Bilateral hypertrophic olivary nucleus degeneration on magnetic resonance imaging in children with Leigh and Leigh-like syndrome.

Science.gov (United States)

Bindu, P S; Taly, A B; Sonam, K; Govindaraju, C; Arvinda, H R; Gayathri, N; Bharath, M M Srinivas; Ranjith, D; Nagappa, M; Sinha, S; Khan, N A; Thangaraj, K

2014-02-01

Bilateral hypertrophic olivary degeneration on brain MRI has been reported in a few metabolic, genetic and neurodegenerative disorders, including mitochondrial disorders. In this report, we sought to analyse whether bilateral symmetrical inferior olivary nucleus hypertrophy is specifically associated with mitochondrial disorders in children. This retrospective study included 125 children (mean age, 7.6 ± 5 years; male:female, 2.6:1) diagnosed with various metabolic and genetic disorders during 2005-2012. The routine MRI sequences (T1 weighted, T2 weighted and fluid-attenuated inversion-recovery sequences) were analysed for the presence of bilateral symmetrical olivary hypertrophy and central tegmental tract or dentate nuclei signal changes. The other imaging findings and the final diagnoses were noted. The cohort included patients with Leigh and Leigh-like syndrome (n = 25), other mitochondrial diseases (n = 25), Wilson disease (n = 40), Type 1 glutaric aciduria (n = 14), maple syrup urine disease (n = 13), giant axonal neuropathy (n = 5) and L-2 hydroxy glutaric aciduria (n = 3). Bilateral inferior olivary nucleus hypertrophy was noted in 10 patients, all of whom belonged to the Leigh and Leigh-like syndrome group. Bilateral hypertrophic olivary degeneration on MRI is relatively often, but not routinely, seen in children with Leigh and Leigh-like syndrome. Early detection of this finding by radiologists and physicians may facilitate targeted metabolic testing in these children. This article highlights the occurrence of bilateral hypertrophic olivary nucleus degeneration on MRI in children with Leigh and Leigh-like syndrome, compared with other metabolic disorders.

Morphometric analysis of the neuronal numbers and densities of the inferior olivary complex in the donkey (Equus asinus).

Science.gov (United States)

Alkafafy, Mohamed; Rashed, Reda; Attia, Hossam

2011-07-01

The morphometric interrelations between the compartments of the inferior olivary complex (IOC) in the donkey (Equus asinus) were ascertained by examining serial sections throughout the entire length of the IOC for both sides. Nissl-stained celloidin sections of four brainstems of donkeys were used. The IOC consisted of three major nuclei and four small cell groups. The total neuronal count in both sides of the IOC was 202,040±8480 cells. The medial accessory olivary nucleus (MAO) had the largest relative area (46%) and the highest number of neurons (90,800±7600). The dorsal accessory olivary nucleus (DAO) had the second largest relative area (33%), while the principal olivary nucleus (PO) had the lowest relative area (21%). However, the total neuron count in the PO was larger (60,840±1840) than DAO (50,360±4040). The average neuronal density was 2700±400 cells/mm(3). The numerical values of the current study of the IOC in the donkey were similar to those of other mammals. Copyright © 2010 Elsevier GmbH. All rights reserved.

Mechanisms contributing to cluster formation in the inferior olivary nucleus in brainstem slices from postnatal mice

DEFF Research Database (Denmark)

Kølvraa, Mathias; Müller, Felix C; Jahnsen, Henrik

2014-01-01

The inferior olivary nucleus (IO) in in vitro slices from postnatal mice (P5.5-P15.5) spontaneously generates clusters of neurons with synchronous calcium transients, and intracellular recordings from IO neurons suggest that electrical coupling between neighbouring IO neurons may serve as a synch......The inferior olivary nucleus (IO) in in vitro slices from postnatal mice (P5.5-P15.5) spontaneously generates clusters of neurons with synchronous calcium transients, and intracellular recordings from IO neurons suggest that electrical coupling between neighbouring IO neurons may serve...

Residual health status after Guillain-Barre syndrome

NARCIS (Netherlands)

Bernsen, RAJAM; Jacobs, HM; deJager, AEJ; vanderMeche, FGA

To study the extent to which patients experience residual problems in daily functioning several years after having Guillain-Barre syndrome (GBS) a survey of 123 patients who had had Guillain-Barre syndrome three to six years previously was performed, using the sickness impact profile (SIP) for

Genetics Home Reference: Guillain-Barré syndrome

Science.gov (United States)

... Nyati KK, Verma A, Rizwan A, Paliwal VK. Tumor necrosis factor-alpha polymorphisms and expression in Guillain-Barré syndrome. Hum Immunol. 2010 Sep;71(9):905-10. doi: 10.1016/j.humimm.2010.06.013. Epub 2010 Jun 19. ... L. Association of tumor necrosis factor polymorphisms with Guillain-Barré syndrome. Eur ...

Guillain-Barre Syndrome

Science.gov (United States)

Guillain-Barre syndrome is a rare disorder that causes your immune system to attack your peripheral nervous system (PNS). The PNS ... your brain. No one knows what causes the syndrome. Sometimes it is triggered by an infection, surgery, ...

MRI findings of Guillain-Barre syndrome

Energy Technology Data Exchange (ETDEWEB)

Park, Won Kyu; Lee, Hwa Jin; Byun, Woo Mok [Yeungnam Univ. College of Medicine, Taegu (Korea, Republic of)

1997-04-01

To evaluate MRI findings of Guillain-Barre syndrome. In six patients with Guillain-Barre syndrome diagnosed by clinical, cerebrospinal fluid and electrophysiologic findings, a retrospective review of MR findings was conducted. Follow-up MRI scans were carried out in two patients showing minimal clinical improvement. Marked or moderate enhancement of thickened nerve roots was seen in all cases on gadopentetate dimeglumine enhanced axial T1-weighted images. Two patterns were seen; one was even enhancement of both anterior and posterior nerve roots (n=1) and the other was enhancement of anterior nerve roots only (n=5). Enhancement and thickness of nerve roots was seen to have slightly decreased on MRI follow-up at 32 and 50 days; clinical and electrophysiologic examination showed minimal improvement. Although MRI findings of nerve root enhancement are nonspecific and can be seen in neoplastic and other inflammatory diseases, the enhancement of thickened anterior nerve roots within the cal sac suggests Guillain-Barre syndrome.

MRI findings of Guillain-Barre syndrome

International Nuclear Information System (INIS)

Park, Won Kyu; Lee, Hwa Jin; Byun, Woo Mok

1997-01-01

To evaluate MRI findings of Guillain-Barre syndrome. In six patients with Guillain-Barre syndrome diagnosed by clinical, cerebrospinal fluid and electrophysiologic findings, a retrospective review of MR findings was conducted. Follow-up MRI scans were carried out in two patients showing minimal clinical improvement. Marked or moderate enhancement of thickened nerve roots was seen in all cases on gadopentetate dimeglumine enhanced axial T1-weighted images. Two patterns were seen; one was even enhancement of both anterior and posterior nerve roots (n=1) and the other was enhancement of anterior nerve roots only (n=5). Enhancement and thickness of nerve roots was seen to have slightly decreased on MRI follow-up at 32 and 50 days; clinical and electrophysiologic examination showed minimal improvement. Although MRI findings of nerve root enhancement are nonspecific and can be seen in neoplastic and other inflammatory diseases, the enhancement of thickened anterior nerve roots within the cal sac suggests Guillain-Barre syndrome

Plasma exchange for Guillain-Barré syndrome.

Science.gov (United States)

Raphaël, J C; Chevret, S; Hughes, R A; Annane, D

2002-01-01

Guillain-Barré syndrome is an acute symmetric, usually ascending and usually paralysing illness, due to inflammation of peripheral nerves. It is thought to be caused by autoimmune factors, such as antibodies. Plasma exchange removes antibodies and other potentially injurious factors from the blood stream. It involves connecting the patient's blood circulation to a machine which exchanges the plasma for a substitute solution, usually albumin. Several studies have evaluated plasma exchange for Guillain-Barré syndrome. To systematically review the evidence concerning the efficacy of plasma exchange for treating Guillain-Barré syndrome. Search of the Cochrane Neuromuscular Disease Trial Register for randomised trials concerning plasma exchange in Guillain-Barré syndrome, search of the bibliographies of identified papers and enquiry from the authors of the papers. Randomised and quasi-randomised trials of plasma exchange versus sham exchange or supportive treatment. Potentially relevant papers were scrutinised by two reviewers and the selection of eligible studies was agreed by them and a third reviewer. Data were extracted by one reviewer and checked by a second reviewer. Some missing data were obtained from the authors of studies. Six eligible trials concerning 649 patients were identified, all comparing plasma exchange versus supportive treatment alone. Primary outcome measures ~bullet~Time to recover walking with aid In the only two trials for which this measure was reported, the median time to recover this ability was faster in the plasma exchange than the control group. ~bullet~Time to onset of motor recovery in mildly affected patients In the one trial for which this measure was available, the time was significantly shortened in the plasma exchange group. Secondary outcome measures ~bullet~Improvement in disability grade at four weeks In five trials, there were significantly more patients who had improved by one disability grade or more in the plasma exchange

Properties of the Nucleo-Olivary Pathway: An In Vivo Whole-Cell Patch Clamp Study

NARCIS (Netherlands)

P. Bazzigaluppi (Paolo); T.J.H. Ruigrok (Tom); P. Saisan (Payam); C.I. de Zeeuw (Chris); M.T.G. de Jeu (Marcel)

2012-01-01

textabstractThe inferior olivary nucleus (IO) forms the gateway to the cerebellar cortex and receives feedback information from the cerebellar nuclei (CN), thereby occupying a central position in the olivo-cerebellar loop. Here, we investigated the feedback input from the CN to the IO in vivo in

Kazuistika pacienta s Guillain - Barré syndromem

OpenAIRE

Dvořáková, Diana

2013-01-01

Title of the thesis: Case report of a patient with a diagnosis of Guillain - Barré syndrome Author: Diana Dvořáková Aim of the work: The objective of the general work is to summarize knowledge about Guillain-Barre syndrome. The objective of special work is the case report processing .This part of the work decsribes possible rehabilitaion process and evaluates effect of the choosen therapeutic methods of the patient with this disease. Method of work: This thesis has been worked up on the basis...

Síndrome de Guillain Barré asociado a Brucelosis Guillain Barre syndrome in association with Brucellosis

Directory of Open Access Journals (Sweden)

Raúl Montalvo

2010-06-01

Full Text Available Se describe el caso de un varón de 47 años, con tiempo de enfermedad de dos días, caracterizado por pérdida de fuerza progresiva, simétrica y ascendente de miembros inferiores, se realizó punción lumbar luego de la tomografía cerebral y electromiografía lo cual evidenció polirradiculopatía motora pura con patrón axonal, compatible con el síndrome de Guillain Barré. Posteriormente, recibió cuatro sesiones de plasmaféresis, con mejoría clínica significativa desde la segunda sesión. Debido al antecedente epidemiológico se solicitó set para Brucellas, con rosa de Bengala positivo, se inició tratamiento antibiótico con rifampicina y doxiciclina, además de rehabilitación. Tres meses después el paciente mejoró completamente. La importancia del tratamiento temprano con plasmaféresis y determinar su diagnóstico etiológico hacen que el pronóstico del síndrome de Guillain Barré sea favorable.We describe a case of a 47 years old male, with a history of 2 days of progressive, ascendant, symmetrical weakness in the lower extremities; a lumbar puncture was performed after the brain CT scan, as well as an electromyography, evidencing pure motor polyradiculopathy with axonal pattern, compatible with Guillain Barre syndrome. Afterwards, he received four plasmapheresis sessions, with clinical improvement from the second session. Due to his epidemiological background, Brucella set testing was done. Rose Bengal was positive, antibiotic treatment with rifampin and doxicicline was initiated, as well as rehabilitation. Three months later the patient recovered completely. The relevance of early treatment with plasmapheresis and the definition of the etiologic diagnosis determine that the prognosis of the Guillain Barre syndrome is favorable.

The immunotherapy of Guillain-Barré syndrome.

Science.gov (United States)

Restrepo-Jiménez, Paula; Rodríguez, Yhojan; González, Paulina; Chang, Christopher; Gershwin, M Eric; Anaya, Juan-Manuel

2018-05-08

Guillain-Barré syndrome is the most common cause of acute flaccid paralysis worldwide. Microorganisms such as Campylobacter jejuni, Cytomegalovirus, Epstein-Barr virus, Mycoplasma pneumoniae, Haemophilus influenzae and Zika virus have been linked to the disease. The most common clinical variants are acute inflammatory demyelinating polyneuropathy and acute motor axonal neuropathy. Plasma exchange and intravenous immunoglobulins are the standard therapy for the disease. Areas covered: research to elucidate the pathophysiology of Guillain-Barré syndrome has led to the development of drugs directed towards new potential therapeutic targets. This review offers a comprehensive view of the current treatment based upon the physiopathology. Expert opinion: patients with Guillain-Barré syndrome need a multidisciplinary approach, limitation to walk unaided and disability score are indicators for treatment as well as the presence of autonomic dysfunction and pain. Admission to intensive care units should be considered for those patients presenting with respiratory failure, bulbar involvement and progression of the disease. Research aimed to deciphering the pathophysiology of the disease, discovering new biomarkers and establishing algorithms of prediction of both the disease and its outcomes is warranted.

Neck stiffness in Guillaine-Barre syndrome subsequent to cytomegalovirus infection

Directory of Open Access Journals (Sweden)

İbrahim Etem Pişkin

2011-03-01

Full Text Available Guillain-Barre syndrome is an acute inflammatory demyelinating polyradiculoneuropathy that can be seen at any age. The classic symptoms such as flaccid paralysis and areflexia are not always predominant in children. In this study, we presented a 3-year-old girl with Guillain-Barre syndrome associated with cytomegalovirus infection who referred with showed atypical symptoms including neck stiffness.

Nasal Soft-Tissue Triangle Deformities.

Science.gov (United States)

Foda, Hossam M T

2016-08-01

The soft-tissue triangle is one of the least areas attended to in rhinoplasty. Any postoperative retraction, notching, or asymmetries of soft triangles can seriously affect the rhinoplasty outcome. A good understanding of the risk factors predisposing to soft triangle deformities is necessary to prevent such problems. The commonest risk factors in our study were the wide vertical domal angle between the lateral and intermediate crura, and the increased length of intermediate crus. Two types of soft triangle grafts were described to prevent and treat soft triangle deformities. The used soft triangle grafts resulted in an excellent long-term aesthetic and functional improvement. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Triangle in a triangle : on a problem of Steinhaus

NARCIS (Netherlands)

Post, K.A.

1993-01-01

A necessary and sufficient condition on the sidesp, q, r of a trianglePQR and the sidesa, b, c of a triangleABC in order thatABC contains a congruent copy ofPQR is the following: At least one of the 18 inequalities obtained by cyclic permutation of {a, b, c} and arbitrary permutation of {itp, q, r}

Guillain-Barré syndrome: rehabilitation outcome and recent developments.

OpenAIRE

Melillo, E. M.; Sethi, J. M.; Mohsenin, V.

1998-01-01

Guillain-Barré syndrome is the most common polyneuropathy causing major disability and respiratory failure. Respiratory complications are the main cause of death. Improved respiratory care and new treatment strategies such as plasmaphoresis and immunoglobulin have been shown to improve outcome. We studied the course and outcome of 37 patients with Guillain-Barré syndrome who were admitted to a rehabilitation and respiratory care facility over a 10-year period. There were 21 males and 16 femal...

[Guillain-Barré syndrome and pregnancy].

Science.gov (United States)

Panduro Baron, J G; Gamboa, R; Gaxiola Castro, R; Zamora Gallegos, G Y; Arellano Loera, D

1993-07-01

Guillain-Barré syndrome is a rare occurrence in pregnant women. We describe the case of a 21-year old woman, seen at "Nuevo Hospital Civil de Guadalajara" with a term pregnancy, who presented with limbs weakness and paresthesias, drowsiness and malaise. Her vital signs were normal but she was quadriparetic, there was muscular atrophy in the extremities and deep tendon reflexes were decreased. Spinal fluid analysis revealed a protein of 71.2 mg/dl, glucosa 48 mg/dl and no white cells and both Gram stain and routine cultures were negative. EMG studies reported poliradiculoneuritis; a C-section was done, and both the mother and a newborn girl did very well. Guillain-Barré syndrome should be suspected in similar cases in order to offer prompt intervention.

Long-term impact on work and private life after Guillain-Barre syndrome

NARCIS (Netherlands)

Bernsen, RAJAM; de Jager, AEJ; Schmitz, PIM; van der Meche, FGA

2002-01-01

Objective: To determine the long-term impact of Guillain-Barre syndrome (GBS) on work and private life of patients and their partners. Methods: Three to six years after the onset of GBS 150 patients who participated in the Dutch Guillain-Barre trial received a questionnaire specifically drafted for

Risk factors for treatment related clinical fluctuations in Guillain-Barré syndrome. Dutch Guillain-Barré study group

NARCIS (Netherlands)

L.H. Visser (Leendert); F.G.A. van der Meché (Frans); J. Meulstee (Jan); P.A. van Doorn (Pieter)

1998-01-01

textabstractThe risk factors for treatment related clinical fluctuations, relapses occurring after initial therapeutic induced stabilisation or improvement, were evaluated in a group of 172 patients with Guillain-Barre syndrome. Clinical, laboratory, and electrodiagnostic features

Cerebrospinal fluid findings in Guillain-Barré syndrome and chronic inflammatory demyelinating polyneuropathies

DEFF Research Database (Denmark)

Illes, Zsolt; Blaabjerg, Morten

2017-01-01

The classic immunologic alteration of the cerebrospinal fluid (CSF) in Guillain-Barré syndrome (GBS), albuminocytologic dissociation, has been known since the original paper by Guillain, Barré, and Strohl. Albuminocytologic dissociation has been also described in other forms of the GBS spectrum...

Fisiopatología del síndrome de Guillain Barré axonal Physiopathology of axonal acute Guillain Barré syndrome

Directory of Open Access Journals (Sweden)

Juan Guillermo Montoya Ch.

2002-02-01

Full Text Available Se describe la fisiopatología del síndrome de Guillain Barré axonal. Se consideran especialmente cinco aspectos: 1 Agentes etiológicos, específicamente el Campylobacter jejuni. 2 Susceptibilidad genética humana. 3 Mimetismo molecular entre lipopolisacáridos y lipoproteínas. 4 Mecanismo de acción de los anticuerpos antigangliósidos y 5 Hallazgos patológicos. The physiopathology of axonal acute Guillain Barré syndrome is described. Five aspects are considered, namely: 1 Etiologic agents emphasizing on Campylobacter jejuni. 2 Human genetic predisposition. 3 Molecular mimicry between lipopolysaccharides and gangliosides. 4 Mechanisms of action of antiganglioside antibodies and, 5 Pathologic findings.

Graphing trillions of triangles.

Science.gov (United States)

Burkhardt, Paul

2017-07-01

The increasing size of Big Data is often heralded but how data are transformed and represented is also profoundly important to knowledge discovery, and this is exemplified in Big Graph analytics. Much attention has been placed on the scale of the input graph but the product of a graph algorithm can be many times larger than the input. This is true for many graph problems, such as listing all triangles in a graph. Enabling scalable graph exploration for Big Graphs requires new approaches to algorithms, architectures, and visual analytics. A brief tutorial is given to aid the argument for thoughtful representation of data in the context of graph analysis. Then a new algebraic method to reduce the arithmetic operations in counting and listing triangles in graphs is introduced. Additionally, a scalable triangle listing algorithm in the MapReduce model will be presented followed by a description of the experiments with that algorithm that led to the current largest and fastest triangle listing benchmarks to date. Finally, a method for identifying triangles in new visual graph exploration technologies is proposed.

Electrodiagnostic studies in Guillain-Barre syndrome

NARCIS (Netherlands)

J. Meulstee (Jan)

1994-01-01

textabstractThe Guillain-Barre syndrome (GBS) is a monophasic (sub)acute inflammatory demyelinating predominantly motor polyradiculo-neuropathy. Clinical criteria have been proposed by Asbury (Asbury et aI., 1978; Asbury and Cornblath, 1990). GBS is a selflimiting disease, however, up to 30% of the

Case report: Guillain-Barre syndrome with pneumococcus - A new association in pediatrics.

Science.gov (United States)

Khatib, Hassan El; Naous, Amal; Ghanem, Soha; Dbaibo, Ghassan; Rajab, Mariam

2018-01-01

Guillain-Barre Syndrome, an acute flaccid paralysis known to be caused by recent Gastro-intestinal infections mainly campylobacter, and Respiratory infections mainly mycoplasma pneumoniae and influenza. One reported case of severe invasive pneumococcal disease in a 68 year old female, that presented with Austrian's triad of meningitis, pneumonia and endocarditis, and progressed to develop Guillain Barre syndrome, an association never been documented before. We present a case of 13 year old male, presented with hypoactivity and inability to bare his own weight, developed septic shock due to pneumococcus with Acute Respiratory Distress Syndrome, and was found to have neurological findings of Guillain-Barre Syndrome. A new association in pediatric age group, never been reported before.

On Generalizations of the Stirling Number Triangles

Science.gov (United States)

Lang, Wolfdieter

2000-09-01

Sequences of generalized Stirling numbers of both kinds are introduced. These sequences of triangles (i.e. infinite-dimensional lower triangular matrices) of numbers will be denoted by S2(k;n,m) and S1(k;n,m) with k in Z. The original Stirling number triangles of the second and first kind arise when k = 1. S2(2;n,m) is identical with the unsigned S1(2;n,m) triangle, called S1p(2;n,m), which also represents the triangle of signless Lah numbers. Certain associated number triangles, denoted by s2(k;n,m) and s1(k;n,m), are also defined. Both s2(2;n,m) and s1(2;n + 1, m + 1) form Pascal's triangle, and s2(-1,n,m) turns out to be Catalan's triangle. Generating functions are given for the columns of these triangles. Each S2(k) and S1(k) matrix is an example of a Jabotinsky matrix. Therefore the generating functions for the rows of these triangular arrays constitute exponential convolution polynomials. The sequences of the row sums of these triangles are also considered. These triangles are related to the problem of obtaining finite transformations from infinitesimal ones generated by x^k d/dx, for k in Z.

[Guillain Barré syndrome in association with Brucellosis].

Science.gov (United States)

Montalvo, Raúl; García, Yury; Navincopa, Marcos; Ticona, Eduardo; Chávez, Gonzalo; Moore, David A

2010-06-01

We describe a case of a 47 years old male, with a history of 2 days of progressive, ascendant, symmetrical weakness in the lower extremities; a lumbar puncture was performed after the brain CT scan, as well as an electromyography, evidencing pure motor polyradiculopathy with axonal pattern, compatible with Guillain Barre syndrome. Afterwards, he received four plasmapheresis sessions, with clinical improvement from the second session. Due to his epidemiological background, Brucella set testing was done. Rose Bengal was positive, antibiotic treatment with rifampin and doxicicline was initiated, as well as rehabilitation. Three months later the patient recovered completely. The relevance of early treatment with plasmapheresis and the definition of the etiologic diagnosis determine that the prognosis of the Guillain Barre syndrome is favorable.

Guillain-Barre syndrome in a 7-month-old boy successfully applied plasma exchange.

Science.gov (United States)

Akarcan, Sanem Eren; İşgüder, Rana; Yılmaz, Ünsal; Ayhan, Yüce; Ceylan, Gökhan; Ağın, Hasan

2016-02-01

Despite being the most common cause of acute flaccid paralysis in children Guillain-Barré syndrome has a low incidence under 18 years old, and is even rarer under the age of 2. Established treatment regimens include intravenous immunoglobulin and plasma exchange in older children and adults. However very limited data are available for the efficacy and safety of plasma exchange in infants younger than 12 month-old. This article presents the experience of plasma exchange in the case of 7-month-old boy diagnosed with Guillain-Barré syndrome. A 7-month-old boy was referred to the pediatric intensive care unit with a 10-day history of progressive weakness, feeding difficulty and constipation. He was diagnosed with axonal Guillain-Barré syndrome on the basis of clinical and electromyographical findings. The patient recovered fully with intravenous immunoglobulin and plasma exchange. Plasma exchange may be a safe option in the treatment in infants with Guillain-Barré syndrome as young as 7-month-age. Copyright © 2016 Elsevier Ltd. All rights reserved.

Obtuse triangle suppression in anisotropic meshes

KAUST Repository

Sun, Feng; Choi, Yi King; Wang, Wen Ping; Yan, Dongming; Liu, Yang; Lé vy, Bruno L.

2011-01-01

Anisotropic triangle meshes are used for efficient approximation of surfaces and flow data in finite element analysis, and in these applications it is desirable to have as few obtuse triangles as possible to reduce the discretization error. We present a variational approach to suppressing obtuse triangles in anisotropic meshes. Specifically, we introduce a hexagonal Minkowski metric, which is sensitive to triangle orientation, to give a new formulation of the centroidal Voronoi tessellation (CVT) method. Furthermore, we prove several relevant properties of the CVT method with the newly introduced metric. Experiments show that our algorithm produces anisotropic meshes with much fewer obtuse triangles than using existing methods while maintaining mesh anisotropy. © 2011 Elsevier B.V. All rights reserved.

Obtuse triangle suppression in anisotropic meshes

KAUST Repository

Sun, Feng

2011-12-01

Anisotropic triangle meshes are used for efficient approximation of surfaces and flow data in finite element analysis, and in these applications it is desirable to have as few obtuse triangles as possible to reduce the discretization error. We present a variational approach to suppressing obtuse triangles in anisotropic meshes. Specifically, we introduce a hexagonal Minkowski metric, which is sensitive to triangle orientation, to give a new formulation of the centroidal Voronoi tessellation (CVT) method. Furthermore, we prove several relevant properties of the CVT method with the newly introduced metric. Experiments show that our algorithm produces anisotropic meshes with much fewer obtuse triangles than using existing methods while maintaining mesh anisotropy. © 2011 Elsevier B.V. All rights reserved.

Risk of Guillain-Barré syndrome after seasonal influenza vaccination and influenza health-care encounters: a self-controlled study.

Science.gov (United States)

Kwong, Jeffrey C; Vasa, Priya P; Campitelli, Michael A; Hawken, Steven; Wilson, Kumanan; Rosella, Laura C; Stukel, Therese A; Crowcroft, Natasha S; McGeer, Allison J; Zinman, Lorne; Deeks, Shelley L

2013-09-01

The possible risk of Guillain-Barré syndrome from influenza vaccines remains a potential obstacle to achieving high vaccination coverage. However, influenza infection might also be associated with Guillain-Barré syndrome. We aimed to assess the risk of Guillain-Barré syndrome after seasonal influenza vaccination and after influenza-coded health-care encounters. We used the self-controlled risk interval design and linked universal health-care system databases from Ontario, Canada, with data obtained between 1993 and 2011. We used physician billing claims for influenza vaccination and influenza-coded health-care encounters to ascertain exposures. Using fixed-effects conditional Poisson regression, we estimated the relative incidence of hospitalisation for primary-coded Guillain-Barré syndrome during the risk interval compared with the control interval. We identified 2831 incident admissions for Guillain-Barré syndrome; 330 received an influenza vaccine and 109 had an influenza-coded health-care encounter within 42 weeks before hospitalisation. The risk of Guillain-Barré syndrome within 6 weeks of vaccination was 52% higher than in the control interval of 9-42 weeks (relative incidence 1·52; 95% CI 1·17-1·99), with the greatest risk during weeks 2-4 after vaccination. The risk of Guillain-Barré syndrome within 6 weeks of an influenza-coded health-care encounter was greater than for vaccination (15·81; 10·28-24·32). The attributable risks were 1·03 Guillain-Barré syndrome admissions per million vaccinations, compared with 17·2 Guillain-Barré syndrome admissions per million influenza-coded health-care encounters. The relative and attributable risks of Guillain-Barré syndrome after seasonal influenza vaccination are lower than those after influenza illness. Patients considering immunisation should be fully informed of the risks of Guillain-Barré syndrome from both influenza vaccines and influenza illness. Canadian Institutes of Health Research

Triangles: Shapes in Math, Science and Nature.

Science.gov (United States)

Ross, Catherine Sheldrick

This book examines everything having to do with the triangle. It begins with a basic definition of the triangle and continues with discussions on tetrahedrons, triangular prisms, and pyramid shapes. Some ideas addressed include how triangles are used to measure heights and distances, the importance of triangles to builders, Alexander Graham Bell's…

The Incompatibility Triangle

Directory of Open Access Journals (Sweden)

Adrian Amarița

2016-01-01

Full Text Available Launch of the euro in the late 90s, can be interpreted as a first step towards the monetarysystem outlined by Mundell. Economists have noted the incompatibility of fixed exchange regime,perfect mobility of capital and the independence of monetary policy, the so-called triangle ofincompatibility, which was highlighted by Robert Mundell since 1968. Tommaso Padoa - Schioppacontinued his research on the harmonization and convergence required to economic policies in“Financial Europe". The author shows that the triangle is the freedom of movement of capital, theexchange rate stability and the autonomy of national monetary policies. The triangle ofincompatibility stems from the fact that they can be combined in their entirety, but only two. Theautonomy of monetary policy is the freedom of states to choose the appropriate monetary policyand take appropriate measures in case of recessions.

Epstein-Barr Virus-Associated Hemophagocytic Lymphohistiocytosis and Guillain-Barre Syndrome in a 16-Month-Old Child

Directory of Open Access Journals (Sweden)

Motohiro Matsui MD

2016-03-01

Full Text Available A 16-month-old girl was diagnosed with Epstein-Barr virus hemophagocytic lymphohistiocytosis and transferred to our hospital on the 58th day of the hemophagocytic lymphohistiocytosis after treatment failure according to the Hemophagocytic Lymphohistiocytosis-2004 protocol. On admission to our hospital, she had a flaccid paralysis of her lower limbs. Nerve conduction studies showed a acute motor axonal neuropathy, and a diagnosis of Guillain-Barre syndrome was established. Intravenous immunoglobulin G was started on the 57th day of the Guillain-Barre syndrome. To date, her neurological recovery is incomplete. For hemophagocytic lymphohistiocytosis, after treatment failure of THP-COP regimen (pirarubicin, cyclophosphamide, vincristine, and prednisone and 2 courses of ESCAP regimen (etoposide, prednisone, cytarabine, L-asparaginase, we are now in the process of coordinating unrelated umbilical cord blood transplantation. To the best of our knowledge, we report the youngest case of Guillain-Barre syndrome accompanied by Epstein-Barr virus hemophagocytic lymphohistiocytosis. Rapid progression of Guillain-Barre syndrome, the electrophysiological subtype of Guillain-Barre syndrome, and treatment delay possibly led to poor neurological outcome.

Epstein-Barr Virus-Associated Hemophagocytic Lymphohistiocytosis and Guillain-Barre Syndrome in a 16-Month-Old Child.

Science.gov (United States)

Matsui, Motohiro; Shimizu, Mariko; Ioi, Aya; Mayumi, Azusa; Higuchi, Kohei; Sawada, Akihisa; Sato, Maho; Yasui, Masahiro; Yanagihara, Keiko; Inoue, Masami

2016-01-01

A 16-month-old girl was diagnosed with Epstein-Barr virus hemophagocytic lymphohistiocytosis and transferred to our hospital on the 58th day of the hemophagocytic lymphohistiocytosis after treatment failure according to the Hemophagocytic Lymphohistiocytosis-2004 protocol. On admission to our hospital, she had a flaccid paralysis of her lower limbs. Nerve conduction studies showed a acute motor axonal neuropathy, and a diagnosis of Guillain-Barre syndrome was established. Intravenous immunoglobulin G was started on the 57th day of the Guillain-Barre syndrome. To date, her neurological recovery is incomplete. For hemophagocytic lymphohistiocytosis, after treatment failure of THP-COP regimen (pirarubicin, cyclophosphamide, vincristine, and prednisone) and 2 courses of ESCAP regimen (etoposide, prednisone, cytarabine, L-asparaginase), we are now in the process of coordinating unrelated umbilical cord blood transplantation. To the best of our knowledge, we report the youngest case of Guillain-Barre syndrome accompanied by Epstein-Barr virus hemophagocytic lymphohistiocytosis. Rapid progression of Guillain-Barre syndrome, the electrophysiological subtype of Guillain-Barre syndrome, and treatment delay possibly led to poor neurological outcome.

Cerebellar nuclei neurons show only small excitatory responses to optogenetic olivary stimulation in transgenic mice: in vivo and in vitro studies

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Huo eLu

2016-03-01

Full Text Available To study the olivary input to the cerebellar nuclei (CN we used optogenetic stimulation in transgenic mice expressing channelrhodopsin-2 (ChR2 in olivary neurons. We obtained in vivo extracellular Purkinje cell (PC and CN recordings in anesthetized mice while stimulating the contralateral inferior olive (IO with a blue laser (single pulse, 10 - 50 ms duration. Peri-stimulus histograms were constructed to show the spike rate changes after optical stimulation. Among 29 CN neurons recorded, 15 showed a decrease in spike rate of variable strength and duration, and only 1 showed a transient spiking response. These results suggest that direct olivary input to CN neurons is usually overridden by stronger Purkinje cell inhibition triggered by climbing fiber responses. To further investigate the direct input from the climbing fiber collaterals we also conducted whole cell recordings in brain slices, where we used local stimulation with blue light. Due to the expression of ChR2 in Purkinje cell axons as well as the IO in our transgenic line, strong inhibitory responses could be readily triggered with optical stimulation (13 of 15 neurons. After blocking this inhibition with GABAzine, only in 5 of 13 CN neurons weak excitatory responses were revealed. Therefore our in vitro results support the in vivo findings that the excitatory input to CN neurons from climbing fiber collaterals in adult mice is masked by the inhibition under normal conditions.

Long-Term Outcome in Guillain-Barre Syndrome

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J Gordon Millichap

2003-05-01

Full Text Available The long-term sequelae and early predictors of sequelae were determined in a chart review of 47 children with Guillain-Barre syndrome (GBS of whom 30 had been treated with intravenous gammaglobulin (IVIG at The Hospital for Sick Children, Toronto, Canada.

MR imaging in Guillain-Barre syndrome

Energy Technology Data Exchange (ETDEWEB)

Iwata, F. [Dept. of Pediatrics, Tokyo Metropolitan Hiroo General Hospital (Japan); Utsumi, Y. [Dept. of Pediatrics, Tokyo Metropolitan Hiroo General Hospital (Japan)

1997-01-01

MRI in a 5-year-old girl with Guillain-Barre syndrome showed marked enhancement of nerve roots in the region of the conus medullaris and cauda equina. This enhancement gradually disappeared after high-dose immunoglobulin therapy. This characteristic finding of MRI may have diagnostic utility and represent the clinical course of the disease. (orig.). With 2 figs.

MR imaging in Guillain-Barre syndrome

International Nuclear Information System (INIS)

Iwata, F.; Utsumi, Y.

1997-01-01

MRI in a 5-year-old girl with Guillain-Barre syndrome showed marked enhancement of nerve roots in the region of the conus medullaris and cauda equina. This enhancement gradually disappeared after high-dose immunoglobulin therapy. This characteristic finding of MRI may have diagnostic utility and represent the clinical course of the disease. (orig.). With 2 figs

Guillain-Barré Syndrome (GBS) and Flu Vaccine

Science.gov (United States)

... Swine Variant Pandemic Other Guillain-Barré syndrome and Flu Vaccine Questions & Answers Language: English (US) Español Recommend ... it among people who have been vaccinated against flu? The background rate for GBS in the Unites ...

Treatment of the Guillain-Barré syndrome

NARCIS (Netherlands)

R.P. Kleyweg

1990-01-01

textabstractThe Guillain-Barre syndrome (GBS) is an inflammatory polyneuropathy with an incidence of 1-1.8/100,000. It is characterised by an acute or subacute onset and a progressive phase of less than four weeks, followed by a plateau phase of variable duration [106, 111]. Improvement then

Ophthalmoplegia, Dysphonia and Tetraparesis Due to Guillain ...

African Journals Online (AJOL)

Guillain-Barre's syndrome (GBS) or inflammatory/post-infectious acute polyradiculoneuropathy is due to demyelination of nerves, causing a progressive paresis or paralysis. It usually begins in the legs and sometimes goes up to the respiratory muscles and cranial nerves. The exact mechanism of GBS occurrance is still ...

Guillain-Barré Syndrome outbreak associated with Zika virus infection in French Polynesia: a case-control study.

Science.gov (United States)

Cao-Lormeau, V M; Blake, A; Mons, S; Lastere, S; Roche, C; Vanhomwegen, J; Dub, T; Baudouin, L; Teissier, A; Larre, P; Vial, A L; Decam, C; Choumet, V; Halstead, S K; Willison, H J; Musset, L; Manuguerra, J C; Despres, P; Fournier, E; Mallet, H P; Musso, D; Fontanet, A; Neil, J; Ghawché, F

2016-04-09

Between October, 2013, and April, 2014, French Polynesia experienced the largest Zika virus outbreak ever described at that time. During the same period, an increase in Guillain-Barré syndrome was reported, suggesting a possible association between Zika virus and Guillain-Barré syndrome. We aimed to assess the role of Zika virus and dengue virus infection in developing Guillain-Barré syndrome. In this case-control study, cases were patients with Guillain-Barré syndrome diagnosed at the Centre Hospitalier de Polynésie Française (Papeete, Tahiti, French Polynesia) during the outbreak period. Controls were age-matched, sex-matched, and residence-matched patients who presented at the hospital with a non-febrile illness (control group 1; n=98) and age-matched patients with acute Zika virus disease and no neurological symptoms (control group 2; n=70). Virological investigations included RT-PCR for Zika virus, and both microsphere immunofluorescent and seroneutralisation assays for Zika virus and dengue virus. Anti-glycolipid reactivity was studied in patients with Guillain-Barré syndrome using both ELISA and combinatorial microarrays. 42 patients were diagnosed with Guillain-Barré syndrome during the study period. 41 (98%) patients with Guillain-Barré syndrome had anti-Zika virus IgM or IgG, and all (100%) had neutralising antibodies against Zika virus compared with 54 (56%) of 98 in control group 1 (pZika virus IgM and 37 (88%) had experienced a transient illness in a median of 6 days (IQR 4-10) before the onset of neurological symptoms, suggesting recent Zika virus infection. Patients with Guillain-Barré syndrome had electrophysiological findings compatible with acute motor axonal neuropathy (AMAN) type, and had rapid evolution of disease (median duration of the installation and plateau phases was 6 [IQR 4-9] and 4 days [3-10], respectively). 12 (29%) patients required respiratory assistance. No patients died. Anti-glycolipid antibody activity was found in 13

Anestesia em criança com síndrome de Guillain-Barré após vacina de sarampo: relato de caso Anestesia en un niño con síndrome de Guillain-Barré después de la vacuna de sarampión: relato de caso Anesthesia in Guillain-Barré pediatric patient after measles vaccination: case report

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Deoclécio Tonelli

2005-12-01

Full Text Available JUSTIFICATIVA E OBJETIVOS: A síndrome de Guillain-Barré após vacina de sarampo é rara. O diagnóstico muitas vezes é tardio, o que leva a um aumento da morbidade. O presente relato apresenta um caso avançado e os cuidados especiais exigidos durante a anestesia. RELATO DO CASO: Paciente do sexo masculino, com quatro anos de idade com síndrome de Guillain-Barré desde um ano de idade, foi submetido a gastrostomia sob anestesia geral sem intercorrências, com sevoflurano e sem bloqueadores neuromusculares. CONCLUSÕES: O caso ilustra a raridade etiológica de uma síndrome importante na prática anestésica assim como os eventos adversos pós-vacinação, a melhor escolha para a equipe anestésica e as complicações da síndrome de Guillain-Barré na infância.JUSTIFICATIVA Y OBJETIVOS: El síndrome de Guillain-Barré después de la vacuna de sarampión es rara. El diagnóstico en la mayoría de las veces es tardío, lo que lleva a un aumento de la morbidez. Este actual relato presenta un caso avanzado y todas las atenciones especiales exigidas durante la anestesia. RELATO DEL CASO: Paciente del sexo masculino, con cuatro años de edad con síndrome de Guillain-Barré desde hace un año de edad, fue sometido a gastrostomía bajo anestesia general sin intercurrencias, con sevoflurano y sin bloqueadores neuromusculares. CONCLUSIONES: El caso ilustra la rareza etiológica de una síndrome importante en la práctica anestésica, así como los eventos adversos pos-vacunación, la mejor elección para el equipo anestésico y las complicaciones de la síndrome de Guillain-Barré en la infancia.BACKGROUND AND OBJECTIVES: Guillain-Barré syndrome following measles vaccination is uncommon. Diagnosis is often delayed, leading to increased morbidity. This report describes an advanced Guillain-Barré case and the special approaches required during anesthesia. CASE REPORT: Male patient, four years old, with Guillain-Barré syndrome diagnosed at 1 year of

Pain management in Guillain-Barre syndrome: a systematic review.

Science.gov (United States)

Peña, L; Moreno, C B; Gutierrez-Alvarez, A M

2015-09-01

Pain is a common symptom in patients with Guillain-Barre syndrome. Intensity is moderate to severe in most cases and pain may persist after resolution of the disease. Identify the most appropriate analgesic therapy for pain management in patients with Guillain-Barre syndrome. Systematic review and selection of scientific articles on treatment of pain in Guillain-Barre syndrome patients, published between January 1985 and December 2012. We included only randomised, double-blind, controlled trials assessing the effectiveness of drugs for pain management in these patients. Four articles met the inclusion criteria. One evaluated the use of gabapentin, another evaluated carbamazepine, a third compared gabapentin to carbamazepine, and the last evaluated use of methylprednisolone. Both carbamazepine and gabapentin were useful for pain management. Patients experienced lower-intensity pain with gabapentin treatment in the study comparing that drug to carbamazepine. Methylprednisolone was not shown to be effective for reducing pain. The published data did not permit completion of a meta-analysis. There is no robust evidence at present that would point to a single treatment option for this disorder. Further clinical studies of larger patient samples and with a longer duration are needed to characterise types of pain for each patient and measure pain intensity in an objective way. Copyright © 2013 Sociedad Española de Neurología. Published by Elsevier España, S.L.U. All rights reserved.

Guillain-Barré Syndrome after Coronary Artery Bypass Graft Surgery: a Case Report.

Science.gov (United States)

Hekmat, Manouchehr; Ghaderi, Hamid; Foroughi, Mahnoosh; Mirjafari, S Adeleh

2016-01-01

Guillain-Barre syndrome is a neurologic disorder that may appear after infection or major surgery. Guillain-Barré syndrome following cardiac surgery is rare and only based on case reports, and we review all of the published cases. A 52-year-old man after 5 months suffering from chest pain was referred to our hospital and underwent coronary artery bypass graft for 3 vessel disease. The patient was discharged without complication on the 5th postoperative day. He presented Guillain-Barré syndrome after 12 months. He has not completely recovered weakness of upper extremities grade 4/5 with atrophy of both upper extremities remains after 18 months. This disorder is similar to classic GBS. It is important to be alert to de novo autoimmune neurological disorders after cardiac surgery. These disorders are similar to classic autoimmune disease and treated with standard therapies.

Effect of kinesitherapy on physical activity in patient with Guillain-Barré syndrome

OpenAIRE

Dimitrova, Antoaneta; Grigorova-Petrova, Kristin; Lubenova, Daniela; Vasileva, Dance; Nikolova, Milena

2015-01-01

Introduction: Guillain-Barré syndrome is an autoimmune disease characterized by sudden onset and progressive impairment of peripheral nerves. It is a rare disorder in which weakness and tingling in the extremities are usually the first symptoms. Aim: To study the influence of the applied kinesitherapy in a patient with Guillain-Barré syndrome with severe and protracted course of the disease by deterioration with Landry ascending paralysis and assisted breathing. Material and Methods: T...

Chronic recurrent Guillain-Barré syndrome: report of 3 cases

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Antônio Rodrigues de Mello

1989-03-01

Full Text Available The classical Guillain-Barre syndrome is an acute or subacute polyradiculoneuropathy whose main clinical features are progressive weakness of the limbs, decrease or absence of tendon reflexes, and sensory changes. Although in most of the cases there is complete recovery in weeks or months, some patients have a slow and progressive relapsing course and present thickening of the peripheral nerves. In this paper we describe three cases of the chronic and relapsing variety of Guillain-Barré syndrome, two of which had prominent hypertrophic changes in the peripheral nerves with onion bulb formations The clinical and pathological features of this disease are reviewed. The three patients improved with the use of steroids.

Host-pathogen Interactions in Guillain-Barré Syndrome

NARCIS (Netherlands)

M.L. Kuijf (Mark)

2009-01-01

textabstractGuillain-Barré syndrome (GBS) is a neurological illness in which patients become rapidly paralyzed and require long-term rehabilitation. At present, it is the world’s most frequent cause of acute ascending paralysis in those countries where poliomyelitis has been eradicated (1). GBS is a

Serial MRI of olivary hypertrophy: long-term follow-up of a patient with the ''top of the basilar'' syndrome

International Nuclear Information System (INIS)

Terao, S.; Sobue, G.; Shimada, N.; Takahashi, M.; Tsuboi, Y.; Mitsuma, T.

1995-01-01

Olivary hypertrophy (OH) has recently been demonstrated by MRI, notably in cases of brain stem or cerebellar vascular lesion. Although histopathological studies of the changes with time in OH and MRI studies of the early phase have been performed, chronological studies, particularly long-term follow-up in relation to clinical manifestations, is lacking. The authors report such a case study. (orig.)

Guillain Barre Syndrome Following Traumatic Brain Injury: A Rare Case

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Kirac Unal

2016-06-01

Full Text Available Introduction Guillain-Barre syndrome (GBS is an immune-mediated acute inflammatory disorder of the peripheral nervous system. Infectious agents were usually accused of playing a role in the etiology of GBS. Guillain-Barre syndrome has rarely been reported following subdural and subarachnoid hemorrhage after head trauma. Case Presentation We report on a 63-year-old male patient presenting GBS following Traumatic Brain Injury (TBI. Only five other similar cases are described in the literature. Conclusions Sudden onset of GBS symptoms following trauma may erroneously be assessed as secondary complications of the TBI and can lead to unnecessary procedures such as computerized tomography (CT scan and magnetic resonance imaging (MRI for a definitive diagnosis and may be a waste of time.

Severe pulmonary hypertension associated with the acute motor sensory axonal neuropathy subtype of Guillain-Barré syndrome.

Science.gov (United States)

Rooney, Kris A; Thomas, Neal J

2010-01-01

To evaluate pulmonary hypertension associated with acute motor sensory axonal neuropathy subtype of Guillain-Barré syndrome. Guillain-Barré syndrome consists of a group of autoimmune disorders that generally manifest as symmetric, progressive, ascending paralysis. There are five subtypes of Guillain-Barré syndrome, and autonomic involvement has been described in all subtypes, including cardiovascular, vasomotor, or pseudomotor dysfunction of both the sympathetic and parasympathetic systems. Case report. Tertiary care pediatric intensive care unit. Three-yr-old female patient. None. Serial measurements of pulmonary artery pressure. We report the case of a young girl with acute motor sensory axonal neuropathy who presented with severe cardiovascular collapse secondary to severe pulmonary hypertension. In this patient, multiple factors may have played a role in the development of pulmonary hypertension including autonomic dysfunction, hypoventilation, and immobility as a risk for thrombosis and pulmonary emboli. It is possible that many other individuals suffering from severe forms of Guillain-Barré syndrome, especially those with significant autonomic dysfunction, may actually have undiagnosed and therefore untreated pulmonary hypertension. Therefore, it is recommended that clinicians caring for critically ill children with Guillain-Barré syndrome have a high index of suspicion for pulmonary hypertension and consider echocardiography if there are clinical signs of this potentially fatal process.

Kazuistika fyzioterapeutické péče o pacienta se syndromem Guillain-Barré

OpenAIRE

Císař, Tomáš

2011-01-01

Title: Case study of physiotherapy care for patients with Guillain-Barre syndrome. Objective: Summary of theoretical knowledge and the processing of study reports of patients diagnosed with Guillain-Barré syndrome. Abstract: The thesis consists of two parts. The general section includes anatomical and neurophysiological aspects of GBS characterized by its brief history, treatment, diagnosis, and precipitating factors. A special section is devoted to a case study and rehabilitation plan for th...

Grouper: a compact, streamable triangle mesh data structure.

Science.gov (United States)

Luffel, Mark; Gurung, Topraj; Lindstrom, Peter; Rossignac, Jarek

2014-01-01

We present Grouper: an all-in-one compact file format, random-access data structure, and streamable representation for large triangle meshes. Similarly to the recently published SQuad representation, Grouper represents the geometry and connectivity of a mesh by grouping vertices and triangles into fixed-size records, most of which store two adjacent triangles and a shared vertex. Unlike SQuad, however, Grouper interleaves geometry with connectivity and uses a new connectivity representation to ensure that vertices and triangles can be stored in a coherent order that enables memory-efficient sequential stream processing. We present a linear-time construction algorithm that allows streaming out Grouper meshes using a small memory footprint while preserving the initial ordering of vertices. As a part of this construction, we show how the problem of assigning vertices and triangles to groups reduces to a well-known NP-hard optimization problem, and present a simple yet effective heuristic solution that performs well in practice. Our array-based Grouper representation also doubles as a triangle mesh data structure that allows direct access to vertices and triangles. Storing only about two integer references per triangle--i.e., less than the three vertex references stored with each triangle in a conventional indexed mesh format--Grouper answers both incidence and adjacency queries in amortized constant time. Our compact representation enables data-parallel processing on multicore computers, instant partitioning and fast transmission for distributed processing, as well as efficient out-of-core access. We demonstrate the versatility and performance benefits of Grouper using a suite of example meshes and processing kernels.

Grouper: A Compact, Streamable Triangle Mesh Data Structure

Energy Technology Data Exchange (ETDEWEB)

Luffel, Mark [Georgia Inst. of Technology, Atlanta, GA (United States). Visualization and Usability Center (GVU); Gurung, Topraj [Georgia Inst. of Technology, Atlanta, GA (United States). Visualization and Usability Center (GVU); Lindstrom, Peter [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Rossignac, Jarek [Georgia Inst. of Technology, Atlanta, GA (United States). Visualization and Usability Center (GVU)

2014-01-01

Here, we present Grouper: an all-in-one compact file format, random-access data structure, and streamable representation for large triangle meshes. Similarly to the recently published SQuad representation, Grouper represents the geometry and connectivity of a mesh by grouping vertices and triangles into fixed-size records, most of which store two adjacent triangles and a shared vertex. Unlike SQuad, however, Grouper interleaves geometry with connectivity and uses a new connectivity representation to ensure that vertices and triangles can be stored in a coherent order that enables memory-efficient sequential stream processing. We also present a linear-time construction algorithm that allows streaming out Grouper meshes using a small memory footprint while preserving the initial ordering of vertices. In this construction, we show how the problem of assigning vertices and triangles to groups reduces to a well-known NP-hard optimization problem, and present a simple yet effective heuristic solution that performs well in practice. Our array-based Grouper representation also doubles as a triangle mesh data structure that allows direct access to vertices and triangles. Storing only about two integer references per triangle-i.e., less than the three vertex references stored with each triangle in a conventional indexed mesh format-Grouper answers both incidence and adjacency queries in amortized constant time. Our compact representation enables data-parallel processing on multicore computers, instant partitioning and fast transmission for distributed processing, as well as efficient out-of-core access. We demonstrate the versatility and performance benefits of Grouper using a suite of example meshes and processing kernels.

Guillain-Barre syndrome following quadrivalent human papillomavirus vaccination among vaccine-eligible individuals in the United States.

Science.gov (United States)

Ojha, Rohit P; Jackson, Bradford E; Tota, Joseph E; Offutt-Powell, Tabatha N; Singh, Karan P; Bae, Sejong

2014-01-01

Post-marketing surveillance studies provide conflicting evidence about whether Guillain-Barre syndrome occurs more frequently following quadrivalent human papillomavirus (HPV4) vaccination. We aimed to assess whether Guillain-Barre syndrome is reported more frequently following HPV4 vaccination than other vaccinations among females and males aged 9 to 26 y in the United States. We used adverse event reports received by the United States Vaccine Adverse Event Reporting System (VAERS) between January 1, 2010 and December 31, 2012 to estimate overall, age-, and sex-specific proportional reporting ratios (PRRs) and corresponding Χ2 values for reports of Guillain-Barre syndrome between 5 and 42 d following HPV vaccination. Minimum criteria for a signal using this approach are 3 or more cases, PRR≥2, and Χ2≥4. Guillain-Barre syndrome was listed as an adverse event in 45 of 14,822 reports, of which 9 reports followed HPV4 vaccination and 36 reports followed all other vaccines. The overall, age-, and sex-specific PRR estimates were uniformly below 1. In addition, the overall, age-, and sex-specific Χ2 values were uniformly below 3. Our analysis of post-marketing surveillance data does not suggest that Guillain-Barre syndrome is reported more frequently following HPV4 vaccination than other vaccinations among vaccine-eligible females or males in the United States. Our findings may be useful when discussing the risks and benefits of HPV4 vaccination.

Leptonic unitary triangles and boomerangs

International Nuclear Information System (INIS)

Dueck, Alexander; Rodejohann, Werner; Petcov, Serguey T.

2010-01-01

We review the idea of leptonic unitary triangles and extend the concept of the recently proposed unitary boomerangs to the lepton sector. Using a convenient parametrization of the lepton mixing, we provide approximate expressions for the side lengths and the angles of the six different triangles and give examples of leptonic unitary boomerangs. Possible applications of the leptonic unitary boomerangs are also briefly discussed.

Epidemiological and clinical aspects of the Guillain-Barre Syndrome

NARCIS (Netherlands)

R. van Koningsveld (Rinske)

2001-01-01

textabstractThe Guillain-Barre syndrome (GBS) is an acute immune-mediated disorder of the peripheral nerves. The essential features are a rapidly progressive, more or less symmetrical weakness of the limbs and decreased or absent tendon reflexes. The weakness reaches its nadir (maximum severity) by

Partitioning Pythagorean Triangles Using Pythagorean Angles

Science.gov (United States)

Swenson, Carl E.; Yandl, Andre L.

2012-01-01

Inside any Pythagorean right triangle, it is possible to find a point M so that drawing segments from M to each vertex of the triangle yields angles whose sines and cosines are all rational. This article describes an algorithm that generates an infinite number of such points.

Kazuistika fyzioterapeutické péče o pacienta s diagnózou Guillain-Barre syndrom

OpenAIRE

Dluhoš, Filip

2014-01-01

This thesis is based on month professional practise in Rehabilitation clinic Malvazinky in Prague, which took place from 21. 1. 2014 to 7. 2. 2014. The general part include theoretical knowledge of Guillain- Barré syndrome, focused mainly on pathogenesis, clinical picture and therapheutic management. The special part contains processed case report of patient with Guillain-Barré syndrome. Powered by TCPDF (www.tcpdf.org)

The Asia-Pacific Strategic Triangle

DEFF Research Database (Denmark)

Schmidt, Johannes Dragsbæk

2014-01-01

The objective of this paper is to give insight into the debate over the strategic triangle and how it impacts conflict and security in South Asia. First the new geopolitical motives of the United States in the Asia-Pacific are outlined. Then the concept of strategic triangle is elaborated and its...... applicability discussed; third, details about China and India’s relations and responses to the new US policy are being analyzed; the perspective turns to the implications for conflict and security in South Asia with a focus on Afghanistan and Iran where oil and energy security are the main denominators...... of foreign policy calculations and moves in the strategic triangle; and finally, some concluding remarks are offered to explain the recent shifts in interactions between these core players in the emerging world order and whether a new geopolitical architecture is emerging...

Hepatit A geçiren hastada akut ürtiker ve Guillain-Barre like sendromun birlikteliği

OpenAIRE

GERENLİ, Nelgin Esenrodoplu; GÜVEN, Feray; UYGUR, Nihan; AKYÜZ, Ümit; SAY, Aysu

2004-01-01

Hepatitis A infection (HAV) may present with extrahepatic manifestations rather than causing typical hepatitis. These are: urticarial rash, vasculitis, arthritis, transient arthralgia, hemolytic anemia, thrombocytopenia, cryoglobulinemia, . Guillain-Barre Syndrome and polymyositis. We report a case of 4.5 years old boy with a rare association of acute HAV infection and urticarial rash accompanied by Guillain-Barre like Syndrome.

The Fermat point for a taxicab triangle

Science.gov (United States)

Hanson, J. R.

2015-04-01

The Fermat point P for a triangle ABC is the point P the sum of whose distances from the vertices A, B and C is a minimum. This note will show how to find the Fermat point for any triangle using the taxicab metric.

Electromagnetic resonance in the asymmetric terahertz metamaterials with triangle microstructure

Science.gov (United States)

Xing, Yuanyuan; Zhang, Xiaoyu; Zhang, Qiang; Gu, Yanping; Qian, Yunan; Lin, Xingyue; Tang, Yunhai; Cheng, Xinli; Qin, Changfa; Shen, Jiaoyan; Zang, Taocheng; Ma, Chunlan

2018-05-01

We investigate terahertz transmission properties and electromagnetic resonance modes in the asymmetric triangle structures with the change of asymmetric distance and the direction of electric field. When the THz electric field is perpendicular to the split gap of triangle, the electric field can better excite the THz absorption in the triangle structures. Importantly, electromagnetically induced transparency (EIT) characteristics are observed in the triangle structures due to the destructive interference of the different excited modes. The distributions of electric field and surface current density simulated by finite difference time domain indicate that the bright mode is excited by the side of triangle structures and dark mode is excited by the gap-side of triangle. The present study is helpful to understand the electromagnetic resonance in the asymmetric triangular metamaterials.

Spinal MRI of vincristine neuropathy mimicking Guillain-Barre syndrome

Energy Technology Data Exchange (ETDEWEB)

Chang, Yun Woo; Yoon, Hye-Kyung; Cho, Jae Min [Department of Radiology, Samsung Medical Centre, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Kangnam-gu, Seoul 135-710 (Korea); Sung, Ki Woong [Department of Paediatrics, Samsung Medical Centre, Seoul 135-710 (Korea)

2003-11-01

A 4.3-year-old girl with acute leukaemia, who was being treated with chemotherapy (including vincristine), developed paraplegia. Spinal MRI showed diffusely enhancing nerve roots on contrast-enhanced images. Spinal fluid analysis showed a normal protein level. Vincristine neuropathy mimicking Guillain-Barre syndrome is thought to be the cause of the MRI abnormalities. (orig.)

Spinal MRI of vincristine neuropathy mimicking Guillain-Barre syndrome

International Nuclear Information System (INIS)

Chang, Yun Woo; Yoon, Hye-Kyung; Cho, Jae Min; Sung, Ki Woong

2003-01-01

A 4.3-year-old girl with acute leukaemia, who was being treated with chemotherapy (including vincristine), developed paraplegia. Spinal MRI showed diffusely enhancing nerve roots on contrast-enhanced images. Spinal fluid analysis showed a normal protein level. Vincristine neuropathy mimicking Guillain-Barre syndrome is thought to be the cause of the MRI abnormalities. (orig.)

Síndroma de Guillain-Barré consecutivo a gripe

Directory of Open Access Journals (Sweden)

Diogo Furtado

1949-03-01

Full Text Available Os autores, depois de breve recapitulação sôbre a história e quadro clínico do síndroma de Guillain e Barré, relatam duas observações típicas, consecutivas a uma epidemia gripal muito intensa, ocorrida em alguns quartéis de Lisboa. Os dois casos apresentavam dissociação albumino-citológica muito intensa no líq cefalorraquidiano, e sua evolução foi favorável. Ao lado dêstes, outros casos foram suspeitados. Os autores discutem a patogenia do síndroma. Afastando a hipótese de um vírus específico, contra a qual enumeram abundantes argumentos, os autores defendem a teoria alérgica. Para êles, a dissociação albumino-citológica representaria uma forma de inflamação serosa alérgica e o síndroma de Guillain-Barré seria a forma periférica, meningoradículo-neurítica, da neuralergia.

Investigation of suspected Guillain-Barre syndrome in childhood: what is the role for gadolinium enhanced magnetic resonance imaging of the spine?

Science.gov (United States)

Smith, Nicholas; Pereira, John; Grattan-Smith, Padraic

2014-10-01

To review the role of gadolinium-enhanced magnetic resonance imaging of the spine in the diagnosis of paediatric Guillain-Barre syndrome and compare it with nerve conduction studies and cerebrospinal fluid analysis. A retrospective review of investigations undertaken in children admitted to our institution with acute Guillain-Barre syndrome over a 10-year period was performed. Seven of eight children (88%) displayed post-gadolinium nerve root enhancement consistent with Guillain-Barre syndrome. This compared with supportive nerve conduction studies in 21/24 children (88%) and cerebrospinal fluid protein analysis consistent with the diagnosis in 16/20 children (80%). Nerve conduction studies are the recognised 'gold standard' technique for confirming a clinical diagnosis of Guillain-Barre syndrome. In this study, a high positive rate was demonstrated. While more experience is necessary, this study and the literature support gadolinium enhanced magnetic resonance imaging of the spine as a valuable, although not necessarily superior, investigation in the diagnosis of Guillain-Barre syndrome. It may be of particular benefit when specialist neurophysiology expertise is unavailable. © 2010 The Authors. Journal compilation © 2010 Paediatrics and Child Health Division (Royal Australasian College of Physicians).

Anatomic Assessment of Variations in Kambin's Triangle: A Surgical and Cadaver Study.

Science.gov (United States)

Ozer, Ali Fahir; Suzer, Tuncer; Can, Halil; Falsafi, Mani; Aydin, Murat; Sasani, Mehdi; Oktenoglu, Tunc

2017-04-01

The relationship of exiting root and Kambin's triangle is discussed in this article. Transforaminal endoscopic surgery as the gold standard of less invasive lumbar disc surgeries is performed through Kambin's triangle. Existing root damage is one of the most important complication for this type of surgery. Anatomic variations in Kambin's triangle may be the main reason for nerve root damage during endoscopic lumbar disc surgery. Kambin's triangle was investigated with surgical views and cadaver studies. Thirty-four patients with far lateral disc herniation were treated with an extraforaminal approach under the microscope. On the other hand, 48 Kambin's triangles were dissected on 8 cadavers. Three main types of triangle were identified, and patients were grouped according to these 3 types of the triangle. Only 6 of the 34 patients had type 3 triangles, which is the wide classical triangle described by Kambin; however, 17 patients had type 2, with a narrow space in the triangle, and 11 patients had type 1, with no space inside the triangle. Cadaver results were similar; only 10 of the 48 specimens had the type 3 classical triangle, whereas 23 specimens had type 2, and 15 specimens had type 1 triangles. Our results disclosed narrowed or no space in 82.4% of the patients and 79.2% of the cadavers. We observed that a wide and safe room of the triangle may not be exist in some patients. Therefore, more care must be taken during endoscopic lumbar disc surgery to avoid nerve damage. Copyright © 2017 Elsevier Inc. All rights reserved.

Distinctions between critical illness polyneuropathy and axonal Guillain-Barre sybdrome

NARCIS (Netherlands)

Letter, de M.A.; Visser, L.H.; Meche, van der F.G.; Ang, W.; Savelkoul, H.F.J.

2000-01-01

In this letter we comment on the publication of Yuki and Hirata who postulate a possible relation between critical illness polyneuropathy and axonal Guillain-Barré syndrome.1 The authors mentioned a nosological relation, which at that time still had to be demonstrated by the presence of

Het syndroom van Guillain-Barré. Een onderzoek naar restverschijnselen

NARCIS (Netherlands)

Jager, Aeiko Eppo Jurjen de

1988-01-01

In deze studie wordt aan de hand van litteratuuronderzoek en op grond van de bevindingen bij een eigen patientengroep bestaande uit 63 patienten met het syndroom van Guillain-Barré, een antwoord gezocht op drie vragen. De eerste vraag was: ,,hoeveel restverschijnselen zal een patient die het

Guillain-Barré syndrome in the course of dengue: case report Síndrome de Guillain-Barré no curso de dengue: relato de caso

Directory of Open Access Journals (Sweden)

Nilse Querino Santos

2004-03-01

Full Text Available This case report describes the findings of a 45-year-old white woman from Brazil, who developed myalgia, fever and macular rash. She was diagnosed as having dengue, based on clinical manifestations and specific IgM titers. One week after the first symptoms of dengue, the patient developed muscle weakness, followed by tetraplegia with areflexia, and respiratory insufficiency. The electromyography had evidence of demyelinating neuropathy and the cerebrospinal fluid showed albuminocytologic dissociation. These neurologic findings were consistent with the diagnosis of Guillain-Barré syndrome. The patient was treated with immunoglobulin and metylprednisolone. Mechanical ventilation was started one week after hospital admission and maintained for four weeks. After six weeks of hospitalization the patient was discharged from the hospital on wheel chair, presenting mild muscle weakness and loss of patellar and ankle reflexes. When the patient was seen at the outpatient service three weeks after hospital discharge she was able to walk with help. This case report suggests a possible association between dengue and Guillain-Barré syndrome.Este relato de caso descreve os achados de uma mulher de 45 anos, branca, que desenvolveu mialgia, febre e eritema macular. Ela recebeu o diagnóstico de dengue, tomando por base os achados clínicos e títulos específicos de IgM. Uma semana depois do início dos primeiros sintomas de dengue, a paciente desenvolveu fraqueza muscular, tetraplegia e insuficiência respiratória. A eletromiografia mostrou evidência de uma neuropatia desmielinizante e o liquor apresentou quadro de dissociação albuminocitológica. Os achados neurológicos foram consistentes com o diagnóstico de síndrome de Guillain-Barré. A paciente foi tratada com imunoglobulina e metilprednisolona. Ventilação mecânica foi iniciada uma semana após a admissão hospitalar, sendo mantida por quatro semanas. Após seis semanas de internamento a

Circumcenter, Circumcircle and Centroid of a Triangle

OpenAIRE

Coghetto Roland

2016-01-01

We introduce, using the Mizar system [1], some basic concepts of Euclidean geometry: the half length and the midpoint of a segment, the perpendicular bisector of a segment, the medians (the cevians that join the vertices of a triangle to the midpoints of the opposite sides) of a triangle.

Guillain Barre syndrome as a manifestation of neurological melioidosis

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Rajesh Krovvidi

2013-01-01

Full Text Available Neurological melioidosis is a very rare and very few cases have been reported from India. Presentation is an extremely varied and as this disease is associated with high mortality, high index of suspicion is needed to diagnose and treat. In this context, we report a patient presenting as Guillain Barre syndrome evaluated as melioidosis.

Altitude, Orthocenter of a Triangle and Triangulation

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Coghetto Roland

2016-03-01

Full Text Available We introduce the altitudes of a triangle (the cevians perpendicular to the opposite sides. Using the generalized Ceva’s Theorem, we prove the existence and uniqueness of the orthocenter of a triangle [7]. Finally, we formalize in Mizar [1] some formulas [2] to calculate distance using triangulation.

Guillain-Barre Syndrome Presenting as Acute Abdomen

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Faruk incecik

2015-09-01

Full Text Available Guillain-Barr and eacute; syndrome (GBS is the most common cause of acute flaccid paralysis in childhood. Symmetric weakness, headache, respiratory symptom, neuropathic pain, muscle pain, paresthesia, and facial palsy were the most common clinical presentations. We report 13-year-old boy with GBS who presented with acute abdominal pain. This is the first report, to our knowledge, first presented of acute abdomen of a pediatric patient with GBS. [Cukurova Med J 2015; 40(3.000: 601-603

Guillain-Barré Syndrome after Thrombolysis with Streptokinase

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Ertugrul Okuyan

2010-01-01

Full Text Available Guillain-Barre syndrome (GBS is an eponym for a heterogeneous group of immune-mediated peripheral neuropathies. We describe a case of GBS in a patient who recieved intravenous streptokinase therapy for acute anterior myocardial infarction. Clinical symptoms are thought to result from streptokinase-antibody complex mediated damage to the local blood-nerve barrier. Patient was treated with 5-days course of intravenous gammaglobulin and his outcome was good.

Circumcenter, Circumcircle and Centroid of a Triangle

Directory of Open Access Journals (Sweden)

Coghetto Roland

2016-03-01

Full Text Available We introduce, using the Mizar system [1], some basic concepts of Euclidean geometry: the half length and the midpoint of a segment, the perpendicular bisector of a segment, the medians (the cevians that join the vertices of a triangle to the midpoints of the opposite sides of a triangle.

Plasmapheresis versus intravenous immunoglobulins in guillain barre syndrome the therapeutic outcomes

International Nuclear Information System (INIS)

Asghar, S.P.; Mubarik, H.

2015-01-01

Objective: To compare the therapeutic outcomes of plasmapheresis with intravenous immunoglobulins (IVIG) for Guillain Barre syndrome. Study Design: Randomized controlled trial. Place and Duration of Study: Medicine department; PNS Shifa Hospital Karachi from Jan 2011 to Jun 2012. Patients and Methods: Adult patients admitted to internal medicine department with the diagnosis of Guillain Barre Syndrome (GBS) fulfilling the inclusion and exclusion criteria were included after taking ethical approval and informed consent. They were randomly assigned to plasmapheresis and IVIG treatment groups. Their presenting features, investigations and management plan were followed over 6 months duration. Hughes disability scale for Guillain Barre syndrome was documented and compared at admission, 4 weeks, 12 weeks and 6 months by non-parametric tests via SPSS version 17. Results: Total 36 patients (31 males and 5 females) were included. Mean age was 37 ± 15 (18-70) years, mean duration of symptoms 11.6 ± 12.7 days. Plasmapheresis and IVIG groups were comparable with respect to age and gender (p>0.05). Significant improvement of mean disability score was observed in each group from baseline score (p<0.0005). At specified intervals, comparison between the two groups in terms of mean improvement in disability scores showed significant improvement at 4 weeks (p<0.05) in IVIG group as compared to plasmapheresis group; however on further observation at 12 weeks and 6 months, mean improvement was comparable between two groups with no significant difference (p>0.05). There was no significant difference in need for assisted ventilation between two groups (p>0.05). Variants of GBS observed were AIDP (50%), AMAN (31%) and AMSAN (19%). Conclusion: Our study suggests that both plasmapheresis and intravenous immunoglobulins are useful and effective modes of treatment for Guillain Barre Syndrome. Significant short term improvement was observed in the IVIG group at 4 weeks of treatment; however

Some constructions on total labelling of m triangles

International Nuclear Information System (INIS)

Voon, Chen Huey; Hui, Liew How; How, Yim Kheng

2016-01-01

Let mK_3 = (V_m, E_m) be a finite disconnected graph consisting of m disjoint triangles K_3, where V_m is the set of vertices, E_m is the set of edges and both V_m and E_m are of the same size 3m. A total labelling of mK_3 is a function f which maps the elements in V_m and E_m to positive integer values, i.e. f : V_m ∪ E_m → {1, 2, 3,···}. Let c be a positive integer. A triangle is said have a c-Erdősian triangle labelling if it is a total labelling f : V_m ∪ E_m → {c, c + 1, ···, c + 6m − 1} such that f (x) + f (y) = f (xy) for any x, y ∈ V_m and an edge xy ∈ E_m joining them. In order to find all the c-Erdősian triangle labelling, a straightforward is to use the exhaustive search. However, the exhaustive search is only able to find c-Erdősian triangle labelling for m ≤ 5 due to combinatorial explosion. By studying the constant sum of vertex labels, we propose a strong permutation approach, which allows us to generate a certain classes of c-Erdősian triangle labelling up until m = 8.

Building Intuitive Arguments for the Triangle Congruence Conditions

Science.gov (United States)

Piatek-Jimenez, Katrina

2008-01-01

The triangle congruence conditions are a central focus to nearly any course in Euclidean geometry. The author presents a hands-on activity that uses straws and pipe cleaners to explore and justify the triangle congruence conditions. (Contains 4 figures.)

Síndrome de Guillain Barré asociado a Brucelosis Guillain Barre syndrome in association with Brucellosis

OpenAIRE

Raúl Montalvo; Yury García; Marcos Ñavincopa; Eduardo Ticona; Gonzalo Chávez; David A. Moore

2010-01-01

Se describe el caso de un varón de 47 años, con tiempo de enfermedad de dos días, caracterizado por pérdida de fuerza progresiva, simétrica y ascendente de miembros inferiores, se realizó punción lumbar luego de la tomografía cerebral y electromiografía lo cual evidenció polirradiculopatía motora pura con patrón axonal, compatible con el síndrome de Guillain Barré. Posteriormente, recibió cuatro sesiones de plasmaféresis, con mejoría clínica significativa desde la segunda sesión. Debido al an...

The Weimar Triangle and The Ukrainian Crisis

Directory of Open Access Journals (Sweden)

Jean-Christophe Romer

2014-12-01

Full Text Available The article analyzes the activity of Weimar Triangle (Germany, France, Poland during Ukrainian crisis (2013-2014 as an efficient, but still largely underestimated negotiation force of the European Union. The evolution of role of Weimar Triangle in post-bipolar era is indicated, as well as the role of this specific structure during Ukrainian crisis.

A novel virtual motor rehabilitation system for Guillain-Barré syndrome. Two single case studies.

Science.gov (United States)

Albiol-Pérez, S; Forcano-García, M; Muñoz-Tomás, M T; Manzano-Fernández, P; Solsona-Hernández, S; Mashat, M A; Gil-Gómez, J A

2015-01-01

This article is part of the Focus Theme of Methods of Information in Medicine on "New Methodologies for Patients Rehabilitation". For Guillain-Barré patients, motor rehabilitation programs are helpful at the onset to prevent the complications of paralysis and in cases of persistent motor impairment. Traditional motor rehabilitation programs may be tedious and monotonous, resulting in low adherence to the treatments. A Virtual Motor Rehabilitation system has been tested in Guillain-Barré patients to increase patient adherence and to improve clinical results. Two people with Guillain-Barré performed 20 rehabilitation sessions. We tested a novel system based on Motor Virtual Rehabilitation in three periods of time (baseline evaluation, final evaluation, and follow-up. In the training program, the participants carried out a specific treatment using the Active Balance Rehabilitation system (ABAR). The system is composed of customizable virtual games to perform static and dynamic balance rehabilitation. Significant improvements in clinical results were obtained by both participants, with significant results in the static balance clinical test of the Anterior Reach test in the standing position and unipedal stance time. Other significant results were found in dynamic balance clinical tests in the Berg Balance Scale test and the 30-second Sit-to-Stand test. With regard to acceptance of the system, both patients enjoyed the experience, and both patients thought that this system was helpful for their rehabilitation. The results show that Virtual Motor Rehabilitation for Guillain-Barré patients provides clinical improvements in an entertaining way.

Guillain-Barré syndrome and adjuvanted pandemic influenza A (H1N1) 2009 vaccine: Multinational case-control study in Europe

NARCIS (Netherlands)

J.P. Dieleman (Jeanne); S. Romio (Silvana); K. Johansen (Kari); D.M. Weibel (Daniel); J. Bonhoeffer (Jan); M.C.J.M. Sturkenboom (Miriam)

2011-01-01

textabstractObjective: To assess the association between pandemic influenza A (H1N1) 2009 vaccine and Guillain-Barré syndrome. Design: Case-control study. Setting: Five European countries. Participants: 104 patients with Guillain-Barré syndrome and its variant Miller-Fisher syndrome matched to one

Kazuistika fyzioterapeutické péče o pacienta s diagnózou syndrom Guillain - Barré

OpenAIRE

Tunka, Ondřej

2013-01-01

Title Case study of physiotherapeutic care of patient with a diagnose of Guillain - Barré syndrom. Summary This bachelor thesis was elaborated during my continuous practice at the Malvazinky Rehabilitation Clinic from January 28th to February 22nd of 2013. The thesis is divided into two main components: general and special. The general component contains theoretical findings about Guillain - Barré Syndrome disease and all its subtypes. The special component consists of a detailed elaboration ...

Het Guillain-Barré-syndroom na een Campylobacter jejuni-enteritis

NARCIS (Netherlands)

Beenen, L. F.; Scholten, H. G.

1990-01-01

A 7-year-old boy nine days before onset of a Guillain-Barré-syndrome had had enteritis caused by Campylobacter jejuni. The clinical signs were restricted to minor motor and sensory deficits in the limbs; 5 weeks after the onset of the syndrome, recovery was complete. So far, 16 cases of

Concurrency of Guillain-Barre syndrome and acute transverse myelitis: a case report and review of literature.

Science.gov (United States)

Tolunay, Orkun; Çelik, Tamer; Çelik, Ümit; Kömür, Mustafa; Tanyeli, Zeynep; Sönmezler, Abdurrahman

2016-11-01

Guillain-Barré syndrome and acute transverse myelitis manifest as demyelinating diseases of the peripheral and central nervous system. Concurrency of these two disorders is rarely documented in literature. A 4-year-old girl presenting with cough, fever, and an impaired walking ability was admitted to hospital. She had no previous complaints in her medical history. A physical examination revealed lack of muscle strength of the lower extremities and deep tendon reflexes. MRI could not be carried out due to technical problems; therefore, both Guillain-Barré syndrome and acute transverse myelitis were considered for the diagnosis. Intravenous immunoglobulin treatment was started as first line therapy. Because this treatment did not relieve the patient's symptoms, spinal MRI was carried out on the fourth day of admission and demyelinating areas were identified. Based on the new findings, the patient was diagnosed with acute transverse myelitis, and high dose intravenous methylprednisolone therapy was started. Electromyography findings were consistent with acute polyneuropathy affecting both motor and sensory fibers. Therefore, the patient was diagnosed with concurrency of Guillain-Barré syndrome and acute transverse myelitis. Interestingly, while concurrency of these 2 disorders is rare, this association has been demonstrated in various recent publications. Progress in diagnostic tests (magnetic resonance imaging and electrophysiological examination studies) has enabled clinicians to establish the right diagnosis. The possibility of concurrent Guillain-Barré syndrome and acute transverse myelitis should be considered if recovery takes longer than anticipated.

A Heuristic Algorithm for Solving Triangle Packing Problem

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Ruimin Wang

2013-01-01

Full Text Available The research on the triangle packing problem has important theoretic significance, which has broad application prospects in material processing, network resource optimization, and so forth. Generally speaking, the orientation of the triangle should be limited in advance, since the triangle packing problem is NP-hard and has continuous properties. For example, the polygon is not allowed to rotate; then, the approximate solution can be obtained by optimization method. This paper studies the triangle packing problem by a new kind of method. Such concepts as angle region, corner-occupying action, corner-occupying strategy, and edge-conjoining strategy are presented in this paper. In addition, an edge-conjoining and corner-occupying algorithm is designed, which is to obtain an approximate solution. It is demonstrated that the proposed algorithm is highly efficient, and by the time complexity analysis and the analogue experiment result is found.

Serial cerebrospinal fluid neurofilament heavy chain levels in severe Guillain-Barre syndrome

NARCIS (Netherlands)

Dujmovic, I.; Lunn, M.P.; Reilly, M.M.; Petzold, A.

2013-01-01

Introduction: Proximal axonotmesis results in the release of neurofilament (Nf) proteins into the cerebrospinal fluid (CSF) in patients with Guillain-Barré syndrome (GBS). High CSF levels of the phosphorylated form of Nf-heavy chain (NfH

Some constructions on total labelling of m triangles

Energy Technology Data Exchange (ETDEWEB)

Voon, Chen Huey, E-mail: chenhv@utar.edu.my; Hui, Liew How, E-mail: liewhh@utar.edu.my; How, Yim Kheng, E-mail: tidusyimhome@hotmail.com [Department of Mathematical and Actuarial Sciences, Lee Kong Chian Faculty of Engineering and Science, Universiti Tunku Abdul Rahman, Jalan Sungai Long, Bandar Sungai Long, Cheras 43000 Kajang, Selangor (Malaysia)

2016-06-02

Let mK{sub 3} = (V{sub m}, E{sub m}) be a finite disconnected graph consisting of m disjoint triangles K{sub 3}, where V{sub m} is the set of vertices, E{sub m} is the set of edges and both V{sub m} and E{sub m} are of the same size 3m. A total labelling of mK{sub 3} is a function f which maps the elements in V{sub m} and E{sub m} to positive integer values, i.e. f : V{sub m} ∪ E{sub m} → {1, 2, 3,···}. Let c be a positive integer. A triangle is said have a c-Erdősian triangle labelling if it is a total labelling f : V{sub m} ∪ E{sub m} → {c, c + 1, ···, c + 6m − 1} such that f (x) + f (y) = f (xy) for any x, y ∈ V{sub m} and an edge xy ∈ E{sub m} joining them. In order to find all the c-Erdősian triangle labelling, a straightforward is to use the exhaustive search. However, the exhaustive search is only able to find c-Erdősian triangle labelling for m ≤ 5 due to combinatorial explosion. By studying the constant sum of vertex labels, we propose a strong permutation approach, which allows us to generate a certain classes of c-Erdősian triangle labelling up until m = 8.

Coloring triangle-free graphs with fixed size

DEFF Research Database (Denmark)

Thomassen, Carsten; Gimbel, John

2000-01-01

Combining recent results on colorings and Ramsey theory, we show that if G is a triangle-free graph with e edges then the chromatic number of G is at most cel(1/3)(log e)(-2/3) for some constant c. In a previous paper, we found an upper bound on the chromatic number of a triangle-free graph of ge...

LR: Compact connectivity representation for triangle meshes

Energy Technology Data Exchange (ETDEWEB)

Gurung, T; Luffel, M; Lindstrom, P; Rossignac, J

2011-01-28

We propose LR (Laced Ring) - a simple data structure for representing the connectivity of manifold triangle meshes. LR provides the option to store on average either 1.08 references per triangle or 26.2 bits per triangle. Its construction, from an input mesh that supports constant-time adjacency queries, has linear space and time complexity, and involves ordering most vertices along a nearly-Hamiltonian cycle. LR is best suited for applications that process meshes with fixed connectivity, as any changes to the connectivity require the data structure to be rebuilt. We provide an implementation of the set of standard random-access, constant-time operators for traversing a mesh, and show that LR often saves both space and traversal time over competing representations.

Relations between Some Characteristic Lengths in a Triangle

Science.gov (United States)

Koepf, Wolfram; Brede, Markus

2005-01-01

The paper's aim is to note a remarkable (and apparently unknown) relation for right triangles, its generalisation to arbitrary triangles and the possibility to derive these and some related relations by elimination using Groebner basis computations with a modern computer algebra system. (Contains 9 figures.)

Applied psychometrics in clinical psychiatry: the pharmacopsychometric triangle

DEFF Research Database (Denmark)

Bech, P; Bech, P

2009-01-01

OBJECTIVE: To consider applied psychometrics in psychiatry as a discipline focusing on pharmacopsychology rather than psychopharmacology as illustrated by the pharmacopsychometric triangle. METHOD: The pharmacopsychological dimensions of clinically valid effects of drugs (antianxiety, antidepress......OBJECTIVE: To consider applied psychometrics in psychiatry as a discipline focusing on pharmacopsychology rather than psychopharmacology as illustrated by the pharmacopsychometric triangle. METHOD: The pharmacopsychological dimensions of clinically valid effects of drugs (antianxiety...... psychometrics in psychiatry have been found to cover a pharmacopsychometric triangle illustrating the measurements of wanted and unwanted effects of pharmacotherapeutic drugs as well as health-related quality of life....

Inside Guillain-Barré Syndrome: An occupational therapist's perspective

OpenAIRE

Brooks, Shavaughn Ashley Nikita

2014-01-01

Occupational Therapists working with patients with Guillain-Barre Syndrome (GBS) are tasked with collaborating with the patient to achieve maximal functional recovery. Although much has been published about recovery after GBS from a scientific perspective; this article combines occupational therapy principles with the personal experiences of an occupational therapist who herself suffered from GBS. This commentary outlines important considerations for providing intervention to patients with GB...

Multiple cranial neuropathies without limb involvements: guillain-barre syndrome variant?

Science.gov (United States)

Yu, Ju Young; Jung, Han Young; Kim, Chang Hwan; Kim, Hyo Sang; Kim, Myeong Ok

2013-10-01

Acute multiple cranial neuropathies are considered as variant of Guillain-Barre syndrome, which are immune-mediated diseases triggered by various cases. It is a rare disease which is related to infectious, inflammatory or systemic diseases. According to previous case reports, those affected can exhibit almost bilateral facial nerve palsy, then followed by bulbar dysfunctions (cranial nerves IX and X) accompanied by limb weakness and walking difficulties due to motor and/or sensory dysfunctions. Furthermore, reported cases of the acute multiple cranial neuropathies show electrophysiological abnormalities compatible with the typical Guillain-Barre syndromes (GBS). We recently experienced a patient with a benign infectious disease who subsequently developed symptoms of variant GBS. Here, we describe the case of a 48-year-old male patient who developed multiple symptoms of cranial neuropathy without limb weakness. His laboratory findings showed a positive result for anti-GQ1b IgG antibody. As compared with previously described variants of GBS, the patient exhibited widespread cranial neuropathy, which included neuropathies of cranial nerves III-XII, without limb involvement or ataxia.

Recurrent Guillain-Barre Syndrome- A Case Report

Directory of Open Access Journals (Sweden)

Dilesha WL

2015-05-01

Full Text Available Guillain-Barre syndrome (GBS manifests as acute flaccid weakness of limbs, and is considered a monophasic illness. But recurrences have been reported. Published case studies suggest that 1- 5% of patients who had GBS will have recurrent attacks. We describe a 66-year-old lady who presented with acute onset descending, symmetrical, areflexic, flaccid quadriparesis that progressed to respiratory failure. She had a history of GBS five years back of which she had made a complete recovery with no residual weakness. The diagnosis of recurrent GBS was made.

Guillain-Barre syndrome following spinal anaesthesia

International Nuclear Information System (INIS)

Sayin, R.; Kati, I.; Gunes, M.

2013-01-01

Guillain-Barre Syndrome (GBS) is the most common disease resulting in acute diffuse flaccid paralysis. It is an autoimmune disease that can occur at any age. The clinical course is characterized by weakness in the arms and legs, areflexia and the progression of muscle weakness from the lower limbs to the upper limbs. The most common causes of GBS include infections, vaccinations, surgery and some medicines. We present the case of a 48 years old male patient, who developed GBS after undergoing surgery for renal calculus, under spinal anaesthesia. In this case report, we presented a rather rare case of GBS occurring following spinal anaesthesia. (author)

Predictive Factors of Respiratory Failure in Children with Guillain-Barre Syndrome

Directory of Open Access Journals (Sweden)

Nemat Bilan

2015-03-01

Full Text Available Introduction:Guillain-Barre Syndrome(GBS is the most common cause of acute flaccid paralysis. Respiratory failure is the most serious short-term complication of GBS and invasive mechanical ventilation is required in 30% of patients.moreover,60% of those who are intubated develop major complications including pnemonia,sepsis,GI bleeding and pulmonary embolism. Thus respiratory failure prediction is crucial. the aim of this study was to determine clinical predictors of respiratory failure to avoid respiratory distress and aspiration.Methods and materials: in a cross sectional and analytical study 140 patients with clinically diagnosis of Guillain-Barre Syndrome were enrolled in study,from october 2008 to october 2014. .demographic data,nerologic examination,cranial nerve and autonomic nervous system involvement, and respiratory failure were recorded prospectively.Results:15 out of 140 patients(10,7% developed respiratory failure and underwent mechanical ventilation.the male/female ratio in patients with respiratory failure and patients without respiratory involvement were (53%/(47% and (54%/(46% respectively(p-value:0.4.the mean age in these two groups were 2,7±1,9 and 5,5±3,2(p-value:0,003.cranial nerve involvement (7,9,10 was recorded in patients with respiratory failure and without respiratory failure54% and25% respectively (p-value:0,03.absent upper limb deep tendon reflexes in these two groups were 70% and 44% respectively.(p-value:0,03 and autonomic nervous system involvement 24% vs. 14%(p-value:0,3.conclusion : our study suggests that younger age , cranial nerve involvement and absent upper limb deep tendon reflexes are predictive factors of respiratory failure in patients with Guillain-Barre Syndrome(GBS.

Pascal-Like Triangle and Pascal-Like Functional Matrix

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M. Bayat

2013-06-01

Full Text Available . In this paper we shall first introduce the Pascal-like triangle, using a generalization of the recurrence relation for arrays of Pascal triangle. Then we define the Pascal-like functional and Fermat-like matrices and investigate their algebraic properties. Finally, we obtain some binomial identities, using these matrices

Use of the International Classification of Functioning, Disability and Health to describe patient-reported disability: a comparison of Guillain Barré syndrome with multiple sclerosis in a community cohort.

Science.gov (United States)

Khan, Fary; Amatya, Bhasker; Ng, Louisa

2010-09-01

To use the International Classification of Functioning, Disability and Health (ICF) to describe and compare patient-reported disability in Guillain-Barré syndrome survivors and persons with multiple sclerosis, and to identify relevant environmental factors. Cross-sectional survey of 77 survivors of Guillain-Barré syndrome in the community. Their Guillain-Barré syndrome-related problems were linked with ICF categories (second level) using an open-ended questionnaire, consensus between health professionals and the "linking rules", and compared with similar data collected previously for 101 persons with multiple sclerosis. Guillain-Barré syndrome survivors were male (59%) and older than persons with multiple sclerosis (mean age 55 vs 49 years). Of 170 ICF categories, 113 were relevant for Guillain-Barré syndrome survivors (mean number 30 vs 18 for persons with multiple sclerosis). The linked categories for Guillain-Barré syndrome included: body function 27 (56%) compared with 48 (42%) for persons with multiple sclerosis; body structure 11 (68%) vs 16 (34%); activities and participation 48 (70%) and 68 (58%); and for environmental factors 27 (71%) compared with 38 (51%) for persons with multiple sclerosis. The main areas linked in the activities and participation domain were mobility, major life areas and interpersonal relationships; and environmental factors included support and relationships, attitudes and products and technology. This is the first study to use ICF in Guillain-Barré syndrome survivors and towards development of the ICF Core Set for Guillain-Barré syndrome from a broader international perspective.

Density conditions for triangles in multipartite graphs

DEFF Research Database (Denmark)

Bondy, Adrian; Shen, Jin; Thomassé, Stephan

2006-01-01

subgraphs in G. We investigate in particular the case where G is a complete multipartite graph. We prove that a finite tripartite graph with all edge densities greater than the golden ratio has a triangle and that this bound is best possible. Also we show that an infinite-partite graph with finite parts has...... a triangle, provided that the edge density between any two parts is greater than 1/2....

Angle bisectors of a triangle in $I_2$

OpenAIRE

Kolar-Begović, Zdenka; Kolar_Šuper, Ružica; Volenec, Vladimir

2008-01-01

The concept of an angle bisector of the triangle will be introduced in an isotropic plane. Some statements about relationships between the introduced concepts and some other previously studied geometric concepts about triangles will be investigated in an isotropic plane. A number of these statements seems to be new, and some of them are known in Euclidean geometry.

Cellular Neurothekeoma in a Female with Guillain-Barré Syndrome: A Case Report and Review of the Literature

Directory of Open Access Journals (Sweden)

Divya Sachdev

2014-11-01

Full Text Available Cellular neurothekeoma is a rare cutaneous tumor that occurs more frequently in women. A 68-year-old female with a history of left nasal alar basal cell carcinoma and Guillain-Barré syndrome presented to the clinic with a 3-mm firm skin-colored papule with scattered telangiectasias. Histopathologic examination with immunochemistry of the lesion was consistent with cellular neurothekeoma. It stained positive for microphthalmia transcription factor and NKI-C3 and negative for HMB-45 and S-100. The lesion was excised with 3-mm margins, and no recurrence was noted within 1 year of follow-up. We present a case of cellular neurothekeoma in a patient with a history of Guillain-Barré syndrome as well as a review of the literature. Our case report is unique in that no prior association has been found in the literature between cellular neurothekeoma and Guillain-Barré syndrome. © 2014 S. Karger AG, Basel

Star-Triangle Relation of the Chiral Potts Model Revisited

OpenAIRE

Horibe, M.; Shigemoto, K.

2001-01-01

We give the simple proof of the star-triangle relation of the chiral Potts model. We also give the constructive way to understand the star-triangle relation of the chiral Potts model, which may give the hint to give the new integrable models.

Transmission of HIV and AIDS by plasmapheresis for Guillain-Barré syndrome

NARCIS (Netherlands)

Boucher, C. A.; de Gans, J.; van Oers, R.; Danner, S.; Goudsmit, J.

1988-01-01

A 58-year-old patient suffering from Guillain-Barré syndrome was successfully treated with plasma exchange therapy. Two- and half year later she developed AIDS. The only risk factor of this patient was plasmapheresis and it appeared, retrospectively, that one of the plasma donor samples contained

Guillain-Barré Syndrome as First Presentation of Non-Hodgkin's Lymphoma

Directory of Open Access Journals (Sweden)

Abolhassan Ertiaei

2016-07-01

Full Text Available We present a woman referred with underlying non-Hodgkin's lymphoma (NHL masquerading clinically with Guillain-Barré syndrome (GBS like syndrome. At first evaluation, chest CT-Scan along with brain and whole spine MRI were normal. Electrodiagnostic studies were in favor of acute generalized polyradiculoneuropathy. Laboratory evaluation revealed hypoglycorrhachia. She treated with plasmapheresis after two weeks; she was discharged from hospital, but neurological recovery was not complete. After 6 months, she came back with acute onset of weakness in lower limbs, back pain, fever and urinary incontinence. Pinprick and light touch complete sensory loss was found beneath umbilicus. Thoracic MRI with contrast revealed a dorsal epidural mass extending smoothly from T8 to T12 (10 cm with spinal cord compression. She underwent urgent laminectomy for spinal cord decompression. Histological examination revealed small round cell tumor suggestive of malignant T-cell type lymphoma. In cases with Guillain-Barré syndrome presentation, systemic hematologic disorders such as non-Hodgkin's lymphoma should be considered as one of the differential diagnosis of underlying disease.

Some Unusual Expressions for the Inradius of a Triangle

Science.gov (United States)

Osler, Thomas J.; Chandrupatla, Tirupathi R.

2005-01-01

Several formulae for the inradius of various types of triangles are derived. Properties of the inradius and trigonometric functions of the angles of Pythagorean and Heronian triangles are also presented. The entire presentation is elementary and suitable for classes in geometry, precalculus mathematics and number theory.

Band structures in Sierpinski triangle fractal porous phononic crystals

International Nuclear Information System (INIS)

Wang, Kai; Liu, Ying; Liang, Tianshu

2016-01-01

In this paper, the band structures in Sierpinski triangle fractal porous phononic crystals (FPPCs) are studied with the aim to clarify the effect of fractal hierarchy on the band structures. Firstly, one kind of FPPCs based on Sierpinski triangle routine is proposed. Then the influence of the porosity on the elastic wave dispersion in Sierpinski triangle FPPCs is investigated. The sensitivity of the band structures to the fractal hierarchy is discussed in detail. The results show that the increase of the hierarchy increases the sensitivity of ABG (Absolute band gap) central frequency to the porosity. But further increase of the fractal hierarchy weakens this sensitivity. On the same hierarchy, wider ABGs could be opened in Sierpinski equilateral triangle FPPC; whilst, a lower ABG could be opened at lower porosity in Sierpinski right-angled isosceles FPPCs. These results will provide a meaningful guidance in tuning band structures in porous phononic crystals by fractal design.

Band structures in Sierpinski triangle fractal porous phononic crystals

Energy Technology Data Exchange (ETDEWEB)

Wang, Kai; Liu, Ying, E-mail: yliu5@bjtu.edu.cn; Liang, Tianshu

2016-10-01

In this paper, the band structures in Sierpinski triangle fractal porous phononic crystals (FPPCs) are studied with the aim to clarify the effect of fractal hierarchy on the band structures. Firstly, one kind of FPPCs based on Sierpinski triangle routine is proposed. Then the influence of the porosity on the elastic wave dispersion in Sierpinski triangle FPPCs is investigated. The sensitivity of the band structures to the fractal hierarchy is discussed in detail. The results show that the increase of the hierarchy increases the sensitivity of ABG (Absolute band gap) central frequency to the porosity. But further increase of the fractal hierarchy weakens this sensitivity. On the same hierarchy, wider ABGs could be opened in Sierpinski equilateral triangle FPPC; whilst, a lower ABG could be opened at lower porosity in Sierpinski right-angled isosceles FPPCs. These results will provide a meaningful guidance in tuning band structures in porous phononic crystals by fractal design.

A triangle voting algorithm based on double feature constraints for star sensors

Science.gov (United States)

Fan, Qiaoyun; Zhong, Xuyang

2018-02-01

A novel autonomous star identification algorithm is presented in this study. In the proposed algorithm, each sensor star constructs multi-triangle with its bright neighbor stars and obtains its candidates by triangle voting process, in which the triangle is considered as the basic voting element. In order to accelerate the speed of this algorithm and reduce the required memory for star database, feature extraction is carried out to reduce the dimension of triangles and each triangle is described by its base and height. During the identification period, the voting scheme based on double feature constraints is proposed to implement triangle voting. This scheme guarantees that only the catalog star satisfying two features can vote for the sensor star, which improves the robustness towards false stars. The simulation and real star image test demonstrate that compared with the other two algorithms, the proposed algorithm is more robust towards position noise, magnitude noise and false stars.

On dispersive derivation of triangle anomaly

International Nuclear Information System (INIS)

Horejsi, J.

1985-01-01

A straightforward generalization of the results of some previous treatments, in which the Adler-Bell-Jachiw triangle anomaly has been recovered with the help of dispersion relation is presented. The absorptive part of the VVA triangle diagram with the external momenta k, p at vector vertices such as K 2 =p 2 =0 is considered. An integral of the imaginary part of the relevant invariant amplitude is calculated explicitly. It is shown that the anomalous contribution to the axial Ward identity is reproduced. This also enables one to demonstrate the delta-like behaviour of sich an imaginary part in k 2 → 0, m → 0 limit

Sense and Sensibility:The Erotic Triangle in Shakespearean Sonnets

Institute of Scientific and Technical Information of China (English)

舒畅

2017-01-01

The male-female-male relationship is a recurrent theme in William Shakespeare's sonnets. In Eve Sedgwick's influen-tial queer study book Between Men:English Literature and Male Homosocial Desire, she first interpreted the relationship within the model of erotic triangle. On the basis of Sedgwick's theory, the triangle relationship in the Sonnets is analyzed—Shakespeare con-structs an erotic triangle where males by identifying, cooperating, and competing with each other, maintain their homosocial bond upon heterosexual but misogynous desires towards a female. The contradictory relationship reflects Shakespeare 's struggle vis-à-vis a Renaissance literary theme:rationality versus passion, with the former mounting over the latter.

Sense and Sensibility:The Erotic Triangle in Shakespearean Sonnets

Institute of Scientific and Technical Information of China (English)

舒畅

2017-01-01

The male-female-male relationship is a recurrent theme in William Shakespeare's sonnets. In Eve Sedgwick's influen-tial queer study book Between Men: English Literature and Male Homosocial Desire, she first interpreted the relationship within the model of erotic triangle. On the basis of Sedgwick's theory, the triangle relationship in the Sonnets is analyzed—Shakespeare con-structs an erotic triangle where males by identifying, cooperating, and competing with each other, maintain their homosocial bond upon heterosexual but misogynous desires towards a female. The contradictory relationship reflects Shakespeare's struggle vis-à-vis a Renaissance literary theme: rationality versus passion, with the former mounting over the latter.

Triangle inequalities in coherence measures and entanglement concurrence

Science.gov (United States)

Dai, Yue; You, Wenlong; Dong, Yuli; Zhang, Chengjie

2017-12-01

We provide detailed proofs of triangle inequalities in coherence measures and entanglement concurrence. If a rank-2 state ϱ can be expressed as a convex combination of two pure states, i.e., ϱ =p1| ψ1〉〈 ψ1|+ p2| ψ2〉〈 ψ2| , a triangle inequality can be established as |E (|Ψ1〉 )-E (|Ψ2〉 )|≤E (ϱ ) ≤E (|Ψ1〉 )+E (|Ψ2〉 ) , where | Ψ1〉= √{p1}|ψ1〉 and | Ψ2〉= √{p2}|ψ2〉 ; E can be considered either coherence measures or entanglement concurrence. This inequality displays mathematical beauty for its similarity to the triangle inequality in plane geometry. An illustrative example is given after the proof.

The DNA Triangle and Its Application to Learning Meiosis

Science.gov (United States)

Wright, L. Kate; Catavero, Christina M.; Newman, Dina L.

2017-01-01

Although instruction on meiosis is repeated many times during the undergraduate curriculum, many students show poor comprehension even as upper-level biology majors. We propose that the difficulty lies in the complexity of understanding DNA, which we explain through a new model, the DNA triangle. The "DNA triangle" integrates three…

Triangle-free graphs whose independence number equals the degree

DEFF Research Database (Denmark)

Brandt, Stephan

2010-01-01

In a triangle-free graph, the neighbourhood of every vertex is an independent set. We investigate the class S of triangle-free graphs where the neighbourhoods of vertices are maximum independent sets. Such a graph G must be regular of degree d = α (G) and the fractional chromatic number must sati...

Rapid Separation of Disconnected Triangle Meshes Based on Graph Traversal

International Nuclear Information System (INIS)

Ji, S J; Wang, Y

2006-01-01

In recent year, The STL file become a de facto standard on the file presentation in CAD/CAM, computer graph and reverse engineering. When point cloud which is obtained by scanning object body using optical instrument is used to reconstruct an original model, the points cloud is presented by the STL file. Usually, datum of several separated and relative objects are stored in a single STL file, when such a file is operated by a computer, the datum in the file is firstly separated and then each element of every triangle pitch on the triangle mesh is traversed and visited and is calculated. The problem is analyzed and studied by many experts, but there is still a lack of a simple and quick algorithm. An algorithm which uses graph traversal to traverse each element of the triangle meshes and separate several disconnected triangle meshes is presented by the paper, the searching and calculating speed of the data on the triangle meshes is enhanced, memory size of the computer is reduced, complexity of the data structure is simplified and powerful guarantee is made for the next process by using this algorithm

Fatigue in neuromuscular disorders: Focus on Guillain-Barré syndrome and Pompe disease

NARCIS (Netherlands)

J.M. de Vries (Juna); M.L.C. Hagemans (Marloes); J.B.J. Bussmann (Hans); A.T. van der Ploeg (Ans); P.A. van Doorn (Pieter)

2010-01-01

textabstractFatigue accounts for an important part of the burden experienced by patients with neuromuscular disorders. Substantial high prevalence rates of fatigue are reported in a wide range of neuromuscular disorders, such as Guillain-Barré syndrome and Pompe disease. Fatigue can be subdivided

Treatment of Guillain-Barré syndrome and causes and treatment of residual fatigue

NARCIS (Netherlands)

M.P.J. Garssen (Marcel)

2005-01-01

textabstractChapter 1 is the general introduction of this thesis, in which di.erent aspects of the Guillain-Barré syndrome (GBS) are described. GBS is an acute post-infectious polyneuropathy, in which the immune system plays an important role. Insight in pathogenesis, clinical and

Guillain-Barre syndrome in an adult patient with Henoch-Schonlein purpura.

Science.gov (United States)

Aggarwal, Puneet; Sahoo, Ratnakar; Gadpayle, A K; Kumar, Gunjan

2013-04-03

A 42-year-old man presented with pain in the abdomen, massive haematemesis and rashes over the body and development of bilateral lower limb weakness the next day. The patient was later diagnosed with Guillain-Barre syndrome with Henoch-Schonlein purpura. He was treated with intravenous immunoglobulins. At 3 months of follow-up and rehabilitation, patient showed complete recovery from weakness.

Guillain-Barre syndrome in an adult patient with Henoch-Schonlein purpura

OpenAIRE

Aggarwal, Puneet; Sahoo, Ratnakar; Gadpayle, A K; Kumar, Gunjan

2013-01-01

A 42-year-old man presented with pain in the abdomen, massive haematemesis and rashes over the body and development of bilateral lower limb weakness the next day. The patient was later diagnosed with Guillain-Barre syndrome with Henoch-Schonlein purpura. He was treated with intravenous immunoglobulins. At 3 months of follow-up and rehabilitation, patient showed complete recovery from weakness.

Danny Wuerffel on Guillain-Barré Syndrome and Zika PSA (:15)

Centers for Disease Control (CDC) Podcasts

2016-10-21

In this 15 second public service announcement, Danny Wuerffel, Heisman Trophy winner and former quarterback for the University of Florida, speaks out about Guillain-Barré Syndrome and Zika.  Created: 10/21/2016 by National Center for Emerging and Zoonotic Infectious Diseases (NCEZID).   Date Released: 10/21/2016.

Danny Wuerffel on Guillain-Barré Syndrome and Zika PSA (:30)

Centers for Disease Control (CDC) Podcasts

2016-10-21

In this 30 second public service announcement, Danny Wuerffel, Heisman Trophy winner and former quarterback for the University of Florida, speaks out about Guillain-Barré Syndrome and Zika.  Created: 10/21/2016 by National Center for Emerging and Zoonotic Infectious Diseases (NCEZID).   Date Released: 10/21/2016.

Lost-in-Space Star Identification Using Planar Triangle Principal Component Analysis Algorithm

Directory of Open Access Journals (Sweden)

Fuqiang Zhou

2015-01-01

Full Text Available It is a challenging task for a star sensor to implement star identification and determine the attitude of a spacecraft in the lost-in-space mode. Several algorithms based on triangle method are proposed for star identification in this mode. However, these methods hold great time consumption and large guide star catalog memory size. The star identification performance of these methods requires improvements. To address these problems, a star identification algorithm using planar triangle principal component analysis is presented here. A star pattern is generated based on the planar triangle created by stars within the field of view of a star sensor and the projection of the triangle. Since a projection can determine an index for a unique triangle in the catalog, the adoption of the k-vector range search technique makes this algorithm very fast. In addition, a sharing star validation method is constructed to verify the identification results. Simulation results show that the proposed algorithm is more robust than the planar triangle and P-vector algorithms under the same conditions.

Enriching Triangle Mesh Animations with Physically Based Simulation.

Science.gov (United States)

Li, Yijing; Xu, Hongyi; Barbic, Jernej

2017-10-01

We present a system to combine arbitrary triangle mesh animations with physically based Finite Element Method (FEM) simulation, enabling control over the combination both in space and time. The input is a triangle mesh animation obtained using any method, such as keyframed animation, character rigging, 3D scanning, or geometric shape modeling. The input may be non-physical, crude or even incomplete. The user provides weights, specified using a minimal user interface, for how much physically based simulation should be allowed to modify the animation in any region of the model, and in time. Our system then computes a physically-based animation that is constrained to the input animation to the amount prescribed by these weights. This permits smoothly turning physics on and off over space and time, making it possible for the output to strictly follow the input, to evolve purely based on physically based simulation, and anything in between. Achieving such results requires a careful combination of several system components. We propose and analyze these components, including proper automatic creation of simulation meshes (even for non-manifold and self-colliding undeformed triangle meshes), converting triangle mesh animations into animations of the simulation mesh, and resolving collisions and self-collisions while following the input.

Anestesia para cesariana em paciente com síndrome de Guillain-Barré: relato de caso

Directory of Open Access Journals (Sweden)

Daniel Volquind

2013-08-01

Full Text Available JUSTIFICATIVA E OBJETIVOS: A Síndrome de Guillain-Barré durante a gestação é considerada uma CIRURGIA, Cesárea; complicação neurológica rara e o manejo anestésico para a cesariana nessas pacientes ainda não é consenso na literatura. O objetivo deste artigo é relatar o caso de uma paciente gestante portadora da Síndrome de Guillain-Barré submetida à cesariana. RELATO DO CASO: Paciente feminina, 22 anos, com 35 semanas e cinco dias de idade gestacional, da celularidade. A técnica anestésica empregada foi a anestesia geral, induzida com propofol 1,5 mg.kg-1 e mantida com sevofiurano 2% em oxigênio e fentanil 3 µg.kg-1. O procedimento transcorreu sem complicações, tanto para a gestante quanto para o concepto. A paciente obteve alta no décimo dia de internação, após melhora progressiva do quadro neurológico. CONCLUSÕES: A técnica anestésica a ser empregada em gestantes portadoras da Síndrome de Guillain-Barré que necessitam fazer cesariana permanece como escolha do anestesiologista, que deve ser guiado pelo quadro clínico e pelas comorbidades de cada paciente.

On degree sums of a triangle-free graph

DEFF Research Database (Denmark)

Brandt, Stephan; Harant, J.; Naumann, S.

2014-01-01

For a simple triangle-free k-chromatic graph G with k >= 2 the upper bound m(n-f (k-2)) on the sum Sigma(2)(G) = Sigma(x is an element of V(G))d(2)(x) of the squares of the degrees of G is proved, where n, m, and f(1) are the order of G, the size of G, and the minimum order of a triangle-free l-c...

Guillain-Barré syndrome and adjuvanted pandemic influenza A (H1N1) 2009 vaccine: multinational case-control study in Europe

OpenAIRE

Dieleman, Jeanne; Romio, Silvana; Johansen, Kari; Weibel, Daniel; Bonhoeffer, Jan; Sturkenboom, Miriam

2011-01-01

textabstractObjective: To assess the association between pandemic influenza A (H1N1) 2009 vaccine and Guillain-Barré syndrome. Design: Case-control study. Setting: Five European countries. Participants: 104 patients with Guillain-Barré syndrome and its variant Miller-Fisher syndrome matched to one or more controls. Case status was classified according to the Brighton Collaboration definition. Controls were matched to cases on age, sex, index date, and country. Main outcome measures: Relative ...

Immune globulins are effective in severe pediatric Guillain-Barré syndrome.

Science.gov (United States)

Shahar, E; Shorer, Z; Roifman, C M; Levi, Y; Brand, N; Ravid, S; Murphy, E G

1997-01-01

The effect of high-dose intravenous immune globulins was evaluated in an open prospective multicenter study of 26 children with severe Guillain-Barré syndrome. They presented with mild to moderate flaccid weakness of extremities, with cranial nerve involvement (20) and sensory impairment (22). All children rapidly deteriorated in 2-16 days (mean 6) to become bedridden, and 2 children also developed respiratory failure requiring artificial ventilation (Disability Grading Scale 4-5). Immune globulins were then administered at a total dose of 2 gm/kg, on 2 consecutive days, without adverse effects requiring discontinuation of therapy. Marked and rapid improvement was noted in 25 children, who improved by 1 to 2 Disability Grade Scales ventilator. Eighteen children recovered by 2 weeks. The rest recuperated in a period of four months, including a child who was artificially ventilated for 4 weeks. The uniform rapid improvement and recovery associated with immune globulins contrasts with the slow recovery course in severe natural cases. We conclude that immune globulins are effective and safe in severe childhood-onset Guillain-Barré syndrome and therefore may serve as the initial treatment of choice.

Multiple Cranial Neuropathies Without Limb Involvements: Guillain-Barre Syndrome Variant?

OpenAIRE

Yu, Ju Young; Jung, Han Young; Kim, Chang Hwan; Kim, Hyo Sang; Kim, Myeong Ok

2013-01-01

Acute multiple cranial neuropathies are considered as variant of Guillain-Barre syndrome, which are immune-mediated diseases triggered by various cases. It is a rare disease which is related to infectious, inflammatory or systemic diseases. According to previous case reports, those affected can exhibit almost bilateral facial nerve palsy, then followed by bulbar dysfunctions (cranial nerves IX and X) accompanied by limb weakness and walking difficulties due to motor and/or sensory dysfunction...

Value Triangles in the Management of Building Projects

DEFF Research Database (Denmark)

Jensen, Per Anker

2013-01-01

The purpose of this paper is to investigate value triangles and their implementation in the management of building projects. The paper is based on results from a research project on space strategies and building values, which included a major case study of the development of facilities for Danish...... Broadcasting Corporation (DR) over time. The conventional iron triangle of quality, cost and schedule for project management is the theoretical starting point, but this is seen as mainly being related to process integrity in the construction stage. It is supplemented by a similar value triangle of cultural...... value, use value and quality of realization for product integrity, mainly for the design stage. Based on this framework an evaluation is made of the value management in six of DR’s building projects from the first around 1930 to the most recent – the new headquarters DR Byen finalised in 2009...

Identifying translational science within the triangle of biomedicine.

Science.gov (United States)

Weber, Griffin M

2013-05-24

The National Institutes of Health (NIH) Roadmap places special emphasis on "bench-to-bedside" research, or the "translation" of basic science research into practical clinical applications. The Clinical and Translational Science Awards (CTSA) Consortium is one example of the large investments being made to develop a national infrastructure to support translational science, which involves reducing regulatory burdens, launching new educational initiatives, and forming partnerships between academia and industry. However, while numerous definitions have been suggested for translational science, including the qualitative T1-T4 classification, a consensus has not yet been reached. This makes it challenging to tract the impact of these major policy changes. In this study, we use a bibliometric approach to map PubMed articles onto a graph, called the Triangle of Biomedicine. The corners of the triangle represent research related to animals, cells and molecules, and humans; and, the position of a publication on the graph is based on its topics, as determined by its Medical Subject Headings (MeSH). We define translation as movement of a collection of articles, or the articles that cite those articles, towards the human corner. The Triangle of Biomedicine provides a quantitative way of determining if an individual scientist, research organization, funding agency, or scientific field is producing results that are relevant to clinical medicine. We validate our technique using examples that have been previously described in the literature and by comparing it to prior methods of measuring translational science. The Triangle of Biomedicine is a novel way to identify translational science and track changes over time. This is important to policy makers in evaluating the impact of the large investments being made to accelerate translation. The Triangle of Biomedicine also provides a simple visual way of depicting this impact, which can be far more powerful than numbers alone.

Magnetic resonance imaging of nerve root inflammation in the Guillain-Barre syndrome

International Nuclear Information System (INIS)

Perry, J.R.; Fung, A.; Poon, P.; Bayer, N.

1994-01-01

We report gadolinium-enhancing nerve root lesions in a 52-year-old man with typical Guillain-Barre syndrome (GBS). This enhancement correlates well with the perineurial inflammatory and demyelinating processes known to characterize GBS and other inflammatory neuropathies. MRI should enable further exploration of patterns of disease in GBS and, with further study, perhaps assist in evaluating therapy. (orig.)

Magnetic resonance imaging of nerve root inflammation in the Guillain-Barre syndrome

Energy Technology Data Exchange (ETDEWEB)

Perry, J.R. [St. Michael`s Hospital, Toronto, ON (Canada). Div. of Neurology; Fung, A. [St. Michael`s Hospital, Toronto, ON (Canada). Div. of Radiology; Poon, P. [St. Michael`s Hospital, Toronto, ON (Canada). Div. of Radiology; Bayer, N. [St. Michael`s Hospital, Toronto, ON (Canada). Div. of Neurology

1994-02-01

We report gadolinium-enhancing nerve root lesions in a 52-year-old man with typical Guillain-Barre syndrome (GBS). This enhancement correlates well with the perineurial inflammatory and demyelinating processes known to characterize GBS and other inflammatory neuropathies. MRI should enable further exploration of patterns of disease in GBS and, with further study, perhaps assist in evaluating therapy. (orig.)

Triangle islands and cavities on the surface of evaporated Cu(In, Ga)Se2 absorber layer

International Nuclear Information System (INIS)

Han Anjun; Zhang Yi; Liu Wei; Li Boyan; Sun Yun

2012-01-01

Highlights: ► Lots of uncommon triangle islands and cavities are found on (1 1 2) planes terminated by Se atoms of evaporated Cu(In, Ga)Se 2 thin films. ► Se ad-dimer as a nucleus, Cu atom diffusion from Cu(In, Ga)Se 2 grains brings the epitaxial triangle island. ► The triangle islands grow with a two-dimensional layered mode. ► The triangle cavities are formed due to the insufficient coalescence of triangle islands. ► The performance of solar cell without triangle islands is improved. - Abstract: Cu(In, Ga)Se 2 (CIGS) thin films are co-evaporated at a constant substrate temperature of 500 °C on the Mo/soda lime glass substrates. The structural properties and chemical composition of the CIGS films are studied by an X-ray diffractometer (XRD) and an X-ray fluorescent spectrometer (XRF), respectively. A scanning electron microscope (SEM) is used to study the surface morphology. Lots of uncommon triangle islands and cavities are found on some planes of the CIGS thin films. We investigate the formation mechanism of these triangle islands. It is found that the planes with the triangle islands are (1 1 2) planes terminated by Se atoms. Se ad-dimer as a nucleus, Cu diffusion from CIGS grains brings the epitaxial triangle islands which grow with a two-dimensional layered mode. The film with Cu/(Ga + In) = 0.94–0.98 is one key of the formation of these islands. The triangle cavities are formed due to the insufficient coalescence of triangle islands. The growth of triangle islands brings a compact surface with large layered grains and many jagged edges, but no triangle cavity. Finally, we compare the performance of solar cell with triangle islands and layered gains. It is found that the performance of solar cell with large layered gains is improved.

Uses of systemic approach and chemist's triangle in teaching and ...

African Journals Online (AJOL)

This paper describes uses of the systemic chemistry triangle [SCT] in which we get the benefits of both systemic approach and chemist's triangle in teaching and learning chemistry. SCT creates active learning environment enable students to gain high mental and professional skills, correct cognition, positive attitudes ...

Classical square-plus-triangle well fluid

International Nuclear Information System (INIS)

Boghdadi, M.

1984-01-01

A simplified model for the intermolecular-potential function which consists of a hard core and a square-plus-triangle well is proposed. The square width is taken to be lambda 1 -1 and the triangle width is lambda 2 -lambda 1 , where the diameter of the molecules is assumed to be epsilon. Under the restriction that the area under the potential well should be equal to 0.5epsilon, which has its own reason, it is shown that the appropriate choice of lambda 1 and lambda 2 that best mimics the Lennard-Jones (LJ) cut-off results is 1.15 and 1.85 respectively. With this choice for lambda 1 and lambda 2 , the proposed model is effective and satisfactory

Trigonometric solutions of triangle equations. Simple Lie superalgebras

International Nuclear Information System (INIS)

Bazhanov, V.V.; Shadrikov, A.G.

1988-01-01

Trigonometric solutions of the graded triangle equation are constructed for the fundamental representations of all simple (nonexceptional) Lie superalgebras with nondegenerate metric. In Sec. 1, we introduce the concept of Z 2 graded spaces and give the basic definitions. In Sec. 2, we determine fundamental representations of the Lie superalgebras sl(mn) and osp(2rs) and give explicit realizations of the Coxeter automorphisms. In secs. 3 and 4, we give the trigonometric solutions of the graded triangle equation (quantum R matrices)

Visualizing Elections Using Saari Triangles

Science.gov (United States)

Alfaro, Ricardo; Han, Lixing; Schilling, Kenneth; Birgen, Mariah

2010-01-01

Students sometimes have difficulty calculating the result of a voting system applied to a particular set of voter preference lists. Saari triangles offer a way to visualize the result of an election and make this calculation easier in the case of several important voting systems.

Guillain-Barré Syndrome due to CMV Reactivation after Cardiac Transplantation

Directory of Open Access Journals (Sweden)

Christina Maria Steger

2012-01-01

Full Text Available A 40-year-old male patient suffered from end-stage heart failure due to ischemic cardiomyopathy and received orthotopiccardiac transplantation in June 2005. The instantaneous postoperative course was uneventful, but, seven months later, he suffered from paralysis in the lower extremities finally resulting in quadriplegia and was admitted to hospital. After laboratory testings the diagnosis of a Guillain-Barré syndrome due to cytomegalovirus reactivation was confirmed.

Guillain Barré Syndrome in a Child With X-Linked Adrenoleukodystrophy

Directory of Open Access Journals (Sweden)

Ron Jacob MD

2015-10-01

Full Text Available X-Linked adrenoleukodystrophy is the most common peroxisomal disorder with different phenotypes among patients carrying the same ABCD1 mutation. There were previously reported associations of X-linked adrenoleukodystrophy with autoimmune disorders. The authors describe Guillain Barré syndrome in a child with X-linked adrenoleukodystrophy. The available evidence does not permit conclusion concerning etiological linkage between the 2 diseases, but it warrants further study.

The subatlantic triangle: gateway to early localization of the atlantoaxial vertebral artery.

Science.gov (United States)

Tayebi Meybodi, Ali; Gandhi, Sirin; Preul, Mark C; Lawton, Michael T

2018-04-27

OBJECTIVE Exposure of the vertebral artery (VA) between C-1 and C-2 vertebrae (atlantoaxial VA) may be necessary in a variety of pathologies of the craniovertebral junction. Current methods to expose this segment of the VA entail sharp dissection of muscles close to the internal jugular vein and the spinal accessory nerve. The present study assesses the technique of exposing the atlantoaxial VA through a newly defined muscular triangle at the craniovertebral junction. METHODS Five cadaveric heads were prepared for surgical simulation in prone position, turned 30°-45° toward the side of exposure. The atlantoaxial VA was exposed through the subatlantic triangle after reflecting the sternocleidomastoid and splenius capitis muscles inferiorly. The subatlantic triangle was formed by 3 groups of muscles: 1) the levator scapulae and splenius cervicis muscles inferiorly and laterally, 2) the longissimus capitis muscle inferiorly and medially, and 3) the inferior oblique capitis superiorly. The lengths of the VA exposed through the triangle before and after unroofing the C-2 transverse foramen were measured. RESULTS The subatlantic triangle consistently provided access to the whole length of atlantoaxial VA. The average length of the VA exposed via the subatlantic triangle was 19.5 mm. This average increased to 31.5 mm after the VA was released at the C-2 transverse foramen. CONCLUSIONS The subatlantic triangle provides a simple and straightforward pathway to expose the atlantoaxial VA. The proposed method may be useful during posterior approaches to the craniovertebral junction should early exposure and control of the atlantoaxial VA become necessary.

Guillain-Barré syndrome following bee venom acupuncture.

Science.gov (United States)

Lee, Hyun Jo; Park, In Seok; Lee, Jon-In; Kim, Joong-Seok

2015-01-01

Bee venom acupuncture has been widely used in Oriental medicine with limited evidence of effectiveness. Most of the complications due to bee venom acupuncture are local or systemic allergic reactions. However, serious medical and neurological complications have also been reported. We herein describe the treatment of a 68-year-old woman who developed progressive quadriplegia 10 days after receiving multiple honeybee venom sting acupuncture treatments. The electrophysiological findings were consistent with Guillain-Barré syndrome (GBS). The temporal relationship between the development of GBS and honeybee venom sting acupuncture is suggestive of a cause-and-effect relationship, although the precise pathophysiology and causative components in honeybee venom need to be verified.

Molecular characterization of Campylobacter jejuni from patients with Guillain-Barré and Miller Fisher syndromes

NARCIS (Netherlands)

H.P. Endtz (Hubert); F.G. Rodgers; W.M. Johnson; A.F. van Belkum (Alex); J.A. Wagenaar (Jaap); H.A. Verbrugh (Henri); B.C. Jacobs (Bart); C.W. Ang (Wim); N.P.W.C.J. van den Braak (Nicole); B. Duim; A. Rigter; L.J. Price; D.L. Woodward

2000-01-01

textabstractCampylobacter jejuni has been identified as the predominant cause of antecedent infection in Guillain-Barre syndrome (GBS) and Miller Fisher syndrome (MFS). The risk of developing GBS or MFS may be higher after infection with specific C. jejuni types. To

Triangle of Safety Technique: A New Approach to Laparoscopic Cholecystectomy

Directory of Open Access Journals (Sweden)

Abdulrahman F. M. S. Almutairi

2009-01-01

dissection of the Calot's triangle can lead to such injuries. The aim of the authors in this study is to present a new safe triangle of dissection. Patients and Method. 501 patients under went LC in the following approach; The cystic artery is identified and mobilized from the gall bladder (GB medial wall down towards the cystic duct which would simultaneously divide the medial GB peritoneal attachment. This is then followed by dividing the lateral peritoneal attachment. The GB will be unfolded and the borders of the triangle of safety (TST are achieved: cystic artery medially, cystic duct laterally and the gallbladder wall superiorly. The floor of the triangle is then divided to delineate both cystic duct and artery in an area relatively far from CBD. Results. There were little significant immediate or delayed complications. The mean operating time was 68 minutes, nearly equivalent to the conventional method. Conclusions. Dissection at TST appears to be a safe procedure which clearly demonstrates the cystic duct and may help to reduce the CBD injuries.

Zika virus infection and Guillain-Barré syndrome in three patients from Suriname

NARCIS (Netherlands)

T. Langerak (Thomas); Yang, H. (Harvey); Baptista, M. (Mark); Doornekamp, L. (Laura); Kerkman, T. (Tessa); Codrington, J. (John); Roosblad, J. (Jimmy); Vreden, S.G.S. (Stephen G.S.); E.I. de Bruin (Esther); R. Mögling (Ramona); B.C. Jacobs (Bart); S.D. Pas (Suzan); C.H. Geurts van Kessel (Corine); C.B.E.M. Reusken (Chantal); M.P.G. Koopmans D.V.M. (Marion); E.C.M. van Gorp (Eric); Alberga, H. (Henk)

2016-01-01

textabstractWe present three patients from Suriname who were diagnosed with Guillain-Barré syndrome (GBS) during the Zika virus (ZIKV) outbreak in this country. One patient had a positive ZIKV urine real-time RT-PCR (qRT-PCR) result. The other two patients had a negative ZIKV urine qRT-PCR but a

The stable stiffness triangle - drained sand during deformation cycles

DEFF Research Database (Denmark)

Sabaliauskas, Tomas; Ibsen, Lars Bo

2017-01-01

Cyclic, drained sand stiffness was observed using the Danish triaxial appa- ratus. New, deformation dependant soil property (the stable stiffness triangle) was detected. Using the the stable stiffness triangle, secant stiffness of drained sand was plausible to predict (and control) even during ir...... findings can find application in off-shore, seismic and other engi- neering practice, or inspire new branches of research and modelling wherever dynamic, cyclic or transient loaded sand is encountered....

Characterization of the superior olivary complex of Canis lupus domesticus.

Science.gov (United States)

Fech, Tatiana; Calderón-Garcidueñas, Lilian; Kulesza, Randy J

2017-08-01

The superior olivary complex (SOC) is a collection of brainstem auditory nuclei which play essential roles in the localization of sound sources, temporal coding of vocalizations and descending modulation of the cochlea. Notwithstanding, the SOC nuclei vary considerably between species in accordance with the auditory needs of the animal. The canine SOC was subjected to anatomical and physiological examination nearly 50 years ago and was then virtually forgotten. Herein, we aimed to characterize the nuclei of the canine SOC using quantitative morphometrics, estimation of neuronal number, histochemistry for perineuronal nets and immunofluorescence for the calcium binding proteins calbindin and calretinin. We found the principal nuclei to be extremely well developed: the lateral superior olive (LSO) contained over 20,000 neurons and the medial superior olive (MSO) contained over 15,000 neurons. In nearly all non-chiropterian terrestrial mammals, the MSO exists as a thin, vertical column of neurons. The canine MSO was folded into a U-shaped contour and had associated with the ventromedial tip a small, round collection of neurons we termed the tail nucleus of the MSO. Further, we found evidence within the LSO, MSO and medial nucleus of the trapezoid body (MNTB) for significant morphological variations along the mediolateral or rostrocaudal axes. Finally, the majority of MNTB neurons were calbindin-immunopositive and associated with calretinin-immunopositive calyceal terminals. Together, these observations suggest the canine SOC complies with the basic plan of the mammalian SOC but possesses a number of unique anatomical features. Copyright © 2017 Elsevier B.V. All rights reserved.

Preventive and curative effects of cyclophosphamide in an animal model of Guillain Barrè syndrome

DEFF Research Database (Denmark)

Mangano, Katia; Dati, Gabriele; Quattrocchi, Cinzia

2008-01-01

The immunosuppressive agent cyclophosphamide (CY) was tested in rat experimental allergic neuritis (EAN), a preclinical model of Guillain Barrè syndrome (GBS). CY prophylaxis (day 0 and 14 post-immunization [p.i.]) effectively prevents clinical and histological signs of EAN and also reduces...

75 FR 61788 - Triangle Capital Corporation, et al.; Notice of Application

Science.gov (United States)

2010-10-06

... to the issuers of such securities. 2. TMF, a North Carolina limited liability limited partnership, is... same investment objectives and strategies as Triangle. Triangle owns a 99.9% limited partnership... persons who are interested persons of TMF. 3. SBIC II, a Delaware limited partnership, is an SBIC licensed...

The number of colorings of planar graphs with no separating triangles

DEFF Research Database (Denmark)

Thomassen, Carsten

2017-01-01

A classical result of Birkhoff and Lewis implies that every planar graph with . n vertices has at least . 152n-1 distinct 5-vertex-colorings. Equality holds for planar triangulations with . n-4 separating triangles. We show that, if a planar graph has no separating triangle, then it has at least ...

Perceptual grouping without awareness: superiority of Kanizsa triangle in breaking interocular suppression.

Directory of Open Access Journals (Sweden)

Lan Wang

Full Text Available Much information could be processed unconsciously. However, there is no direct evidence on whether perceptual grouping could occur without awareness. To answer this question, we investigated whether a Kanizsa triangle (an example of perceptual grouping is processed differently from stimuli with the same local components but are ungrouped or weakly grouped. Specifically, using a suppression time paradigm we tested whether a Kanizsa triangle would emerge from interocular continuous flash suppression sooner than control stimuli. Results show a significant advantage of the Kanizsa triangle: the Kanizsa triangle emerged from suppression noise significantly faster than the control stimulus with the local Pacmen randomly rotated (t(9 = -2.78, p = 0.02; and also faster than the control stimulus with all Pacmen rotated 180° (t(11 = -3.20, p<0.01. Additional results demonstrated that the advantage of the grouped Kanizsa triangle could not be accounted for by the faster detection speed at the conscious level for the Kanizsa figures on a dynamic noise background. Our results indicate that certain properties supporting perceptual grouping could be processed in the absence of awareness.

Sex Determination Using Inion-Opistocranium-Asterion (IOA Triangle in Nigerians’ Skulls

Directory of Open Access Journals (Sweden)

C. N. Orish

2014-01-01

Full Text Available Background. Determination of sex is an important concern to the forensic anthropologists as it is critical for individual identification. This study has investigated the existence of sexual dimorphism in the dimensions and the area of the IOA triangle. Methods. A total of 100 adult dry skulls, (78 males; 22 females from departments of anatomy in Nigerian universities were used for this study. Automatic digital calliper was used for the measurement. Coefficient of variation, correlation, linear regression, percentiles, and sexual dimorphism ratio were computed from the IOA triangle measurements. The IOA triangle area was compared between sexes. Results. The male parameters were significantly (P<0.05 higher than female parameters. The left opistocranium-asterion length was 71.09±0.56 and 61.68±3.35 mm and the right opistocranium-asterion length was 69.73±0.49 and 60.92±2.10 mm for male and female, respectively. A total area of IOA triangle of 1938.88 mm2 and 1305.68 mm2 for male and female, respectively, was calculated. The left IOA indices were 46.42% and 37.40% in males and females, respectively, while the right IOA indices for males and females were 47.19% and 38.87%, respectively. Conclusion. The anthropometry of inion-opistocranium-asterion IOA triangle can be a guide in gender determination of unknown individuals.

Multigrid for refined triangle meshes

Energy Technology Data Exchange (ETDEWEB)

Shapira, Yair

1997-02-01

A two-level preconditioning method for the solution of (locally) refined finite element schemes using triangle meshes is introduced. In the isotropic SPD case, it is shown that the condition number of the preconditioned stiffness matrix is bounded uniformly for all sufficiently regular triangulations. This is also verified numerically for an isotropic diffusion problem with highly discontinuous coefficients.

A survey of numerical cubature over triangles

Energy Technology Data Exchange (ETDEWEB)

Lyness, J.N.; Cools, R.

1993-12-31

This survey collects together theoretical results in the area of numerical cubature over triangles and is a vehicle for a current bibliography. We treat first the theory relating to regular integrands and then the corresponding theory for singular integrands with emphasis on the ``full comer singularity.`` Within these two sections we treat successively approaches based on transforming the triangle into a square, formulas based on polynomial moment fitting, and extrapolation techniques. Within each category we quote key theoretical results without proof, and relate other results and references to these. Nearly all the references we have found may be readily placed in one of these categories. This survey is theoretical in character and does not include recent work in adaptive and automatic integration.

Economic Analysis of Asian Growth Triangles : The Johor-Singapore-Riau Growth Triangle

OpenAIRE

Koch, Glenn G.

2000-01-01

In looking at the Asian economy, particularly the Growth Triangle which includes Singapore, Malaysia and Indonesia, one can infer a great deal. With the Asian monetary crisis affecting the world, and certainly the Asian region in particular, some economists believe it is a mistake to evaluate such matters based on tradition. Rather, a school of thought dubbed the New Institutional Economics has come into being and while not everyone considers it to be a truly new approach, the bottom line is ...

Connectivity derived thalamic segmentation in deep brain stimulation for tremor

Directory of Open Access Journals (Sweden)

Harith Akram

Full Text Available The ventral intermediate nucleus (VIM of the thalamus is an established surgical target for stereotactic ablation and deep brain stimulation (DBS in the treatment of tremor in Parkinson's disease (PD and essential tremor (ET. It is centrally placed on a cerebello-thalamo-cortical network connecting the primary motor cortex, to the dentate nucleus of the contralateral cerebellum through the dentato-rubro-thalamic tract (DRT. The VIM is not readily visible on conventional MR imaging, so identifying the surgical target traditionally involved indirect targeting that relies on atlas-defined coordinates. Unfortunately, this approach does not fully account for individual variability and requires surgery to be performed with the patient awake to allow for intraoperative targeting confirmation. The aim of this study is to identify the VIM and the DRT using probabilistic tractography in patients that will undergo thalamic DBS for tremor. Four male patients with tremor dominant PD and five patients (three female with ET underwent high angular resolution diffusion imaging (HARDI (128 diffusion directions, 1.5 mm isotropic voxels and b value = 1500 preoperatively. Patients received VIM-DBS using an MR image guided and MR image verified approach with indirect targeting. Postoperatively, using parallel Graphical Processing Unit (GPU processing, thalamic areas with the highest diffusion connectivity to the primary motor area (M1, supplementary motor area (SMA, primary sensory area (S1 and contralateral dentate nucleus were identified. Additionally, volume of tissue activation (VTA corresponding to active DBS contacts were modelled. Response to treatment was defined as 40% reduction in the total Fahn-Tolosa-Martin Tremor Rating Score (FTMTRS with DBS-ON, one year from surgery. Three out of nine patients had a suboptimal, long-term response to treatment. The segmented thalamic areas corresponded well to anatomically known counterparts in the ventrolateral

Imunoglobulina endovenosa em crianças com síndrome de Guillain-Barré Intravenous immunoglobulin in children with Guillain-Barré syndrome

Directory of Open Access Journals (Sweden)

ISAC BRUCK

2000-12-01

Full Text Available Relatamos nossa experiência com imunoglobulina endovenosa (IGEV, plasmaferese e terapêutica de suporte no tratamento de 13 pacientes com síndrome de Guillain-Barré (SGB. Dos 13 pacientes, 7 receberam IGEV, 2 plasmaferese e 4 terapêutica de suporte. No 15° dia após a administração da IGEV, todos os pacientes deste grupo apresentaram melhora de pelo menos 1 grau na escala de Hughes et al. modificada. Dos 2 pacientes submetidos a plasmaferese, 1 apresentou melhora de 1 grau 5 dias após o procedimento. Entre os 4 pacientes que receberam tratamento de suporte, 2 apresentaram melhora dentro de 20 dias de evolução. No grupo que recebeu IGEV os escores finais foram menores e não houve recidivas. Assim, estes resultados sugerem que a IGEV diminui o tempo necessário para a melhora clínica quando comparado com tratamento suportivo.We report our experience with intravenous immunoglobulin (IVIG, plasmapheresis and supportive care in 13 patients with the Guillain-Barré syndrome. Seven of 13 patients received IVIG, 2 plasmapheresis and 4 supportive care. At 15th day after IVIG administration, all patients in this group had improved at least one disability grade. In the plasmapheresis group, 1 improved at 5th day after the procedure. Two of the 4 patients that received supportive care improved at 20th day of evaluation. In the IVIG group, the final scores were lower and had no relapses. These results suggest faster clinical improvement with IVIG when compared with supportive measures.

Vertex Normals and Face Curvatures of Triangle Meshes

KAUST Repository

Sun, Xiang

2016-08-12

This study contributes to the discrete differential geometry of triangle meshes, in combination with discrete line congruences associated with such meshes. In particular we discuss when a congruence defined by linear interpolation of vertex normals deserves to be called a ʼnormal’ congruence. Our main results are a discussion of various definitions of normality, a detailed study of the geometry of such congruences, and a concept of curvatures and shape operators associated with the faces of a triangle mesh. These curvatures are compatible with both normal congruences and the Steiner formula.

A report of a probable case of familial Guillain Barre syndrome

Directory of Open Access Journals (Sweden)

Mohammad Barzegar

2012-01-01

Full Text Available Although it is a sporadic disease, few studies have reported cases of Guillain Barre Syndrome (GBS in families which postulate a genetic susceptibility. Human leukocyte antigen (HLA typing is an area of discussion in GBS though none of them are considered definitive. In recent years, more studies have evaluated HLA typing in sporadic cases while rarely it has been assessed in familial ones. We report a woman and her daughter experiencing GBS and their HLA typing in a 2-year interval.

Influence of Blocker Distance Variations in form of Triangle in Front of Cylinder toward Drag Coefficien

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Si Putu Gede Gunawan Tista

2012-11-01

Full Text Available One of the ways to reduce energy consumption on the air plane and the other bluff bodies are by decreasing the drag. Drag isclosely related to the flow separation. The earlier separation, then the drag will increase more. Based of the fact the effort todecrease drag is conducted by manipulating the field of fluid flow. Stream manipulation was be done by installing Triangleobstacle in front of cylinder. The purpose of this research is to analyze the effect of various distance triangle obstacle in front ofcylinder on drag. The present experiment was done by placing triangle rod in front of the cylinder. In the present research, theexperiment was conducted in the wind tunnel, which consisted of blower, pitot pipe, manometer, cylinder pipe, and triangle rod.The triangle was positioned at L/D = 1.19, L/D = 1.43, L/D = 1.67, L/D = 1.9, L/D = 2.14, L/D = 2.38, L/D = 2.62, and L/D =2.86 by upstream from the cylinder. The triangle was 8 mm uniform side. The Reynolds number based on the cylinder diameter (D= 42 mm was Re = 1.81 x 104. The research results showed that the triangle rod could decrease the drag of cylinder. Coefficientdrag for cylinder without triangle rod was 0.1276 while the biggest decrease of coefficient of drag with triangle rod washappened at L/D = 1.43 which was 0.0188. It means that the drag of cylinder with triangle rod was 85.25% lower than thecylinder alone.

Moving triangle singularities: the possibilities for observation in deuteron reactions

International Nuclear Information System (INIS)

Kolybasov, V.M.

1996-01-01

If the amplitude of direct reaction is dominated by the triangle graph then it can be identified observing the picture corresponding to so-called moving triangle singularity: the form of the distribution with respect to the invariant mass of several final particles must change with momentum transferred from initial fast particle to final one. The possibilities for observation are discussed using two reactions, namely deuteron break up and η-meson production pd → pdη [ru

Triangle network motifs predict complexes by complementing high-error interactomes with structural information.

Science.gov (United States)

Andreopoulos, Bill; Winter, Christof; Labudde, Dirk; Schroeder, Michael

2009-06-27

A lot of high-throughput studies produce protein-protein interaction networks (PPINs) with many errors and missing information. Even for genome-wide approaches, there is often a low overlap between PPINs produced by different studies. Second-level neighbors separated by two protein-protein interactions (PPIs) were previously used for predicting protein function and finding complexes in high-error PPINs. We retrieve second level neighbors in PPINs, and complement these with structural domain-domain interactions (SDDIs) representing binding evidence on proteins, forming PPI-SDDI-PPI triangles. We find low overlap between PPINs, SDDIs and known complexes, all well below 10%. We evaluate the overlap of PPI-SDDI-PPI triangles with known complexes from Munich Information center for Protein Sequences (MIPS). PPI-SDDI-PPI triangles have ~20 times higher overlap with MIPS complexes than using second-level neighbors in PPINs without SDDIs. The biological interpretation for triangles is that a SDDI causes two proteins to be observed with common interaction partners in high-throughput experiments. The relatively few SDDIs overlapping with PPINs are part of highly connected SDDI components, and are more likely to be detected in experimental studies. We demonstrate the utility of PPI-SDDI-PPI triangles by reconstructing myosin-actin processes in the nucleus, cytoplasm, and cytoskeleton, which were not obvious in the original PPIN. Using other complementary datatypes in place of SDDIs to form triangles, such as PubMed co-occurrences or threading information, results in a similar ability to find protein complexes. Given high-error PPINs with missing information, triangles of mixed datatypes are a promising direction for finding protein complexes. Integrating PPINs with SDDIs improves finding complexes. Structural SDDIs partially explain the high functional similarity of second-level neighbors in PPINs. We estimate that relatively little structural information would be sufficient

The coral triangle initiative: What are we missing? A case study from Aceh

KAUST Repository

Rudi, Edi

2012-10-01

Abstract The Coral Triangle Initiative is an ambitious attempt to conserve the marine biodiversity hotspot known as the Coral Triangle. However, the reef fauna in many nearby regions remains poorly explored and, consequently, the focus on the Coral Triangle risks overlooking other areas of high conservation significance. One region of potential significance, Aceh, Indonesia, has not been visited by coral taxonomists since the Dutch colonial period. Here we document the species richness of scleractinian corals of Pulau Weh, Aceh. We also compare the species richness of the genus Acropora at 3-5 sites in each of nine regions in Indonesia and Papua New Guinea. Although dominated by widespread Indo-Pacific species, the coral fauna of Pulau Weh is also the eastern and western boundary for many Indian Ocean and Pacific Ocean species, respectively. We identified a total of 133 scleractinian species, of which three have been previously recorded only in the western Indian Ocean and five are presently undescribed. The mean species richness of the Acropora at Pulau Weh is similar to regions within the Coral Triangle. This high species richness plus the high proportion of endemics suggests that the Andaman Sea is of similarly high conservation value to the Coral Triangle. We suggest that an international initiative similar to the Coral Triangle Initiative is required to conserve this region, which includes the territorial waters of six countries. © 2012 Fauna & Flora International.

La musa que tose. Nicolás Olivari y una poética de vanguardia en la literatura rioplatense de la década de 1920

Directory of Open Access Journals (Sweden)

Sara Amalia Bosoer

2014-03-01

This article analyses in La musa de la mala pata (1926, the second book of poetry of Nicolás Olivari (1900-1966, the formulation of a poetics of vanguard in the Río de la Plata literary context. From what we call a poetic of cough, in his poems we follow the formulation of a poetic language that seeks to secede from the modernist notions of poetic musicality, proposes a demystification of poetic language and move towards a conception of language that interrogates the referentiality.

The coral triangle initiative: What are we missing? A case study from Aceh

KAUST Repository

Rudi, Edi; Campbell, Stuart J.; Hoey, Andrew; Fadli, Nur; Linkie, Matthew; Baird, Andrew Hamilton

2012-01-01

Abstract The Coral Triangle Initiative is an ambitious attempt to conserve the marine biodiversity hotspot known as the Coral Triangle. However, the reef fauna in many nearby regions remains poorly explored and, consequently, the focus on the Coral

Dose-response relationship of sertindole and haloperidol using the pharmacopsychometric triangle

DEFF Research Database (Denmark)

Bech, P; Tanghøj, P; Andreasson, K

2011-01-01

Renewed insight into dose-related effects of sertindole and haloperidol was sought by re-analysing published data for antipsychotic effect, extrapyramidal effect, and patient wellbeing - i.e., the important pharmacopsychometric triangle domains.......Renewed insight into dose-related effects of sertindole and haloperidol was sought by re-analysing published data for antipsychotic effect, extrapyramidal effect, and patient wellbeing - i.e., the important pharmacopsychometric triangle domains....

Ophthalmoplegic and lower cranial nerve variants merge into each other and into classical Guillain-Barre syndrome

NARCIS (Netherlands)

ter Bruggen, JP; van der Meche, FGA; de Jager, AEJ; Polman, CH

We delineated the place of cranial nerve variants within the concept of clinically defined Guillain-Barre syndrome (GBS), In the ophthalmoplegic variant (n = 7) the oculomotor nerves were early involved, In a lower cranial nerve variant (n = 9) the cranial nerves IX, X, and XI were early involved.

Use of healthcare, patient satisfaction and burden of care in Guillain-Barre syndrome.

Science.gov (United States)

Forsberg, Anette; de Pedro-Cuesta, Jesús; Widén Holmqvist, Lotta

2006-07-01

The aim of this study was to investigate, in an unselected sample of patients with Guillain-Barré syndrome in Sweden, the utilization of healthcare resources, satisfaction with these resources, informal help and the burden of care on family caregivers during the first 2 years after onset. Forty-four patients were enrolled from 8 hospitals, and 42 of them were followed for 2 years. Data on the utilization of hospital inpatient and outpatient care, primary care and community-based services were collected via computerized registry information, medical records and a specific protocol. Patient satisfaction and the burden on family caregivers were studied using questionnaires. Forty-one patients required inpatient hospitalization for a mean of 82 days. Patients with persistent dependency during activities of daily living had significantly longer hospital stays and more days of outpatient rehabilitation. The majority of patients were satisfied with their care, but dissatisfaction was found regarding information and finances. At 2 years after onset, 26% of patients still depended on informal help. The spouses expressed increased concern and responsibility for household and family. Patients with persistent disability due to Guillain-Barré syndrome were found to have long-term need for services from the healthcare system and informal help.

A Predictive Model for Guillain-Barré Syndrome Based on Single Learning Algorithms

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Juana Canul-Reich

2017-01-01

Full Text Available Background. Guillain-Barré Syndrome (GBS is a potentially fatal autoimmune neurological disorder. The severity varies among the four main subtypes, named as Acute Inflammatory Demyelinating Polyneuropathy (AIDP, Acute Motor Axonal Neuropathy (AMAN, Acute Motor Sensory Axonal Neuropathy (AMSAN, and Miller-Fisher Syndrome (MF. A proper subtype identification may help to promptly carry out adequate treatment in patients. Method. We perform experiments with 15 single classifiers in two scenarios: four subtypes’ classification and One versus All (OvA classification. We used a dataset with the 16 relevant features identified in a previous phase. Performance evaluation is made by 10-fold cross validation (10-FCV. Typical classification performance measures are used. A statistical test is conducted in order to identify the top five classifiers for each case. Results. In four GBS subtypes’ classification, half of the classifiers investigated in this study obtained an average accuracy above 0.90. In OvA classification, the two subtypes with the largest number of instances resulted in the best classification results. Conclusions. This study represents a comprehensive effort on creating a predictive model for Guillain-Barré Syndrome subtypes. Also, the analysis performed in this work provides insight about the best single classifiers for each classification case.

Functioning of the knowledge triangle in the example of IT education

Directory of Open Access Journals (Sweden)

ZHIVITSKAYA H.

2015-06-01

Full Text Available The analysis of the interactions between knowledge triangle components in IT-education in the Republic of Belarus is described. This paper describes the results of research in the framework of the program of the European Union Tempus IV «Fostering the Knowledge Triangle in Belarus, Ukraine and Moldova» - «FKTBUM». The analysis of the obstacles to the effective integration of higher education, research and innovation is performed.

Saturnian north polar region: a triangle inside the hexagon?

Science.gov (United States)

Kochemasov, Gennady G.

2010-05-01

The famous and "mysterious" stable hexagon structure around the North Pole of Saturn was earlier interpreted as projections of faces of a structural tetrahedron [1]. This "hidden" simplest Plato's polyhedron is a result of an interference of four fundamental (wave 1) warping waves having in any rotating celestial body four directions: orthogonal and diagonal. Origin of the warping waves in any celestial body is due to their movements in elliptical keplerian orbits with periodically changing accelerations. The structural tetrahedron is an intrinsic geometric feature marking the celestial bodies ubiquitous tectonic dichotomy as in a tetrahedron always there is an opposition of a face (expansion) and a vertex (contraction). In the saturnian case the tetrahedron shows a face at the north and a vertex at the south. Morphologically this is manifested by the hexagon and opposing it in the south a vertex. Blue and pink hues of the northern and southern hemispheres also underline the tectonic dichotomy. These geometric expressions are enforced by a subtle dark equilateral triangle appearing in the image PIA11682 also around the north pole and inside the hexagon (the triangle side is about 15000 km long). One angle of the triangle is clearly visible, another one just shows itself and the third one is barely distinguished. The sides of the triangle are not strait lines but slightly broken amidst lines what makes the triangle appear a bit hexagonal (spherical) and the angle is a bit bigger than 60 degrees of a classical equilateral triangle (~70 degrees). The central part of the triangle is not imaged (a black hole in the PIA11682). This image also confirms that the wide northern polar region is also densely "peppered" with bright cloudy more or less isometric spots on average 400 to 800 km across as in other latitudinal belts of Saturn [2, 3, 4]. Earlier they were observed in IR wavelengths, now they show themselves in visible wavelengths. Their origin and size were

Triangle network motifs predict complexes by complementing high-error interactomes with structural information

Directory of Open Access Journals (Sweden)

Labudde Dirk

2009-06-01

Full Text Available Abstract Background A lot of high-throughput studies produce protein-protein interaction networks (PPINs with many errors and missing information. Even for genome-wide approaches, there is often a low overlap between PPINs produced by different studies. Second-level neighbors separated by two protein-protein interactions (PPIs were previously used for predicting protein function and finding complexes in high-error PPINs. We retrieve second level neighbors in PPINs, and complement these with structural domain-domain interactions (SDDIs representing binding evidence on proteins, forming PPI-SDDI-PPI triangles. Results We find low overlap between PPINs, SDDIs and known complexes, all well below 10%. We evaluate the overlap of PPI-SDDI-PPI triangles with known complexes from Munich Information center for Protein Sequences (MIPS. PPI-SDDI-PPI triangles have ~20 times higher overlap with MIPS complexes than using second-level neighbors in PPINs without SDDIs. The biological interpretation for triangles is that a SDDI causes two proteins to be observed with common interaction partners in high-throughput experiments. The relatively few SDDIs overlapping with PPINs are part of highly connected SDDI components, and are more likely to be detected in experimental studies. We demonstrate the utility of PPI-SDDI-PPI triangles by reconstructing myosin-actin processes in the nucleus, cytoplasm, and cytoskeleton, which were not obvious in the original PPIN. Using other complementary datatypes in place of SDDIs to form triangles, such as PubMed co-occurrences or threading information, results in a similar ability to find protein complexes. Conclusion Given high-error PPINs with missing information, triangles of mixed datatypes are a promising direction for finding protein complexes. Integrating PPINs with SDDIs improves finding complexes. Structural SDDIs partially explain the high functional similarity of second-level neighbors in PPINs. We estimate that

A Classroom Note on Generating Examples for the Laws of Sines and Cosines from Pythagorean Triangles

Science.gov (United States)

Sher, Lawrence; Sher, David

2007-01-01

By selecting certain special triangles, students can learn about the laws of sines and cosines without wrestling with long decimal representations or irrational numbers. Since the law of cosines requires only one of the three angles of a triangle, there are many examples of triangles with integral sides and a cosine that can be represented exactly…

Distinct Campylobacter jejuni capsular types are related to Guillain-Barré syndrome in The Netherlands and Bangladesh

Science.gov (United States)

An infection with the intestinal pathogen Campylobacter jejuni leads to Guillain-Barré syndrome (GBS) in around one in thousand cases. It is established that sialylated lipooligosaccharides (LOS) of C. jejuni are a crucial virulence factor in GBS development. Frequent detection of C. jejuni with sia...

A New and Very Long Proof of the Pythagoras Theorem By Way of a Proposition on Isosceles Triangles

OpenAIRE

Basu, Kaushik

2015-01-01

This paper provides a new proof of the Pythagoras Theorem on right-angled triangles via two new lemmas pertaining to, respectively, isosceles triangles and right-angled triangles, which are of pedagogical value in themselves.

A New Observation of an Atypical and Severe Variant of the Guillain-Barre Syndrome in a Child

Science.gov (United States)

Manel, Véronique; Ville, Dorothée; Javouhey, Etienne; Bordet, Fabienne

2015-01-01

Guillain-Barré syndrome is a rare acute polyradiculoneuropathy. Several variants and unusual presentations have been described, particularly in pediatrics. In most cases, making an early diagnosis is challenging due to the treatments that consist in the rapid administration of intravenous immunoglobulin or plasma exchange. The authors present the case of a 7-year-old boy with an atypical and severe axonal Guillain-Barré syndrome, associated with Mycoplasma pneumonia. When he was admitted, febrile respiratory failure was the main focus, and then he presented signs of acute polyneuropathy with cranial nerve palsy and brief hyperreflexia. Mechanical ventilation was required for 48 days as well as 2 cycles of intravenous immunoglobulin. The authors describe all the medical challenges that the authors encountered. This case highlights the fact that respiratory distress can be the main clinical symptom in children. This delays the establishment of a correct diagnosis, even more so when neurological manifestations are abundant and unusual. PMID:28503595

Is this child sick? Usefulness of the Pediatric Assessment Triangle in emergency settings

Directory of Open Access Journals (Sweden)

Ana Fernandez

Full Text Available Abstract Objective: The Pediatric Assessment Triangle is a rapid assessment tool that uses only visual and auditory clues, requires no equipment, and takes 30-60 s to perform. It's being used internationally in different emergency settings, but few studies have assessed its performance. The aim of this narrative biomedical review is to summarize the literature available regarding the usefulness of the Pediatric Assessment Triangle in clinical practice. Sources: The authors carried out a non-systematic review in the PubMed®, MEDLINE®, and EMBASE® databases, searching for articles published between 1999-2016 using the keywords “pediatric assessment triangle,” “pediatric triage,” “pediatric assessment tools,” and “pediatric emergency department.” Summary of the findings: The Pediatric Assessment Triangle has demonstrated itself to be useful to assess sick children in the prehospital setting and make transport decisions. It has been incorporated, as an essential instrument for assessing sick children, into different life support courses, although little has been written about the effectiveness of teaching it. Little has been published about the performance of this tool in the initial evaluation in the emergency department. In the emergency department, the Pediatric Assessment Triangle is useful to identify the children at triage who require more urgent care. Recent studies have assessed and proved its efficacy to also identify those patients having more serious health conditions who are eventually admitted to the hospital. Conclusions: The Pediatric Assessment Triangle is quickly spreading internationally and its clinical applicability is very promising. Nevertheless, it is imperative to promote research for clinical validation, especially for clinical use by emergency pediatricians and physicians.

A clear map of the lower cranial nerves at the superior carotid triangle.

Science.gov (United States)

Cavalcanti, Daniel D; Garcia-Gonzalez, Ulises; Agrawal, Abhishek; Tavares, Paulo L M S; Spetzler, Robert F; Preul, Mark C

2010-07-01

The lower cranial nerves must be identified to avoid iatrogenic injury during skull base and high cervical approaches. Prompt recognition of these structures using basic landmarks could reduce surgical time and morbidity. The anterior triangle of the neck was dissected in 30 cadaveric head sides. The most superficial segments of the glossopharyngeal, vagus and its superior laryngeal nerves, accessory, and hypoglossal nerves were exposed and designated into smaller anatomic triangles. The midpoint of each nerve segment inside the triangles was correlated to the angle of the mandible (AM), mastoid tip (MT), and bifurcation of the common carotid artery. A triangle bounded by the styloglossus muscle, external carotid artery, and facial artery housed the glossopharyngeal nerve. This nerve segment was 0.06 ± 0.71 cm posterior to the AM and 2.50 ± 0.59 cm inferior to the MT. The vagus nerve ran inside the carotid sheath posterior to internal carotid artery and common carotid artery bifurcation in 48.3% of specimens. A triangle formed by the posterior belly of digastric muscle, sternocleidomastoid muscle, and internal jugular vein housed the accessory nerve, 1.90 ± 0.60 cm posterior to the AM and 2.30 ± 0.57 cm inferior to the MT. A triangle outlined by the posterior belly of digastric muscle, internal jugular vein, and common facial vein housed the hypoglossal nerve, which was 0.82 ± 0.84 cm posterior to the AM and 3.64 ± 0.70 cm inferior to the MT. Comprehensible landmarks can be defined to help expose the lower cranial nerves to avoid injury to this complex region. Copyright © 2010 Elsevier Inc. All rights reserved.

[Facial diplegia with atypical paresthesia. A variant of Guillain-Barré syndrome].

Science.gov (United States)

Dal Verme, Agustín; Acosta, Paula; Margan, Mercedes; Pagnini, Cecilia; Dellepiane, Eugenia; Peralta, Christian

2015-01-01

Guillain-Barré syndrome is an acute demyelinating disease which presents in a classic form with muscular weakness and the lack of reflexes. There are multiple variations and atypical forms of the disease, being facial diplegia with paresthesia one of them. Also, the absence of reflexes in this syndrome is typical but not constant, since 10% of patients present reflexes. We describe a case of atypical presentation with bilateral facial palsy, paresthesia, brisk reflexes and weakness in the lower limbs in a 33 year old woman.

Treatment-related fluctuation in Guillain-Barre syndrome

Directory of Open Access Journals (Sweden)

Thirunavukkarasu Thivakaran

2011-01-01

Full Text Available Guillain-Barre syndrome (GBS is usually a monophasic illness but relapses occur. A 55-year-old female with hypertension and vitiligo presented with acute inflammatory demyelinating polyradiculoneuropathy. She improved with immunoglobulin treatment started on day 6 of illness, but relapsed on day 14 warranting repeat immunoglobulin therapy. Thereafter recovery was complete. Her relapse was due to treatment-related fluctuation (TRF. TRF is improvement in the GBS disability scale of at least one grade after completion of immunotherapy followed by worsening of the disability scale of at least one grade within the first 2 months after disease onset. Recurrent GBS and chronic inflammatory demyelinating polyradiculoneuropathy were excluded. During the peak of the illness ANA titres were transiently high. The presence of other medical conditions, predominant proximal weakness and the absence of preceding diarrhea are predictors for TRF seen in this patient. Early treatment and evidence of ongoing immune activation have contributed toward TRF.

Preventive and curative effects of cyclophosphamide in an animal model of Guillain Barrè syndrome

DEFF Research Database (Denmark)

Mangano, Katia; Dati, Gabriele; Quattrocchi, Cinzia

2008-01-01

The immunosuppressive agent cyclophosphamide (CY) was tested in rat experimental allergic neuritis (EAN), a preclinical model of Guillain Barrè syndrome (GBS). CY prophylaxis (day 0 and 14 post-immunization [p.i.]) effectively prevents clinical and histological signs of EAN and also reduces the c....... These results warrant studies with CY in those cases of GBS resistant to conventional therapies....

First case of anti-ganglioside GM1-positive Guillain-Barré syndrome due to hepatitis E virus infection

NARCIS (Netherlands)

Maurissen, I.; Jeurissen, A.; Strauven, T.; Sprengers, D.; de Schepper, B.

2012-01-01

A 51-year-old previously healthy woman presented with Guillain-Barré syndrome (GBS) and elevated liver enzymes. Further diagnostic investigations showed the presence of an acute hepatitis E infection associated with anti-ganglioside GM1 antibodies. After treatment with intravenous immunoglobulins,

Antecedent infections and anti-ganglioside antibodies in Guillain-Barré syndrome : their role in pathogenesis and heterogeneity

NARCIS (Netherlands)

B.C. Jacobs (Bart)

1997-01-01

textabstractThe Guillain-Barre syndrome (GBS) is the most common form of acute neuromuscular paralysis in developed countries, but the pathogenesis is still largely unknown. The major clinical features of the syndrome were first united by J-B.O. Landry in 1859 (1). The syndrome was named after G.

A Rare case of Guillain-Barré syndrome in pregnancy treated with plasma exchange

Directory of Open Access Journals (Sweden)

Rahul Vasudev

2014-01-01

Full Text Available Guillain-Barre syndromé (GBS is an autoimmune disorder. It is rare in pregnancy as there is a decrease in cell-mediated immunity. A case of 28-year-old pregnant woman who presented with acute flaccid quadriplegia suffering from GBS is discussed in this study. She was treated with plasma exchange in her immediate post-partum period. The management of GBS in pregnancy has been discussed.

Transfinite C2 interpolant over triangles

International Nuclear Information System (INIS)

Alfeld, P.; Barnhill, R.E.

1984-01-01

A transfinite C 2 interpolant on a general triangle is created. The required data are essentially C 2 , no compatibility conditions arise, and the precision set includes all polynomials of degree less than or equal to eight. The symbol manipulation language REDUCE is used to derive the scheme. The scheme is discretized to two different finite dimensional C 2 interpolants in an appendix

Freud, Ferenczi, and Rosmersholm: incestuous triangles and analytic thirds.

Science.gov (United States)

Rudnytsky, Peter L

2013-12-01

Utilizing a field theory of unconscious communication, and in particular the concept of the analytic third, this paper situates Freud's interpretation of Ibsen's 1886 Rosmersholm, presented in the section of his essay "Some Character-Types Met with in Psycho-Analytic Work" (1916) entitled "Those Wrecked by Success," in the context of his relationship with Ferenczi. Both in his interpretation of Rosmersholm and in his earlier papers on the psychology of love, it is argued, Freud may be seen to commenting both on Ferenczi's incestuous love triangle with Gizella and Elma Pálos and on his equally incestuous triangle with Martha and Minna Bernays. In a postscript, the challenge offered by Groddeck to Freud's oedipal reading of Rosmersholm is assessed.

Transmission probability method based on triangle meshes for solving unstructured geometry neutron transport problem

Energy Technology Data Exchange (ETDEWEB)

Wu Hongchun [Nuclear Engineering Department, Xi' an Jiaotong University, Xi' an 710049, Shaanxi (China)]. E-mail: hongchun@mail.xjtu.edu.cn; Liu Pingping [Nuclear Engineering Department, Xi' an Jiaotong University, Xi' an 710049, Shaanxi (China); Zhou Yongqiang [Nuclear Engineering Department, Xi' an Jiaotong University, Xi' an 710049, Shaanxi (China); Cao Liangzhi [Nuclear Engineering Department, Xi' an Jiaotong University, Xi' an 710049, Shaanxi (China)

2007-01-15

In the advanced reactor, the fuel assembly or core with unstructured geometry is frequently used and for calculating its fuel assembly, the transmission probability method (TPM) has been used widely. However, the rectangle or hexagon meshes are mainly used in the TPM codes for the normal core structure. The triangle meshes are most useful for expressing the complicated unstructured geometry. Even though finite element method and Monte Carlo method is very good at solving unstructured geometry problem, they are very time consuming. So we developed the TPM code based on the triangle meshes. The TPM code based on the triangle meshes was applied to the hybrid fuel geometry, and compared with the results of the MCNP code and other codes. The results of comparison were consistent with each other. The TPM with triangle meshes would thus be expected to be able to apply to the two-dimensional arbitrary fuel assembly.

MODEL PENDETEKSIAN KECURANGAN LAPORAN KEUANGAN OLEH AUDITOR SPESIALIS INDUSTRI DENGAN ANALISIS FRAUD TRIANGLE

Directory of Open Access Journals (Sweden)

Reskino

2016-08-01

Full Text Available Abstrak: Model Pendeteksian Kecurangan Laporan Keuangan dengan Analisis Fraud Triangle. Penelitian ini bertujuan untuk membuat model dalam mendeteksi kecurangan laporan keuangan. Penelitian ini menguji variabel fraud triangle dan auditor spesialis industri dengan kecurangan laporan keuangan. Sampel penelitian adalah 30 perusahaan fraud dan 30 perusahaan non-fraudyang listing di Bursa Efek Indonesia (BEI serta terkena sanksi dan kasus oleh Otoritas Jasa Keuangan (OJK. Hasil penelitian ini menunjukkan financial targetsdapat mendeteksi kecurangan laporan keuangan, sedangkan financial stabililty tidak dapat mendeteksi kecurangan laporan keuangan. Abstract: Financial Statement Fraud Detection Model with Fraud Triangle Analysis. The research purposes is to create a model to detect financial statement fraud. This research examines the variable of fraud triangle and auditor industry specialization with financial statement fraud. Samples were 30 companies of fraud and 30 non-fraud companies that were listed on the Indonesia Stock Exchange (IDX and sanctioned by the Financial Services Authority (FSA. The result shows the financial targets can be detect financial statement fraud, while financial stability can’t be detect financial statement fraud.

Retreatment with intravenous immunoglobulin (IVIG of refractory Guillain Barre syndrome in children

Directory of Open Access Journals (Sweden)

Rivas Larrauri Francisco

2014-07-01

Full Text Available Guillain-Barré syndrome (GBS is an acute symmetrical pa- ralyzing disease due to a demyelinating polyrradiculoneuropathy, often induced by a preceding infection 1. The main modalities for the treatment of GBS include plasmapheresis and intrave- nous immune globulin. Reports of the use of IVIG in children with GBS are limited: 1 g/kg for two days or 400 mg/kg for five days. While these studies in children are not definitive because of design limitations, their results are consistent with the larger randomized trials in adults 2,3.

Pediatric Guillain-Barré syndrome: Indicators for a severe course

Directory of Open Access Journals (Sweden)

Muhammet Ali Varkal

2015-01-01

Full Text Available Objectives: This study aims to retrospectively evaluate pediatric Guillain-Barré syndrome cases in a tertiary center in Istanbul, Turkey. Materials and Methods: The data of 40 patients with Guillain-Barré syndrome who had been admitted to the Department of Pediatrics at the Istanbul University Medical Faculty between 2005 and 2011 were collected. Mann-Whitney U, Kruskal-Wallis, chi-square, and Fisher′s exact tests were used for statistical analysis. Results: Mean patient age was 5.4 ± 3.0 years; 20 out of 40 patients (50% were female and 20 (50% were male. Preceding infection was detected in 32 cases (80%. Six patients had speech impairment. Out of eight patients with respiratory distress (20%, five required respiratory support (12.5% of which three of them had speech impairment as well. According to nerve conduction studies, 21 patients (52.5% had acute inflammatory demyelinating polyradiculoneuropathy, 14 (35% had acute motor axonal neuropathy, and five (12.5% had acute motor-sensory axonal neuropathy. Thirty-three patients (82.5% received intravenous immunglobulin, 3 (7.5% underwent plasmapheresis and 4 (10% received both. Time until recovery (P = 0.022 and time until aided (P = 0.036 and unaided (P = 0.027 walking were longer in patients with acute gastrointestinal infection than in those with upper respiratory tract infection (P < 0.05. Time until response to treatment (P = 0.001, time until aided (P = 0.001 and unaided (P = 0.002 walking, and time until complete recovery (P = 0.002 were longer in acute motor axonal neuropathy cases as compared to acute inflammatory demyelinating polyradiculoneuropathy cases. Conclusion: Recovery was longer with acute gastrointestinal infection and acute motor axonal neuropathy. Speech impairment could be a clinical clue for the need of mechanical ventilation.

Self-assembly of self-assembled molecular triangles

Indian Academy of Sciences (India)

While the solution state structure of 1 can be best described as a trinuclear complex, in the solidstate well-fashioned intermolecular - and CH- interactions are observed. Thus, in the solid-state further self-assembly of already self-assembled molecular triangle is witnessed. The triangular panels are arranged in a linear ...

¿Representa la expresión patrimonio neto como rubro de los estados contables, lo que realmente quiere representar?

Directory of Open Access Journals (Sweden)

Norberto García

2003-10-01

Full Text Available El objetivo de este trabajo es señalar la ambigüedad en la utilización de la expresión patrimonio neto como rubro del balance general en la literatura y práctica contable de los países Continentales Europeos, (incluyendo dentro de estos a los países Latinoamericanos. En primer lugar, para lograr el propósito se efectúa una recorrida por los diccionarios de la lengua española e inglesa para analizar las distintas acepciones de la palabra patrimonio, como así también desde el punto de vista del derecho vigente. Luego se analiza el concepto de patrimonio aplicado a la contabilidad tanto desde el punto de vista de la literatura contable Continental Europeo como de la Literatura Anglo Sajona, aunque en esta última no se aplica estrictamente la expresión patrimonio. Para esta finalidad, se hace uso fundamentalmente de la bibliografía Italiana centrada en las obras de Besta y Onida, como representantes de las ideas Continentales Europeas y a Paton en lo que se refiere a las ideas Anglo Sajonas. Al entrar al examen del uso de la palabra patrimonio o patrimonio neto en el balance general en uso en los países Continentales Europeos, se hace hincapié a la ambigüedad que resulta cuando uno hace la pregunta ¿Patrimonio de quién? Si se observa las partidas que están debajo del rubro "Patrimonio Neto" (Capital suscrito, Reservas. Resultados no Asignados uno diría rápidamente que el patrimonio allí representado es el patrimonio de los propietarios, afirmación que no es correcta. En este sentido el uso de la expresión Anglo Sajona "Owner equity" (Participación de los propietarios evita tal ambigüedad.This study aims to point out the ambiguity that exists in the use of net equity as a group of balance sheet accounts in Continental European accounting literature and practice (including Latin-American countries. In the first place, Spanish and English language dictionaries are consulted in order to analyze the different meanings of the

Pure Electric and Pure Magnetic Resonances in Near-Infrared Metal Double-Triangle Metamaterial Arrays

International Nuclear Information System (INIS)

Cao Zhi-Shen; Pan Jian; Chen Zhuo; Zhan Peng; Min Nai-Ben; Wang Zhen-Lin

2011-01-01

We experimentally and numerically investigate the optical properties of metamaterial arrays composed of double partially-overlapped metallic nanotriangles fabricated by an angle-resolved nanosphere lithography. We demonstrate that each double-triangle can be viewed as an artificial magnetic element analogous to the conventional metal split-ring-resonator. It is shown that under normal-incidence conditions, individual double-triangle can exhibit a strong local magnetic resonance, but the collective response of the metamaterial arrays is purely electric because magnetic resonances of the two double-triangles in a unit cell having opposite openings are out of phase. For oblique incidences the metamaterial arrays are shown to support a pure magnetic response at the same frequency band. Therefore, switchable electric and magnetic resonances are achieved in double-triangle arrays. Moreover, both the electric and magnetic resonances are shown to allow for a tunability over a large spectral range down to near-infrared. (condensed matter: electronic structure, electrical, magnetic, and optical properties)

A Universal Ts-VI Triangle Method for the Continuous Retrieval of Evaporative Fraction From MODIS Products

Science.gov (United States)

Zhu, Wenbin; Jia, Shaofeng; Lv, Aifeng

2017-10-01

The triangle method based on the spatial relationship between remotely sensed land surface temperature (Ts) and vegetation index (VI) has been widely used for the estimates of evaporative fraction (EF). In the present study, a universal triangle method was proposed by transforming the Ts-VI feature space from a regional scale to a pixel scale. The retrieval of EF is only related to the boundary conditions at pixel scale, regardless of the Ts-VI configuration over the spatial domain. The boundary conditions of each pixel are composed of the theoretical dry edge determined by the surface energy balance principle and the wet edge determined by the average air temperature of open water. The universal triangle method was validated using the EF observations collected by the Energy Balance Bowen Ratio systems in the Southern Great Plains of the United States of America (USA). Two parameterization schemes of EF were used to demonstrate their applicability with Terra Moderate Resolution Imaging Spectroradiometer (MODIS) products over the whole year 2004. The results of this study show that the accuracy produced by both of these two parameterization schemes is comparable to that produced by the traditional triangle method, although the universal triangle method seems specifically suited to the parameterization scheme proposed in our previous research. The independence of the universal triangle method from the Ts-VI feature space makes it possible to conduct a continuous monitoring of evapotranspiration and soil moisture. That is just the ability the traditional triangle method does not possess.

Vaal Triangle air pollution health study. Addressing South African problems

Energy Technology Data Exchange (ETDEWEB)

Terblanche, P.; Nel, R. [CSIR Environmental Services, Pretoria (South Africa); Surridge, T. [Dept. of Mineral and Energy Affairs (South Africa); Annegarn, H. [Annegarn Environmental Research, Johannesburg (South Africa); Tosen, G. [Eskom, Johannesburg (South Africa); Pols, A. [CSIR Informationtek, Pretoria (South Africa)

1995-12-31

Situated in the central region of South Africa, the Vaal Triangle is an area which plays a vital role in driving the economic dynamo of South Africa. Also, because of the concentration of heavy industry, it is an area which provides a challenge in effective air pollution control. The Vaal Triangle lies within the Vaal River Basin, at an altitude of 1 500 m above sea level. Meteorological conditions in the area are highly conducive to the formation of surface temperature inversions, resulting in a poor dispersion potential. Because of multiple sources of air pollution in the area, poor dispersion conditions increase the risk pollution build-up and subsequent adverse impacts. The situation is further exacerbated by the continued combustion of coal in households, even after the electrification of residences. This is particularly chronic in the developing communities and during winter. Vaal Triangle Air Pollution Health Study (VAPS) was initiated in 1990 by the Department of Health, the Medical Research Council and major industries in the area to determine effects of air pollution on the health of the community. The final results of that study summarised in this article, and options to ameliorate problems are addressed. (author)

Vaal Triangle air pollution health study. Addressing South African problems

Energy Technology Data Exchange (ETDEWEB)

Terblanche, P; Nel, R [CSIR Environmental Services, Pretoria (South Africa); Surridge, T [Dept. of Mineral and Energy Affairs (South Africa); Annegarn, H [Annegarn Environmental Research, Johannesburg (South Africa); Tosen, G [Eskom, Johannesburg (South Africa); Pols, A [CSIR Informationtek, Pretoria (South Africa)

1996-12-31

Situated in the central region of South Africa, the Vaal Triangle is an area which plays a vital role in driving the economic dynamo of South Africa. Also, because of the concentration of heavy industry, it is an area which provides a challenge in effective air pollution control. The Vaal Triangle lies within the Vaal River Basin, at an altitude of 1 500 m above sea level. Meteorological conditions in the area are highly conducive to the formation of surface temperature inversions, resulting in a poor dispersion potential. Because of multiple sources of air pollution in the area, poor dispersion conditions increase the risk pollution build-up and subsequent adverse impacts. The situation is further exacerbated by the continued combustion of coal in households, even after the electrification of residences. This is particularly chronic in the developing communities and during winter. Vaal Triangle Air Pollution Health Study (VAPS) was initiated in 1990 by the Department of Health, the Medical Research Council and major industries in the area to determine effects of air pollution on the health of the community. The final results of that study summarised in this article, and options to ameliorate problems are addressed. (author)

Remarks on the P{sub c} structures and triangle singularities

Energy Technology Data Exchange (ETDEWEB)

Guo, Feng-Kun [Chinese Academy of Science, CAS Key Laboratory of Theoretical Physics, Institute of Theoretical Physics, Beijing (China); Meissner, Ulf G. [Universitaet Bonn, Helmholtz-Institut fuer Strahlen- und Kernphysik and Bethe Center for Theoretical Physics, Bonn (Germany); Forschungszentrum Juelich, Institute for Advanced Simulation, Institut fuer Kernphysik and Juelich Center for Hadron Physics, Juelich (Germany); Nieves, Juan [Centro Mixto CSIC-Universidad de Valencia, Institutos de Investigacion de Paterna, Instituto de Fisica Corpuscular (IFIC), Valencia (Spain); Yang, Zhi [Universitaet Bonn, Helmholtz-Institut fuer Strahlen- und Kernphysik and Bethe Center for Theoretical Physics, Bonn (Germany)

2016-10-15

It was proposed that the narrow P{sub c}(4450) structure observed by the LHCb Collaboration in the reaction Λ{sub b} → J/ψpK might be due to a triangle singularity around the χ{sub c1}-proton threshold at 4.45 GeV. We discuss the occurrence of a similar triangle singularity in the J/ψp invariant mass distribution for the decay Λ{sub b} → J/ψpπ, which could explain the bump around 4.45 GeV in the data. More precise measurements of this process would provide valuable information towards an understanding of the P{sub c} structures. (orig.)

From the Triangle Inequality to the Isoperimetric Inequality

Indian Academy of Sciences (India)

Home; Journals; Resonance – Journal of Science Education; Volume 19; Issue 2. From the Triangle Inequality to the Isoperimetric Inequality. S Kesavan. General Article Volume 19 Issue 2 February 2014 pp 135-148. Fulltext. Click here to view fulltext PDF. Permanent link:

State of the Coral Triangle: Malaysia

OpenAIRE

Asian Development Bank (ADB)

2014-01-01

Malaysia has made a firm commitment to sustainable management and conservation of its coastal and marine resources, helping formulate and implement the Sulu–Sulawesi Marine Ecoregion Initiative and the Coral Triangle Initiative. Rapid economic growth, uncontrolled tourism development, unregulated fishing, and unsustainable use of marine resources have depleted the country’s fish stocks, lost nearly 36% of its mangrove forests, and increased the number of endangered species. Despite impressive...

Workshop on the CKM Unitarity Triangle

CERN Multimedia

Patrice Loïez

2002-01-01

The CKM Unitarity Triangle Workshop is meant to provide an opportunity for an intense and fruitful exchange of ideas between experimentalists and theorists to assess the present knowledge on fundamental parameters from the data of LEP and other colliders, to define an agenda of future measurements to further probe the model assumptions employed in the interpretation of the data and to indicate paths for the B physics programme at LHC.

Weakness and the Inability to Ambulate in a 14-Month-Old Female: A Case Report and Concise Review of Guillain-Barre Syndrome

Directory of Open Access Journals (Sweden)

Scott A. Bloch

2013-01-01

Full Text Available Guillain-Barre syndrome (GBS is an acquired disease of the peripheral nervous system which causes demyelination and leads to weakness, ataxia, and areflexia. There are a variety of forms of the syndrome, and although it is found in all age groups, it is rare in children less than two years of age. The present complaint of weakness, ataxia, or lower extremity pain in the pediatric population should cause the practitioner to consider GBS in the differential. We describe a case of a 14-month-old girl presenting with weakness and the inability to ambulate who was diagnosed with GBS. The purpose of this paper is to review the emergency medicine diagnosis and management of Guillain-Barre syndrome in children.

Transitory spinal cord swelling in a 6-year-old boy with Guillain-Barre syndrome

International Nuclear Information System (INIS)

Delhaas, T.; Kamphuis, D.J.; Witkamp, T.D.

1998-01-01

A 6-year-old boy developed progressive motor weakness and areflexia. The clinical picture, combined with electrophysiological findings, indicated a diagnosis of Guillain-Barre syndrome (GBS). MRI on admission revealed spinal cord swelling and increased signal intensity within the cord. It is concluded that, since a degree of central nervous system involvement can occasionally be part of the spectrum of GBS, swelling of the spinal cord without contrast enhancement does not exclude a diagnosis of GBS. (orig.)

Safety and efficacy of eculizumab in Guillain-Barré syndrome: a multicentre, double-blind, randomised phase 2 trial.

Science.gov (United States)

Misawa, Sonoko; Kuwabara, Satoshi; Sato, Yasunori; Yamaguchi, Nobuko; Nagashima, Kengo; Katayama, Kanako; Sekiguchi, Yukari; Iwai, Yuta; Amino, Hiroshi; Suichi, Tomoki; Yokota, Takanori; Nishida, Yoichiro; Kanouchi, Tadashi; Kohara, Nobuo; Kawamoto, Michi; Ishii, Junko; Kuwahara, Motoi; Suzuki, Hidekazu; Hirata, Koichi; Kokubun, Norito; Masuda, Ray; Kaneko, Juntaro; Yabe, Ichiro; Sasaki, Hidenao; Kaida, Ken-Ichi; Takazaki, Hiroshi; Suzuki, Norihiro; Suzuki, Shigeaki; Nodera, Hiroyuki; Matsui, Naoko; Tsuji, Shoji; Koike, Haruki; Yamasaki, Ryo; Kusunoki, Susumu

2018-06-01

Despite the introduction of plasmapheresis and immunoglobulin therapy, many patients with Guillain-Barré syndrome still have an incomplete recovery. Evidence from pathogenesis studies suggests the involvement of complement-mediated peripheral nerve damage. We aimed to investigate the safety and efficacy of eculizumab, a humanised monoclonal antibody against the complement protein C5, in patients with severe Guillain-Barré syndrome. This study was a 24 week, multicentre, double-blind, placebo-controlled, randomised phase 2 trial done at 13 hospitals in Japan. Eligible patients with Guillain-Barré syndrome were aged 18 years or older and could not walk independently (Guillain-Barré syndrome functional grade 3-5). Patients were randomly assigned (2:1) to receive 4 weeks of intravenous immunoglobulin plus either eculizumab (900 mg) or placebo; randomisation was done via a computer-generated process and web response system with minimisation for functional grade and age. The study had a parallel non-comparative single-arm outcome measure. The primary outcomes were efficacy (the proportion of patients with restored ability to walk independently [functional grade ≤2] at week 4) in the eculizumab group and safety in the full analysis set. For the efficacy endpoint, we predefined a response rate threshold of the lower 90% CI boundary exceeding 50%. This trial is registered with ClinicalTrials.gov, number, NCT02493725. Between Aug 10, 2015, and April 21, 2016, 34 patients were assigned to receive either eculizumab (n=23) or placebo (n=11). At week 4, the proportion of the patients able to walk independently (functional grade ≤2) was 61% (90% CI 42-78; n=14) in the eculizumab group, and 45% (20-73; n=5) in the placebo group. Adverse events occurred in all 34 patients. Three patients had serious adverse events: two in the eculizumab group (anaphylaxis in one patient and intracranial haemorrhage and abscess in another patient) and one in the placebo group (depression

Exploring fraud triangle in understanding ethics pre-cautionary: a ...

African Journals Online (AJOL)

Exploring fraud triangle in understanding ethics pre-cautionary: a Malaysian ... Journal of Fundamental and Applied Sciences ... Various reports on the involvement of government officials in fraud cases indicate the lacking of ethical systems.

Scaling Ratios and Triangles in Siegel Disks

DEFF Research Database (Denmark)

Buff, Xavier; Henriksen, Christian

1999-01-01

Let f(z)=e^{2i\\pi \\theta} + z^2, where \\theta is a quadratic irrational. McMullen proved that the Siegel disk for f is self-similar about the critical point, and we show that if \\theta = (\\sqrt{5}-1)/2 is the golden mean, then there exists a triangle contained in the Siegel disk, and with one...

Guillain-Barre syndrome complicating chikungunya virus infection.

Science.gov (United States)

Agarwal, Ayush; Vibha, Deepti; Srivastava, Achal Kumar; Shukla, Garima; Prasad, Kameshwar

2017-06-01

Chikungunya virus (CHIKV) is a mosquito-borne alphavirus which presents with symptoms of fever, rash, arthralgia, and occasional neurologic disease. While outbreaks have been earlier reported from India and other parts of the world, the recent outbreak in India witnessed more than 1000 cases. Various systemic and rarely neurological complications have been reported with CHIKV. We report two cases of Guillain-Barré syndrome (GBS) with CHIKV. GBS is a rare neurological complication which may occur after subsidence of fever and constitutional symptoms by several neurotropic viruses. We describe two cases of severe GBS which presented with rapidly progressive flaccid quadriparesis progressing to difficulty in swallowing and breathing. Both required mechanical ventilation and improved partly with plasmapharesis. The cases emphasize on (1) description of the rare complication in a setting of outbreak with CHIKV, (2) acute axonal as well as demyelinating neuropathy may occur with CHIKV, (3) accurate identification of this entity during outbreaks with dengue, both of which are vector borne and may present with similar complications.

Guillain Barre syndrome: the leading cause of acute flaccid paralysis in Hazara division.

Science.gov (United States)

Anis-ur-Rehman; Idris, Muhammad; Elahi, Manzoor; Jamshed; Arif, Adeel

2007-01-01

Acute flaccid paralysis (AFP) can be caused by a number of conditions. A common preventable cause is poliomyelitis which is still being reported in Pakistan, Guillain Barre Syndrome (GBS), also known as Acute Inflammatory Demyelinating Polyneuropathy, is another common cause of acute flaccid paralysis. It is important to recognize GBS in childhood as parents consider all acute flaccid paralysis to be due to poliomyelitis. The present study was designed to know the frequency of different causes of acute flaccid paralysis in Hazara division. This is a retrospective analysis of cases of acute flaccid paralysis reported from various districts of Hazara division during the period January 2003 to December 2004. Acute flaccid paralysis was diagnosed clinically through history and clinical examination. The underlying cause of acute flaccid paralysis was investigated by appropriate laboratory tests, such as serum electrolytes, cerebrospinal fluid analysis, electromyogram, nerve conduction study and stool culture for polio virus and other enteroviruses. Diagnosis of Poliomyelitis was confirmed by stool testing for poliovirus. 74 patients presented with AFP during the study period. 36 were male and 38 were female. Guillain Barre syndrome and enteroviral encephalopathy were the two leading causes of acute flaccid paralysis. Majority of the cases were reported from Mansehra district. Children of age groups 12 to 24 months and > 96 months constituted the majority (20% each). Guillian Barre syndrome was the leading cause of acute flaccid paralysis reported from various parts of Hazara division.

Topological chiral phonons in center-stacked bilayer triangle lattices

Science.gov (United States)

Xu, Xifang; Zhang, Wei; Wang, Jiaojiao; Zhang, Lifa

2018-06-01

Since chiral phonons were found in an asymmetric two-dimensional hexagonal lattice, there has been growing interest in the study of phonon chirality, which were experimentally verified very recently in monolayer tungsten diselenide (2018 Science 359 579). In this work, we find chiral phonons with nontrivial topology in center-stacked bilayer triangle lattices. At the Brillouin-zone corners, (), circularly polarized phonons and nonzero phonon Berry curvature are observed. Moreover, we find that the phonon chirality remain robust with changing sublattice mass ratio and interlayer coupling. The chiral phonons at the valleys are demonstrated in doubler-layer sodium chloride along the [1 1 1] direction. We believe that the findings on topological chiral phonons in triangle lattices will give guidance in the study of chiral phonons in real materials and promote the phononic applications.

Vertex Normals and Face Curvatures of Triangle Meshes

KAUST Repository

Sun, Xiang; Jiang, Caigui; Wallner, Johannes; Pottmann, Helmut

2016-01-01

This study contributes to the discrete differential geometry of triangle meshes, in combination with discrete line congruences associated with such meshes. In particular we discuss when a congruence defined by linear interpolation of vertex normals

Clinical association: Lyme disease and Guillain-Barre syndrome.

Science.gov (United States)

Patel, Kinner; Shah, Siddharth; Subedi, Dinesh

2017-10-01

Guillain-Barre Syndrome (GBS) is a life-threatening condition in which patients may present to the Emergency Department in respiratory distress leading to death. The early identification and treatment of such a condition is paramount in preventing mortality. While there are many infections associated with GBS, the association with Lyme disease is uncommon. Through our case we aim to highlight Borrelia burgdorferi as an important antecedent infection associated with the development of GBS. In this case we report a 31-year-old male who was diagnosed with Lyme disease and GBS with relevant clinical presentation including progressive numbness and weakness in bilateral hands and feet for the past 1week along with areflexia. Initiation of medical therapy with intravenous immunoglobulin and parenteral ceftriaxone resulted in resolution of his symptoms. The treatment of both diseases early can help prevent further central nervous complications leading to high morbidity and mortality. Copyright © 2017 Elsevier Inc. All rights reserved.

An Adult Case of Recurrent Guillain-Barré Syndrome with Anti-galactocerebroside Antibodies

Science.gov (United States)

Takahashi, Hisashi; Kimura, Tadashi; Yuki, Natsuko; Yoshioka, Akira

2017-01-01

A 79-year-old woman with a history of Guillain-Barré syndrome (GBS) developed somnolence and tetraparesis after pneumonia. Based on clinical and laboratory findings, she was diagnosed with complications of acute inflammatory demyelinating polyneuropathy (AIDP) and acute disseminated encephalomyelitis (ADEM). Anti-galactocerebroside (Gal-C) IgG antibodies were detected in her serum. Cases of recurrent GBS in patients who are positive for this antibody are extremely rare. The anti-Gal-C IgG antibodies likely played an important role in the pathogenesis of the AIDP and ADEM. PMID:29093388

Síndrome de Guillain-Barrè após varicela: relato de caso

Directory of Open Access Journals (Sweden)

Walter Oleschko Arruda

1987-12-01

Full Text Available Os autores relatam caso grave de síndrome de Guillain-Barré após quadro inicial de varicela em rapaz de 13 anos. Como complicações este paciente desenvolveu quadriplegia flácida com insuficiência respiratória, hipertensão arterial, taquicardia e importante neuropatía sensitiva periférica (disestesia dolorosa. Comenta-se a relação entre quadros virais benignos e o desenvolvimento de polirradiculoneurite aguda, assim como o possível mecanismo imunopatogênico envolvendo fatores humorais e celulares.

Visual Search for Wines with a Triangle on the Label in a Virtual Store

Directory of Open Access Journals (Sweden)

Hui Zhao

2017-12-01

Full Text Available Two experiments were conducted in a virtual reality (VR environment in order to investigate participants’ in-store visual search for bottles of wines displaying a prominent triangular shape on their label. The experimental task involved virtually moving along a wine aisle in a virtual supermarket while searching for the wine bottle on the shelf that had a different triangle on its label from the other bottles. The results of Experiment 1 revealed that the participants identified the bottle with a downward-pointing triangle on its label more rapidly than when looking for an upward-pointing triangle on the label instead. This finding replicates the downward-pointing triangle superiority (DPTS effect, though the magnitude of this effect was more pronounced in the first as compared to the second half of the experiment, suggesting a modulating role of practice. The results of Experiment 2 revealed that the DPTS effect was also modulated by the location of the target on the shelf. Interestingly, however, the results of a follow-up survey demonstrate that the orientation of the triangle did not influence the participants’ evaluation of the wine bottles. Taken together, these findings reveal how in-store the attention of consumers might be influenced by the design elements in product packaging. These results therefore suggest that shopping in a virtual supermarket might offer a practical means of assessing the shelf standout of product packaging, which has important implications for food marketing.

Visual Search for Wines with a Triangle on the Label in a Virtual Store.

Science.gov (United States)

Zhao, Hui; Huang, Fuxing; Spence, Charles; Wan, Xiaoang

2017-01-01

Two experiments were conducted in a virtual reality (VR) environment in order to investigate participants' in-store visual search for bottles of wines displaying a prominent triangular shape on their label. The experimental task involved virtually moving along a wine aisle in a virtual supermarket while searching for the wine bottle on the shelf that had a different triangle on its label from the other bottles. The results of Experiment 1 revealed that the participants identified the bottle with a downward-pointing triangle on its label more rapidly than when looking for an upward-pointing triangle on the label instead. This finding replicates the downward-pointing triangle superiority (DPTS) effect, though the magnitude of this effect was more pronounced in the first as compared to the second half of the experiment, suggesting a modulating role of practice. The results of Experiment 2 revealed that the DPTS effect was also modulated by the location of the target on the shelf. Interestingly, however, the results of a follow-up survey demonstrate that the orientation of the triangle did not influence the participants' evaluation of the wine bottles. Taken together, these findings reveal how in-store the attention of consumers might be influenced by the design elements in product packaging. These results therefore suggest that shopping in a virtual supermarket might offer a practical means of assessing the shelf standout of product packaging, which has important implications for food marketing.

Clinical Heterogeneity of Guillain-Barré Syndrome in the Emergency Department: Impact on Clinical Outcome

OpenAIRE

Athanasios Papathanasiou; Ioannis Markakis

2016-01-01

Guillain-Barr? syndrome (GBS) is mainly classified into acute inflammatory demyelinating polyneuropathy (AIDP) and acute motor axonal neuropathy (AMAN). Although diagnosis of GBS requires progressive weakness and universal areflexia or hyporeflexia, cases of GBS with preserved or increased deep tendon reflexes (DTRs) have been increasingly recognized. We report three cases of GBS, presenting at a single unit in six months. Our first case presented with pure sensory symptoms. The second case h...

Transitory spinal cord swelling in a 6-year-old boy with Guillain-Barre syndrome

Energy Technology Data Exchange (ETDEWEB)

Delhaas, T. [Section of Child Neurology, Wilhelmina Children`s Hospital, University Hospital for Children and Youth, Utrecht (Netherlands)]|[Department of Pediatrics, University Hospital Maastricht, P0 Box 5800, 6202 AZ Maastricht (Netherlands); Kamphuis, D.J. [Section of Child Neurology, Wilhelmina Children`s Hospital, University Hospital for Children and Youth, Utrecht (Netherlands); Witkamp, T.D. [Department of Radiology, University Hospital Utrecht, Utrecht (Netherlands)

1998-07-01

A 6-year-old boy developed progressive motor weakness and areflexia. The clinical picture, combined with electrophysiological findings, indicated a diagnosis of Guillain-Barre syndrome (GBS). MRI on admission revealed spinal cord swelling and increased signal intensity within the cord. It is concluded that, since a degree of central nervous system involvement can occasionally be part of the spectrum of GBS, swelling of the spinal cord without contrast enhancement does not exclude a diagnosis of GBS. (orig.) With 2 figs., 8 refs.

Lattice QCD inputs to the CKM unitarity triangle analysis

International Nuclear Information System (INIS)

Laiho, Jack; Lunghi, E.; Van de Water, Ruth S.

2010-01-01

We perform a global fit to the Cabibbo-Kobayashi-Maskawa unitarity triangle using the latest experimental and theoretical constraints. Our emphasis is on the hadronic weak matrix elements that enter the analysis, which must be computed using lattice QCD or other nonperturbative methods. Realistic lattice QCD calculations which include the effects of the dynamical up, down, and strange quarks are now available for all of the standard inputs to the global fit. We therefore present lattice averages for all of the necessary hadronic weak matrix elements. We attempt to account for correlations between lattice QCD results in a reasonable but conservative manner: whenever there are reasons to believe that an error is correlated between two lattice calculations, we take the degree of correlation to be 100%. These averages are suitable for use as inputs both in the global Cabibbo-Kobayashi-Maskawa unitarity triangle fit and other phenomenological analyses. In order to illustrate the impact of the lattice averages, we make standard model predictions for the parameters B-circumflex K , |V cb |, and |V ub |/|V cb |. We find a (2-3)σ tension in the unitarity triangle, depending upon whether we use the inclusive or exclusive determination of |V cb |. If we interpret the tension as a sign of new physics in either neutral kaon or B mixing, we find that the scenario with new physics in kaon mixing is preferred by present data.

Impact of Heterogeneity and Lattice Bond Strength on DNA Triangle Crystal Growth.

Science.gov (United States)

Stahl, Evi; Praetorius, Florian; de Oliveira Mann, Carina C; Hopfner, Karl-Peter; Dietz, Hendrik

2016-09-07

One key goal of DNA nanotechnology is the bottom-up construction of macroscopic crystalline materials. Beyond applications in fields such as photonics or plasmonics, DNA-based crystal matrices could possibly facilitate the diffraction-based structural analysis of guest molecules. Seeman and co-workers reported in 2009 the first designed crystal matrices based on a 38 kDa DNA triangle that was composed of seven chains. The crystal lattice was stabilized, unprecedentedly, by Watson-Crick base pairing. However, 3D crystallization of larger designed DNA objects that include more chains such as DNA origami remains an unsolved problem. Larger objects would offer more degrees of freedom and design options with respect to tailoring lattice geometry and for positioning other objects within a crystal lattice. The greater rigidity of multilayer DNA origami could also positively influence the diffractive properties of crystals composed of such particles. Here, we rationally explore the role of heterogeneity and Watson-Crick interaction strengths in crystal growth using 40 variants of the original DNA triangle as model multichain objects. Crystal growth of the triangle was remarkably robust despite massive chemical, geometrical, and thermodynamical sample heterogeneity that we introduced, but the crystal growth sensitively depended on the sequences of base pairs next to the Watson-Crick sticky ends of the triangle. Our results point to weak lattice interactions and high concentrations as decisive factors for achieving productive crystallization, while sample heterogeneity and impurities played a minor role.

From the Triangle Inequality to the Isoperimetric Inequality

Indian Academy of Sciences (India)

IAS Admin

Calculus of variations, shape optimization, isoperimetric prob- lems. Figure 1. Starting from the triangle inequality, we will dis- cuss a series of shape optimization problems us- ing elementary geometry and ultimately derive the classical isoperimetric inequality in the plane. One of the important results we learn in plane geom ...

A case of central nervous system vasculitis related to an episode of Guillain-Barrè syndrome

OpenAIRE

Sinardi, Daniele; Spada, Antonella; Marino, Antonella; Mondello, Epifanio

2000-01-01

The authors report their knowledge about an uncommon case of isolated vasculitis, restricted to the left sylvian artery during an auto-immune Guillain-Barrè syndrome (GBS), sustained by cytomegalovirus (CMV). An acute cardiopulmonary failure requiring a ventilator and vasopressor support manifested, notwithstanding plasma exchanging and immune-modulating therapy. An IgM-enriched formula administration coincided with a rapid amelioration of GBS and vasculitis to a complete recovery the next mo...

Three-coloring graphs with no induced seven-vertex path II : using a triangle

OpenAIRE

Chudnovsky, Maria; Maceli, Peter; Zhong, Mingxian

2015-01-01

In this paper, we give a polynomial time algorithm which determines if a given graph containing a triangle and no induced seven-vertex path is 3-colorable, and gives an explicit coloring if one exists. In previous work, we gave a polynomial time algorithm for three-coloring triangle-free graphs with no induced seven-vertex path. Combined, our work shows that three-coloring a graph with no induced seven-vertex path can be done in polynomial time.

Revisiting the Pink Triangle Exercise: An Exploration of Experiential Learning in Graduate Social Work Education

Science.gov (United States)

Pugh, Greg L.

2014-01-01

The pink triangle exercise is an example of an experiential learning exercise that creates cognitive dissonance and deep learning of unrealized internalized biases among social work students. Students wear a button with a pink triangle on it for 1 day and write a reflection paper. The exercise increases self-awareness, cultural competence, and the…

Assessing the plasmonics of gold nano-triangles with higher order laser modes

Directory of Open Access Journals (Sweden)

Laura E. Hennemann

2012-10-01

Full Text Available Regular arrays of metallic nano-triangles – so called Fischer patterns – are fabricated by nano-sphere lithography. We studied such gold nano-triangle arrays on silicon or glass substrates. A series of different samples was investigated with a parabolic mirror based confocal microscope where the sample is scanned through the laser focus. By employing higher order laser modes (azimuthally and radially polarised laser beams, we can excite the Fischer patterns using either a pure in-plane (x,y electric field or a strongly z-directional (optical axis of the optical microscope electric field. We collected and evaluated the emitted luminescence and thereby investigated the respectively excited plasmonic modes. These varied considerably: firstly with the light polarisation in the focus, secondly with the aspect ratio of the triangles and thirdly with the employed substrate. Moreover, we obtained strongly enhanced Raman spectra of an adenine (sub-monolayer on gold Fischer patterns on glass. We thus showed that gold Fischer patterns are promising surface-enhanced Raman scattering (SERS substrates.

Long-term impact after fulminant Guillain-Barré syndrome, case report and literature review

Directory of Open Access Journals (Sweden)

Rougé A

2016-11-01

Full Text Available Alain Rougé,1,2 Jérémie Lemarié,1,2 Sébastien Gibot,1,2 Pierre Edouard Bollaert1,2 1Medical Intensive Care Unit, Hôpital Central, University Hospital of Nancy, Nancy, France; 2INSERM UMRS-1116, Faculty of Medicine, University of Lorraine, Nancy, France Abstract: A 47-year-old man was admitted to the intensive care unit a few hours after ­presenting to emergency department with acute diplopia and dysphonia. Swallowing disorders and respiratory muscular weakness quickly required invasive ventilation. On day 3, the patient was in a “brain-death”-like state with deep coma and absent brainstem reflexes. Electroencephalogram ruled out brain death diagnosis as a paradoxical sleep trace was recorded. Cerebrospinal fluid analysis, electrophysiologic studies, and a recent history of diarrhea led to the diagnosis of Campylobacter jejuni-related fulminant Guillain-Barré syndrome (GBS mimicking brain death. The outcome was favorable after long Intensive Care Unit and inpatient rehabilitation stays, despite persistent disability at 9 years follow-up. This case and the associated literature review of 34 previously reported fulminant GBS patients emphasize the importance of electrophysiological investigations during clinical brain-death states with no definite cause. Fulminant GBS has a worse outcome than “standard” GBS with higher rates of severe disability (about 50%. Long-term physiotherapy and specific rehabilitation programs appear essential to improve recovery. Keywords: fulminant Guillain-Barré syndrome, brain death, electroencephalogram, C. jejuni, long-term follow 

Anesthetic management of a parturient with Guillain-Barre syndrome posted for emergency caesarian section

Directory of Open Access Journals (Sweden)

Abhijit Paul

2012-01-01

Full Text Available We report the anesthetic management of a case of Guillain-Barre syndrome in the 34 th week of gestation coming for an emergency Cesarean section. The perioperative anesthetic challenges have been discussed with emphasis on the medical and anesthetic management which includes the use of plasma-pheresis, intravenous gamma-globulin, and the safety of preservative free 0.75% isobaric ropivacaine, which was administered intrathecally in this difficult medical condition with excellent hemodynamic, maternal, and fetal outcome. The sensory and motor blocks achieved were well suited to the clinical risks and conditions.

The Mass-Longevity Triangle: Pareto Optimality and the Geometry of Life-History Trait Space

Science.gov (United States)

Szekely, Pablo; Korem, Yael; Moran, Uri; Mayo, Avi; Alon, Uri

2015-01-01

When organisms need to perform multiple tasks they face a fundamental tradeoff: no phenotype can be optimal at all tasks. This situation was recently analyzed using Pareto optimality, showing that tradeoffs between tasks lead to phenotypes distributed on low dimensional polygons in trait space. The vertices of these polygons are archetypes—phenotypes optimal at a single task. This theory was applied to examples from animal morphology and gene expression. Here we ask whether Pareto optimality theory can apply to life history traits, which include longevity, fecundity and mass. To comprehensively explore the geometry of life history trait space, we analyze a dataset of life history traits of 2105 endothermic species. We find that, to a first approximation, life history traits fall on a triangle in log-mass log-longevity space. The vertices of the triangle suggest three archetypal strategies, exemplified by bats, shrews and whales, with specialists near the vertices and generalists in the middle of the triangle. To a second approximation, the data lies in a tetrahedron, whose extra vertex above the mass-longevity triangle suggests a fourth strategy related to carnivory. Each animal species can thus be placed in a coordinate system according to its distance from the archetypes, which may be useful for genome-scale comparative studies of mammalian aging and other biological aspects. We further demonstrate that Pareto optimality can explain a range of previous studies which found animal and plant phenotypes which lie in triangles in trait space. This study demonstrates the applicability of multi-objective optimization principles to understand life history traits and to infer archetypal strategies that suggest why some mammalian species live much longer than others of similar mass. PMID:26465336

The Mass-Longevity Triangle: Pareto Optimality and the Geometry of Life-History Trait Space.

Science.gov (United States)

Szekely, Pablo; Korem, Yael; Moran, Uri; Mayo, Avi; Alon, Uri

2015-10-01

When organisms need to perform multiple tasks they face a fundamental tradeoff: no phenotype can be optimal at all tasks. This situation was recently analyzed using Pareto optimality, showing that tradeoffs between tasks lead to phenotypes distributed on low dimensional polygons in trait space. The vertices of these polygons are archetypes--phenotypes optimal at a single task. This theory was applied to examples from animal morphology and gene expression. Here we ask whether Pareto optimality theory can apply to life history traits, which include longevity, fecundity and mass. To comprehensively explore the geometry of life history trait space, we analyze a dataset of life history traits of 2105 endothermic species. We find that, to a first approximation, life history traits fall on a triangle in log-mass log-longevity space. The vertices of the triangle suggest three archetypal strategies, exemplified by bats, shrews and whales, with specialists near the vertices and generalists in the middle of the triangle. To a second approximation, the data lies in a tetrahedron, whose extra vertex above the mass-longevity triangle suggests a fourth strategy related to carnivory. Each animal species can thus be placed in a coordinate system according to its distance from the archetypes, which may be useful for genome-scale comparative studies of mammalian aging and other biological aspects. We further demonstrate that Pareto optimality can explain a range of previous studies which found animal and plant phenotypes which lie in triangles in trait space. This study demonstrates the applicability of multi-objective optimization principles to understand life history traits and to infer archetypal strategies that suggest why some mammalian species live much longer than others of similar mass.

Rates of convergence of Brezier net over triangles

International Nuclear Information System (INIS)

Feng Yuyu.

1986-12-01

It is well known (Farin, 1979) that the sequence of Bezier nets f-circumflex n (x) associated with Bernstein-Bezier surface over a triangle converges to the surface uniformly as n goes to infinity. In this paper the precise rates of convergence are given. The pointwise convergence result and saturation theorem are presented. (author). 7 refs

Guillain-Barré Syndrome with Absent Brainstem Reflexes: a Case Report

Directory of Open Access Journals (Sweden)

Susana Gordon Chaves

2014-02-01

Full Text Available A 41-year-old man was admitted to an intensive care unit following respiratory arrest. One day prior to admission, he had complaints of nausea and pain involving lower limbs. On the night of admission he developed diplopia, dysphagia, and rapidly progressive quadriparesis. He developed respiratory failure requiring mechanical lung ventilation 24 hours later. On the fifth day of hospital stay the patient became comatose with absent brainstem reflexes and appeared to be brain dead. The cerebrospinal fluid showed albuminocytological dissociation. The electroencephalogram revealed an alpha rhythmical activity. The electrophysiological evaluation revealed an inexcitability of all nerves. Guillain-Barré syndrome was suspected. With supportive treatment the patient had a remarkable recovery and now is able to independently conduct his daily activities.

Anti-Ganglioside antibodies in Guillain-Barre Syndrome : Do They indicate Prognosis?

Directory of Open Access Journals (Sweden)

Menon Ashok

2003-01-01

Full Text Available This study aimed to detect anti-ganglioside antibodies in the sera of patients with Guillain-Barre syndrome and correlate their presence with clinical features, electrophysiological studies and outcome. Twenty patients with GBS were evaluated clinically and electrophysiologically. Serological assays for antibodies against GM1, GD1a and GD1b gangliosides were carried out by ELISA, Twelve patients tested positive; two had antibodies against all three gangliosides, one against both GM1 and GD1a, one against GM1, GD1a or GD1b alone were seen in two, five and one patient respectively. No significant correlation was noted between the presence or type of antibody with clinical features, electrophysiological findings and outcome.

[Value of intravenous immunoglobulins. A case of Guillain-Barré syndrome].

Science.gov (United States)

Hidou, M; Olivier, J; Vivant, J F

1992-01-01

A case of severe Guillain-Barré syndrome (GBS) was treated with high dose intravenous immunoglobulin (IVIG), 400 mg.kg-1.days-1, over three consecutive days. The treatment was repeated once. We observed a time-related response between immunoglobulins administration and clinical improvement. The pathologic lesions of the GBS suggest that this syndrome has an immunologic basis: a humoral factor is probably not the only immunological mechanism and cellular mechanisms are also likely to be of importance. Specific mechanisms might also be present in GBS, such as anti-idiotypic suppression of autoantibodies, and elimination of circulating immune complexes. Treatment with IVIG might have several therapeutic advantages over plasmapheresis: IVIG is easily infused without any delay, is easily available and has been used widely without serious complications.

A mechanism for the downturn in inverse susceptibility in triangle-based frustrated spin systems

International Nuclear Information System (INIS)

Isoda, M

2008-01-01

A mechanism for the downturn of inverse magnetic susceptibility below an intermediate temperature, recently observed in many experiments, is proposed as an intrinsic feature of lattices with triangle-based frustrated geometries. The temperature at the bending of the inverse susceptibility curve may be related to the features of other thermodynamic properties; the hump of the specific heat and the emergence of a 1/3 plateau in magnetization under a magnetic field. This fact is derived through a Monte Carlo simulation study of the Ising model on triangular and kagome lattices, and the exact calculation for the single and small-sized triangle clusters, on both the Ising and Heisenberg models. These results may indicate the dominance of S(S z ) = 1/2 quantum (classical) trimer formation in the intermediate-energy regime in two-dimensional triangle-based lattices

New solutions of the star-triangle relation with discrete and continuous spin variables

OpenAIRE

Kels, Andrew P.

2015-01-01

A new solution to the star-triangle relation is given, for an Ising type model that involves interacting spins, that contain integer and real valued components. Boltzmann weights of the model are given in terms of the lens elliptic-gamma function, and are based on Yamazaki's recently obtained solution of the star-star relation. The star-triangle given here, implies Seiberg duality for the $4\\!-\\!d$ $\\mathcal{N}=1$ $S_1\\times S_3/\\mathbb{Z}_r$ index of the $SU(2)$ quiver gauge theory, and the ...

Guillain-Barre syndrome with posterior reversible encephalopathy syndrome

Directory of Open Access Journals (Sweden)

Basavaraj F Banakar

2014-01-01

Full Text Available Posterior reversible encephalopathy syndrome (PRES is a clinicoradiologic entity commonly associated with eclampsia, septicemia, chemotherapeutic drugs etc. Concurrent occurrence of Guillain-Barre syndrome (GBS with PRES is a rare entity. Dysautonomia is a proposed mechanism for such occurrence. Here we present a non-diabetic, non-hypertensive 63-year-old male patient, who came with acute onset flaccid quadriparesis, developing generalized seizures, altered sensorium and raised blood pressure on fifth day of illness. Magnetic resonance imaging (MRI of brain showed altered signal intensities involving the parieto-occipital areas suggestive of posterior reversible encephalopathy. Cerebrospinal fluid analysis showed albuminocytological dissociation, nerve conduction studies revealed demyelinating type of polyneuropathy. The patient was treated with antihypertensives and antiepileptics. After resolution of the encephalopathy, intravenous immunoglobulin (IVIg was given. The patient recovered gradually over few months. Our case concludes GBS as independent risk factor, for PRES may be secondary to dysautonomia and physicians should be aware of such rare coexistence so that early treatment can be done to reduce the mortality and morbidity.

Is Guillain-Barré syndrome different in Pakistan?

International Nuclear Information System (INIS)

Iqbal, W.; Sayed, M.; Butt, A.W.; Wali, S.W.; Ahmed, N.

2018-01-01

Objective: To assess clinical presentations and subtypes of Guillain-Barré Syndrome (GBS) in Pakistan. Study Design: Retrospective study. Place and Duration of Study: CMH Lahore, Abbotabad, Quetta & Armed Forces Institute of Rehabilitation Medicine form Jan 2007 to Feb 2015. Material and Methods: The relevant history, demographic features, clinical presentations and subtypes of GBS in 211 patients fulfilling the clinical and electrodiagnostic criteria were investigated. Results: The average age of the patients was 37.36 years (62.7% M, 37.3% F). Clinically 66.8%, 17.8% and 15.4% presented as ascending paralysis, simultaneous quadriparesis and paraparesis respectively. About 38.1% of the patients presented with cranial nerves involvement, 87.4% presented with areflexia while 59.5% reported pain. The GBS subtypes identified were acute inflammatory demyelinating polyneuropathy (21.9%), acute motor axonal neuropathy (38.9%), acute motor sensory axonal neuropathy (35.6%) and fisher syndrome (3.6%). Conclusion: The GBS presents in young, as an ascending paralysis, main subtypes of GBS in Pakistan are axonal and this highlights the importance of local management guidelines and preventive medicine. (author)

Concept of Triangle: Examples of Mathematical Abstraction in Two Different Contexts

Directory of Open Access Journals (Sweden)

Farida Nurhasanah

2017-02-01

Full Text Available In attempt to explain how students learning geometry in concept of triangle, this study explore the learning process of students and the process of solving geometry problems in the topic of triangle.  As known as one of the domain in school of mathematics, geometry has abstract notions to be learnt so that all those notions cannot be just transferred into students’ mind like a bunch of information that should be memorized. Students need to construct those concepts during their learning process. This process of knowledge construction can be considered as an abstraction process. This study aimed to qualitatively compare students’ abstraction process who learn topic of triangle in conventional method of teaching and in van Hiele model of teaching aided by Geometers’ sketchpad. Subjects of this study were junir high school students in grade 7. Based on the aims of this study, this is a qualitative study with grounded theory design. Data were collected through classroom observation, test, and task-based interview. Results of the study show that theoretical abstraction processes tend to dominate classrom with conventional method of teaching while classroom with van Hiele model of teaching aided by Geometers’ sketchpad accommodated empirical abstraction process of the students

Knowledge triangles in the Netherlands : an entrepreneurial ecosystem approach

NARCIS (Netherlands)

Stam, E.; Romme, A.G.L.; Roso, M.; van den Toren, J.P.; van der Starre, B.T.

2016-01-01

This is a study of the knowledge triangles of research-education-innovation in several Dutch regional ecosystems. It draws on case studies of the Amsterdam, Twente and Eindhoven regions as well as the analysis of secondary data regarding a larger set of regional ecosystems in the Netherlands.

Temporal profile of pain and other sensory manifestations in Guillain-Barre′ syndrome during ten days of hospitalization

OpenAIRE

K Karkare; Arun B Taly; Sanjib Sinha; S Rao

2011-01-01

Background: Focused studies on sensory manifestations, especially pain and paresthesia in Guillain-Barre′ (GB) syndrome are few and far between. Aim: To study the sensory manifestations in GB syndrome during 10 days of hospitalization with clinico-electrophysiological correlation. Materials and Methods: The study included 60 non-consecutive patients with GB syndrome, fulfilling National Institute of Neurological and Communicative Disorders and Stroke (NINCDS) criteria for GB syndrome. Data es...

Guillain-Barré syndrome- and Miller Fisher syndrome-associated Campylobacter jejuni lipopolysaccharides induce anti-GM1 and anti-GQ1b Antibodies in rabbits.

NARCIS (Netherlands)

M.A. de Klerk; H.P. Endtz (Hubert); B.C. Jacobs (Bart); J.D. Laman (Jon); F.G.A. van der Meché (Frans); P.A. van Doorn (Pieter); C.W. Ang (Wim)

2001-01-01

textabstractCampylobacter jejuni infections are thought to induce antiganglioside antibodies in patients with Guillain-Barre syndrome (GBS) and Miller Fisher syndrome (MFS) by molecular mimicry between C. jejuni lipopolysaccharides (LPS) and gangliosides. We used

Effects of daily living occupational therapy and resistance exercise on the activities of daily living and muscular fitness in Guillain-Barré syndrome: a case study.

Science.gov (United States)

Ko, Kwang-Jun; Ha, Gi-Chul; Kang, Seol-Jung

2017-05-01

[Purpose] The study aimed to investigate the effects of daily living occupational therapy and resistance exercise on the performance of activities of daily living and muscular fitness in a patient with Guillain-Barré syndrome. [Subject and Methods] A 35-year-old man was diagnosed with Guillain-Barré syndrome. He was hospitalized at A Hospital for 3 years, and was discharged from the hospital after he became able to execute daily life activities. After discharge, he performed daily occupational therapy and resistance exercise twice a week for 70 minutes per session for 12 weeks. Performance in the activities of daily living was assessed using the modified Barthel index, and muscular fitness was measured in terms of isokinetic muscular function using the Biodes system. [Results] The subject's Barthel index score improved from 54 points before the intervention to 62 points after 4 weeks, 69 points after 8 weeks, and 79 points after 12 weeks. In addition, his shoulder flexion and extension, knee flexion and extension, and lumbar flexion and extension were improved. [Conclusion] The present study suggests that daily living occupational therapy and resistance exercise are effective in improving the activities of daily living and muscular fitness in a patient recovering from Guillain-Barré syndrome.

Guillain-Barr? Syndrome: Prevalence and Long-Term Factors Impacting Bladder Function in an Australian Community Cohort

OpenAIRE

Amatya, Bhasker; Khan, Fary; Whishaw, Michael; Pallant, Julie F.

2013-01-01

Background and Purpose Urinary dysfunction is associated with significant morbidity in persons with Guillain-Barr? Syndrome (GBS). The aim of this study was to describe prevalence and long-term impact of bladder dysfunction on daily activities and quality of life (QoL) in persons in chronic phase of GBS and to examine the relationships between commonly used continence measures in this cohort. Methods Prospective cohort (n=66) following GBS treatment (1996-2009) was recruited from a tertiary h...

Diabetes mellitus may affect short-term outcome of Guillain-Barré syndrome.

Science.gov (United States)

Peric, Stojan; Bozovic, Ivo; Bjelica, Bogdan; Berisavac, Ivana; Stojiljkovic, Olivera; Basta, Ivana; Beslac-Bumbasirevic, Ljiljana; Rakocevic-Stojanovic, Vidosava; Lavrnic, Dragana; Stevic, Zorica

2017-06-01

We sought to determine influence of diabetes mellitus on Guillain-Barré syndrome (GBS) course and short-term prognosis. Among the 257 GBS patients included in this retrospective study, diabetes mellitus was present in 17%. The degree of disability at admission and on discharge was assessed according to the GBS Disability Scale (mild disability = 0-3, severe disability = 4-6). Even after correction for age, diabetes mellitus was significantly associated with more severe disability at nadir (odds ratio, OR = 3.4, p diabetes were significant predictors of severe disability at nadir (adjusted R 2 = 0.21, p diabetes mellitus affects short-term prognosis of GBS, independent of age. © 2017 Peripheral Nerve Society.

Visualization on triangle concept using Adobe Flash Professional SC6

Science.gov (United States)

Sagita, Laela; Ratih Kusumarini, Adha

2017-12-01

The purpose of this paper is to develop teaching aids using Adobe Flash Professional CS6 emphasize on Triangle concept. A new alternative way to deliver a basic concept in geometry with visualization is software Adobe Flash Professional CS 6. Research method is research and development with 5 phase of Ploom’s model, namely (1) preliminary, (2) design, (3) realization/ construction, (4) test, evaluation and revision, and 5) implementation. The results showed that teaching aids was valid, practice, and effective. Validity: expert judgement for material score is 3.95 and media expert judgement produce an average score of 3,2, both in the category are valid. Practically: the average of questionnaire response is 4,04 (good). Effectiveness: n-gain test value is 0,36 (medium). It concluded that developed of teaching aids using Adobe Flash CS6 on triangle can improve student achievement.

Performance Comparison Of Triangle Antenna of 60 GHz for 5G Wireless Communication Network

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Aishah A.S.

2017-01-01

Full Text Available In this paper microstrip triangle with slot antenna for 5G wireless communication network are proposed. The microstip triangle antenna is design and operating 60 GHz milimeter-wave frequency band and it's suitable for 5G wireless communication. The substrates are chosen in the design, which are RogerRT5880 with copper thickness 0.035 mm to analyze their effect toward milimeter-wave performance on the designed. The designed and analysis is performed by using CST Microwave Studio. The lowest return loss of the antenna is -24.75dB which is triangle with slot and the maximum gain obtained is 6.82 db at the 59.68GHz for this antenna. The antenna is considering the gain, return loss and size, the microstrip antenna can be a suitable candidate for the 5G wireless application for short range high speed communication.

Pose Self-Measurement of Noncooperative Spacecraft Based on Solar Panel Triangle Structure

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Jingzhou Song

2015-01-01

Full Text Available Aiming at the recognition and location of noncooperative spacecraft, this paper presents a monocular vision pose measurement method based on solar triangle structure. First of all, an autonomous recognition algorithm of feature structure based on sliding window Hough transformation (SWHT and inscribed circle of a triangle is proposed, and the image coordinates of feature points on the triangle can be obtained relying on this algorithm, combined with the P4P algorithm and the structure of spacecraft, calculating the relative pose of target expressed by rotation and translation matrix. The whole algorithm can be loaded into the prewritten onboard program, which will get the autocomplete feature structure extraction and relative pose measurement without human intervention, and this method does not need to mount any markers on the target. Then compare the measured values with the accurate value of the laser tracker, so that a conclusion can be drawn that the maximum position error is lower than 5% and the rotation error is lower than 4%, which meets the requirements of noncooperative spacecraft’s pose measurement for observations, tracking, and docking in the final rendezvous phase.

The Mass-Longevity Triangle: Pareto Optimality and the Geometry of Life-History Trait Space.

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Pablo Szekely

2015-10-01

Full Text Available When organisms need to perform multiple tasks they face a fundamental tradeoff: no phenotype can be optimal at all tasks. This situation was recently analyzed using Pareto optimality, showing that tradeoffs between tasks lead to phenotypes distributed on low dimensional polygons in trait space. The vertices of these polygons are archetypes--phenotypes optimal at a single task. This theory was applied to examples from animal morphology and gene expression. Here we ask whether Pareto optimality theory can apply to life history traits, which include longevity, fecundity and mass. To comprehensively explore the geometry of life history trait space, we analyze a dataset of life history traits of 2105 endothermic species. We find that, to a first approximation, life history traits fall on a triangle in log-mass log-longevity space. The vertices of the triangle suggest three archetypal strategies, exemplified by bats, shrews and whales, with specialists near the vertices and generalists in the middle of the triangle. To a second approximation, the data lies in a tetrahedron, whose extra vertex above the mass-longevity triangle suggests a fourth strategy related to carnivory. Each animal species can thus be placed in a coordinate system according to its distance from the archetypes, which may be useful for genome-scale comparative studies of mammalian aging and other biological aspects. We further demonstrate that Pareto optimality can explain a range of previous studies which found animal and plant phenotypes which lie in triangles in trait space. This study demonstrates the applicability of multi-objective optimization principles to understand life history traits and to infer archetypal strategies that suggest why some mammalian species live much longer than others of similar mass.

On the chromatic number of triangle-free graphs of large minimum degree

DEFF Research Database (Denmark)

Thomassen, Carsten

2002-01-01

We prove that, for each. fixed real number c > 1/3, the triangle-free graphs of minimum degree at least cn (where n is the number of vertices) have bounded chromatic number. This problem was raised by Erdos and Simonovits in 1973 who pointed out that there is no such result for c <1/3.......We prove that, for each. fixed real number c > 1/3, the triangle-free graphs of minimum degree at least cn (where n is the number of vertices) have bounded chromatic number. This problem was raised by Erdos and Simonovits in 1973 who pointed out that there is no such result for c

Pascal (Yang Hui) triangles and power laws in the logistic map

International Nuclear Information System (INIS)

Velarde, Carlos; Robledo, Alberto

2015-01-01

We point out the joint occurrence of Pascal triangle patterns and power-law scaling in the standard logistic map, or more generally, in unimodal maps. It is known that these features are present in its two types of bifurcation cascades: period and chaotic-band doubling of attractors. Approximate Pascal triangles are exhibited by the sets of lengths of supercycle diameters and by the sets of widths of opening bands. Additionally, power-law scaling manifests along periodic attractor supercycle positions and chaotic band splitting points. Consequently, the attractor at the mutual accumulation point of the doubling cascades, the onset of chaos, displays both Gaussian and power-law distributions. Their combined existence implies both ordinary and exceptional statistical-mechanical descriptions of dynamical properties. (paper)

Uniform phases in fluids of hard isosceles triangles: One-component fluid and binary mixtures

Science.gov (United States)

Martínez-Ratón, Yuri; Díaz-De Armas, Ariel; Velasco, Enrique

2018-05-01

We formulate the scaled particle theory for a general mixture of hard isosceles triangles and calculate different phase diagrams for the one-component fluid and for certain binary mixtures. The fluid of hard triangles exhibits a complex phase behavior: (i) the presence of a triatic phase with sixfold symmetry, (ii) the isotropic-uniaxial nematic transition is of first order for certain ranges of aspect ratios, and (iii) the one-component system exhibits nematic-nematic transitions ending in critical points. We found the triatic phase to be stable not only for equilateral triangles but also for triangles of similar aspect ratios. We focus the study of binary mixtures on the case of symmetric mixtures: equal particle areas with aspect ratios (κi) symmetric with respect to the equilateral one, κ1κ2=3 . For these mixtures we found, aside from first-order isotropic-nematic and nematic-nematic transitions (the latter ending in a critical point): (i) a region of triatic phase stability even for mixtures made of particles that do not form this phase at the one-component limit, and (ii) the presence of a Landau point at which two triatic-nematic first-order transitions and a nematic-nematic demixing transition coalesce. This phase behavior is analogous to that of a symmetric three-dimensional mixture of rods and plates.

Metrical relationships in a standard triangle in an isotropic plane

OpenAIRE

Kolar-Šuper, R.; Kolar-Begović, Z.; Volenec, V.; Beban-Brkić, J.

2005-01-01

Each allowable triangle of an isotropic plane can be set in a standard position, in which it is possible to prove geometric properties analytically in a simplified and easier way by means of the algebraic theory developed in this paper.

"The Dreaded Black Triangle" - Orthodontics : The Choice

Directory of Open Access Journals (Sweden)

P Janardhanam

2010-01-01

The black triangle that resulted due to orthodontic treatment in a 15 year old female patient had been alleviated by using both orthodontic and periodontic means. This report explains the various treatment modalities that can be adopted to avoid embarrassing post-treatment results. Several methods of managing patients with gingival diastemas exist, but the interdisciplinary aspects of treatment must be emphasized to achieve best results. The orthodontist can play a significant role in helping to manage these cases.

STRATEGIC PLACE TRIANGLE PENGEMBANGAN POTENSI KAWASAN PARIWISATA BOJONEGERO

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Muchammad Nurif

2015-06-01

Full Text Available Kabupaten Bojonegoro ditetapkan sebagai salah satu Daerah Tujuan Wisata (DTW di Jawa Timur karena memiliki potensi obyek wisata alam dan budaya yang telah mendapatkan perhatian wisatawan nusantara pada umumnya. Dalam kebijakan pengembangan yang tertuang dalam Rencana Induk Pengembangan Pariwisata (RIPP Jawa Timur 1999-2015 Kabupaten Bojonegoro meskipun bukan sebagai gerbang utama namun memiliki peran strategis untuk mendorong pertumbuhan kawasan di sekitarnya. Dalam penelitian, peneliti melakukan pemetakan perubahan lingkungan eksternal, pemetakan pesaing dan pelanggan, analisis internal, dan analisis TOWS. Selanjutnya akan dirumuskan Strategic Place Triangle. Yang dimaksud dengan Strategic Place Triangle adalah suatu pendekatan strategi pemasaran wilayah yang mencakup tiga hal kunci, yaitu (1 Strategi yang mencakup Segmentasi-Targeting-Positioning, (2 Taktik yang mencakup Diferensiasi-Marketing Mix-Selling, (3 Value yang mencakup Brand-Servis-Proses. Analisis pemetaan terhadap lingkungan eksternal dan internal dengan menggunakan pendekatan Strategi Pemasaran Wilayah (Marketing Places tersebut akan menghasilkan Positioning, Diferensiasi, dan Brand, bagi potensi kawasan pariwisata Bojonegoro. Positioning- nya adalah ibarat Bali bagi Jawa Timur dengan kekhasan tetap memegang nilai-nilai religi dan kultur lokal setempat. Diferensiasi-nya adalah one-stop-shopping services, pesona wisata yang tak berakhir, cantik alami, penduduknya yang santun, ramah dan mempesona. Brand-nya adalah Pesona Wisata Bojonegoro.

The Abstraction Ability in Constructing Relation Within Triangles by The Seventh Grade Students of Junior High School

Science.gov (United States)

Annas, Suwardi; Djadir; Mutmainna Hasma, Sitti

2018-01-01

on is an activity to organize a mathematical concept that has been previously owned into a new mathematical structure. Activites in abstraction are recognizing, organizing and constructing. Recognizing is a process of identifying a mathematical structure that had existed before. Organizing is a process of using structural knowledge to be assembled into a solution of a problem and constructing is a process of organizing the characteristics of the object into a new structure that does not exist. In abstraction process, the students use attributes to address the object, including routine attribute, nonroutine attributes, and meaningless attributes. This research applied descriptive qualitative research which aimed to describe the abstraction ability of students from high, moderate, and low groups to construct a relation within triangle. In collecting the data, this research used students’ pre-ability math test, abstraction test, and guided interview. The sampling technique in this research was based on the students’ scores in pre-ability math test, which were divided into three groups. Two students from each group were opted as the subjects of this research. Questions of the test are based on the indicators of steps in abstraction activity. Thus, based on the data gained in this research, researcher determined the tendency of attributes used in each abstraction activity. The result of this research revealed that students from high, moderate and low groups were prone to use routine attributes in recognizing triangles. In organizing the characteristics within triangles, high group tended to organize the triangle correctly, while the moderate and low groups tended to organize the triangle incorrectly. In constructing relation within triangles, students in high, moderate and low groups construct it incompletely.

Clinical case of Successful Treatment by Antiviral Preparations of a Patient with Guillain — Barre Syndrome

Directory of Open Access Journals (Sweden)

E.Yu. Vinnyk

2015-11-01

Full Text Available There is described a clinical case of treatment of patients with acute Guillain — Barre syndrome of significant viral etiology. It was used the complex therapy with antiviral drugs according to the recommendations of the infectious disease specialist. In addition to basic therapy and plasma depletion, there were prescribed the preparation of acyclic nucleosides group, interferon and normal human immunoglobulin. The age of the latter significantly reduced the period of recovery of the patient and allow avoid complications.

Decompositions, partitions, and coverings with convex polygons and pseudo-triangles

NARCIS (Netherlands)

Aichholzer, O.; Huemer, C.; Kappes, S.; Speckmann, B.; Tóth, Cs.D.

2007-01-01

We propose a novel subdivision of the plane that consists of both convex polygons and pseudo-triangles. This pseudo-convex decomposition is significantly sparser than either convex decompositions or pseudo-triangulations for planar point sets and simple polygons. We also introduce pseudo-convex

Síndrome de Guillain Barré en pediatría Guillain-Barré syndrome in pediatrics

Directory of Open Access Journals (Sweden)

Ricardo Erazo Torricelli

2009-01-01

Full Text Available Este trabajo revisa el conocimiento actual sobre el síndrome de Guillain-Barré (SGB en niños. El SGB se define como una parálisis flácida arrefléxica aguda y se clasifica en 4 subgrupos: polirradiculopatía aguda inflamatoria desmielinizante (AIDP, neuropatía axonal sensitivo-motora aguda (AMSAN, neuropatía axonal motora aguda (AMAN y síndrome de Miller-Fisher (SMF. La AIDP se asocia en un 30-50% a compromiso de pares craneales, lo cual no se observa en la AMAN. El SMF se caracteriza por ataxia, oftalmoplejía y arreflexia, pero puede presentar también compromiso de pares craneales. Datos recientes de la anatomía patológica y la fisiopatología del SGB destacan la importancia de la infección por Campylobacter jejuni en la generación de anticuerpos anti-gangliósidos (GM1 en AIDP, GQ1b en SMF y GD1a en AMAN que lesionan la mielina en AIDP y SMF y el axón en AMAN. El diagnóstico diferencial debe descartar enfermedades del sistema nervioso central (SNC (encefalitis, encefalomielitis, mielitis, síndromes miasténicos, neuropatías tóxicas por metales pesados, fármacos, substancias químicas o toxinas animales y cuadros miopáticos, especialmente la miositis aguda infecciosa benigna y la neuromiopatía del paciente en la unidad de cuidados intensivos. Es importante el tratamiento con inmunoglobulina en dosis total de 2 gramos por kilogramo a administrar en 48 horas. La plasmaféresis puede ser igualmente eficaz. El SGB tiene buen pronóstico en niños, con una recuperación total en el 85% de los casos. La rehabilitación es fundamental para lograr una recuperación más rápida e integral.This paper reviews the current knowledge about Guillain- Barré syndrome (GBS. GBS is defined as an acute, areflexic, flaccid paralysis, which is classified into 4 subgroups: acute inflammatory demyelinating polyneuropathy (AIDP, acute motor-sensory axonal neuropathy (AMSAN, acute motor axonal neuropathy (AMAN and Miller-Fisher syndrome (MFS

International collaboration to assess the risk of Guillain Barre Syndrome following Influenza A (H1N1) 2009 monovalent vaccines

NARCIS (Netherlands)

Dodd, Caitlin N.; Romio, Silvana A.; Black, Steven; Vellozzi, Claudia; Andrews, Nick; Sturkenboom, Miriam; Zuber, Patrick; Hua, Wei; Bonhoeffer, Jan; Buttery, Jim; Crawford, Nigel; Deceuninck, Genevieve; de Vries, Corinne; De Wals, Philippe; Gutierrez-Gimeno, M. Victoria; Heijbel, Harald; Hughes, Hayley; Hur, Kwan; Hviid, Anders; Kelman, Jeffrey; Kilpi, Tehri; Chuang, S. K.; Macartney, Kristine; Rett, Melisa; Lopez-Callada, Vesta Richardson; Salmon, Daniel; Sanchez, Francisco Gimenez; Sanz, Nuria; Silverman, Barbara; Storsaeter, Jann; Thirugnanam, Umapathi; van der Maas, Nicoline; Yih, Katherine; Zhang, Tao; Izurieta, Hector

2013-01-01

Background: The global spread of the 2009 novel pandemic influenza A (H1N1) virus led to the accelerated production and distribution of monovalent 2009 Influenza A (H1N1) vaccines (pH1N1). This pandemic provided the opportunity to evaluate the risk of Guillain-Barre syndrome (GBS), which has been an

A Dissimilarity Measure for Clustering High- and Infinite Dimensional Data that Satisfies the Triangle Inequality

Science.gov (United States)

Socolovsky, Eduardo A.; Bushnell, Dennis M. (Technical Monitor)

2002-01-01

The cosine or correlation measures of similarity used to cluster high dimensional data are interpreted as projections, and the orthogonal components are used to define a complementary dissimilarity measure to form a similarity-dissimilarity measure pair. Using a geometrical approach, a number of properties of this pair is established. This approach is also extended to general inner-product spaces of any dimension. These properties include the triangle inequality for the defined dissimilarity measure, error estimates for the triangle inequality and bounds on both measures that can be obtained with a few floating-point operations from previously computed values of the measures. The bounds and error estimates for the similarity and dissimilarity measures can be used to reduce the computational complexity of clustering algorithms and enhance their scalability, and the triangle inequality allows the design of clustering algorithms for high dimensional distributed data.

Peripheral nerve P2 basic protein and the Guillain-Barre syndrome : In vitro demonstration of P2-specific antibody-secreting cells

NARCIS (Netherlands)

Luijten, J.A.F.M.; Jong, W.A.C. de; Demel, R.A.; Heijnen, C.J.; Ballieux, R.E.

1984-01-01

An immune response to the peripheral nerve basic protein P2 may be operative in the pathogenesis of the Guillain-Barré syndrome (GBS). A method is described for the purification of P2 of human origin. Purified P2 was used to investigate whether lymphocytes derived from peripheral blood of GBS

Pre-Metric Spaces Along with Different Types of Triangle Inequalities

Directory of Open Access Journals (Sweden)

Hsien-Chung Wu

2018-05-01

Full Text Available The T 1 -spaces induced by the pre-metric spaces along with many forms of triangle inequalities are investigated in this paper. The limits in pre-metric spaces are also studied to demonstrate the consistency of limit concept in the induced topologies.

Increase in cases of Guillain-Barré syndrome during a Chikungunya outbreak, French Polynesia, 2014 to 2015.

Science.gov (United States)

Oehler, Erwan; Fournier, Emmanuel; Leparc-Goffart, Isabelle; Larre, Philippe; Cubizolle, Stéphanie; Sookhareea, Chantal; Lastère, Stéphane; Ghawche, Frédéric

2015-01-01

During the recent chikungunya fever outbreak in French Polynesia in October 2014 to March 2015, we observed an abnormally high number of patients with neurological deficit. Clinical presentation and complementary exams were suggestive of Guillain-Barré syndrome (GBS) for nine patients. All nine had a recent dengue-like syndrome and tested positive for chikungunya virus (CHIKV) in serology or RT-PCR. GBS incidence was increased four- to nine-fold during this period, suggesting a link to CHIKV infection.

Headache and Pain in Guillain-Barré Syndrome.

Science.gov (United States)

Farmakidis, Constantine; Inan, Seniha; Milstein, Mark; Herskovitz, Steven

2015-08-01

While moderate and severe back or extremity pain is frequent in Guillain-Barré syndrome (GBS), headache appears to be uncommon. Most of the reports of headache in GBS place it in the context of the posterior reversible encephalopathy syndrome (PRES) which is increasingly recognized as a likely dysautonomia-related GBS complication. There are also a few reports of headache in the setting of increased CSF pressure and papilledema and in association with the Miller Fisher GBS variant. In comparison, back and extremity pain is highly prevalent. Aching muscle pain and neuropathic pain are the two most common of several pain types. Pain may be a heralding feature and has been described in patients as long as 2 years after disease onset. Pain management is a major axis of treatment in GBS. Gabapentin is a reasonable first-line choice, and opioid medications can be added for more severe pain but there are few clinical trials to inform specific recommendations. While the understanding of pain pathophysiology in GBS is incomplete, its prevalence and clinical impact are increasingly recognized and studied. Pain should be considered a cardinal manifestation of GBS along with acute, mostly symmetric weakness and diminished reflexes.

Outcomes on the pharmacopsychometric triangle in bupropion-SR vs. buspirone augmentation of citalopram in the STAR*D trial

DEFF Research Database (Denmark)

Bech, P; Fava, Maurizio; Trivedi, M H

2012-01-01

vs. buspirone in the acute therapy of major depression in the STAR*D study. The triangle provides a composite view in three domains of antidepressive activity, side effects, and quality of life. Method: Within the pharmacopsychometric triangle, the short six-item subscales of the Hamilton Depression...

Numerical problems with the Pascal triangle in moment computation

Czech Academy of Sciences Publication Activity Database

Kautsky, J.; Flusser, Jan

2016-01-01

Roč. 306, č. 1 (2016), s. 53-68 ISSN 0377-0427 R&D Projects: GA ČR GA15-16928S Institutional support: RVO:67985556 Keywords : moment computation * Pascal triangle * appropriate polynomial basis * numerical problems Subject RIV: JD - Computer Applications, Robotics Impact factor: 1.357, year: 2016 http://library.utia.cas.cz/separaty/2016/ZOI/flusser-0459096.pdf

International collaboration to assess the risk of Guillain Barré Syndrome following Influenza A (H1N1) 2009 monovalent vaccines

NARCIS (Netherlands)

C. Dodd (Caitlin); S.A. Romio (Silvana); S. Black (Steve); C. Vellozzi (Claudia); N.J. Andrews (Nick); M.C.J.M. Sturkenboom (Miriam); P. Zuber (Patrick); W. Hua (Wei); J. Bonhoeffer (Jan); J. Buttery (Jim); N. Crawford (Nigel); G. Deceuninck (Genevieve); C.S. de Vries (Corinne); P. de Wals (Philippe); D. Gimeno (David); H. Heijbel (Harald); H. Hughes (Hayley); K. Hur (Kwan); A. Hviid (Anders); J. Kelman (Jeffrey); T. Kilpi (Tehri); S.K. Chuang (S.); T. Macartney (Thomas); M. Rett (Melisa); V.R. Lopez-Callada (Vesta Richardson); D. Salmon (Daniel); F.G. Sanchez (Francisco Gimenez); N. Sanz (Nuria); B. Silverman (Bernard); J. Storsaeter (Jann); U. Thirugnanam (Umapathi); N.A.T. van der Maas (Nicoline); K. Yih (Katherine); T. Zhang (Teng Fei); H.S. Izurieta (Hector); B.J. Addis; A. Akhtar (Aysha); J. Cope (Judith); R.L. Davis (Robert); P. Gargiullo (Paul); X. Kurz (Xavier); B. Law (Barbara); I. Sahinovic (Isabelle); J. Tokars (Jerry); P. Serrano (Pedro); A. Cheng (Aixin); N.J. Andrews (Nick); P. Charles (Pat); H. Clothier (Hazel); B. Day (Bruce); T. Day (Timothy); P. Gates (Peter); R. MacDonnell (Richard); L. Roberts (Les); V. Rodriguez-Casero (Vic-toria); T. Wijeratne (Tissa); H.A.L. Kiers (Henk); C. Blyth (Christopher); R. Booy (Robert); E. Elliott (Elizabeth); M.R. Gold (Michael); H. Marshall; P. McIntyre (Peter); P. Richmond (Peter); J. Royle (Jenny); N.W. Wood (Nicholas); Y. Zurynski (Yvonne); G. Calvo (Gonzalo); M. Campins (Magda); N. Corominas (Nuria); F. Torres (Ferran); V. Valls; A. Vilella (Ángels); A. Dutra (Amalia); A. Eick-Cost (Angelia); H.M. Jackson (Henry); K. Garman (Katherine); Z. Hu (Zheng); J. Rigo; J. Badoo (Judith); D Cho (David); L.L. Polakowski (Laura); S.K. Sandhu (Sukhminder); G. Sun (Guoying); H.-S.S. Chan (Hoi-Shan Sophelia); K.-Y. Chan (Kwok-Yin); R. Cheung (Raymond); Y-F. Cheung (Yuk-Fai); S. Cherk (Sharon); S.K Chuang (S.); D. Fok (Dennis); B.-H. Fung (Bun-Hey); K.-F. Ko (Kwai-Fu); K.W. Lau (Ka Wing); K.-K. Lau (Kwok-Kwong); P. Li (Pulin); H.-T. Liu (Hui-Tung); S.-H. Liu (Shao-Haei); K. Mok (Kin); J. So (Joanna); W. Wong (Winnie); S.-P. Wu (Shun-Ping); V. Avagyan (Vardan); R. Ball (Robert); D. Burwen (Dale); R.L. Franks (Riley); J.M. Gibbs (Jonathan); R.E. Kliman (Rebecca); S. Kropp (Silke); T.E. MaCurdy (Thomas); D.B. Martin (David); S.-D.K. Sandhu (Sukhmin-Der); B.B. Worrall (Bradford B.); D.E.F. Fuentes (Dra. Elvira Fuentes); P.C.O. González (Paola Carolina Ojeda); V.F. Reyna (Valerie ); M. Kulldorff (Martin); G. Lee (Grace); T.A. Lieu (Tracy); S. Platt; G.D. Serres (Gaston De); K. Jabin (Kamilah); B.L.S. Soh (Bee Leng Sally); L. Arnheim-Dahlström (Lisen); A. Castot (Anne); H.E. de Melker (Hester); J.P. Dieleman (Jeanne); J. Hallgren (Jonal); B.C. Jacobs (Bart); K. Johansen (Kari); P Kramarz (Piotr); M. Lapeyre (Maryse); T. Leino (Tuija); D. Mølgaard-Nielsen (Ditte); M. Mosseveld (Mees); H.K. Olberg (Henning K); C.-M. Sammon (Cor-Mac); C. Saussier (Christel); M.J. Schuemie (Martijn); A. Sommet (Agnès); P. Sparen (Pär); H. Svanström (Henrik); A.M. Vanrolleghem (Ann M.); D.M. Weibel (Daniel); J.D. Domingo (Javier Diez); J.L. Esparza (José LuísMicó); R.M.O. Lucas (Rafael M. Ortí); J.B.M. Maseres (Juan B. Mollar); J.L.A. Sánchez (José Luís Alfonso); M.G. Sánchez (Mercedes Garcés); V.Z. Viguer (Vicente Zanón); F. Cunningham (Francesca); B. Thakkar (Bharat); R. Zhang (Rongping)

2013-01-01

textabstractBackground: The global spread of the 2009 novel pandemic influenza A (H1N1) virus led to the accelerated production and distribution of monovalent 2009 Influenza A (H1N1) vaccines (pH1N1). This pandemic provided the opportunity to evaluate the risk of Guillain-Barré syndrome (GBS), which

The Effect of Internet-Based Education on Student Success in Teaching of 8th Grade Triangles Subject

Science.gov (United States)

Kaya, Deniz; Kesan, Cenk; Izgiol, Dilek

2013-01-01

In the study, it was researched the effect of internet-based application on student success. Internet-based application was used at the teaching of triangles subject which is included in 8th grade units of triangles and algebra. The study was carried out over the internet with a computer software program: Vitamin Program. The study was carried out…

[Cysts in the posterior triangle of the neck in adults].

Science.gov (United States)

Brea-Álvarez, Beatriz; Roldán-Hidalgo, Amaya

2015-01-01

Cystic lesions of the posterior triangle are a pathologic entity whose diagnosis is made in the first two years of life. Its presentation in adulthood is an incidental finding and the differential diagnosis includes cystic lymphangioma, lymphatic metastasis of thyroid cancer and branchial cyst. Often with the finding of a cervical lump, FNA is made before diagnostic imaging is performed, however, this procedure is not always advisable. We reviewed the cases of patients who came last year to our department with a cystic mass in this location and correlating the imaging findings with pathologic specimen. We show characteristic findings of these lesions in order to make an early diagnosis and thus to get the approach and treatment appropriate of adult patients with a cystic lesion in the posterior cervical triangle. Copyright © 2013 Elsevier España, S.L.U. y Sociedad Española de Otorrinolaringología y Patología Cérvico-Facial. All rights reserved.

Guillain-Barre Syndrome in Postpartum Period: Rehabilitation Issues and Outcome - Three Case Reports.

Science.gov (United States)

Gupta, Anupam; Patil, Maitreyi; Khanna, Meeka; Krishnan, Rashmi; Taly, Arun B

2017-01-01

We report three females who developed Guillain-Barre Syndrome in postpartum period (within 6 weeks of delivery) and were admitted in the Neurological Rehabilitation Department for rehabilitation after the initial diagnosis and treatment in the Department of Neurology. The first case, axonal variant (acute motor axonal neuropathy [AMAN]) had worst presentation at the time of admission, recovered well by the time of discharge. The second case, acute motor sensory axonal neuropathy variant and the third case, AMAN variant presented at the late postpartum period. Medical treatment was sought much later due to various reasons and both the patients had an incomplete recovery at discharge. Apart from their presentations, rehabilitation management is also discussed in some detail.

Guillain-Barre syndrome caused by hepatitis E infection: case report and literature review.

Science.gov (United States)

Zheng, Xiaoqin; Yu, Liang; Xu, Qiaomai; Gu, Silan; Tang, Lingling

2018-01-23

Hepatitis E infection is a global disorder that causes substantial morbidity. Numerous neurologic illnesses, including Guillain-Barre syndrome (GBS), have occurred in patients with hepatitis E virus (HEV) infection. We report a 58 year-old non-immunocompromised man who presented with progressive muscle weakness in all extremities during an episode of acute HEV infection, which was confirmed by measuring the anti-HEV IgM antibodies in the serum. Both cerebrospinal fluid examination and electrophysiological study were in agreement with the diagnosis of HEV-associated GBS. Following the treatment with intravenous immunoglobulin, the patient's neurological condition improved rapidly. HEV infection should be strongly considered in patients with neurological symptoms, especially those with elevated levels of liver enzymes.

Prevalence of Guillain-Barré syndrome among Zika virus infected cases: a systematic review and meta-analysis

Directory of Open Access Journals (Sweden)

Ludovica Barbi

2018-03-01

Full Text Available Zika virus (ZIKV is an emergent flavivirus transmitted mainly through Aedes spp. mosquitoes that is posing challenge to healthcare services in countries experiencing an outbreak. Usually ZIKV infection is mild, but in some cases it has been reported to progress into neurological diseases such as microcephaly in infants and Guillain-Barré syndrome (GBS in adults. GBS is a debilitating autoimmune disorder that affects peripheral nerves. Since ZIKV caused massive outbreaks in South America in the past few years, we aimed to systematically review the literature and perform a meta-analysis to estimate the prevalence of GBS among ZIKV-infected individuals. We searched PubMed and Cochrane databases and selected three studies for a meta-analysis. We estimated the prevalence of ZIKV-associated GBS to be 1.23% (95% CI = 1.17–1.29%. Limitations include paucity of data regarding previous flavivirus infections and ZIKV-infection confirmation issues. Our estimate seems to be low, but cannot be ignored, since ZIKV outbreaks affects an overwhelming number of individuals and GBS is a life-threatening debilitating condition, especially in pregnant women. ZIKV infection cases must be closely followed to assure prompt care to reduce the impact of GBS associated-sequelae on the quality of life of those affected. Keywords: Arboviruses, Zika virus, Guillain-Barré syndrome, Epidemiology, Emergent diseases

An Interactive Control Algorithm Used for Equilateral Triangle Formation with Robotic Sensors

Science.gov (United States)

Li, Xiang; Chen, Hongcai

2014-01-01

This paper describes an interactive control algorithm, called Triangle Formation Algorithm (TFA), used for three neighboring robotic sensors which are distributed randomly to self-organize into and equilateral triangle (E) formation. The algorithm is proposed based on the triangular geometry and considering the actual sensors used in robotics. In particular, the stability of the TFA, which can be executed by robotic sensors independently and asynchronously for E formation, is analyzed in details based on Lyapunov stability theory. Computer simulations are carried out for verifying the effectiveness of the TFA. The analytical results and simulation studies indicate that three neighboring robots employing conventional sensors can self-organize into E formations successfully regardless of their initial distribution using the same TFAs. PMID:24759118

Hepatit A'ya Bağlı Guillain-Barre Sendromu: Nadir Bir Birliktelik

OpenAIRE

Canpolat, Mehmet; Ceylan, Özgür; Çelik, İlknur; Bayram, Ayşe Kaçar; Per, Hüseyin; Doğanay, Selim; Gümüş, Hakan; Aslan, Duran; Kumandaş, Sefer

2015-01-01

Guillain Barre Sendromu (GBS), çocukluktan ileri yaşlara kadar her yaş grubunda rastlanabilen, akut başlangıçlı, simetrik ve jeneralize kas güçsüzlüğü, arefleksi ve periferik sinirlerin inflamatuvar demyelinizasyonu ile karakterize bir hastalıktır. GBS 'un patogenezi net olarak bilinmemekle birlikte otoimmun bir hastalık olduğu düşünülmektedir. Guillian-Barre Sendromu(GBS) ile enfeksiyon hastalıkları arasındaki ilişki iyi bilinmektedir. Hepatit A enfeksiyonu sırasında GBS gelişimi nadir ...

Sequential Triangle Strip Generator based on Hopfield Networks

Czech Academy of Sciences Publication Activity Database

Šíma, Jiří; Lněnička, Radim

2009-01-01

Roč. 21, č. 2 (2009), s. 583-617 ISSN 0899-7667 R&D Projects: GA MŠk(CZ) 1M0545; GA AV ČR 1ET100300517; GA MŠk 1M0572 Institutional research plan: CEZ:AV0Z10300504; CEZ:AV0Z10750506 Keywords : sequential triangle strip * combinatorial optimization * Hopfield network * minimum energy * simulated annealing Subject RIV: IN - Informatics, Computer Science Impact factor: 2.175, year: 2009

Temporal association between the isolation of Sabin-related poliovirus vaccine strains and the Guillain-Barré syndrome

OpenAIRE

Friedrich, F.; Filippis, A. M. B.; Schatzmayr, H. G.

1996-01-01

Thirty eight paralysis cases classified as Guillain-Barré syndrome (GBS) in Brazil were analysed. In all these cases Sabin-related poliovirus vaccine strains were isolated. In most of the cases the last vaccine dose was given months or years before the onset of GBS, suggesting a persistent infection or the transmission of the Sabin-related strains to the patients. The isolation of Sabin-related strains from GBS cases some days or weeks after the onset of the disease, demonstrated a temporal a...

Hybrid GPU-CPU adaptive precision ray-triangle intersection tests for robust high-performance GPU dosimetry computations

International Nuclear Information System (INIS)

Perrotte, Lancelot; Bodin, Bruno; Chodorge, Laurent

2011-01-01

Before an intervention on a nuclear site, it is essential to study different scenarios to identify the less dangerous one for the operator. Therefore, it is mandatory to dispose of an efficient dosimetry simulation code with accurate results. One classical method in radiation protection is the straight-line attenuation method with build-up factors. In the case of 3D industrial scenes composed of meshes, the computation cost resides in the fast computation of all of the intersections between the rays and the triangles of the scene. Efficient GPU algorithms have already been proposed, that enable dosimetry calculation for a huge scene (800000 rays, 800000 triangles) in a fraction of second. But these algorithms are not robust: because of the rounding caused by floating-point arithmetic, the numerical results of the ray-triangle intersection tests can differ from the expected mathematical results. In worst case scenario, this can lead to a computed dose rate dramatically inferior to the real dose rate to which the operator is exposed. In this paper, we present a hybrid GPU-CPU algorithm to manage adaptive precision floating-point arithmetic. This algorithm allows robust ray-triangle intersection tests, with very small loss of performance (less than 5 % overhead), and without any need for scene-dependent tuning. (author)

Quantum mechanical analysis of the equilateral triangle billiard: Periodic orbit theory and wave packet revivals

International Nuclear Information System (INIS)

Doncheski, M.A.; Robinett, R.W.

2002-01-01

Using the fact that the energy eigenstates of the equilateral triangle infinite well (or billiard) are available in closed form, we examine the connections between the energy eigenvalue spectrum and the classical closed paths in this geometry, using both periodic orbit theory and the short-term semi-classical behavior of wave packets. We also discuss wave packet revivals and show that there are exact revivals, for all wave packets, at times given by T rev =9μa 2 /4(h/2π) where a and μ are the length of one side and the mass of the point particle, respectively. We find additional cases of exact revivals with shorter revival times for zero-momentum wave packets initially located at special symmetry points inside the billiard. Finally, we discuss simple variations on the equilateral (60 deg. -60 deg. -60 deg. ) triangle, such as the half equilateral (30 deg. -60 deg. -90 deg.) triangle and other 'foldings', which have related energy spectra and revival structures

Triangles, tricks and tics: Hyper-mentalizing in response to animated shapes in Tourette syndrome.

Science.gov (United States)

Eddy, Clare M; Cavanna, Andrea E

2015-10-01

Tourette syndrome (TS) can feature complex tics involving socially inappropriate behaviours. Adults with TS can also demonstrate differences to healthy controls when reasoning about mental states. This study investigated spontaneous mentalizing in TS. Twenty adults with TS and twenty healthy controls completed the animations task. Participants were asked to watch short ambiguous animations involving two triangles and describe what was happening. Some animations featured random movement of the triangles, while others depicted social interactions that were simple (e.g., dancing) or more complex (e.g., one triangle tricking the other). Measures were taken of executive functions, alexithymia and clinical symptoms. Individuals with TS responded similarly to controls when viewing animations featuring simple and complex interactions, demonstrating intact mentalizing ability. However, significant group differences were apparent for the random movement animations. TS was associated with a greater tendency to attribute mental states during this condition, and to describe random movements as motivated actions guided by the intentions of the triangles. There were no group differences for the alexithymia scale, but TS was associated with mild executive deficits. No relationships were apparent between animation responses and other measures. Our findings suggest that TS is associated with a propensity to adopt the intentional stance. Hyper-mentalizing in TS could be linked to both dopamine dysfunction and altered social behaviour, whereby amplified salience of social cues could contribute to the complex interplay between environmental context and tic expression. These observations may offer further insight into the potential effects of dopamine dysfunction on social cognition. Copyright © 2015 Elsevier Ltd. All rights reserved.

The occurrence of IgM and complement factors along myelin sheaths of peripheral nerves An immunohistochemical study of the Guillain-Barre syndrome : Preliminary communication

NARCIS (Netherlands)

Luijten, J.A.F.M.; Baart de la Faille-Kuyper, E.H.

In nerve biopsies from 4 of 6 patients with the Guillain-Barré syndrome (GBS), IgM and complement factors were found, probably localized along myelin sheaths. The possible significance of this phenomenon has been discussed. No such findings were obtained in control subjects.

Is it a triangle?

CERN Multimedia

Antonella Del Rosso

2012-01-01

In the theory of the Standard Model, the masses, interactions and physical states of quarks – the basic constituents of matter – are described mathematically by a matrix known as the Cabibbo-Kobayashi-Maskawa (CKM) matrix. Three angles enter into the definition of the elements of the matrix. If their sum is not 180°, new physics might be the reason.   A typical LHCb event during the recent proton-lead ion run. The LHCb experiment at CERN has measured precisely for the first time at a hadron collider one of the three angles - the “gamma” angle – so far known with the largest uncertainty.  It’s a matter of angles: if their sum is not exactly 180°, the geometric shape is not a triangle. And if the angles are those related to the CKM matrix, we enter the realm of physics beyond the Standard Model. Experiments at B-factories have measured the three angles – α, β and γ &...

Combining the triangle method with thermal inertia to estimate regional evapotranspiration

DEFF Research Database (Denmark)

Stisen, Simon; Sandholt, Inge; Nørgaard, Anette

2008-01-01

Spatially distributed estimates of evaporative fraction and actual evapotranspiration are pursued using a simple remote sensing technique based on a remotely sensed vegetation index (NDVI) and diurnal changes in land surface temperature. The technique, known as the triangle method, is improved by...

Syringomyelia coexisting with guillain-barre syndrome.

Science.gov (United States)

Kim, Hee-Sang; Yun, Dong Hwan; Chon, Jinmann; Lee, Jong Eon; Park, Min Ho; Han, Yoo Jin

2013-10-01

Guillain-Barre syndrome (GBS) and syringomyelia are diseases of different entities. GBS is an acute post-infectious autoimmune disease which is mediated by autoantibodies against the myelin of peripheral nerves. Syringomyelia is a chronic disease characterized by a cavity extending longitudinally inside the spinal cord. A 67-year-old man is being hospitalized due to severe numbness and ascending weakness in all limbs. On neurological examination, the motor power of all limbs are decreased and show absence of deep tendon reflexes (DTRs). The patient is being diagnosed with GBS on the basis of the acute clinical course, nerve conduction studies of segmental demyelinating polyneuropathy, and a finding of albuminocytologic dissociation in the cerebrospinal fluid. The patient is presented with a new set of symptoms thereafter, which composes of sensory changes in the upper extremities, the urinary dysfunction including frequency and residual urine, spastic bilateral lower extremities, and increased reflexes of the knee and the biceps at follow-up examinations. The spinal magnetic resonance imaging in the sagittal section revealed a syrinx cavity between the fifth cervical and the first thoracic vertebral segment in the cord. The somatosensory evoked potential show sensory pathway defects between both the brachial plexus and the brain stem. Thus, this patient is being diagnosed with both GBS and syringomyelia. We report a case of symptomatic syringomyelia coexisting with GBS. Since the GBS is presented with a progressive muscle weakness and reduced DTRs, the muscle weakness and stiffness in the extremities suggests a concurrent syringomyelia might be easily overlooked.

The chemist's triangle and a general systemic approach to teaching ...

African Journals Online (AJOL)

The three levels of science thought (macro, micro, symbolic), identified by Johnstone and represented by a triangle, may be viewed as a core closed-cluster concept map of the type advocated in the systemic approach to teaching and learning of chemistry. Some of the implications of this view for teaching, learning and ...

Ventilator-Associated Pneumonia (VAP in a Patient with Guillain-Barre Syndrome

Directory of Open Access Journals (Sweden)

Anti Dharmayanti

2017-04-01

Full Text Available A 46-year-old man was admitted to ICU with a diagnosis at the time of admission of Guillain Barre Syndrome (GBS and sepsis due to suspected Ventilator-Associated Pneumoniae (VAP. Specimens for the following laboratory workup were inquired, i.e. complete blood count, culture and resistance workup using specimens obtained from the tip of suction pipe, urinalysis and urine culture, blood culture and resistance, procalcitonin and lactate levels. Neutrophilia was found along with increased procalcitonin and lactate levels, which supported the sepsis diagnosis. Moreover, the result of culture from suction pipe demonstrated colonies of Pseudomonas luteola MDRO, which might be originated from the oropharyngeal colonization of the patients due to poor oral hygiene and ineffective oral hygiene nursing; therefore, the colonies of the microorganism were swabbed away when obtaining the specimens. Ineffective oral hygiene nursing may have a potency to cause VAP and recurrent VAP.

Guillain-Barre syndrome: A possibility in a spinal cord injured patient

Directory of Open Access Journals (Sweden)

Jagatsinh Yogendrasinh

2007-01-01

Full Text Available A 28-year-old male had paraplegia as a result of fracture dislocation of T12/L1 six years ago. He was functioning independently until four weeks ago, when he started complaining of trunkal paraesthesia which later progressed to include the upper extremities. The initial diagnosis was that of posttraumatic syringomyelia (PTS. While awaiting the MRI scan he developed weakness of upper limbs. The weakness restricted his self-care activities including transfers. The MRI did not show any evidence of syringomyelia. Neurological consultation and assessment yielded provisional diagnosis of Guillain-Barre syndrome (GBS. The patient was treated with immunoglobulins and regained 90% of his previous neurological status. This case is reported to raise awareness among clinicians to include the possibility of the GBS in the differential diagnosis of progressive neurological loss on top of existing neurological deficiency in spinal cord injured patients.

Sub-Pixel Accuracy Crack Width Determination on Concrete Beams in Load Tests by Triangle Mesh Geometry Analysis

Science.gov (United States)

Liebold, F.; Maas, H.-G.

2018-05-01

This paper deals with the determination of crack widths of concrete beams during load tests from monocular image sequences. The procedure starts in a reference image of the probe with suitable surface texture under zero load, where a large number of points is defined by an interest operator. Then a triangulated irregular network is established to connect the points. Image sequences are recorded during load tests with the load increasing continuously or stepwise, or at intermittently changing load. The vertices of the triangles are tracked through the consecutive images of the sequence with sub-pixel accuracy by least squares matching. All triangles are then analyzed for changes by principal strain calculation. For each triangle showing significant strain, a crack width is computed by a thorough geometric analysis of the relative movement of the vertices.

Available pressure amplitude of linear compressor based on phasor triangle model

Science.gov (United States)

Duan, C. X.; Jiang, X.; Zhi, X. Q.; You, X. K.; Qiu, L. M.

2017-12-01

The linear compressor for cryocoolers possess the advantages of long-life operation, high efficiency, low vibration and compact structure. It is significant to study the match mechanisms between the compressor and the cold finger, which determines the working efficiency of the cryocooler. However, the output characteristics of linear compressor are complicated since it is affected by many interacting parameters. The existing matching methods are simplified and mainly focus on the compressor efficiency and output acoustic power, while neglecting the important output parameter of pressure amplitude. In this study, a phasor triangle model basing on analyzing the forces of the piston is proposed. It can be used to predict not only the output acoustic power, the efficiency, but also the pressure amplitude of the linear compressor. Calculated results agree well with the measurement results of the experiment. By this phasor triangle model, the theoretical maximum output pressure amplitude of the linear compressor can be calculated simply based on a known charging pressure and operating frequency. Compared with the mechanical and electrical model of the linear compressor, the new model can provide an intuitionistic understanding on the match mechanism with faster computational process. The model can also explain the experimental phenomenon of the proportional relationship between the output pressure amplitude and the piston displacement in experiments. By further model analysis, such phenomenon is confirmed as an expression of the unmatched design of the compressor. The phasor triangle model may provide an alternative method for the compressor design and matching with the cold finger.

Quality of surface-water supplies in the Triangle area of North Carolina, water year 2008

Science.gov (United States)

Giorgino, M.J.; Rasmussen, R.B.; Pfeifle, C.A.

2012-01-01

Surface-water supplies are important sources of drinking water for residents in the Triangle area of North Carolina, which is located within the upper Cape Fear and Neuse River Basins. Since 1988, the U.S. Geological Survey and a consortium of governments have tracked water-quality conditions and trends in several of the area's water-supply lakes and streams. This report summarizes data collected through this cooperative effort, known as the Triangle Area Water Supply Monitoring Project, during October 2007 through September 2008. Major findings for this period include:

The V-Flex, Triangle Orientation, and Catalan Numbers in Hexaflexagons

Science.gov (United States)

Iacob, Ionut E.; McLean, T. Bruce; Wang, Hua

2012-01-01

Regular hexaflexagons mysteriously change faces as you pinch flex them. This paper describes a different flex, the V-flex, which allows the hexahexaflexagon (with only 9 faces under the pinch flex) to have 3420 faces. The article goes on to explain the classification of triangle orientations in a hexaflexagon and gives an example of the…

Guillain - Barre syndrome in a patient with acute myocardial infarction with ventricular septal defect repair treated with plasma exchange

Directory of Open Access Journals (Sweden)

Maitrey D Gajjar

2015-01-01

Full Text Available Guillain - Barre syndrome (GBS is an acute, frequently severe progressive illness of peripheral nervous system that is autoimmune in nature. GBS after myocardial infarction (MI with ventricular septal defect (VSD is uncommon with high mortality rate if not treated promptly. [1] We report a successful outcome of GBS post MI with VSD in a 60-year-old male patient who was on a ventilator treated successfully with therapeutic plasma exchange.

Triangle bipolar pulse shaping and pileup correction based on DSP

International Nuclear Information System (INIS)

Esmaeili-sani, Vahid; Moussavi-zarandi, Ali; Akbar-ashrafi, Nafiseh; Boghrati, Behzad

2011-01-01

Programmable Digital Signal Processing (DSP) microprocessors are capable of doing complex discrete signal processing algorithms with clock rates above 50 MHz. This combined with their low expense, ease of use and selected dedicated hardware make them an ideal option for spectrometer data acquisition systems. For this generation of spectrometers, functions that are typically performed in dedicated circuits, or offline, are being migrated to the field programmable gate array (FPGA). This will not only reduce the electronics, but the features of modern FPGAs can be utilized to add considerable signal processing power to produce higher resolution spectra. In this paper we report on an all-digital triangle bipolar pulse shaping and pileup correction algorithm that is being developed for the DSP. The pileup mitigation algorithm will allow the spectrometers to run at higher count rates or with multiple sources without imposing large data losses due to the overlapping of scintillation signals. This correction technique utilizes a very narrow bipolar triangle digital pulse shaping algorithm to extract energy information for most pileup events.

Triangle bipolar pulse shaping and pileup correction based on DSP

Energy Technology Data Exchange (ETDEWEB)

Esmaeili-sani, Vahid, E-mail: vaheed_esmaeely80@yahoo.com [Department of Nuclear Engineering and Physics, Amirkabir University of Technology, P.O. Box 4155-4494, Tehran (Iran, Islamic Republic of); Moussavi-zarandi, Ali; Akbar-ashrafi, Nafiseh; Boghrati, Behzad [Department of Nuclear Engineering and Physics, Amirkabir University of Technology, P.O. Box 4155-4494, Tehran (Iran, Islamic Republic of)

2011-02-11

Programmable Digital Signal Processing (DSP) microprocessors are capable of doing complex discrete signal processing algorithms with clock rates above 50 MHz. This combined with their low expense, ease of use and selected dedicated hardware make them an ideal option for spectrometer data acquisition systems. For this generation of spectrometers, functions that are typically performed in dedicated circuits, or offline, are being migrated to the field programmable gate array (FPGA). This will not only reduce the electronics, but the features of modern FPGAs can be utilized to add considerable signal processing power to produce higher resolution spectra. In this paper we report on an all-digital triangle bipolar pulse shaping and pileup correction algorithm that is being developed for the DSP. The pileup mitigation algorithm will allow the spectrometers to run at higher count rates or with multiple sources without imposing large data losses due to the overlapping of scintillation signals. This correction technique utilizes a very narrow bipolar triangle digital pulse shaping algorithm to extract energy information for most pileup events.

[Atypical Guillain-Barre syndrome clustering: is it necessary to reconsider the diagnostic criteria and microbiological protocol?

Science.gov (United States)

Dominguez-Mayoral, A; Gutierrez, C; Lopez-Dominguez, J M; Eichau, S; Abril, J; Navarro-Mascarell, G; Quesada-Garcia, M A; Ramos, M; Alvarez-Lopez, M; Menendez-De Leon, C; Izquierdo, G

2017-05-01

Guillain-Barre syndrome is classically defined as a symmetrical ascending acute polyradiculoneuropathy, although there are atypical variants that make diagnosis difficult. The medical data of six patients in our hospital area are collected during the first quarter of 2013. Lumbar punctures, imaging, neurophysiological studies, ganglioside antibodies and serologies have been proposed in all cases. We focus on the atypical features as late hyporeflexia, increased frequency of asymmetry and distal paresis and initial fever. From a neurophysiological point of view, all patients presented sensorimotor axonal forms. The most consistent datas in early studies is the F wave's alteration. A Miller Fisher variant associated with faciocervicobraquial paresis and cerebral reversible vasoconstriction syndrome has been detected. A bilateral brachial paresis and lumbar polyradiculopathy in the context of influenza A infection is other interesting case. The saltatory variant with cranial nerve involvement and lower limbs paresis has been demonstrated in one patient. Bands in cerebrospinal fluid are positive in three cases and anti-ganglioside antibodies in one patient. The syndrome of inappropriate secretion of antidiuretic hormone may explain some of the hyponatremias registered. The first line of treatment are inmunoglobulins in all patients. Plasmapheresis exchanges has been used as an additional therapy in four cases. These clusters of six axonal cases with atypical clinical features justifies the need for knowledge of these variants in order to achieve an early treatment. Late hyporeflexia and brachialfaciocervico, saltatory and lumbar forms should be considered in the spectrum of Guillain-Barre syndrome. The etiological study should rule out a lots of pathogens as influenza A.

Polarized targets at triangle universities nuclear laboratory

Energy Technology Data Exchange (ETDEWEB)

Seely, M.L. [North Carolina State Univ., Raleigh, NC (United States); Gould, C.R. [North Carolina State Univ., Raleigh, NC (United States); Haase, D.G. [North Carolina State Univ., Raleigh, NC (United States); Huffman, P.R. [Triangle Universities Nuclear Laboratory, Durham, NC 27708 (United States); Keith, C.D. [North Carolina State Univ., Raleigh, NC (United States); Roberson, N.R. [Triangle Universities Nuclear Laboratory, Durham, NC 27708 (United States); Tornow, W. [Triangle Universities Nuclear Laboratory, Durham, NC 27708 (United States); Wilburn, W.S. [Triangle Universities Nuclear Laboratory, Durham, NC 27708 (United States)

1995-03-01

A summary of the polarized and aligned nuclear targets which have been constructed and used at the Triangle Universities Nuclear Laboratory is given. Statically polarized targets, typically operating at a temperature of 12 mK and a magnetic field of 7 T, have provided significant nuclear polarization in {sup 1}H, {sup 3}He, {sup 27}Al, {sup 93}Nb and {sup 165}Ho. A rotating, aligned {sup 165}Ho target is also in use. A {sup 3}He melting curve thermometer has been developed for use in statically polarized targets. A dynamically polarized proton target is under construction. ((orig.))

Triangles in ROC space: History and theory of "nonparametric" measures of sensitivity and response bias.

Science.gov (United States)

Macmillan, N A; Creelman, C D

1996-06-01

Can accuracy and response bias in two-stimulus, two-response recognition or detection experiments be measured nonparametrically? Pollack and Norman (1964) answered this question affirmatively for sensitivity, Hodos (1970) for bias: Both proposed measures based on triangular areas in receiver-operating characteristic space. Their papers, and especially a paper by Grier (1971) that provided computing formulas for the measures, continue to be heavily cited in a wide range of content areas. In our sample of articles, most authors described triangle-based measures as making fewer assumptions than measures associated with detection theory. However, we show that statistics based on products or ratios of right triangle areas, including a recently proposed bias index and a not-yetproposed but apparently plausible sensitivity index, are consistent with a decision process based on logistic distributions. Even the Pollack and Norman measure, which is based on non-right triangles, is approximately logistic for low values of sensitivity. Simple geometric models for sensitivity and bias are not nonparametric, even if their implications are not acknowledged in the defining publications.

The CKM matrix and the unitarity triangle

International Nuclear Information System (INIS)

Battaglia, M.; Buras, A.J.; Gambino, P.; Stocchi, A.; Abbaneo, D.; Ali, A.; Amaral, P.; Andreev, V.; Artuso, M.; Barberio, E.; Bauer, C.; Becirevic, D.; Beneke, M.; Bigi, I.; Bozzi, C.; Brandt, T.; Buchalla, G.; Calvi, M.; Cassel, D.; Cirigliano, V.; Ciuchini, M.

2003-01-01

This report contains the results of the Workshop on the CKM Unitarity Triangle that was held at CERN on 13-16 February 2002. There had been several Workshops on B physics that concentrated on studies at e + e - machines, at the Tevatron, or at LHC separately. Here we brought together experts of different fields, both theorists and experimentalists, to study the determination of the CKM matrix from all the available data of K, D, and B physics. The analysis of LEP data for B physics is reaching its end, and one of the goals of the Workshop was to underline the results that have been achieved at LEP, SLC, and CESR. Another goal was to prepare for the transfer of responsibility for averaging B physics properties, that has developed within the LEP community, to the present main actors of these studies, from the B factory and the Tevatron experiments. The optimal way to combine the various experimental and theoretical inputs and to fit for the apex of the Unitarity Triangle has been a contentious issue. A further goal of the Workshop was to bring together the proponents of different fitting strategies, and to compare their approaches when applied to the same inputs. Since lattice QCD plays a very important role in the determination of the non-perturbative parameters needed to constrain the CKM unitarity triangle, the first Workshop was seen as an excellent opportunity to bring together lattice theorists with the aim of establishing a working group to compile averages for phenomenologically relevant quantities. Representatives from lattice collaborations around the world were invited to attend a meeting during the Workshop. A consensus was reached to set up three test working groups, collectively known as the 'CKM Lattice Working Group', to review a number of well-studied quantities: quark masses, the kaon B-parameter, and the matrix elements relevant for neutral B-meson mixing. These proceedings are organized as a coherent document with chapters covering the domains of

The CKM Matrix and the unitarity triangle

International Nuclear Information System (INIS)

Battaglia, M.

2003-01-01

This report contains the results of the Workshop on the CKM Unitarity Triangle that was held at CERN on 13-16 February 2002. There had been several Workshops on B physics that concentrated on studies at e + e - machines, at the Tevatron, or at LHC separately. Here we brought together experts of different fields, both theorists and experimentalists, to study the determination of the CKM matrix from all the available data of K, D, and B physics. The analysis of LEP data for B physics is reaching its end, and one of the goals of the Workshop was to underline the results that have been achieved at LEP, SLC, and CESR. Another goal was to prepare for the transfer of responsibility for averaging B physics properties, that has developed within the LEP community, to the present main actors of these studies, from the B factory and the Tevatron experiments. The optimal way to combine the various experimental and theoretical inputs and to fit for the apex of the Unitarity Triangle has been a contentious issue. A further goal of the Workshop was to bring together the proponents of different fitting strategies, and to compare their approaches when applied to the same inputs. Since lattice QCD plays a very important role in the determination of the non-perturbative parameters needed to constrain the CKM unitarity triangle, the first Workshop was seen as an excellent opportunity to bring together lattice theorists with the aim of establishing a working group to compile averages for phenomenologically relevant quantities. Representatives from lattice collaborations around the world were invited to attend a meeting during the Workshop. A consensus was reached to set up three test working groups, collectively known as the ''CKM Lattice Working Group'', to review a number of well-studied quantities: quark masses, the kaon B-parameter, and the matrix elements relevant for neutral B-meson mixing. These proceedings are organized as a coherent document with chapters covering the domains

The use of triangle diagram in the detection of explosive and illicit drugs

Science.gov (United States)

Sudac, Davorin; Baricevic, Martina; Obhodas, Jasmina; Franulovic, Andrej; Valkovic, Vladivoj

2010-04-01

A tagged neutron inspection system has been used for the detection of explosive and illicite drugs. Simulant of the RDX explosive was measured in different environments and its gamma ray spectra were compared with the gamma ray spectra of benign materials like paper, sugar and rise. "Fingerprint" of the RDX simulant was found by detecting the nitrogen as well as by making the triangle plot which coordinates show the carbon and oxygen content and density. Density was obtained by measuring the intensity of the transmited tagged neutrons. Hence, the presence of the simulant can be confirmed by using two different methods. The possibility of using the triangle plot for detection of illicit drugs like heroin, cocain and marihuana is also discused.

Surface charge method for molecular surfaces with curved areal elements I. Spherical triangles

Science.gov (United States)

Yu, Yi-Kuo

2018-03-01

Parametrizing a curved surface with flat triangles in electrostatics problems creates a diverging electric field. One way to avoid this is to have curved areal elements. However, charge density integration over curved patches appears difficult. This paper, dealing with spherical triangles, is the first in a series aiming to solve this problem. Here, we lay the ground work for employing curved patches for applying the surface charge method to electrostatics. We show analytically how one may control the accuracy by expanding in powers of the the arc length (multiplied by the curvature). To accommodate not extremely small curved areal elements, we have provided enough details to include higher order corrections that are needed for better accuracy when slightly larger surface elements are used.

Analysing Diagnostic Assessment on the Ratio of Sine in a Right Triangle

Science.gov (United States)

Andika, R.; Juandi, D.; Rosjanuardi, R.

2017-09-01

This study aims to develop diagnostic assessment with the special topic of the ratio of sinus in a right triangle and analyze the result whether the students are ready to continue to the next lesson of trigonometry specially the sinus rule. The methodology that use in this study is a design research of Plomp model which is it comprises of 3 phases: (a) preliminary research; (b) prototyping phase; and (c) assessment phase. The findings show that almost half of students made a mistake in determining the ratio of sin in a right triangle, consequently the procedure for solving the problem went wrong. In strategic competency and adaptive communication most of students did not solve the problem that was given. According to the result, the students have to get remedial program before to the next lesson, the rule of sin.

Some Nice Relations between Right-Angled Triangles and the Golden Section

Science.gov (United States)

Scimone, Aldo

2011-01-01

The international debate about experimental approaches to the teaching and learning mathematics is very current. While number theory lends itself naturally to such approaches, elementary geometry can also provide interesting starting points for creative work in class. This article shows how simple considerations about right triangles and the…

Clinical analysis of 48 cases with Guillain-Barré syndrome

Directory of Open Access Journals (Sweden)

Jie-xi WEN

2016-09-01

Full Text Available Forty-eight patients diagnosed as Guillain-Barré syndrome (GBS in our hospital were retrospectively analyzed, including clinical manifestations, laboratory tests, neuroelectrophysiological tests, treatment and prognosis. In these patients, 81.25% (39/48 started with limb weakness or numbness, especially prominent for both lower limbs; 93.75% (45/48 had decreased or disappeared tendon reflex. Cerebrospinal fluid (CSF tests showed albumin-cytological dissection in 38 patients. Neuroelectrophysiological tests in 42 patients revealed that the conduction velocity of F wave was decreased or was not elicited, the conduction velocity of motor and sensory nerves slowed down, and compound muscle action potential (CMAP amplitude decreased. A total of 43 patients received intravenous immunoglobulin (IVIg, and 97.67% (42/43 showed improved muscle strength after treatment. A few patients showed atypical signs and symptoms for GBS, such as unilateral facial hypalgesia and positive pathological signs. Clinical manifestations, laboratory tests and neuroelectrophysiological tests should be combined to make early diagnosis and improve the prognosis. DOI: 10.3969/j.issn.1672-6731.2016.09.011

Colouring the triangles determined by a point set

Directory of Open Access Journals (Sweden)

Ruy Fabila-Monroy

2012-05-01

Full Text Available Let P be a set of n points in general position in the plane. We study the chromatic number of the intersection graph of the open triangles determined by P. It is known that this chromatic number is at least n3/27+O(n2 and, if P is in convex position, the answer is n3/24+O(n2. We prove that for arbitrary P, the chromatic number is at most n3/19.259+O(n2.

Constructing Geometric Properties of Rectangle, Square, and Triangle in the Third Grade of Indonesian Primary Schools

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Ilham Rizkianto

2013-07-01

Full Text Available Previous studies have provided that when learning shapes for the first time, young children tend to use the prototype as the reference point for comparisons, but often fail when doing so since they do not yet think about the defining attributes or the geometric properties of the shapes. Most of the time, elementary students learn geometric properties of shapes only as empty verbal statements to be memorized, without any chance to experience the contepts meaningfully. In the light of it, a sequence of instructional activities along with computer manipulative was designed to support Indonesian third graders in constructing geometric properties of square, rectangle, and triangle. The aim of the present study is to develop a loval instructional theory to support third graders in constructing geometric properties of rectangle, square, and triangle. Thirty seven students of one third grade classes in SD Pupuk Sriwijaya Palembang, along with their class teacher, were involved in the study. Our findings suggest that the combination of computer and non-computer activities suppots third graders in constructing geometric properties of square, rectangle, and triangle in that it provides opportunities to the students to experience and to develop the concepts meaningfully while using their real experiences as the bases to attain a higher geometric thinking level.Key concepts: Geometric properties, rectangle, square, triangle, design research, realistic mathematics education DOI: http://dx.doi.org/10.22342/jme.4.2.414.160-171

Simultan bilateral perifer facialisparese er en sjælden præsentationsform af Guillain-Barrés syndrom

DEFF Research Database (Denmark)

Frahm-Falkenberg, Siska; Dornonville de la Cour, Charlotte; Andersen, Preben Borring

2014-01-01

This case report describes a 63-year-old male presenting with five days progressing bilateral peripheral facial paralysis and mild sensory symptoms. Cerebrospinal fluid showed albumin-cytological dissociation. Nerve conduction studies showed slightly reduced conduction velocity, slightly prolonged...... F-wave latency and temporal dispersion. Following treatment with IV immunoglobulin (0.4 g/kg/day for five consecutive days) recovery was prominent, though incomplete. This is believed to be the first described case in Denmark of the very rare variant of Guillain-Barré syndrome termed "facial...

Visualisation of uncertainty for the trade-off triangle used in sustainable agriculture

Science.gov (United States)

Harris, Paul; Takahashi, Taro; Lee, Michael

2017-04-01

Agriculture at the global-scale is at a critical juncture where competing requirements for maximal production and minimal pollution have led to the concept of sustainable intensification. All farming systems (arable, grasslands, etc.) are part of this debate, where each have particular associated environmental risks such as water and air pollution, greenhouse gas emissions and soil degradation, as well as issues affecting production efficiency, product quality and consumer acceptability, reflected in the development of agricultural sustainability policies. These challenges necessitate multidisciplinary solutions that can only be properly researched, implemented and tested in real-world production systems which are suited to their geographical and climatic production practice. In this respect, various high-profile agricultural data collection experiments have been set up, such as the North Wyke Farm Platform (http://www.rothamsted.ac.uk/farmplatform) to research agricultural productivity and ecosystem responses to different management practices. In this farm-scale grasslands experiment, data on hydrology, emissions, nutrient cycling, biodiversity, productivity and livestock welfare/health are collected, that in turn, are converted to trade-off metrics with respect to: (i) economic profits, (ii) societal benefits and (iii) environmental concerns, under the umbrella of sustainable intensification. Similar agriculture research platforms have similar objectives, where data collections are ultimately synthesised into trade-off metrics. Trade-offs metrics can then be usefully visualized via the usual sustainable triangle, with a new triangle for each key time period (e.g. baseline versus post-baseline). This enables a visual assessment of change in sustainability harmony or discord, according to the remit of the given research experiment. In this paper, we discuss different approaches to calculation of the sustainability trade-off metrics that are required from the farm

Cressey’s fraud triangle (1953 and agency theory: study applied to brazilian banking institutions

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Michele Rílany Rodrigues Machado

2017-08-01

Full Text Available This research examined if Cressey’s (1953 fraud triangle and the agency theory, jointly, enables investigate corporate fraud occurrence in Brazilian banking institutions. It was formulated  six research hypotheses were segregated in fraud triangle – pressure,  opportunity and rationalization – and measured by variables taken from the agency theory, criminology and empirical papers on corporate fraud. The identification of probability of fraud occurrence was operationalized from multinomial logistic model, applied to data of 44 banking, for the period between January 2001 and December 2012. For element pressure, hypotheses No. 01 was confirmed, since this showed that the lower an institution’s previous performance, the greater probability there is of fraudulent events occurring in the future.  In the element of opportunity, the hypothesis No. 03 was confirmed, which showed that low corporate governance indicators increased the possibility of fraud occurrences.  In rationalization element, the hypothesis No. 08 was confirmed, therefore, the predominance of women in management reduces the probability of fraud.  We thereby conclude that Cressey’s Triangle, when combined with the theory of agency is an appropriate research instrument to use when carrying out an investigation into corporate fraud occurrence in banking institutions.

Decomposing series-parallel graphs into paths of length 3 and triangles

DEFF Research Database (Denmark)

Merker, Martin

2015-01-01

An old conjecture by Jünger, Reinelt and Pulleyblank states that every 2-edge-connected planar graph can be decomposed into paths of length 3 and triangles, provided its size is divisible by 3. We prove the conjecture for a class of planar graphs including all 2-edge-connected series-parallel gra...

Species richness accelerates marine ecosystem restoration in the Coral Triangle.

Science.gov (United States)

Williams, Susan L; Ambo-Rappe, Rohani; Sur, Christine; Abbott, Jessica M; Limbong, Steven R

2017-11-07

Ecosystem restoration aims to restore biodiversity and valuable functions that have been degraded or lost. The Coral Triangle is a hotspot for marine biodiversity held in its coral reefs, seagrass meadows, and mangrove forests, all of which are in global decline. These coastal ecosystems support valuable fisheries and endangered species, protect shorelines, and are significant carbon stores, functions that have been degraded by coastal development, destructive fishing practices, and climate change. Ecosystem restoration is required to mitigate these damages and losses, but its practice is in its infancy in the region. Here we demonstrate that species diversity can set the trajectory of restoration. In a seagrass restoration experiment in the heart of the Coral Triangle (Sulawesi, Indonesia), plant survival and coverage increased with the number of species transplanted. Our results highlight the positive role biodiversity can play in ecosystem restoration and call for revision of the common restoration practice of establishing a single target species, particularly in regions having high biodiversity. Coastal ecosystems affect human well-being in many important ways, and restoration will become ever more important as conservation efforts cannot keep up with their loss. Published under the PNAS license.

Is this child sick? Usefulness of the Pediatric Assessment Triangle in emergency settings

Directory of Open Access Journals (Sweden)

Ana Fernandez

2017-11-01

Conclusions: The Pediatric Assessment Triangle is quickly spreading internationally and its clinical applicability is very promising. Nevertheless, it is imperative to promote research for clinical validation, especially for clinical use by emergency pediatricians and physicians.

Síndromes do núcleo rubro. A propósito de três casos com etiologia sifilítica, um dos quais associado a mioclonias velofaringolaríngeas

Directory of Open Access Journals (Sweden)

Adherbal Tolosa

1950-09-01

Full Text Available Registrando três casos de síndromes do núcleo rubro — dois de síndrome superior e um de síndrome inferior, tipo Claude — os autores revêem a anátomo-fisiologia dessa formação mesencefálica. Ressaltam particularmente as alterações do tono verificadas pela lesão experimental do núcleo vermelho. A destruição da porção parvicelular, superior (neorrubro determina o aparecimento de hipotonia, por liberação da atividade inibidora do tono da porção magnocelular, inferior ( paleorrubro ; a lesão desta última provoca hipertonia, devido à liberação dos núcleos tonígenos romben cefálicos. Os autores, no sentido de correlacionar os fatos experimentais e anátomo-clínicos, lembram o conceito de De Giacomo sôbre a topografia das lesões nas síndromes rúbricas: na de Benedikt, o processo patológico se situaria no paleorrubro, enquanto que, na de Claude e na superior, o neorrubro seria a porção afetada.Os autores discutem também o problema das hipercinesias, destacando o caráter intencional das mesmas; lembram a existência de conexões rubrocorticais recíprocas, diretas e indiretas, e ressaltam o fato de que o núcleo de Stilling é uma estação obrigatória do circuito ideado por Bucy para explicar a fisiopatologia do tremor intencional. Os autores assinalam a raridade das síndromes rúbricas, das quais encontraram o registro de 5 casos na literatura brasileira, sendo que 4 se referemà síndrome de Benedikt. Comentando seus casos, os autores salientam os seguintes pontos: a a etiologia luética das lesões, em um caso do tipo mesenquimal e, em dois. do tipo parenquimatoso; b a existência de acentuada hipotonia em dois casos e de normalidade do tono no outro; c a normalidade do eletrencefalograma em um caso de síndrome superior do núcleo rubro e em um caso de síndrome de Claude; d a desarmonia das reações vestibulares observada em um dos casos; e a existência de distúrbios da regulação térmica no caso 2

Triangle Universities Nuclear Laboratory annual report - TUNL XXIV, 1 July 1984-31 August 1985

International Nuclear Information System (INIS)

1985-01-01

Research programs of the Triangle Nuclear Laboratory are discussed. These studies are based on reactions induced by polarized beam, protons, deuterons and neutrons. Individual programs are cataloged separately

Rehabilitation outcomes after combined acute disseminated encephalomyelitis and Guillain-Barré syndrome in a child: a case report.

Science.gov (United States)

Korupolu, Radha; Ngo, Thien; Hack, Nawaz; Escott, Edward; Salles, Sara

2014-01-01

A 5-year old female presented with acute tetraparesis and areflexia. Initial imaging and cerebrospinal fluid analysis were suggestive of acute disseminated encephalomyelitis (ADEM). Minimal clinical response with intravenous steroids prompted further work up. Limited nerve conduction studies suggested possible acute motor-sensory axonal neuropathy, a rare variant of Guillain-Barré syndrome (GBS). Repeat imaging was compatible with polyradiculopathy indicating concomitance of ADEM and GBS. The patient suffered severe motor deficits and neuropathic pain. Slow but significant functional recovery was noted after intensive inpatient rehabilitation followed by continued rehabilitation via home health services.

Report: Results of Technical Network Vulnerability Assessment: EPA’s Research Triangle Park Finance Center

Science.gov (United States)

Report #09-P-0227, August 31, 2009. Vulnerability testing conducted in April 2009 of EPA’s Research Triangle Park Finance Center network identified Internet Protocol addresses with several highrisk vulnerabilities.

Electronic confining effects in Sierpiński triangle fractals

Science.gov (United States)

Wang, Hao; Zhang, Xue; Jiang, Zhuoling; Wang, Yongfeng; Hou, Shimin

2018-03-01

Electron confinement in fractal Sierpiński triangles (STs) on Ag(111) is investigated using scanning tunneling spectroscopy and theoretically simulated by employing an improved two-dimensional (2D) multiple scattering theory in which the energy-dependent phase shifts are explicitly calculated from the electrostatic potentials of the molecular building block of STs. Well-defined bound surface states are observed in three kinds of triangular cavities with their sides changing at a scale factor of 2. The decrease in length of the cavities results in an upshift of the resonances that deviates from an expected inverse quadratic dependence on the cavity length due to the less efficient confinement of smaller triangular cavities. Differential conductance maps at some specific biases present a series of alternative bright and dark rounded triangles preserving the symmetry of the boundary. Our improved 2D multiple scattering model reproduces the characteristics of the standing wave patterns and all features in the differential conductance spectra measured in experiments, illustrating that the elastic loss boundary scattering dominates the resonance broadening in these ST quantum corrals. Moreover, the self-similar structure of STs, that a larger central cavity is surrounded by three smaller ones with a half side length, gives rise to interactions of surface states confined in neighboring cavities, which are helpful for the suppression of the linewidth in differential conductance spectra.

Right unitarity triangles, stable CP-violating phases and approximate quark-lepton complementarity

International Nuclear Information System (INIS)

Xing Zhizhong

2009-01-01

Current experimental data indicate that two unitarity triangles of the CKM quark mixing matrix V are almost the right triangles with α∼90 deg. We highlight a very suggestive parametrization of V and show that its CP-violating phase φ is nearly equal to α (i.e., φ-α∼1.1 deg.). Both φ and α are stable against the renormalizaton-group evolution from the electroweak scale M Z to a superhigh energy scale M X or vice versa, and thus it is impossible to obtain α=90 deg. at M Z from φ=90 deg. at M X . We conjecture that there might also exist a maximal CP-violating phase φ∼90 deg. in the MNS lepton mixing matrix U. The approximate quark-lepton complementarity relations, which hold in the standard parametrizations of V and U, can also hold in our particular parametrizations of V and U simply due to the smallness of |V ub | and |V e3 |.

College geometry an introduction to the modern geometry of the triangle and the circle

CERN Document Server

Altshiller-Court, Nathan

2007-01-01

The standard university-level text for decades, this volume offers exercises in construction problems, harmonic division, circle and triangle geometry, and other areas. 1952 edition, revised and enlarged by the author.

Late-onset cytomegalovirus infection complicated by Guillain-Barre syndrome in a kidney transplant recipient: case report and review of the literature.

Science.gov (United States)

Shaban, E; Gohh, R; Knoll, B M

2016-04-01

Cytomegalovirus (CMV) infection remains a common infection after solid-organ transplantation. In the general population CMV disease is associated with Guillain-Barre syndrome (GBS), an autoimmune disease leading to an acute peripheral neuropathy, in 1 of 1000 cases. Interestingly, GBS is a rarely observed complication in solid-organ transplant recipients, possibly related to maintenance immunosuppression. We describe a case of CMV infection complicated by GBS in a kidney transplant recipient and review the literature.

High mortality from Guillain-Barré syndrome in Bangladesh.

Science.gov (United States)

Ishaque, Tanveen; Islam, Mohammad B; Ara, Gulshan; Endtz, Hubert P; Mohammad, Quazi D; Jacobs, Bart C; Islam, Zhahirul

2017-06-01

Although Guillain-Barré syndrome (GBS) has higher incidence and poor outcome in Bangladesh, mortality from GBS in Bangladesh has never been explored before. We sought to explore the frequency, timing, and risk factors for deaths from GBS in Bangladesh. We conducted a prospective study on 407 GBS patients who were admitted to Dhaka Medical College Hospital, Dhaka, Bangladesh from 2010 to 2013. We compared deceased and alive patients to identify risk factors. Cox regression model was used to adjust for confounders. Of the 407 GBS patients, 50 (12%) died, with the median time interval between the onset of weakness and death of 18 days. Among the fatal cases, 24 (48%) were ≥40 years, 36 (72%) had a Medical Research Council sum score ≤20 at entry, 33 (66%) had a progressive phase 8 days) (HR: 2.06; 95% CI: 1.1-3.8), autonomic dysfunction (HR: 1.9; 95% CI: 1.05-3.6), and bulbar nerve involvement (HR: 5.4; 95% CI: 1.5-19.2). In Bangladesh, GBS is associated with higher mortality rates, which is related to lack of ventilator support, disease severity, longer progressive phase of the disease, autonomic dysfunction, and involvement of the bulbar nerves. © 2017 Peripheral Nerve Society.

Fermat Point for a Triangle in Three Dimensions Using the Taxicab Metric

Science.gov (United States)

Hanson, J. R.

2017-01-01

This article explores the process of finding the Fermat point for a triangle ABC in three dimensions. Three examples are presented in detail using geometrical methods. A delightfully simple general method is then presented that requires only the comparison of coordinates of the vertices A, B and C.

A BPTTF-based self-assembled electron-donating triangle capable of C60 binding.

Science.gov (United States)

Goeb, Sébastien; Bivaud, Sébastien; Dron, Paul Ionut; Balandier, Jean-Yves; Chas, Marcos; Sallé, Marc

2012-03-25

A kinetically stable self-assembled redox-active triangle is isolated. The resulting electron-donating cavity, which incorporates three BPTTF units, exhibits a remarkable binding ability for electron-deficient C(60), supported by a favorable combination of structural and electronic features.

The search for a source rock for the giant Tar Sand triangle accumulation, southeastern Utah

Science.gov (United States)

Huntoon, J.E.; Hansley, P.L.; Naeser, N.D.

1999-01-01

A large proportion (about 36%) of the world's oil resource is contained in accumulations of heavy oil or tar. In these large deposits of degraded oil, the oil in place represents only a fraction of what was present at the time of accumulation. In many of these deposits, the source of the oil is unknown, and the oil is thought to have migrated over long distances to the reservoirs. The Tar Sand triangle in southeastern Utah contains the largest tar sand accumulation in the United States, with 6.3 billion bbl of heavy oil estimated to be in place. The deposit is thought to have originally contained 13-16 billion bbl prior to the biodegradation, water washing, and erosion that have taken place since the middle - late Tertiary. The source of the oil is unknown. The tar is primarily contained within the Lower Permian White Rim Sandstone, but extends into permeable parts of overlying and underlying beds. Oil is interpreted to have migrated into the White Rim sometime during the Tertiary when the formation was at a depth of approximately 3500 m. This conclusion is based on integration of fluid inclusion analysis, time-temperature reconstruction, and apatite fission-track modeling for the White Rim Sandstone. Homogenization temperatures cluster around 85-90??C for primary fluid inclusions in authigenic, nonferroan dolomite in the White Rim. The fluid inclusions are associated with fluorescent oil-bearing inclusions, indicating that dolomite precipitation was coeval with oil migration. Burial reconstruction suggests that the White Rim Sandstone reached its maximum burial depth from 60 to 24 Ma, and that maximum burial was followed by unroofing from 24 to 0 Ma. Time-temperature modeling indicates that the formation experienced temperatures of 85-90??C from about 35 to 40 Ma during maximum burial. Maximum formation temperatures of about 105-110??C were reached at about 24 Ma, just prior to unroofing. Thermal modeling is used to examine the history of potential source rocks

REMARKS ON A GENERALIZATION OF A QUESTION RAISED BY PÁL ERDOS CONCERNING A GEOMETRIC INEQUALITY IN ˝ ACUTE TRIANGLES

Directory of Open Access Journals (Sweden)

Béla FINTA

2017-12-01

Full Text Available The purpose of this paper is to give a negative answer to a possible generalization of an open question raised by Pál Erd˝os, concerning an inequality in acute triangles. We prove here that from a < b < c does not follow a 2k + l 2k a < b2k + l 2k b < c2k + l 2k c in every acute triangle ABC, nor the opposite chain of inequalities, where k ∈ N, k ≥ 2, and a, b, c denotes the length of the triangles sites , while la, lb, lc denotes the length of the interior angle bisectors, as usual. We achieve this by constructing effectively two counterexamples, one for each type of inequalities

The Surgical Anatomy of the Lumbosacroiliac Triangle: A Cadaveric Study.

Science.gov (United States)

Zoccali, Carmine; Skoch, Jesse; Patel, Apar S; Walter, Christina M; Avila, Mauricio J; Martirosyan, Nikolay L; Demitri, Silvio; Baaj, Ali A

2016-04-01

The anatomic area delineated medially by the lateral part of the L4-L5 vertebral bodies, distally by the anterior-superior surface of the sacral wing, and laterally by an imaginary line joining the base of the L4 transverse process to the proximal part of the sacroiliac joint, is of particular interest to spine surgeons. We are referring to this area as the lumbo-sacro-iliac triangle (LSIT). Knowledge of LSIT anatomy is necessary during approaches for L5 vertebral and sacral fractures, sacral and iliac tumors, and extraforaminal decompression of the L5 nerve roots. We performed an anatomic dissection of the LSIT in 3 embalmed cadavers (6 triangles), using an anterior and posterior approach. We identified 3 key tissue planes: the neurological plexus plane, constituted by L4 and L5 nerve roots; an intermediate level constituted by the ileosacral tunnel; and posteriorly, by the lumbosacral ligament, and the posterior muscular plane. Improving anatomic knowledge of the LSIT may help surgeons decrease the risk of possible complications. When LSIT pathology is present, a lateral approach corresponding to the tip of the L4 transverse process, medially, is suggested to decrease the risk of vessel and nerve root damage. Copyright © 2016 Elsevier Inc. All rights reserved.

76 FR 17327 - 100th Anniversary of the Triangle Shirtwaist Factory Fire

Science.gov (United States)

2011-03-29

... responsibility to provide a safe environment for all American workers. NOW, THEREFORE, I, BARACK OBAMA, President... since the Triangle factory fire, we are still fighting to provide adequate working conditions for all... collective bargaining as a tool to give workers a seat at the tables of power. Working Americans are the...

On the chromatic number of a space with forbidden equilateral triangle

International Nuclear Information System (INIS)

Zvonarev, A E; Raigorodskii, A M; Kharlamova, A A; Samirov, D V

2014-01-01

We improve the Frankl-Rödl estimate for the product of the numbers of edges in uniform hypergraphs with forbidden cardinalities of the intersection of edges. By using this estimate, we obtain explicit bounds for the chromatic number of a space with forbidden monochromatic equilateral triangles. Bibliography: 31 titles

Color Degree Sum Conditions for Rainbow Triangles in Edge-Colored Graphs

NARCIS (Netherlands)

Li, Ruonan; Ning, Bo; Zhang, Shenggui

Let G be an edge-colored graph and v a vertex of G. The color degree of v is the number of colors appearing on the edges incident to v. A rainbow triangle in G is one in which all edges have distinct colors. In this paper, we first prove that an edge-colored graph on n vertices contains a rainbow

Obligations, internalization, and excuse making: integrating the triangle model and self-determination theory.

Science.gov (United States)

Sheldon, Kennon M; Schachtman, Todd R

2007-04-01

Schlenker's triangle model (Schlenker, Britt, Pennington, Murphy, & Doherty, 1994, Schlenker, Pontari, & Christopher, 2001) identifies three excuses people use to avoid taking responsibility after failure: that one had no control in the situation, that the obligation was unclear, and that it was not really one's obligation. Three retrospective studies tested the presumed negative association between excuse making and responsibility taking. The studies also examined the effects of self-determination theory's concept of motivational internalization (Deci & Ryan, 2000) upon these variables. A complex but replicable pattern emerged, such that responsibility taking and motivational internalization correlated with adaptive outcomes such as future commitment and positive expectancy and excuse making did not. Of particular interest, perceiving that the person levying the obligation internalized motivation predicted responsibility taking, in all three studies. Implications for the triangle model, as well as for theories of maturity and personality development, are considered.

Phrenic Nerve Conduction Study in the Early Stage of Guillain-Barre Syndrome as a Predictor of Respiratory Failure.

Science.gov (United States)

Sen, Barun Kumar; Pandit, Alak

2018-01-01

Guillain-Barré syndrome (GBS) has unpredictable clinical course with severe complication of respiratory failure. To identify clinical profiles and electrophysiological study particularly non-invasive Phrenic nerve conduction study in patients of early GBS to predict respiratory failure. 64 adult (age≥18yrs) patients of early GBS (onset ≤ 14 days) during the study period from January 2014 to October 2015 were evaluated by clinical profiles of age, gender, antecedent infection, time to peak disability, single breath counts, cranial nerve involvement, autonomic dysfunction and non-invasive Phrenic nerve conduction study. Patients with predisposition factors of polyneuropathy like diabetes mellitus, hypothyroidism, vitamin deficiency, renal failure were excluded. Among 64 patients abnormal phrenic nerve conduction study was seen in 65.62% cases (42/64) and 45.23% (19/42) of them developed respiratory failure. Phrenic nerve sum latency, amplitude, duration and area were abnormal in those who developed respiratory failure and they had sum of phrenic nerve latency >28 msec, sum of CMAP amplitude 50 msec and sum of area phrenic nerve study developed respiratory failure. It was found that age, gender, preceding infection, autonomic involvement and types of GB syndrome had no influence on development of respiratory failure (p>0.05). Rapid disease progression to peak disability, more severe disease, shorter single breath counts and cranial nerve involvement were seen more often in patients with respiratory failure. Abnormal Phrenic nerve conduction study in the early Guillain-Barré syndrome might be of great value independently in predicting impending respiratory failure.

Update of the Unitarity Triangle Analysis

CERN Document Server

Bevan, A.J.; Ciuchini, M.; Derkach, D.; Stocchi, A.; Franco, E.; Silvestrini, L.; Lubicz, V.; Tarantino, Cecilia; Martinelli, G.; Parodi, F.; Schiavi, C.; Pierini, M.; Sordini, V.; Vagnoni, V.

2010-01-01

We present the status of the Unitarity Triangle Analysis (UTA), within the Standard Model (SM) and beyond, with experimental and theoretical inputs updated for the ICHEP 2010 conference. Within the SM, we find that the general consistency among all the constraints leaves space only to some tension (between the UTA prediction and the experimental measurement) in BR(B -> tau nu), sin(2 beta) and epsilon_K. In the UTA beyond the SM, we allow for New Physics (NP) effects in (Delta F)=2 processes. The hint of NP at the 2.9 sigma level in the B_s-\\bar B_s mixing turns out to be confirmed by the present update, which includes the new D0 result on the dimuon charge asymmetry but not the new CDF measurement of phi_s, being the likelihood not yet released.

The spin-charge-family theory offers understanding of the triangle anomalies cancellation in the standard model

Energy Technology Data Exchange (ETDEWEB)

Mankoc Borstnik, N.S. [University of Ljubljana (Slovenia); Nielsen, H.B.F. [Niels Bohr Institute, Copenhagen (Denmark)

2017-12-15

The standard model has for massless quarks and leptons ''miraculously'' no triangle anomalies due to the fact that the sum of all possible traces T r[τ{sup Ai}τ{sup Bj}τ{sup Ck}] - where τ{sup Ai}, τ{sup Bi} and τ{sup Ck} are the generators of one, of two or of three of the groups SU(3), SU(2) and U(1) - over the representations of one family of the left handed fermions and anti-fermions (and separately of the right handed fermions and anti-fermions), contributing to the triangle currents, is equal to zero.{sup [1-4]} It is demonstrated in this paper that this cancellation of the standard model triangle anomaly follows straightforwardly if the SO(3, 1), SU(2), U(1) and SU(3) are the subgroups of the orthogonal group SO(13, 1), as it is in the spin-charge-family theory.{sup [5-22]} We comment on the SO(10) anomaly cancellation, which works if handedness and charges are related ''by hand''. (copyright 2017 WILEY-VCH Verlag GmbH and Co. KGaA, Weinheim)

Seismic interpretation of the triangle zone at Jumping Pound, Alberta

Energy Technology Data Exchange (ETDEWEB)

Slotboom, R. T. [Amerada Hess Canada Ltd., Calgary, AB (Canada); Lawton, D. C.; Spratt, D. A. [Calgary Univ., AB (Canada). Dept. of Geology and Geophysics

1996-06-01

The triangle zone at Jumping Point, Alberta was characterized using seismic survey data as a NW-SE-trending antiformal stack of thrust sheets involving Cretaceous rocks that have been wedged into the foreland between two detachments. Three major thrust sheets of Lower and Upper Cretaceous strata have been stacked to form the main extremity of the wedge. The structure is tightly folded at Jumping Point, and broadens northwest along the strike. 13 refs., 8 figs.

The phases of large networks with edge and triangle constraints

Science.gov (United States)

Kenyon, Richard; Radin, Charles; Ren, Kui; Sadun, Lorenzo

2017-10-01

Based on numerical simulation and local stability analysis we describe the structure of the phase space of the edge/triangle model of random graphs. We support simulation evidence with mathematical proof of continuity and discontinuity for many of the phase transitions. All but one of the many phase transitions in this model break some form of symmetry, and we use this model to explore how changes in symmetry are related to discontinuities at these transitions.

[Lower urinary tract dysfunction in Guillain-Barre syndrome].

Science.gov (United States)

Reitz, A; Mohr, M; Leistner, N; Tabaza, R; Anding, R; Brehmer, B; Kirschner-Hermanns, R

2018-02-01

Guillain-Barré syndrome (GBS) as acute inflammatory demyelinating polyradiculoneuropathy frequently leads to lower urinary tract dysfunction. The available knowledge in the medical literature is limited and good recommendations for diagnosis and therapy are rare. In this study, 189 patients with GBS were screened for lower urinary tract dysfunction. In symptomatic patients, a urodynamic study was performed. Detrusor contractility, post-void residual, and changes of the symptoms over time were studied. Overall Barthel index and urinary control Barthel index as well as the relationship of time after onset of the disease and post-void residual were studied as possible screening criteria for urodynamic assessment. According to the urinary control Barthel index (BI), 115 of 189 patients (61%) presented lower urinary tract symptoms sometime during the course of disease. In 28 patients, these symptoms were temporary during the acute phase. At the time of urological assessment, 87 patients had lower urinary tract symptoms. At the end of rehabilitation, 37 had no symptoms anymore (BI 10), 20 were able to control micturition to a certain extent (BI 5), and 30 had no lower urinary tract control (BI 0). There was a significant negative correlation between post-void residual volume and overall BI (ρ -0.5823, p < 0.0001) and BI for urinary tract control (ρ -0.6430, p < 0.0001). Overall BI and BI for urinary tract control are suitable screening criteria for urodynamic assessment.

S-duality, triangle groups and modular anomalies in N=2 SQCD

International Nuclear Information System (INIS)

Ashok, S. K.; Dell’Aquila, E.; Lerda, A.; Raman, M.

2016-01-01

We study N=2 superconformal theories with gauge group SU(N) and 2N fundamental flavours in a locus of the Coulomb branch with a ℤ_N symmetry. In this special vacuum, we calculate the prepotential, the dual periods and the period matrix using equivariant localization. When the flavors are massless, we find that the period matrix is completely specified by [(N/2)] effective couplings. On each of these, we show that the S-duality group acts as a generalized triangle group and that its hauptmodul can be used to write a non-perturbatively exact relation between each effective coupling and the bare one. For N=2,3,4 and 6, the generalized triangle group is an arithmetic Hecke group which contains a subgroup that is also a congruence subgroup of the modular group PSL(2,ℤ). For these cases, we introduce mass deformations that respect the symmetries of the special vacuum and show that the constraints arising from S-duality make it possible to resum the instanton contributions to the period matrix in terms of meromorphic modular forms which solve modular anomaly equations.

S-duality, triangle groups and modular anomalies in N=2 SQCD

Energy Technology Data Exchange (ETDEWEB)

Ashok, S. K.; Dell’Aquila, E. [Institute of Mathematical Sciences, C.I.T. Campus,Taramani, Chennai, 600113 (India); Lerda, A. [Università del Piemonte Orientale, Dipartimento di Scienze e Innovazione Tecnologica,and INFN - Gruppo Collegato di Alessandria, Sezione di Torino,Viale T. Michel 11, I-15121 Alessandria (Italy); Raman, M. [Institute of Mathematical Sciences, C.I.T. Campus,Taramani, Chennai, 600113 (India)

2016-04-19

We study N=2 superconformal theories with gauge group SU(N) and 2N fundamental flavours in a locus of the Coulomb branch with a ℤ{sub N} symmetry. In this special vacuum, we calculate the prepotential, the dual periods and the period matrix using equivariant localization. When the flavors are massless, we find that the period matrix is completely specified by [(N/2)] effective couplings. On each of these, we show that the S-duality group acts as a generalized triangle group and that its hauptmodul can be used to write a non-perturbatively exact relation between each effective coupling and the bare one. For N=2,3,4 and 6, the generalized triangle group is an arithmetic Hecke group which contains a subgroup that is also a congruence subgroup of the modular group PSL(2,ℤ). For these cases, we introduce mass deformations that respect the symmetries of the special vacuum and show that the constraints arising from S-duality make it possible to resum the instanton contributions to the period matrix in terms of meromorphic modular forms which solve modular anomaly equations.

Exact many-electron ground states on diamond and triangle Hubbard chains

International Nuclear Information System (INIS)

Gulacsi, Zsolt; Kampf, Arno; Vollhardt, Dieter

2009-01-01

We construct exact ground states of interacting electrons on triangle and diamond Hubbard chains. The construction requires (1) a rewriting of the Hamiltonian into positive semidefinite form, (2) the construction of a many-electron ground state of this Hamiltonian, and (3) the proof of the uniqueness of the ground state. This approach works in any dimension, requires no integrability of the model, and only demands sufficiently many microscopic parameters in the Hamiltonian which have to fulfill certain relations. The scheme is first employed to construct exact ground state for the diamond Hubbard chain in a magnetic field. These ground states are found to exhibit a wide range of properties such as flat-band ferromagnetism and correlation induced metallic, half-metallic or insulating behavior, which can be tuned by changing the magnetic flux, local potentials, or electron density. Detailed proofs of the uniqueness of the ground states are presented. By the same technique exact ground states are constructed for triangle Hubbard chains and a one-dimensional periodic Anderson model with nearest-neighbor hybridization. They permit direct comparison with results obtained by variational techniques for f-electron ferromagnetism due to a flat band in CeRh 3 B 2 . (author)

The Oldman River triangle zone: a complicated tectonic wedge delineated by new structural mapping and seismic interpretation

Energy Technology Data Exchange (ETDEWEB)

Stockmal, G. S. [Geological Survey of Canada, Calgary, AB (Canada). Inst. of Sedimentary and Petroleum Geology; Lawton, D. C.; Spratt, D. [Calgary Univ., AB (Canada). Dept. of Geology and Geophysics; MacKay, P. A.

1996-06-01

The triangle zone exposed along and adjacent to the Alberta Foothills was characterized on the basis of new structural mapping and seismic surveys. Results indicate that the zone is comprised of a complicated structure involving significant deformation in the hanging wall of the upper detachment, including orogenic thrusts and large orogen-vergent folds, as well as secondary orogen-directed tectonic wedging. This structure is considered to be an example of a `nested` triangle zone, where an `outer` tectonic wedge with modest shortening encases an `inner` counterpart with substantially more shortening. Both of these wedges show evidence of synchronous deformation. 23 refs., 9 figs.

Valuation of Non-Life Liabilities from Claims Triangles

Directory of Open Access Journals (Sweden)

Mathias Lindholm

2017-07-01

Full Text Available This paper provides a complete program for the valuation of aggregate non-life insurance liability cash flows based on claims triangle data. The valuation is fully consistent with the principle of valuation by considering the costs associated with a transfer of the liability to a so-called reference undertaking subject to capital requirements throughout the runoff of the liability cash flow. The valuation program includes complete details on parameter estimation, bias correction and conservative estimation of the value of the liability under partial information. The latter is based on a new approach to the estimation of mean squared error of claims reserve prediction.

Prediction accident triangle in maintenance of underground mine facilities using Poisson distribution analysis

Science.gov (United States)

Khuluqi, M. H.; Prapdito, R. R.; Sambodo, F. P.

2018-04-01

In Indonesia, mining is categorized as a hazardous industry. In recent years, a dramatic increase of mining equipment and technological complexities had resulted in higher maintenance expectations that accompanied by the changes in the working conditions, especially on safety. Ensuring safety during the process of conducting maintenance works in underground mine is important as an integral part of accident prevention programs. Accident triangle has provided a support to safety practitioner to draw a road map in preventing accidents. Poisson distribution is appropriate for the analysis of accidents at a specific site in a given time period. Based on the analysis of accident statistics in the underground mine maintenance of PT. Freeport Indonesia from 2011 through 2016, it is found that 12 minor accidents for 1 major accident and 66 equipment damages for 1 major accident as a new value of accident triangle. The result can be used for the future need for improving the accident prevention programs.

Airspora concentrations in the Vaal-triangle-monitoring and potential health-effects.2, fungal spores

CSIR Research Space (South Africa)

Vismer, HF

1995-08-01

Full Text Available Atmospheric fungal spores were monitored in Vanderbijlpark for the period 1991-92 as part of the Vaal triangle air pollution health study of the medical research council and the CSIR. Cladosporium, Aspergillus/ Penicillium, Alternaria and Epicoccum...

Future travel demand and its implications for transportation infrastructure investments in the Texas Triangle.

Science.gov (United States)

2009-03-01

This study takes a megaregion approach to project future travel demand and choice of transport : modes in the Texas Triangle, which is encompassed by four major metropolitan areas, Dallas-Fort : Worth, Houston, San Antonio, and Austin. The model was ...

The India-Pakistan-China strategic triangle and the role of nuclear weapons

International Nuclear Information System (INIS)

Chellaney, B.

2002-01-01

This paper presents the Asian landscape with its regional balances and imbalances and its changes after September 11 and subsequent events. The nuclear posture and the role of nuclear weapons inside the China-India-Pakistan triangle is analyzed with respect to the US non-proliferation policy and its expanding military presence over the Asian continent. (J.S.)

The India-Pakistan-China strategic triangle and the role of nuclear weapons

Energy Technology Data Exchange (ETDEWEB)

Chellaney, B

2002-07-01

This paper presents the Asian landscape with its regional balances and imbalances and its changes after September 11 and subsequent events. The nuclear posture and the role of nuclear weapons inside the China-India-Pakistan triangle is analyzed with respect to the US non-proliferation policy and its expanding military presence over the Asian continent. (J.S.)

Prediction of Functional Outcome in Axonal Guillain-Barre Syndrome.

Science.gov (United States)

Sung, Eun Jung; Kim, Dae Yul; Chang, Min Cheol; Ko, Eun Jae

2016-06-01

To identify the factors that could predict the functional outcome in patients with the axonal type of Guillain-Barre syndrome (GBS). Two hundred and two GBS patients admitted to our university hospital between 2003 and 2014 were reviewed retrospectively. We defined a good outcome as being "able to walk independently at 1 month after onset" and a poor outcome as being "unable to walk independently at 1 month after onset". We evaluated the factors that differed between the good and poor outcome groups. Twenty-four patients were classified into the acute motor axonal neuropathy type. There was a statistically significant difference between the good and poor outcome groups in terms of the GBS disability score at admission, and GBS disability score and Medical Research Council sum score at 1 month after admission. In an electrophysiologic analysis, the good outcome group showed greater amplitude of median, ulnar, deep peroneal, and posterior tibial nerve compound muscle action potentials (CMAP) and greater amplitude of median, ulnar, and superficial peroneal sensory nerve action potentials (SNAP) than the poor outcome group. A lower GBS disability score at admission, high amplitude of median, ulnar, deep peroneal, and posterior tibial CMAPs, and high amplitude of median, ulnar, and superficial peroneal SNAPs were associated with being able to walk at 1 month in patients with axonal GBS.

Fact Sheet on EPA's Science, Technology, Engineering & Math (STEM) Outreach Program in Research Triangle Park

Science.gov (United States)

Employees from EPA’s Research Triangle Park (RTP) campus serve as guest speakers at local schools and in the community. Hands-on activities and interactive discussions supplement classroom instruction and promote environmental awareness

Antibody to human T-lymphotropic virus in a patient with Guillain-Barré syndrome (case report Anticorpo para o vírus linfotrópico humano T em um paciente com a síndrome de Guillain-Barré

Directory of Open Access Journals (Sweden)

C.M. Nakauchi

1991-08-01

Full Text Available Serum sample obtained from a male, 12 year old patient suffering from Guillain-Barré syndrome (GBS was positive for human T-lymphotropic virus (HTLV-I antibody by the enzyme-linked immunosorbent assay (ELISA and the Western Blot analysis (WB. Attempts to isolate enteroviruses (including poliovirus from faecal material in both tissue culture and suckling mice were unsuccessful; in addition, acute and convalescent paired serum samples did not show any evidence of recent poliovirus infection when tested against the three serotypes. Specific tests for detection of Epstein-Barr virus infection were not performed; however, the Paul-Bunnel test yielded negative results. ELISA for detection of anti-cytomegalovirus IgM was also negative. The concomitant occurrence of either adult T cell leukemia (ATL or lymphoma was not recorded in this case.Amostra de soro obtida de paciente com a síndrome de Guillain-Barré revelou-se positiva quanto à presença de anticorpos para o vírus linfotrópico humano T (HTLV-I pelo método imuno-enzimático (ELISA e a análise por "Western-Blot". Resultaram negativos os testes visando à detecção de enterovírus (incluindo poliovírus a partir de material fecal, tanto em cultura de tecidos como em camundongos recém-nascidos; exames com amostras de soro aguda e convalescente não exibiram qualquer evidência de infecção recente pelos três tipos de poliovírus. O teste de Paul-Bunnel, assim como o "ELISA" para a detecção de IgM anti-citomegalovírus resultaram negativos. Não foi registrada, no presente caso, quer a leucemia adulta de células T, quer linfomas.

Magnetic resonance imaging diagnosis of acute Guillain-Barré syndrome in children

Institute of Scientific and Technical Information of China (English)

Zhongjun Hou; Xiaojun Yu; Huimin Jiang; Xi Li; Bingyi Cao; Yaotang Chen; Jiao Chen

2011-01-01

The present study examined 24 children with acute Guillain-Barré syndrome using magnetic resonance imaging (MRI) plain scans and fat-suppressed enhanced T1-weighted imaging (T1WI)scans. Axial MRI plain scans centering on the medullary conus were positive in nine patients (38%).These displayed variable thickening involving the cauda equina with isointensity on T1WI and isointensity or slight hyperintensity on T2WI. False negatives were obtained in patients with cervical and cranial nerve symptoms. Contrast enhancement of T1WI with fat suppression w as positive in all patients in the cauda equina with varied thickening and enhancement centering on the medullary conus. Five patients (36%) were positive in the cervical nerves and 3 patients (50%) were positive in the cranial nerves. These patients had corresponding cervical and cranial nerve symptoms,respectively. Patients with serious clinical symptoms in the lower limbs exhibited obvious involvement of the cauda equina by MRI. Statistical analysis revealed a positive correlation between the extent of enlargement of the cauda equina, centering on the medullary conus, and cerebrospinal fluid protein concentration.

Update of the Unitarity Triangle Analysis

International Nuclear Information System (INIS)

Tarantino, C.; Bona, M.; Sordini, V.

2009-01-01

We present the update of the Unitarity Triangle (UT) analysis within the Standard Model (SM) and beyond. Within the SM, combining the direct measurements on sides and angles, the UT turns out to be overconstraint in a consistent way, showing that the CKM matrix is the dominant source of flavour mixing and CP-violation and that New Physics (NP) effects can appear at most as small corrections to the CKM picture. Generalizing the UT analysis to investigate NP effects, constraints on b → s transitions are also included and both CKM and NP parameters are fitted simultaneously. While no evidence of NP effects is found in K - (bar) K and B d - (bar) B d mixing, in the B s - (bar) B s mixing an hint of NP is found. The UT analysis beyond the SM also allows us to derive bounds on the coefficients of the most general ΔF = 2 effective Hamiltonian, that can be translated into bounds on the NP scale. (authors)

Member and Affiliate Contact Directory. Triangle Coalition for Science and Technology Education. Second Edition.

Science.gov (United States)

Triangle Coalition for Science and Technology Education, College Park, MD.

This directory is designed to assist local action groups (existing local alliances; science mathematics, and technology teachers; superintendents, principals, and supervisors; guidance counselors and resource specialists; and university and college professors) in making contact with the local structure of the Triangle Coalition for Science and…

Patterns of species range evolution in Indo-Pacific reef assemblages reveal the Coral Triangle as a net source of transoceanic diversity.

Science.gov (United States)

Evans, Sean M; McKenna, Caroline; Simpson, Stephen D; Tournois, Jennifer; Genner, Martin J

2016-06-01

The Coral Triangle in the Indo-Pacific is a region renowned for exceptional marine biodiversity. The area could have acted as a 'centre of origin' where speciation has been prolific or a 'centre of survival' by providing refuge during major environmental shifts such as sea-level changes. The region could also have acted as a 'centre of accumulation' for species with origins outside of the Coral Triangle, owing to it being at a central position between the Indian and Pacific oceans. Here, we investigated support for these hypotheses using population-level DNA sequence-based reconstructions of the range evolution of 45 species (314 populations) of Indo-Pacific reef-associated organisms. Our results show that populations undergoing the most ancient establishment were significantly more likely to be closer to the centre of the Coral Triangle than to peripheral locations. The data are consistent with the Coral Triangle being a net source of coral-reef biodiversity for the Indo-Pacific region, suggesting that the region has acted primarily as a centre of survival, a centre of origin or both. These results provide evidence of how a key location can influence the large-scale distributions of biodiversity over evolutionary timescales. © 2016 The Authors.

Right unitarity triangles and tri-bimaximal mixing from discrete symmetries and unification

International Nuclear Information System (INIS)

Antusch, S.; King, Stephen F.; Luhn, Christoph; Spinrath, M.

2011-01-01

We propose new classes of models which predict both tri-bimaximal lepton mixing and a right-angled Cabibbo-Kobayashi-Maskawa (CKM) unitarity triangle, α∼90 o . The ingredients of the models include a supersymmetric (SUSY) unified gauge group such as SU(5), a discrete family symmetry such as A 4 or S 4 , a shaping symmetry including products of Z 2 and Z 4 groups as well as spontaneous CP violation. We show how the vacuum alignment in such models allows a simple explanation of α∼90 o by a combination of purely real or purely imaginary vacuum expectation values (vevs) of the flavons responsible for family symmetry breaking. This leads to quark mass matrices with 1-3 texture zeros that satisfy the 'phase sum rule' and lepton mass matrices that satisfy the 'lepton mixing sum rule' together with a new prediction that the leptonic CP violating oscillation phase is close to either 0 o , 90 o , 180 o , or 270 o depending on the model, with neutrino masses being purely real (no complex Majorana phases). This leads to the possibility of having right-angled unitarity triangles in both the quark and lepton sectors.

[Regional ecological planning and ecological network construction: a case study of "Ji Triangle" Region].

Science.gov (United States)

Li, Bo; Han, Zeng-Lin; Tong, Lian-Jun

2009-05-01

By the methods of in situ investigation and regional ecological planning, the present ecological environment, ecosystem vulnerability, and ecological environment sensitivity in "Ji Triangle" Region were analyzed, and the ecological network of the study area was constructed. According to the ecological resources abundance degree, ecological recovery, farmland windbreak system, environmental carrying capacity, forestry foundation, and ecosystem integrity, the study area was classified into three regional ecological function ecosystems, i. e., east low hill ecosystem, middle plain ecosystem, and west plain wetland ecosystem. On the basis of marking regional ecological nodes, the regional ecological corridor (Haerbin-Dalian regional axis, Changchun-Jilin, Changchun-Songyuan, Jilin-Songyuan, Jilin-Siping, and Songyuan-Siping transportation corridor) and regional ecological network (one ring, three links, and three belts) were constructed. Taking the requests of regional ecological security into consideration, the ecological environment security system of "Ji Triangle" Region, including regional ecological conservation district, regional ecological restored district, and regional ecological management district, was built.

Remarks on a Generalization of a Question Raised by Pál Erdős Concerning a Geometric Inequality in Acute Triangles II

Directory of Open Access Journals (Sweden)

Béla FINTA

2018-06-01

Full Text Available The purpose of this paper is to give a negative answer to a possible generalization of an open question raised by Pál Erd ˝os, concerning an inequality in acute triangles. We prove here that from a < b < c does not follow a 2k+1 + (la 2k+1 < b2k+1 + l 2k+1 b < c 2k+1 + l 2k+1 c in every acute triangle ABC, nor the opposite chain of inequalities, where k ∈ N, k ≥ 2, and a, b, c denotes the length of the triangles sites, while la, lb, lc denotes the length of the interior angle bisectors, as usual. We achieve this by constructing effectively two counterexamples, one for each type of inequalities.

Environmental Pollution from Illegal Waste Disposal and Health Effects: A Review on the “Triangle of Death”

Directory of Open Access Journals (Sweden)

Maria Triassi

2015-01-01

Full Text Available The term “triangle of death” was used for the first time by Senior and Mazza in the journal The Lancet Oncology referring to the eastern area of the Campania Region (Southern Italy which has one of the worst records of illegal waste dumping practices. In the past decades, many studies have focused on the potential of illegal waste disposal to cause adverse effects on human health in this area. The great heterogeneity in the findings, and the bias in media communication has generated great healthcare doubts, anxieties and alarm. This paper addresses a review of the up-to-date literature on the “triangle of death”, bringing together the available information on the occurrence and severity of health effects related to illegal waste disposal. The Scopus database was searched using the search terms “waste”, “Campania”, “Naples”, “triangle of death” and “human biomonitoring”. Despite the methodological and sampling heterogeneity between the studies, this review examines the evidence from published data concerning cancer incidence, childhood mortality and birth defects, so that the current situation, knowledge gaps and research priorities can be established. The review aims to provide a contribution to the scientific community, and to respond to the concerns of the general population.

ENVIRONMENTAL PUBLIC HEALTH OUTCOMES WORKSHOP PROCEEDINGS -RESEARCH TRIANGLE PARK, NC, 7/30-31/2002

Science.gov (United States)

To better define ORD's Environmental Public Health Outcomes (EPHO) research agenda, a workshop was held 7/30-31/2002 at EPA facilities in Research Triangle Park, NC. The intent of this workshop was to engage federal and other organizations in a dialog that will assist ORD in deve...

Comparing MapReduce and Pipeline Implementations for Counting Triangles

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Edelmira Pasarella

2017-01-01

Full Text Available A common method to define a parallel solution for a computational problem consists in finding a way to use the Divide and Conquer paradigm in order to have processors acting on its own data and scheduled in a parallel fashion. MapReduce is a programming model that follows this paradigm, and allows for the definition of efficient solutions by both decomposing a problem into steps on subsets of the input data and combining the results of each step to produce final results. Albeit used for the implementation of a wide variety of computational problems, MapReduce performance can be negatively affected whenever the replication factor grows or the size of the input is larger than the resources available at each processor. In this paper we show an alternative approach to implement the Divide and Conquer paradigm, named dynamic pipeline. The main features of dynamic pipelines are illustrated on a parallel implementation of the well-known problem of counting triangles in a graph. This problem is especially interesting either when the input graph does not fit in memory or is dynamically generated. To evaluate the properties of pipeline, a dynamic pipeline of processes and an ad-hoc version of MapReduce are implemented in the language Go, exploiting its ability to deal with channels and spawned processes. An empirical evaluation is conducted on graphs of different topologies, sizes, and densities. Observed results suggest that dynamic pipelines allows for an efficient implementation of the problem of counting triangles in a graph, particularly, in dense and large graphs, drastically reducing the execution time with respect to the MapReduce implementation.

Síndrome de Guillain-Barré: patogenia, diagnóstico y cuidados críticos en pediatría

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Deybis Sánchez Miranda

2001-06-01

Full Text Available El síndrome de Landry-Guillain-Barré-Strohl, se caracteriza por una parálisis motora ascendente o descendente bilateral con relativa simetría, hiporreflexia o arreflexia, toma bulbar, no presencia de trastornos sensitivos objetivos, síntomas disautonómicos y la parálisis respiratoria es la complicación más grave. El factor autoinmune y el fenómeno precedente tienen valor en la patogenia. El manejo de los pacientes debe ocurrir en una Unidad de Terapia Intensiva durante la fase de progresión, para el monitoreo ventilatorio y hemodinámico. Se debe garantizar nutrición, balance hidromineral neutro, control de la vía aérea y ventilación mecánica de acuerdo con los criterios clínicos, gasométricos y electrofisiológicos. La plasmaféresis, los esteroides y la gammaglobulina intravenosa parecen ser propuestas razonables de tratamiento si se utilizan en el momento adecuado.Landry-Guillain-Barré-Strohl syndrome is characterized by a bilateral ascending or descending motor paralysis with relative simmetry, hyporeflexia or areflexia, bulbar taking, no objective sensitive disorders, disautonomic symptoms and respiratory paralysis, which is the most severe complication. The autoimmune factor and the preceeding phenomenon have value in the pathogeny. Patients should be managed in an Intensive Care Unit during the progression stage for the ventilatory and hemodynamic monitoring. Nutrition, neutral hydromineral balance, control of the airways and mechanical ventilation should be guaranteed according to the clinical, gasometric and electrophysiological criteria. Plasmapheresis, steroids and intravenous gammaglobulins appear to be reasonable suggestions for treatment if they are used at the right time.

Quality of surface-water supplies in the Triangle area of North Carolina, water years 2010-11

Science.gov (United States)

Pfeifle, C.A.; Cain, J.L.; Rasmussen, R.B.

2016-02-02

Surface-water supplies are important sources of drinking water for residents in the Triangle area of North Carolina, which is located within the upper Cape Fear and Neuse River Basins. Since 1988, the U.S. Geological Survey and a consortium of local governments have tracked water-quality conditions and trends in several of the area’s water-supply lakes and streams. This report summarizes data collected through this cooperative effort, known as the Triangle Area Water Supply Monitoring Project, during October 2009 through September 2010 (water year 2010) and October 2010 through September 2011 (water year 2011). Major findings for this data-collection effort include Annual precipitation was approximately 4 percent above the long-term mean (average) annual precipitation in 2010 and approximately 6 percent below the long-term mean in 2011.

Examining Factors that Influence the Existence of Heinrich's Safety Triangle Using Site-Specific H&S Data from More than 25,000 Establishments.

Science.gov (United States)

Yorio, Patrick L; Moore, Susan M

2018-04-01

In the 1930s, Heinrich established one of the most prominent and enduring accident prevention theories when he concluded that high severity occupational safety and health (OSH) incidents are preceded by numerous lower severity incidents and near misses. Seventy-five years of theory expansion/interpretation includes two fundamental tenets: (1) the ratio of lower to higher severity incidents exists in the form of a "safety-triangle" and (2) similar causes underlie both high and low severity events. Although used extensively to inform public policy and establishment-level health and safety priorities, recent research challenges the validity of the two tenets. This study explored the validity of the first tenet, the existence of the safety triangle. The advantage of the current study is the use of a detailed, establishment-specific data set that evaluated over 25,000 establishments over a 13-year time period, allowing three specific questions to be explored: (1) Are an increased number of lower severity incidents at an establishment significantly associated with the probability of a fatal event over time? (2) At the establishment level, do the effects of OSH incidents on the probability of a fatality over time decrease as the degree of severity decreases-thereby taking the form of a triangle? and (3) Do distinct methods for delineating incidents by severity affect the existence of the safety triangle form? The answer to all three questions was yes with the triangle form being dependent upon how severity was delineated. The implications of these findings in regard to Heinrich's theory and OSH policy and management are discussed. © 2017 Society for Risk Analysis.

Psoriatik Artritli Bir Hastada Ižnfliksimab Tedavisi Sirasinda Gelisen Guillain-Barre Sendromu: Olgu Sunumu

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Osman Tufekci

2014-12-01

Full Text Available Tumor necrosis factor (TNF-α plays an important role in many aspects of immune system development, immune-response regulation, and T-cell–mediated tissue injury. The evidence that TNF-α, released by auto reactive T cells and macrophages, may contribute to the pathogenesis of immune-mediated demyelinating neuropathies is reviewed. Demyelinating neuropathies are rare adverse events of anti–TNF-α therapy. Improvement usually occurs after drug interruption and/or in association with conventional treatments for demyelinating neuropathies. We aimed to report a patient with demyelinating neuropathy occurring after TNF blocker (infliximab treatment. The development of Guillain-Barre syndrome in this report may have been secondary to anti-TNF-α treatment.  The influence of anti-TNF-α treatment continuation on the long-term course of neuropathy is variable, suggesting that anti-TNF-α treatment withdrawal is not always necessary for neuropathy control. But such as the report, anti-TNF-α treatment may be stopped.

Texas Urban Triangle : pilot study to implement a spatial decision support system (SDSS) for sustainable mobility.

Science.gov (United States)

2011-03-01

This project addressed sustainable transportation in the Texas Urban Triangle (TUT) by conducting a pilot : project at the county scale. The project tested and developed the multi-attribute Spatial Decision Support : System (SDSS) developed in 2009 u...

Effect of conduction block in classification and prognosis of Guillain-Barre syndrome

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Yu-Chen Wang

2014-09-01

Full Text Available Aim: The aim was to investigate the electro-physiological characteristics in disease progression of Guillain-Barre syndrome (GBS and observe the effect of conduction block (CB in classification and severity of the disease. Methods: Two hundred and ninety-four patients with GBS were divided into acute inflammatory demyelinating poly-neuropathy (AIDP group, acute motor axonal neuropathy (AMAN group and equivocal group according to their electro-physiological results and then reclassificated after electro-physiological review. All of the patients were followed for 6 months since their attacks. Results: Bad prognosis is more pronounced in AMAN group than in AIDP group (P < 0.05. Most of the patients classificated as AIDP transformed into AMAN when CB occurred in the early phase of the disease. There is a positive relationship between CB in the early phase of the disease and severity of illness (P < 0.05, but CB showed no correlation with prognosis of the patients (P > 0.05. Conclusion: CB in the early phase of GBS indicates the probability of AIDP transforming into AMAN; it suggests that patients with CB in the early phase of the disease might be in serious conditions in a certain extent.

The Taskload-Efficiency-Safety-Buffer Triangle--development and validation with air traffic management.

Science.gov (United States)

Kallus, K Wolfgang; Hoffmann, Peter; Winkler, Hildegard; Vormayr, Elisabeth M

2010-02-01

The Taskload-Efficiency-Safety-Buffer Triangle (TEST) was developed as a new computerised scaling tool for quickly visualising changes in and trade-offs between the three critical factors that determine the work situation of air traffic management (ATM), i.e. taskload, efficiency and safety-buffers. Based on a task analysis of ATM and backed up by the stress-strain model, an easy-to-interpret triangle was constructed and validated both in simulated and real ATM workplaces. Results from the validation studies show that TEST does not only reflect the most relevant task characteristics, but also provides additional insights in the controllers' working styles. The TEST tool can make ATM safety surveys more efficient and help supervisors to decide about optimal times for opening or closing additional sectors. Statement of Relevance: TEST is a new tool to assess taskload, efficiency and safety-buffers in a joint scaling. It reflects increases in taskload and effects of taskload on safety-buffers and efficiency, as well as trade-offs in opposite directions. This tool might be very useful to check sector capacity in ATM and other high risk environments.

Triangle identity and free differential algebra of massless higher spins

Energy Technology Data Exchange (ETDEWEB)

Vasiliev, M A [AN SSSR, Moscow. Fizicheskij Inst.

1989-09-25

In terms of Berezins's theory of symbols of operators, the integral formulation is suggested for the free differential algebra which gives rise to consistent equations of motion of interacting massless fields of all spins 0{le}s<{infinity} in the frameworks of gravity. In the first nontrivial order of the expansion in powers of curvatures, Frobenius consistency conditions for higher-spin equations of motion are shown to reduce to the simple geometrical fast that there are two ways for splitting any quadrangle in two triangles. To clarify our construction, we illustrate how it works in the simplest case of pure gravity. (orig.).

9th International Workshop on the CKM Unitarity Triangle

CERN Document Server

CKM2016

2016-01-01

The 9th International Workshop on the CKM Unitarity Triangle (CKM 2016) will be held during November 28 to December 3, 2016 at the Tata Institute of Fundamental Research in Mumbai, India. The CKM series is a well-established international meeting in the field of quark-flavour physics that brings both experimenters and theorists on a common platform. On the experimental front, we bridge borders between neutron, kaon, charm and beauty hadron, and top quark physics. The theory program tries to cover a wide range of approaches. We shall discuss how this marriage of the two can indirectly probe physics beyond the standard model, taking into account the interplay with high-pT collider searches.

Integrating ethical values into fraud triangle theory in assessing employee fraud: Evidence from the Malaysian banking industry

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Jamaliah Said

2017-06-01

Full Text Available This study attempts to integrate ethical values into the fraud triangle theory in the context of Malaysian banking industry. Primary data were collected through the survey of 108 questionnaires administered to the employees of the top three largest banks in Malaysia. The findings revealed that ethical values were negatively related to employee fraud, and two elements of fraud triangle theory, namely, opportunity and rationalization, were positively related to employee fraud. This implies that high ethical value is crucial to mitigate employee fraud. To minimize employee fraud, the banking industry should reduce opportunities and employee negative rationalization through strong internal control. This study contributes to literature on the occurrences of employee fraud, which is not widely discussed, especially in the context of the banking industry in developing countries.

Episodes of Guillain-Barré syndrome associated with the acute phase of HIV-1 infection and with recurrence of viremia

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Castro Gleusa de

2006-01-01

Full Text Available We report a severe case of Guillain-Barré syndrome (GBS characterized by flaccid areflexive tetraplegia and signs of autonomic instability related to acute HIV-1 infection, and the occurrence of relapse episodes coinciding with the detection of HIV-1 RNA in blood during the phase of irregular treatment with antiretroviral agents. The patient has been asymptomatic for 3 years and has an HIV-1 load below the limit of detection. The recurrence of GBS in this case may be related to alterations of the immunologic response caused by disequilibrium in the host-HIV relationship due to the increase in HIV-1 viremia.

Temporal association between the isolation of Sabin-related poliovirus vaccine strains and the Guillain-Barré syndrome

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F. Friedrich

1996-02-01

Full Text Available Thirty eight paralysis cases classified as Guillain-Barré syndrome (GBS in Brazil were analysed. In all these cases Sabin-related poliovirus vaccine strains were isolated. In most of the cases the last vaccine dose was given months or years before the onset of GBS, suggesting a persistent infection or the transmission of the Sabin-related strains to the patients. The isolation of Sabin-related strains from GBS cases some days or weeks after the onset of the disease, demonstrated a temporal association between the isolation of the strains and the disease. Although the isolates from the GBS cases may not be the etiological agent of the disease, this study strongly indicates that infections caused by Sabin-related vaccine strains can trigger the GBS in certain cases.

A unified triangle carrier based PWM strategy for three-phase N-level diode clamped inverters

DEFF Research Database (Denmark)

Li, Kai; Xie, Chuan; Wei, Min

2017-01-01

The triangle carrier based pulse width modulation (TCB-PWM) can be functionally equivalent to space vector base PWM (SVB-PWM). For multi-level inverter, it is very difficult to realize the SVB-PWM because its vector space is very complex. In this paper, a unified TCB-PWM strategy for three-phase ...

Extended Occupational Therapy Reintegration Strategies for a Woman With Guillain-Barré Syndrome: Case Report.

Science.gov (United States)

Tomita, Machiko R; Buckner, Kathryn; Saharan, Sumandeep; Persons, Kimberley; Liao, Sheng Hui

2016-01-01

This case report describes a unique long-term functional recovery process to promote successful community reintegration for a woman with Guillain-Barré syndrome (GBS), a rare autoimmune disease. Her main symptoms were very limited mobility and depressive symptoms due to the unknown cause of and cure for the illness. Holistic occupational strategies helped the client stabilize her emotional state, create a safe home environment, improve a communication method, increase physical activity, and promote social participation. Participation in a fall prevention clinical trial lowered her risk of falling; at 9 mo, she reached 75% of the maximum Social Integration score; at 13 mo, she reached near-normal level for activities of daily living (ADLs) and her fastest time for the Timed Up and Go test; and at 2 yr, she achieved a 100% score in instrumental ADLs. For community integration of clients with GBS, a comprehensive strategic self-management approach should be prescribed for long-term recovery. Copyright © 2016 by the American Occupational Therapy Association, Inc.

Climate, bleaching and connectivity in the Coral Triangle.

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Curchitser, E. N.; Kleypas, J. A.; Castruccio, F. S.; Drenkard, E.; Thompson, D. M.; Pinsky, M. L.

2016-12-01

The Coral Triangle (CT) is the apex of marine biodiversity and supports the livelihoods of millions of people. It is also one of the most threatened of all reef regions in the world. We present results from a series of high-resolution, numerical ocean models designed to address physical and ecological questions relevant to the region's coral communities. The hierarchy of models was designed to optimize the model performance in addressing questions ranging from the role of internal tides in larval connectivity to distinguishing the role of interannual variability from decadal trends in thermal stress leading to mass bleaching events. In this presentation we will show how combining ocean circulation with models of larval dispersal leads to new insights into the interplay of physics and ecology in this complex oceanographic region, which can ultimately be used to inform conservation efforts.

Ten things to get right for marine conservation planning in the Coral Triangle [version 3; referees: 2 approved

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Rebecca Weeks

2015-12-01

Full Text Available Systematic conservation planning increasingly underpins the conservation and management of marine and coastal ecosystems worldwide. Amongst other benefits, conservation planning provides transparency in decision-making, efficiency in the use of limited resources, the ability to minimise conflict between diverse objectives, and to guide strategic expansion of local actions to maximise their cumulative impact. The Coral Triangle has long been recognised as a global marine conservation priority, and has been the subject of huge investment in conservation during the last five years through the Coral Triangle Initiative on Coral Reefs, Fisheries and Food Security. Yet conservation planning has had relatively little influence in this region. To explore why this is the case, we identify and discuss 10 challenges that must be resolved if conservation planning is to effectively inform management actions in the Coral Triangle. These are: making conservation planning accessible; integrating with other planning processes; building local capacity for conservation planning; institutionalising conservation planning within governments; integrating plans across governance levels; planning across governance boundaries; planning for multiple tools and objectives; understanding limitations of data; developing better measures of progress and effectiveness; and making a long term commitment. Most important is a conceptual shift from conservation planning undertaken as a project, to planning undertaken as a process, with dedicated financial and human resources committed to long-term engagement.

Guillain-Barré syndrome in the elderly: clinical, electrophysiological, therapeutic and outcome features Síndrome de Guillain-Barré no idoso: aspectos clínico-eletrofisiológicos, terapêutico e prognóstico

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Marcondes C. França Jr

2005-09-01

Full Text Available There are few papers devoted to geriatric Guillain-Barré (GBS and many related issues remain unanswered. OBJECTIVE: To describe clinical, electrophysiological and therapeutic features in this age. METHOD: Clinico-epidemiological data and therapy of GBS patients older than 60 years were reviewed. Hughes scores were used to quantify neurological deficit and define outcome. RESULTS: Among 18 patients (mean age 64.8 years, 9 had evident prodrome and 80% noticed initially sensory-motor deficit. Demyelinating GBS was found in 8 and axonal in 6 subjects. There was one Miller-Fisher and 3 unclassified cases. Plasmapheresis (PFX was single therapy in 12 patients and intravenous immunoglobulin (IVIg in 2. Disability scores just before therapy were similar in both groups, so as short and long term outcome. CONCLUSION: Axonal GBS seems to be more frequent in the elderly and this may have prognostic implications. PFX and IVIg were suitable options, but complications were noticed with PFX. Prospective studies are needed to better understand and manage GBS in the elderly.Publicações sobre a síndrome de Guillain-Barré (SGB no idoso são escassas e várias questões sobre o tema estão abertas. OBJETIVO: Descrever aspectos clínico-eletrofisiológicos, terapêuticos e prognóstico no idoso. MÉTODO:Revisamos os prontuários de pacientes acima de 60 anos com SGB. A escala de Hughes foi usada para quantificar os déficits iniciais e finais. RESULTADOS: No total de 18 pacientes (média de idade 64,8 anos, 50% tiveram pródromo e 80% tiveram déficit sensitivo-motor no início. SGB desmielinizante foi encontrada em 8 pacientes, axonal em 6 e uma síndrome de Miller-Fisher. Três casos não puderam ser classificados. Plasmaférese (PFX foi empregada isoladamente em 12 pacientes e imunoglobulina endovenosa (IVIg em 2. A disfunção inicial nos dois grupos tratados era semelhante, assim como a evolução a curto e longo prazo. CONCLUSÃO: A forma axonal da SGB

Estimating actual evapotranspiration from remote sensing imagery using R: the package 'TriangleMethod'.

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Gampe, David; Huber García, Verena; Marzahn, Philip; Ludwig, Ralf

2017-04-01

Actual evaporation (Eta) is an essential variable to assess water availability, drought risk and food security, among others. Measurements of Eta are however limited to a small footprint, hampering a spatially explicit analysis and application and are very often not available at all. To overcome the problem of data scarcity, Eta can be assessed by various remote sensing approaches such as the Triangle Method (Jiang & Islam, 1999). Here, Eta is estimated by using the Normalized Difference Vegetation Index (NDVI) and land surface temperature (LST). In this study, the R-package 'TriangleMethod' was compiled to efficiently perform the calculations of NDVI and processing LST to finally derive Eta from the applied data set. The package contains all necessary calculation steps and allows easy processing of a large data base of remote sensing images. By default, the parameterization for the Landsat TM and ETM+ sensors are implemented, however, the algorithms can be easily extended to additional sensors. The auxiliary variables required to estimate Eta with this method, such as elevation, solar radiation and air temperature at the overpassing time, can be processed as gridded information to allow for a better representation of the study area. The package was successfully applied in various studies in Spain, Palestine, Costa Rica and Canada.

Adoption of Small-Scale Irrigation Farming as a Climate-Smart Agriculture Practice and Its Influence on Household Income in the Chinyanja Triangle, Southern Africa

OpenAIRE

Nelson Mango; Clifton Makate; Lulseged Tamene; Powell Mponela; Gift Ndengu

2018-01-01

This article is concerned with the adoption of small-scale irrigation farming as a climate-smart agriculture practice and its influence on household income in the Chinyanja Triangle. Chinyanja Triangle is a region that is increasingly experiencing mid-season dry spells and an increase in occurrence of drought, which is attributed largely to climate variability and change. This poses high agricultural production risks, which aggravate poverty and food insecurity. For this region, adoption of s...

Guillain Barré syndrome in a population less than 15 years old in Brazil

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Dias-Tosta Elza

2002-01-01

Full Text Available To know the impact of the Guillain Barré syndrome (GBS in the population less than 15 years old, after the eradication of poliomyelitis. Data bank from the program of epidemiological surveillance of acute flaccid palsies (AFP from the Fundação Nacional de Saúde were analyzed between 1990 -- 1996. From 3619 notifications of AFP there were 1678 GBS. GBS yearly incidence rates is 0.39-0.63 cases/100,000. No consistent seasonal variation existed or relationship to vaccines. Weakness at inclusion were, moderate 52.1%, severe in 47.9%, sixty days after 57.1% normal, 7.4% mild, 15.7% moderate, 10.4% with severe deficits, death in 5.4%. 67 (4.0% cases unknown. Death rates varies from 2.8% in southeast to 7.9% in the northeast. GBS was the most frequent cause of AFP. In spite of the severity of this disease being similar in the different regions, the outcome varies according to origin of the cases, possibly reflecting the economical conditions in those places.

HTCRL: A Range-Free Location Algorithm Based on Homothetic Triangle Cyclic Refinement in Wireless Sensor Networks

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Dan Zhang

2017-03-01

Full Text Available Wireless sensor networks (WSN have become a significant technology in recent years. They can be widely used in many applications. WSNs consist of a large number of sensor nodes and each of them is energy-constrained and low-power dissipation. Most of the sensor nodes are tiny sensors with small memories and do not acquire their own locations. This means determining the locations of the unknown sensor nodes is one of the key issues in WSN. In this paper, an improved APIT algorithm HTCRL (Homothetic Triangle Cyclic Refinement Location is proposed, which is based on the principle of the homothetic triangle. It adopts perpendicular median surface cutting to narrow down target area in order to decrease the average localization error rate. It reduces the probability of misjudgment by adding the conditions of judgment. It can get a relatively high accuracy compared with the typical APIT algorithm without any additional hardware equipment or increasing the communication overhead.

Bermuda Triangle: a subsystem of the 168/E interfacing scheme used by Group B at SLAC

International Nuclear Information System (INIS)

Oxoby, G.J.; Levinson, L.J.; Trang, Q.H.

1979-12-01

The Bermuda Triangle system is a method of interfacing several 168/E microprocessors to a central system for control of the processors and overlaying their memories. The system is a three-way interface with I/O ports to a large buffer memory, a PDP11 Unibus and a bus to the 168/E processors. Data may be transferred bidirectionally between any two ports. Two Bermuda Triangles are used, one for the program memory and one for the data memory. The program buffer memory stores the overlay programs for the 168/E, and the data buffer memory, the incoming raw data, the data portion of the overlays, and the outgoing processed events. This buffering is necessary since the memories of 168/E microprocessors are small compared to the main program and the amount of data being processed. The link to the computer facility is via a Unibus to IBM channel interface. A PDP11/04 controls the data flow. 7 figures, 4 tables

Spinning and tumbling of micron-sized triangles in a micro-channel shear flow

Science.gov (United States)

Fries, J.; Kumar, M. Vijay; Mihiretie, B. Mekonnen; Hanstorp, D.; Mehlig, B.

2018-03-01

We report on measurements of the angular dynamics of micron-sized equilaterally triangular platelets suspended in a micro-channel shear flow. Our measurements confirm that such particles spin and tumble like a spheroid in a simple shear. Since the triangle has corners, we can observe the spinning directly. In general, the spinning frequency is different from the tumbling frequency and the spinning is affected by tumbling. This gives rise to doubly periodic angular dynamics.

An Unusual Case of Recurrent Guillain-Barre Syndrome of a Different Subtype Five Years after Initial Diagnosis

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M. Dy

2013-01-01

Full Text Available We present a case of a previously healthy 17-year-old girl with history of Guillain-Barre Syndrome 5 years after initial presentation who presented with bilateral lower extremity pain, worsening dysphagia, subsequent weakness, and decreased reflexes. Cerebrospinal fluid analysis had a prominent lymphocytic pleocytosis. MRI of spine showed significant anterior nerve root enhancement. Electromyogram demonstrated a mild axonal greater than demyelinating motor polyneuropathy and intact sensory responses, with no evidence of conduction block or temporal dispersion, unlike her first presentation that revealed a demyelinating polyneuropathy. The patient recovered with mild subjective weakness following 5 days of intravenous immunoglobulin treatment. This case represents a recurrence of a predominantly motor variant polyradiculoneuropathy distinct from the initial presentation with a lymphocytic predominant CSF pleocytosis, nerve root enhancement on MRI spine, and rapid recovery following treatment with intravenous immunoglobulin.

Predictive factors for achieving independent walking in children with Guillain-Barre syndrome.

Science.gov (United States)

Barzegar, Mohammad; Toopchizadeh, Vahideh; Maher, Mohammad H K; Sadeghi, Paria; Jahanjoo, Fatemeh; Pishgahi, Alireza

2017-08-01

BackgroundTo determine the predictors of achieving independent walking at 2 and 6 months after onset of weakness in children with Guillain-Barre syndrome (GBS).MethodsChildren with GBS admitted to the Tabriz Children's Hospital were studied prospectively. All patients had frequent clinical evaluations until achieving independent walking. Unaided walking at 2 and 6 months and factors influencing these outcomes were determined using both univariate and multiple analyses.ResultsBetween 2003 and 2014, 324 children (mean age: 5.3±3.66 years) were admitted. The mean duration to independent walking was 2.97±3.02 months; 90.5% of patients could walk independently at 6 months. In the univariate analysis, disability score of >3 (P=0.03), autonomic nerve involvement (P=0.003), cranial nerve involvement (P=0.008), and absent compound muscle action potential (CMAP; P=0.048) were found to be significantly associated with poor walking outcome at 6 months. In the multivariate analysis, cranial nerve involvement (P=0.008) and absence of CMAP (P=0.022) were independently associated with poor functional outcome.ConclusionDisability score >3, cranial and autonomic nerve involvement, and absence of CMAP were predictors of independent walking in childhood GBS in this study; early rehabilitation program may prevent further impairments secondary to immobility in these patients.

Recurrent Guillain-Barré syndrome, Miller Fisher syndrome and Bickerstaff brainstem encephalitis.

Science.gov (United States)

Ishii, Junko; Yuki, Nobuhiro; Kawamoto, Michi; Yoshimura, Hajime; Kusunoki, Susumu; Kohara, Nobuo

2016-05-15

Guillain-Barré syndrome (GBS), Miller Fisher syndrome (MFS), and Bickerstaff brainstem encephalitis (BBE) are usually monophasic, but some patients experience recurrences after long asymptomatic intervals. We aimed to investigate clinical features of recurrent GBS, MFS, and BBE at a single hospital. Records from 97 consecutive patients with GBS, MFS or BBE who were admitted to a tertiary hospital between 2001 and 2013 were reviewed. Clinical and laboratory features of patients with recurrent GBS, MFS, or BBE were investigated. Patients included 55 (32 males) with GBS, 34 (22 males) with MFS, and 8 (6 males) with BBE. Recurrent cases occurred in 2 (4%) of the 55 patients with GBS, 4 (12%) of the 34 patients with MFS, and 2 (25%) of the 8 patients with BBE. Patients with recurrent MFS had a tendency to be younger at the first episode than patients with non-recurrent MFS (median, 22 versus 37years old). Symptoms and signs were less severe during relapses than during the initial episode in recurrent patients. Recurrences occurred more frequently in patients with MFS or BBE compared with those with GBS. Patients with recurrent MFS might be younger than those with non-recurrent MFS. Copyright © 2016 Elsevier B.V. All rights reserved.

Mioclonias velo-palatinas: estudo clínico e histo-patológico de um caso Palatal myoclonics: a case report with clinical and pathological studies

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Wilson Luiz Sanvito

1971-06-01

Full Text Available São feitas considerações clínicas e anátomo-patológicas sobre as mioclonias velopalatinas a propósito de um caso em que estas hipercinesias se estendiam também à faringe e ao diafragma (mioclonias velofaringodiafragmáticas. A paciente, de 82 anos de idde, foi internada com quadro caracte- rizado por torpor, paresia braquiofacial direita e afasia do tipo misto. Os familiares informavam que a paciente há aproximadamente 6 meses vinha apresentando dificuldade progressiva na marcha e na fala. Ao exame neurológico chamava a atenção a presença de mioclonias velofaringodiafragmáticas, rítmicas e de alta freqüência, que persistiam mesmo durante o sono e, ulteriormente, no estado de coma. Do ponto de vista anátomo-patológico ficou evidenciada a presença de lesões vasculares isquémicas acometendo ambos os núcleos denteados. Ao exame das olivas bulhares observou-se, bilateralmente, lesões neuronais múltiplas caracterizadas por hipertrofia dendrítica e vacuolizações irregulares. O comprometimento do complexo dento-olivar é salientado.A case of palatal myoclonus is reported and the clinical and neuropathological aspects are studied. The patient, a woman aged eighty two, during the clinical course of the disease showed stupor, right brachial monoplegia, aphasia, epileptic seizures and myoclonus involving the palate, pharynx and diaphragm (palatopharyngodiaphragmatic myoclonus. The movements were not influenced by sleep and remained during the coma. The post-mortem findings revealed generalized arteriosclerotic vascular changes with scattered areas of softening in the cortex, brain stem and cerebellum. The significance of a pathway directly linking the dentate nucleus of the cerebellum and the contralateral inferior olive (the dentato-olivary pathway is stressed.

Food supply depends on seagrass meadows in the coral triangle

International Nuclear Information System (INIS)

Unsworth, Richard K F; Hinder, Stephanie L; Bodger, Owen G; Cullen-Unsworth, Leanne C

2014-01-01

The tropical seascape provides food and livelihoods to hundreds of millions of people, but the support of key habitats to this supply remains ill appreciated. For fisheries and conservation management actions to help promote resilient ecosystems, sustainable livelihoods, and food supply, knowledge is required about the habitats that help support fisheries productivity and the consequences of this for food security. This paper provides an interdisciplinary case study from the coral triangle of how seagrass meadows provide support for fisheries and local food security. We apply a triangulated approach that utilizes ecological, fisheries and market data combined with over 250 household interviews. Our research demonstrates that seagrass associated fauna in a coral triangle marine protected area support local food supply contributing at least 50% of the fish based food. This formed between 54% and 99% of daily protein intake in the area. Fishery catch was found to significantly vary with respect to village (p < 0.01) with habitat configuration a probable driver. Juvenile fish comprised 26% of the fishery catch and gear type significantly influenced this proportion (<0.05). Limited sustainability of fishery practices (high juvenile catch and a 51% decline in CPUE for the biggest fishery) and poor habitat management mean the security of this food supply has the potential to be undermined in the long-term. Findings of this study have implications for the management and assessment of fisheries throughout the tropical seascape. Our study provides an exemplar for why natural resource management should move beyond biodiversity and consider how conservation and local food security are interlinked processes that are not mutually exclusive. Seagrass meadows are under sustained threat worldwide, this study provides evidence of the need to conserve these not just to protect biodiversity but to protect food security. (letter)

Tributes beyond Words: Art Educators' Use of Textiles to Memorialize the Triangle Shirtwaist Factory Fire

Science.gov (United States)

Mercurio, Mia Lynn; Randall, Régine

2016-01-01

Through the study of The Triangle Shirtwaist Factory fire, pre-service art teachers learn the about interdisciplinary design and the importance of using discipline-specific literacy strategies alongside the materials and methods of their craft. The creativity and enthusiasm with which these preservice teachers approached the work convinced us that…

Extramedullary spinal teratoma presenting with recurrent aseptic meningitis.

Science.gov (United States)

Mpayo, Lucy L; Liu, Xiao-Hong; Xu, Man; Wang, Kai; Wang, Jiao; Yang, Li

2014-06-01

Spinal teratomas are extremely rare; they constitute meningitis. A 7-year-old boy presented with paroxysmal abdominal pain and a history of recurrent aseptic meningitis. Kernig and Brudzinski signs were present. Lumber puncture revealed pleocytosis with no evidence of bacteria growth. Imaging of the spine revealed a cystic lesion in spinal cord at thoracic level 9-11. Endoscopic excision of the cyst was successfully performed. Surgical and histopathological findings confirmed extramedullary matured teratoma. As the symptomatic attacks of spontaneous rupture of spinal teratoma resemble presentations of Mollaret meningitis, spinal teratoma should be considered in the differential diagnosis of Mollaret meningitis. We describe a rare example of spinal teratoma causing recurrent meningitis. Spine imaging should be considered in individuals with recurrent aseptic meningitis as this promotes earlier diagnosis, more appropriate treatment, and improved neurological outcome. Copyright © 2014 Elsevier Inc. All rights reserved.

Strain-induced tunable negative differential resistance in triangle graphene spirals

Science.gov (United States)

Tan, Jie; Zhang, Xiaoming; Liu, Wenguan; He, Xiujie; Zhao, Mingwen

2018-05-01

Using non-equilibrium Green’s function formalism combined with density functional theory calculations, we investigate the significant changes in electronic and transport properties of triangle graphene spirals (TGSs) in response to external strain. Tunable negative differential resistance (NDR) behavior is predicted. The NDR bias region, NDR width, and peak-to-valley ratio can be well tuned by external strain. Further analysis shows that these peculiar properties can be attributed to the dispersion widths of the p z orbitals. Moreover, the conductance of TGSs is very sensitive to the applied stress, which is promising for applications in nanosensor devices. Our findings reveal a novel approach to produce tunable electronic devices based on graphene spirals.

From Coalgebra to Bialgebra for the Six-Vertex Model: The Star-Triangle Relation as a Necessary Condition for Commuting Transfer Matrices

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Jeffrey R. Schmidt

2012-08-01

Full Text Available Using the most elementary methods and considerations, the solution of the star-triangle condition (a2+b2-c2/2ab = ((a’^2+(b’^2-(c’^2/2a’b’ is shown to be a necessary condition for the extension of the operator coalgebra of the six-vertex model to a bialgebra. A portion of the bialgebra acts as a spectrum-generating algebra for the algebraic Bethe ansatz, with which higher-dimensional representations of the bialgebra can be constructed. The star-triangle relation is proved to be necessary for the commutativity of the transfer matrices T(a, b, c and T(a’, b’, c’.

Guillain-Barré syndrome in Ethiopian patients.

Science.gov (United States)

Melaku, Zenebe; Zenebe, Guta; Bekele, Abera

2005-01-01

This is a ten years retrospective study conducted to assess the clinical profile and outcome of Guillain-Barré Syndrome (GBS) in Ethiopian patients. The medical records of all patients admitted with the diagnosis of GBS to the Department of Internal Medicine, Tikur Anbessa University Hospital, Addis Ababa, Ethiopia during the period September 1992 to September 2001 were reviewed. During the ten-year review period ninety-five patients were admitted with the diagnosis of GBS, of which eighty-one met the National Institute of Neurological and Communicative Disorders and Stroke diagnostic criteria. The mean age (SD) of patients was 34.4 +/- 14.4 years. The male to female ratio was 1.25:1. History of antecedent event such as upper respiratory tract infection, diarrhea and vaccination was obtained in 47/81 (58.1%) of patients. The majority of the patients 62 (78.5%), presented with an ascending areflexic quadriparesis while 10 (12.7%) presented with a descending type of arefilexic quadriparesis, but in 6 (7.4%) of the patients the weakness was confined to the lower extremities (i.e. Paraparetic variant). Signs of autonomic involvement were seen in 25/81 (30.9%). Cytoalbzuminological dissociation in the cerebrospinal fluid was demonstrated in 62.3%. EMG was done in 47 patients The commonest electrophysiologic abnormality encountered was demyelinating picture in 26 (55.3%) followed by mixed and axonal in 12 (25.5%) and 9 (19.1%) respectively). Nineteen (70.3% of 27 GBS patients for whom serology for HIV was done were seropositive. The clinical findings were similar in both groups, except for a higher frequency of CSF pleocytosis, need for ventilatory support and mortality among HIV-positive patients. The overall mortality was 25.9%. This study highlights the importance of GBS as a cause of peripheral nerve disease in our setup. The higher mortality rate observed in this study appeared to be related mainly to the lack of adequate intensive carefacility and highlights the

North Carolina State University Nuclear Structure Research at the Triangle Universities Nuclear Laboratory. Progress report

International Nuclear Information System (INIS)

Seagondollar, L.W.; Waltner, A.W.; Mitchell, G.E.; Tilley, D.R.; Gould, C.R.

1975-01-01

A summary is presented of nuclear structure research completed at the Triangle Universities Nuclear Lab for the period 9/1/74 to 8/31/75. Included are abstracts and titles for studies of electromagnetic transitions in low-medium mass nuclei, high resolution studies, accelerator induced x-ray investigations, and energy related neutron and charged particle cross section measurements. (U.S.)

A New Temperature-Vegetation Triangle Algorithm with Variable Edges (TAVE for Satellite-Based Actual Evapotranspiration Estimation

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Hua Zhang

2016-09-01

Full Text Available The estimation of spatially-variable actual evapotranspiration (AET is a critical challenge to regional water resources management. We propose a new remote sensing method, the Triangle Algorithm with Variable Edges (TAVE, to generate daily AET estimates based on satellite-derived land surface temperature and the vegetation index NDVI. The TAVE captures heterogeneity in AET across elevation zones and permits variability in determining local values of wet and dry end-member classes (known as edges. Compared to traditional triangle methods, TAVE introduces three unique features: (i the discretization of the domain as overlapping elevation zones; (ii a variable wet edge that is a function of elevation zone; and (iii variable values of a combined-effect parameter (that accounts for aerodynamic and surface resistance, vapor pressure gradient, and soil moisture availability along both wet and dry edges. With these features, TAVE effectively addresses the combined influence of terrain and water stress on semi-arid environment AET estimates. We demonstrate the effectiveness of this method in one of the driest countries in the world—Jordan, and compare it to a traditional triangle method (TA and a global AET product (MOD16 over different land use types. In irrigated agricultural lands, TAVE matched the results of the single crop coefficient model (−3%, in contrast to substantial overestimation by TA (+234% and underestimation by MOD16 (−50%. In forested (non-irrigated, water consuming regions, TA and MOD16 produced AET average deviations 15.5 times and −3.5 times of those based on TAVE. As TAVE has a simple structure and low data requirements, it provides an efficient means to satisfy the increasing need for evapotranspiration estimation in data-scarce semi-arid regions. This study constitutes a much needed step towards the satellite-based quantification of agricultural water consumption in Jordan.

From Commodity Production to Sign Production: A Triple Triangle Model for Marx's Semiotics and Peirce's Economics.

Science.gov (United States)

Kim, Joohoan

Using the viewpoint of semiotics, this paper "re-reads" Karl Marx's labor theory of value and suggests a "triple triangle" model for commodity production and shows how this model could be a model for semiosis in general. The paper argues that there are three advantages to considering homogeneity of the sign production and the…

Wallerian Degeneration Beyond the Corticospinal Tracts: Conventional and Advanced MRI Findings.

Science.gov (United States)

Chen, Yin Jie; Nabavizadeh, Seyed Ali; Vossough, Arastoo; Kumar, Sunil; Loevner, Laurie A; Mohan, Suyash

2017-05-01

Wallerian degeneration (WD) is defined as progressive anterograde disintegration of axons and accompanying demyelination after an injury to the proximal axon or cell body. Since the 1980s and 1990s, conventional magnetic resonance imaging (MRI) sequences have been shown to be sensitive to changes of WD in the subacute to chronic phases. More recently, advanced MRI techniques, such as diffusion-weighted imaging (DWI) and diffusion tensor imaging (DTI), have demonstrated some of earliest changes attributed to acute WD, typically on the order of days. In addition, there is increasing evidence on the value of advanced MRI techniques in providing important prognostic information related to WD. This article reviews the utility of conventional and advanced MRI techniques for assessing WD, by focusing not only on the corticospinal tract but also other neural tracts less commonly thought of, including corticopontocerebellar tract, dentate-rubro-olivary pathway, posterior column of the spinal cord, corpus callosum, limbic circuit, and optic pathway. The basic anatomy of these neural pathways will be discussed, followed by a comprehensive review of existing literature supported by instructive clinical examples. The goal of this review is for readers to become more familiar with both conventional and advanced MRI findings of WD involving important neural pathways, as well as to illustrate increasing utility of advanced MRI techniques in providing important prognostic information for various pathologies. Copyright © 2016 by the American Society of Neuroimaging.

The semiosis of the Anthropocene geological era. Reflections between geoethics and semiotics starting from Peirce's triangle

Science.gov (United States)

De Pascale, Francesco; Dattilo, Valeria

2016-04-01

This paper presents the first formulation of a theoretical proposal which aims to reconcile, or better, to work together, two different approaches: geoethics and the semiotic tradition of Peirce, on the basis of some important affinities. We will refer to geoethics, discipline that deals with the ethical, social and cultural implications of geological and geographical practice, at the intersection of Geoscience, Geography, Philosophy, Sociology and Economy. The proposal of this work is to try to explain the new processes of the Anthropocene era through geoethics and semiotics, using as a "translator mechanism" one of the key notions of Peirce semiotics: the semiotic triangle. On the one hand, we employ the geoethical paradigm as a possible interpretative framework for such processes (in other words, we identify in the geoethical paradigm a significant exemplification of hippocratic type, according to some scientists); on the other hand, we use the triangle "geology / geography - planet illness - society", as a metaphor of the principles and the processes inherent Anthropocene era, able to return them in a particularly random way through the semiotic triangulation of Peirce.

Guillain-Barré syndrome in children: clinic, laboratorial and epidemiologic study of 61 patients Síndrome de Guillain-Barré em crianças: estudo clínico, laboratorial e epidemiologico em 61 pacientes

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Vanessa van der Linden

2010-02-01

Full Text Available The aim of the study was to analyze the epidemiologic, clinical, laboratory and development profile of Guillain-Barré syndrome series studied at the Child Institute, between 1989 and 2000. From the 61 patients that fulfilled the selection criteria, aged between 7 months and 13 years old, no sexual or seasonal variation was observed. Clinical events prior to neurological symptoms (with an average time gap of 20.7 days were observed in 62.3%, 55% had cranial nerve disturbances, 27.9% dysautonomic symptoms, and 27.9% respiratory dysfunction. Installation time varied from 2-40 days, plateau from 0-28 days and recuperation from 30-480 days; 94% of patients had a complete clinical recuperation. Electrophysiology in 20 patients disclosed an abnormal demyelination pattern in 15, an exclusively motor axonal pattern in 4 and a mixed pattern in 1 patient. The results obtained did not differ from those in the literature but it was observed that boys and older children had a longer recuperation time. It was not possible to correlate electroneurography with clinical abnormalities and evolution due to the reduced number of patients.O objetivo do estudo foi analisar retrospectivamente, quanto ao perfil clínico, laboratorial, epidemiológico e evolutivo a casuística da síndrome de Guillain-Barré no Instituto da Criança, entre 1989 e 2000. Preencheram os critérios de seleção 61 pacientes, com idades entre 7 meses e 13 anos, e não se observou variação entre sexos nem sazonal. Em 62,3% houve uma afecção precedendo o quadro neurológico, num tempo médio de 20,7 dias; 55% apresentaram acometimento de nervos cranianos, 27,9% distúrbios disautonômicos e 27,9% comprometimento respiratório. A fase de progressão variou de 2 a 40 dias, a de platô de 0 a 28 dias e a de recuperação de 30 a 480 dias e 94% tiveram recuperação total. A eletroneurografia, em 20 pacientes, mostrou padrão desmielinizante em 15, padrão axonal puramente motor em 4 e padr

Pulmonary Involvement in Patients with Guillain-Barré Syndrome in Subacute Phase.

Science.gov (United States)

Khanna, Meeka; Rawat, Nidhi; Gupta, Anupam; Nagappa, Madhu; Taly, Arun B; Rukmani, M R; Sathyaprabha, T N; Haldar, Partha

2017-01-01

To evaluate the pulmonary function in Guillain-Barre syndrome (GBS) patients in subacute phase and find clinical correlates of pulmonary dysfunction. This was a single-center, prospective, cross-sectional, hospital-based study in GBS patients performed in Department of Neurological Rehabilitation at a tertiary care institute. Clinical examination for pulmonary function was done by measuring chest expansion. The pulmonary function tests were carried out by Spirometry kit Microquark Cosmed, Italy. Fatigue was assessed by Fatigue Severity Scale, disability status by Hughes Disability Scale (HDS), and muscle weakness by Medical Research Council sum scores. Statistical analysis was performed by Stata 11. The significance of P value was adjudged against an alpha of 0.05. Twenty-eight patients were included with 17 (61%) men and mean age of 31 years. Median duration of symptoms was 16.5 days. There were 10 (36%) demyelinating and 18 (64%) axonal variants. Twenty-six (93%) patients scored more than 2 on HDS. All study participants reported fatigue. Twenty-two (78.6%) patients had chest expansion of <2.5 cm. Spirometry showed restrictive pulmonary dysfunction in 23 (79%) patients. Significant correlation was found between abnormal pulmonary function test and chest expansion ( P = 0.003). Pulmonary dysfunction in GBS is common even during subacute phase. It needs to be identified and managed appropriately for better clinical outcome.

Epidemiology and characteristics of Guillain-Barre syndrome in the northwest of Iran

International Nuclear Information System (INIS)

Arami, Mohamad A.; Yazdchi, M.; Khandaghi, R.

2006-01-01

Little is known about the incidence of Guillain-Barre syndrome (GBS) in Iran. We determined the incidence and evaluated prognostic factors for GBS in a prospective, population-based study. We evaluated and followed all patients with a diagnosis of GBS admitted to three referral neurology centers in East Azerbaijan province over a 1-year period (2003). Clinical and electrophysiological characteristics of cases were reviewed and analyzed. A total of 76 patients were found, corresponding to a crude annual incidence rate of 2.11/100 000 population. Six patients (7.9%) died acutely within 21 days from the onset of the disease. Acute mortality was due to respiratory involvement, sepsis and acute autonomic system dysfunction. The persistence of disability after the acute phase was related to axonal involvement (OR=3.19, 95%Cl, 1.65 to 6.16). There was a significant correlation between a history of diarrhea and further need for mechanical ventilation (P<0.05). Mechanically ventilated patients had low GBS disability score on discharge compared with patients not mechanically ventilated (P=0.05). The incidence rate of GBS in our province is similar to that in other countries. Acute mortality in GBS was mostly due to poor respiratory care of patients and infective complications, but disability and probably late mortality were due to axonal nerve injury. (author)

Preventive and curative effects of cyclophosphamide in an animal model of Guillain Barre syndromeTumor necrosis factor-alpha binding capacity and anti-infliximab antibodies measured by fluid-phase radioimmunoassays as predictors of clinical efficacy of infliximab in Crohn's disease

DEFF Research Database (Denmark)

Mangano, K.; Dati, G.; Quattrocchi, C.

2008-01-01

The immunosuppressive agent cyclophosphamide (CY) was tested in rat experimental allergic neuritis (EAN), a preclinical model of Guillain Barre syndrome (GBS). CY prophylaxis (day 0 and 14 post-immunization [p.i.]) effectively prevents clinical and histological signs of EAN and also reduces the c...

Prognostic evaluation of Guillain-Barre' syndrome

International Nuclear Information System (INIS)

Shah, F.U.; Saeed, A.M.; Badsha, M.; Tariq, M.

2001-01-01

Objective: To study the mortality morbidity and the role of specific therapy in guillain-bare' syndrome (GBS). Design: This was a prospective study. Place and Duration of Study: This study was conducted in the department of Neurology, PIMS, Islamabad from January, 1999 to September, 2000. Subjects and Methods: Forty-eight patients with acute symmetrical flaccid motor weakness, which developed with-in a period of four weeks, were included. These patients were assessed at admission discharge and after 2 and 6 months according to the modified Rankin Scale Scope. Patients with sensory level and those having marked and persistent asymmetry of neurological signs were excluded from the study. Results: The modified disability score (DS) n the patients at admission was 2.-5 in 2,11,19 and 16 patients respectively. Respiratory failure was present in 16 patient. Six patients expired. After 2 months, 19 recovered, 10 were lost and diability was present in 13 patients. After 6 months, 20 recovered and 5 were disabled. Specific treatment was given to 23 patients, plasmaphaeresis was done in 10 patients, gammaglobulin given to 4 patients and both in 9 patients. In plasmaphaeresis group at admission DS was 4, 5 and 7 in 3 patients respectively. Three patients expired. At 2 months, 2 recovered, 3 disable while 2 patient were lost, at 6 months 2 recovered, 1 disable while 4 were lost. Similarly, in gammaglobulin group DS was 4 and 5 in 3 and 1 patient at admission. At 2 months, 3 recovered and 1 was disable. In the combined group, admission DS was 4 in 1 and 5 in the 8 patients. At 2 months, 3 recovered, 5 disabled and 1 patient was lost. At 6 months, 3 recovered and 1 patient was lost. At 6 months, 3 recovered and 2 patients were disabled. In the non-specific treatment group, DS was 2 and 3 in 2 and 11 patients at admission. At 2 months, 9 recovered and 3 were disabled while 1 was lost. At 6 months, 11 patients recovered and 2 were disabled. In the control group, at admission, DS

Investigation of a Guillain-Barré syndrome cluster in the Republic of Fiji.

Science.gov (United States)

Pastula, Daniel M; Khan, Aalisha Sahu; Sharp, Tyler M; Biaukula, Viema L; Naivalu, Taina K; Rafai, Eric; Ermias Belay; Staples, J Erin; Fischer, Marc; Kosoy, Olga I; Laven, Janeen J; Bennett, Elizabeth J; Jenney, Adam W J; Naidu, Ravi Narayan; Lanciotti, Robert S; Galloway, Renee L; Nilles, Eric J; Sejvar, James J; Kama, Mike

2017-01-15

In 2014, we investigated a cluster of Guillain-Barre syndrome (GBS) in Fiji that occurred during a dengue epidemic. We designed a case-control study to determine the etiology. Cases were patients meeting Brighton Collaboration criteria for GBS with onset from February 2014 to May 2014. Controls were persons without symptoms of GBS who were matched by age group and location. We collected information on demographics and potential exposures. Serum samples were tested for evidence of recent arboviral or Leptospira spp. infections. Nine cases of GBS were identified for an incidence of five cases per 100,000 population/year. Median age of cases was 27years (range: 0.8-52); five (56%) were male. Six (67%) reported an acute illness prior to GBS onset. Among the 9 cases and 28 controls enrolled, odds ratios for reported exposures or antibodies against various arboviruses or Leptospira spp. were not statistically significant. No clear etiologies were identified for this unusual GBS cluster. There was a temporal association between the GBS cluster and a dengue epidemic, but we were unable to substantiate an epidemiologic or laboratory association. Further study is needed to explore potential associations between arboviral infections and GBS. Copyright © 2016. Published by Elsevier B.V.

C-reactive protein in patients with Guillain Barré syndrome

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Chetana Vaishnavi

2014-01-01

Full Text Available Context: C-reactive protein (CRP is an acute phase reactant, widely used as a biomarker for various infectious and inflammatory conditions. Guillain-Barrι syndrome (GBS is an acute, autoimmune, polyradiculoneuropathy, triggered by infectious agents such as Campylobacter jejuni. GBS is generally precipitated 1-3 weeks following C. jejuni infection which suggests a humoral immunopathogenic mechanism. Aims: Basal CRP levels were estimated in sera of patients with GBS and compared with adequate controls. Settings & Design: The study population was divided into 4 groups: (i GBS group included 45 newly diagnosed GBS patients; (ii Neurological control (NC group comprised of 59 patients with non-paralytic neurological symptoms/disorders; (iii Non-neurological controls (NNC comprised of 43 patients having no neurological symptoms and (iv Healthy controls (HC comprised of 101 healthy subjects. Materials and Methods: CRP was evaluated using slide latex agglutination test (LAT and enzyme linked immunosorbent assay (ELISA. Statistical Analysis: Statistical analysis was done by the Chi-square test. Results: CRP by LAT was positive in 24.4% GBS group, 34% NC group and 44% NNC group. The range of titer in CRP positive samples in the three patient groups (GBS, NC, NNC was at concentration of 0.6 mg/dl to 19.2 mg/dl. Similar results were also obtained by ELISA in the patient groups. None of the HC subjects was positive for detectable levels of CRP. High basal level of CRP was detected in patients with GBS. Conclusion: Autoimmune conditions like GBS can stimulate the production of a high level of inflammation resulting in an increase in the CRP production.

Risk of Guillain-Barré syndrome after meningococcal conjugate vaccination.

Science.gov (United States)

Velentgas, Priscilla; Amato, Anthony A; Bohn, Rhonda L; Chan, K Arnold; Cochrane, Thomas; Funch, Donnie P; Dashevsky, Inna; Duddy, April L; Gladowski, Patricia; Greenberg, Steven A; Kramer, Judith M; McMahill-Walraven, Cheryl; Nakasato, Cynthia; Spettell, Claire M; Syat, Beth L; Wahl, Peter M; Walker, Alexander M; Zhang, Fang; Brown, Jeffrey S; Platt, Richard

2012-12-01

A new meningococcal conjugate vaccine (MCV4) was introduced in 2005. Shortly after, case reports of Guillain-Barré syndrome (GBS), a serious demyelinating disease, began to be reported to the Vaccine Adverse Event Reporting System. In 2006, the Centers for Disease Control and Prevention and the Food and Drug Administration requested the evaluation of GBS risk after MCV4 vaccination. We conducted a study to assess the risk of GBS after MCV4 vaccination using health plan administrative and claims data together with the review of primary medical records of potential cases. Retrospective cohort study among 12.6 million 11- to 21-year-old members of five US health plans with a total membership of 50 million. Automated enrollment and medical claims data from March 2005 through August 2008 were used to identify the population, the vaccinations administered, and the medical services associated with possible GBS. Medical records were reviewed and adjudicated by a neurologist panel to confirm cases of GBS. The study used distributed data analysis methods that minimized sharing of protected health information. We confirmed 99 GBS cases during 18,322,800 person-years (5.4/1,000,000 person-years). More than 1.4 million MCV4 vaccinations were observed. No confirmed cases of GBS occurred within 6 weeks after vaccination. The upper 95% CI for the attributable risk of GBS associated with MCV4 is estimated as 1.5 cases per 1,000,000 doses. Among members of five US health plans, MCV4 vaccination was not associated with increased GBS risk. Copyright © 2012 John Wiley & Sons, Ltd.

Crystal structure of a new polar borate Na{sub 2}Ce{sub 2}[BO{sub 2}(OH)][BO{sub 3}]{sub 2} · H{sub 2}O with isolated boron triangles

Energy Technology Data Exchange (ETDEWEB)

Topnikova, A. P.; Belokoneva, E. L., E-mail: elbel@geol.msu.ru; Dimitrova, O. V.; Volkov, A. S. [Moscow State University, Faculty of Geology (Russian Federation)

2016-11-15

Crystals of a new polar borate Na{sub 2}Ce{sub 2}[BO{sub 2}(OH)][BO{sub 3}]{sub 2} · H{sub 2}O were prepared by hydrothermal synthesis. The crystals are orthorhombic, a = 7.2295(7) Å, b = 11.2523(8) Å, c = 5.1285(6) Å, Z = 2, sp. gr. C2mm (Amm2), R = 0.0253. The formula of the compound was derived from the structure determination. The Ce and Na atoms are coordinated by nine and six O atoms, respectively. The Ce position is split, and a small amount of Ce is incorporated into the Na1 site with the isomorphous substitution for Na. The anionic moieties exist as isolated BO{sub 3} and BO{sub 2}(OH) triangles. The planes of the BO{sub 2}(OH) triangles with mm2 symmetry are parallel to the ab plane. The planes of the BO{sub 3} triangles with m symmetry are perpendicular to the ab plane and are rotated in a diagonal way. The splitting of the Ce positions and the polar arrangement of the BO{sub 2}(OH) triangles, water molecules, and Na atoms are observed along the polar a axis. The new structure is most similar to the new borate NaCa{sub 4}[BO{sub 3}]{sub 3} (sp. gr. Ama2), in which triangles of one type are arranged in a polar fashion along the c axis. Weak nonlinear-optical properties of both polar borates are attributed to the quenching of the second-harmonic generation due to the mutually opposite orientation of two-thirds of B triangles in the unit cell.

GLINT. Gravitational-wave laser INterferometry triangle

Science.gov (United States)

Aria, Shafa; Azevedo, Rui; Burow, Rick; Cahill, Fiachra; Ducheckova, Lada; Holroyd, Alexa; Huarcaya, Victor; Järvelä, Emilia; Koßagk, Martin; Moeckel, Chris; Rodriguez, Ana; Royer, Fabien; Sypniewski, Richard; Vittori, Edoardo; Yttergren, Madeleine

2017-11-01

When the universe was roughly one billion years old, supermassive black holes (103-106 solar masses) already existed. The occurrence of supermassive black holes on such short time scales are poorly understood in terms of their physical or evolutionary processes. Our current understanding is limited by the lack of observational data due the limits of electromagnetic radiation. Gravitational waves as predicted by the theory of general relativity have provided us with the means to probe deeper into the history of the universe. During the ESA Alpach Summer School of 2015, a group of science and engineering students devised GLINT (Gravitational-wave Laser INterferometry Triangle), a space mission concept capable of measuring gravitational waves emitted by black holes that have formed at the early periods after the big bang. Morespecifically at redshifts of 15 big bang) in the frequency range 0.01 - 1 Hz. GLINT design strain sensitivity of 5× 10^{-24} 1/√ { {Hz}} will theoretically allow the study of early black holes formations as well as merging events and collapses. The laser interferometry, the technology used for measuring gravitational waves, monitors the separation of test masses in free-fall, where a change of separation indicates the passage of a gravitational wave. The test masses will be shielded from disturbing forces in a constellation of three geocentric orbiting satellites.

Modification of Duval Triangle for Diagnostic Transformer Fault through a Procedure of Dissolved Gases Analysis

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Sobhy Serry Dessouky

2016-08-01

    The evaluation is carried out on DGA data obtained from three different groups of transformers. A Matlab program was developed to automate the evaluation of  Duval Triangle graph to numerical modification, Also the fault gases can be generated due to oil decomposing effected by transformer over excitation which increasing thetransformer exciting current lead to rising the temperature inside transformer core beside the other causes.

Connecting Majorana phases to the geometric parameters of the Majorana unitarity triangle in a neutrino mass matrix model

Science.gov (United States)

Verma, Surender; Bhardwaj, Shankita

2018-05-01

We have investigated a possible connection between the Majorana phases and geometric parameters of Majorana unitarity triangle (MT) in two-texture zero neutrino mass matrix. Such analytical relations can, also, be obtained for other theoretical models viz. hybrid textures, neutrino mass matrix with vanishing minors and have profound implications for geometric description of C P violation. As an example, we have considered the two-texture zero neutrino mass model to obtain a relation between Majorana phases and MT parameters that may be probed in various lepton number violating processes. In particular, we find that Majorana phases depend on only one of the three interior angles of the MT in each class of two-texture zero neutrino mass matrix. We have also constructed the MT for class A , B , and C neutrino mass matrices. Nonvanishing areas and nontrivial orientations of these Majorana unitarity triangles indicate nonzero C P violation as a generic feature of this class of mass models.

Construction of optimal 3-node plate bending triangles by templates

Science.gov (United States)

Felippa, C. A.; Militello, C.

A finite element template is a parametrized algebraic form that reduces to specific finite elements by setting numerical values to the free parameters. The present study concerns Kirchhoff Plate-Bending Triangles (KPT) with 3 nodes and 9 degrees of freedom. A 37-parameter template is constructed using the Assumed Natural Deviatoric Strain (ANDES). Specialization of this template includes well known elements such as DKT and HCT. The question addressed here is: can these parameters be selected to produce high performance elements? The study is carried out by staged application of constraints on the free parameters. The first stage produces element families satisfying invariance and aspect ratio insensitivity conditions. Application of energy balance constraints produces specific elements. The performance of such elements in benchmark tests is presently under study.

Sindrome de Guillain-Barré como manifestação do lupus eritematoso sistêmico: registro de um caso

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Pedro F. Moreira Filho

1980-06-01

Full Text Available É relatado caso de paciente jovem do sexo feminino que apresentou, de modo agudo, quadro de polirradiculoneurite com acometimento de vários nervos cranianos e dissociação albumino-citológica no líquido cefalorraqueano. Os exames complementares mostraram tratar-se de lupus eritematoso sistêmico. A biópsia de nervo periférico revelou diminuição de fibras mielínicas, fibrose do endo e perineuro e hipertrofia da camada média dos vasa-nervorum. Os autores chamam a atenção para a raridade do acometimento do sistema nervoso periférico na vigência da doença lúpica. Acreditam que a síndrome de Guillain-Barré provocada pelo lupus eritematoso sistêmico seria devido a um mecanismo imuno-alérgico.

Asociación de encefalomielitis diseminada aguda y síndrome de Guillain-Barré en un adulto Association between acute disseminated encephalomyelitis and Guillain Barré syndrome in an adult

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Miguel A. Pagano

2011-06-01

Full Text Available La encefalomielitis diseminada aguda (EMDA y el síndrome de Guillain-Barré (SGB son reconocidas como entidades distintas, que afectan diferentes sectores del sistema nervioso, pero que comparten varias características tales como la patogenia autoinmune, el impacto sobre la mielina y el antecedente de infección viral o vacunación una a cuatro semanas previas al cuadro clínico. Se presenta un paciente varón de 41 años de edad que consultó por presentar fiebre, debilidad en miembros inferiores y somnolencia dos semanas posteriores a episodio agudo de gastroenteritis. Al ingreso se constató deterioro del sensorio (obnubilación hiperreflexia patelar, Babinski bilateral y vejiga neurogénica. Veinticuatro horas después desarrolló paraplejía flácida y arreflexia generalizada, requiriendo asistencia respiratoria mecánica por insuficiencia respiratoria. El líquido cefalorraquídeo mostró pleocitosis mononuclear e hiperproteinorraquia. El estudio electrofisiológico evidenció importante disminución de las velocidades de conducción en ambos nervios ciáticos poplíteos externos, compatible con polineuropatía desmielinizante. La resonancia magnética nuclear mostró imágenes compatibles con desmielinización en cerebro, protuberancia y segmentos medulares dorsales. Se realizó diagnóstico de ASEMDA-SGB e inició tratamiento con metilprednisolona e inmunoglobulina intravenosa. Evolucionó favorablemente, recuperando las funciones motoras, vesical y la sensibilidad, siendo capaz de deambular luego de seis meses. La asociación de EMDA y SGB (ASEMDA-SGB es una condición infrecuente, generalmente señalada como de mal pronóstico, en la cual un diagnóstico precoz y un rápido y enérgico tratamiento pueden mejorar substancialmente la evolución.Acute disseminated encephalomyelitis (ADEM and Guillain-Barré Syndrome (GBS are commonly recognized as separated entities involving different parts of the nervous system. However, they share

Activity-dependent formation of a vesicular inhibitory amino acid transporter gradient in the superior olivary complex of NMRI mice.

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Ebbers, Lena; Weber, Maren; Nothwang, Hans Gerd

2017-10-26

In the mammalian superior olivary complex (SOC), synaptic inhibition contributes to the processing of binaural sound cues important for sound localization. Previous analyses demonstrated a tonotopic gradient for postsynaptic proteins mediating inhibitory neurotransmission in the lateral superior olive (LSO), a major nucleus of the SOC. To probe, whether a presynaptic molecular gradient exists as well, we investigated immunoreactivity against the vesicular inhibitory amino acid transporter (VIAAT) in the mouse auditory brainstem. Immunoreactivity against VIAAT revealed a gradient in the LSO and the superior paraolivary nucleus (SPN) of NMRI mice, with high expression in the lateral, low frequency processing limb and low expression in the medial, high frequency processing limb of both nuclei. This orientation is opposite to the previously reported gradient of glycine receptors in the LSO. Other nuclei of the SOC showed a uniform distribution of VIAAT-immunoreactivity. No gradient was observed for the glycine transporter GlyT2 and the neuronal protein NeuN. Formation of the VIAAT gradient was developmentally regulated and occurred around hearing-onset between postnatal days 8 and 16. Congenital deaf Claudin14 -/- mice bred on an NMRI background showed a uniform VIAAT-immunoreactivity in the LSO, whereas cochlear ablation in NMRI mice after hearing-onset did not affect the gradient. Additional analysis of C57Bl6/J, 129/SvJ and CBA/J mice revealed a strain-specific formation of the gradient. Our results identify an activity-regulated gradient of VIAAT in the SOC of NRMI mice. Its absence in other mouse strains adds a novel layer of strain-specific features in the auditory system, i.e. tonotopic organization of molecular gradients. This calls for caution when comparing data from different mouse strains frequently used in studies involving transgenic animals. The presence of strain-specific differences offers the possibility of genetic mapping to identify molecular

Prevalence of fatigue in Guillain-Barre syndrome in neurological rehabilitation setting.

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Ranjani, Prajna; Khanna, Meeka; Gupta, Anupam; Nagappa, Madhu; Taly, Arun B; Haldar, Partha

2014-07-01

Fatigue contributes significantly to the morbidity and affects the quality of life adversely in Guillain-Barre Syndrome (GBS). To determine the prevalence of fatigue in GBS in neurological rehabilitation setting and to study its clinical correlates. We performed secondary analysis of data of patients with GBS admitted in neurological rehabilitation ward of a tertiary care centre, recorded at both admission and discharge. Assessment of fatigue was done by Fatigue Severity Scale (FSS), disability-status by Hughe's Disability Scale (HDS), functional-status by Barthel Index, anxiety/depression by Hospital Anxiety Depression Scale, sleep disturbances by Pittsburgh Sleep Quality Index and muscle weakness by Medical Research Council sum scores. A total of 90 patients (62 men) with mean age 34 years (95% CI 32.2, 37.7) were included. Median duration of, stay at neurological rehabilitation ward was 30 days, while that of symptoms was 18.5 days. Presence of fatigue at admission (FSS ≥ 4 in 39% patients) was associated with ventilator requirement (P = 0.021) and neuropathic pain (P = 0.03). Presence of fatigue at discharge (FSS ≥ 4 in 12% patients) was associated with disability- HDS (≥3) (P = 0.008), presence of anxiety (P = 0.042) and duration of stay at rehabilitation ward (P = 0.02). Fatigue did not correlate with age, gender, antecedent illness, muscle weakness, depression and sleep disturbances. Fatigue is prevalent in GBS during early recovery phase of illness. Despite motor recovery fatigue may persist. Knowledge about fatigue as burden of disease in these patients will improve patient care.

Comparison of electrophysiological findings in axonal and demyelinating Guillain-Barre syndrome

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Yadegari, Samira; Nafissi, Shahriar; Kazemi, Neda

2014-01-01

Background: Incidence and predominant subtype of Guillain-Barre syndrome (GBS) differs geographically. Electrophysiology has an important role in early diagnosis and prediction of prognosis. This study is conducted to determine the frequent subtype of GBS in a large group of patients in Iran and compare nerve conduction studies in axonal and demyelinating forms of GBS. Methods: We retrospectively evaluated the medical records and electrodiagnostic study (EDS) of 121 GBS patients who were managed in our hospital during 11 years. After regarding the exclusion criteria, patients classified as three groups: acute inflammatory demyelinating polyneuropathy (AIDP), acute motor axonal neuropathy (AMAN), and acute motor sensory axonal neuropathy (AMSAN). The most frequent subtype and then electrophysiological characteristic based on the time of EDS and their cerebrospinal fluid (CSF) profile were assessed. Results: Among 70 patients finally included in the study, 67% were men. About 63%, 23%, and 14% had AIDP, AMAN, and AMSAN, respectively. AIDP patients represented a wider range of ages compared with other groups. Higher levels of CSF protein, abnormal late responses and sural sparing were more frequent in AIDP subtype. Five AMSAN patients also revealed sural sparing. Conduction block (CB) was observed in one AMAN patient. Prolonged F-wave latency was observed only in AIDP cases. CB and inexcitable sensory nerves were more frequent after 2 weeks, but reduced F-wave persistency was more prominent in the early phase. Conclusion: AIDP was the most frequent subtype. Although the electrophysiology and CSF are important diagnostic tools, classification should not be made based on a distinct finding. PMID:25422732

Zika virus infection and Guillain-Barré syndrome: a review focused on clinical and electrophysiological subtypes.

Science.gov (United States)

Uncini, Antonino; Shahrizaila, Nortina; Kuwabara, Satoshi

2017-03-01

In 2016, we have seen a rapid emergence of Zika virus-associated Guillain-Barré syndrome (GBS) since its first description in a French-Polynesian patient in 2014. Current evidence estimates the incidence of GBS at 24 cases per 100 000 persons infected by Zika virus. This will result in a sharp rise in the number of GBS cases worldwide with the anticipated global spread of Zika virus. A better understanding of the pathogenesis of Zika-associated GBS is crucial to prepare us for the current epidemic. In this review, we evaluate the existing literature on GBS in association with Zika and other flavivirus to better define its clinical subtypes and electrophysiological characteristics, demonstrating a demyelinating subtype of GBS in most cases. We also recommend measures that will help reduce the gaps in knowledge that currently exist. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

Hyperbolic Cosines and Sines Theorems for the Triangle Formed by Arcs of Intersecting Semicircles on Euclidean Plane

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Robert M. Yamaleev

2013-01-01

Full Text Available The hyperbolic cosines and sines theorems for the curvilinear triangle bounded by circular arcs of three intersecting circles are formulated and proved by using the general complex calculus. The method is based on a key formula establishing a relationship between exponential function and the cross-ratio. The proofs are carried out on Euclidean plane.

Campylobacter infection as a trigger for Guillain-Barré syndrome in Egypt.

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Thomas F Wierzba

Full Text Available BACKGROUND: Most studies of Campylobacter infection triggering Guillain-Barré Syndrome (GBS are conducted in western nations were Campylobacter infection and immunity is relatively rare. In this study, we explored Campylobacter infections, Campylobacter serotypes, autoantibodies to gangliosides, and GBS in Egypt, a country where Campylobacter exposure is common. METHODS: GBS cases (n = 133 were compared to age- and hospital-matched patient controls (n = 374. A nerve conduction study was performed on cases and a clinical history, serum sample, and stool specimen obtained for all subjects. RESULTS: Most (63.3% cases were demyelinating type; median age four years. Cases were more likely than controls to have diarrhea (29.5% vs. 22.5%, Adjusted Odds Ratio (ORa = 1.69, P = 0.03, to have higher geometric mean IgM anti-Campylobacter antibody titers (8.18 vs. 7.25 P<0.001, and to produce antiganglioside antibodies (e.g., anti-Gd1a, 35.3 vs. 11.5, ORa = 4.39, P<0.0001. Of 26 Penner:Lior Campylobacter serotypes isolated, only one (41:27, C. jejuni, P = 0.02 was associated with GBS. CONCLUSIONS: Unlike results from western nations, data suggested that GBS cases were primarily in the young and cases and many controls had a history of infection to a variety of Campylobacter serotypes. Still, the higher rates of diarrhea and greater antibody production against Campylobacter and gangliosides in GBS patients were consistent with findings from western countries.

Linkage of Multiple Sclerosis and Guillain-Barre Syndrome: A Population-Based Survey in Isfahan, Iran

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Masoud Etemadifar

2012-01-01

Full Text Available Background. Multiple Sclerosis (MS and Guillain Barre Syndrome (GBS are autoimmune demyelinating disorders of Central and Peripheral Nervous system, respectively. The coexistence of these two syndromes in an individual's life span is rare. Objectives. To inspect throughout Isfahan MS society (IMSS records for MS cases who had history of documented GBS whether before the onset of MS or after it. Methods. This retrospective survey was carried out by analyzing the clinical records of 3,522 MS patients who were registered with IMSS, from April 2003 to July 2010. Eligible cases were requested to attend to IMSS for final clinical/paraclinical examinations. Results. Among 3,522 (2,716 women and 806 men MS subjects, we could identify seven patients (six females and one male with documented diagnosis of GBS. Six patients (five women and one man had developed MS within 6.5±7.0 (range: 1–16 years after being diagnosed with GBS and one (a woman had developed GBS three years after the diagnosis of MS. Conclusion. It seems that the development of MS in individuals with history of GBS is more than a simple incidental event.

BRAINSTEM AUDITORY EVOKED POTENTIAL AS AN INDEX OF CNS DEMYELINATION IN GUILLAIN -BARRÉ SYNDROME (GBS

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Smita Singh

2016-01-01

Full Text Available Background: Guillain-Barré Syndrome (GBS is an acute, frequently severe and fulminant polyradicular neuropathy that is autoimmune in nature. GBS manifest as rapidly evolving areflexic motor paralysis with or without sensory disturbances. It mainly involves peripheral nervous system and autonomic nervous system. There are rare evidences about the involvement of central nervous system (CNS in GBS. Aims: The main objective of the study was to assess the CNS involvement in GBS using the Brainstem Auditory Evoked Potential (BAEP. Methods & Material: The study was conducted in the clinical neurophysiology lab in the department of physiology, CSMMU Lucknow. Study group involved 26 subjects (n=26 having GBS and control group involved 30 normal subjects (n=30. BAEPS were recorded by Neuroperfect- EMG 2000 EMG/NCV/EPsytem. The data so obtained were subjected to analysis using Statistical Package for Social Sciences (SPSS Version 13.0. Results & Conclusions: There was significant increase in PIII & PV peak latencies and PI-PIII & PI-PV interpeak latencies in both left and right ear in the study group, which showed the CNS involvement in GBS which can be assessed using BAEP.

Energy, economy and development (EED) triangle: Concerns for India

International Nuclear Information System (INIS)

Chaturvedi, A.; Samdarshi, S.K.

2011-01-01

In this paper we discuss issues involving energy security with economic growth and development that brings out (i) the dimension of physical security alternative, (ii) framework for a pan South East Asian platform to support energy security and (iii) requirement of promoting regional energy cooperation and specific energy peace initiatives. Sustaining projected economic growth rate coupled with energy security in future is a concern for all developing countries like India. The energy security of these nations is threatened by the disruption of energy supplies by ongoing energy terrorism and geopolitical conflicts in the region. India's geo-strategic position and increasing energy dependence raises concerns for its energy security. We discuss energy security, examine factors and approaches to attempt the energy security in the light of economic growth and development. - Highlights: → India's perspective on evolving energy security concepts and risks analysed. → Model in the form of EED triangle proposed. → New potential energy security alternatives proposed in the light of the model.

Energy, economy and development (EED) triangle: Concerns for India

Energy Technology Data Exchange (ETDEWEB)

Chaturvedi, A. [Department of Energy, Tezpur University, Tezpur 784028, Assam (India); Samdarshi, S.K., E-mail: drsksamdarshi@rediffmail.com [Department of Energy, Tezpur University, Tezpur 784028, Assam (India)

2011-08-15

In this paper we discuss issues involving energy security with economic growth and development that brings out (i) the dimension of physical security alternative, (ii) framework for a pan South East Asian platform to support energy security and (iii) requirement of promoting regional energy cooperation and specific energy peace initiatives. Sustaining projected economic growth rate coupled with energy security in future is a concern for all developing countries like India. The energy security of these nations is threatened by the disruption of energy supplies by ongoing energy terrorism and geopolitical conflicts in the region. India's geo-strategic position and increasing energy dependence raises concerns for its energy security. We discuss energy security, examine factors and approaches to attempt the energy security in the light of economic growth and development. - Highlights: > India's perspective on evolving energy security concepts and risks analysed. > Model in the form of EED triangle proposed. > New potential energy security alternatives proposed in the light of the model.

Emerging marine protected area networks in the coral triangle: Lessons and way forward

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Stuart J Green

2011-01-01

Full Text Available Marine protected areas (MPAs and MPA networks are valuable tools for protecting coral reef habitats and managing near-shore fisheries, while playing an essential role in the overall conservation of marine biodiversity. In addition, MPAs and their networks are often the core strategy for larger scale and more integrated forms of marine resource management that can lead to ecosystem-based management regimes for seascapes and eco-regions. This study conducted in 2008 documents the status of selected MPAs and MPA networks in Indonesia, Philippines and Papua New Guinea, to better understand development and their level of success in the Coral Triangle. Findings reveal that substantial gaps exist between the theory and practice of creating functional MPA networks. Across these sites, biophysical and social science knowledge, required to build functional and effective MPAs or MPA networks, lagged behind substantially. Aspects that appeared to require the most attention to improve MPA network effectiveness included essential management systems, institutional arrangements, governance and sustainable financing. Common indicators of success such as increased fish catch and habitat quality parameters were consistently associated with several independent variables: sustainable financing for management, clarity of MPA network rules, enforcement by community level enforcers, local skills development, and involvement in management by local elected politicians, a functional management board, multi-stakeholder planning mechanisms and participatory biophysical assessments. Conclusions are that although considerable investments have been made in MPAs and potential MPA networks in the Coral Triangle, management effectiveness is generally poor throughout the region and that not many large, formally declared MPAs are well managed.

The star-triangle relation, lens partition function, and hypergeometric sum/integrals

Energy Technology Data Exchange (ETDEWEB)

Gahramanov, Ilmar [Max Planck Institute for Gravitational Physics (Albert Einstein Institute),Am Mühlenberg 1, D-14476 Potsdam (Germany); Institute of Radiation Problems ANAS,B. Vahabzade 9, AZ1143 Baku (Azerbaijan); Department of Mathematics, Khazar University,Mehseti St. 41, AZ1096 Baku (Azerbaijan); Kels, Andrew P. [Institute of Physics, University of Tokyo,Komaba, Tokyo 153-8902 (Japan)

2017-02-08

The aim of the present paper is to consider the hyperbolic limit of an elliptic hypergeometric sum/integral identity, and associated lattice model of statistical mechanics previously obtained by the second author. The hyperbolic sum/integral identity obtained from this limit, has two important physical applications in the context of the so-called gauge/YBE correspondence. For statistical mechanics, this identity is equivalent to a new solution of the star-triangle relation form of the Yang-Baxter equation, that directly generalises the Faddeev-Volkov models to the case of discrete and continuous spin variables. On the gauge theory side, this identity represents the duality of lens (S{sub b}{sup 3}/ℤ{sub r}) partition functions, for certain three-dimensional N=2 supersymmetric gauge theories.

The star-triangle relation, lens partition function, and hypergeometric sum/integrals

International Nuclear Information System (INIS)

Gahramanov, Ilmar; Kels, Andrew P.

2017-01-01

The aim of the present paper is to consider the hyperbolic limit of an elliptic hypergeometric sum/integral identity, and associated lattice model of statistical mechanics previously obtained by the second author. The hyperbolic sum/integral identity obtained from this limit, has two important physical applications in the context of the so-called gauge/YBE correspondence. For statistical mechanics, this identity is equivalent to a new solution of the star-triangle relation form of the Yang-Baxter equation, that directly generalises the Faddeev-Volkov models to the case of discrete and continuous spin variables. On the gauge theory side, this identity represents the duality of lens (S b 3 /ℤ r ) partition functions, for certain three-dimensional N=2 supersymmetric gauge theories.

Recombination of the steering vector of the triangle grid array in quaternions and the reduction of the MUSIC algorithm

Science.gov (United States)

Bai, Chen; Han, Dongjuan

2018-04-01

MUSIC is widely used on DOA estimation. Triangle grid is a common kind of the arrangement of array, but it is more complicated than rectangular array in calculation of steering vector. In this paper, the quaternions algorithm can reduce dimension of vector and make the calculation easier.

Ventajas de la gammaglobulina endovenosa en el síndrome de Guillain-Barré en el niño

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Lourdes Valdés Urrutia

2002-12-01

Full Text Available Veintidós niños con síndrome de Guillain-Barré (SGB se examinaron y evaluaron posteriormente, en su evolución clínica acorde con el tratamiento. Predominó el sexo masculino (59,1 %. La edad promedio fue de 7 años. Estos pacientes mostraron infección previa, y fueron las más frecuentes las infecciones respiratorias agudas. La proteinorraquia se observó en 21 pacientes (95,2 %. Un grupo recibió esteroides (grupo A con 8 pacientes y otro grupo, inmunoglobulina cubana endovenosa (grupo B con 14 enfermos. La mejoría clínica y la condición para la deambulación, conocida como la capacidad para caminar independientemente se evaluó en ambos grupos. Los pacientes del grupo A mostraron un promedio de mejoría de 17,3 días y un promedio máximo para obtener la condición ambulatoria de 57,1 días. Por otra parte, el grupo B inició la mejoría con un promedio de 8,3 días y el tiempo para la condición ambulatoria fue de 25,42 días. El análisis estadístico en el estudio fue altamente significativo (p=,0002.Twenty two children suffering from Guillain-Barré´s syndrome (GBS were examined and further evaluated in their clinical course according to the treatment. Males prevailed (59.1%. Average age was 7 years. These children had previous infections, being acute respiratory infections the most frequent. Proteinrachia was observed in 21 patients (95,2%. One group (group A with 8 patients was given steroids and the other group (group B with 14 patients was intravenously administered Cuban immunoglobulin. The clinical improvement and the independent walking ability of the patients were evaluated in both groups. The patients included in group A showed clinical improvement after 17,3 days as an average and a maximum average length of 57.1 days to reach the ambulatory capacity. On the other hand, the group B started improvement at an average of 8.3 days and reached walking capacity after 25,42 days. The statistical analysis was highly

Simulation study of the effect of influenza and influenza vaccination on risk of acquiring Guillain-Barré syndrome.

Science.gov (United States)

Hawken, Steven; Kwong, Jeffrey C; Deeks, Shelley L; Crowcroft, Natasha S; McGeer, Allison J; Ducharme, Robin; Campitelli, Michael A; Coyle, Doug; Wilson, Kumanan

2015-02-01

It is unclear whether seasonal influenza vaccination results in a net increase or decrease in the risk for Guillain-Barré syndrome (GBS). To assess the effect of seasonal influenza vaccination on the absolute risk of acquiring GBS, we used simulation models and published estimates of age- and sex-specific risks for GBS, influenza incidence, and vaccine effectiveness. For a hypothetical 45-year-old woman and 75-year-old man, excess GBS risk for influenza vaccination versus no vaccination was -0.36/1 million vaccinations (95% credible interval -1.22% to 0.28) and -0.42/1 million vaccinations (95% credible interval, -3.68 to 2.44), respectively. These numbers represent a small absolute reduction in GBS risk with vaccination. Under typical conditions (e.g. influenza incidence rates >5% and vaccine effectiveness >60%), vaccination reduced GBS risk. These findings should strengthen confidence in the safety of influenza vaccine and allow health professionals to better put GBS risk in context when discussing influenza vaccination with patients.

Increased rates of Guillain-Barré syndrome associated with Zika virus outbreak in the Salvador metropolitan area, Brazil.

Science.gov (United States)

Styczynski, Ashley R; Malta, Juliane M A S; Krow-Lucal, Elisabeth R; Percio, Jadher; Nóbrega, Martha E; Vargas, Alexander; Lanzieri, Tatiana M; Leite, Priscila L; Staples, J Erin; Fischer, Marc X; Powers, Ann M; Chang, Gwong-Jen J; Burns, P L; Borland, Erin M; Ledermann, Jeremy P; Mossel, Eric C; Schonberger, Lawrence B; Belay, Ermias B; Salinas, Jorge L; Badaro, Roberto D; Sejvar, James J; Coelho, Giovanini E

2017-08-01

In mid-2015, Salvador, Brazil, reported an outbreak of Guillain-Barré syndrome (GBS), coinciding with the introduction and spread of Zika virus (ZIKV). We found that GBS incidence during April-July 2015 among those ≥12 years of age was 5.6 cases/100,000 population/year and increased markedly with increasing age to 14.7 among those ≥60 years of age. We conducted interviews with 41 case-patients and 85 neighborhood controls and found no differences in demographics or exposures prior to GBS-symptom onset. A higher proportion of case-patients (83%) compared to controls (21%) reported an antecedent illness (OR 18.1, CI 6.9-47.5), most commonly characterized by rash, headache, fever, and myalgias, within a median of 8 days prior to GBS onset. Our investigation confirmed an outbreak of GBS, particularly in older adults, that was strongly associated with Zika-like illness and geo-temporally associated with ZIKV transmission, suggesting that ZIKV may result in severe neurologic complications.

Linear Characteristic Spatial Quadrature for Discrete Ordinates Neutral Particle Transport on Arbitrary Triangles

Science.gov (United States)

1993-06-01

1•) + ) •,(v)(•,L) = ()(Q)+ sEXT (F). (4) The scalar flux, 0, is related to the angular flux, W, by (F)= f (dQ Vh) (5) and the particle current, J...J," v,p’) u +at(U, v) w(u, U, p’)= as(u, v) O(u, v) + SEXT (uv)] (92) 0 Ul,(V) I Assuming the area of the triangle is sufficiently small that cross...M + SEXT () (98) Wvn and WoUT are angular flux averages along the input and output edges, respectively, and are defined by WD Iv = f- ds. V(s.v) (99

Triangulating the Sociohydrology of Water Supply, Quality and Forests in the Triangle

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Band, L. E.

2016-12-01

The North Carolina Research Triangle is among the most rapidly growing metropolitan areas in the United States, with decentralized governance split among several different municipalities, counties and water utilities. Historically smaller populations, plentiful rainfall, and riparian rights based water law provided both a sense of security for water resources and influenced the development of separate infrastructure systems across the region. The growth of water demand with rising populations with typical suburban sprawl, the development of multi-use reservoirs immediately downstream of urban areas, and increased hydroclimate variability have raised the potential for periodic water scarcity coupled with increasing eutrophication of water supplies. We discuss the interactions and tradeoffs between management of emerging water scarcity, quality and forest biodiversity in the Triangle as a model for the US Southeast. Institutional stakeholders include water supply and stormwater utilities, environmental NGOs, federal, state, county and municipal governments, developers and home owner associations. We emphasize principles of ecohydrologic resilience learned in heavily instrumented research watersheds, adapted to rapidly developing urban systems, and including socioeconomic and policy dynamics. Significant 20th century reforestation of central North Carolina landscapes have altered regional water balances, while providing both flood and water quality mitigation. The regrowth forest is dynamic and heterogeneous in water use based on age class and species distribution, with substantial plantation and natural regeneration. Forecasts of land use and forest structural and compositional change are based on scenario socioeconomic development, climate change and forecast wood product markets. Urban forest and green infrastructure has the potential to mediate the trade-offs and synergies of these goals, but is in a very nascent state. Computational tools to assess policy

A Bony Landmark 'RAI Triangle' to Prevent 'Misplaced and Misdirected' Medial Cut in SSRO.

Science.gov (United States)

Rai, Kirthi Kumar; Arakeri, Gururaj; Khaji, Shahanavaj I

2011-03-01

'Rai triangle', a new anatomic landmark on the medial surface of the ramus of the mandible which when identified and taken into consideration, may have a definite advantage. This is especially in terms of performing the medial horizontal cut which is an important and integral part of the sagittal split ramus osteotomy so as to avoid a bad split. The objective of this article is to propose an easily identifiable bony land mark, which is closely related to lingula of mandible that may ease the procedure of osteotomy and avoid bad splits.

Prevalence of fatigue in Guillain-Barre syndrome in neurological rehabilitation setting

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Prajna Ranjani

2014-01-01

Full Text Available Background: Fatigue contributes significantly to the morbidity and affects the quality of life adversely in Guillain-Barre Syndrome (GBS. Objective: To determine the prevalence of fatigue in GBS in neurological rehabilitation setting and to study its clinical correlates. Materials and Methods: We performed secondary analysis of data of patients with GBS admitted in neurological rehabilitation ward of a tertiary care centre, recorded at both admission and discharge. Assessment of fatigue was done by Fatigue Severity Scale (FSS, disability-status by Hughe′s Disability Scale (HDS, functional-status by Barthel Index, anxiety/depression by Hospital Anxiety Depression Scale, sleep disturbances by Pittsburgh Sleep Quality Index and muscle weakness by Medical Research Council sum scores. Results: A total of 90 patients (62 men with mean age 34 years (95% CI 32.2, 37.7 were included. Median duration of, stay at neurological rehabilitation ward was 30 days, while that of symptoms was 18.5 days. Presence of fatigue at admission (FSS ≥ 4 in 39% patients was associated with ventilator requirement (P = 0.021 and neuropathic pain (P = 0.03. Presence of fatigue at discharge (FSS ≥ 4 in 12% patients was associated with disability- HDS (≥3 (P = 0.008, presence of anxiety (P = 0.042 and duration of stay at rehabilitation ward (P = 0.02. Fatigue did not correlate with age, gender, antecedent illness, muscle weakness, depression and sleep disturbances. Conclusion: Fatigue is prevalent in GBS during early recovery phase of illness. Despite motor recovery fatigue may persist. Knowledge about fatigue as burden of disease in these patients will improve patient care.

Re-exploration of U's Triangle Brassica Species Based on Chloroplast Genomes and 45S nrDNA Sequences.

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Kim, Chang-Kug; Seol, Young-Joo; Perumal, Sampath; Lee, Jonghoon; Waminal, Nomar Espinosa; Jayakodi, Murukarthick; Lee, Sang-Choon; Jin, Seungwoo; Choi, Beom-Soon; Yu, Yeisoo; Ko, Ho-Cheol; Choi, Ji-Weon; Ryu, Kyoung-Yul; Sohn, Seong-Han; Parkin, Isobel; Yang, Tae-Jin

2018-05-09

The concept of U's triangle, which revealed the importance of polyploidization in plant genome evolution, described natural allopolyploidization events in Brassica using three diploids [B. rapa (A genome), B. nigra (B), and B. oleracea (C)] and derived allotetraploids [B. juncea (AB genome), B. napus (AC), and B. carinata (BC)]. However, comprehensive understanding of Brassica genome evolution has not been fully achieved. Here, we performed low-coverage (2-6×) whole-genome sequencing of 28 accessions of Brassica as well as of Raphanus sativus [R genome] to explore the evolution of six Brassica species based on chloroplast genome and ribosomal DNA variations. Our phylogenomic analyses led to two main conclusions. (1) Intra-species-level chloroplast genome variations are low in the three allotetraploids (2~7 SNPs), but rich and variable in each diploid species (7~193 SNPs). (2) Three allotetraploids maintain two 45SnrDNA types derived from both ancestral species with maternal dominance. Furthermore, this study sheds light on the maternal origin of the AC chloroplast genome. Overall, this study clarifies the genetic relationships of U's triangle species based on a comprehensive genomics approach and provides important genomic resources for correlative and evolutionary studies.

Holocene climate and environmental change in the Palliser Triangle: a geoscientific context for evaluating the impacts of climate change on the southern Canadian prairies

Energy Technology Data Exchange (ETDEWEB)

Lemmen, D. S.; Vance, R. E. [eds.

1999-07-01

The Palliser Triangle is the driest portion of the Canadian Prairies, and one of the most climatically sensitive regions in Canada. As proof of that, it has suffered severe droughts in the 1920s, 1930s and the 1980s. General climatic models predict that future global warming will be most pronounced in northern regions and continental interiors, including the Great Plains of North America. Evidence of warming is already present in the regional climate record, suggesting that the Palliser Triangle is likely to become even more arid, and drought frequency may increase. This volume contains 18 papers related to major objectives of a project involving the use of the unique paleoenvironmental records available in the Palliser Triangle to assess the impacts of future climate change. Two major objectives of the project are of particular focus: the reconstruction of the Holocene (post-glacial) climatic and hydrological changes, and the evaluation of the relationship between climate and landscape processes. Each paper is capable of standing on its own as a contribution to a specific geoscience discipline; by bringing them together in one regionally focused volume, the editors intend to highlight the need for interdisciplinary and multidisciplinary approaches to the study of global climate change issues. The first paper provides a broad summary of the major results, followed by nine papers devoted to records of past climate and hydrological change documented in paleolimnological and hydrogeological studies. The remaining eight papers focus on geomorphic processes in the Palliser Triangle, and on explanations of how these processes respond to climate forcing. Since each contribution can stand its own, each paper has its own abstract in English and French and its own bibliography. There is an author index for the volume as whole.

Cerebrospinal fluid anti-Epstein-Barr virus specific oligoclonal IgM and IgG bands in patients with clinically isolated and Guillain-Barré syndrome.

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Ferraro, Diana; Galli, Veronica; Simone, Anna Maria; Bedin, Roberta; Vitetta, Francesca; Merelli, Elisa; Nichelli, Paolo Frigio; Sola, Patrizia

2017-04-01

Epstein-Barr virus (EBV) has been implicated in multiple sclerosis (MS) pathogenesis. We aimed to assess the frequency of EBV-specific IgG and IgM oligoclonal bands (OCB) in cerebrospinal fluid (CSF) of 50 patients with clinically isolated syndrome (CIS) and in 27 controls with Guillain-Barré syndrome (GBS). Furthermore, we assessed correlations between the presence of OCB and CIS patients' CSF, MRI, and clinical variables. There was no difference in the proportion of CIS and GB patients with positivity for anti-EBV-specific IgG/IgM OCB. There were no correlations between OCB and analyzed variables, nor were they predictive of a higher disability at 3 years.

[Patient - doctor relationship from perspective of the Karpman drama triangle].

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Samborska-Sablik, Anna; Sablik, Zbigniew

2016-11-25

Patients' confidence in doctors has been decreased for last years despite successes of Polish medicine. It seems to be related to particular conditions of patient - doctor relationship and patient's negative emotions may frequently burden it from the beginning. They may allow an interpersonal game, the Drama Triangle, to appear in the relationship. 3 persons are typically involved in the game: a victim, a persecutor and a rescuer. All of them neither feel guilty about the situation nor their activities are aimed at solving the crucial problem. It maintains continuation of the game. Both patient and doctor are capable to attend the game as any of the person mentioned above. Authors of the article think frameworks of organization of the health care system should permit doctors not only to tackle main disease but also to devote time individually tailored to patient's emotional problems. © 2016 MEDPRESS.

Three-dimensional object recognition using similar triangles and decision trees

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Spirkovska, Lilly

1993-01-01

A system, TRIDEC, that is capable of distinguishing between a set of objects despite changes in the objects' positions in the input field, their size, or their rotational orientation in 3D space is described. TRIDEC combines very simple yet effective features with the classification capabilities of inductive decision tree methods. The feature vector is a list of all similar triangles defined by connecting all combinations of three pixels in a coarse coded 127 x 127 pixel input field. The classification is accomplished by building a decision tree using the information provided from a limited number of translated, scaled, and rotated samples. Simulation results are presented which show that TRIDEC achieves 94 percent recognition accuracy in the 2D invariant object recognition domain and 98 percent recognition accuracy in the 3D invariant object recognition domain after training on only a small sample of transformed views of the objects.

A Phylogenetic Analysis of Chloroplast Genomes Elucidates the Relationships of the Six Economically Important Brassica Species Comprising the Triangle of U

NARCIS (Netherlands)

Li, Peirong; Zhang, Shujiang; Li, Fei; Zhang, Shifan; Zhang, Hui; Wang, Xiaowu; Sun, Rifei; Bonnema, Guusje; Borm, Theo J.A.

2017-01-01

The Brassica genus comprises many economically important worldwide cultivated crops. The well-established model of the Brassica genus, U’s triangle, consists of three basic diploid plant species (Brassica rapa, Brassica oleracea, and Brassica nigra) and three amphidiploid species (Brassica napus,

Interfascial technique for vertebral artery exposure in the suboccipital triangle: the road map.

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Youssef, A Samy; Uribe, Juan S; Ramos, Edwin; Janjua, Rashid; Thomas, L Brannon; van Loveren, Harry

2010-12-01

The extradural portion of the vertebral artery (VA-V3) has a unique anatomy at the craniovertebral junction. The exposure of V3 can be accompanied by profuse bleeding from the venous plexus in addition to the potential risk of inadvertent injury of the VA during surgery at the craniovertebral junction. The natural tissue planes represent a road map to the safe exposure of the VA in the suboccipital triangle. To describe the microsurgical anatomy of the tissue planes in the suboccipital region. The suboccipital region was bilaterally dissected in 6 fresh silicone-injected cadaver heads. An interfascial technique was used to expose the VA-V3 following a tissue plane between the deep suboccipital muscular fascia dorsally and posterior atlantooccipital membrane, the C1 periosteal membrane, and the membrane covering the VA and venous plexus ventrally. The craniovertebral junction was harvested from 2 heads and prepared for histological sections. The same technique was applied in 25 operative cases. The anatomic dissections confirmed the existence of an interfascial plane that can be dissected in a blunt fashion to reach as far lateral as the transverse processes of C1 and C2. Application of the dissection technique did not require diathermy coagulation in the operating room. In 25 cases, there was no injury of the VA or bleeding from the venous plexus. Vertebral artery exposure in the suboccipital triangle (V3) can be achieved safely with minimal blood loss using a technique that follows the natural tissue plane between the deep suboccipital muscle fascia, the posterior atlantooccipital membrane, the membrane covering VA/venous plexus, and the periosteum of the C1 and C2 laminae.

Zika Virus and Guillain-Barre Syndrome: Is There Sufficient Evidence for Causality?

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A Arturo Leis

2016-09-01

Full Text Available Worldwide concern over Zika virus causing Guillain-Barre syndrome (GBS soared after recent reports that Zika-related weakness was due to GBS. A global strategic response plan was initiated with recommendations for at risk countries to prepare for GBS. This plan has major economic implications, as nations with limited resources struggle to implement costly immunotherapy. Since confirmation of causality is prerequisite to providing specific management recommendations, it is prudent to review data endorsing a GBS diagnosis. We searched PubMed for manuscripts reporting original clinical, laboratory, and electrodiagnostic data on Zika virus and GBS. Five papers met criteria; four case reports and one large case-control study (French Polynesia that attributed 42 paralysis cases to a motor variant of GBS. Brighton criteria were reportedly used to diagnose GBS, but no differential diagnosis was presented, which violates criteria. GBS was characterized by early onset (median 6 days post-viral syndrome, rapid progression (median 6 days from onset to nadir, and atypical clinical features (52% lacked areflexia, 48% of facial palsies were unilateral. Electrodiagnostic evaluations fell short of guidelines endorsed by American Academy of Neurology. Typical anti-ganglioside antibodies in GBS motor variants were rarely present. We conclude that there is no causal relationship between Zika virus and GBS because data failed to confirm GBS and exclude other causes of paralysis. Focus should be redirected at differential diagnosis, proper use of diagnostic criteria, and electrodiagnosis that follows recommended guidelines. We also call for a moratorium on recommendations for at risk countries to prepare costly immunotherapies directed at GBS.

Survey of the respiratory health status of 10-year-old children exposed to air pollution in the Vaal Triangle priority area

CSIR Research Space (South Africa)

Mundackal, J

2010-10-01

Full Text Available found a relatively high prevalence of upper and lower respiratory diseases, especially in children. The sources of air pollution in the Vaal Triangle, together with the potential for exceedances of air quality guidelines, led to the area being declared...

Was Pythagoras Chinese? An Examination of Right Triangle Theory in Ancient China. The Pennsylvania State University Studies No. 40.

Science.gov (United States)

Swetz, Frank J.; Kao, T. I.

This book is primarily a scholarly monograph on ancient Chinese theory and application concerning the right triangle, based on evidence contained in classical mathematics texts and scrolls. It is also the first complete English translation of the ninth chapter of the Chiu chang suan chu, the richest source of problems from antiquity dealing with…

Guillain-Barre syndrome associated with hemorrhagic fever with renal syndrome in China: a case report.

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Jiao, Jie; Wu, Lei; Yin, Jianyuan; Quan, Xiaojiao; Chen, Wei; Hu, Jie

2018-03-27

We describe a case of Guillain-Barre syndrome (GBS) associated with hemorrhagic fever with renal syndrome. To our knowledge, only five cases of GBS associated with Hantavirus infection have been reported so far. A 62-year-old man presented intermittent fever, chill and oliguria. According to remarkable leukocytosis, atypical lymphocytes, thrombocytopenia and former dwelling in hemorrhagic fever-endemic area, he was suspected as hemorrhagic fever with renal syndromeand certified with positive Hantavirus IgG. Later, the patient had symmetrical flaccid paralysis of all extremities. Electromyography showed peripheral nerve injury (mainly in axon). The patient was diagnosed as having acute motor sensory axonal neuropathy (AMSAN). After immunoglobulin infusion, patient showed progressive recovery and was transferred 3 weeks after his first admission to a rehabilitation center. Our case was the 6th reported case of GBS associated with hemorrhagic fever with renal syndrome. Moreover, we for the first time classified the subtype of GBS (AMSAN) based on the electrophysiology characteristics. GBS should be suspected in patients who are already diagnosed as hemorrhagic fever with renal syndrome when delayed symmetrical limb paralysis occurs. Until recent now, GBS was only reported in hemorrhagic fever patients in Europe and Asia, which termed as hemorrhagic fever with renal syndrome.

Coordination-driven self-assembly of a novel carbonato-bridged heteromolecular neutral nickel(II) triangle by atmospheric CO2 fixation.

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Mukherjee, Pampa; Drew, Michael G B; Estrader, Marta; Ghosh, Ashutosh

2008-09-01

Formation of a quasi-symmetrical mu 3-carbonato-bridged self-assembled heteromolecular triangle of Ni(II), [(mu 3-CO 3){Ni 2(salmeNH) 2(NCS) 2}{Ni(salmeNH 2) 2].Et 2O.H 2O (HsalmeNH = 2-[(3-methylamino-propylimino)-methyl]-phenol) involves atmospheric CO 2 uptake in a neutral medium, by spontaneous self-reorganization of the starting mononuclear Ni(II)-Schiff-base complex, [Ni(salmeNH) 2]. The environment around Ni(II) in two of the subunits is different from the third one. The starting complex, [Ni(salmeNH) 2], and one of the possible intermediate species, [Ni(salmeNH 2) 2(NCS) 2], which has a very similar coordination environment to that in the third Ni(II) center, have been characterized structurally. A plausible mechanism for the formation of such a triangle has also been proposed. The compound shows a very strong antiferromagnetic coupling. Fit as a regular triangular arrangement gave J = -53.1, g = 2.24, and R = 1.5 x 10 (-4).

Vulnerability classification in man-land territorial system of mining cities based on triangle methodology

Energy Technology Data Exchange (ETDEWEB)

Xin Xin; Ping-Yu Zhang [Chinese Academy of Sciences, Changchun (China). Northeast Institute of Geography and Agricultural Ecology

2009-02-15

The vulnerabilities of 40 mining cities were classified into 6 types by triangle methodology and corresponding sustainable development suggestions were proposed. Most mining cities in east China are: resource and environment and social (RS) type and economy, resource, environment and social (ERS) type, with low vulnerability. In central China, most mining cities are economy and resource and environment (ER), RS and ERS types. The vulnerability in most west mining cities is high. Coal mining cities are mostly ER, RS and ERS types, while metal mining cities are almost ERS type. 11 refs., 4 figs., 3 tabs.

The World Financial and Economic Crisis and Its Impact on China-US-Russia Triangle

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Alexei Dmitrievich Voskressenski

2011-01-01

Full Text Available The article analyzes the current state of relations in the triangle of Russia-US-China after the late-2000s global financial crisis from the point of view of their national interests, East Asian policy of the USA, China's growth and the strengthening of Russia in Asia. The author critically examines the existing approaches, foreign policy concepts and the latest initiatives which could shift the balance of power in the post-crisis period. According to the author, Russia still has all the chances to reshape its relations with China and the United States.

Persistent current in triangle silicene rings with spin–orbit interaction

Energy Technology Data Exchange (ETDEWEB)

Xu, Ning, E-mail: nxu@ycit.cn [Department of Physics, Yancheng Institute of Technology, Yancheng 224051 (China); Zhang, Haiyang; Wu, Xiuqiang; Bai, Yujie [Department of Physics, Yancheng Institute of Technology, Yancheng 224051 (China); Ding, Jianwen, E-mail: jwding@xtu.edu.cn [Department of Physics, Xiangtan University, Xiangtan 411105 (China)

2017-06-28

The energy spectrum and magnetic response of triangle silicene rings (TSRs) are investigated within the tight-binding model. It is shown that the flux-dependent energy spectrum is divided into bands, with three levels per band, owing to the three-fold rotational symmetry structure of TSRs. The zigzag TSRs are metallic, exhibiting either diamagnetic or paramagnetic response depending on the size of inner ring radius. Armchair TSRs are semiconducting, exhibiting diamagnetic response. Taking into account the intrinsic spin–orbit interaction, the magnetic-field-driven spin-up electrons flow anticlockwise around the TSRs and the spin-down electrons flow clockwise around the TSRs. Additionally, paramagnetism–diamagnetism or diamagnetism–paramagnetism transitions are observed with the increase of exchange field. The results may be very helpful for the design and application of TSR-based nanodevices. - Highlights: • The zigzag TSRs are metallic. • Armchair TSRs which exhibit diamagnetic response are semiconducting. • The spin-up electrons flow anticlockwise and spin-down electrons flow clockwise around the rings.

Geology and resources of the Tar Sand Triangle, southeastern Utah

Energy Technology Data Exchange (ETDEWEB)

Dana, G.F.; Oliver, R.L.; Elliott, J.R.

1984-05-01

The Tar Sand Triangle is located in southeastern Utah between the Dirty Devil and Colorado Rivers and covers an area of about 200 square miles. The geology of the area consists of gently northwest dipping strata exposed in the box canyons and slopes of the canyonlands morphology. Strata in the area range in age from Jurassic to Permian. The majority of tar sand saturation is found in the Permian White Rim Sandstone Member of the Cutler Formation. The White Rim Sandstone Member consists of a clean, well-sorted sandstone which was deposited in a shallow marine environment. Resources were calculated from analytical data from the three coreholes drilled by the Laramie Energy Technology Center and other available data. The total in-place resources, determined from this study, are 6.3 billion barels. Previous estimates ranged from 2.9 to 16 million barrels. More coring and analyses will be necessary before a more accurate determination of resources can be attempted. 8 references, 11 figures, 7 tables.

Characteristics and acute rehabilitation of Guillain-Barré syndrome in Singapore.

Science.gov (United States)

Ng, Y S; Lo, Y L; Lim, P A C

2004-05-01

The objectives of this study are to describe the demographics, clinical characteristics, complications and functional outcomes in patients with Guillain-Barr é syndrome (GBS) or the Miller-Fisher syndrome (MFS) variant admitted to our institution. We also aim to identify prognostic outcome indicators. A retrospective review of the case records of all patients discharged from our hospital with a diagnosis of GBS or MFS over a 2- year period was performed. The clinical characteristics charted included the time of symptom onset to nadir. The Modified Barthel Index (MBI) and Expanded Grading Scale (EGS) for GBS were the functional outcome measures used. Thirty-one cases were reviewed and 8 (25.8 %) had the MFS variant. Twenty-two (71 %) patients were male, with a mean age of 42.3 years. Weakness and numbness (74 %) were the most common initial symptoms; 9 (29 %) patients were paraparetic and 7 (22.6 %) were tetraparetic. Ten (32.3 %) patients had respiratory involvement and 8 (25.8 %) had urinary retention. Intravenous immunoglobulin (IVIG) was prescribed in 13 (41.9 %) patients. The mean duration to disease nadir was 8.1 days. The mean MBI scores at nadir and discharge were 54.7 and 77.3, respectively, and this gain was highly significant (P <0.01). The majority (84 %) of patients were employed at admission and although most returned to work, 63 % (17/27) of the patients had residual symptoms or signs 3 months after discharge. The clinical characteristics and complication frequency closely follows that previously described in Western populations, although our cohort was younger and had a higher proportion of the MFS variant. Predictors of a poorer functional outcome include a high EGS score at nadir, tetraparesis, respiratory involvement, urinary retention and the need for nasogastric enteral feeding. Patients who had MFS or received IVIG had greater functional gains. Good functional outcomes occurred in a large majority of patients.

Subtypes and Prognosis of Guillain-Barré Syndrome in Southwest China.

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Gang Zhang

Full Text Available The proportion of different subtypes of Guillain-Barré syndrome (GBS and their prognosis varied significantly among different regions. This study attempts to investigate the clinical subtypes and outcome of GBS in southwest China. Patients with GBS admitted to The First Affiliated Hospital of Chongqing Medical University from January 2006 to March 2013 were included in our study. Patients were classified into acute inflammatory demyelinating polyneuropathy (AIDP group, acute motor axonal neuropathy (AMAN group, Miller-Fisher syndrome (MFS group, cranial nerve variants(CNV, Bickerstaff's brainstem encephalitis overlaps with GBS (BBE-GBS group and unclassifiable group based on clinical features and electrophysiological findings. Hughes function grade score (HFGS was used to assess the prognosis at 3 and 6 months. The prognosis of different subtypes and outcome predictors were analyzed. The most common subtype of GBS was AIDP (57%, followed by AMAN (22% and MFS (7%. The prognosis of AMAN and BBE-GBS is similar at 3 month(P = 0.0704and 6 month (P = 0.1614 follow-up. The prognosis of AMAN group was poorer than that of AIDP group at 3 month and 6 month follow-up (P<0.001. Outcome of MFS group and that of CNV group at 6 months were both good(Hughes≤1. Hughes≥3(P<0.0001,OR = 6.650,95%CI = 2.865 to 15.023and dysautonomia (P = 0.043,OR = 2.820,95%CI = 1.031 to 7.715 were associated with poor outcome at 6 month follow-up. AIDP is the most common subtype of GBS. Prognosis of AMAN group and BBE-GBS group is poorer than that of AIDP group at 3 month and 6 month follow-up. Hughes≥3 at nadir and dysautonomia are predictors of poor prognosis at 6 month follow-up.

The Support of MPA (Marine Protected Area) in Coral Triangle Area: Evidence from Kei Islands, Indonesia

Science.gov (United States)

Hamid, Syahibul K.; Teniwut, Wellem A.; Teniwut, Roberto M. K.; Rahantoknam, Meyske A.; Hasyim, Cawalinya L.; Hungan, Marselus

2017-10-01

Kei Islands located inside the coral triangle. Therefore, the biodiversity level on the sea in this area is considered high. United nation has proposed for water that included in the coral triangle has to apply marine protected area (MPA) to preserve the area. The main problem is most of the community especially in Kei Islands have depended on the sea as their sources of the economy even fisheries commodity like fish play a large part on the inflation rate and other prosperity indicators likes school and housing. Also, Kei Islands practice on form local wisdom for owning areal of the sea which calls “petuanan laut” by certain of villages or group of villages in one area. This study aimed to map the cluster of catching fisheries area based on the quantity of fish supply on a local market in Kei Islands and measure each cluster on their support and perspective on Marine Protected Area (MPA). We conducted a focus group discussion and collecting additional data by questionnaires with descriptive and quantitative analysis with logistic regression. The implication of this study can provide a clear view of coastal communities view on MPA program also to identify an area that has marine resources, human resources, and equipment to provide government an empirical view on catching fisheries in Kei Islands to issued better policy to develop fishing industry in Kei Islands.

Polarizability of Six-Helix Bundle and Triangle DNA Origami and Their Escape Characteristics from a Dielectrophoretic Trap.

Science.gov (United States)

Gan, Lin; Camacho-Alanis, Fernanda; Ros, Alexandra

2015-12-15

DNA nanoassemblies, such as DNA origamis, hold promise in biosensing, drug delivery, nanoelectronic circuits, and biological computing, which require suitable methods for migration and precision positioning. Insulator-based dielectrophoresis (iDEP) has been demonstrated as a powerful migration and trapping tool for μm- and nm-sized colloids as well as DNA origamis. However, little is known about the polarizability of origami species, which is responsible for their dielectrophoretic migration. Here, we report the experimentally determined polarizabilities of the six-helix bundle origami (6HxB) and triangle origami by measuring the migration times through a potential landscape exhibiting dielectrophoretic barriers. The resulting migration times correlate to the depth of the dielectrophoretic potential barrier and the escape characteristics of the origami according to an adapted Kramer's rate model, allowing their polarizabilities to be determined. We found that the 6HxB polarizability is larger than that of the triangle origami, which correlates with the variations in charge density of both origamis. Further, we discuss the orientation of both origami species in the dielectrophoretic trap and discuss the influence of diffusion during the escape process. Our study provides detailed insight into the factors contributing to the migration through dielectrophoretic potential landscapes, which can be exploited for applications with DNA and other nanoassemblies based on dielectrophoresis.

Matrix metalloproteinases-2 and -9 in Campylobacter jejuni-induced paralytic neuropathy resembling Guillain-Barré syndrome in chickens.

Science.gov (United States)

Nyati, Kishan Kumar; Prasad, Kashi Nath; Agrawal, Vinita; Husain, Nuzhat

2017-10-01

Inflammation in Guillain-Barré syndrome (GBS) is manifested by changes in matrix metalloproteinase (MMP) and pro-inflammatory cytokine expression. We investigated the expression of MMP-2, -9 and TNF-α and correlated it with pathological changes in sciatic nerve tissue from Campylobacter jejuni-induced chicken model for GBS. Campylobacter jejuni and placebo were fed to chickens and assessed for disease symptoms. Sciatic nerves were examined by histopathology and immunohistochemistry. Expressions of MMPs and TNF-α, were determined by real-time PCR, and activities of MMPs by zymography. Diarrhea developed in 73.3% chickens after infection and 60.0% of them developed GBS like neuropathy. Pathology in sciatic nerves showed perinodal and/or patchy demyelination, perivascular focal lymphocytic infiltration and myelin swelling on 10th- 20th post infection day (PID). MMP-2, -9 and TNF-α were up-regulated in progressive phase of the disease. Enhanced MMP-2, -9 and TNF-α production in progressive phase correlated with sciatic nerve pathology in C. jejuni-induced GBS chicken model. Copyright © 2017 Elsevier Ltd. All rights reserved.

Increased rates of Guillain-Barré syndrome associated with Zika virus outbreak in the Salvador metropolitan area, Brazil.

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Ashley R Styczynski

2017-08-01

Full Text Available In mid-2015, Salvador, Brazil, reported an outbreak of Guillain-Barré syndrome (GBS, coinciding with the introduction and spread of Zika virus (ZIKV. We found that GBS incidence during April-July 2015 among those ≥12 years of age was 5.6 cases/100,000 population/year and increased markedly with increasing age to 14.7 among those ≥60 years of age. We conducted interviews with 41 case-patients and 85 neighborhood controls and found no differences in demographics or exposures prior to GBS-symptom onset. A higher proportion of case-patients (83% compared to controls (21% reported an antecedent illness (OR 18.1, CI 6.9-47.5, most commonly characterized by rash, headache, fever, and myalgias, within a median of 8 days prior to GBS onset. Our investigation confirmed an outbreak of GBS, particularly in older adults, that was strongly associated with Zika-like illness and geo-temporally associated with ZIKV transmission, suggesting that ZIKV may result in severe neurologic complications.

Biofuel excision and the viability of ethanol production in the Green Triangle, Australia

International Nuclear Information System (INIS)

Rodriguez, Luis C.; May, Barrie; Herr, Alexander; Farine, Damien; O'Connell, Deborah

2011-01-01

The promotion and use of renewable energy sources are established priorities worldwide as a way to reduce emissions of Greenhouse Gases and promote energy security. Australia is committed to reach a target of 350 ML of biofuels per year by 2010, and incentives targeted to producers and consumers have been placed. These incentives include zero excise until 2011 for the ethanol produced in Australia and gradual increase of the taxation rates reaching the full excise of 0.125 AUD per litre by 2015. This paper analyses the viability of the second generation ethanol industry in the Green Triangle, one of the most promising Australian regions for biomass production, by comparing the energy adjusted pump prices of petrol and the produced ethanol under different taxation rates and forecasted oil prices. Major findings suggest that under the current conditions of zero fuel excise and oil prices around 80US$ per barrel ethanol production is viable using biomass with a plant gate cost of up to 74 AUD per ton. Moreover, the forecasted increase in oil prices have a higher impact on the price of petrol than the increased ethanol excise on the pump price of the biofuel. Thus, by 2016 feedstock with a plant gate cost of up to 190 AUD per ton might be used for ethanol production, representing a flow of 1.7 million tons of biomass per year potentially mitigating 1.2 million tons of CO 2 by replacing fossil fuels with ethanol. - Research highlights: →We assessed the potential for ethanol production in the Green Triangle. → Despite of increased ethanol taxation, higher oil prices promote ethanol production. → Currently, ethanol from biomass with a plant gate cost of up to 74 AUD/ton is viable. →Forecasted oil prices suggest biomass of 190 AUD/ton might be used by 2016.

Adoption of Small-Scale Irrigation Farming as a Climate-Smart Agriculture Practice and Its Influence on Household Income in the Chinyanja Triangle, Southern Africa

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Nelson Mango

2018-04-01

Full Text Available This article is concerned with the adoption of small-scale irrigation farming as a climate-smart agriculture practice and its influence on household income in the Chinyanja Triangle. Chinyanja Triangle is a region that is increasingly experiencing mid-season dry spells and an increase in occurrence of drought, which is attributed largely to climate variability and change. This poses high agricultural production risks, which aggravate poverty and food insecurity. For this region, adoption of small-scale irrigation farming as a climate-smart agriculture practice is very important. Through a binary logistic and ordinary least squares regression, this article determines factors that influence the adoption of small-scale irrigation farming as a climate-smart agriculture practice and its influence on income among smallholder farmers. The results show that off-farm employment, access to irrigation equipment, access to reliable water sources and awareness of water conservation practices, such as rainwater harvesting, have a significant influence on the adoption of small-scale irrigation farming. On the other hand, the farmer’s age, distance travelled to the nearest market and nature of employment negatively influence the adoption of small-scale irrigation farming decisions. Ordinary least squares regression results showed that the adoption of small-scale irrigation farming as a climate-smart agriculture practice has a significant positive influence on agricultural income. We therefore conclude that to empower smallholder farmers to respond quickly to climate variability and change, practices that will enhance the adoption of small-scale irrigation farming in the Chinyanja Triangle are critical, as this will significantly affect agricultural income. In terms of policy, we recommend that the governments of Zambia, Malawi and Mozambique, which cover the Chinyanja Triangle, formulate policies that will enhance the adoption of sustainable small scale

Biomass assessment and small scale biomass fired electricity generation in the Green Triangle, Australia

International Nuclear Information System (INIS)

Rodriguez, Luis C.; May, Barrie; Herr, Alexander; O'Connell, Deborah

2011-01-01

Coal fired electricity is a major factor in Australia's greenhouse gas emissions (GHG) emissions. The country has adopted a mandatory renewable energy target (MRET) to ensure that 20% of electricity comes from renewable sources by 2020. In order to support the MRET, a market scheme of tradable Renewable Energy Certificates (RECs) has been implemented since 2001. Generators using biomass from eligible sources are able to contribute to GHG emission reduction through the substitution of coal for electricity production and are eligible to create and trade RECs. This paper quantifies the potential biomass resources available for energy generation from forestry and agriculture in the Green Triangle, one of the most promising Australian Regions for biomass production. We analyse the cost of electricity generation using direct firing of biomass, and estimate the required REC prices to make it competitive with coal fired electricity generation. Major findings suggest that more than 2.6 million tonnes of biomass are produced every year within 200 km of the regional hub of Mount Gambier and biomass fired electricity is viable using feedstock with a plant gate cost of 46 Australian Dollars (AUD) per tonne under the current REC price of 34 AUD per MWh. These findings are then discussed in the context of regional energy security and existing targets and incentives for renewable energies. -- Highlights: → We assessed the biomass production in the Green Triangle. → 2.6 million tonnes of biomass per year are produced within 200 km from Mt Gambier. → Renewable Energy Certificates makes bioenergy competitive with coal electricity. → At a REC price of 34 AUD, biomass of up to 46 AUD/tonne might be used for bionergy

Historical and commercial triangle of Athens. Patrimonalization through imaginary urban projects, rhetoric and rediscovery of tradition

OpenAIRE

Katerina Polychroniadi

2016-01-01

Athens has both famous and infamous identities. A city immersed in history surrounded by an"ugly"contemporary urban environment. A city which people love to ‘hate’ exactly due to this dense urban environment and fast pace, but which at the same time is celebrated for its lively everyday (and night) life and creativity. In this paper we focus on the so called "historical and commercial triangle", the city’s downtown in which the historic image of Athens juxtaposes to (coexists with) the most i...

Factors associated with long-term functional outcomes and psychological sequelae in Guillain-Barre syndrome.

Science.gov (United States)

Khan, F; Pallant, J F; Ng, L; Bhasker, A

2010-12-01

To examine factors impacting long-term health-related outcomes in survivors of Guillain-Barre syndrome (GBS). Seventy-six consecutive patients with definite GBS admitted to the Royal Melbourne Hospital (1996-2009) were reviewed in the neurorehabilitation clinics. They underwent a structured interview designed to assess the impact of GBS on their current activity and restriction in participation using validated questionnaires: Functional Independence Measure (FIM), Perceived Impact of Problem Profile (PIPP) and Depression Anxiety Stress Scale (DASS). Their sociodemographic and disease severity data were obtained from the medical record. The 76 patients [60% male, mean age 56 years, median time since GBS 6 years (range 1-14 years)] showed good functional recovery (median motor FIM score 90). However, 16% reported moderate to extreme impact on their ability to participate in work, family, and social activities; and 22% substantial impact on mood, confidence and ability to live independently. More reported moderate to extreme depression (18%), anxiety (22%) and stress (17%) compared with the normative Australian population (13%). Factors associated with poorer current level of functioning and wellbeing included: females, older patients (57+ years), acute hospital stay (>11 days), those treated in intensive care and those discharged to rehabilitation. No associations were found between the Medical Research Council (MRC) Motor Scale Rating scores at admission, nor time since GBS diagnosis (≤6 vs. >6 years) on outcomes used. GBS is complex and requires long-term management of psychological sequelae impacting activity and participation.

Brain Death,Concept and Criteria

Institute of Scientific and Technical Information of China (English)

2009-01-01

The concept of brain death originated in France. In 1959, the French scholars P. Mollaret and M. Goulon proposed the concept of "coma de- passe" or "brain death" for the first time and reported 23 cases with such symptoms. The first guidelines (the Harvard criteria) for diagnosing brain death was established in 1968, defining brain death

Treatment-related fluctuations in guillain barre syndrome and the conundrum of additional cycles of plasmapheresis

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Subasree Ramakrishnan

2017-01-01

Full Text Available Introduction: In Guillain Barre syndrome (GBS, worsening of weakness or disability after initial period of recovery or stabilization is described as treatment-related fluctuations (TRF. Aim: This study aims to describe the clinical characteristics and outcome of six patients with GBS and TRF. Patients and Methods: Six patients with GBS fulfilling NINCDS criteria, evaluated at a tertiary care university hospital during 2008–2017, were diagnosed to have TRF. They form the basis of this report. Results: All patients were men and their mean age was 40 years. At presentation, mean duration of illness was 15 days; the illness had plateaued in three and progressive in other three patients. Two of the four patients had variant GBS. Initially, five patients were treated with large volume plasmapheresis (LVPP and one patient with methyl prednisolone. At 17–28 days after disease onset, three patients developed new neurologic deficits (bilateral facial paresis in two; paralytic ileus in one. Other three patients with worsening of limb weakness (medical research council sum score of >5 and disability (Hughes disability grade by ≥1 fulfilled Kleyweg's criteria for TRF. All the six patients were treated with the completion of five cycles or additional cycles of LVPP. Conclusion: Awareness about TRF is essential for correct diagnosis and management of patients with GBS.

Zika Virus-Associated Neurological Disease in the Adult: Guillain-Barré Syndrome, Encephalitis, and Myelitis.

Science.gov (United States)

Muñoz, Laura S; Barreras, Paula; Pardo, Carlos A

2016-09-01

Zika virus (ZIKV) has caused a major infection outbreak in the Americas since 2015. In parallel with the ZIKV epidemic, an increase in cases of neurological disorders which include Guillain-Barré syndrome (GBS), encephalitis, and myelitis have been linked to the infection. We reviewed the evidence suggesting a relationship between ZIKV and neurological disorders in adults. A search of the literature supporting such link included databases such as PubMed and the World Health Organization (WHO) surveillance system. Through June 1, 2016, 761 publications were available on PubMed using the search word "Zika." Among those publications as well as surveillance reports released by the WHO and other health organizations, 20 articles linked ZIKV with neurological complications other than microcephaly. They corresponded to population and surveillance studies ( n  = 7), case reports ( n  = 9), case series ( n  = 3), and case-control studies ( n  = 1). Articles were also included if they provided information related to possible mechanisms of ZIKV neuropathogenesis. Evidence based on epidemiological and virological information supports the hypothesis that ZIKV infection is associated with GBS. Although cases of encephalopathy and myelitis have also been linked to ZIKV infection, the evidence is scarce and there is a need for virological, epidemiological, and controlled studies to better characterize such relationship. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Tourism Based on the Model of Strategic Place Triangle (A Case Study in Wisata Bahari Lamongan

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Ismuhadi Heru Wijayanto

2014-09-01

Full Text Available Tourism is a very promising prospects to support the economic development of a region. We assess Wisata Bahari Lamongan (WBL as a tourism object. WBL was having significant decreased visitors in the last six years, thus a strategic plan is need to re-increase the number of visitors. Thisstudy used Strategic Triangle Place (SPT model as an analysis tool to assess the strategic planning in WBL. SPT is an approach that includes three key components, namely: Positioning, Differentiation and Brand (PDB. This research used Soft System Methodology (SSM which relevant to analyzethe strategic plan model which is expected to be recommendations from tourists on problems in WBL.The result of this showed that the strategic planning of WBL did not completely accordance with the SPT model. Positioning and differentiation elements were still weak, and the brand was not well developed. Therefore, we recommend WBL to set targeted segmentation of all social backgrounds and ages, especially children. WBL shouldmade ​​the sea as main differentiated factor, thus it has marine tourism potential. WBL should build an image by providing best service quality, security, comfortness, cleanliness, and best quality rides. Keywords: Strategic Planning, Strategic Place Triangle, Positioning, Differentiation, Brand

Ten things to get right for marine conservation planning in the Coral Triangle [v2; ref status: indexed, http://f1000r.es/3ly

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Rebecca Weeks

2014-06-01

Full Text Available Systematic conservation planning increasingly underpins the conservation and management of marine and coastal ecosystems worldwide. Amongst other benefits, conservation planning provides transparency in decision-making, efficiency in the use of limited resources, the ability to minimise conflict between diverse objectives, and to guide strategic expansion of local actions to maximise their cumulative impact. The Coral Triangle has long been recognised as a global marine conservation priority, and has been the subject of huge investment in conservation during the last five years through the Coral Triangle Initiative on Coral Reefs, Fisheries and Food Security. Yet conservation planning has had relatively little influence in this region. To explore why this is the case, we identify and discuss 10 challenges that must be resolved if conservation planning is to effectively inform management actions in the Coral Triangle. These are: making conservation planning accessible; integrating with other planning processes; building local capacity for conservation planning; institutionalising conservation planning within governments; integrating plans across governance levels; planning across governance boundaries; planning for multiple tools and objectives; understanding limitations of data; developing better measures of progress and effectiveness; and making a long term commitment. Most important is a conceptual shift from conservation planning undertaken as a project, to planning undertaken as a process, with dedicated financial and human resources committed to long-term engagement.

The CKM matrix and the unitarity triangle. Proceedings, workshop, Geneva, Switzerland, February 13-16, 2002

Energy Technology Data Exchange (ETDEWEB)

M. Battaglia et al.

2004-04-02

This report contains the results of the Workshop on the CKM Unitarity Triangle that was held at CERN on 13-16 February 2002. There had been several Workshops on B physics that concentrated on studies at e{sup +}e{sup -} machines, at the Tevatron, or at LHC separately. Here we brought together experts of different fields, both theorists and experimentalists, to study the determination of the CKM matrix from all the available data of K, D, and B physics. The analysis of LEP data for B physics is reaching its end, and one of the goals of the Workshop was to underline the results that have been achieved at LEP, SLC, and CESR. Another goal was to prepare for the transfer of responsibility for averaging B physics properties, that has developed within the LEP community, to the present main actors of these studies, from the B factory and the Tevatron experiments. The optimal way to combine the various experimental and theoretical inputs and to fit for the apex of the Unitarity Triangle has been a contentious issue. A further goal of the Workshop was to bring together the proponents of different fitting strategies, and to compare their approaches when applied to the same inputs. Since lattice QCD plays a very important role in the determination of the non-perturbative parameters needed to constrain the CKM unitarity triangle, the first Workshop was seen as an excellent opportunity to bring together lattice theorists with the aim of establishing a working group to compile averages for phenomenologically relevant quantities. Representatives from lattice collaborations around the world were invited to attend a meeting during the Workshop. A consensus was reached to set up three test working groups, collectively known as the ''CKM Lattice Working Group'', to review a number of well-studied quantities: quark masses, the kaon B-parameter, and the matrix elements relevant for neutral B-meson mixing. This report is organized as a coherent document with chapters

Validation and scale dependencies of the triangle method for the evaporative fraction estimation over heterogeneous areas

DEFF Research Database (Denmark)

de Tomás, Alberto; Nieto, Héctor; Guzinski, Radoslaw

2014-01-01

Remote sensing has proved to be a consistent tool for monitoring water fluxes at regional scales. The triangle method, in particular, estimates the evaporative fraction (EF), defined as the ratio of latent heat flux (LE) to available energy, based on the relationship between satellite observations...... of land surface temperature and a vegetation index. Among other methodologies, this approach has been commonly used as an approximation to estimate LE, mainly over large semi-arid areas with uniform landscape features. In this study, an interpretation of the triangular space has been applied over...

Neuronal death and synapse elimination in the olivocerebellar system. II. Cell counts in the inferior olive of adult x-irradiated rats and weaver and reeler mutant mice

International Nuclear Information System (INIS)

Shojaeian, H.; Delhaye-Bouchaud, N.; Mariani, J.

1985-01-01

Cell death in the developing rat inferior olive precedes the regression of the polyneuronal innervation of Purkinje cells by olivary axons (i.e., climbing fibers), suggesting that the involution of the redundant olivocerebellar contacts is caused by a withdrawal of supernumerary axonal collaterals rather than by degeneration of the parent cell. However, a subsequent apparent increase of the olivary population occurs, which could eventually mask a residual presynaptic cell death taking place at the same time. Therefore, cell counts were performed in the inferior olive of adult rodents in which the multiple innervation of Purkinje cells by olivary axons is maintained, with the idea that if cell death plays a role in the regression of supernumerary climbing fibers, the number of olivary cells should be higher in these animals than in their controls. The results show that the size of the cell population in the inferior olive of weaver and reeler mutant mice and rats degranulated by early postnatal x-irradiation does not differ significantly from that of their controls. Similarly, the distribution of the cells in the four main olivary subnuclei is not modified in weaver mice and x-irradiated rats. The present data further support the assumption that the regression of the polyneuronal innervation of Purkinje cells occurs independently of cell death in the presynaptic population

Experimental realization of the quantum metrological triangle experiment

Energy Technology Data Exchange (ETDEWEB)

Chenaud, B; Devoille, L; Steck, B; Feltin, N; Gonzalez-Cano, A; Poirier, W; Schopfer, F; Spengler, G; Djordjevic, S; Seron, O; Piquemal, F [Laboratoire national de metrologie et d' essais (LNE), Trappes (France); Lotkhov, S [Physikalisch-Technische Bundesanstalt (PTB), Braunschweig (Germany)], E-mail: laurent.devoille@lne.fr

2009-02-01

The quantum metrological triangle experiment (QMTE) consists in realizing Ohm's law with Josephson (JE), quantum Hall (QHE) and single electron tunneling (SET) effects. The aim is to check the consistency of the link among the phenomenological constants K {sub J}, R{sub K} and Q {sub X} involved in these effects and theoretically expressed with the fundamental constants e and h. Such an experiment could be a contribution for a new definition of the systeme international d'unites (SI) base units. In the QMTE, a current generated by a SET device flows through a resistor calibrated against QHE standard and the voltage induced at its terminals is compared to the metrological voltage generated by a Josephson junctions array. At LNE, the studied SET devices are 3 junctions single electron pumps with on chip resistors. The quantized current generated by this pump is theoretically equal to ef (f is the frequency of the driving signals applied on the gates) and is measured through a cryogenic current comparator (CCC), which allows to amplify the low pumping current with a metrological accuracy. We will present and discuss the experimental set-up developed at LNE and the first results. In addition to the main aim of QMTE described above, these preliminary results are also a first step towards a determination of e.

The star-triangle relation and the inversion relation in statistical mechanics

International Nuclear Information System (INIS)

Maillard, J.M.

1983-10-01

The plan of this paper is the following: we give a definition of the star-triangle relation (S.T.R.); we also define another very simple relation which occurs simultaneously with the S.T.R. for the two-dimensional (2-d) exact models: the inversion relation (I.R.); we study the connection between the S.T.R. and the I.R.: we see that the S.T.R. is deeply connected to the I.R., but, on the contrary, we see that the I.R. can exist even when no S.T.R. exists, as we show for the 2-d anisotropic Potts model by exhibiting an inverse functional equation satisfied by the partition function; having recognized the I.R. as an interesting concept, we use it by looking at the analytical consequences of this I.R. and, at last, we come back to the S.T.R., examining some consequences of the I.R. on the S.T.R

Determination of the elementary charge and the quantum metrological triangle experiment

Energy Technology Data Exchange (ETDEWEB)

Feltin, N.; Piquemal, F. [Laboratoire National de Metrologie et d' Essais (LNE), 78 - Trappes (France)

2009-06-15

The elementary charge e is of fundamental importance in physics. The determination of its value, which is closely linked to progress of the measurement techniques, started in the beginning of the twentieth century and is still on-going. Today, in the frame of the CODATA adjustment, the evaluation of the fundamental constant, e, is derived from a complex calculation and is no more related to a single experiment. But the development of single electron tunneling (SET) devices, started in the early nineties, has opened the path towards modern metrological systems as quantum current sources. Thus a new direct determination of e is possible by implementing an electron pump and the set-up of the quantum metrological triangle (QMT) in combination with the experiments linking mechanical and electrical units. Furthermore, we show how the QMT experiment can contribute to the establishment of a new system of units based on fundamental constants of physics. (authors)

THE "E TRIANGLE": EMPLOYMENT, EMPLOYEE AND EMPLOYER IN THE EUROPEAN UNION

Directory of Open Access Journals (Sweden)

Liviana Andreea Niminet

2016-06-01

Full Text Available One of the biggest forces of the European Union is its people, people living and working within this Union. This stands not only for the European Union but for every state, as it is well known that people are the ones that can make a state great or poor. For this reason, the matters regarding labor are a continuous concern both for European Union common institutions as well as for every individual state of the European Union. The main interest, on both sides, is to ensure the best for every part involved in labor process because this means, in the end, added value for everyone. The article focuses on the realities as well as on the expectations regarding the labor field highlighting the most preeminent aspects of the so called "E triangle": employment, employee and employer starting with the most needed definition for each and every one of the above going towards even to proposing remedies for the "spots" needing improvement.

Beyond the Coral Triangle: high genetic diversity and near panmixia in Singapore's populations of the broadcast spawning sea star Protoreaster nodosus.

Science.gov (United States)

Tay, Y C; Chng, M W P; Sew, W W G; Rheindt, F E; Tun, K P P; Meier, R

2016-08-01

The Coral Triangle is widely considered the most important centre of marine biodiversity in Asia while areas on its periphery such as the South China Sea, have received much less interest. Here, we demonstrate that a small population of the knobbly sea star Protoreaster nodosus in Singapore has similarly high levels of genetic diversity as comparable Indonesian populations from the Coral Triangle. The high genetic diversity of this population is remarkable because it is maintained despite decades of continued anthropogenic disturbance. We postulate that it is probably due to broadcast spawning which is likely to maintain high levels of population connectivity. To test this, we analysed 6140 genome-wide single nucleotide polymorphism (SNP) loci for Singapore's populations and demonstrate a pattern of near panmixia. We here document a second case of high genetic diversity and low genetic structure for a broadcast spawner in Singapore, which suggests that such species have high resilience against anthropogenic disturbances. The study demonstrates the feasibility and power of using genome-wide SNPs for connectivity studies of marine invertebrates without a sequenced genome.

2000 CKM-triangle analysis a critical review with updated experimental inputs and theoretical parameters

International Nuclear Information System (INIS)

Roudeau, P.; Stocchi, A.; Ciuchini, M.; Lubicz, V.; D'Agostini, G.; Franco, E.; Martinelli, G.; Parodi, F.

2000-12-01

Within the Standard Model, a review of the current determination of the sides and angles of the CKM unitarity triangle is presented, using experimental constraints from the measurements of |ε K |, |V ub /V cb |, Δm d and from the limit on Δm s , available in September 2000. Results from the experimental search for B 0 s -B-bar 0 s oscillations are introduced in the present analysis using the likelihood. Special attention is devoted to the determination of the theoretical uncertainties. The purpose of the analysis is to infer regions where the parameters of interest lie with given probabilities. The BaBar '95% C.L. scanning' method is also commented. (authors)

Placental Inflammation and Fetal Injury in a Rare Zika Case Associated With Guillain-Barré Syndrome and Abortion

Directory of Open Access Journals (Sweden)

Kíssila Rabelo

2018-05-01

Full Text Available Zika virus (ZIKV is an emerging virus involved in recent outbreaks in Brazil. The association between the virus and Guillain-Barré syndrome (GBS or congenital disorders has raised a worldwide concern. In this work, we investigated a rare Zika case, which was associated with GBS and spontaneous retained abortion. Using specific anti-ZIKV staining, the virus was identified in placenta (mainly in Hofbauer cells and in several fetal tissues, such as brain, lungs, kidneys, skin and liver. Histological analyses of the placenta and fetal organs revealed different types of tissue abnormalities, which included inflammation, hemorrhage, edema and necrosis in placenta, as well as tissue disorganization in the fetus. Increased cellularity (Hofbauer cells and TCD8+ lymphocytes, expression of local pro-inflammatory cytokines such as IFN-γ and TNF-α, and other markers, such as RANTES/CCL5 and VEGFR2, supported placental inflammation and dysfunction. The commitment of the maternal-fetal link in association with fetal damage gave rise to a discussion regarding the influence of the maternal immunity toward the fetal development. Findings presented in this work may help understanding the ZIKV immunopathogenesis under the rare contexts of spontaneous abortions in association with GBS.

Barriers to e-marketing adoption among small and medium enterprises (SMEs in the Vaal Triangle

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N. Dlodlo

2010-12-01

Full Text Available Purpose: The purpose of the study is to complement existing literature by examining the relevant barriers contributing to the non-adoption of electronic marketing practices by SMEs in the Vaal Triangle. Methodology: Primary data was collected using a quantitative research technique with the use of a structured questionnaire as the survey instrument. A total of 168 businesses were selected randomly and visited within the various municipal areas in the Vaal Triangle. These businesses were visited between August and November 2008. Thirty-two small, medium and medium enterprises SMEs refused to participate resulting in 123 usable questionnaires for the purposes of the analysis. Factor analysis was used to examine the robustness of the factor structure using principal component analysis. Findings: A five-dimensional structure was established comprising a 16 item-scale. The major impediments towards the non-adoption of e-marketing include technology incompatibility with target markets, lack of knowledge, stakeholder unreadiness, technology disorientation and technology perception. The reliability analysis, reflected coefficient values ranging from 0.70 to 0.88 indicating satisfactory internal consistency amongst variables within each dimension. Implications: By analysing the barriers that inhibit the adoption of e-marketing strategies among SMEs, marketers are presented with recommended strategies and implications on how to approach the challenges presented by Internet technological advancements. Internet capacities of SMEs may be strengthened through nurturing e-marketing awareness and providing adequate information tools through diverse Internet Marketing training programmes. Originality/Value: SMEs can prove to be a major source of economic growth for many African countries if sufficient guidance and support on how best to overcome the challenges of adopting advanced marketing practices is available.

Long-term outcome in patients with Guillain-Barré syndrome requiring mechanical ventilation.

Science.gov (United States)

Witsch, J; Galldiks, N; Bender, A; Kollmar, R; Bösel, J; Hobohm, C; Günther, A; Schirotzek, I; Fuchs, K; Jüttler, E

2013-05-01

We aimed to determine long-term disability and quality of life in patients with Guillain-Barré syndrome (GBS) who required mechanical ventilation (MV) in the acute phase. Our retrospective cohort study included 110 GBS patients admitted to an intensive care unit and requiring MV (01/1999-08/2010) in nine German tertiary academic medical centers. Outcome was determined 1 year or longer after hospital admission using the GBS disability scale, Barthel index (BI), EuroQuol-5D (EQ-5D) and Fatigue Severity Scale. Linear/multivariate regression analysis was used to analyze predicting factors for outcome. Mean time to follow up was 52.6 months. Hospital mortality was 5.5 % and long-term mortality 13.6 %. Overall 53.8 % had a favorable outcome (GBS disability score 0-1) and 73.7 % of survivors had no or mild disability (BI 90-100). In the five dimensions of the EQ-5D "mobility", "self-care", "usual activities", "pain" and "anxiety/depression" no impairments were stated by 50.6, 58.4, 36.4, 36.4 and 50.6 % of patients, respectively. A severe fatigue syndrome was present in 30.4 % of patients. Outcome was statistically significantly correlated with age, type of therapy and number of immunoglobulin courses. In GBS-patients requiring MV in the acute phase in-hospital, and long-term mortality are lower than that in previous studies, while long-term quality of life is compromised in a large fraction of patients, foremost by immobility and chronic pain. Efforts towards improved treatment approaches should address autonomic dysfunction to further reduce hospital mortality while improved rehabilitation concepts might ameliorate long-term disability.

Guillain-Barré syndrome associated with monosialotetrahexosylganglioside: three cases study and literature review

Directory of Open Access Journals (Sweden)

ZENG Ke-bin

2013-04-01

Full Text Available Background Monosialotetrahexosylganglioside (GM1 is a kind of ganglioside extracted from the neural cells of pig brain, which involves in the pathophysiological processes of neurogenesis, and plays an important role in neural formation, growth and differentiation. GM1 is widely used in the treatment for vascular brain injury and traumatic brain and spinal cord injury, promoting and protecting the recovery of nerve cells. Besides, it can improve the behavior disorders of patients with Parkinson's disease. However, as it is widely used in clinical practice, its adverse reaction has been gradually discovered. There is some evidence to suggest Guillain-Barré syndrome (GBS may occur after GM1 injection intravenously. Both clinical manifestations and possible mechanism of GBS associated with GM1 are unclear, and need further study. Methods Three cases of GBS associated with GM1 were clinically observed including cerebrospinal fluid (CSF testing and nerve conduction studies. These cases were analyzed and subjected to assessment with literature review. Results Three male patients (with the age 39-65 of GBS were observed after injection of GM1 intravenously. At 9-14 days, they developed weakness of all limbs and were unable to stand upright with decreased muscle tone in limbs and absent deep tendon reflexes, accompanied by dyspnea (1 case, albuminocytological dissociation (1 case and axonal degeneration of peripheral nerve (1 case. Conclusion GBS may occur occasionally in patients treated with GM1 injection intravenously for 9-14 days, and the prognosis is not favorable. The possible mechanism is that exogenous gangliosides could be immunogenic and may occasionally result in neural axonal degeneration.

Smallholder Farmers’ Perceptions on Climate Change and the Use of Sustainable Agricultural Practices in the Chinyanja Triangle, Southern Africa

Directory of Open Access Journals (Sweden)

Clifton Makate

2017-03-01

Full Text Available In developing regions with high levels of poverty and a dependence on climate sensitive agriculture, studies focusing on climate change adaptation, planning, and policy processes, have gained relative importance over the years. This study assesses the impact of farmer perceptions regarding climate change on the use of sustainable agricultural practices as an adaptation strategy in the Chinyanja Triangle, Southern Africa. In this empirical approach, we adopt methods that account for the plausibility that unmeasured characteristics exist, which are correlated with perceptions and the adoption of Sustainable Agricultural Practices. We use a unique and representative dataset collected in December 2012 and June 2013, from smallholder farmers in the Chinyanja Triangle. The results indicate that farmer’s perceptions significantly influence the use of sustainable agricultural practices. Specifically, we established that farmer perceptions considerably impact the use of grain legume rotations, inorganic fertilizers, compost, and farmyard manure. Our results highlight the need for a serious and perhaps equal consideration of farmer perceptions regarding climate change, as important inputs to climate change adaptation policies targeted at enhancing climatic resilience in smallholder farming communities. This is plausible as the adaptation and pliability of farmers to the effects of climate change should be a social process involving the collective efforts from various stakeholders.

Diagnosis of Guillain-Barré syndrome in children and validation of the Brighton criteria.

Science.gov (United States)

Roodbol, Joyce; de Wit, Marie-Claire Y; van den Berg, Bianca; Kahlmann, Vivienne; Drenthen, Judith; Catsman-Berrevoets, Coriene E; Jacobs, Bart C

2017-05-01

To describe the key diagnostic features of pediatric Guillain-Barré syndrome (GBS) and validate the Brighton criteria. Retrospective cohort study of all children (Children's Hospital, Erasmus MC, Rotterdam. Clinical information was collected and the sensitivity of the Brighton criteria was calculated. 67 children (35 boys) were included, with a median age of 5.0 years [interquartile range (IQR) 3.0-10.0 years]. Bilateral limb weakness was present at hospital admission in 93% of children, and at nadir in all patients. Children presented with tetraparesis in 70% or with paraparesis in 23%. Reduced reflexes in paretic limbs were observed at hospital admission in 82% and during follow-up in all children. The progressive phase lasted median 6 days (IQR 3-8 days) and less than 4 weeks in all children. A monophasic disease course was seen in 97%, including 5 children with a treatment-related fluctuation. Two children had a later relapse at 9 weeks and 19 weeks after onset. 77% of the children showed an elevated protein level in CSF. Nerve conduction studies showed evidence for a poly(radiculo)neuropathy in 91% of the children. 46 children had a complete data set, the sensitivity of the Brighton criteria level 1 was 72% (95% CI 57-84) and 96% (95% CI 85-99) for level 2 and 98% (95% CI 88-100) for level 3. The majority of the pediatric GBS patients presented in this cohort fulfilled the current diagnostic criteria.