based on derive the sliding surface slope and nonlinear dynamic model and applied in the system. Based on the gradient descent optimization method, the sliding surface slope and gain updating factor has been developed in certain and partly uncertain continuum robots. This methodology is represented in certain and uncertain area whose only optimization for certain area and test this optimization for uncertainty. The new techniques proposed and methodologies adopted in this paper supported by MATLAB/SIMULINK results represent a significant contribution to the field of design an optimized nonlinear sliding mode controller for continuum robots.

  5. Random versus Deterministic Descent in RNA Energy Landscape Analysis

    Directory of Open Access Journals (Sweden)

    Luke Day

    2016-01-01

    Full Text Available Identifying sets of metastable conformations is a major research topic in RNA energy landscape analysis, and recently several methods have been proposed for finding local minima in landscapes spawned by RNA secondary structures. An important and time-critical component of such methods is steepest, or gradient, descent in attraction basins of local minima. We analyse the speed-up achievable by randomised descent in attraction basins in the context of large sample sets where the size has an order of magnitude in the region of ~106. While the gain for each individual sample might be marginal, the overall run-time improvement can be significant. Moreover, for the two nongradient methods we analysed for partial energy landscapes induced by ten different RNA sequences, we obtained that the number of observed local minima is on average larger by 7.3% and 3.5%, respectively. The run-time improvement is approximately 16.6% and 6.8% on average over the ten partial energy landscapes. For the large sample size we selected for descent procedures, the coverage of local minima is very high up to energy values of the region where the samples were randomly selected from the partial energy landscapes; that is, the difference to the total set of local minima is mainly due to the upper area of the energy landscapes.

  6. Functional MRI of the pelvic floor: postpartum changes of primiparous women after spontaneous vaginal delivery

    International Nuclear Information System (INIS)

    Lienemann, A.; Fischer, T.; Reiser, M.; Anthuber, C.

    2003-01-01

    Purpose: Detection of morphological and functional changes of the pelvic floor with functional MRI in primiparous women after spontaneous vaginal delivery. Methods and Materials: The study comprises 26 primiparous women after vaginal delivery and a control group of 41 healthy asymptomatic nulliparous volunteers. MRI was performed on a 1.5 T system in supine position with vagina and rectum opacified with Sonogel. The static images consisted of sagittal and axial T 2 -weighted SE sequences and functional images of true FISP sequences in midsagittal and axial planes acquired with the patient at rest, straining and during defecation. Evaluation of morphometric parameters included pelvimetry, thickness of the puborectal muscle and width of the urogenital hiatus as well as position and movement of the pelvic organs relative to the pubococcygeal reference line. Results: The configuration of the bony pelvis did not differ for both groups. The puborectal muscle was significantly thinner in the study group (0.8 cm vs 0.6 cm). The functional images showed no significant differences between both groups at rest but a significantly increased incidence in the descent of the bladder neck, vaginal fornix and anorectal junction in the study group during straining. In addition, the primiparous women had more prominent rectoceles (0.6 cm vs 1.5 cm). Conclusion: Static imaging alone fails to demonstrate relevant pelvic floor changes and a functional method is necessary to evaluate the interactions of the pelvic organs regarding organ descent. Functional MRI of the pelvic floor is an excellent method to reveal the significant changes of the pelvic floor after vaginal birth without exposing the uterus to radiation. (orig.) [de

  7. Steel-board composite floors

    NARCIS (Netherlands)

    Couchman, G.H.; Tomà, A.W.; Brekelmans, J.W.P.M.; Brande, E.L.M.G. van den

    1999-01-01

    Work currently underway in Holland aDd the UK aims to increase the already considerable potential for light steel framing in buildings by developing rules for so-called "dry composites". This paper discusses both theoretical and experimental work to develop validated design mies for floor systems

  8. Ploughing the deep sea floor.

    Science.gov (United States)

    Puig, Pere; Canals, Miquel; Company, Joan B; Martín, Jacobo; Amblas, David; Lastras, Galderic; Palanques, Albert

    2012-09-13

    Bottom trawling is a non-selective commercial fishing technique whereby heavy nets and gear are pulled along the sea floor. The direct impact of this technique on fish populations and benthic communities has received much attention, but trawling can also modify the physical properties of seafloor sediments, water–sediment chemical exchanges and sediment fluxes. Most of the studies addressing the physical disturbances of trawl gear on the seabed have been undertaken in coastal and shelf environments, however, where the capacity of trawling to modify the seafloor morphology coexists with high-energy natural processes driving sediment erosion, transport and deposition. Here we show that on upper continental slopes, the reworking of the deep sea floor by trawling gradually modifies the shape of the submarine landscape over large spatial scales. We found that trawling-induced sediment displacement and removal from fishing grounds causes the morphology of the deep sea floor to become smoother over time, reducing its original complexity as shown by high-resolution seafloor relief maps. Our results suggest that in recent decades, following the industrialization of fishing fleets, bottom trawling has become an important driver of deep seascape evolution. Given the global dimension of this type of fishery, we anticipate that the morphology of the upper continental slope in many parts of the world’s oceans could be altered by intensive bottom trawling, producing comparable effects on the deep sea floor to those generated by agricultural ploughing on land.

  9. Timber floors strengthened with concrete

    NARCIS (Netherlands)

    Blass, H.J.; Linden, M.L.R. van der; Schlager, M.

    1998-01-01

    Timber-concrete composite (tcc) beams may be used for the renovation of old timber floors. Although these systems are not new (Pokulka, 1997) and form a simple and practical solution, they are not widely adopted. One of the reasons for this is the Jack of uniform design rules. In this research

  10. Flooring for Schools: Unsightly Walkways

    Science.gov (United States)

    Baxter, Mark

    2011-01-01

    Many mattress manufacturers recommend that consumers rotate their mattresses at least twice a year to help prevent soft spots from developing and increase the product's life span. It's unfortunate that the same kind of treatment can't be applied to flooring for schools, such as carpeting, especially in hallways. Being able to flip or turn a carpet…

  11. Flight Management System Execution of Idle-Thrust Descents in Operations

    Science.gov (United States)

    Stell, Laurel L.

    2011-01-01

    To enable arriving aircraft to fly optimized descents computed by the flight management system (FMS) in congested airspace, ground automation must accurately predict descent trajectories. To support development of the trajectory predictor and its error models, commercial flights executed idle-thrust descents, and the recorded data includes the target speed profile and FMS intent trajectories. The FMS computes the intended descent path assuming idle thrust after top of descent (TOD), and any intervention by the controllers that alters the FMS execution of the descent is recorded so that such flights are discarded from the analysis. The horizontal flight path, cruise and meter fix altitudes, and actual TOD location are extracted from the radar data. Using more than 60 descents in Boeing 777 aircraft, the actual speeds are compared to the intended descent speed profile. In addition, three aspects of the accuracy of the FMS intent trajectory are analyzed: the meter fix crossing time, the TOD location, and the altitude at the meter fix. The actual TOD location is within 5 nmi of the intent location for over 95% of the descents. Roughly 90% of the time, the airspeed is within 0.01 of the target Mach number and within 10 KCAS of the target descent CAS, but the meter fix crossing time is only within 50 sec of the time computed by the FMS. Overall, the aircraft seem to be executing the descents as intended by the designers of the onboard automation.

  12. How Are Pelvic Floor Disorders Diagnosed?

    Science.gov (United States)

    ... Share Facebook Twitter Pinterest Email Print How are pelvic floor disorders diagnosed? A physical exam may be all ... fee ). This test is used to evaluate the pelvic floor and rectum while the patient is having a ...

  13. Integrated total pelvic floor ultrasound in pelvic floor defaecatory dysfunction.

    Science.gov (United States)

    Hainsworth, A J; Solanki, D; Hamad, A; Morris, S J; Schizas, A M P; Williams, A B

    2017-01-01

    Imaging for pelvic floor defaecatory dysfunction includes defaecation proctography. Integrated total pelvic floor ultrasound (transvaginal, transperineal, endoanal) may be an alternative. This study assesses ultrasound accuracy for the detection of rectocele, intussusception, enterocele and dyssynergy compared with defaecation proctography, and determines if ultrasound can predict symptoms and findings on proctography. Treatment is examined. Images of 323 women who underwent integrated total pelvic floor ultrasound and defaecation proctography between 2011 and 2014 were blindly reviewed. The size and grade of rectocele, enterocele, intussusception and dyssynergy were noted on both, using proctography as the gold standard. Barium trapping in a rectocele or a functionally significant enterocele was noted on proctography. Demographics and Obstructive Defaecation Symptom scores were collated. The positive predictive value of ultrasound was 73% for rectocele, 79% for intussusception and 91% for enterocele. The negative predictive value for dyssynergy was 99%. Agreement was moderate for rectocele and intussusception, good for enterocele and fair for dyssynergy. The majority of rectoceles that required surgery (59/61) and caused barium trapping (85/89) were detected on ultrasound. A rectocele seen on both transvaginal and transperineal scanning was more likely to require surgery than if seen with only one mode (P = 0.0001). If there was intussusception on ultrasound the patient was more likely to have surgery (P = 0.03). An enterocele visualized on ultrasound was likely to be functionally significant on proctography (P = 0.02). There was, however, no association between findings on imaging and symptoms. Integrated total pelvic floor ultrasound provides a useful screening tool for women with defaecatory dysfunction such that defaecatory imaging can avoided in some. Colorectal Disease © 2016 The Association of Coloproctology of Great Britain and Ireland.

  14. Colpocystoproctography in the upright and supine positions correlated with dynamic MRI of the pelvic floor

    Energy Technology Data Exchange (ETDEWEB)

    Gufler, Hubert E-mail: hubert.gufler@radiol.med.uni-giessen.de; Ohde, Angelika; Grau, Gabriele; Grossmann, Anette

    2004-07-01

    Purpose: To test whether there are statistically significant differences between measurement results on colpocystoproctography in the upright and the supine positions, and to correlate these results with dynamic MRI. Patients and Methods: Seven patients with pelvic floor descent had received colpocystoproctography in the upright and supine positions and, additionally, dynamic MRI of the pelvic floor. Bladder neck position, angle of urethral inclination, posterior vesicourethral angle, and vaginal vault position were measured at relaxed pelvic floor and at pelvic strain. Differences between the measurement results of each parameter in the upright and supine position on colpocystoproctography were calculated and correlated with the measurement results from the dynamic MRI. Results: At pelvic strain, bladder neck position, angle of urethral inclination, posterior vesicourethral angle and vaginal vault position measurements showed no statistically significant differences between colpocystoproctography in the upright and supine positions or dynamic MRI. For the bladder neck height at pelvic floor relaxation, significant differences were found between colpocystoproctography in the upright and supine positions, and colpocystoproctography in the upright position versus dynamic MRI. Conclusion: At pelvic strain, measurement data from dynamic MRI are not statistically different from data from colpocystoproctography either in supine and upright positions.

  15. TINY FEET NO TREAT TO FLOORS.

    Science.gov (United States)

    SMALLEY, DAVE E.

    A DISCUSSION OF FLOOR MAINTENANCE AND CARE INTERMS OF BROKEN, WARPED, AND OTHERWISE DAMAGED CONDITIONS WHICH OFTEN REQUIRE REPLACEMENTS GIVES SUGGESTIONS FOR VARIOUS TYPES OF FLOORING MATERIAL. WOOD FLOOR CONDITIONS MAY INCLUDE--(1) CUPPED BOARDS, (2) BUCKLING BOARDS, AND (3) BROKEN BOARDS. A DETAILED DISCUSSION IS GIVEN OF METHODS FOR REMOVING…

  16. Anatomical adaptations of aquatic mammals.

    Science.gov (United States)

    Reidenberg, Joy S

    2007-06-01

    This special issue of the Anatomical Record explores many of the anatomical adaptations exhibited by aquatic mammals that enable life in the water. Anatomical observations on a range of fossil and living marine and freshwater mammals are presented, including sirenians (manatees and dugongs), cetaceans (both baleen whales and toothed whales, including dolphins and porpoises), pinnipeds (seals, sea lions, and walruses), the sea otter, and the pygmy hippopotamus. A range of anatomical systems are covered in this issue, including the external form (integument, tail shape), nervous system (eye, ear, brain), musculoskeletal systems (cranium, mandible, hyoid, vertebral column, flipper/forelimb), digestive tract (teeth/tusks/baleen, tongue, stomach), and respiratory tract (larynx). Emphasis is placed on exploring anatomical function in the context of aquatic life. The following topics are addressed: evolution, sound production, sound reception, feeding, locomotion, buoyancy control, thermoregulation, cognition, and behavior. A variety of approaches and techniques are used to examine and characterize these adaptations, ranging from dissection, to histology, to electron microscopy, to two-dimensional (2D) and 3D computerized tomography, to experimental field tests of function. The articles in this issue are a blend of literature review and new, hypothesis-driven anatomical research, which highlight the special nature of anatomical form and function in aquatic mammals that enables their exquisite adaptation for life in such a challenging environment. 2007 Wiley-Liss, Inc.

  17. Branding on the Shop Floor

    OpenAIRE

    Szilvia Gyimóthy; Louise Rygaard Jonas

    2010-01-01

    Service branding is a particular form of emotional management, where employees are regarded as adaptable media, who can be trained to convey corporate values while interacting with customers. This paper examines the identity work of butchers during the brand revitalisation campaign of Kvickly, a Danish supermarket chain. During the implementation of the “Best Butcher in Town”-project, Kvickly’s shop floor becomes an engineered servicescape where the norms of good salesmanship must be performe...

  18. The genetic basis of deafness in populations of African descent.

    Science.gov (United States)

    Rudman, Jason R; Kabahuma, Rosemary I; Bressler, Sara E; Feng, Yong; Blanton, Susan H; Yan, Denise; Liu, Xue-Zhong

    2017-06-20

    Hearing loss is the most common sensorineural disorder worldwide and is associated with more than 1000 mutations in more than 90 genes. While mutations in genes such as GJB2 (gap-junction protein β 2) and GJB6 (gap-junction protein β 6) are highly prevalent in Caucasian, Asian, and Middle Eastern populations, they are rare in both native African populations and those of African descent. The objective of this paper is to review the current knowledge regarding the epidemiology and genetics of hearing loss in African populations with a focus on native sub-Saharan African populations. Environmental etiologies related to poor access to healthcare and perinatal care account for the majority of cases. Syndromic etiologies including Waardenburg, Pendred and Usher syndromes are uncommon causes of hearing loss in these populations. Of the non-syndromic causes, common mutations in GJB2 and GJB6 are rarely implicated in populations of African descent. Recent use of next-generation sequencing (NGS) has identified several candidate deafness genes in African populations from Nigeria and South Africa that are unique when compared to common causative mutations worldwide. Researchers also recently described a dominant mutation in MYO3a in an African American family with non-syndromic hearing loss. The use of NGS and specialized panels will aid in identifying rare and novel mutations in a more cost- and time-effective manner. The identification of common hearing loss mutations in indigenous African populations will pave the way for translation into genetic deafness research in populations of African descent worldwide. Copyright © 2017 Institute of Genetics and Developmental Biology, Chinese Academy of Sciences, and Genetics Society of China. Published by Elsevier Ltd. All rights reserved.

  19. A new method for forecasting the solar cycle descent time

    Directory of Open Access Journals (Sweden)

    Kakad Bharati

    2015-01-01

    Full Text Available The prediction of an extended solar minimum is extremely important because of the severity of its impact on the near-earth space. Here, we present a new method for predicting the descent time of the forthcoming solar cycle (SC; the method is based on the estimation of the Shannon entropy. We use the daily and monthly smoothed international sunspot number. For each nth SC, we compute the parameter [Tpre]n by using information on the descent and ascent times of the n − 3th and nth SCs, respectively. We find that [Tpre] of nth SC and entropy can be effectively used to predict the descent time of the n + 2th SC. The correlation coefficient between [Td]n+2 − [Tpre]n and [E]n is found to be 0.95. Using these parameters the prediction model is developed. Solar magnetic field and F10.7 flux data are available for SCs 21–22 and 19–23, respectively, and they are also utilized to get estimates of the Shannon entropy. It is found that the Shannon entropy, a measure of randomness inherent in the SC, is reflected well in the various proxies of the solar activity (viz sunspot, magnetic field, F10.7 flux. The applicability and accuracy of the prediction model equation is verified by way of association of least entropy values with the Dalton minimum. The prediction model equation also provides possible criteria for the occurrence of unusually longer solar minima.

  20. Optimization algorithm based on densification and dynamic canonical descent

    Science.gov (United States)

    Bousson, K.; Correia, S. D.

    2006-07-01

    Stochastic methods have gained some popularity in global optimization in that most of them do not assume the cost functions to be differentiable. They have capabilities to avoid being trapped by local optima, and may converge even faster than gradient-based optimization methods on some problems. The present paper proposes an optimization method, which reduces the search space by means of densification curves, coupled with the dynamic canonical descent algorithm. The performances of the new method are shown on several known problems classically used for testing optimization algorithms, and proved to outperform competitive algorithms such as simulated annealing and genetic algorithms.

  1. The Descent Set and Connectivity Set of a Permutation

    Science.gov (United States)

    Stanley, Richard P.

    2005-08-01

    The descent set D(w) of a permutation w of 1,2,...,n is a standard and well-studied statistic. We introduce a new statistic, the connectivity set C(w), and show that it is a kind of dual object to D(w). The duality is stated in terms of the inverse of a matrix that records the joint distribution of D(w) and C(w). We also give a variation involving permutations of a multiset and a q-analogue that keeps track of the number of inversions of w.

  2. Minimum descent time along a set of connected inclined planes

    Science.gov (United States)

    Mungan, Carl E.; Lipscombe, Trevor C.

    2017-07-01

    The time required for a particle to slide frictionlessly down a set of ramps connected end to end can be minimized numerically as a function of the coordinates of the connection points between ramps and compared to the exact cycloidal solution of the brachistochrone problem. It is found that a set of just three joined ramps over a large range of geometrical aspect ratios has a descent time within 5% of the optimal cycloid. The special case where the particle starts and ends at the same height has sufficient symmetry that it can be analyzed analytically using algebra alone. The level of analysis is appropriate to an undergraduate classical mechanics course.

  3. Regularization Paths for Generalized Linear Models via Coordinate Descent

    Directory of Open Access Journals (Sweden)

    Jerome Friedman

    2010-02-01

    Full Text Available We develop fast algorithms for estimation of generalized linear models with convex penalties. The models include linear regression, two-class logistic regression, and multi- nomial regression problems while the penalties include ℓ1 (the lasso, ℓ2 (ridge regression and mixtures of the two (the elastic net. The algorithms use cyclical coordinate descent, computed along a regularization path. The methods can handle large problems and can also deal efficiently with sparse features. In comparative timings we find that the new algorithms are considerably faster than competing methods.

  4. On the new anatomical nomenclature.

    Science.gov (United States)

    Marecková, E; Simon, F; Cervený, L

    2001-05-01

    The present paper is concerned with the linguistic aspect of the new anatomical nomenclature (Terminologia Anatomica 1998). Orthographic, morphological, syntactic, lexical, and terminological comments are presented. In the authors' opinion, shortcomings might have been effectively avoided by cooperation with linguists.

  5. Anatomic Preformed Post: Case Report

    OpenAIRE

    Lamas Lara, César; Cirujano Dentista, Docente del Área de Operatoria Dental y Endodoncia de la Facultad de OdontoIogía de la UNMSM.; Alvarado Menacho, Sergio; Cirujano Dentista, Especialista en Rehabilitación Oral, Profesor Asociado del Área de Prótesis y Oclusión de la Facultad de Odontología de la UNMSM.; Pari Espinoza, Rosa; Alumna del 5to año de Odontología de la UNMSM.

    2014-01-01

    Nowadays, preformed posts are being used frequently, but they do not follow root canal anatomy. Obtaining a more anatomical form of the root canal and reducing the space of the cement, it would help to reduce the possibility of its eviction. This article details the process of making of an anatomical preformed post and the advantages that would represent its clinical use. En la actualidad los postes preformados se utilizan con mucha frecuencia, pero tienenla dificultad de no seguir la anat...

  6. Accelerating deep neural network training with inconsistent stochastic gradient descent.

    Science.gov (United States)

    Wang, Linnan; Yang, Yi; Min, Renqiang; Chakradhar, Srimat

    2017-09-01

    Stochastic Gradient Descent (SGD) updates Convolutional Neural Network (CNN) with a noisy gradient computed from a random batch, and each batch evenly updates the network once in an epoch. This model applies the same training effort to each batch, but it overlooks the fact that the gradient variance, induced by Sampling Bias and Intrinsic Image Difference, renders different training dynamics on batches. In this paper, we develop a new training strategy for SGD, referred to as Inconsistent Stochastic Gradient Descent (ISGD) to address this problem. The core concept of ISGD is the inconsistent training, which dynamically adjusts the training effort w.r.t the loss. ISGD models the training as a stochastic process that gradually reduces down the mean of batch's loss, and it utilizes a dynamic upper control limit to identify a large loss batch on the fly. ISGD stays on the identified batch to accelerate the training with additional gradient updates, and it also has a constraint to penalize drastic parameter changes. ISGD is straightforward, computationally efficient and without requiring auxiliary memories. A series of empirical evaluations on real world datasets and networks demonstrate the promising performance of inconsistent training. Copyright © 2017 Elsevier Ltd. All rights reserved.

  7. Scaling on a limestone flooring

    Science.gov (United States)

    Carmona-Quiroga, P. M.; Blanco-Varela, M. T.; Martínez-Ramírez, S.

    2012-04-01

    Natural stone can be use on nearly every surface, inside and outside buildings, but decay is more commonly reported from the ones exposed to outdoor aggressively conditions. This study instead, is an example of limestone weathering of uncertain origin in the interior of a residential building. The stone, used as flooring, started to exhibit loss of material in the form of scaling. These damages were observed before the building, localized in the South of Spain (Málaga), was inhabited. Moreover, according to the company the limestone satisfies the following European standards UNE-EN 1341: 2002, UNE-EN 1343: 2003; UNE-EN 12058: 2004 for floorings. Under these circumstances the main objective of this study was to assess the causes of this phenomenon. For this reason the composition of the mortar was determined and the stone was characterized from a mineralogical and petrological point of view. The last material, which is a fossiliferous limestone from Egypt with natural fissure lines, is mainly composed of calcite, being quartz, kaolinite and apatite minor phases. Moreover, under different spectroscopic and microscopic techniques (FTIR, micro-Raman, SEM-EDX, etc) samples of the weathered, taken directly from the buildings, and unweathered limestone tiles were examined and a new mineralogical phase, trona, was identified at scaled areas which are connected with the natural veins of the stone. In fact, through BSE-mapping the presence of sodium has been detected in these veins. This soluble sodium carbonate would was dissolved in the natural waters from which limestone was precipitated and would migrate with the ascendant capilar humidity and crystallized near the surface of the stone starting the scaling phenomenon which in historic masonry could be very damaging. Therefore, the weathering of the limestone would be related with the hygroscopic behaviour of this salt, but not with the constructive methods used. This makes the limestone unable to be used on restoration

  8. Anatomical pathology is dead? Long live anatomical pathology.

    Science.gov (United States)

    Nicholls, John M; Francis, Glenn D

    2011-10-01

    The standard diagnostic instrument used for over 150 years by anatomical pathologists has been the optical microscope and glass slide. The advent of immunohistochemistry in the routine laboratory in the 1980s, followed by in situ hybridisation in the 1990s, has increased the armamentaria available to the diagnostic pathologist, and this technology has led to changed patient management in a limited number of neoplastic diseases. The first decade of the 21 century has seen an increasing number of publications using proteomic technologies that promise to change disease diagnosis and management, the traditional role of an anatomical pathologist. Despite the plethora of publications on proteomics and pathology, to date there are actually limited data where proteomic technologies do appear to be of greater diagnostic value than the standard histological slide. Though proteomic techniques will become more prevalent in the future, it will need the expertise of an anatomical pathologist to dissect out and validate this added information.

  9. [Japanese anatomical terminology (nomina anatomica japonica) from the educational view point (1)--sune and nezumi].

    Science.gov (United States)

    Hojo, T

    1984-12-01

    A few considerations on two Japanese anatomical terms, sune (the anterior part of the leg or the shin in medical terminology) and nezumi (the rat) from the anatomical point of view are made. Japanese words generally have two readings. For example, sune which means the anterior part of the leg, may be read as sune and kei. But kei has two other meanings, the neck and the road. Sune is used more for the anterior part of the leg than kei, especially in classes for beginners of the anatomical course. Nezumi means rat, but is also read as so. Because kei means road, and kan means canal, sokeikan means the rat's tubular passageway, namely, the descent of testis (Descensus testis). In Japanese anatomical terminology the passage of the testis through the inguinal canal is considered similar to a rat going through a passageway. The work sokeikan is better than the English anatomical term inguinal canal which means only the canal in the root of the groin. In Japanese, two words, fukurahagi and komura are used for the posterior part of the leg.

  10. A radiochemical study of sedimentation onto the Japan Trench floor

    International Nuclear Information System (INIS)

    Yamada, M.; Kitaoka, H.; Tsunogai, S.

    1983-01-01

    Box cores were taken from the Japan Trench (water depth, 8260 m) and two neighboring shallower stations (water depth, 2970 and 4310 m) and analyzed for uranium isotopes, thorium isotopes, 210 Pb, CaCO 3 , Fe, Mn, Al, and Cu. The 230 Th: 232 Th activity ratios in the top layer (0 to 1 cm) were 12 to 15 at the three stations, indicating no appreciable addition of 230 Th during descent through the water column below 4 km depth. There are no significant differences in the concentrations of 238 U, 232 Th, and 230 Th on a carbonate-free basis at the three stations. The 230 Th: 232 Th activity ratios of the Japan Trench sediments in the upper 30 cm are nearly constant with depth, indicating rapid sedimentation or active vertical mixing of the sediments. The mixing depth of the Japan Trench sediments is estimated to be 7 cm from the vertical distribution of excess 210 Pb. The maximum concentration of 210 Pb in the Japan Trench sediment is at 2- to 3-cm depth. The results suggest that sediment deposited on the shallower slope of the trench slides down and accumulates on the trench floor. (author)

  11. The Virtual Pelvic Floor, a tele-immersive educational environment.

    Science.gov (United States)

    Pearl, R. K.; Evenhouse, R.; Rasmussen, M.; Dech, F.; Silverstein, J. C.; Prokasy, S.; Panko, W. B.

    1999-01-01

    This paper describes the development of the Virtual Pelvic Floor, a new method of teaching the complex anatomy of the pelvic region utilizing virtual reality and advanced networking technology. Virtual reality technology allows improved visualization of three-dimensional structures over conventional media because it supports stereo vision, viewer-centered perspective, large angles of view, and interactivity. Two or more ImmersaDesk systems, drafting table format virtual reality displays, are networked together providing an environment where teacher and students share a high quality three-dimensional anatomical model, and are able to converse, see each other, and to point in three dimensions to indicate areas of interest. This project was realized by the teamwork of surgeons, medical artists and sculptors, computer scientists, and computer visualization experts. It demonstrates the future of virtual reality for surgical education and applications for the Next Generation Internet. Images Figure 1 Figure 2 Figure 3 PMID:10566378

  12. Mode of delivery and Pelvic floor disorder

    International Nuclear Information System (INIS)

    Noor, R.; Neelam, H.; Bashir, M.S.

    2017-01-01

    Objective: To compare pelvic floor dysfunction in non pregnant women who had delivered vaginally versus those with cesarean delivery. Methodology: The prevalence of pelvic floor disorders among non pregnant women was assesses by using a standardized tool pelvic floor distress inventory short form (PFDI-20). Data was collected from Jinnah Hospital Lahore, Pakistan. Results: Total numbers of participants were 278. 47.12% subjects had moderate, 36.69% miner and 16.19% had severe pelvic floor dysfunction. The symptoms of pelvic organ prolapse were more prevalent (mean value is 59.1876) than Urinary Distress (mean value is 40.5426), while the Colorectal-Anal Distress (mean value is 35.9150) were least prevalent. Conclusion: Pelvic floor disorders are very common among females and are strongly associated with mode of delivery. Although spontaneous vaginal birth was extensively associated with pelvic floor disorders the instrumental delivery affects most. (author)

  13. Crash Tests of Protective Airplane Floors

    Science.gov (United States)

    Carden, H. D.

    1986-01-01

    Energy-absorbing floors reduce structural buckling and impact forces on occupants. 56-page report discusses crash tests of energy-absorbing aircraft floors. Describes test facility and procedures; airplanes, structural modifications, and seats; crash dynamics; floor and seat behavior; and responses of anthropometric dummies seated in airplanes. Also presents plots of accelerations, photographs and diagrams of test facility, and photographs and drawings of airplanes before, during, and after testing.

  14. Enhanced Accelerated Drying of Concrete Floor Slabs

    OpenAIRE

    Holmes, Niall; West, Roger P.

    2013-01-01

    Concrete floor slabs dry out through a process of evaporation and diffusion provided the ambient environment promotes such drying. Impermeable floor coverings laid on concrete slabs can be subject to damage caused by high levels of residual moisture trapped by premature sealing of the surface. This damage can include timber floor boards buckling, vinyls blistering or tiles lifting. Whether or not it is safe to apply such a covering depends on whether the slab is sufficiently dry. Furthermore,...

  15. Bounding Regions to Plane Steepest Descent Curves of Quasiconvex Families

    Directory of Open Access Journals (Sweden)

    Marco Longinetti

    2016-01-01

    Full Text Available Two-dimensional steepest descent curves (SDC for a quasiconvex family are considered; the problem of their extensions (with constraints outside of a convex body K is studied. It is shown that possible extensions are constrained to lie inside of suitable bounding regions depending on K. These regions are bounded by arcs of involutes of ∂K and satisfy many inclusions properties. The involutes of the boundary of an arbitrary plane convex body are defined and written by their support function. Extensions SDC of minimal length are constructed. Self-contracting sets (with opposite orientation are considered: necessary and/or sufficient conditions for them to be subsets of SDC are proved.

  16. Gradient descent learning in and out of equilibrium

    International Nuclear Information System (INIS)

    Caticha, Nestor; Araujo de Oliveira, Evaldo

    2001-01-01

    Relations between the off thermal equilibrium dynamical process of on-line learning and the thermally equilibrated off-line learning are studied for potential gradient descent learning. The approach of Opper to study on-line Bayesian algorithms is used for potential based or maximum likelihood learning. We look at the on-line learning algorithm that best approximates the off-line algorithm in the sense of least Kullback-Leibler information loss. The closest on-line algorithm works by updating the weights along the gradient of an effective potential, which is different from the parent off-line potential. A few examples are analyzed and the origin of the potential annealing is discussed

  17. Sparse Nonlinear Electromagnetic Imaging Accelerated With Projected Steepest Descent Algorithm

    KAUST Repository

    Desmal, Abdulla

    2017-04-03

    An efficient electromagnetic inversion scheme for imaging sparse 3-D domains is proposed. The scheme achieves its efficiency and accuracy by integrating two concepts. First, the nonlinear optimization problem is constrained using L₀ or L₁-norm of the solution as the penalty term to alleviate the ill-posedness of the inverse problem. The resulting Tikhonov minimization problem is solved using nonlinear Landweber iterations (NLW). Second, the efficiency of the NLW is significantly increased using a steepest descent algorithm. The algorithm uses a projection operator to enforce the sparsity constraint by thresholding the solution at every iteration. Thresholding level and iteration step are selected carefully to increase the efficiency without sacrificing the convergence of the algorithm. Numerical results demonstrate the efficiency and accuracy of the proposed imaging scheme in reconstructing sparse 3-D dielectric profiles.

  18. On Belonging: The American Adolescent of Arab Descent.

    Science.gov (United States)

    Khouri, Lama Z

    2016-08-01

    Although American families of Arab origin come from 22 countries and from varied backgrounds and cultures, reports suggest that they suffer equally from acculturation stress, stereotyping, discrimination, and the reverberations of the aftermath of September 11 as well as global affairs. However, because children and adolescents from these families, particularly those who are newly arrived immigrants, tend to do well in school, they are rarely targeted by research or policy. This article uses the narratives of 5 middle school age male students from Arab descent who were in a support group that met for 3 years (2004-2007), beginning shortly after President George W. Bush's declaration of the war on the "axis of evil." I used vignettes from this group to illustrate the stressors this population faces. The final section suggests an option for supporting this population. © 2016 Wiley Periodicals, Inc.

  19. Adapting Mars Entry, Descent and Landing System for Earth

    Science.gov (United States)

    Heilimo, J.; Harri, A.-M.; Aleksashkin, S.; Koryanov, V.; Guerrero, H.; Schmidt, W.; Haukka, H.; Finchenko, V.; Martynov, M.; Ostresko, B.; Ponomarenko, A.; Kazakovtsev, V.; Arruego, I.; Martin, S.; Siili, T.

    2013-09-01

    In 2001 - 2011 an inflatable Entry, Descent and Landing System (EDLS) for Martian atmosphere was developed by FMI and the MetNet team. This MetNet Mars Lander EDLS is used in both the initial deceleration during atmospheric entry and in the final deceleration before the semi-hard impact of the penetrator to Martian surface. The EDLS design is ingenious and its applicability to Earth's atmosphere is studied in the on-going project. In particular, the behavior of the system in the critical transonic aerodynamic (from hypersonic to subsonic) regime will be investigated. This project targets to analyze and test the transonic behavior of this compact and light weight payload entry system to Earth's atmosphere [1]. Scaling and adaptation for terrestrial atmospheric conditions, instead of a completely new design, is a favorable approach for providing a new re-entry vehicle for terrestrial space applications.

  20. Analysis of Atmospheric Mesoscale Models for Entry, Descent and Landing

    Science.gov (United States)

    Kass, D. M.; Schofield, J. T.; Michaels, T. I.; Rafkin, S. C. R.; Richardson, M. I.; Toigo, A. D.

    2003-01-01

    Each Mars Exploration Rover (MER) is sensitive to the martian winds encountered near the surface during the Entry, Descent and Landing (EDL) process. These winds are strongly influenced by local (mesoscale) conditions. In the absence of suitable wind observations, wind fields predicted by martian mesoscale atmospheric models have been analyzed to guide landing site selection. Two different models were used, the MRAMS model and the Mars MM5 model. In order to encompass both models and render their results useful to the EDL engineering team, a series of statistical techniques were applied to the model results. These analyses cover the high priority landing sites during the expected landing times (1200 to 1500 local time). The number of sites studied is limited by the computational and analysis cost of the mesoscale models.

  1. Human Mars Entry, Descent, and Landing Architecture Study Overview

    Science.gov (United States)

    Cianciolo, Alicia D.; Polsgrove, Tara T.

    2016-01-01

    The Entry, Descent, and Landing (EDL) Architecture Study is a multi-NASA center activity to analyze candidate EDL systems as they apply to human Mars landing in the context of the Evolvable Mars Campaign. The study, led by the Space Technology Mission Directorate (STMD), is performed in conjunction with the NASA's Science Mission Directorate and the Human Architecture Team, sponsored by NASA's Human Exploration and Operations Mission Directorate. The primary objective is to prioritize future STMD EDL technology investments by (1) generating Phase A-level designs for selected concepts to deliver 20 t human class payloads, (2) developing a parameterized mass model for each concept capable of examining payloads between 5 and 40 t, and (3) evaluating integrated system performance using trajectory simulations. This paper summarizes the initial study results.

  2. Frequency domain full-waveform inversion with nonlinear descent directions

    Science.gov (United States)

    Geng, Yu; Pan, Wenyong; Innanen, Kristopher A.

    2018-01-01

    Full waveform inversion (FWI) is a highly nonlinear inverse problem, normally solved iteratively, with each iteration involving an update constructed through linear operations on the residuals. Incorporating a flexible degree of nonlinearity within each update may have important consequences for convergence rates, determination of low model wavenumbers, and discrimination of parameters. We examine one approach for doing so, wherein higher-order scattering terms are included within the sensitivity kernel during the construction of the descent direction, adjusting it away from that of the standard Gauss-Newton approach. These scattering terms are naturally admitted when we construct the sensitivity kernel by varying not the current but the to-be-updated model at each iteration. Linear and/or nonlinear inverse scattering methodologies allow these additional sensitivity contributions to be computed from the current data residuals within any given update. We show that in the presence of pre-critical reflection data, the error in a second-order nonlinear update to a background of s0 is, in our scheme, proportional to at most (Δs/s0)3 in the actual parameter jump Δs causing the reflection. In contrast, the error in a standard Gauss-Newton FWI update is proportional to (Δs/s0)2. For numerical implementation of more complex cases, we introduce a nonlinear frequency-domain scheme, with an inner and an outer loop. A perturbation is determined from the data residuals within the inner loop, and a descent direction based on the resulting nonlinear sensitivity kernel is computed in the outer loop. We examine the response of this nonlinear FWI using acoustic single-parameter synthetics derived from the Marmousi model. The inverted results vary depending on data frequency ranges and initial models, but we conclude that the nonlinear FWI has the capability to generate high resolution model estimates in both shallow and deep regions, and to converge rapidly, relative to a

  3. Pelvic floor exercises during and after pregnancy: a systematic review of their role in preventing pelvic floor dysfunction.

    Science.gov (United States)

    Harvey, Marie-Andrée

    2003-06-01

    To review the literature on the origin, anatomical rationale, techniques, and evidence-based effectiveness of peripartum pelvic floor exercises (PFEs) in the prevention of pelvic floor problems including urinary and anal incontinence, and prolapse. Literature was reviewed for background information. MEDLINE, EMBASE, CINAHL, and proceedings of scientific meetings were searched for evidence-based data. A comprehensive literature search was performed to find all studies that involved the use of antepartum and/or postpartum PFEs. For the MEDLINE (1966 to 2002) and CINAHL (1980 to 2002) searches, the following key words were used: urinary incontinence (prevention and control, rehabilitation, therapy), fecal incontinence, exercise or exercise therapy, Kegel, muscle contraction, muscle tonus, muscle development, pelvic floor, pregnancy, puerperium, puerperal disorders. For the EMBASE (1980 to 2002) search, the following key words were used: micturition disorder (prevention, rehab, disease management, therapy), fecal incontinence, labour complication, pregnancy disorder, puerperal disorder, antepartum care, pregnancy, kinesiotherapy, exercise, pelvic floor, bladder. A manual search was performed of available abstracts presented at the annual scientific meetings of the International Continence Society (1997, 1999 to 2002), American Urogynecologic Association (1997 to 1998, 2000 to 2002), and International Urogynecological Association (1997, 1999 to 2002). Twelve studies evaluating the role of antepartum PFE were found, of which 3 randomized controlled trials (RCTs) comparing PFEs for the prevention of urinary incontinence to controls were included. Twelve studies evaluating postpartum PFEs for prevention of urinary incontinence were reviewed, of which 4 RCTs were included. Five studies evaluating postpartum PFEs for the prevention of anal incontinence were reviewed, of which 4 RCTs were included. Participants in the studies were primiparous women. DATA TABULATION AND

  4. Ethnic Identity and Acculturative Stress as Mediators of Depression in Students of Asian Descent

    Science.gov (United States)

    Lantrip, Crystal; Mazzetti, Francesco; Grasso, Joseph; Gill, Sara; Miller, Janna; Haner, Morgynn; Rude, Stephanie; Awad, Germine

    2015-01-01

    This study underscored the importance of addressing the well-being of college students of Asian descent, because these students had higher rates of depression and lower positive feelings about their ethnic group compared with students of European descent, as measured by the Affirmation subscale of the Ethnic Identity Scale. Affirmation mediated…

  5. The Role of la Familia for Women of Mexican Descent Who Are Leaders in Higher Education

    Science.gov (United States)

    Elizondo, Sandra Gray

    2012-01-01

    The purpose of this qualitative case study was to describe the role of "la familia" for women of Mexican descent as it relates to their development as leaders and their leadership in academia. Purposeful sampling was utilized to reach the goal of 18 participants who were female academic leaders of Mexican descent teaching full time in…

  6. Real-time aircraft continuous descent trajectory optimization with ATC time constraints using direct collocation methods.

    OpenAIRE

    Verhoeven, Ronald; Dalmau Codina, Ramon; Prats Menéndez, Xavier; de Gelder, Nico

    2014-01-01

    1 Abstract In this paper an initial implementation of a real - time aircraft trajectory optimization algorithm is presented . The aircraft trajectory for descent and approach is computed for minimum use of thrust and speed brake in support of a “green” continuous descent and approach flight operation, while complying with ATC time constraints for maintaining runway throughput and co...

  7. Ascent, descent, nullity, defect, and related notions for linear relations in linear spaces

    NARCIS (Netherlands)

    Sandovici, Adrian; de Snoo, Henk; Winkler, Henrik

    2007-01-01

    For a linear relation in a linear space the concepts of ascent, descent, nullity, and defect are introduced and studied. It is shown that the results of A.E. Taylor and M.A. Kaashoek concerning the relationship between ascent, descent, nullity, and defect for the case of linear operators remain

  8. Ground reaction forces and frictional demands during stair descent: effects of age and illumination.

    Science.gov (United States)

    Christina, Kathryn A; Cavanagh, Peter R

    2002-04-01

    Stair descent is an inherently risky and demanding task that older adults often encounter in everyday life. It is believed that slip between the foot or shoe sole and the stair surface may play a role in stair related falls, however, there are no reports on slip resistance requirements for stair descent. The aim of this study was to determine the required coefficient of friction (RCOF) necessary for safe stair descent in 12 young and 12 older adults, under varied illuminance conditions. The RCOF during stair descent was found to be comparable in magnitude and time to that for overground walking, and thus, with adequate footwear and dry stair surfaces, friction does not appear to be a major determinant of stair safety. Illuminance level had little effect on the dependent variables quantified in this study. However, the older participants demonstrated safer strategies than the young during stair descent, as reflected by differences in the ground reaction forces and lower RCOF.

  9. Building with electromagnetic shield structure for individual floors

    International Nuclear Information System (INIS)

    Takahashi, T.; Nakamura, M.; Yabana, Y.; Ishikawa, T.; Nagata, K.

    1991-01-01

    This invention relates to a building having a floor-by-floor electromagnetic shield structure well-suited for application to an information network system in which an electromagnetically shielded space is divided by individual floors and electric waves are utilized within the building on a floor-by-floor basis. (author). 8 figs

  10. Constructing international floors for language learning ends ...

    African Journals Online (AJOL)

    Constructing international floors for language learning ends: reflectng on a teacher upgrading course. ... Journal for Language Teaching ... that teachers, as superordinates in an authoritybased relationship, may consciously construct configurations of the interactional floor to achieve pre-selected language learning ends.

  11. Biomechanics of the pelvic floor musculature

    NARCIS (Netherlands)

    Janda, S.

    2006-01-01

    The present thesis was motivated by two main goals. The first research goal of the thesis was to understand the complex biomechanical behaviour of the pelvic floor muscles. The second goal was to study the mechanism of the pelvic organ prolapse (genital prolapse). The pelvic floor in humans is a

  12. 9 CFR 91.26 - Concrete flooring.

    Science.gov (United States)

    2010-01-01

    ... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false Concrete flooring. 91.26 Section 91.26... LIVESTOCK FOR EXPORTATION Inspection of Vessels and Accommodations § 91.26 Concrete flooring. (a) Pens aboard an ocean vessel shall have a 3 inch concrete pavement, proportioned and mixed to give 2000 psi...

  13. Minimising infection--from floor to ceiling.

    Science.gov (United States)

    Peake, Sarah

    2014-10-01

    Dr Sarah Peake, product sustainability manager at specialty chemicals company, Sika--which provides solutions for concrete, waterproofing, roofing, flooring, refurbishment, sealing and bonding, and industry--looks at the fundamentals for keeping floors, walls, and ceilings in hospitals and other healthcare facilities 'in excellent health'.

  14. Laparoscopic Pelvic Floor Repair Using Polypropylene Mesh

    Directory of Open Access Journals (Sweden)

    Shih-Shien Weng

    2008-09-01

    Conclusion: Laparoscopic pelvic floor repair using a single piece of polypropylene mesh combined with uterosacral ligament suspension appears to be a feasible procedure for the treatment of advanced vaginal vault prolapse and enterocele. Fewer mesh erosions and postoperative pain syndromes were seen in patients who had no previous pelvic floor reconstructive surgery.

  15. Regolith Derived Heat Shield for a Planetary Body Entry and Descent System with In-Situ Fabrication Project

    Data.gov (United States)

    National Aeronautics and Space Administration — High-mass planetary surface access is one of NASA’s Grand Challenges involving entry, descent and landing (EDL). During the entry and descent phase,...

  16. Pelvic floor morphometry and function in women with and without puborectalis avulsion in the early postpartum period.

    Science.gov (United States)

    Cyr, Marie-Pierre; Kruger, Jennifer; Wong, Vivien; Dumoulin, Chantale; Girard, Isabelle; Morin, Mélanie

    2017-03-01

    stiffness at 20-mm aperture (P ≤ .048). Significantly lower strength, speed of contraction, and endurance were also found in women with avulsion (P ≤ .005). They also presented more urinary incontinence symptoms (P = .040) whereas vaginal and bowel symptoms were found to be similar in the 2 groups. Pelvic Organ Prolapse Quantification revealed greater anterior compartment descent in women with avulsion (P ≤ .010). The impact of pelvic floor disorders on quality of life was found to be significantly higher in women with avulsion (P = .038). This study confirms that pelvic floor muscle morphometry and function are impaired in primiparous women with puborectalis avulsion in the early postpartum period. Moreover, it highlights specific muscle parameters that are altered such as passive properties, strength, speed of contraction, and endurance. Copyright © 2016 Elsevier Inc. All rights reserved.

  17. Testing of the Anorectal and Pelvic Floor Area

    Science.gov (United States)

    ... Large Intestine Disorders of the Pelvic Floor Motility Testing Personal Stories Contact About GI Motility Twitter Facebook ... Large Intestine Disorders of the Pelvic Floor Motility Testing Personal Stories Contact Anorectal and Pelvic Floor Area ...

  18. Anatomical structure of Polystichum Roth ferns rachises

    Directory of Open Access Journals (Sweden)

    Oksana V. Tyshchenko

    2012-03-01

    Full Text Available The morpho-anatomical characteristics of rachis cross sections of five Polystichum species is presented. The main and auxiliary anatomical features which help to distinguish investigated species are revealed.

  19. Unification of Sinonasal Anatomical Terminology

    Directory of Open Access Journals (Sweden)

    Voegels, Richard Louis

    2015-07-01

    Full Text Available The advent of endoscopy and computed tomography at the beginning of the 1980s brought to rhinology a revival of anatomy and physiology study. In 1994, the International Conference of Sinus Disease was conceived because the official “Terminologia Anatomica”[1] had little information on the detailed sinonasal anatomy. In addition, there was a lack of uniformity of terminology and definitions. After 20 years, a new conference has been held. The need to use the same terminology led to the publication by the European Society of Rhinology of the “European Position Paper on the Anatomical Terminology of the Internal Nose and Paranasal Sinuses,” that can be accessed freely at www.rhinologyjournal.com. Professor Valerie Lund et al[2] wrote this document reviewing the anatomical terms, comparing to the “Terminology Anatomica” official order to define the structures without eponyms, while respecting the embryological development and especially universalizing and simplifying the terms. A must-read! The text's purpose lies beyond the review of anatomical terminology to universalize the language used to refer to structures of the nasal and paranasal cavities. Information about the anatomy, based on extensive review of the current literature, is arranged in just over 50 pages, which are direct and to the point. The publication may be pleasant reading for learners and teachers of rhinology. This text can be a starting point and enables searching the universal terminology used in Brazil, seeking to converge with this new European proposal for a nomenclature to help us communicate with our peers in Brazil and the rest of the world. The original text of the European Society of Rhinology provides English terms that avoided the use of Latin, and thus fall beyond several national personal translations. It would be admirable if we created our own cross-cultural adaptation of this new suggested anatomical terminology.

  20. [Cellular subcutaneous tissue. Anatomic observations].

    Science.gov (United States)

    Marquart-Elbaz, C; Varnaison, E; Sick, H; Grosshans, E; Cribier, B

    2001-11-01

    We showed in a companion paper that the definition of the French "subcutaneous cellular tissue" considerably varied from the 18th to the end of the 20th centuries and has not yet reached a consensus. To address the anatomic reality of this "subcutaneous cellular tissue", we investigated the anatomic structures underlying the fat tissue in normal human skin. Sixty specimens were excised from the surface to the deep structures (bone, muscle, cartilage) on different body sites of 3 cadavers from the Institut d'Anatomie Normale de Strasbourg. Samples were paraffin-embedded, stained and analysed with a binocular microscope taking x 1 photographs. Specimens were also excised and fixed after subcutaneous injection of Indian ink, after mechanic tissue splitting and after performing artificial skin folds. The aspects of the deep parts of the skin greatly varied according to their anatomic localisation. Below the adipose tissue, we often found a lamellar fibrous layer which extended from the interlobular septa and contained horizontally distributed fat cells. No specific tissue below the hypodermis was observed. Artificial skin folds concerned either exclusively the dermis, when they were superficial or included the hypodermis, but no specific structure was apparent in the center of the fold. India ink diffused to the adipose tissue, mainly along the septa, but did not localise in a specific subcutaneous compartment. This study shows that the histologic aspects of the deep part of the skin depend mainly on the anatomic localisation. Skin is composed of epidermis, dermis and hypodermis and thus the hypodermis can not be considered as being "subcutaneous". A difficult to individualise, fibrous lamellar structure in continuity with the interlobular septa is often found under the fat lobules. This structure is a cleavage line, as is always the case with loose connective tissues, but belongs to the hypodermis (i.e. fat tissue). No specific tissue nor any virtual space was

  1. Pelvic floor and sexual male dysfunction

    Directory of Open Access Journals (Sweden)

    Antonella Pischedda

    2013-04-01

    Full Text Available The pelvic floor is a complex multifunctional structure that corresponds to the genito- urinary-anal area and consists of muscle and connective tissue. It supports the urinary, fecal, sexual and reproductive functions and pelvic statics. The symptoms caused by pelvic floor dysfunction often affect the quality of life of those who are afflicted, worsening significantly more aspects of daily life. In fact, in addition to providing support to the pelvic organs, the deep floor muscles support urinary continence and intestinal emptying whereas the superficial floor muscles are involved in the mechanism of erection and ejaculation. So, conditions of muscle hypotonia or hypertonicity may affect the efficiency of the pelvic floor, altering both the functionality of the deep and superficial floor muscles. In this evolution of knowledge it is possible imagine how the rehabilitation techniques of pelvic floor muscles, if altered and able to support a voiding or evacuative or sexual dysfunction, may have a role in improving the health and the quality of life.

  2. [Evaluation of transperineal sonography for lower urinary tract symptoms after pelvic floor reconstruction].

    Science.gov (United States)

    Zhong, X L; Song, J; Xu, Y L; Lyu, X L; Zhong, X H; Wang, A P; Song, Y F

    2017-09-25

    Objective: To evaluate transperineal sonography for lower urinary tract symptoms after pelvic floor reconstruction. Methods: Eighty-three patients with severe pelvic organ prolapse received surgeries in Fuzhou General Hospital from September 2014 to September 2015, dividing into two groups: 27 patients were selected to receive transvaginal mesh (TVM) pelvic floor reconstruction surgery with tension-free vaginal tape-Abbrevo (TVT-Abbrevo) incontinence surgery, named TVM+TVT-Abbrevo group; 56 patients were selected to receive TVM pelvic floor reconstruction surgery only, named TVM group. The ultrasonic parameters at rest, on contraction and Valsalva condition respectively were observed and measured, including the bladder neck descent (BND), urethral rotation angle, retrovesical angle, levator urethra gap (LUG), the existence of bladder neck funneling, position of the tape, by using 2D and 3D transperineal ultrasound. Results: The two groups were compared with the ultrasonic parameters before and after operation: two groups of patients with postoperative BND [(2.3±0.5) versus (3.1±0.7) cm, (1.6±0.4) versus (3.6±0.4) cm] were significantly reduced, the difference was statistically significant ( P= 0.02, Purinary incontinence (SUI), ultrasound showed slings off or release. (2) One patient with difficulty in urination in TVM group, but ultrasound showed lower urinary tract anatomy were normal; 5 patients with SUI, ultrasound showed the position of the bladder neck were significantly lower in 3 patients, showing high mobility, and the other 2 patients had a larger urethral diameter, showing a tendency of natural deletion. Conclusion: s Anatomy of lower urinary tract could be clearly showed by transperineal sonography. This could provide imaging support for the diagnosis of lower urinary tract symptoms after pelvic floor reconstruction.

  3. Physics-based Entry, Descent and Landing Risk Model

    Science.gov (United States)

    Gee, Ken; Huynh, Loc C.; Manning, Ted

    2014-01-01

    A physics-based risk model was developed to assess the risk associated with thermal protection system failures during the entry, descent and landing phase of a manned spacecraft mission. In the model, entry trajectories were computed using a three-degree-of-freedom trajectory tool, the aerothermodynamic heating environment was computed using an engineering-level computational tool and the thermal response of the TPS material was modeled using a one-dimensional thermal response tool. The model was capable of modeling the effect of micrometeoroid and orbital debris impact damage on the TPS thermal response. A Monte Carlo analysis was used to determine the effects of uncertainties in the vehicle state at Entry Interface, aerothermodynamic heating and material properties on the performance of the TPS design. The failure criterion was set as a temperature limit at the bondline between the TPS and the underlying structure. Both direct computation and response surface approaches were used to compute the risk. The model was applied to a generic manned space capsule design. The effect of material property uncertainty and MMOD damage on risk of failure were analyzed. A comparison of the direct computation and response surface approach was undertaken.

  4. Estimating Controller Intervention Probabilities for Optimized Profile Descent Arrivals

    Science.gov (United States)

    Meyn, Larry A.; Erzberger, Heinz; Huynh, Phu V.

    2011-01-01

    Simulations of arrival traffic at Dallas/Fort-Worth and Denver airports were conducted to evaluate incorporating scheduling and separation constraints into advisories that define continuous descent approaches. The goal was to reduce the number of controller interventions required to ensure flights maintain minimum separation distances of 5 nmi horizontally and 1000 ft vertically. It was shown that simply incorporating arrival meter fix crossing-time constraints into the advisory generation could eliminate over half of the all predicted separation violations and more than 80% of the predicted violations between two arrival flights. Predicted separation violations between arrivals and non-arrivals were 32% of all predicted separation violations at Denver and 41% at Dallas/Fort-Worth. A probabilistic analysis of meter fix crossing-time errors is included which shows that some controller interventions will still be required even when the predicted crossing-times of the advisories are set to add a 1 or 2 nmi buffer above the minimum in-trail separation of 5 nmi. The 2 nmi buffer was shown to increase average flight delays by up to 30 sec when compared to the 1 nmi buffer, but it only resulted in a maximum decrease in average arrival throughput of one flight per hour.

  5. Evolution and ecology of directed aerial descent in arboreal ants.

    Science.gov (United States)

    Yanoviak, Stephen P; Munk, Yonatan; Dudley, Robert

    2011-12-01

    Directed aerial descent (DAD) is used by a variety of arboreal animals to escape predators, to remain in the canopy, and to access resources. Here, we build upon the discovery of DAD in ants of tropical canopies by summarizing its known phylogenetic distribution among ant genera, and within both the subfamily Pseudomyrmecinae and the genus Cephalotes. DAD has multiple evolutionary origins in ants, occurring independently in numerous genera in the subfamilies Myrmicinae, Formicinae, and Pseudomyrmecinae. Ablation experiments and video recordings of ants in a vertical wind tunnel showed that DAD in Cephalotes atratus is achieved via postural changes, specifically orientation of the legs and gaster. The occurrence of DAD in Formicinae indicates that the presence of a postpetiole is not essential for the behavior. Evidence to date indicates that gliding behavior is accomplished by visual targeting mediated by the compound eyes, and is restricted to diurnally active ants that nest in trees. Occlusion of ocelli in Pseudomyrmex gracilis workers had no effect on their success or performance in gliding. Experimental assessment of the fate of ants that fall to the understory showed that ants landing in water are 15 times more likely to suffer lethal attacks than are ants landing in leaf litter. Variation in both the aerodynamic mechanisms and selective advantages of DAD merits further study given the broad taxonomic diversity of arboreal ants that engage in this intriguing form of flight.

  6. Race, language, and mental evolution in Darwin's descent of man.

    Science.gov (United States)

    Alter, Stephen G

    2007-01-01

    Charles Darwin was notoriously ambiguous in his remarks about the relationship between human evolution and biological race. He stressed the original unity of the races, yet he also helped to popularize the notion of a racial hierarchy filling the gaps between the highest anthropoids and civilized Europeans. A focus on Darwin's explanation of how humans initially evolved, however, shows that he mainly stressed not hierarchy but a version of humanity's original mental unity. In his book The Descent of Man, Darwin emphasized a substantial degree of mental development (including the incipient use of language) in the early, monogenetic phase of human evolution. This development, he argued, necessarily came before primeval man's numerical increase, geographic dispersion, and racial diversification, because only thus could one explain how that group was able to spread at the expense of rival ape-like populations. This scenario stood opposed to a new evolutionary polygenism formulated in the wake of Darwin's Origin of Species by his ostensible supporters Alfred Russel Wallace and Ernst Haeckel. Darwin judged this outlook inadequate to the task of explaining humanity's emergence. (c) 2007 Wiley Periodicals, Inc.

  7. Understanding and Optimizing Asynchronous Low-Precision Stochastic Gradient Descent

    Science.gov (United States)

    De Sa, Christopher; Feldman, Matthew; Ré, Christopher; Olukotun, Kunle

    2018-01-01

    Stochastic gradient descent (SGD) is one of the most popular numerical algorithms used in machine learning and other domains. Since this is likely to continue for the foreseeable future, it is important to study techniques that can make it run fast on parallel hardware. In this paper, we provide the first analysis of a technique called Buckwild! that uses both asynchronous execution and low-precision computation. We introduce the DMGC model, the first conceptualization of the parameter space that exists when implementing low-precision SGD, and show that it provides a way to both classify these algorithms and model their performance. We leverage this insight to propose and analyze techniques to improve the speed of low-precision SGD. First, we propose software optimizations that can increase throughput on existing CPUs by up to 11×. Second, we propose architectural changes, including a new cache technique we call an obstinate cache, that increase throughput beyond the limits of current-generation hardware. We also implement and analyze low-precision SGD on the FPGA, which is a promising alternative to the CPU for future SGD systems. PMID:29391770

  8. HLA Type Inference via Haplotypes Identical by Descent

    Science.gov (United States)

    Setty, Manu N.; Gusev, Alexander; Pe'Er, Itsik

    The Human Leukocyte Antigen (HLA) genes play a major role in adaptive immune response and are used to differentiate self antigens from non self ones. HLA genes are hyper variable with nearly every locus harboring over a dozen alleles. This variation plays an important role in susceptibility to multiple autoimmune diseases and needs to be matched on for organ transplantation. Unfortunately, HLA typing by serological methods is time consuming and expensive compared to high throughput Single Nucleotide Polymorphism (SNP) data. We present a new computational method to infer per-locus HLA types using shared segments Identical By Descent (IBD), inferred from SNP genotype data. IBD information is modeled as graph where shared haplotypes are explored among clusters of individuals with known and unknown HLA types to identify the latter. We analyze performance of the method in a previously typed subset of the HapMap population, achieving accuracy of 96% in HLA-A, 94% in HLA-B, 95% in HLA-C, 77% in HLA-DR1, 93% in HLA-DQA1 and 90% in HLA-DQB1 genes. We compare our method to a tag SNP based approach and demonstrate higher sensitivity and specificity. Our method demonstrates the power of using shared haplotype segments for large-scale imputation at the HLA locus.

  9. Human Mars Entry, Descent and Landing Architectures Study Overview

    Science.gov (United States)

    Polsgrove, Tara T.; Dwyer Cianciolo, Alicia

    2016-01-01

    Landing humans on Mars will require entry, descent and landing (EDL) capability beyond the current state of the art. Nearly twenty times more delivered payload and an order of magnitude improvement in precision landing capability will be necessary. Several EDL technologies capable of meeting the human class payload delivery requirements are being considered. The EDL technologies considered include low lift-to-drag vehicles like Hypersonic Inflatable Aerodynamic Decelerators (HIAD), Adaptable Deployable Entry and Placement Technology (ADEPT), and mid range lift-to-drag vehicles like rigid aeroshell configurations. To better assess EDL technology options and sensitivities to future human mission design variations, a series of design studies has been conducted. The design studies incorporate EDL technologies with conceptual payload arrangements defined by the Evolvable Mars Campaign to evaluate the integrated system with higher fidelity than have been performed to date. This paper describes the results of the design studies for a lander design using the HIAD, ADEPT and rigid shell entry technologies and includes system and subsystem design details including mass and power estimates. This paper will review the point design for three entry configurations capable of delivering a 20 t human class payload to the surface of Mars.

  10. Electrospun biodegradable microfibers induce new collagen formation in a rat abdominal wall defect model - a possible treatment for pelvic floor repair?

    DEFF Research Database (Denmark)

    Tarpø, Cecilie Lærke Glindtvad; Chen, Menglin; Nygaard, Jens Vinge

    2017-01-01

    Half of the female population over age 50 years will experience pelvic organ prolapse. We suggest a new approach based on tissue engineering principles to functionally reconstruct the anatomical structures of the pelvic floor. The aim of this study is to investigate the mechanical performance...

  11. Description of the computations and pilot procedures for planning fuel-conservative descents with a small programmable calculator

    Energy Technology Data Exchange (ETDEWEB)

    Vicroy, D.D.; Knox, C.E.

    1983-05-01

    A simplified flight management descent algorithm was developed and programmed on a small programmable calculator. It was designed to aid the pilot in planning and executing a fuel conservative descent to arrive at a metering fix at a time designated by the air traffic control system. The algorithm may also be used for planning fuel conservative descents when time is not a consideration. The descent path was calculated for a constant Mach/airspeed schedule from linear approximations of airplane performance with considerations given for gross weight, wind, and nonstandard temperature effects. The flight management descent algorithm and the vertical performance modeling required for the DC-10 airplane is described.

  12. Description of the computations and pilot procedures for planning fuel-conservative descents with a small programmable calculator

    Science.gov (United States)

    Vicroy, D. D.; Knox, C. E.

    1983-01-01

    A simplified flight management descent algorithm was developed and programmed on a small programmable calculator. It was designed to aid the pilot in planning and executing a fuel conservative descent to arrive at a metering fix at a time designated by the air traffic control system. The algorithm may also be used for planning fuel conservative descents when time is not a consideration. The descent path was calculated for a constant Mach/airspeed schedule from linear approximations of airplane performance with considerations given for gross weight, wind, and nonstandard temperature effects. The flight management descent algorithm and the vertical performance modeling required for the DC-10 airplane is described.

  13. Vehicle Staging Analysis of the Transition to Supersonic Retropropulsion During Mars Entry, Descent, and Landing

    Data.gov (United States)

    National Aeronautics and Space Administration — The landing of the Mars Science Laboratory represents the upper limit of current Entry, Descent, and Landing (EDL) capabilities for Mars exploration. The succession...

  14. An Enhanced Modular Terminal Descent Sensor for Landing on Planetary Bodies, Phase I

    Data.gov (United States)

    National Aeronautics and Space Administration — Remote Sensing Solutions (RSS) proposes to fill a critical niche in Entry, Descent, and Landing with the design and subsequent development of a terrain relative...

  15. Intelligent Data Understanding for Architecture Analysis of Entry, Descent, and Landing

    Data.gov (United States)

    National Aeronautics and Space Administration — Because Entry, Descent and Landing (EDL) system validations are limited in Earth environments, these technologies rely heavily on models and analysis tools to...

  16. Steepest descent method implementation on unconstrained optimization problem using C++ program

    Science.gov (United States)

    Napitupulu, H.; Sukono; Mohd, I. Bin; Hidayat, Y.; Supian, S.

    2018-03-01

    Steepest Descent is known as the simplest gradient method. Recently, many researches are done to obtain the appropriate step size in order to reduce the objective function value progressively. In this paper, the properties of steepest descent method from literatures are reviewed together with advantages and disadvantages of each step size procedure. The development of steepest descent method due to its step size procedure is discussed. In order to test the performance of each step size, we run a steepest descent procedure in C++ program. We implemented it to unconstrained optimization test problem with two variables, then we compare the numerical results of each step size procedure. Based on the numerical experiment, we conclude the general computational features and weaknesses of each procedure in each case of problem.

  17. Transperineal Sonography Evaluation of Muscles and Vascularity in the Male Pelvic Floor.

    Science.gov (United States)

    Roll, Shawn C; Kutch, Jason J

    2013-01-01

    Idiopathic chronic male pelvic pain is difficult to diagnose and treat. Currently, diagnosis relies on subjective symptoms; objective measures of neuromuscular mechanisms have not been investigated. Sonographic imaging has been used to investigate these neuromuscular mechanisms in the female pelvic floor, but neither research nor books describe sonography evaluation of the male pelvic floor. The purpose of this study was to develop and evaluate a perineal sonographic technique for the examination of the male pelvic floor muscles. Anatomic landmarks were identified with images collected from two subjects, one with intermittent reports of pelvic pain and one with no history of pain in the pelvic region. A description of the equipment settings, the examination protocol, and the resulting comparative image analysis is included. A validated protocol such as this may be useful in documenting differences in the soft tissue structures between asymptomatic individuals and patients with chronic pelvic pain to aid in diagnosis and treatment. This is the first known study to report sonographic findings of the individual muscles in the male pelvic floor, and additional research is needed to validate the techniques that have been deemed feasible.

  18. Biomechanics of the pelvic floor musculature

    OpenAIRE

    Janda, S.

    2006-01-01

    The present thesis was motivated by two main goals. The first research goal of the thesis was to understand the complex biomechanical behaviour of the pelvic floor muscles. The second goal was to study the mechanism of the pelvic organ prolapse (genital prolapse). The pelvic floor in humans is a very complex muscular structure. It is largely responsible for supporting both pelvic and abdominal organs and acts synergistically with the striated muscle of the anterior abdominal wall to generate ...

  19. Anonymous electronic trading versus floor trading

    OpenAIRE

    Franke, Günter; Hess, Dieter

    1995-01-01

    This paper compares the attractiveness of floor trading and anonymous electronic trading systems. It is argued that in times of low information intensity the insight into the order book of the electronic trading system provides more valuable information than floor trading, but in times of high information intensity the reverse is true. Thus, the electronic system's market share in trading activity should decline in times of high information intensity. This hypothesis is tested by data on BUND...

  20. Mars 2020 Entry, Descent and Landing Instrumentation (MEDLI2)

    Science.gov (United States)

    Bose, Deepak; Wright, Henry; White, Todd; Schoenenberger, Mark; Santos, Jose; Karlgaard, Chris; Kuhl, Chris; Oishi, TOmo; Trombetta, Dominic

    2016-01-01

    This paper will introduce Mars Entry Descent and Landing Instrumentation (MEDLI2) on NASA's Mars2020 mission. Mars2020 is a flagship NASA mission with science and technology objectives to help answer questions about possibility of life on Mars as well as to demonstrate technologies for future human expedition. Mars2020 is scheduled for launch in 2020. MEDLI2 is a suite of instruments embedded in the heatshield and backshell thermal protection systems of Mars2020 entry vehicle. The objectives of MEDLI2 are to gather critical aerodynamics, aerothermodynamics and TPS performance data during EDL phase of the mission. MEDLI2 builds up the success of MEDLI flight instrumentation on Mars Science Laboratory mission in 2012. MEDLI instrumentation suite measured surface pressure and TPS temperature on the heatshield during MSL entry into Mars. MEDLI data has since been used for unprecedented reconstruction of aerodynamic drag, vehicle attitude, in-situ atmospheric density, aerothermal heating, transition to turbulence, in-depth TPS performance and TPS ablation. [1,2] In addition to validating predictive models, MEDLI data has highlighted extra margin available in the MSL forebody TPS, which can potentially be used to reduce vehicle parasitic mass. MEDLI2 expands the scope of instrumentation by focusing on quantities of interest not addressed in MEDLI suite. The type the sensors are expanded and their layout on the TPS modified to meet these new objectives. The paper will provide key motivation and governing requirements that drive the choice and the implementation of the new sensor suite. The implementation considerations of sensor selection, qualification, and demonstration of minimal risk to the host mission will be described. The additional challenges associated with mechanical accommodation, electrical impact, data storage and retrieval for MEDLI2 system, which extends sensors to backshell will also be described.

  1. Manifold regularized discriminative nonnegative matrix factorization with fast gradient descent.

    Science.gov (United States)

    Guan, Naiyang; Tao, Dacheng; Luo, Zhigang; Yuan, Bo

    2011-07-01

    Nonnegative matrix factorization (NMF) has become a popular data-representation method and has been widely used in image processing and pattern-recognition problems. This is because the learned bases can be interpreted as a natural parts-based representation of data and this interpretation is consistent with the psychological intuition of combining parts to form a whole. For practical classification tasks, however, NMF ignores both the local geometry of data and the discriminative information of different classes. In addition, existing research results show that the learned basis is unnecessarily parts-based because there is neither explicit nor implicit constraint to ensure the representation parts-based. In this paper, we introduce the manifold regularization and the margin maximization to NMF and obtain the manifold regularized discriminative NMF (MD-NMF) to overcome the aforementioned problems. The multiplicative update rule (MUR) can be applied to optimizing MD-NMF, but it converges slowly. In this paper, we propose a fast gradient descent (FGD) to optimize MD-NMF. FGD contains a Newton method that searches the optimal step length, and thus, FGD converges much faster than MUR. In addition, FGD includes MUR as a special case and can be applied to optimizing NMF and its variants. For a problem with 165 samples in R(1600), FGD converges in 28 s, while MUR requires 282 s. We also apply FGD in a variant of MD-NMF and experimental results confirm its efficiency. Experimental results on several face image datasets suggest the effectiveness of MD-NMF.

  2. Utilization management in anatomic pathology.

    Science.gov (United States)

    Lewandrowski, Kent; Black-Schaffer, Steven

    2014-01-01

    There is relatively little published literature concerning utilization management in anatomic pathology. Nonetheless there are many utilization management opportunities that currently exist and are well recognized. Some of these impact only the cost structure within the pathology department itself whereas others reduce charges for third party payers. Utilization management may result in medical legal liabilities for breaching the standard of care. For this reason it will be important for pathology professional societies to develop national utilization guidelines to assist individual practices in implementing a medically sound approach to utilization management. © 2013.

  3. [BIRTH AND DEVELOPMENT OF THE ANATOMICAL MUSEUMS OF MODENA BETWEEN XVIII AND XIX CENTURY. THE OBSTETRIC MUSEUM, THE ANATOMICAL MUSEUM, THE ETHNOGRAPHIC ANTHROPOLOGIC MUSEUM].

    Science.gov (United States)

    Corradini, Elena

    2015-01-01

    The interest for the study of Anatomy in Modena was particularly developed since the second half of eighteenth century, when the Duke Francesco III of Este promoted the reformation of the University and Antonio Scarpa was called from Padua to teach Anatomy. Scarpa promoted the building of the Anatomical Theatre, near the Grande Spedale, that was inaugurated in 1776. On the same year, the School of Obstetrics opened and determined the constitution of a first Cabinet or Obstetric Museum in a room next to the Theatre. After the Restoration, between 1817 and 1818, the Archduke Francesco IV of Austria Este promoted the realization of an Anatomical Museum: a big organized room in a new floor built on the Theatre. Two more rooms were added in, 1839 and a fourth one in 1853, under the direction of Paolo Gaddi. Furthermore Gaddi's interest for ethnographic studies determined the opening of the Ethnographic Anthropological Museum in 1866.

  4. Intrapartal pelvic floor protection: a pragmatic and interdisciplinary approach between obstetrics and urogynecology.

    Science.gov (United States)

    Huebner, Markus; Brucker, Sara Y; Tunn, Ralf; Naumann, Gert; Reisenauer, Christl; Abele, Harald

    2017-04-01

    Pelvic floor protection is an issue of increasing relevance. This article sought to summarize the session at last year's annual meeting of the German Society of Gynecology and Obstetrics (DGGG) in Stuttgart (10/2016) called "Urogynecology 2020-what is the optimal rate of cesarean section-does urogynecology have to deal with Obstetrics?". The main focus was set on the two important anatomical structures, the levator ani muscle and the anal sphincters. Operative vaginal delivery, epidural anesthesia, and episiotomy are subject to discussion.

  5. Some Passive Damping Sources on Flooring Systems besides the TMD

    DEFF Research Database (Denmark)

    Pedersen, Lars

    2010-01-01

    damping to the structure. Basically also passive humans on a floor act as a damping source, but it also turns out from doing system identification tests with a floor strip that a quite simple set-up installed on the floor (cheap and readily at hand) might do a good job in terms of reducing vertical floor...

  6. A novel & affordable interactive floor for educational applications

    DEFF Research Database (Denmark)

    Boisen, Ulrik; Hansen, Anders Juul; Knudsen, Lars

    2011-01-01

    This article examines two research areas: How interactive floors can be used beneficially in an educational context, and how an interactive floor can be created which is mobile and relatively inexpensive.......This article examines two research areas: How interactive floors can be used beneficially in an educational context, and how an interactive floor can be created which is mobile and relatively inexpensive....

  7. THE DESCENT OF LANGUAGE. A CONVERSATION BETWEEN TWO JOBLESS BIOLOGISTS

    Directory of Open Access Journals (Sweden)

    D'Angelo Giovanni

    2013-12-01

    Full Text Available Seen from the perspective of a biologist, the issue of the origin of language contains an inherent ambiguity. On the one hand, one might think to explore the cognitive features or even the anatomical structures related to communication through the peculiar medium called verbal language, a characteristic property emergent among the Homo sapiens. On the other hand, if one decides to restrict oneself to the formal definition of language as a system of signs for encoding information, then, the human-specific nature of language becomes less convincing and the temptation to look into non-human languages allows a provocative question. Was human verbal language an invention or a discovery? In the following two biologists informally discuss about the concept of non-verbal biological languages.

  8. Functional cine-MRI of the pelvic floor - normal anatomy and pathologic findings; Funktionelle MRT des Beckenbodens: normale Anatomie und pathologische Befunde

    Energy Technology Data Exchange (ETDEWEB)

    Sprenger, D.; Lienemann, A.; Reiser, M. [Klinikum Grosshadern, Muenchen (Germany). Inst. fuer Radiologische Diagnostik; Anthuber, C. [Klinikum Grosshadern, Muenchen (Germany). Frauenklinik

    2000-05-01

    Purpose. Functional MRI of the pelvic floor allows mapping and definition of different forms of pelvic floor dysfunction. Methods. We performed functional MRT of the pelvic floor in 39 healthy nulliparas and 324 patients. The diagnosis of a pathological organ descent was made if certain landmarks of the pelvic floor compartments descended below the pubococcygeal reference-line (PC-line). Results. If there was no organ descent below the PC-line on straining and if the pelvic floor muscles hardly changed position, a normal finding was diagnosed. 70% of organ prolapses came in the combined form. The generally gradual development of an organ descent led to a change of the main finding in 21,6%. The masking of a cystocele (48,6%) or of an enterocele (34,3%) by a rectocele was most frequent in these cases. Discussion. The use of functional MRI of the pelvic floor appears to be especially useful in young patients, in cases of divergent clinical and sonographic or radiological findings and if the presence of a predominant hernial sac with or without enterocele/rectocele is supposed. (orig.) [German] Ziel. Die funktionelle MRT des Beckenbodens ermoeglicht die Dokumentation und Definition der verschiedenen Manifestationsformen einer Beckenbodeninsuffizienz. Methodik. Es wurde bei 39 gesunden Nulliparen und 324 Patientinnen eine funktionelle MRT des Beckenbodens durchgefuehrt. Ein pathologischer Organdeszensus wurde dokumentiert, wenn bestimmte Kennstrukturen der Beckenbodenkompartimente unterhalb der pubokokygealen Referenzlinie (PC-Linie) zu liegen kamen. Ergebnisse. Beim Normalbefund zeigt sich unter Pressen kein Deszensus der Kennstrukturen unterhalb der PC-Linie und die Beckenbodenmuskulatur veraendert ihre Position kaum. In 70% fand sich die kombinierte Form eines Organdeszensus. Die meist stufenweise Entwicklung eines Organvorfalles fuehrte bei 21.6% zu einem Wechsel des Hauptbefundes. Am haeufigsten war hierbei die Maskierung einer Zystozele (48,6%) oder einer

  9. Aerodynamics of Reentry Vehicle Clipper at Descent Phase

    Science.gov (United States)

    Semenov, Yu. P.; Reshetin, A. G.; Dyadkin, A. A.; Petrov, N. K.; Simakova, T. V.; Tokarev, V. A.

    2005-02-01

    From Gagarin spacecraft to reusable orbiter Buran, RSC Energia has traveled a long way in the search for the most optimal and, which is no less important, the most reliable spacecraft for manned space flight. During the forty years of space exploration, in cooperation with a broad base of subcontractors, a number of problems have been solved which assure a safe long stay in space. Vostok and Voskhod spacecraft were replaced with Soyuz supporting a crew of three. During missions to a space station, it provides crew rescue capability in case of a space station emergency at all times (the spacecraft life is 200 days).The latest modification of Soyuz spacecraft -Soyuz TMA -in contrast to its predecessors, allows to become a space flight participant to a person of virtually any anthropometric parameters with a mass of 50 to 95 kg capable of withstanding up to 6 g load during descent. At present, Soyuz TMA spacecraft are the state-of-the-art, reliable and only means of the ISS crew delivery, in-flight support and return. Introduced on the basis of many years of experience in operation of manned spacecraft were not only the principles of deep redundancy of on-board systems and equipment, but, to assure the main task of the spacecraft -the crew return to Earth -the principles of functional redundancy. That is, vital operations can be performed by different systems based on different physical principles. The emergency escape system that was developed is the only one in the world that provides crew rescue in case of LV failure at any phase in its flight. Several generations of space stations that have been developed have broadened, virtually beyond all limits, capabilities of man in space. The docking system developed at RSC Energia allowed not only to dock spacecraft in space, but also to construct in orbit various complex space systems. These include large space stations, and may include in the future the in-orbit construction of systems for the exploration of the Moon and

  10. Flooring-systems and their interaction with usage of the floor

    DEFF Research Database (Denmark)

    Pedersen, Lars; Frier, Christian; Andersen, Lars Vabbersgaard

    2017-01-01

    Some flooring-system designs might be sensitive to their vibrational performance, as there might be the risk that serviceability-limit-state problems may be encountered. For evaluating the vibrational performance of the flooring-system at the design stage, decisions need to be made by the enginee...

  11. WOODEN FLOORING – BETWEEN PRESENT AND FUTURE

    Directory of Open Access Journals (Sweden)

    Ivan CISMARU

    2015-06-01

    Full Text Available The paper aims at presenting a systematization of the wood floors, both in terms of the areas of application, and in terms of the fastening solutions and structures in constructions. In this respect, an extensive bibliographic research was achieved, on the researchers’ preoccupations. Starting from the current situation and forecasting the future, from the point of view of the chances held by wooden flooring, in competition with other types of materials, we dare say the wooden flooring or the wood in combination with other materials are not likely to be eliminated from the “civil-engineering market”. The wood floors are likely to develop as an application, especially in the area of the “special floors”, specific to the indoor sports or social halls; and even for some industrial sectors, with strict operating conditions (elasticity, thermal insulation, soundproofing that cannot be provided by other types of materials or structures. Starting from this last observation, the paper also aims at submitting current opinions with respect to this type of floors, both in the light of the current databases and in the light of the future researches, to this end

  12. Glazed Tiles as Floor Finish in Nigeria

    Directory of Open Access Journals (Sweden)

    Toyin Emmanuel AKINDE

    2013-09-01

    Full Text Available Tile is no doubt rich in antiquity; its primordial  show, came as mosaic with primary prospect in sacred floor finish before its oblivion, courtesy of, later consciousness towards wall finish in banquets, kitchens, toilets, restaurants and even bars. Today, its renaissance as floor finish is apparent in private and public architectural structures with prevalence in residential, recreational, commercial, governmental and other spaces. In Nigeria, the use of glazed tiles as floor finish became apparent, supposedly in mid-twentieth century; and has since, witnessed ever increasing demands from all sundry; a development that is nascent and has necessitated its mass  production locally with pockets of firms in the country. The latter however, is a resultant response to taste cum glazed tiles affordability, whose divergent sophistication in design, colour, size and shape is believed preferred to terrazzo, carpet and floor flex tile. Accessible as glazed tile and production is, in recent times; its dearth of a holistic literature in Nigeria is obvious. In the light of the latter, this paper examine glazed tiles as floor finish in Nigeria, its advent, usage, production, challenge, benefit and prospect with the hope of opening further frontier in discipline specifics.

  13. Pelvic floor health: a concept analysis.

    Science.gov (United States)

    Pierce, Heather; Perry, Lin; Gallagher, Robyn; Chiarelli, Pauline

    2015-05-01

    To report an analysis of the concept 'pelvic floor health'. 'Pelvic floor health' is a term used by multiple healthcare disciplines, yet as a concept is not well defined. Rodger's evolutionary view was used to guide this analysis. Academic literature databases and public domain websites viewed via the Internet search engine Google. Literature in English, published 1946-July 2014 was reviewed. Websites were accessed in May 2014, then analysed of presentation for relevance and content until data saturation. Thematic analysis identified attributes, antecedents and consequences of the concept. Based on the defining attributes identified in the analysis, a contemporary definition is offered. 'Pelvic floor health' is the physical and functional integrity of the pelvic floor unit through the life stages of an individual (male or female), permitting an optimal quality of life through its multifunctional role, where the individual possesses or has access to knowledge, which empowers the ability to prevent or manage dysfunction. This analysis provides a definition of 'pelvic floor health' that is based on a current shared meaning and distinguishes the term from medical and lay terms in a complex, multifaceted and often under-reported area of healthcare knowledge. This definition provides a basis for theory development in future research, by focusing on health rather than disorders or dysfunction. Further development of the meaning is required in an individual's social context, to ensure a contemporaneous understanding in a dynamic system of healthcare provision. © 2015 John Wiley & Sons Ltd.

  14. Effects of Floor Covering Resistance of a Radiant Floor on System Energy and Exergy Performances

    DEFF Research Database (Denmark)

    Kazanci, Ongun Berk; Shukuya, Masanori; Olesen, Bjarne W.

    2016-01-01

    Floor covering resistance (material and thickness) can be influenced by subjective choices (architectural design, interior design, texture, etc.) with significant effects on the performance of a radiant heating and cooling system. To study the effects of floor covering resistance on system...... performance, a water-based radiant floor heating and cooling system (dry, wooden construction) was considered to be coupled to an air-to-water heat pump, and the effects of varying floor covering resistances (0.05 m2K/W, 0.09 m2K/W and 0.15 m2K/W) on system performance were analyzed in terms of energy...... and exergy. In order to achieve the same heating and cooling outputs, higher average water temperatures are required in the heating mode (and lower temperatures in the cooling mode) with increasing floor covering resistance. These temperature requirements decrease the heat pump’s performance (lower...

  15. ANATOMIC STRUCTURE OF CAMPANULA ROTUNDIFOLIA L. GRASS

    OpenAIRE

    V. N. Bubenchikova; E. A. Nikitin

    2017-01-01

    The article present results of the study for a anatomic structure of Campanula rotundifolia grass from Campanulaceae family. Despite its dispersion and application in folk medicine, there are no data about its anatomic structure, therefore to estimate the indices of authenticity and quality of raw materials it is necessary to develop microdiagnostical features in the first place, which could help introducing of thisplant in a medical practice. The purpose of this work is to study anatomical s...

  16. MR urography: Anatomical and quantitative information on ...

    African Journals Online (AJOL)

    MR urography: Anatomical and quantitative information on congenital malformations in children. Maria Karaveli, Dimitrios Katsanidis, Ioannis Kalaitzoglou, Afroditi Haritanti, Anastasios Sioundas, Athanasios Dimitriadis, Kyriakos Psarrakos ...

  17. Goals, symptoms, signs, and treatments among women with pelvic floor disorders.

    Science.gov (United States)

    Whiteside, James L; Johnson, Jeffrey D; Spratt, Kevin F

    2014-01-01

    This study aimed to identify associations between patient-centered goals and pelvic floor measures and treatment choice. A retrospective study of women seen for a pelvic floor disorder by a single surgeon in a specialty clinic from January 2008 to December 2009 was done. Goals were categorized as information-seeking, improving across any of 6 pelvic floor symptom categories, and "other." Pelvic floor symptom burden was determined using validated surveys. Health-related quality of life (HRQoL) and vaginal Pelvic Organ Prolapse Quantification points were assessed. Correlations of goals with symptom burden, HRQoL, and anatomic severity and surgical versus nonoperative care were determined. Ninety patients met inclusion criteria. The mean (SD) age was 56 (14) years, with 67% younger than 65 years; 23.3% of the patients reported a surgery treatment preference; 30.7% had at least 1 Pelvic Organ Prolapse Quantification point greater than or equal to 1 cm. A single goal was reported by 18% of patients with 28%, 37%, 14%, and 3.3% reporting 2, 3, 4, or 5 goals. Goals reflected symptom burden for bowel and bladder complaints, whereas a cosmetic goal seems to reflect both prolapse symptoms and impact as well as measurably altered anatomy. Goals related to sexual function reflected overall mental HRQoL but not symptoms or anatomy. Women with an activity-based goal preferred surgery but the low number of patients who chose surgery did allow statistical significance. There are not always correlations between a patient's therapeutic goals and subjective and objective assessments of the pelvic floor or treatment choice.

  18. Dermoid cyst in the mouth floor

    International Nuclear Information System (INIS)

    Portelles Masso, Ayelen Maria; Torres Inniguez, Ailin Tamara.

    2010-01-01

    The Dermoid cyst account for the 0.01 % of all cysts of buccal cavity. Its more frequent location is in the mouth floor. This is the case of a female patient aged 19 who approximately 7 years noted an increase of volume under tongue growing gradually and noting outside face and the discomfort at to speak and to chew. Complementary studies were conducted and under general anesthesia a surgical exeresis was carried out by intrabuccal approach achieving excellent esthetic and functional results. Histopathologic diagnosis matched with a dermoid cyst of mouth floor. Patient has not lesion recurrence after three years after operation. We conclude that the Dermoid cyst of mouth floor appear as benign tumor of middle line. The intrabuccal exeresis demonstrates esthetic and functional benefits. (author)

  19. Development of rationalized system treating floor drain

    International Nuclear Information System (INIS)

    Nakamura, Yasuyuki; Serizawa, Kenichi; Komatsu, Akihiro; Shimizu, Takayuki

    1998-01-01

    Radioactive liquid wastes generated at BWR plants are collected and treated as required. These days, however, generation of floor drain has deceased and HFF (Hollow Fiber Filter) has experienced a wide applicability to several kinds of liquid wastes. We should consider that the floor drain can be mixed and diluted with equipment drain and be purified by HFF. That enables some of the sumps and long priming pipes to be combined. From this point of view, we have developed a highly rationalized waste liquid system. We have evaluated the applicability of this system after an investigation into the generation and properties of floor drain and equipment drain at the latest BWR'S and an on-site test at a typical BWR. (author)

  20. Imaging of the posterior pelvic floor

    Energy Technology Data Exchange (ETDEWEB)

    Stoker, Jaap [Department of Radiology, Academic Medical Center, University of Amsterdam (Netherlands); Bartram, Clive I.; Halligan, Steve [Intestinal Imaging Centre, St. Mark' s Hospital, London (United Kingdom)

    2002-04-01

    Disorders of the posterior pelvic floor are relatively common. The role of imaging in this field is increasing, especially in constipation, prolapse and anal incontinence, and currently imaging is an integral part of the investigation of these pelvic floor disorders. Evacuation proctography provides both structural and functional information for rectal voiding and prolapse. Dynamic MRI may be a valuable alternative as the pelvic floor muscles are visualised, and it is currently under evaluation. Endoluminal imaging is important in the management of anal incontinence. Both endosonography and endoanal MRI can be used for detection of anal sphincter defects. Endoanal MRI has the advantage of simultaneously evaluating external sphincter atrophy, which is an important predictive factor for the outcome of sphincter repair. Many aspects of constipation and prolapse remain incompletely understood and treatment is partly empirical; however, imaging has a central role in management to place patients into treatment-defined groups. (orig.)

  1. Imaging of the posterior pelvic floor

    International Nuclear Information System (INIS)

    Stoker, Jaap; Bartram, Clive I.; Halligan, Steve

    2002-01-01

    Disorders of the posterior pelvic floor are relatively common. The role of imaging in this field is increasing, especially in constipation, prolapse and anal incontinence, and currently imaging is an integral part of the investigation of these pelvic floor disorders. Evacuation proctography provides both structural and functional information for rectal voiding and prolapse. Dynamic MRI may be a valuable alternative as the pelvic floor muscles are visualised, and it is currently under evaluation. Endoluminal imaging is important in the management of anal incontinence. Both endosonography and endoanal MRI can be used for detection of anal sphincter defects. Endoanal MRI has the advantage of simultaneously evaluating external sphincter atrophy, which is an important predictive factor for the outcome of sphincter repair. Many aspects of constipation and prolapse remain incompletely understood and treatment is partly empirical; however, imaging has a central role in management to place patients into treatment-defined groups. (orig.)

  2. Planning fuel-conservative descents in an airline environmental using a small programmable calculator: Algorithm development and flight test results

    Science.gov (United States)

    Knox, C. E.; Vicroy, D. D.; Simmon, D. A.

    1985-01-01

    A simple, airborne, flight-management descent algorithm was developed and programmed into a small programmable calculator. The algorithm may be operated in either a time mode or speed mode. The time mode was designed to aid the pilot in planning and executing a fuel-conservative descent to arrive at a metering fix at a time designated by the air traffic control system. The speed model was designed for planning fuel-conservative descents when time is not a consideration. The descent path for both modes was calculated for a constant with considerations given for the descent Mach/airspeed schedule, gross weight, wind, wind gradient, and nonstandard temperature effects. Flight tests, using the algorithm on the programmable calculator, showed that the open-loop guidance could be useful to airline flight crews for planning and executing fuel-conservative descents.

  3. Planning fuel-conservative descents in an airline environmental using a small programmable calculator: algorithm development and flight test results

    Energy Technology Data Exchange (ETDEWEB)

    Knox, C.E.; Vicroy, D.D.; Simmon, D.A.

    1985-05-01

    A simple, airborne, flight-management descent algorithm was developed and programmed into a small programmable calculator. The algorithm may be operated in either a time mode or speed mode. The time mode was designed to aid the pilot in planning and executing a fuel-conservative descent to arrive at a metering fix at a time designated by the air traffic control system. The speed model was designed for planning fuel-conservative descents when time is not a consideration. The descent path for both modes was calculated for a constant with considerations given for the descent Mach/airspeed schedule, gross weight, wind, wind gradient, and nonstandard temperature effects. Flight tests, using the algorithm on the programmable calculator, showed that the open-loop guidance could be useful to airline flight crews for planning and executing fuel-conservative descents.

  4. Tracer-Based Determination of Vortex Descent in the 1999-2000 Arctic Winter

    Science.gov (United States)

    Greenblatt, Jeffery B.; Jost, Hans-Juerg; Loewenstein, Max; Podolske, James R.; Hurst, Dale F.; Elkins, James W.; Schauffler, Sue M.; Atlas, Elliot L.; Herman, Robert L.; Webster, Christopher R.

    2001-01-01

    A detailed analysis of available in situ and remotely sensed N2O and CH4 data measured in the 1999-2000 winter Arctic vortex has been performed in order to quantify the temporal evolution of vortex descent. Differences in potential temperature (theta) among balloon and aircraft vertical profiles (an average of 19-23 K on a given N2O or CH4 isopleth) indicated significant vortex inhomogeneity in late fall as compared with late winter profiles. A composite fall vortex profile was constructed for November 26, 1999, whose error bars encompassed the observed variability. High-latitude, extravortex profiles measured in different years and seasons revealed substantial variability in N2O and CH4 on theta surfaces, but all were clearly distinguishable from the first vortex profiles measured in late fall 1999. From these extravortex-vortex differences, we inferred descent prior to November 26: 397+/-15 K (1sigma) at 30 ppbv N2O and 640 ppbv CH4, and 28+/-13 K above 200 ppbv N2O and 1280 ppbv CH4. Changes in theta were determined on five N2O and CH4 isopleths from November 26 through March 12, and descent rates were calculated on each N2O isopleth for several time intervals. The maximum descent rates were seen between November 26 and January 27: 0.82+/-0.20 K/day averaged over 50-250 ppbv N2O. By late winter (February 26-March 12), the average rate had decreased to 0.10+/-0.25 K/day. Descent rates also decreased with increasing N2O; the winter average (November 26-March 5) descent rate varied from 0.75+/-0.10 K/day at 50 ppbv to 0.40+/-0.11 K/day at 250 ppbv. Comparison of these results with observations and models of descent in prior years showed very good overall agreement. Two models of the 1999-2000 vortex descent, SLIMCAT and REPROBUS, despite theta offsets with respect to observed profiles of up to 20 K on most tracer isopleths, produced descent rates that agreed very favorably with the inferred rates from observation.

  5. Tracer-based Determination of Vortex Descent in the 1999/2000 Arctic Winter

    Science.gov (United States)

    Greenblatt, Jeffrey B.; Jost, Hans-Juerg; Loewenstein, Max; Podolske, James R.; Hurst, Dale F.; Elkins, James W.; Schauffler, Sue M.; Atlas, Elliot L.; Herman, Robert L.; Webster, Chrisotopher R.

    2002-01-01

    A detailed analysis of available in situ and remotely sensed N2O and CH4 data measured in the 1999/2000 winter Arctic vortex has been performed in order to quantify the temporal evolution of vortex descent. Differences in potential temperature (theta) among balloon and aircraft vertical profiles (an average of 19-23 K on a given N2O or CH4 isopleth) indicated significant vortex inhomogeneity in late fall as compared with late winter profiles. A composite fall vortex profile was constructed for 26 November 1999, whose error bars encompassed the observed variability. High-latitude extravortex profiles measured in different years and seasons revealed substantial variability in N2O and CH4 on theta surfaces, but all were clearly distinguishable from the first vortex profiles measured in late fall 1999. From these extravortex-vortex differences we inferred descent prior to 26 November: as much as 397 plus or minus 15 K (lsigma) at 30 ppbv N2O and 640 ppbv CH4, and falling to 28 plus or minus 13 K above 200 ppbv N2O and 1280 ppbv CH4. Changes in theta were determined on five N2O and CH4 isopleths from 26 November through 12 March, and descent rates were calculated on each N2O isopleth for several time intervals. The maximum descent rates were seen between 26 November and 27 January: 0.82 plus or minus 0.20 K/day averaged over 50- 250 ppbv N2O. By late winter (26 February to 12 March), the average rate had decreased to 0.10 plus or minus 0.25 K/day. Descent rates also decreased with increasing N2O; the winter average (26 November to 5 March) descent rate varied from 0.75 plus or minus 0.10 K/day at 50 ppbv to 0.40 plus or minus 0.11 K/day at 250 ppbv. Comparison of these results with observations and models of descent in prior years showed very good overall agreement. Two models of the 1999/2000 vortex descent, SLIMCAT and REPROBUS, despite theta offsets with respect to observed profiles of up to 20 K on most tracer isopleths, produced descent rates that agreed very

  6. Triphasic MRI of pelvic organ descent: sources of measurement error

    International Nuclear Information System (INIS)

    Morren, Geert L.; Balasingam, Adrian G.; Wells, J. Elisabeth; Hunter, Anne M.; Coates, Richard H.; Perry, Richard E.

    2005-01-01

    Purpose: To identify sources of error when measuring pelvic organ displacement during straining using triphasic dynamic magnetic resonance imaging (MRI). Materials and methods: Ten healthy nulliparous woman underwent triphasic dynamic 1.5 T pelvic MRI twice with 1 week between studies. The bladder was filled with 200 ml of a saline solution, the vagina and rectum were opacified with ultrasound gel. T2 weighted images in the sagittal plane were analysed twice by each of the two observers in a blinded fashion. Horizontal and vertical displacement of the bladder neck, bladder base, introitus vaginae, posterior fornix, cul-de sac, pouch of Douglas, anterior rectal wall, anorectal junction and change of the vaginal axis were measured eight times in each volunteer (two images, each read twice by two observers). Variance components were calculated for subject, observer, week, interactions of these three factors, and pure error. An overall standard error of measurement was calculated for a single observation by one observer on a film from one woman at one visit. Results: For the majority of anatomical reference points, the range of displacements measured was wide and the overall measurement error was large. Intra-observer error and week-to-week variation within a subject were important sources of measurement error. Conclusion: Important sources of measurement error when using triphasic dynamic MRI to measure pelvic organ displacement during straining were identified. Recommendations to minimize those errors are made

  7. Triphasic MRI of pelvic organ descent: sources of measurement error

    Energy Technology Data Exchange (ETDEWEB)

    Morren, Geert L. [Bowel and Digestion Centre, The Oxford Clinic, 38 Oxford Terrace, Christchurch (New Zealand)]. E-mail: geert_morren@hotmail.com; Balasingam, Adrian G. [Christchurch Radiology Group, P.O. Box 21107, 4th Floor, Leicester House, 291 Madras Street, Christchurch (New Zealand); Wells, J. Elisabeth [Department of Public Health and General Medicine, Christchurch School of Medicine, St. Elmo Courts, Christchurch (New Zealand); Hunter, Anne M. [Christchurch Radiology Group, P.O. Box 21107, 4th Floor, Leicester House, 291 Madras Street, Christchurch (New Zealand); Coates, Richard H. [Christchurch Radiology Group, P.O. Box 21107, 4th Floor, Leicester House, 291 Madras Street, Christchurch (New Zealand); Perry, Richard E. [Bowel and Digestion Centre, The Oxford Clinic, 38 Oxford Terrace, Christchurch (New Zealand)

    2005-05-01

    Purpose: To identify sources of error when measuring pelvic organ displacement during straining using triphasic dynamic magnetic resonance imaging (MRI). Materials and methods: Ten healthy nulliparous woman underwent triphasic dynamic 1.5 T pelvic MRI twice with 1 week between studies. The bladder was filled with 200 ml of a saline solution, the vagina and rectum were opacified with ultrasound gel. T2 weighted images in the sagittal plane were analysed twice by each of the two observers in a blinded fashion. Horizontal and vertical displacement of the bladder neck, bladder base, introitus vaginae, posterior fornix, cul-de sac, pouch of Douglas, anterior rectal wall, anorectal junction and change of the vaginal axis were measured eight times in each volunteer (two images, each read twice by two observers). Variance components were calculated for subject, observer, week, interactions of these three factors, and pure error. An overall standard error of measurement was calculated for a single observation by one observer on a film from one woman at one visit. Results: For the majority of anatomical reference points, the range of displacements measured was wide and the overall measurement error was large. Intra-observer error and week-to-week variation within a subject were important sources of measurement error. Conclusion: Important sources of measurement error when using triphasic dynamic MRI to measure pelvic organ displacement during straining were identified. Recommendations to minimize those errors are made.

  8. Global Patterns of Prostate Cancer Incidence, Aggressiveness, and Mortality in Men of African Descent

    Directory of Open Access Journals (Sweden)

    Timothy R. Rebbeck

    2013-01-01

    Full Text Available Prostate cancer (CaP is the leading cancer among men of African descent in the USA, Caribbean, and Sub-Saharan Africa (SSA. The estimated number of CaP deaths in SSA during 2008 was more than five times that among African Americans and is expected to double in Africa by 2030. We summarize publicly available CaP data and collected data from the men of African descent and Carcinoma of the Prostate (MADCaP Consortium and the African Caribbean Cancer Consortium (AC3 to evaluate CaP incidence and mortality in men of African descent worldwide. CaP incidence and mortality are highest in men of African descent in the USA and the Caribbean. Tumor stage and grade were highest in SSA. We report a higher proportion of T1 stage prostate tumors in countries with greater percent gross domestic product spent on health care and physicians per 100,000 persons. We also observed that regions with a higher proportion of advanced tumors reported lower mortality rates. This finding suggests that CaP is underdiagnosed and/or underreported in SSA men. Nonetheless, CaP incidence and mortality represent a significant public health problem in men of African descent around the world.

  9. Carbon dioxide disposal on the ocean floor

    International Nuclear Information System (INIS)

    Giavarini, C.; Maccioni, F.

    2001-01-01

    A lot of experts propose to dispose of the Co2 in the Oceans; but there is some confusion on that subject. The possibility of dispersing the Carbon Dioxide on the Ocean floor must be considered with great caution, carefully studying all the possible balances Co2 is subject to. A parameter which must be considered is the possibility for Co2 - whatever the form may be - of solving in the sea water, even when very deep. At the moment, the most safe way of storing the Co2 in the oceans seems to be the introduction of Co2 Hydrates into the sediments under the ocean floor [it

  10. Thermal Performance Analysis of Reinforced Concrete Floor Structure with Radiant Floor Heating System in Apartment Housing

    Directory of Open Access Journals (Sweden)

    Young-Sun Jeong

    2015-01-01

    Full Text Available The use of the resilient materials in the radiant floor heating systems of reinforced concrete floor in apartment housing is closely related to the reduction of the floor impact sound and the heating energy loss. This study examined the thermal conductivity of expanded polystyrene (EPS foam used for the resilient material in South Korea and analysed the thermal transfer of reinforced concrete floor structure according to the thermal conductivity of the resilient materials. 82 EPS specimens were used to measure the thermal conductivity. The measured apparent density of EPS resilient materials ranged between 9.5 and 63.0 kg/m3, and the thermal conductivity ranged between 0.030 and 0.046 W/(m·K. As the density of resilient materials made of expanded polystyrene foam increases, the thermal conductivity tends to proportionately decrease. To set up reasonable thermal insulation requirements for radiant heating floor systems, the thermal properties of floor structure according to thermal insulation materials must be determined. Heat transfer simulations were performed to analyze the surface temperature, heat loss, and heat flow of floor structure with radiant heating system. As the thermal conductivity of EPS resilient material increased 1.6 times, the heat loss was of 3.4% increase.

  11. Anatomical and palynological characteristics of Salvia willeana ...

    African Journals Online (AJOL)

    In this study, anatomical and palynological features of the roots, stems, petiole and leaves of Salvia willeana (Holmboe) Hedge and Salvia veneris Hedge, Salvia species endemic to Cyprus, were investigated. In the anatomical characteristics of stem structures, it was found that the chlorenchyma composed of 6 or 7 rows of ...

  12. Morphological and anatomical response of Acacia ehrenbergiana ...

    African Journals Online (AJOL)

    ajl user 3

    2012-02-20

    Feb 20, 2012 ... The response of Acacia ehrenbergiana Hayne and Acacia tortilis (Forssk) Haynes subspp. raddiana seedlings to 100, 50 and 25% field capacity (FC) watering regimes was studied to determine their morphological and anatomical behaviour. Both species responded morphologically as well as anatomically ...

  13. Entry, Descent, and Landing Performance for a Mid-Lift-to-Drag Ratio Vehicle at Mars

    Science.gov (United States)

    Johnson, Breanna J.; Braden, Ellen M.; Sostaric, Ronald R.; Cerimele, Christopher J.; Lu, Ping

    2018-01-01

    In an effort to mature the design of the Mid-Lift-to-Drag ratio Rigid Vehicle (MRV) candidate of the NASA Evolvable Mars Campaign (EMC) architecture study, end-to-end six-degree-of-freedom (6DOF) simulations are needed to ensure a successful entry, descent, and landing (EDL) design. The EMC study is assessing different vehicle and mission architectures to determine which candidate would be best to deliver a 20 metric ton payload to the surface of Mars. Due to the large mass payload and the relatively low atmospheric density of Mars, all candidates of the EMC study propose to use Supersonic Retro-Propulsion (SRP) throughout the descent and landing phase, as opposed to parachutes, in order to decelerate to a subsonic touchdown. This paper presents a 6DOF entry-to-landing performance and controllability study with sensitivities to dispersions, particularly in the powered descent and landing phases.

  14. Convective descent simulations of drilling discharges on Georges and Sable Island banks

    International Nuclear Information System (INIS)

    Andrade, Y.; Loder, J.W.

    1997-01-01

    Factors affecting the fate of drilling mud discharges on Georges and Sable Island Banks were examined. The Koh and Chang jet discharge model was used to simulate the convective descent of a jet discharge of relatively dense materials at sites representing different hydrographic and depth regimes with a range of mud densities, and different discharge configurations, ocean currents and seasonal stratifications. The study revealed the dependence of the depth of descent and properties of the discharge plume on the discharge configuration and oceanographic conditions. The factors that affected the depth of descent were mud density, depth of release, initial downward volume flux of the discharge, current strength and ocean stratification. 22 refs., 3 tabs., 59 figs

  15. Pelvic floor electrophysiology patterns associated with faecal ...

    African Journals Online (AJOL)

    Hussein Al-Moghazy Sultan

    2012-12-28

    Dec 28, 2012 ... a Physical Medicine, Rheumatology and Rehabilitation Department, Faculty of Medicine, University of Alexandria, Egypt ... Aim: The present study was conducted to determine the patterns of pelvic floor electrophysiology that are associated ..... decision of the appropriate therapy whether conservative or.

  16. Fire resistance of slim floor beams

    NARCIS (Netherlands)

    Fellinger, J.H.H.; Twilt, L.

    1996-01-01

    Slim floor beams support decks on a wide plate welded on the lower flange of an 1- shaped beam. The air gap between the plate and the lower flange increases the fire resistance of the beam. A Finite Element Method (FEM) model, validated with three fire tests, is used to set up simple calculation

  17. Timber-concrete composite floor systems

    NARCIS (Netherlands)

    Linden, M.L.R. van der; Blass, H.J.

    1996-01-01

    Timber-concrete composite (tcc) beams may be used for the renovation of old timber floors. Although these systems are a simple and practical solution, they are not widely adopted. One of the reasons for this is the lack of uniform design mies. In this research programme shear tests on four different

  18. Organizational Learning in Shop Floor Level

    Science.gov (United States)

    Cheung, Che Keung; Geng, Shuang; Chuah, Kong Bieng; Chau, Yiu Chung; Kwong, Kar Fai

    2016-01-01

    Purpose: This paper aims to present the result of the pilot run of a research project which aims at evaluating the applicability of project-based action learning (PAL) to shop floor organizational learning (OL) component in a manufacturing company in Dongguan, China. How the PAL framework was introduced and implemented is described. The factors…

  19. Modal analysis for floors in lightweight buildings

    DEFF Research Database (Denmark)

    Sjökvist, Lars-Göran; Brunskog, Jonas

    2007-01-01

    constructions usually consist of plates that are stiffened by beams and by the dividing walls. In this study the wave equation for a plate is expanded by Fourier series and an analytical solution in terms of the eigenmodes of the entire system is presented. The studied system consists of one lightweigt floor...

  20. Seeing Results in Flooring for Schools

    Science.gov (United States)

    Simmons, Brian

    2011-01-01

    Operations staffs at education facilities of all sizes are tasked with selecting a hard floor cleaning program that is cost-effective, efficient and highly productive. With an increased focus on the sustainability of an environment, facility managers also must select a program that meets sustainability goals while maintaining a healthful, safe…

  1. Anatomic Variations of the Paranasal Sinuses on CT Scan Images

    Directory of Open Access Journals (Sweden)

    AR. Talaiepour

    2005-12-01

    Full Text Available Statement of Problem: Variation in paranasal sinus anatomy as shown on computed tomographic scans is of potential significance for it may pose risks during surgery or predispose to certain pathologic conditions.Purpose: The aim of this study was to assess the relative frequency and concurrence of variations in paranasal sinus anatomy in a given population and to compare the results with previous investigations conducted on different populations.Materials and Methods: All patients over 16 years of age referred to Valiasr hospital,Tehran, Iran, with paranasal sinus tomographic scans and a clinical diagnosis of chronic sinusitis were considered for this study. After excluding those with altered anatomy(iatrogenic or pathologic, scans of unaltered patients were meticulously analyzed for variations in sinus anatomy. Findings were recorded on the patient’s data sheet. The distance between the maxillary sinus floor and the alveolar ridge at the level of the 1stmolar was recorded. All findings were analyzed, and tested with Chi square, where applicable.Results: Overall 143 patients were analyzed (48.3% male and 51.7% female. The frequency of major sinus variations was: Agger nasi cell in 56.7%, Haller cell in 3.5%,Onodi cell in 7%, nasal septal deviation in 63%, Concha bullosa in 35%, and dental anomalies in 4.9% of the studied cases. The distance between the upper alveolar ridge and maxillary sinus floor was 0-30mm (mean 12.16 on the right, and 0-52mm (mean 12.20 on the left.Conclusion: The frequency of anatomic variations in sinus anatomy may be related to race and heredity. A lower number of cases in addition to the use of low yield imaging may explain the discrepancies observed between our results and other investigations.The findings of the present study were based on computed tomography.

  2. A Task-Analytic Approach to the Determination of Training Requirements for the Precision Descent

    Science.gov (United States)

    Smith, Nancy; Rosekind, Mark (Technical Monitor)

    1996-01-01

    A task-analytic approach was used to evaluate the results from an experiment comparing two training methods for the "Precision Descent," a cockpit procedure designed to complement a new, computer-based air traffic control advisory system by allowing air traffic controllers to assign precise descent trajectories to aircraft. A task model was developed for the procedure using a methodology that represents four different categories of task-related knowledge: (1) ability to determine current flight goals; (2) ability to assess the current flight situation relative to those goals; (3) operational knowledge about flight-related tasks; and (4) knowledge about task selection. This model showed what knowledge experienced pilots already possessed, and how that knowledge was supplemented by training material provided in the two training conditions. All flight crews were given a "Precision Descent Chart" that explained the procedure's clearances and compliance requirements. This information enabled pilots to establish appropriate flight goals for the descent, and to monitor their compliance with those goals. In addition to this chart, half of the crews received a "Precision Descent Bulletin" containing technique recommendations for performing procedure-related tasks. The Bulletin's recommendations supported pilots in task selection and helped clarify the procedure's compliance requirements. Eight type-rated flight crews flew eight Precision Descents in a Boeing 747-400 simulator, with four crews in each of the two training conditions. Both conditions (Chart and Chart-with-Bulletin) relied exclusively on the use of those documents to introduce the procedure. No performance feedback was provided during the experiment. Preliminary result show better procedure compliance and higher acceptability ratings from flight crews in the Chart-with-Bulletin condition. These crews performed flight-related tasks less efficiently, however, using the simpler but less efficient methods suggested

  3. Is prenatal urethral descent a risk factor for urinary incontinence during pregnancy and the postpartum period?

    Science.gov (United States)

    Pizzoferrato, Anne-Cécile; Fauconnier, Arnaud; Bader, Georges; de Tayrac, Renaud; Fort, Julie; Fritel, Xavier

    2016-07-01

    Obstetric trauma during childbirth is considered a major risk factor for postpartum urinary incontinence (UI), particularly stress urinary incontinence. Our aim was to investigate the relation between postpartum UI, mode of delivery, and urethral descent, and to define a group of women who are particularly at risk of postnatal UI. A total of 186 women were included their first pregnancy. Validated questionnaires about urinary symptoms during pregnancy, 2 and 12 months after delivery, were administered. Urethral descent was assessed clinically and by ultrasound at inclusion. Multivariate logistic regression analysis was used to determine the risk factors for UI during pregnancy, at 2 months and 1 year after first delivery. The prevalence of UI was 38.6, 46.5, 35.6, and 34.4 % at inclusion, late pregnancy, 2 months postpartum, and 1 year postpartum respectively. No significant association was found between UI at late pregnancy and urethral descent assessed clinically or by ultrasound. The only risk factor for UI at 2 months postpartum was UI at inclusion (OR 6.27 [95 % CI 2.70-14.6]). The risk factors for UI at 1 year postpartum were UI at inclusion (6.14 [2.22-16.9]), body mass index (BMI), and urethral descent at inclusion, assessed clinically (7.21 [2.20-23.7]) or by ultrasound. The mode of delivery was not associated with urethral descent. Prenatal urethral descent and UI during pregnancy are risk factors for UI at 1 year postpartum. These results indicate that postnatal UI is more strongly influenced by susceptibility factors existing before first delivery than by the mode of delivery.

  4. Evolutionary analyses of non-genealogical bonds produced by introgressive descent.

    Science.gov (United States)

    Bapteste, Eric; Lopez, Philippe; Bouchard, Frédéric; Baquero, Fernando; McInerney, James O; Burian, Richard M

    2012-11-06

    All evolutionary biologists are familiar with evolutionary units that evolve by vertical descent in a tree-like fashion in single lineages. However, many other kinds of processes contribute to evolutionary diversity. In vertical descent, the genetic material of a particular evolutionary unit is propagated by replication inside its own lineage. In what we call introgressive descent, the genetic material of a particular evolutionary unit propagates into different host structures and is replicated within these host structures. Thus, introgressive descent generates a variety of evolutionary units and leaves recognizable patterns in resemblance networks. We characterize six kinds of evolutionary units, of which five involve mosaic lineages generated by introgressive descent. To facilitate detection of these units in resemblance networks, we introduce terminology based on two notions, P3s (subgraphs of three nodes: A, B, and C) and mosaic P3s, and suggest an apparatus for systematic detection of introgressive descent. Mosaic P3s correspond to a distinct type of evolutionary bond that is orthogonal to the bonds of kinship and genealogy usually examined by evolutionary biologists. We argue that recognition of these evolutionary bonds stimulates radical rethinking of key questions in evolutionary biology (e.g., the relations among evolutionary players in very early phases of evolutionary history, the origin and emergence of novelties, and the production of new lineages). This line of research will expand the study of biological complexity beyond the usual genealogical bonds, revealing additional sources of biodiversity. It provides an important step to a more realistic pluralist treatment of evolutionary complexity.

  5. Eye Movement Patterns of the Elderly during Stair Descent:Effect of Illumination

    Science.gov (United States)

    Kasahara, Satoko; Okabe, Sonoko; Nakazato, Naoko; Ohno, Yuko

    The relationship between the eye movement pattern during stair descent and illumination was studied in 4 elderly people in comparison with that in 5 young people. The illumination condition was light (85.0±30.9 lx) or dark (0.7±0.3 lx), and data of eye movements were obtained using an eye mark recorder. A flight of 15 steps was used for the experiment, and data on 3 steps in the middle, on which the descent movements were stabilized, were analyzed. The elderly subjects pointed their eyes mostly directly in front in the facial direction regardless of the illumination condition, but the young subjects tended to look down under the light condition. The young subjects are considered to have confirmed the safety of the front by peripheral vision, checked the stepping surface by central vision, and still maintained the upright position without leaning forward during stair descent. The elderly subjects, in contrast, always looked at the visual target by central vision even under the light condition and leaned forward. The range of eye movements was larger vertically than horizontally in both groups, and a characteristic eye movement pattern of repeating a vertical shuttle movement synchronous with descent of each step was observed. Under the dark condition, the young subjects widened the range of vertical eye movements and reduced duration of fixation. The elderly subjects showed no change in the range of eye movements but increased duration of fixation during stair descent. These differences in the eye movements are considered to be compensatory reactions to narrowing of the vertical visual field, reduced dark adaptation, and reduced dynamic visual acuity due to aging. These characteristics of eye movements of the elderly lead to an anteriorly leaned posture and lack of attention to the front during stair descent.

  6. Patient reported and anatomical outcomes after surgery for pelvic organ prolapse.

    Science.gov (United States)

    El-Azab, Ahmed S; Abd-Elsayed, Alaa A; Imam, Hala M K

    2009-01-01

    Primary aim was to modify Pelvic Floor Distress Inventory (PFDI) and Pelvic Floor Impact Questionnaire (PFIQ) to assess pelvic organ prolapse (POP) in Arabic Muslim women. Secondary aim was to compare functional and anatomical outcomes of POP repair. Questionnaire. A characteristic (prayer) was added to PFIQ. Linguistic validation of questionnaires was then done. Twenty cases were enrolled in a pilot study to test internal consistency and reliability. Subsequent study. Prospective study included women with symptomatic POP >or= stage II. History, examination by POP-Q, and administration of PFDI and PFIQ, were done before and 6 months after surgery. Questionnaire. Internal consistency of added question was good (Cronbach alpha = 0.78). Test-retest reliability of individual PFIQ items was variable. Subsequent Study. Between September 2004 and February 2007, 78 consecutive women were included. Cystocele, rectocele, and no site predominated in 74.4%, 17.9% and 7.7% of cases, respectively. Preoperatively 19.2%, 15.4% and 47.4% reported stress, urge, and mixed incontinence, respectively. Overall and individual urinary symptoms scores improved significantly after surgery. There were significant improvements in individual symptoms of constipation, splint to defecate and losing not well formed stools. Low self-esteem was most negative impact of prolapse on quality of life (QoL) followed by prayer. After surgery 90% of subjects had anatomical cure. After surgery, QoL issues are significantly related to anatomic location of prolapse as determined by POP-Q. Modified PFIQ and PFDI are suitable to assess POP among Muslim women. Postoperatively, many prolapse-related symptoms and QoL significantly improve after surgery on the short term with an anatomic cure rate of 90%.

  7. The Elastochrone: the descent time of a sphere on a flexible beam

    Science.gov (United States)

    Aristoff, Jeffrey; Clanet, Christophe; Bush, John

    2009-03-01

    We present the results of a combined experimental and theoretical investigation of the motion of a sphere on an inclined flexible beam. A theoretical model is developed to describe the dynamics, and in the limit where the beam reacts instantaneously to the loading, we obtain exact solutions for the load trajectory and descent time. For the case of an initially horizontal beam, we calculate the period of the resulting oscillations. Theoretical predictions compare favorably with our experimental observations in this quasi-static regime. The time taken for descent along an elastic beam, the elastochrone, is compared to the classical brachistochrone, the shortest time between two points in a gravitational field.

  8. Minimum-Cost Aircraft Descent Trajectories with a Constrained Altitude Profile

    Science.gov (United States)

    Wu, Minghong G.; Sadovsky, Alexander V.

    2015-01-01

    An analytical formula for solving the speed profile that accrues minimum cost during an aircraft descent with a constrained altitude profile is derived. The optimal speed profile first reaches a certain speed, called the minimum-cost speed, as quickly as possible using an appropriate extreme value of thrust. The speed profile then stays on the minimum-cost speed as long as possible, before switching to an extreme value of thrust for the rest of the descent. The formula is applied to an actual arrival route and its sensitivity to winds and airlines' business objectives is analyzed.

  9. Pelvic floor dyssynergia: efficacy of biofeedback training.

    Science.gov (United States)

    Gadel Hak, Nabil; El-Hemaly, Mohamed; Hamdy, Emad; El-Raouf, Ahmed Abd; Atef, Ehab; Salah, Tarek; El-Hanafy, Ehab; Sultan, Ahmad; Haleem, Magdy; Hamed, Hala

    2011-03-01

    Paradoxical contraction of the pelvic floor during attempts to defaecate is described as pelvic floor dyssynergia (anismus). It is a behavioural disorder (no associated morphological or neurological abnormalities); consequently, biofeedback training has been recommended as a behavioural therapy for such a disorder. The aim of the present study was to evaluate long-term satisfaction of patients diagnosed with pelvic floor dyssynergia after biofeedback. Sixty patients (35 females and 25 males) with a mean age of 30±12years and a 4year duration of constipation were included. Forty-five patients had normal colonic transit and 15 patients had slow colonic transit. History, physical examination and barium enema were done to exclude constipation secondary to organic causes. Colonic and pelvic floor functions (colon-transit time, anorectal manometry, EMG and defaecography) were performed before and after biofeedback treatments. Patients were treated on a weekly basis with an average of (6±2) sessions. At the end of sessions, 55 out of 60 patients (91.6%) reported a subjectively overall improvement. Symptoms of dyschezia were reported less frequently after biofeedback. Age and gender were not predictive factors of outcome. No symptoms at initial assessment were predictive for patient's satisfaction but the only factor of predictive value was the diagnosis of anismus and the motivated patient who wanted to continue the sessions. Biofeedback remains a morbidity free, low-cost and effective outpatient therapy for well-motivated patients complaining of functional constipation and diagnosed as pelvic floor dyssynergia. Copyright © 2011 Arab Journal of Gastroenterology. Published by Elsevier Ltd. All rights reserved.

  10. Simulation of the use of wooden floors of Eucalyptus sp and Corymbia maculate

    Directory of Open Access Journals (Sweden)

    Marcelo Martins

    2013-03-01

    Full Text Available The anatomic, physical, mechanical and chemical characterization of wood provides important information for the indication of its best usage. However, to make these woods possible to become a good option in the wooden floors market, it is necessary to perform tests that simulate the real conditions of their practical use. These tests simulate the stomping of high-heeled shoes with small pressure areas, the dragging and falling of objects, the resistance to the surface abrasion and the friction offered during the walking of people. The difficulty of selection of new wood to manufacture floors is in the absence of specific physical-mechanical reference values. The present work intended to characterize the Eucalyptus clöeziana F. Muell, Eucalyptus microcorys F. Muell and Corymbia maculata Hook woods, regarding the properties of basic density, shrinkage, application of rolling roll, of static and dynamic friction, denting caused by loads applied on small areas, impact of falling steel sphere and resistance to abrasion. It was noticed that the woods may be used to the manufacturing of floors, according to results obtained and through comparisons with literature results.

  11. Severe bleeding after sinus floor elevation using the transcrestal technique

    DEFF Research Database (Denmark)

    Jensen, Simon Storgard; Eriksen, Jacob; Schiodt, Morten

    2012-01-01

    To present a rare but clinically significant complication to sinus floor elevation (SFE) using the transcrestal technique.......To present a rare but clinically significant complication to sinus floor elevation (SFE) using the transcrestal technique....

  12. Assessment of pelvic floor dysfunctions using dynamic magnetic resonance imaging

    Directory of Open Access Journals (Sweden)

    Hoda Salah Darwish

    2014-03-01

    Conclusion: Dynamic MRI is an ideal, non invasive technique which does not require patient preparation for evaluation of pelvic floor. It acts as one stop shop for diagnosing single or multiple pelvic compartment involvement in patients with pelvic floor dysfunction.

  13. [Physiotherapy of pelvic floor for incontinence].

    Science.gov (United States)

    Galeri, S; Sottini, C

    2001-09-01

    The rate of urinary incontinence after prostatectomy, as reported in several studies, varies between 0 and 88%. In the last years, pelvic floor rehabilitation in the women stress incontinence has been strengthened, with a great amount of clinical studies and results. Recently, the rehabilitation treatment has been studied in men who underwent a radical prostatectomy. The Cochrane Database of Systematic Reviews recently published the "Conservative management for post prostatectomy incontinence". The aim of this study was to determine the effects of conservative management in post prostatectomy urinary incontinence. Randomized or almost-randomized trials were analyzed up to January 1999; five studies were included, with the following results: 1. Pelvic floor muscle training versus no active treatment. Two trials compared pelvic floor muscle training with patients in a control group. In both groups there was a clinical improvement, especially in the first months after prostatectomy. The results of the two studies suggest a benefit in the treated group, even if not statistically significant, mainly in the first months after surgery. 2. Pelvic floor muscle training + biofeedback versus no active treatment. The treated group regained continence in shorter time, with decrease of incontinence episodes, of urinary frequency, of the quantity of urine loss; these data were not statistically significant. 3. Pelvic floor muscle training + rectal electrical stimulation versus no active treatment No detectable differences among the two groups, either in number of men still incontinent, and in Pad-test results. 4. Pelvic floor muscle training + rectal electrical stimulation + biofeedback versus no active treatment. Pad-test evaluation was similar in the treated and in the control group; no other outcomes were described. 5. Pelvic floor muscle training + rectal electrical stimulation versus pelvic floor muscle training. There was a progressive improvement in three months of

  14. Knowledge of the pelvic floor in nulliparous women

    OpenAIRE

    Neels, Hedwig; Wyndaele, Jean-Jacques; Tjalma, Wiebren A. A.; De Wachter, Stefan; Wyndaele, Michel; Vermandel, Alexandra

    2016-01-01

    [Purpose] Proper pelvic floor function is important to avoid serious dysfunctions including incontinence, prolapse, and sexual problems. The current study evaluated the knowledge of young nulliparous women about their pelvic floor and identified what additional information they wanted. [Subjects and Methods] In this cross-sectional survey, a validated, 36 item questionnaire was distributed to 212 nulliparous women. The questionnaire addressed demography, pelvic floor muscles, pelvic floor dys...

  15. Recognition and Management of Nonrelaxing Pelvic Floor Dysfunction

    OpenAIRE

    Faubion, Stephanie S.; Shuster, Lynne T.; Bharucha, Adil E.

    2012-01-01

    Nonrelaxing pelvic floor dysfunction is not widely recognized. Unlike in pelvic floor disorders caused by relaxed muscles (eg, pelvic organ prolapse or urinary incontinence, both of which often are identified readily), women affected by nonrelaxing pelvic floor dysfunction may present with a broad range of nonspecific symptoms. These may include pain and problems with defecation, urination, and sexual function, which require relaxation and coordination of pelvic floor muscles and urinary and ...

  16. Mapping of multi-floor buildings: A barometric approach

    DEFF Research Database (Denmark)

    Özkil, Ali Gürcan; Fan, Zhun; Xiao, Jizhong

    2011-01-01

    This paper presents a new method for mapping multi5floor buildings. The method combines laser range sensor for metric mapping and barometric pressure sensor for detecting floor transitions and map segmentation. We exploit the fact that the barometric pressure is a function of the elevation......, and it varies between different floors. The method is tested with a real robot in a typical indoor environment, and the results show that physically consistent multi5floor representations are achievable....

  17. Special aspects of attic floor warming in historic buildings

    Directory of Open Access Journals (Sweden)

    Murgul Vera

    2017-01-01

    Full Text Available This article containsreasoningof the heat transfer performance uniformity factor determination for attic floors of historic residential buildings while energy effective modifying buildings. The numeral value of this heat transfer performance uniformity factor for the wooden attic floor structure was founddurung investigation. It was estimated that there was no moisture condensation in the wooden attic floor structure.

  18. 26 CFR 52.4682-4 - Floor stocks tax.

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 17 2010-04-01 2010-04-01 false Floor stocks tax. 52.4682-4 Section 52.4682-4... TAXES (CONTINUED) ENVIRONMENTAL TAXES § 52.4682-4 Floor stocks tax. (a) Overview. This section provides rules for identifying ozone-depleting chemicals (ODCs) that are subject to the floor stocks tax imposed...

  19. Efficacy of biofeedback-assisted pelvic floor muscle training in ...

    African Journals Online (AJOL)

    Ibrahim Khalil Ibrahim

    2014-07-18

    Jul 18, 2014 ... Pelvic floor dysfunction;. Pelvic floor electrophysiology. Abstract Background: Stress urinary incontinence (SUI), fecal incontinence (FI) and/or pelvic ... Pelvic floor muscle training (PFMT) is the first-line therapy in the treatment of PFD either .... PFD attending the outpatient clinic at the Physical Medicine,.

  20. Floor Vibrations - as Induced and Reduced by Humans

    DEFF Research Database (Denmark)

    Pedersen, Lars

    . As for dynamic loads focus is placed on heel impact excitation and actions of jumping people causing floor vibrations. As for interaction between stationary humans and the vibrating floor focus is on modelling humans as oscillating spring-mass-damper systems attached to the floor rather than as simple added mass...

  1. Flooring-systems and their interaction with furniture and humans

    DEFF Research Database (Denmark)

    Frier, Christian; Pedersen, Lars; Andersen, Lars Vabbersgaard

    2017-01-01

    of computations. Passive humans and/or furniture are often present on a floor. Typically, these masses and their way of interacting with the floor mass are ignored in predictions of vibrational behaviour of the flooring system. Utilizing a shell finite-element model, the paper explores and quantifies how non...

  2. Efficacy of biofeedback-assisted pelvic floor muscle training in ...

    African Journals Online (AJOL)

    Background: Stress urinary incontinence (SUI), fecal incontinence (FI) and/or pelvic floor dyssynergia, with pelvic organ prolapse (POP) are described as pelvic floor dysfunction (PFD). Pelvic floor muscle training (PFMT) is the first-line therapy in the treatment of PFD either alone or combined with biofeedback assisted pelvic ...

  3. Pelvic floor function during and after first pregnancy

    NARCIS (Netherlands)

    Brummen, H.J. van

    2006-01-01

    This study evaluated the effects the first pregnancy and childbirth on the pelvic floor. Pregnancy and vaginal delivery can negatively affect pelvic floor function. Micturition symptoms, defecation symptoms and sexual dysfunction are all signs of an impaired pelvic floor function. These symptoms are

  4. 27 CFR 46.233 - Payment of floor stocks tax.

    Science.gov (United States)

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 2 2010-04-01 2010-04-01 false Payment of floor stocks... PRODUCTS AND CIGARETTE PAPERS AND TUBES Floor Stocks Tax on Certain Tobacco Products, Cigarette Papers, and Cigarette Tubes Held for Sale on April 1, 2009 Filing Requirements § 46.233 Payment of floor stocks tax. (a...

  5. 27 CFR 46.221 - Floor stocks tax rates.

    Science.gov (United States)

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 2 2010-04-01 2010-04-01 false Floor stocks tax rates. 46... CIGARETTE PAPERS AND TUBES Floor Stocks Tax on Certain Tobacco Products, Cigarette Papers, and Cigarette Tubes Held for Sale on April 1, 2009 Tax Liability Calculation § 46.221 Floor stocks tax rates. Product...

  6. 27 CFR 46.231 - Floor stocks tax return.

    Science.gov (United States)

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 2 2010-04-01 2010-04-01 false Floor stocks tax return... CIGARETTE PAPERS AND TUBES Floor Stocks Tax on Certain Tobacco Products, Cigarette Papers, and Cigarette Tubes Held for Sale on April 1, 2009 Filing Requirements § 46.231 Floor stocks tax return. Form 5000...

  7. 27 CFR 46.195 - Floor stocks requirements.

    Science.gov (United States)

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 2 2010-04-01 2010-04-01 false Floor stocks requirements... CIGARETTE PAPERS AND TUBES Floor Stocks Tax on Certain Tobacco Products, Cigarette Papers, and Cigarette Tubes Held for Sale on April 1, 2009 General § 46.195 Floor stocks requirements. (a) Take inventory. The...

  8. 49 CFR 38.79 - Floors, steps and thresholds.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 1 2010-10-01 2010-10-01 false Floors, steps and thresholds. 38.79 Section 38.79 Transportation Office of the Secretary of Transportation AMERICANS WITH DISABILITIES ACT (ADA) ACCESSIBILITY SPECIFICATIONS FOR TRANSPORTATION VEHICLES Light Rail Vehicles and Systems § 38.79 Floors, steps and thresholds. (a) Floor surfaces on aisle...

  9. Vitamin B12 status in patients of Turkish and Dutch descent with depression: a comparative cross-sectional study

    Directory of Open Access Journals (Sweden)

    Güzelcan Yener

    2009-08-01

    Full Text Available Abstract Background Studies have shown a clear relationship between depressive disorders and vitamin B12 deficiency. Gastroenteritis and Helicobacter pylori infections can cause vitamin B12 deficiency. Helicobacter pylori infections are not uncommon among people of Turkish descent in The Netherlands. Aim To examine the frequency of vitamin B12 deficiency in depressive patients of Turkish descent and compare it to the frequency of vitamin B12 deficiency in depressive patients of Dutch descent. Methods The present study is a comparative cross-sectional study of 47 patients of Turkish descent and 28 of Dutch descent. The depressive disorder diagnosis and differential diagnosis were made using the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, fourth edition text revision (SCID. The severity of the depressive symptoms was determined using the Beck Depression Inventory (BDI and the 21-item Hamilton Depression Rating Scale (HAM-D-21. Serum baseline vitamin B6 and B12, folic acid and total serum homocysteine (tHcy levels were measured. Results The average ages of the patients of Turkish and Dutch descent were 40.57 and 44.75 years, respectively. There were no demonstrable differences between the serum vitamin B6, folic acid and tHcy levels in the two groups. The serum vitamin B12 levels were however clearly lower in the patients of Turkish descent than in those of Dutch descent. Vitamin B12 deficiency was however observed in 14 patients of Turkish descent and 1 of Dutch descent. This difference was significant. On the BDI, the patients of Turkish descent scored significantly higher than those of Dutch descent. Patients with vitamin B12 deficiency and those with hyperhomocysteinaemia had a significantly higher BDI score than patients with normal vitamin B12 and homocysteine levels. No relationship was observed with vitamin B12 and tHcy. Conclusion Vitamin B12 deficiency occurs more frequently in depressive

  10. Vitamin B12 status in patients of Turkish and Dutch descent with depression: a comparative cross-sectional study.

    Science.gov (United States)

    Güzelcan, Yener; van Loon, Peter

    2009-08-13

    Studies have shown a clear relationship between depressive disorders and vitamin B12 deficiency. Gastroenteritis and Helicobacter pylori infections can cause vitamin B12 deficiency. Helicobacter pylori infections are not uncommon among people of Turkish descent in The Netherlands. To examine the frequency of vitamin B12 deficiency in depressive patients of Turkish descent and compare it to the frequency of vitamin B12 deficiency in depressive patients of Dutch descent. The present study is a comparative cross-sectional study of 47 patients of Turkish descent and 28 of Dutch descent. The depressive disorder diagnosis and differential diagnosis were made using the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, fourth edition text revision (SCID). The severity of the depressive symptoms was determined using the Beck Depression Inventory (BDI) and the 21-item Hamilton Depression Rating Scale (HAM-D-21). Serum baseline vitamin B6 and B12, folic acid and total serum homocysteine (tHcy) levels were measured. The average ages of the patients of Turkish and Dutch descent were 40.57 and 44.75 years, respectively. There were no demonstrable differences between the serum vitamin B6, folic acid and tHcy levels in the two groups. The serum vitamin B12 levels were however clearly lower in the patients of Turkish descent than in those of Dutch descent. Vitamin B12 deficiency was however observed in 14 patients of Turkish descent and 1 of Dutch descent. This difference was significant. On the BDI, the patients of Turkish descent scored significantly higher than those of Dutch descent. Patients with vitamin B12 deficiency and those with hyperhomocysteinaemia had a significantly higher BDI score than patients with normal vitamin B12 and homocysteine levels. No relationship was observed with vitamin B12 and tHcy. Vitamin B12 deficiency occurs more frequently in depressive patients of Turkish than of Dutch descent. This is why it is

  11. Dynamic 3T pelvic floor magnetic resonance imaging in women progressing from the nulligravid to the primiparous state.

    Science.gov (United States)

    Lockhart, Mark E; Bates, G Wright; Morgan, Desiree E; Beasley, Timothy M; Richter, Holly E

    2017-09-04

    The objective was to prospectively characterize dynamic pelvic 3-Tesla magnetic resonance imaging (dp3T MRI) findings in nulligravida women and characterize changes 6 months after delivery in the same woman. In this prospective study, nulligravida women seeking assisted reproductive technology for pregnancy were recruited. After physical examination by Pelvic Organ Prolapse Quantification (POP-Q), Brink assessment and measures including the Pelvic Floor Distress Inventory-20 and Pelvic Floor Impact Questionnaire-7, pre-pregnancy dp3T MRI at rest, with strain, and evacuation were performed. Assessments were repeated ≥6 months postpartum. Analysis included Welch and paired t tests for continuous variables, Fisher's exact test for differences in categorical outcomes, and paired t tests for postpartum symptoms. Nineteen subjects (mean ± SD age, 31 ± 5 years) completed baseline clinical and dp3T MRI studies, 15 delivered and 10 (30.5 ± 3 years) completed pre-pregnancy and post-delivery clinical and dp3T MRI assessments. There were no significant changes in scores of validated questionnaires (all p > 0.05) or on POP-Q measures post-delivery. Two (20%) subjects without pre-pregnancy levator tears had tears on MRI post-delivery. MRI measures of pelvic organ descent were increased post-delivery. Seventeen pelvic soft-tissue parameters increased by greater than 10% post-delivery, including 5 out of 70 (7.1%), 17 out of 110 (15.5%), and 50 out of 110 (45.5%) values exceeding thresholds at rest, strain, and evacuation respectively. Dynamic pelvic 3T MRI detected levator tears and increased pelvic organ descent, which can be directly attributed to pregnancy and delivery.

  12. Genome-wide association study of kidney function decline in individuals of European descent

    NARCIS (Netherlands)

    Gorski, Mathias; Tin, Adrienne; Garnaas, Maija; McMahon, Gearoid M.; Chu, Audrey Y.; Tayo, Bamidele O.; Pattaro, Cristian; Teumer, Alexander; Chasman, Daniel I.; Chalmers, John; Hamet, Pavel; Tremblay, Johanne; Woodward, Marc; Aspelund, Thor; Eiriksdottir, Gudny; Gudnason, Vilmundur; Harris, Tamara B.; Launer, Lenore J.; Smith, Albert V.; Mitchell, Braxton D.; O'Connell, Jeffrey R.; Shuldiner, Alan R.; Coresh, Josef; Li, Man; Freudenberger, Paul; Hofer, Edith; Schmidt, Helena; Schmidt, Reinhold; Holliday, Elizabeth G.; Mitchell, Paul; Wang, Jie Jin; de Boer, Ian H.; Li, Guo; Siscovick, David S.; Kutalik, Zoltan; Corre, Tanguy; Vollenweider, Peter; Waeber, Gerard; Gupta, Jayanta; Kanetsky, Peter A.; Hwang, Shih-Jen; Olden, Matthias; Yang, Qiong; de Andrade, Mariza; Atkinson, Elizabeth J.; Kardia, Sharon L. R.; Turner, Stephen T.; Stafford, Jeanette M.; Ding, Jingzhong; Liu, Yongmei; Barlassina, Cristina; Cusi, Daniele; Salvi, Erika; Staessen, Jan A.; Ridker, Paul M.; Grallert, Harald; Meisinger, Christa; Mueller-Nurasyid, Martina; Kraemer, Bernhard K.; Kramer, Holly; Rosas, Sylvia E.; Nolte, Ilja M.; Penninx, Brenda W.; Snieder, Harold; Del Greco, M. Fabiola; Franke, Andre; Noethlings, Ute; Lieb, Wolfgang; Bakker, Stephan J. L.; Gansevoort, Ron T.; van der Harst, Pim; Dehghan, Abbas; Franco, Oscar H.; Hofman, Albert; Rivadeneira, Fernando; Sedaghat, Sanaz; Uitterlinden, Andre G.; Coassin, Stefan; Haun, Margot; Kollerits, Barbara; Kronenberg, Florian; Paulweber, Bernhard; Aumann, Nicole; Endlich, Karlhans; Pietzner, Mike; Voelker, Uwe; Rettig, Rainer; Chouraki, Vincent; Helmer, Catherine; Lambert, Jean-Charles; Metzger, Marie; Stengel, Benedicte; Lehtimaki, Terho; Lyytikainen, Leo-Pekka; Raitakari, Olli; Johnson, Andrew; Parsa, Afshin; Bochud, Murielle; Heid, Iris M.; Goessling, Wolfram; Kottgen, Anna; Kao, W. H. Linda; Fox, Caroline S.; Boeger, Carsten A.

    Genome-wide association studies (GWASs) have identified multiple loci associated with cross-sectional eGFR, but a systematic genetic analysis of kidney function decline over time is missing. Here we conducted a GWAS meta-analysis among 63,558 participants of European descent, initially from 16

  13. Genome-wide association study of kidney function decline in individuals of European descent

    NARCIS (Netherlands)

    M. Gorski (Mathias); A. Tin (Adrienne); M. Garnaas (Maija); G.M. McMahon (Gearoid M.); A.Y. Chu (Audrey Y.); B. Tayo (Bamidele); C. Pattaro (Cristian); A. Teumer (Alexander); D.I. Chasman (Daniel); J. Chalmers (John); P. Hamet (Pavel); J. Tremblay (Johanne); M. Woodward (Mark); T. Aspelund (Thor); G. Eiriksdottir (Gudny); V. Gudnason (Vilmundur); T.B. Harris (Tamara); L.J. Launer (Lenore); A.V. Smith (Albert V.); B.D. Mitchell (Braxton); J.R. O´Connell; A.R. Shuldiner (Alan); J. Coresh (Josef); M. Li (Man); P. Freudenberger (Paul); E. Hofer (Edith); R. Schmidt (Reinhold); R. Schmidt (Reinhold); E.G. Holliday (Elizabeth); P. Mitchell (Paul); J.J. Wang (Jie Jin); I.H. de Boer (Ian); G. Li (Guo); D.S. Siscovick (David); Z. Kutalik; T. Corre (Tanguy); P. Vollenweider (Peter); G. Waeber (Gérard); J. Gupta (Jayanta); P.P. Kanetsky (Peter P.); S.J. Hwang; M. Olden (Matthias); Q. Yang (Qiong Fang); M. de Andrade (Mariza); E.J. Atkinson (Elizabeth J.); S.L.R. Kardia (Sharon); S.T. Turner (Stephen); J.M. Stafford (Jeanette M.); J. Ding (Jingzhong); Y. Liu; C. Barlassina (Christina); D. Cusi (Daniele); E. Salvi (Erika); J.A. Staessen (Jan); P.M. Ridker (Paul); H. Grallert (Harald); C. Meisinger (Christa); M. Müller-Nurasyid (Martina); B.K. Krämer (Bernhard K.); H. Kramer (Holly); S.E. Rosas (Sylvia E.); I.M. Nolte (Ilja M.); B.W.J.H. Penninx (Brenda); H. Snieder (Harold); M. Fabiola Del Greco; A. Franke (Andre); U. Nöthlings (Ute); W. Lieb (Wolfgang); S.J.L. Bakker (Stephan); R.T. Gansevoort (Ron); P. Van Der Harst (Pim); A. Dehghan (Abbas); O.H. Franco (Oscar); A. Hofman (Albert); F. Rivadeneira Ramirez (Fernando); S. Sedaghat (Sanaz); A.G. Uitterlinden (André); S. Coassin (Stefan); M. Haun (Margot); B. Kollerits (Barbara); F. Kronenberg (Florian); B. Paulweber (Bernhard); N. Aumann (Nicole); K. Endlich (Karlhans); M. Pietzner (Mike); U. Völker (Uwe); R. Rettig (Rainer); V. Chouraki (Vincent); C. Helmer (Catherine); J.-C. Lambert (Jean-Charles); M. Metzger (Marie); B. Stengel (Benedicte); T. Lehtimäki (Terho); L.-P. Lyytikäinen (Leo-Pekka); O. Raitakari (Olli); A.D. Johnson (Andrew); A. Parsa (Afshin); M. Bochud (Murielle); I.M. Heid (Iris); W. Goessling (Wolfram); A. K̈ttgen (Anna); W.H.L. Kao (Wen); C.S. Fox (Caroline S.); C.A. Böger (Carsten)

    2015-01-01

    textabstractGenome-wide association studies (GWASs) have identified multiple loci associated with cross-sectional eGFR, but a systematic genetic analysis of kidney function decline over time is missing. Here we conducted a GWAS meta-analysis among 63,558 participants of European descent, initially

  14. Sexual Health Discussions between African-American Mothers and Mothers of Latino Descent and Their Children

    Science.gov (United States)

    Murray, Ashley; Ellis, Monica U.; Castellanos, Ted; Gaul, Zaneta; Sutton, Madeline Y.; Sneed, Carl D.

    2014-01-01

    We examined approaches used by African-American mothers and mothers of Latino descent for informal sex-related discussions with their children to inform sexually transmitted infection (STI)/HIV intervention development efforts. We recruited mothers (of children aged 12-15) from youth service agencies and a university in southern California.…

  15. Growth and descent of the testes in infants with hypogonadotropic hypogonadism receiving subcutaneous gonadotropin infusion.

    Science.gov (United States)

    Lambert, Anne-Sophie; Bougneres, Pierre

    2016-01-01

    One third of infants with congenital hypogonadotropic hypogonadism (CHH) are said to have micropenis and/or bilateral or unilateral cryptorchidism leading many of them to orchiopexy. Our previous study in two patients suggests that prolonged subcutaneous infusion of large doses of gonadotropins might normalize testicular function and growth. To confirm the effects of early and prolonged subcutaneous infusion of large doses of gonadotropins on growth and descent of the testes. Eight boys with CHH, aged 0.25-11 months. Testes were non-palpable in 5 or in high scrotal position in 3. CHH was isolated in 5 infants and part of a syndrome of combined pituitary hormonal deficits in the 3 others. In response to gonadotropin infusion, mean levels of testicular hormones were normalized. Complete testis descent occurred in 6 patients. Partial descent occurred in 2. Testes re-ascended in 1 patient. Testes and penis gained normal dimensions in all cases. Subcutaneous gonadotropin infusion seems able to induce testis descent in a large proportion of infants with CHH. If confirmed, this may allow patients to avoid testes surgery but studies in larger series are needed to evaluate the benefits of this treatment versus traditional orchiopexy.

  16. RFID Data Cleaning for Shop Floor Applications

    Science.gov (United States)

    Ziekow, Holger; Ivantysynova, Lenka; Günter, Oliver

    In several case studies we found that shop-floor applications in manufacturing pose special challenges to cleaning RFID data. The underlying problem in many scenarios is the uncertainty about the exact location of observed RFID tags. Simple filter s provided in common middleware solutions do not cope well with these challenges. Therefore we have developed an approach based on maximum-likelihood estimation to infer a tag's location within the reader range. This enables improved RFID data cleaning in a number of application scenarios. We stress the benefits of our approach along exemplary application scenarios that we found in manufacturing. In simulations and experiments with real world data we show that our approach outperforms existing solutions. Our approach can extend RFID middleware or reader firmware, to improve the use of RFID in a range of shop-floor applications.

  17. Development of remote operated floor contamination monitor

    International Nuclear Information System (INIS)

    Sreekumar, K.; Gangamohan, M.; Kannan, R.K.; Rajan, S.

    2005-01-01

    Contamination check of floors and walkways in and around Reactor building areas forms an integral part of Radiation Protection Program in Power Stations. Though random swipe check method is adopted for the detection of loose contamination, this method has the disadvantage of leaving the fixed contamination and hotspots undetected. Hence, scanning the area with a sensitive detector, held close to the surface provides positive means for the detection of contamination. Checking large areas and walkways by holding the detector close to the surface involves physical work. Also, areas which are unapproachable due to congestion of equipment, may go uncovered by contamination monitoring in order to eliminate the physical strain involved in such contamination monitoring and to cover unapproachable areas, a small size prototype device that can be operated remotely was fabricated. This device detects contamination instantaneously and accurately. This paper describes design and fabrication of the device used for floor contamination monitoring. (author)

  18. Orbital floor dermoid: An unusual presentation

    Directory of Open Access Journals (Sweden)

    Yeola Meenakshi

    2009-01-01

    Full Text Available Dermoid cysts are developmental abnormal arrangement of tissues and are often evident soon after birth. Its occurrence in the orbit is relatively rare. We report a case of orbital floor dermoid in an 18-year-old female patient who presented with progressive, painless swelling in the lower eyelid associated with mild proptosis of three months duration. The lesion was excised completely, and histopathology confirmed the diagnosis of dermoid cyst.

  19. Ocean floor mounting of wave energy converters

    Science.gov (United States)

    Siegel, Stefan G

    2015-01-20

    A system for mounting a set of wave energy converters in the ocean includes a pole attached to a floor of an ocean and a slider mounted on the pole in a manner that permits the slider to move vertically along the pole and rotate about the pole. The wave energy converters can then be mounted on the slider to allow adjustment of the depth and orientation of the wave energy converters.

  20. Understanding gaming floor influences on player behaviour

    OpenAIRE

    Griffiths, MD

    2009-01-01

    Efforts to entice and retain player activity within a casino gaming environment require bringing to bear a range of sensory and physical influences. The challenge is to accomplish the operators’ objectives while at the same time ensuring any potential negative effects on the player are minimised. How casinos keep this in balance is at the heart of how the gaming floor works, and assessing such matters is becoming a necessary part of social responsibility.

  1. Reconstruction of Orbital Floor With Auricular Concha.

    Science.gov (United States)

    Seven, Ergin; Tellioglu, Ali Teoman; Inozu, Emre; Ozakpinar, Hulda Rifat; Horoz, Ugur; Eryilmaz, Avni Tolga; Karamursel, Sebat

    2017-10-01

    Orbital floor fractures of varying sizes commonly occur after orbital injuries and remain a serious challenge. Serious complications of such fractures include enopthalmos, restriction of extraocular movement, and diplopia. There is a dearth of literature that can be applied widely, easily, and successfully in all such situations, and therefore there is no consensus on the treatment protocol of this pathology yet. Autogenous grafts and alloplastic and allogenic materials with a wide variety of advantages and disadvantages have been discussed. The value of preoperative and postoperative ophthalmological examination should be standard of care in all orbital fracture patients. An ideal reconstructed orbital floor fracture should accelerate the restoration of orbital function with acceptable cosmetic results. Management parameters of orbital fractures such as timing of surgery, incision type, and implant materials, though widely discussed, remain controversial. In this study, 55 patients with orbital floor fractures surgically reconstructed with conchal cartilage grafts between 2008 and 2014 were retrospectively evaluated. Complications and long-time follow-up visit results have been reported with clinical and radiographic findings. The aim of this study was to present the authors' clinical experiences of reconstruction of blow-out fractures with auricular conchal graft and to evaluate the other materials available for use.

  2. 40 CFR 427.70 - Applicability; description of the asbestos floor tile subcategory.

    Science.gov (United States)

    2010-07-01

    ... asbestos floor tile subcategory. 427.70 Section 427.70 Protection of Environment ENVIRONMENTAL PROTECTION... Asbestos Floor Tile Subcategory § 427.70 Applicability; description of the asbestos floor tile subcategory... manufacture of asbestos floor tile. ...

  3. Dynamic magnetic resonance defecography in the diagnosis of combined pelvic floor disorders in proctology; Dynamische MR-Defaekographie zur Diagnostik kombinierter Beckenbodenfunktionsstoerungen in der Proktologie

    Energy Technology Data Exchange (ETDEWEB)

    Paetzel, C.; Strotzer, M.; Lenhart, M.; Feuerbach, S. [Klinikum der Univ. Regensburg (Germany). Inst. fuer Roentgendiagnostik; Fuerst, A.; Rentsch, M. [Klinikum der Univ. Regensburg (Germany). Chirurgische Klinik und Poliklinik

    2001-05-01

    Evaluation of magnetic resonance defecography in the diagnosis of pelvic floor disorders were examined prospectively. MRI was performed on a 1.5 T scanner. The rectum was opacified with 200 ml of ultrasound transmission gel. A sagittal single section T2-weighted gradient echo sequence with a temporal resolution of 1.1 second was performed. Changes of the anorectal angle and the position of the pelvic organs in relation to the pubococcygeal line were registered at rest, during straining, and during evacuation of the rectum. Results: Patients with obstructed defecation (n = 15) showed prolapse of the rectal mucosa (n = 5), anterior rectocele (n = 8), pelvic floor descent (n = 5), enterocele (n = 2), and anorectal dyscoordination (n = 3). Individuals with stool incontinence (n = 15) had an anterior rectocele (n = 10), pelvic floor descent (n = 11), enterocele (n = 2), prolapse of rectal mucosa (n = 1), and a puborectal insufficiency (n = 1). Urine incontinence was associated with cystocele (n = 10) or normal findings (n = 4). In patients with unspecific symptoms (n = 6), anorectal dyscoordination (n = 4) and prolapse of the rectal mucosa (n = 2) were found. MRI was superior for the detection of enteroceles, cystoceles and pelvic floor descent compared with clinical investigation. Conclusion: Dynamic MR imaging supplies complex information in anorectal disease and thus improves protoscopy. (orig.) [German] Ziel dieser Studie war die Evaluierung der dynamischen MRT in der proktologischen Diagnostik. Patienten und Methode: in einer prospektiven Studie wurden 36 Patienten (27 Frauen, 9 Maenner) mit Beckenbodenfunktionsstoerungen an einem 1.5-T-Geraet konsekutiv untersucht. Das Rektum wurde mit 200 ml Ultraschallgel kontrastiert. Verwendet wurde eine T{sub 2}-gewichtete Gradientenechoseqenz mit einer zeitlichen Aufloesung von 1,1 Sekunden in Einzelschichttechnik. Aus den Ergebnissen von MRT und proktologischer Untersuchung wurde eine Konsensdiagnose erstellt, die die

  4. Investigation of Floor Surface Finishes for Optimal Slip Resistance Performance

    Directory of Open Access Journals (Sweden)

    In-Ju Kim

    2018-03-01

    Full Text Available Background: Increasing the slip resistance of floor surfaces would be desirable, but there is a lack of evidence on whether traction properties are linearly correlated with the topographic features of the floor surfaces or what scales of surface roughness are required to effectively control the slipperiness of floors. Objective: This study expands on earlier findings on the effects of floor surface finishes against slip resistance performance and determines the operative ranges of floor surface roughness for optimal slip resistance controls under different risk levels of walking environments. Methods: Dynamic friction tests were conducted among three shoes and nine floor specimens under wet and oily environments and compared with a soapy environment. Results: The test results showed the significant effects of floor surface roughness on slip resistance performance against all the lubricated environments. Compared with the floor-type effect, the shoe-type effect on slip resistance performance was insignificant against the highly polluted environments. The study outcomes also indicated that the oily environment required rougher surface finishes than the wet and soapy ones in their lower boundary ranges of floor surface roughness. Conclusion: The results of this study with previous findings confirm that floor surface finishes require different levels of surface coarseness for different types of environmental conditions to effectively manage slippery walking environments. Collected data on operative ranges of floor surface roughness seem to be a valuable tool to develop practical design information and standards for floor surface finishes to efficiently prevent pedestrian fall incidents. Keywords: floor surface finishes, operational levels of floor surface roughness, slip resistance, wet, soapy and oily environments

  5. VOC- and SVOC-emissions from adhesives, floor coverings and complete floor structures.

    Science.gov (United States)

    Wilke, Olaf; Jann, Oliver; Brödner, Doris

    2004-01-01

    Emissions of volatile organic compounds (VOC) and semivolatile organic compounds (SVOC) from materials for flooring installation (primer, screed, adhesive, floor covering) were measured by means of emission test chambers and cells over a time period of at least 28 days at 23 degrees C, 50% relative humidity and an area specific air flow rate of q = 1.25 m(3)/m(2) h. Single components were tested in comparison to three complete structures (same concrete, primer, screed, adhesive) with different types of floor covering (PVC, carpet, linoleum). Sorption into concrete/screed and different permeability of flooring materials affected the emissions from the complete structures. The complete structures with linoleum and PVC showed the same types of emission and emission rates as the individual floor coverings themselves. Emissions from the carpet-covered structure resulted also from the lower layers. In all cases emissions from the complete structures were lower than the sum of emissions from the single components. For two adhesives the formation of secondary emissions (aldehydes and organic acids) was observed starting after the standard testing time of 28 days. This paper gives a survey of possible emissions of VOCs and SVOCs from flooring materials and adhesives. On the example of these materials it is shown that the determination of SVOC-emissions from materials is important because after a few weeks the emission rates for SVOCs might be higher than for VOCs. In the real indoor environment SVOCs will be probably adsorbed to dust but by means of emission test chambers or cells the determination of emission rates from materials is possible. With the knowledge of this "emission potential" it is possible to estimate also the release of SVOCs into the (indoor) environment.

  6. Deflection of resilient materials for reduction of floor impact sound.

    Science.gov (United States)

    Lee, Jung-Yoon; Kim, Jong-Mun

    2014-01-01

    Recently, many residents living in apartment buildings in Korea have been bothered by noise coming from the houses above. In order to reduce noise pollution, communities are increasingly imposing bylaws, including the limitation of floor impact sound, minimum thickness of floors, and floor soundproofing solutions. This research effort focused specifically on the deflection of resilient materials in the floor sound insulation systems of apartment houses. The experimental program involved conducting twenty-seven material tests and ten sound insulation floating concrete floor specimens. Two main parameters were considered in the experimental investigation: the seven types of resilient materials and the location of the loading point. The structural behavior of sound insulation floor floating was predicted using the Winkler method. The experimental and analytical results indicated that the cracking strength of the floating concrete floor significantly increased with increasing the tangent modulus of resilient material. The deflection of the floating concrete floor loaded at the side of the specimen was much greater than that of the floating concrete floor loaded at the center of the specimen. The Winkler model considering the effect of modulus of resilient materials was able to accurately predict the cracking strength of the floating concrete floor.

  7. Determining customer satisfaction in anatomic pathology.

    Science.gov (United States)

    Zarbo, Richard J

    2006-05-01

    Measurement of physicians' and patients' satisfaction with laboratory services has become a standard practice in the United States, prompted by national accreditation requirements. Unlike other surveys of hospital-, outpatient care-, or physician-related activities, no ongoing, comprehensive customer satisfaction survey of anatomic pathology services is available for subscription that would allow continual benchmarking against peer laboratories. Pathologists, therefore, must often design their own local assessment tools to determine physician satisfaction in anatomic pathology. To describe satisfaction survey design that would elicit specific information from physician customers about key elements of anatomic pathology services. The author shares his experience in biannually assessing customer satisfaction in anatomic pathology with survey tools designed at the Henry Ford Hospital, Detroit, Mich. Benchmarks for physician satisfaction, opportunities for improvement, and characteristics that correlated with a high level of physician satisfaction were identified nationally from a standardized survey tool used by 94 laboratories in the 2001 College of American Pathologists Q-Probes quality improvement program. In general, physicians are most satisfied with professional diagnostic services and least satisfied with pathology services related to poor communication. A well-designed and conducted customer satisfaction survey is an opportunity for pathologists to periodically educate physician customers about services offered, manage unrealistic expectations, and understand the evolving needs of the physician customer. Armed with current information from physician customers, the pathologist is better able to strategically plan for resources that facilitate performance improvements in anatomic pathology laboratory services that align with evolving clinical needs in health care delivery.

  8. Floor impact noise interception performance examination in the laboratory of the temperature warmth ceremony floor heating soundproof floor; Onsui yukadanbo boon jikahariyuka no jikkenshitsu ni okeru yuka shogekion shadan seino shiken

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-03-01

    A floor impact noise level improvement quantity examination in the laboratory was done about the warm water ceremony floor heating soundproof floor (for the warm water circulation-type floor warmth for benson floor SG floor warmth) that it was submitted by Hayakawa rubber incorporated company, and a floor impact noise level calculation and an insulation grade were found as that result. A form dimension, section details, and so on are shown in the table 1 in the figure 1 the kind of the test body, the trade name, the dimension, and so on. A test body was constructed on the floor edition for the examination. (NEDO)

  9. Physical activity and the pelvic floor.

    Science.gov (United States)

    Nygaard, Ingrid E; Shaw, Janet M

    2016-02-01

    Pelvic floor disorders are common, with 1 in 4 US women reporting moderate to severe symptoms of urinary incontinence, pelvic organ prolapse, or fecal incontinence. Given the high societal burden of these disorders, identifying potentially modifiable risk factors is crucial. Physical activity is one such potentially modifiable risk factor; the large number of girls and women participating in sport and strenuous training regimens increases the need to understand associated risks and benefits of these exposures. The aim of this review was to summarize studies reporting the association between physical activity and pelvic floor disorders. Most studies are cross-sectional and most include small numbers of participants. The primary findings of this review include that urinary incontinence during exercise is common and is more prevalent in women during high-impact sports. Mild to moderate physical activity, such as brisk walking, decreases both the odds of having and the risk of developing urinary incontinence. In older women, mild to moderate activity also decreases the odds of having fecal incontinence; however, young women participating in high-intensity activity are more likely to report anal incontinence than less active women. Scant data suggest that in middle-aged women, lifetime physical activity increases the odds of stress urinary incontinence slightly and does not increase the odds of pelvic organ prolapse. Women undergoing surgery for pelvic organ prolapse are more likely to report a history of heavy work than controls; however, women recruited from the community with pelvic organ prolapse on examination report similar lifetime levels of strenuous activity as women without this examination finding. Data are insufficient to determine whether strenuous activity while young predisposes to pelvic floor disorders later in life. The existing literature suggests that most physical activity does not harm the pelvic floor and does provide numerous health benefits for

  10. Modal analysis for floors in lightweight buildings

    DEFF Research Database (Denmark)

    Sjökvist, Lars-Göran; Brunskog, Jonas

    2007-01-01

    constructions usually consist of plates that are stiffened by beams and by the dividing walls. In this study the wave equation for a plate is expanded by Fourier series and an analytical solution in terms of the eigenmodes of the entire system is presented. The studied system consists of one lightweigt floor......High rise buildings built with wooden framing systems is of major interest for several reasons. It is said to be environmental friendly material, the production cost might be lower and the weight of the house is very low. The development of wooden housing is faster than the development...

  11. Dynamic study of pelvic floor in patients with constipation: dynamic magnetic resonance vs defecography

    International Nuclear Information System (INIS)

    Gonzalez Vasquez, Carlos Mario; Pulgarin, Ricardo Luis German; Melo Arango, Catalina; Delgado de Bedout, Jorge Andres; Llano Serna, Juan Fernando; Restrepo Restrepo, Jose Ignacio

    2007-01-01

    Purpose: to compare the concordance between defecography and magnetic resonance in patients with constipation. Materials and methods: we did a prospective and descriptive assay to determine the concordance of a diagnostic test with 17 patients. The evaluation of the studies was double blind. Results: the 17 patients were females, age range 31 - 77 year the symptoms were present between 3 to 120 months. Anterior rectocele was the most common diagnosis (11 patients) and magnetic resonance had sensibility 100%, specificity 50%, positive predictive value 78, 57% and negative predictive value 100%. 7 patients had pelvic floor descent and magnetic resonance had sensibility 71.4%, specificity 20% positive predictive value 38.46% and negative predictive value 50%. Defecography found patients with enterocele and magnetic resonance had sensibility 0% and specificity 100 anismus was present in 2 patients and magnetic resonance didn't find them. Conclusion defecography is still the gold standard for patients with eonstipation. Magnetic resonance are a promise for those patients but has to improve

  12. Caste-, work-, and descent-based discrimination as a determinant of health in social epidemiology.

    Science.gov (United States)

    Patil, Rajan R

    2014-01-01

    Social epidemiology explores health in the context of broad social determinants of health, where the boundary lines between health and politics appear increasingly blurred. Social determinants of health such as caste, discrimination, and social exclusion are inherently political in nature, hence it becomes imperative to look at health through a broader perspective of political philosophy, ideology, and caste that imposes enormous obstacles to a person's full attainment of civil, political, economic, social, and cultural rights. Caste is descent based and hereditary in nature. It is a characteristic determined by one's birth into a particular caste, irrespective of the faith practiced by the individual. Caste denotes a system of rigid social stratification into ranked groups defined by descent and occupation. Under various caste systems throughout the world, caste divisions also dominate in housing, marriage, and general social interaction divisions that are reinforced through the practice and threat of social ostracism, economic boycotts, and even physical violence-all of which undermine health equality.

  13. Entry, Descent and Landing Systems Analysis: Exploration Feed Forward Internal Peer Review Slide Package

    Science.gov (United States)

    Dwyer Cianciolo, Alicia M. (Editor)

    2011-01-01

    NASA senior management commissioned the Entry, Descent and Landing Systems Analysis (EDL-SA) Study in 2008 to identify and roadmap the Entry, Descent and Landing (EDL) technology investments that the agency needed to successfully land large payloads at Mars for both robotic and human-scale missions. Year 1 of the study focused on technologies required for Exploration-class missions to land payloads of 10 to 50 mt. Inflatable decelerators, rigid aeroshell and supersonic retro-propulsion emerged as the top candidate technologies. In Year 2 of the study, low TRL technologies identified in Year 1, inflatables aeroshells and supersonic retropropulsion, were combined to create a demonstration precursor robotic mission. This part of the EDL-SA Year 2 effort, called Exploration Feed Forward (EFF), took much of the systems analysis simulation and component model development from Year 1 to the next level of detail.

  14. Identity-by-descent mapping in a Scandinavian multiple sclerosis cohort

    DEFF Research Database (Denmark)

    Westerlind, Helga; Imrell, Kerstin; Ramanujam, Ryan

    2015-01-01

    In an attempt to map chromosomal regions carrying rare gene variants contributing to the risk of multiple sclerosis (MS), we identified segments shared identical-by-descent (IBD) using the software BEAGLE 4.0's refined IBD analysis. IBD mapping aims at identifying segments inherited from a common....... This marker was located within the GNA11 gene, which contains no previous association with MS. We conclude that IBD mapping is not sufficiently powered to identify MS risk loci even in ethnically relatively homogenous populations, or that alternatively rare variants are not adequately present....... a total of 441 731 markers for the analysis. After identification of segments shared by descent and significance testing, a filter function for markers with low IBD sharing was applied. Four regions on chromosomes 5, 9, 14 and 19 were found to be significantly associated with the risk for MS. However, all...

  15. Three-dimensional sparse electromagnetic imaging accelerated by projected steepest descent

    KAUST Repository

    Desmal, Abdulla

    2016-11-02

    An efficient and accurate scheme for solving the nonlinear electromagnetic inverse scattering problem on three-dimensional sparse investigation domains is proposed. The minimization problem is constructed in such a way that the data misfit between measurements and scattered fields (which are expressed as a nonlinear function of the contrast) is constrained by the contrast\\'s first norm. The resulting minimization problem is solved using nonlinear Landweber iterations accelerated using a steepest descent algorithm. A projection operator is applied at every iteration to enforce the sparsity constraint by thresholding the result of that iteration. Steepest descent algorithm ensures accelerated and convergent solution by utilizing larger iteration steps selected based on a necessary B-condition.

  16. Reactions to secondhand smoke by nonsmokers of Korean descent: clash of cultures?

    Science.gov (United States)

    Hughes, Suzanne C; Usita, Paula M; Hovell, Melbourne F; Richard Hofstetter, C

    2011-08-01

    Koreans hail from a culture where men's smoking and secondhand smoke (SHS) exposure were the norm. Little is known about how nonsmokers of Korean descent respond to smokers in the United States. In 2007-2008, trained moderators conducted eight focus groups with nonsmokers (n = 47) of Korean descent in San Diego. Participants discussed their personal experiences and views concerning SHS. Most participants detected SHS quickly and disliked the smell. Their reactions differed by gender, age, and how well they knew the smoker. Reactions ranged from passive (e.g., tolerating SHS or staring) to assertive (moving or asking the smoker to stop smoking). Younger participants were more tolerant than older participants. Participants appeared caught between two cultures. Despite high awareness, they struggled with how to avoid SHS in a manner befitting of their social status and Korean values. Culturally sensitive programs are needed for immigrants such as Koreans in the United States.

  17. Architectural differences in the anterior and middle compartments of the pelvic floor of young-adult and postmenopausal females.

    Science.gov (United States)

    Wu, Yi; Dabhoiwala, Noshir F; Hagoort, Jaco; Tan, Li-Wen; Zhang, Shao-Xiang; Lamers, Wouter H

    2017-05-01

    the components of the pelvic floor. We hypothesize that accumulation of pelvic fat compromises pelvic-floor cohesion, because the pre-pubertal pelvis contains very little fibrous and adipose tissue, and fat is an excellent lubricant. © 2017 Anatomical Society.

  18. Anatomic breast coordinate system for mammogram analysis

    DEFF Research Database (Denmark)

    Karemore, Gopal; Brandt, S.; Karssemeijer, N.

    2011-01-01

    inside the breast. Most of the risk assessment and CAD modules use a breast region in a image centered Cartesian x,y coordinate system. Nevertheless, anatomical structure follows curve-linear trajectories. We examined an anatomical breast coordinate system that preserves the anatomical correspondence...... between the mammograms and allows extracting not only the aligned position but also the orientation aligned with the anatomy of the breast tissue structure. Materials and Methods The coordinate system used the nipple location as the point A and the border of the pectoral muscle as a line BC. The skin air...... interface was identified as a curve passing through A and intersecting the pectoral muscle line. The nipple was defined as the origin of the coordinate system. A family of second order curves were defined through the nipple and intersecting the pectoral line (AD). Every pixel location in mammogram...

  19. Anatomic Eponyms in Neuroradiology: Head and Neck.

    Science.gov (United States)

    Bunch, Paul M

    2016-10-01

    In medicine, an eponym is a word-typically referring to an anatomic structure, disease, or syndrome-that is derived from a person's name. Medical eponyms are ubiquitous and numerous. They are also at times controversial. Eponyms reflect medicine's rich and colorful history and can be useful for concisely conveying complex concepts. Familiarity with eponyms facilitates correct usage and accurate communication. In this article, 22 eponyms used to describe anatomic structures of the head and neck are discussed. For each structure, the author first provides a biographical account of the individual for whom the structure is named. An anatomic description and brief discussion of the structure's clinical relevance follow. Copyright © 2016 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

  20. Multiple descent cost competition: restorable self-organization and multimedia information processing.

    Science.gov (United States)

    Matsuyama, Y

    1998-01-01

    Multiple descent cost competition is a composition of learning phases for minimizing a given measure of total performance, i.e., cost. If these phases are heterogeneous toward each other, the total learning algorithm shows a variety of extraordinary abilities; especially in regards to multimedia information processing. In the first phase of descent cost learning, elements of source data are grouped. Simultaneously, a weight vector for minimal learning, (i.e., a winner), is found. Then, the winner and its partners are updated for further cost reduction. Therefore, two classes of self-organizing feature maps are generated. One is called a grouping feature map, which partitions the source data. The other is an ordinary weight vector feature map. The grouping feature map, together with the winners, retains most of the source data information. This feature map is able to assist in a high quality approximation of the original data. Traditional weight vector feature maps lack this ability. Another important capacity of the grouping feature map is that it can change its shape. Thus, the grouping pattern can accept external directions in order to metamorphose. In the text, the total algorithm of the multiple descent cost competition is explained first. In that section, image processing concepts are introduced in order to assist in the description of this algorithm. Then, a still image is first data-compressed (DC). Next, a restored image is morphed using the grouping feature map by receiving directions given by an external intelligence. Next, an interpolation of frames is applied in order to complete animation coding (AC). Thus, multiple descent cost competition bridges "DC to AC." Examples of multimedia processing on virtual digital movies are given.

  1. A new type of descent conjugate gradient method with exact line search

    Science.gov (United States)

    Hajar, Nurul; Mamat, Mustafa; Rivaie, Mohd.; Jusoh, Ibrahim

    2016-06-01

    Nowadays, conjugate gradient (CG) methods are impressive for solving nonlinear unconstrained optimization problems. In this paper, a new CG method is proposed and analyzed. This new CG method satisfies descent condition and its global convergence is established using exact line search. Numerical results show that this new CG method substantially outperforms the previous CG methods. This new CG method is considered robust, efficient and provided faster and stable convergence.

  2. Scaling Up Coordinate Descent Algorithms for Large ℓ1 Regularization Problems

    Energy Technology Data Exchange (ETDEWEB)

    Scherrer, Chad; Halappanavar, Mahantesh; Tewari, Ambuj; Haglin, David J.

    2012-07-03

    We present a generic framework for parallel coordinate descent (CD) algorithms that has as special cases the original sequential algorithms of Cyclic CD and Stochastic CD, as well as the recent parallel Shotgun algorithm of Bradley et al. We introduce two novel parallel algorithms that are also special cases---Thread-Greedy CD and Coloring-Based CD---and give performance measurements for an OpenMP implementation of these.

  3. Fast alternating projected gradient descent algorithms for recovering spectrally sparse signals

    KAUST Repository

    Cho, Myung

    2016-06-24

    We propose fast algorithms that speed up or improve the performance of recovering spectrally sparse signals from un-derdetermined measurements. Our algorithms are based on a non-convex approach of using alternating projected gradient descent for structured matrix recovery. We apply this approach to two formulations of structured matrix recovery: Hankel and Toeplitz mosaic structured matrix, and Hankel structured matrix. Our methods provide better recovery performance, and faster signal recovery than existing algorithms, including atomic norm minimization.

  4. Relations between pregnancy-related low back pain, pelvic floor activity and pelvic floor dysfunction

    NARCIS (Netherlands)

    Pool-Goudzwaard, A.L.; Slieker ten Hove, M.C.; Vierhout, M.E.; de Mulder, PH; Pool, J.J.M.; Snijders, C.J.; Stoeckart, R.

    2005-01-01

    To assess the occurrence of pelvic floor dysfunction (PFD) in pregnancy- related low back and pelvic pain (PLBP) patients, a cross-sectional study was performed, comprising 77 subjects. Each subject underwent physical assessment, and filled in the Urogenital Distress Inventory completed with

  5. The relief formed by the descent phenomenon in the north-east part of Kosova.

    Science.gov (United States)

    Bulliqi, Shpejtim; Isufi, Florim; Ramadani, Ibrahim; Gashi, Gani

    2012-04-01

    In the diverse relief of north-east part of Kosova a relatively wide range occupies the relief modelled by the descent phenomenon, which is conditioned by morph-structural and climatic factors quite suitable for their development. The morphogenesis activity of descent phenomenon is conditioned by the types of rocks, tectonic process of this region and climatic conditions. These factors condition horizontal and vertical relief fragmentation, slope, especially in Gollaku mountains and in SE part of Kopaonik mountain. Along the tectonic descents, the steepness is detaching and the detaching lines consisting of magmatic rocks show overthrows, demolitions and stony torrents, but the Teri gene composition formations are modelled by sliding and muddy torrents, depending upon the presence of clayey and alevrolite belts on these Teri gene ones. The impact of factors and conditions on the relief of this part, the phenomena like demolitions, overthrows, sliding, muddy torrents, stony torrents, etc, operate here, which play an important morphological role in the modelling of relief.

  6. Controlled weather balloon ascents and descents for atmospheric research and climate monitoring

    Science.gov (United States)

    Kräuchi, Andreas; Philipona, Rolf; Romanens, Gonzague; Hurst, Dale F.; Hall, Emrys G.; Jordan, Allen F.

    2016-03-01

    In situ upper-air measurements are often made with instruments attached to weather balloons launched at the surface and lifted into the stratosphere. Present-day balloon-borne sensors allow near-continuous measurements from the Earth's surface to about 35 km (3-5 hPa), where the balloons burst and their instrument payloads descend with parachutes. It has been demonstrated that ascending weather balloons can perturb the air measured by very sensitive humidity and temperature sensors trailing behind them, particularly in the upper troposphere and lower stratosphere (UTLS). The use of controlled balloon descent for such measurements has therefore been investigated and is described here. We distinguish between the single balloon technique that uses a simple automatic valve system to release helium from the balloon at a preset ambient pressure, and the double balloon technique that uses a carrier balloon to lift the payload and a parachute balloon to control the descent of instruments after the carrier balloon is released at preset altitude. The automatic valve technique has been used for several decades for water vapor soundings with frost point hygrometers, whereas the double balloon technique has recently been re-established and deployed to measure radiation and temperature profiles through the atmosphere. Double balloon soundings also strongly reduce pendulum motion of the payload, stabilizing radiation instruments during ascent. We present the flight characteristics of these two ballooning techniques and compare the quality of temperature and humidity measurements made during ascent and descent.

  7. Ionospheric forecasting model using fuzzy logic-based gradient descent method

    Directory of Open Access Journals (Sweden)

    D. Venkata Ratnam

    2017-09-01

    Full Text Available Space weather phenomena cause satellite to ground or satellite to aircraft transmission outages over the VHF to L-band frequency range, particularly in the low latitude region. Global Positioning System (GPS is primarily susceptible to this form of space weather. Faulty GPS signals are attributed to ionospheric error, which is a function of Total Electron Content (TEC. Importantly, precise forecasts of space weather conditions and appropriate hazard observant cautions required for ionospheric space weather observations are limited. In this paper, a fuzzy logic-based gradient descent method has been proposed to forecast the ionospheric TEC values. In this technique, membership functions have been tuned based on the gradient descent estimated values. The proposed algorithm has been tested with the TEC data of two geomagnetic storms in the low latitude station of KL University, Guntur, India (16.44°N, 80.62°E. It has been found that the gradient descent method performs well and the predicted TEC values are close to the original TEC measurements.

  8. Exposure assessment of kneeling work activities among floor layers

    DEFF Research Database (Denmark)

    Jensen, L K; Rytter, S; Bonde, Jens Peter

    2010-01-01

    The objective of this study was to quantify the proportion of kneeling work activities among floor layers and to assess external knee joint forces in five different kneeling work positions. Thirty-three floor layers were videotaped discontinuously and four floor layers were videotaped continuously...... for a whole working day. External knee forces were measured in five different kneeling work positions in ten floor layers using Computer Dynography. The study showed that floor layers spent a high percentage of time in knee-straining work positions. Kneeling work tasks, particularly gluing and crawling caused...... high external knee forces ranging from 0.3 Newton (SD 0.2) times body weight when floor layers were kneeling back on the heels, to 3.5 Newton (SD 0.3) times body weight in the crawling work position. The study highlights the need for prevention by minimizing the amount of kneeling work positions among...

  9. Lacrimal Gland Pathologies from an Anatomical Perspective

    Directory of Open Access Journals (Sweden)

    Mahmut Sinan Abit

    2015-06-01

    Full Text Available Most of the patients in our daily practice have one or more ocular surface disorders including conjucntivitis, keratitis, dry eye disease, meibomian gland dysfunction, contact lens related symptoms, refractive errors,computer vision syndrome. Lacrimal gland has an important role in all above mentioned pathologies due to its major secretory product. An anatomical and physiological knowledge about lacrimal gland is a must in understanding basic and common ophthalmological cases. İn this paper it is aimed to explain the lacrimal gland diseases from an anatomical perspective.

  10. Biomechanic Factors Associated With Orbital Floor Fractures.

    Science.gov (United States)

    Patel, Sagar; Andrecovich, Christopher; Silverman, Michael; Zhang, Liying; Shkoukani, Mahdii

    2017-07-01

    Orbital floor fractures are commonly seen in clinical practice, yet the etiology underlying the mechanism of fracture is not well understood. Current research focuses on the buckling theory and hydraulic theory, which implicate trauma to the orbital rim and the globe, respectively. To elucidate and define the biomechanical factors involved in an orbital floor fracture. A total of 10 orbits from 5 heads (3 male and 2 female) were used for this study. These came from fresh, unfixed human postmortem cadavers that were each selected so that the cause of death did not interfere with the integrity of orbital walls. Using a drop tower with an accelerometer, we measured impact force on the globe and rim of cadaver heads affixed with strain gauges. The mean impacts for rim and globe trauma were 3.9 J (95% CI, 3.4-4.3 J) and 3.9 J (95% CI, 3.5-4.3 J), respectively. Despite similar impact forces to the globe and rim, strain-gauge data displayed greater mean strain for globe impact (6563 μS) compared with rim impact (3530 μS); however, these data were not statistically significant (95% CI, 3598-8953 μS; P = .94). Our results suggest that trauma directly to the globe predisposes a patient to a more posterior fracture while trauma to the rim demonstrates an anterior predilection. Both the hydraulic and buckling mechanisms of fracture exist and demonstrate similar fracture thresholds. NA.

  11. Pelvic floor electrophysiology in spinal cord injury.

    Science.gov (United States)

    Tankisi, H; Pugdahl, K; Rasmussen, M M; Clemmensen, D; Rawashdeh, Y F; Christensen, P; Krogh, K; Fuglsang-Frederiksen, A

    2016-05-01

    The study aimed to investigate sacral peripheral nerve function and continuity of pudendal nerve in patients with chronic spinal cord injury (SCI) using pelvic floor electrophysiological tests. Twelve patients with low cervical or thoracic SCI were prospectively included. Quantitative external anal sphincter (EAS) muscle electromyography (EMG), pudendal nerve terminal motor latency (PNTML) testing, bulbocavernosus reflex (BCR) testing and pudendal short-latency somatosensory-evoked potential (SEP) measurement were performed. In EAS muscle EMG, two patients had abnormal increased spontaneous activity and seven prolonged motor unit potential duration. PNTML was normal in 10 patients. BCR was present with normal latency in 11 patients and with prolonged latency in one. The second component of BCR could be recorded in four patients. SEPs showed absent cortical responses in 11 patients and normal latency in one. Pudendal nerve and sacral lower motor neuron involvement are significantly associated with chronic SCI, most prominently in EAS muscle EMG. The frequent finding of normal PNTML latencies supports earlier concerns on the utility of this test; however, BCR and pudendal SEPs may have clinical relevance. As intact peripheral nerves including pudendal nerve are essential for efficient supportive therapies, pelvic floor electrophysiological testing prior to these interventions is highly recommended. Copyright © 2016 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.

  12. Lack of viable seeds in the forest floor after clearcutting

    Science.gov (United States)

    Robert M. Frank; Lawrence O. Safford

    1970-01-01

    The viability of seeds o[ northern conifers apparently does not persist in the forest floor for more than one year. A set of forest-floor samples collected two years alter a heavy seed crop and one year alter a seedcrop failure did not produce any conifer germinants, regardless of whether or not the surfaces of the samples were disturbed. A second set of forest-floor...

  13. The uncertain significance of low vitamin D levels in African descent populations: a review of the bone and cardiometabolic literature.

    Science.gov (United States)

    O'Connor, Michelle Y; Thoreson, Caroline K; Ramsey, Natalie L M; Ricks, Madia; Sumner, Anne E

    2013-01-01

    Vitamin D levels in people of African descent are often described as inadequate or deficient. Whether low vitamin D levels in people of African descent lead to compromised bone or cardiometabolic health is unknown. Clarity on this issue is essential because if clinically significant vitamin D deficiency is present, vitamin D supplementation is necessary. However, if vitamin D is metabolically sufficient, vitamin D supplementation could be wasteful of scarce resources and even harmful. In this review vitamin D physiology is described with a focus on issues specific to populations of African descent such as the influence of melanin on endogenous vitamin D production and lactose intolerance on the willingness of people to ingest vitamin D fortified foods. Then data on the relationship of vitamin D to bone and cardiometabolic health in people of African descent are evaluated. © 2013.

  14. Determinants of Adherence to Treatment in Hypertensive Patients of African Descent and the Role of Culturally Appropriate Education

    NARCIS (Netherlands)

    Meinema, Jennita G.; van Dijk, Nynke; Beune, Erik J. A. J.; Jaarsma, Debbie A. D. C.; van Weert, Henk C. P. M.; Haafkens, Joke A.

    2015-01-01

    Background In Western countries, better knowledge about patient-related determinants of treatment adherence (medication and lifestyle) is needed to improve treatment adherence and outcomes among hypertensive ethnic minority patients of African descent. Objective To identify patient-related

  15. Superspace descent equations and zero curvature formalism of the four dimensional N=1 supersymmetric Yang-Mills theories

    International Nuclear Information System (INIS)

    Vilar, L.C.Q.; Sasaki, C.A.G.; Sorella, S.P.

    1996-09-01

    The supersymmetric descent equations in superspace are discussed by means of the introduction of two operators ζ α , ζ -α which allow to decompose the supersymmetric covariant derivatives D α , D -α as BRS commutators. (author). 27 refs., 4 tabs

  16. Applying the Principles of Lean Production to Gastrointestinal Biopsy Handling: From the Factory Floor to the Anatomic Pathology Laboratory.

    Science.gov (United States)

    Sugianto, Jessica Z; Stewart, Brian; Ambruzs, Josephine M; Arista, Amanda; Park, Jason Y; Cope-Yokoyama, Sandy; Luu, Hung S

    2015-01-01

    To implement Lean principles to accommodate expanding volumes of gastrointestinal biopsies and to improve laboratory processes overall. Our continuous improvement (kaizen) project analyzed the current state for gastrointestinal biopsy handling using value-stream mapping for specimens obtained at a 487-bed tertiary care pediatric hospital in Dallas, Texas. We identified non-value-added time within the workflow process, from receipt of the specimen in the histology laboratory to the delivery of slides and paperwork to the pathologist. To eliminate non-value-added steps, we implemented the changes depicted in a revised-state value-stream map. Current-state value-stream mapping identified a total specimen processing time of 507 minutes, of which 358 minutes were non-value-added. This translated to a process cycle efficiency of 29%. Implementation of a revised-state value stream resulted in a total process time reduction to 238 minutes, of which 89 minutes were non-value-added, and an improved process cycle efficiency of 63%. Lean production principles of continuous improvement and waste elimination can be successfully implemented within the clinical laboratory.

  17. Pelvic floor rehabilitation is effective in patients with multiple sclerosis.

    Science.gov (United States)

    Vahtera, T; Haaranen, M; Viramo-Koskela, A L; Ruutiainen, J

    1997-08-01

    To determine the effect of pelvic floor muscle exercises combined with electrical stimulation of pelvic floor on lower urinary tract dysfunction in multiple sclerosis (MS) patients with near normal (current symptoms of lower urinary tract dysfunction. The muscle activity of the pelvic floor muscles was tested using surface EMG. Subjective urinary symptoms were assessed using a questionnaire. Pelvic floor muscles were stimulated using electrical stimulation at six sessions. During and after the final session the patients were taught to exercise their pelvic floor muscles and advised to continue these exercises regularly for at least six months. The control group was not treated. The maximal contraction power and endurance of the pelvic floor muscles increased after six sessions of electrical stimulation with interferential currents. Symptoms of urinary urgency, frequency and incontinence were significantly less frequent in the treated group than in the untreated subjects. Male patients appeared to respond better to the treatment than female patients. Compliance with the pelvic floor exercises was over 60% at the end of a follow-up for six months. Most drop-outs were due to the disappearance of urinary tract symptoms or to severe relapses in MS. The present study indicates that pelvic floor muscle exercises combined with electrical stimulation of the pelvic floor constitute an effective treatment for lower urinary tract dysfunction at least in male patients with MS.

  18. Gait of dairy cows on floors with different slipperiness.

    Science.gov (United States)

    Telezhenko, E; Magnusson, M; Bergsten, C

    2017-08-01

    This study assessed the slip resistance of different types of solid flooring in cattle housing using a range of technical tests and gait analysis. Dynamic and static coefficient of friction, skid resistance, and abrasiveness were tested on concrete flooring with a smooth finish, a grooved pattern, or a tamped pattern, acid-resistant mastic asphalt, soft rubber mats, and a worn slatted concrete floor. Coefficients of friction and skid resistance were tested under clean and slurry-soiled conditions. Linear kinematic variables were assessed in 40 cows with trackway measurements after the cows passed over the floors in a straight walk. All gait variables were assessed as deviations from those obtained on the slatted concrete floor, which was used as a baseline. The coefficient of friction tests divided the floors into 3 categories: concrete flooring, which had a low coefficient of friction (0.29-0.41); mastic asphalt flooring, which had medium values (0.38-0.45); and rubber mats, which had high values (0.49-0.57). The highest abrasion (g/10 m) was on the asphalt flooring (4.48), and the concrete flooring with a tamped pattern had significantly higher abrasiveness (2.77) than the other concrete floors (1.26-1.60). Lowest values on the skid-resistance tests (dry/wet) were for smooth concrete (79/35) and mastic asphalt (65/47), especially with a slurry layer on the surface. Gait analysis mainly differentiated floors with higher friction and abrasion by longer strides and better tracking. Step asymmetry was lower on floors with high skid-resistance values. The most secure cow gait, in almost every aspect, was observed on soft rubber mats. Relationships between gait variables and physical floor characteristics ranged from average to weak (partial correlations 0.54-0.16). Thus, none of the physical characteristics alone was informative enough to characterize slip resistance. With reference to gait analysis, the abrasiveness of the hard surfaces was more informative than the

  19. Acoustics. Measurement of sound insulation in buildings and of building elements. Laboratory measurements of the reduction of transmitted impact noise by floor coverings on a heavyweight standard floor

    CERN Document Server

    British Standards Institution. London

    1998-01-01

    Acoustics. Measurement of sound insulation in buildings and of building elements. Laboratory measurements of the reduction of transmitted impact noise by floor coverings on a heavyweight standard floor

  20. Differences in urinary incontinence symptoms and pelvic floor structure changes during pregnancy between nulliparous and multiparous women

    Directory of Open Access Journals (Sweden)

    Dan Luo

    2017-07-01

    Full Text Available Background This study was performed to compare changes in urinary incontinence (UI symptoms and pelvic floor structure during pregnancy between nulliparous and multiparous women. Methods A cross-sectional survey was performed among pregnant women from July 2016 to January 2017. In total, 358 pregnant women from two hospitals underwent an interview and pelvic floor transperineal ultrasound assessment. A questionnaire regarding sociodemographic, gynecological, obstetric features and the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF were used for the interview. Imaging data sets were analyzed offline to assess the bladder neck vertical position (BNVP, urethral angles (α, β, and γ angles, and hiatal area (HA at rest and at maximal Valsalva maneuver (VM. Results After excluding 16 women with invalid data, 342 women were included. The prevalence (χ2 = 9.15, P = 0.002, frequency (t = 2.52, P = 0.014, usual amount of UI (t = 2.23, P = 0.029 and scores of interference with daily life (t = 2.03, P = 0.045 during pregnancy were higher in multiparous than nulliparous women. A larger bladder neck descent (BND (F = 4.398, P < 0.001, HA (F = 6.977, P < 0.001, α angle (F = 2.178, P = 0.030, β angle (F = 4.404, P < 0.001, and γ angle (F = 2.54, P = 0.011 at VM were discovered in pregnant women with UI than without UI. Multiparous women had a significantly higher BND (t = 2.269, P = 0.024 and a larger α angle (F = 2.894, P = 0.004, β angle (F = 2.473, P = 0.014, and γ angle (F = 3.255, P = 0.001 at VM than did nulliparous women. Conclusion Multiparous women experienced more obvious UI symptoms and pelvic floor structure changes during pregnancy than did nulliparous women.

  1. Development of Genomic DNA Reference Materials for Genetic Testing of Disorders Common in People of Ashkenazi Jewish Descent

    OpenAIRE

    Kalman, Lisa; Wilson, Jean Amos; Buller, Arlene; Dixon, John; Edelmann, Lisa; Geller, Louis; Highsmith, William Edward; Holtegaard, Leonard; Kornreich, Ruth; Rohlfs, Elizabeth M.; Payeur, Toby L.; Sellers, Tina; Toji, Lorraine; Muralidharan, Kasinathan

    2009-01-01

    Many recessive genetic disorders are found at a higher incidence in people of Ashkenazi Jewish (AJ) descent than in the general population. The American College of Medical Genetics and the American College of Obstetricians and Gynecologists have recommended that individuals of AJ descent undergo carrier screening for Tay Sachs disease, Canavan disease, familial dysautonomia, mucolipidosis IV, Niemann-Pick disease type A, Fanconi anemia type C, Bloom syndrome, and Gaucher disease. Although the...

  2. Anatomical and palynological characteristics of Salvia willeana ...

    African Journals Online (AJOL)

    USER

    2010-04-05

    Apr 5, 2010 ... investigated in this study and the findings obtained were compared with other studies conducted on Salvia genus. Metcalfe and Chalk (1950) found the data on the anatomical characteristics of S. species. These researchers revealed that the species belonging to Labiatae family usually have rectangle or ...

  3. Descriptions of anatomical differences between skulls and ...

    African Journals Online (AJOL)

    The external anatomical differences between the skulls and mandibles of 10 mountain zebras Equus zebra and 10 plains zebras E. burchelli of both sexes were studied. The nomenclature used conforms to Nomina Anatomica Veterinaria (1983). Eleven structural differences are described for the first time and illustrated, viz., ...

  4. HPV Vaccine Effective at Multiple Anatomic Sites

    Science.gov (United States)

    A new study from NCI researchers finds that the HPV vaccine protects young women from infection with high-risk HPV types at the three primary anatomic sites where persistent HPV infections can cause cancer. The multi-site protection also was observed at l

  5. Report of a rare anatomic variant

    DEFF Research Database (Denmark)

    De Brucker, Y; Ilsen, B; Muylaert, C

    2015-01-01

    We report the CT findings in a case of partial anomalous pulmonary venous return (PAPVR) from the left upper lobe in an adult. PAPVR is an anatomic variant in which one to three pulmonary veins drain into the right atrium or its tributaries, rather than into the left atrium. This results in a lef...

  6. Morphological and anatomical response of Acacia ehrenbergiana ...

    African Journals Online (AJOL)

    Both species responded morphologically as well as anatomically to water stress. Water stress caused significant (P=0.05) decrease in relative water content, leaf number and area and leaf water potential, chlorophyll content, and stem height and diameter. Seedlings of both species responded to water stress by the ...

  7. Anatomical characteristics of southern pine stemwood

    Science.gov (United States)

    Elaine T. Howard; Floyd G. Manwiller

    1968-01-01

    To obtain a definitive description of the wood and anatomy of all 10 species of southern pine, juvenile, intermediate, and mature wood was sampled at three heights in one tree of each species and examined under a light microscope. Photographs and three-dimensional drawings were made to illustrate the morphology. No significant anatomical differences were found...

  8. TIBIAL LANDMARKS IN ACL ANATOMIC REPAIR

    Directory of Open Access Journals (Sweden)

    M. V. Demesсhenko

    2016-01-01

    Full Text Available Purpose: to identify anatomical landmarks on tibial articular surface to serve as reference in preparing tibial canal with respect to the center of ACL footprint during single bundle arthroscopic repair.Materials and methods. Twelve frozen knee joint specimens and 68 unpaired macerated human tibia were studied using anatomical, morphometric, statistical methods as well as graphic simulation.Results. Center of the tibial ACL footprint was located 13,1±1,7 mm anteriorly from posterior border of intercondylar eminence, at 1/3 of the distance along the line connecting apexes of internal and external tubercles and 6,1±0,5 mm anteriorly along the perpendicular raised to this point.Conclusion. Internal and external tubercles, as well as posterior border of intercondylar eminence can be considered as anatomical references to determine the center of the tibial ACL footprint and to prepare bone canals for anatomic ligament repair.

  9. Handbook of anatomical models for radiation dosimetry

    CERN Document Server

    Eckerman, Keith F

    2010-01-01

    Covering the history of human model development, this title presents the major anatomical and physical models that have been developed for human body radiation protection, diagnostic imaging, and nuclear medicine therapy. It explores how these models have evolved and the role that modern technologies have played in this development.

  10. Influences on anatomical knowledge: The complete arguments

    NARCIS (Netherlands)

    Bergman, E.M.; Verheijen, I.W.; Scherpbier, A.J.J.A.; Vleuten, C.P.M. van der; Bruin, A.B. De

    2014-01-01

    Eight factors are claimed to have a negative influence on anatomical knowledge of medical students: (1) teaching by nonmedically qualified teachers, (2) the absence of a core anatomy curriculum, (3) decreased use of dissection as a teaching tool, (4) lack of teaching anatomy in context, (5)

  11. Anatomical entity mention recognition at literature scale.

    Science.gov (United States)

    Pyysalo, Sampo; Ananiadou, Sophia

    2014-03-15

    Anatomical entities ranging from subcellular structures to organ systems are central to biomedical science, and mentions of these entities are essential to understanding the scientific literature. Despite extensive efforts to automatically analyze various aspects of biomedical text, there have been only few studies focusing on anatomical entities, and no dedicated methods for learning to automatically recognize anatomical entity mentions in free-form text have been introduced. We present AnatomyTagger, a machine learning-based system for anatomical entity mention recognition. The system incorporates a broad array of approaches proposed to benefit tagging, including the use of Unified Medical Language System (UMLS)- and Open Biomedical Ontologies (OBO)-based lexical resources, word representations induced from unlabeled text, statistical truecasing and non-local features. We train and evaluate the system on a newly introduced corpus that substantially extends on previously available resources, and apply the resulting tagger to automatically annotate the entire open access scientific domain literature. The resulting analyses have been applied to extend services provided by the Europe PubMed Central literature database. All tools and resources introduced in this work are available from http://nactem.ac.uk/anatomytagger. sophia.ananiadou@manchester.ac.uk Supplementary data are available at Bioinformatics online.

  12. Anatomically Plausible Surface Alignment and Reconstruction

    DEFF Research Database (Denmark)

    Paulsen, Rasmus R.; Larsen, Rasmus

    2010-01-01

    With the increasing clinical use of 3D surface scanners, there is a need for accurate and reliable algorithms that can produce anatomically plausible surfaces. In this paper, a combined method for surface alignment and reconstruction is proposed. It is based on an implicit surface representation ...

  13. PHYSICAL ACTIVITY AND THE PELVIC FLOOR

    Science.gov (United States)

    Nygaard, Ingrid E.; Shaw, Janet M.

    2015-01-01

    Pelvic floor disorders (PFDs) are common, with one in four U.S. women reporting moderate to severe symptoms of urinary incontinence, pelvic organ prolapse or fecal incontinence. Given the high societal burden of these disorders, identifying potentially modifiable risk factors is crucial. Physical activity is one such potentially modifiable risk factor; the large number of girls and women participating in sport and strenuous training regimens increases the need to understand associated risks and benefits of these exposures. The aim of this review is to summarize studies reporting the association between physical activity and PFDs. Most studies are cross-sectional and most include small numbers of participants. The primary findings of this review include: Urinary incontinence during exercise is common and is more prevalent in women during high-impact sports. Mild to moderate physical activity, such as brisk walking, decreases both the odds of having and the risk of developing urinary incontinence. In older women, mild to moderate activity also decreases the odds of having fecal incontinence; however, young women participating in high intensity activity are more likely to report anal incontinence than less active women. Scant data suggest that in middle-aged women, lifetime physical activity increases the odds of stress urinary incontinence slightly and does not increase the odds of pelvic organ prolapse. Women undergoing surgery for pelvic organ prolapse are more likely to report a history of heavy work than controls; however, women recruited from the community with pelvic organ prolapse on examination report similar lifetime levels of strenuous activity as women without this exam finding. Data are insufficient to determine whether strenuous activity while young predisposes to pelvic floor disorders later in life. The existing literature suggests that most physical activity does not harm the pelvic floor and does provide numerous health benefits for women. However

  14. Complications of grafts used in female pelvic floor reconstruction: Mesh erosion and extrusion

    Directory of Open Access Journals (Sweden)

    Tanya M Nazemi

    2007-01-01

    Full Text Available Introduction: Various grafts have been used in the treatment of urinary incontinence and pelvic prolapse. Autologous materials such as muscle and fascia were first utilized to provide additional anatomic support to the periurethral and pelvic tissues; however, attempts to minimize the invasiveness of the procedures have led to the use of synthetic materials. Complications such as infection and erosion or extrusion associated with these materials may be troublesome to manage. We review the literature and describe a brief overview of grafts used in pelvic floor reconstruction and focus on the management complications specifically related to synthetic materials. Materials and Methods: We performed a comprehensive review of the literature on grafts used in pelvic floor surgery using MEDLINE and resources cited in those peer-reviewed manuscripts. The results are presented. Results: Biologic materials provide adequate cure rates but have associated downfalls including potential complications from harvesting, variable tissue quality and cost. The use of synthetic materials as an alternative graft in pelvic floor repairs has become a popular option. Of all synthetic materials, the type I macroporous polypropylene meshes have demonstrated superiority in terms of efficacy and fewer complication rates due to their structure and composition. Erosion and extrusion of mesh are common and troublesome complications that may be managed conservatively with observation with or without local hormone therapy, with transvaginal debridement or with surgical exploration and total mesh excision, dependent upon the location of the mesh and the mesh type utilized. Conclusions: The ideal graft would provide structural integrity and durability with minimal adverse reaction by the host tissue. Biologic materials in general tend to have fewer associated complications, however, the risks of harvesting, variable integrity of allografts, availability and high cost has led to the

  15. Analysis digital panoramic radiograph about positions root of maxillary posterior teeth with maxillary sinus floor

    Directory of Open Access Journals (Sweden)

    Aprilia Dian Pertiwi

    2016-11-01

    Full Text Available Introduction: Maxillary sinus floor is a part of the alveolar bone adjacent to the apex of the posterior maxillary teeth that often causes complications in dentistry. Anatomical relationship between the maxillary posterior tooth root and the maxillary sinus floor can be obtained by panoramic radiograph.  The purpose of this study is to analysis digital panoramic radiograph about positions root of maxillary posterior teeth’s with  maxillary sinus floor by age and gender using. Methods: Research method is descriptive with purposive sampling technique. Study population was taken from archives of patient’s digital panoramic radiograph in Radiography Installation from January to March 2016. 88 samples were obtained from 207 digital panoramic radiographs archives. Results: The result showed that type 3 was dominated by P1 (86.8% right, 88.2% left, type 2 is dominated by P2 (24.7% right, 21% left, type 1 is dominated by M2 in the right (31.2% and M1 in the left (38.1%. Conclusion: This study concludes that overall, the most commonly found was type 3. Based on the age, type 1 majority occurs in age group of above 49 years old; type 2 in age group of 40-49 years old; and type 3 in age group 30-39 years old, 40-49 years old, and above 49 years old. By gender, type 1 and type 2 are more common in males, while type 3 is more common in female.

  16. ANATOMIC STRUCTURE OF CAMPANULA ROTUNDIFOLIA L. GRASS

    Directory of Open Access Journals (Sweden)

    V. N. Bubenchikova

    2017-01-01

    Full Text Available The article present results of the study for a anatomic structure of Campanula rotundifolia grass from Campanulaceae family. Despite its dispersion and application in folk medicine, there are no data about its anatomic structure, therefore to estimate the indices of authenticity and quality of raw materials it is necessary to develop microdiagnostical features in the first place, which could help introducing of thisplant in a medical practice. The purpose of this work is to study anatomical structureof Campanula rotundifolia grass to determine its diagnostic features. Methods. Thestudy for anatomic structure was carried out in accordance with the requirements of State Pharmacopoeia, edition XIII. Micromed laboratory microscope with digital adjutage was used to create microphotoes, Photoshop CC was used for their processing. Result. We have established that stalk epidermis is prosenchymal, slightly winding with straight of splayed end cells. After study for the epidermis cells we established that upper epidermis cells had straight walls and are slightly winding. The cells of lower epidermishave more winding walls with prolong wrinkled cuticule. Presence of simple one-cell, thin wall, rough papillose hair on leaf and stalk epidermis. Cells of epidermis in fauces of corolla are prosenchymal, with winding walls, straight or winding walls in a cup. Papillary excrescences can be found along the cup edges. Stomatal apparatus is anomocytic. Conclusion. As the result of the study we have carried out the research for Campanula rotundifolia grass anatomic structure, and determined microdiagnostic features for determination of raw materials authenticity, which included presence of simple, one-cell, thin-walled, rough papillose hair on both epidermises of a leaf, along the veins, leaf edge, and stalk epidermis, as well as the presence of epidermis cells with papillary excrescences along the edges of leaves and cups. Intercellular canals are situatedalong the

  17. Improving the cleaning procedure to make kitchen floors less slippery.

    Science.gov (United States)

    Quirion, F; Poirier, P; Lehane, P

    2008-12-01

    This investigation shows that, in most cases, the floor cleaning procedure of typical restaurants could be improved, resulting in a better cleaning efficiency and a better floor friction. This simple approach could help reduce slips and falls in the workplace. Food safety officers visited ten European style restaurants in the London Borough of Bromley (UK) to identify their floor cleaning procedure in terms of the cleaning method, the concentration and type of floor cleaner and the temperature of the wash water. For all 10 restaurants visited, the cleaning method was damp mopping. Degreasers were used in three sites while neutral floor cleaners were used in seven sites. Typically, the degreasers were over diluted and the neutrals were overdosed. The wash water temperature ranged from 10 to 72 degrees C. The on-site cleaning procedures were repeated in the laboratory for the removal of olive oil from new and sealed quarry tiles, fouled and worn quarry tiles and new porcelain tiles. It is found that in 24 out of 30 cases, cleaning efficiency can be improved by simple changes in the floor cleaning procedure and that these changes result in a significant improvement of the floor friction. The nature of the improved floor cleaning procedure depends on the flooring type. New and properly sealed flooring tiles can be cleaned using damp mopping with a degreaser diluted as recommended by the manufacturer in warm or hot water (24 to 50 degrees C). But as the tiles become worn and fouled, a more aggressive floor cleaning is required such as two-step mopping with a degreaser diluted as recommended by the manufacturer in warm water (24 degrees C).

  18. Floor tile and mastic removal project report

    Energy Technology Data Exchange (ETDEWEB)

    1992-11-01

    A test program was developed and coordinated with State and Federal Regulators and carried out at Fort Sill, Oklahoma. This program was carefully designed to create the worst conditions in order to evaluate whether asbestos fibers are released when asbestos containing floor tile and mastic are removed. There were over 1,000 samples taken and analyzed during the execution of the program. The conclusions reached were based upon analysis of the critical samples using the Transmission Electron Microscope (TEM) technology. Additionally, the TEM procedures were used to evaluate personnel samples to determine whether those fibers found were asbestos or other materials. Most of the (TEM) samples were analyzed by the US Environmental Protection Agency (EPA) Risk Reduction Engineering Laboratory in Cincinnati, Ohio.

  19. Seismic resistance of composite floor diaphragms

    Science.gov (United States)

    Porter, M. L.; Greimann, L. F.

    1980-05-01

    The behavioral and strength characteristics of composite steel deck floor slab diaphragms are reported. Principal characteristics investigated include maximum load, ductility, stiffness, and failure mode. The addition of studs increases the flexural load capacity of one-way steel deck reinforced slabs by 10 to 30 percent. Non-studded specimens ultimately fail because of loss of interfacial force in the shear span. Studded specimens ultimately fail due to tearing of the deck near the stud. Two analysis procedures were used, a contributing forces approach and a shear-bond approach. The former was found to be a potential analysis procedure, and results from the shear-bond increase approach demonstrated its feasibility for studded specimens.

  20. Architectural Considerations for Holonic Shop Floor Control

    DEFF Research Database (Denmark)

    Langer, Gilad; Bilberg, Arne

    1997-01-01

    The general trends in the global markets is forcing manufacturing firms to produce products with increasing diversity while adapting new technology as it emerges. In order to cope with this new situation they need manu-facturing systems which are much more agile than them we presently consider...... of the HMS concept, followed by an investigation regard-ing the development of shop floor control architectures. This will include a summary of the ongoing research on HMS, and current results regarding the development of a holonic SFC architecture in a cellular manufacturing perspective. The paper...... will present a model of both a holonic cell and multi-cell control architecture. The work is based on a theoretical study of new manufac-turing systems theories, practical test, development of a prototype, and two case studies. It is part of a research project which aims at developing a multi-cell control...

  1. Inadequate vertical bone dimension managed by bone-added osteotome sinus floor elevation (BAOSFE): a literature review and case report.

    Science.gov (United States)

    Kolhatkar, Shilpa; Cabanilla, Leyvee; Bhola, Monish

    2009-05-01

    The purpose of this report is to provide a brief literature review of the bone-added osteotome sinus floor elevation (BAOSFE) procedure and to present a case utilizing this technique. Implant placement in the posterior maxillary region is often compromised due to anatomic limitations. In clinical situations where there is inadequate vertical bone dimension, the BAOSFE technique can be employed to increase bone height and allow placement of implants with an appropriate length dimension. A case of a 60-year-old female with inadequate vertical bone dimension in the area of an extracted #13 is presented. The BAOSFE technique was performed which facilitated the placement of a 3.75 X 13 mm implant. Anatomic limitations such as inadequate vertical bone dimension in the posterior maxillary region may result in placement of shorter implants. Sinus floor elevation (SFE) procedures using a crestal approach such as the BAOSFE, in certain selected cases, can effectively and predictably increase bone height. The BAOSFE technique is an excellent procedure that can overcome limitations associated with the posterior maxillary region.

  2. 76 FR 26685 - Multilayered Wood Flooring From the People's Republic of China: Alignment of Final Countervailing...

    Science.gov (United States)

    2011-05-09

    ... International Trade Administration Multilayered Wood Flooring From the People's Republic of China: Alignment of... multilayered wood flooring (``wood flooring'') from the People's Republic of China (``PRC'') with the final... wood flooring from the PRC. See Multilayered Wood Flooring from the People's Republic of China...

  3. Association between implant apex and sinus floor in posterior maxilla dental implantation: A three-dimensional finite element analysis

    Science.gov (United States)

    YAN, XU; ZHANG, XINWEN; CHI, WEICHAO; AI, HONGJUN; WU, LIN

    2015-01-01

    The aim of the present study was to evaluate the effect of the association between the implant apex and the sinus floor in posterior maxilla dental implantation by means of three-dimensional (3D) finite element (FE) analysis. Ten 3D FE models of a posterior maxillary region with a sinus membrane and different heights of alveolar ridge with different thicknesses of sinus floor cortical bone were constructed according to anatomical data of the sinus area. Six models were constructed with the same thickness of crestal cortical bone and a 1-mm thick sinus floor cortical bone, but differing heights of alveolar ridge (between 10 and 14 mm). The four models of the second group were similar (11-mm-high alveolar ridge and 1-mm-thick crestal cortical bone) but with a changing thickness of sinus floor cortical bone (between 0.5 and 2.0 mm). The standard implant model based on the Nobel Biocare® implant system was created by computer-aided design (CAD) software and assembled into the models. The materials were assumed to be isotropic and linearly elastic. An inclined force of 129 N was applied. The maximum von Mises stress, stress distribution, implant displacement and resonance frequencies were calculated using CAD software. The von Mises stress was concentrated on the surface of the crestal cortical bone around the implant neck with the exception of that for the bicortical implantation. For immediate loading, when the implant apex broke into or through the sinus cortical bone, the maximum displacements of the implant, particularly at the implant apex, were smaller than those in the other groups. With increasing depth of the implant apex in the sinus floor cortical bone, the maximum displacements decreased and the implant axial resonance frequencies presented a linear upward tendency, but buccolingual resonance frequencies were hardly affected. This FE study on the association between implant apex and sinus floor showed that having the implant apex in contact with, piercing

  4. An approach to constipation associated with pelvic floor dysfunction ...

    African Journals Online (AJOL)

    An approach to constipation associated with pelvic floor dysfunction. ... A detailed history and physical examination is necessary. Tests of colonic and pelvic floor function help distinguish constipation ... A small group of patients, refractory to medical therapy should be considered for surgery. Should test results show pelvic ...

  5. reliability analysis of a two span floor designed according

    African Journals Online (AJOL)

    user

    contemporary striking design alongside modern architecture in our towns and cities. Afolayan and. Adeyeye [7] noted the inherent advantages of timber that make it especially attractive in specific applications. Timber floor is used in buildings, local ports decks and footbridges to provide platforms for walking [2]. A timber floor ...

  6. Obstetric practice and the pelvic floor | Jeffery | Obstetrics and ...

    African Journals Online (AJOL)

    A vaginal delivery has a profound impact on the pelvic floor with the potential for significant functional sequelae. There is an increasing trend among obstetricians to perform a caesarean section to preserve pelvic floor function. This in turn has contributed to an increasing caesarean section rate, both in South Africa and ...

  7. Longevity of black cherry seed in the forest floor

    Science.gov (United States)

    G. W. Wendel

    1972-01-01

    Observations made on the Fernow Experimental Forest in West Virginia indicate that some black cherry seeds remain viable in the forest floor over three winters. On the average fewer than 10 percent of the seeds stored in the forest floor germinated the first spring, about 50 percent germinated the second spring, and 25 percent germinated the third spring.

  8. Experimental Verification of an Instrument to Test Flooring Materials

    Science.gov (United States)

    Philip, Rony; Löfgren, Hans, Dr

    2018-02-01

    The focus of this work is to validate the fluid model with different flooring materials and the measurements of an instrument to test flooring materials and its force attenuating capabilities using mathematical models to describe the signature and coefficients of the floor. The main contribution of the present work focus on the development of a mathematical fluid model for floors. The aim of the thesis was to analyze, compare different floor materials and to study the linear dynamics of falling impacts on floors. The impact of the hammer during a fall is captured by an accelerometer and response is collected using a picoscope. The collected data was analyzed using matlab least square method which is coded as per the fluid model. The finding from this thesis showed that the fluid model works with more elastic model but it doesn’t work for rigid materials like wood. The importance of parameters like velocity, mass, energy loss and other coefficients of floor which influences the model during the impact of falling on floors were identified and a standardized testing method was set.

  9. Efficient systems of sound insulating floors. [multilayer soundproofing materials

    Science.gov (United States)

    Giurgiu, I. I.

    1974-01-01

    Experiments are summerized on dwelling houses with a view to the creation of efficient warm floors. The experiments concern the types of floors built in Rumania with currently produced materials. At the present time experiments are continuing with solutions based on concrete slabs equipped with a PVC carpet and placed on an elastic layer.

  10. Sound absorption characteristics of tree bark and forest floor

    Science.gov (United States)

    G. Reethof; O. H. McDaniel; G. M. Heisler

    1977-01-01

    Results of basic research on absorption of sound by tree bark and forest floors are presented. Amount of sound absorption by tree bark was determined by laboratory experiments with bark samples in a standing-wave tube. A modified portable standing-wave tube was used to measure absorption of sound by forest floors with different moisture contents, with and without leaf...

  11. Floor Care. Resource Manual for Custodial Training Course #2.

    Science.gov (United States)

    Florida State Dept. of Education, Tallahassee. School Plant Management Section.

    The most widely accepted practices and recent developments in the floor maintenance field are presented as an aid to school custodians and administrators. It is important that operations and maintenance men develop inexpensive, efficient methods of treatment which will give the floor maximum protection and service, make it look its best, and…

  12. 17 CFR 155.2 - Trading standards for floor brokers.

    Science.gov (United States)

    2010-04-01

    ... 17 Commodity and Securities Exchanges 1 2010-04-01 2010-04-01 false Trading standards for floor brokers. 155.2 Section 155.2 Commodity and Securities Exchanges COMMODITY FUTURES TRADING COMMISSION TRADING STANDARDS § 155.2 Trading standards for floor brokers. Each contract market shall adopt and submit...

  13. Claw health and floor type in group housed sows

    NARCIS (Netherlands)

    Vermeer, H.M.; Vermeij, I.

    2014-01-01

    The objective of this review is to give an overview of the effect of floor types on claw health in group housed sows. The risk on lameness caused by the pen floor is increasing with group housing becoming more important. Lameness is a major welfare and production problem and often related to claw

  14. 75 FR 79019 - Multilayered Wood Flooring From China

    Science.gov (United States)

    2010-12-17

    ... COMMISSION Multilayered Wood Flooring From China Determinations On the basis of the record \\1\\ developed in... reason of imports from China of multilayered wood flooring, provided for in subheadings 4409.10, 4409.29... than fair value (LTFV) and subsidized by the Government of China. \\1\\ The record is defined in Sec. 207...

  15. 78 FR 30329 - Multilayered Wood Flooring from China

    Science.gov (United States)

    2013-05-22

    ... COMMISSION Multilayered Wood Flooring from China AGENCY: United States International Trade Commission. ACTION... and 731-TA-1179 (Final) concerning multilayered wood flooring (``MLWF'') from China. For further... States was materially injured by reason of imports of MLWF from China that were sold in the United States...

  16. 76 FR 76435 - Multilayered Wood Flooring From China

    Science.gov (United States)

    2011-12-07

    ... COMMISSION Multilayered Wood Flooring From China Determinations On the basis of the record \\1\\ developed in... China of multilayered wood flooring, provided for in subheadings 4409.10, 4409.29, 4412.31, 4412.32... orders on imports of this product from China. Background The Commission instituted these investigations...

  17. A Novel Cystometric Model of Pelvic Floor Dysfunction After Rabbit Pelvic Floor Noxious Electrical Stimulation.

    Science.gov (United States)

    Dobberfuhl, Amy D; Spettel, Sara; Schuler, Catherine; Dubin, Andrew H; Levin, Robert M; De, Elise J B

    2016-01-01

    Although a relationship between pelvic floor dysfunction and lower urinary tract symptoms is described in the literature, the mechanism and pathways need further characterization. We developed an animal model of pelvic floor dysfunction after noxious stimulation of the pubococcygeus (PC) muscle. Fifteen female adult rabbits were evaluated with cystometry (CMG) and electromyography (EMG) recordings from the PC muscle. Cystometry/EMG was performed before and after treatment animal (n = 11) received noxious pelvic floor electrical stimulation through the PC EMG electrode, and controls (n = 4) underwent sham needle placement. Two animals underwent S3 dorsal rhizotomy to demonstrate that the observed results required afferent innervation. Voiding changes were demonstrated in 9 of 11 rabbits after stimulation. Most of the rabbits (7/9) exhibited a prolonged-dysfunctional voiding pattern with larger capacity (mean, 17 mL [SEM, ±8 mL]), longer intercontractile interval (227% [SEM, ±76%]) and duration (163% [SEM, ±20%]), and increased postvoid residual (24 mL [SEM, ±6 mL]). The remaining dysfunctional rabbits (2/9) exhibited an overactive-dysfunctional voiding pattern with lower capacity (-26 mL [SEM, ±6 mL]), shortened intercontractile interval (16% [SEM, ±9%]) and duration (56% [SEM, ±30%]), and decreased postvoid residual (-27 mL [SEM, ±6 mL]). Nonresponder rabbits (2/11) were relatively unchanged in their micturition cycles after stimulation. Rhizotomy animals were acontractile and filled until overflow incontinence occurred. Using noxious electrical stimulation of the pelvic musculature, we were able to produce an animal model of pelvic floor dysfunction in most rabbits as hallmarked by a larger bladder capacity, an increased intercontractile interval, and prolonged contraction duration.

  18. Pelvic floor dysfunction, and effects of pregnancy and mode of delivery on pelvic floor

    Directory of Open Access Journals (Sweden)

    Murat Bozkurt

    2014-12-01

    Full Text Available Pelvic floor dysfunction (PFD, although seems to be simple, is a complex process that develops secondary to multifactorial factors. The incidence of PFD is increasing with increasing life expectancy. PFD is a term that refers to a broad range of clinical scenarios, including lower urinary tract excretory and defecation disorders, such as urinary and anal incontinence, overactive bladder, and pelvic organ prolapse, as well as sexual disorders. It is a financial burden on the health care system and disrupts women's quality of life. Strategies applied to decrease PFD are focused on the course of pregnancy, mode and management of delivery, and pelvic exercise methods. Many studies in the literature define traumatic birth, usage of forceps, length of the second stage of delivery, and sphincter damage as modifiable risk factors for PFD. Maternal age, fetal position, and fetal head circumference are nonmodifiable risk factors. Although numerous studies show that vaginal delivery affects pelvic floor structures and their functions in a negative way, there is not enough scientific evidence to recommend elective cesarean delivery in order to prevent development of PFD. PFD is a heterogeneous pathological condition, and the effects of pregnancy, vaginal delivery, cesarean delivery, and possible risk factors of PFD may be different from each other. Observational studies have identified certain obstetrical exposures as risk factors for pelvic floor disorders. These factors often coexist; therefore, the isolated effects of these variables on the pelvic floor are difficult to study. The routine use of episiotomy for many years in order to prevent PFD is not recommended anymore; episiotomy should be used in selected cases, and the mediolateral procedures should be used if needed.

  19. [Postpartum pelvic floor muscle training and abdominal rehabilitation: Guidelines].

    Science.gov (United States)

    Deffieux, X; Vieillefosse, S; Billecocq, S; Battut, A; Nizard, J; Coulm, B; Thubert, T

    2015-12-01

    Provide guidelines for clinical practice concerning postpartum rehabilitation. Systematically review of the literature concerning postpartum pelvic floor muscle training and abdominal rehabilitation. Pelvic-floor rehabilitation using pelvic floor muscle contraction exercises is recommended to treat persistent urinary incontinence at 3 months postpartum (grade A), regardless of the type of incontinence. At least 3 guided sessions with a therapist is recommended, associated with pelvic floor muscle exercises at home. This postpartum rehabilitation improves short-term urinary incontinence (1 year) but not long-term (6-12 years). Early pelvic-floor rehabilitation (within 2 months following childbirth) is not recommended (grade C). Postpartum pelvic-floor rehabilitation in women presenting with anal incontinence, is associated with a lower prevalence of anal incontinence symptoms in short-term (1 year) (EL3) but not long-term (6 and 12) (EL3). Postpartum pelvic-floor rehabilitation is recommended to treat anal incontinence (grade C) but results are not maintained in medium or long term. No randomized trials have evaluated the pelvic-floor rehabilitation in asymptomatic women in order to prevent urinary or anal incontinence in medium or long term. It is therefore not recommended (expert consensus). Rehabilitation supervised by a therapist (physiotherapist or midwife) is not associated with better results than simple advice for voluntary contraction of the pelvic floor muscles to prevent/correct, in short term (6 months), a persistent prolapse 6 weeks postpartum (EL2), whether or not with a levator ani avulsion (EL3). Postpartum pelvic-floor rehabilitation is not associated with a decrease in the prevalence of dyspareunia at 1-year follow-up (EL3). Postpartum pelvic-floor rehabilitation guided by a therapist is therefore not recommended to treat or prevent prolapse (grade C) or dyspareunia (grade C). No randomized trials have evaluated the effect of pelvic

  20. Historical evolution of anatomical terminology from ancient to modern.

    Science.gov (United States)

    Sakai, Tatsuo

    2007-06-01

    The historical development of anatomical terminology from the ancient to the modern can be divided into five stages. The initial stage is represented by the oldest extant anatomical treatises by Galen of Pergamon in the Roman Empire. The anatomical descriptions by Galen utilized only a limited number of anatomical terms, which were essentially colloquial words in the Greek of this period. In the second stage, Vesalius in the early 16th century described the anatomical structures in his Fabrica with the help of detailed magnificent illustrations. He coined substantially no anatomical terms, but devised a system that distinguished anatomical structures with ordinal numbers. The third stage of development in the late 16th century was marked by innovation of a large number of specific anatomical terms especially for the muscles, vessels and nerves. The main figures at this stage were Sylvius in Paris and Bauhin in Basel. In the fourth stage between Bauhin and the international anatomical terminology, many anatomical textbooks were written mainly in Latin in the 17th century, and in modern languages in the 18th and 19th centuries. Anatomical terms for the same structure were differently expressed by different authors. The last stage began at the end of the 19th century, when the first international anatomical terminology in Latin was published as Nomina anatomica. The anatomical terminology was revised repeatedly until the current Terminologia anatomica both in Latin and English.

  1. Recognition and Management of Nonrelaxing Pelvic Floor Dysfunction

    Science.gov (United States)

    Faubion, Stephanie S.; Shuster, Lynne T.; Bharucha, Adil E.

    2012-01-01

    Nonrelaxing pelvic floor dysfunction is not widely recognized. Unlike in pelvic floor disorders caused by relaxed muscles (eg, pelvic organ prolapse or urinary incontinence, both of which often are identified readily), women affected by nonrelaxing pelvic floor dysfunction may present with a broad range of nonspecific symptoms. These may include pain and problems with defecation, urination, and sexual function, which require relaxation and coordination of pelvic floor muscles and urinary and anal sphincters. These symptoms may adversely affect quality of life. Focus on the global symptom complex, rather than the individual symptoms, may help the clinician identify the condition. The primary care provider is in a position to intervene early, efficiently, and effectively by (1) recognizing the range of symptoms that might suggest nonrelaxing pelvic floor dysfunction, (2) educating patients, (3) performing selective tests when needed to confirm the diagnosis, and (4) providing early referral for physical therapy. PMID:22305030

  2. Impact sound insulation improvement of wooden floors on concrete slabs

    DEFF Research Database (Denmark)

    Rasmussen, Birgit; Hoffmeyer, Dan; Hansen, Rói

    2014-01-01

    renovating housing. In Denmark, there are about 1 million dwellings in multi-storey housing. About half of the dwellings are built with timber floors, and the other half with wooden floors on concrete slabs, either in-situ cast or prefabricated hollow-core elements. In a project including mapping of sound...... insulation in the Danish housing stock and investigation of improvement possibilities, a pilot laboratory study of wooden floors on concrete was carried out. The laboratory study included impact sound improvement measurements of full-scale samples (10 m2) fulfilling the conditions in EN ISO 10140....... The measurements indicated up to about 8 dB improvement potential compared to floor constructions typical before the latest change of regulations, namely wooden floors on joists on PE wedges or similar. In addition, tests of small-scale samples (1 m2) – unsuitable for type testing – were performed to provide...

  3. Historical Cavern Floor Rise for All SPR Sites

    Energy Technology Data Exchange (ETDEWEB)

    Moriarty, Dylan Michael [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2016-09-01

    The Strategic Petroleum Reserve (SPR) contains the largest supply is the largest stockpile of government-owned emergency crude oil in the world. The oil is stored in multiple salt caverns spread over four sites in Louisiana and Texas. Cavern infrastructure near the bottom of the cavern can be damaged from vertical floor movement. This report presents a comprehensive history of floor movements in each cavern. Most of the cavern floor rise rates ranged from 0.5-3.5 ft/yr, however, there were several caverns with much higher rise rates. BH103, BM106, and BH105 had the three highest rise rates. Information from this report will be used to better predict future vertical floor movements and optimally place cavern infrastructure. The reasons for floor rise are not entirely understood and should be investigated.

  4. Pelvic floor assessment after delivery: how should women be selected?

    Science.gov (United States)

    Soligo, Marco; Livio, Stefania; De Ponti, Elena; Scebba, Ileana; Carpentieri, Federica; Serati, Maurizio; Ferrazzi, Enrico

    2016-11-01

    Pelvic floor dysfunction after delivery is quite common. New mothers deserve to receive targeted care for pelvic floor dysfunction, but how should women who are at risk be identified and selected for treatment? This study investigated risk factors and puerperal health-seeking behaviours to develop a restrictive patient selection model for postpartum pelvic floor dysfunction assessment. This prospective observational study involved women who were at ≥32 weeks gestational age when they delivered in a tertiary referral maternity hospital in Milan, Italy, between July and December 2014. Eligible women were scheduled for a 3-month postnatal pelvic floor clinic. The adherence rate to the pelvic floor clinic and the prevalence of pelvic floor dysfunctions at 3 months postpartum were recorded. Univariable and logistic multivariable analyses were performed to select risk factors for pelvic floor dysfunctions. Risk factors were then tested for sensitivity and specificity for 3-month postpartum pelvic floor dysfunctions. Of 1606 eligible women, 1293 (80.5%) were included in the analysis; 685 puerperal women (53.0%) adhered to the 3-month postnatal pelvic floor clinic; pelvic floor dysfunctions were detected in 238 women (34.7%). Four elements emerged as risk factors: symptoms before pregnancy (OR 1.72, 95% CI 1.15-2.56; p=0.008), symptoms during pregnancy (OR 2.13, 95% CI 1.49-3.06; p<0.0001), vacuum extractor use (OR 1.62, 95% CI 1.04-2.54; p=0.034), and severe perineal tears (OR 19.45, 95% CI 2.42-156.15; p=0.005). The combined sensitivity and specificity for the 4 risk factors were 82% and 39%, respectively. Internal risk factors analysis offers the potential to efficiently restrict patient selection for follow-up. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  5. Pelvic floor tenderness in the etiology of superficial dyspareunia.

    Science.gov (United States)

    Yong, Paul J; Mui, Justin; Allaire, Catherine; Williams, Christina

    2014-11-01

    To calculate the prevalence of pelvic floor tenderness in the population of women with pelvic pain and to determine its implications for symptoms of pelvic pain. We conducted a retrospective review of patients with pelvic pain at a tertiary referral centre. Pelvic floor tenderness was defined as levator ani tenderness on at least one side during single digit pelvic examination. The prevalence of pelvic floor tenderness in this cohort of women with pelvic pain was compared with the prevalence in a cohort of women without pain attending a gynaecology clinic. In the women with pelvic pain, multiple regression was performed to determine which variables were independently associated with pelvic floor tenderness. The prevalence of pelvic floor tenderness was 40% (75/189) in the cohort with pelvic pain, significantly greater than the prevalence of 13% (4/32) in the cohort without pain (OR 4.61; 95% CI 1.55 to 13.7, P = 0.005). On multiple logistic regression, superficial dyspareunia (OR 4.45; 95% CI 1.86 to 10.7, P = 0.001), abdominal wall pain (OR 4.04; 95% CI 1.44 to 11.3, P = 0.005), and bladder base tenderness (OR 4.65; 95% CI 1.87 to 11.6, P = 0.001) were independently associated with pelvic floor tenderness. Pelvic floor tenderness was similarly present in women with or without underlying endometriosis. Pelvic floor tenderness is common in women with pelvic pain, with or without endometriosis, and is a contributor to superficial dyspareunia. Pelvic floor tenderness was also associated with abdominal wall pain and bladder base tenderness, suggesting that nervous system sensitization is involved in the etiology of pelvic floor tenderness.

  6. Entry, Descent, and Landing Communications for the 2011 Mars Science Laboratory

    Science.gov (United States)

    Abilleira, Fernando; Shidner, Jeremy D.

    2012-01-01

    The Mars Science Laboratory (MSL), established as the most advanced rover to land on the surface of Mars to date, launched on November 26th, 2011 and arrived to the Martian Gale Crater during the night of August 5th, 2012 (PDT). MSL will investigate whether the landing region was ever suitable to support carbon-based life, and examine rocks, soil, and the atmosphere with a sophisticated suite of tools. This paper addresses the flight system requirement by which the vehicle transmitted indications of the following events using both X-band tones and UHF telemetry to allow identification of probable root causes should a mission anomaly have occurred: Heat-Rejection System (HRS) venting, completion of the cruise stage separation, turn to entry attitude, atmospheric deceleration, bank angle reversal commanded, parachute deployment, heatshield separation, radar ground acquisition, powered descent initiation, rover separation from the descent stage, and rover release. During Entry, Descent, and Landing (EDL), the flight system transmitted a UHF telemetry stream adequate to determine the state of the spacecraft (including the presence of faults) at 8 kbps initiating from cruise stage separation through at least one minute after positive indication of rover release on the surface of Mars. The flight system also transmitted X-band semaphore tones from Entry to Landing plus one minute although since MSL was occulted, as predicted, by Mars as seen from the Earth, Direct-To-Earth (DTE) communications were interrupted at approximately is approx. 5 min after Entry ( approximately 130 prior to Landing). The primary data return paths were through the Deep Space Network (DSN) for DTE and the existing Mars network of orbiting assets for UHF, which included the Mars Reconnaissance Orbiter (MRO), Mars Odyssey (ODY), and Mars Express (MEX) elements. These orbiters recorded the telemetry data stream and returned it back to Earth via the DSN. The paper also discusses the total power

  7. Seasonal variability and descent of mid-latitude sporadic E layers at Arecibo

    Directory of Open Access Journals (Sweden)

    N. Christakis

    2009-03-01

    Full Text Available Sporadic E layers (Es follow regular daily patterns in variability and altitude descent, which are determined primarily by the vertical tidal wind shears in the lower thermosphere. In the present study a large set of sporadic E layer incoherent scatter radar (ISR measurements are analyzed. These were made at Arecibo (Geog. Lat. ~18° N; Magnetic Dip ~50° over many years with ISR runs lasting from several hours to several days, covering evenly all seasons. A new methodology is applied, in which both weak and strong layers are clearly traced by using the vertical electron density gradient as a function of altitude and time. Taking a time base equal to the 24-h local day, statistics were obtained on the seasonal behavior of the diurnal and semidiurnal tidal variability and altitude descent patterns of sporadic E at Arecibo. The diurnal tide, most likely the S(1,1 tide with a vertical wavelength around 25 km, controls fully the formation and descent of the metallic Es layers at low altitudes below 110 km. At higher altitudes, there are two prevailing layers formed presumably by vertical wind shears associated mainly with semidiurnal tides. These include: 1 a daytime layer starting at ~130 km around midday and descending down to 105 km by local midnight, and 2 a less frequent and weaker nighttime layer which starts prior to midnight at ~130 km, descending downwards at somewhat faster rate to reach 110 km by sunrise. The diurnal and semidiurnal-like pattern prevails, with some differences, in all seasons. The differences in occurrence, strength and descending speeds between the daytime and nighttime upper layers are not well understood from the present data alone and require further study.

  8. Dietary associations of household food insecurity among children of Mexican descent: results of a binational study.

    Science.gov (United States)

    Rosas, Lisa G; Harley, Kim; Fernald, Lia C H; Guendelman, Sylvia; Mejia, Fabiola; Neufeld, Lynnette M; Eskenazi, Brenda

    2009-12-01

    Children of Mexican descent frequently experience household food insecurity both in the United States and Mexico. However, little is known about the associations of food insecurity with dietary intake. This study aimed to understand the level of perceived food insecurity and its association with dietary intake among children of Mexican descent residing in the United States and Mexico. This cross-sectional study utilized data from a 2006 binational study of 5-year-old children of Mexican descent living in migrant communities in California and Mexico. In California, children were 301 participants from the Center for the Health Assessment of Mothers and Children of Salinas study, a longitudinal birth cohort in a Mexican immigrant community. Mexican children (n=301) were participants in the Proyecto Mariposa study, which was designed to capture a sample of women and their children living in Mexico who closely resembled the California sample, yet who never migrated to the United States. Household food insecurity was measured using the US Department of Agriculture Food Security Scale and dietary intake was assessed with food frequency questionnaires. Analysis of variance was used to examine unadjusted and adjusted differences in total energy, nutrient intake, and consumption of food groups by household food security status. Approximately 39% of California mothers and 75% of Mexico mothers reported low or very low food security in the past 12 months (P<0.01). Children in the United States experiencing food insecurity consumed more fat, saturated fat, sweets, and fried snacks than children not experiencing food insecurity. In contrast, in Mexico food insecurity was associated with lower intake of total carbohydrates, dairy, and vitamin B-6. Programs and policies addressing food insecurity in the United States and Mexico may need to take steps to address dietary intake among children in households experiencing food insecurity, possibly through education and programs to

  9. Axial block coordinate descent (ABCD) algorithm for X-ray CT image reconstruction

    International Nuclear Information System (INIS)

    Fessler, Jeffrey A.; Kim, Donghwan

    2011-01-01

    The primary drawback of statistical image reconstruction methods for X-ray CT is the computation time required by iterative algorithms. Iterative coordinate descent (ICD) algorithms converge in relatively few iterations but are challenging to parallelize due to their sequential updates. Conjugate gradient (CG) methods and ordered-subsets (OS) algorithms update all pixels simultaneously, which facilitates parallelization, but these algorithms require many more iterations to converge than ICD. This paper proposes a block coordinate descent algorithm for helical and axial cone-beam X-ray CT image reconstruction in which a group of voxels are updated simultaneously. We focus on updating all the voxels within one axial 'column' of the 3D image simultaneously, so we refer to this approach as the axial block coordinate descent (ABCD) algorithm. Because this approach updates many voxels simultaneously (e.g., 64 in an axial scan and hundreds in a helical scan), it is reasonably well suited to parallel processing. At the same time, because the voxels within an axial column are relatively weakly coupled, which is why we selected axial blocks, the algorithm converges fairly quickly. In particular, the simultaneous update of one axial column requires inverting a banded matrix which can be done quickly (ABCD-BAND). An alternative version of the algorithm uses a simpler separable quadratic surrogate for the axial block (ABCD-SQS). Preliminary simulation results illustrate that the ABCD algorithms decrease a regularized weighted least-squares cost function much faster than a traditional separable quadratic surrogate (SQS) method that updates all pixels simultaneously. The proposed ABCD algorithms exhibit about the same decrease per iteration as the ICD method, while appearing much more amenable to parallelization. (orig.)

  10. Seasonal variability and descent of mid-latitude sporadic E layers at Arecibo

    Directory of Open Access Journals (Sweden)

    N. Christakis

    2009-03-01

    Full Text Available Sporadic E layers (Es follow regular daily patterns in variability and altitude descent, which are determined primarily by the vertical tidal wind shears in the lower thermosphere. In the present study a large set of sporadic E layer incoherent scatter radar (ISR measurements are analyzed. These were made at Arecibo (Geog. Lat. ~18° N; Magnetic Dip ~50° over many years with ISR runs lasting from several hours to several days, covering evenly all seasons. A new methodology is applied, in which both weak and strong layers are clearly traced by using the vertical electron density gradient as a function of altitude and time. Taking a time base equal to the 24-h local day, statistics were obtained on the seasonal behavior of the diurnal and semidiurnal tidal variability and altitude descent patterns of sporadic E at Arecibo. The diurnal tide, most likely the S(1,1 tide with a vertical wavelength around 25 km, controls fully the formation and descent of the metallic Es layers at low altitudes below 110 km. At higher altitudes, there are two prevailing layers formed presumably by vertical wind shears associated mainly with semidiurnal tides. These include: 1 a daytime layer starting at ~130 km around midday and descending down to 105 km by local midnight, and 2 a less frequent and weaker nighttime layer which starts prior to midnight at ~130 km, descending downwards at somewhat faster rate to reach 110 km by sunrise. The diurnal and semidiurnal-like pattern prevails, with some differences, in all seasons. The differences in occurrence, strength and descending speeds between the daytime and nighttime upper layers are not well understood from the present data alone and require further study.

  11. Implementing the Mars Science Laboratory Terminal Descent Sensor Field Test Campaign

    Science.gov (United States)

    Montgomery, James F.; Bodie, James H.; Brown, Joseph D.; Chen, Allen; Chen, Curtis W.; Essmiller, John C.; Fisher, Charles D.; Goldberg, Hannah R.; Lee, Steven W.; Shaffer, Scott J.

    2012-01-01

    The Mars Science Laboratory (MSL) will deliver a 900 kg rover to the surface of Mars in August 2012. MSL will utilize a new pulse-Doppler landing radar, the Terminal Descent Sensor (TDS). The TDS employs six narrow-beam antennas to provide unprecedented slant range and velocity performance at Mars to enable soft touchdown of the MSL rover using a unique sky crane Entry, De-scent, and Landing (EDL) technique. Prior to use on MSL, the TDS was put through a rigorous verification and validation (V&V) process. A key element of this V&V was operating the TDS over a series of field tests, using flight-like profiles expected during the descent and landing of MSL over Mars-like terrain on Earth. Limits of TDS performance were characterized with additional testing meant to stress operational modes outside of the expected EDL flight profiles. The flight envelope over which the TDS must operate on Mars encompasses such a large range of altitudes and velocities that a variety of venues were neces-sary to cover the test space. These venues included an F/A-18 high performance aircraft, a Eurocopter AS350 AStar helicopter and 100-meter tall Echo Towers at the China Lake Naval Air Warfare Center. Testing was carried out over a five year period from July 2006 to June 2011. TDS performance was shown, in gen-eral, to be excellent over all venues. This paper describes the planning, design, and implementation of the field test campaign plus results and lessons learned.

  12. A Cockpit Comfort Level of the Descent Capsule-Shaped Vehicles

    Directory of Open Access Journals (Sweden)

    V. E. Minenko

    2017-01-01

    Full Text Available The article formulates the task of selecting a design-layout pattern for a transport spacecraft, in terms of reaching a proper comfort level for the crew to have appropriate functioning. Using the example of a domestic spacecraft and an American one, it has been shown that the type of launch vehicle, the launch specifics, the operational overloads, and the overall mass restrictions have a dramatic impact on the choice of the design-layout pattern of the spacecraft. The free volume of the pressure cockpit per each member of the crew is considered as the main characteristic to show a level of the spacecraft comfort. Using the average statistical data on the layout density of different equipment, the article estimates the possible increase of this characteristic for the cutting-edge descent vehicles. Using the example of the descent vehicles of Soyuz and Apollo class, the article shows a dependence of the raising weight of a descent vehicle on the free volume of its pressure cockpit. Attention is drawn to the fact that the limit of increasing free space of the spacecraft compartments to achieve maximum comfort should correspond to a set of functions that the crew performs in the compartments considered. Otherwise, the increase in the spacecraft mass will prove to be unjustified. The results stated in the article can be useful to developers of manned spacecraft, as well as to teachers and students. In the long term it is worthwhile adding the article material with the mass and volume indicators, as well as with the estimate results of the comfort level of modern manned spacecrafts being under design in Russia and USA, such as PTK NP (“Federation”, “Orion”, “Dragon V2”.

  13. Biomechanical demands of the 2-step transitional gait cycles linking level gait and stair descent gait in older women.

    Science.gov (United States)

    Alcock, Lisa; O'Brien, Thomas D; Vanicek, Natalie

    2015-12-16

    Stair descent is an inherently complex form of locomotion posing a high falls risk for older adults, specifically when negotiating the transitional gait cycles linking level gait and descent. The aim of this study was to enhance our understanding of the biomechanical demands by comparing the demands of these transitions. Lower limb kinematics and kinetics of the 2-step transitions linking level and descent gait at the top (level-to-descent) and the bottom (descent-to-level) of the staircase were quantified in 36 older women with no falls history. Despite undergoing the same vertical displacement (2-steps), the following significant (pvelocity; reduced hip extension and increased ankle dorsiflexion (late stance/pre-swing); reduced ground reaction forces, larger knee extensor moments and powers (absorption; late stance); reduced ankle plantarflexor moments (early and late stance) and increased ankle powers (mid-stance). Top transition biomechanics were similar to those reported previously for continuous descent. Kinetic differences at the knee and ankle signify the contrasting and prominent functions of controlled lowering during the top transition and forward continuance during the bottom transition. The varying musculoskeletal demands encountered during each functional sub-task should be addressed in falls prevention programmes with elderly populations where the greatest clinical impact may be achieved. Knee extensor eccentric power through flexion exercises would facilitate a smooth transition at the top and improving ankle plantarflexion strength during single and double limb stance activities would ease the transition into level gait following continuous descent. Copyright © 2015 Elsevier Ltd. All rights reserved.

  14. Pelvic floor muscle training as a persistent nursing intervention: Effect on delivery outcome and pelvic floor myodynamia

    Directory of Open Access Journals (Sweden)

    Xin Wang

    2014-03-01

    Conclusion: Persistent nursing intervention for pregnant/postpartum women helped to shorten the second stage of labour and contributed to the recovery of postpartum pelvic floor myodynamia. The influence of this intervention on the delivery mode, and rates of episiotomy and perineal laceration remains unknown. Medical staff should strengthen health education programmes that involve pelvic floor functional rehabilitation.

  15. Effect of pelvic floor muscle exercise on pelvic floor muscle activity and voiding functions during pregnancy and the postpartum period.

    Science.gov (United States)

    Kahyaoglu Sut, Hatice; Balkanli Kaplan, Petek

    2016-03-01

    The aim of this study was to investigate the effects of pelvic floor muscle exercise during pregnancy and the postpartum period on pelvic floor muscle activity and voiding functions. Pregnant women (n = 60) were randomly assigned into two groups (Training [n = 30] and Control [n = 30]) using a computer-based system. Pelvic floor muscle strength was measured using a perineometry device. Urinary symptoms were measured using the Urinary Distress Inventory (UDI-6), Incontinence Impact Questionnaire (IIQ-7), and the Overactive Bladder Questionnaire (OAB-q). Voiding functions were measured using uroflowmetry and 3-day voiding diaries. Measurements were obtained at week 28, weeks 36-38 of pregnancy, and postpartum weeks 6-8. Pelvic floor muscle strength significantly decreased during the pregnancy (P pelvic floor muscle strength improvement was significantly higher in the Training group compared to the Control group (P  0.05). However, UDI-6, coping, concern, and total scores of OAB-q were significantly decreased during weeks 36-38 of pregnancy in the Control group (P pelvic floor muscle strength, urinary symptoms, quality of life, and voiding functions. Pelvic floor muscle exercises applied during pregnancy and the postpartum period increase pelvic floor muscle strength and prevent deterioration of urinary symptoms and quality of life in pregnancy. © 2015 Wiley Periodicals, Inc.

  16. Do women with pelvic floor dysfunction referred by gynaecologists and urologists at hospitals complete a pelvic floor muscle training programme?

    DEFF Research Database (Denmark)

    Tibaek, Sigrid; Dehlendorff, Christian

    2013-01-01

    For decades women with pelvic floor dysfunction (PFD) have been referred to pelvic floor muscle training (PFMT), but there is only little information on whether the women complete the programmes and why. The objectives of this study were to investigate to which extent women completed a PFMT...

  17. Oriental eyelids. Anatomic difference and surgical consideration.

    Science.gov (United States)

    Liu, D; Hsu, W M

    1986-01-01

    Fashions change with time and beauty standards differ in different cultures. In recent years, there has been an increase in the number of immigrants to the United States from the Orient. The creation of an upper eyelid crease has been for the past several decades the most popular cosmetic procedure in many Asian countries. In order to perform this procedure to the satisfaction of an Oriental patient, the surgeon must know what the patient perceives as beautiful and the anatomic differences between the Oriental and the Occidental eyelids. In this paper with data collected from over 3,600 patients, we are presenting important statistics that enables the surgeon to understand better the Oriental mind and facilitate communications. The anatomic difference in the upper eyelid is also discussed.

  18. Accessory mental foramen: a rare anatomical finding

    Science.gov (United States)

    Thakur, Gagan; Thomas, Shaji; Thayil, Sumeeth Cyriac; Nair, Preeti P

    2011-01-01

    Accessory mental foramen (AMF) is a rare anatomical variation with a prevalence ranging from 1.4 to 10%. Even so, in order to avoid neurovascular complications, particular attention should be paid to the possible occurrence of one or more AMF during surgical procedures involving the mandible. Careful surgical dissection should be performed in the region so that the presence of AMF can be detected and the occurrence of a neurosensory disturbance or haemorrhage can be avoided. Although this anatomical variation is rare, it should be kept in mind that an AMF may exist. Trigeminal neuralgia was diagnosed. On the basis of diagnostic test results, peripheral neurectomy of mental nerve was planned. Failure to do neurectomy of mental nerve branch in the reported case, coming out from AMF, would have resulted in recurrence of pain and eventually failure of the procedure. PMID:22707601

  19. SEARCH FOR THE BEST POWER CONTROL PROGRAM AT NPP WITH VVER-1000 USING GRADIENT DESCENT METHOD

    Directory of Open Access Journals (Sweden)

    S. N. Pelykh

    2016-09-01

    Full Text Available This article is regarded to the search for the best power control program at nuclear power plant (NPP with VVER- 1000 by gradient descent method for the objective function, which includes the criteria of efficiency, safety and damage. Criteria normalization to the maximum value is carried out when looking for the minimum of the objective function because criteria have different physical nature. There were chosen such objective criteria as depth of fuel burn-up, index of the fuel cladding damage and axial offset - the ratio of the energy at the top and bottom of the reactor core.

  20. What is Ubuntu? Different Interpretations among South Africans of African Descent

    DEFF Research Database (Denmark)

    Gade, Christian B.N.

    2012-01-01

    In this article, I describe and systematize the different answers to the question 'What is Ubuntu?' that I have been able to identify among South Africans of African descent (SAADs). I show that it is possible to distinguish between two clusters of answers. The answers of the first cluster all...... define ubuntu as a moral quality of a person, while the answers of the second cluster all define ubuntu as a phenomenon (for instance a philosophy, an ethic, African humanism, or, a wordview) according to which persons are interconnected. The concept of a person is of central importance to all...

  1. Block-Based Gradient Descent for Local Backlight Dimming and Flicker Reduction

    DEFF Research Database (Denmark)

    Burini, Nino; Mantel, Claire; Nadernejad, Ehsan

    2014-01-01

    Local backlight dimming technology is a two-fold improvement for LED backlit LCD screens that allows to reduce power consumption and increase visual quality. This paper presents a fast version of an iterative backlight dimming algorithm based on gradient descent search. The speed is increased...... by exploiting the local uniformity of backlight to reduce the complexity for determining the optimal backlight of a given image. The algorithm is adapted to video sequences by using the backlight of the previous frame as a starting point to calculate the backlight for the current frame. Fast variations...

  2. The Mars Exploration Rovers Entry Descent and Landing and the Use of Aerodynamic Decelerators

    Science.gov (United States)

    Steltzner, Adam; Desai, Prasun; Lee, Wayne; Bruno, Robin

    2003-01-01

    The Mars Exploration Rovers (MER) project, the next United States mission to the surface of Mars, uses aerodynamic decelerators in during its entry, descent and landing (EDL) phase. These two identical missions (MER-A and MER-B), which deliver NASA s largest mobile science suite to date to the surface of Mars, employ hypersonic entry with an ablative energy dissipating aeroshell, a supersonic/subsonic disk-gap-band parachute and an airbag landing system within EDL. This paper gives an overview of the MER EDL system and speaks to some of the challenges faced by the various aerodynamic decelerators.

  3. Design requirements and development of an airborne descent path definition algorithm for time navigation

    Science.gov (United States)

    Izumi, K. H.; Thompson, J. L.; Groce, J. L.; Schwab, R. W.

    1986-01-01

    The design requirements for a 4D path definition algorithm are described. These requirements were developed for the NASA ATOPS as an extension of the Local Flow Management/Profile Descent algorithm. They specify the processing flow, functional and data architectures, and system input requirements, and recommended the addition of a broad path revision (reinitialization) function capability. The document also summarizes algorithm design enhancements and the implementation status of the algorithm on an in-house PDP-11/70 computer. Finally, the requirements for the pilot-computer interfaces, the lateral path processor, and guidance and steering function are described.

  4. Hamstring tendons insertion - an anatomical study

    OpenAIRE

    Cristiano Antonio Grassi; Vagner Messias Fruheling; Joao Caetano Abdo; Marcio Fernando Aparecido de Moura; Mario Namba; Joao Luiz Vieira da Silva; Luiz Antonio Munhoz da Cunha; Ana Paula Gebert de Oliveira Franco; Isabel Ziesemer Costa; Edmar Stieven Filho

    2013-01-01

    OBJECTIVE: To study the anatomy of the hamstring tendons insertion and anatomical rela-tionships. METHODS: Ten cadaver knees with medial and anterior intact structures were selected. The dissection was performed from anteromedial access to exposure of the insertion of the flexor tendons (FT), tibial plateau (TP) and tibial tuberosity (TT). A needle of 40 × 12 and a caliper were used to measure the distance of the tibial plateau of the knee flexor tendons insertion at 15 mm from the ...

  5. Anatomically corrected transposition of great vessels

    International Nuclear Information System (INIS)

    Ivanitskij, A.V.; Sarkisova, T.N.

    1989-01-01

    The paper is concerned with the description of rare congenital heart disease: anatomically corrected malposition of major vessels in a 9-mos 24 day old girl. The diagnosis of this disease was shown on the results of angiocardiography, concomitant congenital heart diseases were descibed. This abnormality is characterized by common atrioventricular and ventriculovascular joints and inversion position of the major vessels, it is always attended by congenital heart diseases. Surgical intervention is aimed at the elimination of concomitant heart dieseases

  6. Exploring brain function from anatomical connectivity

    Directory of Open Access Journals (Sweden)

    Gorka eZamora-López

    2011-06-01

    Full Text Available The intrinsic relationship between the architecture of the brain and the range of sensory and behavioral phenomena it produces is a relevant question in neuroscience. Here, we review recent knowledge gained on the architecture of the anatomical connectivity by means of complex network analysis. It has been found that corticocortical networks display a few prominent characteristics: (i modular organization, (ii abundant alternative processing paths and (iii the presence of highly connected hubs. Additionally, we present a novel classification of cortical areas of the cat according to the role they play in multisensory connectivity. All these properties represent an ideal anatomical substrate supporting rich dynamical behaviors, as-well-as facilitating the capacity of the brain to process sensory information of different modalities segregated and to integrate them towards a comprehensive perception of the real world. The result here exposed are mainly based in anatomical data of cats’ brain, but we show how further observations suggest that, from worms to humans, the nervous system of all animals might share fundamental principles of organization.

  7. A strong pelvic floor is associated with higher rates of sexual activity in women with pelvic floor disorders

    Science.gov (United States)

    Kanter, Gregg; Rogers, Rebecca G; Pauls, Rachel N; Kammerer-Doak, Dorothy; Thakar, Ranee

    2015-01-01

    Introduction and Hypothesis We evaluated the associations between pelvic floor muscle strength and tone with sexual activity and sexual function in women with pelvic floor disorders. Methods This was a secondary analysis of a multicenter study of women with pelvic floor disorders from the US and UK performed to validate the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire, IUGA-Revised (PISQ-IR). Participants were surveyed about whether they were sexually active and completed the PISQ-IR and Female Sexual Function Index (FSFI) questionnaires to assess sexual function. Physical exams included assessment of pelvic floor strength by the Oxford Grading Scale, and assessment of pelvic floor tone per ICS guidelines. Results The cohort of 585 women was middle aged (mean age 54.9 +/−12.1) with 395 (67.5%) reporting sexual activity. Women with a strong pelvic floor (n=275) were more likely to report sexual activity than women with weak strength (n=280) (75.3 vs. 61.8%, ppelvic floor tone was not associated with sexual activity (68.8 vs. 60.2%, normal vs. hypoactive, p=0.08). After multivariable analysis, a strong pelvic floor remained predictive of sexual activity (OR 1.89, CI 1.18–3.03, ppelvic floor was associated with higher scores on the PISQ-IR domain of condition impact (Parameter Estimate 0.20+/−0.09, P=0.04), and FSFI orgasm domain (PE 0.51+/−0.17, P=0.004). Conclusion A strong pelvic floor is associated with higher rates of sexual activity as well as higher sexual function scores on the condition impact domain of the PISQ-IR and orgasm domain of the FSFI. PMID:25994625

  8. Assessment of the effect of pelvic floor exercises on pelvic floor muscle strength using ultrasonography in patients with urinary incontinence: a prospective randomized controlled trial

    OpenAIRE

    Tosun, Ozge Celiker; Solmaz, Ulas; Ekin, Atalay; Tosun, Gokhan; Gezer, Cenk; Ergenoglu, Ahmet Mete; Yeniel, Ahmet Ozgur; Mat, Emre; Malkoc, Mehtap; Askar, Niyazi

    2016-01-01

    [Purpose] The aim of this study was to evaluate whether the effect of pelvic floor exercises on pelvic floor muscle strength could be detected via ultrasonography in patients with urinary incontinence. [Subjects and Methods] Of 282 incontinent patients, 116 participated in the study and were randomly divided into a pelvic floor muscle training (n=65) group or control group (n=51). The pelvic floor muscle training group was given pelvic floor exercise training for 12 weeks. Both groups were ev...

  9. Functional MRI of the pelvic floor: postpartum changes of primiparous women after spontaneous vaginal delivery; Funktionelle Magnetresonanztomographie (MRT) des Beckenbodens: Postpartale Veraenderungen bei Erstgebaerenden nach vaginaler Spontangeburt

    Energy Technology Data Exchange (ETDEWEB)

    Lienemann, A.; Fischer, T.; Reiser, M. [Inst. fuer Klinische Radiologie, Klinikum der Univ. Muenchen (Germany); Anthuber, C. [Klinik und Poliklinik fuer Geburtshilfe und Frauenheilkunde, Klinikum der Univ. Muenchen/Grosshadern (Germany)

    2003-08-01

    Purpose: Detection of morphological and functional changes of the pelvic floor with functional MRI in primiparous women after spontaneous vaginal delivery. Methods and Materials: The study comprises 26 primiparous women after vaginal delivery and a control group of 41 healthy asymptomatic nulliparous volunteers. MRI was performed on a 1.5 T system in supine position with vagina and rectum opacified with Sonogel. The static images consisted of sagittal and axial T{sub 2}-weighted SE sequences and functional images of true FISP sequences in midsagittal and axial planes acquired with the patient at rest, straining and during defecation. Evaluation of morphometric parameters included pelvimetry, thickness of the puborectal muscle and width of the urogenital hiatus as well as position and movement of the pelvic organs relative to the pubococcygeal reference line. Results: The configuration of the bony pelvis did not differ for both groups. The puborectal muscle was significantly thinner in the study group (0.8 cm vs 0.6 cm). The functional images showed no significant differences between both groups at rest but a significantly increased incidence in the descent of the bladder neck, vaginal fornix and anorectal junction in the study group during straining. In addition, the primiparous women had more prominent rectoceles (0.6 cm vs 1.5 cm). Conclusion: Static imaging alone fails to demonstrate relevant pelvic floor changes and a functional method is necessary to evaluate the interactions of the pelvic organs regarding organ descent. Functional MRI of the pelvic floor is an excellent method to reveal the significant changes of the pelvic floor after vaginal birth without exposing the uterus to radiation. (orig.) [German] Ziel: Darstellung von morphologischen und funktionellen Veraenderungen am Beckenboden bei Erstgebaerenden nach spontanvaginaler Entbindung mittels funktioneller MRT. Methodik: Funktionelle MRT des Beckenbodens von 26 Erstgebaerenden nach vaginaler

  10. Trifid nasopalatine canal: case report of a rare anatomical variation and its surgical implications

    International Nuclear Information System (INIS)

    Guanaes Gomes Torres, Marianna; Crusoé-Rebello, Margarida Iêda; Faro Valverde, Ludmila de; Torres Andion Vidal, Manuela

    2016-01-01

    The nasopalatine canal is a long slender structure present in the midline of the anterior maxilla that connects the palate to the floor of the nasal cavity. The nasopalatine canal contains the nasopalatine nerve, the terminal branch of the nasopalatine artery, fibrous connective tissue, adipose tissue, and minor salivary glands. The purpose of this article was to report a case of a trifid nasopalatine canal detected by cone beam computed tomography prior to dental implant placement. A 47-year-old female patient was submitted to cone beam computed tomography. Axial and sagittal sections revealed a trifurcation of the nasopalatine canal. Each canal was separated from the other by bony septa and extended independently from the floor of the nasal cavity to the incisive foramen in the remnant of the alveolar process in the anterior region of the maxilla. Cone beam computed tomography has permitted better visualization of the details and anatomical variations of the nasopalatine canal. Detailed knowledge of variations in the shape, number and size of the nasopalatine canal is fundamental for surgical procedures, such as local anesthesia in the anterior maxillary region and placement of dental implants, in order to prevent damage to important arteries and nerves. (author)

  11. [SHOULD EVERY WOMAN AFTER LABOR BE OFFERED PELVIC FLOOR PHYSIOTHERAPY?

    Science.gov (United States)

    Eisenberg, Vered; Kafri, Rachel

    2018-01-01

    Pelvic floor damage can occur during pregnancy, during childbirth or post-partum, and may be expressed by symptoms such as urinary incontinence, fecal and gas incontinence, sexual dysfunction, pelvic organ prolapse and chronic pelvic pain. Some of the symptoms, which manifest later in a woman's life, will go unrecognized in the immediate postpartum period. Most women do not mention their general health, unless specifically asked. Physiotherapists, who are adept with the anatomy of the musculoskeletal system and the ability to diagnose unique differences, can aid in the diagnosis and treatment of postpartum pelvic floor problems. Monitoring, pelvic floor physiotherapy and exercise can be effective both in treatment and prevention of functional disorders of the pelvic floor. In this article, we will discuss pelvic floor problems and their appearance throughout pregnancy and childbirth, and the means of treatment from the physiotherapist's perspective. We raise the question as to whether all postpartum women could benefit from a training program of pelvic floor muscles. Pelvic floor physiotherapy is included in the health basket in Israel, but is not broadly utilized. Wider use could be adopted, particularly in light of the latest research evidence.

  12. Floor-Fractured Craters through Machine Learning Methods

    Science.gov (United States)

    Thorey, C.

    2015-12-01

    Floor-fractured craters are impact craters that have undergone post impact deformations. They are characterized by shallow floors with a plate-like or convex appearance, wide floor moats, and radial, concentric, and polygonal floor-fractures. While the origin of these deformations has long been debated, it is now generally accepted that they are the result of the emplacement of shallow magmatic intrusions below their floor. These craters thus constitute an efficient tool to probe the importance of intrusive magmatism from the lunar surface. The most recent catalog of lunar-floor fractured craters references about 200 of them, mainly located around the lunar maria Herein, we will discuss the possibility of using machine learning algorithms to try to detect new floor-fractured craters on the Moon among the 60000 craters referenced in the most recent catalogs. In particular, we will use the gravity field provided by the Gravity Recovery and Interior Laboratory (GRAIL) mission, and the topographic dataset obtained from the Lunar Orbiter Laser Altimeter (LOLA) instrument to design a set of representative features for each crater. We will then discuss the possibility to design a binary supervised classifier, based on these features, to discriminate between the presence or absence of crater-centered intrusion below a specific crater. First predictions from different classifier in terms of their accuracy and uncertainty will be presented.

  13. Nuclear wastes beneath the deep sea floor

    International Nuclear Information System (INIS)

    Bishop, W.P.; Hollister, C.D.

    1974-01-01

    Projections of energy demands for the year 2000 show that nuclear power will likely be one of our energy sources. But the benefits of nuclear power must be balanced against the drawbacks of its by-product: high-level wastes. While it may become possible to completely destroy or eliminate these wastes, it is at least equally possible that we may have to dispose of them on earth in such a way as to assure their isolation from man for periods of the order of a million years. Undersea regions in the middle of tectonic plates and in the approximate center of major current gyres offer some conceptual promise for waste disposal because of their geologic stability and comparatively low organic productivity. The advantages of this concept and the types of detailed information needed for its accurate assessment are discussed. The technical feasibility of permanent disposal beneath the deep sea floor cannot be accurately assessed with present knowledge, and there is a need for a thorough study of the types and rates of processes that affect this part of the earth's surface. Basic oceanographic research aimed at understanding these processes is yielding answers that apply to this societal need. (U.S.)

  14. Kinetic comparison of older men and women during walk-to-stair descent transition.

    Science.gov (United States)

    Singhal, Kunal; Kim, Jemin; Casebolt, Jeffrey; Lee, Sangwoo; Han, Ki Hoon; Kwon, Young-Hoo

    2014-09-01

    Stair walking is one of the most challenging tasks for older adults, with women reporting higher incidence of falls. The purpose of this study was to investigate the gender differences in kinetics during stair descent transition. Twenty-eight participants (12 male and 16 female; 68.5 and 69.0 years of mean age, respectively) performed stair descent from level walking in a step-over-step manner at a self-selected speed over a custom-made three-step staircase with embedded force plates. Kinematic and force data were combined using inverse dynamics to generate kinetic data for gender comparison. The top and the first step on the staircase were chosen for analysis. Women showed a higher trail leg peak hip abductor moment (-1.0 Nm/kg), lower trail leg peak knee extensor moment and eccentric power (0.74 Nm/kg and 3.15 W/kg), and lower peak concentric power at trail leg ankle joint (1.29 W/kg) as compared to men (ppredispose women to a higher risk of fall. Copyright © 2014 Elsevier B.V. All rights reserved.

  15. A unified framework of descent algorithms for nonlinear programs and variational inequalities

    International Nuclear Information System (INIS)

    Patriksson, M.

    1993-01-01

    We present a framework of algorithms for the solution of continuous optimization and variational inequality problems. In the general algorithm, a search direction finding auxiliary problems is obtained by replacing the original cost function with an approximating monotone cost function. The proposed framework encompasses algorithm classes presented earlier by Cohen, Dafermos, Migdalas, and Tseng, and includes numerous descent and successive approximation type methods, such as Newton methods, Jacobi and Gauss-Siedel type decomposition methods for problems defined over Cartesian product sets, and proximal point methods, among others. The auxiliary problem of the general algorithm also induces equivalent optimization reformulation and descent methods for asymmetric variational inequalities. We study the convergence properties of the general algorithm when applied to unconstrained optimization, nondifferentiable optimization, constrained differentiable optimization, and variational inequalities; the emphasis of the convergence analyses is placed on basic convergence results, convergence using different line search strategies and truncated subproblem solutions, and convergence rate results. This analysis offer a unification of known results; moreover, it provides strengthenings of convergence results for many existing algorithms, and indicates possible improvements of their realizations. 482 refs

  16. Failure Bounding And Sensitivity Analysis Applied To Monte Carlo Entry, Descent, And Landing Simulations

    Science.gov (United States)

    Gaebler, John A.; Tolson, Robert H.

    2010-01-01

    In the study of entry, descent, and landing, Monte Carlo sampling methods are often employed to study the uncertainty in the designed trajectory. The large number of uncertain inputs and outputs, coupled with complicated non-linear models, can make interpretation of the results difficult. Three methods that provide statistical insights are applied to an entry, descent, and landing simulation. The advantages and disadvantages of each method are discussed in terms of the insights gained versus the computational cost. The first method investigated was failure domain bounding which aims to reduce the computational cost of assessing the failure probability. Next a variance-based sensitivity analysis was studied for the ability to identify which input variable uncertainty has the greatest impact on the uncertainty of an output. Finally, probabilistic sensitivity analysis is used to calculate certain sensitivities at a reduced computational cost. These methods produce valuable information that identifies critical mission parameters and needs for new technology, but generally at a significant computational cost.

  17. Flight Mechanics of the Entry, Descent and Landing of the ExoMars Mission

    Science.gov (United States)

    HayaRamos, Rodrigo; Boneti, Davide

    2007-01-01

    ExoMars is ESA's current mission to planet Mars. A high mobility rover and a fixed station will be deployed on the surface of Mars. This paper regards the flight mechanics of the Entry, Descent and Landing (EDL) phases used for the mission analysis and design of the Baseline and back-up scenarios of the mission. The EDL concept is based on a ballistic entry, followed by a descent under parachutes and inflatable devices (airbags) for landing. The mission analysis and design is driven by the flexibility in terms of landing site, arrival dates and the very stringent requirement in terms of landing accuracy. The challenging requirements currently imposed to the mission need innovative analysis and design techniques to support system design trade-offs to cope with the variability in entry conditions. The concept of the Global Entry Corridor has been conceived, designed, implemented and successfully validated as a key tool to provide a global picture of the mission capabilities in terms of landing site reachability.

  18. Momentum and Stochastic Momentum for Stochastic Gradient, Newton, Proximal Point and Subspace Descent Methods

    KAUST Repository

    Loizou, Nicolas

    2017-12-27

    In this paper we study several classes of stochastic optimization algorithms enriched with heavy ball momentum. Among the methods studied are: stochastic gradient descent, stochastic Newton, stochastic proximal point and stochastic dual subspace ascent. This is the first time momentum variants of several of these methods are studied. We choose to perform our analysis in a setting in which all of the above methods are equivalent. We prove global nonassymptotic linear convergence rates for all methods and various measures of success, including primal function values, primal iterates (in L2 sense), and dual function values. We also show that the primal iterates converge at an accelerated linear rate in the L1 sense. This is the first time a linear rate is shown for the stochastic heavy ball method (i.e., stochastic gradient descent method with momentum). Under somewhat weaker conditions, we establish a sublinear convergence rate for Cesaro averages of primal iterates. Moreover, we propose a novel concept, which we call stochastic momentum, aimed at decreasing the cost of performing the momentum step. We prove linear convergence of several stochastic methods with stochastic momentum, and show that in some sparse data regimes and for sufficiently small momentum parameters, these methods enjoy better overall complexity than methods with deterministic momentum. Finally, we perform extensive numerical testing on artificial and real datasets, including data coming from average consensus problems.

  19. Dictionary Learning Based on Nonnegative Matrix Factorization Using Parallel Coordinate Descent

    Directory of Open Access Journals (Sweden)

    Zunyi Tang

    2013-01-01

    Full Text Available Sparse representation of signals via an overcomplete dictionary has recently received much attention as it has produced promising results in various applications. Since the nonnegativities of the signals and the dictionary are required in some applications, for example, multispectral data analysis, the conventional dictionary learning methods imposed simply with nonnegativity may become inapplicable. In this paper, we propose a novel method for learning a nonnegative, overcomplete dictionary for such a case. This is accomplished by posing the sparse representation of nonnegative signals as a problem of nonnegative matrix factorization (NMF with a sparsity constraint. By employing the coordinate descent strategy for optimization and extending it to multivariable case for processing in parallel, we develop a so-called parallel coordinate descent dictionary learning (PCDDL algorithm, which is structured by iteratively solving the two optimal problems, the learning process of the dictionary and the estimating process of the coefficients for constructing the signals. Numerical experiments demonstrate that the proposed algorithm performs better than the conventional nonnegative K-SVD (NN-KSVD algorithm and several other algorithms for comparison. What is more, its computational consumption is remarkably lower than that of the compared algorithms.

  20. Eyelid fissure dimensions in Japanese and in Brazilians of European descent over 50 years of age.

    Science.gov (United States)

    Viveiros, Magda Massae Hata; Matai, Olívia; Takahagi, Rodrigo Ueno; Padovani, Carlos Roberto; Schellini, Silvana Artioli

    2017-01-01

    To investigate differences in the palpebral fissure eyelid position in Japanese subjects and in Brazilian subjects of European descent over 50 years of age. A cross-sectional study evaluating 50 Japanese subjects and 50 Bra---zilian subjects of European descent over 50 years of age was performed to evaluate the effect of aging on eyelid position. Digital photographs were taken with the eyes in the primary position and transferred to a computer to be processed by Scion imaging software for evaluation of palpebral fissure width, height, and margin reflex distance (MRD). The data were statistically analyzed according to sex, age, and race. The width of the eyelid fissure in Japanese subjects was higher than that in Brazilian subjects, whereas the height of the eyelid fissure and the MRD1 was higher in Brazilians than in Japanese (pMRD1 were linearly associated with age only in the Japanese group (p0.05). There are racial differences in age-related changes in the eyelids, which are more marked in Japanese subjects.

  1. Eyelid fissure dimensions in Japanese and in Brazilians of European descent over 50 years of age

    Directory of Open Access Journals (Sweden)

    Magda Massae Hata Viveiros

    Full Text Available ABSTRACT Purpose: To investigate differences in the palpebral fissure eyelid position in Japanese subjects and in Brazilian subjects of European descent over 50 years of age. Methods: A cross-sectional study evaluating 50 Japanese subjects and 50 Brazilian subjects of European descent over 50 years of age was performed to evaluate the effect of aging on eyelid position. Digital photographs were taken with the eyes in the primary position and transferred to a computer to be processed by Scion imaging software for evaluation of palpebral fissure width, height, and margin reflex distance (MRD. The data were statistically analyzed according to sex, age, and race. Results: The width of the eyelid fissure in Japanese subjects was higher than that in Brazilian subjects, whereas the height of the eyelid fissure and the MRD1 was higher in Brazilians than in Japanese (p0.05. Conclusion: There are racial differences in age-related changes in the eyelids, which are more marked in Japanese subjects.

  2. Fragment angular momenta and descent dynamics in sup 2 sup 5 sup 2 Cf spontaneous fission

    CERN Document Server

    Popeko, J S; Ter-Akopian, G M

    2002-01-01

    Average angular momentum values of primary fission fragments as a function of neutron multiplicity and neutron-to-proton ratio were extracted for the first time for the Mo-Ba and Zr-Ce charge splittings of sup 2 sup 5 sup 2 Cf. The results are discussed in terms of the energy balance occurring at the scission point. For the first time we show that for large fragment elongation associated with larger numbers of evaporated neutrons (v sub t sub o sub t >=6), essentially only zero point bending oscillation takes places, i.e. T = 0 for this degree of freedom. For the major part of the fission events, with v sub t sub o sub t = 2-5, the banding oscillation is excited to a temperature of 2-3 MeV. Such a high bending temperature implies that the coupling between the collective and internal degrees of freedom is weak at the descent of the even-even nucleus of sup 2 sup 5 sup 2 Cf to the scission point. The dipole oscillations occurring at the descent take away some 2.5 - 3.0 MeV from the release energy. A correlation...

  3. Dynamic gradient descent learning algorithms for enhanced empirical modeling of power plants

    International Nuclear Information System (INIS)

    Parlos, A.G.; Atiya, Amir; Chong, K.T.

    1991-01-01

    A newly developed dynamic gradient descent-based learning algorithm is used to train a recurrent multilayer perceptron network for use in empirical modeling of power plants. The two main advantages of the proposed learning algorithm are its ability to consider past error gradient information for future use and the two forward passes associated with its implementation, instead of one forward and one backward pass of the backpropagation algorithm. The latter advantage results in computational time saving because both passes can be performed simultaneously. The dynamic learning algorithm is used to train a hybrid feedforward/feedback neural network, a recurrent multilayer perceptron, which was previously found to exhibit good interpolation and extrapolation capabilities in modeling nonlinear dynamic systems. One of the drawbacks, however, of the previously reported work has been the long training times associated with accurate empirical models. The enhanced learning capabilities provided by the dynamic gradient descent-based learning algorithm are demonstrated by a case study of a steam power plant. The number of iterations required for accurate empirical modeling has been reduced from tens of thousands to hundreds, thus significantly expediting the learning process

  4. Differences in ocular blood flow in glaucoma between patients of African and European descent.

    Science.gov (United States)

    Siesky, Brent; Harris, Alon; Racette, Lyne; Abassi, Rania; Chandrasekhar, Kaarthik; Tobe, Leslie A; Behzadi, Jennifer; Eckert, George; Amireskandari, Annahita; Muchnik, Michael

    2015-02-01

    To investigate differences in ocular blood flow in individuals of African descent (AD) and European descent (ED) with open angle glaucoma (OAG). A retrospective data analysis was performed on OAG patients of AD and ED who were previously examined for ocular blood flow within the Department of Ophthalmology at Indiana University School of Medicine. Data analysis included blood pressure, heart rate, visual fields, intraocular pressure, ocular perfusion pressure, and color Doppler imaging of retrobulbar vessels. Color Doppler imaging measurements were performed on ophthalmic, central retinal, and nasal and temporal short posterior ciliary arteries, with peak systolic (PSV) and end diastolic velocities (EDV) as well as the Pourcelot vascular resistive index calculated for each vessel. Two-sample t tests of unequal variance were performed with P values <0.05 considered statistically significant. OAG patients of AD had statistically significant lower retrobulbar blood flow values than patients of ED including lower ophthalmic artery PSV (P=0.0001), ophthalmic artery EDV (P=0.0008), central retinal artery PSV (P=0.01), temporal short posterior ciliary artery PSV (P=0.0037), and nasal short posterior ciliary artery PSV (P<0.0001). No significant differences were found in terms of intraocular pressure or visual field parameters. Significantly lower blood flow values were identified in all retrobulbar blood vessels in AD compared with ED OAG patients. These findings suggest that the contribution of ocular blood flow to the disease process may be different in AD compared with ED OAG patients.

  5. Association between preterm labour and pelvic floor muscle function.

    Science.gov (United States)

    Aran, Turhan; Pekgöz, Ipek; Bozkaya, Hasan; Osmanagaoglu, Mehmet A

    2018-03-23

    We hypothesised that the pressure on the cervix increases with advancing gestation and it may lead to a cervical shortening and cause preterm labour in women with weak pelvic floor muscles. The aim of this prospective study was to measure vaginal resting pressure and pelvic floor muscle strength in the first trimester of pregnancy and to investigate their effects on labour. A study was conducted on the pregnant women with a low risk for preterm birth. The pelvic floor muscle strength and vaginal resting pressure were assessed in 320 pregnant women at their first trimester with a vaginal pressure measurement device. Fifty-two pregnant women were hospitalised for tocolytic therapy because of spontaneous preterm labour. Thirty-two of them (10.2%) had a preterm delivery despite the tocolytic therapy. Both the vaginal resting pressure (p = .009, 95%CI: 0.8; 5.9) and the pelvic floor muscle strength (p = .01, 95%CI: 3.5; 13.1) were significantly lower in the women with a preterm labour. Impact statement What is already known on this subject? The pelvic floor muscles have an essential role in continence and provide support to the pelvic organs. They also have an impact on labour. The pelvic floor muscles should distend to allow the passage of the foetus during labour. The rotation and flexion of the foetal head is due to the pelvic floor resistance. The effect of a vaginal birth on the pelvic floor's function is readily understood. On the other hand, the effect of the pelvic floor muscle function on labour is still controversial. What do the results of this study add? This prospective study showed that there is a negative association between the pelvic floor muscle strength and preterm labour. This is the first clinical study indicating that weak pelvic floor muscles may cause a preterm labour. What are the implications of these findings for clinical practice and/or further research? Pelvic floor physical therapy may be an alternative preventive strategy to reduce

  6. Pelvic Floor Physical Therapy for Vulvodynia: A Clinician's Guide.

    Science.gov (United States)

    Prendergast, Stephanie A

    2017-09-01

    Vulvar pain affects up to 20% of women at some point in their lives, and most women with vulvar pain have associated pelvic floor impairments. Pelvic floor dysfunction is associated with significant functional limitations in women by causing painful intercourse and urinary, bowel, and sexual dysfunction. A quick screening of the pelvic floor muscles can be performed in the gynecology office and should be used when patients report symptoms of pelvic pain. It is now known the vulvar pain syndromes are heterogeneous in origin; therefore, successful treatment plans are multimodal and include physical therapy. Copyright © 2017 Elsevier Inc. All rights reserved.

  7. Late orbital floor implant migration presenting as recurrent episcleritis.

    Science.gov (United States)

    Joseph, Sobha; Cheung, David

    2014-04-01

    A 53-year-old patient presented with recurrent epicleritis of the right eye for 6 months and progressive diplopia. He had a past history of orbital floor repair over 30 years. A CT scan showed a radiodense migrated orbital floor sheet implant in the maxillary sinus causing obstruction of the maxillary sinus ostium, secondary maxillary sinusitis with retrobulbar involvement. The silastic orbital implant was removed via a Caldwell Luc approach and resolution of the patient's symptoms and signs quickly ensued. We discuss this late complication of orbital floor fracture repair presenting initially as recurrent episcleritis and maxillary sinusitis with intraorbital extension. This report also emphasizes the importance of history taking.

  8. An architecture for agile shop floor control systems

    DEFF Research Database (Denmark)

    Langer, Gilad; Alting, Leo

    2000-01-01

    Changes in markets and global business trends affect the manufacturing environment in infinite ways. These changes have brought about the need for a paradigm shift to reassess the manner in which manufacturing systems are developed and operated. New theories and concepts present solutions to enable...... as shop floor control. This paper presents the Holonic Multi-cell Control System (HoMuCS) architecture that allows for design and development of holonic shop floor control systems. The HoMuCS is a shop floor control system which is sometimes referred to as a manufacturing execution system...

  9. Rehabilitation of the short pelvic floor. II: Treatment of the patient with the short pelvic floor.

    Science.gov (United States)

    FitzGerald, M P; Kotarinos, R

    2003-10-01

    Several urogynecologic syndromes are associated with the clinical finding of a short, painful, tender and weak pelvic floor and a variety of connective tissue abnormalities. Techniques for rehabilitation include the avoidance of perpetuating factors, rehabilitation of extrapelvic musculoskeletal abnormalities, the use of manual techniques and needling to promote resolution of connective tissue problems, closure of any diastasis recti, and transvaginal/transrectal manual release of muscular trigger points and contractures. Therapy can be facilitated by pudendal or epidural nerve block. Patients contribute to their success through home maintenance programs.

  10. Assessment of slip resistance under footwear materials, tread designs, floor contamination, and floor inclination conditions.

    Science.gov (United States)

    Li, Kai Way; Chen, Chih-Yong; Chen, Ching Chung; Liu, Liwen

    2012-01-01

    Slip and fall incidences are common in our daily lives. They are not only important environmental safety issues but also important occupational safety and health problems. The purpose of this study was to use the Brungraber Mark II to measure the friction so as to investigate the effects of the shoe sole, surface condition and the inclined angle of the floor and their interactions on friction coefficient. The results of the study showed the effects of all the main factors and their interactions were significant (p<0.001). Engineering designs & ergonomic interventions in slip & fall prevention should take these factors in full consideration.

  11. [Continuous improvement of portable domestic pelvic floor neuromuscular electrical stimulation on the pelvic floor function of patients with urinary incontinence].

    Science.gov (United States)

    Sun, Zhijing; Zhu, Lan; Lang, Jinghe; Wang, Wei; Shi, Honghui; Pang, Hongxia; Shi, Xinwen

    2015-12-01

    To evaluate continuous improvement of portable domestic pelvic floor neuromuscular electrical stimulation on the pelvic floor function of patients with stress urinary incontinence after short-term pelvic floor electrophysiological treatment in hospital. Totally 60 women with stress urinary incontinence were recruited for this randomized controlled trial. The control group including a total of 30 patients, only received 4 weeks pelvic floor electrophysiological treatment in the hospital. Family consolidation treatment group (experimental group) including 30 patients, after 4-week treatment in hospital, received 12-week of pelvic floor neuromuscular electrical stimulation using portable electrical stimulator at home under the guidance of doctors. In post-treatment 6 months and 9 months, 1-hour pad test was measured for urine leakage, pelvic floor electrical physiological parameters were assessed, and subjective improvement of symptoms of urinary incontinence were evaluated. All these data were analysed to compare the effect of the two groups. In 9 months after treatment, average change of urine leakage, the control group and experiment group were (75±24)% versus (99±3)%, the difference was statistically significant (Pcontinuous improvement of pelvic floor function.

  12. Probabilistic anatomical labeling of brain structures using statistical probabilistic anatomical maps

    International Nuclear Information System (INIS)

    Kim, Jin Su; Lee, Dong Soo; Lee, Byung Il; Lee, Jae Sung; Shin, Hee Won; Chung, June Key; Lee, Myung Chul

    2002-01-01

    The use of statistical parametric mapping (SPM) program has increased for the analysis of brain PET and SPECT images. Montreal neurological institute (MNI) coordinate is used in SPM program as a standard anatomical framework. While the most researchers look up Talairach atlas to report the localization of the activations detected in SPM program, there is significant disparity between MNI templates and Talairach atlas. That disparity between Talairach and MNI coordinates makes the interpretation of SPM result time consuming, subjective and inaccurate. The purpose of this study was to develop a program to provide objective anatomical information of each x-y-z position in ICBM coordinate. Program was designed to provide the anatomical information for the given x-y-z position in MNI coordinate based on the statistical probabilistic anatomical map (SPAM) images of ICBM. When x-y-z position was given to the program, names of the anatomical structures with non-zero probability and the probabilities that the given position belongs to the structures were tabulated. The program was coded using IDL and JAVA language for the easy transplantation to any operating system or platform. Utility of this program was shown by comparing the results of this program to those of SPM program. Preliminary validation study was performed by applying this program to the analysis of PET brain activation study of human memory in which the anatomical information on the activated areas are previously known. Real time retrieval of probabilistic information with 1 mm spatial resolution was archived using the programs. Validation study showed the relevance of this program: probability that the activated area for memory belonged to hippocampal formation was more than 80%. These programs will be useful for the result interpretation of the image analysis performed on MNI coordinate, as done in SPM program

  13. TOPICAL REVIEW: Anatomical imaging for radiotherapy

    Science.gov (United States)

    Evans, Philip M.

    2008-06-01

    The goal of radiation therapy is to achieve maximal therapeutic benefit expressed in terms of a high probability of local control of disease with minimal side effects. Physically this often equates to the delivery of a high dose of radiation to the tumour or target region whilst maintaining an acceptably low dose to other tissues, particularly those adjacent to the target. Techniques such as intensity modulated radiotherapy (IMRT), stereotactic radiosurgery and computer planned brachytherapy provide the means to calculate the radiation dose delivery to achieve the desired dose distribution. Imaging is an essential tool in all state of the art planning and delivery techniques: (i) to enable planning of the desired treatment, (ii) to verify the treatment is delivered as planned and (iii) to follow-up treatment outcome to monitor that the treatment has had the desired effect. Clinical imaging techniques can be loosely classified into anatomic methods which measure the basic physical characteristics of tissue such as their density and biological imaging techniques which measure functional characteristics such as metabolism. In this review we consider anatomical imaging techniques. Biological imaging is considered in another article. Anatomical imaging is generally used for goals (i) and (ii) above. Computed tomography (CT) has been the mainstay of anatomical treatment planning for many years, enabling some delineation of soft tissue as well as radiation attenuation estimation for dose prediction. Magnetic resonance imaging is fast becoming widespread alongside CT, enabling superior soft-tissue visualization. Traditionally scanning for treatment planning has relied on the use of a single snapshot scan. Recent years have seen the development of techniques such as 4D CT and adaptive radiotherapy (ART). In 4D CT raw data are encoded with phase information and reconstructed to yield a set of scans detailing motion through the breathing, or cardiac, cycle. In ART a set of

  14. Differences in muscle activation patterns during pelvic floor muscle contraction and Valsalva maneuver.

    Science.gov (United States)

    Thompson, Judith A; O'Sullivan, Peter B; Briffa, N Kathryn; Neumann, Patricia

    2006-01-01

    To investigate the different muscle activation patterns around the abdomino-pelvic cavity in continent women and their effect on pressure generation during a correct pelvic floor muscle (PFM) contraction and a Valsalva maneuver. Thirteen continent women were assessed. Abdominal, chest wall, and PFM activity and vaginal and intra-abdominal pressure (IAP), were recorded during two tasks: PFM contraction and Valsalva whilst bladder base position was monitored on trans-abdominal ultrasound. A correct PFM contraction was defined as one that resulted in bladder base elevation and a Valsalva resulted in bladder base depression. Comparison of the mean of the normalized EMG activity of all the individual muscle groups was significantly different between PFM contraction and Valsalva (P = 0.04). During a correct PFM contraction, the PFM were more active than during Valsalva (P = 0.001). During Valsalva, all the abdominal muscles (IO (P = 0.006), EO (P < 0.001), RA (P = 0.011)), and the chest wall (P < 0.001) were more active than during PFM contraction. The change in IAP was greater during Valsalva (P = 0.001) but there was no difference in the change in vaginal pressure between PFM contraction and Valsalva (P = 0.971). This study demonstrates a difference in muscle activation patterns between a correct PFM contraction and Valsalva maneuver. It is important to include assessment of the abdominal wall, chest wall, and respiration in the clinical evaluation of women performing PFM exercises as abdominal wall bracing combined with an increase in chest wall activity may cause rises in IAP and PFM descent. (c) 2005 Wiley-Liss, Inc.

  15. Assessing the ability to derive rates of polar middle-atmospheric descent using trace gas measurements from remote sensors

    Science.gov (United States)

    Ryan, Niall J.; Kinnison, Douglas E.; Garcia, Rolando R.; Hoffmann, Christoph G.; Palm, Mathias; Raffalski, Uwe; Notholt, Justus

    2018-02-01

    We investigate the reliability of using trace gas measurements from remote sensing instruments to infer polar atmospheric descent rates during winter within 46-86 km altitude. Using output from the Specified Dynamics Whole Atmosphere Community Climate Model (SD-WACCM) between 2008 and 2014, tendencies of carbon monoxide (CO) volume mixing ratios (VMRs) are used to assess a common assumption of dominant vertical advection of tracers during polar winter. The results show that dynamical processes other than vertical advection are not negligible, meaning that the transport rates derived from trace gas measurements do not represent the mean descent of the atmosphere. The relative importance of vertical advection is lessened, and exceeded by other processes, during periods directly before and after a sudden stratospheric warming, mainly due to an increase in eddy transport. It was also found that CO chemistry cannot be ignored in the mesosphere due to the night-time layer of OH at approximately 80 km altitude. CO VMR profiles from the Kiruna Microwave Radiometer and the Microwave Limb Sounder were compared to SD-WACCM output, and show good agreement on daily and seasonal timescales. SD-WACCM CO profiles are combined with the CO tendencies to estimate errors involved in calculating the mean descent of the atmosphere from remote sensing measurements. The results indicate errors on the same scale as the calculated descent rates, and that the method is prone to a misinterpretation of the direction of air motion. The true rate of atmospheric descent is seen to be masked by processes, other than vertical advection, that affect CO. We suggest an alternative definition of the rate calculated using remote sensing measurements: not as the mean descent of the atmosphere, but as an effective rate of vertical transport for the trace gas under observation.

  16. Chronic ankle instability: Arthroscopic anatomical repair.

    Science.gov (United States)

    Arroyo-Hernández, M; Mellado-Romero, M; Páramo-Díaz, P; García-Lamas, L; Vilà-Rico, J

    Ankle sprains are one of the most common injuries. Despite appropriate conservative treatment, approximately 20-40% of patients continue to have chronic ankle instability and pain. In 75-80% of cases there is an isolated rupture of the anterior talofibular ligament. A retrospective observational study was conducted on 21 patients surgically treated for chronic ankle instability by means of an arthroscopic anatomical repair, between May 2012 and January 2013. There were 15 men and 6 women, with a mean age of 30.43 years (range 18-48). The mean follow-up was 29 months (range 25-33). All patients were treated by arthroscopic anatomical repair of anterior talofibular ligament. Four (19%) patients were found to have varus hindfoot deformity. Associated injuries were present in 13 (62%) patients. There were 6 cases of osteochondral lesions, 3 cases of posterior ankle impingement syndrome, and 6 cases of peroneal pathology. All these injuries were surgically treated in the same surgical time. A clinical-functional study was performed using the American Orthopaedic Foot and Ankle Society (AOFAS) score. The mean score before surgery was 66.12 (range 60-71), and after surgery it increased up to a mean of 96.95 (range 90-100). All patients were able to return to their previous sport activity within a mean of 21.5 weeks (range 17-28). Complications were found in 3 (14%) patients. Arthroscopic anatomical ligament repair technique has excellent clinical-functional results with a low percentage of complications, and enables patients to return to their previous sport activity within a short period of time. Copyright © 2016 SECOT. Publicado por Elsevier España, S.L.U. All rights reserved.

  17. [Anatomical studying of the tear trough area].

    Science.gov (United States)

    Yang, Ningze; Qiu, Wei; Wang, Zhijun; Su, Xiaowei; Jia, Huafeng; Shi, Heng

    2014-01-01

    To explore the mechanism of the aging deformity of tear trough through the anatomic study of the tear trough region. 13 adult cadaveric heads (26 sides), including 9 male heads (18 sides) and 4 female heads (8 sides), aged 22-78 years old, were used. Anatomic study was performed around the orbital, especially tear trough region, with microsurgery instrument under microscope( x 10 times). The lower orbicularis retaining ligament was dissected and exposed. The anatomic location was recorded and photographed. (1) The anatomic layers of the tear trough region contains skin, subcutaneous tissue, orbicularis oculi muscle, periosteal membrane. There is no subcutaneous fat above the tear trough, while it exists below the tear trough, called malar fat pad. (2) There is a natural boundary between the septal and the orbital portions of the orbicularis oculi muscle of lower eyelid at surface of the orbital bone. The natural boundary, projected on the body surface corresponds to tear trough. The width of boundary is (2.06 +/- 0.15) mm on the vertical line through inner canthus and (3.25 +/- 0.12) mm on the vertical line through the lateral margin of the ala. The septal portion and the orbital portion of the orbicularis oculi muscle began to merge in (16.56 +/- 0.51) mm to inner canthus. (3) There is ligament attachment in the medial, upper and lower orbital and no ligament attachment in the lateral orbital. Orbicularis retaining ligament of lower eyelid is divided into two layers. (4) The medial of the upper layer of the orbicularis retaining ligament in lower eyelid originates from orbital margin and from preorbital walls laterally in (16.10 +/- 0.43) mm to the medial of lateral orbital margin, through orbicularis oculi muscle and ends at the skin. The lower layer of the orbicularis retaining ligament of lower eyelid originates from preorbital walls through orbicularis oculi muscle and its superficial fat, then ends at the skin. The length of tear trough is (16.56 +/- 0.51) mm

  18. Testing and training of the pelvic floor muscles after childbirth.

    Science.gov (United States)

    Jonasson, A; Larsson, B; Pschera, H

    1989-01-01

    In a prospective study of 83 women, two different physiotherapy methods for strengthening the pelvic floor muscles after childbirth were evaluated. The training program was carried out by the patients at home for 12 weeks, starting 8 weeks after spontaneous uneventful delivery. Forty-two women did pelvic floor exercises in accordance with the method presented by Kegel. Forty-one women used standard vaginal cones with weights increasing in 10 g stages from 20 to 100 g, to be retained in the vagina both when standing erect and moving. Pelvic floor muscle strength, defined as the weight in grams of the heaviest cone that could be retained in the vagina, was recorded before and after the 12-week training period. Training with vaginal cones produced significantly better pelvic floor muscle strength than did exercise without cones.

  19. Wooden floors: part of historical antiseismic building systems

    Directory of Open Access Journals (Sweden)

    F. Laner

    1995-06-01

    Full Text Available The article describes how wooden floors have been used over the centuries as a means of ensuring greater building solidity to ensure against earthquakes or other events that threaten wall stability.

  20. Surgical Management of Pelvic floor Prolapse in women using Mesh

    African Journals Online (AJOL)

    RAH

    polytetrafluoroethylene) . This article reviews our experience with polypropylene mesh in pelvic floor repair at the. Southern General Hospital Glasgow. The objective was to determine the safety and effectiveness of the prolene mesh in the repair ...

  1. Nuclear reactor cavity floor passive heat removal system

    Energy Technology Data Exchange (ETDEWEB)

    Edwards, Tyler A.; Neeley, Gary W.; Inman, James B.

    2018-03-06

    A nuclear reactor includes a reactor core disposed in a reactor pressure vessel. A radiological containment contains the nuclear reactor and includes a concrete floor located underneath the nuclear reactor. An ex vessel corium retention system includes flow channels embedded in the concrete floor located underneath the nuclear reactor, an inlet in fluid communication with first ends of the flow channels, and an outlet in fluid communication with second ends of the flow channels. In some embodiments the inlet is in fluid communication with the interior of the radiological containment at a first elevation and the outlet is in fluid communication with the interior of the radiological containment at a second elevation higher than the first elevation. The radiological containment may include a reactor cavity containing a lower portion of the pressure vessel, wherein the concrete floor located underneath the nuclear reactor is the reactor cavity floor.

  2. Improvement of PVC floor tiles by gamma radiation

    International Nuclear Information System (INIS)

    Plessis, T.A. du; Badenhorst, F.

    1988-01-01

    Gamma radiation presents a unique method of transforming highly plasticized PVC floor tiles, manufactured at high speed through injection moulding, into a high quality floor covering at a cost at least 30% less than similarly rated rubber tiles. A specially formulated PVC compound was developed in collaboration with a leading manufacturer of floor tiles. These tiles are gamma crosslinked in its shipping cartons to form a dimensionally stable product which is highly fire resistant and inert to most chemicals and solvents. These crosslinked tiles are more flexible than the highly filled conventional PVC floor tiles, scratch resistant and have a longer lifespan and increased colour fastness. These tiles are also less expensive to install than conventional rubber tiles. (author)

  3. Physical and chemical test results of electrostatic safe flooring materials

    Science.gov (United States)

    Gompf, R. H.

    1988-01-01

    This test program was initiated because a need existed at the Kennedy Space Center (KSC) to have this information readily available to the engineer who must make the choice of which electrostatic safe floor to use in a specific application. The information, however, should be of value throughout both the government and private industry in the selection of a floor covering material. Included are the test results of 18 floor covering materials which by test evaluation at KSC are considered electrostatically safe. Tests were done and/or the data compiled in the following areas: electrostatics, flammability, hypergolic compatibility, outgassing, floor type, material thickness, and available colors. Each section contains the test method used to gather the data and the test results.

  4. Floor Care 101: The Basics of Vacuuming and Damp Mopping.

    Science.gov (United States)

    Griffin, William R.

    1999-01-01

    Examines six steps to maintaining hard wood and resilient floors in educational facilities that can provides a high level of appearance, safety, sanitation, and prevention of damage. Specific cleaning techniques accompany each step. (GR)

  5. Power to the Pelvis: Strengthening Your Pelvic Floor Muscles

    Science.gov (United States)

    ... Special Issues Subscribe March 2018 Print this issue Power to the Pelvis Strengthening Your Pelvic Floor Muscles ... Bulging Hernia Keeping Your Gut in Check The Power of Your Pancreas Pregnancy and Beyond Wise Choices ...

  6. Advanced low-floor vehicle (ALFV) specification research.

    Science.gov (United States)

    2015-08-01

    This report details the results of research on market comparison, operational cost efficiencies, and prototype tests conducted on : a novel design for an Advanced Low Floor Vehicle (ALFV), flex-route transit bus. Section I describes how the need for ...

  7. Atmospheric Mars Entry and Landing Investigations & Analysis (AMELIA) by ExoMars 2016 Schiaparelli Entry Descent Module

    Science.gov (United States)

    Ferri, F.; Karatekin, O.; Aboudan, A.; VanHove, B.; Colombatti, C.; Bettanini, C.; Debei, S.; Lewis, S.; Forget, F.

    2017-09-01

    On the 19th October 2016, Schiaparelli, the Entry Demonstrator Module (EDM) of the ESA ExoMars Program entered into the martian atmosphere. Although it did not complete a safe landing on Mars, it transmitted data throughout its descent to the surface, until the loss of signal at 1 minute before the expected touch-down on Mars' surface. From the flight data, we reconstruct the actual dynamics of the vehicle during its descent towards Mars's surface and retrieve the atmospheric profile, in terms of density, pressure and temperature, along its trajectory for atmospheric investigations.

  8. Muscle function of the pelvic floor in healthy, puerperal women with pelvic floor dysfunction.

    Science.gov (United States)

    Castro-Pardiñas, M A; Torres-Lacomba, M; Navarro-Brazález, B

    2017-05-01

    To understand the function of the pelvic floor muscles (PFM) at different ages in healthy women and in puerperal women with pelvic floor dysfunctions (PFD) and to ascertain whether there are differences among them. A descriptive cross-sectional study was conducted between June 2014 and September 2016 and included 177 women, 70 of whom had no symptoms of PFD, 53 primiparous mothers in late postpartum and 54 with PFD. The function of the PFM was measured through vaginal palpation (quality of the contraction); manometry (force); dynamometer (tone, strength, and response to stretching), and surface electromyography (neuromuscular activity and resistance). The healthy women showed superior values for PFM tone, maximum strength, neuromuscular activity and resistance than the puerperal mothers and the women with PFD (P.05). The muscle function of the healthy women did not vary significantly with age, except in the case of tone, which was lower in the women older than 46 years (P=.004). Age and births decrease the baseline tone of the PFM in healthy women. Therefore, lower strength, resistance and neuromuscular activity appear to be the main difference between the PFM of women with PFD and the PFM of healthy women. Copyright © 2016 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

  9. Endoscopic transorbital superior eyelid approach: anatomical study from a neurosurgical perspective.

    Science.gov (United States)

    Di Somma, Alberto; Andaluz, Norberto; Cavallo, Luigi Maria; de Notaris, Matteo; Dallan, Iacopo; Solari, Domenico; Zimmer, Lee A; Keller, Jeffrey T; Zuccarello, Mario; Prats-Galino, Alberto; Cappabianca, Paolo

    2017-12-15

    OBJECTIVE Recent studies have proposed the superior eyelid endoscopic transorbital approach as a new minimally invasive route to access orbital lesions, mostly in otolaryngology and maxillofacial surgeries. The authors undertook this anatomical study in order to contribute a neurosurgical perspective, exploring the anterior and middle cranial fossa areas through this purely endoscopic transorbital trajectory. METHODS Anatomical dissections were performed in 10 human cadaveric heads (20 sides) using 0° and 30° endoscopes. A step-by-step description of the superior eyelid transorbital endoscopic route and surgically oriented classification are provided. RESULTS The authors' cadaveric prosection of this approach defined 3 modular routes that could be combined. Two corridors using bone removal lateral to the superior and inferior orbital fissures exposed the middle and anterior cranial fossa (lateral orbital corridors to the anterior and middle cranial base) to unveil the temporal pole region, lateral wall of the cavernous sinus, middle cranial fossa floor, and frontobasal area (i.e., orbital and recti gyri of the frontal lobe). Combined, these 2 corridors exposed the lateral aspect of the lesser sphenoid wing with the Sylvian region (combined lateral orbital corridor to the anterior and middle cranial fossa, with lesser sphenoid wing removal). The medial corridor, with extension of bone removal medially to the superior and inferior orbital fissure, afforded exposure of the opticocarotid area (medial orbital corridor to the opticocarotid area). CONCLUSIONS Along with its minimally invasive nature, the superior eyelid transorbital approach allows good visualization and manipulation of anatomical structures mainly located in the anterior and middle cranial fossae (i.e., lateral to the superior and inferior orbital fissures). The visualization and management of the opticocarotid region medial to the superior orbital fissure are more complex. Further studies are needed

  10. Effect of pelvic floor muscle exercises on pulmonary function

    OpenAIRE

    Han, DongWook; Ha, Misook

    2015-01-01

    [Purpose] This study aimed to determine the correlation between pelvic floor muscle strength and pulmonary function. In particular, we examined whether pelvic floor muscle exercises can improve pulmonary function. [Subjects] Thirty female college students aged 19?21 with no history of nervous or musculoskeletal system injury were randomly divided into experimental and control groups. [Methods] For the pulmonary function test, spirometry items included forced vital capacity and maximal volunta...

  11. Normative pelvic floor parameters in children assessed by transabdominal ultrasound.

    Science.gov (United States)

    Bower, W F; Chase, J W; Stillman, B C

    2006-07-01

    Successful management of dysfunctional voiding in children hinges on retraining inappropriate pelvic floor muscle recruitment. Recently dynamic pelvic floor muscle activity was visualized in adults using transabdominal ultrasound. We evaluated transabdominal ultrasound for visualizing and measuring pelvic floor muscle activity in normative children. A total of 21 volunteers, including 10 boys and 11 girls 7 to 16 years old (mean age 11.6) who were free of bladder disorders consented to participate in the study. Subjects were screened and demonstrated normative bladder emptying before being imaged while supine and standing using a sagittal curved linear array 2 to 5 MHz transducer over the suprapubic region. After pelvic floor muscle contraction was explained 4 parameters were measured 3 times each, including the direction of movement/displacement from freeze-frame ultrasound images, and endurance and coordination from ultrasound movie loops. The methodology for digitizing movie data were developed, tested and found to be reliable. New variables of endurance as a percent of maximum coordination amplitude and coordination as the amplitude between maximum and minimum effort were created. Overall 66% and 71% of subjects demonstrated anterior displacement of the pelvic floor during voluntary contraction while lying and standing, respectively, with no significant difference in lying vs standing. However, coordination displacement was greater while lying than standing. During 20-second contractions pelvic floor muscle activity attained peak amplitude at 5.5 seconds, followed by a marked decay with 1 or more cycles of muscular re-recruitment. It was observed that fatigue led to repeat recruitment of the rectus and oblique abdominal muscles. In children free of voiding dysfunction pelvic floor displacement and coordination are highly variable. Noninvasive ultrasound of the pelvic floor provided visual assessment of muscular activity, a biofeedback component for the patient

  12. Pelvic floor functional disorders in vaginally delivered primiparae

    OpenAIRE

    Antolic, Andrea

    2011-01-01

    In this study we examined pelvic floor functional disorders in primiparae with single pregnancies, cephalic presentation at term at the Charité delivery department before and during pregnancy as well as after vaginal delivery by means of questionnaire in relation to maternal, neonatal and obstetric risk factors. The pathophysiology of pelvic floor disorders is still not statisfyingly resolved. During pregnancy 74% of primiparae knew about the interrelation between delivery and sexual disorde...

  13. Nonlinear Steepest Descent Asymptotics for Semiclassical Limit of Integrable Systems: Continuation in the Parameter Space

    Science.gov (United States)

    Tovbis, Alexander; Venakides, Stephanos

    2010-04-01

    The initial value problem for an integrable system, such as the Nonlinear Schrödinger equation, is solved by subjecting the linear eigenvalue problem arising from its Lax pair to inverse scattering, and, thus, transforming it to a matrix Riemann-Hilbert problem (RHP) in the spectral variable. In the semiclassical limit, the method of nonlinear steepest descent ([4,5]), supplemented by the g-function mechanism ([3]), is applied to this RHP to produce explicit asymptotic solution formulae for the integrable system. These formule are based on a hyperelliptic Riemann surface {mathcal {R} = mathcal {R}(x,t)} in the spectral variable, where the space-time variables ( x, t) play the role of external parameters. The curves in the x, t plane, separating regions of different genuses of {mathcal {R}(x,t)}, are called breaking curves or nonlinear caustics. The genus of {mathcal {R}(x,t)} is related to the number of oscillatory phases in the asymptotic solution of the integrable system at the point x, t. The evolution theorem ([10]) guarantees continuous evolution of the asymptotic solution in the space-time away from the breaking curves. In the case of the analytic scattering data f( z; x, t) (in the NLS case, f is a normalized logarithm of the reflection coefficient with time evolution included), the primary role in the breaking mechanism is played by a phase function {{Im h(z;x,t)}}, which is closely related to the g function. Namely, a break can be caused ([10]) either through the change of topology of zero level curves of {Im h(z;x,t)} (regular break), or through the interaction of zero level curves of {{Im h(z;x,t)}} with singularities of f (singular break). Every time a breaking curve in the x, t plane is reached, one has to prove the validity of the nonlinear steepest descent asymptotics in the region across the curve. In this paper we prove that in the case of a regular break, the nonlinear steepest descent asymptotics can be “automatically” continued through the

  14. Pelvic floor spasm as a cause of voiding dysfunction.

    Science.gov (United States)

    Kuo, Tricia L C; Ng, L G; Chapple, Christopher R

    2015-07-01

    Pelvic floor disorders can present with lower urinary tract symptoms, bowel, sexual dysfunction, and/or pain. Symptoms of pelvic muscle spasm (nonrelaxing pelvic floor or hypertonicity) vary and can be difficult to recognize. This makes diagnosis and management of these disorders challenging. In this article, we review the current evidence on pelvic floor spasm and its association with voiding dysfunction. To distinguish between the different causes of voiding dysfunction, a video urodynamics study and/or electromyography is often required. Conservative measures include patient education, behavioral modifications, lifestyle changes, and pelvic floor rehabilitation/physical therapy. Disease-specific pelvic pain and pain from pelvic floor spasm needs to be differentiated and treated specifically. Trigger point massage and injections relieves pain in some patients. Botulinum toxin A, sacral neuromodulation, and acupuncture has been reported in the management of patients with refractory symptoms. Pelvic floor spasm and associated voiding problems are heterogeneous in their pathogenesis and are therefore often underrecognized and undertreated; it is therefore essential that a therapeutic strategy needs to be personalized to the individual patient's requirements. Therefore, careful evaluation and assessment of individuals using a multidisciplinary team approach including a trained physical therapist/nurse clinician is essential in the management of these patients.

  15. Role of pelvic floor in lower urinary tract function.

    Science.gov (United States)

    Chermansky, Christopher J; Moalli, Pamela A

    2016-10-01

    The pelvic floor plays an integral part in lower urinary tract storage and evacuation. Normal urine storage necessitates that continence be maintained with normal urethral closure and urethral support. The endopelvic fascia of the anterior vaginal wall, its connections to the arcus tendineous fascia pelvis (ATFP), and the medial portion of the levator ani muscles must remain intact to provide normal urethral support. Thus, normal pelvic floor function is required for urine storage. Normal urine evacuation involves a series of coordinated events, the first of which involves complete relaxation of the external urethral sphincter and levator ani muscles. Acquired dysfunction of these muscles will initially result in sensory urgency and detrusor overactivity; however, with time the acquired voiding dysfunction can result in intermittent urine flow and incomplete bladder emptying, progressing to urinary retention in severe cases. This review will start with a discussion of normal pelvic floor anatomy and function. Next various injuries to the pelvic floor will be reviewed. The dysfunctional pelvic floor will be covered subsequently, with a focus on levator ani spasticity and stress urinary incontinence (SUI). Finally, future research directions of the interaction between the pelvic floor and lower urinary tract function will be discussed. Copyright © 2015 Elsevier B.V. All rights reserved.

  16. Generation of floor response spectra for PFBR RCB

    International Nuclear Information System (INIS)

    Sajish, S.D.; Ramakrishna, V.; Chellapandi, P.; Chetal, S.C.

    2003-01-01

    This paper describes the generation of floor time histories and corresponding floor response spectrums at various locations in reactor containment building (RCB) for 500 MWe Prototype Fast Breeder Reactor (PFBR). The RCB and its internal structures are modeled with equivalent 3D-beam elements (stick model), which have got the essential global stiffness and inertial properties of the corresponding building. The main aspect in the simulation of beam model is derivation of equivalent cross sectional properties such as bending, torsional and shear rigidities including shear centers. These properties have been obtained through 3D plate/shell element models with appropriate kinematic constraints, for the zones between floors of corresponding buildings. The stick model includes a set of springs and dampers to simulate soil effects, on which base raft and various sticks are mounted. The soil stiffness and damping values are derived based on equations given in ASCE-98. Time history analysis has been done using three uncorrelated time histories, which are derived from the site dependent design response spectra. Floor time histories (FTH) are extracted at important locations from which the corresponding floor response spectrums (FRS) have been generated for various damping values. Peak broadening of the response spectrums has been done according ASCE criteria. Floor response spectrum corresponds to reactor assembly support shows amplification 2.5 for SSE and 3 for OBE. CASTEM 3M is used for seismic analysis and generation of FRS. (author)

  17. Fast correspondences search in anatomical trees

    Science.gov (United States)

    dos Santos, Thiago R.; Gergel, Ingmar; Meinzer, Hans-Peter; Maier-Hein, Lena

    2010-03-01

    Registration of multiple medical images commonly comprises the steps feature extraction, correspondences search and transformation computation. In this paper, we present a new method for a fast and pose independent search of correspondences using as features anatomical trees such as the bronchial system in the lungs or the vessel system in the liver. Our approach scores the similarities between the trees' nodes (bifurcations) taking into account both, topological properties extracted from their graph representations and anatomical properties extracted from the trees themselves. The node assignment maximizes the global similarity (sum of the scores of each pair of assigned nodes), assuring that the matches are distributed throughout the trees. Furthermore, the proposed method is able to deal with distortions in the data, such as noise, motion, artifacts, and problems associated with the extraction method, such as missing or false branches. According to an evaluation on swine lung data sets, the method requires less than one second on average to compute the matching and yields a high rate of correct matches compared to state of the art work.

  18. Anatomical modeling of the bronchial tree

    Science.gov (United States)

    Hentschel, Gerrit; Klinder, Tobias; Blaffert, Thomas; Bülow, Thomas; Wiemker, Rafael; Lorenz, Cristian

    2010-02-01

    The bronchial tree is of direct clinical importance in the context of respective diseases, such as chronic obstructive pulmonary disease (COPD). It furthermore constitutes a reference structure for object localization in the lungs and it finally provides access to lung tissue in, e.g., bronchoscope based procedures for diagnosis and therapy. This paper presents a comprehensive anatomical model for the bronchial tree, including statistics of position, relative and absolute orientation, length, and radius of 34 bronchial segments, going beyond previously published results. The model has been built from 16 manually annotated CT scans, covering several branching variants. The model is represented as a centerline/tree structure but can also be converted in a surface representation. Possible model applications are either to anatomically label extracted bronchial trees or to improve the tree extraction itself by identifying missing segments or sub-trees, e.g., if located beyond a bronchial stenosis. Bronchial tree labeling is achieved using a naïve Bayesian classifier based on the segment properties contained in the model in combination with tree matching. The tree matching step makes use of branching variations covered by the model. An evaluation of the model has been performed in a leaveone- out manner. In total, 87% of the branches resulting from preceding airway tree segmentation could be correctly labeled. The individualized model enables the detection of missing branches, allowing a targeted search, e.g., a local rerun of the tree-segmentation segmentation.

  19. Sleep Disturbance and Anatomic Shoulder Arthroplasty.

    Science.gov (United States)

    Morris, Brent J; Sciascia, Aaron D; Jacobs, Cale A; Edwards, T Bradley

    2017-05-01

    Sleep disturbance is commonly encountered in patients with glenohumeral joint arthritis and can be a factor that drives patients to consider surgery. The prevalence of sleep disturbance before or after anatomic total shoulder arthroplasty has not been reported. The authors identified 232 eligible patients in a prospective shoulder arthroplasty registry following total shoulder arthroplasty for primary glenohumeral joint arthritis with 2- to 5-year follow-up. Sleep disturbance secondary to the affected shoulder was characterized preoperatively and postoperatively as no sleep disturbance, frequent sleep disturbance, or nightly sleep disturbance. A total of 211 patients (91%) reported sleep disturbance prior to surgery. Patients with nightly sleep disturbance had significantly worse (Psleep disturbance, with 186 patients (80%) reporting no sleep disturbance (Psleep disturbance group had significantly greater patient-reported outcome scores and range of motion following surgery compared with the other sleep disturbance groups for nearly all outcome measures (P≤.01). Patients have significant improvements in sleep after anatomic shoulder arthroplasty. There was a high prevalence of sleep disturbance preoperatively (211 patients, 91%) compared with postoperatively (46 patients, 20%). [Orthopedics. 2017; 40(3):e450-e454.]. Copyright 2017, SLACK Incorporated.

  20. Anatomical and roentgenographic features of atlantooccipital instability.

    Science.gov (United States)

    Harris, M B; Duval, M J; Davis, J A; Bernini, P M

    1993-02-01

    An anatomical study using six fresh, human cadaveric cervical spine specimens was performed. After the dissection of all soft tissue, flexion-extension radiographs were obtained to verify initial stability. A sagittal plane bone cut was then made, centered on the odontoid and sparing the alar ligaments, the tectorial membrane, and the atlantooccipital (AO) ligaments. Repeat flexion-extension radiographs and photographs were taken to document maintenance of stability of these hemisections. The occipital-atlantoaxial ligaments were then individually and sequentially incised, maintaining all other structures each time. After the sectioning of each ligament, flexion-extension radiographs and photographs were obtained to identify subsequent motion patterns. Both gross anatomical and roentgenographic examinations demonstrated the important stabilizing role of the tectorial membrane in flexion. Additionally, contact between the posterior arch of C1 and the occiput limited hyperextension as a secondary restraint once the tectorial membrane was sectioned. Furthermore, the AO ligaments proved to play an insignificant role in the preservation of AO stability through a flexion-extension arc of motion. Under normal circumstances, the AO articulation is not excessively stressed. However, acute AO injury, as well as the insidious failure of these ligaments, has been documented in several cases involving various pathologies. This study demonstrates a mechanism of instability and highlights the essential role of the tectorial membrane in maintaining upper cervical spine stability.

  1. Are pregnant women of non-Northern European descent more anaemic than women of Northern European descent? A study into the prevalence of anaemia in pregnant women in Amsterdam

    NARCIS (Netherlands)

    Jans, S. M. P. J.; Daemers, D. O. A.; de Vos, R.; Lagro-Jansen, A. L. M.

    2009-01-01

    to investigate the prevalence of anaemia in pregnancy according to the cut-off points used in the national clinical guideline 'Anaemia in Primary Care Midwifery Practice', and to investigate a possible difference in prevalence between pregnant women of Northern European descent compared with women

  2. Uncovering the fuzzy community structure accurately based on steepest descent projection

    Science.gov (United States)

    Fang, Changjian; Mu, Dejun; Deng, Zhenghong; Yan, Jiaqi

    2017-09-01

    Uncovering the community structure in complex network is a hot research point in recent years. How to identify the community structure accurately in complex network is still an open question under research. There are lots of methods based on topological information, which have some good performances at the expense of longer runtimes. In this paper, we propose a new fuzzy algorithm which follows the line of fuzzy c-means algorithm. A steepest descent framework with projection by optimizing the quality function is presented under the generalized framework. The results of experiments on both real-world networks and synthetic networks show that the proposed method achieves the highest efficiency and is easy for detecting fuzzy community structure in large-scale complex networks.

  3. Nonlinear Performance Seeking Control using Fuzzy Model Reference Learning Control and the Method of Steepest Descent

    Science.gov (United States)

    Kopasakis, George

    1997-01-01

    Performance Seeking Control (PSC) attempts to find and control the process at the operating condition that will generate maximum performance. In this paper a nonlinear multivariable PSC methodology will be developed, utilizing the Fuzzy Model Reference Learning Control (FMRLC) and the method of Steepest Descent or Gradient (SDG). This PSC control methodology employs the SDG method to find the operating condition that will generate maximum performance. This operating condition is in turn passed to the FMRLC controller as a set point for the control of the process. The conventional SDG algorithm is modified in this paper in order for convergence to occur monotonically. For the FMRLC control, the conventional fuzzy model reference learning control methodology is utilized, with guidelines generated here for effective tuning of the FMRLC controller.

  4. Machine learning for inverse lithography: using stochastic gradient descent for robust photomask synthesis

    International Nuclear Information System (INIS)

    Jia, Ningning; Lam, Edmund Y

    2010-01-01

    Inverse lithography technology (ILT) synthesizes photomasks by solving an inverse imaging problem through optimization of an appropriate functional. Much effort on ILT is dedicated to deriving superior masks at a nominal process condition. However, the lower k 1 factor causes the mask to be more sensitive to process variations. Robustness to major process variations, such as focus and dose variations, is desired. In this paper, we consider the focus variation as a stochastic variable, and treat the mask design as a machine learning problem. The stochastic gradient descent approach, which is a useful tool in machine learning, is adopted to train the mask design. Compared with previous work, simulation shows that the proposed algorithm is effective in producing robust masks

  5. Modeling of magma descent and volcano deformation during a vulcanian eruption

    Science.gov (United States)

    Minowa, T.; Nishimura, T.

    2013-12-01

    Volcanic edifice generally deflates due to the discharge of magma in the conduit or reservoir when an eruption occurs. Contrary, recent geodetic observations for vulcanian eruptions of Showa crater at Sakurajima, Japan, show uplift toward the crater at the beginning of eruptions (Iguchi, 2013). In this study, we explain such apparently unexpected deformations by considering magma descent processes in a shallow conduit associated with vulcanian eruptions. A vulcanian eruption is simplified to be triggered by a removal of cap-rock that pressurizes magma in the conduit. Magma in the upper part of conduit is fragmented by large pressure differences built up in the conduit to rapidly effuse volcanic ash. The fragmentation surface propagates downward as volcanic ash ejects. Such magma descent during eruption is formulated by Koyaguchi and Mitani (2005). We propose a moving pressure source model for calculating volcano deformation, following their model. The normal stress acting on the conduit wall is reduced after the passage of the fragmentation surface, which acts as a deflation source. Upward drag force works on the conduit wall bellow the fragmentation surface where a high pressure gradient is formed in the magma. These processes are described by seven model parameters: conduit length L, conduit radius, initial overpressure at the top of the conduit, initial position of the magma head, magma porosity, magma viscosity and descent rate of the fragmentation surface, U. We calculate tilt and strain at the foot of volcano with a conical topography with a height of 1km and inclination angle of 11 degrees by using 3-D boundary element method. We assume appropriate parameters for vulcanian eruptions at andesitic volcanoes such as Sakurajima volcano, and set a cylindrical conduit at the summit. Numerical calculations of volcano deformations at 1-4 km distances from the conduit show following characteristics. Uplift toward the crater appears just after an eruption, because

  6. Factors Associated with Overweight and Obesity among Children of Mexican Descent: Results of a Binational Study

    Science.gov (United States)

    Rosas, Lisa G.; Guendelman, Sylvia; Harley, Kim; Fernald, Lia C. H.; Neufeld, Lynnette; Mejia, Fabiola

    2010-01-01

    The prevalence of childhood obesity is high among young children of Mexican origin in the United States, however, the determinants are poorly understood. We conducted a binational study with a sample from California (CA) and Mexico (MX), to identify and compare the most important factors associated with overweight and obesity among children of Mexican descent. Significantly more children were classified as overweight or obese in CA compared to MX (53.3 vs. 14.9%, P obese mother was significantly associated with being overweight or obese. In MX, male gender, high socioeconomic status and very low food insecurity were associated with being overweight or obese. These data offer hypotheses for how migration may influence the high prevalence of overweight among the Mexican children in California. PMID:20217234

  7. Mars Science Laboratory (MSL) Entry, Descent, and Landing Instrumentation (MEDLI): Complete Flight Data Set

    Science.gov (United States)

    Cheatwood, F. McNeil; Bose, Deepak; Karlgaard, Christopher D.; Kuhl, Christopher A.; Santos, Jose A.; Wright, Michael J.

    2014-01-01

    The Mars Science Laboratory (MSL) entry vehicle (EV) successfully entered the Mars atmosphere and landed the Curiosity rover safely on the surface of the planet in Gale crater on August 6, 2012. MSL carried the MSL Entry, Descent, and Landing (EDL) Instrumentation (MEDLI). MEDLI delivered the first in-depth understanding of the Mars entry environments and the response of the entry vehicle to those environments. MEDLI was comprised of three major subsystems: the Mars Entry Atmospheric Data System (MEADS), the MEDLI Integrated Sensor Plugs (MISP), and the Sensor Support Electronics (SSE). Ultimately, the entire MEDLI sensor suite consisting of both MEADS and MISP provided measurements that were used for trajectory reconstruction and engineering validation of aerodynamic, atmospheric, and thermal protection system (TPS) models in addition to Earth-based systems testing procedures. This report contains in-depth hardware descriptions, performance evaluation, and data information of the three MEDLI subsystems.

  8. A Multidisciplinary Tool for Systems Analysis of Planetary Entry, Descent, and Landing (SAPE)

    Science.gov (United States)

    Samareh, Jamshid A.

    2009-01-01

    SAPE is a Python-based multidisciplinary analysis tool for systems analysis of planetary entry, descent, and landing (EDL) for Venus, Earth, Mars, Jupiter, Saturn, Uranus, Neptune, and Titan. The purpose of SAPE is to provide a variable-fidelity capability for conceptual and preliminary analysis within the same framework. SAPE includes the following analysis modules: geometry, trajectory, aerodynamics, aerothermal, thermal protection system, and structural sizing. SAPE uses the Python language-a platform-independent open-source software for integration and for the user interface. The development has relied heavily on the object-oriented programming capabilities that are available in Python. Modules are provided to interface with commercial and government off-the-shelf software components (e.g., thermal protection systems and finite-element analysis). SAPE runs on Microsoft Windows and Apple Mac OS X and has been partially tested on Linux.

  9. A coordinate descent MM algorithm for fast computation of sparse logistic PCA

    KAUST Repository

    Lee, Seokho

    2013-06-01

    Sparse logistic principal component analysis was proposed in Lee et al. (2010) for exploratory analysis of binary data. Relying on the joint estimation of multiple principal components, the algorithm therein is computationally too demanding to be useful when the data dimension is high. We develop a computationally fast algorithm using a combination of coordinate descent and majorization-minimization (MM) auxiliary optimization. Our new algorithm decouples the joint estimation of multiple components into separate estimations and consists of closed-form elementwise updating formulas for each sparse principal component. The performance of the proposed algorithm is tested using simulation and high-dimensional real-world datasets. © 2013 Elsevier B.V. All rights reserved.

  10. Quantification of Plume-Soil Interaction and Excavation Due to the Sky Crane Descent Stage

    Science.gov (United States)

    Vizcaino, Jeffrey; Mehta, Manish

    2015-01-01

    The quantification of the particulate erosion that occurs as a result of a rocket exhaust plume impinging on soil during extraterrestrial landings is critical for future robotic and human lander mission design. The aerodynamic environment that results from the reflected plumes results in dust lifting, site alteration and saltation, all of which create a potentially erosive and contaminant heavy environment for the lander vehicle and any surrounding structures. The Mars Science Lab (MSL), weighing nearly one metric ton, required higher levels of thrust from its retro propulsive systems and an entirely new descent system to minimize these effects. In this work we seek to quantify plume soil interaction and its resultant soil erosion caused by the MSL's Sky Crane descent stage engines by performing three dimensional digital terrain and elevation mapping of the Curiosity rover's landing site. Analysis of plume soil interaction altitude and time was performed by detailed examination of the Mars Descent Imager (MARDI) still frames and reconstructed inertial measurement unit (IMU) sensor data. Results show initial plume soil interaction from the Sky Crane's eight engines began at ground elevations greater than 60 meters and more than 25 seconds before the rovers' touchdown event. During this time, viscous shear erosion (VSE) was dominant typically resulting in dusting of the surface with flow propagating nearly parallel to the surface. As the vehicle descended and decreased to four powered engines plume-plume and plume soil interaction increased the overall erosion rate at the surface. Visibility was greatly reduced at a height of roughly 20 meters above the surface and fell to zero ground visibility shortly after. The deployment phase of the Sky Crane descent stage hovering at nearly six meters above the surface showed the greatest amount of erosion with several large particles of soil being kicked up, recirculated, and impacting the bottom of the rover chassis. Image

  11. Genetic drift. Descent, lineage, and pedigree of the Trojans in Homer's Iliad.

    Science.gov (United States)

    Bazopoulou-Kyrkanidou, Euterpe

    2007-12-15

    Homer's Iliad, is an epic poem that describes the last 70 days of the Trojan War, which was waged against the city of Troy by the Achaeans. Here, the descent, lineage, and the pedigree of the Trojans are presented. In the Illiad, they are said to have originated from Zeus. Beginning with him, the Trojan pedigree comprised 17 men in 8 generations with Dardanus, founder of Dardania in the second generation; Tros, King of the Trojans in the fourth generation; and the two heroes Hector and Aeneas in the eighth generation. In the seventh generation, Priam, as King of the Trojans, had a huge family, including 50 sons: 19 children with his wife Hecabe, other sons with many different wives, and some daughters as well. Hector, the first born, became leader of the Trojans. Hector's brother, Paris, in abducting Helen of Sparta, the wife of King Menelaus, caused the Trojan War to break out. (c) 2007 Wiley-Liss, Inc.

  12. Simulation Framework for Rapid Entry, Descent, and Landing (EDL) Analysis, Phase 2 Results

    Science.gov (United States)

    Murri, Daniel G.

    2011-01-01

    The NASA Engineering and Safety Center (NESC) was requested to establish the Simulation Framework for Rapid Entry, Descent, and Landing (EDL) Analysis assessment, which involved development of an enhanced simulation architecture using the Program to Optimize Simulated Trajectories II simulation tool. The assessment was requested to enhance the capability of the Agency to provide rapid evaluation of EDL characteristics in systems analysis studies, preliminary design, mission development and execution, and time-critical assessments. Many of the new simulation framework capabilities were developed to support the Agency EDL-Systems Analysis (SA) team that is conducting studies of the technologies and architectures that are required to enable human and higher mass robotic missions to Mars. The findings, observations, and recommendations from the NESC are provided in this report.

  13. Simulation Framework for Rapid Entry, Descent, and Landing (EDL) Analysis. Volume 2; Appendices

    Science.gov (United States)

    Murri, Daniel G.

    2010-01-01

    The NASA Engineering and Safety Center (NESC) was requested to establish the Simulation Framework for Rapid Entry, Descent, and Landing (EDL) Analysis assessment, which involved development of an enhanced simulation architecture using the Program to Optimize Simulated Trajectories II (POST2) simulation tool. The assessment was requested to enhance the capability of the Agency to provide rapid evaluation of EDL characteristics in systems analysis studies, preliminary design, mission development and execution, and time-critical assessments. Many of the new simulation framework capabilities were developed to support the Agency EDL Systems Analysis (EDL-SA) team, that is conducting studies of the technologies and architectures that are required to enable higher mass robotic and human mission to Mars. The appendices to the original report are contained in this document.

  14. Simulation Framework for Rapid Entry, Descent, and Landing (EDL) Analysis. Volume 1

    Science.gov (United States)

    Murri, Daniel G.

    2010-01-01

    The NASA Engineering and Safety Center (NESC) was requested to establish the Simulation Framework for Rapid Entry, Descent, and Landing (EDL) Analysis assessment, which involved development of an enhanced simulation architecture using the Program to Optimize Simulated Trajectories II (POST2) simulation tool. The assessment was requested to enhance the capability of the Agency to provide rapid evaluation of EDL characteristics in systems analysis studies, preliminary design, mission development and execution, and time-critical assessments. Many of the new simulation framework capabilities were developed to support the Agency EDL Systems Analysis (EDL-SA) team, that is conducting studies of the technologies and architectures that are required to enable higher mass robotic and human mission to Mars. The findings of the assessment are contained in this report.

  15. Adaptive optics correction based on stochastic parallel gradient descent technique using Zernike polynomials

    Science.gov (United States)

    Ma, Huimin; Qiao, Yan; Shen, Chunshan

    2017-10-01

    Adaptive optics systems based on stochastic parallel gradient descent optimization (SPGD) have yet shown great potential on compensation of phase distortions induced by wave propagation through atmosphere turbulence. One of the key technique is increasing the converge rate of SPGD correction system. In the present study, it is shown that the convergence rate of the algorithm will be greatly reduced with the increase of the number of corrector units. In this paper, an improved SPGD optimization process which is based on Zernike-mode is developed. The optimized object is changed from the voltage to Zernike coefficient. Adaptive optics correction system simulation model base on SPGD for a laser beam projecting system, and the numerical simulation of compensation process of random atmosphere turbulence is proposed. To improve the converge speed, we explore to ameliorate the correction system by controlling the perturbation considering atmosphere aberration proportion. The results show that the system converges smoothly and increasingly after considering the aberration proportion by Zernike correction.

  16. Stochastic parallel gradient descent based adaptive optics used for a high contrast imaging coronagraph

    International Nuclear Information System (INIS)

    Dong Bing; Ren Deqing; Zhang Xi

    2011-01-01

    An adaptive optics (AO) system based on a stochastic parallel gradient descent (SPGD) algorithm is proposed to reduce the speckle noises in the optical system of a stellar coronagraph in order to further improve the contrast. The principle of the SPGD algorithm is described briefly and a metric suitable for point source imaging optimization is given. The feasibility and good performance of the SPGD algorithm is demonstrated by an experimental system featured with a 140-actuator deformable mirror and a Hartmann-Shark wavefront sensor. Then the SPGD based AO is applied to a liquid crystal array (LCA) based coronagraph to improve the contrast. The LCA can modulate the incoming light to generate a pupil apodization mask of any pattern. A circular stepped pattern is used in our preliminary experiment and the image contrast shows improvement from 10 -3 to 10 -4.5 at an angular distance of 2λ/D after being corrected by SPGD based AO.

  17. Parametric Mass Modeling for Mars Entry, Descent and Landing System Analysis Study

    Science.gov (United States)

    Samareh, Jamshid A.; Komar, D. R.

    2011-01-01

    This paper provides an overview of the parametric mass models used for the Entry, Descent, and Landing Systems Analysis study conducted by NASA in FY2009-2010. The study examined eight unique exploration class architectures that included elements such as a rigid mid-L/D aeroshell, a lifting hypersonic inflatable decelerator, a drag supersonic inflatable decelerator, a lifting supersonic inflatable decelerator implemented with a skirt, and subsonic/supersonic retro-propulsion. Parametric models used in this study relate the component mass to vehicle dimensions and mission key environmental parameters such as maximum deceleration and total heat load. The use of a parametric mass model allows the simultaneous optimization of trajectory and mass sizing parameters.

  18. Natural selection and the distribution of identity-by-descent in the human genome

    DEFF Research Database (Denmark)

    Albrechtsen, Anders; Moltke, Ida; Nielsen, Rasmus

    2010-01-01

    There has recently been considerable interest in detecting natural selection in the human genome. Selection will usually tend to increase identity-by-descent (IBD) among individuals in a population, and many methods for detecting recent and ongoing positive selection indirectly take advantage...... of this. In this article we show that excess IBD sharing is a general property of natural selection and we show that this fact makes it possible to detect several types of selection including a type that is otherwise difficult to detect: selection acting on standing genetic variation. Motivated by this......, we use a recently developed method for identifying IBD sharing among individuals from genome-wide data to scan populations from the new HapMap phase 3 project for regions with excess IBD sharing in order to identify regions in the human genome that have been under strong, very recent selection...

  19. Testosterone secretion during gubernacular development and testicular descent in the dog.

    Science.gov (United States)

    Baumans, V; Dieleman, S J; Wouterse, H S; van Tol, L; Dijkstra, G; Wensing, C J

    1985-01-01

    Serum testosterone concentrations ranged from 0.24 to 1.45 nmol/l between Day 53 post coitum (p.c.) until Day 40 post partum (p.p.) and did not show variations that could be correlated with the process of testicular descent. The intratesticular androgen appeared to be mainly testosterone, its concentration being about 5000-fold higher than that in serum whereas 5 alpha-dihydrotestosterone could not be demonstrated. The intratesticular testosterone concentration at the initiation of gubernacular regression (Day 0) was apparently, but not significantly, higher than at Day 49 p.c. and at Day 40 p.p. The ability of the neonatal canine testis to synthesize testosterone was indicated by increased serum testosterone concentrations after hCG stimulation.

  20. On the Use of a Range Trigger for the Mars Science Laboratory Entry Descent and Landing

    Science.gov (United States)

    Way, David W.

    2011-01-01

    In 2012, during the Entry, Descent, and Landing (EDL) of the Mars Science Laboratory (MSL) entry vehicle, a 21.5 m Viking-heritage, Disk-Gap-Band, supersonic parachute will be deployed at approximately Mach 2. The baseline algorithm for commanding this parachute deployment is a navigated planet-relative velocity trigger. This paper compares the performance of an alternative range-to-go trigger (sometimes referred to as Smart Chute ), which can significantly reduce the landing footprint size. Numerical Monte Carlo results, predicted by the POST2 MSL POST End-to-End EDL simulation, are corroborated and explained by applying propagation of uncertainty methods to develop an analytic estimate for the standard deviation of Mach number. A negative correlation is shown to exist between the standard deviations of wind velocity and the planet-relative velocity at parachute deploy, which mitigates the Mach number rise in the case of the range trigger.

  1. A variable neighborhood descent based heuristic to solve the capacitated location-routing problem

    Directory of Open Access Journals (Sweden)

    M. S. Jabal-Ameli

    2011-01-01

    Full Text Available Location-routing problem (LRP is established as a new research area in the context of location analysis. The primary concern of LRP is on locating facilities and routing of vehicles among established facilities and existing demand points. In this work, we address the capacitated LRP which arises in many practical applications within logistics and supply chain management. The objective is to minimize the overall system costs which include the fixed costs of opening depots and using vehicles at each depot site, and the variable costs associated with delivery activities. A novel heuristic is proposed which is based on variable neighborhood descent (VND algorithm to solve the resulted problem. The computational study indicates that the proposed VND based heuristic is highly competitive with the existing solution algorithms in terms of solution quality.

  2. Patients with Pelvic Floor Muscle Spasm Have a Superior Response to Pelvic Floor Physical Therapy at Specialized Centers.

    Science.gov (United States)

    Polackwich, Alan Scott; Li, Jianbo; Shoskes, Daniel A

    2015-10-01

    Chronic prostatitis/chronic pelvic pain syndrome is a common condition that often requires multimodal therapy. Patients with chronic pelvic pain syndrome have a high incidence of pelvic floor spasm, which can be treated with pelvic floor physical therapy. However, this is a specialized skill. We compared outcomes of pelvic floor physical therapy as part of multimodal therapy in patients with chronic pelvic pain syndrome between those treated at our institution and elsewhere. We identified patients from our chronic pelvic pain syndrome registry with pelvic floor spasm who were seen between 2010 and 2014 for more than 1 visit. Patient phenotype was assessed with the UPOINT system and symptom severity was determined by the National Institutes of Health CPSI. A 6-point decrease in CPSI was used to define patient improvement. A total of 82 patients fit the study criteria. Mean age was 41.6 years (range 19 to 75) and median symptom duration was 24 months (range 3 to 240). Mean CPSI was 26.8 (range 10 to 41), the median number of positive UPOINT domains was 3 (range 1 to 6) and 27 patients (32.9%) were treated locally. At followup 9 patients had refused pelvic floor physical therapy, and 24 and 48 had undergone pelvic floor physical therapy elsewhere and at CCF, respectively. The mean change in CPSI was 1.11 ± 4.1 in patients who refused, -3.46 ± 6.7 in those treated elsewhere and -11.3 ± 7.0 in those treated at CCF (p physical therapy at CCF (OR 4.23, p = 0.002) and symptom duration (OR 0.52, p = 0.03) predicted improvement. Pelvic floor physical therapy can be effective for chronic pelvic pain syndrome in patients with pelvic floor spasm. However, the outcome depends on specialty training and experience of therapists. Copyright © 2015 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  3. A theoretical ovary position in link with the global anatomical ...

    African Journals Online (AJOL)

    This typical position is submitted to some change during the first pregnancy after which the ovary becomes slightly displaced and probably never again returns to its original position. Generally the ovary moves forward and probably with slight descent and loss of erect posture: in fact the broad ligament may remain enlarged ...

  4. Mars 2020 Entry, Descent, and Landing Instrumentation 2 (MEDLI2) Sensor Suite

    Science.gov (United States)

    Hwang, Helen; Wright, Henry; Kuhl, Chris; Schoenenberger, Mark; White, Todd; Karlgaard, Chris; Mahzari, Milad; Oishi, Tomo; Pennington, Steve; Trombetta, Nick; hide

    2017-01-01

    The Mars 2020 Entry, Descent, and Landing Instrumentation 2 (MEDLI2) sensor suite seeks to address the aerodynamic, aerothermodynamic, and thermal protection system (TPS) performance issues during atmospheric entry, descent, and landing of the Mars 2020 mission. Based on the highly successful instrumentation suite that flew on Mars Science Laboratory (MEDLI), the new sensor suite expands on the types of measurements and also seeks to answer questions not fully addressed by the previous mission. Sensor Package: MEDLI2 consists of 7 pressure transducers, 17 thermal plugs, 2 heat flux sensors, and one radiometer. The sensors are distributed across both the heatshield and backshell, unlike MEDLI (the first sensor suite), which was located solely on the heat-shield. The sensors will measure supersonic pressure on the forebody, a pressure measurement on the aftbody, near-surface and in-depth temperatures in the heatshield and backshell TPS materials, direct total heat flux on the aftbody, and direct radiative heating on the aftbody. Instrument Development: The supersonic pressure transducers, the direct heat flux sensors, and the radiometer all were tested during the development phase. The status of these sensors, including the piezo-resistive pressure sensors, will be presented. The current plans for qualification and calibration for all of the sensors will also be discussed. Post-Flight Data Analysis: Similar to MEDLI, the estimated flight trajectory will be reconstructed from the data. The aerodynamic parameters that will be reconstructed will be the axial force coefficient, freestream Mach number, base pressure, atmospheric density, and winds. The aerothermal quantities that will be determined are the heatshield and backshell aero-heating, turbulence transition across the heatshield, and TPS in-depth performance of PICA. By directly measuring the radiative and total heat fluxes on the back-shell, the convective portion of the heat flux will be estimated. The status

  5. Segmented assimilation theory and perinatal health disparities among women of Mexican descent.

    Science.gov (United States)

    Johnson, Michelle A; Marchi, Kristen S

    2009-07-01

    A higher prevalence of infant low birth weight (Mexican descent living in the U.S. when compared to their less acculturated counterparts. Tests of the "acculturation hypothesis" have established that disparities in certain risks for low birth weight exist between subgroups of women of Mexican-origin. However, disparities observed by neighborhood of residence have yet to be explained. Most tests of the acculturation hypothesis assume a classical path of assimilation, whereby Mexican American health is expected to deteriorate with time spent residing in the U.S. and across the generations. The theory of segmented assimilation suggests that alternative paths are possible depending upon individual characteristics and the context of the neighborhood into which immigrant families and their children reside. This study tested the theory of segmented assimilation as a framework for examining the geographic, cultural, and socioeconomic underpinnings of population differences in infant low birth weight among women of Mexican descent in California using the 2000 U.S. Census and population-based data from the Maternal and Infant Health Assessment (1999-2005) (n=6442). Little support was found for the theory's hypotheses. Rather, increased odds for infant low birth weight were observed for English speakers residing in Latino immigrant neighborhoods when compared to English speakers in other neighborhoods, an effect attenuated for Spanish speakers. Elevated odds of low birth weight were also observed among English speakers residing in Latino immigrant neighborhoods when compared to Spanish speakers in the same neighborhoods. Findings suggest the transfer of health-specific social capital in ethnic neighborhoods may depend upon sociocultural consonance between individuals and neighborhood residents. The authors call for additional research that sheds light on the sociocultural dynamics of maternal and infant health at multiple levels.

  6. Genetic Heterogeneity in Colorectal Cancer Associations in Americans of African vs. European Descent

    Science.gov (United States)

    Kupfer, Sonia S.; Anderson, Jeffrey R.; Hooker, Stanley; Skol, Andrew; Kittles, Rick A.; Keku, Temitope O.; Sandler, Robert S.; Ellis, Nathan A.

    2013-01-01

    Background & Aims Genome-wide association studies of colorectal cancer (CRC) have identified risk variants in 10 genomic regions. None of these studies included African Americans, who have the highest incidence and mortality from CRC in the US. For the 10 genomic regions, we performed an association study of Americans of African and European descent. Methods We genotyped 22 single nucleotide polymorphisms (SNPs) in DNA samples from 1194 patients with CRC (795 African Americans and 399 European Americans) and 1352 controls (985 African Americans and 367 European Americans). At chromosome 8q24.21 region 3, we analyzed 6 SNPs from 1000 African American cases and 1393 controls. Association testing was done using multivariate logistic regression controlling for ancestry, age, and sex. Results Sizes and directions of association for all SNPs tested in European Americans were consistent with previously published studies, but for 9 of 22 SNPs tested in African Americans, they were of an opposite direction. Among African Americans, the SNP rs6983267 at 8q24.21 was not associated with CRC (odds ratio [OR]=1.18; P=0.12); instead, the 8q24.21 SNP rs7014346 (OR=1.15; p=0.03) was associated with CRC in this population. At 15q13.3, rs10318 was associated with CRC in both populations. At 10p14, the opposite allele of rs10795668 was associated with CRC in African Americans (OR=1.35; P=0.04). At 11q23.1, rs3802842 was significantly associated with rectal cancer risk only among African Americans (OR 1.34; P=0.01); this observation was made in previous studies. Among European Americans, SNPs at 8q24.21, 11q23.1, and 16q22.1 were associated with CRC, in agreement with previous reports. Conclusion There is genetic heterogeneity in CRC associations in Americans of African vs. European descent. PMID:20659471

  7. The effects of the diurnal atmospheric variability on entry, descent and landing on Mars

    Directory of Open Access Journals (Sweden)

    Marčeta D.

    2014-01-01

    Full Text Available Landing on Mars is extremely challenging task due to the fact that the Martian atmosphere is the most hostile environment in the Solar system to perform the entry, descent and landing (EDL process, because it is thick enough to create substantial heating of the entry vehicle but not thick enough to reduce its velocity to the one necessary for safe landing. Beside this, the atmosphere is very dynamic mainly due to high eccentricity of the Martian orbit, obliquity of the orbital to the equatorial plane and close alignment of the winter solstice and the orbital perihelion. Although seasonal variations of atmospheric parameters are significantly larger than the diurnal, it is very important to analyze diurnal cycles as they can significantly change vertical and horizontal atmospheric profiles in very short time intervals. This can present a serious threat to missions which have very precise timings and specific requirements such as the requirement for the daytime landing to enable ground images acquisition during the descent and landing phase. A 3-degrees-of-freedom trajectory integration routine was combined with the Mars Global Reference Atmospheric Model (Mars-GRAM to identify the dependence of the EDL profiles on the diurnal cycles of atmospheric parameters throughout the Martian year. The obtained results show that the influence of the diurnal cycles is the largest at the equator and decreases relatively symmetrically towards the poles with a slightly stronger influence in the northern hemisphere. Also, there is a significant influence of the orbital position of Mars on the effect of diurnal atmospheric variations which causes that, around the orbital perihelion and winter solstice, there is some kind of inversion of the dependance of optimal entry timing on latitude of the landing site comparing to the rest of the Martian year. [Projekat Ministarstva nauke Republike Srbije, br. 176002

  8. Development of Claw Traits and Claw Lesions in Dairy Cows kept on different floor systems

    NARCIS (Netherlands)

    Somers, J.G.C.J.; Schouten, W.G.P.; Frankena, K.; Noordhuizen-Stassen, E.N.; Metz, J.H.M.

    2005-01-01

    Several claw shape measurements, horn hardness, and horn growth and wear were recorded monthly at 12 dairy farms to investigate the effect of floor type and changes in these traits over time. Herds were either housed on a slatted floor (SL), solid concrete floor (SC), grooved floor (GR), or on a

  9. 17 CFR 240.11a-1 - Regulation of floor trading.

    Science.gov (United States)

    2010-04-01

    ... 17 Commodity and Securities Exchanges 3 2010-04-01 2010-04-01 false Regulation of floor trading... Securities Exchange Act of 1934 Adoption of Floor Trading Regulation (rule 11a-1) § 240.11a-1 Regulation of floor trading. (a) No member of a national securities exchange, while on the floor of such exchange...

  10. Anatomical study of middle cluneal nerve entrapment

    Directory of Open Access Journals (Sweden)

    Konno T

    2017-06-01

    Full Text Available Tomoyuki Konno,1 Yoichi Aota,2 Tomoyuki Saito,1 Ning Qu,3 Shogo Hayashi,3 Shinichi Kawata,3 Masahiro Itoh3 1Department of Orthopaedic Surgery, Yokohama City University, 2Department of Spine and Spinal Cord, Yokohama Brain and Spine Center, Yokohama City, 3Department of Anatomy, Tokyo Medical University, Tokyo, Japan Object: Entrapment of the middle cluneal nerve (MCN under the long posterior sacroiliac ligament (LPSL is a possible, and underdiagnosed, cause of low-back and/or leg symptoms. To date, detailed anatomical studies of MCN entrapment are few. The purpose of this study was to ascertain, using cadavers, the relationship between the MCN and LPSL and to investigate MCN entrapment. Methods: A total of 30 hemipelves from 20 cadaveric donors (15 female, 5 male designated for education or research, were studied by gross anatomical dissection. The age range of the donors at death was 71–101 years with a mean of 88 years. Branches of the MCN were identified under or over the gluteus maximus fascia caudal to the posterior superior iliac spine (PSIS and traced laterally as far as their finest ramification. Special attention was paid to the relationship between the MCN and LPSL. The distance from the branch of the MCN to the PSIS and to the midline and the diameter of the MCN were measured. Results: A total of 64 MCN branches were identified in the 30 hemipelves. Of 64 branches, 10 (16% penetrated the LPSL. The average cephalocaudal distance from the PSIS to where the MCN penetrated the LPSL was 28.5±11.2 mm (9.1–53.7 mm. The distance from the midline was 36.0±6.4 mm (23.5–45.2 mm. The diameter of the MCN branch traversing the LPSL averaged 1.6±0.5 mm (0.5–3.1 mm. Four of the 10 branches penetrating the LPSL had obvious constriction under the ligament. Conclusion: This is the first anatomical study illustrating MCN entrapment. It is likely that MCN entrapment is not a rare clinical entity. Keywords: middle cluneal nerve, sacroiliac joint

  11. Anatomic-Based Three-Dimensional Planning Precludes Use of Catheter-Delivered Contrast for Treatment of Prostate Cancer

    International Nuclear Information System (INIS)

    Boersma, Melisa; Swanson, Gregory; Baacke, Diana C.; Eng, Tony

    2008-01-01

    Purpose: Retrograde urethrography is a standard method to identify the prostatic apex during planning for prostate cancer radiotherapy. This is an invasive and uncomfortable procedure. With modern three-dimensional computed tomography planning, we explored whether retrograde urethrography was still necessary to accurately identify the prostatic apex. Methods and Materials: Fifteen patients underwent computed tomography simulation with and without bladder, urethral, and rectal contrast. The prostatic base and apex were identified on both scans, using contrast and anatomy, respectively. The anatomic location of the prostatic apex as defined by these methods was confirmed in another 57 patients with postbrachytherapy imaging. Results: The prostatic base and apex were within a mean of 3.8 mm between the two scans. In every case, the beak of the retrograde urethrogram abutted the line drawn parallel to, and bisecting, the pubic bone on the lateral films. With these anatomic relationships defined, in the postbrachytherapy patients, the distance from the prostatic apex to the point at which the urethra traversed the pelvic floor was an average of 11.7 mm. On lateral films, we found that the urethra exited the pelvis an average of 16.6 mm below the posterior-most fusion of the pubic symphysis. On axial images, this occurred at a mean separation of the ischia of about 25 mm. Conclusion: With a knowledge of the anatomic relationships and modern three-dimensional computed tomography planning equipment, the prostatic apex can be easily and consistently identified, obviating the need to subject patients to retrograde urethrography

  12. Analysis of the priority of anatomic structures according to the diagnostic task in cone-beam computed tomographic images

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Jin Woo [Dept. of Oral and Maxillofacial Radiology, Dankook University College of Dentistry, Chunan (Korea, Republic of)

    2016-12-15

    This study was designed to evaluate differences in the required visibility of anatomic structures according to the diagnostic tasks of implant planning and periapical diagnosis. Images of a real skull phantom were acquired under 24 combinations of different exposure conditions in a cone-beam computed tomography scanner (60, 70, 80, 90, 100, and 110 kV and 4, 6, 8, and 10 mA). Five radiologists evaluated the visibility of anatomic structures and the image quality for diagnostic tasks using a 6-point scale. The visibility of the periodontal ligament space showed the closest association with the ability to use an image for periapical diagnosis in both jaws. The visibility of the sinus floor and canal wall showed the closest association with the ability to use an image for implant planning. Variations in tube voltage were associated with significant differences in image quality for all diagnostic tasks. However, tube current did not show significant associations with the ability to use an image for implant planning. The required visibility of anatomic structures varied depending on the diagnostic task. Tube voltage was a more important exposure parameter for image quality than tube current. Different settings should be used for optimization and image quality evaluation depending on the diagnostic task.

  13. Analysis of the priority of anatomic structures according to the diagnostic task in cone-beam computed tomographic images

    International Nuclear Information System (INIS)

    Choi, Jin Woo

    2016-01-01

    This study was designed to evaluate differences in the required visibility of anatomic structures according to the diagnostic tasks of implant planning and periapical diagnosis. Images of a real skull phantom were acquired under 24 combinations of different exposure conditions in a cone-beam computed tomography scanner (60, 70, 80, 90, 100, and 110 kV and 4, 6, 8, and 10 mA). Five radiologists evaluated the visibility of anatomic structures and the image quality for diagnostic tasks using a 6-point scale. The visibility of the periodontal ligament space showed the closest association with the ability to use an image for periapical diagnosis in both jaws. The visibility of the sinus floor and canal wall showed the closest association with the ability to use an image for implant planning. Variations in tube voltage were associated with significant differences in image quality for all diagnostic tasks. However, tube current did not show significant associations with the ability to use an image for implant planning. The required visibility of anatomic structures varied depending on the diagnostic task. Tube voltage was a more important exposure parameter for image quality than tube current. Different settings should be used for optimization and image quality evaluation depending on the diagnostic task

  14. Vitamin B12 status in patients of Turkish and Dutch descent with depression: A comparative cross-sectional study

    NARCIS (Netherlands)

    Y. Güzelcan (Yener); P. van Loon (Peter)

    2009-01-01

    textabstractBackground: Studies have shown a clear relationship between depressive disorders and vitamin B12 deficiency. Gastroenteritis and Helicobacter pylori infections can cause vitamin B12 deficiency. Helicobacter pylori infections are not uncommon among people of Turkish descent in The

  15. Testing the Structural Invariance of the Africultural Coping Systems Inventory Across Three Samples of African Descent Populations

    Science.gov (United States)

    Utsey, Shawn O.; Brown, Christa; Bolden, Mark A.

    2004-01-01

    Confirmatory factor analysis was used to test the factorial invariance of the Africultural Coping Systems Inventory's (ACSI) measurement model and underlying factor structure across three independent and ethnically distinct samples of African descent populations. Results indicated that factor pattern coefficients of the ACSI's underlying…

  16. Comparative assessment of methods for estimating individual genome-wide homozygosity-by-descent from human genomic data

    Directory of Open Access Journals (Sweden)

    McQuillan Ruth

    2010-02-01

    Full Text Available Abstract Background Genome-wide homozygosity estimation from genomic data is becoming an increasingly interesting research topic. The aim of this study was to compare different methods for estimating individual homozygosity-by-descent based on the information from human genome-wide scans rather than genealogies. We considered the four most commonly used methods and investigated their applicability to single-nucleotide polymorphism (SNP data in both a simulation study and by using the human genotyped data. A total of 986 inhabitants from the isolated Island of Vis, Croatia (where inbreeding is present, but no pedigree-based inbreeding was observed at the level of F > 0.0625 were included in this study. All individuals were genotyped with the Illumina HumanHap300 array with 317,503 SNP markers. Results Simulation data suggested that multi-point FEstim is the method most strongly correlated to true homozygosity-by-descent. Correlation coefficients between the homozygosity-by-descent estimates were high but only for inbred individuals, with nearly absolute correlation between single-point measures. Conclusions Deciding who is really inbred is a methodological challenge where multi-point approaches can be very helpful once the set of SNP markers is filtered to remove linkage disequilibrium. The use of several different methodological approaches and hence different homozygosity measures can help to distinguish between homozygosity-by-state and homozygosity-by-descent in studies investigating the effects of genomic autozygosity on human health.

  17. 'The full has never been told': building a theory of sexual health for heterosexual Black men of Caribbean descent.

    Science.gov (United States)

    Crowell, Candice N; Delgado-Romero, Edward A; Mosley, Della V; Huynh, Sophia

    2016-08-01

    Research on Black sexual health often fails to represent the heterogeneity of Black ethnic groups. For people of Caribbean descent in the USA, ethnicity is a salient cultural factor that influences definitions and experiences of sexual health. Most research on people of Caribbean descent focuses on the relatively high rate of STIs, but sexual health is defined more broadly than STI prevalence. Psychological and emotional indicators and the voice of participants are important to consider when exploring the sexual health of a minority culture. The purpose of this study was to qualitatively explore how heterosexual Black men of Caribbean descent define and understand sexual health for themselves. Eleven men who self-identified as Black, Caribbean and heterosexual participated in three focus groups and were asked to define sexual health, critique behaviours expertly identified as healthy and address what encourages and discourages sexual health in their lives. Findings point to six dimensions of sexual health for heterosexual Black men of Caribbean descent. These include: heterosexually privileged, protective, contextual, interpersonal, cultural and pleasurable dimensions. There were some notable departures from current expert definitions of sexual health. Recommendations for further theory development are provided.

  18. Severe G6PD Deficiency Due to a New Missense Mutation in an Infant of Northern European Descent

    DEFF Research Database (Denmark)

    Warny, Marie; Lausen, Birgitte; Birgens, Henrik

    2015-01-01

    We report a term male infant born to parents of Danish descent, who on the second day of life developed jaundice peaking at 67 hours and decreasing on applied double-sided phototherapy. In the weeks following, the infant showed signs of ongoing hemolysis. Laboratory tests showed very low glucose-6...

  19. Factors that Enable Women of South Asian and African Descent to Succeed in Leadership Positions in Higher Education

    Science.gov (United States)

    Kamassah, Sharon

    2010-01-01

    This research study focused on the factors that enable women of South Asian and African descent to succeed as leaders in the college system. The findings were derived from online questionnaires and in-depth interviews of 16 racialized women from two Greater Toronto Area (GTA) colleges. Many factors and recommendations were shared. Some of the…

  20. Moving In and Out of Bilingualism: Investigating Native Language Maintenance and Shift in Mexican-Descent Children. Research Report: 6.

    Science.gov (United States)

    Pease-Alvarez, Lucinda

    A study investigated patterns and influences in Mexican-American children's Spanish language maintenance and shift toward English dominance or monolingualism. Subjects were 64 Mexican-descent children, ages 8-9, of varying immigration backgrounds (Mexican-born, U.S.-born of Mexican-born parents, U.S.-born of U.S.-born parents), and their families…

  1. Determinants of adherence to treatment in hypertensive patients of African descent and the role of culturally appropriate education

    NARCIS (Netherlands)

    Meinema, Jennita G.; van Dijk, Nynke; Beune, Erik J. A. J.; Jaarsma, Debbie A. D. C.; van Weert, Henk C. P. M.; Haafkens, Joke A.

    2015-01-01

    In Western countries, better knowledge about patient-related determinants of treatment adherence (medication and lifestyle) is needed to improve treatment adherence and outcomes among hypertensive ethnic minority patients of African descent. To identify patient-related determinants of adherence to

  2. Multiple Marginality and Urban Education: Community and School Socialization among Low-Income Mexican-Descent Youth

    Science.gov (United States)

    Conchas, Gilberto Q.; Vigil, James Diego

    2010-01-01

    This article conceptualizes the crucial social and developmental features impacting Mexican-descent youth and adolescents in low-income communities in southern California. All youth in these neighborhoods must confront and come to grips with the many environmental, socioeconomic, racial, and cultural forces they confront. However, it is the…

  3. "Arubaito," or Short-Term Working Abroad in Japan: A Case Study of Brazilian University Students of Japanese Descent

    Science.gov (United States)

    Sasaki, Lindsey

    2012-01-01

    International migration between Japan and Brazil dates back to 1908, when the first group of Japanese migrated to Brazil. However, in the 1980s, a reverse flow occurred, as thousands of Brazilians of Japanese descent traveled to Japan to work in manufacturing and construction factories ("dekasegi" workers). Japanese Brazilians up until…

  4. Experimental studies of the rotor flow downwash on the Stability of multi-rotor crafts in descent

    Science.gov (United States)

    Veismann, Marcel; Dougherty, Christopher; Gharib, Morteza

    2017-11-01

    All rotorcrafts, including helicopters and multicopters, have the inherent problem of entering rotor downwash during vertical descent. As a result, the craft is subject to highly unsteady flow, called vortex ring state (VRS), which leads to a loss of lift and reduced stability. To date, experimental efforts to investigate this phenomenon have been largely limited to analysis of a single, fixed rotor mounted in a horizontal wind tunnel. Our current work aims to understand the interaction of multiple rotors in vertical descent by mounting a multi-rotor craft in a low speed, vertical wind tunnel. Experiments were performed with a fixed and rotationally free mounting; the latter allowing us to better capture the dynamics of a free flying drone. The effect of rotor separation on stability, generated thrust, and rotor wake interaction was characterized using force gauge data and PIV analysis for various descent velocities. The results obtained help us better understand fluid-craft interactions of drones in vertical descent and identify possible sources of instability. The presented material is based upon work supported by the Center for Autonomous Systems and Technologies (CAST) at the Graduate Aerospace Laboratories of the California Institute of Technology (GALCIT).

  5. Mistakes in the usage of anatomical terminology in clinical practice.

    Science.gov (United States)

    Kachlik, David; Bozdechova, Ivana; Cech, Pavel; Musil, Vladimir; Baca, Vaclav

    2009-06-01

    Anatomical terminology serves as a basic communication tool in all the medical fields. Therefore Latin anatomical nomenclature has been repetitively issued and revised from 1895 (Basiliensia Nomina Anatomica) until 1998, when the last version was approved and published as the Terminologia Anatomica (International Anatomical Terminology) by the Federative Committee on Anatomical Terminology. A brief history of the terminology and nomenclature development is mentioned, along with the concept and contributions of the Terminologia Anatomica including the employed abbreviations. Examples of obsolete anatomical terms and their current synonyms are listed. Clinicians entered the process of the nomenclature revision and this aspect is demonstrated with several examples of terms used in clinical fields only, some already incorporated in the Terminologia Anatomica and a few obsolete terms still alive in non-theoretical communication. Frequent mistakes in grammar and orthography are stated as well. Authors of the article strongly recommend the use of the recent revision of the Latin anatomical nomenclature both in theoretical and clinical medicine.

  6. Contribution to the anatomical nomenclature concerning lower limb anatomy.

    Science.gov (United States)

    Kachlik, David; Musil, Vladimir; Baca, Vaclav

    2017-09-18

    The aim of this article is to extend and revise the sections of Terminologia Anatomica (TA) dealing with the lower limb structures and to justify the use of newly proposed anatomical terms in clinical medicine, education, and research. Anatomical terms were gathered during our educational experience from anatomical textbooks and journals and compared with the four previous editions of the official Latin anatomical nomenclature. The authors summarise 270 terms with their definitions and explanations for both constant and variable morphological structures (bones, joints, muscles, vessels, nerves and superficial structures) of the hip, thigh, knee, leg, ankle, and foot completed with several grammatical remarks and some general anatomical terms. The proposed terms should be discussed in wider anatomical community and potentially added to next edition of the TA.

  7. Barriers to Pelvic Floor Physical Therapy Regarding Treatment of High-Tone Pelvic Floor Dysfunction.

    Science.gov (United States)

    Zoorob, Dani; Higgins, Margaret; Swan, Kimberly; Cummings, Jennifer; Dominguez, Sarah; Carey, Erin

    Chronic pelvic pain is a prevalent and debilitating condition with a wide range of etiologies. An estimated 30% to 70% of chronic pelvic cases involve musculoskeletal component pain including high-tone pelvic floor dysfunction (HTPFD). Pelvic floor physical therapy has been shown to be a beneficial treatment for HTPFD, yet many patients do not have access to this treatment. The objective of this study was to identify the barriers preventing patients from following through with the first-line management, physical therapy. Participants with a diagnosis of HTPFD (n = 154) were identified from the list of referrals sent from the obstetrics and gynecology department to an affiliated PFPT center. Participants were contacted and asked to complete a phone survey addressing demographics and perceived barriers to care. Responses were collected in REDCap. Univariate and bivariate analyses were performed using a statistical analysis software. Seventy surveys were completed. The top barriers identified by participants were financial constraints (51.4%), perceived lack of utility (37.1%), time constraints (30.0%), and travel issues (18.6%); 84.4% of participants had 1 or more comorbid pain condition. Whereas 51.4% expressed some level of anxiety regarding the PFPT option, only 9.6% of participants did not start treatment because of fear of treatment. The majority of treatment barriers identified were concrete restraints, with insurance noncoverage and time constraints being the top issues. A fair number of participants expressed anxiety about the treatment or felt they received unclear explanations of the treatment. These are areas in which providers can potentially alleviate some barriers to care.

  8. [Re-treatments of recurrence after pelvic floor repair surgery].

    Science.gov (United States)

    Fan, S X; Wang, F M; Lin, L S; Song, Y F

    2017-06-25

    Objective: To analyze re-treatments of recurrence after the pelvic floor repair surgery. Methods: The protocol and the effect of re-treatments were investigated by reviewing and analyzing the clinical data of 81 recurrent patients (grade Ⅱ and above), who had received the pelvic floor repair surgery from January 2011 to January 2016. Pelvic organ prolapse quantitation system (POP-Q) and two questionnaires about quality of life [pelvic floor distress inventory-short form 20 (PFDI-20) and pelvic floor impact questionnaire short form (PFIQ-7)] were used to evaluate objective and subjective efficacy, respectively. Results: Among 81 recurrent patients who were followed up for a median of 35 months (10- 69 months), 78 cases (with prolapse up to grade Ⅲ or Ⅳ) were treated by surgical operation with both objective cure rate and subjective satisfaction being 100% (78/78); 3 cases (with grade Ⅱ prolapse) were treated by pelvic floor electrical stimulation biofeedback, and 1 case among the three cases had the vaginal foreign body sensation, the subjective satisfaction was 2/3. The methods of surgical operation for the 78 recurrent patients included: total pelvic floor reconstructive surgery (55 cases; 3 of which involve trachelectomy), anterior pelvic reconstructive surgery (2 cases), posterior pelvic reconstructive surgery (3 cases), Y-mesh sacral colpopexy (2 cases), colpocleisis (11 cases), vaginal hysterectomy combined posterior fornix forming (3 cases), and vaginal hysterectomy combined posterior pelvic reconstructive surgery(2 cases). Conclusion: The extent of recurrence, the recurrent site and complications must be carefully considered and evaluated for re-treatments of recurrence after pelvic floor repair surgery, and then an appropriately individualized re-treatment protocol could be designed for each of the patients.

  9. Thermal analysis of a double layer phase change material floor

    International Nuclear Information System (INIS)

    Jin Xing; Zhang Xiaosong

    2011-01-01

    Phase change materials (PCMs) can be used to shift the cooling or heating load from the peak period to the off-peak period. In this paper, a new double layer phase change material (PCM) floor is put forward. The two layers of PCM have different melting temperature. The system is used to store heat or cold energy in the off-peak period and release them in the peak period during heating or cooling. According to the numerical model built in this paper, the thermal performances of the floor are analyzed. The results show that the optimal melting temperatures of PCMs exist. The fluctuations of the floor surface temperatures and the heat fluxes will be reduced and the system still can provide a certain amount of heat or cold energy after the heat pump or chiller has been turned off for a long time. Compared to the floor without PCM, the energy released by the floor with PCM in peak period will be increased by 41.1% and 37.9% during heating and cooling when the heat of fusion of PCM is 150 kJ/kg. - Highlights: → A new double layer phase change material floor is put forward. → The system is used to store heat or cold energy in the off-peak period and release them in the peak period during heating or cooling. → The optimal melting temperatures of PCMs in the system exist. → The heat and cold energy released by the floor with PCM in peak period can be increased by 41.1% and 37.9%.

  10. Modelling floor heating systems using a validated two-dimensional ground coupled numerical model

    DEFF Research Database (Denmark)

    Weitzmann, Peter; Kragh, Jesper; Roots, Peter

    2005-01-01

    This paper presents a two-dimensional simulation model of the heat losses and tempera-tures in a slab on grade floor with floor heating which is able to dynamically model the floor heating system. The aim of this work is to be able to model, in detail, the influence from the floor construction...... the floor. This model can be used to design energy efficient houses with floor heating focusing on the heat loss through the floor construction and foundation. It is found that it is impor-tant to model the dynamics of the floor heating system to find the correct heat loss to the ground, and further......, that the foundation has a large impact on the energy consumption of buildings heated by floor heating. Consequently, this detail should be in focus when designing houses with floor heating....

  11. Improving thoracic four-dimensional cone-beam CT reconstruction with anatomical-adaptive image regularization (AAIR)

    International Nuclear Information System (INIS)

    Shieh, Chun-Chien; Kipritidis, John; O'Brien, Ricky T; Cooper, Benjamin J; Keall, Paul J; Kuncic, Zdenka

    2015-01-01

    Total-variation (TV) minimization reconstructions can significantly reduce noise and streaks in thoracic four-dimensional cone-beam computed tomography (4D CBCT) images compared to the Feldkamp–Davis–Kress (FDK) algorithm currently used in practice. TV minimization reconstructions are, however, prone to over-smoothing anatomical details and are also computationally inefficient. The aim of this study is to demonstrate a proof of concept that these disadvantages can be overcome by incorporating the general knowledge of the thoracic anatomy via anatomy segmentation into the reconstruction. The proposed method, referred as the anatomical-adaptive image regularization (AAIR) method, utilizes the adaptive-steepest-descent projection-onto-convex-sets (ASD-POCS) framework, but introduces an additional anatomy segmentation step in every iteration. The anatomy segmentation information is implemented in the reconstruction using a heuristic approach to adaptively suppress over-smoothing at anatomical structures of interest. The performance of AAIR depends on parameters describing the weighting of the anatomy segmentation prior and segmentation threshold values. A sensitivity study revealed that the reconstruction outcome is not sensitive to these parameters as long as they are chosen within a suitable range. AAIR was validated using a digital phantom and a patient scan and was compared to FDK, ASD-POCS and the prior image constrained compressed sensing (PICCS) method. For the phantom case, AAIR reconstruction was quantitatively shown to be the most accurate as indicated by the mean absolute difference and the structural similarity index. For the patient case, AAIR resulted in the highest signal-to-noise ratio (i.e. the lowest level of noise and streaking) and the highest contrast-to-noise ratios for the tumor and the bony anatomy (i.e. the best visibility of anatomical details). Overall, AAIR was much less prone to over-smoothing anatomical details compared to ASD-POCS and

  12. Alterations in pelvic floor muscles and pelvic organ support by pregnancy and vaginal delivery in squirrel monkeys

    Science.gov (United States)

    Reyes, Michelle; Gendron, Jilene M.; Pierce, Lisa M.; Runge, Val M.; Kuehl, Thomas J.

    2014-01-01

    Introduction and hypothesis The objective of this study was to measure the effects of pregnancy and parturition on pelvic floor muscles and pelvic organ support. Methods Levator ani, obturator internus, and coccygeus (COC) muscle volumes and contrast uptake were assessed by MRI of seven females prior to pregnancy, 3 days, and 4 months postpartum. Bladder neck and cervix position were measured dynamically with abdominal squeezing. Results The sides of three paired muscles were similar (p>0.66). COC volumes were greater (p<0.004) after parturition than before pregnancy or after recovery. COC contrast uptake increased (p<0.02) immediately after delivery. Bladder neck position both in the relaxed state and abdominal pressure descended (p<0.04) after delivery and descended further (p<0.001) after recovery. Cervical position in the relaxed state before delivery was higher (p<0.001) than postpartum but was unchanged (p=0.50) with abdominal pressure relative to delivery. Conclusion In squirrel monkeys, coccygeus muscles demonstrate the greatest change related to parturition, and parturition-related bladder neck descent seems permanent. PMID:21567260

  13. Early Results of Anatomic Double Bundle Anterior Cruciate Ligament Reconstruction

    OpenAIRE

    Demet Pepele

    2014-01-01

    Aim: The goal in anterior cruciate ligament reconstruction (ACLR) is to restore the normal anatomic structure and function of the knee. In the significant proportion of patients after the traditional single-bundle ACLR, complaints of instability still continue. Anatomic double bundle ACLR may provide normal kinematics in knees, much closer to the natural anatomy. The aim of this study is to clinically assess the early outcomes of our anatomical double bundle ACLR. Material and Method: In our ...

  14. Validation of the Pelvic Floor Distress Inventory-20 and the Pelvic Floor Impact Questionnaire-7 in Danish women with pelvic organ prolapse

    DEFF Research Database (Denmark)

    Due, Ulla; Brostrøm, Søren; Lose, Gunnar

    2013-01-01

    To translate the Pelvic Floor Distress Inventory-20 (PFDI-20) and the Pelvic Floor Impact Questionnaire-7 (PFIQ-7) and to evaluate their psychometric properties in Danish women with symptomatic pelvic organ prolapse....

  15. Internuclear ophthalmoplegia: MR imaging and anatomic correlation

    International Nuclear Information System (INIS)

    Atlas, S.W.; Grossman, R.I.; Savino, P.J.

    1986-01-01

    Internuclear ophthalmoplegia is a gaze disorder characterized by impaired adduction of the side of a lesion in the medial longitudinal fasciculus (MLF) with dissociated nystagmus of the abducting eye. Eleven patients with internuclear ophthalmoplegia (nine with multiple sclerosis, two with infarction) were examined with spin-echo MR imaging performed at 1.5 T. Nine of the 11 patients also underwent CT. MR imaging was highly sensitive (10 of 11 cases) and CT was of no value (0 of 9 cases) in detecting clinically suspected MLF lesions. These lesions must be distinguished from ''pseudo-MLF hyperintensity,'' which appears as a thin, strictly midline, linear hyperintensity just interior to the fourth ventricle and aqueduct in healthy subjects. True MLF lesions are nodular, more prominent, and slightly off the midline, corresponding to the paramedian anatomic site of the MLF

  16. Anatomic Twist to a Straightforward Ablation

    Directory of Open Access Journals (Sweden)

    Mandeep Singh Randhawa, MD

    2013-03-01

    Full Text Available Atrioventricular (AV junction ablation for treatment of refractory atrial fibrillation is a well defined, standardized procedure and the simplest of commonly performed radiofrequency ablations in the field of cardiac electrophysiology. We report successful AV junction ablation using an inferior approach in a case of inferior vena cava interruption. Inability during the procedure to initially pass the ablation catheter into the right ventricle, combined with low amplitude electrograms, led to suspicion of an anatomic abnormality. This was determined to be a heterotaxy syndrome with inferior vena cava interruption and azygos continuation, draining in turn into the superior vena cava. Advancing Schwartz right 0 (SRO sheath through the venous abnormality into the right atrium allowed adequate catheter stability to successfully induce complete AV block with radiofrequency energy.

  17. [Antique anatomical collections for contemporary museums].

    Science.gov (United States)

    Nesi, Gabriella; Santi, Raffaella

    2013-01-01

    Anatomy and Pathology Museum collections display a great biological value and offer unique samples for research purposes. Pathological specimens may be investigated by means of modern radiological and molecular biology techniques in order to provide the etiological background of disease, with relevance to present-day knowledge. Meanwhile, historical resources provide epidemiologic data regarding the socio-economic conditions of the resident populations, the more frequently encountered illnesses and dietary habits. These multidisciplinary approaches lead to more accurate diagnoses also allowing new strategies in cataloguing and musealization of anatomical specimens. Further, once these data are gathered, they may constitute the basis of riedited Museum catalogues feasible to be digitalized and displayed via the Web.

  18. Comparison of changes in the mobility of the pelvic floor muscle on during the abdominal drawing-in maneuver, maximal expiration, and pelvic floor muscle maximal contraction

    OpenAIRE

    Jung, Halim; Jung, Sangwoo; Joo, Sunghee; Song, Changho

    2016-01-01

    [Purpose] The purpose of this study was to compare changes in the mobility of the pelvic floor muscle during the abdominal drawing-in maneuver, maximal expiration, and pelvic floor muscle maximal contraction. [Subjects] Thirty healthy adults participated in this study (15 men and 15 women). [Methods] All participants performed a bridge exercise and abdominal curl-up during the abdominal drawing-in maneuver, maximal expiration, and pelvic floor muscle maximal contraction. Pelvic floor mobility...

  19. Do obstetrical providers counsel women about postpartum pelvic floor dysfunction?

    Science.gov (United States)

    Dessie, Sybil G.; Hacker, Michele R.; Dodge, Laura E.; Elkadry, Eman A.

    2016-01-01

    Objective To assess prenatal counseling practices of obstetrical providers related to postpartum pelvic floor dysfunction at centers with integrated urogynecology services. Study Design A cross-sectional survey was distributed to obstetrical providers through urogynecology colleagues. The survey included questions about level of training as well as counseling practices related to common postpartum pelvic floor symptoms. All statistical tests were two sided, and P values <0.05 were considered statistically significant. Results One hundred ninety-two surveys were received; 19 respondents did not perform their own prenatal counseling and were excluded. Among the remaining 173 respondents, 94 (56.3%) of those who answered the question reported never discussing postpartum urinary incontinence, and 73.7% reported never discussing postpartum fecal incontinence during prenatal counseling. Obstetrics and gynecology residents were significantly less likely than attending physicians to report discussing various pelvic floor dysfunction topics in prenatal counseling. Among those who reported not counseling women regarding pelvic floor dysfunction, the most common reason cited was lack of time (39.9%) followed by lack of sufficient information (30.1%). Conclusion Prenatal counseling of pelvic floor dysfunction risk is lacking at all levels of obstetrical training. Limitations of time and information are the obstacles most often cited by providers. PMID:26126305

  20. Pelvic floor muscle contractility: digital assessment vs transperineal ultrasound.

    Science.gov (United States)

    van Delft, K; Thakar, R; Sultan, A H

    2015-02-01

    A significant reduction in hiatal area and anteroposterior diameter can be induced by pelvic floor muscle contraction, and this has been demonstrated using three-dimensional/four-dimensional (3D/4D) transperineal ultrasound (TPS) in a small group of women. Our objective was to correlate pelvic floor muscle contractility using digital assessment with the change in TPS hiatus measurements during maximum pelvic floor muscle contraction. Nulliparous pregnant women were recruited from the antenatal clinic. Pelvic floor muscle contractility was assessed by digital palpation using the validated Modified Oxford Scale (MOS). Subsequently, women underwent 3D/4D TPS. Measurements of the hiatal area and anteroposterior diameter were taken from the rendered ultrasound images at rest and at maximum contraction, and differences in measurements were expressed as percentages. Spearman's rank (ρ) was used to assess the correlation. Four hundred and fifty-nine assessments were performed, of which 268 were from women at around 36 weeks' gestation, and 191 were from women following delivery at 3 months postpartum. The overall correlation between MOS and TPS was found to be ρ = 0.47 for hiatal area (P biofeedback when training patients in pelvic floor muscle exercises. As TPS is non-intrusive, it may be the method of choice for some women. Copyright © 2014 ISUOG. Published by John Wiley & Sons Ltd.