WorldWideScience

Sample records for high risk zones

  1. HIGH RISK ZONES ON FLOODS AND LANDSLIDES DISASTERS IN RWANDA

    Directory of Open Access Journals (Sweden)

    Nsengiyumva J.ean Baptiste

    2014-01-01

    Full Text Available Disaster risk management as an issue at stake worldwide shifts its emphases from post disaster to pre-disaster phases. Management activities required in pre-disaster phases, such as risk assessment, hazard identification, preparedness or preventive and mitigation measures needs detailed information about hazard characteristics, social, economic, structural vulnerability and capacity. That information is not usually available in many different countries, as it is the case in Rwanda. Based on the international experiences and practices, knowledge of disaster prone areas can be assumed as an alternative for detailed information acquisition, thus contributing to effective disaster risk management. Identification of disaster higher risk zones on floods and landslides, can lead to better understanding of disaster risk and putting in place measures for risk reduction. Consequently, as Rwanda is prone to natural hazards with lack of adequate information that is essential for effective disaster risk management, due to limited scientific researches; this study aims to address that gap. The results revealed that some areas of the North-Western parts of Rwanda are highly prone to floods and landslides, namely Burera, Musanze, Rulindo, Nyabihu, Ngororero and Rubavu Districts. This is aggravated by some triggering factors such as steep slopes, soil types, heavy rains, landuse Practices and others. Intensity and frequency of disaster events vary from district to district and this geographical dispersal confirms the non-spatial clustering (as confirmed by Moran’s I analysis of risks due to uneven level of Disaster vulnerabilities, coping capacities and available hazards whereby lack of normal distribution of hazards all over all Districts.

  2. Ecological risk caused by land use change in the coastal zone: a case study in the Yellow River Delta High-Efficiency Ecological Economic Zone

    International Nuclear Information System (INIS)

    Di, X H; Wang, Y D; Hou, X Y

    2014-01-01

    China's coastal zone plays an important role in ecological services production and social-economic development; however, extensive and intensive land resource utilization and land use change have lead to high ecological risk in this area during last decade. Regional ecological risk assessment can provide fundamental knowledge and scientific basis for better understanding of the relationship between regional landscape ecosystem and human activities or climate changes, facilitating the optimization strategy of land use structure and improving the ecological risk prevention capability. In this paper, the Yellow River Delta High-Efficiency Ecological Economic Zone is selected as the study site, which is undergoing a new round of coastal zone exploitation and has endured substantial land use change in the past decade. Land use maps of 2000, 2005 and 2010 were generated based on Landsat images by visual interpretation method, and the ecological risk index was then calculated. The index was 0.3314, 0.3461 and 0.3176 in 2000, 2005 and 2010 respectively, which showed a positive transition of regional ecological risk in 2005

  3. Optimal high b-value for diffusion weighted MRI in diagnosing high risk prostate cancers in the peripheral zone.

    Science.gov (United States)

    Agarwal, Harsh K; Mertan, Francesca V; Sankineni, Sandeep; Bernardo, Marcelino; Senegas, Julien; Keupp, Jochen; Daar, Dagane; Merino, Maria; Wood, Bradford J; Pinto, Peter A; Choyke, Peter L; Turkbey, Baris

    2017-01-01

    To retrospectively determine the optimal b-value(s) of diffusion-weighted imaging (DWI) associated with intermediate-high risk cancer in the peripheral zone (PZ) of the prostate. Forty-two consecutive patients underwent multi b-value (16 evenly spaced b-values between 0 and 2000 s/mm 2 ) DWI along with multi-parametric MRI (MP-MRI) of the prostate at 3 Tesla followed by trans-rectal ultrasound/MRI fusion guided targeted biopsy of suspicious lesions detected at MP-MRI. Computed DWI images up to a simulated b-value of 4000 s/mm 2 were also obtained using a pair of b-values (b = 133 and 400 or 667 or 933 s/mm 2 ) from the multi b-value DWI. The contrast ratio of average intensity of the targeted lesions and the background PZ was determined. Receiver operator characteristic curves and the area under the curve (AUCs) were obtained for separating patients eligible for active surveillance with low risk prostate cancers from intermediate-high risk prostate cancers as per the cancer of the prostate risk assessment (CAPRA) scoring system. The AUC first increased then decreased with the increase in b-values reaching maximum at b = 1600 s/mm 2 (0.74) with no statistically significant different AUC of DWI with b-values 1067-2000 s/mm 2 . The AUC of computed DWI increased then decreased with the increase in b-values reaching a maximum of 0.75 around b = 2000 s/mm 2 . There was no statistically significant difference between the AUC of optimal acquired DWI and either of optimal computed DWI. The optimal b-value for acquired DWI in differentiating intermediate-high from low risk prostate cancers in the PZ is b = 1600 s/mm 2 . The computed DWI has similar performance as that of acquired DWI with the optimal performance around b = 2000 s/mm 2 . 4 J. Magn. Reson. Imaging 2017;45:125-131. © 2016 International Society for Magnetic Resonance in Medicine.

  4. Danger zone: Men, masculinity and occupational health and safety in high risk occupations

    OpenAIRE

    Stergiou-Kita, Mary; Mansfield, Elizabeth; Bezo, Randy; Colantonio, Angela; Garritano, Enzo; Lafrance, Marc; Lewko, John; Mantis, Steve; Moody, Joel; Power, Nicole; Theberge, Nancy; Westwood, Eleanor; Travers, Krista

    2015-01-01

    The workplace is a key setting where gender issues and organizational structures may influence occupational health and safety practices. The enactment of dominant norms of masculinity in high risk occupations can be particularly problematic, as it exposes men to significant risks for injuries and fatalities. To encourage multi-disciplinary collaborations and advance knowledge in the intersecting areas of gender studies, men’s health, work and workplace health and safety, a national network of...

  5. Danger zone: Men, masculinity and occupational health and safety in high risk occupations.

    Science.gov (United States)

    Stergiou-Kita, Mary; Mansfield, Elizabeth; Bezo, Randy; Colantonio, Angela; Garritano, Enzo; Lafrance, Marc; Lewko, John; Mantis, Steve; Moody, Joel; Power, Nicole; Theberge, Nancy; Westwood, Eleanor; Travers, Krista

    2015-12-01

    The workplace is a key setting where gender issues and organizational structures may influence occupational health and safety practices. The enactment of dominant norms of masculinity in high risk occupations can be particularly problematic, as it exposes men to significant risks for injuries and fatalities. To encourage multi-disciplinary collaborations and advance knowledge in the intersecting areas of gender studies, men's health, work and workplace health and safety, a national network of thirteen researchers and health and safety stakeholders completed a critical literature review examining the intersection between masculinities and men's workplace health and safety in order to: (i) account for research previously undertaken in this area; (ii) identify themes that may inform our understanding of masculinity and workplace health and safety and; (iii) identify research and practice gaps in relation to men's workplace health and safety. In this paper we present key themes from this review. Recommendations are made regarding: (i) how to define gender; (ii) how to attend to and identify how masculinities may influence workers' identities, perceptions of occupational risks and how institutionalized practices can reinforce norms of masculinity; (iii) the importance of considering how masculinities may intersect with other variables (e.g. historical context, age, class, race, geographical location) and; (iv) the added significance of present-day labour market forces on men's occupational health and safety.

  6. Application value of different transformation zone types and its genetic relationship with high-risk HPV type in diagnosis and therapy of cervical disease.

    Science.gov (United States)

    Chen, Yan; Zhou, Jia-De

    2015-01-01

    This study aims to discuss the influence of different types of transformation zone (TZ) on positive surgical margin of loop electrosurgical excision procedure (LEEP) and the significance of infection of different genetic high-risk HPV for cervical intraepithelial neoplasm. The clinical data of patients who had CIN2+ and received LEEP during January to December 2013 was investigated. The conditions of positive surgical margin of patients of different transformation zone (type I, II, III) were analyzed. The clinical high-risk types of HPV were divided into three groups, including A5/6, A7 and A9, compared with the pathological conditions of pre-operation and post-operation of the patients in respective group. The results indicated that type III transformation zone is more likely to cause positive cutting margin. For CIN2+ patients, sensitivity and specificity are 0.89% and 79.56% in group A5/6, and negative and positive predicted value (NPV, PPV) are 40% and 5%. The sensitivity, specificity, NPV, PPV in group A7 is 12.5%, 44.08%, 29.49% and 21.21%, respectively. The sensitivity, specificity, NPV, PPV in group A9 is 88.99%, 87.09%, 85.26%, 81.51%, respectively. Transformation zone type was correlated positively with positive cutting margin percentage (r = 0.8732, P zone is more likely to cause pathological upgrades. In conclusion, different types of transformation zone and high-risk HPV have clinical significance in causing positive cutting margin of surgery and disease extent.

  7. Tourism sector preparedness in zones with a high seismic risk: Case study of the Capital Region of Japan

    Science.gov (United States)

    Lihui, W.; Wang, D.

    2017-12-01

    Japan is a country highly vulnerable to natural disasters, especially earthquakes. Tourism, as a strategic industry in Japan, is especially vulnerable to destructive earthquake disasters owing to the characteristics of vulnerability, sensitivity and substitutability. Here we aim to provide theoretical understanding of the perception and responses of tourism managers towards damaging disasters in tourism destinations with high seismic risks. We conducted surveys among the mangers of tourism businesses in the capital area of Japan in 2014 and applied structural equation modeling techniques to empirically test the proposed model with four latent variables, which are risk perception, threat knowledge, disaster preparedness and earthquake preparedness. Our results show that threat knowledge affects risk perception and disaster preparedness positively. In addition, disaster preparedness positively affects earthquake preparedness. However, the proposed paths from risk perception to disaster preparedness, risk perception to earthquake preparedness, and threat knowledge to earthquake preparedness were not statistically significant. Our results may provide references for policymakers in promoting crisis planning in tourism destination with high seismic risks.

  8. Risk-based zoning for urbanizing floodplains.

    Science.gov (United States)

    Porse, Erik

    2014-01-01

    Urban floodplain development brings economic benefits and enhanced flood risks. Rapidly growing cities must often balance the economic benefits and increased risks of floodplain settlement. Planning can provide multiple flood mitigation and environmental benefits by combining traditional structural measures such as levees, increasingly popular landscape and design features (green infrastructure), and non-structural measures such as zoning. Flexibility in both structural and non-structural options, including zoning procedures, can reduce flood risks. This paper presents a linear programming formulation to assess cost-effective urban floodplain development decisions that consider benefits and costs of development along with expected flood damages. It uses a probabilistic approach to identify combinations of land-use allocations (residential and commercial development, flood channels, distributed runoff management) and zoning regulations (development zones in channel) to maximize benefits. The model is applied to a floodplain planning analysis for an urbanizing region in the Baja Sur peninsula of Mexico. The analysis demonstrates how (1) economic benefits drive floodplain development, (2) flexible zoning can improve economic returns, and (3) cities can use landscapes, enhanced by technology and design, to manage floods. The framework can incorporate additional green infrastructure benefits, and bridges typical disciplinary gaps for planning and engineering.

  9. Mid-term results of zone 0 thoracic endovascular aneurysm repair after ascending aorta wrapping and supra-aortic debranching in high-risk patients.

    Science.gov (United States)

    Pecoraro, Felice; Lachat, Mario; Hofmann, Michael; Cayne, Neal S; Chaykovska, Lyubov; Rancic, Zoran; Puippe, Gilbert; Pfammatter, Thomas; Mangialardi, Nicola; Veith, Frank J; Bettex, Dominique; Maisano, Francesco; Neff, Thomas A

    2017-06-01

    Surgical repair of aneurysmal disease involving the ascending aorta, aortic arch and eventually the descending aorta is generally associated with significant morbidity and mortality. A less invasive approach with the ascending wrapping technique (WT), supra-aortic vessel debranching (SADB) and thoracic endovascular aneurysm repair (TEVAR) in zone 0 was developed to reduce the associated risk in these patients. During a 10-year period, consecutive patients treated by the ascending WT, SADB and TEVAR in zone 0 were included. All patients were considered at high risk for conventional surgery. Measured outcomes included perioperative deaths and morbidity, maximal aortic transverse diameter (TD) and its postoperative evolution, endoleak, survival, freedom from cardiovascular reinterventions, SADB freedom from occlusion and aortic valve function during follow-up. Median follow-up was 37.4 [mean = 34; range, 0-65; standard deviation (SD) = 20] months. Twenty-six cases were included with a mean age of 71.88 ( r  = 56-87; SD = 8) years. A mean of 2.9 supra-aortic vessels (75) per patient was debranched from the ascending aorta. The mean time interval from WT/SADB and TEVAR was 29 ( r  = 0-204; SD = 48) days. TEVAR was associated with chimney and/or periscope grafts in 6 (23%) patients, and extra-anatomical supra-aortic bypasses were performed in 6 (23%) patients. Perioperative mortality was 7.7% (2/26). Neurological events were registered in 3 (11.5%) cases, and a reintervention was required in 3 (11.5%) cases. After the WT, the ascending diameter remained stable during the follow-up period in all cases. At mean follow-up, significant shrinkage of the arch/descending aorta diameter was observed. A type I/III endoleak occurred in 3 cases. At 5 years, the rates of survival, freedom from cardiovascular reinterventions and SADB freedom from occlusion were 71.7, 82.3 and 96%, respectively. The use of the ascending WT, SADB and TEVAR in selected patients

  10. High tsunami risk at northern tip of Sumatra as a result of the activity of the Sumatra Fault Zone (SFZ) combined with coastal landslides

    Science.gov (United States)

    Haridhi, H. A.; Huang, B. S.; Wen, K. L.; Mirza, A.; Rizal, S.; Purnawan, S.; Fajri, I.; Klingelhoefer, F.; Liu, C. S.; Lee, C. S.; Wilson, C. R.

    2017-12-01

    The lesson learned from the 12 January 2010, Mw 7.0 Haiti earthquake has shown that an earthquake with strike-slip faulting can produce a significant tsunami. This occasion is rare since in the fact of the fault consist predominantly of lateral motion, which is rarely associated with significant uplift or tsunami generation. Yet, another hint from this event, that this earthquake was accompanied by a coastal landslide. Again, there were only few records of a submarine slides as a primary source that generate a tsunami. Hence, the Haiti Mw 7.0 earthquake was generated by these combined mechanisms, i.e. strike-slip faulting earthquake and coastal landslide. In reflecting this event, the Sumatra region exhibit almost identical situation, where the right lateral strike-slip faulting of Sumatra Fault Zone (SFZ) is located. In this study, we are focusing at the northern tip of SFZ at Aceh Province. The reason we focused our study at its northern tip is that, since the Sumatra-Andaman mega earthquake and tsunami on 26 December 2004, which occurred at the subduction zone, there were no records of significant earthquake along the SFZ, where at this location the SFZ is divided into two faults, i.e. Aceh and Seulimeum faults. This study aimed as a mitigation effort, if an earthquake happened at these faults, do we observe a similar result as that happened at Haiti or not. To do so, we access the high-resolution shallow bathymetry data that acquired through a Community-Based Bathymetric Survey (CBBS), examines five scanned Single Channel Seismic (SCS) reflections data, perform the slope stability analysis and that simulate the tsunami using Cornell Multi-grid Coupled Tsunami Model (COMCOT) model with a combined source of fault activity and submarine landslide. The result shows that, by these combined mechanisms, if the earthquake as large as 7 Mw or larger, it could produce a tsunami as high as 6 meters along the coast. The detailed shallow bathymetric and the slope stability

  11. Crash Prediction and Risk Evaluation Based on Traffic Analysis Zones

    Directory of Open Access Journals (Sweden)

    Cuiping Zhang

    2014-01-01

    Full Text Available Traffic safety evaluation for traffic analysis zones (TAZs plays an important role in transportation safety planning and long-range transportation plan development. This paper aims to present a comprehensive analysis of zonal safety evaluation. First, several criteria are proposed to measure the crash risk at zonal level. Then these criteria are integrated into one measure-average hazard index (AHI, which is used to identify unsafe zones. In addition, the study develops a negative binomial regression model to statistically estimate significant factors for the unsafe zones. The model results indicate that the zonal crash frequency can be associated with several social-economic, demographic, and transportation system factors. The impact of these significant factors on zonal crash is also discussed. The finding of this study suggests that safety evaluation and estimation might benefit engineers and decision makers in identifying high crash locations for potential safety improvements.

  12. A comprehensive risk analysis of coastal zones in China

    Science.gov (United States)

    Wang, Guanghui; Liu, Yijun; Wang, Hongbing; Wang, Xueying

    2014-03-01

    Although coastal zones occupy an important position in the world development, they face high risks and vulnerability to natural disasters because of their special locations and their high population density. In order to estimate their capability for crisis-response, various models have been established. However, those studies mainly focused on natural factors or conditions, which could not reflect the social vulnerability and regional disparities of coastal zones. Drawing lessons from the experiences of the United Nations Environment Programme (UNEP), this paper presents a comprehensive assessment strategy based on the mechanism of Risk Matrix Approach (RMA), which includes two aspects that are further composed of five second-class indicators. The first aspect, the probability phase, consists of indicators of economic conditions, social development, and living standards, while the second one, the severity phase, is comprised of geographic exposure and natural disasters. After weighing all of the above indicators by applying the Analytic Hierarchy Process (AHP) and Delphi Method, the paper uses the comprehensive assessment strategy to analyze the risk indices of 50 coastal cities in China. The analytical results are presented in ESRI ArcGis10.1, which generates six different risk maps covering the aspects of economy, society, life, environment, disasters, and an overall assessment of the five areas. Furthermore, the study also investigates the spatial pattern of these risk maps, with detailed discussion and analysis of different risks in coastal cities.

  13. Multiple zone power forwards. A value at risk framework

    International Nuclear Information System (INIS)

    Demers, Jean-Guy

    2009-01-01

    Over the 1990s, deregulated power markets in New-England provided zones with fluctuating spot prices. Such prices have a notoriously high volatility, owing to the difficulty of storing electrical energy and the delays needed to adjust generation levels. In this context, forward contracts have become increasingly popular and understanding their dynamic is a problem facing many market players. This paper proposes a parsimonious parametric model, based on the price series of all n-month forward contracts (n = 1,2,3..), encompassing multiple zones. The model is then used for value at risk forecasts, which are backtested and compared with the ones in use by the risk management unit of an important electricity producer. Extensions to include natural gas and power-relevant oil-based future markets are discussed. (author)

  14. The Arctic zone: possibilities and risks of development

    Science.gov (United States)

    Sentsov, A.; Bolsunovskaya, Y.; Melnikovich, E.

    2016-09-01

    The authors analyze the Arctic region innovative possibilities from the perspective of political ideology and strategy. The Arctic region with its natural resources and high economic potential attracts many companies and it has become an important area of transnational development. At present, the Arctic region development is of great importance in terms of natural resource management and political system development. However, the most important development issue in the Arctic is a great risk of different countries’ competing interests in economic, political, and legal context. These are challenges for international partnership creating in the Arctic zone, Russian future model developing for the Arctic, and recognition of the Arctic as an important resource for the Russians. The Russian economic, military, and political expansion in the Arctic region has the potential to strengthen the national positions. The authors present interesting options for minimizing and eliminating political risks during the Arctic territories development and define an effective future planning model for the Russian Arctic.

  15. Does moving from war zone change emotions and risk perceptions? A field study of Israeli students

    Directory of Open Access Journals (Sweden)

    Shosh Shahrabani

    2012-09-01

    Full Text Available The current field study uses data collected after the 2009 war between Israel and the Hamas militias in the Gaza Strip ended. The study compares recalled emotions and perceived risks among two groups of students, all of whom were exposed to rocket attacks. Individuals in the ``left the war zone'' group left the region under attack as a precautionary action, while the ``stayed in the war zone'' group remained in the region during war. The results indicate no significant differences in the levels of recalled fear and anger between the two groups, while the perceived self-risk from terror was higher among the ``stayed in the war zone'' group. Yet, a higher level of recalled fear was found among those who left the war zone and whose parents resided in the war zone, compared to those who left the war zone and whose parents resided outside the war zone. In addition, fearful people became more pessimistic about their level of personal risk from terror, but not about the routine risks. We conclude that civilians need attention even if they leave the war zone since leaving the attacked region as a precautionary action may mitigate perceived self-risk from terror but does not seem to eliminate the high level of negative emotions evoked by the terror attacks.

  16. Zone refining high-purity germanium

    International Nuclear Information System (INIS)

    Hubbard, G.S.; Haller, E.E.; Hansen, W.L.

    1977-10-01

    The effects of various parameters on germanium purification by zone refining have been examined. These parameters include the germanium container and container coatings, ambient gas and other operating conditions. Four methods of refining are presented which reproducibly yield 3.5 kg germanium ingots from which high purity (vertical barN/sub A/ - N/sub D/vertical bar less than or equal to2 x 10 10 cm -3 ) single crystals can be grown. A qualitative model involving binary and ternary complexes of Si, O, B, and Al is shown to account for the behavior of impurities at these low concentrations

  17. High-Risk List

    Science.gov (United States)

    2017-01-01

    economy. The World Bank has said that “corruption creates an unfavorable business environment by undermining the operation efficiency of firms and... Bank Began as ‘Ponzi Scheme,’” 11/27/2012. 64 Independent Joint Anti-Corruption Monitoring and Evaluation Committee, Unfinished Business : The Follow...HIGH RISK AREA 7: Oversight 51 HIGH-RISK AREA 8: Strategy and Planning 55 CONCLUSION HIGH RISK LIST I JANUARY 11, 2017 2 EXECUTIVE SUMMARY

  18. 78 FR 27033 - Safety Zone; High Water Conditions; Illinois River

    Science.gov (United States)

    2013-05-09

    ... Children from Environmental Health Risks and Safety Risks. This rule is not an economically significant rule and would not create an environmental risk to health or risk to safety that might... the Captain of the Port Lake Michigan. The safety zone has been effective and enforced since April 18...

  19. Risk Assessment of Maize Drought Disaster in Agro-Pastoral Transitional Zone in North China

    Science.gov (United States)

    Jia, H.; Pan, D.

    2017-12-01

    Agricultural drought is one of the focuses of global concern and one of the natural disasters that affect the agriculture production mostly in China. Farming-pastoral zones in China are located in the monsoon fringe area, precipitation of which is extremely unstable, and drought occurs frequently. The agro-pastoral transitional zone in North China is one of the main producing areas of northern spring maize in northern China, and maize is the second largest grain crop in the region. An assessment of the risk of drought disaster in this region is therefore important in ensuring a reduction in such disasters and an increase in food security. A risk assessment model, EPIC (Environmental Policy Integrated Climate) model, for maize drought disasters based on the Erosion Productivity Impact Calculator crop model is proposed for areas with the topographic characteristics of agro-pastoral transitional zone in North China. The results showed that the hazard risk level for the maize zone of agro-pastoral transitional zone in North China is generally high. Most hazard index values were between 0.4 and 0.5, accounting for 48.77% of total study area. The high-risk areas were mainly distributed in Ordos Plateau (South of Inner Mongolia Autonomous region), South of Ningxia Hui Autonomous Region and Center of Gansu Province. These results provide a scientific basis and support for the reduction of agricultural drought disasters and an increase in food security in the agro-pastoral transitional zone in North China.

  20. Care zoning in a psychiatric intensive care unit: strengthening ongoing clinical risk assessment.

    Science.gov (United States)

    Mullen, Antony; Drinkwater, Vincent; Lewin, Terry J

    2014-03-01

    To implement and evaluate the care zoning model in an eight-bed psychiatric intensive care unit and, specifically, to examine the model's ability to improve the documentation and communication of clinical risk assessment and management. Care zoning guides nurses in assessing clinical risk and planning care within a mental health context. Concerns about the varying quality of clinical risk assessment prompted a trial of the care zoning model in a psychiatric intensive care unit within a regional mental health facility. The care zoning model assigns patients to one of 3 'zones' according to their clinical risk, encouraging nurses to document and implement targeted interventions required to manage those risks. An implementation trial framework was used for this research to refine, implement and evaluate the impact of the model on nurses' clinical practice within the psychiatric intensive care unit, predominantly as a quality improvement initiative. The model was trialled for three months using a pre- and postimplementation staff survey, a pretrial file audit and a weekly file audit. Informal staff feedback was also sought via surveys and regular staff meetings. This trial demonstrated improvement in the quality of mental state documentation, and clinical risk information was identified more accurately. There was limited improvement in the quality of care planning and the documentation of clinical interventions. Nurses' initial concerns over the introduction of the model shifted into overall acceptance and recognition of the benefits. The results of this trial demonstrate that the care zoning model was able to improve the consistency and quality of risk assessment information documented. Care planning and evaluation of associated outcomes showed less improvement. Care zoning remains a highly applicable model for the psychiatric intensive care unit environment and is a useful tool in guiding nurses to carry out routine patient risk assessments. © 2013 John Wiley & Sons

  1. Risk zoning around nuclear power plants in comparison to other major hazardous industrial installations

    International Nuclear Information System (INIS)

    Kirchsteiger, Christian

    2006-01-01

    The background and current status of the information basis leading to the definition of risk and emergency zones around Nuclear Power Plants (NPPs) in different countries in Europe and beyond are analysed. Although dependable plant-specific Probabilistic Safety Assessment (PSA) of Level 2 and/or Level 3 could in principle provide sufficiently detailed input to define the geographical dimension of a NPP's risk and emergency zones, the analysis of the status in some European and other countries shows that other, 'deterministic' approaches using a Reference Accident are actually used in practice. Regarding use of Level 2 PSA for emergency planning, the approach so far has been to use the Level 2 PSA information retrospectively to provide the justification for the choice of Reference Accident(s) used to define the emergency plans and Emergency Planning Zones (EPZs). There are significant differences in the EPZs that are defined in different countries, ranging from about 1 km to 30 km. Further, there is a striking contrast in the extent of using probabilistic information to define emergency zones between the nuclear and other high risk industry sectors, such as the chemical process industry, and the reasons for these differences are not entirely clear, but seem to be more related to risk perception than actual risk potential. Finally, based on consensus discussions at a recent JRC/OECD International Seminar on Risk and Emergency Zoning around NPPs, recommendations are given in the areas of more comprehensive use of available risk information for risk zoning purposes, risk communication and comparative risk assessment. (author)

  2. Swiss Re Global Flood Hazard Zones: Know your flood risk

    Science.gov (United States)

    Vinukollu, R. K.; Castaldi, A.; Mehlhorn, J.

    2012-12-01

    Floods, among all natural disasters, have a great damage potential. On a global basis, there is strong evidence of increase in the number of people affected and economic losses due to floods. For example, global insured flood losses have increased by 12% every year since 1970 and this is expected to further increase with growing exposure in the high risk areas close to rivers and coastlines. Recently, the insurance industry has been surprised by the large extent of losses, because most countries lack reliable hazard information. One example has been the 2011 Thailand floods where millions of people were affected and the total economic losses were 30 billion USD. In order to assess the flood risk across different regions and countries, the flood team at Swiss Re based on a Geomorphologic Regression approach, developed in house and patented, produced global maps of flood zones. Input data for the study was obtained from NASA's Shuttle Radar Topographic Mission (SRTM) elevation data, Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) Global Digital Elevation Model (GDEM) and HydroSHEDS. The underlying assumptions of the approach are that naturally flowing rivers shape their channel and flood plain according to basin inherent forces and characteristics and that the flood water extent strongly depends on the shape of the flood plain. On the basis of the catchment characteristics, the model finally calculates the probability of a location to be flooded or not for a defined return period, which in the current study was set to 100 years. The data is produced at a 90-m resolution for latitudes 60S to 60N. This global product is now used in the insurance industry to inspect, inform and/or insure the flood risk across the world.

  3. Ecotoxicology for risk assessment in arid zones: some key issues.

    Science.gov (United States)

    Everts, J W

    1997-01-01

    In the hot arid zones of the world, ecotoxicological research is in statu nascendi. In these zones, the major sources of contamination by toxicants are: (1) plant protection and vector control in wet zones; (2) large-scale crop protection campaigns in dry and ephemeral wet zones; (3) refuse and obsolete pesticides in dry zones; and (4) mining. Economic development in many of these zones requires an adequate knowledge of certain basic principles, i.e., where extrapolating existing knowledge does not apply. The vulnerability of ecosystems to contaminants is closely related to water flow. In dry areas, species are susceptible to factors that interfere with the ecophysiological properties regulating water loss. Most hot arid areas are found at low latitudes where temperatures show striking extremes both in time and space. Living organisms are physiologically resistant and/or show adaptive behavior to these temperature extremes. Very little is known about the effects of toxicants on these key resistant and adaptive functions, although by extrapolation a few assumptions can be made. The effects of hyperthermia, for instance, can be aggravated by GSH depleting substances, and the temporary disabling effects characteristic of many pesticides may prove fatal under these circumstances. Most wet areas show a spatial concentration of both human activity and wildlife. In mesic zones, the contamination of water represents a health risk to both humans and other living organisms. The vast majority of aquatic communities are those inhabiting temporary pools and streams. Their populations are characterized by short reproductive cycles and/or long dormant stages. Toxicants affecting growth in these areas have been shown to have a deleterious effect. In a synthesis of existing knowledge the most prominent gaps are identified and priorities for further research are made.

  4. Analytical Hierarchy Process modeling for malaria risk zones in Vadodara district, Gujarat

    Science.gov (United States)

    Bhatt, B.; Joshi, J. P.

    2014-11-01

    Malaria epidemic is one of the complex spatial problems around the world. According to WHO, an estimated 6, 27, 000 deaths occurred due to malaria in 2012. In many developing nations with diverse ecological regions, it is still a large cause of human mortality. Owing to the incompleteness of epidemiological data and their spatial origin, the quantification of disease incidence burdening basic public health planning is a major constrain especially in developing countries. The present study focuses on the integrated Geospatial and Multi-Criteria Evaluation (AHP) technique to determine malaria risk zones. The study is conducted in Vadodara district, including 12 Taluka among which 4 Taluka are predominantly tribal. The influence of climatic and physical environmental factors viz., rainfall, hydro geomorphology; drainage, elevation, and land cover are used to score their share in the evaluation of malariogenic condition. This was synthesized on the basis of preference over each factor and the total weights of each data and data layer were computed and visualized. The district was divided into three viz., high, moderate and low risk zones .It was observed that a geographical area of 1885.2sq.km comprising 30.3% fall in high risk zone. The risk zones identified on the basis of these parameters and assigned weights shows a close resemblance with ground condition. As the API distribution for 2011overlaid corresponds to the risk zones identified. The study demonstrates the significance and prospect of integrating Geospatial tools and Analytical Hierarchy Process for malaria risk zones and dynamics of malaria transmission.

  5. [Detecting high risk pregnancy].

    Science.gov (United States)

    Doret, Muriel; Gaucherand, Pascal

    2009-12-20

    Antenatal care is aiming to reduce maternal land foetal mortality and morbidity. Maternal and foetal mortality can be due to different causes. Their knowledge allows identifying pregnancy (high risk pregnancy) with factors associated with an increased risk for maternal and/or foetal mortality and serious morbidity. Identification of high risk pregnancies and initiation of appropriate treatment and/or surveillance should improve maternal and/or foetal outcome. New risk factors are continuously described thanks to improvement in antenatal care and development in biology and cytopathology, increasing complexity in identifying high risk pregnancies. Level of risk can change all over the pregnancy. Ideally, it should be evaluated prior to the pregnancy and at each antenatal visit. Clinical examination is able to screen for intra-uterin growth restriction, pre-eclampsia, threatened for preterm labour; ultrasounds help in the diagnosis of foetal morphological anomalies, foetal chromosomal anomalies, placenta praevia and abnormal foetal growth; biological exams are used to screen for pre-eclampsia, gestational diabetes, trisomy 21 (for which screening method just changed), rhesus immunisation, seroconversion for toxoplasmosis or rubeola, unknown infectious disease (syphilis, hepatitis B, VIH). During pregnancy, most of the preventive strategies have to be initiated during the first trimester or even before conception. Prevention for neural-tube defects, neonatal hypocalcemia and listeriosis should be performed for all women. On the opposite, some measures are concerning only women with risk factors such as prevention for toxoplasmosis, rhesus immunization (which recently changed), tobacco complications and pre-eclampsia and intra-uterine growth factor restriction.

  6. Zoning the territory of the Republic of Kazakhstan as to the risk of rabies among various categories of animals.

    Science.gov (United States)

    Abdrakhmanov, Sarsenbay K; Sultanov, Akhmetzhan A; Beisembayev, Kanatzhan K; Korennoy, Fedor I; Кushubaev, Dosym B; Каdyrov, Ablaikhan S

    2016-05-31

    This paper presents the zoning of the territory of the Republic of Kazakhstan with respect to the risk of rabies outbreaks in domestic and wild animals considering environmental and climatic conditions. The national database of rabies outbreaks in Kazakhstan in the period 2003-2014 has been accessed in order to find which zones are consistently most exposed to the risk of rabies in animals. The database contains information on the cases in demes of farm livestock, domestic animals and wild animals. To identify the areas with the highest risk of outbreaks, we applied the maximum entropy modelling method. Designated outbreaks were used as input presence data, while the bioclim set of ecological and climatic variables, together with some geographic factors, were used as explanatory variables. The model demonstrated a high predictive ability. The area under the curve for farm livestock was 0.782, for domestic animals -0.859 and for wild animals - 0.809. Based on the model, the map of integral risk was designed by following four categories: negligible risk (disease-free or favourable zone), low risk (surveillance zone), medium risk (vaccination zone), and high risk (unfavourable zone). The map was produced to allow developing a set of preventive measures and is expected to contribute to a better distribution of supervisory efforts from the veterinary service of the country.

  7. Flood Risk Zoning by Using 2D Hydrodynamic Modeling: A Case Study in Jinan City

    Directory of Open Access Journals (Sweden)

    Tao Cheng

    2017-01-01

    Full Text Available Climate change and rapid urbanization have aggravated the rainstorm flood in Jinan City during the past decades. Jinan City is higher in the south and lower in the north with a steep slope inclined from the south to the north. This results in high-velocity overland flow and deep waterlogging, which poses a tremendous threat to pedestrians and vehicles. Therefore, it is vital to investigate the rainstorm flood and further perform flood risk zoning. This study is carried out in the “Sponge City Construction” pilot area of Jinan City, where the InfoWorks ICM 2D hydrodynamic model is utilized for simulating historical and designed rainfall events. The model is validated with observations, and the causes for errors are analyzed. The simulated water depth and flow velocity are recorded for flood risk zoning. The result shows that the InfoWorks ICM 2D model performed well. The flood risk zoning result shows that rainfalls with larger recurrence intervals generate larger areas of moderate to extreme risk. Meanwhile, the zoning results for the two historical rainfalls show that flood with a higher maximum hourly rainfall intensity is more serious. This study will provide scientific support for the flood control and disaster reduction in Jinan City.

  8. New insight into the distribution pattern, levels, and risk diagnosis of FRs in indoor and outdoor air at low- and high-altitude zones of Pakistan: Implications for sources and exposure.

    Science.gov (United States)

    Khan, Muhammad Usman; Besis, Athanasios; Li, Jun; Zhang, Gan; Malik, Riffat Naseem

    2017-10-01

    Data regarding flame retardants (FRs) in indoor and outdoor air and their exposure to population are scarce and especially unknown in the case of Pakistan. The current study was designed to probe FR concentrations and distribution pattern in indoor and outdoor air at different altitudinal zones (DAZs) of Pakistan with special emphasis on their risk to the exposed population. In this study, passive air samplers for the purpose of FR deposition were deployed in indoor and outdoor air at the industrial, rural, and background/colder zones/sites. All the indoor and outdoor air samples collected from DAZs were analyzed for the target FRs (9.30-472.30 pg/m 3 ), showing a decreasing trend as follows: ∑NBFRs > ∑PBDEs > ∑DP. However, significant correlations among FRs in the indoor and outdoor air at DAZs signified a similar source of FR origin that is used in different consumer goods. Furthermore, air mass trajectories revealed that movement of air over industrial area sources influenced concentrations of FRs at rural sites. The FR concentrations, estimated daily intake (EDI) and the hazard quotient (HQ), were recorded to be higher in toddlers than those in adults. In addition, indoor air samples showed higher FR levels, EDI and HQ, than outdoor air samples. An elevated FR concentrations and their prevalent exposure risks were recorded in the industrial zones followed by rural and background zones. The HQ for BDE-47 and BDE-99 in the indoor and outdoor air samples at different industrial and rural sites were recorded to be >1 in toddlers and adults, this further warrants a health risk in the population. However, FR investigation in indoor and outdoor air samples will provide a baseline data in Pakistan to take further steps by the government and agencies for its implementations. Copyright © 2017 Elsevier Ltd. All rights reserved.

  9. Distribution of ticks infesting ruminants and risk factors associated with high tick prevalence in livestock farms in the semi-arid and arid agro-ecological zones of Pakistan.

    Science.gov (United States)

    Rehman, Abdul; Nijhof, Ard M; Sauter-Louis, Carola; Schauer, Birgit; Staubach, Christoph; Conraths, Franz J

    2017-04-19

    Tick infestation is the major problem for animal health that causes substantial economic losses, particularly in tropical and subtropical countries. To better understand the spatial distribution of tick species and risk factors associated with tick prevalence in livestock in Pakistan, ticks were counted and collected from 471 animals, including 179 cattle, 194 buffaloes, 80 goats and 18 sheep, on 108 livestock farms in nine districts, covering both semi-arid and arid agro-ecological zones. In total, 3,807 ticks representing four species were collected: Hyalomma anatolicum (n = 3,021), Rhipicephalus microplus (n = 715), Hyalomma dromedarii (n = 41) and Rhipicephalus turanicus (n = 30). The latter species is reported for the first time from the study area. Rhipicephalus microplus was the predominant species in the semi-arid zone, whereas H. anatolicum was the most abundant species in the arid zone. The overall proportion of tick-infested ruminants was 78.3% (369/471). It was highest in cattle (89.9%), followed by buffaloes (81.4%), goats (60.0%) and sheep (11.1%). The median tick burden significantly differed among animal species and was highest in cattle (median 58), followed by buffaloes (median 38), goats (median 19) and sheep (median 4.5). Female animals had significantly higher tick burdens than males and, in large ruminants, older animals carried more ticks than younger animals. The intensity of infestation was significantly lower in indigenous animals compared to exotic and crossbred cows. Analysis of questionnaire data revealed that the absence of rural poultry, not using any acaricides, traditional rural housing systems and grazing were potential risk factors associated with a higher tick prevalence in livestock farms. Absence of rural poultry, not performing acaricide treatments, traditional rural housing systems and grazing were important risk factors associated with higher tick prevalence in livestock farms. Age, gender, breed and animal

  10. Probabilistic estimation of dune erosion and coastal zone risk

    NARCIS (Netherlands)

    Li, F.

    2014-01-01

    Coastal erosion has gained global attention and has been studied for many decades. As a soft sea defence structure, coastal sandy dunes protect coastal zones all over the world, which usually are densely populated areas with tremendous economic value. The coastal zone of the Netherlands, one of the

  11. Existing and potential infection risk zones of yellow fever worldwide: a modelling analysis.

    Science.gov (United States)

    Shearer, Freya M; Longbottom, Joshua; Browne, Annie J; Pigott, David M; Brady, Oliver J; Kraemer, Moritz U G; Marinho, Fatima; Yactayo, Sergio; de Araújo, Valdelaine E M; da Nóbrega, Aglaêr A; Fullman, Nancy; Ray, Sarah E; Mosser, Jonathan F; Stanaway, Jeffrey D; Lim, Stephen S; Reiner, Robert C; Moyes, Catherine L; Hay, Simon I; Golding, Nick

    2018-03-01

    Yellow fever cases are under-reported and the exact distribution of the disease is unknown. An effective vaccine is available but more information is needed about which populations within risk zones should be targeted to implement interventions. Substantial outbreaks of yellow fever in Angola, Democratic Republic of the Congo, and Brazil, coupled with the global expansion of the range of its main urban vector, Aedes aegypti, suggest that yellow fever has the propensity to spread further internationally. The aim of this study was to estimate the disease's contemporary distribution and potential for spread into new areas to help inform optimal control and prevention strategies. We assembled 1155 geographical records of yellow fever virus infection in people from 1970 to 2016. We used a Poisson point process boosted regression tree model that explicitly incorporated environmental and biological explanatory covariates, vaccination coverage, and spatial variability in disease reporting rates to predict the relative risk of apparent yellow fever virus infection at a 5 × 5 km resolution across all risk zones (47 countries across the Americas and Africa). We also used the fitted model to predict the receptivity of areas outside at-risk zones to the introduction or reintroduction of yellow fever transmission. By use of previously published estimates of annual national case numbers, we used the model to map subnational variation in incidence of yellow fever across at-risk countries and to estimate the number of cases averted by vaccination worldwide. Substantial international and subnational spatial variation exists in relative risk and incidence of yellow fever as well as varied success of vaccination in reducing incidence in several high-risk regions, including Brazil, Cameroon, and Togo. Areas with the highest predicted average annual case numbers include large parts of Nigeria, the Democratic Republic of the Congo, and South Sudan, where vaccination coverage in 2016

  12. Existing and potential infection risk zones of yellow fever worldwide: a modelling analysis

    Directory of Open Access Journals (Sweden)

    Freya M Shearer, BSc

    2018-03-01

    Full Text Available Summary: Background: Yellow fever cases are under-reported and the exact distribution of the disease is unknown. An effective vaccine is available but more information is needed about which populations within risk zones should be targeted to implement interventions. Substantial outbreaks of yellow fever in Angola, Democratic Republic of the Congo, and Brazil, coupled with the global expansion of the range of its main urban vector, Aedes aegypti, suggest that yellow fever has the propensity to spread further internationally. The aim of this study was to estimate the disease's contemporary distribution and potential for spread into new areas to help inform optimal control and prevention strategies. Methods: We assembled 1155 geographical records of yellow fever virus infection in people from 1970 to 2016. We used a Poisson point process boosted regression tree model that explicitly incorporated environmental and biological explanatory covariates, vaccination coverage, and spatial variability in disease reporting rates to predict the relative risk of apparent yellow fever virus infection at a 5 × 5 km resolution across all risk zones (47 countries across the Americas and Africa. We also used the fitted model to predict the receptivity of areas outside at-risk zones to the introduction or reintroduction of yellow fever transmission. By use of previously published estimates of annual national case numbers, we used the model to map subnational variation in incidence of yellow fever across at-risk countries and to estimate the number of cases averted by vaccination worldwide. Findings: Substantial international and subnational spatial variation exists in relative risk and incidence of yellow fever as well as varied success of vaccination in reducing incidence in several high-risk regions, including Brazil, Cameroon, and Togo. Areas with the highest predicted average annual case numbers include large parts of Nigeria, the Democratic Republic of the

  13. Reducing risk where tectonic plates collide—U.S. Geological Survey subduction zone science plan

    Science.gov (United States)

    Gomberg, Joan S.; Ludwig, Kristin A.; Bekins, Barbara; Brocher, Thomas M.; Brock, John C.; Brothers, Daniel; Chaytor, Jason D.; Frankel, Arthur; Geist, Eric L.; Haney, Matt; Hickman, Stephen H.; Leith, William S.; Roeloffs, Evelyn A.; Schulz, William H.; Sisson, Thomas W.; Wallace, Kristi; Watt, Janet; Wein, Anne M.

    2017-06-19

    The U.S. Geological Survey (USGS) serves the Nation by providing reliable scientific information and tools to build resilience in communities exposed to subduction zone earthquakes, tsunamis, landslides, and volcanic eruptions. Improving the application of USGS science to successfully reduce risk from these events relies on whole community efforts, with continuing partnerships among scientists and stakeholders, including researchers from universities, other government labs and private industry, land-use planners, engineers, policy-makers, emergency managers and responders, business owners, insurance providers, the media, and the general public.Motivated by recent technological advances and increased awareness of our growing vulnerability to subduction-zone hazards, the USGS is uniquely positioned to take a major step forward in the science it conducts and products it provides, building on its tradition of using long-term monitoring and research to develop effective products for hazard mitigation. This science plan provides a blueprint both for prioritizing USGS science activities and for delineating USGS interests and potential participation in subduction zone science supported by its partners.The activities in this plan address many USGS stakeholder needs:High-fidelity tools and user-tailored information that facilitate increasingly more targeted, neighborhood-scale decisions to mitigate risks more cost-effectively and ensure post-event operability. Such tools may include maps, tables, and simulated earthquake ground-motion records conveying shaking intensity and frequency. These facilitate the prioritization of retrofitting of vulnerable infrastructure;Information to guide local land-use and response planning to minimize development in likely hazardous zones (for example, databases, maps, and scenario documents to guide evacuation route planning in communities near volcanoes, along coastlines vulnerable to tsunamis, and built on landslide-prone terrain);New tools

  14. Determination of pumper truck intervention ratios in zones with high fire potential by using geographical information system

    Science.gov (United States)

    Aricak, Burak; Kucuk, Omer; Enez, Korhan

    2014-01-01

    Fighting forest fires not only depends on the forest type, topography, and weather conditions, but is also closely related to the technical properties of fire-fighting equipment. Firefighting is an important part of fire management planning. However, because of the complex nature of forests, creating thematic layers to generate potential fire risk maps is difficult. The use of remote sensing data has become an efficient method for the discrete classification of potential fire risks. The study was located in the Central District of the Kastamonu Regional Forest Directorate, covering an area of 24,320 ha, 15,685 ha of which is forested. On the basis of stand age, crown closure, and tree species, the sizes and distributions of potential fire risk zones within the study area were determined using high-resolution GeoEye satellite imagery and geographical information system data. The status of pumper truck intervention in zones with high fire risk and the sufficiency of existing forest roads within an existing forest network were discussed based on combustible matter characteristics. Pumper truck intervention was 83% for high-risk zones, 79% for medium-risk zones, and 78% for low-risk zones. A pumper truck intervention area map along existing roads was also created.

  15. A probabilistic quantitative risk assessment model for the long-term work zone crashes.

    Science.gov (United States)

    Meng, Qiang; Weng, Jinxian; Qu, Xiaobo

    2010-11-01

    Work zones especially long-term work zones increase traffic conflicts and cause safety problems. Proper casualty risk assessment for a work zone is of importance for both traffic safety engineers and travelers. This paper develops a novel probabilistic quantitative risk assessment (QRA) model to evaluate the casualty risk combining frequency and consequence of all accident scenarios triggered by long-term work zone crashes. The casualty risk is measured by the individual risk and societal risk. The individual risk can be interpreted as the frequency of a driver/passenger being killed or injured, and the societal risk describes the relation between frequency and the number of casualties. The proposed probabilistic QRA model consists of the estimation of work zone crash frequency, an event tree and consequence estimation models. There are seven intermediate events--age (A), crash unit (CU), vehicle type (VT), alcohol (AL), light condition (LC), crash type (CT) and severity (S)--in the event tree. Since the estimated value of probability for some intermediate event may have large uncertainty, the uncertainty can thus be characterized by a random variable. The consequence estimation model takes into account the combination effects of speed and emergency medical service response time (ERT) on the consequence of work zone crash. Finally, a numerical example based on the Southeast Michigan work zone crash data is carried out. The numerical results show that there will be a 62% decrease of individual fatality risk and 44% reduction of individual injury risk if the mean travel speed is slowed down by 20%. In addition, there will be a 5% reduction of individual fatality risk and 0.05% reduction of individual injury risk if ERT is reduced by 20%. In other words, slowing down speed is more effective than reducing ERT in the casualty risk mitigation. 2010 Elsevier Ltd. All rights reserved.

  16. Assessing the joint impact of DNAPL source-zone behavior and degradation products on the probabilistic characterization of human health risk

    Science.gov (United States)

    Henri, Christopher V.; Fernàndez-Garcia, Daniel; de Barros, Felipe P. J.

    2016-02-01

    The release of industrial contaminants into the subsurface has led to a rapid degradation of groundwater resources. Contamination caused by Dense Non-Aqueous Phase Liquids (DNAPLs) is particularly severe owing to their limited solubility, slow dissolution and in many cases high toxicity. A greater insight into how the DNAPL source zone behavior and the contaminant release towards the aquifer impact human health risk is crucial for an appropriate risk management. Risk analysis is further complicated by the uncertainty in aquifer properties and contaminant conditions. This study focuses on the impact of the DNAPL release mode on the human health risk propagation along the aquifer under uncertain conditions. Contaminant concentrations released from the source zone are described using a screening approach with a set of parameters representing several scenarios of DNAPL architecture. The uncertainty in the hydraulic properties is systematically accounted for by high-resolution Monte Carlo simulations. We simulate the release and the transport of the chlorinated solvent perchloroethylene and its carcinogenic degradation products in randomly heterogeneous porous media. The human health risk posed by the chemical mixture of these contaminants is characterized by the low-order statistics and the probability density function of common risk metrics. We show that the zone of high risk (hot spot) is independent of the DNAPL mass release mode, and that the risk amplitude is mostly controlled by heterogeneities and by the source zone architecture. The risk is lower and less uncertain when the source zone is formed mostly by ganglia than by pools. We also illustrate how the source zone efficiency (intensity of the water flux crossing the source zone) affects the risk posed by an exposure to the chemical mixture. Results display that high source zone efficiencies are counter-intuitively beneficial, decreasing the risk because of a reduction in the time available for the production

  17. Mechanical Properties of Heat Affected Zone of High Strength Steels

    Science.gov (United States)

    Sefcikova, K.; Brtnik, T.; Dolejs, J.; Keltamaki, K.; Topilla, R.

    2015-11-01

    High Strength Steels became more popular as a construction material during last decade because of their increased availability and affordability. On the other hand, even though general use of Advanced High Strength Steels (AHSS) is expanding, the wide utilization is limited because of insufficient information about their behaviour in structures. The most widely used technique for joining steels is fusion welding. The welding process has an influence not only on the welded connection but on the area near this connection, the so-called heat affected zone, as well. For that reason it is very important to be able to determine the properties in the heat affected zone (HAZ). This area of investigation is being continuously developed in dependence on significant progress in material production, especially regarding new types of steels available. There are currently several types of AHSS on the world market. Two most widely used processes for AHSS production are Thermo-Mechanically Controlled Processing (TMCP) and Quenching in connection with Tempering. In the presented study, TMCP and QC steels grade S960 were investigated. The study is focused on the changes of strength, ductility, hardness and impact strength in heat affected zone based on the used amount of heat input.

  18. Study on Ecological Risk Assessment of Guangxi Coastal Zone Based on 3s Technology

    Science.gov (United States)

    Zhong, Z.; Luo, H.; Ling, Z. Y.; Huang, Y.; Ning, W. Y.; Tang, Y. B.; Shao, G. Z.

    2018-05-01

    This paper takes Guangxi coastal zone as the study area, following the standards of land use type, divides the coastal zone of ecological landscape into seven kinds of natural wetland landscape types such as woodland, farmland, grassland, water, urban land and wetlands. Using TM data of 2000-2015 such 15 years, with the CART decision tree algorithm, for analysis the characteristic of types of landscape's remote sensing image and build decision tree rules of landscape classification to extract information classification. Analyzing of the evolution process of the landscape pattern in Guangxi coastal zone in nearly 15 years, we may understand the distribution characteristics and change rules. Combined with the natural disaster data, we use of landscape index and the related risk interference degree and construct ecological risk evaluation model in Guangxi coastal zone for ecological risk assessment results of Guangxi coastal zone.

  19. STUDY ON ECOLOGICAL RISK ASSESSMENT OF GUANGXI COASTAL ZONE BASED ON 3S TECHNOLOGY

    Directory of Open Access Journals (Sweden)

    Z. Zhong

    2018-05-01

    Full Text Available This paper takes Guangxi coastal zone as the study area, following the standards of land use type, divides the coastal zone of ecological landscape into seven kinds of natural wetland landscape types such as woodland, farmland, grassland, water, urban land and wetlands. Using TM data of 2000–2015 such 15 years, with the CART decision tree algorithm, for analysis the characteristic of types of landscape’s remote sensing image and build decision tree rules of landscape classification to extract information classification. Analyzing of the evolution process of the landscape pattern in Guangxi coastal zone in nearly 15 years, we may understand the distribution characteristics and change rules. Combined with the natural disaster data, we use of landscape index and the related risk interference degree and construct ecological risk evaluation model in Guangxi coastal zone for ecological risk assessment results of Guangxi coastal zone.

  20. A Simplified Methodology For Risk Assessment of The Oolitic Limestone Aquifer, West of Alexandria Coastal Zone

    International Nuclear Information System (INIS)

    Sadek, M.A.; Hussein, R.A.

    2013-01-01

    Groundwater risk analysis helps to assess the effects of contaminants reach to specific position in groundwater system after introduction at some location above the uppermost aquifer. This provides a basis for initiating protective and mitigation measures for important groundwater resources. An attempt has been made in the present study to assess the risk of diffuse groundwater pollution at the north western coast of Alexandria against landfill waste disposal as well as agricultural pollutants leachates which are the main land use in the studied area. A simplified weighing/ rating approach have been functioned for this purpose, Slovene methodology, which is relevant for fissured carbonate aquifers that characterize the studied area. This method is based on an origin-pathway-target model, which applies for both resource and source protection. Conservative values for the intrinsic geological, hydrogeological, geo morphological and climatological parameters have been reviewed and determined for assessment of the source and resource vulnerability, hazards and risk (lithology, texture and structure of soil zone, lithology and thickness of the unsaturated zone and aquifer conditions, morphological features, slope and vegetation cover, average annual stormy days, travel time and karst network , the fertilizers and pesticide used for agriculture, the volume of unlined waste disposal site). The methodology applied in the present study emphasizes how the physical properties of the hydrological system can be integrated in an index that reflects the level of risk of a diffuse pollution to groundwater. This aligns with the prospective of site safety evaluation around risky installations such as a nuclear power plants or waste disposal facilities where assurance should be done that the risk to the public and environment is acceptably low. According to the functioned methodology, the fissured limestone under study is low vulnerable and highly protectable against surface diffuse

  1. Ecological Risk Assessment of Land Use Change in the Poyang Lake Eco-economic Zone, China

    Science.gov (United States)

    Xie, Hualin; Wang, Peng; Huang, Hongsheng

    2013-01-01

    Land use/land cover change has been attracting increasing attention in the field of global environmental change research because of its role in the social and ecological environment. To explore the ecological risk characteristics of land use change in the Poyang Lake Eco-economic Zone of China, an eco-risk index was established in this study by the combination of a landscape disturbance index with a landscape fragmentation index. Spatial distribution and gradient difference of land use eco-risk are analyzed by using the methods of spatial autocorrelation and semivariance. Results show that ecological risk in the study area has a positive correlation, and there is a decreasing trend with the increase of grain size both in 1995 and 2005. Because the area of high eco-risk value increased from 1995 to 2005, eco-environment quality declined slightly in the study area. There are distinct spatial changes in the concentrated areas with high land use eco-risk values from 1995 to 2005. The step length of spatial separation of land use eco-risk is comparatively long—58 km in 1995 and 11 km in 2005—respectively. There are still nonstructural factors affecting the quality of the regional ecological environment at some small-scales. Our research results can provide some useful information for land eco-management, eco-environmental harnessing and restoration. In the future, some measures should be put forward in the regions with high eco-risk value, which include strengthening land use management, avoiding unreasonable types of land use and reducing the degree of fragmentation and separation. PMID:23343986

  2. Absolute cardiovascular risk in a Fiji medical zone.

    Science.gov (United States)

    Gyaneshwar, Rajat; Naidu, Swaran; Raban, Magdalena Z; Naidu, Sheetal; Linhart, Christine; Morrell, Stephen; Tukana, Isimeli; Taylor, Richard

    2016-02-09

    The population of Fiji has experienced emergence of non-communicable disease (NCD) and a plateau in life expectancy over the past 20 years. A mini-STEPS survey (n = 2765) was conducted in Viseisei in Western Fiji to assess NCD risk factors (RFs) in i-Taukei (Melanesians) and those of Indian descent aged 25-64 years (response 73 %). Hypertension (HT) was defined as systolic blood pressure (BP) ≥140 mmHg or diastolic BP ≥90 mmHg or on medication for HT; type 2 diabetes mellitus (T2DM) as fasting plasma glucose ≥7.0 mmol/L or on medication for T2DM; and obesity as a body mass index (kilograms/height(metres)(2)) ≥30. Data were age-adjusted to 2007 Fiji Census. Associations between RFs and ethnicity/education were investigated. Comparisons with Fiji STEPS surveys were undertaken, and the absolute risk of a cardiovascular disease (CVD) event/death in 10 years was estimated from multiple RF charts. NCD/RFs increased with age except excessive alcohol intake and daily smoking (women) which declined. Daily smoking was higher in men 33 % (95 % confidence interval: 31-36) than women 14 % (12-116); women were more obese 40 % (37-43) than men 23 % (20-26); HT was similar in men 37 % (34-40) and women 34 % (31-36), as was T2DM in men 15 % (13-17) and women 17 % (15-19). i-Taukei men had an odds ratio (OR) of 0.41 (0.28-0.58) for T2DM compared to Indians (1.00); and i-Taukei (both sexes) had a higher OR for obesity and low fruit/vegetable intake, daily smoking, excessive alcohol intake and HT in females. Increasing education correlated with lesser smoking, but with higher obesity and lower fruit/vegetable intake. Compared to the 2011 Fiji STEPS survey, no significant differences were evident in obesity, HT or T2DM prevalences. The proportion (40-64 years) classified at high or very high risk (≥20 %) of a CVD event/death (over 10 years) based on multiple RFs was 8.3 % for men (8.1 % i-Taukei, 8.5 % Indian), and 6.7 % for women (7.9 % i-Taukei, 6.0 % Indian). The results

  3. An index-based method to assess risks of climate-related hazards in coastal zones: The case of Tetouan

    Science.gov (United States)

    Satta, Alessio; Snoussi, Maria; Puddu, Manuela; Flayou, Latifa; Hout, Radouane

    2016-06-01

    The regional risk assessment carried out within the ClimVar & ICZM Project identified the coastal zone of Tetouan as a hotspot of the Mediterranean Moroccan coast and so it was chosen for the application of the Multi-Scale Coastal Risk Index for Local Scale (CRI-LS). The local scale approach provides a useful tool for local coastal planning and management by exploring the effects and the extensions of the hazards and combining hazard, vulnerability and exposure variables in order to identify areas where the risk is relatively high. The coast of Tetouan is one of the coastal areas that have been most rapidly and densely urbanized in Morocco and it is characterized by an erosive shoreline. Local authorities are facing the complex task of balancing development and managing coastal risks, especially coastal erosion and flooding, and then be prepared to the unavoidable impacts of climate change. The first phase of the application of the CRI-LS methodology to Tetouan consisted of defining the coastal hazard zone, which results from the overlaying of the erosion hazard zone and the flooding hazard zone. Nineteen variables were chosen to describe the Hazards, Vulnerability and Exposure factors. The scores corresponding to each variable were calculated and the weights assigned through an expert judgement elicitation. The resulting values are hosted in a geographic information system (GIS) platform that enables the individual variables and aggregated risk scores to be color-coded and mapped across the coastal hazard zone. The results indicated that 10% and 27% of investigated littoral fall under respectively very high and high vulnerability because of combination of high erosion rates with high capital land use. The risk map showed that some areas, especially the flood plains of Restinga, Smir and Martil-Alila, with distances over 5 km from the coast, are characterized by high levels of risk due to the low topography of the flood plains and to the high values of exposure

  4. High exhaust temperature, zoned, electrically-heated particulate matter filter

    Science.gov (United States)

    Gonze, Eugene V.; Paratore, Jr., Michael J.; Bhatia, Garima

    2015-09-22

    A system includes a particulate matter (PM) filter, an electric heater, and a control circuit. The electric heater includes multiple zones, which each correspond to longitudinal zones along a length of the PM filter. A first zone includes multiple discontinuous sub-zones. The control circuit determines whether regeneration is needed based on an estimated level of loading of the PM filter and an exhaust flow rate. In response to a determination that regeneration is needed, the control circuit: controls an operating parameter of an engine to increase an exhaust temperature to a first temperature during a first period; after the first period, activates the first zone; deactivates the first zone in response to a minimum filter face temperature being reached; subsequent to deactivating the first zone, activates a second zone; and deactivates the second zone in response to the minimum filter face temperature being reached.

  5. Denuded zone in Czochralski silicon wafer with high carbon content

    International Nuclear Information System (INIS)

    Chen Jiahe; Yang Deren; Ma Xiangyang; Que Duanlin

    2006-01-01

    The thermal stability of the denuded zone (DZ) created by high-low-high-temperature annealing in high carbon content (H[C]) and low carbon content (L[C]) Czochralski silicon (Cz-Si) has been investigated in a subsequent ramping and isothermal 1050 deg. C annealing. The tiny oxygen precipitates which might occur in the DZ were checked. It was found in the L[C] Cz-Si that the DZ shrank and the density of bulk micro-defects (BMDs) reduced with the increase of time spent at 1050 deg. C. Also, the DZs above 15 μm of thickness present in the H[C] Cz-Si wafers continuously and the density and total volume of BMDs first decreased then increased and finally decreased again during the treatments. Moreover, tiny oxygen precipitates were hardly generated inside the DZs, indicating that H[C] Cz-Si wafers could support the fabrication of integrated circuits

  6. Denuded zone in Czochralski silicon wafer with high carbon content

    Science.gov (United States)

    Chen, Jiahe; Yang, Deren; Ma, Xiangyang; Que, Duanlin

    2006-12-01

    The thermal stability of the denuded zone (DZ) created by high-low-high-temperature annealing in high carbon content (H[C]) and low carbon content (L[C]) Czochralski silicon (Cz-Si) has been investigated in a subsequent ramping and isothermal 1050 °C annealing. The tiny oxygen precipitates which might occur in the DZ were checked. It was found in the L[C] Cz-Si that the DZ shrank and the density of bulk micro-defects (BMDs) reduced with the increase of time spent at 1050 °C. Also, the DZs above 15 µm of thickness present in the H[C] Cz-Si wafers continuously and the density and total volume of BMDs first decreased then increased and finally decreased again during the treatments. Moreover, tiny oxygen precipitates were hardly generated inside the DZs, indicating that H[C] Cz-Si wafers could support the fabrication of integrated circuits.

  7. The Climate Change Vulnerability and Risk Management Matrix for the Coastal Zone of The Gambia

    Directory of Open Access Journals (Sweden)

    Joshua Amuzu

    2018-02-01

    Full Text Available Global Climate Change is one of the dire challenges facing the international community today. Coastal zones are vulnerable to its impacts. An effective approach with long-term prospects in addressing climate change impacts is it’s mainstreaming into development agenda of sectoral policies. A comprehensive risk and vulnerability assessment is a pre-requisite to ensure that the right adaptive response is taken for effective integration into developmental plans. The objective of this study is to evaluate and prioritize risks, vulnerability and adaptation issues of current and anticipated impacts of climate change on the coastal zone of The Gambia. The study will also give a methodological contribution for assessing risks, vulnerability and adaptation from the sub-national to local levels. The relevance of this study will be to create a link between the sub-national and local levels in order to facilitate the integration and mainstreaming of climate change into sectoral and local policies for more climate-resilient communities. This will aid in the promotion of strategic investment of constrained developmental resources to actualize successfully dynamic coping strategies, elude ‘maladaptation’ and less compelling responsive measures. A purposive expert sampling technique was used in selecting respondents for the study. The findings of the study reveal that by the end of the 21st century, the climatic variables likely to have the highest impact on the coastal zone of The Gambia are ‘increased flood severity’ and ‘increased temperature’. The coastal zone of The Gambia showed a high vulnerability to these climate change variables. The suggested adaptive response in addressing the impacts of increased flood intensity in the study area includes; improving regulations for restricting agriculture and livestock grazing activities to improve land cover; strengthening of early-warning systems, among others. The suggested adaptive response in

  8. Risk reduction by use of a buffer zone

    NARCIS (Netherlands)

    Wijnant-Timmerman, S.L.; Wiersma, T.

    2008-01-01

    In situations where chemical industries and residential areas are situated close to each other, the population runs a safety risk associated with the accidental release of toxic gases. TNO has investigated the possibilities to reduce this risk by integrating safety measures in the area between the

  9. Risk-Informed Selection of Steel Connections for Seismic Zones

    Directory of Open Access Journals (Sweden)

    De León-Escobedo D.

    2011-04-01

    Full Text Available The findings about the fragile behavior of steel welded connections after the Northridge 1994 earthquake, specially for frames designed to withstand lateral force, has brought an amount of new attention to the design and safety issues of the welded connections for structures located on seismic zones. In México, practitioners and designers are wondering about the seismic effectiveness of the several kinds of connections as used in steel structures. A decision must be made to balance the safety required with the costs incurred after exceeding the serviceability limit state. Structural reliability techniques provide the proper framework to include the inherent uncertainties into the design process. Registered motions after the 1985 Mexico City earthquake are properly scaled according to the seismic hazard curve for soft soil in Mexico City. Earthquake occurrence is modeled as a Poisson process and the expected life-cycle cost is taken as the decision criteria. Parametric analyses allow the identification of dominant variables and ranges where one option is more recommendable than the other one. The proposed formulation may support designers and builders for the decision making process about the selection of the convenient connection type for the seismic zones with soft soil in Mexico City.

  10. Highly oxidising fluids generated during serpentinite breakdown in subduction zones.

    Science.gov (United States)

    Debret, B; Sverjensky, D A

    2017-09-04

    Subduction zones facilitate chemical exchanges between Earth's deep interior and volcanism that affects habitability of the surface environment. Lavas erupted at subduction zones are oxidized and release volatile species. These features may reflect a modification of the oxidation state of the sub-arc mantle by hydrous, oxidizing sulfate and/or carbonate-bearing fluids derived from subducting slabs. But the reason that the fluids are oxidizing has been unclear. Here we use theoretical chemical mass transfer calculations to predict the redox state of fluids generated during serpentinite dehydration. Specifically, the breakdown of antigorite to olivine, enstatite, and chlorite generates fluids with high oxygen fugacities, close to the hematite-magnetite buffer, that can contain significant amounts of sulfate. The migration of these fluids from the slab to the mantle wedge could therefore provide the oxidized source for the genesis of primary arc magmas that release gases to the atmosphere during volcanism. Our results also show that the evolution of oxygen fugacity in serpentinite during subduction is sensitive to the amount of sulfides and potentially metal alloys in bulk rock, possibly producing redox heterogeneities in subducting slabs.

  11. Vaccine Hesitancy: In Search of the Risk Communication Comfort Zone.

    Science.gov (United States)

    Greenberg, Joshua; Dubé, Eve; Driedger, Michelle

    2017-03-03

    This paper reports the findings of a national online survey to parents of children aged 5 and younger. The objectives of the study were to assess parental understanding of childhood immunizations, identify sources of information that they trust for vaccine-related content, assess where parents with young children stand on the key issues in the public debate about vaccination, and identify which risk communication messages are most effective for influencing the behaviours of vaccine hesitant parents. A total of 1,000 surveys (closed and open-ended questions) were administered in November 2015 using the Angus Reid Forum Panel, a key consumer panel consisting of approximately 150,000 Canadian adults aged 18 and older, spread across all geographic regions of Canada. Approximately 92% of the Canadian parents surveyed consider vaccines safe and effective, and trust doctors and public health officials to provide timely and credible vaccine-related information. However, a concerning number of them either believe or are uncertain whether there is a link between vaccines and autism (28%), worry that vaccines might seriously harm their children (27%), or believe the pharmaceutical industry is behind the push for mandatory immunization (33%). Moreover, despite the common assumption that social media are becoming the go-to source of health news and information, most parents still rely on traditional media and official government websites for timely and credible information about vaccines and vaccine preventable diseases, particularly during community-based disease outbreaks. Finally, parents reported high levels of support for pro-vaccine messaging that has been demonstrated in previous research to have little to no positive impact on behaviour change, and may even be counterproductive. The study's results are highly relevant in a context where public health officials are expending significant resources to increase rates of childhood immunization and combat vaccine

  12. High-gain bipolar detector on float-zone silicon

    Science.gov (United States)

    Han, D. J.; Batignani, G.; Del Guerra, A.; Dalla Betta, G.-F.; Boscardin, M.; Bosisio, L.; Giorgi, M.; Forti, F.

    2003-10-01

    Since the float-zone (FZ) silicon has lower contaminations and longer minority-carrier lifetime than those in Czochralski silicon and other semiconductor materials, it has potential advantages to fabricate bipolar detectors on the high-purity FZ silicon substrate to achieve a high gain at ultra-low-signal levels. The authors present preliminary experimental results on a bipolar detector fabricated on an unusual high-purity FZ silicon substrate. A backside gettering layer of phosphorus-doped polysilicon was employed to preserve the long carrier lifetime of the high-purity FZ silicon. The device has been investigated in the detection of a continuous flux of X-ray and infrared light. The bipolar detector with a circular emitter of 2 mm diameter has demonstrated high gains up to 3820 for 22 keV X-ray from a 1 mCi Cd radioactive source (the X-ray photon flux, received by the detector is estimated to be ˜7.77×10 4/s). High gain up to 4400 for 0.17 nW light with a wavelength of 0.83 μm has been observed for the same device.

  13. High-gain bipolar detector on float-zone silicon

    International Nuclear Information System (INIS)

    Han, D.J.; Batignani, G.; Guerra, A.D.A. Del; Dalla Betta, G.-F.; Boscardin, M.; Bosisio, L.; Giorgi, M.; Forti, F.

    2003-01-01

    Since the float-zone (FZ) silicon has lower contaminations and longer minority-carrier lifetime than those in Czochralski silicon and other semiconductor materials, it has potential advantages to fabricate bipolar detectors on the high-purity FZ silicon substrate to achieve a high gain at ultra-low-signal levels. The authors present preliminary experimental results on a bipolar detector fabricated on an unusual high-purity FZ silicon substrate. A backside gettering layer of phosphorus-doped polysilicon was employed to preserve the long carrier lifetime of the high-purity FZ silicon. The device has been investigated in the detection of a continuous flux of X-ray and infrared light. The bipolar detector with a circular emitter of 2 mm diameter has demonstrated high gains up to 3820 for 22 keV X-ray from a 1 mCi Cd radioactive source (the X-ray photon flux, received by the detector is estimated to be ∼7.77x10 4 /s). High gain up to 4400 for 0.17 nW light with a wavelength of 0.83 μm has been observed for the same device

  14. Vulnerability and hydrogeologic risk of SAG in the outcroupping zone of Rivera Uruguay

    International Nuclear Information System (INIS)

    Collazo, P.; Montano, J.; Auge, M.; jmont@fcien.edu.uy mpauge@ciudad.com.ar

    2007-01-01

    The studied area belongs to the outcroupping zone of the Guarani Aquifer in the Department of Rivera, Uruguay. It comprises an approximate area of 2900 Km2. The outcropping Guarani Aquifer (AGa) is formed by two sections, an upper one corresponding to the Rivera Unit (UR) and a lower one corresponding to the Tacuarembo Unit (UT), both with vertical hydraulic continuity. The Rivera Unit is entirely represented by the homonymous formation and it consists of medium to fine sandstones with a mean effective porosity of 14% and mean Transmissivity of 88 m2/dia. The Tacuarembo Unit is constituted by fine to very fine sandstone levels interbedded with pelitic sandstone and shales. This unit behaves like unconfined aquifer in the upper section, where it contains the phreatic layer and it passes to semi-confined as the depth increases. The effective porosity is approximatelly of 9% and mean T 24 m2/dia. Chemically, both units are classified as calcicbicarbonated and magnesic-bicarbonated. To determine the vulnerability, it was applied the GOD method yielding high vulnerability for levels lower than 10m and moderate for levels of water larger than 10m. From the study of risk the conclusions are: high risk of groundwater contamination due to the lack of sewage systems and to the rubbish dump leakage. The industrial activity, cemeteries and mining activity represents moderated risks in most of the cases

  15. An Overview. High Risk Series.

    Science.gov (United States)

    General Accounting Office, Washington, DC.

    This report provides an overview of efforts undertaken by the U.S. General Accounting Office (GAO) in 1990 to review and report on federal program areas its work identified as high risk because of vulnerabilities to waste, fraud, abuse, and mismanagement. It reviews the current status of efforts to address these concerns. The six categories of…

  16. Distribution of nonionic organic compounds (highly volatile chlorinated hydrocarbons) in the unsaturated zone

    Energy Technology Data Exchange (ETDEWEB)

    Grathwohl, P.

    1988-01-01

    Nonpolar pollutants, e.g. highly volatile chlorinated hydrocarbons (HVCH) are more or less equally distributed among all three soil phases (solids, water, air) in the unsaturated zone. The sorption of HVCH on soil solids depends on the amount and type of organic matter in the soil. For wet material an additional sorption on mineral surfaces can be neglected, since all possible sites for sorption are occupied by water. Provided the partition-coefficients or sorption-constants are known the contamination of the whole system can be evaluated from the pollutant concentration in the soil air; in addition it is possible to estimate a groundwater risk.

  17. Fractional laser-mediated photodynamic therapy of high-risk basal cell carcinomas

    DEFF Research Database (Denmark)

    Haak, C S; Togsverd-Bo, K; Thaysen-Petersen, D

    2015-01-01

    efficacy and safety of AFXL-mediated PDT (AFXL-PDT) compared with conventional PDT of high-risk nBCC. METHODS: Patients with histologically verified facial nBCC (n = 32) defined as high-risk tumours were included; diameter > 15 mm, tumours located in high-risk zones, or on severely sun-damaged skin...

  18. Permafrost Degradation Risk Zone Assessment using Simulation Models

    DEFF Research Database (Denmark)

    Daanen, R.P.; Ingeman-Nielsen, Thomas; Marchenko, S.

    2011-01-01

    In this proof-of-concept study we focus on linking large scale climate and permafrost simulations to small scale engineering projects by bridging the gap between climate and permafrost sciences on the one hand and on the other technical recommendation for adaptation of planned infrastructures...... to climate change in a region generally underlain by permafrost. We present the current and future state of permafrost in Greenland as modelled numerically with the GIPL model driven by HIRHAM climate projections up to 2080. We develop a concept called Permafrost Thaw Potential (PTP), defined...... as the potential active layer increase due to climate warming and surface alterations. PTP is then used in a simple risk assessment procedure useful for engineering applications. The modelling shows that climate warming will result in continuing wide-spread permafrost warming and degradation in Greenland...

  19. Clinical high risk for psychosis

    DEFF Research Database (Denmark)

    van der Steen, Y; Gimpel-Drees, J; Lataster, T

    2017-01-01

    OBJECTIVE: The aim of this study was to assess associations between momentary stress and both affective and psychotic symptoms in everyday life of individuals at clinical high risk (CHR), compared to chronic psychotic patients and healthy controls, in search for evidence of early stress...... and 26 healthy controls. RESULTS: Multilevel models showed significantly larger associations between negative affect (NA) and activity-related stress for CHR patients than for psychotic patients (P = 0.008) and for CHR compared to controls (P

  20. The Use of Newer High Translucency Zirconia in Aesthetic Zone

    Directory of Open Access Journals (Sweden)

    Zishan Dangra

    2014-01-01

    Full Text Available Loss of anterior tooth causes aesthetic and functional disharmony. Although no restorative material can approach the appearance of intact tooth enamel, glass ceramic, at the increased risk of brittle fracture, can mimic original tooth color better than the other restorative options. The newest zirconia material comes with unparalleled individualization in aesthetics and optimal physical properties. One of the basic principles of tooth preparation is conservation of tooth structure. This clinical report describes the replacement of maxillary and mandibular incisor with latest generation zirconia adhesive fixed partial denture. The authors have achieved unmatched aesthetics with newer high translucency zirconia.

  1. Experimental demonstration of producing high resolution zone plates by spatial-frequency multiplication

    International Nuclear Information System (INIS)

    Yun, W.B.; Howells, M.R.

    1987-01-01

    In an earlier publication, the possibility of producing high resolution zone plates for x-ray applications by spatial-frequency multiplication was analyzed theoretically. The theory predicted that for a daughter zone plate generated from the interference of mth and nth diffraction orders of a parent zone plate, its primary focal spot size and focal length are one (m + n)th of their counterparts of the parent zone plate, respectively. It was also shown that a zone plate with the outermost zone width of as small as 13.8 nm might be produced by this technique. In this paper, we report an experiment which we carried out with laser light (λ = 4166A) for demonstrating this technique. In addition, an outlook for producing high resolution zone plates for x-ray application is briefly discussed

  2. Numerical Simulation of a Non-volcanic Hydrothermal System Caused by Formation of a High Permeability Fracture Zone

    Science.gov (United States)

    Oka, Daisuke; Ehara, Sachio; Fujimitsu, Yasuhiro

    2010-05-01

    Because in the Japanese islands the earth crust activity is very active, a disposal stratum for high-level radioactive waste produced by reprocessing the spent nuclear fuel from nuclear power plants will be selected in the tectonically stable areas in which the waste can be disposed underground safely for a long term and there is no influence of earthquakes, seismic activities, volcanic activities, upheaval, sedimentation, erosion, climate and global sea level change and so on, which causes the risk of the inflow of the groundwater to destroy the disposal site or the outflow to the ground surface. However, even if the disposal stratum in such condition will be chosen, in case that a new high permeability fracture zone is formed by the earthquake, and a new hydrothermal system may be formed for a long term (thousands or millions years) and the system may affect the disposal site. Therefore, we have to understand the feature of the non-volcanic hydrothermal system through the high permeability fracture zone. We estimated such influence by using HYDROTHERM Ver2.2 (Hayba & Ingebritsen, 1994), which is a three-dimensional numerical reservoir simulator. The model field is the northwestern part of Kego Fault, which was formed by a series of earthquakes called "the 2005 Fukuoka Prefecture Western Offshore Earthquakes" (the main shock of Mjma 7.0 on 20 March 2005) in Kyushu, Japan. The results of the numerical simulations show the development of a low temperature hydrothermal system as a new fracture zone is formed, in case that there is no volcanic heat source. The results of the simulations up to 100,000 years after formation of the fracture zone show that the higher heat flow and the wider and more permeable fracture zone accelerate the development of the hydrothermal system in the fracture zone. As a result of calculation of up to10 million years, we clarified the evolutional process of the non-volcanic hydrothermal system through the high permeability fracture zone. At

  3. A highly attennuative zone beneath the Tokyo Metropolitan area.

    Science.gov (United States)

    Panayotopoulos, Y.; Hirata, N.; Sakai, S.; Nakagawa, S.; Kasahara, K.

    2014-12-01

    The intensities of seismic waves observed at the dense seismic array of the Tokyo Metropolitan Seismic Observation network (MeSO-net) inside the Kanto basin, display unusual distribution patterns. In several occasions, the highest intensities are not observed in the area above an earthquakes hypocenter but appear sifted more than 20 km away. In order to understand the source of this unusual intensity distribution pattern, it is crucial to understand how the waves attenuate before they reach the surface. The attenuation of seismic waves along their path is represented by the t∗ attenuation operator that can be obtained by fitting the observed seismic wave spectrum to a theoretical spectrum using an ω2 model. In order to create a high quality dataset, only 1449 earthquakes that are recorded with intensity greater than 0 in the Japan Meteorological Agency (JMA) intensity scale are selected from the JMA unified earthquake list from April 1st 2008 to October 2nd 2013. A grid search method is applied to determine the t∗ values by matching the observed and theoretical spectra. The t∗ data where then inverted to estimate a 3D Q structure with grid points set at a 10 km spacing. We implemented the 3D velocity model estimated by Nakagawa et al., 2012 and in addition we set the initial Q values at 100 for the 0 km grids and to 400 for the grids below them. The obtained model suggests average Q values of 50˜100 inside the Kanto basin. Furthermore, a low Q zone is observed in the area where the Philippine Sea plate meets the upper part of the Pacific sea plate. This area is located at approximately 40 km depth, beneath the north-east Tokyo and west Chiba prefectures and is represented by Q values Earthquakes occurring on the Pacific plate pass through this low Q area inside the Philippine sea plate and are attenuated significantly. The estimated attenuation distribution at the MeSO-net station for these earthquakes implementing our 3D Q model greatly coincides with the

  4. Construction Project Administration and Management for Mitigating Work Zone Accidents and Fatalities: An Integrated Risk Management Model

    Science.gov (United States)

    2009-10-01

    The goal of this research is to mitigate the risk of highway accidents (crashes) and fatalities in work zones. The approach of this research has been to address the mitigation of work zone crashes through the creation of a formal risk management mode...

  5. High resolution Fresnel zone plate laser alignment system

    International Nuclear Information System (INIS)

    Bressler, V.E.; Fischer, G.E.; Ruland, R.E.; Wang, T.

    1992-03-01

    The existing Fresnel zone plate laser alignment system is currently being extended and upgraded for the Final Focus Test Beam (FFTB). Previously, the resolution of this system has been several tens of micrometers. After the upgrade, the resolution will be a few micrometers. Details of the upgrade as well as simulation and experimental results will be presented

  6. 33 CFR 165.121 - Safety and Security Zones: High Interest Vessels, Narragansett Bay, Rhode Island.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Safety and Security Zones: High... COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) PORTS AND WATERWAYS SAFETY REGULATED NAVIGATION... Guard District § 165.121 Safety and Security Zones: High Interest Vessels, Narragansett Bay, Rhode...

  7. Longitude Position in a Time Zone and Cancer Risk in the United States.

    Science.gov (United States)

    Gu, Fangyi; Xu, Shangda; Devesa, Susan S; Zhang, Fanni; Klerman, Elizabeth B; Graubard, Barry I; Caporaso, Neil E

    2017-08-01

    Background: Circadian disruption is a probable human carcinogen. From the eastern to western border of a time zone, social time is equal, whereas solar time is progressively delayed, producing increased discrepancies between individuals' social and biological circadian time. Accordingly, western time zone residents experience greater circadian disruption and may be at an increased risk of cancer. Methods: We examined associations between the position in a time zone and age-standardized county-level incidence rates for total cancers combined and 23 specific cancers by gender using the data of the Surveillance, Epidemiology, and End Results Program (2000-2012), including four million cancer diagnoses in white residents of 607 counties in 11 U.S. states. Log-linear regression was conducted, adjusting for latitude, poverty, cigarette smoking, and state. Bonferroni-corrected P values were used as the significance criteria. Results: Risk increased from east to west within a time zone for total and for many specific cancers, including chronic lymphocytic leukemia (both genders) and cancers of the stomach, liver, prostate, and non-Hodgkin lymphoma in men and cancers of the esophagus, colorectum, lung, breast, and corpus uteri in women. Conclusions: Risk increased from the east to the west in a time zone for total and many specific cancers, in accord with the circadian disruption hypothesis. Replications in analytic epidemiologic studies are warranted. Impact: Our findings suggest that circadian disruption may not be a rare phenomenon affecting only shift workers, but is widespread in the general population with broader implications for public health than generally appreciated. Cancer Epidemiol Biomarkers Prev; 26(8); 1306-11. ©2017 AACR . ©2017 American Association for Cancer Research.

  8. High efficiency x-ray nanofocusing by the blazed stacking of binary zone plates

    Science.gov (United States)

    Mohacsi, I.; Karvinen, P.; Vartiainen, I.; Diaz, A.; Somogyi, A.; Kewish, C. M.; Mercere, P.; David, C.

    2013-09-01

    The focusing efficiency of binary Fresnel zone plate lenses is fundamentally limited and higher efficiency requires a multi step lens profile. To overcome the manufacturing problems of high resolution and high efficiency multistep zone plates, we investigate the concept of stacking two different binary zone plates in each other's optical near-field. We use a coarse zone plate with π phase shift and a double density fine zone plate with π/2 phase shift to produce an effective 4- step profile. Using a compact experimental setup with piezo actuators for alignment, we demonstrated 47.1% focusing efficiency at 6.5 keV using a pair of 500 μm diameter and 200 nm smallest zone width. Furthermore, we present a spatially resolved characterization method using multiple diffraction orders to identify manufacturing errors, alignment errors and pattern distortions and their effect on diffraction efficiency.

  9. Combining criteria for delineating lahar- and flash-flood-prone hazard and risk zones for the city of Arequipa, Peru

    Directory of Open Access Journals (Sweden)

    J.-C. Thouret

    2013-02-01

    Full Text Available Arequipa, the second largest city in Peru, is exposed to many natural hazards, most notably earthquakes, volcanic eruptions, landslides, lahars (volcanic debris flows, and flash floods. Of these, lahars and flash floods, triggered by occasional torrential rainfall, pose the most frequently occurring hazards that can affect the city and its environs, in particular the areas containing low-income neighbourhoods. This paper presents and discusses criteria for delineating areas prone to flash flood and lahar hazards, which are localized along the usually dry (except for the rainy season ravines and channels of the Río Chili and its tributaries that dissect the city. Our risk-evaluation study is based mostly on field surveys and mapping, but we also took into account quality and structural integrity of buildings, available socio-economic data, and information gained from interviews with risk-managers officials.

    In our evaluation of the vulnerability of various parts of the city, in addition to geological and physical parameters, we also took into account selected socio-economic parameters, such as the educational and poverty level of the population, unemployment figures, and population density. In addition, we utilized a criterion of the "isolation factor", based on distances to access emergency resources (hospitals, shelters or safety areas, and water in each city block. By combining the hazard, vulnerability and exposure criteria, we produced detailed risk-zone maps at the city-block scale, covering the whole city of Arequipa and adjacent suburbs. Not surprisingly, these maps show that the areas at high risk coincide with blocks or districts with populations at low socio-economic levels. Inhabitants at greatest risk are the poor recent immigrants from rural areas who live in unauthorized settlements in the outskirts of the city in the upper parts of the valleys. Such settlements are highly exposed to natural hazards and have little access

  10. Combining criteria for delineating lahar- and flash-flood-prone hazard and risk zones for the city of Arequipa, Peru

    Science.gov (United States)

    Thouret, J.-C.; Enjolras, G.; Martelli, K.; Santoni, O.; Luque, J. A.; Nagata, M.; Arguedas, A.; Macedo, L.

    2013-02-01

    Arequipa, the second largest city in Peru, is exposed to many natural hazards, most notably earthquakes, volcanic eruptions, landslides, lahars (volcanic debris flows), and flash floods. Of these, lahars and flash floods, triggered by occasional torrential rainfall, pose the most frequently occurring hazards that can affect the city and its environs, in particular the areas containing low-income neighbourhoods. This paper presents and discusses criteria for delineating areas prone to flash flood and lahar hazards, which are localized along the usually dry (except for the rainy season) ravines and channels of the Río Chili and its tributaries that dissect the city. Our risk-evaluation study is based mostly on field surveys and mapping, but we also took into account quality and structural integrity of buildings, available socio-economic data, and information gained from interviews with risk-managers officials. In our evaluation of the vulnerability of various parts of the city, in addition to geological and physical parameters, we also took into account selected socio-economic parameters, such as the educational and poverty level of the population, unemployment figures, and population density. In addition, we utilized a criterion of the "isolation factor", based on distances to access emergency resources (hospitals, shelters or safety areas, and water) in each city block. By combining the hazard, vulnerability and exposure criteria, we produced detailed risk-zone maps at the city-block scale, covering the whole city of Arequipa and adjacent suburbs. Not surprisingly, these maps show that the areas at high risk coincide with blocks or districts with populations at low socio-economic levels. Inhabitants at greatest risk are the poor recent immigrants from rural areas who live in unauthorized settlements in the outskirts of the city in the upper parts of the valleys. Such settlements are highly exposed to natural hazards and have little access to vital resources. Our

  11. Rift Valley fever in a zone potentially occupied by Aedes vexans in Senegal: dynamics and risk mapping

    Directory of Open Access Journals (Sweden)

    Cécile Vignolles

    2009-05-01

    Full Text Available This paper presents an analysis of the interaction between the various variables associated with Rift Valley fever (RVF such as the mosquito vector, available hosts and rainfall distribution. To that end, the varying zones potentially occupied by mosquitoes (ZPOM, rainfall events and pond dynamics, and the associated exposure of hosts to the RVF virus by Aedes vexans, were analyzed in the Barkedji area of the Ferlo, Senegal, during the 2003 rainy season. Ponds were identified by remote sensing using a high-resolution SPOT-5 satellite image. Additional data on ponds and rainfall events from the Tropical Rainfall Measuring Mission were combined with in-situ entomological and limnimetric measurements, and the localization of vulnerable ruminant hosts (data derived from QuickBird satellite. Since “Ae. vexans productive events” are dependent on the timing of rainfall for their embryogenesis (six days without rain are necessary to trigger hatching, the dynamic spatio-temporal distribution of Ae. vexans density was based on the total rainfall amount and pond dynamics. Detailed ZPOM mapping was obtained on a daily basis and combined with aggressiveness temporal profiles. Risks zones, i.e. zones where hazards and vulnerability are combined, are expressed by the percentages of parks where animals are potentially exposed to mosquito bites. This new approach, simply relying upon rainfall distribution evaluated from space, is meant to contribute to the implementation of a new, operational early warning system for RVF based on environmental risks linked to climatic and environmental conditions.

  12. Existing and potential infection risk zones of yellow fever worldwide: a modelling analysis

    OpenAIRE

    Shearer, Freya M; Longbottom, Joshua; Browne, Annie J; Pigott, David M; Brady, Oliver J; Kraemer, Moritz U G; Marinho, Fatima; Yactayo, Sergio; de Araújo, Valdelaine E M; da Nóbrega, Aglaêr A; Fullman, Nancy; Ray, Sarah E; Mosser, Jonathan F; Stanaway, Jeffrey D; Lim, Stephen S

    2018-01-01

    Summary: Background: Yellow fever cases are under-reported and the exact distribution of the disease is unknown. An effective vaccine is available but more information is needed about which populations within risk zones should be targeted to implement interventions. Substantial outbreaks of yellow fever in Angola, Democratic Republic of the Congo, and Brazil, coupled with the global expansion of the range of its main urban vector, Aedes aegypti, suggest that yellow fever has the propensity t...

  13. Risk zones of human Leishmaniases in the Western Mediterranean basin: correlations between vector sand flies, bioclimatology and phytosociology.

    Science.gov (United States)

    Rispail, Philippe; Dereure, Jacques; Jarry, Daniel

    2002-06-01

    Correspondence analysis was applied to sand fly sampling in 865 stations from the Western Mediterranean basin. The position of each of 24 species was determined with respect to the bioclimatic belts. Thus, the multidimensional analyses manifest clear correlations between bioclimatic belts and their expression in the area, the phytosociological groupings, and vector species of visceral and cutaneous leishmaniases. The transfer of these data to usual maps allows to delimit the geographical distribution of these diseases in the Western Mediterranean basin and contributes to the determination, in a rational manner, of the high risk zones.

  14. Risk Zones of Human Leishmaniases in the Western Mediterranean Basin: Correlations between Vector Sand Flies, Bioclimatology and Phytosociology

    Directory of Open Access Journals (Sweden)

    Philippe Rispail

    2002-06-01

    Full Text Available Correspondence analysis was applied to sand fly sampling in 865 stations from the Western Mediterranean basin. The position of each of 24 species was determined with respect to the bioclimatic belts. Thus, the multidimensional analyses manifest clear correlations between bioclimatic belts and their expression in the area, the phytosociological groupings, and vector species of visceral and cutaneous leishmaniases. The transfer of these data to usual maps allows to delimit the geographical distribution of these diseases in the Western Mediterranean basin and contributes to the determination, in a rational manner, of the high risk zones.

  15. Two-zone model of coronal hole structure in the high corona

    International Nuclear Information System (INIS)

    Wang, Z.; Kundu, M.R.; Yoshimura, H.

    1988-01-01

    The two-zone coronal hole structure model presently proposed for the high corona at 1.5-1.7 solar radii emerges from a comparison of computation results for the potential magnetic fields of the corona and meter-decameter radio observations. The two zones of a coronal hole are defined by the configuration of magnetic field lines around a coronal hole: (1) the central hole of an open diverging magnetic field line system; and (2) the boundary zone between the central zone of the open field line system and the closed field line system or systems surrounding the open field line system. 19 references

  16. Fleeing to Fault Zones: Incorporating Syrian Refugees into Earthquake Risk Analysis along the East Anatolian and Dead Sea Rift Fault Zones

    Science.gov (United States)

    Wilson, B.; Paradise, T. R.

    2016-12-01

    The influx of millions of Syrian refugees into Turkey has rapidly changed the population distribution along the Dead Sea Rift and East Anatolian Fault zones. In contrast to other countries in the Middle East where refugees are accommodated in camp environments, the majority of displaced individuals in Turkey are integrated into cities, towns, and villages—placing stress on urban settings and increasing potential exposure to strong shaking. Yet, displaced populations are not traditionally captured in data sources used in earthquake risk analysis or loss estimations. Accordingly, we present a district-level analysis assessing the spatial overlap of earthquake hazards and refugee locations in southeastern Turkey to determine how migration patterns are altering seismic risk in the region. Using migration estimates from the U.S. Humanitarian Information Unit, we create three district-level population scenarios that combine official population statistics, refugee camp populations, and low, median, and high bounds for integrated refugee populations. We perform probabilistic seismic hazard analysis alongside these population scenarios to map spatial variations in seismic risk between 2011 and late 2015. Our results show a significant relative southward increase of seismic risk for this period due to refugee migration. Additionally, we calculate earthquake fatalities for simulated earthquakes using a semi-empirical loss estimation technique to determine degree of under-estimation resulting from forgoing migration data in loss modeling. We find that including refugee populations increased casualties by 11-12% using median population estimates, and upwards of 20% using high population estimates. These results communicate the ongoing importance of placing environmental hazards in their appropriate regional and temporal context which unites physical, political, cultural, and socio-economic landscapes. Keywords: Earthquakes, Hazards, Loss-Estimation, Syrian Crisis, Migration

  17. Petroleum business of high risk

    International Nuclear Information System (INIS)

    Carta Petrolera

    2001-01-01

    The paper is about the economic risk and of the geologic risk that assist the industry of the petroleum; an analysis of these types of risk, possibilities of success and investments to carry out in the search of hydrocarbons are made

  18. New insight into the levels, distribution and health risk diagnosis of indoor and outdoor dust-bound FRs in colder, rural and industrial zones of Pakistan.

    Science.gov (United States)

    Khan, Muhammad Usman; Li, Jun; Zhang, Gan; Malik, Riffat Naseem

    2016-09-01

    This is the first robust study designed to probe selected flame retardants (FRs) in the indoor and outdoor dust of industrial, rural and background zones of Pakistan with special emphasis upon their occurrence, distribution and associated health risk. For this purpose, we analyzed FRs such as polybrominated diphenylethers (PBDEs), dechlorane plus (DP), novel brominated flame retardants (NBFRs) and organophosphate flame retardants (OPFRs) in the total of 82 dust samples (indoor and outdoor) collected three from each zone: industrial, rural and background. We found higher concentrations of FRs (PBDEs, DP, NBFRs and OPFRs) in industrial zones as compared to the rural and background zones. Our results reveal that the concentrations of studied FRs are relatively higher in the indoor dust samples being compared with the outdoor dust and they are ranked as: ∑OPFRs > ∑NBFRs > ∑PBDEs > ∑DP. A significant correlation in the FRs levels between the indoor and outdoor dust suggest the potential intermixing of these compounds between them. The principal component analysis/multiple linear regression predicts the percent contribution of FRs from different consumer products in the indoor and outdoor dust of industrial, rural and background zones to trace their source origin. The FRs detected in the background zones reveal the dust-bound FRs suspended in the air might be shifted from different warmer zones or consumers products available/used in the same zones. Hazard quotient (HQ) for FRs via indoor and outdoor dust intake at mean and high dust scenarios to the exposed populations (adults and toddlers) are found free of risk (HQ < 1) in the target zones. Furthermore, our nascent results will provide a baseline record of FRs (PBDEs, DP, NBFRs and OPFRs) concentrations in the indoor and outdoor dust of Pakistan. Copyright © 2016 Elsevier Ltd. All rights reserved.

  19. Landslide Risk: Economic Valuation in The North-Eastern Zone of Medellin City

    Science.gov (United States)

    Vega, Johnny Alexander; Hidalgo, César Augusto; Johana Marín, Nini

    2017-10-01

    Natural disasters of a geodynamic nature can cause enormous economic and human losses. The economic costs of a landslide disaster include relocation of communities and physical repair of urban infrastructure. However, when performing a quantitative risk analysis, generally, the indirect economic consequences of such an event are not taken into account. A probabilistic approach methodology that considers several scenarios of hazard and vulnerability to measure the magnitude of the landslide and to quantify the economic costs is proposed. With this approach, it is possible to carry out a quantitative evaluation of the risk by landslides, allowing the calculation of the economic losses before a potential disaster in an objective, standardized and reproducible way, taking into account the uncertainty of the building costs in the study zone. The possibility of comparing different scenarios facilitates the urban planning process, the optimization of interventions to reduce risk to acceptable levels and an assessment of economic losses according to the magnitude of the damage. For the development and explanation of the proposed methodology, a simple case study is presented, located in north-eastern zone of the city of Medellín. This area has particular geomorphological characteristics, and it is also characterized by the presence of several buildings in bad structural conditions. The proposed methodology permits to obtain an estimative of the probable economic losses by earthquake-induced landslides, taking into account the uncertainty of the building costs in the study zone. The obtained estimative shows that the structural intervention of the buildings produces a reduction the order of 21 % in the total landslide risk.

  20. [Transportation and risk assessment of heavy metal pollution in water-soil from the Riparian Zone of Daye Lake, China].

    Science.gov (United States)

    Zhang, Jia-quan; Li, Xiu; Zhang, Quan-fa; Li, Qiong; Xiao, Wen-sheng; Wang, Yong-kui; Zhang, Jian-chun; Gai, Xi-guang

    2015-01-01

    Each 20 water samples and soil samples (0-10 cm, 10-20 cm) were collected from the riparian zone of Daye Lake in dry season during March 2013. Heavy metals (Cu, Ph, Cd, Zn) have been detected by flame atomic absorption spectrometric (FAAS). The results showed that the average concentrations of Cu, Pb, Cd, Zn in the water were 7.14, 25.94, 15.72 and 37.58 microg x L(-1), respectively. The concentration of Cu was higher than the five degree of the surface water environment quality standard. The average concentrations of Cu, Pb, Cd, Zn in soil(0-10 cm) were 108.38, 53.92, 3.55, 139.26 mg x kg(-1) in soil (10-20 cm) were 93.00, 51.72, 2.08, 171.00 mg x kg(-1), respectively. The Cd concentrations were higher than the three grade value of the national soil environment quality standard. The transportation of Pb from soil to water was relatively stable, and Zn was greatly influenced by soil property and the surrounding environment from soil to water. The transformation of heavy metal in west riparian zone was higher than that of east riparian zone. The potential environmental risk was relatively high. Cu, Pb, Cd, Zn were dominated by residue fraction of the modified BCR sequential extraction method. The overall migration order of heavy metal element was: Pb > Cu > Cd > Zn. There were stronger transformation and higher environmental pollution risk of Cu, Pb. The index of assessment and potential ecological risk coefficient indicated that heavy metal pollution in soil (0-10 cm) was higher than the soil (10-20 cm), Cd was particularly serious.

  1. Risk perception in women with high-risk pregnancies

    OpenAIRE

    Lee, S.

    2014-01-01

    Risk perception in women with high risk pregnancies affects the decisions they make about antenatal care and so may therefore influence the wellbeing of mother and baby. This article addresses the factors which influence women when making risk assessments and how these assessments may differ from those of healthcare professionals.\\ud \\ud Women use multiple sources of information to determine their risk status including advice from professionals, from other trusted sources, and their own intui...

  2. Texture classification of vegetation cover in high altitude wetlands zone

    International Nuclear Information System (INIS)

    Wentao, Zou; Bingfang, Wu; Hongbo, Ju; Hua, Liu

    2014-01-01

    The aim of this study was to investigate the utility of datasets composed of texture measures and other features for the classification of vegetation cover, specifically wetlands. QUEST decision tree classifier was applied to a SPOT-5 image sub-scene covering the typical wetlands area in Three River Sources region in Qinghai province, China. The dataset used for the classification comprised of: (1) spectral data and the components of principal component analysis; (2) texture measures derived from pixel basis; (3) DEM and other ancillary data covering the research area. Image textures is an important characteristic of remote sensing images; it can represent spatial variations with spectral brightness in digital numbers. When the spectral information is not enough to separate the different land covers, the texture information can be used to increase the classification accuracy. The texture measures used in this study were calculated from GLCM (Gray level Co-occurrence Matrix); eight frequently used measures were chosen to conduct the classification procedure. The results showed that variance, mean and entropy calculated by GLCM with a 9*9 size window were effective in distinguishing different vegetation types in wetlands zone. The overall accuracy of this method was 84.19% and the Kappa coefficient was 0.8261. The result indicated that the introduction of texture measures can improve the overall accuracy by 12.05% and the overall kappa coefficient by 0.1407 compared with the result using spectral and ancillary data

  3. Mapping Of Leptospirosis Environmental Risk Factors and Determining the Level of Leptospirosis Vulnerable Zone In Demak District Using Remote Sensing Image

    Science.gov (United States)

    Rahayu, Siti; Sakundarno Adi, Mateus; Saraswati, Lintang Dian

    2018-02-01

    Leptospirosis, a zoonotic disease, transmitted to human trough contact with contaminated animal urine and contaminated environment. Demak District is an endemic area where cases increased in the past 2 years. The aim of the study was to map environmental risk factor of Leptospirosis and to determine Leptospirosis vulnerable zone using cross-sectional study design. There were 42 cases mapped by GPS and overlaid using remote sensing (Quickbird image) by using ArcView program then interpreted by Spatial Feature and Spatial Analyses. Leptospirosis cases were spread out and grouped in Demak Sub District area. More cases were males (61.9%), 21-50 years old age group (59.3%) and farmers (40.4%). Spatial analyses showed that all the leptospirosis cases took place in the area with low plain profile (28.6%), tidal inundation's profile (7.1%), vegetation (59.5%). Leptospirosis high-risk zone was in 37,801.8 ha (41.32%), moderate risk zone was 43,570.23 ha (48.55%), and low-risk zone was 9,090.96 ha (10.13%). Densely populated housing, bad environment condition, and the presence of rat and puddles that were contaminated by rat's urine were risk factors of Leptospirosis cases in Demak District.

  4. High-Power Laser Cutting of Steel Plates: Heat Affected Zone Analysis

    Directory of Open Access Journals (Sweden)

    Imed Miraoui

    2016-01-01

    Full Text Available The thermal effect of CO2 high-power laser cutting on cut surface of steel plates is investigated. The effect of the input laser cutting parameters on the melted zone depth (MZ, the heat affected zone depth (HAZ, and the microhardness beneath the cut surface is analyzed. A mathematical model is developed to relate the output process parameters to the input laser cutting parameters. Three input process parameters such as laser beam diameter, cutting speed, and laser power are investigated. Mathematical models for the melted zone and the heat affected zone depth are developed by using design of experiment approach (DOE. The results indicate that the input laser cutting parameters have major effect on melted zone, heat affected zone, and microhardness beneath cut surface. The MZ depth, the HAZ depth, and the microhardness beneath cut surface increase as laser power increases, but they decrease with increasing cutting speed. Laser beam diameter has a negligible effect on HAZ depth but it has a remarkable effect on MZ depth and HAZ microhardness. The melted zone depth and the heat affected zone depth can be reduced by increasing laser cutting speed and decreasing laser power and laser beam diameter.

  5. Determination of risk zones, due to radon : prospecting and analysis of spring water in Wallonia

    International Nuclear Information System (INIS)

    1990-01-01

    The emanation of radon from geologic formations can be detected by analyzing the ground water at the emergence of springs. Two measuring methods are described and compared : the Lucas method and the liquid scintillation method. Although more sampling has to be done, a first conclusion can be drawn from the results. The link between the radium concentration in some geologic formations and the determination of risk zones for radon contamination can be proved through radon measurements in water. 9 figs., 6 tabs., 2 charts (H.E.)

  6. The Crop Risk Zones Monitoring System for resilience to drought in the Sahel

    Science.gov (United States)

    Vignaroli, Patrizio; Rocchi, Leandro; De Filippis, Tiziana; Tarchiani, Vieri; Bacci, Maurizio; Toscano, Piero; Pasqui, Massimiliano; Rapisardi, Elena

    2016-04-01

    Food security is still one of the major concerns that Sahelian populations have to face. In the Sahel, agriculture is primarily based on rainfed crops and it is often structurally inadequate to manage the climatic variability. The predominantly rainfed cropping system of Sahel region is dependent on season quality on a year-to-year basis, and susceptible to weather extremes of droughts and extreme temperatures. Low water-storage capacity and high dependence on rainfed agriculture leave the agriculture sector even more vulnerable to climate risks. Crop yields may suffer significantly with either a late onset or early cessation of the rainy season, as well as with a high frequency of damaging dry spells. Early rains at the beginning of the season are frequently followed by dry spells which may last a week or longer. As the amount of water stored in the soil at this time of the year is negligible, early planted crops can suffer water shortage stresses during a prolonged dry spell. Therefore, the choice of the sowing date is of fundamental importance for farmers. The ability to estimate effectively the onset of the season and potentially dangerous dry spells becomes therefore vital for planning rainfed agriculture practices aiming to minimize risks and maximize yields. In this context, advices to farmers are key drivers for prevention allowing a better adaptation of traditional crop calendar to climatic variability. In the Sahel, particularly in CILSS (Permanent Interstates Committee for Drought Control in the Sahel) countries, national Early Warning System (EWS) for food security are underpinned by Multidisciplinary Working Groups (MWGs) lead by National Meteorological Services (NMS). The EWSs are mainly based on tools and models utilizing numeric forecasts and satellite data to outlook and monitor the growing season. This approach is focused on the early identification of risks and on the production of information within the prescribed time period for decision

  7. Assessment of risk factors in radionuclides pollution of coastal zone and river basins by numerical modelling

    International Nuclear Information System (INIS)

    Tsitskishvili, M.; Tsitskishvili, L.; Kordzakhia, G.; Diasamidze, R.; Shaptoshvili, A.; Valiaev, A.

    2006-01-01

    Full text: All types of industrial activities require the norms of protection, assessment of corresponding risks to preserve the pollution and degradation of corresponding areas. To make available the sustainable development of the country the risk assessment of possible accidents on the big enterprises is foreseen that provides preparedness of the country and possibility of the prevention measures and mitigation of the accidents. While big anthropogenic accidents in mountainous countries - the main paths for transportation of the pollution are the rivers and sea basins. Due to overpopulation of these areas assessment of the pollution risks are very important. For this aim the special deterministic models on the basis of passive admixture's turbulence diffusion equation is used. For numerical calculations Mc Kormack's predictor-corrector two steps scheme is used. The scheme is disintegrated, second order in space and time. Such scheme is established because the turbulent velocities very differ in horizontal and vertical directions and model allows implementing singular independent steps in different directions. Grid step for the model is 26.88 km in horizontal direction and 20 m m in vertical until 200 m. Time step is equal to 4 hours and computational time period - 4 months. Number of grid points is equal to 4983 for all calculation areas. Computations are carried out separately for big rivers basins as well as for Black and Caspian Seas water areas. The model calculations are made for cases with various locations of pollutant sources including accidental throws. For different realistic scenarios are calculated the concentrations of admixtures. The directions of their propagation are also determined. The risks are calculated in comparison with the Maximum Permissible Concentrations (MPC) of the pollutants according to achieved results. That gives possibility to define the most vulnerable areas in coastal zones. Realized methodology is verified by means of various

  8. Heat affected zone and fatigue crack propagation behavior of high performance steel

    International Nuclear Information System (INIS)

    Choi, Sung Won; Kang, Dong Hwan; Kim, Tae Won; Lee, Jong Kwan

    2009-01-01

    The effect of heat affected zone in high performance steel on fatigue crack propagation behavior, which is related to the subsequent microstructure, was investigated. A modified Paris-Erdogan equation was presented for the analysis of fatigue crack propagation behavior corresponding to the heat affected zone conditions. Fatigue crack propagation tests under 0.3 stress ratio and 0.1 load frequency were conducted for both finegrained and coarse-grained heat affected zones, respectively. As shown in the results, much higher crack growth rate occurred in a relatively larger mean grain size material under the same stress intensity range of fatigue crack propagation process for the material.

  9. List of High risk countries

    International Development Research Centre (IDRC) Digital Library (Canada)

    Francine Sinzinkayo

    2013-07-26

    Higher Risk Countries and Territories. Reviewed regularly. Last update: July 26, 2013. Country/Territory. Note (1). Sources of Concern. Canadian. Law or. Policy. Knowledge of research setting. Ability to monitor research activities. (Note 2). Operational. Issues. (Note 3). Banking. Restrictions. (Note 4). Afghanistan. X. X.

  10. Assessing the optimality of ASHRAE climate zones using high resolution meteorological data sets

    Science.gov (United States)

    Fils, P. D.; Kumar, J.; Collier, N.; Hoffman, F. M.; Xu, M.; Forbes, W.

    2017-12-01

    Energy consumed by built infrastructure constitutes a significant fraction of the nation's energy budget. According to 2015 US Energy Information Agency report, 41% of the energy used in the US was going to residential and commercial buildings. Additional research has shown that 32% of commercial building energy goes into heating and cooling the building. The American National Standards Institute and the American Society of Heating Refrigerating and Air-Conditioning Engineers Standard 90.1 provides climate zones for current state-of-practice since heating and cooling demands are strongly influenced by spatio-temporal weather variations. For this reason, we have been assessing the optimality of the climate zones using high resolution daily climate data from NASA's DAYMET database. We analyzed time series of meteorological data sets for all ASHRAE climate zones between 1980-2016 inclusively. We computed the mean, standard deviation, and other statistics for a set of meteorological variables (solar radiation, maximum and minimum temperature)within each zone. By plotting all the zonal statistics, we analyzed patterns and trends in those data over the past 36 years. We compared the means of each zone to its standard deviation to determine the range of spatial variability that exist within each zone. If the band around the mean is too large, it indicates that regions in the zone experience a wide range of weather conditions and perhaps a common set of building design guidelines would lead to a non-optimal energy consumption scenario. In this study we have observed a strong variation in the different climate zones. Some have shown consistent patterns in the past 36 years, indicating that the zone was well constructed, while others have greatly deviated from their mean indicating that the zone needs to be reconstructed. We also looked at redesigning the climate zones based on high resolution climate data. We are using building simulations models like EnergyPlus to develop

  11. Prevalence of smear positive pulmonary tuberculosis and associated risk factors among prisoners in Hadiya Zone prison, Southern Ethiopia.

    Science.gov (United States)

    Fuge, Terefe G; Ayanto, Samuel Y

    2016-04-02

    People concentrated in congregated systems such as prisons, are important but often neglected reservoirs for tuberculosis transmission, and threaten those in the outside community. The condition is more serious in Africa particularly in Sub-Saharan Africa (SSA) due to its poor living conditions and ineffective health services. This study was conducted to determine the prevalence of smear positive pulmonary tuberculosis and associated risk factors among prisoners in Hadiya Zone prison. A cross-sectional survey was carried out from May to June 2013 in Hadiya Zone prison. Prison inmates who had history of cough for at least a week were included in the study. Three morning sputum samples were collected from suspected inmates and examined through compound light microscopy. The data obtained was analyzed using statistical software like Epidata and STATA. A total of 164 prisoners were included in the survey using active screening strategy and the point prevalence of smear positive pulmonary tuberculosis (PTB) in the prison was 349.2 per 100,000 populations; about three times higher than its prevalence in the general population. Even though lack of visit from family was the only variable identified as a risk factor for PTB (P = 0.029), almost all of the PTB positive cases were rural residents, farmers, male youngsters and those who shared cell with TB patients and chronically coughing persons as well as those who stayed in a cell that contains >100 inmates. There is high prevalence of TB in Hadiya Zone prison with possible active transmission of TB within the prison. The study also documented a number of factors which may facilitate exposures to TB though most of them are not significantly associated. Therefore, strong cooperation between prison authorities and the national tuberculosis control programmes is urgently required to develop locally appropriate interventions to reduce transmission.

  12. Real time forest fire warning and forest fire risk zoning: a Vietnamese case study

    Science.gov (United States)

    Chu, T.; Pham, D.; Phung, T.; Ha, A.; Paschke, M.

    2016-12-01

    Forest fire occurs seriously in Vietnam and has been considered as one of the major causes of forest lost and degradation. Several studies of forest fire risk warning were conducted using Modified Nesterov Index (MNI) but remaining shortcomings and inaccurate predictions that needs to be urgently improved. In our study, several important topographic and social factors such as aspect, slope, elevation, distance to residential areas and road system were considered as "permanent" factors while meteorological data were updated hourly using near-real-time (NRT) remotely sensed data (i.e. MODIS Terra/Aqua and TRMM) for the prediction and warning of fire. Due to the limited number of weather stations in Vietnam, data from all active stations (i.e. 178) were used with the satellite data to calibrate and upscale meteorological variables. These data with finer resolution were then used to generate MNI. The only significant "permanent" factors were selected as input variables based on the correlation coefficients that computed from multi-variable regression among true fire-burning (collected from 1/2007) and its spatial characteristics. These coefficients also used to suggest appropriate weight for computing forest fire risk (FR) model. Forest fire risk model was calculated from the MNI and the selected factors using fuzzy regression models (FRMs) and GIS based multi-criteria analysis. By this approach, the FR was slightly modified from MNI by the integrated use of various factors in our fire warning and prediction model. Multifactor-based maps of forest fire risk zone were generated from classifying FR into three potential danger levels. Fire risk maps were displayed using webgis technology that is easy for managing data and extracting reports. Reported fire-burnings thereafter have been used as true values for validating the forest fire risk. Fire probability has strong relationship with potential danger levels (varied from 5.3% to 53.8%) indicating that the higher

  13. Risk factors of methane hydrate resource development in the concentrated zones distributed in the eastern Nankai Trough

    Science.gov (United States)

    Yamamoto, K.; Nagakubo, S.

    2009-04-01

    Some environmental and safety concerns on the offshore methane hydrate development have been raised, but the ground of such allegations are sometime not fully reasonable. The risks of methane hydrate resource development to environment and safety should be discussed upon methane hydrate occurrences condition, the production methods, and the designs of production system, under comprehensively scientific manners. In the Phase 1 of the Methane Hydrate Exploitation Program in Japan (FY2001-2008), the Research Consortium for Methane Hydrate Resources in Japan (MH21 Research Consortium) found methane hydrate concentrated zones in the eastern Nankai Trough that are potential prospects for resource development. The concentrated zones are consisted of turbidite-derived sandy sediments and hydrate crystals in pore spaces of sand grains (pore-filling type structure). The MH21 Research Consortium proposed the depressurization method as prime technique due to its efficiency of gas production in such concentrated zones, and has tried to develop conceptual designs of production systems based on the information of existing devices and facilities. Under the condition and circumstances described above, the authors tried to extract and evaluate some risk factors concerning methane hydrate development using depressurization in the area. Leakage of methane gas, that is less harmful substance to ecosystem than heavier hydrocarbons, from production system can be one possible risk. However, in the case of gas production through wellbore, even if catastrophic damages happen in the subsea production system during gas production, the leakages do not continue because the borehole could be filled by seawater and depressurization is stopped immediately. Another possible risk is a leakage of produced gas through seafloor. If methane hydrate production makes high pressure or temperature zones in sediments, the risk should be considered. However, depressurization method makes opposite condition

  14. X-ray microscopy with high resolution zone plates -- Recent developments

    International Nuclear Information System (INIS)

    Schneider, G.; Wilhein, T.; Niemann, B.; Guttmann, P.

    1995-01-01

    In order to expand the applications of X-ray microscopy, developments in the fields of zone plate technology, specimen preparation and imaging techniques have been made. A new cross-linked polymer chain electron beam resist allows to record zone plate pattern down to 19 nm outermost zone width. High resolution zone plates in germanium with outermost zone widths down to 19 nm have been developed. In addition, phase zone plates in nickel down to 30 nm zone width have been made by electroplating. In order to enhance the image contrast for weak absorbing objects, the phase contrast method for X-ray microscopy was developed and implemented on the Goettingen X-ray microscope at BESSY. The effects of X-ray absorption on the structure of biological specimen limits the maximum applicable radiation dose and therefore the achievable signal to noise ratio for an artifact-free X-ray image. To improve the stability especially of biological specimen, a cryogenic object chamber has been developed and tested. It turns out that at the operating temperature T ≤ 130 K unfixed biological specimen can be exposed to a radiation dose of 10 9 --10 10 Gy without any observable structural changes. A multiple-angle viewing stage allows to take stereoscopic images with the X-ray microscope, giving a 3D-impression of the object

  15. Implications of multiple risk factors for delineation of disease control zones: Case study on foot-and-mouth disease occurrence in Uganda

    DEFF Research Database (Denmark)

    Chrisostom, Ayebazibwe; Okurut, Ademun Anna Rose; Tjørnehøj, Kirsten

    2013-01-01

    strategies to promote disease control and livestock trade in endemic countries was to introduce the concept of disease-free zones within which specific sanitary and market standards have to be met. In Africa, it is only Namibia, Botswana and South Africa that have ever had FMD free OIE-declared zones......, water, animal products, utensils and livestock-human contacts. Like other developing countries, animal production and marketing are heavily constrained by limited access to lucrative international markets because of failure to meet the required standards by the World Trade Organization. One of the major....... In pursuit of possibilities of beef export to EU and other markets within Africa by the year 2020, Uganda delineated two disease control zones (DCZs) in areas with large livestock populations and as a consequence high risk for FMD, thus requiring high capital investment. This paper highlights the multiple...

  16. [A model list of high risk drugs].

    Science.gov (United States)

    Cotrina Luque, J; Guerrero Aznar, M D; Alvarez del Vayo Benito, C; Jimenez Mesa, E; Guzman Laura, K P; Fernández Fernández, L

    2013-12-01

    «High-risk drugs» are those that have a very high «risk» of causing death or serious injury if an error occurs during its use. The Institute for Safe Medication Practices (ISMP) has prepared a high-risk drugs list applicable to the general population (with no differences between the pediatric and adult population). Thus, there is a lack of information for the pediatric population. The main objective of this work is to develop a high-risk drug list adapted to the neonatal or pediatric population as a reference model for the pediatric hospital health workforce. We made a literature search in May 2012 to identify any published lists or references in relation to pediatric and/or neonatal high-risk drugs. A total of 15 studies were found, from which 9 were selected. A model list was developed mainly based on the ISMP one, adding strongly perceived pediatric risk drugs and removing those where the pediatric use was anecdotal. There is no published list that suits pediatric risk management. The list of pediatric and neonatal high-risk drugs presented here could be a «reference list of high-risk drugs » for pediatric hospitals. Using this list and training will help to prevent medication errors in each drug supply chain (prescribing, transcribing, dispensing and administration). Copyright © 2013 Asociación Española de Pediatría. Published by Elsevier Espana. All rights reserved.

  17. Structure and properties of melt-spun high acrylonitrile copolymer fibers via continuous zone-drawing and zone-annealing processes

    International Nuclear Information System (INIS)

    Wu Zongquan; Zhang Anqiu; Percec, Simona; Jin Shi; Jing, Alexander J.; Ge, Jason J.; Cheng, Stephen Z.D.

    2003-01-01

    Continuous zone-drawing and zone-annealing processes have been utilized to probe improvements in mechanical performance of melt-spun high acrylonitrile copolymer fibers (AMLON TM ). The as-spun fibers were zone-drawn at different ratios in a narrow temperature range of 100-105 deg. C and then zone-annealed. As a result of these processes, the fibers show substantial increases in tensile strength and tensile modulus (about three times) and significant improvements in elongation-at-break (about two times) after zone annealing. The thermal transition behavior, dimensional stability and dynamic relaxation properties of the as-spun, zone-drawn and zone-annealed fibers have been studied using differential scanning calorimetry, thermal mechanical and dynamic mechanical experiments. Their mechanical and thermal property changes after the zone-drawing and zone-annealing processes can be associated with the microscopic structural evolution including crystallinity, crystal orientation and apparent crystallite size detected by wide angle X-ray diffraction experiments

  18. Dynamical evolution of space debris on high-elliptical orbits near high-order resonance zones

    Science.gov (United States)

    Kuznetsov, Eduard; Zakharova, Polina

    Orbital evolution of objects on Molniya-type orbits is considered near high-order resonance zones. Initial conditions correspond to high-elliptical orbits with the critical inclination 63.4 degrees. High-order resonances are analyzed. Resonance orders are more than 5 and less than 50. Frequencies of perturbations caused by the effect of sectorial and tesseral harmonics of the Earth's gravitational potential are linear combinations of the mean motion of a satellite, angular velocities of motion of the pericenter and node of its orbit, and the angular velocity of the Earth. Frequencies of perturbations were calculated by taking into account secular perturbations from the Earth oblateness, the Moon, the Sun, and a solar radiation pressure. Resonance splitting effect leads to three sub-resonances. The study of dynamical evolution on long time intervals was performed on the basis of the results of numerical simulation. We used "A Numerical Model of the Motion of Artificial Earth's Satellites", developed by the Research Institute of Applied Mathematics and Mechanics of the Tomsk State University. The model of disturbing forces taken into account the main perturbing factors: the gravitational field of the Earth, the attraction of the Moon and the Sun, the tides in the Earth’s body, the solar radiation pressure, taking into account the shadow of the Earth, the Poynting-Robertson effect, and the atmospheric drag. Area-to-mass ratio varied from small values corresponding to satellites to big ones corresponding to space debris. The locations and sizes of resonance zones were refined from numerical simulation. The Poynting-Robertson effect results in a secular decrease in the semi-major axis of a spherically symmetrical satellite. In resonance regions the effect weakens slightly. Reliable estimates of secular perturbations of the semi-major axis were obtained from the numerical simulation. Under the Poynting-Robertson effect objects pass through the regions of high

  19. Resuscitation of newborn in high risk deliveries

    International Nuclear Information System (INIS)

    Yousaf, U.F.; Hayat, S.

    2015-01-01

    High risk deliveries are usually associated with increased neonatal mortality and morbidity. Neonatal resuscitation can appreciably affect the outcome in these types of deliveries. Presence of personnel trained in basic neonatal resuscitation at the time of delivery can play an important role in reducing perinatal complications in neonates at risk. The study was carried out to evaluate the effects of newborn resuscitation on neonatal outcome in high risk deliveries. Methods: This descriptive case series was carried out at the Department of Obstetrics and Gynecology, Jinnah Hospital, Lahore. Ninety consecutive high risk deliveries were included and attended by paediatricians trained in newborn resuscitation. Babies delivered by elective Caesarean section, normal spontaneous vaginal deliveries and still births were excluded. Neonatal resuscitation was performed in babies who failed to initiate breathing in the first minute after birth. Data was analyzed using SPSS-16.0. Results: A total of 90 high risk deliveries were included in the study. Emergency caesarean section was the mode of delivery in 94.4% (n=85) cases and spontaneous vaginal delivery in 5.6% (n=5). Preterm pregnancy was the major high risk factor. Newborn resuscitation was required in 37.8% (n=34) of all high risk deliveries (p=0.013). All the new-borns who required resuscitation survived. Conclusion: New-born resuscitation is required in high risk pregnancies and personnel trained in newborn resuscitation should be available at the time of delivery. (author)

  20. Polycyclic aromatic hydrocarbons and black carbon in intertidal sediments of China coastal zones: Concentration, ecological risk, source and their relationship

    Energy Technology Data Exchange (ETDEWEB)

    Li, Xiaofei [School of Geographical Sciences, East China Normal University, 3663 North Zhongshan Road, Shanghai 200062 (China); Hou, Lijun [State Key Laboratory of Estuarine and Coastal Research, East China Normal University, 3663 North Zhongshan Road, Shanghai 200062 (China); Li, Ye [School of Geographical Sciences, East China Normal University, 3663 North Zhongshan Road, Shanghai 200062 (China); Liu, Min, E-mail: mliu@geo.ecnu.edu.cn [School of Geographical Sciences, East China Normal University, 3663 North Zhongshan Road, Shanghai 200062 (China); Key Laboratory of Geographic Information Science, Ministry of Education, East China Normal University, 3663 North Zhongshan Road, Shanghai 200062 (China); Lin, Xianbiao; Cheng, Lv [School of Geographical Sciences, East China Normal University, 3663 North Zhongshan Road, Shanghai 200062 (China)

    2016-10-01

    Polycyclic aromatic hydrocarbons (PAHs) and black carbon (BC) have attracted many attentions, especially in the coastal environments. In this study, spatiotemporal distributions of PAHs and BC, and the correlations between BC and PAHs were investigated in the intertidal sediments of China coastal zones. BC in sediments was measured through dichromate oxidation (BC{sub Cr}) and thermal oxidation (BC{sub CTO}). The concentrations of BC{sub Cr} in the intertidal sediments ranged between 0.61 and 6.32 mg g{sup −1}, while BC{sub CTO} ranged between 0.57 and 4.76 mg g{sup −1}. Spatial variations of δ{sup 13}C signatures in TOC and BC were observed, varying from − 21.13‰ to − 24.87‰ and from − 23.53‰ to − 16.78‰, respectively. PAH contents of sediments ranged from 195.9 to 4610.2 ng g{sup −1} in winter and 98.2 to 2796.5 ng g{sup −1} in summer, and significantly seasonal variations were observed at most sampling sites. However, the results of potential toxicity assessment indicated low ecological risk in the intertidal sediments of China coastal zones. Greater concentrations of PAHs measured in the sediments of estuarine environments indicated that rivers runoff may have been responsible for the higher PAH pollution levels in the intertidal sediments of China coastal zones. Pearson's correlation analysis suggested that pyrogenic compounds of PAH were significantly related to BC, due to that both BC and these compounds derived mainly from the combustion process of fossil fuels and biomass. Overall, increasing energy consumptions caused by anthropogenic activities can contribute more emissions of BC as well as PAHs and thus improve the importance of BC in indicating pyrogenic compounds of PAHs in the intertidal sediments of China coastal zones. - Highlights: • River runoffs were responsible for the high PAH pollution levels in the study area. • BC and PAHs derived mainly from the combustion process of fossil fuels. • BC was associated

  1. High resolution, topobathymetric LiDAR coastal zone characterization in Denmark

    DEFF Research Database (Denmark)

    Steinbacher, Frank; Baran, Ramona; Andersen, Mikkel S.

    2016-01-01

    Coastal and tidal environments are valuable ecosystems, which, however, are under pressure in many areas around the world due to globalization and/or climate change. Detailed mapping of these environments is required in order to manage the coastal zone in a sustainable way. However, historically...... locations with different environmental settings. We demonstrate the potential of using airborne topobathymetric LiDAR for seamless mapping of land-water transition zones in challenging coastal environments, e.g. in an environment with high water column turbidity and continuously varying water levels due...... these transition zones between land and water are difficult or even impossible to map and investigate in high spatial resolution due to the challenging environmental conditions. The new generation of airborne topobathymetric light detection and ranging (LiDAR) potentially enables full-coverage and high...

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

    Directory of Open Access Journals (Sweden)

    Jeong-a Lim

    2006-12-01

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

  3. Reinforced concrete containment structures in high seismic zones

    International Nuclear Information System (INIS)

    Aziz, T.S.

    1977-01-01

    A new structural concept for reinforced concrete containment structures at sites where earthquake ground motions in terms of the Safe Shutdown Earthquake (SSE) exceeds 0.3 g is presented. The structural concept is based on: (1) an inner steel-lined concrete shell which houses the reactor and provides shielding and containment in the event of loss of coolant accident; (2) an outer annular concrete shell structure which houses auxilary reactor equipment and safeguards systems. These shell structures are supported on a common foundation mat which is embeded in the subgrade. Under stipulated earthquake conditions the two shell structures interact to resist lateral inertia forces. Thus the annular structure which is not a pressure boundary acts as a lateral support for the inner containment shell. The concept is practical, economically feasible and new to practice. An integrated configuration which includes the interior shell, the annular structure and the subgrade is analyzed for several static and dynamic loading conditions. The analysis is done using a finite difference solution scheme for the static loading conditions. A semi-analytical three-dimensional finite element scheme combined with a Fast Fourier Transform (FFT) algorithm is used for the dynamic loading conditions. The effects of cracking of the containment structure due to pressurization in conjunction with earthquake loading are discussed. Analytical results for both the finite difference and the finite element schemes are presented and the sensitivity of the results to changes in the input parameters is studied. General recommendations are given for plant configurations where high seismic loading is a major design consideration

  4. Water sources accessed by arid zone riparian trees in highly saline environments, Australia.

    Science.gov (United States)

    Costelloe, Justin F; Payne, Emily; Woodrow, Ian E; Irvine, Elizabeth C; Western, Andrew W; Leaney, Fred W

    2008-05-01

    The flow regimes of arid zone rivers are often highly variable, and shallow groundwater in the alluvial aquifers can be very saline, thus constraining the availability and quality of the major water sources available to riparian trees-soil water, shallow groundwater and stream water. We have identified water sources and strategies used by riparian trees in more highly saline and arid conditions than previously studied for riparian trees of arid zone rivers. Our research focused on the riparian species Eucalyptus coolabah, one of the major riparian trees of ephemeral arid zone rivers in Australia. The water sources available to this riparian tree were examined using delta(18)O isotope data from xylem, soil water, groundwater and surface water. Additionally, soil chloride and matric potential data were used to infer zones of water availability for root uptake. Despite the saline conditions, the trees used a mixture of soil water and groundwater sources, but they did not use surface water directly. The study identified three strategies used to cope with typically high groundwater and soil water salinities. Firstly, the trees preferentially grow in zones of most frequent flushing by infiltrating streamflow, such as the bank-tops of channels. Secondly, the trees limit water use by having low transpiration rates. Thirdly, the trees are able to extract water at very low osmotic potentials, with water uptake continuing at chloride concentrations of at least 20,000-30,000 mg L(-1).

  5. Characterizing the structural maturity of fault zones using high-resolution earthquake locations.

    Science.gov (United States)

    Perrin, C.; Waldhauser, F.; Scholz, C. H.

    2017-12-01

    We use high-resolution earthquake locations to characterize the three-dimensional structure of active faults in California and how it evolves with fault structural maturity. We investigate the distribution of aftershocks of several recent large earthquakes that occurred on immature faults (i.e., slow moving and small cumulative displacement), such as the 1992 (Mw7.3) Landers and 1999 (Mw7.1) Hector Mine events, and earthquakes that occurred on mature faults, such as the 1984 (Mw6.2) Morgan Hill and 2004 (Mw6.0) Parkfield events. Unlike previous studies which typically estimated the width of fault zones from the distribution of earthquakes perpendicular to the surface fault trace, we resolve fault zone widths with respect to the 3D fault surface estimated from principal component analysis of local seismicity. We find that the zone of brittle deformation around the fault core is narrower along mature faults compared to immature faults. We observe a rapid fall off of the number of events at a distance range of 70 - 100 m from the main fault surface of mature faults (140-200 m fault zone width), and 200-300 m from the fault surface of immature faults (400-600 m fault zone width). These observations are in good agreement with fault zone widths estimated from guided waves trapped in low velocity damage zones. The total width of the active zone of deformation surrounding the main fault plane reach 1.2 km and 2-4 km for mature and immature faults, respectively. The wider zone of deformation presumably reflects the increased heterogeneity in the stress field along complex and discontinuous faults strands that make up immature faults. In contrast, narrower deformation zones tend to align with well-defined fault planes of mature faults where most of the deformation is concentrated. Our results are in line with previous studies suggesting that surface fault traces become smoother, and thus fault zones simpler, as cumulative fault slip increases.

  6. Improving antenatal risk assessment in women exposed to high risks.

    Science.gov (United States)

    Perry, Natasha; Newman, Louise K; Hunter, Mick; Dunlop, Adrian

    2015-01-01

    Antenatal substance use and related psychosocial risk factors are known to increase the likelihood of child protection involvement; less is known about the predictive nature of maternal reflective functioning (RF) in this population. This preliminary study assessed psychosocial and psychological risk factors for a group of substance dependent women exposed to high risks in pregnancy, and their impact on child protection involvement. Pregnant women on opiate substitution treatment (n = 11) and a comparison group (n = 15) were recruited during their third trimester to complete measures of RF (Pregnancy Interview), childhood trauma, mental health and psychosocial assessments. At postnatal follow-up, RF was reassessed (Parent Development Interview - Revised Short Version) and mother-infant dyads were videotaped to assess emotional availability (EA). Child protection services were contacted to determine if any concerns had been raised for infant safety. Significant between-group differences were observed for demographics, psychosocial factors, trauma and mental health symptoms. Unexpectedly, no significant differences were found for RF or EA between groups. Eight women in the 'exposed to high risks' group became involved with child protection services. Reflective functioning was not significantly associated with psychosocial risk factors, and therefore did not mediate the outcome of child protection involvement. Women 'exposed to high risks' were equally able to generate a model of their own and their infants' mental states and should not be seen within a deficit perspective. Further research is required to better understand the range of risk factors that predict child protection involvement in high risk groups. © The Author(s) 2013.

  7. Highly Enhanced Risk Management Emergency Satellite

    DEFF Research Database (Denmark)

    Dalmeir, Michael; Gataullin, Yunir; Indrajit, Agung

    HERMES (Highly Enhanced Risk Management Emergency Satellite) is potential European satellite mission for global flood management, being implemented by Technical University Munich and European Space Agency. With its main instrument - a reliable and precise Synthetic Aperture Radar (SAR) antenna...

  8. The high-risk plaque initiative

    DEFF Research Database (Denmark)

    Falk, Erling; Sillesen, Henrik; Muntendam, Pieter

    2011-01-01

    The High-Risk Plaque (HRP) Initiative is a research and development effort to advance the understanding, recognition, and management of asymptomatic individuals at risk for a near-term atherothrombotic event such as myocardial infarction or stroke. Clinical studies using the newest technologies...... have been initiated, including the BioImage Study in which novel approaches are tested in a typical health plan population. Asymptomatic at-risk individuals were enrolled, including a survey-only group (n = 865), a group undergoing traditional risk factor scoring (n = 718), and a group in which all...

  9. Stereotyped high-frequency oscillations discriminate seizure onset zones and critical functional cortex in focal epilepsy.

    Science.gov (United States)

    Liu, Su; Gurses, Candan; Sha, Zhiyi; Quach, Michael M; Sencer, Altay; Bebek, Nerses; Curry, Daniel J; Prabhu, Sujit; Tummala, Sudhakar; Henry, Thomas R; Ince, Nuri F

    2018-01-30

    High-frequency oscillations in local field potentials recorded with intracranial EEG are putative biomarkers of seizure onset zones in epileptic brain. However, localized 80-500 Hz oscillations can also be recorded from normal and non-epileptic cerebral structures. When defined only by rate or frequency, physiological high-frequency oscillations are indistinguishable from pathological ones, which limit their application in epilepsy presurgical planning. We hypothesized that pathological high-frequency oscillations occur in a repetitive fashion with a similar waveform morphology that specifically indicates seizure onset zones. We investigated the waveform patterns of automatically detected high-frequency oscillations in 13 epilepsy patients and five control subjects, with an average of 73 subdural and intracerebral electrodes recorded per patient. The repetitive oscillatory waveforms were identified by using a pipeline of unsupervised machine learning techniques and were then correlated with independently clinician-defined seizure onset zones. Consistently in all patients, the stereotypical high-frequency oscillations with the highest degree of waveform similarity were localized within the seizure onset zones only, whereas the channels generating high-frequency oscillations embedded in random waveforms were found in the functional regions independent from the epileptogenic locations. The repetitive waveform pattern was more evident in fast ripples compared to ripples, suggesting a potential association between waveform repetition and the underlying pathological network. Our findings provided a new tool for the interpretation of pathological high-frequency oscillations that can be efficiently applied to distinguish seizure onset zones from functionally important sites, which is a critical step towards the translation of these signature events into valid clinical biomarkers.awx374media15721572971001. © The Author(s) (2018). Published by Oxford University Press on

  10. Garnet Yield Strength at High Pressures and Implications for Upper Mantle and Transition Zone Rheology

    International Nuclear Information System (INIS)

    Kavner, A.

    2008-01-01

    Garnet helps control the mechanical behavior of the Earth's crust, mantle, and transition zone. Here, measurements are presented suggesting that garnet, long considered to be a high-viscosity phase, is actually weaker than the other dominant components in the transition zone. The mechanical behavior of garnet at high pressures was examined using radial diffraction techniques in the diamond anvil cell. The yield strength of grossular garnet was inferred from synchrotron X-ray measurements of differential lattice strains. The differential stress was found to increase from 1.3 (±0.6) GPa at a hydrostatic pressure 5.8 (±1.1) GPa to 4.1 (±0.4) GPa at 15.7 (±1.0) GPa, where it was level to 19 GPa. The strength results are consistent with inferred strength values for majorite garnet from measurements in the diamond cell normal geometry, bolstering the idea that garnet-structured materials may all have similar strengths. In this low-temperature, high differential stress regime, garnet is shown to be significantly weaker than anhydrous ringwoodite and to have a strength similar to hydrous ringwoodite. This result suggests that the presence of water in the transition zone may not be required to explain a weak rheology, and therefore models of transition zone behavior built assuming that garnet is the high-strength phase may need to be revised.

  11. Seroprevalence and risk factors for brucellosis in cattle in selected districts of Jimma zone, Ethiopia.

    Science.gov (United States)

    Dirar, Bashahun Gebremichael; Nasinyama, George William; Gelalcha, Benti Deresa

    2015-12-01

    A cross-sectional study was carried out in Jimma town and Chora Botor district of Jimma zone from February 2014 to May 2014 to determine seroprevalence and risk factors of brucellosis in cattle. A total of 348 blood samples (174 each from zebu and crossbreed) were collected. The sera were separated and screened by Rose Bengal plate test (RBPT), and positive sera were retested by complement fixation test (CFT) for confirmation. The overall seroprevalence of bovine brucellosis was 1.4 and 0.3 % as tested by RBPT and CFT, respectively. The seroprevalence of bovine brucellosis in indigenous and crossbreed cattle was 1.1 and 0.6 % and 1.7 and 0 % using RBPT and CFT, respectively. Retained fetal membrane was the only risk factor found to be significantly associated with seropositivity of brucellosis in this study (p = 0.019). The overall seroprevalence of brucellosis was very low. However, due to the zoonotic and economic importance of the disease, prevention and control measures are required to stop further spread of the disease. To effectively implement this, the One Health (OH) is the most constructive approach we recommend.

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

    Directory of Open Access Journals (Sweden)

    Minju Kang

    2018-01-01

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

  13. Facile Route to Vertically Aligned High-Aspect Ratio Block Copolymer Films via Dynamic Zone Annealing

    Science.gov (United States)

    Singh, Gurpreet; Kulkarni, Manish; Yager, Kevin; Smilgies, Detlef; Bucknall, David; Karim, Alamgir

    2012-02-01

    Directed assembly of block copolymers (BCP) can be used to fabricate a diversity of nanostructures useful for nanotech applications. The ability to vertically orient etchable high aspect ratio (˜30) ordered BCP domains on flexible substrates via continuous processing methods are particularly attractive for nanomanufacturing. We apply sharp dynamic cold zone annealing (CZA-S) to create etchable, and predominantly vertically oriented 30nm cylindrical domains in 1 μm thick poly(styrene-b-methylmethacrylate) films on low thermal conductivity rigid (quartz) and flexible (PDMS & Kapton) substrates. Under similar static conditions, temporally stable vertical cylinders form within a narrow zone above a critical temperature gradient. Primary ordering mechanism of CZA-S involves sweeping this vertically orienting zone created at maximum thermal gradient. An optimal speed is needed since the process competes with preferential surface wetting dynamics that favors parallel orientation. GISAXS of etched BCP films confirms internal morphology.

  14. Impacts of a high-discharge submarine sewage outfall on water quality in the coastal zone of Salvador (Bahia, Brazil)

    KAUST Repository

    Roth, Florian; Lessa, G.C.; Wild, C.; Kikuchi, R.K.P.; Naumann, M.S.

    2016-01-01

    Carbon and nitrogen stable isotopic signatures of suspended particulate organic matter and seawater biological oxygen demand (BOD) were measured along a coastal transect during summer 2015 to investigate pollution impacts of a high-discharge submarine sewage outfall close to Salvador, Brazil. Impacts of untreated sewage discharge were evident at the outfall site by depleted δ13Corg and δ15N signatures and 4-fold increased BOD rates. Pollution effects of a sewage plume were detectable for more than 6 km downstream from the outfall site, as seasonal wind- and tide-driven shelf hydrodynamics facilitated its advective transport into near-shore waters. There, sewage pollution was detectable at recreational beaches by depleted stable isotope signatures and elevated BOD rates at high tides, suggesting high bacterial activity and increased infection risk by human pathogens. These findings indicate the urgent necessity for appropriate wastewater treatment in Salvador to achieve acceptable standards for released effluents and coastal zone water quality.

  15. Impacts of a high-discharge submarine sewage outfall on water quality in the coastal zone of Salvador (Bahia, Brazil)

    KAUST Repository

    Roth, Florian

    2016-03-30

    Carbon and nitrogen stable isotopic signatures of suspended particulate organic matter and seawater biological oxygen demand (BOD) were measured along a coastal transect during summer 2015 to investigate pollution impacts of a high-discharge submarine sewage outfall close to Salvador, Brazil. Impacts of untreated sewage discharge were evident at the outfall site by depleted δ13Corg and δ15N signatures and 4-fold increased BOD rates. Pollution effects of a sewage plume were detectable for more than 6 km downstream from the outfall site, as seasonal wind- and tide-driven shelf hydrodynamics facilitated its advective transport into near-shore waters. There, sewage pollution was detectable at recreational beaches by depleted stable isotope signatures and elevated BOD rates at high tides, suggesting high bacterial activity and increased infection risk by human pathogens. These findings indicate the urgent necessity for appropriate wastewater treatment in Salvador to achieve acceptable standards for released effluents and coastal zone water quality.

  16. Progress in the fabrication of high aspect ratio zone plates by soft x-ray lithography

    International Nuclear Information System (INIS)

    Divan, R.; Mancini, D. C.; Moldovan, N. A.; Lai, B.; Assoufid, L.; Leondard, Q.; Cerrina, F.

    2002-01-01

    Fabrication of Fresnel zone plates for the hard x-ray spectral region combines the challenge of high lateral resolution (∼100 nm) with a large thickness requirement for the phase-shifting material (0.5-3 (micro)m). For achieving a high resolution, the initial mask was fabricated by e-beam lithography and gold electroforming. To prevent the collapse of the structures between the developing and electroforming processes, drying was completely eliminated. Fabrication errors, such as nonuniform gold electroplating and collapse of structures, were systematically analyzed and largely eliminated. We optimized the exposure and developing processes for 950k and 2200k polymethylmethacrylate of different thicknesses and various adhesion promoters. We discuss the effects of these fabrication steps on the zone plate's resolution and aspect ratio. Fresnel zone plates with 110 nm outermost zone width, 150 (micro)m diameter, and 1.3 (micro)m gold thickness were fabricated. Preliminary evaluation of the FZPs was done by scanning electron microscopy and atomic force microscopy. The FZP focusing performance was characterized at the Advanced Photon Source at Argonne National Laboratory

  17. Small scale denitrification variability in riparian zones: Results from a high-resolution dataset

    Science.gov (United States)

    Gassen, Niklas; Knöller, Kay; Musolff, Andreas; Popp, Felix; Lüders, Tillmann; Stumpp, Christine

    2017-04-01

    Riparian zones are important compartments at the interface between groundwater and surface water where biogeochemical processes like denitrification are often enhanced. Nitrate loads of either groundwater entering a stream through the riparian zone or streamwater infiltrating into the riparian zone can be substantially reduced. These processes are spatially and temporally highly variable, making it difficult to capture solute variabilities, estimate realistic turnover rates and thus to quantify integral mass removal. A crucial step towards a more detailed characterization is to monitor solutes on a scale which adequately resemble the highly heterogeneous distribution and on a scale where processes occur. We measured biogeochemical parameters in a spatial high resolution within a riparian corridor of a German lowland river system over the course of one year. Samples were taken from three newly developed high-resolution multi-level wells with a maximum vertical resolution of 5 cm and analyzed for major ions, DOC and N-O isotopes. Sediment derived during installation of the wells was analyzed for specific denitrifying enzymes. Results showed a distinct depth zonation of hydrochemistry within the shallow alluvial aquifer, with a 1 m thick zone just below the water table with lower nitrate concentrations and EC values similar to the nearby river. Conservative parameters were consistent inbetween the three wells, but nitrate was highly variable. In addition, spots with low nitrate concentrations showed isotopic and microbial evidence for higher denitrification activities. The depth zonation was observed throughout the year, with stronger temporal variations of nitrate concentrations just below the water table compared to deeper layers. Nitrate isotopes showed a clear seasonal trend of denitrification activities (high in summer, low in winter). Our dataset gives new insight into river-groundwater exchange processes and shows the highly heterogeneous distribution of

  18. High-Resolution P'P' Precursor Imaging of Nazca-South America Plate Boundary Zones and Inferences for Transition Zone Temperature and Composition

    Science.gov (United States)

    Gu, Y. J.; Schultz, R.

    2013-12-01

    Knowledge of upper mantle transition zone stratification and composition is highly dependent on our ability to efficiently extract and properly interpret small seismic arrivals. A promising high-frequency seismic phase group particularly suitable for a global analysis is P'P' precursors, which are capable of resolving mantle structures at vertical and lateral resolution of approximately 5 and 200 km, respectively, owing to their shallow incidence angle and small, quasi-symmetric Fresnel zones. This study presents a simultaneous analysis of SS and P'P' precursors based on deconvolution, Radon transform and depth migration. Our multi-resolution survey of the mantle near Nazca-South America subduction zone reveals both olivine and garnet related transitions at depth below 400 km. We attribute a depressed 660 to thermal variations, whereas compositional variations atop the upper-mantle transition zone are needed to explain the diminished or highly complex reflected/scattered signals from the 410 km discontinuity. We also observe prominent P'P' reflections within the transition zone, especially near the plate boundary zone where anomalously high reflection amplitudes result from a sharp (~10 km thick) mineral phase change resonant with the dominant frequency of the P'P' precursors. Near the base of the upper mantle, the migration of SS precursors shows no evidence of split reflections near the 660-km discontinuity, but potential majorite-ilmenite (590-640 km) and ilmenite-perovskite transitions (740-750 km) are identified based on similarly processed high-frequency P'P' precursors. At nominal mantle temperatures these two phase changes may be seismically indistinguishable, but colder mantle conditions from the descending Nazca plate, the presence of water and variable Fe contents may cause sufficient separation for a reliable analysis. In addition, our preliminary results provide compelling evidence for multiple shallow lower-mantle reflections (at ~800 km) along the

  19. Renal transplantation in high cardiovascular risk patients.

    Science.gov (United States)

    Bittar, Julio; Arenas, Paula; Chiurchiu, Carlos; de la Fuente, Jorge; de Arteaga, Javier; Douthat, Walter; Massari, Pablo U

    2009-10-01

    Current transplant success allows recipients with previous contraindications to transplant to have access to this procedure with more frequency and safety. The concept of high-risk patient has changed since the first stages of transplantation. In the first studies, the high-risk concept was based on probability of early graft failure or on a patient's clinical condition to cope with high perioperatory morbimortality. Later on, this concept implied immunological factors that were crucial to ensure transplant success because hypersensitized or polytransfused patients experienced a higher risk of acute rejection and subsequent graft loss. Afterward, the presence of various comorbidities would redefine the high-risk concept for renal transplant mainly considering recipient's clinical aspects. Currently, the change in epidemiological characteristics of patients starting dialysis causes that we now deal with a greater increase of elderly patients, diabetic patients, and patients with history of cardiovascular disease. Today, high-risk patients are those with clinical features that predict an increase in the risk of perioperative morbimortality or death with functioning graft. In this review, we will attempted to analyze currents results of renal transplant outcomes in terms of patients and graft survival in elderly patients, diabetic patients, and patients with previous cardiovascular disease from the most recent experiences in the literature and from experiences in our center. In any of the groups previously analyzed, survival offered by renal transplant is significantly higher compared to dialysis. Besides, these patients are the recipient group that benefit the most with the transplant because their mortality while remaining on dialysis is extremely high. Hence, renal transplantation should be offered more frequently to older patients, diabetic patients, and patients with pretransplant cardiac and peripheral vascular disease. A positive attitude toward renal

  20. High risk process control system assessment methodology

    Energy Technology Data Exchange (ETDEWEB)

    Santos, Venetia [Pontificia Universidade Catolica do Rio de Janeiro (PUC-Rio), RJ (Brazil); Zamberlan, Maria Cristina [National Institute of Tehnology (INT), Rio de Janeiro, RJ (Brazil). Human Reliability and Ergonomics Research Group for the Oil, Gas and Energy Sector

    2009-07-01

    The evolution of ergonomics methodology has become necessary due to the dynamics imposed by the work environment, by the increase of the need of human cooperation and by the high interaction between various sections within a company. In the last 25 years, as of studies made in the high risk process control, we have developed a methodology to evaluate these situations that focus on the assessment of activities and human cooperation, the assessment of context, the assessment of the impact of work of other sectors in the final activity of the operator, as well as the modeling of existing risks. (author)

  1. Localities With Elevated Radiation Background in the High Karst Zone of Montenegro

    International Nuclear Information System (INIS)

    Vukotic, P.; Svrkota, R.; Andjelic, T.; Zekic, R.; Antovic, N.

    2011-01-01

    Research aimed to find localities in Montenegro with an elevated terrestrial gamma background was conducted during the period 2008-2009. For this purpose, 138 localities which have geological formations known to contain minerals with potentially high concentrations of U, Th and K, were selected throughout the country for a dosimetric survey. There are four distinctive geotectonic units in Montenegro: the Adriatic-Ionian Zone (JZ), the Budva-Cukali Zone (BZ), the High Karst Zone (VK), and the Durmitor Tectonic Unit (DTJ). The central and southern parts of Montenegro belong to the VK zone, whose geological structure is predominated by Mesozoic carbonate sediments, with occurrences of red and white bauxite formations, Triassic volcanic rocks, Paleogene flysch sediments and Quaternary sediments. In total, 38 localities belonging to the VK zone were selected for field investigations of terrestrial radiation. Knowing from earlier investigations that in Montenegro the average absorbed dose-rate in the air, 1 m above the ground, is 55 nGy/h, it was arbitrarily adopted that only localities with absorbed doses at least 50 % above this average value would be considered as having a relatively elevated radiation background. Field measurements have shown that 12 of the surveyed localities in the VK zone have such elevated dose values, five of them being with the highest dose rates in Montenegro. Among these five sites, the highest dose rate (192 nGy/h) was found at a locality which lies on andesite volcanic rock, while the other four localities (131 - 149 nGy/h) lie on bauxite deposits. Compared to the other areas in the world known to have a high natural radiation background, all of these localities in Montenegro have a moderately elevated radiation level. From the 12 localities with a relatively elevated radiation background, soil samples have been collected and analyzed by gamma spectrometry to determine activity concentrations of 40K, 232Th, 235U, 238U, 226Ra and 137Cs

  2. Impacts of a high-discharge submarine sewage outfall on water quality in the coastal zone of Salvador (Bahia, Brazil)

    International Nuclear Information System (INIS)

    Roth, F.; Lessa, G.C.; Wild, C.; Kikuchi, R.K.P.; Naumann, M.S.

    2016-01-01

    Carbon and nitrogen stable isotopic signatures of suspended particulate organic matter and seawater biological oxygen demand (BOD) were measured along a coastal transect during summer 2015 to investigate pollution impacts of a high-discharge submarine sewage outfall close to Salvador, Brazil. Impacts of untreated sewage discharge were evident at the outfall site by depleted δ 13 C org and δ 15 N signatures and 4-fold increased BOD rates. Pollution effects of a sewage plume were detectable for more than 6 km downstream from the outfall site, as seasonal wind- and tide-driven shelf hydrodynamics facilitated its advective transport into near-shore waters. There, sewage pollution was detectable at recreational beaches by depleted stable isotope signatures and elevated BOD rates at high tides, suggesting high bacterial activity and increased infection risk by human pathogens. These findings indicate the urgent necessity for appropriate wastewater treatment in Salvador to achieve acceptable standards for released effluents and coastal zone water quality. - Highlights: •Pollution by untreated sewage discharge is evident at the outfall and in Salvador's coastal zone. •Seasonal wind- and tide-driven surface currents control advective transport of discharged sewage. •Water quality at Salvador's recreational beaches is impacted by a plume of untreated sewage.

  3. High Risk Behaviors in Marine Mammals: Linking Behavioral Responses to Anthropogenic Disturbance to Biological Consequences

    Science.gov (United States)

    2015-09-30

    1 DISTRIBUTION STATEMENT A. Approved for public release; distribution is unlimited. High Risk Behaviors in Marine Mammals : Linking...comprehensive evaluation of biological safety zones for diving marine mammals . In this way we intend to identify those marine mammal species or specific...improving the protection of marine mammals during naval operations. OBJECTIVES We are testing the hypothesis that extreme behaviors requiring

  4. New information on high risk breast screening

    International Nuclear Information System (INIS)

    Riedl, C.C.; Ponhold, L.; Gruber, R.; Pinker, K.; Helbich, T.H.

    2010-01-01

    Women with an elevated risk for breast cancer require intensified screening beginning at an early age. Such high risk screening differs considerably from screening in the general population. After an expert has evaluated the exact risk a breast MRI examination should be offered at least once a year and beginning latest at the age of 30 depending on the patients risk category. Complementary mammograms should not be performed before the age of 35. An additional ultrasound examination is no longer recommended. To ensure a high sensitivity and specificity high risk screening should be performed only at a nationally or regionally approved and audited service. Adequate knowledge about the phenotypical characteristics of familial breast cancer is essential. Besides the common malignant phenotypes, benign morphologies (round or oval shape and smooth margins) as well as a low prevalence of calcifications have been described. Using MRI benign contrast media kinetics as well as non-solid lesions with focal, regional and segmental enhancement can often be visualized. (orig.) [de

  5. Not all risks are equal: the risk taking inventory for high-risk sports.

    Science.gov (United States)

    Woodman, Tim; Barlow, Matt; Bandura, Comille; Hill, Miles; Kupciw, Dominika; Macgregor, Alexandra

    2013-10-01

    Although high-risk sport participants are typically considered a homogenous risk-taking population, attitudes to risk within the high-risk domain can vary considerably. As no validated measure allows researchers to assess risk taking within this domain, we validated the Risk Taking Inventory (RTI) for high-risk sport across four studies. The RTI comprises seven items across two factors: deliberate risk taking and precautionary behaviors. In Study 1 (n = 341), the inventory was refined and tested via a confirmatory factor analysis used in an exploratory fashion. The subsequent three studies confirmed the RTI's good model-data fit via three further separate confirmatory factor analyses. In Study 2 (n = 518) and in Study 3 (n = 290), concurrent validity was also confirmed via associations with other related traits (sensation seeking, behavioral activation, behavioral inhibition, impulsivity, self-esteem, extraversion, and conscientiousness). In Study 4 (n = 365), predictive validity was confirmed via associations with mean accidents and mean close calls in the high-risk domain. Finally, in Study 4, the self-report version of the inventory was significantly associated with an informant version of the inventory. The measure will allow researchers and practitioners to investigate risk taking as a variable that is conceptually distinct from participation in a high-risk sport.

  6. Spatial variability and potential impacts of climate change on flood and debris flow hazard zone mapping and implications for risk management

    Directory of Open Access Journals (Sweden)

    H. Staffler

    2008-06-01

    Full Text Available The main goals of this study were to identify the alpine torrent catchments that are sensitive to climatic changes and to assess the robustness of the methods for the elaboration of flood and debris flow hazard zone maps to specific effects of climate changes. In this study, a procedure for the identification and localization of torrent catchments in which the climate scenarios will modify the hazard situation was developed. In two case studies, the impacts of a potential increase of precipitation intensities to the delimited hazard zones were studied.

    The identification and localization of the torrent and river catchments, where unfavourable changes in the hazard situation occur, could eliminate speculative and unnecessary measures against the impacts of climate changes like a general enlargement of hazard zones or a general over dimensioning of protection structures for the whole territory. The results showed a high spatial variability of the sensitivity of catchments to climate changes. In sensitive catchments, the sediment management in alpine torrents will meet future challenges due to a higher rate for sediment removal from retention basins. The case studies showed a remarkable increase of the areas affected by floods and debris flow when considering possible future precipitation intensities in hazard mapping. But, the calculated increase in extent of future hazard zones lay within the uncertainty of the methods used today for the delimitation of the hazard zones. Thus, the consideration of the uncertainties laying in the methods for the elaboration of hazard zone maps in the torrent and river catchments sensitive to climate changes would provide a useful instrument for the consideration of potential future climate conditions. The study demonstrated that weak points in protection structures in future will become more important in risk management activities.

  7. Risk of suicide in high risk pregnancy: an exploratory study.

    Science.gov (United States)

    Benute, Gláucia Rosana Guerra; Nomura, Roseli Mieko Yamamoto; Jorge, Vanessa Marques Ferreira; Nonnenmacher, Daniele; Fráguas Junior, Renério; Lucia, Mara Cristina Souza de; Zugaib, Marcelo

    2011-01-01

    To identify the risk of suicidal behavior in high-risk pregnant women at a public hospital in São Paulo. We conducted a semi-structured interview with each of the participants (n = 268) through a previously prepared questionnaire. Risk of suicidal behavior was assessed by the Portuguese version of PRIME-MD. The mean age of patients was 29 years (SD = 0.507) and gestation period was 30 weeks (SD = 0.556). Of the total sample, specific risk of suicide was found in 5% (n = 14). Of these, 85% have a stable relationship (married or cohabitating), the pregnancy was planned in 50% of cases, and 71% have no religion or professional activities. The correlation of risk of suicide with data from marital status, planned birth, age, education, professional practice, risk of prematurity, and religion showed that having a religion is statistically significant (p = 0.012). There were no positive associations for any of the other selected variables when compared with the risk of suicide. By correlating the risk of suicide with other characteristic symptoms of major depression, there was statistical significance in the sample with regard to insomnia or hypersomnia (p = 0.003), fatigue or loss of energy (p = 0.001), decreased or increased appetite (p = 0.005), less interest in daily activities (p = 0.000), depressed mood (p = 0.000), feelings of worthlessness or guilt (p = 0.000), decreased concentration (p = 0.002), and agitation or psychomotor retardation (p = 0.002). We found that religion can be a protective factor against suicidal behavior. Besides providing a social support network needed by women during pregnancy, religion supports belief in life after death and in a loving God, giving purpose to life and self esteem and providing models for coping with crises. The results show the importance of prevention and early diagnosis of suicidal behavior, since suicide is an attempt to move from one sphere to another by force, seeking to solve what seems impossible.

  8. Laser prostatectomy in high-risk patients

    International Nuclear Information System (INIS)

    Tayib, Abdulmalik M.

    2008-01-01

    Objective was to evaluate the short-term tolerability and outcome of high power green light potassium titanyl phosphate laser prostatectomy in high-risk patients with symptomatic benign prostatic hyperplasia. Eleven high risk operative patients were included in this study at the International Medical Center, Jeddah, Kingdom of Saudi Arabia, between January and September 2007. Patients enrolled in this study underwent preoperative and postoperative, cardiac and anesthesia evaluation. Clinical presentations, ultrasound of urinary tract and preoperative laboratory investigation were recorded. All patients underwent high power green light laser prostatectomy using the green light photo vaporization system with setting of 120 watts. The intraoperative and postoperative complications and follow-up were recorded. The patient's age varied between 65-82 years with a mean age of 75.3+-8.6 years old. Seven patients presented with refractory acute urinary retention and 4 patients presented with severe lower urinary tract symptoms. The average prostate volume was 61.22 cc. All patients had uneventful intra- and postoperative course, without the intensive care. The average blood loss was insignificant and only one of the patients required blood transfusion. Foley catheters were removed one day after the procedure. All patients voided satisfactorily after removal of catheter and 8 patients complained of urgency. High power green light laser prostatectomy is a safe and effective method of treating symptomatic benign prostatic hyperplasia in patients with high operative risk. (author)

  9. Geochemical evolution of highly alkaline and saline tank waste plumes during seepage through vadose zone sediments

    International Nuclear Information System (INIS)

    Wan, Jiamin; Tokunaga, Tetsu K.; Larsen, Joern T.; Serne, R. JEFFREY

    2004-01-01

    Leakage of highly saline and alkaline radioactive waste from storage tanks into underlying sediments is a serious environmental problem at the Hanford Site in Washington State. This study focuses on geochemical evolution of tank waste plumes resulting from interactions between the waste solution and sediment. A synthetic tank waste solution was infused into unsaturated Hanford sediment columns (0.2, 0.6, and 2 m) maintained at 70C to simulate the field contamination process. Spatially and temporally resolved geochemical profiles of the waste plume were obtained. Thorough OH neutralization (from an initial pH 14 down to 6.3) was observed. Three broad zones of pore solutions were identified to categorize the dominant geochemical reactions: the silicate dissolution zone (pH > 10), pH-neutralized zone (pH 10 to 6.5), and displaced native sediment pore water (pH 6.5 to 8). Elevated concentrations of Si, Fe, and K in plume fluids and their depleted concentrations in plume sediments reflected dissolution of primary minerals within the silicate dissolution zone. The very high Na concentrations in the waste solution resulted in rapid and complete cation exchange, reflected in high concentrations of Ca and Mg at the plume front. The plume-sediment profiles also showed deposition of hydrated solids and carbonates. Fair correspondence was obtained between these results and analyses of field borehole samples from a waste plume at the Hanford Site. Results of this study provide a well-defined framework for understanding waste plumes in the more complex field setting and for understanding geochemical factors controlling transport of contaminant species carried in waste solutions that leaked from single-shell storage tanks in the past

  10. Assessment of risk factors in pollution of coastal zone and river basins by numerical modelling

    International Nuclear Information System (INIS)

    Tsitskishvili, M.; Kordzakhia, G.; Shaptoshvili, A.; Tsitskishvili, L.; Diasamidze, R.; Soloduchin, V.

    2005-01-01

    pollution. For this aim the special deterministic models on the basis of passive admixture's turbulence diffusion equation is used. For numerical calculations Mc Kormack's predictor-corrector two steps scheme is used. The scheme is disintegrated, second order in space and time. Such scheme is established because the turbulent velocities very differ in horizontal and vertical directions and model allows implementing singular independent steps in different directions. Grid step for the model is 26.88 km in horizontal direction and 20 m m in vertical until 200 m. Time step is equal to 4 hours and computational time period - 4 months. Number of grid points is equal to 4983 for all calculation areas. Computations are carried out separately for big rivers basins as well as for Black and Caspian Seas water areas. The model calculations are made for cases with various locations of pollutant sources including accidental throws. For different realistic scenarios are calculated the concentrations of admixtures. The directions of their propagation are also determined. The risks are calculated in comparison with the Maximum Permissible Concentrations (MPC) of the pollutants according to achieved results. That gives possibility to define the most vulnerable areas in coastal zones. Realized methodology is verified by means of various scenarios for mentioned rivers and sea basins. The maps with indication of risk zones in river basins as well as of Black and Caspian Seas water areas are created

  11. The assessment of waters ecological state of the Crimea coastal near high-rise construction zones

    Science.gov (United States)

    Vetrova, Natalya; Ivanenko, Tatyana; Mannanov, Emran

    2018-03-01

    The relevance of our study is determined by the significant level of coastal sea waters pollution by sewage near high-rise construction zones, which determines the violation of the sanitary and hygienic of sea waters `characteristics and limits the possibilities for organizing recreational activities. The purpose of this study is to identify the ecological state of the marine aquatic area by the example of the Western Crimea near high-rise construction zones. The studies confirmed that the recreational and coastal area wastewater is intensely mixed with seawater, as a result, the pollution in the coastal strip of the sea in the area of deep water discharges sharply decrease. This happens because of water rapid rise to the surface and under the influence of the continuous movement of sea water huge masses with deep-water discharge, fresh wastewater is actively mixed with sea water. However, with no doubt, it is inadmissible to discharge sewage into the sea directly from the shore, but only at the estimated distance from the coast. The materials of the article can be useful for the management bodies and organizations involved in monitoring the quality of the coastal zone of the sea, teachers and students of higher educational institutions when assessing the ecological situation of the territories.

  12. In-depth analysis of drivers' merging behavior and rear-end crash risks in work zone merging areas.

    Science.gov (United States)

    Weng, Jinxian; Xue, Shan; Yang, Ying; Yan, Xuedong; Qu, Xiaobo

    2015-04-01

    This study investigates the drivers' merging behavior and the rear-end crash risk in work zone merging areas during the entire merging implementation period from the time of starting a merging maneuver to that of completing the maneuver. With the merging traffic data from a work zone site in Singapore, a mixed probit model is developed to describe the merging behavior, and two surrogate safety measures including the time to collision (TTC) and deceleration rate to avoid the crash (DRAC) are adopted to compute the rear-end crash risk between the merging vehicle and its neighboring vehicles. Results show that the merging vehicle has a bigger probability of completing a merging maneuver quickly under one of the following situations: (i) the merging vehicle moves relatively fast; (ii) the merging lead vehicle is a heavy vehicle; and (iii) there is a sizable gap in the adjacent through lane. Results indicate that the rear-end crash risk does not monotonically increase as the merging vehicle speed increases. The merging vehicle's rear-end crash risk is also affected by the vehicle type. There is a biggest increment of rear-end crash risk if the merging lead vehicle belongs to a heavy vehicle. Although the reduced remaining distance to work zone could urge the merging vehicle to complete a merging maneuver quickly, it might lead to an increased rear-end crash risk. Interestingly, it is found that the rear-end crash risk could be generally increased over the elapsed time after the merging maneuver being triggered. Copyright © 2015 Elsevier Ltd. All rights reserved.

  13. The influence of the fault zone width on land surface vibrations after the high-energy tremor in the "Rydułtowy-Anna" hard coal mine

    Science.gov (United States)

    Pilecka, Elżbieta; Szwarkowski, Dariusz

    2018-04-01

    In the article, a numerical analysis of the impact of the width of the fault zone on land surface tremors on the area of the "Rydułtowy - Anna" hard coal mine was performed. The analysis covered the dynamic impact of the actual seismic wave after the high-energy tremor of 7 June 2013. Vibrations on the land surface are a measure of the mining damage risk. It is particularly the horizontal components of land vibrations that are dangerous to buildings which is reflected in the Mining Scales of Intensity (GSI) of vibrations. The run of a seismic wave in the rock mass from the hypocenter to the area's surface depends on the lithology of the area and the presence of fault zones. The rock mass network cut by faults of various widths influences the amplitude of tremor reaching the area's surface. The analysis of the impact of the width of the fault zone was done for three alternatives.

  14. High body mass index and cancer risk

    DEFF Research Database (Denmark)

    Benn, Marianne; Tybjærg-Hansen, Anne; Smith, George Davey

    2016-01-01

    of follow-up (range 0-37), 8002 developed non-skin cancer, 3347 non-melanoma skin cancer, 1396 lung cancer, 637 other smoking related cancers, 1203 colon cancer, 159 kidney cancer, 1402 breast cancer, 1062 prostate cancer, and 2804 other cancers. Participants were genotyped for five genetic variants...... with a BMI ≥ 30 versus 18.5-24.9 kg/m(2). Corresponding risk of breast cancer was 20 % (0-44 %) higher in postmenopausal women. BMI was not associated with risk of colon, kidney, other smoking related cancers, prostate cancer, or other cancers. In genetic analyses, carrying 7-10 versus 0-4 BMI increasing......High body mass index (BMI) has been associated with increased risk of some cancer. Whether these reflect causal associations is unknown. We examined this issue. Using a Mendelian randomisation approach, we studied 108,812 individuals from the general population. During a median of 4.7 years...

  15. Cd pollution and ecological risk assessment for mining activity zone in Karst Area

    Science.gov (United States)

    Yang, B.; He, J. L.; Wen, X. M.; Tan, H.

    2017-08-01

    The monitored soil samples were collected from farmland in the area with mining activity in Karst area in Liupanshui. In this article, moss bag technology and TSP were used simultaneously for Cd transportation and deposition in the study area. Geostatistics and GIS were then used for the spatial distribution of Cd in the soil. Afterwards, Cd pollution to the soil environment and human health was studied by using the geo-accumulation index and potential ecological risk index methods. The results indicated that atmospheric deposition is the major route of Cd pollution. A moderate to strong pollution of Cd in the area and the degree of potential ecological risk was in a high level in the study area. Furthermore, Cd pollution in Liupanshui may originate from mining activity and atmospheric deposition.

  16. Nonrandom community assembly and high temporal turnover promote regional coexistence in tropics but not temperate zone.

    Science.gov (United States)

    Freestone, Amy L; Inouye, Brian D

    2015-01-01

    A persistent challenge for ecologists is understanding the ecological mechanisms that maintain global patterns of biodiversity, particularly the latitudinal diversity gradient of peak species richness in the tropics. Spatial and temporal variation in community composition contribute to these patterns of biodiversity, but how this variation and its underlying processes change across latitude remains unresolved. Using a model system of sessile marine invertebrates across 25 degrees of latitude, from the temperate zone to the tropics, we tested the prediction that spatial and temporal patterns of taxonomic richness and composition, and the community assembly processes underlying these patterns, will differ across latitude. Specifically, we predicted that high beta diversity (spatial variation in composition) and high temporal turnover contribute to the high species richness of the tropics. Using a standardized experimental approach that controls for several confounding factors that hinder interpretation of prior studies, we present results that support our predictions. In the temperate zone, communities were more similar across spatial scales from centimeters to tens of kilometers and temporal scales up to one year than at lower latitudes. Since the patterns at northern latitudes were congruent with a null model, stochastic assembly processes are implicated. In contrast, the communities in the tropics were a dynamic spatial and temporal mosaic, with low similarity even across small spatial scales and high temporal turnover at both local and regional scales. Unlike the temperate zone, deterministic community assembly processes such as predation likely contributed to the high beta diversity in the tropics. Our results suggest that community assembly processes and temporal dynamics vary across latitude and help structure and maintain latitudinal patterns of diversity.

  17. Natural and traditional defense mechanisms to reduce climate risks in coastal zones of Bangladesh

    OpenAIRE

    Mohammed Ataur Rahman; Sowmen Rahman

    2015-01-01

    Substantially resourceful and densely populated coastal zones of Bangladesh experience numerous extreme events linked to hydro-meteorological processes viz. cyclones, tidal surges, floods, salinity intrusion and erosion etc. These hazards give rise to extensive damage to property and loss of lives every year. Further, anthropogenic activities in the coastal zones are accentuating environmental degradation causing widespread suffering. Cyclones and tornadoes in particular damage infrastructure...

  18. High-Risk Series: An Update

    Science.gov (United States)

    2015-02-01

    the Medicare Trustees, the Office of the Actuary , and the Congressional Budget Office have raised concerns about whether some of the Medicare... actuarially sound. For more information, see the National Flood Insurance Program section of this High-Risk report. Among other things, the report...and mathematics (STEM) functional community. In addition to the efforts of the Working Group, the President’s Fiscal Year 2013 budget—released in

  19. Environmental Risk of Metal Mining Contaminated River Bank Sediment at Redox-Transitional Zones

    Directory of Open Access Journals (Sweden)

    Sarah F. L. Lynch

    2014-01-01

    Full Text Available Diffuse metal pollution from mining impacted sediment is widely recognised as a potential source of contamination to river systems and may significantly hinder the achievement of European Union Water Framework Directive objectives. Redox-transitional zones that form along metal contaminated river banks as a result of flood and drought cycles could cause biogeochemical changes that alter the behaviour of polyvalent metals iron and manganese and anions such as sulphur. Trace metals are often partitioned with iron, manganese and sulphur minerals in mining-contaminated sediment, therefore the dissolution and precipitation of these minerals may influence the mobility of potentially toxic trace metals. Research indicates that freshly precipitated metal oxides and sulphides may be more “reactive” (more adsorbent and prone to dissolution when conditions change than older crystalline forms. Fluctuations at the oxic-anoxic interface brought about through changes in the frequency and duration of flood and drought episodes may therefore influence the reactivity of secondary minerals that form in the sediment and the flux of dissolved trace metal release. UK climate change models predict longer dry periods for some regions, interspersed with higher magnitude flood events. If we are to fully comprehend the future environmental risk these climate change events pose to mining impacted river systems it is recommended that research efforts focus on identifying the primary controls on trace metal release at the oxic-anoxic interface for flood and drought cycles of different duration and frequency. This paper critically reviews the literature regarding biogeochemical processes that occur at different temporal scales during oxic, reducing and dry periods and focuses on how iron and sulphur based minerals may alter in form and reactivity and influence the mobility of trace metal contaminants. It is clear that changes in redox potential can alter the composition

  20. Real-time, high frequency QRS electrocardiograph with reduced amplitude zone detection

    Science.gov (United States)

    Schlegel, Todd T. (Inventor); DePalma, Jude L. (Inventor); Moradi, Saeed (Inventor)

    2009-01-01

    Real time cardiac electrical data are received from a patient, manipulated to determine various useful aspects of the ECG signal, and displayed in real time in a useful form on a computer screen or monitor. The monitor displays the high frequency data from the QRS complex in units of microvolts, juxtaposed with a display of conventional ECG data in units of millivolts or microvolts. The high frequency data are analyzed for their root mean square (RMS) voltage values and the discrete RMS values and related parameters are displayed in real time. The high frequency data from the QRS complex are analyzed with imbedded algorithms to determine the presence or absence of reduced amplitude zones, referred to herein as ''RAZs''. RAZs are displayed as ''go, no-go'' signals on the computer monitor. The RMS and related values of the high frequency components are displayed as time varying signals, and the presence or absence of RAZs may be similarly displayed over time.

  1. Soil monitoring in agro-ecosystems of high mountain zone in Quindio

    International Nuclear Information System (INIS)

    Sadeghian, Siavosh; Orozco, O l; Murgueitio, E

    2001-01-01

    Were evaluated soil characteristics in 4 common agro-ecosystems of high mountain zone of Quindio department, soil forest exhibit better indicators that others systems. Low macro porosity and hydraulic conductivity were consequences more important of cattle ranching systems. In pinus plantations were registered lower value of organic matter, pH, interchanging bases, gravimetric moisture and microbial activity CO 2 . As a result of pinus establishment on pasture ground increase drainable porosity and hydraulic conductivity. In granadilla cultivation were lower organism diversity and structural stability

  2. Physical properties of fault zone rocks from SAFOD: Tying logging data to high-pressure measurements on drill core

    Science.gov (United States)

    Jeppson, T.; Tobin, H. J.

    2013-12-01

    In the summer of 2005, Phase 2 of the San Andreas Fault Observatory at Depth (SAFOD) borehole was completed and logged with wireline tools including a dipole sonic tool to measure P- and S-wave velocities. A zone of anomalously low velocity was detected from 3150 to 3414 m measured depth (MD), corresponding with the subsurface location of the San Andreas Fault Zone (SAFZ). This low velocity zone is 5-30% slower than the surrounding host rock. Within this broad low-velocity zone, several slip surfaces were identified as well as two actively deforming shear zones: the southwest deformation zone (SDZ) and the central deformation zone (CDZ), located at 3192 and 3302 m MD, respectively. The SAFZ had also previously been identified as a low velocity zone in seismic velocity inversion models. The anomalously low velocity was hypothesized to result from either (a) brittle deformation in the damage zone of the fault, (b) high fluid pressures with in the fault zone, or (c) lithological variation, or a combination of the above. We measured P- and S-wave velocities at ultrasonic frequencies on saturated 2.5 cm diameter core plug samples taken from SAFOD core obtained in 2007 from within the low velocity zone. The resulting values fall into two distinct groups: foliated fault gouge and non-gouge. Samples of the foliated fault gouge have P-wave velocities between 2.3-3.5 km/s while non-gouge samples lie between 4.1-5.4 km/s over a range of effective pressures from 5-70 MPa. There is a good correlation between the log measurements and laboratory values of P-and S wave velocity at in situ pressure conditions especially for the foliated fault gouge. For non-gouge samples the laboratory values are approximately 0.08-0.73 km/s faster than the log values. This difference places the non-gouge velocities within the Great Valley siltstone velocity range, as measured by logs and ultrasonic measurements performed on outcrop samples. As a high fluid pressure zone was not encountered during

  3. Evaluation of anionic surfactant concentrations in US effluents and probabilistic determination of their combined ecological risk in mixing zones.

    Science.gov (United States)

    McDonough, Kathleen; Casteel, Kenneth; Itrich, Nina; Menzies, Jennifer; Belanger, Scott; Wehmeyer, Kenneth; Federle, Thomas

    2016-12-01

    Alcohol sulfates (AS), alcohol ethoxysulfates (AES), linear alkyl benzenesulfonates (LAS) and methyl ester sulfonates (MES) are anionic surfactants that are widely used in household detergents and consumer products resulting in over 1 million tons being disposed of down the drain annually in the US. A monitoring campaign was conducted which collected grab effluent samples from 44 wastewater treatment plants (WWTPs) across the US to generate statistical distributions of effluent concentrations for anionic surfactants. The mean concentrations for AS, AES, LAS and MES were 5.03±4.5, 1.95±0.7, 15.3±19, and 0.35±0.13μg/L respectively. Since each of these surfactants consist of multiple homologues that differ in their toxicity, the concentration of each homologue measured in an effluent sample was converted into a toxic unit (TU) by normalizing to the predicted no effect concentration (PNEC) derived from high tier effects data (mesocosm studies). The statistical distributions of the combined TUs in the effluents were used in combination with distributions of dilution factors for WWTP mixing zones to conduct a US-wide probabilistic risk assessment for the aquatic environment for each of the surfactants. The 90th percentile level of TUs for AS, AES, LAS and MES in mixing zones were 1.89×10 -2 , 2.73×10 -3 , 2.72×10 -2 , and 3.65×10 -5 under 7Q10 (lowest river flow occurring over a 7day period every 10years) low flow conditions. Because these surfactants have the same toxicological mode of action, the TUs were summed and the aquatic safety for anionic surfactants as a whole was assessed. At the 90th percentile level under the conservative 7Q10 low flow conditions the forecasted TUs were 4.21×10 -2 which indicates that there is a significant margin of safety for the class of anionic surfactants in US aquatic environments. Copyright © 2016 Elsevier B.V. All rights reserved.

  4. Delineating risk zones and evaluation of shelter centres for flood disaster management along the Pahang River Basin, Malaysia

    Directory of Open Access Journals (Sweden)

    Anizan Isahak

    2018-04-01

    Full Text Available Shelter centres are important locations to safeguard people from helpless situations and are an integral part of disaster risk reduction (DRR, particularly for flood DRR. The establishment of shelter centres, and their design based on scientific assessment, is crucial. Yet, they are very much related to the geographic location, socio-economic conditions and the livelihoods of the affected communities. However, many parts of the developing world are still lagging behind in ensuring such scientific design. Considering the flood disaster in 2014 that affected the residents living along the Pahang River Basin, in this study we delineate the communities at risk and evaluate the existing shelter centres to determine how they reduce people’s vulnerability to the risks associated with rural and urban landscapes. We used spatial analysis tools to delineate risk zones and to evaluate existing evacuation systems. A flood disaster risk map was produced to determine which communities are living with risks. Subsequently, the distribution of shelter centres examined whether they are able to support people living at the flood risk zones. These centres were also evaluated using a set of international guidelines for effective disaster shelters. This reveals that the number of shelter centres is not adequate. The designation and designing of shelter centres are not being done scientifically. The maps produced here have a lot of potential to support disaster management decisions, in particular site selection and the prioritisation of centres. The study concludes with a set of guidelines and recommendations for structural and non-structural measures, such as alternative livelihoods and the potential of ecotourism, which may improve the resilience among flood-affected communities; and the decision-making process for the overall flood DRR initiatives.

  5. Quasi-kinoform type multilayer zone plate with high diffraction efficiency for high-energy X-rays

    International Nuclear Information System (INIS)

    Tamura, S; Yasumoto, M; Kamijo, N; Uesugi, K; Takeuchi, A; Terada, Y; Suzuki, Y

    2009-01-01

    Fresnel zone plate (FZP) with high diffraction efficiency leads to high performance X-ray microscopy with the reduction of the radiation damage to biological specimens. In order to attain high diffraction efficiency in high energy X-ray region, we have developed multilevel-type (6-step) multilayer FZPs with the diameter of 70 micron. The efficiencies of two FZPs were evaluated at the BL20XU beamline of SPring-8. For one FZP, the peak efficiency for the 1st-order diffraction of 51% has been obtained at 70 keV. The efficiencies higher than 40% have been achieved in the wide energy range of 70-90 keV. That for the 2nd-order diffraction of 46% has been obtained at 37.5 keV.

  6. Influence of risk area size and location on native collateral resistance and ischemic zone perfusion

    International Nuclear Information System (INIS)

    Gumm, D.C.; Cooper, S.M.; Thompson, S.B.; Marcus, M.L.; Harrison, D.C.

    1988-01-01

    To examine the effect of risk area size on collateral resistance and ichemic region perfusion, the authors produced different sized risk areas by occluding either the left anterior descending (LAD) or the circumflex (Cx) coronary artery at different sites. The most proximal occlusion of the LAD and Cx produced risk areas of 43 ± 5 and 36 ± 2% of left ventricular (LV) mass, respectively, whereas distal LAD and Cx occlusions produced risk areas of 13 ± 2 and 17 ± 2% of LV weight, respectively. Although total collateral flow was highest to the largest risk areas, collateral flow per 100 g of ischemic myocardium was 80% higher to the small LAD risk area compared with the large LAD risk area and 43% higher to the small Cx risk area compared with the large Cx risk area. Collateral resistance, calculated from the transcollateral pressure and perfusion per 100 g of myocardium was significantly lower in the small risk areas than in the large ones. They examined the effect of risk area location on collateral perfusion and resistance. These experiments show that collateral resistance is influenced both by ischemic region size and location. Small risk areas receive more collateral flow per mass of tissue than large risk areas, and apical risk areas receive greater quantities of collateral flow than those located at the base. These data may explain why small risk areas often do not develop infarction after coronary occlusion

  7. Mechanical versus kinematical shortening reconstructions of the Zagros High Folded Zone (Kurdistan region of Iraq)

    Science.gov (United States)

    Frehner, Marcel; Reif, Daniel; Grasemann, Bernhard

    2012-06-01

    This paper compares kinematical and mechanical techniques for the palinspastic reconstruction of folded cross sections in collision orogens. The studied area and the reconstructed NE-SW trending, 55.5 km long cross section is located in the High Folded Zone of the Zagros fold-and-thrust belt in the Kurdistan region of Iraq. The present-day geometry of the cross section has been constructed from field as well as remote sensing data. In a first step, the structures and the stratigraphy are simplified and summarized in eight units trying to identify the main geometric and mechanical parameters. In a second step, the shortening is kinematically estimated using the dip domain method to 11%-15%. Then the same cross section is used in a numerical finite element model to perform dynamical unfolding simulations taking various rheological parameters into account. The main factor allowing for an efficient dynamic unfolding is the presence of interfacial slip conditions between the mechanically strong units. Other factors, such as Newtonian versus power law viscous rheology or the presence of a basement, affect the numerical simulations much less strongly. If interfacial slip is accounted for, fold amplitudes are reduced efficiently during the dynamical unfolding simulations, while welded layer interfaces lead to unrealistic shortening estimates. It is suggested that interfacial slip and decoupling of the deformation along detachment horizons is an important mechanical parameter that controlled the folding processes in the Zagros High Folded Zone.

  8. Detailed seismotectonic analysis of Sumatra subduction zone revealed by high precision earthquake location

    Science.gov (United States)

    Sagala, Ricardo Alfencius; Harjadi, P. J. Prih; Heryandoko, Nova; Sianipar, Dimas

    2017-07-01

    Sumatra was one of the most high seismicity regions in Indonesia. The subduction of Indo-Australian plate beneath Eurasian plate in western Sumatra contributes for many significant earthquakes that occur in this area. These earthquake events can be used to analyze the seismotectonic of Sumatra subduction zone and its system. In this study we use teleseismic double-difference method to obtain more high precision earthquake distribution in Sumatra subduction zone. We use a 3D nested regional-global velocity model. We use a combination of data from both of ISC (International Seismological Center) and BMKG (Agency for Meteorology Climatology and Geophysics, Indonesia). We successfully relocate about 6886 earthquakes that occur on period of 1981-2015. We consider that this new location is more precise than the regular bulletin. The relocation results show greatly reduced of RMS residual of travel time. Using this data, we can construct a new seismotectonic map of Sumatra. A well-built geometry of subduction slab, faults and volcano arc can be obtained from the new bulletin. It is also showed that at a depth of 140-170 km, there is many events occur as moderate-to-deep earthquakes, and we consider about the relation of the slab's events with volcanic arc and inland fault system. A reliable slab model is also built from regression equation using new relocated data. We also analyze the spatial-temporal of seismotectonic using b-value mapping that inspected in detail horizontally and vertically cross-section.

  9. Frequencies of micronuclei in bank voles from zones of high radiation at Chernobyl, Ukraine

    Energy Technology Data Exchange (ETDEWEB)

    Rodgers, B.E.; Baker, R.J.

    2000-06-01

    A population of Clethrionomys glareolus (bank vole) from a highly radioactive area within the Chernobyl, Ukraine exclusion zone was sampled in June 1997 and in June and October 1998. Internal radiation doses from radiocesium were estimated to be as high as 8 rads/d. Total dose, which takes into account the internal dose form radiostrontium and the surrounding environment, was estimated to be 15 to 20 rads/d. In contrast, individuals from a reference population lying outside of the exclusion zone registered negligible levels of contamination. The authors used the micronucleus test in a double-blind study to analyze blood samples from 58 individuals. They scored more than 600,000 polychromatic erythrocytes (PCEs) but could not reject the null hypothesis that the frequency of micronucleated PCEs in voles exposed to radiation was equal to the frequency in unexposed voles. Results of their study stand in sharp contrast to earlier reports of increased frequencies of micronuclei in rodents exposed to fallout of the Chernobyl accident, but with radiation doses that were orders of magnitude lower than those reported here. Radio resistance and experimental methods are possible explanations for these differences in the results.

  10. Natural and traditional defense mechanisms to reduce climate risks in coastal zones of Bangladesh

    Directory of Open Access Journals (Sweden)

    Mohammed Ataur Rahman

    2015-03-01

    Full Text Available Substantially resourceful and densely populated coastal zones of Bangladesh experience numerous extreme events linked to hydro-meteorological processes viz. cyclones, tidal surges, floods, salinity intrusion and erosion etc. These hazards give rise to extensive damage to property and loss of lives every year. Further, anthropogenic activities in the coastal zones are accentuating environmental degradation causing widespread suffering. Cyclones and tornadoes in particular damage infrastructures and crops every year affecting the economy of the country negatively. Some naturally adapted plants as well as landscapes usually reduce the speed of cyclones and tornadoes and thus, protect the coastal zones. However, human activities have destroyed many of the forests and landscapes. Sundarbans and Chokoria Sundarbans mangrove forests of Bangladesh are under a great threat of extinction due to illicit logging and agricultural expansion. At least 34 plant species of tropical forest are on the verge of extinction. Many animals e.g., cats, bears, porcupines, wild boars, pythons and anteaters are in the process of being wiped out from the coastal areas. Among the marine and coastal species, Red crabs, jelly-fish, sharks, and dolphins are also rare but these were the major species prior to 1980s. This study revealed that during the recent decades there has been massive plantations and construction of embankment and polderization but these and other measures have been found to be impractical and ineffective in reducing disasters in coastal areas. There is a need for integration of traditional coping practices and wisdoms with modern approaches. Available knowledge on some of these traditional practices has been documented for establishing a sustainable policy for management of coastal zones of Bangladesh. By combining traditional and scientific management of coastal ecosystem with mangroves and other plants following triple-tier mechanism and habitat, it is

  11. Monitoring of high temperature zone by resistivity tomography during in-situ heater test in sedimentary soft rocks

    International Nuclear Information System (INIS)

    Kubota, Kenji; Suzuki, Koichi; Ikenoya, Takafumi; Takakura, Nozomu; Tani, Kazuo

    2008-01-01

    In-situ heater test has been conducted to evaluate the influence of high temperature in an underground facility at a depth of 50 m. Resistivity monitoring is thought to be effective to map the extent of the high temperature zone. So we have conducted resistivity tomography during the heater test. As a result, low resistivity zone was appeared near the heated area as starting the heating, and the zone was expanded. Resistivity of rock is proportional to resistivity of pore water. It is known that pore water resistivity decreases as the temperature rise. This suggests that high temperature zone is detected and spatial distribution of temperature can be mapped by resistivity tomography. (author)

  12. Geochemical Processes Controlling Migration of High Level Wastes in Hanford's Vadose Zone

    International Nuclear Information System (INIS)

    Zachara, John M.; Serne, R. Jeffrey; Freshley, Mark D.; Mann, Frederick M.; Anderson, Frank J.; Wood, Marcus I.; Jones, Thomas E.; Myers, David A.

    2007-01-01

    High level nuclear wastes (HLW) from Hanford's plutonium reprocessing are stored in massive, buried, single-shell tanks in eighteen tank farms. The wastes were initially hot because of radioactive decay, and many exhibited extreme chemical character in terms of pH, salinity, and radionuclide concentration. At present, 67 of the 149 single shell tanks are suspected to have released over 1.9 million L of tank waste to the vadose zone, with most leak events occurring between 1950 and 1975. Boreholes have been placed through the largest vadose zone plumes to define the extent of contaminant migration, and to develop conceptual models of processes governing the transformation, retardation, and overall transport of tank waste residuals. Laboratory studies with sediments so collected have shown that ion exchange, precipitation and dissolution, and surface complexation reactions have occurred between the HLW and subsurface sediments moderating their chemical character, and retarding the migration of select contaminants. Processes suspected to facilitate the far-field migration of immobile radionuclides including stable aqueous complex formation and mobile colloids were found to be potentially operative, but unlikely to occur in the field, with the exception of cyanide-facilitated migration of 60Co. Fission product oxyanions are the most mobile of tank waste constituents because their adsorption is suppressed by large concentrations of waste anions; the vadose zone clay fraction is negative in surface charge; and, unlike Cr, their reduced forms are unstable in oxidizing environments. Reaction/process-based transport modeling is beginning to be used for predictions of future contaminant mobility and plume evolution

  13. Development of a high-resolution electron-beam profile monitor using Fresnel zone plates

    International Nuclear Information System (INIS)

    Nakamura, Norio; Sakai, Hiroshi; Muto, Toshiya; Hayano, Hitoshi

    2004-01-01

    We present a high-resolution and real-time beam profile monitor using Fresnel zone plates (FZPs) developed in the KEK-ATF damping ring. The monitor system has an X-ray imaging optics with two FZPs. In this monitor, the synchrotron radiation from the electron beam at the bending magnet is monochromatized by a crystal monochromator and the transverse electron beam image is twenty-times magnified by the two FZPs and detected on an X-ray CCD camera. The expected spatial resolution for the selected photon energy of 3.235 keV is less than 1 μm. With the beam profile monitor, we succeeded in obtaining a clear electron-beam image and measuring the extremely small beam size less than 10 μm. It is greatly expected that the beam profile monitor will be used in high-brilliance light sources and low-emittance accelerators. (author)

  14. Visualization of the heat release zone of highly turbulent premixed jet flames

    Science.gov (United States)

    Lv, Liang; Tan, Jianguo; Zhu, Jiajian

    2017-10-01

    Visualization of the heat release zone (HRZ) of highly turbulent flames is significantly important to understand the interaction between turbulence and chemical reactions, which is the foundation to design and optimize engines. Simultaneous measurements of OH and CH2O using planar laser-induced fluorescence (PLIF) were performed to characterize the HRZ. A well-designed piloted premixed jet burner was employed to generate four turbulent premixed CH4/air jet flames, with different jet Reynolds numbers (Rejet) ranging from 4900 to 39200. The HRZ was visualized by both the gradient of OH and the pixel-by-pixel product of OH and CH2O. It is shown that turbulence has an increasing effect on the spatial structure of the flame front with an increasing height above the jet exit for the premixed jet flames, which results in the broadening of the HRZ and the increase of the wrinkling. The HRZ remains thin as the Rejet increases, whereas the preheat zone is significantly broadened and thickened. This indicates that the smallest turbulent eddies can only be able to enter the flame front rather than the HRZ in the present flame conditions. The flame quenching is observed with Rejet = 39200, which may be due to the strong entrainment of the cold air from outside of the burned gas region.

  15. Pinhole diffraction holography for fabrication of high-resolution Fresnel zone plates.

    Science.gov (United States)

    Sarkar, Sankha S; Solak, Harun H; David, Christian; van der Veen, J Friso

    2014-01-27

    Fresnel zone plates (FZPs) play an essential role in high spatial resolution x-ray imaging and analysis of materials in many fields. These diffractive lenses are commonly made by serial writing techniques such as electron beam or focused ion beam lithography. Here we show that pinhole diffraction holography has potential to generate FZP patterns that are free from aberrations and imperfections that may be present in alternative fabrication techniques. In this presented method, FZPs are fabricated by recording interference pattern of a spherical wave generated by diffraction through a pinhole, illuminated with coherent plane wave at extreme ultraviolet (EUV) wavelength. Fundamental and practical issues involved in formation and recording of the interference pattern are considered. It is found that resolution of the produced FZP is directly related to the diameter of the pinhole used and the pinhole size cannot be made arbitrarily small as the transmission of EUV or x-ray light through small pinholes diminishes due to poor refractive index contrast found between materials in these spectral ranges. We also find that the practical restrictions on exposure time due to the light intensity available from current sources directly imposes a limit on the number of zones that can be printed with this method. Therefore a trade-off between the resolution and the FZP diameter exists. Overall, we find that this method can be used to fabricate aberration free FZPs down to a resolution of about 10 nm.

  16. Impacts of a high-discharge submarine sewage outfall on water quality in the coastal zone of Salvador (Bahia, Brazil).

    Science.gov (United States)

    Roth, F; Lessa, G C; Wild, C; Kikuchi, R K P; Naumann, M S

    2016-05-15

    Carbon and nitrogen stable isotopic signatures of suspended particulate organic matter and seawater biological oxygen demand (BOD) were measured along a coastal transect during summer 2015 to investigate pollution impacts of a high-discharge submarine sewage outfall close to Salvador, Brazil. Impacts of untreated sewage discharge were evident at the outfall site by depleted δ(13)Corg and δ(15)N signatures and 4-fold increased BOD rates. Pollution effects of a sewage plume were detectable for more than 6km downstream from the outfall site, as seasonal wind- and tide-driven shelf hydrodynamics facilitated its advective transport into near-shore waters. There, sewage pollution was detectable at recreational beaches by depleted stable isotope signatures and elevated BOD rates at high tides, suggesting high bacterial activity and increased infection risk by human pathogens. These findings indicate the urgent necessity for appropriate wastewater treatment in Salvador to achieve acceptable standards for released effluents and coastal zone water quality. Copyright © 2016 Elsevier Ltd. All rights reserved.

  17. High resolution fire risk mapping in Italy

    Science.gov (United States)

    Fiorucci, Paolo; Biondi, Guido; Campo, Lorenzo; D'Andrea, Mirko

    2014-05-01

    The high topographic and vegetation heterogeneity makes Italy vulnerable to forest fires both in the summer and in winter. In particular, northern regions are predominantly characterized by a winter fire regime, mainly due to frequent extremely dry winds from the north, while southern and central regions and the large islands are characterized by a severe summer fire regime, because of the higher temperatures and prolonged lack of precipitation. The threat of wildfires in Italy is not confined to wooded areas as they extend to agricultural areas and urban-forest interface areas. The agricultural and rural areas, in the last century, have been gradually abandoned, especially in areas with complex topography. Many of these areas were subject to reforestation, leading to the spread of pioneer species mainly represented by Mediterranean conifer, which are highly vulnerable to fire. Because of the frequent spread of fire, these areas are limited to the early successional stages, consisting mainly of shrub vegetation; its survival in the competition with the climax species being ensured by the spread of fire itself. Due to the frequency of fire ignition — almost entirely man caused — the time between fires on the same area is at least an order of magnitude less than the time that would allow the establishment of forest climax species far less vulnerable to fire. In view of the limited availability of fire risk management resources, most of which are used in the management of national and regional air services, it is necessary to precisely identify the areas most vulnerable to fire risk. The few resources available can thus be used on a yearly basis to mitigate problems in the areas at highest risk by defining a program of forest management interventions, which is expected to make a significant contribution to the problem in a few years' time. The goal of such detailed planning is to dramatically reduce the costs associated with water bombers fleet management and fire

  18. Effective mine risk education in war-zone areas--a shared responsibility.

    Science.gov (United States)

    Durham, Joanne; Gillieatt, Sue; Sisavath, Bounpheng

    2005-09-01

    The focus of this paper is effective health education and promotion in the field of mine awareness, or what has more recently been re-titled 'mine risk education'. According to the United Nations, mine risk education comprises educational activities that aim to reduce the risk of injury from landmine/unexploded ordnance (UXO) through raising awareness and promoting behavioural change and includes public information dissemination, education and training, and community mine action liaison. Specifically, this paper is an empirical study of mine risk education practices using data collected during the implementation of a mine risk education programme that commenced in Lao PDR in 1996 and is ongoing. In particular, it considers lessons learned from the programme's monitoring and evaluation process. The authors argue that in a country such as Lao PDR, where communities have lived with UXO infestation for over 25 years, more mine risk education is not necessarily needed. This paper concludes that common programmes of mine risk education using top-down educational methods, based on the assumption that ignorance of landmine/UXO risk is the key factor in mine accidents, are inadequate. Evidence from the literature on health promotion and the experience of the programme indicate that there is a need to supplement or replace existing common mine risk education practices with techniques that incorporate an understanding of the economic, social and political circumstances faced by communities at risk.

  19. Cost reduction for large turbine generator Pedestal in high seismic zone

    International Nuclear Information System (INIS)

    Sawhney, P.S.; Irani, P.; Pusheck, B.N.

    1985-01-01

    Turbine Generator Pedestals have generally been designed using reinforced concrete. For present day large turbine generators (1100 MWe class and above) with tall (about 80 feet) pedestals, the amount of reinforcing steel becomes quite large, especially for plants in high seismic zones. With the prime objective of cost reduction, an approach using steel/concrete composite design has been studied for a large BWR Turbine Generator pedestal with 0.3g peak ground acceleration. Large prefabricated steel modules were adopted for composite design and simplified construction. Design was based on the ACI and AISC codes. Costs and schedules were developed and compared with those for a conventionally designed reinforced concrete pedestal. Composite design was found to give considerable cost and schedule advantage over the conventional reinforced concrete design

  20. Seismic qualification of a commercial grade emergency diesel generator system in high seismic zones

    International Nuclear Information System (INIS)

    Khan, Mohsin R.; Chen, Wayne W.H.; Chu, Winnie S.

    2004-01-01

    The paper presents the seismic qualification of a commercially procured emergency diesel generator (EDG) system for use in a nuclear power plant. Response spectrum analyses of finite element models, validated using in situ vibration test data, were performed to qualify the skid and floor mounted mechanical components whose functional capacity and structural integrity can be analyzed. Time history analyses of these models were also performed to obtain the amplified response spectra for seismic testing of small valves, electrical and electro-mechanical components whose functional capacity can not be analyzed to establish the seismic qualification. The operational loads were obtained by in-plant vibration monitoring. Full scale shake table testing was performed for auxiliary electrical cabinets. It is concluded that with some minor structural modifications, a commercial grade EDG system can be qualified for safety-related applications in nuclear power plants located in high seismic zones. (author)

  1. Vadose zone characterization of highly radioactive contaminated soil at the Hanford Site

    International Nuclear Information System (INIS)

    Buckmaster, M.A.

    1993-05-01

    The Hanford Site in south-central Washington State contains over 1500 identified waste sites and numerous groundwater plumes that will be characterized and remediated over the next 30 years. As a result of the Hanford Federal Facility Agreement and Consent Order, the US Department of Energy has initiated a remedial investigation/feasibility study at the 200-BP-1 operable unit. The 200-BP-1 remedial investigation is the first Comprehensive Environmental Response, Compensation, and Liability Act of 1980 investigation on the Hanford Site that involves drilling into highly radioactive and chemically contaminated soils. The initial phase of site characterization was designed to assess the nature and extent of contamination associated with the source waste site within the 200-BP-1 operable unit. Characterization activities consisted of drilling and sampling the waste site, chemical and physical analysis of samples, and development of a conceptual vadose zone model. Predicted modeling concentrations compared favorably to analytical data collected during the initial characterization activities

  2. Discoscopic Findings of High Signal Intensity Zones on Magnetic Resonance Imaging of Lumbar Intervertebral Discs

    Directory of Open Access Journals (Sweden)

    Kosuke Sugiura

    2014-01-01

    Full Text Available A 32-year-old man underwent radiofrequency thermal annuloplasty (TA with percutaneous endoscopic discectomy (PED under local anesthesia for chronic low back pain. His diagnosis was discogenic pain with a high signal intensity zone (HIZ in the posterior corner of the L4-5 disc. Flexion pain was sporadic, and steroid injection was given twice for severe pain. After the third episode of strong pain, PED and TA were conducted. The discoscope was inserted into the posterior annulus and revealed a migrated white nucleus pulposus which was stained blue. Then, after moving the discoscope to the site of the HIZ, a migrated slightly red nucleus pulposus was found, suggesting inflammation and/or new vessels penetrating the mass. After removing the fragment, the HIZ site was ablated by TA. To our knowledge, this is the first report of the discoscopic findings of HIZ of the lumbar intervertebral disc.

  3. High efficiency processing for reduced amplitude zones detection in the HRECG signal

    Science.gov (United States)

    Dugarte, N.; Álvarez, A.; Balacco, J.; Mercado, G.; Gonzalez, A.; Dugarte, E.; Olivares, A.

    2016-04-01

    Summary - This article presents part of a more detailed research proposed in the medium to long term, with the intention of establishing a new philosophy of electrocardiogram surface analysis. This research aims to find indicators of cardiovascular disease in its early stage that may go unnoticed with conventional electrocardiography. This paper reports the development of a software processing which collect some existing techniques and incorporates novel methods for detection of reduced amplitude zones (RAZ) in high resolution electrocardiographic signal (HRECG).The algorithm consists of three stages, an efficient processing for QRS detection, averaging filter using correlation techniques and a step for RAZ detecting. Preliminary results show the efficiency of system and point to incorporation of techniques new using signal analysis with involving 12 leads.

  4. Natural analogues for processes affecting disposal of high-level radioactive waste in the vadose zone

    Science.gov (United States)

    Stuckless, J. S.

    2003-04-01

    Natural analogues can contribute to understanding and predicting the performance of subsystems and processes affecting a mined geologic repository for high-level radioactive waste in several ways. Most importantly, analogues provide tests for various aspects of systems of a repository at dimensional scales and time spans that cannot be attained by experimental study. In addition, they provide a means for the general public to judge the predicted performance of a potential high-level nuclear waste repository in familiar terms such that the average person can assess the anticipated long-term performance and other scientific conclusions. Hydrologists working on the Yucca Mountain Project (currently the U.S. Department of Energy's Office of Repository Development) have modeled the flow of water through the vadose zone at Yucca Mountain, Nevada and particularly the interaction of vadose-zone water with mined openings. Analogues from both natural and anthropogenic examples confirm the prediction that most of the water moving through the vadose zone will move through the host rock and around tunnels. This can be seen both quantitatively where direct comparison between seepage and net infiltration has been made and qualitatively by the excellent degree of preservation of archaeologic artifacts in underground openings. The latter include Paleolithic cave paintings in southwestern Europe, murals and artifacts in Egyptian tombs, painted subterranean Buddhist temples in India and China, and painted underground churches in Cappadocia, Turkey. Natural analogues also suggest that this diversion mechanism is more effective in porous media than in fractured media. Observations from natural analogues are also consistent with the modeled decrease in the percentage of infiltration that becomes seepage with a decrease in amount of infiltration. Finally, analogues, such as tombs that have ben partially filled by mud flows, suggest that the same capillary forces that keep water in the

  5. Radiation protection zoning

    International Nuclear Information System (INIS)

    2015-01-01

    Radiation being not visible, the zoning of an area containing radioactive sources is important in terms of safety. Concerning radiation protection, 2 work zones are defined by regulations: the monitored zone and the controlled zone. The ministerial order of 15 may 2006 settles the frontier between the 2 zones in terms of radiation dose rates, the rules for access and the safety standards in both zones. Radioprotection rules and the name of the person responsible for radiation protection must be displayed. The frontier between the 2 zones must be materialized and marked with adequate equipment (specific danger signs and tapes). Both zones are submitted to selective entrance, the access for the controlled zone is limited because of the radiation risk and of the necessity of confining radioactive contamination while the limitation of the access to the monitored zone is due to radiation risk only. (A.C.)

  6. Prescription of the High Risk Narcotics and Trading or Illicit Purchasing of High Risk Narcotics

    Directory of Open Access Journals (Sweden)

    Nicoleta-Elena Buzatu

    2012-05-01

    Full Text Available The present essay will analyze the offence of prescribing high risk narcotics and trading or illicit purchasing of high risk narcotics, as it was regulated - together with other offences - by Law no 143 of July 26, 2000 on preventing and fighting against the traffic and illicit consumption of narcotics. The same law defines the meaning of such a phrase “substances which are under national control” by mentioning the fact that they are the narcotics and their precursors listed in Annexes I-IV of the law. The analysis of the offence of prescribing the high risk narcotics and trading or illicit purchasing of high risk narcotics is following the already known structure mentioned in the doctrine and which consists of: object and subjects of the offence, its constituent content: the objective side with its material element, the immediate consequence and causality connections; the subjective side of the offence, as well as forms and modalities of these offences, and the applicable sanctions, of course.

  7. People at High Risk of Developing Flu-Related Complications

    Science.gov (United States)

    ... Influenza Types Seasonal Avian Swine Variant Pandemic Other People at High Risk of Developing Flu–Related Complications ... related complications if they get sick with influenza. People at High Risk for Developing Flu-Related Complications ...

  8. POLAND IN AND OUTSIDE THE EURO ZONERISKS AND BENEFITS IN THE LIGHT OF NEW POLITICAL AND ECONOMIC DETERMINANTS

    Directory of Open Access Journals (Sweden)

    Krzysztof Dobrowolski

    2017-09-01

    Full Text Available This article analyzes the benefits and risks of Poland adopting the euro in the light of current political and economic conditions. For this purpose, the following research methods were used: literature research, intuitive method and descriptive statistics. Poland has fulfilled the criteria for nominal convergence for two years, apart from participating in the ERM II mechanism, but the political situation in the country precludes the adoption of measures leading to the euro zone. The future shape of this zone is yet unknown, as its closer integration is planned. Theoretical analysis indicates that the process of globalization makes it difficult for medium-sized, open-economy countries to pursue autonomous monetary and exchange rate policy, so the loss of these instruments after the adoption of the euro should not jeopardize long-term economic growth, even in the case of asymmetric shocks. The market mechanisms of restoring the balance and fiscal policy may then be used. The economy will also benefit from the elimination of transaction costs and exchange rate risks in the euro zone. The analysis shows that it is possible to use the opportunity for faster GDP growth associated with the adoption of the common currency if the right economic policy is pursued. Adopting the euro may also incur costs. For banks it can be the loss of foreign exchange earnings and commissions on FX hedge transactions. For the economy it can be the possibility of speculative bubbles, as a result of excessive consumption growth, caused by possibly too low interest rates. Expected benefits should, however, outweigh any losses.

  9. Benchmarking of the saturated-zone module associated with three risk assessment models: RESRAD, MMSOILS, and MEPAS

    International Nuclear Information System (INIS)

    Whelan, Gene; Mcdonald, J P.; Gnanapragasam, Emmanuel K.; Laniak, Gerard F.; Lew, Christine S.; Mills, William B.; Yu, C

    1998-01-01

    A comprehensive benchmarking is being performed between three multimedia risk assessment models: RESRAD, MMSOILS, and MEPAS. Each multimedia model is comprised of a suite of modules (e.g., groundwater, air, surface water, exposure, and risk/hazard), all of which can impact the estimation of human-health risk. As a component of the comprehensive benchmarking exercise, the saturated-zone modules of each model were applied to an environmental release scenario, where uranium-234 was released from the waste site to a saturated zone. Uranium-234 time-varying emission rates exiting from the source and concentrations at three downgradient locations (0 m, 150 m, and 1500 m) are compared for each multimedia model. Time-Varying concentrations for uranium-234 decay products (i.e., thorium-230, radium-226, and lead-210) at the 1500-m location are also presented. Different results are reported for RESRAD, MMSOILS, and MEPAS, which are solely due to the assumptions and mathematical constructs inherently built into each model, thereby impacting the potential risks predicted by each model. Although many differences were identified between the models, differences that impacted these benchmarking results the most are as follows: (1) RESRAD transports its contaminants by pure translation, and MMSOILS and MEPAS solve the one-dimensional advective, three-dimensional dispersive equation. (2) Due to the manner in which the retardation factor is defined, RESRAD contaminant velocities will always be faster than MMSOILS or MEPAS. (3) RESRAD uses a dilution factor to account for a withdrawal well; MMSOILS and MEPAS were designed to calculate in-situ concentrations at a receptor location. (4) RESRAD allows for decay products to travel at different velocities, while MEPAS assumes the decay products travel at the same speed as their parents. MMSOILS does not account for decay products and assumes degradation/decay only in the aqueous phase

  10. High-radiation zone design of the FMIT high-density beam transport

    International Nuclear Information System (INIS)

    Creek, K.O.; Liska, D.J.; King, J.D.; Cole, T.R.; Cimabue, A.G.; Robeson, L.P.; Harvey, A.

    1981-03-01

    The Fusion Materials Irradiation Test (FMIT) deuteron linac, operating at 35 MeV and 100 mA continuous duty, is expected to spill 3 μA/m and to lose 10 μA at specific bending-magnet positions. The major impact of this spill will be felt in the High-Energy Beam Transport (HEBT), where many beam-line components must be maintained. A modular design concept, that uses segmented termination panels remotely located from the modules, is being employed. Radiation-hardened quadrupoles can be opened, clam-shell fashion, to release the water-cooled beam tube r replacement if there is beam damage or lithium contamination from the target. Termination panels contain electrical, water, and instrumentation fittings to service the module, and are positioned to allow room for neutron-absorbing shielding between the beamline and the panel. The modular construction allows laboratory prealignment and check-out of all components on a structural carriage and is adaptable to supporting gamma shields. Proper choice of beam tube materials is essential for controlling activation caused by beam spill

  11. Attributing the effects of climate on phenology change suggests high sensitivity in coastal zones

    Science.gov (United States)

    Seyednasrollah, B.; Clark, J. S.

    2015-12-01

    The impact of climate change on spring phenology depends on many variables that cannot be separated using current models. Phenology can influence carbon sequestration, plant nutrition, forest health, and species distributions. Leaf phenology is sensitive to changes of environmental factors, including climate, species composition, latitude, and solar radiation. The many variables and their interactions frustrate efforts to attribute variation to climate change. We developed a Bayesian framework to quantify the influence of environment on the speed of forest green-up. This study presents a state-space hierarchical model to infer and predict change in forest greenness over time using satellite observations and ground measurements. The framework accommodates both observation and process errors and it allows for main effects of variables and their interactions. We used daily spaceborne remotely sensed data from the Moderate Resolution Imaging Spectroradiometer (MODIS) to quantify temporal variability in the enhanced vegetation index (EVI) along a habitat gradient in the Southeastern United States. The ground measurements of meteorological parameters are obtained from study sites located in the Appalachian Mountains, the Piedmont and the Atlantic Coastal Plain between years 2000 and 2015. Results suggest that warming accelerates spring green-up in the Coastal Plain to a greater degree than in the Piedmont and Appalachian. In other words, regardless of variation in the timing of spring onset, the rate of greenness in non-coastal zones decreases with increasing temperature and hence with time over the spring transitional period. However, in coastal zones, as air temperature increases, leaf expansion becomes faster. This may indicate relative vulnerability to warming in non-coastal regions where moisture could be a limiting factor, whereas high temperatures in regions close to the coast enhance forest physiological activities. Model predictions agree with the remotely

  12. Client experiences with perinatal healthcare for high-risk and low-risk women

    NARCIS (Netherlands)

    van Stenus, Cherelle M.V.; Boere-Boonekamp, Magda M.; Kerkhof, Erna F.G.M.; Need, Ariana

    2018-01-01

    Problem: It is unknown if client experiences with perinatal healthcare differ between low-risk and high-risk women. Background: In the Netherlands, risk selection divides pregnant women into low- and high-risk groups. Receiving news that a pregnancy or childbirth has an increased likelihood of

  13. Incidence of antituberculosis-drug-induced hepatotoxicity and associated risk factors among tuberculosis patients in Dawro Zone, South Ethiopia: A cohort study

    Directory of Open Access Journals (Sweden)

    Wondwossen Abera

    2016-01-01

    Conclusion: The incidence of anti-TB-DIH in Dawro Zone was high. The drug responsible for the hepatotoxicity was not known. However, chronic high alcohol intake was associated with the development of anti-TB-DIH.

  14. High stresses stored in fault zones: example of the Nojima fault (Japan

    Directory of Open Access Journals (Sweden)

    A.-M. Boullier

    2018-04-01

    Full Text Available During the last decade pulverized rocks have been described on outcrops along large active faults and attributed to damage related to a propagating seismic rupture front. Questions remain concerning the maximal lateral distance from the fault plane and maximal depth for dynamic damage to be imprinted in rocks. In order to document these questions, a representative core sample of granodiorite located 51.3 m from the Nojima fault (Japan that was drilled after the Hyogo-ken Nanbu (Kobe earthquake is studied by using electron backscattered diffraction (EBSD and high-resolution X-ray Laue microdiffraction. Although located outside of the Nojima damage fault zone and macroscopically undeformed, the sample shows pervasive microfractures and local fragmentation. These features are attributed to the first stage of seismic activity along the Nojima fault characterized by laumontite as the main sealing mineral. EBSD mapping was used in order to characterize the crystallographic orientation and deformation microstructures in the sample, and X-ray microdiffraction was used to measure elastic strain and residual stresses on each point of the mapped quartz grain. Both methods give consistent results on the crystallographic orientation and show small and short wavelength misorientations associated with laumontite-sealed microfractures and alignments of tiny fluid inclusions. Deformation microstructures in quartz are symptomatic of the semi-brittle faulting regime, in which low-temperature brittle plastic deformation and stress-driven dissolution-deposition processes occur conjointly. This deformation occurred at a 3.7–11.1 km depth interval as indicated by the laumontite stability domain. Residual stresses are calculated from deviatoric elastic strain tensor measured using X-ray Laue microdiffraction using the Hooke's law. The modal value of the von Mises stress distribution is at 100 MPa and the mean at 141 MPa. Such stress values are comparable to

  15. High stresses stored in fault zones: example of the Nojima fault (Japan)

    Science.gov (United States)

    Boullier, Anne-Marie; Robach, Odile; Ildefonse, Benoît; Barou, Fabrice; Mainprice, David; Ohtani, Tomoyuki; Fujimoto, Koichiro

    2018-04-01

    During the last decade pulverized rocks have been described on outcrops along large active faults and attributed to damage related to a propagating seismic rupture front. Questions remain concerning the maximal lateral distance from the fault plane and maximal depth for dynamic damage to be imprinted in rocks. In order to document these questions, a representative core sample of granodiorite located 51.3 m from the Nojima fault (Japan) that was drilled after the Hyogo-ken Nanbu (Kobe) earthquake is studied by using electron backscattered diffraction (EBSD) and high-resolution X-ray Laue microdiffraction. Although located outside of the Nojima damage fault zone and macroscopically undeformed, the sample shows pervasive microfractures and local fragmentation. These features are attributed to the first stage of seismic activity along the Nojima fault characterized by laumontite as the main sealing mineral. EBSD mapping was used in order to characterize the crystallographic orientation and deformation microstructures in the sample, and X-ray microdiffraction was used to measure elastic strain and residual stresses on each point of the mapped quartz grain. Both methods give consistent results on the crystallographic orientation and show small and short wavelength misorientations associated with laumontite-sealed microfractures and alignments of tiny fluid inclusions. Deformation microstructures in quartz are symptomatic of the semi-brittle faulting regime, in which low-temperature brittle plastic deformation and stress-driven dissolution-deposition processes occur conjointly. This deformation occurred at a 3.7-11.1 km depth interval as indicated by the laumontite stability domain. Residual stresses are calculated from deviatoric elastic strain tensor measured using X-ray Laue microdiffraction using the Hooke's law. The modal value of the von Mises stress distribution is at 100 MPa and the mean at 141 MPa. Such stress values are comparable to the peak strength of a

  16. Prevalence and Risk Factors of High Risk Human Papillomavirus ...

    African Journals Online (AJOL)

    Cervical cancer is the most common female cancer in northern Nigeria, yet the pattern of infection with human papillomavirus, the principal aetiologic agent is unknown. This was a preliminary study conducted in two referral hospitals in order to establish base-line data on the prevalence and risk factors for the infection in ...

  17. Integrated assessment of socio-economic risks of dangerous hydrological phenomena in Russian coastal zones of the Baltic, the Azov and the Black Seas

    Science.gov (United States)

    Zemtsov, Stepan; Baburin, Vyacheslav; Goryachko, Mariya; Krylenko, Inna; Yumina, Natalya

    2013-04-01

    according to UNU-EHS methodology: 'exposure' and 'vulnerability', consisting of 'susceptibility', 'coping capacity' and 'adaptive capacity'. Relevant indicators for each block were selected and verified by statistical methods. The authors estimated the share of people potentially exposed to flooding with the help of geographic information system. The authors, using the technique of World Risk Index (2011), calculated sub-indices for each block, and made the maps. Areas with the highest socio-economic risks were identified on the Azov and the Black sea coast: Slavyansky, Krymsky, Krasnoarmeysky, Temryuksky and Primorsko-Akhtarsky municipal districts. On the third stage, the main purpose was to integrate and use both approaches in evaluation of socio-economic risks on micro-geographical level for different categories of the population and different industries (agriculture, utilities, etc.), using 'field' data. Field study was conducted in Slavyansky municipal district of Krasnodar region and included opinion polls, special interviews with businessmen and authorities, collection of municipal statistics and data from companies, etc. Vulnerability maps, speed evacuation maps, maps of possible locations of warning systems and maps of high insurance risks were developed. Proposals for improvement of legislation for coastal zones were prepared. The conducted research has shown the importance of both social ('vulnerability'), and economic ('damage') components of risk assessment. Using the previously discussed methods individually does not bring desired results because of deficiencies of Russian statistics. It is essential for accurate risk assessment to use an 'ensemble' of methods (statistical, field observations, etc.) on micro geographic level. The work has a practical importance for improving safety of local communities.

  18. An innovative approach to determine economically optimal coastal setback lines for risk informed coastal zone management

    NARCIS (Netherlands)

    Ranasinghe, R.; Jongejan, R.B.; Callaghan, D.; Vrijling, J.K.

    2012-01-01

    Current methods used to determine Coastal setback lines have several limitations. Furthermore, the historical practice of defining setback lines based on a single deterministic estimate is also proving inadequate with the emergence of risk management style coastal planning frameworks which require

  19. The Psychosis High-Risk State

    Science.gov (United States)

    Fusar-Poli, Paolo; Borgwardt, Stefan; Bechdolf, Andreas; Addington, Jean; Riecher-Rössler, Anita; Schultze-Lutter, Frauke; Keshavan, Matcheri; Wood, Stephen; Ruhrmann, Stephan; Seidman, Larry J.; Valmaggia, Lucia; Cannon, Tyrone; Velthorst, Eva; De Haan, Lieuwe; Cornblatt, Barbara; Bonoldi, Ilaria; Birchwood, Max; McGlashan, Thomas; Carpenter, William; McGorry, Patrick; Klosterkötter, Joachim; McGuire, Philip; Yung, Alison

    2014-01-01

    Context During the past 2 decades, a major transition in the clinical characterization of psychotic disorders has occurred. The construct of a clinical high-risk (HR) state for psychosis has evolved to capture the prepsychotic phase, describing people presenting with potentially prodromal symptoms. The importance of this HR state has been increasingly recognized to such an extent that a new syndrome is being considered as a diagnostic category in the DSM-5. Objective To reframe the HR state in a comprehensive state-of-the-art review on the progress that has been made while also recognizing the challenges that remain. Data Sources Available HR research of the past 20 years from PubMed, books, meetings, abstracts, and international conferences. Study Selection and Data Extraction Critical review of HR studies addressing historical development, inclusion criteria, epidemiologic research, transition criteria, outcomes, clinical and functional characteristics, neurocognition, neuroimaging, predictors of psychosis development, treatment trials, socioeconomic aspects, nosography, and future challenges in the field. Data Synthesis Relevant articles retrieved in the literature search were discussed by a large group of leading worldwide experts in the field. The core results are presented after consensus and are summarized in illustrative tables and figures. Conclusions The relatively new field of HR research in psychosis is exciting. It has the potential to shed light on the development of major psychotic disorders and to alter their course. It also provides a rationale for service provision to those in need of help who could not previously access it and the possibility of changing trajectories for those with vulnerability to psychotic illnesses. PMID:23165428

  20. [Targeting high-risk drugs to optimize clinical pharmacists' intervention].

    Science.gov (United States)

    Mouterde, Anne-Laure; Bourdelin, Magali; Maison, Ophélie; Coursier, Sandra; Bontemps, Hervé

    2016-12-01

    By the Order of 6 April 2011, the pharmacist must validate all the prescriptions containing "high-risk drugs" or those of "patients at risk". To optimize this clinical pharmacy activity, we identified high-risk drugs. A list of high-risk drugs has been established using literature, pharmacists' interventions (PI) performed in our hospital and a survey sent to hospital pharmacists. In a prospective study (analysis of 100 prescriptions for each high-risk drug selected), we have identified the most relevant to target. We obtained a statistically significant PI rate (P<0.05) for digoxin, oral anticoagulants direct, oral methotrexate and colchicine. This method of targeted pharmaceutical validation based on high-risk drugs is relevant to detect patients with high risk of medicine-related illness. Copyright © 2016 Société française de pharmacologie et de thérapeutique. Published by Elsevier Masson SAS. All rights reserved.

  1. Prograde and retrograde metamorphic processes in high-pressure subduction zone serpentinites from East Thessaly, Greece

    Science.gov (United States)

    Koutsovitis, Petros

    2016-04-01

    The East Thessaly region, Central Greece, includes metaophiolitic mélange formations which extend from the eastern foothills of Mt. Olympus and Ossa, throughout the Agia basin, Mt. Mavrovouni (Sklithro region), South Pelion and reaching up to northeast Othris (regions of Aerino and Velestino). They appear in the form of dispersed and deformed thrust sheets having been variably emplaced onto Mesozoic platform series rocks of the Pelagonian tectonostratigraphic zone[1]. These formations consist mainly of serpentinites, as well as metasediments, metagabbros, metadolerites, rodingites, ophicalcites, talc-schists and chromitites. Based upon petrographic observations, mineral chemistry data and XRD patterns, the subduction zone-related serpentinites from the regions of Potamia, Anavra, Aetolofos and Kalochori-Chasanbali (Agia basin), as well as from the regions of Aerino and Velestino, are characterized by the progressive transformation of lizardite to antigorite and are distinguished into two groups. The first group includes serpentinites from the metaophiolitic formations of Potamia, Anavra, Aerino and Velestino, which are marked by destibillization of lizardite to antigorite, mostly along the grain boundaries of the lizardite mesh textured relics. The presence of lizardite and antigorite in almost equal amounts indicates medium-temperature blueschist facies metamorphic conditions (˜340-370 ° C; P≈10-11 kbar)[2,3,4]. The second serpentinite group appears in the regions of Aetolofos and Kalochori, characterized by the predominance of antigorite, the minor occurrence of lizardite and the complete replacement of spinel by Cr-magnetite. The absence of metamorphic olivine suggests that these serpentinites were most likely formed at slightly higher temperature and pressure conditions compared to the first serpentinite group, corresponding to medium or high temperature blueschist facies metamorphism (˜360-380 ° C; P≈12 kbar)[2,3,4]. These metamorphic conditions are

  2. Ecologically Safe Geothermal Energy Resources in Western Siberia near high-rise construction zones

    Science.gov (United States)

    Shevchenko, Alexandr; Shiganova, Olga

    2018-03-01

    The development of geothermal energy in combination with other renewable energy sources (the sun, the wind) will help to solve the problem of heat supply and electrification in near high-rise construction zones of the country, especially in sparsely populated parts, where centralized energy and heat supply is economically unacceptable, and will improve the ecological situation. The aim of the research is to analyze the geothermal resources of the main aquifers in Western Siberia and to develop recommendations for further study and use of heat and power resources of this territory. The article gives retrospective of state research programs and potential use of hydrothermal resources of administrative units geographically entering the territory under consideration. It is noted that by now such programs have been curtailed for various reasons, although there are examples of their successful and effective use in various fields of industry and agriculture. According to the decision of the Supreme Ecological Council of the State Duma Committee of the Russian Federation adopted in 2014 on the beginning of the development of federal targeted programs for the use of heat power water as a source of electricity and heat supply, the Ministry of Natural Resources and Ecology of the Russian Federation made proposals for further research and use of hydrothermal waters in Western Siberia. Implementation of the programs proposed by the authors, alongside with other positive aspects, will solve the problems of heat supply in remote territories and improve the environmental situation in the region.

  3. Does the high-intensity zone (HIZ) of lumbar Intervertebral discs always represent an annular fissure?

    Energy Technology Data Exchange (ETDEWEB)

    Shan, Zhi; Chen, Huanhuan; Liu, Junhui; Ren, Hong; Zhang, Xuyang; Zhao, Fengdong [Zhejiang University, Department of Orthopaedics, Sir Run Run Shaw Hospital, School of Medicine, Hangzhou (China)

    2017-03-15

    The aim of this study was to examine high-intensity zone (HIZ) characteristics on both T1- and T2-weighted sagittal magnetic resonance (MR) images, and to reveal their exact nature. Seventy-three patients with low back pain and HIZs (identified on T2-weighted images) were included. Patients, aged 25-80 years (mean 51), were divided into two groups: the 'single-HIZ' group exhibited HIZs only on T2-weighted images, while the 'dual-HIZ' group exhibited HIZs on both T2-weighted and T1-weighted images. Tissue corresponding to the HIZ was harvested from surgery for analysis. Eighty-two discs were studied, from 39 patients with single HIZs, 30 with dual HIZs, and four with both in the posterior annulus. HIZ volume, volume ratio, and signal intensity on T2-weighted images from the dual-HIZ group were significantly greater. Surgery was able to successfully restore patients' ability in both groups, while conservative treatments were less effective for patients with dual HIZs. Histology revealed outer annular fissures invaded by granulation tissue in the single-HIZ group. In dual-HIZ discs, Von Kossa staining and CT scans showed more calcified or ossified lesions (94.1 vs. 0 %, P<0.001), and chemical analysis showed significantly higher calcium content. HIZs on both T2- and T1-weighted images represent calcified tissue, possibly from a vertebral endplate. A new concept of dual HIZ should be defined. (orig.)

  4. Evolution of the fracture process zone in high-strength concrete under different loading rates

    Directory of Open Access Journals (Sweden)

    Cámara M.

    2010-06-01

    Full Text Available For cementitious materials, the inelastic zone around a crack tip is termed as fracture process zone (FPZ and dominated by complicated mechanism, such as microcracking, crack deflection, bridging, crack face friction, crack tip blunting by voids, crack branching, and so on. Due to the length of the FPZ is related with the characteristic length of the cementitious materials, the size, extent and location of the FPZ has been the object of countless research efforts for several decades. For instance, Cedolin et al. [1] have used an optical method based on the moiré interferometry to determine FPZ in concrete. Castro-Montero et al. [2] have applied the method of holographic interferometry to mortar to study the extension of the FPZ. The advantage of the interferometry method is that the complete FPZ can be directly observed on the surface of the sample. Swartz et al. [3] has adopted the dye penetration technique to illustrate the changing patterns observed as the crack progress from the tensile side to the compression side of the beam. Moreover, acoustic emission (AE is also an experimental technique well suited for monitoring fracture process. Haidar et al. [4] and Maji et al. [5] have studied the relation between acoustic emission characteristics and the properties of the FPZ. Compared with the extensive research on properties of the FPZ under quasi-static loading conditions, much less information is available on its dynamic characterization, especially for high-strength concrete (HSC. This paper presents the very recent results of an experimental program aimed at disclosing the loading rate effect on the size and velocity of the (FPZ in HSC. Eighteen three-point bending specimens were conducted under a wide range of loading rates from from 10-4 mm/s to 103 mm/s using either a servo-hydraulic machine or a self-designed drop-weight impact device. The beam dimensions were 100 mm 100 mm in cross section, and 420 mm in length. The initial notch

  5. Mash evaluation of TxDOT high-mounting-height temporary work zone sign support system.

    Science.gov (United States)

    2017-02-01

    The objective of this research was to develop a nonproprietary, lightweight, crashworthy, temporary work-zone single sign support for use with an aluminum sign substrate. The device is intended to meet the evaluation criteria in American Association ...

  6. Risk assessment and early warning systems for industrial facilities in seismic zones

    International Nuclear Information System (INIS)

    Salzano, Ernesto; Garcia Agreda, Anita; Di Carluccio, Antonio; Fabbrocino, Giovanni

    2009-01-01

    Industrial equipments and systems can suffer structural damage when hit by earthquakes, so that accidental scenarios as fire, explosion and dispersion of toxic substances can take place. As a result, overall damage to people, environment and properties increases. The present paper deals with seismic risk analysis of industrial facilities where atmospheric storage tanks (anchored or unanchored to ground), horizontal pressurised tanks, reactors and pumps are installed. Simplified procedures and methodologies based on historical database and literature data on natural-technological (Na-Tech) accidents for seismic risk assessment are discussed. Equipment-specific fragility curves have been thus derived depending on a single earthquake measure, peak ground acceleration (PGA). Fragility parameters have been then transformed to linear probit coefficients in order to obtain reliable threshold values for earthquake intensity measure, both for structural damage and loss of containment. These threshold values are of great interest when development of active and passive mitigation actions and systems, safety management, and the implementation of early warning system are concerned. The approach is general and can be implemented in any available code or procedure for risk assessment. Some results of seismic analysis of atmospheric storage tanks are also presented for validation.

  7. Environmental Risks of Landscape Botanical Complexes and Minimization of Technogenic Influence Exerted by Objects of Oil&Gas Production in Steppe Zone of the Southern Urals

    Science.gov (United States)

    Ryabukhina, M. V.; Maiski, R. A.; Salikhova, R. H.

    2017-11-01

    The modern rates of oil and gas production, developed industry, high technologies in the field of the construction and operation of wells, pipelines and other facilities of the oil and gas industry, as well as growing environmental control do not fully solve the problem of the negative impacts on natural objects, in particular, landscape botanical complexes. Taking into account the increasing oil and gas production rates, the existing objects-Orenburg NGKM and constructed ones, for example, by 2015 in the Orenburg region was organized a “new thread” oil company, LLC, the activities of which include exploration, design and preparation of the Mogutovskoye deposits, a part of the Vorontsov and a part of Gremjacheskoye deposits, as well as their exploitation, should explore and develop some effective mechanisms to minimize and eliminate the environmental risks of industrial impact. In our view the multi-component continuous monitoring of environmental risks will help to formulate an effective strategy and develop an effective preventive mechanism of technological activities, identify landscape botanical complexes which are more exposed to environmental risks as well as the regional forecast component changes in terms of a landscape botanical complex in the zone of technogenic influence exerted by the objects of the oil and gas industry.

  8. Fighting over forest: interactive governance of conflicts over forest and tree resources in Ghana’s high forest zone

    NARCIS (Netherlands)

    Derkyi, M.A.A.

    2012-01-01

    Based on eight case studies, this book analyses conflicts over forests and trees in Ghana’s high forest zone and ways of dealing with them. It thereby addresses the full range of forest and tree-based livelihoods. Combining interactive governance theory with political ecology and conflict theories,

  9. Cutting zone area and chip morphology in high-speed cutting of titanium alloy Ti-6Al-4V

    International Nuclear Information System (INIS)

    Ke, Qing Chan; Xu, Daochun; Xiong, Dan Ping

    2017-01-01

    The titanium alloy Ti-6Al-4V has superior properties but poor machinability, yet is widely used in aerospace and biomedical industries. Chip formation and cutting zone area are important factors that have received limited attention. Thus, we propose a high-speed orthogonal cutting model for serrated chip formation. The high speed orthogonal cutting of Ti-6Al-4V was studied with a cutting speed of 10-160 m/min and a feed of 0.07-0.11 mm/r. Using theoretical models and experimental results, parameters such as chip shape, serration level, slip angle, and shear slip distance were investigated. Cutting zone boundaries (tool-chip contact length, length of shear plane, and critical slip plane) and cutting zone area were obtained. The results showed that discontinuous, long-curling, and continuous chips were formed at low, medium, and high speeds, respectively. Serration level, shear slip distance, and slip angle rose with increasing cutting speed. The length of shear plane, tool-chip contact, and critical slip plane varied subtly with increased cutting speed, and rose noticeably with increased feed. Cutting zone area grew weakly with increased cutting speed, levelling off at high cutting speed; however, it rose noticeably with increased feed. This study furthers our understanding of the shear slip phenomenon and the mechanism of serrated chip formation

  10. Cutting zone area and chip morphology in high-speed cutting of titanium alloy Ti-6Al-4V

    Energy Technology Data Exchange (ETDEWEB)

    Ke, Qing Chan; Xu, Daochun; Xiong, Dan Ping [School of Technology, Beijing Forestry University, Beijing (China)

    2017-01-15

    The titanium alloy Ti-6Al-4V has superior properties but poor machinability, yet is widely used in aerospace and biomedical industries. Chip formation and cutting zone area are important factors that have received limited attention. Thus, we propose a high-speed orthogonal cutting model for serrated chip formation. The high speed orthogonal cutting of Ti-6Al-4V was studied with a cutting speed of 10-160 m/min and a feed of 0.07-0.11 mm/r. Using theoretical models and experimental results, parameters such as chip shape, serration level, slip angle, and shear slip distance were investigated. Cutting zone boundaries (tool-chip contact length, length of shear plane, and critical slip plane) and cutting zone area were obtained. The results showed that discontinuous, long-curling, and continuous chips were formed at low, medium, and high speeds, respectively. Serration level, shear slip distance, and slip angle rose with increasing cutting speed. The length of shear plane, tool-chip contact, and critical slip plane varied subtly with increased cutting speed, and rose noticeably with increased feed. Cutting zone area grew weakly with increased cutting speed, levelling off at high cutting speed; however, it rose noticeably with increased feed. This study furthers our understanding of the shear slip phenomenon and the mechanism of serrated chip formation.

  11. Near-source attenuation of high-frequency body waves beneath the New Madrid Seismic Zone

    Science.gov (United States)

    Pezeshk, Shahram; Sedaghati, Farhad; Nazemi, Nima

    2018-03-01

    Attenuation characteristics in the New Madrid Seismic Zone (NMSZ) are estimated from 157 local seismograph recordings out of 46 earthquakes of 2.6 ≤ M ≤ 4.1 with hypocentral distances up to 60 km and focal depths down to 25 km. Digital waveform seismograms were obtained from local earthquakes in the NMSZ recorded by the Center for Earthquake Research and Information (CERI) at the University of Memphis. Using the coda normalization method, we tried to determine Q values and geometrical spreading exponents at 13 center frequencies. The scatter of the data and trade-off between the geometrical spreading and the quality factor did not allow us to simultaneously derive both these parameters from inversion. Assuming 1/ R 1.0 as the geometrical spreading function in the NMSZ, the Q P and Q S estimates increase with increasing frequency from 354 and 426 at 4 Hz to 729 and 1091 at 24 Hz, respectively. Fitting a power law equation to the Q estimates, we found the attenuation models for the P waves and S waves in the frequency range of 4 to 24 Hz as Q P = (115.80 ± 1.36) f (0.495 ± 0.129) and Q S = (161.34 ± 1.73) f (0.613 ± 0.067), respectively. We did not consider Q estimates from the coda normalization method for frequencies less than 4 Hz in the regression analysis since the decay of coda amplitude was not observed at most bandpass filtered seismograms for these frequencies. Q S/ Q P > 1, for 4 ≤ f ≤ 24 Hz as well as strong intrinsic attenuation, suggest that the crust beneath the NMSZ is partially fluid-saturated. Further, high scattering attenuation indicates the presence of a high level of small-scale heterogeneities inside the crust in this region.

  12. SCC growth behavior of stainless steel weld heat-affected zone in hydrogenated high temperature water

    International Nuclear Information System (INIS)

    Yamada, Takuyo; Terachi, Takumi; Miyamoto, Tomoki; Arioka, Koji

    2010-01-01

    It is known that the SCC growth rate of stainless steels in high-temperature water is accelerated by cold-work (CW). The weld heat-affected-zone (HAZ) of stainless steels is also deformed by weld shrinkage. However, only little have been reported on the SCC growth of weld HAZ of SUS316 and SUS304 in hydrogenated high-temperature water. Thus, in this present study, SCC growth experiments were performed using weld HAZ of stainless steels, especially to obtain data on the dependence of SCC growth on (1) temperature and (2) hardness in hydrogenated water at temperatures from 250degC to 340degC. And then, the SCC growth behaviors were compared between weld HAZ and CW stainless steels. The following results have been obtained. Significant SCC growth were observed in weld HAZ (SUS316 and SUS304) in hydrogenated water at 320degC. The SCC growth rates of the HAZ are similar to that of 10% CW non-sensitized SUS316, in accordance with that the hardness of weld HAZ is also similar to that of 10% CW SUS316. Temperature dependency of SCC growth of weld HAZ (SUS316 and SUS304) is also similar to that of 10% CW non-sensitized SUS316. That is, no significant SCC were observed in the weld HAZ (SUS316 and SUS304) in hydrogenated water at 340degC. This suggests that SCC growth behaviors of weld HAZ and CW stainless steels are similar and correlated with the hardness or yield strength of the materials, at least in non-sensitized regions. And the similar temperature dependence between the HAZ and CW stainless steels suggests that the SCC growth behaviors are also attributed to the common mechanism. (author)

  13. A cohesive zone model to simulate the hydrogen embrittlement effect on a high-strength steel

    Directory of Open Access Journals (Sweden)

    G. Gobbi

    2016-01-01

    Full Text Available The present work aims to model the fracture mechanical behavior of a high-strength low carbon steel, AISI 4130 operating in hydrogen contaminated environment. The study deals with the development of 2D finite element cohesive zone model (CZM reproducing a toughness test. Along the symmetry plane over the crack path of a C(T specimen a zero thickness layer of cohesive elements are implemented in order to simulate the crack propagation. The main feature of this kind of model is the definition of a traction-separation law (TSL that reproduces the constitutive response of the material inside to the cohesive elements. Starting from a TSL calibrated on hydrogen non-contaminated material, the embrittlement effect is simulated by reducing the cohesive energy according to the total hydrogen content including the lattice sites (NILS and the trapped amount. In this perspective, the proposed model consists of three steps of simulations. First step evaluates the hydrostatic pressure. It drives the initial hydrogen concentration assigned in the second step, a mass diffusion analysis, defining in this way the contribution of hydrogen moving across the interstitial lattice sites. The final stress analysis, allows getting the total hydrogen content, including the trapped amount, and evaluating the new crack initiation and propagation due to the hydrogen presence. The model is implemented in both plane strain and plane stress configurations; results are compared in the discussion. From the analyses, it resulted that hydrogen is located only into lattice sites and not in traps, and that the considered steel experiences a high hydrogen susceptibility. By the proposed procedure, the developed numerical model seems a reliable and quick tool able to estimate the mechanical behavior of steels in presence of hydrogen.

  14. Electro-mechanical characteristics of myocardial infarction border zones and ventricular arrhythmic risk: novel insights from grid-tagged cardiac magnetic resonance imaging

    International Nuclear Information System (INIS)

    Wong, Dennis T.L.; Weightman, Michael J.; Baumert, Mathias; Tayeb, Hussam; Richardson, James D.; Puri, Rishi; Bertaso, Angela G.; Roberts-Thomson, Kurt C.; Sanders, Prashanthan; Worthley, Matthew I.; Worthley, Stephen G.

    2012-01-01

    To investigate whether grid-tag myocardial strain evaluation can characterise 'border-zone' peri-infarct region and identify patients at risk of ventricular arrhythmia as the peri-infarct myocardial zone may represent an important contributor to ventricular arrhythmia following ST-segment elevation myocardial infarction (STEMI). Forty-five patients with STEMI underwent cardiac magnetic resonance (CMR) imaging on days 3 and 90 following primary percutaneous coronary intervention (PCI). Circumferential peak circumferential systolic strain (CS) and strain rate (CSR) were calculated from grid-tagged images. Myocardial segments were classified into 'infarct', 'border-zone', 'adjacent' and 'remote' regions by late-gadolinium enhancement distribution. The relationship between CS and CSR and these distinct myocardial regions was assessed. Ambulatory Holter monitoring was performed 14 days post myocardial infarction (MI) to estimate ventricular arrhythmia risk via evaluation of heart-rate variability (HRV). We analysed 1,222 myocardial segments. Remote and adjacent regions had near-normal parameters of CS and CSR. Border-zone regions had intermediate CS (-9.0 ± 4.6 vs -5.9 ± 7.4, P < 0.001) and CSR (-86.4 ± 33.3 vs -73.5 ± 51.4, P < 0.001) severity compared with infarct regions. Patients with 'border-zone' peri-infarct regions had reduced very-low-frequency power on HRV analysis, which is a surrogate for ventricular arrhythmia risk (P = 0.03). Grid-tagged CMR-derived myocardial strain accurately characterises the mechanical characteristics of 'border-zone' peri-infarct region. Presence of 'border-zone' peri-infarct region correlated with a surrogate marker of heightened arrhythmia risk following STEMI. (orig.)

  15. Monitoring the Deformation of High-Rise Buildings in Shanghai Luijiazui Zone by Tomo-Psinsar

    Science.gov (United States)

    Zhou, L. F.; Ma, P. F.; Xia, Y.; Xie, C. H.

    2018-05-01

    In this study, we utilize a Tomography-based Persistent Scatterers Interferometry (Tomo-PSInSAR) approach for monitoring the deformation performances of high-rise buildings, i.e. SWFC and Jin Mao Tower, in Shanghai Lujiazui Zone. For the purpose of this study, we use 31 Stripmap acquisitions from TerraSAR-X missions, spanning from December 2009 to February 2013. Considering thermal expansion, creep and shrinkage are two long-term movements that occur in high-rise buildings with concrete structures, we use an extended 4-D SAR phase model, and three parameters (height, deformation velocity, and thermal amplitude) are estimated simultaneously. Moreover, we apply a two-tier network strategy to detect single and double PSs with no need for preliminary removal of the atmospheric phase screen (APS) in the study area, avoiding possible error caused by the uncertainty in spatiotemporal filtering. Thermal expansion is illustrated in the thermal amplitude map, and deformation due to creep and shrinkage is revealed in the linear deformation velocity map. The thermal amplitude map demonstrates that the derived thermal amplitude of the two high-rise buildings both dilate and contract periodically, which is highly related to the building height due to the upward accumulative effect of thermal expansion. The linear deformation velocity map reveals that SWFC is subject to deformation during the new built period due to creep and shrinkage, which is height-dependent movements in the linear velocity map. It is worth mention that creep and shrinkage induces movements that increase with the increasing height in the downward direction. In addition, the deformation rates caused by creep and shrinkage are largest at the beginning and gradually decrease, and at last achieve a steady state as time goes infinity. On the contrary, the linear deformation velocity map shows that Jin Mao Tower is almost stable, and the reason is that it is an old built building, which is not influenced by creep

  16. MONITORING THE DEFORMATION OF HIGH-RISE BUILDINGS IN SHANGHAI LUIJIAZUI ZONE BY TOMO-PSINSAR

    Directory of Open Access Journals (Sweden)

    L. F. Zhou

    2018-05-01

    Full Text Available In this study, we utilize a Tomography-based Persistent Scatterers Interferometry (Tomo-PSInSAR approach for monitoring the deformation performances of high-rise buildings, i.e. SWFC and Jin Mao Tower, in Shanghai Lujiazui Zone. For the purpose of this study, we use 31 Stripmap acquisitions from TerraSAR-X missions, spanning from December 2009 to February 2013. Considering thermal expansion, creep and shrinkage are two long-term movements that occur in high-rise buildings with concrete structures, we use an extended 4-D SAR phase model, and three parameters (height, deformation velocity, and thermal amplitude are estimated simultaneously. Moreover, we apply a two-tier network strategy to detect single and double PSs with no need for preliminary removal of the atmospheric phase screen (APS in the study area, avoiding possible error caused by the uncertainty in spatiotemporal filtering. Thermal expansion is illustrated in the thermal amplitude map, and deformation due to creep and shrinkage is revealed in the linear deformation velocity map. The thermal amplitude map demonstrates that the derived thermal amplitude of the two high-rise buildings both dilate and contract periodically, which is highly related to the building height due to the upward accumulative effect of thermal expansion. The linear deformation velocity map reveals that SWFC is subject to deformation during the new built period due to creep and shrinkage, which is height-dependent movements in the linear velocity map. It is worth mention that creep and shrinkage induces movements that increase with the increasing height in the downward direction. In addition, the deformation rates caused by creep and shrinkage are largest at the beginning and gradually decrease, and at last achieve a steady state as time goes infinity. On the contrary, the linear deformation velocity map shows that Jin Mao Tower is almost stable, and the reason is that it is an old built building, which is not

  17. [Effects of exogenous high mobility group protein box 1 on angiogenesis in ischemic zone of early scald wounds of rats].

    Science.gov (United States)

    Dai, L; Guo, X; Huang, H J; Liao, X M; Luo, X Q; Li, D; Zhou, H; Gao, X C; Tan, M Y

    2018-04-20

    Objective: To observe effects of exogenous high mobility group protein box 1 (HMGB1) on angiogenesis in ischemic zone of early scald wounds of rats. Methods: Thirty-six Sprague-Dawley rats were divided into HMGB1 group and simple scald (SS) group according to the random number table, with 18 rats in each group. Comb-like copper mould was placed on the back of rats for 20 s after being immersed in 100 ℃ hot water for 3 to 5 min to make three ischemic zones of wound. Immediately after scald, rats in HMGB1 group were subcutaneously injected with 0.4 μg HMGB1 and 0.1 mL phosphate buffer solution (PBS), and rats in SS group were subcutaneously injected with 0.1 mL PBS from boarders of ischemic zone of scald wound. At post scald hour (PSH) 24, 48, and 72, 6 rats in each group were collected. Protein expressions of vascular endothelial growth factor (VEGF) in ischemic zone of wound at PSH 24, 48, and 72 and protein expressions of CD31 in ischemic zone of wound at PSH 48 and 72 were detected by immunohistochemistry. The number of microvessel in CD31 immunohistochemical sections of ischemic zone of wound at PSH 48 and 72 was calculated after observing by the microscope. The mRNA expressions of VEGF and CD31 in ischemic zone of wound were detected by real-time fluorescence quantitative reverse transcription polymerase chain reaction at PSH 24, 48, and 72. Data were processed with analysis of variance of factorial design, t test, and Bonferroni correction. Results: (1) At PSH 24, 48, and 72, protein expressions of VEGF in ischemic zone of wound of rats in HMGB1 group were significantly higher than those of rats in SS group ( t =7.496, 4.437, 5.402, P zone of wound of rats in HMGB1 group were 0.038 8±0.007 9 and 0.057 7±0.001 2 respectively, significantly higher than 0.013 4±0.004 9 and 0.030 3±0.004 0 of rats in SS group ( t =10.257, 15.055, P zone of wound of rats in HMGB1 group was obviously more than that of rats in SS group ( t =3.536, 4.000, P zone of wound of

  18. Very High Cycle Fatigue Crack Initiation Mechanism in Nugget Zone of AA 7075 Friction Stir Welded Joint

    Directory of Open Access Journals (Sweden)

    Chao He

    2017-01-01

    Full Text Available Very high cycle fatigue behavior of nugget zone in AA 7075 friction stir welded joint was experimentally investigated using ultrasonic fatigue testing system (20 kHz to clarify the crack initiation mechanism. It was found that the fatigue strength of nugget zone decreased continuously even beyond 107 cycles with no traditional fatigue limits. Fatigue cracks initiated from the welding defects located at the bottom side of the friction stir weld. Moreover, a special semicircular zone could be characterized around the crack initiation site, of which the stress intensity factor approximately equaled the threshold of fatigue crack propagation rate. Finally, a simplified model was proposed to estimate the fatigue life by correlating the welding defect size and applied stress. The predicted results are in good agreement with the experimental results.

  19. An assessment of high risk sexual behaviour and HIV transmission ...

    African Journals Online (AJOL)

    An assessment of high risk sexual behaviour and HIV transmission among migrant oil workers in the Niger Delta area of Nigeria. ... questionnaires to evaluate key highrisk sexual behavioral parameters such as multiplicity of sexual partners, bisexuality (closet homosexuality), high grade sexual behaviour and lesbianism.

  20. A proposal for terrain zoning for risk management focusing on land use definition

    International Nuclear Information System (INIS)

    Aristizabal, Edier; Hermelin, Michel

    2011-01-01

    Land use planning is an essential tool for adequate risk management, which reduce its current scenarios and avoids the construction of future ones exposed to hazards; it should be approached from a knowledge of the risk as an element associated with communities development and in particular how they occupy and how they manage territory and their resources. The disaster-development relationship is critical, and its solution requires considering planning schemes of sectorial, environmental and territories development, Although in the past 10 years considerable progress has been made in this direction, there are still difficulties for a proper incorporation of hazard and/or susceptibility maps as structural elements of land use planning and of land use suitability for development of human settlements. It is fundamental to identify measures to reduce, mitigate or eliminate hazards in urbanized, rural and expansion areas, as well as to guide the uses and appropriate treatments which can be given according to their characteristics of susceptibility to natural phenomena. This paper proposes to divide the territory in urbanized areas which are themselves divided into stable areas for building, potentially unstable areas for intervention and unstable areas for recovery; undeveloped areas which could be urbanized, are divided into areas with minimal restrictions and areas with significant restrictions; and finally undeveloped areas not to be used for urbanization, which are divided into stable areas for rural consolidation, potentially instable areas for intervention, and instable areas for recovery and conservation.

  1. Fall prevention in high-risk patients.

    Science.gov (United States)

    Shuey, Kathleen M; Balch, Christine

    2014-12-01

    In the oncology population, disease process and treatment factors place patients at risk for falls. Fall bundles provide a framework for developing comprehensive fall programs in oncology. Small sample size of interventional studies and focus on ambulatory and geriatric populations limit the applicability of results. Additional research is needed. Copyright © 2014 Elsevier Inc. All rights reserved.

  2. Systems reliability in high risk situations

    International Nuclear Information System (INIS)

    Hunns, D.M.

    1974-12-01

    A summary is given of five papers and the discussion of a seminar promoted by the newly-formed National Centre of Systems Reliability. The topics covered include hazard analysis, reliability assessment, and risk assessment in both nuclear and non-nuclear industries. (U.K.)

  3. Evaluation of Risk Management Strategies for a Low-Cost, High-Risk Project

    Science.gov (United States)

    Shishko, Robert; Jorgensen, Edward J.

    1996-01-01

    This paper summarizes work in progress to define and implement a risk management process tailored to a low-cost, high-risk, NASA mission -the Microrover Flight Experiment (MFEX, commonly called the Mars microrover).

  4. Failing States as Epidemiologic Risk Zones: Implications for Global Health Security.

    Science.gov (United States)

    Hirschfeld, Katherine

    Failed states commonly experience health and mortality crises that include outbreaks of infectious disease, violent conflict, reductions in life expectancy, and increased infant and maternal mortality. This article draws from recent research in political science, security studies, and international relations to explore how the process of state failure generates health declines and outbreaks of infectious disease. The key innovation of this model is a revised definition of "the state" as a geographically dynamic rather than static political space. This makes it easier to understand how phases of territorial contraction, collapse, and regeneration interrupt public health programs, destabilize the natural environment, reduce human security, and increase risks of epidemic infectious disease and other humanitarian crises. Better understanding of these dynamics will help international health agencies predict and prepare for future health and mortality crises created by failing states.

  5. High rates of organic carbon processing in the hyporheic zone of intermittent streams.

    Science.gov (United States)

    Burrows, Ryan M; Rutlidge, Helen; Bond, Nick R; Eberhard, Stefan M; Auhl, Alexandra; Andersen, Martin S; Valdez, Dominic G; Kennard, Mark J

    2017-10-16

    Organic carbon cycling is a fundamental process that underpins energy transfer through the biosphere. However, little is known about the rates of particulate organic carbon processing in the hyporheic zone of intermittent streams, which is often the only wetted environment remaining when surface flows cease. We used leaf litter and cotton decomposition assays, as well as rates of microbial respiration, to quantify rates of organic carbon processing in surface and hyporheic environments of intermittent and perennial streams under a range of substrate saturation conditions. Leaf litter processing was 48% greater, and cotton processing 124% greater, in the hyporheic zone compared to surface environments when calculated over multiple substrate saturation conditions. Processing was also greater in more saturated surface environments (i.e. pools). Further, rates of microbial respiration on incubated substrates in the hyporheic zone were similar to, or greater than, rates in surface environments. Our results highlight that intermittent streams are important locations for particulate organic carbon processing and that the hyporheic zone sustains this fundamental process even without surface flow. Not accounting for carbon processing in the hyporheic zone of intermittent streams may lead to an underestimation of its local ecological significance and collective contribution to landscape carbon processes.

  6. Seismic qualification of multiple interconnected safety-related cabinets in a high seismic zone

    International Nuclear Information System (INIS)

    Khan, M.R.; Chen, W.H.W.; Wang, T.Y.

    1993-01-01

    Certain safety-related multiple, interconnected electrical cabinets and the devices contained therein are required to perform their intended safety functions during and after a design basis seismic event. In general, seismic testing is performed to ensure the structural integrity of the cabinets and the functionality of their associated devices. Constrained by the shake table capacity, seismic testing is usually performed only for a limited number of interconnected cabinets. Also, original shake table tests performed usually did not provide detailed response information at various locations inside the cabinets. For operational and maintenance purposes, doors and panels of some cabinets may need to be opened while the adjacent cabinets are required to remain functional. In addition, in-cabinet response spectra need to be generated for the seismic qualification of new devices and the replacement parts. Consequently, seismic analysis of safety-related multiple, interconnected cabinets is frequently required for configurations which are different from the original tested conditions. This paper presents results of seismic tests of three interconnected safety-related cabinets and finite element analyses performed to compare the analytical results with those obtained from the cabinet seismic tests. Parametric analyses are performed to determine how many panels and doors can be opened while the adjacent cabinets still remain functional. The study indicates that for cabinets located in a high seismic zone, the critical damping of the cabinet is significantly higher than 5% to 7% typically used in qualifying electrical equipment. For devices mounted on the cabinet doors to performed their intended safety function, it requires stiffening of doors and that these doors be properly bolted to the cabinet frame. It also shows that even though doors and panels bolted to the cabinet frame are the primary seismic resistant element of the cabinet, opening of a limited number of them

  7. A metasynthesis of risk perception in women with high risk pregnancies

    OpenAIRE

    Lee, S.; Ayers, S.; Holden, D.

    2014-01-01

    Introduction: Risk perception in women with high risk pregnancies affects their decisions about perinatal care and is of interest to anyone involved in the care of pregnant women. This paper provides a metasynthesis of qualitative studies of risk perception in women with high risk pregnancies.\\ud \\ud Methods: A systematic search of eight electronic databases was conducted. Additional papers were obtained through searching references of identified articles. Six studies were identified that rep...

  8. Critical pathogenic steps to high risk Helicobacter pylori gastritis and gastric carcinogenesis.

    Science.gov (United States)

    Lee, Inchul

    2014-06-07

    Helicobacter pylori (H. pylori) gastritis may progress to high risk gastropathy and cancer. However, the pathological progression has not been characterized in detail. H. pylori induce persistent inflammatory infiltration. Neutrophils are unique in that they directly infiltrate into foveolar epithelium aiming the proliferative zone specifically. Neutrophilic proliferative zone foveolitis is a critical pathogenic step in H. pylori gastritis inducing intensive epithelial damage. Epithelial cells carrying accumulated genomic damage and mutations show the Malgun (clear) cell change, characterized by large clear nucleus and prominent nucleolus. Malgun cells further undergo atypical changes, showing nuclear folding, coarse chromatin, and multiple nucleoli. The atypical Malgun cell (AMC) change is a novel premalignant condition in high risk gastropathy, which may progress and undergo malignant transformation directly. The pathobiological significance of AMC in gastric carcinogenesis is reviewed. A new diagnosis system of gastritis is proposed based on the critical pathologic steps classifying low and high risk gastritis for separate treatment modality. It is suggested that the regulation of H. pylori-induced neutrophilic foveolitis might be a future therapeutic goal replacing bactericidal antibiotics approach.

  9. Challenges of DHS and MIS to capture the entire pattern of malaria parasite risk and intervention effects in countries with different ecological zones: the case of Cameroon.

    Science.gov (United States)

    Massoda Tonye, Salomon G; Kouambeng, Celestin; Wounang, Romain; Vounatsou, Penelope

    2018-04-06

    different ecological zones and thus different seasonal patterns, a single survey may not be able to identify all high risk areas. A continuous MIS or a combination of MIS, health information system data and data from sentinel sites may be able to capture the disease risk distribution in space across different seasons.

  10. High Frequency Electromagnetic Impedance Imaging for Vadose Zone and Groundwater Characterization

    International Nuclear Information System (INIS)

    Newman, Greory A.; Alumbaugh, David L.; Hoversten, Michael; Nichols, Edward

    2003-01-01

    A geophysical experiment is described for characterizing the clastic dike systems, which are ubiquitous within the vadose zone at the Hanford Nuclear Reservation. because the dikes possess a significant electrical contrast from the insulating host medium, we have applied controlled source audio magnetotelluric (CSAMT) measurements to map their geometric extent and to further clarify if the dike complex acts as a conduit for contaminant transport within the vadose zone. Because of cost and weak natural field signal levels, we employed controlled field sourcing using the STRATGEM acquisition system. Use of artificial fields often goes with the assumption that the data required in the far-field of the transmitter

  11. Ship Analysis and Detection in High-resolution Pol-SAR Imagery Based on Peak Zone

    Directory of Open Access Journals (Sweden)

    Xu Cheng-bin

    2015-06-01

    Full Text Available To deal with the problem of false alarm in the ship detection, a method base on proportion of spiral scattering in the peak zone is proposed. By comparing the proportion of spiral scattering in the peak zone, which is available from Krogager decomposition, the ships and interfering targets are identified and analyzed. The effectiveness of this method is justified with C-band full-polarization data from RADARSAT-2. The result show that this method can discriminate ships from interfering targets such as island, water-break, nautical platforms and bridges, thus reducing the false alarm rate of ship targets detection in SAR images.

  12. Quantitation of the critically ischemic zone at risk during acute coronary occlusion using PET

    International Nuclear Information System (INIS)

    Merhige, M.; Garza, D.; Sease, D.; Rowe, R.W.; Tewson, T.; Emran, A.; Bolomey, L.; Gould, K.L.

    1991-01-01

    Critical myocardial ischemia has been defined experimentally during acute coronary occlusion as flow reduction of 50% or more since cellular ATP depletion begins to occur beyond this flow reduction threshold, placing tissue at risk of cellular injury. To test the hypothesis that critically ischemic fractional left ventricular mass can be measured noninvasively with PET, nine dogs were imaged in a multi-slice positron camera using the perfusion tracer 13N-ammonia, while radiolabeled microspheres were injected into the left atrium during acute coronary occlusion. Images were processed using a 50% threshold and the size of the resulting perfusion defect was expressed as a fraction of total left ventricular image volume. The critically ischemic left ventricular fraction determined in vitro from the microsphere perfusion data, ranged from 5% to 30% of the total left ventricular weight and correlated closely with that determined noninvasively by PET with r = 0.94 (y = 1.05X - 2.0%). The authors conclude that the fraction of left ventricular myocardium rendered critically ischemic during acute coronary occlusion can be measured accurately and noninvasively in vivo using perfusion imaging with positron emission tomography

  13. Electromagnetic exploration in high-salinity groundwater zones: case studies from volcanic and soft sedimentary sites in coastal Japan

    Science.gov (United States)

    Suzuki, Koichi; Kusano, Yukiko; Ochi, Ryota; Nishiyama, Nariaki; Tokunaga, Tomochika; Tanaka, Kazuhiro

    2017-01-01

    Estimating the spatial distribution of groundwater salinity in coastal plain regions is becoming increasingly important for site characterisation and the prediction of hydrogeological environmental conditions resulting from radioactive waste disposal and underground CO2 storage. In previous studies of the freshwater-saltwater interface, electromagnetic methods were used for sites characterised by unconsolidated deposits or Neocene soft sedimentary rocks. However, investigating the freshwater-saltwater interface in hard rock sites (e.g. igneous areas) is more complex, with the permeability of the rocks greatly influenced by fractures. In this study, we investigated the distribution of high-salinity groundwater at two volcanic rock sites and one sedimentary rock site, each characterised by different hydrogeological features. Our investigations included (1) applying the controlled source audio-frequency magnetotelluric (CSAMT) method and (2) conducting laboratory tests to measure the electrical properties of rock core samples. We interpreted the 2D resistivity sections by referring to previous data on geology and geochemistry of groundwater. At the Tokusa site, an area of inland volcanic rocks, low resistivity zones were detected along a fault running through volcanic rocks and shallow sediments. The results suggest that fluids rise through the Tokusa-Jifuku Fault to penetrate shallow sediments in a direction parallel to the river, and some fluids are diluted by rainwater. At the Oki site, a volcanic island on a continental shelf, four resistivity zones (in upward succession: low, high, low and high) were detected. The results suggest that these four zones were formed during a transgression-regression cycle caused by the last glacial period. At the Saijo site, located on a coastal plain composed of thick sediments, we observed a deep low resistivity zone, indicative of fossil seawater remnant from a transgression after the last glacial period. The current coastal

  14. Radical prostatectomy for high-risk prostate cancer.

    Science.gov (United States)

    Yossepowitch, Ofer; Eastham, James A

    2008-06-01

    Consensus recommendations for the identification and treatment of men whose apparent organ confined prostate cancer has high risk features are lacking. Despite ongoing refinements in surgical technique and improvements in morbidity and functional outcomes, the tradition of steering high-risk patients away from radical prostatectomy (RP) remains steadfast. We performed a medical literature search in English using MEDLINE/PubMed that addressed high risk prostate cancer. We analyzed the literature with respect to the historical evolution of this concept, current risk stratification schemes and treatment guidelines and related short and long term outcomes following RP. Contemporary evidence suggest that patients classified with high-risk prostate cancer by commonly used definitions do not have a uniformly poor prognosis after RP. Many cancers categorized clinically as high risk are actually pathologically confined to the prostate, and most men with such cancers who undergo RP are alive and free of additional therapy long after surgery. RP in the high-risk setting appears to be associated with a similar morbidity as in lower-risk patients. Men with clinically localized high-risk prostate cancer should not be categorically disqualified from local definitive therapy with RP. With careful attention to surgical technique, cancer control rates should improve further, and adverse effects on quality of life after RP should continue to decrease.

  15. A metasynthesis of risk perception in women with high risk pregnancies.

    Science.gov (United States)

    Lee, Suzanne; Ayers, Susan; Holden, Des

    2014-04-01

    risk perception in women with high risk pregnancies affects their decisions about perinatal care and is of interest to anyone involved in the care of pregnant women. This paper provides a metasynthesis of qualitative studies of risk perception in women with high risk pregnancies. a systematic search of eight electronic databases was conducted. Additional papers were obtained through searching references of identified articles. Six studies were identified that reported qualitative research into risk perception in relation to high risk pregnancy. A metasynthesis was developed to describe and interpret the studies. the synthesis resulted in the identification of five themes: determinants of risk perception; not seeing it the way others do; normality versus risk; if the infant is ok, I׳m ok; managing risk. this metasynthesis suggests women at high risk during pregnancy use multiple sources of information to determine their risk status. It shows women are aware of the risks posed by their pregnancies but do not perceive risk in the same way as healthcare professionals. They will take steps to ensure the health of themselves and their infants but these may not include following all medical recommendations. Copyright © 2013 Elsevier Ltd. All rights reserved.

  16. High Blood Pressure, Afib and Your Risk of Stroke

    Science.gov (United States)

    ... Peripheral Artery Disease Venous Thromboembolism Aortic Aneurysm More High Blood Pressure, AFib and Your Risk of Stroke Updated:Aug ... have a stroke for the first time have high blood pressure . And an irregular atrial heart rhythm — a condition ...

  17. Observations of a narrow zone of high suspended particulate matter (SPM) concentrations along the Dutch coast

    NARCIS (Netherlands)

    van der Hout, C.M.; Gerkema, T.; Nauw, J.J.; Ridderinkhof, H.

    2015-01-01

    The objective of the study described in this paper is to localize the transport path of suspended particulate matter (SPM) in the Dutch coastal zone in the southern North Sea. It is known that a large mass of SPM is transported northward from the Strait of Dover, which is however mostly hidden from

  18. 76 FR 26183 - Safety Zone; Repair of High Voltage Transmission Lines to Logan International Airport, Saugus...

    Science.gov (United States)

    2011-05-06

    ... the repairs. Because of the vital importance of the repairs to Logan Airport, and the safety zone... designated on scene representative may be contacted via VHF Channel 16 or by telephone at (617) 223-5750... relationship between the Federal Government and Indian tribes, or on the distribution of power and...

  19. High-Mobility Aligned Pentacene Films Grown by Zone-Casting

    DEFF Research Database (Denmark)

    Duffy, Claudia M.; Andreasen, Jens Wenzel; Breiby, Dag W.

    2008-01-01

    We investigate the growth and field-effect transistor performance of aligned pentacene thin films deposited by zone-casting from a solution of unsubstituted pentacene molecules in a chlorinated solvent. Polarized optical microscopy shows that solution processed pentacene films grow as large...

  20. Alcohol consumption and high risk sexual behaviour among female ...

    African Journals Online (AJOL)

    Alcohol consumption has been associated with high risk sexual behaviour among key populations such as female sex workers. We explored the drivers of alcohol consumption and its relationship to high risk sexual behaviour. Participants were drawn from a cohort of 1 027 women selected from 'hot spots' in the suburbs of ...

  1. Correlation between high-risk pregnancy and developmental delay ...

    African Journals Online (AJOL)

    Background: The future development of children is considered more than ever now due to the advances in medical knowledge and thus the increase in survival rates of high-risk infants. This study investigated the correlation between high-risk pregnancy and developmental delay in children aged 4- 60 months. Methods: ...

  2. Drug response prediction in high-risk multiple myeloma

    DEFF Research Database (Denmark)

    Vangsted, A J; Helm-Petersen, S; Cowland, J B

    2018-01-01

    from high-risk patients by GEP70 at diagnosis from Total Therapy 2 and 3A to predict the response by the DRP score of drugs used in the treatment of myeloma patients. The DRP score stratified patients further. High-risk myeloma with a predicted sensitivity to melphalan by the DRP score had a prolonged...

  3. Elevated level of serum triglyceride among high risk stress bank ...

    African Journals Online (AJOL)

    The objective of this study was to estimate lipid profile among high risk stress bank employees' correlated with heart disorders in Riyadh, Saudi Arabia. A total of 129 patients with high risk stress employees were involved in this study, which were divided into 69 males and 60 females between the age of 25 to 55 years.

  4. Organic contamination of surface sediments in the metropolitan coastal zone of Athens, Greece: sources, degree, and ecological risk.

    Science.gov (United States)

    Kapsimalis, V; Panagiotopoulos, I P; Talagani, P; Hatzianestis, I; Kaberi, H; Rousakis, G; Kanellopoulos, T D; Hatiris, G A

    2014-03-15

    Bottom sediments represent a crucial component of the marine environment, since they constitute a habitat, a trophic resource, and a spawning place for various organisms. Unfortunately, the sediments of urban coastal areas are deeply impacted by anthropogenic activities that degrade their quality. In the Drapetsona-Keratsini metropolitan coastal zone of Athens, current industrial and shipping activities together with the effluents from a sewage outfall, which was in operation in the past, have resulted in one of the most contaminated sedimentary environments, in terms of organic compound loads, in Mediterranean. Exceptionally high concentrations of aliphatic hydrocarbons (up to 4457 μg g⁻¹), carcinogenic PAHs (up to 7284 ng g⁻¹), and organochlorines (up to 544 ng g⁻¹ for PCBs; up to 208 ng g⁻¹ for DDTs) constitute a major threat to the marine life of the associated Saronikos Gulf. Copyright © 2013 Elsevier Ltd. All rights reserved.

  5. Aggregate-cement paste transition zone properties affecting the salt-frost damage of high-performance concretes

    International Nuclear Information System (INIS)

    Cwirzen, Andrzej; Penttala, Vesa

    2005-01-01

    The influence of the cement paste-aggregate interfacial transition zone (ITZ) on the frost durability of high-performance silica fume concrete (HPSFC) has been studied. Investigation was carried out on eight non-air-entrained concretes having water-to-binder (W/B) ratios of 0.3, 0.35 and 0.42 and different additions of condensed silica fume. Studies on the microstructure and composition of the cement paste have been made by means of environmental scanning electron microscope (ESEM)-BSE, ESEM-EDX and mercury intrusion porosimetry (MIP) analysis. The results showed that the transition zone initiates and accelerates damaging mechanisms by enhancing movement of the pore solution within the concrete during freezing and thawing cycles. Cracks filled with ettringite were primarily formed in the ITZ. The test concretes having good frost-deicing salt durability featured a narrow transition zone and a decreased Ca/Si atomic ratio in the transition zone compared to the bulk cement paste. Moderate additions of silica fume seemed to densify the microstructure of the ITZ

  6. Patients at High-Risk for Surgical Site Infection.

    Science.gov (United States)

    Mueck, Krislynn M; Kao, Lillian S

    Surgical site infections (SSIs) are a significant healthcare quality issue, resulting in increased morbidity, disability, length of stay, resource utilization, and costs. Identification of high-risk patients may improve pre-operative counseling, inform resource utilization, and allow modifications in peri-operative management to optimize outcomes. Review of the pertinent English-language literature. High-risk surgical patients may be identified on the basis of individual risk factors or combinations of factors. In particular, statistical models and risk calculators may be useful in predicting infectious risks, both in general and for SSIs. These models differ in the number of variables; inclusion of pre-operative, intra-operative, or post-operative variables; ease of calculation; and specificity for particular procedures. Furthermore, the models differ in their accuracy in stratifying risk. Biomarkers may be a promising way to identify patients at high risk of infectious complications. Although multiple strategies exist for identifying surgical patients at high risk for SSIs, no one strategy is superior for all patients. Further efforts are necessary to determine if risk stratification in combination with risk modification can reduce SSIs in these patient populations.

  7. Characterizing the intra-urban spatiotemporal dynamics of High Heat Stress Zones (Hotspots)

    Science.gov (United States)

    Shreevastava, A.; Rao, P. S.; McGrath, G. S.

    2017-12-01

    In this study, we present an innovative framework to characterize the spatio-temporal dynamics of High Heat Stress Zones (Hot spots) created within an Urban area in the event of a Heat Wave. Heat waves are one of the leading causes of weather-related human mortality in many countries, and cities receive its worst brunt. The extreme heat stress within urban areas is often a synergistic combination of large-scale meteorological events, and the locally exacerbated impacts due to Urban Heat Islands (UHI). UHI is typically characterized as the difference between mean temperature of the urban and rural area. As a result, it fails to capture the significant variability that exists within the city itself. This variability arises from the diverse and complex spatial geometries of cities. Previous studies that have attempted to quantify the heat stress at an intra-urban scale are labor intensive, expensive, and difficult to emulate globally as they rely on availability of extensive data and their assimilation. The proposed study takes advantage of the well-established notion of fractal properties of cities to make the methods scalable to other cities where in-situ observational data might not be available. As an input, land surface temperatures are estimated using Landsat data. Using clustering analysis, we probe the emergence of thermal hotspots. The probability distributions (PD) of these hotspots are found to follow a power-law distribution in agreement with fractal characteristics of the city. PDs of several archetypical cities are then investigated to compare the effect of different spatial structures (e.g. monocentric v/s polycentric, sprawl v/s compact). Further, the temporal variability of the distributions on a diurnal as well as a seasonal scale is discussed. Finally, the spatiotemporal dynamics of the urban hotspots under a heat-wave (E.g. Delhi Heat wave, 2015) are compared against the non-heat wave scenarios. In summary, a technique that is globally adaptive and

  8. High Center Volume Does Not Mitigate Risk Associated with Using High Donor Risk Organs in Liver Transplantation.

    Science.gov (United States)

    Beal, Eliza W; Black, Sylvester M; Mumtaz, Khalid; Hayes, Don; El-Hinnawi, Ashraf; Washburn, Kenneth; Tumin, Dmitry

    2017-09-01

    High-risk donor allografts increase access to liver transplant, but potentially reduce patient and graft survival. It is unclear whether the risk associated with using marginal donor livers is mitigated by increasing center experience. The United Network for Organ Sharing registry was queried for adult first-time liver transplant recipients between 2/2002 and 12/2015. High donor risk was defined as donor risk index >1.9, and 1-year patient and graft survival were compared according to donor risk index in small and large centers. Multivariable Cox regression estimated the hazard ratio (HR) associated with using high-risk donor organs, according to a continuous measure of annual center volume. The analysis included 51,770 patients. In 67 small and 67 large centers, high donor risk index predicted increased mortality (p = 0.001). In multivariable analysis, high-donor risk index allografts predicted greater mortality hazard at centers performing 20 liver transplants per year (HR 1.35; 95% CI 1.22, 1.49; p donor risk index and center volume was not statistically significant (p = 0.747), confirming that the risk associated with using marginal donor livers was comparable between smaller and larger centers. Results were consistent when examining graft loss. At both small and large centers, high-risk donor allografts were associated with reduced patient and graft survival after liver transplant. Specific strategies to mitigate the risk of liver transplant involving high-risk donors are needed, in addition to accumulation of center expertise.

  9. High-resolution MR imaging of the proximal zone of the lunotriquetral ligament with a microscopy coil

    International Nuclear Information System (INIS)

    Yoshioka, Hiroshi; Carrino, John A.; Lang, Philipp; Winalski, Carl S.; Tanaka, Toshikazu; Ueno, Teruko; Shindo, Masashi

    2006-01-01

    To evaluate high-resolution MRI of the proximal zone of the lunotriquetral ligament (LTL) using a microscopy surface coil with a 1.5 T scanner. The proximal zone of the LTL was reviewed in 90 subjects (23 asymptomatic normal volunteers and 67 patients with suspicion of triangular fibrocartilage complex injury) with high-resolution MRI using a 47-mm microscopy surface coil. High-resolution MR images were obtained with gradient recalled echo (GRE) T2*-weighted sequence and short tau inversion recovery imaging, with a 1- to 1.5-mm slice thickness, a 50-mm field of view, an imaging matrix of 140-224 x 512 using zero fill interpolation, and 3-4 excitations. As a qualitative analysis, the LTL was classified in shape and signal intensity. The triangle-shaped low-signal-intensity LTL was identified in 77 of 90 subjects (85.6%) on GRE images. The triangle was classified as regular (41.1%), broad-based (20.0%), narrow-based (6.7%), or asymmetrical (17.8%). The bar-shaped ligament was seen in one patient, and unclassified ligaments were seen in 12 patients. All volunteers showed triangle-shaped LTL. The MR signal intensity of the proximal zone in the LTL was characterized as homogeneously low intensity (type 1; 33.8%). (orig.)

  10. High-resolution MR imaging of the proximal zone of the lunotriquetral ligament with a microscopy coil

    Energy Technology Data Exchange (ETDEWEB)

    Yoshioka, Hiroshi; Carrino, John A.; Lang, Philipp; Winalski, Carl S. [Brigham and Women' s Hospital, Department of Radiology, Boston, MA (United States); Tanaka, Toshikazu [Tsukuba Memorial Hospital, Department of Orthopedic Surgery, Tsukuba (Japan); Ueno, Teruko [University of Tsukuba, Department of Radiology, Tsukuba (Japan); Shindo, Masashi [Tsukuba University Hospital, Tsukuba (Japan)

    2006-05-15

    To evaluate high-resolution MRI of the proximal zone of the lunotriquetral ligament (LTL) using a microscopy surface coil with a 1.5 T scanner. The proximal zone of the LTL was reviewed in 90 subjects (23 asymptomatic normal volunteers and 67 patients with suspicion of triangular fibrocartilage complex injury) with high-resolution MRI using a 47-mm microscopy surface coil. High-resolution MR images were obtained with gradient recalled echo (GRE) T2*-weighted sequence and short tau inversion recovery imaging, with a 1- to 1.5-mm slice thickness, a 50-mm field of view, an imaging matrix of 140-224 x 512 using zero fill interpolation, and 3-4 excitations. As a qualitative analysis, the LTL was classified in shape and signal intensity. The triangle-shaped low-signal-intensity LTL was identified in 77 of 90 subjects (85.6%) on GRE images. The triangle was classified as regular (41.1%), broad-based (20.0%), narrow-based (6.7%), or asymmetrical (17.8%). The bar-shaped ligament was seen in one patient, and unclassified ligaments were seen in 12 patients. All volunteers showed triangle-shaped LTL. The MR signal intensity of the proximal zone in the LTL was characterized as homogeneously low intensity (type 1; 33.8%). (orig.)

  11. High Framingham risk score decreases quality of life in adults

    Directory of Open Access Journals (Sweden)

    Christian Yosaputra

    2010-04-01

    Full Text Available Cardiovascular disease (CVD risk factors, such as diabetes, hypertension, hypercholesterolemia, smoking, and obesity tend to occur together in the general population. Increasing prevalence of multiple CVD risk factors has been related to increased risk of death from coronary heart disease and stroke. Studies have suggested that people with several risk factors of CVD may have impaired health-related quality of life. The objective of this study was to assess the association of CVD risk factors with quality of life (QOL among adults aged 40 to 65 years. A cross-sectional study was conducted involving 220 subjects 40 - 65 years of age at a health center. The CVD risk factors were assessed using the Framingham risk score that is the standard instrument for assessment of the risk of a first cardiac event. The risk factors assessed were age, smoking, blood pressure, total cholesterol and high density lipoprotein cholesterol concentrations. QOL was assessed by means of the WHOQOL-BREF instrument that had been prevalidated. The results of the study showed that 28.2% of subjects were smokers, 56.4% had stage 1 hypertension, 42.8% high total cholesterol and 13.6% low HDL cholesterol. The high risk group amounted to 45.5% and 42.3% constitued an intermediate risk group. High CVD risk scores were significantly associated with a low QOL for all domains (physical, psychological, social and environment (p=0.000. Preventing or reducing the multiple CVD risk factors to improve QOL is necessary among adults.

  12. The Very High Risk Prostate Cancer – a Contemporary Update

    Science.gov (United States)

    Mano, Roy; Eastham, James; Yossepowitch, Ofer

    2017-01-01

    Background Treatment of high-risk prostate cancer has evolved considerably over the past two decades, yet patients with very high-risk features may still experience poor outcome despite aggressive therapy. We review the contemporary literature focusing on current definitions, role of modern imaging and treatment alternatives in very high-risk prostate cancer. Methods We searched the MEDLINE database for all clinical trials or practice guidelines published in English between 2000 – 2016 with the following search terms: ‘prostatic neoplasms’ (MeSH Terms) AND (‘high risk’ (keyword) OR ‘locally advanced’ (keyword) OR ‘node positive’ (keyword)). Abstracts pertaining to very high-risk prostate cancer were evaluated and 40 pertinent studies served as the basis for this review. Results The term ‘very’ high-risk prostate cancer remains ill defined. The EAU and NCCN guidelines provide the only available definitions, categorizing those with clinical stage T3-4 or minimal nodal involvement as very-high risk irrespective of PSA level or biopsy Gleason score. Modern imaging with mpMRI and PET-PSMA scans plays a role in pretreatment assessment. Local definitive therapy by external beam radiation combined with androgen deprivation is supported by several randomized clinical trials whereas the role of surgery in the very high-risk setting combined with adjuvant radiation/ androgen deprivation therapy is emerging. Growing evidence suggest neoadjuvant taxane based chemotherapy in the context of a multimodal approach may be beneficial. Conclusions Men with very high-risk tumors may benefit from local definitive treatment in the setting of a multimodal regimen, offering local control and possibly cure in well selected patients. Further studies are necessary to better characterize the ‘very’ high-risk category and determine the optimal therapy for the individual patient. PMID:27618950

  13. Systematic deficiency of aftershocks in areas of high coseismic slip for large subduction zone earthquakes

    Science.gov (United States)

    Wetzler, Nadav; Lay, Thorne; Brodsky, Emily E.; Kanamori, Hiroo

    2018-01-01

    Fault slip during plate boundary earthquakes releases a portion of the shear stress accumulated due to frictional resistance to relative plate motions. Investigation of 101 large [moment magnitude (Mw) ≥ 7] subduction zone plate boundary mainshocks with consistently determined coseismic slip distributions establishes that 15 to 55% of all master event–relocated aftershocks with Mw ≥ 5.2 are located within the slip regions of the mainshock ruptures and few are located in peak slip regions, allowing for uncertainty in the slip models. For the preferred models, cumulative deficiency of aftershocks within the central three-quarters of the scaled slip regions ranges from 15 to 45%, increasing with the total number of observed aftershocks. The spatial gradients of the mainshock coseismic slip concentrate residual shear stress near the slip zone margins and increase stress outside the slip zone, driving both interplate and intraplate aftershock occurrence near the periphery of the mainshock slip. The shear stress reduction in large-slip regions during the mainshock is generally sufficient to preclude further significant rupture during the aftershock sequence, consistent with large-slip areas relocking and not rupturing again for a substantial time. PMID:29487902

  14. Surface elevation change and susceptibility of different mangrove zones to sea-level rise on Pacific high islands of Micronesia

    Science.gov (United States)

    Krauss, K.W.; Cahoon, D.R.; Allen, J.A.; Ewel, K.C.; Lynch, J.C.; Cormier, N.

    2010-01-01

    Mangroves on Pacific high islands offer a number of important ecosystem services to both natural ecological communities and human societies. High islands are subjected to constant erosion over geologic time, which establishes an important source of terrigeneous sediment for nearby marine communities. Many of these sediments are deposited in mangrove forests and offer mangroves a potentially important means for adjusting surface elevation with rising sea level. In this study, we investigated sedimentation and elevation dynamics of mangrove forests in three hydrogeomorphic settings on the islands of Kosrae and Pohnpei, Federated States of Micronesia (FSM). Surface accretion rates ranged from 2.9 to 20.8 mm y-1, and are high for naturally occurring mangroves. Although mangrove forests in Micronesian high islands appear to have a strong capacity to offset elevation losses by way of sedimentation, elevation change over 61/2 years ranged from -3.2 to 4.1 mm y-1, depending on the location. Mangrove surface elevation change also varied by hydrogeomorphic setting and river, and suggested differential, and not uniformly bleak, susceptibilities among Pacific high island mangroves to sea-level rise. Fringe, riverine, and interior settings registered elevation changes of -1.30, 0.46, and 1.56 mm y-1, respectively, with the greatest elevation deficit (-3.2 mm y-1) from a fringe zone on Pohnpei and the highest rate of elevation gain (4.1 mm y-1) from an interior zone on Kosrae. Relative to sea-level rise estimates for FSM (0.8-1.8 mm y-1) and assuming a consistent linear trend in these estimates, soil elevations in mangroves on Kosrae and Pohnpei are experiencing between an annual deficit of 4.95 mm and an annual surplus of 3.28 mm. Although natural disturbances are important in mediating elevation gain in some situations, constant allochthonous sediment deposition probably matters most on these Pacific high islands, and is especially helpful in certain hydrogeomorphic zones

  15. High Resolution Seismic Images of Transition Zone Discontinuities beneath the Hawaii-Emperor Seamount Chain

    Science.gov (United States)

    Cao, Q.; Wang, P.; van der Hilst, R. D.; Shim, S.

    2009-12-01

    Taking advantage of the abundance of natural sources (earthquakes) in western Pacific subduction zones and the many seismograph stations in the Americas, we use inverse scattering - a generalized Radon transform - of SS precursors to image the transition zone discontinuities underneath Hawaii and the Hawaii-Emperor seamount chain. The GRT makes use of scattering theory and extracts structural information from broad band data windows that include precursors to SS (which are the specular reflections at the discontinuities that form the main arrivals) as well as non-specular scattered energy (which is often discarded as noise). More than 150,000 seismograms (from the IRIS Data Management Center) are used to form a 3-D image of the transition zone discontinuities beneath the central Pacific. In addition to clear signals near 410, 520, and 660 km depth, the data also reveal scatter interfaces near 370 km dept and between 800-1000 km depth, which may be regional, laterally intermittent scatter horizons. Our images reveal a conspicuous uplift of the 660 discontinuity in a region of 800km in diameter to the west of the active volcanoes of Hawaii. No correspondent localized depression of the 410 discontinuity is found. Instead, we find a smaller scale anomaly suggesting that the 410 discontinuity is locally elevated in the same region. This may indicate the presence of melt or minor chemical constitutes. The lack of correlation between and differences in lateral length scale of the topographies of the 410 and 660 km discontinuities are also consistent with a deep-mantle plume impinging on the transition zone, creating a pond of hot material underneath 660 discontinuity, and with secondary plumes connecting to the present-day hotspot at Earth’s surface. Our observations suggest that more complicated plume morphology and plume dynamics within the Earth's mantle should be taken into account to describe the plumes and, in particular, mass transport across the transition zone

  16. Patients at high risk of tuberculosis recurrence

    Directory of Open Access Journals (Sweden)

    Mehdi Mirsaeidi

    2018-01-01

    Full Text Available Recurrent tuberculosis (TB continues to be a significant problem and is an important indicator of the effectiveness of TB control. Recurrence can occur by relapse or exogenous reinfection. Recurrence of TB is still a major problem in high-burden countries, where there is lack of resources and no special attention is being given to this issue. The rate of recurrence is highly variable and has been estimated to range from 4.9% to 47%. This variability is related to differences in regional epidemiology of recurrence and differences in the definitions used by the TB control programs. In addition to treatment failure from noncompliance, there are several key host factors that are associated with high rates of recurrence. The widely recognized host factors independent of treatment program that predispose to TB recurrence include gender differences, malnutrition; comorbidities such as diabetes, renal failure, and systemic diseases, especially immunosuppressive states such as human immunodeficiency virus; substance abuse; and environmental exposures such as silicosis. With improved understanding of the human genome, proteome, and metabolome, additional host-specific factors that predispose to recurrence are being identified. Information on temporal and geographical trends of TB cases as well as studies with whole-genome sequencing might provide further information to enable us to fully understand TB recurrence and discriminate between reactivation and new infection. The recently launched World Health Organization End TB Strategy emphasizes the importance of integrated, patient-centered TB care. Continued improvement in diagnosis, treatment approaches, and an understanding of host-specific factors are needed to fully understand the clinical epidemiological and social determinants of TB recurrence.

  17. Patients at high risk of tuberculosis recurrence.

    Science.gov (United States)

    Mirsaeidi, Mehdi; Sadikot, Ruxana T

    2018-01-01

    Recurrent tuberculosis (TB) continues to be a significant problem and is an important indicator of the effectiveness of TB control. Recurrence can occur by relapse or exogenous reinfection. Recurrence of TB is still a major problem in high-burden countries, where there is lack of resources and no special attention is being given to this issue. The rate of recurrence is highly variable and has been estimated to range from 4.9% to 47%. This variability is related to differences in regional epidemiology of recurrence and differences in the definitions used by the TB control programs. In addition to treatment failure from noncompliance, there are several key host factors that are associated with high rates of recurrence. The widely recognized host factors independent of treatment program that predispose to TB recurrence include gender differences, malnutrition; comorbidities such as diabetes, renal failure, and systemic diseases, especially immunosuppressive states such as human immunodeficiency virus; substance abuse; and environmental exposures such as silicosis. With improved understanding of the human genome, proteome, and metabolome, additional host-specific factors that predispose to recurrence are being identified. Information on temporal and geographical trends of TB cases as well as studies with whole-genome sequencing might provide further information to enable us to fully understand TB recurrence and discriminate between reactivation and new infection. The recently launched World Health Organization End TB Strategy emphasizes the importance of integrated, patient-centered TB care. Continued improvement in diagnosis, treatment approaches, and an understanding of host-specific factors are needed to fully understand the clinical epidemiological and social determinants of TB recurrence.

  18. Risk factors associated with slide positivity among febrile patients in a conflict zone of north-eastern Myanmar along the China-Myanmar border.

    Science.gov (United States)

    Li, Nana; Parker, Daniel M; Yang, Zhaoqing; Fan, Qi; Zhou, Guofa; Ai, Guoping; Duan, Jianhua; Lee, Ming-chieh; Yan, Guiyun; Matthews, Stephen A; Cui, Liwang; Wang, Ying

    2013-10-10

    Malaria within the Greater Mekong sub-region is extremely heterogeneous. While China and Thailand have been relatively successful in controlling malaria, Myanmar continues to see high prevalence. Coupled with the recent emergence of artemisinin-resistant malaria along the Thai-Myanmar border, this makes Myanmar an important focus of malaria within the overall region. However, accurate epidemiological data from Myanmar have been lacking, in part because of ongoing and emerging conflicts between the government and various ethnic groups. Here the results are reported from a risk analysis of malaria slide positivity in a conflict zone along the China-Myanmar border. Surveys were conducted in 13 clinics and hospitals around Laiza City, Myanmar between April 2011 and October 2012. Demographic, occupational and educational information, as well as malaria infection history, were collected. Logistic models were used to assess risk factors for slide positivity. Age patterns in Plasmodium vivax infections were younger than those with Plasmodium falciparum. Furthermore, males were more likely than females to have falciparum infections. Patients who reported having been infected with malaria during the previous year were much more likely to have a current vivax infection. During the second year of the study, falciparum infections among soldiers increased signficiantly. These results fill some knowledge gaps with regard to risk factors associated with malaria slide positivity in this conflict region of north-eastern Myanmar. Since epidemiological studies in this region have been rare or non-existent, studies such as the current are crucial for understanding the dynamic nature of malaria in this extremely heterogeneous epidemiological landscape.

  19. High-Risk and Low-Risk Human Papillomavirus and the Absolute Risk of Cervical Intraepithelial Neoplasia or Cancer

    DEFF Research Database (Denmark)

    Thomsen, Louise T; Frederiksen, Kirsten; Munk, Christian

    2014-01-01

    OBJECTIVE: To determine the absolute risk of cervical intraepithelial neoplasia (CIN) grade 3 or cervical cancer (CIN 3 or worse) after detection of low-risk human papillomavirus (HPV) and after a negative high-risk HPV test. METHODS: In this prospective cohort study, consecutive liquid......-based cervical cytology samples were collected from women screened for cervical cancer in Copenhagen, Denmark, during 2002-2005. Samples were tested with a clinical test for 13 high-risk and five low-risk HPV types. The cohort (N=35,539; aged 14-90 years) was monitored in a nationwide pathology register for up...... cytology. Detection of low-risk HPV does not predict CIN 3 or worse. Cervical cancer screening should not include testing for low-risk HPV types. LEVEL OF EVIDENCE: II....

  20. A social work study high-risk behavior among teenagers

    Directory of Open Access Journals (Sweden)

    Mohammad Reza Iravani

    2012-01-01

    Full Text Available Teenagers are believed the people who are supposed to build the world's future. High-risk behaviors such as addiction to drugs, smoking cigarettes, sex, etc. could significantly hurts teenagers and there must be some supporting programs to reduce these issues as much as possible. This paper performs an empirical investigation to study the different factors influencing high- risk behavior among teenagers who live in a city of Esfahan, Iran. The proposed study designs a questionnaire and distribute between two groups of female and male teenagers. The results indicate that while there is a meaningful relationship between high-risk behaviors and average high school marks among male students there is no meaningful relationship between high-risk behaviors and high school grades among female students. The results also indicate that there is a meaningful difference between gender and high-risk behavior. The season of birth for female and male students is another important factor for having high-risk behaviors. While the order of birth plays an important role among male students, the order of birth is not an important factor among female teenagers. Finally, the results indicate that teenagers' parental financial affordability plays a vital role on both female and male teenagers.

  1. Carbonation by fluid-rock interactions at high-pressure conditions: Implications for carbon cycling in subduction zones

    Science.gov (United States)

    Piccoli, Francesca; Vitale Brovarone, Alberto; Beyssac, Olivier; Martinez, Isabelle; Ague, Jay J.; Chaduteau, Carine

    2016-07-01

    Carbonate-bearing lithologies are the main carbon carrier into subduction zones. Their evolution during metamorphism largely controls the fate of carbon, regulating its fluxes between shallow and deep reservoirs. Recent estimates predict that almost all subducted carbon is transferred into the crust and lithospheric mantle during subduction metamorphism via decarbonation and dissolution reactions at high-pressure conditions. Here we report the occurrence of eclogite-facies marbles associated with metasomatic systems in Alpine Corsica (France). The occurrence of these marbles along major fluid-conduits as well as textural, geochemical and isotopic data indicating fluid-mineral reactions are compelling evidence for the precipitation of these carbonate-rich assemblages from carbonic fluids during metamorphism. The discovery of metasomatic marbles brings new insights into the fate of carbonic fluids formed in subducting slabs. We infer that rock carbonation can occur at high-pressure conditions by either vein-injection or chemical replacement mechanisms. This indicates that carbonic fluids produced by decarbonation reactions and carbonate dissolution may not be directly transferred to the mantle wedge, but can interact with slab and mantle-forming rocks. Rock-carbonation by fluid-rock interactions may have an important impact on the residence time of carbon and oxygen in subduction zones and lithospheric mantle reservoirs as well as carbonate isotopic signatures in subduction zones. Furthermore, carbonation may modulate the emission of CO2 at volcanic arcs over geological time scales.

  2. PC-SEAPAK - ANALYSIS OF COASTAL ZONE COLOR SCANNER AND ADVANCED VERY HIGH RESOLUTION RADIOMETER DATA

    Science.gov (United States)

    Mcclain, C. R.

    1994-01-01

    PC-SEAPAK is a user-interactive satellite data analysis software package specifically developed for oceanographic research. The program is used to process and interpret data obtained from the Nimbus-7/Coastal Zone Color Scanner (CZCS), and the NOAA Advanced Very High Resolution Radiometer (AVHRR). PC-SEAPAK is a set of independent microcomputer-based image analysis programs that provide the user with a flexible, user-friendly, standardized interface, and facilitates relatively low-cost analysis of oceanographic satellite data. Version 4.0 includes 114 programs. PC-SEAPAK programs are organized into categories which include CZCS and AVHRR level-1 ingest, level-2 analyses, statistical analyses, data extraction, remapping to standard projections, graphics manipulation, image board memory manipulation, hardcopy output support and general utilities. Most programs allow user interaction through menu and command modes and also by the use of a mouse. Most programs also provide for ASCII file generation for further analysis in spreadsheets, graphics packages, etc. The CZCS scanning radiometer aboard the NIMBUS-7 satellite was designed to measure the concentration of photosynthetic pigments and their degradation products in the ocean. AVHRR data is used to compute sea surface temperatures and is supported for the NOAA 6, 7, 8, 9, 10, 11, and 12 satellites. The CZCS operated from November 1978 to June 1986. CZCS data may be obtained free of charge from the CZCS archive at NASA/Goddard Space Flight Center. AVHRR data may be purchased through NOAA's Satellite Data Service Division. Ordering information is included in the PC-SEAPAK documentation. Although PC-SEAPAK was developed on a COMPAQ Deskpro 386/20, it can be run on most 386-compatible computers with an AT bus, EGA controller, Intel 80387 coprocessor, and MS-DOS 3.3 or higher. A Matrox MVP-AT image board with appropriate monitor and cables is also required. Note that the authors have received some reports of

  3. The influence of the Al stabilizer layer thickness on the normal zone propagation velocity in high current superconductors

    CERN Document Server

    Shilon, I.; Langeslag, S.A.E.; Martins, L.P.; ten Kate, H.H.J.

    2015-06-19

    The stability of high-current superconductors is challenging in the design of superconducting magnets. When the stability requirements are fulfilled, the protection against a quench must still be considered. A main factor in the design of quench protection systems is the resistance growth rate in the magnet following a quench. The usual method for determining the resistance growth in impregnated coils is to calculate the longitudinal velocity with which the normal zone propagates in the conductor along the coil windings. Here, we present a 2D numerical model for predicting the normal zone propagation velocity in Al stabilized Rutherford NbTi cables with large cross section. By solving two coupled differential equations under adiabatic conditions, the model takes into account the thermal diffusion and the current redistribution process following a quench. Both the temperature and magnetic field dependencies of the superconductor and the metal cladding materials properties are included. Unlike common normal zon...

  4. Risk-adaptive optimization: Selective boosting of high-risk tumor subvolumes

    International Nuclear Information System (INIS)

    Kim, Yusung; Tome, Wolfgang A.

    2006-01-01

    Background and Purpose: A tumor subvolume-based, risk-adaptive optimization strategy is presented. Methods and Materials: Risk-adaptive optimization employs a biologic objective function instead of an objective function based on physical dose constraints. Using this biologic objective function, tumor control probability (TCP) is maximized for different tumor risk regions while at the same time minimizing normal tissue complication probability (NTCP) for organs at risk. The feasibility of risk-adaptive optimization was investigated for a variety of tumor subvolume geometries, risk-levels, and slopes of the TCP curve. Furthermore, the impact of a correlation parameter, δ, between TCP and NTCP on risk-adaptive optimization was investigated. Results: Employing risk-adaptive optimization, it is possible in a prostate cancer model to increase the equivalent uniform dose (EUD) by up to 35.4 Gy in tumor subvolumes having the highest risk classification without increasing predicted normal tissue complications in organs at risk. For all tumor subvolume geometries investigated, we found that the EUD to high-risk tumor subvolumes could be increased significantly without increasing normal tissue complications above those expected from a treatment plan aiming for uniform dose coverage of the planning target volume. We furthermore found that the tumor subvolume with the highest risk classification had the largest influence on the design of the risk-adaptive dose distribution. The parameter δ had little effect on risk-adaptive optimization. However, the clinical parameters D 5 and γ 5 that represent the risk classification of tumor subvolumes had the largest impact on risk-adaptive optimization. Conclusions: On the whole, risk-adaptive optimization yields heterogeneous dose distributions that match the risk level distribution of different subvolumes within the tumor volume

  5. Original Research Identifying patients at high risk for obstructive ...

    African Journals Online (AJOL)

    determine the factors associated with high risk for obstructive sleep apnoea and use it to identify patients at risk for the condition in ... mainstay of management is CPAP in addition to behavioral ..... the present study has some potential limitations which ... consequences of obstructive sleep apnea and short sleep duration.

  6. Awareness and prevalence of metabolic syndrome among high-risk ...

    African Journals Online (AJOL)

    MetS) in high-risk individuals attending 30 internal medicine clinics in Amman, Jordan, and also to evaluate the various factors associated with increased risk of MetS among them. Methods: This retrospective cross-sectional study was carried out ...

  7. Incidence of infective endocarditis among patients considered at high risk

    DEFF Research Database (Denmark)

    Østergaard, Lauge; Valeur, Nana; Ihlemann, Nikolaj

    2018-01-01

    Aims: Patients with prior infective endocarditis (IE), a prosthetic heart valve, or a cyanotic congenital heart disease (CHD) are considered to be at high risk of IE by guidelines. However, knowledge is sparse on the relative risk of IE between these three groups and compared controls. Methods...

  8. Brachytherapy boost and cancer-specific mortality in favorable high-risk versus other high-risk prostate cancer

    Directory of Open Access Journals (Sweden)

    Vinayak Muralidhar

    2016-02-01

    Full Text Available Purpose : Recent retrospective data suggest that brachytherapy (BT boost may confer a cancer-specific survival benefit in radiation-managed high-risk prostate cancer. We sought to determine whether this survival benefit would extend to the recently defined favorable high-risk subgroup of prostate cancer patients (T1c, Gleason 4 + 4 = 8, PSA 20 ng/ml. Material and methods: We identified 45,078 patients in the Surveillance, Epidemiology, and End Results database with cT1c-T3aN0M0 intermediate- to high-risk prostate cancer diagnosed 2004-2011 treated with external beam radiation therapy (EBRT only or EBRT plus BT. We used multivariable competing risks regression to determine differences in the rate of prostate cancer-specific mortality (PCSM after EBRT + BT or EBRT alone in patients with intermediate-risk, favorable high-risk, or other high-risk disease after adjusting for demographic and clinical factors. Results : EBRT + BT was not associated with an improvement in 5-year PCSM compared to EBRT alone among patients with favorable high-risk disease (1.6% vs. 1.8%; adjusted hazard ratio [AHR]: 0.56; 95% confidence interval [CI]: 0.21-1.52, p = 0.258, and intermediate-risk disease (0.8% vs. 1.0%, AHR: 0.83, 95% CI: 0.59-1.16, p = 0.270. Others with high-risk disease had significantly lower 5-year PCSM when treated with EBRT + BT compared with EBRT alone (3.9% vs. 5.3%; AHR: 0.73; 95% CI: 0.55-0.95; p = 0.022. Conclusions : Brachytherapy boost is associated with a decreased rate of PCSM in some men with high-risk prostate cancer but not among patients with favorable high-risk disease. Our results suggest that the recently-defined “favorable high-risk” category may be used to personalize therapy for men with high-risk disease.

  9. Physical activity barriers and motivators among high-risk employees.

    Science.gov (United States)

    Paguntalan, John C; Gregoski, Mathew

    2016-11-22

    Worksite wellness programs offer an ideal setting to target high-risk sedentary workers to improve health status. Lack of physical activity is associated with increased risk for coronary heart disease and mortality. Despite the risks, the number of sedentary workers is increasing. This study examined the perceived barriers and motivators for physical activity among employees at high-risk for coronary heart disease. A purposive sample of 24 high-risk workers participating in a wellness program in rural South Carolina were enrolled in the study. Qualitative data was obtained through semi-structured face-to-face interviews. Grounded theory was used to analyze qualitative data, and identify overarching themes. Physical limitations due to pain and weakness, lack of motivation, and lack of time emerged as the main barriers to physical activity. Family relationships were reported as the strongest motivator along with social support and potential health benefits. Findings highlight the unique experience of high-risk workers with physical activity. The findingsunderscore the need to design and implement effective interventions specifically designed to meet the needs of high-risk employees.

  10. DASH - Youth Risk Behavior Surveillance System (YRBSS): High School

    Data.gov (United States)

    U.S. Department of Health & Human Services — 1991-2015. High School Dataset. The Youth Risk Behavior Surveillance System (YRBSS) monitors six categories of priority health behaviors among youth and young...

  11. Chemicals in Meat Cooked at High Temperatures and Cancer Risk

    Science.gov (United States)

    ... Services Directory Cancer Prevention Overview Research Chemicals in Meat Cooked at High Temperatures and Cancer Risk On ... hydrocarbons, and how are they formed in cooked meats? What factors influence the formation of HCA and ...

  12. Sensation seeking in males involved in recreational high risk sports

    OpenAIRE

    M Guszkowska; A Bołdak

    2010-01-01

    The study examined sensation seeking intensity level in males involved in recreational high risk sports and investigated whether its level depends on type of sport practised. Additionally, in case of parachutists, sport experience of study participants were scrutinised with regard to its possible impact on the level of sensation seeking.The research involved 217 males aged 17 to 45, practising recreational high risk sports, namely: parachuting (n=98); wakeboarding (n=30); snowboarding (n=30);...

  13. Increased Cardiometabolic Risk and Worsening Hypoxemia at High Altitude

    OpenAIRE

    Miele, Catherine H.; Schwartz, Alan R.; Gilman, Robert H.; Pham, Luu; Wise, Robert A.; Davila-Roman, Victor G.; Jun, Jonathan C.; Polotsky, Vsevolod Y.; Miranda, J. Jaime; Leon-Velarde, Fabiola; Checkley, William

    2016-01-01

    Miele, Catherine H., Alan R. Schwartz, Robert H. Gilman, Luu Pham, Robert A. Wise, Victor G. Davila-Roman, Jonathan C. Jun, Vsevolod Y. Polotsky, J. Jaime Miranda, Fabiola Leon-Velarde, and William Checkley. Increased cardiometabolic risk and worsening hypoxemia at high altitude. High Alt Med Biol. 17:93���100, 2016.���Metabolic syndrome, insulin resistance, diabetes, and dyslipidemia are associated with an increased risk of cardiovascular disease. While excessive erythrocytosis is associated...

  14. Prevalence, risk factors, and major bacterial causes of camel mastitis in Borana Zone, Oromia Regional State, Ethiopia.

    Science.gov (United States)

    Regassa, Alemayehu; Golicha, Gelma; Tesfaye, Dawit; Abunna, Fufa; Megersa, Bekele

    2013-10-01

    A cross-sectional study was carried out from November 2010 up to April 2011 to estimate mastitis prevalence and associated risk factors and to assess its bacterial causes in traditionally managed camels in Borana Zone, Southern Ethiopia. Thus, 348 lactating camels were examined clinically, and subclinical cases were checked with California mastitis test (CMT). The overall prevalence of mastitis was 44.8 % (156/348), comprising clinical (19, 5.4 %) and subclinical (137, 39.4 %) cases. The quarter level prevalence of mastitis was 24.0 % (334/1,392). Of the total 1,392 examined teats, 30 were blind, and hence, from the 1,362 non-blind CMT-examined teats, 22.3 % (304/1,362) were CMT positive. Of the 304 CMT-positive samples, 264 were culture positive (197 Gram-positive, 41 Gram-negative, and 26 mixed isolates), and 40 were culture negative. The prevalence of Staphylococcus aureus was found to be the highest at both the animal (12.8 %, 39/304) and quarter level (2.9 %, 39/1,362). Regression analysis revealed higher likelihood of mastitis occurrence among camels from Dharito (OR = 3.4, 95 % confidence interval (CI) = 1.8, 6.4), Gagna (OR = 3.4, 95 % CI = 1.8, 6.5), and Haro Bake (OR = 2.6, 95 % CI = 1.3, 5.1) than camels from Surupha. Likewise, there was higher chance of mastitis occurrence among camels at the early lactation stage (OR = 2.3, 95 % CI = 1.1, 4.6) and camels with udder/teat lesions (OR = 13.7, 95 % CI = 1.7, 109.4) than among camels at late lactation stage and camels with healthy udder/teats, respectively. In conclusion, this study reveals the current status of camel mastitis in Southern Ethiopia.

  15. Evaluation of buffer zone effectiveness in mitigating the risks associated with agricultural runoff in Prince Edward Island.

    Science.gov (United States)

    Dunn, A M; Julien, G; Ernst, W R; Cook, A; Doe, K G; Jackman, P M

    2011-02-01

    To minimize the risk posed by runoff from row crops, Prince Edward Island introduced buffer legislation in 2000. The legislation mandates 10-m and 20-m buffers, respectively, for moderate sloped (i.e. 5%) agricultural fields that border streams. Since 2001, Environment Canada has been evaluating the effectiveness of various buffer widths on operational farms in reducing toxicity and contaminant concentrations in runoff. Sample collectors, placed in 44 fields at the field edge (0m), 10m and at distances out to 30m, collected overland flow following rainfall-induced runoff events. Samples were collected within 24 hours of an event and analysed for seven pesticides (endosulfan, chlorothalonil, carbofuran, linuron, metribuzin, metalaxyl, mancozeb), water quality parameters and Daphnia magna toxicity. The 10-m buffer required for moderate sloped fields was effective at reducing contaminant concentrations but not always to less than lethal concentrations to Daphnia magna. Limited data beyond 10m for fields of both slope types precluded making recommendations on a suitable buffer width for shallow sloped fields and evaluating the effectiveness of 20-m buffers for steep sloped fields. When paired data were combined and statistically tested for all fields, the studied pesticides underwent a 52-98% and 68-100% reduction in aqueous and particulate concentrations within 10m and 30m, respectively. In addition, by 10m, soluble phosphorus, nitrate-nitrogen and total suspended solids were reduced by 34%, 38% and 64%, respectively. Results suggest buffer zones on operational farms are capable of achieving contaminant reductions comparable to those reported for controlled experiments. Inconsistent siting of sample collectors beyond 10m limited the evaluation of the effects of field slope and buffer width on buffer effectiveness on working farms. Future studies on buffer efficiency on operational farms should focus on building the data set beyond 10m and evaluating load reductions

  16. Identification of the high risk emergency surgical patient: Which risk prediction model should be used?

    Science.gov (United States)

    Stonelake, Stephen; Thomson, Peter; Suggett, Nigel

    2015-09-01

    National guidance states that all patients having emergency surgery should have a mortality risk assessment calculated on admission so that the 'high risk' patient can receive the appropriate seniority and level of care. We aimed to assess if peri-operative risk scoring tools could accurately calculate mortality and morbidity risk. Mortality risk scores for 86 consecutive emergency laparotomies, were calculated using pre-operative (ASA, Lee index) and post-operative (POSSUM, P-POSSUM and CR-POSSUM) risk calculation tools. Morbidity risk scores were calculated using the POSSUM predicted morbidity and compared against actual morbidity according to the Clavien-Dindo classification. The actual mortality was 10.5%. The average predicted risk scores for all laparotomies were: ASA 26.5%, Lee Index 2.5%, POSSUM 29.5%, P-POSSUM 18.5%, CR-POSSUM 10.5%. Complications occurred following 67 laparotomies (78%). The majority (51%) of complications were classified as Clavien-Dindo grade 2-3 (non-life-threatening). Patients having a POSSUM morbidity risk of greater than 50% developed significantly more life-threatening complications (CD 4-5) compared with those who predicted less than or equal to 50% morbidity risk (P = 0.01). Pre-operative risk stratification remains a challenge because the Lee Index under-predicts and ASA over-predicts mortality risk. Post-operative risk scoring using the CR-POSSUM is more accurate and we suggest can be used to identify patients who require intensive care post-operatively. In the absence of accurate risk scoring tools that can be used on admission to hospital it is not possible to reliably audit the achievement of national standards of care for the 'high-risk' patient.

  17. Evaluation of the Prostate Cancer Prevention Trial Risk Calculator in a High-Risk Screening Population

    Science.gov (United States)

    Kaplan, David J.; Boorjian, Stephen A.; Ruth, Karen; Egleston, Brian L.; Chen, David Y.T.; Viterbo, Rosalia; Uzzo, Robert G.; Buyyounouski, Mark K.; Raysor, Susan; Giri, Veda N.

    2009-01-01

    Introduction Clinical factors in addition to PSA have been evaluated to improve risk assessment for prostate cancer. The Prostate Cancer Prevention Trial (PCPT) risk calculator provides an assessment of prostate cancer risk based on age, PSA, race, prior biopsy, and family history. This study evaluated the risk calculator in a screening cohort of young, racially diverse, high-risk men with a low baseline PSA enrolled in the Prostate Cancer Risk Assessment Program. Patients and Methods Eligibility for PRAP include men ages 35-69 who are African-American, have a family history of prostate cancer, or have a known BRCA1/2 mutation. PCPT risk scores were determined for PRAP participants, and were compared to observed prostate cancer rates. Results 624 participants were evaluated, including 382 (61.2%) African-American men and 375 (60%) men with a family history of prostate cancer. Median age was 49.0 years (range 34.0-69.0), and median PSA was 0.9 (range 0.1-27.2). PCPT risk score correlated with prostate cancer diagnosis, as the median baseline risk score in patients diagnosed with prostate cancer was 31.3%, versus 14.2% in patients not diagnosed with prostate cancer (p<0.0001). The PCPT calculator similarly stratified the risk of diagnosis of Gleason score ≥7 disease, as the median risk score was 36.2% in patients diagnosed with Gleason ≥7 prostate cancer versus 15.2% in all other participants (p<0.0001). Conclusion PCPT risk calculator score was found to stratify prostate cancer risk in a cohort of young, primarily African-American men with a low baseline PSA. These results support further evaluation of this predictive tool for prostate cancer risk assessment in high-risk men. PMID:19709072

  18. High-risk PCI: how to define it today?

    Science.gov (United States)

    DE Marzo, Vincenzo; D'Amario, Domenico; Galli, Mattia; Vergallo, Rocco; Porto, Italo

    2018-04-11

    Before the percutaneous spread, the mortality rate of patients with coronary heart disease not suitable for cardiac surgery was markedly high. This limit has been progressively exceeded with the advent of minimally invasive approaches, which, although was initially intended exclusively for low risk patients, was then employed in complex patients often too compromised to undergo cardiac surgery. Given to the rising of high-risk population, due to an increase of patients with multiple chronic conditions linked to the best care offered, we are witnessing an expansion of the high-risk percutaneous coronary interventions (PCI) population. Despite defining what high-risk is remains still unclear, all proposed definitions of high-risk PCI combine features related to three clinical areas: 1) patient risk factors and comorbidities (incorporating those which preclude surgical or percutaneous revascularization such as diabetes, COPD, CKD, lung disease, frailty, advanced age); 2) location of the disease and complexity of coronary anatomy (including multi-vessel disease, left main disease, CTO, bifurcations); 3) hemodynamic clinical status (ventricular dysfunction, concomitant valvular disease or unstable characteristics). Since cardiologists have ascertained the encouraging results in terms of efficacy and rewards compared to the low-risks patients, the important role of treating high-risk patients is becoming more and more relevant to the point that current guidelines have now changed the appropriateness of percutaneous interventions indications. Considering the complexity in managing higher-risk patients with coronary artery disease, the next step to ensure the best care for this type of patients is to create a team-based model of cooperation in order to properly establish the right treatment for the right patient.

  19. 3-Dimentional Mapping Coastal Zone using High Resolution Satellite Stereo Imageries

    International Nuclear Information System (INIS)

    Hong, Zhonghua; Liu, Fengling; Zhang, Yun

    2014-01-01

    The metropolitan coastal zone mapping is critical for coastal resource management, coastal environmental protection, and coastal sustainable development and planning. The results of geometric processing of a Shanghai coastal zone from 0.7-m-resolution QuickBird Geo stereo images are presented firstly. The geo-positioning accuracy of ground point determination with vendor-provided rigorous physical model (RPM) parameters is evaluated and systematic errors are found when compared with ground control points surveyed by GPS real-time kinematic (GPS-RTK) with 5cm accuracy. A bias-compensation process in image space that applies a RPM bundle adjustment to the RPM-calculated 3D ground points to correct the systematic errors is used to improve the geo-positioning accuracy. And then, a area-based matching (ABM) method is used to generated the densely corresponding points of left and right QuickBird images. With the densely matching points, the 3-dimentinal coordinates of ground points can be calculated by using the refined geometric relationship between image and ground points. At last step, digital surface model (DSM) can be achieved automatically using interpolation method. Accuracies of the DSM as assessed from independent checkpoints (ICPs) are approximately 1.2 m in height

  20. Screening for breast cancer in a high-risk series

    International Nuclear Information System (INIS)

    Woodard, E.D.; Hempelmann, L.H.; Janus, J.; Logan, W.; Dean, P.

    1982-01-01

    A unique cohort of women at increased risk of breast cancer because of prior X-ray treatment of acute mastitis and their selected high-risk siblings were offered periodic breast cancer screening including physical examination of the breasts, mammography, and thermography. Twelve breast cancers were detected when fewer than four would have been expected based on age-specific breast cancer detection rates from the National Cancer institute/American Cancer Society Breast Cancer Demonstration Detection Projects. Mammograpy was positive in all cases but physical examination was positive in only three cases. Thermography was an unreliable indicator of disease. Given the concern over radiation-induced risk, use of low-dose technique and of criteria for participation that select women at high risk of breast cancer will maximize the benefit/risk ratio for mammography screening

  1. Important role of vertical migration of compressed gas, oil and water in formation of AVPD (abnormally high pressure gradient) zones

    Energy Technology Data Exchange (ETDEWEB)

    Anikiyev, K.A.

    1980-01-01

    The principal role of vertical migration of compressed gases, gas-saturated petroleum and water during formation of abnormally high pressure gradients (AVPD) is confirmed by extensive factual data on gas production, grifons, blowouts and gushers that accompany drilling formations with AVPD from early history to the present time; the sources of vertical migration of compressed fluids, in accordance with geodynamic AVPD theory, are the deep degasified centers of the earth mantle. Among the various types of AVPD zones especially notable are the large (often massive or massive-layer) deposits and the intrusion aureoles that top them in the overlapping covering layers. Prediction of AVPD zones and determining their field and energy potential must be based on field-baric simulation of the formations being drilled in light of laws regarding the important role of the vertical migration of compressed fluids. When developing field-baric models, it is necessary to utilize the extensive and valuable data on grifons, gas production and blowouts that has been collected and categorized by drilling engineers and production geologists. To further develop data on field-baric conditions of the earth, it is necessary to collect and study signals of AVPD. First of all, there is a need to evaluate potential elastic resources of compressed fluids which can move from the bed into the well. Thus it is necessary to study and standardize intrusion aureoles and other AVPD zones within the aspect of fieldbaric modeling.

  2. A study of nutritional status and high risk behavior of adolescents in Ahmedabad: A Cross Sectional Study

    OpenAIRE

    Mital Prajapati; D.V.Bala; Hemant Tiwari

    2011-01-01

    Background: Adolescence is a distinct age group (10-19 yrs) with complex needs because of physical and psychological development during puberty. Aim: To evaluate adolescents’ nutritional status and high risk behavior. Settings and design: A Cross Sectional study was conducted in West Zone of Ahmedabad Municipal Corporation, Gujarat. Methods & Material: 401 students (10-19years) from 10 schools and colleges surveyed using pretested questionnaire ab...

  3. Prediction by numerical modeling of the risk zone along a riverside exposed to a dam failure; Prevision par modelisation numerique de la zone de risque bordant un troncon de riviere subissant une rupture de barrage

    Energy Technology Data Exchange (ETDEWEB)

    Mahdi, T.F.

    2004-07-01

    The risk zone associated with the surge wave following dam failure is defined in this study using a newly developed methodology that incorporates the conventionally used maximum water levels, the sediment movement in the river bed and the possibility of bank failure. Although the risk zone is typically defined as the inundated area, extensive lateral erosion that causes landslides could also accompany the inundation. This study demonstrates that the stability of the riverbank (in terms of geotechnical considerations) can influence the delineation of the risk area. The combined disciplines of geotechnics and hydraulics can be used to follow the evolution of the riverbed and riverbanks during a flood event. This study also presents a structured methodology for the St. Venant shallow water wave equations which were used to determine the area likely to be flooded without taking into account sediment transport. It also discusses aspects of the sediment transport theory. Fluvial erosion and lateral bank failure are the basic physical processes responsible for bank retreat. The minimum energy dissipation rate theory is applied for fluvial erosion, while Bishop's modified method is used to analyze slope stability when evaluating lateral bank failures. A numerical modeling of flows over movable beds is presented along with a review of some of the available numerical models. A diagnostic phase that provides information needed to qualify the extent of the damage after a flood is also presented. Some of the numerical models to evaluate risk area were validated on a portion of the HaHa River which was affected in the 1996 Saguenay flood. The new methodology, applied to the Outaouais River at Notre Dame du Nord in Quebec, produces a risk area much greater than that obtained when only the inundated area is considered.

  4. High prevalence of suicide risk in people living with HIV: who is at higher risk?

    Science.gov (United States)

    Passos, Susane Müller Klug; Souza, Luciano Dias de Mattos; Spessato, Bárbara Coiro

    2014-01-01

    A cross-sectional study was developed to evaluate suicide risk and associated factors in HIV/AIDS patients at a regional reference center for the treatment of HIV/AIDS in southern Brazil. We assessed 211 patients in regard to suicide risk, clinical and sociodemographic characteristics, drug use, depression, and anxiety. Suicide risk was assessed with Mini International Neuropsychiatric Interview, Module C. Multivariate analysis was performed using Poisson regression. Of the total sample, 34.1% were at risk of suicide. In the multivariate analysis, the following variables were independently associated with suicide risk: female gender; age up to 47 years; unemployment; indicative of anxiety; indicative of depression; and abuse or addiction on psychoactive substances. Suicide risk is high in this population. Psychosocial factors should be included in the physical and clinical evaluation, given their strong association with suicide risk.

  5. Communicating about risk: strategies for situations where public concern is high but the risk is low

    Directory of Open Access Journals (Sweden)

    Claire Hooker

    2017-02-01

    Full Text Available In this article, we summarise research that identifies best practice for communicating about hazards where the risk is low but public concern is high. We apply Peter Sandman’s ‘risk = hazard + outrage’ formulation to these risks, and review factors associated with the amplification of risk signals. We discuss the structures that determine the success of risk communication strategies, such as the capacity for early communication to ‘capture’ the dominant representation of risk issues, the importance of communicating uncertainty, and the usefulness of engaging with communities. We argue that, when facing trade-offs in probable outcomes from communication, it is always best to choose strategies that maintain or build trust, even at the cost of initial overreactions. We discuss these features of successful risk communication in relation to a range of specific examples, particularly opposition to community water fluoridation, Ebola, and routine childhood immunisation.

  6. Predicting reattendance at a high-risk breast cancer clinic.

    Science.gov (United States)

    Ormseth, Sarah R; Wellisch, David K; Aréchiga, Adam E; Draper, Taylor L

    2015-10-01

    The research about follow-up patterns of women attending high-risk breast-cancer clinics is sparse. This study sought to profile daughters of breast-cancer patients who are likely to return versus those unlikely to return for follow-up care in a high-risk clinic. Our investigation included 131 patients attending the UCLA Revlon Breast Center High Risk Clinic. Predictor variables included age, computed breast-cancer risk, participants' perceived personal risk, clinically significant depressive symptomatology (CES-D score ≥ 16), current level of anxiety (State-Trait Anxiety Inventory), and survival status of participants' mothers (survived or passed away from breast cancer). A greater likelihood of reattendance was associated with older age (adjusted odds ratio [AOR] = 1.07, p = 0.004), computed breast-cancer risk (AOR = 1.10, p = 0.017), absence of depressive symptomatology (AOR = 0.25, p = 0.009), past psychiatric diagnosis (AOR = 3.14, p = 0.029), and maternal loss to breast cancer (AOR = 2.59, p = 0.034). Also, an interaction was found between mother's survival and perceived risk (p = 0.019), such that reattendance was associated with higher perceived risk among participants whose mothers survived (AOR = 1.04, p = 0.002), but not those whose mothers died (AOR = 0.99, p = 0.685). Furthermore, a nonlinear inverted "U" relationship was observed between state anxiety and reattendance (p = 0.037); participants with moderate anxiety were more likely to reattend than those with low or high anxiety levels. Demographic, medical, and psychosocial factors were found to be independently associated with reattendance to a high-risk breast-cancer clinic. Explication of the profiles of women who may or may not reattend may serve to inform the development and implementation of interventions to increase the likelihood of follow-up care.

  7. The high-risk HPV infection and urinary system tumor

    Directory of Open Access Journals (Sweden)

    Yang Wenyan

    2018-04-01

    Full Text Available HPV is classified into high-risk and low-risk types depending on its probability of leading to tumorigenesis. Many studies have shown that HPV infection, especially the infection caused by the high-risk type, is always related to prostate cancer, bladder cancer, penile cancer, testicular cancer, and other urinary system tumors. However, previous studies differed in sexual openness and racial genetic susceptibility of the study object, sample size, and experimental methods. Hence, the correlation between high-risk HPV infection and urinary system tumors remains controversial. The early open reading frame of the HPV genome is composed of E1–E7, among which E6 and E7 are the key transfer proteins. The combination of these proteins with oncogene and anti-oncogene may be one of the mechanisms leading to tumorigenesis.

  8. Diagnosis and Management of High Risk Group for Gastric Cancer

    Science.gov (United States)

    Yoon, Hyuk; Kim, Nayoung

    2015-01-01

    Gastric cancer is associated with high morbidity and mortality worldwide. To reduce the socioeconomic burden related to gastric cancer, it is very important to identify and manage high risk group for gastric cancer. In this review, we describe the general risk factors for gastric cancer and define high risk group for gastric cancer. We discuss strategies for the effective management of patients for the prevention and early detection of gastric cancer. Atrophic gastritis (AG) and intestinal metaplasia (IM) are the most significant risk factors for gastric cancer. Therefore, the accurate selection of individuals with AG and IM may be a key strategy for the prevention and/or early detection of gastric cancer. Although endoscopic evaluation using enhanced technologies such as narrow band imaging-magnification, the serum pepsinogen test, Helicobacter pylori serology, and trefoil factor 3 have been evaluated, a gold standard method to accurately select individuals with AG and IM has not emerged. In terms of managing patients at high risk of gastric cancer, it remains uncertain whether H. pylori eradication reverses and/or prevents the progression of AG and IM. Although endoscopic surveillance in high risk patients is expected to be beneficial, further prospective studies in large populations are needed to determine the optimal surveillance interval. PMID:25547086

  9. Management of Skin Cancer in the High-Risk Patient.

    Science.gov (United States)

    Behan, James W; Sutton, Adam; Wysong, Ashley

    2016-12-01

    Skin cancer is the most common of human cancers and outnumbers all other types of cancer combined in the USA by over threefold. The majority of non-melanoma skin cancers are easily treated with surgery or locally destructive techniques performed under local anesthesia in the cost-effective outpatient setting. However, there is a subset of "high-risk" cases that prove challenging in terms of morbidity, mortality, adjuvant treatment required, as well as overall cost to the health care system. In our opinion, the term "high risk" when applied to skin cancer can mean one of three things: a high-risk tumor with aggressive histologic and/or clinical features with an elevated risk for local recurrence or regional/distant metastasis, a high-risk patient with the ongoing development of multiple skin cancers, and a high-risk patient based on immunosuppression. We have recently proposed classifying NMSC as a chronic disease in a certain subset of patients. Although no consensus definition exists for a chronic disease in medicine, there are three components that are present in most definitions: duration of at least 1 year, need for ongoing medical care, and functional impairment and/or alteration of activities of daily living (ADLs) and quality of life (QOL). Immunosuppression can refer to exogenous (organ or stem cell transplant patients,) or endogenous (HIV, leukemia, lymphoma, genodermatoses with DNA mismatch repair problems or other immunosuppression) causes. These patients are at risk for high-risk tumors and/or the development of multiple tumors.

  10. Screening for Behavioral Risk: Identification of High Risk Cut Scores within the Social, Academic, and Emotional Behavior Risk Screener (SAEBRS)

    Science.gov (United States)

    Kilgus, Stephen P.; Taylor, Crystal N.; von der Embse, Nathaniel P.

    2018-01-01

    The purpose of this study was to support the identification of Social, Academic, and Emotional Behavior Risk Screener (SAEBRS) cut scores that could be used to detect high-risk students. Teachers rated students across two time points (Time 1 n = 1,242 students; Time 2 n = 704) using the SAEBRS and the Behavioral and Emotional Screening System…

  11. The risk ogf high-risk jobs : psychological health consequences in forensic physicians and ambulance workers

    NARCIS (Netherlands)

    Ploeg, E. van der

    2003-01-01

    The risk of high-risk jobs: Psychological health consequences in forensic doctors and ambulance workers This thesis has shown that forensic physicians and ambulance personnel frequently suffer from psychological complaints as a result of dramatic events and sources of chronic work stress. A

  12. On risk, leverage and banks: do highly leveraged banks take on excessive risk?

    NARCIS (Netherlands)

    Koudstaal, M.; van Wijnbergen, S.

    2012-01-01

    This paper deals with the relation between excessive risk taking and capital structure in banks. Examining a quarterly dataset of U.S. banks between 1993 and 2010, we find that equity is valued higher when more risky portfolios are chosen when leverage is high, and that more risk taking has a

  13. Who Takes Risks in High-Risk Sports? A Typological Personality Approach

    Science.gov (United States)

    Castanier, Carole; Le Scanff, Christine; Woodman, Tim

    2010-01-01

    We investigated the risk-taking behaviors of 302 men involved in high-risk sports (downhill skiing, mountaineering, rock climbing, paragliding, or skydiving). The sportsmen were classified using a typological approach to personality based on eight personality types, which were constructed from combinations of neuroticism, extraversion, and…

  14. The Multi-factor Predictive Seis &Gis Model of Ecological, Genetical, Population Health Risk and Bio-geodynamic Processes In Geopathogenic Zones

    Science.gov (United States)

    Bondarenko, Y.

    ,7; 1983,5; 1986,3; 1989,1; 1992; 1994,8; 1997,6; 2000,4; 2003,2; .... Rhythms with 1,40625-years period fall is fifth reference level of SEIS desynchro- nization: ...1980,7; 1982,1; 1983,5; 1984,9; 1986,3; 1987,7; 1989,1; 1990,5; 1992; 1993,3; 1994,8; 1996,2; 1997,6; 1999; 2000,4; 2001,8; 2003,2;.... Analysis of alternat- ing medical and demographic situation in Ukraine (1981-1992)and in Dnipropetrovsk (1988-1995)has allowed to back up theoretical model of various-level rhythm quan- tum, with non-linear regularities due to phase-metric spatio-temporal deformation be- ing specified. Application of new technologies of Risk Analysis, Sinthesis and SEIS Modeling at the choice of a burial place for dangerous radioactive wastes in the zone of Chernobyl nuclear disaster (Shestopalov V., Bondarenko Y...., 1998) has shown their very high efficiency in comparison with GIS Analysis. IV.Recommendations and Outlook. In order to draw a conclusion regarding bio-geodynamic modeling of spatio-temporal structure of areas where common childhood sickness rate exists, it is necessary to mention that the only thing that can favour to exact predicting of where and when important catastrophes and epidemies will take place is correct and complex bio-geodynamic modeling. Imperfection of present GIS is the result of the lack of interactive facilities for multi-factor modeling of nonlinear natural and an- thropogenic processes. Equations' coefficients calculated for some areas are often irrelevant when applied to others. In this connection there arises a number of prob- lems concerning practical application and reliability of GIS-models that are used to carry out efficient ecological monitoring. References Bondarenko Y., 1997, Drawing up Cosmophotomaps and Multi-factor Forecasting of Hazard of Development of Dan- gerous Geodynamic Processes in Dnipropetrovsk,The Technically-Natural Problems of failures and catastrophes in connection with development of dangerous geological processes, Kiev, Ukraine

  15. Security engineering: Phisical security measures for high-risk personnel

    Directory of Open Access Journals (Sweden)

    Jelena S. Cice

    2013-06-01

    Full Text Available The design of physical security measures is a specialized technical area that does not fall in the normal skill record and resume of commanders, architects, engineers, and project managers. This document provides guidance to those parties tasked with implementing existing and emerging physical protection system requirements: -    Creation of a single-source reference for the design and construction of physical security measures for high-risk personnel (HRP. -    Promulgation of multi-service standard recommendations and considerations. -    Potential increase of productivity of HRP and reduced temporary housing costs through clarification of considerations, guidance on planning, and provision of design solutions. -    Reduction of facility project costs. -    Better performance of modernized facilities, in terms of force protection, than original facilities. Throughout this process you must ensure: confidentiality, appropriate Public Relations, sustainability, compliance with all industrial guidelines and legal and regulatory requirement, constant review and revision to accommodate new circumstances or threats. Introduction Physical security is an extremely broad topic. It encompasses access control devices such as smart cards, air filtration and fireproofing. It is also heavily reliant on infrastructure. This means that many of the ideal physical security measures may not be economically or physically feasible for existing sites. Many businesses do not have the option of building their own facility from the ground up; thus physical security often must be integrated into an existing structure. This limits the overall set of security measures that can be installed. There is an aspect of physical security that is often overlooked; the humans that interact with it. Humans commit crime for a number of reasons. The document focuses on two building types: the HRP office and the HRP residence. HRP are personnel who are likely to be

  16. Identification of chlorinated solvents degradation zones in clay till by high resolution chemical, microbial and compound specific isotope analysis

    DEFF Research Database (Denmark)

    Damgaard, Ida; Bjerg, Poul Løgstrup; Bælum, Jacob

    2013-01-01

    subsampling of the clay till cores. The study demonstrates that an integrated approach combining chemical analysis, molecular microbial tools and compound specific isotope analysis (CSIA) was required in order to document biotic and abiotic degradations in the clay till system. © 2013 Elsevier B.V.......The degradation of chlorinated ethenes and ethanes in clay till was investigated at a contaminated site (Vadsby, Denmark) by high resolution sampling of intact cores combined with groundwater sampling. Over decades of contamination, bioactive zones with degradation of trichloroethene (TCE) and 1...

  17. Identification of the high risk emergency surgical patient: Which risk prediction model should be used?

    Directory of Open Access Journals (Sweden)

    Stephen Stonelake

    2015-09-01

    Conclusions: In the absence of accurate risk scoring tools that can be used on admission to hospital it is not possible to reliably audit the achievement of national standards of care for the ‘high-risk’ patient.

  18. The clinical profile of high-risk mentally disordered offenders.

    Science.gov (United States)

    Yiend, Jenny; Freestone, Mark; Vazquez-Montes, Maria; Holland, Josephine; Burns, Tom

    2013-07-01

    High-risk mentally disordered offenders present a diverse array of clinical characteristics. To contain and effectively treat this heterogeneous population requires a full understanding of the group's clinical profile. This study aimed to identify and validate clusters of clinically coherent profiles within one high-risk mentally disordered population in the UK. Latent class analysis (a statistical technique to identify clustering of variance from a set of categorical variables) was applied to 174 cases using clinical diagnostic information to identify the most parsimonious model of best fit. Validity analyses were performed. Three identified classes were a 'delinquent' group (n = 119) characterised by poor educational history, strong criminal careers and high recidivism risk; a 'primary psychopathy' group (n = 38) characterised by good educational profiles and homicide offences and an 'expressive psychopathy' group (n = 17) presenting the lowest risk and characterised by more special educational needs and sexual offences. Individuals classed as high-risk mentally disordered offenders can be loosely segregated into three discrete subtypes: 'delinquent', 'psychopathic' or 'expressive psychopathic', respectively. These groups represent different levels of risk to society and reflect differing treatment needs.

  19. The use of high vacuum soil vapor extraction to improve contaminant recovery from ground water zones of low transmissivity

    International Nuclear Information System (INIS)

    Brown, A.; Farrow, J.R.C.; Burgess, W.

    1996-01-01

    This study examines the potential for enhancing hydrocarbon contaminant mass recovery from ground water using high vacuum soil vapor extraction (SVE). The effectiveness of this form of remediation is compared with the effectiveness of conventional pump-and-treat. This study focuses on the performance of a high vacuum SVE system at two ground water monitoring wells (MW-17 and MW-65b) at a site in Santa Barbara, California, US. The site is a highly characterized site with vadose zone and ground water petroleum hydrocarbon contamination (gasoline). The ground water wells are located beyond a defined area of vadose zone soil contamination. Ground water hydrocarbon contamination [light non-aqueous phase liquid (LNAPL) and dissolved phase] is present at each of the wells. the ground water wells have been part of a low-flow, pump-and-treat, ground water treatment system (GWTS) since August, 1986. The low transmissivity of the aquifer sediments prevent flow rates above approximately 0.02 gpm (0.01 l/min) per well

  20. The "polyenviromic risk score": Aggregating environmental risk factors predicts conversion to psychosis in familial high-risk subjects.

    Science.gov (United States)

    Padmanabhan, Jaya L; Shah, Jai L; Tandon, Neeraj; Keshavan, Matcheri S

    2017-03-01

    Young relatives of individuals with schizophrenia (i.e. youth at familial high-risk, FHR) are at increased risk of developing psychotic disorders, and show higher rates of psychiatric symptoms, cognitive and neurobiological abnormalities than non-relatives. It is not known whether overall exposure to environmental risk factors increases risk of conversion to psychosis in FHR subjects. Subjects consisted of a pilot longitudinal sample of 83 young FHR subjects. As a proof of principle, we examined whether an aggregate score of exposure to environmental risk factors, which we term a 'polyenviromic risk score' (PERS), could predict conversion to psychosis. The PERS combines known environmental risk factors including cannabis use, urbanicity, season of birth, paternal age, obstetric and perinatal complications, and various types of childhood adversity, each weighted by its odds ratio for association with psychosis in the literature. A higher PERS was significantly associated with conversion to psychosis in young, familial high-risk subjects (OR=1.97, p=0.009). A model combining the PERS and clinical predictors had a sensitivity of 27% and specificity of 96%. An aggregate index of environmental risk may help predict conversion to psychosis in FHR subjects. Copyright © 2016 Elsevier B.V. All rights reserved.

  1. Factors Influencing Cancer Risk Perception in High Risk Populations: A Systematic Review

    Science.gov (United States)

    2011-01-01

    Background Patients at higher than average risk of heritable cancer may process risk information differently than the general population. However, little is known about clinical, demographic, or psychosocial predictors that may impact risk perception in these groups. The objective of this study was to characterize factors associated with perceived risk of developing cancer in groups at high risk for cancer based on genetics or family history. Methods We searched Ovid MEDLINE, Ovid Embase, Ovid PsycInfo, and Scopus from inception through April 2009 for English-language, original investigations in humans using core concepts of "risk" and "cancer." We abstracted key information and then further restricted articles dealing with perceived risk of developing cancer due to inherited risk. Results Of 1028 titles identified, 53 articles met our criteria. Most (92%) used an observational design and focused on women (70%) with a family history of or contemplating genetic testing for breast cancer. Of the 53 studies, 36 focused on patients who had not had genetic testing for cancer risk, 17 included studies of patients who had undergone genetic testing for cancer risk. Family history of cancer, previous prophylactic tests and treatments, and younger age were associated with cancer risk perception. In addition, beliefs about the preventability and severity of cancer, personality factors such as "monitoring" personality, the ability to process numerical information, as well as distress/worry also were associated with cancer risk perception. Few studies addressed non-breast cancer or risk perception in specific demographic groups (e.g. elderly or minority groups) and few employed theory-driven analytic strategies to decipher interrelationships of factors. Conclusions Several factors influence cancer risk perception in patients at elevated risk for cancer. The science of characterizing and improving risk perception in cancer for high risk groups, although evolving, is still

  2. Factors Influencing Cancer Risk Perception in High Risk Populations: A Systematic Review

    Directory of Open Access Journals (Sweden)

    Tilburt Jon C

    2011-05-01

    Full Text Available Abstract Background Patients at higher than average risk of heritable cancer may process risk information differently than the general population. However, little is known about clinical, demographic, or psychosocial predictors that may impact risk perception in these groups. The objective of this study was to characterize factors associated with perceived risk of developing cancer in groups at high risk for cancer based on genetics or family history. Methods We searched Ovid MEDLINE, Ovid Embase, Ovid PsycInfo, and Scopus from inception through April 2009 for English-language, original investigations in humans using core concepts of "risk" and "cancer." We abstracted key information and then further restricted articles dealing with perceived risk of developing cancer due to inherited risk. Results Of 1028 titles identified, 53 articles met our criteria. Most (92% used an observational design and focused on women (70% with a family history of or contemplating genetic testing for breast cancer. Of the 53 studies, 36 focused on patients who had not had genetic testing for cancer risk, 17 included studies of patients who had undergone genetic testing for cancer risk. Family history of cancer, previous prophylactic tests and treatments, and younger age were associated with cancer risk perception. In addition, beliefs about the preventability and severity of cancer, personality factors such as "monitoring" personality, the ability to process numerical information, as well as distress/worry also were associated with cancer risk perception. Few studies addressed non-breast cancer or risk perception in specific demographic groups (e.g. elderly or minority groups and few employed theory-driven analytic strategies to decipher interrelationships of factors. Conclusions Several factors influence cancer risk perception in patients at elevated risk for cancer. The science of characterizing and improving risk perception in cancer for high risk groups, although

  3. Psychological characteristics in high-risk MSM in China

    Directory of Open Access Journals (Sweden)

    Chen Guanzhi

    2012-01-01

    Full Text Available Abstract Background Men who have sex with men (MSM have become a high-risk group of HIV infection in China. To date, little is known regarding the behavioral, social and psychological characteristics in Chinese MSM, which makes the implementation of preventive and therapeutic strategies for this high-risk subpopulation of people extremely difficult. Methods A total of 714 questionnaires were retrieved from the database of a Chinese government-sponsored National Key Research Project titled "Risk Analysis and Strategic Prevention of HIV Transmission from MSM to the General Population in China". The respondents were categorized into a high-risk group and a control group. Their behavioral, social and psychological characteristics were comparatively analyzed. Results Of the 714 MSM analyzed, 59 (8.26% had high-risk homosexual behaviors. This sub-group of MSM had a higher in-marriage rate, a higher monthly income, heavier alcohol consumption and more serious problems with sexual abuse in childhood, intentional suicide attempts and mistaken assumption on condom's role in protecting HIV infection, as compared with the control group (P P > 0.05. A vast majority of the individuals in both behavior categories expressed support of legally protected gay clubs as well as gay marriage legislation in China. There was a strong correlation between high-risk behaviors and sexual abuse in childhood, alcohol drinking, income level and a mistaken belief in perfect HIV protection through the use of condoms. Conclusions MSM with and without high-risk homosexual behaviors have different social and psychological characteristics, which should be taken into account when implementing behavioral and therapeutic interventions aimed at preventing HIV/AIDS transmission among MSM as well as from MSM to the general population in China.

  4. Telomerase activation by genomic rearrangements in high-risk neuroblastoma

    Science.gov (United States)

    Peifer, Martin; Hertwig, Falk; Roels, Frederik; Dreidax, Daniel; Gartlgruber, Moritz; Menon, Roopika; Krämer, Andrea; Roncaioli, Justin L.; Sand, Frederik; Heuckmann, Johannes M.; Ikram, Fakhera; Schmidt, Rene; Ackermann, Sandra; Engesser, Anne; Kahlert, Yvonne; Vogel, Wenzel; Altmüller, Janine; Nürnberg, Peter; Thierry-Mieg, Jean; Thierry-Mieg, Danielle; Mariappan, Aruljothi; Heynck, Stefanie; Mariotti, Erika; Henrich, Kai-Oliver; Glöckner, Christian; Bosco, Graziella; Leuschner, Ivo; Schweiger, Michal R.; Savelyeva, Larissa; Watkins, Simon C.; Shao, Chunxuan; Bell, Emma; Höfer, Thomas; Achter, Viktor; Lang, Ulrich; Theissen, Jessica; Volland, Ruth; Saadati, Maral; Eggert, Angelika; de Wilde, Bram; Berthold, Frank; Peng, Zhiyu; Zhao, Chen; Shi, Leming; Ortmann, Monika; Büttner, Reinhard; Perner, Sven; Hero, Barbara; Schramm, Alexander; Schulte, Johannes H.; Herrmann, Carl; O’Sullivan, Roderick J.; Westermann, Frank; Thomas, Roman K.; Fischer, Matthias

    2016-01-01

    Neuroblastoma is a malignant paediatric tumour of the sympathetic nervous system1. Roughly half of these tumours regress spontaneously or are cured by limited therapy. By contrast, high-risk neuroblastomas have an unfavourable clinical course despite intensive multimodal treatment, and their molecular basis has remained largely elusive2–4. Here we have performed whole-genome sequencing of 56 neuroblastomas (high-risk, n = 39; low-risk, n = 17) and discovered recurrent genomic rearrangements affecting a chromosomal region at 5p15.33 proximal of the telomerase reverse transcriptase gene (TERT). These rearrangements occurred only in high-risk neuroblastomas (12/39, 31%) in a mutually exclusive fashion with MYCN amplifications and ATRX mutations, which are known genetic events in this tumour type1,2,5. In an extended case series (n = 217), TERT rearrangements defined a subgroup of high-risk tumours with particularly poor outcome. Despite a large structural diversity of these rearrangements, they all induced massive transcriptional upregulation of TERT. In the remaining high-risk tumours, TERT expression was also elevated in MYCN-amplified tumours, whereas alternative lengthening of telomeres was present in neuroblastomas without TERT or MYCN alterations, suggesting that telomere lengthening represents a central mechanism defining this subtype. The 5p15.33 rearrangements juxtapose the TERT coding sequence to strong enhancer elements, resulting in massive chromatin remodelling and DNA methylation of the affected region. Supporting a functional role of TERT, neuroblastoma cell lines bearing rearrangements or amplified MYCN exhibited both upregulated TERT expression and enzymatic telomerase activity. In summary, our findings show that remodelling of the genomic context abrogates transcriptional silencing of TERT in high-risk neuroblastoma and places telomerase activation in the centre of transformation in a large fraction of these tumours. PMID:26466568

  5. Growth of large size lithium niobate single crystals of high quality by tilting-mirror-type floating zone method

    Energy Technology Data Exchange (ETDEWEB)

    Sarker, Abdur Razzaque, E-mail: razzaque_ru2000@yahoo.com [Department of Physics, University of Rajshahi (Bangladesh)

    2016-05-15

    Large size high quality LiNbO{sub 3} single crystals were grown successfully by tilting-mirror-type floating zone (TMFZ) technique. The grown crystals were characterized by X-ray diffraction, etch pits density measurement, Impedance analysis, Vibrating sample magnetometry (VSM) and UV-Visible spectrometry. The effect of mirror tilting during growth on the structural, electrical, optical properties and defect density of the LiNbO{sub 3} crystals were investigated. It was found that the defect density in the crystals reduced for tilting the mirror in the TMFZ method. The chemical analysis revealed that the grown crystals were of high quality with uniform composition. The single crystals grown by TMFZ method contains no low-angle grain boundaries, indicating that they can be used for high efficiency optoelectronic devices. (author)

  6. Screening for Hypoglycemia in Exclusively Breastfed High-risk Neonates.

    Science.gov (United States)

    Singh, Princy; Upadhyay, Amit; Sreenivas, Vishnubhatla; Jaiswal, Vijay; Saxena, Pranjali

    2017-06-15

    To determine incidence of hypoglycemia in exclusively breastfed, high-risk but healthy newborns, and risk factors for its development. This observational study enrolled 407 exclusively breastfed high-risk (low birth weight newborns (1800-2499 g), late preterms, small-for-gestation, large-for-gestation and infant of diabetic mother), who did not require admission to neonatal intensive care unit and were kept in postnatal wards with mother. Hypoglycemia was defined as blood glucose £46 mg/dL (2.6 mmol/L). Blood glucose was monitored till 48 hours of life. 27% of the screened newborns developed hypoglycemia in first 48 hours. 31 (7.6%) developed recurrent (>2) episodes, 28 (6.8%) had moderate (<37mg/dL) while 8 (1.9%) developed symptomatic hypoglycemia. With increase in birthweight, risk of hypoglycemia reduced significantly (P=0.003). Hypoglycemia was observed more frequently in first 2 hours as compared to next 48 hours (P=0.0001). Low birth- weight, preterm gestation and male gender was significantly associated with increased risk of hypoglycemia. Healthy, high-risk exclusively breastfed newborns in postnatal wards need close monitoring for hypoglycemia in first 24 hrs of life.

  7. Buffer Zone Fact Sheets

    Science.gov (United States)

    New requirements for buffer zones and sign posting contribute to soil fumigant mitigation and protection for workers and bystanders. The buffer provides distance between the pesticide application site and bystanders, reducing exposure risk.

  8. Geographic information systems based demarcation of risk zones: the case of the Limbe Sub-Division – Cameroon

    Directory of Open Access Journals (Sweden)

    Buh Wung Gaston

    2009-04-01

    Full Text Available In the Limbe Subdivision of Cameroon, landslides and flooding are frequent threats. The worst recorded event occurred in June 2001, when floods and landslides took the lives of some 30 persons, left over 2000 people homeless, and destroyed property and social amenities including roads and telephone lines worth hundred of thousands of US Dollars. The objective of this project was to assist local administrative officers, other decision makers and planners to understand which areas to concentrate their efforts on in order to develop mitigation actions to protect the lives of the population in these zones that are affected by flooding and associated landslides. To meet this objective the project made extensive use of geospatial tools and existing digital spatial datasets. Series of field data collection exercises constituted an integral part of the project. The project focused on the Limbe subdivision in the south-western part of Cameroon. Areas with high (greater than 60% probability of sliding to occur, occupy 23% while areas with medium (greater than 40% and less than 60% probability of sliding to occur occupy 44% and areas with low (less than 40% probability of sliding occupy 33%. Settlements along the Atlantic coast all lie less than ~50m above sea level. These settlements (villages are susceptible to flooding. Again settlements in the town of Llimbe along the Djenguele river, i.e., Animal Farms, Cassava Farms, Lumpsum areas, Church Street, New Town and Down Beach, are more susceptible to inundation during raining periods and therefore have experienced persistent flooding over the years.

  9. Linking carbon and hydrologic fluxes in the critical zone: Observations from high-frequency monitoring of a weathered bedrock vadose zone

    Science.gov (United States)

    Tune, A. K.; Druhan, J. L.; Wang, J.; Cargill, S.; Murphy, C.; Rempe, D. M.

    2017-12-01

    A principle challenge in quantifying feedbacks between continental weathering and atmospheric CO2 is to improve understanding of how biogeochemical processes in the critical zone influence the distribution and mobility of organic and inorganic carbon. In particular, in landscapes characterized by thin soils and heterogeneous weathered and fractured bedrock, little data exist to inform and constrain predictive models for carbon dynamics. Here, we present the results of an intensive water and gas sampling campaign across an 18 m thick, variably saturated argillite weathering profile in the Eel River CZO. We monitor water content in situ and regularly collect samples of freely-draining water, tightly-held water, and gas through wet and dry seasons using a novel Vadose-zone Monitoring System (VMS) consisting of sensors and samplers distributed across a 20 m long inclined borehole. This novel approach facilitates the interception of gas and water during transport across the entire variably saturated weathering profile. The data demonstrate that seasonal changes in saturation control the vertical distribution and mobility of carbon in the fractured critical zone. Concentrations of gaseous CO2, O2, and dissolved organic and inorganic carbon fluctuate significantly and repeatably with seasonal additions of water infiltrating the weathered bedrock. A persistent vertical structure in the concentrations of dissolved phases and gas concentrations broadly corresponds to depths associated with unsaturated, seasonally saturated, and chronically saturated zones. Associated variations in the vertical structure of mineralogy and elemental composition, including solid phase organic carbon content, are observed in core obtained during drilling. Together, our observations indicate significant respiration of organic carbon at depths greater than the base of the soil, and thus motivate further investigation of the role of heterogeneous weathered, bedrock environments, which are needed to

  10. Applying the lessons of high risk industries to health care.

    Science.gov (United States)

    Hudson, P

    2003-12-01

    High risk industries such as commercial aviation and the oil and gas industry have achieved exemplary safety performance. This paper reviews how they have managed to do that. The primary reasons are the positive attitudes towards safety and the operation of effective formal safety management systems. The safety culture provides an important explanation of why such organisations perform well. An evolutionary model of safety culture is provided in which there is a range of cultures from the pathological through the reactive to the calculative. Later, the proactive culture can evolve towards the generative organisation, an alternative description of the high reliability organisation. The current status of health care is reviewed, arguing that it has a much higher level of accidents and has a reactive culture, lagging behind both high risk industries studied in both attitude and systematic management of patient risks.

  11. Radical prostatectomy in clinically localized high-risk prostate cancer

    DEFF Research Database (Denmark)

    Røder, Martin Andreas; Berg, Kasper Drimer; Christensen, Ib Jarle

    2013-01-01

    ) is regarded as primary therapy by others. This study examined the outcome for high-risk localized PCa patients treated with RP. Material and methods. Of 1300 patients who underwent RP, 231 were identified as high-risk. Patients were followed for biochemical recurrence (BCR) (defined as prostate-specific......Abstract Objective. The optimal therapeutic strategy for high-risk localized prostate cancer (PCa) is controversial. Supported by randomized trials, the combination of external beam radiation therapy (EBRT) and endocrine therapy (ET) is advocated by many, while radical prostatectomy (RP...... antigen ≥ 0.2 ng/ml), metastatic disease and survival. Excluding node-positive patients, none of the patients received adjuvant therapy before BCR was confirmed. Univariate and multivariate analysis was performed with Kaplan-Meier and Cox proportional hazard models. Results. Median follow-up was 4.4 years...

  12. High-Risk Stress Fractures: Diagnosis and Management.

    Science.gov (United States)

    McInnis, Kelly C; Ramey, Lindsay N

    2016-03-01

    Stress fractures are common overuse injuries in athletes. They occur during periods of increased training without adequate rest, disrupting normal bone reparative mechanisms. There are a host of intrinsic and extrinsic factors, including biochemical and biomechanical, that put athletes at risk. In most stress fractures, the diagnosis is primarily clinical, with imaging indicated at times, and management focused on symptom-free relative rest with advancement of activity as tolerated. Overall, stress fractures in athletes have an excellent prognosis for return to sport, with little risk of complication. There is a subset of injuries that have a greater risk of fracture progression, delayed healing, and nonunion and are generally more challenging to treat with nonoperative care. Specific locations of high-risk stress fracture include the femoral neck (tension side), patella, anterior tibia, medial malleolus, talus, tarsal navicular, proximal fifth metatarsal, and great toe sesamoids. These sites share a characteristic region of high tensile load and low blood flow. High-risk stress fractures require a more aggressive approach to evaluation, with imaging often necessary, to confirm early and accurate diagnosis and initiate immediate treatment. Treatment consists of nonweight-bearing immobilization, often with a prolonged period away from sport, and a more methodic and careful reintroduction to athletic activity. These stress fractures may require surgical intervention. A high index of suspicion is essential to avoid delayed diagnosis and optimize outcomes in this subset of stress fractures. Copyright © 2016 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.

  13. Risks and injuries in laser and high-frequency applications

    Science.gov (United States)

    Giering, K.; Philipp, Carsten M.; Berlien, Hans-Peter

    1995-01-01

    An analysis of injuries and risks using high frequency (HF) and lasers in medicine based on a literature search with MEDLINE was performed. The cases reported in the literature were classified according to the following criteria: (1) Avoidable in an optimal operational procedure. These kind of injuries are caused by a chain of unfortunate incidents. They are in principle avoidable by the 'right action at the right time' which presupposes an appropriate training of the operating team, selection of the optimal parameters for procedure and consideration of all safety instructions. (2) Avoidable, caused by malfunction of the equipment and/or accessories. The injuries classified into this group are avoidable if all safety regulations were fulfilled. This includes a pre-operational check-up and the use of medical lasers and high frequency devices only which meet the international safety standards. (3) Avoidable, caused by misuse/mistake. Injuries of this group were caused by an inappropriate selection of the procedure, wrong medical indication or mistakes during application. (4) Unavoidable, fateful. These injuries can be caused by risks inherent to the type of energy used, malfunction of the equipment and/or accessories though a pre-operational check-up was done. Some risks and complications are common to high frequency and laser application. But whereas these risks can be excluded easily in laser surgery there is often a great expenditure necessary or they are not avoidable if high frequency if used. No unavoidable risks due to laser energy occur.

  14. AIDS Risk Perception and its related factors in Women with High-Risk Behaviors in Iran

    Directory of Open Access Journals (Sweden)

    Mahin Tafazoli

    2016-02-01

    Full Text Available Background & aim: AIDS is one of the major public health challenges all over the world. Perceived risk is a significant predictor of high-risk behaviors related to AIDS. Women constitute more than half of the HIV patients, and the rate of female sex workers with AIDS is more than the rest of female population. Therefore, the present study aimed to evaluate AIDS risk perception and its related factors in females with high-risk behaviors in Mashhad, Iran. Methods:This descriptive study was performed on 58 women who were arrested on prostitution charges and imprisoned in Mashhad Vakil Abad Prison in 2013. The data were collected using self-designed questionnaires assessing knowledge regarding AIDS as well as sexual activities and also perceived risk of HIV questionnaire. One-way ANOVA, independent samples t-test, linear regression, and Chi-square tests were run, using SPSS version 16. Results: The mean score of HIV risk perception was 18.43±5.92, which was average. There was a significant relationship between the mean score of perceived risk of HIV and knowledge regarding AIDS (P=0.005, alcohol consumption (P=0.04, history of addiction (P=0.008, using contraceptive methods (P=0.01, condom use during intercourse (P=0.02, voluntary HIV testing (P=0.001, and follow-up of HIV test (P=0.009. Conclusion:The findings of the present study revealed that knowledge, alcohol consumption, history of addiction, contraceptive methods, the rate of condom use during intercourse, as well as voluntary HIV testing and follow-up were associated with perceived risk of HIV infection. Therefore, taking the necessary steps towards health promotion through appropriate training and interventional approaches seems to be mandatory for reducing high-risk behaviors in populations with low risk perception.

  15. Atmospheric deposition of trace elements around point sources and human health risk assessment. I: Impact zones around a lead source

    DEFF Research Database (Denmark)

    Moseholm, L.; Larsen, Erik Huusfeldt; Andersen, B.

    1992-01-01

    The deposition of lead was monitored over 8 years in the area around a car battery factory north of Copenhagen, Denmark. The area also has heavy traffic. Deposition was measured by in-situ grown vegetables, transplant grass culture biomonitors, bulk deposition and soil samples. Three impact zones...... were identified by a multivariate statistical analysis. Within each zone, the total dietary intake of lead was estimated for adults and children as a percentage of the provisional tolerably weekly intake (PTWI), and as a result recommendation on restrictions in use of locally grown fruit and vegetables...

  16. Corrosion behavior in high heat input welded heat-affected zone of Ni-free high-nitrogen Fe–18Cr–10Mn–N austenitic stainless steel

    International Nuclear Information System (INIS)

    Moon, Joonoh; Ha, Heon-Young; Lee, Tae-Ho

    2013-01-01

    The pitting corrosion and interphase corrosion behaviors in high heat input welded heat-affected zone (HAZ) of a metastable high-nitrogen Fe–18Cr–10Mn–N austenitic stainless steel were explored through electrochemical tests. The HAZs were simulated using Gleeble simulator with high heat input welding condition of 300 kJ/cm and the peak temperature of the HAZs was changed from 1200 °C to 1350 °C, aiming to examine the effect of δ-ferrite formation on corrosion behavior. The electrochemical test results show that both pitting corrosion resistance and interphase corrosion resistance were seriously deteriorated by δ-ferrite formation in the HAZ and their aspects were different with increasing δ-ferrite fraction. The pitting corrosion resistance was decreased by the formation of Cr-depleted zone along δ-ferrite/austenite (γ) interphase resulting from δ-ferrite formation; however it didn't depend on δ-ferrite fraction. The interphase corrosion resistance depends on the total amount of Cr-depleted zone as well as ferrite area and thus continuously decreased with increasing δ-ferrite fraction. The different effects of δ-ferrite fraction on pitting corrosion and interphase corrosion were carefully discussed in terms of alloying elements partitioning in the HAZ based on thermodynamic consideration. - Highlights: • Corrosion behavior in the weld HAZ of high-nitrogen austenitic alloy was studied. • Cr 2 N particle was not precipitated in high heat input welded HAZ of tested alloy. • Pitting corrosion and interphase corrosion show a different behavior. • Pitting corrosion resistance was affected by whether or not δ-ferrite forms. • Interphase corrosion resistance was affected by the total amount of δ-ferrite

  17. OPERATION OF NEW AND HIGH-TECH DEVELOPMENT ZONE – “CHINA-SINGAPORE SUZHOU INDUSTRIAL PARK”

    Directory of Open Access Journals (Sweden)

    Qi Ji.

    2017-01-01

    Full Text Available Systematic work of the higher authorities of China on achievement and implementation of generally valid aims in the field of science and technology allowed the People’s Republic of China to reach intense innovative advancement of its conomy. New and High-Tech Development Zones form the basis of the national innovative infrastructure in China, the most successful of which is China-Singapore Suzhou Industrial Park (hereinafter – the Park. The Park can be characterized as a flagship project of cooperation between the governments of China and Singapore, pilot zone of reforms and innovations, successful model of international cooperation. The aim of the foundation and development of the Park is creation of innovative world class productions and setting up new international district with modern information and technology infrastructure and environmentally-friendly neighborhood. The article presents the process of formation of the Park’s management system and its interaction with the public authorities as well as the main principles of its organizational structure. Current social-economic development results and advancement of favorable conditions for investors are analyzed. Special emphasis is given to the concept of development of the industrial ecology observed by the Park’s management. The examples of intensive growth of infrastructure are given: creation of demonstration zones and experimental areas, building of social facilities. The emphasis is given to the constant development of the Park’s human resources. The project represents a new model of international economic and technical cooperation of China with other nations. 

  18. Solute transport processes in a highly permeable fault zone of Lindau fractured rock test site (Germany)

    Energy Technology Data Exchange (ETDEWEB)

    Himmelsbach, T. [Ruhr-Univ., Bochum (Germany). Dept. of Applied Geology; Hoetzl, H. [Univ. of Karlsruhe (Germany). Dept. of Applied Geology; Maloszewski, P. [GSF-Inst. for Hydrology, Munich-Neuherberg (Germany)

    1998-09-01

    The results of field tracer experiments performed in the Lindau fractured rock test site (southern Black Forest, Germany) and subsequent modeling are presented. A vertical, hydrothermally mineralized fault zone, with a permeability much greater than the surrounding granite mass, lies beneath a planned dam site. A dense network of boreholes and tunnels were used to investigate scaling effects of solute transport processes in fractured rock. A series of tracer experiments using deuterium and dye tracers were performed over varying distances and under different testing procedures, resulting in different flow field conditions. Large-scale tracer experiments were performed under natural flow field conditions, while small-scale tracer experiments were performed under artificially induced radial-convergent and injection-withdrawal flow fields. The tracer concentration curves observed in all experiments were strongly influenced by the matrix diffusion. The curves were evaluated with the one-dimensional single fissure dispersion model (SFDM) adjusted for the different flow field conditions. The fitting model parameters found determined the fracture aperture, and matrix and fissure porosities. The determined fracture aperture varied between the sections having different hydraulic conductivity. The determined values of matrix porosity seemed to be independent of the scale of the experiment. The modeled matrix porosities agreed well with values determined in independent laboratory investigations of drill cores using mercury porosimetry. In situ fissure porosity, determined only in small-scale experiments, was independent of the applied geometry of the artificially induced flow fields. The dispersivities were found to be independent of the scale of experiment but dependent on the flow conditions. The values found in forced gradient tests lie between 0.2 and 0.3 m, while values in experiments performed under natural flow conditions were one order of magnitude higher.

  19. InSAR deformation monitoring of high risk landslides

    Science.gov (United States)

    Singhroy, V.; Li, J.

    2013-05-01

    During the past year there were at least twenty five media reports of landslides and seismic activities some fatal, occurring in various areas in Canada. These high risk geohazards sites requires high resolution monitoring both spatially and temporally for mitigation purposes, since they are near populated areas and energy, transportation and communication corridors. High resolution air photos, lidar and satellite images are quite common in areas where the landslides can be fatal. Radar interferometry (InSAR) techniques using images from several radar satellites are increasingly being used in slope stability assessment. This presentation provides examples of using high-resolution (1-3m) frequent revisits InSAR techniques from RADARSAT 2 and TerraSAR X to monitor several types of high-risk landslides affecting transportation and energy corridors and populated areas. We have analyses over 200 high resolution InSAR images over a three year period on geologically different landslides. The high-resolution InSAR images are effective in characterizing differential motion within these low velocity landslides. The low velocity landslides become high risk during the active wet spring periods. The wet soils are poor coherent targets and corner reflectors provide an effective means of InSAR monitoring the slope activities.

  20. Risk assessments for the disposal of high level radioactive wastes

    International Nuclear Information System (INIS)

    Smith, C.F.

    1975-01-01

    The risks associated with the disposal of high level wastes derive from the potential for release of radioactive materials into the environment. The assessment of these risks requires a methodology for risk analysis, an identification of the radioactive sources, and a method by which to express the relative hazard of the various radionuclides that comprise the high level waste. The development of a methodology for risk analysis is carried out after a review of previous work in the area of probabilistic risk assessment. The methodology suggested involves the probabilistic analysis of a general accident consequence distribution. In this analysis, the frequency aspect of the distribution is treated separately from the normalized probability function. At the final stage of the analysis, the frequency and probability characteristics of the distribution are recombined to provide an estimate of the risk. The characterization of the radioactive source term is accomplished using the ORIGEN computer code. Calculations are carried out for various reactor types and fuel cycles, and the overall waste hazard for a projected thirty-five year nuclear power program is determined

  1. Color-tunable and high-efficiency organic light-emitting diode by adjusting exciton bilateral migration zone

    Science.gov (United States)

    Liu, Shengqiang; Wu, Ruofan; Huang, Jiang; Yu, Junsheng

    2013-09-01

    A voltage-controlled color-tunable and high-efficiency organic light-emitting diode (OLED) by inserting 16-nm N,N'-dicarbazolyl-3,5-benzene (mCP) interlayer between two complementary emitting layers (EMLs) was fabricated. The OLED emitted multicolor ranging from blue (77.4 cd/A @ 6 V), white (70.4 cd/A @ 7 V), to yellow (33.7 cd/A @ 9 V) with voltage variation. An equivalent model was proposed to reveal the color-tunable and high-efficiency emission of OLEDs, resulting from the swing of exciton bilateral migration zone near mCP/blue-EML interface. Also, the model was verified with a theoretical arithmetic using single-EML OLEDs to disclose the crucial role of mCP exciton adjusting layer.

  2. Relationship between Background Parenchymal Enhancement on High-risk Screening MRI and Future Breast Cancer Risk.

    Science.gov (United States)

    Grimm, Lars J; Saha, Ashirbani; Ghate, Sujata V; Kim, Connie; Soo, Mary Scott; Yoon, Sora C; Mazurowski, Maciej A

    2018-03-27

    To determine if background parenchymal enhancement (BPE) on screening breast magnetic resonance imaging (MRI) in high-risk women correlates with future cancer. All screening breast MRIs (n = 1039) in high-risk women at our institution from August 1, 2004, to July 30, 2013, were identified. Sixty-one patients who subsequently developed breast cancer were matched 1:2 by age and high-risk indication with patients who did not develop breast cancer (n = 122). Five fellowship-trained breast radiologists independently recorded the BPE. The median reader BPE for each case was calculated and compared between the cancer and control cohorts. Cancer cohort patients were high-risk because of a history of radiation therapy (10%, 6 of 61), high-risk lesion (18%, 11 of 61), or breast cancer (30%, 18 of 61); BRCA mutation (18%, 11 of 61); or family history (25%, 15 of 61). Subsequent malignancies were invasive ductal carcinoma (64%, 39 of 61), ductal carcinoma in situ (30%, 18 of 61) and invasive lobular carcinoma (7%, 4of 61). BPE was significantly higher in the cancer cohort than in the control cohort (P = 0.01). Women with mild, moderate, or marked BPE were 2.5 times more likely to develop breast cancer than women with minimal BPE (odds ratio = 2.5, 95% confidence interval: 1.3-4.8, P = .005). There was fair interreader agreement (κ = 0.39). High-risk women with greater than minimal BPE at screening MRI have increased risk of future breast cancer. Copyright © 2018 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

  3. Changes in the world rivers' discharge projected from an updated high resolution dataset of current and future climate zones

    Science.gov (United States)

    Santini, Monia; di Paola, Arianna

    2015-12-01

    In this paper, an updated global map of the current climate zoning and of its projections, according to the Köppen-Geiger classification, is first provided. The map at high horizontal resolution (0.5° × 0.5°), representative of the current (i.e. 1961-2005) conditions, is based on the Climate Research Unit dataset holding gridded series of historical observed temperature and precipitation, while projected conditions rely on the simulated series, for the same variables, by the General Circulation Model CMCC-CM. Modeled variables were corrected for their bias and then projections of climate zoning were generated for the medium term (2006-2050) and long term (2056-2100) future periods, under RCP 4.5 and RCP 8.5 emission scenarios. Results show that Equatorial and Arid climates will spread at the expenses of Snow and Polar climates, with the Warm Temperate experiencing more moderate increase. Maps of climate zones are valuable for a wide range of studies on climate change and its impacts, especially those regarding the water cycle that is strongly regulated by the combined conditions of precipitation and temperature. As example of large scale hydrological applications, in this work we tested and implemented a spatial statistical procedure, the geographically weighted regression among climate zones' surface and mean annual discharge (MAD) at hydrographic basin level, to quantify likely changes in MAD for the main world rivers monitored through the Global Runoff Data Center database. The selected river basins are representative of more than half of both global superficial freshwater resources and world's land area. Globally, a decrease in MAD is projected both in the medium term and long term, while spatial differences highlight how some areas require efforts to avoid consequences of amplified water scarcity, while other areas call for strategies to take the opportunity from the expected increase in water availability. Also the fluctuations of trends between the

  4. Integrated risk management for improving internal traffic control, work-zone safety, and mobility during major construction : tech transfer summary.

    Science.gov (United States)

    2012-10-01

    Construction work zones are among the most dangerous places to work in any industry in the world. This is because many factors in construction, such as constant change in working environments and driver errors, contribute to a workplace with a higher...

  5. High-Altitude Illnesses: Physiology, Risk Factors, Prevention, and Treatment

    Directory of Open Access Journals (Sweden)

    Andrew T. Taylor

    2011-01-01

    Full Text Available High-altitude illnesses encompass the pulmonary and cerebral syndromes that occur in non-acclimatized individuals after rapid ascent to high altitude. The most common syndrome is acute mountain sickness (AMS which usually begins within a few hours of ascent and typically consists of headache variably accompanied by loss of appetite, nausea, vomiting, disturbed sleep, fatigue, and dizziness. With millions of travelers journeying to high altitudes every year and sleeping above 2,500 m, acute mountain sickness is a wide-spread clinical condition. Risk factors include home elevation, maximum altitude, sleeping altitude, rate of ascent, latitude, age, gender, physical condition, intensity of exercise, pre-acclimatization, genetic make-up, and pre-existing diseases. At higher altitudes, sleep disturbances may become more profound, mental performance is impaired, and weight loss may occur. If ascent is rapid, acetazolamide can reduce the risk of developing AMS, although a number of high-altitude travelers taking acetazolamide will still develop symptoms. Ibuprofen can be effective for headache. Symptoms can be rapidly relieved by descent, and descent is mandatory, if at all possible, for the management of the potentially fatal syndromes of high-altitude pulmonary and cerebral edema. The purpose of this review is to combine a discussion of specific risk factors, prevention, and treatment options with a summary of the basic physiologic responses to the hypoxia of altitude to provide a context for managing high-altitude illnesses and advising the non-acclimatized high-altitude traveler.

  6. Value at Risk and Hedge Fund Return - Does High Risk Bring High Return?

    OpenAIRE

    Jing, Tao; Zhao, Hongxiang

    2010-01-01

    This paper mainly focuses on the correlation between live hedge fund return and their value at risk (VaR), and is based on the historical data from May 2000 to April 2010. The authors adopt portfolio level analyses and fund level cross-sectional regression, and find that there is significant positive correlation, both statistically and economically, between the hedge fund return and VaRs (parametric, non-parametric and GARCH). Further research is conducted by sub-dividing the overall period i...

  7. Transition to University Life: Insights from High School and University Female Students in Wolaita Zone, Ethiopia

    Science.gov (United States)

    Thuo, Mary; Edda, Medhanit

    2017-01-01

    The purpose of this study was to get an insight about how high school female students perceive the transition to university life, and to understand the transition experience of university female students in the first semester. An exploratory study design was used where 166 high school female students and 88 first year university female students…

  8. Disposal of high-level radioactive wastes in the unsaturated zone: technical considerations and response to comments. Final report

    International Nuclear Information System (INIS)

    Hackbarth, C.J.; Nicholson, T.J.; Evans, D.D.

    1985-10-01

    On July 22, 1985, the US Nuclear Regulatory Commission (NRC) promulgated amendments to 10 CFR Part 60 concerning disposal of high-level radioactive waste (HLW) in geologic repositories in the unsaturated zone (50 FR 29641). This report contains a discussion of the principal technical issues considered by the NRC staff during the development of these amendments. It expands or revises certain technical discussions originally presented in draft NUREG-1046 (February 1984) based on public comment letters and an increasing understanding of the physical, geochemical, and hydrogeologic processes operative in unsaturated geologic media. The following issues related to disposal of HLW within the unsaturated zone are discussed: hydrogeologic properties and conditions, heat dissipation and temperature, geochemisty, retrievability, potential for exhumation of the radioactive waste by natural causes and by human intrusion, the effects of future climatic changes on the level of the regional water table, and transport of radionuclides in the gaseous state. The changes to 10 CFR Part 60 in definitions, siting criteria, and design criteria for the geologic repository operations area are discussed. Other criteria examined by the NRC staff but which were not changed in rule are the minimum 300-meter depth for waste emplacement, limitations on exploratory boreholes, backfill requirements, waste package design criteria, and provisions for ventilation

  9. High temperature effect on microflora of radish root-inhabited zone and nutrient solutions for radish growth

    Science.gov (United States)

    Borodina, E. V.; Tirranen, L. S.

    The effect of high temperatures (35 and 45 °C) on microflora of the root zone of radish plants grown in phytotron was evaluated by the response of microorganisms from 9 indicator groups. Phytotron air temperature elevated to 35 °C for 20 hours caused no significant changes in qualitative and quantitative composition of the root microflora in experimental plants. By the end of the experiment, the species diversity of microflora had changed. The amount of phytopathogenic microorganisms decreased which can be interpreted as more stable co-existence of microflora with plants. The numbers of microbes from other indicator groups was in dynamic equilibrium. The plants' condition did not deteriorate either. Exposure to the temperature of 45 °C for 7 hours have been found to change the numbers and species diversity in the radish root zone microflora. The microorganisms were observed to increase their total numbers at the expense of certain indicator groups. Bacteria increased spore forms at the stage of spores. Colon bacillus bacteria of increased their numbers by the end of experiment by an order. By the end of experiment the roots of experiment plants had microscopic fungi from Mucor, Aspergillus, Trichoderma, Cladosporium genera. The observed changes in the microbial complex seem to be associated with the changes of root emissions and general deterioration of the plants' condition. It is suggested that the response of the microorganisms can be indicative of the condition of plants under investigation.

  10. High-resolution imaging of the low velocity layer in Alaskan subduction zone with scattered waves and interferometry

    Science.gov (United States)

    Kim, D.; Keranen, K. M.; Abers, G. A.; Kim, Y.; Li, J.; Shillington, D. J.; Brown, L. D.

    2017-12-01

    The physical factors that control the rupture process of great earthquakes at convergent plate boundaries remain incompletely understood. While recent developments in imaging using the teleseismic wavefield have led to marked advances at wavelengths of a couple kilometers to tens of kilometers, higher resolution imaging of the rupture zone would improve the resolution of imaging and thus provide improved parameter estimation, as the teleseismic wavefield is fundamentally limited by its low frequency content. This study compares and evaluates two seismic imaging techniques using the high-frequency signals from teleseismic coda versus earthquake scattered waves to image the subducting Yakutat oceanic plateau in the Alaska subduction zone. We use earthquakes recorded by the MOOS PASSCAL broadband deployment in southern Alaska. In our first method, we select local earthquakes that lie directly beneath and laterally near the recording array for imaging, and extract body wave information via a simple autocorrelation and stacking. Profiles analogous to seismic reflection profile are constructed using the near-vertically travelling waves. In our second method, we compute teleseismic receiver functions within the 0.02-1.0 Hz frequency band. Both results image interfaces that we associate with the subducting oceanic plate in Alaska-Aleutian system, with greater resolution than commonly used methods with teleseismic sources. Structural details from our results can further our understanding of the conditions and materials that characterize the subduction megathrusts, and the techniques can be employed in other regions along the Alaska-Aleutian system and at other convergent margins with suitable seismic arrays.

  11. Physical performance following acute high-risk abdominal surgery

    DEFF Research Database (Denmark)

    Jønsson, Line Rokkedal; Ingelsrud, Lina Holm; Tengberg, Line Toft

    2018-01-01

    BACKGROUND: Acute high-risk abdominal (AHA) surgery is associated with high mortality, multiple postoperative complications and prolonged hospital stay. Further development of strategies for enhanced recovery programs following AHA surgery is needed. The aim of this study was to describe physical...... are primarily fatigue and abdominal pain. Further studies investigating strategies for early mobilization and barriers to mobilization in the immediate postoperative period after AHA surgery are needed.......BACKGROUND: Acute high-risk abdominal (AHA) surgery is associated with high mortality, multiple postoperative complications and prolonged hospital stay. Further development of strategies for enhanced recovery programs following AHA surgery is needed. The aim of this study was to describe physical...... performance and barriers to independent mobilization among patients who received AHA surgery (postoperative days [POD] 1-7). METHODS: Patients undergoing AHA surgery were consecutively enrolled from a university hospital in Denmark. In the first postoperative week, all patients were evaluated daily...

  12. Effect of Welding Thermal Cycles on Microstructure and Mechanical Properties of Simulated Heat Affected Zone for a Weldox 1300 Ultra-High Strength Alloy Steel

    Directory of Open Access Journals (Sweden)

    Węglowski M. St.

    2016-03-01

    Full Text Available In the present study, the investigation of weldability of ultra-high strength steel has been presented. The thermal simulated samples were used to investigate the effect of welding cooling time t8/5 on microstructure and mechanical properties of heat affected zone (HAZ for a Weldox 1300 ultra-high strength steel. In the frame of these investigation the microstructure was studied by light and transmission electron microscopies. Mechanical properties of parent material were analysed by tensile, impact and hardness tests. In details the influence of cooling time in the range of 2,5 ÷ 300 sec. on hardness, impact toughness and microstructure of simulated HAZ was studied by using welding thermal simulation test. The microstructure of ultra-high strength steel is mainly composed of tempered martensite. The results show that the impact toughness and hardness decrease with increase of t8/5 under condition of a single thermal cycle in simulated HAZ. The increase of cooling time to 300 s causes that the microstructure consists of ferrite and bainite mixture. Lower hardness, for t8/5 ≥ 60 s indicated that low risk of cold cracking in HAZ for longer cooling time, exists.

  13. Dronedarone in high-risk permanent atrial fibrillation

    DEFF Research Database (Denmark)

    Connolly, Stuart J; Camm, A John; Halperin, Jonathan L

    2011-01-01

    Dronedarone restores sinus rhythm and reduces hospitalization or death in intermittent atrial fibrillation. It also lowers heart rate and blood pressure and has antiadrenergic and potential ventricular antiarrhythmic effects. We hypothesized that dronedarone would reduce major vascular events...... in high-risk permanent atrial fibrillation....

  14. Identifying patients at high risk for obstructive sleep apnoea ...

    African Journals Online (AJOL)

    Background: Obstructive sleep apnoea is associated with significant health consequences. A significant proportion of hospitalized patients at risk for obstructive sleep apnoea were never identified and referred for polysomnography for diagnosis. The objective of this study was to determine the factors associated with high ...

  15. Prevalence and risk factors of obesity and high blood pressure ...

    African Journals Online (AJOL)

    Background: The prevalence of diet-related chronic diseases like hypertension and obesity among others has become a public health concern. Risk factors for these diseases have been well studied in high income countries but less studied in developing countries. Objective: The study was to document the prevalence and ...

  16. Sensation seeking in males involved in recreational high risk sports

    Directory of Open Access Journals (Sweden)

    M Guszkowska

    2010-09-01

    Full Text Available The study examined sensation seeking intensity level in males involved in recreational high risk sports and investigated whether its level depends on type of sport practised. Additionally, in case of parachutists, sport experience of study participants were scrutinised with regard to its possible impact on the level of sensation seeking.The research involved 217 males aged 17 to 45, practising recreational high risk sports, namely: parachuting (n=98; wakeboarding (n=30; snowboarding (n=30; scuba diving (n=22; alpinism (n=20; paragliding (n=17. The control group included 54 men not involved in sports. Polish version of Sensation Seeking Scale (SSS-IV of Zuckerman was applied.Results show, that high risk sports males are featured by stronger need of sensations in comparison to control group and this concerned all but one aspect of sensation seeking variable. The only exception was the need of intellectual stimulation. Except from the thrill and adventure seeking dimension, type of sport may also be an important determinant of sensation seeking. Men practising snowboard and wakeboard presented stronger need for sensations, especially in the dimension of experience seeking, disinhibition and boredom susceptibility. Sport experience (number of jumps in parachuting did not differentiate the level of sensation seeking among investigated parachutists. Population of sport high risk male takers was not homogeneous, and therefore in future research one should analyse specific sports (or events in a certain sport separately.

  17. Detection of Patients at High Risk of Medication Errors

    DEFF Research Database (Denmark)

    Sædder, Eva Aggerholm; Lisby, Marianne; Nielsen, Lars Peter

    2016-01-01

    Medication errors (MEs) are preventable and can result in patient harm and increased expenses in the healthcare system in terms of hospitalization, prolonged hospitalizations and even death. We aimed to develop a screening tool to detect acutely admitted patients at low or high risk of MEs...

  18. Alcohol-Related Problems And High Risk Sexual Behaviour In ...

    African Journals Online (AJOL)

    There was a significant association between alcohol-related problems and risky sexual behavior. Alcohol-related problems are fairly common in people already infected with HIV/AIDS and are associated with high-risk sexual behavior. Thus, screening and treatment should be part of an effective HIV intervention program.

  19. Postmastectomy irradiation in high-risk breast cancer patients

    International Nuclear Information System (INIS)

    Overgaard, M.; Juul Christensen, J.; Johansen, H.; Nybo-Rasmussen, A.; Brincker, H.; Kooy, P. van der; Frederiksen, P.L.; Laursen, F.; Panduro, J.; Soerensen, N.E.; Gadeberg, C.C.; Hjelm-Hansen, M.; Overgaard, J.; West Andersen, K.; Zedeler, K.

    1988-01-01

    All pre- and postmenopausal high-risk breast cancer patients in the protocols DBCG 77 of the Danish Breast Cancer Cooperative Group received postmastectomy irradiation before randomization to either adjuvant systemic therapy or no such treatment. The actuarial loco-regional recurrence rate at 9 years was 6-17%, with the lowest rate in patients who also received additional adjuvant chemotherapy or tamoxifen. In a subsequent study (DBCG 82) the role of postmastectomy irradiation together with systemic treatment was evaluated in high-risk patients. Pre- and menopausal patients were randomized to postmastectomy irradiation+CMF (cyclophosphamide, methotrexate, 5-fluorouracil), CMF alone or CMF+TAM (tamoxifen). Postmenopausal patients were randomized to postmastectomy irradiation+TAM, TAM or CMF+TAM. At 4 years the loco-regional recurrence rate was significantly lower in the irradiated patients (5-7% vs. 23-33%). Further, disease-free survival was significantly improved in both pre- and postmenopausal irradiated patients compared with those who had only systemic treatment. At present, there are no significant differences between survival in the treatment groups. Thus, adjuvant systemic treatment alone (chemotherapy and/or tamoxifen) did not prevent loco-regional recurrences in high-risk patients after mastectomy and axillary lymph node sampling. However, a longer observation time is necessary to evaluate the consequence of primary optimal loco-regional tumour control in high-risk breast cancer patients with respect to survival. (orig.)

  20. Cyberbullying and Its Risk Factors among Chinese High School Students

    Science.gov (United States)

    Zhou, Zongkui; Tang, Hanying; Tian, Yuan; Wei, Hua; Zhang, Fengjuan; Morrison, Chelsey M.

    2013-01-01

    Cyberbullying has become a common occurrence among adolescents worldwide; however, it has yet to receive adequate scholarly attention in China, especially in the mainland. The present study investigated the epidemiological characteristics and risk factors of cyberbullying, utilizing a sample of 1,438 high school students from central China.…

  1. The High-mountain Cryosphere: Environmental Changes and Human Risks

    Directory of Open Access Journals (Sweden)

    Maria Shahgedanova

    2016-08-01

    Full Text Available Reviewed: The High-mountain Cryosphere: Environmental Changes and Human Risks Edited by Christian Huggel, Mark Carey, John J. Clague, and Andreas Kääb. Cambridge, UK: Cambridge University Press, 2015. xii + 363 pp. Hardcover: US$ 140.00, ISBN 978-1-107-06584-0. E-book: US$ 112.00, ISBN 978-1-316-35515-2.

  2. Staying Alive! Training High-Risk Teams for Self Correction

    Science.gov (United States)

    Slack, Kelley; Noe, Raymond; Weaver, Sallie

    2011-01-01

    Research examining teams working in high-risk operations has been lacking. The present symposium showcases research on team training that helps to optimize team performance in environments characterized by life or death situations arising spontaneously after long periods of mundane activity by pulling experts from diverse areas of industry: space flight, health care, and medical simulation.

  3. Update on the Management of High-Risk Penetrating Keratoplasty.

    Science.gov (United States)

    Jabbehdari, Sayena; Rafii, Alireza Baradaran; Yazdanpanah, Ghasem; Hamrah, Pedram; Holland, Edward J; Djalilian, Ali R

    2017-03-01

    In this article, we review the indications and latest management of high-risk penetrating keratoplasty. Despite the immune-privilege status of the cornea, immune-mediated graft rejection still remains the leading cause of corneal graft failure. This is particularly a problem in the high-risk graft recipients, namely patients with previous graft failure due to rejection and those with inflamed and vascularized corneal beds. A number of strategies including both local and systemic immunosuppression are currently used to increase the success rate of high-risk corneal grafts. Moreover, in cases of limbal stem cell deficiency, limbal stem cells transplantation is employed. Corticosteroids are still the top medication for prevention and treatment in cases of corneal graft rejection. Single and combined administration of immunosuppressive agents e.g. tacrolimus, cyclosporine and mycophenolate are promising adjunctive therapies for prolonging graft survival. In the future, cellular and molecular therapies should allow us to achieve immunologic tolerance even in high-risk grafts.

  4. Monitoring paneer for Listeria monocytogenes - A high risk food ...

    African Journals Online (AJOL)

    A multiplex polymerase chain reaction (PCR) assay was developed and applied to spiked and natural paneer samples to detect Listeria monocytogenes, a high risk food pathogen. The sensitivity of the assay on L. monocytogenes spiked paneer samples was 104 cells prior to enrichment, was improved to 103 cells after 4 h ...

  5. Optimizing the Management of High-Risk, Localized Prostate Cancer

    OpenAIRE

    Sundi, Debasish; Jeong, Byong Chang; Lee, Seung Bae; Han, Misop

    2012-01-01

    Prostate cancer has a high prevalence and a rising incidence in many parts of the world. Although many screen-detected prostate cancers may be indolent, prostate cancer remains a major contributor to mortality in men. Therefore, the appropriate diagnosis and treatment of localized prostate cancer with lethal potential are of great importance. High-risk, localized prostate cancer has multiple definitions. Treatment options that should be individualized to each patient include observation, radi...

  6. On risk assessment of high level radioactive waste disposal

    International Nuclear Information System (INIS)

    Smith, C.F.; Kastenberg, W.E.

    1976-01-01

    One of the major concerns with the continued growth of the nuclear power industry is the production of the high level radioactive wastes. The risks associated with the disposal of these wastes derives from the potential for release of radioactive materials into the environment. The development of a methodology for risk analysis is carried out. The methodology suggested involves the probabilistic analysis of a general accident consequence distribution. In this analysis, the frequency aspect of the distribution is treated separately from the normalized probability function. In the final stage of the analysis, the frequency and probability characteristics of the distribution are recombined to provide an estimate of the risk. The characterization of the radioactive source term is accomplished using the ORIGEN computer code. Calculations are carried out for various reactor types and fuel cycles, and the overall waste hazard for a projected 35 year nuclear power program is determined. An index of relative nuclide hazard appropriate to problems involving the management of high level radioactive wastes is developed. As an illustration of the methodology, risk analyses are made for two proposed methods for waste management: extraterrestrial disposal and interim surface storage. The results of these analyses indicate that, within the assumptions used, the risks of these management schemes are small compared with natural background radiation doses. (Auth.)

  7. Behaviour of Nano Silica in Tension Zone of High Performance Concrete Beams

    Science.gov (United States)

    Jaishankar, P.; Vivek, D.

    2017-07-01

    High performance concrete (HPC) is similar to High strength concrete (HSC).It is because of lowering of water to cement ratio, which is needed to attain high strength and generally improves other properties. This concrete contains one or more cementitious materials such as fly ash, Silica fume or ground granulated blast furnace slag and usually a super plasticizer. The term ‘high performance’ is somewhat different because the essential feature of this concrete is that it’s ingredients and proportions are specifically chosen so as to have particularly appropriate properties for the expected use of the structure such as high strength and low permeability. Usage of nano scale properties such as Nano SiO2 can result in dramatically improved properties from conventional grain size materials of same chemical composition. This project is more interested in evaluate the behaviour of nano silica in concrete for 5%, 10%, and 15% volume fraction of cement. Flexural test for beams were conducted with two point loads, at different percentage as mentioned above. From results interpolated, Nano silica with higher order replacement gives optimized results compared to control specimens.

  8. Increased Cardiometabolic Risk and Worsening Hypoxemia at High Altitude.

    Science.gov (United States)

    Miele, Catherine H; Schwartz, Alan R; Gilman, Robert H; Pham, Luu; Wise, Robert A; Davila-Roman, Victor G; Jun, Jonathan C; Polotsky, Vsevolod Y; Miranda, J Jaime; Leon-Velarde, Fabiola; Checkley, William

    2016-06-01

    Miele, Catherine H., Alan R. Schwartz, Robert H. Gilman, Luu Pham, Robert A. Wise, Victor G. Davila-Roman, Jonathan C. Jun, Vsevolod Y. Polotsky, J. Jaime Miranda, Fabiola Leon-Velarde, and William Checkley. Increased cardiometabolic risk and worsening hypoxemia at high altitude. High Alt Med Biol. 17:93-100, 2016.-Metabolic syndrome, insulin resistance, diabetes, and dyslipidemia are associated with an increased risk of cardiovascular disease. While excessive erythrocytosis is associated with cardiovascular complications, it is unclear how worsening hypoxemia of any degree affects cardiometabolic risk factors in high-altitude populations. We studied the relationship between daytime resting oxyhemoglobin saturation and cardiometabolic risk factors in adult participants living in Puno, Peru (3825 m above sea level). We used multivariable logistic regression models to study the relationship between having a lower oxyhemoglobin saturation and markers of cardiometabolic risk. Nine hundred and fifty-four participants (mean age 55 years, 52% male) had information available on pulse oximetry and markers of cardiometabolic risk. Average oxyhemoglobin saturation was 90% (interquartile range 88%-92%) and 43 (4.5%) had excessive erythrocytosis. Older age, decreased height-adjusted lung function, and higher body mass index (BMI) were associated with having an oxyhemoglobin saturation ≤85%. When adjusting for age, sex, socioeconomic status, having excessive erythrocytosis, and site, we found that each 5% decrease in oxyhemoglobin saturation was associated with a higher adjusted odds of metabolic syndrome (OR = 1.35, 95% CI: 1.07-1.72, p 2 mass units (OR = 1.29, 95% CI: 1.00-1.67, p < 0.05), hemoglobin A1c ≥6.5% (OR = 1.66, 95% CI: 1.09-2.51, p < 0.04), and high sensitivity C-reactive protein (hs-CRP) ≥3 mg/L (OR = 1.46, 95% CI: 1.09-1.96, p < 0.01). In high-altitude populations in Puno, Peru, a higher BMI and lower pulmonary function were

  9. Biofeedback can reduce foot pressure to a safe level and without causing new at-risk zones in patients with diabetes and peripheral neuropathy.

    Science.gov (United States)

    De León Rodriguez, D; Allet, L; Golay, A; Philippe, J; Assal, J-Ph; Hauert, C-A; Pataky, Z

    2013-02-01

    Plantar pressure reduction is mandatory for diabetic foot ulcer healing. Our aim was to evaluate the impact of a new walking strategy learned by biofeedback on plantar pressure distribution under both feet in patients with diabetic peripheral neuropathy. Terminally augmented biofeedback has been used for foot off-loading training in 21 patients with diabetic peripheral sensory neuropathy. The biofeedback technique was based on a subjective estimation of performance and objective visual feedback following walking sequences. The patient was considered to have learned a new walking strategy as soon as the peak plantar pressure (PPP) under the previously defined at-risk zone was within a range of 40-80% of baseline PPP in 70% of the totality of steps and during three consecutive walking sequences. The PPP was measured by a portable in-shoe foot pressure measurement system (PEDAR(®)) at baseline (T0), directly after learning (T1) and at 10-day retention test (T2). The PPP under at-risk zones decreased significantly at T1 (165 ± 9 kPa, p biofeedback leads to a safe and regular plantar pressure distribution without inducing any new 'at-risk' area under both feet. Copyright © 2012 John Wiley & Sons, Ltd.

  10. Developing a nomogram based on multiparametric magnetic resonance imaging for forecasting high-grade prostate cancer to reduce unnecessary biopsies within the prostate-specific antigen gray zone.

    Science.gov (United States)

    Niu, Xiang-Ke; Li, Jun; Das, Susant Kumar; Xiong, Yan; Yang, Chao-Bing; Peng, Tao

    2017-02-01

    Since 1980s the application of Prostate specific antigen (PSA) brought the revolution in prostate cancer diagnosis. However, it is important to underline that PSA is not the ideal screening tool due to its low specificity, which leads to the possible biopsy for the patient without High-grade prostate cancer (HGPCa). Therefore, the aim of this study was to establish a predictive nomogram for HGPCa in patients with PSA 4-10 ng/ml based on Prostate Imaging Reporting and Data System version 2 (PI-RADS v2), MRI-based prostate volume (PV), MRI-based PV-adjusted Prostate Specific Antigen Density (adjusted-PSAD) and other traditional classical parameters. Between January 2014 and September 2015, Of 151 men who were eligible for analysis were formed the training cohort. A prediction model for HGPCa was built by using backward logistic regression and was presented on a nomogram. The prediction model was evaluated by a validation cohort between October 2015 and October 2016 (n = 74). The relationship between the nomogram-based risk-score as well as other parameters with Gleason score (GS) was evaluated. All patients underwent 12-core systematic biopsy and at least one core targeted biopsy with transrectal ultrasonographic guidance. The multivariate analysis revealed that patient age, PI-RADS v2 score and adjusted-PSAD were independent predictors for HGPCa. Logistic regression (LR) model had a larger AUC as compared with other parameters alone. The most discriminative cutoff value for LR model was 0.36, the sensitivity, specificity, positive predictive value and negative predictive value were 87.3, 78.4, 76.3, and 90.4%, respectively and the diagnostic performance measures retained similar values in the validation cohort (AUC 0.82 [95% CI, 0.76-0.89]). For all patients with HGPCa (n = 50), adjusted-PSAD and nomogram-based risk-score were positively correlated with the GS of HGPCa in PSA gray zone (r = 0.455, P = 0.002 and r = 0.509, P = 0

  11. Time and position resolution of high granularity, high counting rate MRPC for the inner zone of the CBM-TOF wall

    CERN Document Server

    Petriş, M.

    2016-09-13

    Multi-gap RPC prototypes with readout on a multi-strip electrode were developed for the small polar angle region of the CBM-TOF subdetector, the most demanding zone in terms of granularity and counting rate. The prototypes are based on low resistivity ($\\sim$10$^{10}$ $\\Omega$cm) glass electrodes for performing in high counting rate environment. The strip width/pitch size was chosen such to fulfill the impedance matching with the front-end electronics and the granularity requirements of the innermost zone of the CBM-TOF wall. The in-beam tests using secondary particles produced in heavy ion collisions on a Pb target at SIS18 - GSI Darmstadt and SPS - CERN were focused on the performance of the prototype in conditions similar to the ones expected at SIS100/FAIR. An efficiency larger than 98\\% and a system time resolution in the order of 70~-~80~ps were obtained in high counting rate and high multiplicity environment.

  12. Capillary zone electrophoresis method for a highly glycosylated and sialylated recombinant protein: development, characterization and application for process development.

    Science.gov (United States)

    Zhang, Le; Lawson, Ken; Yeung, Bernice; Wypych, Jette

    2015-01-06

    A purity method based on capillary zone electrophoresis (CZE) has been developed for the separation of isoforms of a highly glycosylated protein. The separation was found to be driven by the number of sialic acids attached to each isoform. The method has been characterized using orthogonal assays and shown to have excellent specificity, precision and accuracy. We have demonstrated the CZE method is a useful in-process assay to support cell culture and purification development of this glycoprotein. Compared to isoelectric focusing (IEF), the CZE method provides more quantitative results and higher sample throughput with excellent accuracy, qualities that are required for process development. In addition, the CZE method has been applied in the stability testing of purified glycoprotein samples.

  13. Zaire program expands to cover high-risk groups in two cities.

    Science.gov (United States)

    1989-01-01

    This article announces the expansion of Zaire's social marketing program for condoms to high-risk groups in the cities of Goma and Matadi. The program will use proven marketing techniques from Kinshasha, printed materials, and direct marketing to retail outlets, emphasizing hotels, bars, and other areas frequented by prostitutes, migrants, and other travelers. In addition to retail outlets such as pharmacies, 50 taxis will be tested as additional retail sources for Prudence condoms. Once under way, this effort could reach as many as 96,000 people/day. 5 new AIDS information spots are being televised, and an anti-AIDS song and jingle are on the air. Condom social marketing representatives report a 357% increase in condom sales through March, 1989, over 1988, and that products are now available in 85% of Kinshasha pharmacies. Medical center coverage has increased to 14 from 9 zones, while products reach 11 additional cities and 5 interior provinces.

  14. Spatial modelling of malaria risk factors in Ruhuha sector in the east ...

    African Journals Online (AJOL)

    Spatial clusters of malaria occurrence were subsequently determined using Getis and Ord spatial statistics. This cluster analysis showed that malaria distribution is characterized by zones with high malaria risk, so called hot spots, zones with moderate malaria risk known as not significant spots and zones of low malaria risk ...

  15. Exploring the time-frequency content of high frequency oscillations for automated identification of seizure onset zone in epilepsy.

    Science.gov (United States)

    Liu, Su; Sha, Zhiyi; Sencer, Altay; Aydoseli, Aydin; Bebek, Nerse; Abosch, Aviva; Henry, Thomas; Gurses, Candan; Ince, Nuri Firat

    2016-04-01

    High frequency oscillations (HFOs) in intracranial electroencephalography (iEEG) recordings are considered as promising clinical biomarkers of epileptogenic regions in the brain. The aim of this study is to improve and automatize the detection of HFOs by exploring the time-frequency content of iEEG and to investigate the seizure onset zone (SOZ) detection accuracy during the sleep, awake and pre-ictal states in patients with epilepsy, for the purpose of assisting the localization of SOZ in clinical practice. Ten-minute iEEG segments were defined during different states in eight patients with refractory epilepsy. A three-stage algorithm was implemented to detect HFOs in these segments. First, an amplitude based initial detection threshold was used to generate a large pool of HFO candidates. Then distinguishing features were extracted from the time and time-frequency domain of the raw iEEG and used with a Gaussian mixture model clustering to isolate HFO events from other activities. The spatial distribution of HFO clusters was correlated with the seizure onset channels identified by neurologists in seven patient with good surgical outcome. The overlapping rates of localized channels and seizure onset locations were high in all states. The best result was obtained using the iEEG data during sleep, achieving a sensitivity of 81%, and a specificity of 96%. The channels with maximum number of HFOs identified epileptogenic areas where the seizures occurred more frequently. The current study was conducted using iEEG data collected in realistic clinical conditions without channel pre-exclusion. HFOs were investigated with novel features extracted from the entire frequency band, and were correlated with SOZ in different states. The results indicate that automatic HFO detection with unsupervised clustering methods exploring the time-frequency content of raw iEEG can be efficiently used to identify the epileptogenic zone with an accurate and efficient manner.

  16. Chronic kidney disease and bleeding risk in patients at high cardiovascular risk: a cohort study.

    Science.gov (United States)

    Ocak, G; Rookmaaker, M B; Algra, A; de Borst, G J; Doevendans, P A; Kappelle, L J; Verhaar, M C; Visseren, F L

    2018-01-01

    Essentials The association between chronic kidney disease and bleeding is unknown. We followed 10 347 subjects at high cardiovascular risk for bleeding events. Chronic kidney disease was associated with a 1.5-fold increased bleeding risk. Especially albuminuria rather than decreased kidney function was associated with bleeding events. Background There are indications that patients with chronic kidney disease have an increased bleeding risk. Objectives To investigate the association between chronic kidney disease and bleeding in patients at high cardiovascular risk. Methods We included 10 347 subjects referred to the University Medical Center Utrecht (the Netherlands) from September 1996 to February 2015 for an outpatient visit with classic risk factors for arterial disease or with symptomatic arterial disease (Second Manifestation of Arterial disease [SMART] cohort). Patients were staged according to the KDIGO guidelines, on the basis of estimated glomerular filtration rate (eGFR) and albuminuria, and were followed for the occurrence of major hemorrhagic events until March 2015. Hazard ratios (HRs) with 95% confidence intervals (CIs) for bleeding were calculated with Cox proportional hazards analyses. Results The incidence rate for bleeding in subjects with chronic kidney disease was 8.0 per 1000 person-years and that for subjects without chronic kidney disease was 3.5 per 1000 person-years. Patients with chronic kidney disease (n = 2443) had a 1.5-fold (95% CI 1.2-1.9) increased risk of bleeding as compared with subjects without chronic kidney disease (n = 7904) after adjustment. Subjects with an eGFR of Chronic kidney disease is a risk factor for bleeding in patients with classic risk factors for arterial disease or with symptomatic arterial disease, especially in the presence of albuminuria. © 2017 University Medical Center Utrecht. Journal of Thrombosis and Haemostasis © 2017 International Society on Thrombosis and Haemostasis.

  17. [Distribution and risk assessment of mercury species in soil of the water-level-fluctuating zone in the Three Gorges Reservoir].

    Science.gov (United States)

    Zhang, Cheng; Chen, Hong; Wang, Ding-Yong; Sun, Rong-Guo; Zhang, Jin-Yang

    2014-03-01

    To investigate pollution level and ecological risk of mercury in soils of the water-level-fluctuating zone in the Three Gorges Reservoir Region, 192 surface soil samples from 14 counties (districts) in Chongqing were obtained. Concentrations of THg and Hg species, bioavailable Hg were analyzed and discussed. Geoaccumulation index (I(geo)) and Håkanson potential ecological risk index (E(r)) were applied to assess the pollution status and potential ecological risk of THg and Hg species, respectively. The results showed that significant differences in the concentration of THg were found in soils of water-level-fluctuating zone in the Three Gorges Reservoir. The THg concentration ranged from 22.4 to 393.5 microg x kg(-1), with an average of (84.2 +/- 54.3) microg x kg(-1). 76.6% of the samples' THg content was higher than the soil background value in the Three Gorges Reservoir Region. The percentage of five mercury species (water-soluble Hg, HCl-soluble Hg, KOH-soluble Hg, H2O2-soluble Hg, residue Hg) in soils were 4.1%, 15.5%, 18.3%, 10.9%, 51.3%, respectively. The average concentrations of bioavailable mercury varied between 19.7-36.6 microg x kg(-1), and the percentage of bioavailable Hg was 22.1%-51.6% of THg. According to the geoaccumulation index, the soils were lightly polluted by Hg. Håkanson single potential ecological risk index evaluation showed that Hg species had a low potential ecological risk, moreover, soils of water-level-fluctuating zone in the Three Gorges Reservoir were at low ecological risk levels as evaluated by bioavailable Hg. While, the assessment results based on THg of soils was much higher than that based on the Hg species. Two methods of evaluation showed that the I(geo) and E(r) values calculated based on the Hg species better reflected the actual pollution levels of soils and its hazard to aquatic organisms.

  18. Risk factors and the occurrence of cerebral palsy in high risk infants

    Directory of Open Access Journals (Sweden)

    Setyo Handryastuti

    2018-04-01

    Full Text Available Background The incidence of cerebral palsy (CP has increased due to better survival rates of high-risk babies. Early detection and time to the occurrence of CP in the first year of life is important in order to provide early intervention. Objectives To determine the proportion of CP in high-risk babies, the time to the occurrence of CP in the first year, and assess possible associations between risk factors of CP and time to the occurrence of CP. Methods A prospective cohort study was done on 150 high-risk babies up to the age of 12 months. We obtained history of motor ability and assessed primitive reflexes and postural reactions of subjects at the ages of 4 and 6 months. The diagnosis of CP was established at 6 and 12 months of age. Results The proportion of CP was 26% at 6 months and 24% at 12 months of age. Significant risk factors associated with CP at 6 and 12 months of age were cerebral ultrasound abnormalities, hypoxic-ischemic encephalopathy, and intracranial hemorrhage. In 88.7% of subjects with CP, CP was detected in the first 6 months. Mean age at the occurrence of CP was 9.99 months (95%CI 9.46 to 10.53. Risk factors that significantly affected the time to the occurrence of CP by survival analysis were ultrasound abnormalities and hypoxic-ischemic encephalopathy. Conclusions Cerebral palsy can be detected as early as the first 6 months of life. Cerebral ultrasound abnormalities and hypoxic ischemic encephalopathy are the risk factors associated with CP.

  19. Prediabetes: a high-risk state for diabetes development.

    Science.gov (United States)

    Tabák, Adam G; Herder, Christian; Rathmann, Wolfgang; Brunner, Eric J; Kivimäki, Mika

    2012-06-16

    Prediabetes (intermediate hyperglycaemia) is a high-risk state for diabetes that is defined by glycaemic variables that are higher than normal, but lower than diabetes thresholds. 5-10% of people per year with prediabetes will progress to diabetes, with the same proportion converting back to normoglycaemia. Prevalence of prediabetes is increasing worldwide and experts have projected that more than 470 million people will have prediabetes by 2030. Prediabetes is associated with the simultaneous presence of insulin resistance and β-cell dysfunction-abnormalities that start before glucose changes are detectable. Observational evidence shows associations between prediabetes and early forms of nephropathy, chronic kidney disease, small fibre neuropathy, diabetic retinopathy, and increased risk of macrovascular disease. Multifactorial risk scores using non-invasive measures and blood-based metabolic traits, in addition to glycaemic values, could optimise estimation of diabetes risk. For prediabetic individuals, lifestyle modification is the cornerstone of diabetes prevention, with evidence of a 40-70% relative-risk reduction. Accumulating data also show potential benefits from pharmacotherapy. Copyright © 2012 Elsevier Ltd. All rights reserved.

  20. Prediabetes: A high-risk state for developing diabetes

    Science.gov (United States)

    Tabák, Adam G.; Herder, Christian; Rathmann, Wolfgang; Brunner, Eric J.; Kivimäki, Mika

    2013-01-01

    Summary Prediabetes (or “intermediate hyperglycaemia”), based on glycaemic parameters above normal but below diabetes thresholds is a high risk state for diabetes with an annualized conversion rate of 5%–10%; with similar proportion converting back to normoglycaemia. The prevalence of prediabetes is increasing worldwide and it is projected that >470 million people will have prediabetes in 2030. Prediabetes is associated with the simultaneous presence of insulin resistance and β-cell dysfunction, abnormalities that start before glucose changes are detectable. Observational evidence shows associations of prediabetes with early forms of nephropathy, chronic kidney disease, small fibre neuropathy, diabetic retinopathy, and increased risk of macrovascular disease. Multifactorial risk scores could optimize the estimation of diabetes risk using non-invasive parameters and blood-based metabolic traits in addition to glycaemic values. For prediabetic individuals, lifestyle modification is the cornerstone of diabetes prevention with evidence of a 40%–70% relative risk reduction. Accumulating data also suggests potential benefits from pharmacotherapy. PMID:22683128

  1. Quaternary layer anomalies around the Carlsberg Fault zone mapped with high-resolution shear-wave seismics south of Copenhagen

    DEFF Research Database (Denmark)

    Kammann, Janina; Hübscher, Christian; Nielsen, Lars

    Fault zone. The portable compact vibrator source ElViS III S8 was used to acquire a 1150 m long seismic section on the island Amager, south of Copenhagen. The shallow subsurface in the investigation area is dominated by Quaternary glacial till deposits in the upper 5-11 m and Danian limestone below....... In the shear-wave profile, we imaged the 30 m of the upward continuation of the Carlsberg Fault zone. In our area of investigation, the fault zone appears to comprise normal block faults and one reverse block fault showing the complexity of the fault zone. The observed faults appear to affect both the Danian...

  2. Highly zone-dependent synthesis of different carbon nanostructures using plasma-enhanced arc discharge technique

    Energy Technology Data Exchange (ETDEWEB)

    Kumar, Rajesh, E-mail: rajeshbhu1@gmail.com [Yonsei University, Department of Materials Science & Engineering (Korea, Republic of); Singh, Rajesh Kumar, E-mail: rksbhu@gmail.com [Banaras Hindu University, Department of Applied Physics, Indian Institute of Technology (India); Dubey, Pawan Kumar [University of Allahabad, Nanotechnology Application Centre (India); Yadav, Ram Manohar [Rice University, Department of Materials Science and Nano Engineering (United States); Singh, Dinesh Pratap [Universidad de Santiago de Chile, Departamento de Física (Chile); Tiwari, R. S.; Srivastava, O. N. [Banaras Hindu University, Department of Physics (India)

    2015-01-15

    Three kinds of carbon nanostructures, i.e., graphene nanoflakes (GNFs), multi walled carbon nanotubes (MWCNTs), and spherical carbon nanoparticles (SCNPs) were comparatively investigated in one run experiment. These carbon nanostructures are located at specific location inside the direct current plasma-assisted arc discharge chamber. These carbon nanomaterials have been successfully synthesized using graphite as arcing electrodes at 400 torr in helium (He) atmosphere. The SCNPs were found in the deposits formed on the cathode holder, in which highly curled graphitic structure are found in majority. The diameter varies from 20 to 60 nm and it also appears that these particles are self-assembled to each other. The MWCNTs with the diameter of 10–30 nm were obtained which were present inside the swelling portion of cathode deposited. These MWCNTs have 14–18 graphitic layers with 3.59 Å interlayer spacing. The GNFs have average lateral sizes of 1–5 μm and few of them are stacked layers and shows crumpled like structure. The GNFs are more stable at low temperature (low mass loss) but SCNPs have low mass loss at high temperature.

  3. High resolution imaging of vadose zone transport using crosswell radar and seismic methods; TOPICAL

    International Nuclear Information System (INIS)

    Majer, Ernest L.; Williams, Kenneth H.; Peterson, John E.; Daley, Thomas E.

    2001-01-01

    The summary and conclusions are that overall the radar and seismic results were excellent. At the time of design of the experiments we did not know how well these two methods could penetrate or resolve the moisture content and structure. It appears that the radar could easily go up to 5, even 10 meters between boreholes at 200 Mhz and even father (up to 20 to 40 m) at 50 Mhz. The seismic results indicate that at several hundred hertz propagation of 20 to 30 meters giving high resolution is possible. One of the most important results, however is that together the seismic and radar are complementary in their properties estimation. The radar being primarily sensitive to changes in moisture content, and the seismic being primarily sensitive to porosity. Taken in a time lapse sense the radar can show the moisture content changes to a high resolution, with the seismic showing high resolution lithology. The significant results for each method are: Radar: (1) Delineated geological layers 0.25 to 3.5 meters thick with 0.25 m resolution; (2) Delineated moisture movement and content with 0.25 m resolution; (3) Compared favorably with neutron probe measurements; and (4) Penetration up to 30 m. Radar results indicate that the transport of the riverwater is different from that of the heavier and more viscous sodium thiosulfate. It appears that the heavier fluids are not mixing readily with the in-situ fluids and the transport may be influenced by them. Seismic: (1) Delineated lithology at .25 m resolution; (2) Penetration over 20 meters, with a possibility of up to 30 or more meters; and (3) Maps porosity and density differences of the sediments. Overall the seismic is mapping the porosity and density distribution. The results are consistent with the flow field mapped by the radar, there is a change in flow properties at the 10 to 11 meter depth in the flow cell. There also appears to be break through by looking at the radar data with the denser sodium thiosulfate finally

  4. An operational approach to high resolution agro-ecological zoning in West-Africa.

    Science.gov (United States)

    Le Page, Y; Vasconcelos, Maria; Palminha, A; Melo, I Q; Pereira, J M C

    2017-01-01

    The objective of this work is to develop a simple methodology for high resolution crop suitability analysis under current and future climate, easily applicable and useful in Least Developed Countries. The approach addresses both regional planning in the context of climate change projections and pre-emptive short-term rural extension interventions based on same-year agricultural season forecasts, while implemented with off-the-shelf resources. The developed tools are applied operationally in a case-study developed in three regions of Guinea-Bissau and the obtained results, as well as the advantages and limitations of methods applied, are discussed. In this paper we show how a simple approach can easily generate information on climate vulnerability and how it can be operationally used in rural extension services.

  5. An operational approach to high resolution agro-ecological zoning in West-Africa.

    Directory of Open Access Journals (Sweden)

    Y Le Page

    Full Text Available The objective of this work is to develop a simple methodology for high resolution crop suitability analysis under current and future climate, easily applicable and useful in Least Developed Countries. The approach addresses both regional planning in the context of climate change projections and pre-emptive short-term rural extension interventions based on same-year agricultural season forecasts, while implemented with off-the-shelf resources. The developed tools are applied operationally in a case-study developed in three regions of Guinea-Bissau and the obtained results, as well as the advantages and limitations of methods applied, are discussed. In this paper we show how a simple approach can easily generate information on climate vulnerability and how it can be operationally used in rural extension services.

  6. High risk pregnancy in the workplace. Influencing positive outcomes.

    Science.gov (United States)

    Cannon, R B; Schmidt, J V; Cambardella, B; Browne, S E

    2000-09-01

    Childbearing employees are well served by the occupational health nurse who promotes optimal preconceptual and pregnancy health practices, uses community resources, and maintains current knowledge about high risk pregnancy prevention and care. These broad goals of care can lead to decreased absenteeism, healthier and happier employees, and more positive outcomes of pregnancy. For employees with high risk pregnancies, the role of the occupational health nurse includes, but is not limited to, facilitating awareness with the employer, making suggestions for adjusting working conditions, making frequent assessments of the employee's needs, and communicating with prenatal health care providers. Occupational health nurses should never underestimate their role and potential influence on the mother, and on her significant other, for a positive outcome of her pregnancy.

  7. High risk factors in patient with carcinoma esophagus

    International Nuclear Information System (INIS)

    Afridi, S.P.; Khan, A.; Waheed, I.

    2000-01-01

    This study was conducted to identify the presence of high risk factors in carcinoma esophagus from February, 1992 to August, 1995 at Surgical unit 1, Jinnah Postgraduate Medical Centre (JPMC), Karachi. In all 37 patients, 22 males and 15 females, were included in the study through outpatient department, surgical emergency and those referred from other cities of the country. All patients were cachectic. Diagnosis was made by detailed history, examination and laboratory investigations. Diagnosis was confirmed on barium swallow and endoscopic biopsy. Highest number of patients were in their 6th decade of life. History of snuff inhalation and opium was present in 2.7% cases each. Lower 3rd of the esophagus was affected in 62.16% middle third in 21.62% and upper third in 16.21% cases. Smoking, pan chewing, naswar eating and snuff inhalation were identified as high risk factors among patients of carcinoma esophagus. (author)

  8. Quantifying the Evolution of Melt Ponds in the Marginal Ice Zone Using High Resolution Optical Imagery and Neural Networks

    Science.gov (United States)

    Ortiz, M.; Pinales, J. C.; Graber, H. C.; Wilkinson, J.; Lund, B.

    2016-02-01

    Melt ponds on sea ice play a significant and complex role on the thermodynamics in the Marginal Ice Zone (MIZ). Ponding reduces the sea ice's ability to reflect sunlight, and in consequence, exacerbates the albedo positive feedback cycle. In order to understand how melt ponds work and their effect on the heat uptake of sea ice, we must quantify ponds through their seasonal evolution first. A semi-supervised neural network three-class learning scheme using a gradient descent with momentum and adaptive learning rate backpropagation function is applied to classify melt ponds/melt areas in the Beaufort Sea region. The network uses high resolution panchromatic satellite images from the MEDEA program, which are collocated with autonomous platform arrays from the Marginal Ice Zone Program, including ice mass-balance buoys, arctic weather stations and wave buoys. The goal of the study is to capture the spatial variation of melt onset and freeze-up of the ponds within the MIZ, and gather ponding statistics such as size and concentration. The innovation of this work comes from training the neural network as the melt ponds evolve over time; making the machine learning algorithm time-dependent, which has not been previously done. We will achieve this by analyzing the image histograms through quantification of the minima and maxima intensity changes as well as linking textural variation information of the imagery. We will compare the evolution of the melt ponds against several different array sites on the sea ice to explore if there are spatial differences among the separated platforms in the MIZ.

  9. Individual and Parental Risk Factors for Sexual Exploitation Among High-Risk Youth in Uganda.

    Science.gov (United States)

    Self-Brown, Shannon; Culbreth, Rachel; Wilson, Rebecca; Armistead, Lisa; Kasirye, Rogers; Swahn, Monica H

    2018-04-01

    This study examined risk factors to determine associations with commercial sexual exploitation of children and youth (CSEC) in a convenience sample of adolescents living in the slums in Kampala, Uganda. Individual-level factors included demographic, adverse experiences (ever living on the streets; victim of dating violence, parental abuse, or rape), and behavioral risk (social media, alcohol use, age at first intercourse). Parental-risk factors included parent alcohol use and approval attitudes toward youth sex. Analyses included those who self-reported sexually active adolescents ( n = 593) of whom 39% reported CSEC history. CSEC was significantly associated with being female (odds ratio [ OR] = 6.85, 95% confidence interval (CI) = [4.22, 11.12]), living on the streets ( OR = 2.68; 95% CI = [1.65, 4.36]), using social media ( OR = 1.48; 95% CI = [0.94, 2.35]), being a victim of physical dating violence ( OR = 1.74; 95% CI = [1.08, 2.80]), and ever being raped ( OR = 4.03; 95% CI = [2.51, 6.47]). Further analyses suggested differential risk associates among females and males. This study contributes to our knowledge of risk factors for CSEC among adolescents living in high-risk circumstances in low-resource countries and suggests that preventive efforts should prioritize adolescents with a history of living on the streets who engage in social media, use alcohol, and have a history of trauma.

  10. Reproductive health education and sexual risk among high-risk female adolescents and young adults.

    Science.gov (United States)

    Ancheta, Rosedelia; Hynes, Colin; Shrier, Lydia A

    2005-04-01

    The objective of this study was to explore the associations of sources, content, and timing of reproductive health education with cognitive and behavioral sexual risk in a sample of high-risk female adolescents and young adults. Female adolescents and young adults (n=113, median age 17 years) receiving treatment for a sexually transmitted disease (STD) reported sources of reproductive health education, topics covered, and when first formal education occurred. Dependent variables included sexual risk knowledge; condom attitudes, negotiation skills, and use (consistent and at last sex); and number of sexual partners. Most participants reported receiving reproductive health education from both parental (80%) and formal sources (92%). Parents discussed the menstrual cycle (94%) more frequently than other sex education topics, while formal sources focused most on teaching about STDs (91%). Although median age of first formal instruction was 12 years, 26% of girls received their first formal education during or after the year they initiated coitus. Girls with a parental source of education and those receiving formal instruction on pregnancy reported greater ability to negotiate condom use. Girls who received education later in relation to the onset of sexual activity and those with a parental source of education reported more sexual partners. Early reproductive health education and education from both parental and formal sources is associated with reduced sexual risk among high-risk adolescent girls. Interestingly, receiving parental education is also associated with more sexual partners, suggesting that parental educational efforts may be reactive to their daughters' increasing sexual risk behavior. Future research should examine multiple sources of reproductive health education and the timing of education from these sources to enhance understanding the dynamic interactions between reproductive health education and adolescent sexual risk.

  11. The TESS-HERMES survey data release 1: high-resolution spectroscopy of the TESS southern continuous viewing zone

    Science.gov (United States)

    Sharma, Sanjib; Stello, Dennis; Buder, Sven; Kos, Janez; Bland-Hawthorn, Joss; Asplund, Martin; Duong, Ly; Lin, Jane; Lind, Karin; Ness, Melissa; Huber, Daniel; Zwitter, Tomaz; Traven, Gregor; Hon, Marc; Kafle, Prajwal R.; Khanna, Shourya; Saddon, Hafiz; Anguiano, Borja; Casey, Andrew R.; Freeman, Ken; Martell, Sarah; De Silva, Gayandhi M.; Simpson, Jeffrey D.; Wittenmyer, Rob A.; Zucker, Daniel B.

    2018-01-01

    The Transiting Exoplanet Survey Satellite (TESS) will provide high-precision time series photometry for millions of stars with at least a half-hour cadence. Of particular interest are the circular regions of 12° radius centred around the ecliptic poles that will be observed continuously for a full year. Spectroscopic stellar parameters are desirable to characterize and select suitable targets for TESS, whether they are focused on exploring exoplanets, stellar astrophysics or Galactic archaeology. Here, we present spectroscopic stellar parameters (Teff, log g, [Fe/H], v sin i, vmicro) for about 16 000 dwarf and subgiant stars in TESS' southern continuous viewing zone. For almost all the stars, we also present Bayesian estimates of stellar properties including distance, extinction, mass, radius and age using theoretical isochrones. Stellar surface gravity and radius are made available for an additional set of roughly 8500 red giants. All our target stars are in the range 10 using the High Efficiency and Resolution Multi-Element Spectrograph (HERMES; R ∼ 28 000) at the Anglo-Australian Telescope as part of the TESS-HERMES survey. Comparing our results with the TESS Input Catalogue (TIC) shows that the TIC is generally efficient in separating dwarfs and giants, but it has flagged more than 100 cool dwarfs (Teff < 4800 K) as giants, which ought to be high-priority targets for the exoplanet search. The catalogue can be accessed via http://www.physics.usyd.edu.au/tess-hermes/, or at Mikulski Archive for Space Telescopes (MAST).

  12. Quality assurance system for sitting high risk facilities

    International Nuclear Information System (INIS)

    Rodriguez, Aymee; Peralta, Jose L.; Fernandez, Manuel

    1999-01-01

    The paper shows how we have conceived and designed the quality assurance system for the site selection process of an area for sitting the facility of high risk in correspondence with the approved methodology. The results obtained in the implementation of the system have permitted the satisfactory performance of each one the expected stage, defining the most favorable sectors in order to continue the studies of the repository site for the disposal of low and intermedium. (author)

  13. Monitoring of newborns at high risk for brain injury

    OpenAIRE

    Pisani, Francesco; Spagnoli, Carlotta

    2016-01-01

    Due to the increasing number of surviving preterm newborns and to the recognition of therapeutic hypothermia as the current gold standard in newborns with hypoxic-ischaemic encephalopathy, there has been a growing interest in the implementation of brain monitoring tools in newborns at high risk for neurological disorders. Among the most frequent neurological conditions and presentations in the neonatal period, neonatal seizures and neonatal status epilepticus, paroxysmal non-epileptic motor p...

  14. Improving Asthma Communication in High-Risk Children

    OpenAIRE

    Butz, Arlene M.; Walker, Jennifer; Land, Cassia Lewis; Vibbert, Carrie; Winkelstein, Marilyn

    2007-01-01

    Few child asthma studies address the specific content and techniques needed to enhance child communication during asthma preventive care visits. This study examined the content of child and parent communications regarding their asthma management during a medical encounter with their primary care provider (PCP). The majority of parents and children required prompting to communicate symptom information to the PCP during the clinic visit. Some high-risk families may require an asthma advocate to...

  15. High risk bladder cancer: current management and survival

    Directory of Open Access Journals (Sweden)

    Anna M. Leliveld

    2011-04-01

    Full Text Available PURPOSE: To evaluate the pattern of care in patients with high risk non muscle invasive bladder cancer (NMIBC in the Comprehensive Cancer Center North-Netherlands (CCCN and to assess factors associated with the choice of treatment, recurrence and progression free survival rates. MATERIALS AND METHODS: Retrospective analysis of 412 patients with newly diagnosed high risk NMIBC. Clinical, demographic and follow-up data were obtained from the CCCN Cancer Registry and a detailed medical record review. Uni and multivariate analysis was performed to identify factors related to choice of treatment and 5 year recurrence and progression free survival. RESULTS: 74/412 (18% patients with high risk NMIBC underwent a transurethral resection (TUR as single treatment. Adjuvant treatment after TUR was performed in 90.7% of the patients treated in teaching hospitals versus 71.8 % in non-teaching hospitals (p 80 years OR 0.1 p = 0.001 and treatment in non-teaching hospitals (OR 0.25; p < 0.001 were associated with less adjuvant treatment after TUR. Tumor recurrence occurred in 191/392 (49% and progression in 84 /392 (21.4% patients. The mean 5-years progression free survival was 71.6% (95% CI 65.5-76.8. CONCLUSION: In this pattern of care study in high risk NMIBC, 18% of the patients were treated with TUR as single treatment. Age and treatment in non-teaching hospitals were associated with less adjuvant treatment after TUR. None of the variables sex, age, comorbidity, hospital type, stage and year of treatment was associated with 5 year recurrence or progression rates.

  16. Tamoxifen for women at high risk of breast cancer

    OpenAIRE

    Nazarali, Safia A; Narod, Steven A

    2014-01-01

    Safia A Nazarali, Steven A Narod Women's College Research Institute, Women's College Hospital, and The University of Toronto, Toronto, Ontario, Canada Abstract: Tamoxifen has been used as a treatment for women who have been diagnosed with breast cancer for roughly four decades and has been approved as chemoprevention for over ten years. Although tamoxifen has been proven to be beneficial in preventing breast cancer in high-risk women, its use has not been widely embraced. To ...

  17. Exploring stop-go decision zones at rural high-speed intersections with flashing green signal and insufficient yellow time in China.

    Science.gov (United States)

    Tang, Keshuang; Xu, Yanqing; Wang, Fen; Oguchi, Takashi

    2016-10-01

    The objective of this study is to empirically analyze and model the stop-go decision behavior of drivers at rural high-speed intersections in China, where a flashing green signal of 3s followed by a yellow signal of 3s is commonly applied to end a green phase. 1, 186 high-resolution vehicle trajectories were collected at four typical high-speed intersection approaches in Shanghai and used for the identification of actual stop-go decision zones and the modeling of stop-go decision behavior. Results indicate that the presence of flashing green significantly changed the theoretical decision zones based on the conventional Dilemma Zone theory. The actual stop-go decision zones at the study intersections were thus formulated and identified based on the empirical data. Binary Logistic model and Fuzzy Logic model were then developed to further explore the impacts of flashing green on the stop-go behavior of drivers. It was found that the Fuzzy Logic model could produce comparably good estimation results as compared to the traditional Binary Logistic models. The findings of this study could contribute the development of effective dilemma zone protection strategies, the improvement of stop-go decision model embedded in the microscopic traffic simulation software and the proper design of signal change and clearance intervals at high-speed intersections in China. Copyright © 2016 Elsevier Ltd. All rights reserved.

  18. Postoperative chemoradiotherapy in high risk locally advanced gastric cancer

    Energy Technology Data Exchange (ETDEWEB)

    Song, Sang Hyuk; Chie, Eui Kyu; Kim, Kyu Bo; Lee, Hyuk Joon; Yang, Han Kwang; Han, Sae Won; Oh, Do Youn; Im, Seok Ah; Bang, Yung Jue; Ha, Sung W. [Seoul National University College of Medicine, Seoul(Korea, Republic of)

    2012-12-15

    To evaluate treatment outcome of patients with high risk locally advanced gastric cancer after postoperative chemoradiotherapy. Between May 2003 and May 2012, thirteen patients who underwent postoperative chemoradiotherapy for gastric cancer with resection margin involvement or adjacent structure invasion were retrospectively analyzed. Concurrent chemotherapy was administered in 10 patients. Median dose of radiation was 50.4 Gy (range, 45 to 55.8 Gy). The median follow-up duration for surviving patients was 48 months (range, 5 to 108 months). The 5-year overall survival rate was 42% and the 5-year disease-free survival rate was 28%. Major pattern of failure was peritoneal seeding with 46%. Loco-regional recurrence was reported in only one patient. Grade 2 or higher gastrointestinal toxicity occurred in 54% of the patients. However, there was only one patient with higher than grade 3 toxicity. Despite reported suggested role of adjuvant radiotherapy with combination chemotherapy in gastric cancer, only very small portion of the patients underwent the treatment. Results from this study show that postoperative chemoradiotherapy provided excellent locoregional control with acceptable and manageable treatment related toxicity in patients with high risk locally advanced gastric cancer. Thus, postoperative chemoradiotherapy may improve treatment result in terms of locoregional control in these high risk patients. However, as these findings are based on small series, validation with larger cohort is suggested.

  19. Historical Land Use Dynamics in the Highly Degraded Landscape of the Calhoun Critical Zone Observatory

    Directory of Open Access Journals (Sweden)

    Michael R. Coughlan

    2017-05-01

    Full Text Available Processes of land degradation and regeneration display fine scale heterogeneity often intimately linked with land use. Yet, examinations of the relationships between land use and land degradation often lack the resolution necessary to understand how local institutions differentially modulate feedback between individual farmers and the spatially heterogeneous effects of land use on soils. In this paper, we examine an historical example of a transition from agriculture to forest dominated land use (c. 1933–1941 in a highly degraded landscape on the Piedmont of South Carolina. Our landscape-scale approach examines land use and tenure at the level that individuals enact management decisions. We used logistic regression techniques to examine associations between land use, land tenure, topography, and market cost-distance. Our findings suggest that farmer responses to changing market and policy conditions were influenced by topographic characteristics associated with productivity and long-term viability of agricultural land use. Further, although local environmental feedbacks help to explain spatial patterning of land use, property regime and land tenure arrangements also significantly constrained the ability of farmers to adapt to changing socioeconomic and environmental conditions.

  20. Forecasting Value-at-Risk Using High-Frequency Information

    Directory of Open Access Journals (Sweden)

    Huiyu Huang

    2013-06-01

    Full Text Available in the prediction of quantiles of daily Standard&Poor’s 500 (S&P 500 returns we consider how to use high-frequency 5-minute data. We examine methods that incorporate the high frequency information either indirectly, through combining forecasts (using forecasts generated from returns sampled at different intraday interval, or directly, through combining high frequency information into one model. We consider subsample averaging, bootstrap averaging, forecast averaging methods for the indirect case, and factor models with principal component approach, for both direct and indirect cases. We show that in forecasting the daily S&P 500 index return quantile (Value-at-Risk or VaR is simply the negative of it, using high-frequency information is beneficial, often substantially and particularly so, in forecasting downside risk. Our empirical results show that the averaging methods (subsample averaging, bootstrap averaging, forecast averaging, which serve as different ways of forming the ensemble average from using high-frequency intraday information, provide an excellent forecasting performance compared to using just low-frequency daily information.

  1. Environmental radiation and potential ecological risk levels in the intertidal zone of southern region of Tamil Nadu coast (HBRAs), India.

    Science.gov (United States)

    Punniyakotti, J; Ponnusamy, V

    2018-02-01

    Natural radioactivity content and heavy metal concentration in the intertidal zone sand samples from the southern region of Tamil Nadu coast, India, have been analyzed using gamma ray spectrometer and ICP-OES, respectively. From gamma spectral analysis, the average radioactivity contents of 238 U, 232 Th, and 40 K in the intertidal zone sand samples are 12.13±4.21, 59.03±4.26, and 197.03±26.24Bq/kg, respectively. The average radioactivity content of 232 Th alone is higher than the world average value. From the heavy metal analysis, the average Cd, Cr, Cu, Ni, Pb, and Zn concentrations are 3.1, 80.24, 82.84, 23.66, 91.67, and 137.07ppm, respectively. The average Cr and Ni concentrations are lower, whereas other four metal (Cd, Cu, Pb, and Zn) concentrations are higher than world surface rock average values. From pollution assessment parameter values, the pollution level is "uncontaminated to moderately contaminated" in the study area. Copyright © 2017 Elsevier Ltd. All rights reserved.

  2. Towards stacked zone plates

    International Nuclear Information System (INIS)

    Werner, S; Rehbein, S; Guttman, P; Heim, S; Schneider, G

    2009-01-01

    Fresnel zone plates are the key optical elements for soft and hard x-ray microscopy. For short exposure times and minimum radiation load of the specimen the diffraction efficiency of the zone plate objectives has to be maximized. As the efficiency strongly depends on the height of the diffracting zone structures the achievable aspect ratio of the nanostructures determines these limits. To reach aspect ratios ≥ 20:1 for high efficient optics we propose to superimpose zone plates on top of each other. With this multiplication approach the final aspect ratio is only limited by the number of stacked zone plate layers. For the stack process several nanostructuring process steps have to be developed and/or improved. Our results show for the first time two layers of zone plates stacked on top of each other.

  3. Racial and gender discrimination: risk factors for high blood pressure?

    Science.gov (United States)

    Krieger, N

    1990-01-01

    Despite controversy as to the biologic and/or social meaning of 'race' and 'sex', few public health studies have directly examined the impact of racial or gender discrimination on health. One plausible condition they might affect is hypertension, since stress and internalized anger may constitute important risk factors for this disease. The present investigation therefore sought to determine the feasibility of asking questions pertaining to race- and gender-biased treatment plus response to unfair treatment, and to assess their predictive value regarding self-reported high blood pressure. Using random-digit dialing, 51 black and 50 white women, ages 20-80, who resided in Alameda County, CA in 1987, were identified and interviewed by phone. Among black respondents, those who stated they usually accepted and kept quiet about unfair treatment were 4.4 times more likely to report hypertension than women who said they took action and talked to others (P = 0.01 for linear trend); no clear association existed among white respondents. The age-adjusted risk of high blood pressure among black respondents who recounted experiencing zero instances of race- and gender-biased treatment was 2.6 times greater than that of black women who reported one or more such instances (95% CI = 0.7, 10.5). Among white respondents, gender discrimination was not associated with hypertension. These results suggest that an internalized response to unfair treatment, plus non-reporting of race and gender discrimination, may constitute risk factors for high blood pressure among black women. They also bolster the view that subjective appraisal of stressors may be inversely associated with risk of hypertension.

  4. Ankaramite: A New Type of High-Magnesium and High-Calcium Primitive Melt in the Magnitogorsk Island-Arc Zone (Southern Urals)

    Science.gov (United States)

    Pushkarev, E. V.; Ryazancev, A. V.; Gottman, I. A.; Degtyarev, K. E.; Kamenetsky, V. S.

    2018-04-01

    This work describes the geological position, mineral and chemical composition of high-Mg effusive ankaramites occurring as dykes and lava flows. They were found in the mélange zone of the western margin of the Magnitogorsk island arc zone in the Southern Urals. Data on the liquidus association of phenocrysts and on the composition of the matrix of effusives are given. According to the data obtained, the conclusion was drawn that the ankaramites studied can be attributed to the primary island arc melts, which were not subject to essential differentiation. This type of effusives has not been distinguished previously among island arc volcanogenic formations of the Urals. It is shown that ankaramites can be considered to be primary melts parental for dunite-clinopyroxenites-gabbro complexes of Ural-Alaskan type. The occurrence of ankaramites in the Paleozoic island arc formations of the Urals indicates the wehrlite composition of the mantle as the reason for the extremely wide development of wehrlites and clinopyroxenites in different mafic-ultramafic complexes of the Urals.

  5. Effects of Comprehensive, Multiple High-Risk Behaviors Prevention Program on High School Students

    Science.gov (United States)

    Collier, Crystal

    2013-01-01

    The purpose of this mixed methods study was to examine the effect of a multiple high-risk behaviors prevention program applied comprehensively throughout an entire school-system involving universal, selective, and indicated levels of students at a local private high school during a 4-year period. The prevention program was created based upon the…

  6. INSTRUMENTS OF HIGH RISK SEXUAL BEHAVIOR ASSESSMENT: A SYSTEMATIC REVIEW.

    Science.gov (United States)

    Mirzaei, Mojtaba; Ahmadi, Khodabakhsh; Saadat, Seyed-Hassan; Ramezani, Mohammad Arash

    2016-02-01

    Sexual behavior is a complex activity affecting all aspects of human's life. Risky sexual behaviors impose negative outcomes on family, relationships and health. Unsafe sex is the second most leading cause of disability adjusted life years worldwide. Valid and reliable tools for assessment of risky sexual behaviors are necessary for implementing preventive measures. we searched Medline and the Cochrane Library of Systematic Reviews, with the keywords of "risky sexual behavior assessment", "sexual risk assessment", "high risk sexual behavior", "sexual risk taking". By reviewing references of the articles, some complementary studies were added. Assessment can be performed by questionnaire or non-questionnaire instruments. Questionnaires vary depending on their target population, evaluation of risky sexual behavior as a whole or focusing on an associated risk factor. In order to avoid usual biases in self reports, objective biomarker assessment of unprotected sex are employed. These markers include prostate specific antigen, chromosome Y DNA and Seminogelin. Risky sexual behavior can be assessed by various subjective and objective methods. While self-reports are more feasible, objective methods offer a higher degree of reliability. Further studies for finding more feasible methods of using biomarkers are recommended.

  7. Relationships Between Land Use and Stream Nutrient Concentrations in a Highly Urbanized Tropical Region of Brazil: Thresholds and Riparian Zones.

    Science.gov (United States)

    Tromboni, F; Dodds, W K

    2017-07-01

    Nutrient enrichment in streams due to land use is increasing globally, reducing water quality and causing eutrophication of downstream fresh and coastal waters. In temperate developed countries, the intensive use of fertilizers in agriculture is a main driver of increasing nutrient concentrations, but high levels and fast rates of urbanization can be a predominant issue in some areas of the developing world. We investigated land use in the highly urbanized tropical State of Rio de Janeiro, Brazil. We collected total nitrogen, total phosphorus, and inorganic nutrient data from 35 independent watersheds distributed across the State and characterized land use at a riparian and entire watershed scales upstream from each sample station, using ArcGIS. We used regression models to explain land use influences on nutrient concentrations and to assess riparian protection relationships to water quality. We found that urban land use was the primary driver of nutrient concentration increases, independent of the scale of analyses and that urban land use was more concentrated in the riparian buffer of streams than in the entire watersheds. We also found significant thresholds that indicated strong increases in nutrient concentrations with modest increases in urbanization reaching maximum nutrient concentrations between 10 and 46% urban cover. These thresholds influenced calculation of reference nutrient concentrations, and ignoring them led to higher estimates of these concentrations. Lack of sewage treatment in concert with urban development in riparian zones apparently leads to the observation that modest increases in urban land use can cause large increases in nutrient concentrations.

  8. Estimation of erosion-accumulative processes at the Inia River’s mouth near high-rise construction zones.

    Directory of Open Access Journals (Sweden)

    Sineeva Natalya

    2018-01-01

    Full Text Available Our study relevance is due to the increasing man-made impact on water bodies and associated land resources within the urban areas, as a consequence, by a change in the morphology and dynamics of Rivers’ canals. This leads to the need to predict the development of erosion-accumulation processes, especially within the built-up urban areas. Purpose of the study is to develop programs on the assessment of erosion-accumulation processes at a water body, a mouth area of the Inia River, in the of perspective high-rise construction zone of a residential microdistrict, the place, where floodplain-channel complex is intensively expected to develop. Results of the study: Within the velocities of the water flow comparing, full-scale measured conditions, and calculated from the model, a slight discrepancy was recorded. This allows us to say that the numerical model reliably describes the physical processes developing in the River. The carried out calculations to assess the direction and intensity of the channel re-formations, made us possible to conclude, there was an insignificant predominance of erosion processes over the accumulative ones on the undeveloped part of the Inia River (the processes activity is noticeable only in certain areas (by the coasts and the island. Importance of the study: The study on the erosion-accumulation processes evaluation can be used in design decisions for the future high-rise construction of this territory, which will increase their economic efficiency.

  9. Estimation of erosion-accumulative processes at the Inia River's mouth near high-rise construction zones.

    Science.gov (United States)

    Sineeva, Natalya

    2018-03-01

    Our study relevance is due to the increasing man-made impact on water bodies and associated land resources within the urban areas, as a consequence, by a change in the morphology and dynamics of Rivers' canals. This leads to the need to predict the development of erosion-accumulation processes, especially within the built-up urban areas. Purpose of the study is to develop programs on the assessment of erosion-accumulation processes at a water body, a mouth area of the Inia River, in the of perspective high-rise construction zone of a residential microdistrict, the place, where floodplain-channel complex is intensively expected to develop. Results of the study: Within the velocities of the water flow comparing, full-scale measured conditions, and calculated from the model, a slight discrepancy was recorded. This allows us to say that the numerical model reliably describes the physical processes developing in the River. The carried out calculations to assess the direction and intensity of the channel re-formations, made us possible to conclude, there was an insignificant predominance of erosion processes over the accumulative ones on the undeveloped part of the Inia River (the processes activity is noticeable only in certain areas (by the coasts and the island)). Importance of the study: The study on the erosion-accumulation processes evaluation can be used in design decisions for the future high-rise construction of this territory, which will increase their economic efficiency.

  10. Specialized surveillance for individuals at high risk for melanoma: a cost analysis of a high-risk clinic.

    Science.gov (United States)

    Watts, Caroline G; Cust, Anne E; Menzies, Scott W; Coates, Elliot; Mann, Graham J; Morton, Rachael L

    2015-02-01

    Regular surveillance of individuals at high risk for cutaneous melanoma improves early detection and reduces unnecessary excisions; however, a cost analysis of this specialized service has not been undertaken. To determine the mean cost per patient of surveillance in a high-risk clinic from the health service and societal perspectives. We used a bottom-up microcosting method to measure resource use in a consecutive sample of 102 patients treated in a high-risk hospital-based clinic in Australia during a 12-month period. Surveillance and treatment of melanoma. All surveillance and treatment procedures were identified through direct observation, review of medical records, and interviews with staff and were valued using scheduled fees from the Australian government. Societal costs included transportation and loss of productivity. The mean number of clinic visits per year was 2.7 (95% CI, 2.5-2.8) for surveillance and 3.8 (95% CI, 3.4-4.1) for patients requiring surgical excisions. The mean annual cost per patient to the health system was A $882 (95% CI, A $783-$982) (US $599 [95% CI, US $532-$665]); the cost discounted across 20 years was A $11,546 (95% CI, A $10,263-$12,829) (US $7839 [95% CI, US $6969-$8710]). The mean annual societal cost per patient (excluding health system costs) was A $972 (95% CI, A $899-$1045) (US $660 [95% CI, US $611-$710]); the cost discounted across 20 years was A $12,721 (95% CI, A $12,554-$14,463) (US $8637 [95% CI, US $8523-$9820]). Diagnosis of melanoma or nonmelanoma skin cancer and frequent excisions for benign lesions in a relatively small number of patients was responsible for positively skewed health system costs. Microcosting techniques provide an accurate cost estimate for the provision of a specialized service. The high societal cost reflects the time that patients are willing to invest to attend the high-risk clinic. This alternative model of care for a high-risk population has relevance for decision making about health policy.

  11. Health-Promoting Interventions for Persons Aged 80 and Older Are Successful in the Short TermuResults from the Randomized and Three-Armed Elderly Persons in the Risk Zone Study

    DEFF Research Database (Denmark)

    Gustafsson, S.; Wilhelmson, K.; Eklund, K.

    2012-01-01

    OBJECTIVES: To examine the outcomes of the Elderly Persons in the Risk Zone study, which was designed to evaluate whether it is possible to delay deterioration if a health-promoting intervention is made when an older adult (>= 80) is at risk of becoming frail and whether a multiprofessional group...

  12. Perceptions of risk from workers in high risk industries with work related musculoskeletal disorders.

    Science.gov (United States)

    Hunter, D; Silverstein, B

    2014-01-01

    Work-related musculoskeletal disorders (WMSDs) remain a major occupational health problem, despite decades of research, outreach, and intervention. The aim of this study is to promote early identification and prevention of WMSDs by developing education and outreach materials grounded in interview data collected from workers that have recently filed for workers compensation (WC) for WMSDs. We conducted semi-structured telephone interviews with WC claimants (n=66) from high risk industries identified through the use of a Prevention Index (PI) in Washington state with WMSDs of the back, shoulder, hand/wrist, or knee. Perceptions regarding the degree of exposure to WMSD risk factors, the social construction of pain, and the potential to implement injury-prevention measures varied widely. Many workers dismissed their injuries as the result of "fluke" or "freak" occurrences and framed their exposure to risk factors for WMSDs as either inevitable or "just part of the job." Workers in high-risk industries for WMSDs described their work conditions in ways that suggested: (1) a lack of awareness of the potential for developing a WMSD, (2) a view of work-related pain as normal, and/or (3) a pattern of self-blame for WMSD onset. A paradigm that either asserts the inevitability of WMSDs or dismisses potential control measures presents both a significant barrier to injury prevention efforts as well as a major opportunity for future occupational health research.

  13. Carbonation of subduction-zone serpentinite (high-pressure ophicarbonate; Ligurian Western Alps) and implications for the deep carbon cycling

    Science.gov (United States)

    Scambelluri, Marco; Bebout, Gray E.; Belmonte, Donato; Gilio, Mattia; Campomenosi, Nicola; Collins, Nathan; Crispini, Laura

    2016-05-01

    Much of the long-term carbon cycle in solid earth occurs in subduction zones, where processes of devolatilization, partial melting of carbonated rocks, and dissolution of carbonate minerals lead to the return of CO2 to the atmosphere via volcanic degassing. Release of COH fluids from hydrous and carbonate minerals influences C recycling and magmatism at subduction zones. Contradictory interpretations exist regarding the retention/storage of C in subducting plates and in the forearc to subarc mantle. Several lines of evidence indicate mobility of C, of uncertain magnitude, in forearcs. A poorly constrained fraction of the 40-115 Mt/yr of C initially subducted is released into fluids (by decarbonation and/or carbonate dissolution) and 18-43 Mt/yr is returned at arc volcanoes. Current estimates suggest the amount of C released into subduction fluids is greater than that degassed at arc volcanoes: the imbalance could reflect C subduction into the deeper mantle, beyond subarc regions, or storage of C in forearc/subarc reservoirs. We examine the fate of C in plate-interface ultramafic rocks, and by analogy serpentinized mantle wedge, via study of fluid-rock evolution of marble and variably carbonated serpentinite in the Ligurian Alps. Based on petrography, major and trace element concentrations, and carbonate C and O isotope compositions, we demonstrate that serpentinite dehydration at 2-2.5 GPa, 550 °C released aqueous fluids triggering breakdown of dolomite in nearby marbles, thus releasing C into fluids. Carbonate + olivine veins document flow of COH fluids and that the interaction of these COH fluids with serpentinite led to the formation of high-P carbonated ultramafic-rock domains (high-P ophicarbonates). We estimate that this could result in the retention of ∼0.5-2.0 Mt C/yr in such rocks along subduction interfaces. As another means of C storage, 1 to 3 km-thick layers of serpentinized forearc mantle wedge containing 50 modal % dolomite could sequester 1.62 to

  14. Measurement and Evaluation of Ecological Risk of Heavy Metals in Surface Sediments of Pars Special Economic Energy Zone

    OpenAIRE

    Arash Haghshenas; Masoud Hatami-manesh; Mohsen Mirzaei; MirMehrdad Mir Sanjari; Parisa Hossein Khezri

    2017-01-01

    Background: Today, heavy metals pollution in aquatic ecosystems is one of the most important global environmental problems. Because this metals have characteristics such as chemical stability, low degradability and bioaccumulation ability at different levels of the food chain cause the abundant ecological risks for organisms. Therefore, this study investigates the concentration of heavy metals (mercury, cadmium, lead, chromium, copper, nickel, zinc and iron) and ecological risk assessment of ...

  15. Early detection of psychosis: finding those at clinical high risk.

    Science.gov (United States)

    Addington, Jean; Epstein, Irvin; Reynolds, Andrea; Furimsky, Ivana; Rudy, Laura; Mancini, Barbara; McMillan, Simone; Kirsopp, Diane; Zipursky, Robert B

    2008-08-01

    In early detection work, recruiting individuals who meet the prodromal criteria is difficult. The aim of this paper was to describe the development of a research clinic for individuals who appear to be at risk of developing a psychosis and the process for educating the community and obtaining referrals. The outcome of all referrals to the clinic over a 4-year period was examined. Following an ongoing education campaign that was over inclusive in order to aid recruitment, approximately 27% of all referrals met the criteria for being at clinical high risk of psychosis. We are seeing only a small proportion of those in the community who eventually go on to develop a psychotic illness. This raises two important issues, namely how to remedy the situation, and second, the impact of this on current research in terms of sampling bias and generalizability of research findings. © 2008 The Authors. Journal compilation © 2008 Blackwell Publishing Asia Pty Ltd.

  16. Risk assessment methodology for Hanford high-level waste tanks

    International Nuclear Information System (INIS)

    Bott, T.F.; Mac Farlane, D.R.; Stack, D.W.; Kindinger, J.

    1992-01-01

    A methodology is presented for applying Probabilistic Safety Assessment techniques to quantification of the health risks posed by the high-level waste (HLW) underground tanks at the Department of Energy's Hanford reservation. This methodology includes hazard screening development of a list of potential accident initiators, systems fault trees development and quantification, definition of source terms for various release categories, and estimation of health consequences from the releases. Both airborne and liquid pathway releases to the environment, arising from aerosol and spill/leak releases from the tanks, are included in the release categories. The proposed methodology is intended to be applied to a representative subset of the total of 177 tanks, thereby providing a baseline risk profile for the HLW tank farm that can be used for setting clean-up/remediation priorities. Some preliminary results are presented for Tank 101-SY

  17. Risk Factors Associated with Incident Syphilis in a Cohort of High-Risk Men in Peru

    Science.gov (United States)

    Konda, Kelika A.; Roberts, Chelsea P.; Maguiña, Jorge L.; Leon, Segundo R.; Clark, Jesse L.; Coates, Thomas J.; Caceres, Carlos F.; Klausner, Jeffrey D.

    2016-01-01

    Background Syphilis is concentrated among high-risk groups, but the epidemiology of syphilis reinfection is poorly understood. We characterized factors associated with syphilis incidence, including reinfection, in a high-risk cohort in Peru. Methods Participants in the NIMH CPOL trial were assessed at baseline and 2 annual visits with HIV/STI testing and behavioral surveys. Participants diagnosed with syphilis also attended 4- and 9-month visits. All participants underwent syphilis testing with RPR screening and TPPA confirmation. Antibiotic treatment was provided according to CDC guidelines. Reinfection was defined as a 4-fold titer increase or recurrence of seroreactivity after successful treatment with subsequent negative RPR titers. The longitudinal analysis used a Possion generalized estimating equations model with backward selection of variables in the final model (criteria P <0.02). Results Of 2,709 participants, 191 (7.05%) were RPR-reactive (median 1:8, range 1:1–1:1024) with TPPA confirmation. There were 119 total cases of incident syphilis, which included both reinfection and first-time incident cases. In the bivariate analysis, the oldest 2 quartiles of age (incidence ratio (IR) 3.84; P <0.001 and IR 8.15; P <0.001) and being MSM/TW (IR 6.48; P <0.001) were associated with higher risk of incident syphilis infection. Of the sexual risk behaviors, older age of sexual debut (IR 12.53; P <0.001), not being in a stable partnership (IR 1.56, P = 0.035), higher number of sex partners (IR 3.01; P <0.001), unprotected sex in the past 3 months (IR 0.56; P = 0.003), HIV infection at baseline (IR 3.98; P <0.001) and incident HIV infection during the study period (IR 6.26; P = 0.003) were all associated with incident syphilis. In the multivariable analysis, older age group (adjusted incidence ratio (aIR) 6.18; P <0.001), men reporting having sex with a man (aIR 4.63; P <0.001), and incident HIV infection (aIR 4.48; P = 0.008) were significantly associated

  18. Characterization of microstructure and local deformation in 316NG weld heat-affected zone and stress corrosion cracking in high temperature water

    International Nuclear Information System (INIS)

    Lu Zhanpeng; Shoji, Tetsuo; Meng Fanjiang; Xue He; Qiu Yubing; Takeda, Yoichi; Negishi, Koji

    2011-01-01

    Research highlights: → Away from the fusion line, kernel average misorientation and hardness decrease. → Away from the fusion line, the fraction of Σ3 boundaries increases. → Crack growth in high temperature water correlates to kernel average misorientation and hardness. → SCC along random boundaries as well as extensive intergranular branching near the fusion line. - Abstract: Microstructure and local deformation in 316NG weld heat-affected zones were measured by electron-back scattering diffraction and hardness measurements. With increasing the distance from the fusion line, kernel average misorientation decreases and the fraction of Σ3 boundaries increases. Stress corrosion cracking growth rates in high temperature water were measured at different locations in the heat-affected zones that correspond to different levels of strain-hardening represented by kernel average misorientation and hardness distribution. Intergranular cracking along random boundaries as well as extensive intergranular crack branching is observed in the heat-affected zone near the weld fusion line.

  19. 2017 Taiwan lipid guidelines for high risk patients

    Directory of Open Access Journals (Sweden)

    Yi-Heng Li

    2017-04-01

    Full Text Available In Taiwan, the prevalence of hyperlipidemia increased due to lifestyle and dietary habit changes. Low density lipoprotein cholesterol (LDL-C and non-high density lipoprotein cholesterol (non-HDL-C are all significant predicting factors of coronary artery disease in Taiwan. We recognized that lipid control is especially important in patients with existed atherosclerotic cardiovascular diseases (ASCVD, including coronary artery disease (CAD, ischemic stroke and peripheral arterial disease (PAD. Because the risk of ASCVD is high in patients with diabetes mellitus (DM, chronic kidney disease (CKD and familial hypercholesterolemia (FH, lipid control is also necessary in these patients. Lifestyle modification is the first step to control lipid. Weight reduction, regular physical exercise and limitation of alcohol intake all reduce triglyceride (TG levels. Lipid-lowering drugs include HMG-CoA reductase inhibitors (statins, cholesterol absorption inhibitors (ezetimibe, proprotein convertase subtilisin/kexin type 9 (PCSK9 inhibitors, nicotinic acids (niacin, fibric acids derivatives (fibrates, and long-chain omega-3 fatty acids. Statin is usually the first line therapy. Combination therapy with statin and other lipid-lowering agents may be considered in some clinical settings. For patients with acute coronary syndrome (ACS and stable CAD, LDL-C 40 in men and >50 mg/dL in women in DM. LDL-C increased CV risk in patients with CKD. In adults with glomerular filtration rate (GFR < 60 mL/min/1.73m2 without chronic dialysis (CKD stage 3–5, statin therapy should be initiated if LDL-C ≥ 100 mg/dL. Ezetimibe can be added to statin to consolidate the CV protection in CKD patients. Mutations in LDL receptor, apolipoprotein B and PCSK9 genes are the common causes of FH. Diagnosis of FH usually depends on family history, clinical history of premature CAD, physical findings of xanthoma or corneal arcus and high levels of LDL-C. In addition to conventional lipid

  20. Entropy measure of credit risk in highly correlated markets

    Science.gov (United States)

    Gottschalk, Sylvia

    2017-07-01

    We compare the single and multi-factor structural models of corporate default by calculating the Jeffreys-Kullback-Leibler divergence between their predicted default probabilities when asset correlations are either high or low. Single-factor structural models assume that the stochastic process driving the value of a firm is independent of that of other companies. A multi-factor structural model, on the contrary, is built on the assumption that a single firm's value follows a stochastic process correlated with that of other companies. Our main results show that the divergence between the two models increases in highly correlated, volatile, and large markets, but that it is closer to zero in small markets, when asset correlations are low and firms are highly leveraged. These findings suggest that during periods of financial instability, when asset volatility and correlations increase, one of the models misreports actual default risk.

  1. Presence, concentrations and risk assessment of selected antibiotic residues in sediments and near-bottom waters collected from the Polish coastal zone in the southern Baltic Sea - Summary of 3years of studies.

    Science.gov (United States)

    Siedlewicz, Grzegorz; Białk-Bielińska, Anna; Borecka, Marta; Winogradow, Aleksandra; Stepnowski, Piotr; Pazdro, Ksenia

    2018-04-01

    Concentrations of selected antibiotic compounds from different groups were measured in sediment samples (14 analytes) and in near-bottom water samples (12 analytes) collected in 2011-2013 from the southern Baltic Sea (Polish coastal zone). Antibiotics were determined at concentration levels of a few to hundreds of ng g -1 d.w. in sediments and ng L -1 in near-bottom waters. The most frequently detected compounds were sulfamethoxazole, trimethoprim, oxytetracycline in sediments and sulfamethoxazole and trimethoprim in near-bottom waters. The occurrence of the identified antibiotics was characterized by spatial and temporal variability. A statistically important correlation was observed between sediment organic matter content and the concentrations of sulfachloropyridazine and oxytetracycline. Risk assessment analyses revealed a potential high risk of sulfamethoxazole contamination in near-bottom waters and of contamination by sulfamethoxazole, trimethoprim and tetracyclines in sediments. Both chemical and risk assessment analyses show that the coastal area of the southern Baltic Sea is highly exposed to antibiotic residues. Copyright © 2017 Elsevier Ltd. All rights reserved.

  2. [Residual risk: The roles of triglycerides and high density lipoproteins].

    Science.gov (United States)

    Grammer, Tanja; Kleber, Marcus; Silbernagel, Günther; Scharnagl, Hubert; März, Winfried

    2016-06-01

    In clinical trials, the reduction of LDL-cholesterol (LDL-C) with statins reduces the incidence rate of cardiovascular events by approximately one third. This means, that a sizeable "residual risk" remains. Besides high lipoprotein (a), disorders in the metabolism of triglyceride-rich lipoproteins and high density liproteins have been implicated as effectors of the residual risk. Both lipoprotein parameters correlate inversely with each other. Therefore, the etiological contributions of triglycerides and / or of HDL for developing cardiovascular disease can hardly be estimated from either observational studies or from intervention studies. The largely disappointing results of intervention studies with inhibitors of the cholesteryl ester transfer protein and in particular the available set of genetically-epidemiological studies suggest that in the last decade, the importance of HDL cholesterol has been overvalued, while the importance of triglycerides has been underestimated. High triglycerides not always atherogenic, but only if they are associated with the accumulation relatively cholesterol-enriched, incompletely catabolized remnants of chylomicrons and very low density lipoproteins (familial type III hyperlipidemia, metabolic syndrome, diabetes mellitus). The normalization of the concentration of triglycerides and remnants by inhibiting the expression of apolipoprotein C3 is hence a new, promising therapeutic target. © Georg Thieme Verlag KG Stuttgart · New York.

  3. Microstructural characteristics and toughness of the simulated coarse grained heat affected zone of high strength low carbon bainitic steel

    International Nuclear Information System (INIS)

    Lan Liangyun; Qiu Chunlin; Zhao Dewen; Gao Xiuhua; Du Linxiu

    2011-01-01

    Highlights: → Total toughness can be separated into crack initiation energy and crack propagation energy. → Small effective grain size of lath martensite can improve the crack propagation energy. → MA constituent is mainly responsible for the low toughness of coarse bainite specimens. → High angle packet boundary in coarser bainite has few contributions to improving crack propagation energy. - Abstract: The correlation of microstructural characteristics and toughness of the simulated coarse grained heat affected zone (CGHAZ) of low carbon bainitic steel was investigated in this study. The toughness of simulated specimens was examined by using an instrumented Charpy impact tester after the simulation welding test was conducted with different cooling times. Microstructure observation and crystallographic feature analysis were conducted by means of optical microscope and scanning electron microscope equipped with electron back scattered diffraction (EBSD) system, respectively. The main microstructure of simulated specimen changes from lath martensite to coarse bainite with the increase in cooling time. The deterioration of its toughness occurs when the cooling time ranges from 10 to 50 s compared with base metal toughness, and the toughness becomes even worse when the cooling time increases to 90 s or more. The MA (martensite-austenite) constituent is primary responsible for the low toughness of simulated CGHAZ with high values of cooling time because the large MA constituent reduces the crack initiation energy significantly. For crack propagation energy, the small effective grain size of lath martensite plays an important role in improving the crack propagation energy. By contrast, high misorientation packet boundary in coarse bainite seems to have few contributions to the improvement of the toughness because cleavage fracture micromechanism of coarse bainite is mainly controlled by crack initiation.

  4. Microstructural characteristics and toughness of the simulated coarse grained heat affected zone of high strength low carbon bainitic steel

    Energy Technology Data Exchange (ETDEWEB)

    Lan Liangyun, E-mail: lly.liangyun@gmail.com [State Key Laboratory of Rolling Technology and Automation, Northeastern University, Shenyang 110819 (China); Qiu Chunlin; Zhao Dewen; Gao Xiuhua; Du Linxiu [State Key Laboratory of Rolling Technology and Automation, Northeastern University, Shenyang 110819 (China)

    2011-11-25

    Highlights: {yields} Total toughness can be separated into crack initiation energy and crack propagation energy. {yields} Small effective grain size of lath martensite can improve the crack propagation energy. {yields} MA constituent is mainly responsible for the low toughness of coarse bainite specimens. {yields} High angle packet boundary in coarser bainite has few contributions to improving crack propagation energy. - Abstract: The correlation of microstructural characteristics and toughness of the simulated coarse grained heat affected zone (CGHAZ) of low carbon bainitic steel was investigated in this study. The toughness of simulated specimens was examined by using an instrumented Charpy impact tester after the simulation welding test was conducted with different cooling times. Microstructure observation and crystallographic feature analysis were conducted by means of optical microscope and scanning electron microscope equipped with electron back scattered diffraction (EBSD) system, respectively. The main microstructure of simulated specimen changes from lath martensite to coarse bainite with the increase in cooling time. The deterioration of its toughness occurs when the cooling time ranges from 10 to 50 s compared with base metal toughness, and the toughness becomes even worse when the cooling time increases to 90 s or more. The MA (martensite-austenite) constituent is primary responsible for the low toughness of simulated CGHAZ with high values of cooling time because the large MA constituent reduces the crack initiation energy significantly. For crack propagation energy, the small effective grain size of lath martensite plays an important role in improving the crack propagation energy. By contrast, high misorientation packet boundary in coarse bainite seems to have few contributions to the improvement of the toughness because cleavage fracture micromechanism of coarse bainite is mainly controlled by crack initiation.

  5. High-Risk Driving Behaviors among Adolescent Binge-Drinkers

    Science.gov (United States)

    Marcotte, Thomas D.; Bekman, Nicole M.; Meyer, Rachel A.; Brown, Sandra A.

    2013-01-01

    Background Binge drinking is common among adolescents. Alcohol use, and binge-drinking in particular, has been associated with neurocognitive deficits as well as risk-taking behaviors, which may contribute to negative driving outcomes among adolescents even while sober. Objectives To examine differences in self-reported driving behaviors between adolescent binge-drinkers and a matched sample of controls, including (a) compliance with graduated licensing laws, (b) high risk driving behaviors, and (c) driving outcomes (crashes, traffic tickets). Methods The present study examined driving behaviors and outcomes in adolescent recent binge drinkers (n=21) and demographically and driving history matched controls (n=17), ages 16-18. Results Binge drinkers more frequently violated graduated licensing laws (e.g., driving late at night), and engaged in more “high risk” driving behaviors, such as speeding and using a cell-phone while driving. Binge drinkers had more traffic tickets, crashes and “near crashes” than the control group. In a multivariate analysis, binge drinker status and speeding were the most robust predictors of a crash. Conclusion Binge drinking teens consistently engage in more dangerous driving behaviors and experience more frequent crashes and traffic tickets. They are also less compliant with preventative restrictions placed on youth while they are learning critical safe driving skills. Scientific Significance These findings highlight a need to examine the contribution of underlying traits (such as sensation seeking) and binge-related cognitive changes to these high-risk driving behaviors, which may assist researchers in establishing alternative prevention and policy efforts targeting this population. PMID:22324748

  6. The seismogenic zone in the Central Costa Rican Pacific margin: high-quality hypocentres from an amphibious network

    Science.gov (United States)

    Arroyo, Ivonne G.; Husen, Stephan; Flueh, Ernst R.

    2014-10-01

    Transition from subduction of normal to thickened oceanic crust occurs in the central portion of the Costa Rican margin, where large interplate earthquakes ( M ~ 7) and abundant interseismic seismicity have been associated with subduction of bathymetric highs. We relocated ~1,300 earthquakes recorded for 6 months by a combined on- and offshore seismological network using probabilistic earthquake relocation in a 3D P-wave velocity model. Most of the seismicity originated at the seismogenic zone of the plate boundary, appearing as an 18° dipping, planar cluster from 15 to 25-30 km depth, beneath the continental shelf. Several reverse focal mechanisms were resolved within the cluster. The upper limit of this interseismic interplate seismicity seems to be controlled primarily by the overlying-plate thickness and coherency, which in turn is governed by the erosional processes and fluid release and escape at temperatures lower than ~100 to 120 °C along the plate boundary. The downdip limit of the stick-slip behaviour collocates with relative low temperatures of ~150 to 200 °C, suggesting that it is controlled by serpentinization of the mantle wedge. The distribution of the interseismic interplate seismicity is locally modified by the presence of subducted seamounts at different depths. Unlike in northern Costa Rica, rupture of large earthquakes in the last two decades seems to coincide with the area defined by the interseismic interplate seismicity.

  7. High efficiency and flexible working distance digital in-line holographic microscopy based on Fresnel zone plate

    International Nuclear Information System (INIS)

    Tian, Peng; Yang, Fan; Li, Fanxing; Hu, Song; Yan, Wei; Hua, Yilei

    2017-01-01

    Traditional digital in-line holography suffers from twin-image noise problems and extremely short working distances between the object and light source. Here, we propose lensless Fourier transform digital in-line holographic microscopy based on a single optical element. A Fresnel zone plate is used to split the incident light into two parts: one is scattered along the original direction, the other is gathered at a focal point and the sample is put behind the focus. The interference fringe pattern, formed by the two beams, is recorded digitally by a CCD camera. A novel reconstruction algorithm is proposed to present the object image. The proof-of-concept experiments demonstrate that the proposed technique can eliminate the twin-image noise problem, improving the image contrast with high efficiency, and increasing the flexibility of the working distance. Furthermore, a wide field of view and no contact make it a promising tool for the study of materials science, biology and microelectronics. (paper)

  8. Creep in the sparsely fractured rock between a disposal vault and a zone of highly fractured rock

    International Nuclear Information System (INIS)

    Wilkins, B.J.S.; Rigby, G.L.

    1993-08-01

    AECL Research is responsible for investigating the feasibility and safety of the disposal of Canada's nuclear fuel waste deep in the plutonic rock of the Canadian Shield. The excavation of the disposal vault, the installation of sealing systems and the heat generated by the fuel waste will all perturb the in situ stress state of the rock mass. This computer codes HOTROK, MCROC and MCDIRC are used to analyze the influence of these stress perturbations on the mechanical behaviour of the rock mass. Time-dependent microcracking of the rock mass will lead to creep around openings in the vault. The analysis specifically estimates the resulting creep strain in the sparsely fractured rock between the edge of the disposal vault and a postulated zone of highly fractured rock. The estimates are extremely conservative. The conclusion reached is that the rock mass more than 3 m beyond the edge of the vault will experience < 0.001 creep strain 100 000 years after the fuel waste is emplaced. (author). 10 refs., 4 tabs., 4 figs

  9. Teamwork in high-risk environments analogous to space

    Science.gov (United States)

    Kanki, Barbara G.

    1990-01-01

    Mountaineering expeditions combine a number of factors which make them potentially good analogs to the planetary exploration facet of long-duration space missions. A study of mountain climbing teams was conducted in order to evaluate the usefulness of the environment as a space analog and to specifically identify the factors and issues surrounding teamwork and 'successful' team performance in two mountaineering environments. This paper focuses on social/organizational factors, including team size and structure, leadership styles and authority structure which were found in the sample of 22 climb teams (122 individuals). The second major issue discussed is the construction of a valid performance measure in this high-risk environment.

  10. Against the tide: climate change and high-risk cities

    Energy Technology Data Exchange (ETDEWEB)

    Dodman, David

    2008-11-15

    In the world's poorest and most vulnerable nations, most cities and towns face a distinct dual pressure: rapidly growing population and high vulnerability to the impacts of climate change. Drought, storms, flooding and sea level rise are likely to hit hardest here. These in turn put water supplies, infrastructure, health and livelihoods at risk in the very cities already struggling to provide or safeguard such key needs. An effective response demands capable local and national government and support from strong international networks in building capacity to cope. Most of the Least Developed Countries lack both.

  11. Predicting disease risks from highly imbalanced data using random forest

    Directory of Open Access Journals (Sweden)

    Chakraborty Sounak

    2011-07-01

    Full Text Available Abstract Background We present a method utilizing Healthcare Cost and Utilization Project (HCUP dataset for predicting disease risk of individuals based on their medical diagnosis history. The presented methodology may be incorporated in a variety of applications such as risk management, tailored health communication and decision support systems in healthcare. Methods We employed the National Inpatient Sample (NIS data, which is publicly available through Healthcare Cost and Utilization Project (HCUP, to train random forest classifiers for disease prediction. Since the HCUP data is highly imbalanced, we employed an ensemble learning approach based on repeated random sub-sampling. This technique divides the training data into multiple sub-samples, while ensuring that each sub-sample is fully balanced. We compared the performance of support vector machine (SVM, bagging, boosting and RF to predict the risk of eight chronic diseases. Results We predicted eight disease categories. Overall, the RF ensemble learning method outperformed SVM, bagging and boosting in terms of the area under the receiver operating characteristic (ROC curve (AUC. In addition, RF has the advantage of computing the importance of each variable in the classification process. Conclusions In combining repeated random sub-sampling with RF, we were able to overcome the class imbalance problem and achieve promising results. Using the national HCUP data set, we predicted eight disease categories with an average AUC of 88.79%.

  12. Protecting military personnel from high risk dietary supplements.

    Science.gov (United States)

    Deuster, Patricia A; Lieberman, Harris R

    2016-01-01

    It is legal tomarketmost naturally occurring substances as dietary supplements in the USA without manufacturers demonstrating they are safe or effective, and an endless variety of ingredients, from esoteric botanicals to unapproved pharmaceuticals, can be found in dietary supplements. Use of certain supplements can pose a risk, but since a robust reporting systemdoes not exist in the USA it is difficult to know which are problematic and the number of adverse events (AE) resulting from their use. Certain populations, includingmilitary personnel, aremore likely to use dietary supplements than the general population. Approximately 70% of military personnel take dietary supplements while about 50% of civilians do. Service members prefer supplements purported to enhance physical performance such as supposedly natural stimulants, protein and amino acids, and combination products. Since some of thesemay be problematic, Servicemembers are probably at higher risk of injury than the general population. Ten percent of military populations appear to be taking potentially risky supplements, and the US Department of Defense (DoD) has taken variousmeasures to protect uniformed personnel including education, policy changes, and restricting sales. Actions taken include launching Operation Supplement Safety (OPSS), introducing a High Risk Supplement list, educating health care professionals on reporting AE thatmight be associated with dietary supplements, recommending policy for reporting AE, and developing an online AE reporting system. OPSS is a DoD-wide effort to educate service members, leaders, health care providers, military families, and retirees on how to safely select supplements

  13. Reducing sexual risk behavior among high-risk couples in Northern India.

    Science.gov (United States)

    Jones, Deborah; Bagga, Rashmi; Nehra, Ritu; Deepika; Sethi, Sunil; Walia, Kamini; Kumar, Mahendra; Villar-Loubet, Olga; Lopez, Maria; Weiss, Stephen M

    2013-09-01

    With a population of 1.1 billion, India is considered to be a country in which effective prevention interventions could contain the development of a human immunodeficiency virus (HIV) epidemic. Heterosexual transmission accounts for 85 % of the extant HIV infections. This study sought to assess the feasibility of conducting a group, culturally tailored behavioral intervention and its impact on sexual barrier use, self-efficacy, knowledge, conflict resolution, and coping among high-risk heterosexual couples in Northern India. This pilot study was conducted at the Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India from February 2008 to January 2009. Thirty sexually active high-risk couples were drawn from a convenience sample of PGIMER patients attending infectious disease and family planning clinics. Couples participated in 1 month of three weekly gender-concordant behavioral intervention groups and were individually administered assessments preintervention and post-intervention. The intervention was tailored to the Northern Indian context and addressed sexual barrier use, human immunodeficiency virus (HIV)/sexually transmitted infection transmission, and cognitive behavioral skill building focusing on sexual negotiation and communication. The participants had a mean age of 32 years (men) and 29 years (women), and the majority had at least 10 years of education. At baseline, the majority reported inconsistent condom use (knowledge, and women increased their use of positive coping tactics. The results highlight the potential to successfully utilize a group intervention to discuss sensitive issues such as sexual risk behavior among both men and women. Strategies to improve condom use and communication without increasing intimate partner violence in high-risk couples may be an important adjunct to preventing the development of a generalized epidemic in India.

  14. At-risk high school seniors: Science remediation for Georgia's High School Graduation Test

    Science.gov (United States)

    Carroll, Carolyn M.

    State departments of education have created a system of accountability for the academic achievement of students under the mandate of the No Child Left Behind Act of 2001. The Georgia Department of Education established the Georgia High School Graduation Test (GHSGT) as their method of evaluating the academic achievement of high school students. The GHSGT consist of five sections and students must pass all five sections before students they are eligible to receive a diploma. The purpose of the study was to examine the effects of teacher-lead and computer based remediation for a group of high school seniors who have been unsuccessful in passing the science portion of the GHSGT. The objectives of this study include (a) Identify the most effective method of remediation for at-risk students on the science section of the GHSGT, and (b) evaluate the methods of remediation for at-risk students on the science section of GHSGT available to high school students. The participants of this study were at-risk seniors enrolled in one high school during the 2007-2008 school year. The findings of this research study indicated that at-risk students who participated in both types of remediation, teacher-led and computer-based, scored significantly higher than the computer-based remediation group alone. There was no significant relationship between the test scores and the number of times the students were tested.

  15. Effect of climatic variability on childhood diarrhea and its high risk periods in northwestern parts of Ethiopia

    Science.gov (United States)

    Kumie, Abera; Worku, Alemayehu; C. Bagtzoglou, Amvrossios; Anagnostou, Emmanouil

    2017-01-01

    Background Increasing climate variability as a result of climate change will be one of the public health challenges to control infectious diseases in the future, particularly in sub-Saharan Africa including Ethiopia. Objective To investigate the effect of climate variability on childhood diarrhea (CDD) and identify high risk periods of diarrheal diseases. Methods The study was conducted in all districts located in three Zones (Awi, West and East Gojjam) of Amhara Region in northwestern parts of Ethiopia. Monthly CDD cases for 24 months (from July 2013 to June 2015) reported to each district health office from the routine surveillance system were used for the study. Temperature, rainfall and humidity data for each district were extracted from satellite precipitation estimates and global atmospheric reanalysis. The space-time permutation scan statistic was used to identify high risk periods of CDD. A negative binomial regression was used to investigate the relationship between cases of CDD and climate variables. Statistical analyses were conducted using SaTScan program and StataSE v. 12. Results The monthly average incidence rate of CDD was 11.4 per 1000 (95%CI 10.8–12.0) with significant variation between males [12.5 per 1000 (95%CI 11.9 to 13.2)] and females [10.2 per 1000 (95%CI 9.6 to 10.8)]. The space-time permutation scan statistic identified the most likely high risk period of CDD between March and June 2014 located in Huletej Enese district of East Gojjam Zone. Monthly average temperature and monthly average rainfall were positively associated with the rate of CDD, whereas the relative humidity was negatively associated with the rate of CDD. Conclusions This study found that the most likely high risk period is in the beginning of the dry season. Climatic factors have an association with the occurrence of CDD. Therefore, CDD prevention and control strategy should consider local weather variations to improve programs on CDD. PMID:29073259

  16. Complete genome sequence of the highly Mn(II) tolerant Staphylococcus sp. AntiMn-1 isolated from deep-sea sediment in the Clarion-Clipperton Zone.

    Science.gov (United States)

    Wang, Xing; Lin, Danqiu; Jing, Xiaohuan; Zhu, Sidong; Yang, Jifang; Chen, Jigang

    2018-01-20

    Staphylococcus sp. AntiMn-1 is a deep-sea bacterium inhabiting seafloor sediment in the Clarion-Clipperton Zone (CCZ) that is highly tolerant to Mn(II) and displays efficient Mn(II) oxidation. Herein, we present the assembly and annotation of its genome. Copyright © 2017 Elsevier B.V. All rights reserved.

  17. ECO Update / Groundwater Foum Issue Paper: Evaluating Ground-Water/Surface-Water Transition Zones in Ecological Risk Assessments

    Science.gov (United States)

    This ECO Update builds on the standard approach to ERA (U.S. EPA 1997), by providing a framework for incorporating groundwater/surface-water (GW/SW) interactions into existing ERAs (see U.S. EPA 1997 and 2001a for an introduction to ecological risk....

  18. Review and Analysis of Solid Long-lived and High Level Radioactive Waste arising at the Chernobyl Nuclear Power Plant and the Restricted Zone

    International Nuclear Information System (INIS)

    Antropov, V.M.; Bugai, D.A.; Dutton, L.M.C.; Gerchikov, M.Y.; Kennett, E.J.; Ledenev, A.I.; Novikov, A.A.; Rudko, V.; Ziegenhagen, J.

    2001-01-01

    The study characterised potential waste arisings in the Exclusion Zone surrounding the Chernobyl Nuclear Power Plant. Studied sites include the Industrial Zone outside the Sarcophagus, three engineered disposal sites (the so-called PZRO), non-engineered near surface trench dumps (PVLRO), contaminated soil and sites of ''unauthorized'' disposal within the Exclusion Zone. Analysis of the previous methodology used for waste characterisation and inventory estimates identified a number of errors. A new database was established, which contains the most up-to date information on radwaste in the Exclusion Zone. Based on the analysis of the available information and potential radiological consequences, a judgement was taken regarding the priority of waste retrieval. In a number of cases it is necessary to carry out risk assessment to ensure that in-situ disposal would satisfy the Ukrainian regulations. Assessments of waste stream volumes for subsequent incineration, encapsulation, storage and disposal in the planned near-surface facilities have been made. It is judged that throughput and capacity of the planned waste management facilities specified by OSAT is, in general, appropriate to the likely waste arisings. (author)

  19. Characterizing and Reaching High-Risk Drinkers Using Audience Segmentation

    Science.gov (United States)

    Moss, Howard B.; Kirby, Susan D.; Donodeo, Fred

    2010-01-01

    Background Market or audience segmentation is widely used in social marketing efforts to help planners identify segments of a population to target for tailored program interventions. Market-based segments are typically defined by behaviors, attitudes, knowledge, opinions, or lifestyles. They are more helpful to health communication and marketing planning than epidemiologically-defined groups because market-based segments are similar in respect to how they behave or might react to marketing and communication efforts. However, market segmentation has rarely been used in alcohol research. As an illustration of its utility, we employed commercial data that describes the sociodemographic characteristics of high-risk drinkers as an audience segment; where they tend to live, lifestyles, interests, consumer behaviors, alcohol consumption behaviors, other health-related behaviors, and cultural values. Such information can be extremely valuable in targeting and planning public health campaigns, targeted mailings, prevention interventions and research efforts. Methods We describe the results of a segmentation analysis of those individuals who self-report consuming five or more drinks per drinking episode at least twice in the last 30-days. The study used the proprietary PRIZM™ audience segmentation database merged with Center for Disease Control and Prevention's (CDC) Behavioral Risk Factor Surveillance System (BRFSS) database. The top ten of the 66 PRIZM™ audience segments for this risky drinking pattern are described. For five of these segments we provide additional in-depth details about consumer behavior and the estimates of the market areas where these risky drinkers reside. Results The top ten audience segments (PRIZM clusters) most likely to engage in high-risk drinking are described. The cluster with the highest concentration of binge drinking behavior is referred to as the “Cyber Millenials.” This cluster is characterized as “the nation's tech-savvy singles

  20. Characterizing and reaching high-risk drinkers using audience segmentation.

    Science.gov (United States)

    Moss, Howard B; Kirby, Susan D; Donodeo, Fred

    2009-08-01

    Market or audience segmentation is widely used in social marketing efforts to help planners identify segments of a population to target for tailored program interventions. Market-based segments are typically defined by behaviors, attitudes, knowledge, opinions, or lifestyles. They are more helpful to health communication and marketing planning than epidemiologically defined groups because market-based segments are similar in respect to how they behave or might react to marketing and communication efforts. However, market segmentation has rarely been used in alcohol research. As an illustration of its utility, we employed commercial data that describes the sociodemographic characteristics of high-risk drinkers as an audience segment, including where they tend to live, lifestyles, interests, consumer behaviors, alcohol consumption behaviors, other health-related behaviors, and cultural values. Such information can be extremely valuable in targeting and planning public health campaigns, targeted mailings, prevention interventions, and research efforts. We described the results of a segmentation analysis of those individuals who self-reported to consume 5 or more drinks per drinking episode at least twice in the last 30 days. The study used the proprietary PRIZM (Claritas, Inc., San Diego, CA) audience segmentation database merged with the Center for Disease Control and Prevention's (CDC) Behavioral Risk Factor Surveillance System (BRFSS) database. The top 10 of the 66 PRIZM audience segments for this risky drinking pattern are described. For five of these segments we provided additional in-depth details about consumer behavior and the estimates of the market areas where these risky drinkers resided. The top 10 audience segments (PRIZM clusters) most likely to engage in high-risk drinking are described. The cluster with the highest concentration of binge-drinking behavior is referred to as the "Cyber Millenials." This cluster is characterized as "the nation's tech

  1. High-voltage zones within the pulmonary vein antra: Major determinants of acute pulmonary vein reconnections after atrial fibrillation ablation.

    Science.gov (United States)

    Nagashima, Koichi; Watanabe, Ichiro; Okumura, Yasuo; Iso, Kazuki; Takahashi, Keiko; Watanabe, Ryuta; Arai, Masaru; Kurokawa, Sayaka; Nakai, Toshiko; Ohkubo, Kimie; Yoda, Shunichi; Hirayama, Atsushi

    2017-08-01

    Recurrence of atrial fibrillation (AF) after pulmonary vein isolation (PVI) is mainly due to PV reconnections. Patient-specific tissue characteristics that may contribute remain unidentified. This study aimed to assess the relationship between the bipolar electrogram voltage amplitudes recorded from the PV-left atrial (LA) junction and acute PV reconnection sites. Three-dimensional LA voltage maps created before an extensive encircling PVI in 47 AF patients (31 men; mean age 62 ± 11 years) were examined for an association between the EGM voltage amplitude recorded from the PV-LA junction and acute post-PVI PV reconnections (spontaneous PV reconnections and/or ATP-provoked dormant PV conduction). Acute PV reconnections were observed in 17 patients (36%) and in 24 (3%) of the 748 PV segments (16 segments per patient) and were associated with relatively high bipolar voltage amplitudes (3.26 ± 0.85 vs. 1.79 ± 1.15 mV, p voltage (137 [106, 166] vs. 295 [193, 498] gs/mV, p voltage and FTI/PV-LA bipolar voltage for acute PV reconnections (areas under the curve: 0.86 and 0.89, respectively); the best cutoff values were >2.12 mV and ≤183 gs/mV, respectively. The PV-LA voltage on the PV-encircling ablation line and FTI/PV-LA voltage were related to the acute post-PVI PV reconnections. A more durable ablation strategy is warranted for high-voltage zones.

  2. High resolution tsunami modelling for the evaluation of potential risk areas in Setúbal (Portugal

    Directory of Open Access Journals (Sweden)

    J. Ribeiro

    2011-08-01

    Full Text Available The use of high resolution hydrodynamic modelling to simulate the potential effects of tsunami events can provide relevant information about the most probable inundation areas. Moreover, the consideration of complementary data such as the type of buildings, location of priority equipment, type of roads, enables mapping of the most vulnerable zones, computing of the expected damage on man-made structures, constrain of the definition of rescue areas and escape routes, adaptation of emergency plans and proper evaluation of the vulnerability associated with different areas and/or equipment.

    Such an approach was used to evaluate the specific risks associated with a potential occurrence of a tsunami event in the region of Setúbal (Portugal, which was one of the areas most seriously affected by the 1755 tsunami.

    In order to perform an evaluation of the hazard associated with the occurrence of a similar event, high resolution wave propagation simulations were performed considering different potential earthquake sources with different magnitudes. Based on these simulations, detailed inundation maps associated with the different events were produced. These results were combined with the available information on the vulnerability of the local infrastructures (building types, roads and streets characteristics, priority buildings in order to impose restrictions in the production of high-scale potential damage maps, escape routes and emergency routes maps.

  3. High-risk sexual behavior among drug-using men.

    Science.gov (United States)

    Seidman, S N; Sterk-Elifson, C; Aral, S O

    1994-01-01

    Drug-using men are at high risk for acquisition and transmission of STD, presumably due to the risky behaviors practiced in environments of drug use. To study behaviors associated with STD transmission among drug-using men. Drug outreach workers distributed vouchers to self-identified drug-using men in urban Atlanta. Vouchers could be redeemed for cash at a storefront clinic where subjects provided urine for a urethritis screening test (leukocyte esterase test) and a drug screen, and were interviewed. Of 382 voucher recipients, 252 (66%) came to the clinic. Subjects were predominantly black (92%), homeless (70%), and aged 20 to 40 (88%). All used illicit drugs; none were currently receiving drug abuse treatment. Urine drug screen confirmed recent cocaine use in 63%, and recent opiate use in 4%. Three-fourths reported a history of STD, mostly gonorrhea. In the preceding 3 months, 14% had not had sex, 80% had sex exclusively with women, 4% had sex with both men and women, and 2% had sex exclusively with men. Of the heterosexually active men, 29% had 5 or more recent partners. Compared to other heterosexually active men, these men were more likely to always use alcohol or crack before having sex (prevalence ratio [PR] = 2.0, 95% CI = 1.3-2.5) and to drink alcohol every day (PR = 2.0, 95% CI = 1.2-3.3). Daily crack use was associated with choosing partners at elevated STD risk; daily alcohol use with having more partners. Positive drug screen for cocaine was associated with self-reported crack use. Urethritis, detected in 16%, was not correlated with behavior. A substantial number of drug-using men practice high-risk sexual behavior and should be targeted for intervention. Monetary and other incentives should be considered for recruitment. Further study is needed to clarify the relationship between sexual behavior, cocaine use, and STD.

  4. Utilizing High-Performance Computing to Investigate Parameter Sensitivity of an Inversion Model for Vadose Zone Flow and Transport

    Science.gov (United States)

    Fang, Z.; Ward, A. L.; Fang, Y.; Yabusaki, S.

    2011-12-01

    High-resolution geologic models have proven effective in improving the accuracy of subsurface flow and transport predictions. However, many of the parameters in subsurface flow and transport models cannot be determined directly at the scale of interest and must be estimated through inverse modeling. A major challenge, particularly in vadose zone flow and transport, is the inversion of the highly-nonlinear, high-dimensional problem as current methods are not readily scalable for large-scale, multi-process models. In this paper we describe the implementation of a fully automated approach for addressing complex parameter optimization and sensitivity issues on massively parallel multi- and many-core systems. The approach is based on the integration of PNNL's extreme scale Subsurface Transport Over Multiple Phases (eSTOMP) simulator, which uses the Global Array toolkit, with the Beowulf-Cluster inspired parallel nonlinear parameter estimation software, BeoPEST in the MPI mode. In the eSTOMP/BeoPEST implementation, a pre-processor generates all of the PEST input files based on the eSTOMP input file. Simulation results for comparison with observations are extracted automatically at each time step eliminating the need for post-process data extractions. The inversion framework was tested with three different experimental data sets: one-dimensional water flow at Hanford Grass Site; irrigation and infiltration experiment at the Andelfingen Site; and a three-dimensional injection experiment at Hanford's Sisson and Lu Site. Good agreements are achieved in all three applications between observations and simulations in both parameter estimates and water dynamics reproduction. Results show that eSTOMP/BeoPEST approach is highly scalable and can be run efficiently with hundreds or thousands of processors. BeoPEST is fault tolerant and new nodes can be dynamically added and removed. A major advantage of this approach is the ability to use high-resolution geologic models to preserve

  5. Relationship between PLAP and high-risk pregnancy

    International Nuclear Information System (INIS)

    Yu Huixin; Xiao Weihong; Cao Guoxian; Li Weiyi; Shen Bo

    2001-01-01

    PLAP was isolated and purified from human placenta and the antiserum was obtained by immunizing the rabbits. A radioimmunoassay of PLAP (PLAP RIA) was established by labelling the antigen using the chloramine-T method. Its sensitivity was 1.54 μg/L, the recovery rate was between 96.7% and 105.2%, the intra- and inter-assay CV were 8.94% and 9.43%, respectively, the antiserum provided a linear response from 2 to 1000 μg/L. The assay has no cross-reactivity with liver AP. Serum level of PLAP were measured by PLAP RIA in 649 cases of normal pregnancy and 164 cases of high-risk pregnancy. The results indicated that the PLAP level increased proportionally with the advance of gestational age (r = 0.9843). In 33 cases of pregnancy induced hypertension and 21 cases of intrauterine fetal growth retardation, the PLAP were at significantly low level. In 7 cases of neonatal asphyxia and 26 cases of fetal distress, the PLAP level in the mother's serum were also low. In 53 cases of intrahepatic cholestasis of pregnancy, the PLAP level were similar to those of normal pregnancy. This study illustrated that PLAP RIA can play an important role in evaluation of placental function and fetal prognosis for cases of high-risk pregnancy

  6. Oral health status of women with high-risk pregnancies.

    Science.gov (United States)

    Merglova, Vlasta; Hecova, Hana; Stehlikova, Jaroslava; Chaloupka, Pavel

    2012-12-01

    The aim of this study was to investigate the oral health status of women with high-risk pregnancies. A case-control study of 142 pregnant women was conducted. The case group included 81 pregnant women with high-risk pregnancies, while 61 women with normal pregnancies served as controls. The following variables were recorded for each woman: age, general health status, DMF, CPITN, and PBI index, amounts of Streptococcus mutans in the saliva and dental treatment needs. The Mann-Whitney test, Kruskal-Wallis test, t-test and chi-squared test were used for statistical analyses. Statistically significant differences were detected between the PBI indices and dental treatment needs of the two groups. Out of the entire study cohort, 77% of the women in the case group and 52% of the women in the control group required dental treatment. In this study, women with complications during pregnancy had severe gingivitis and needed more frequent dental treatment than those in the control group.

  7. [High oncogenic risk human papillomavirus and urinary bladder cancer].

    Science.gov (United States)

    Loran, O B; Sinyakova, L A; Gundorova, L V; Kosov, V A; Kosova, I V; Pogodina, I E; Kolbasov, D N

    2017-07-01

    To determine the role of human papillomavirus (HPV) of high oncogenic risk in the development of urinary bladder cancer. 100 patients (72 men and 28 women) aged 38 to 90 years (mean age 65+/-10 years) diagnosed with bladder cancer were examined and underwent treatment. Clinical assessment was complemented by enzyme-linked immunosorbent assays for the presence of antiviral antibodies to herpes simplex virus (HSV) type 1 and type 2, cytomegalovirus (CMV), Epstein-Barr virus (EBV), urethra scraping for detecting high oncogenic risk HPV. Tumor tissue was sampled for PCR virus detection. Semi-quantitative analysis was used to evaluate the components of lymphocyte-plasmocyte and leukocyte infiltrates and cytopathic changes in tumor tissue. There were positive correlations between cytopathic cell changes (koylocytosis and intranuclear inclusions, as manifestations of HPV) and the level of antiviral antibodies, the presence of viruses in the tumor, as well as with the components of the lymphoid-plasmocyte infiltrate. Negative correlations were found between the presence of papillomatosis and the above changes. Human papillomavirus is believed to be a trigger for the initiation of a tumor in young patients with a latent infection (CMV and EBV, HSV, HPV). Cytopathic changes (kylocytosis and intranuclear inclusions) were associated with the activity and morphological features of herpes-viral infections. Their degree varied depending on the stage of the process, but not on the anaplasia degree. Papillomatosis is associated with a more favorable course of the tumor process.

  8. Personality differences in high risk sports amateurs and instructors.

    Science.gov (United States)

    Watson, Alison E; Pulford, Briony D

    2004-08-01

    This study investigated the personality differences of 21 amateurs and 20 instructors who participated in the high risk sports of skydiving, hang-gliding, paragliding, scuba diving, microlighting, and rock climbing, versus those who did not. 38 men and 28 women (M age=32.6 yr., SD= 10.0) were assessed using the Eysenck Personality Questionnaire-Revised, the General Health Questionnaire, the Generalised Self-efficacy Scale, and a Type A/B personality measure. Instructors and Amateurs scored significantly higher on Extroversion and lower on Neuroticism than Nonparticipants; however, they differed from each other on the General Health Questionnaire and Type A/B personality scores. Amateurs scored significantly higher on Psychoticism and Self-efficacy than Instructors and Nonparticipants. In conclusion, these test scores suggest that people who are attracted to high risk sports tend to be at the extroverted and emotionally stable end of the scale, with a tendency to exhibit Type A characteristics; however, Instructors' scores on Psychoticism and Self-efficacy are more akin to those of Nonparticipants.

  9. Relationship between PLAP and high-risk pregnancy

    Energy Technology Data Exchange (ETDEWEB)

    Huixin, Yu; Weihong, Xiao; Guoxian, Cao; Weiyi, Li; Bo, Shen [Jiangsu Inst. of Nuclear Medicine, Wuxi (China). National Key Laboratory of Nuclear Medicine

    2001-04-01

    PLAP was isolated and purified from human placenta and the antiserum was obtained by immunizing the rabbits. A radioimmunoassay of PLAP (PLAP RIA) was established by labelling the antigen using the chloramine-T method. Its sensitivity was 1.54 {mu}g/L, the recovery rate was between 96.7% and 105.2%, the intra- and inter-assay CV were 8.94% and 9.43%, respectively, the antiserum provided a linear response from 2 to 1000 {mu}g/L. The assay has no cross-reactivity with liver AP. Serum level of PLAP were measured by PLAP RIA in 649 cases of normal pregnancy and 164 cases of high-risk pregnancy. The results indicated that the PLAP level increased proportionally with the advance of gestational age (r = 0.9843). In 33 cases of pregnancy induced hypertension and 21 cases of intrauterine fetal growth retardation, the PLAP were at significantly low level. In 7 cases of neonatal asphyxia and 26 cases of fetal distress, the PLAP level in the mother's serum were also low. In 53 cases of intrahepatic cholestasis of pregnancy, the PLAP level were similar to those of normal pregnancy. This study illustrated that PLAP RIA can play an important role in evaluation of placental function and fetal prognosis for cases of high-risk pregnancy.

  10. Uncertainty Instability Risk Analysis of High Concrete Arch Dam Abutments

    Directory of Open Access Journals (Sweden)

    Xin Cao

    2017-01-01

    Full Text Available The uncertainties associated with concrete arch dams rise with the increased height of dams. Given the uncertainties associated with influencing factors, the stability of high arch dam abutments as a fuzzy random event was studied. In addition, given the randomness and fuzziness of calculation parameters as well as the failure criterion, hazard point and hazard surface uncertainty instability risk ratio models were proposed for high arch dam abutments on the basis of credibility theory. The uncertainty instability failure criterion was derived through the analysis of the progressive instability failure process on the basis of Shannon’s entropy theory. The uncertainties associated with influencing factors were quantized by probability or possibility distribution assignments. Gaussian random theory was used to generate random realizations for influence factors with spatial variability. The uncertainty stability analysis method was proposed by combining the finite element analysis and the limit equilibrium method. The instability risk ratio was calculated using the Monte Carlo simulation method and fuzzy random postprocessing. Results corroborate that the modeling approach is sound and that the calculation method is feasible.

  11. An integrative model of risk for high school disordered eating.

    Science.gov (United States)

    Davis, Heather A; Smith, Gregory T

    2018-06-21

    Binge eating and purging behaviors are associated with significant harm and distress among adolescents. The process by which these behaviors develop (often in the high school years) is not fully understood. We tested the Acquired Preparedness (AP) model of risk involving transactions among biological, personality, and psychosocial factors to predict binge eating and purging behavior in a sample of 1,906 children assessed in the spring of 5th grade (the last year of elementary school), the fall of 6th grade (the first year of middle school), spring of 6th grade, and spring of 10th grade (second year of high school). Pubertal onset in spring of 5th grade predicted increases in negative urgency, but not negative affect, in the fall of 6th grade. Negative urgency in the fall of 6th grade predicted increases in expectancies for reinforcement from eating in the spring of 6th grade, which in turn predicted increases in binge eating behavior in the spring of 10th grade. Negative affect in the fall of 6th grade predicted increases in thinness expectancies in the spring of 6th grade, which in turn predicted increases in purging in the spring of 10th grade. Results demonstrate similarities and differences in the development of these two different bulimic behaviors. Intervention efforts targeting the risk factors evident in this model may prove fruitful in the treatment of eating disorders characterized by binge eating and purging. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

  12. Synergistic effect of oral corticosteroids use on risk of hepatocellular carcinoma in high risk populations.

    Science.gov (United States)

    Lai, Shih-Wei; Lin, Cheng-Li; Liao, Kuan-Fu

    2018-06-01

    Little evidence is available on the relationship between oral corticosteroids use and hepatocellular carcinoma. The objective of this study was to investigate whether oral corticosteroids use correlates with the risk of hepatocellular carcinoma in high risk populations in Taiwan. Using representative claims database established from the Taiwan National Health Insurance Program with a population coverage rate of 99.6%, we identified 102,182 subjects aged 20-84 years with newly diagnosed hepatocellular carcinoma in 2000-2011 as the cases and 102,182 randomly selected subjects aged 20-84 years without hepatocellular carcinoma as the matched controls. In subjects with any one of comorbidities including alcohol-related disease, chronic liver disease, and diabetes mellitus, the adjusted OR of hepatocellular carcinoma was 29.9 (95% CI 28.7, 31.1) for subjects with never use of oral corticosteroids, and the adjusted OR would increase to 33.7 (95% CI 32.3, 35.3) for those with ever use of oral corticosteroids. The adjusted OR of hepatocellular carcinoma was 1.03 for subjects with increasing cumulative duration of oral corticosteroids use for every one year (95% CI 1.01, 1.06), with a duration-dependent effect. The largest OR occurred in subjects with ever use of oral corticosteroids and concurrently comorbid with alcohol-related disease, chronic liver disease, and diabetes mellitus (adjusted OR 122.7, 95% CI 108.5, 138.8). There is a synergistic effect between oral corticosteroids use and the traditional risk factors on the risk of hepatocellular carcinoma. People with risk factors for hepatocellular carcinoma should receive regular ultrasound surveillance, particularly when they currently use oral corticosteroids. Copyright © 2018 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.

  13. Brucellosis in a high risk occupational group: sero prevalence and analysis of risk factors

    International Nuclear Information System (INIS)

    Mukhtar, F.

    2010-01-01

    Objectives: To estimate Brucella sero positivity among slaughterhouse workers of Lahore district and to elucidate risk factors associated with sero positivity to Brucella. Method: During the year 2008, a cross-sectional study was conducted in four slaughterhouses of Lahore district. A sample of 360 workers was selected from these slaughterhouses through stratified random sampling on proportional basis. Workers were interviewed using a structured questionnaire to obtain risk factor information and their blood samples were collected to be screened for the presence of anti-Brucella IgG using Enzyme Linked Immunosorbent Assay (ELISA) technique. Data management and analysis were performed using SPSS (statistical package for social sciences) version 16. Risk factors associated with sero positivity to anti-Brucella IgG were identified by constructing a logistic regression model. Results: Of the 360 serum samples tested, 21.7% (95% CI 17.44% - 25.96%) were positive by ELISA test. The logistic regression model identified age (OR 0.96, 95% CI 0.94-0.99), assistance in parturition of animal (OR 0.47, 95% CI 0.23-0.96), consuming raw milk (OR 2.25, 95% CI 1.04-4.87) and handling sheep (OR 0.30, 95% CI 0.09- 0.92) as risk factors for Brucella sero positivity among slaughterhouse workers of Lahore district. Conclusion: To reduce the burden of brucellosis, a national brucellosis control programme should be initiated with special emphasis on the high risk population of slaughterhouse workers. (author)

  14. Predicting the Impact of Intervention Strategies for Sleeping Sickness in Two High-Endemicity Health Zones of the Democratic Republic of Congo.

    Directory of Open Access Journals (Sweden)

    Kat S Rock

    2017-01-01

    Full Text Available Two goals have been set for Gambian human African trypanosomiasis (HAT, the first is to achieve elimination as a public health problem in 90% of foci by 2020, and the second is to achieve zero transmission globally by 2030. It remains unclear if certain HAT hotspots could achieve elimination as a public health problem by 2020 and, of greater concern, it appears that current interventions to control HAT in these areas may not be sufficient to achieve zero transmission by 2030. A mathematical model of disease dynamics was used to assess the potential impact of changing the intervention strategy in two high-endemicity health zones of Kwilu province, Democratic Republic of Congo. Six key strategies and twelve variations were considered which covered a range of recruitment strategies for screening and vector control. It was found that effectiveness of HAT screening could be improved by increasing effort to recruit high-risk groups for screening. Furthermore, seven proposed strategies which included vector control were predicted to be sufficient to achieve an incidence of less than 1 reported case per 10,000 people by 2020 in the study region. All vector control strategies simulated reduced transmission enough to meet the 2030 goal, even if vector control was only moderately effective (60% tsetse population reduction. At this level of control the full elimination threshold was expected to be met within six years following the start of the change in strategy and over 6000 additional cases would be averted between 2017 and 2030 compared to current screening alone. It is recommended that a two-pronged strategy including both enhanced active screening and tsetse control is implemented in this region and in other persistent HAT foci to ensure the success of the control programme and meet the 2030 elimination goal for HAT.

  15. Diagnostic accuracy of high-definition CT coronary angiography in high-risk patients

    International Nuclear Information System (INIS)

    Iyengar, S.S.; Morgan-Hughes, G.; Ukoumunne, O.; Clayton, B.; Davies, E.J.; Nikolaou, V.; Hyde, C.J.; Shore, A.C.; Roobottom, C.A.

    2016-01-01

    Aim: To assess the diagnostic accuracy of computed tomography coronary angiography (CTCA) using a combination of high-definition CT (HD-CTCA) and high level of reader experience, with invasive coronary angiography (ICA) as the reference standard, in high-risk patients for the investigation of coronary artery disease (CAD). Materials and methods: Three hundred high-risk patients underwent HD-CTCA and ICA. Independent experts evaluated the images for the presence of significant CAD, defined primarily as the presence of moderate (≥50%) stenosis and secondarily as the presence of severe (≥70%) stenosis in at least one coronary segment, in a blinded fashion. HD-CTCA was compared to ICA as the reference standard. Results: No patients were excluded. Two hundred and six patients (69%) had moderate and 178 (59%) had severe stenosis in at least one vessel at ICA. The sensitivity, specificity, positive predictive value, and negative predictive value were 97.1%, 97.9%, 99% and 93.9% for moderate stenosis, and 98.9%, 93.4%, 95.7% and 98.3%, for severe stenosis, on a per-patient basis. Conclusion: The combination of HD-CTCA and experienced readers applied to a high-risk population, results in high diagnostic accuracy comparable to ICA. Modern generation CT systems in experienced hands might be considered for an expanded role. - Highlights: • Diagnostic accuracy of High-Definition CT Angiography (HD-CTCA) has been assessed. • Invasive Coronary angiography (ICA) is the reference standard. • Diagnostic accuracy of HD-CTCA is comparable to ICA. • Diagnostic accuracy is not affected by coronary calcium or stents. • HD-CTCA provides a non-invasive alternative in high-risk patients.

  16. Seismic, high wind, tornado, and probabilistic risk assessment of the high flux isotope reactor

    International Nuclear Information System (INIS)

    Harris, S.P.; Hashimoto, P.S.; Dizon, J.O.; Hashimoto, P.S.

    1989-01-01

    Natural phenomena analyses were performed on the High Flux Isotope Reactor (HFIR). Deterministic and probabilistic evaluations were made to determine the risks resulting from earthquakes, high winds, and tornadoes. Analytic methods in conjunction with field evaluations and an earthquake experience data base evaluation methods were used to provide more realistic results in a shorter amount of time. Plant modifications completed in preparation for HFIR restart and potential future enhancements are discussed

  17. Seismic, high wind, tornado, and probabilistic risk assessments of the High Flux Isotope Reactor

    International Nuclear Information System (INIS)

    Harris, S.P.; Stover, R.L.; Hashimoto, P.S.; Dizon, J.O.

    1989-01-01

    Natural phenomena analyses were performed on the High Flux Isotope Reactor (HFIR) Deterministic and probabilistic evaluations were made to determine the risks resulting from earthquakes, high winds, and tornadoes. Analytic methods in conjunction with field evaluations and an earthquake experience data base evaluation methods were used to provide more realistic results in a shorter amount of time. Plant modifications completed in preparation for HFIR restart and potential future enhancements are discussed. 5 figs

  18. Distinct evolutionary mechanisms for genomic imbalances in high-risk and low-risk neuroblastomas

    Directory of Open Access Journals (Sweden)

    Gisselsson David

    2007-09-01

    Full Text Available Abstract Background Neuroblastoma (NB is the most common extracranial solid tumour of childhood. Several genomic imbalances correlate to prognosis in NB, with structural rearrangements, including gene amplification, in a near-diploid setting typically signifying high-risk tumours and numerical changes in a near-triploid setting signifying low-risk tumours. Little is known about the temporal sequence in which these imbalances occur during the carcinogenic process. Methods We have reconstructed the appearance of cytogenetic imbalances in 270 NBs by first grouping tumours and imbalances through principal component analysis and then using the number of imbalances in each tumour as an indicator of evolutionary progression. Results Tumours clustered in four sub-groups, dominated respectively by (1 gene amplification in double minute chromosomes and few other aberrations, (2 gene amplification and loss of 1p sequences, (3 loss of 1p and other structural aberrations including gain of 17q, and (4 whole-chromosome gains and losses. Temporal analysis showed that the structural changes in groups 1–3 were acquired in a step-wise fashion, with loss of 1p sequences and the emergence of double minute chromosomes as the earliest cytogenetic events. In contrast, the gains and losses of whole chromosomes in group 4 occurred through multiple simultaneous events leading to a near-triploid chromosome number. Conclusion The finding of different temporal patterns for the acquisition of genomic imbalances in high-risk and low-risk NBs lends strong support to the hypothesis that these tumours are biologically diverse entities, evolving through distinct genetic mechanisms.

  19. Predictive risk modelling under different data access scenarios: who is identified as high risk and for how long?

    Science.gov (United States)

    Johnson, Tracy L; Kaldor, Jill; Sutherland, Kim; Humphries, Jacob; Jorm, Louisa R; Levesque, Jean-Frederic

    2018-01-01

    Objective This observational study critically explored the performance of different predictive risk models simulating three data access scenarios, comparing: (1) sociodemographic and clinical profiles; (2) consistency in high-risk designation across models; and (3) persistence of high-risk status over time. Methods Cross-sectional health survey data (2006–2009) for more than 260 000 Australian adults 45+ years were linked to longitudinal individual hospital, primary care, pharmacy and mortality data. Three risk models predicting acute emergency hospitalisations were explored, simulating conditions where data are accessed through primary care practice management systems, or through hospital-based electronic records, or through a hypothetical ‘full’ model using a wider array of linked data. High-risk patients were identified using different risk score thresholds. Models were reapplied monthly for 24 months to assess persistence in high-risk categorisation. Results The three models displayed similar statistical performance. Three-quarters of patients in the high-risk quintile from the ‘full’ model were also identified using the primary care or hospital-based models, with the remaining patients differing according to age, frailty, multimorbidity, self-rated health, polypharmacy, prior hospitalisations and imminent mortality. The use of higher risk prediction thresholds resulted in lower levels of agreement in high-risk designation across models and greater morbidity and mortality in identified patient populations. Persistence of high-risk status varied across approaches according to updated information on utilisation history, with up to 25% of patients reassessed as lower risk within 1 year. Conclusion/implications Small differences in risk predictors or risk thresholds resulted in comparatively large differences in who was classified as high risk and for how long. Pragmatic predictive risk modelling design decisions based on data availability or projected

  20. High risk pregnancies and factors associated with neonatal death.

    Science.gov (United States)

    Demitto, Marcela de Oliveira; Gravena, Angela Andréia França; Dell'Agnolo, Cátia Millene; Antunes, Marcos Benatti; Pelloso, Sandra Marisa

    2017-04-03

    To identify the factors associated with intra-hospital neonatal mortality based on the individual characteristics of at-risk pregnant mothers, delivery and newborns. This was a cross-sectional epidemiological study of live newborns delivered by women attended at the high-risk outpatient unit of a philanthropic hospital in Maringá, Paraná, Brazil between September 2012 and September 2013. Six hundred and eighty-eight women participated in the study. The neonatal mortality coefficient found was 17.7/1,000 live births, most in the early neonatal phase. Premature labor, fetal malformation and multiple gestations were associated with neonatal death. Premature, very low birth weight newborns and those with an Apgar score of less than seven, five minutes after birth were at high risk of death. Identifying risk factors can help plan actions to consolidate the perinatal network. Specific programs should be incentivized in other countries, in the search for significant perinatal results such as reducing neonatal mortality. Identificar os fatores associados à mortalidade neonatal intra-hospitalar com base nas características individuais de gestantes de risco, do parto e do recém-nascido. Estudo epidemiológico do tipo transversal, realizado com crianças nascidas vivas de partos hospitalares de mulheres acompanhadas pelo ambulatório de alto risco de um hospital filantrópico de Maringá, Paraná, Brasil, no período de setembro de 2012 a setembro de 2013.RESULTADOS Fizeram parte da pesquisa 688 mulheres. O coeficiente de mortalidade neonatal foi de 17,7 óbitos/1.000 nascidos vivos, sendo sua maioria no período neonatal precoce. Trabalho de parto prematuro, malformação fetal e gestação múltipla foram as intercorrências associadas ao óbito neonatal. Recém-nascidos prematuros, com muito baixo peso ao nascer e Índice de Apgar menor que sete no quinto minuto de vida apresentaram risco elevado de morte. A identificação de fatores de risco pode auxiliar no

  1. Polar orientation of renal grafts within the proximal seal zone affects risk of early type IA endoleaks after chimney endovascular aneurysm repair.

    Science.gov (United States)

    Tran, Kenneth; Ullery, Brant W; Itoga, Nathan; Lee, Jason T

    2018-04-01

    grafts was not associated with graft kinking or compression (P = .38) or occlusion (P = .10). Takeoff angle of the renal arteries was the most significant predictor of chimney graft orientation. Caudally directed arteries (takeoff angle >30 degrees) were less likely to have implanted chimney grafts that traversed >90 degrees in polar angle (odds ratio, 0.09; 95% confidence interval, 0.01-0.55). Renal chimney grafts vary considerably in both starting position and their polar trajectory within the proximal seal zone. Grafts that traverse >90 degrees in polar angle within the seal zone may be at increased risk of early type IA endoleaks and require more frequent imaging surveillance. Caudally directed renal arteries result in a more favorable polar geometry (eg, cranial-caudal orientation) with respect to endoleak risk and thus are more ideal candidates for parallel graft strategies. Copyright © 2017 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.

  2. Does Discrimination Explain High Risk of Depression among High-Income African American Men?

    Science.gov (United States)

    Assari, Shervin; Lankarani, Maryam Moghani; Caldwell, Cleopatra Howard

    2018-04-19

    Background: Higher socioeconomic status is known to decrease the risk for poor mental health overall. However, African American males of higher socioeconomic status (SES) are at an increased risk for having a major depressive episode (MDE). It is not known whether perceived discrimination (PD) explains this risk. The current study used nationally representative data to explore the role of PD in explaining the association between high-SES and having MDE among African American men. Methods: The National Survey of American Life (NSAL), 2003, included 4461 American adults including 1271 African American men. SES indicators (i.e., household income, educational attainment, employment status, and marital status) were the independent variables. 12-month MDE measured using the Composite International Diagnostic Interview (CIDI) was the outcome. Age, gender, and region were the covariates. PD was the potential mediator. For data analysis, we used logistic regression. Results: Among African American men, household income was positively associated with odds of 12-month MDE. The positive association between household income and odds of MDE remained unchanged after adding PD to the model, suggesting that PD may not explain why high-income African American men are at a higher risk of MDE. Conclusions: Perceived discrimination does not explain the increased risk for depression among African American males of higher SES. Future research should explore the role of other potential mechanisms such as stress, coping, social isolation, and/or negative social interaction that may increase psychological costs of upward social mobility for African American males.

  3. Does Discrimination Explain High Risk of Depression among High-Income African American Men?

    Directory of Open Access Journals (Sweden)

    Shervin Assari

    2018-04-01

    Full Text Available Background: Higher socioeconomic status is known to decrease the risk for poor mental health overall. However, African American males of higher socioeconomic status (SES are at an increased risk for having a major depressive episode (MDE. It is not known whether perceived discrimination (PD explains this risk. The current study used nationally representative data to explore the role of PD in explaining the association between high-SES and having MDE among African American men. Methods: The National Survey of American Life (NSAL, 2003, included 4461 American adults including 1271 African American men. SES indicators (i.e., household income, educational attainment, employment status, and marital status were the independent variables. 12-month MDE measured using the Composite International Diagnostic Interview (CIDI was the outcome. Age, gender, and region were the covariates. PD was the potential mediator. For data analysis, we used logistic regression. Results: Among African American men, household income was positively associated with odds of 12-month MDE. The positive association between household income and odds of MDE remained unchanged after adding PD to the model, suggesting that PD may not explain why high-income African American men are at a higher risk of MDE. Conclusions: Perceived discrimination does not explain the increased risk for depression among African American males of higher SES. Future research should explore the role of other potential mechanisms such as stress, coping, social isolation, and/or negative social interaction that may increase psychological costs of upward social mobility for African American males.

  4. HPV vaccine acceptability in high-risk Greek men.

    Science.gov (United States)

    Hoefer, Lea; Tsikis, Savas; Bethimoutis, George; Nicolaidou, Electra; Paparizos, Vassilios; Antoniou, Christina; Kanelleas, Antonios; Chardalias, Leonidas; Stavropoulos, Georgios-Emmanouil; Schneider, John; Charnot-Katsikas, Angella

    2018-01-02

    HPV is associated with malignancy in men, yet there is a lack of data on HPV knowledge, vaccine acceptability, and factors affecting vaccine acceptability in Greek men. This study aims to identify determinants of knowledge and willingness to vaccinate against HPV among high-risk Greek men. Men (n = 298) between the ages of 18 and 55 were enrolled from the STI and HIV clinics at "Andreas Syggros" Hospital in Athens, Greece from July-October 2015. Participants completed a survey on demographics, economic factors, sexual history, HPV knowledge, and vaccine acceptability. The majority of participants were younger than 40 (76.6%) and unmarried (84.6%). Our sample was 31.2% MSM (men who have sex with men), and 20.1% were HIV-positive. Most participants (>90%) were aware that HPV is highly prevalent in both men and women; however, fewer identified that HPV causes cancers in both sexes (68%) and that vaccination protects men and women (67%). Amongst participants, 76.7% were willing to vaccinate themselves against HPV, 71.4% an adolescent son, and 69.3% an adolescent daughter. HIV-positive men were more likely to be willing to vaccinate themselves (OR 2.83, p = .015), a son (OR 3.3, p = .015) or a daughter (3.01, p = .020). Higher income levels were associated with increased willingness to vaccinate oneself (OR 1.32, p = .027), a son (1.33, p = .032) or daughter (1.34, p = .027). Although there is a HPV knowledge gap, HPV vaccine acceptability is high despite lack of vaccine promotion to Greek men. Future studies should include lower-risk men to adequately inform public health efforts.

  5. [High risk factors of upper gastrointestinal bleeding after neurosurgical procedures].

    Science.gov (United States)

    Zheng, Kang; Wu, Gang; Cheng, Neng-neng; Yao, Cheng-jun; Zhou, Liang-fu

    2005-12-21

    To analyze high risk factors of postoperative upper gastrointestinal (GI) bleeding after neurosurgery so as to give guidance for prevention of GI bleeding. A questionnaire was developed to investigate the medical records of 1500 patients who were hospitalized and underwent neurosurgical operations in 1997. Logistic regression analysis was made. 1430 valid questionnaires were obtained. Postoperative upper GI bleeding occurred in 75 patients (5.24%). The incidence of upper GI bleeding were 6.64% (54/813) in the male patients and 3.40% (21/617) in the female persons (P = 0.007); 9.88% (41/415) in those aged > 50 and 3.35% in those aged hematoma, intraventricular hemorrhage, subdural hematoma, and extradural hematoma were 15.7%, 10.0%, 6.00%, and 2.94% respectively (P = 0.02). The incidence of upper GI bleeding of the patients with tumors of fourth ventricle of cerebrum, brainstem, cerebral hemisphere, and sellar hypothalamus were 15.79% (3/19), 7.89%, 5.71%, and 3.74% respectively. In the emergent cases, the incidence of upper GI bleeding was higher in those with hypertension. The incidence of upper GI bleeding was 5.46% in the patients undergoing adrenocortical hormone treatment, significantly higher than that in those who did not receive such treatment (2.13%). Patients who are at high risk of developing postoperative upper GI bleeding including that: age greater than 50 years; male; Glasgow Coma Score less than 10 pre and post operation; The lesion was located in brain stem and forth ventricle; Hypertensive cerebral hemorrhage; Intracerebral and intraventricular hemorrhagic brain trauma; Postoperative pneumonia, brain edema, encephalic high pressure, pyogenic infection of the central nervous system and other postoperative complications. The mortality of patients with postoperative upper GI bleeding was evidently higher than that of the patients without postoperative upper GI bleeding.

  6. High-Risk Sexual Behavior at Social Venues in Madagascar

    Science.gov (United States)

    KHAN, MARIA R.; RASOLOFOMANANA, JUSTIN R.; McCLAMROCH, KRISTI J.; RALISIMALALA, ANDRIAMAMPIANINA; ZAFIMANJAKA, MAURICE G.; BEHETS, FRIEDA; WEIR, SHARON S.

    2018-01-01

    Background Persistent high levels of sexually transmitted infection (STI) in Madagascar indicate current prevention strategies are inadequate. STI/HIV prevention based in social venues may play an important role in reaching individuals at risk of infection. We identified venues where people meet sexual partners and measured the need and potential for venue-based prevention. Methods Interviews were conducted in 7 Madagascar towns with 1) community informants to identify social venues, 2) individuals socializing at a sample of venues to assess sexual behavior among venue patrons, and 3) venue representatives to assess the potential for venue-based intervention. Results Community informants identified numerous venues (range: 67–211 venues, depending on the town); streets, bars, and hotels were most commonly reported. Among 2982 individuals socializing at venues, 78% of men and 74% of women reported new sexual partnership or sex trade for money, goods, or services in the past 4 weeks and 19% of men and 18% of women reported symptoms suggestive of STI in the past 4 weeks. STI symptom levels were disproportionately high among respondents reporting either sex trade or new sexual partnership in the past 4 weeks. Twenty-eight percent of men and 41% of women reported condom use during the last sex act with a new partner. Although 24% to 45% of venues had hosted STI/HIV interventions, interventions were deemed possible at 73% to 90% venues according to 644 interviews with venue representatives. Conclusions Venue-based intervention is possible and would reach a spectrum of populations vulnerable to STI/HIV including sex workers, their clients, and other high-risk populations. PMID:18496471

  7. HIV Risk Factors among Pregnant and Non-Pregnant High-Risk Women in New York City.

    Science.gov (United States)

    Deren, Sherry; And Others

    1993-01-01

    Compared high-risk pregnant (n=55) and nonpregnant (n=598) women from Harlem on human immunodeficiency virus-related drug and sexual risk behaviors. Found higher percentage of intravenous drug users (IVDUs) among nonpregnant women and no significant differences between pregnant and nonpregnant IVDUs in terms of needle risk behaviors. Pregnant…

  8. Impact of ecological diversity on genetic and phytochemical variation injuniperus excelsa from high elevation zones of quetta valley, pakistan

    International Nuclear Information System (INIS)

    Seed, S.; Barozai, M.Y.K.; Ahmed, A.; Tareen, R.B.

    2017-01-01

    Juniperusexcelsa (Cupressaceae) is an evergreen tree and the second most diverse group of the conifers distributed abundantly in high elevation zones of Balochistan. Genetic and phytochemical variations in three naturally occurring populations of J.excelsa were analysed. Genetic variability was assessed by different molecular markers (RAPD, ISSR and URP) with an objective to use genetic diversity as a key to conserve the taxon which is also known as living fossil as dominated in Mesozoic era. Genetic diversity was assessed by polymorphic bands to generate a dendrogram based on UPGMA. Using tested markers, 116 bands were amplified out of which 67 bands were polymorphic with an average value of 8.37 (57%) bands per primer. Based on data, a cluster dendrogram was prepared that exhibited the mean genetic similarity matrix as 0.57 and two major clusters diverge at 0.49. The genetic similarity coefficient among all accessions ranged from 0.35 to 0.90. In phytochemical analysis, total phenolic and flavonoid contents were estimated and compared among all accessions. Ecological characteristics of the study sites were measured to check their impact on genetic and chemical variation. Soil properties were analyzed for Principal Component Analysis. Chemical variation of J. excelsa of three sites revealed by dissimilarity matrix exhibiting genetic distance based on TPC and Flavonoids. Cluster analysis represent two major groups. Mean concentration of TPC and flavonoids were 56+-9.15 and 150+-27.9 mg/g respectively. PCA of soil considered three factors had Eigen values >1 and explain cumulatively 4.60 %, 26.02% and 10.36 % of the variance. First factor was positively correlated with second and fifth, but negatively correlated with other factors. In conclusion, molecular marker profiling together with phytochemical variation of total phenolic and flavonoid content in all accessions of Juniperusexcelsa and impact of ecological diversity on Genetic and chemical variation can be used

  9. 2017 Taiwan lipid guidelines for high risk patients.

    Science.gov (United States)

    Li, Yi-Heng; Ueng, Kwo-Chang; Jeng, Jiann-Shing; Charng, Min-Ji; Lin, Tsung-Hsien; Chien, Kuo-Liong; Wang, Chih-Yuan; Chao, Ting-Hsing; Liu, Ping-Yen; Su, Cheng-Huang; Chien, Shih-Chieh; Liou, Chia-Wei; Tang, Sung-Chun; Lee, Chun-Chuan; Yu, Tse-Ya; Chen, Jaw-Wen; Wu, Chau-Chung; Yeh, Hung-I

    2017-04-01

    In Taiwan, the prevalence of hyperlipidemia increased due to lifestyle and dietary habit changes. Low density lipoprotein cholesterol (LDL-C) and non-high density lipoprotein cholesterol (non-HDL-C) are all significant predicting factors of coronary artery disease in Taiwan. We recognized that lipid control is especially important in patients with existed atherosclerotic cardiovascular diseases (ASCVD), including coronary artery disease (CAD), ischemic stroke and peripheral arterial disease (PAD). Because the risk of ASCVD is high in patients with diabetes mellitus (DM), chronic kidney disease (CKD) and familial hypercholesterolemia (FH), lipid control is also necessary in these patients. Lifestyle modification is the first step to control lipid. Weight reduction, regular physical exercise and limitation of alcohol intake all reduce triglyceride (TG) levels. Lipid-lowering drugs include HMG-CoA reductase inhibitors (statins), cholesterol absorption inhibitors (ezetimibe), proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors, nicotinic acids (niacin), fibric acids derivatives (fibrates), and long-chain omega-3 fatty acids. Statin is usually the first line therapy. Combination therapy with statin and other lipid-lowering agents may be considered in some clinical settings. For patients with acute coronary syndrome (ACS) and stable CAD, LDL-C ACS patients with DM. After treating LDL-C to target, non-HDL-C can be considered as a secondary target for patients with TG ≥ 200 mg/dL. The suggested non-HDL-C target is ACS and CAD patients. For patients with ischemic stroke or transient ischemic attack presumed to be of atherosclerotic origin, statin therapy is beneficial and LDL-C 40 in men and >50 mg/dL in women in DM. LDL-C increased CV risk in patients with CKD. In adults with glomerular filtration rate (GFR) < 60 mL/min/1.73m 2 without chronic dialysis (CKD stage 3-5), statin therapy should be initiated if LDL-C ≥ 100 mg/dL. Ezetimibe can be added to

  10. Construction Guide to Next-Generation High-Performance Walls in Climate Zones 3-5 - Part 1: 2x6 Walls

    Energy Technology Data Exchange (ETDEWEB)

    Kochkin, V. [Home Innovation Research Labs, Upper Marlboro, MD (United States); Wiehagen, J. [Home Innovation Research Labs, Upper Marlboro, MD (United States)

    2017-08-31

    Part 1 of this Construction Guide to High-Performance Walls in Climate Zones 3-5 provides time-proven, practical, and cost-effective strategies for constructing durable, energy-efficient walls. It addresses walls constructed with 2x6 wood frame studs, wood structural panel (WSP) exterior sheathing, and a cladding system installed over WSP sheathing in low-rise residential buildings up to three stories high.

  11. Subventricular zone predicts high velocity of tumor expansion and poor clinical outcome in patients with low grade astrocytoma.

    Science.gov (United States)

    Wen, Bing; Fu, Feixian; Hu, Liangbo; Cai, Qiuyi; Xie, Junshi

    2018-05-01

    The aim of this study is to clarify the association between subventricular zone (SVZ) involvement and velocity of diametric expansion(VDE) in patients with low-grade astrocytoma and also assessed the clinical outcome of those patients. A total of 168 adult patients with newly diagnosed supratentorial low-grade astrocytoma were studied retrospectively. There were 73 patients had SVZ involvement. Patients with SVZ involvement(7.16 ± 6.53 mm/y) had a higher VDE than patients without SVZ involvement(4.38 ± 5.35 mm/y). VDE was modeled as a categorical variable(<4, ≥4 and, <8, ≥8 and, <12, ≥12 mm/y). Logistic regression showed that SVZ involvement was associated with high VDE after adjusting by confounding variables. On the univariate analysis, the results showed that tumor involved with SVZ, VDE ≥ 4 mm/y, VDE ≥ 8 mm/y, and VDE ≥ 8 mm/y were significant predictors of a shorter OS, progression-free survival (PFS) and malignant progression-free survival (MFS)(all p <0.05). The categorical variables of VDE (<4 mm/y, ≥4 mm/y and, <8 mm/y, ≥8 mm/y and, <12 mm/y, ≥12 mm/y) were adjusted by confounding variables in multivariate analysis, respectively. The results indicated that VDE ≥ 8 mm/y, VDE ≥ 12 mm/y were worse prognostic factors for OS, while VDE ≥ 4 mm/y, VDE ≥ 8 mm/y and VDE ≥ 12 mm/y were related to shorter PFS and MFS. In addition, SVZ involvement was prognostic factors in predicting OS and PFS except MFS. Our results demonstrated that SVZ involvement predicted high VDE and worse clinical outcome, and high VDE was associated with poor prognosis in patients with low-grade astrocytoma. Copyright © 2018 Elsevier B.V. All rights reserved.

  12. Patients who reattend after head injury: a high risk group.

    Science.gov (United States)

    Voss, M.; Knottenbelt, J. D.; Peden, M. M.

    1995-01-01

    OBJECTIVE--To assess risk factors for important neurosurgical effects in patients who reattend after head injury. DESIGN--Retrospective study. SUBJECTS--606 patients who reattended a trauma unit after minor head injury. MAIN OUTCOME MEASURES--Intracranial abnormality detected on computed tomography or the need for neurosurgical intervention. RESULTS--Five patients died: two from unrelated causes and three from raised intracranial pressure. On multiple regression analysis the only significant predictor for both abnormality on computed tomography (14.4% of reattenders) and the need for operation (5% of reattenders) was vault fracture seen on the skull radiograph (P personality change, and seizures were significantly associated only with abnormality on computed tomography. Headache, dizziness, nausea, and vomiting were common in reattenders but were found to have no independent significance. CONCLUSIONS--All patients who reattend after head injury should undergo computed tomography as at least 14% of scans can be expected to yield positive results. Where this facility is not available patients with predictors for operation should be urgently referred for neurosurgical opinion. Other patients can be readmitted and need referral only if symptoms persist despite symptomatic treatment or there is neurological deterioration while under observation. These patients are a high risk group and should be treated seriously. PMID:8520273

  13. High-risk bladder cancer: improving outcomes with perioperative chemotherapy

    Directory of Open Access Journals (Sweden)

    Daniel Y.C. Heng

    2011-12-01

    Full Text Available Despite treatment with radical cystectomy and pelvic lymph node dissection, muscle invasive bladder cancer has a relapse rate of 50%. Patients can develop regionally advanced or metastatic disease that ultimately leads to death. The addition of neoadjuvant or adjuvant chemotherapy to reduce the risk of relapse and death has been extensively studied over the past two decades. Two contemporary trials coupled with a recent meta-analysis evaluating neoadjuvant chemotherapy demonstrated a modest but real improvement in overall survival. This has made neoadjuvant chemotherapy a standard of care. Clinical trials evaluating adjuvant chemotherapy in patients with high-risk disease have been plagued with statistical flaws and have, therefore, been unable to define the survival impact of this approach. It is hoped that ongoing adjuvant trials that are powered to detect small but meaningful clinical differences will clarify the benefit of chemotherapy after cystectomy. Since there are theoretical advantages and disadvantages to each of these approaches, both are widely used in North America. The evidence behind each approach and potential future developments in this field will be described.

  14. [Preservation of high risk fungal cultures of Histoplasma and Cryptococcus].

    Science.gov (United States)

    Fernández Andreu, C Carlos Manuel; Díaz Suárez, Luis Alberto; Ilnait Zaragozi, María Teresa; Aragonés López, Carlos; Martínez Machín, Gerardo; Perurena Lancha, Mayda R

    2012-01-01

    culture collections are responsible for providing the microbial resources for development of biological sciences. Storage in distilled water is one of the easiest and least expensive method for long-term fungal preservation. to evaluate the usefulness of this preservation method in fungal culture of Histoplasma and Cryptococcus. the preservation condition of the highest biological risk species from Histoplasma y Cryptococcus genera, included in the fungal culture collection of "Pedro Kouri" Institute of Tropical Medicine in Havana, was evaluated in this study. One hundred and two strains stored in distilled water, 92% of which had been preserved for more than 10 years, were analyzed. the percentages of recovered strains from H. capsulatum, C. neoformans and C. gattii were 64.3%; 79.1% and 100% respectively. This method of preservation proved to be satisfactory for fungal culture in labs with limited financial resources. A web-based database with interesting information about the collection was made. The importance of strict compliance with the biosafety measures in these collections, particularly with high risk pathogens. preservation of fungal cultures in distilled water is a very useful method for laboratories with limited resources. Culture collections should be assumed as an essential activity in order to solve increasing challenges in the development of biomedical sciences.

  15. Mechanism of formation of a zone without vacancy pores along a surface under electron irradiation of a metal in the high-volt electron microscope

    International Nuclear Information System (INIS)

    Golubov, S.I.; Konobeev, Yu.V.; Ryabov, V.A.

    1981-01-01

    Formation mechanism of zones free of vacancy pores near the vacant surface of a metal preliminary irradiated at a high neutron dose when irradiating with electrons in a high-voltage electron microscope has been suggested. It was assumed to explain experimentally observed values of width and time of such zone formation that interstitial atoms are reflected from foil surface while boundary serves as an ideal sink for the vacancies. The carried out calculation of stationary equations of vacancy and interstitial diffusion with the mentioned boundary condition has shown that determination of a stable zone width is possible only in assumption on a variable in a depth of dislocation density. Theoretical evaluations of a zone width being in good agreement with an experiment and with the results of numerical calculations have been obtained in negligence of recombination of point defects as well as for the case of total reflection of interstitials. Discussed are different mechanisms of weak capture of proper interstitial atoms diffusing to it with the metal surface [ru

  16. Cyberbullying in those at clinical high risk for psychosis.

    Science.gov (United States)

    Magaud, Emilie; Nyman, Karissa; Addington, Jean

    2013-11-01

    Several studies suggest an association between experiences of childhood trauma including bullying and the development of psychotic symptoms. The use of communications technology has created a new media for bullying called 'cyberbullying'. Research has demonstrated associations between traditional bullying and cyberbullying. Negative effects of cyberbullying appear similar in nature and severity to the reported effects of traditional bullying. Our aim was to examine the prevalence and correlates of cyberbullying in those at clinical high risk (CHR) for psychosis. Fifty young people at CHR for psychosis were administered the Childhood Trauma Questionnaire with added questions about cyberbullying. Cyberbullying was reported in 38% of the sample. Those who experienced cyberbullying also reported experiencing previous trauma. It is possible that cyberbullying may be a problem for those at CHR of psychosis, and due to the vulnerable nature of these young people may have longitudinal implications. © 2013 Wiley Publishing Asia Pty Ltd.

  17. Recommendations of activity restriction in high-risk pregnancy scenarios

    DEFF Research Database (Denmark)

    Bendix, Jane; Hegaard, Hanne Kristine; Bergholt, Thomas

    2015-01-01

    activity restriction more often than obstetricians in five of the nine scenarios, in women with preterm premature rupture of membranes, preterm labour, cervical ripening, total placenta praevia, and intrauterine growth restriction, whereas no differences were found in the remaining scenarios. Compared...... to the obstetricians, the midwives also reported that they expected the recommendation to be more effective. Most midwives and obstetricians reported that they thought strict activity restriction was associated with severe or moderate adverse effect, and recommended antithrombotic prophylaxis. Conclusions: Danish...... obstetricians and midwives prescribe activity restriction in most high-risk pregnancies. The degree of activity restriction and the presumed effect vary between clinicians. This may reflect different attitudes and lack of guidelines based on clinical studies of a possible benefit of activity restriction....

  18. High-sulfur coal: tonnage and money at risk

    International Nuclear Information System (INIS)

    McMahan, R.L.; Knutson, K.S.

    1991-01-01

    More than 286 million tons of coal exceeds the Phase I standard i.e. 2.5 lb SO 2 per mmBtu, of the US Clean Air Act (1990). 85 mmtpy goes to currently scrubbed or unaffected (i.e. small) units. This leaves 201 mmtpy of high-sulphur coal at risk. 129 mmtpy of this is moving on a spot basis or is shipped under contracts that expire by 1995. This leaves about 72 mmtpy of captive and longterm contracts which many utility fuel buyers assume will be cancelled or renegotiated at a lower price. The legal position remains uncertain. However, the massive cancellation and/or renegotiation of existing contracts will have a tremendous economic impact on the coal industry. The resultant price change will in turn influence decisions to scrub or switch to low sulphur coals. 2 figs., 2 tabs

  19. Condom availability in high risk places and condom use

    DEFF Research Database (Denmark)

    Sandøy, Ingvild Fossgard; Blystad, Astrid; Shayo, Elizabeth H.

    2012-01-01

    study findings indicate that substantial further efforts should be made to secure that condoms are easily accessible in places where sexual relationships are initiated. Although condom distribution in drinking places has been pinpointed in the HIV/AIDS prevention strategies of all the three countries......Background A number of studies from countries with severe HIV epidemics have found gaps in condom availability, even in places where there is a substantial potential for HIV transmission. Although reported condom use has increased in many African countries, there are often big differences...... in the availability of condoms in places where people meet new sexual partners in these three African districts. Considering that previous studies have found that improved condom availability and accessibility in high risk places have a potential to increase condom use among people with multiple partners, the present...

  20. Risk assessment of electric generation systems with high wind penetration

    International Nuclear Information System (INIS)

    Salgado Duarte, Yorlandys; Castillo Serpa, Alfredo M. del

    2017-01-01

    The research evaluates the risk function of an Electric Generation System (SGE) with high wind power penetration using the Sequential Monte Carlo Simulation (SMCS) method, which allows calculating indicators that characterize the performance of the SGE with expected average values. The research uses a Markov model of two states or four states according to the characteristics of the generator to simulate the instantaneous capacity. The primary sources of each conventional generator are assumed to be always available; however, wind power depends on the wind behavior in each analyzed region. In this research, the Chronological Series and Weibull models are used to model the wind behavior, and the analyzes are performed in the IEEE-RTS system. The work shows that the behavior of the probabilistic indicators used to analyze the static capacity of the SGE is determined by the model used to simulate the stochastic of the generators and by the primary energy source. (author)

  1. Chagas disease, a risk factor for high blood pressure.

    Science.gov (United States)

    Vicco, Miguel Hernán; Rodeles, Luz; Yódice, Agustina; Marcipar, Iván

    2014-12-01

    Chagas disease is a parasite infection caused by the protozoan Trypanosoma cruzi. Its most common complications is chronic Chagas heart disease but impairments of the systemic vasculature also has been observed. Although the different mechanisms that regulate blood pressure are disrupted, to our knowledge data on the association of hypertension and chronic Chagas disease are scarce. In this regard we evaluate whether Chagas disease constitutes a high blood pressure risk factor. We recruited 200 individuals, half of them with positive serology for T. cruzi. They were subjected to a complete clinical examination. The mean age of sampled individuals was 46.7 ± 12.3, and the mean of systolic and diastolic blood pressure were 124 ± 12 mmHg and 82 ± 10 mmHg, respectively. There were no between-group differences regarding age, sex distribution or body mass index. Chagas disease contributed significantly to high blood pressure (OR = 4, 95% CI 1.8323-7.0864, p = 0.0002). Our results reveal an important association between Chagas disease and high blood pressure, which should be contemplated by physicians in order to promote preventive cardiovascular actions in patients with Chagas disease.

  2. Variation in readmission expenditures after high-risk surgery.

    Science.gov (United States)

    Jacobs, Bruce L; He, Chang; Li, Benjamin Y; Helfand, Alex; Krishnan, Naveen; Borza, Tudor; Ghaferi, Amir A; Hollenbeck, Brent K; Helm, Jonathan E; Lavieri, Mariel S; Skolarus, Ted A

    2017-06-01

    The Hospital Readmissions Reduction Program reduces payments to hospitals with excess readmissions for three common medical conditions and recently extended its readmission program to surgical patients. We sought to investigate readmission intensity as measured by readmission cost for high-risk surgeries and examine predictors of higher readmission costs. We used the Healthcare Cost and Utilization Project's State Inpatient Database to perform a retrospective cohort study of patients undergoing major chest (aortic valve replacement, coronary artery bypass grafting, lung resection) and major abdominal (abdominal aortic aneurysm repair [open approach], cystectomy, esophagectomy, pancreatectomy) surgery in 2009 and 2010. We fit a multivariable logistic regression model with generalized estimation equations to examine patient and index admission factors associated with readmission costs. The 30-d readmission rate was 16% for major chest and 22% for major abdominal surgery (P readmission costs for both chest (odds ratio [OR]: 1.99; 95% confidence interval [CI]: 1.60-2.48) and abdominal surgeries (OR: 1.86; 95% CI: 1.24-2.78). Comorbidities, length of stay, and receipt of blood or imaging was associated with higher readmission costs for chest surgery patients. Readmission >3 wk after discharge was associated with lower costs among abdominal surgery patients. Readmissions after high-risk surgery are common, affecting about one in six patients. Predictors of higher readmission costs differ among major chest and abdominal surgeries. Better identifying patients susceptible to higher readmission costs may inform future interventions to either reduce the intensity of these readmissions or eliminate them altogether. Copyright © 2017 Elsevier Inc. All rights reserved.

  3. Pre-Irradiation Chemotherapy in High Risk Medulloblastoma

    International Nuclear Information System (INIS)

    Abd-El-Aal, H.

    2006-01-01

    Rationale: The present study evaluates the effect of pre-irradiation chemotherapy in pediatric patients with high risk medulloblastoma. Twenty-four (24) pediatric patients attended the pediatric unit of Kasr-EI-Aini Center of Radiation Oncology and Nuclear Medicine (NEMROCK) from January 2000 to January 2003. Patients and Methods: Our patients were 13 boys and II girls aged 3-12 years with a median of 6.5 years. According to Chang staging system 6 cases had T2, 14 cases had T3 A and 4 cases had T3 B, 20 cases were M0, 3 cases were M I and I case was M2. All patients were treated by initial surgery, 2 cycles of pre-irradiation chemotherapy followed by craniospinal radiation then by 4 cycles of post-radiation chemotherapy. Results: Fifteen out of the 20 patients with M0 had objective response (10CR + 5PR) and no one had disease progression after pre-irradiation chemotherapy. Among 4 patients with M0 disease, 2 patients had PR and 2 had S.D. There was no disease progression among patients who received pre-irradiation chemotherapy. The 3-year overall survival and 3-year progression-free survival; (PFS) were 50% and 51 %, respectively, Myelosuppression was the main toxic effect observed during pre-irradiation chemotherapy; however, there was no delay or interruption of craniospinal irradiation. Conclusion: Pre-irradiation chemotherapy is effective in high risk medulloblastoma and is associated with acceptable side effects. The delay in craniospinal irradiation (CSI) for about 5 weeks to receive 2 courses of chemotherapy will not significantly increase disease progression. Multiple cycles of post-irradiation chemotherapy can be given safely after C51. A larger number of patients and longer follow-up is needed to confirm the results

  4. Buffer Zone Requirements for Soil Fumigant Applications

    Science.gov (United States)

    Updated pesticide product labels require fumigant users to establish a buffer zone around treated fields to reduce risks to bystanders. Useful information includes tarp testing guidance and a buffer zone calculator.

  5. Buffer Zone Sign Template

    Science.gov (United States)

    The certified pesticide applicator is required to post a comparable sign, designating a buffer zone around the soil fumigant application block in order to control exposure risk. It must include the don't walk symbol, product name, and applicator contact.

  6. Development of innovative methods for risk assessment in high-rise construction based on clustering of risk factors

    Science.gov (United States)

    Okolelova, Ella; Shibaeva, Marina; Shalnev, Oleg

    2018-03-01

    The article analyses risks in high-rise construction in terms of investment value with account of the maximum probable loss in case of risk event. The authors scrutinized the risks of high-rise construction in regions with various geographic, climatic and socio-economic conditions that may influence the project environment. Risk classification is presented in general terms, that includes aggregated characteristics of risks being common for many regions. Cluster analysis tools, that allow considering generalized groups of risk depending on their qualitative and quantitative features, were used in order to model the influence of the risk factors on the implementation of investment project. For convenience of further calculations, each type of risk is assigned a separate code with the number of the cluster and the subtype of risk. This approach and the coding of risk factors makes it possible to build a risk matrix, which greatly facilitates the task of determining the degree of impact of risks. The authors clarified and expanded the concept of the price risk, which is defined as the expected value of the event, 105 which extends the capabilities of the model, allows estimating an interval of the probability of occurrence and also using other probabilistic methods of calculation.

  7. Risk of vertebral fracture after menopause: detection of high risk subjects by dual photon absorptiometry

    International Nuclear Information System (INIS)

    Coutris, G.; Talbot, J.N.; Kiffel, T.; Paus, L.; Milhaud, G.

    1985-01-01

    Dual photon absorptiometry of bone is used to detect in an exposed population those subjects who are high risk of fracture and also to follow up the evolution of these patients. 37 women who have suffered fractures have been compared to 41 women without fractures of similar age distribution. A highly significant correlation between body height and Bone Mineral Content (BMC) of the lumbar spine is found in the control group thus allowing the calculation of the expected BMC value for each patient. A crushing index is defined as the ratio of the observed BMC value to the expected one. Using this index, instead of the two more usual modes of BMC expression, leads to an improvement of the predictive estimation of fracture risk. The predictive value of such indices should still be improved. With this aim, further determinations of indices are desirable. The following requirements should be borne in mind: the physical data should be easily obtainable e.g. body height and weight and the meaning of the index based on these easily verifiable factors they should be easily understood [fr

  8. Spatio-temporal assessment of soil erosion risk in different agricultural zones of the Inle Lake region, southern Shan State, Myanmar.

    Science.gov (United States)

    Htwe, Thin Nwe; Brinkmann, Katja; Buerkert, Andreas

    2015-10-01

    Myanmar is one of Southeast Asia's climatically most diverse countries, where sheet, rill, and gully erosion affect crop yields and subsequently livelihood strategies of many people. In the unique wetland ecosystem of Inle Lake, soil erosion in surrounding uplands lead to sedimentation and pollution of the water body. The current study uses the Revised Universal Soil Loss Equation (RUSLE) to identify soil erosion risks of the Inle Lake region in space and time and to assess the relationship between soil erosion and degradation for different agricultural zones and cropping systems. Altogether, 85% of soil losses occurred on barren land along the steep slopes. The hotspot of soil erosion risk is situated in the western uplands characterized by unsustainable land use practices combined with a steep topography. The estimated average soil losses amounted to 19.9, 10.1, and 26.2 t ha(-1) yr(-1) in 1989, 2000, and 2009, respectively. These fluctuations were mainly the results of changes in precipitation and land cover (deforestation (-19%) and expansion of annual cropland (+35%) from 1989 to 2009). Most farmers in the study area have not yet adopted effective soil protection measures to mitigate the effects of soil erosion such as land degradation and water pollution of the lake reservoir. This urgently needs to be addressed by policy makers and extension services.

  9. Risk Analysis Of Collision Between Passenger Ferry And Chemical Tanker In The Western Zone Of The Baltic Sea

    Directory of Open Access Journals (Sweden)

    Przywarty Marcin

    2015-04-01

    Full Text Available This paper presents assumptions and process of the forming of a risk assessment model for collision between a passenger ferry departing from or approaching port of Świnoujście and a chemical tanker carrying a dangerous cargo. In order to assess navigational safety on the basis of data obtained from AIS system, were prepared probabilistic domains of ships, which made it possible to estimate number of navigational incidents as well as their spatial distribution, that consequently allowed to determine potentially dangerous areas. The next phase was formulation of a simulative model intended for the calculating of probability of collision between the ferry and chemical tanker as well as the determining of characteristic scenarios for such collision. This paper presents also an analysis of consequences of the collision with taking into consideration a damage of cargo tanks.

  10. Volcanic Risk Perception and Preparedness in Communities within the Mount Baker and Glacier Peak Lahar Hazard Zones

    Science.gov (United States)

    Corwin, K.; Brand, B. D.

    2014-12-01

    A community's ability to effectively respond to and recover from natural hazards depends on both the physical characteristics of the hazard and the community's inherent resilience. Resilience is shaped by a number of factors including the residents' perception of and preparedness for a natural hazard as well as the level of institutional preparedness. This study examines perception of and preparedness for lahar hazards from Mount Baker and Glacier Peak in Washington's Skagit Valley. Through an online survey, this study isolates the influence of specific variables (e.g., knowledge, past experience, scientific background, trust in various information sources, occupation, self-efficacy, sense of community) on risk perception and explores reasons behind the frequent disconnect between perception and preparedness. We anticipate that individuals with more extensive education in the sciences, especially geology or earth science, foster greater trust in scientists and a more accurate knowledge, understanding, and perception of the volcanic hazards in their community. Additionally, little research exists examining the extent to which first responders and leaders in response-related institutions prepare on a personal level. Since these individuals work toward community preparedness professionally, we hypothesize that they will be more prepared at home than members of the general public. Finally, the Skagit Valley has a significant history of flooding. We expect that the need to respond to and recover from frequent flooding creates a community with an inherently higher level of preparedness for other hazards such as lahars. The results of this study will contribute to the understanding of what controls risk perception and the interplay between perception and preparedness. At a broader level, this study provides local and state-level emergency managers information to evaluate and improve response capabilities and communication with the public and key institutions in order to

  11. Studies of some risk factors for re-introduction and spread of highly ...

    African Journals Online (AJOL)

    High risk based poultry management and marketing procedures, inadequate poultry housing were areas of major concern in these states. Future high ... Key words: Risk factors, avian influenza, spread, Nigeria ... AJOL African Journals Online.

  12. Implant therapy in the esthetic zone: smile line assessment.

    Science.gov (United States)

    Kourkouta, Stella

    2011-04-01

    Assessment of the smile or lip line is imperative when implant therapy is carried out in the esthetic zone. The smile is generally defined as high, average, or low. Females are reported to have higher lip lines than males, which means that they are at greater risk when placing and restoring implants in the esthetic zone. Maximum upper lip elevation, usually observed during a strained posed smile, should be assessed. This paper discusses some clinical observations and concepts in relation to smile line assessment for implant therapy in the esthetic zone. (Int J Periodontics Restorative Dent 2011;31:195-201.).

  13. High risk HPV testing following treatment for cervical intraepithelial neoplasia.

    Science.gov (United States)

    Molloy, M; Comer, R; Rogers, P; Dowling, M; Meskell, P; Asbury, K; O'Leary, M

    2016-11-01

    To determine the results of combined cytology and high-risk human papilloma virus (HR HPV) tests at 6 and 18 months postcolposcopy treatment at one Irish colposcopy centre. All women who attended the centre's colposcopy smear clinic for a co-test 6 months (initial test) posttreatment were included in the audit (n = 251). The results revealed negative HR HPV for 79 % (n = 198) of women tested 6 months after treatment and positive results for 21 % (n = 53). HR HPV testing was more sensitive than cytology and led to early detection of residual disease. No women with negative HR HPV had high-grade cytology. HR HPV is more sensitive than cytology for detection of persistent CIN. However, 19 women with positive HR HPV had normal colposcopy with no persistent CIN detected. A national cost-benefit analysis is recommended to determine the value of the second co-test.

  14. Risk communication system for high level radioactive waste disposal

    International Nuclear Information System (INIS)

    Kugo, Akihide; Uda, Akinobu; Shimoda, Hirosi; Yoshikawa, Hidekazu; Ito, Kyoko; Wakabayashi, Yasunaga

    2005-01-01

    In order to gain a better understanding and acceptance of the task of implementing high level radioactive waste disposal, a study on new communication system about social risk information has been initiated by noticing the rapid expansion of Internet in the society. First, text mining method was introduced to identify the core public interest, examining public comments on the technical report of high level radioactive waste disposal. Then we designed the dialog-mode contents based on the theory of norm activation by Schwartz. Finally, the discussion board was mounted on the web site. By constructing such web communication system which includes knowledge base contents, introspective contents, and interactive discussion board, we conducted the experiment for verifying the principles such as that the basic technical knowledge and trust, and social ethics are indispensable in this process to close the perception gap between nuclear specialists and the general public. The participants of the experiment increased their interest in the topics with which they were not familiar and actively posted their opinions on the BBS. The dialog-mode contents were significantly more effective than the knowledge-based contents in promoting introspection that brought people into a greater awareness of problems such as social dilemma. (author)

  15. The role of risk perceptions in the risk mitigation process: The case of wildfire in high risk communities

    Science.gov (United States)

    Wade E. Martin; Ingrid M. Martin; Brian Kent

    2009-01-01

    An important policy question receiving considerable attention concerns the risk perception-risk mitigation process that guides how individuals choose to address natural hazard risks. This question is considered in the context of wildfire. We analyze the factors that influence risk reduction behaviors by homeowners living in the wildland-urban interface. The factors...

  16. To kill a kangaroo: understanding the decision to pursue high-risk/high-gain resources.

    Science.gov (United States)

    Jones, James Holland; Bird, Rebecca Bliege; Bird, Douglas W

    2013-09-22

    In this paper, we attempt to understand hunter-gatherer foraging decisions about prey that vary in both the mean and variance of energy return using an expected utility framework. We show that for skewed distributions of energetic returns, the standard linear variance discounting (LVD) model for risk-sensitive foraging can produce quite misleading results. In addition to creating difficulties for the LVD model, the skewed distributions characteristic of hunting returns create challenges for estimating probability distribution functions required for expected utility. We present a solution using a two-component finite mixture model for foraging returns. We then use detailed foraging returns data based on focal follows of individual hunters in Western Australia hunting for high-risk/high-gain (hill kangaroo) and relatively low-risk/low-gain (sand monitor) prey. Using probability densities for the two resources estimated from the mixture models, combined with theoretically sensible utility curves characterized by diminishing marginal utility for the highest returns, we find that the expected utility of the sand monitors greatly exceeds that of kangaroos despite the fact that the mean energy return for kangaroos is nearly twice as large as that for sand monitors. We conclude that the decision to hunt hill kangaroos does not arise simply as part of an energetic utility-maximization strategy and that additional social, political or symbolic benefits must accrue to hunters of this highly variable prey.

  17. From the lab - Predicting Autism in High-Risk Infants | NIH MedlinePlus the Magazine

    Science.gov (United States)

    ... High-Risk Infants Follow us Photo: iStock Predicting Autism in High-Risk Infants AN NIH-SUPPORTED STUDY ... high-risk, 6-month-old infants will develop autism spectrum disorder by age 2. Such a tool ...

  18. A Transition Zone Showing Highly Discontinuous or Alternating Levels of Stem Cell and Proliferation Markers Characterizes the Development of PTEN-Haploinsufficient Colorectal Cancer.

    Science.gov (United States)

    Arvai, Kevin J; Hsu, Ya-Hsuan; Lee, Lobin A; Jones, Dan

    2015-01-01

    Stepwise acquisition of oncogene mutations and deletion/inactivation of tumor suppressor genes characterize the development of colorectal cancer (CRC). These genetic events interact with discrete morphologic transitions from hyperplastic mucosa to adenomatous areas, followed by in situ malignant transformation and finally invasive carcinoma. The goal of this study was to identify tissue markers of the adenoma-carcinoma morphogenetic transitions in CRC. We analyzed the patterns of expression of growth regulatory and stem cell markers across these distinct morphologic transition zones in 735 primary CRC tumors. In 202 cases with preserved adenoma-adenocarcinoma transition, we identified, in 37.1% of cases, a zone of adenomatous epithelium, located immediately adjacent to the invasive component, that showed rapidly alternating intraglandular stretches of PTEN+ and PTEN- epithelium. This zone exactly overlapped with similar alternating expression of Ki-67 and inversely with the transforming growth factor-beta (TGF-β) growth regulator SMAD4. These zones also show parallel alternating levels and/or subcellular localization of multiple cancer stem/progenitor cell (CSC) markers, including β-catenin/CTNNB1, ALDH1, and CD44. PTEN was always re-expressed in the invasive tumor in these cases, unlike those with complete loss of PTEN expression. Genomic microarray analysis of CRC with prominent CSC-like expansions demonstrated a high frequency of PTEN genomic deletion/haploinsufficiency in tumors with CSC-like transition zones (62.5%) but not in tumors with downregulated but non-alternating PTEN expression (14.3%). There were no significant differences in the levels of KRAS mutation or CTNNB1 mutation in CSC-like tumors as compared to unselected CRC cases. In conclusion, we have identified a distinctive CSC-like pre-invasive transition zone in PTEN-haploinsufficient CRC that shows convergent on-off regulation of the PTEN/AKT, TGF-β/SMAD and Wnt/β-catenin pathways. This

  19. A Transition Zone Showing Highly Discontinuous or Alternating Levels of Stem Cell and Proliferation Markers Characterizes the Development of PTEN-Haploinsufficient Colorectal Cancer.

    Directory of Open Access Journals (Sweden)

    Kevin J Arvai

    Full Text Available Stepwise acquisition of oncogene mutations and deletion/inactivation of tumor suppressor genes characterize the development of colorectal cancer (CRC. These genetic events interact with discrete morphologic transitions from hyperplastic mucosa to adenomatous areas, followed by in situ malignant transformation and finally invasive carcinoma. The goal of this study was to identify tissue markers of the adenoma-carcinoma morphogenetic transitions in CRC.We analyzed the patterns of expression of growth regulatory and stem cell markers across these distinct morphologic transition zones in 735 primary CRC tumors. In 202 cases with preserved adenoma-adenocarcinoma transition, we identified, in 37.1% of cases, a zone of adenomatous epithelium, located immediately adjacent to the invasive component, that showed rapidly alternating intraglandular stretches of PTEN+ and PTEN- epithelium. This zone exactly overlapped with similar alternating expression of Ki-67 and inversely with the transforming growth factor-beta (TGF-β growth regulator SMAD4. These zones also show parallel alternating levels and/or subcellular localization of multiple cancer stem/progenitor cell (CSC markers, including β-catenin/CTNNB1, ALDH1, and CD44. PTEN was always re-expressed in the invasive tumor in these cases, unlike those with complete loss of PTEN expression. Genomic microarray analysis of CRC with prominent CSC-like expansions demonstrated a high frequency of PTEN genomic deletion/haploinsufficiency in tumors with CSC-like transition zones (62.5% but not in tumors with downregulated but non-alternating PTEN expression (14.3%. There were no significant differences in the levels of KRAS mutation or CTNNB1 mutation in CSC-like tumors as compared to unselected CRC cases.In conclusion, we have identified a distinctive CSC-like pre-invasive transition zone in PTEN-haploinsufficient CRC that shows convergent on-off regulation of the PTEN/AKT, TGF-β/SMAD and Wnt

  20. U Plant Geographic Zone Cleanup Prototype

    International Nuclear Information System (INIS)

    Romine, L.D.; Leary, K.D.; Lackey, M.B.; Robertson, J.R.

    2006-01-01

    The U Plant geographic zone (UPZ) occupies 0.83 square kilometers on the Hanford Site Central Plateau (200 Area). It encompasses the U Plant canyon (221-U Facility), ancillary facilities that supported the canyon, soil waste sites, and underground pipelines. The UPZ cleanup initiative coordinates the cleanup of the major facilities, ancillary facilities, waste sites, and contaminated pipelines (collectively identified as 'cleanup items') within the geographic zone. The UPZ was selected as a geographic cleanup zone prototype for resolving regulatory, technical, and stakeholder issues and demonstrating cleanup methods for several reasons: most of the area is inactive, sufficient characterization information is available to support decisions, cleanup of the high-risk waste sites will help protect the groundwater, and the zone contains a representative cross-section of the types of cleanup actions that will be required in other geographic zones. The UPZ cleanup demonstrates the first of 22 integrated zone cleanup actions on the Hanford Site Central Plateau to address threats to groundwater, the environment, and human health. The UPZ contains more than 100 individual cleanup items. Cleanup actions in the zone will be undertaken using multiple regulatory processes and decision documents. Cleanup actions will include building demolition, waste site and pipeline excavation, and the construction of multiple, large engineered barriers. In some cases, different cleanup actions may be taken at item locations that are immediately adjacent to each other. The cleanup planning and field activities for each cleanup item must be undertaken in a coordinated and cohesive manner to ensure effective execution of the UPZ cleanup initiative. The UPZ zone cleanup implementation plan (ZCIP) [1] was developed to address the need for a fundamental integration tool for UPZ cleanup. As UPZ cleanup planning and implementation moves forward, the ZCIP is intended to be a living document that will

  1. A systemic ecological risk assessment based on spatial distribution and source apportionment in the abandoned lead acid battery plant zone, China.

    Science.gov (United States)

    Zhang, Yimei; Li, Shuai; Chen, Zhuang; Wang, Fei; Chen, Jie; Wang, Liqun

    2018-07-15

    In China, potential heavy metal hazard around abandoned lead-acid battery plant (ALBP) area has been a great concern but without detailed report. The distribution and sources of heavy metals in soils and so by risk assessment associated with ALBP are conducted in this contribution, based on geographies and statistics. Pb and Zn are quantitively identified to be still emitted from ALBP soil, and Cd as well As are from agricultural activity. We investigate vertical metal distribution, and fortunately find that metals migrate within limit of 40 cm below topsoil, which is higher than groundwater table. The visualized stable depths are Zn 40 cm, Pb, As 20 cm, and Cd 40 cm. The mapped pollution load index (PLI) suggests a high pollution level exists in ALBP soil. The estimation of potential ecological risk index (PERI) indicates a light ecological risk in studied area, while As and Cd mainly from agricultural activity possess 54% of total E ri . Health risk index (THI) is 0.178 for children, indicating non-cancer risks may be ignored in observed area. Though calculated risk is temporarily affordable, soil remediation and reduction of agricultural chemical reagents are recommended for preventing potential cumulative risk from further bioconcentration of heavy metals. Copyright © 2018 Elsevier B.V. All rights reserved.

  2. A high dietary glycemic index increases total mortality in a Mediterranean population at high cardiovascular risk.

    Directory of Open Access Journals (Sweden)

    Itandehui Castro-Quezada

    Full Text Available OBJECTIVE: Different types of carbohydrates have diverse glycemic response, thus glycemic index (GI and glycemic load (GL are used to assess this variation. The impact of dietary GI and GL in all-cause mortality is unknown. The objective of this study was to estimate the association between dietary GI and GL and risk of all-cause mortality in the PREDIMED study. MATERIAL AND METHODS: The PREDIMED study is a randomized nutritional intervention trial for primary cardiovascular prevention based on community-dwelling men and women at high risk of cardiovascular disease. Dietary information was collected at baseline and yearly using a validated 137-item food frequency questionnaire (FFQ. We assigned GI values of each item by a 5-step methodology, using the International Tables of GI and GL Values. Deaths were ascertained through contact with families and general practitioners, review of medical records and consultation of the National Death Index. Cox regression models were used to estimate multivariable-adjusted hazard ratios (HR and their 95% CI for mortality, according to quartiles of energy-adjusted dietary GI/GL. To assess repeated measures of exposure, we updated GI and GL intakes from the yearly FFQs and used Cox models with time-dependent exposures. RESULTS: We followed 3,583 non-diabetic subjects (4.7 years of follow-up, 123 deaths. As compared to participants in the lowest quartile of baseline dietary GI, those in the highest quartile showed an increased risk of all-cause mortality [HR = 2.15 (95% CI: 1.15-4.04; P for trend  = 0.012]. In the repeated-measures analyses using as exposure the yearly updated information on GI, we observed a similar association. Dietary GL was associated with all-cause mortality only when subjects were younger than 75 years. CONCLUSIONS: High dietary GI was positively associated with all-cause mortality in elderly population at high cardiovascular risk.

  3. Detection and evaluation of corrosion zones at high temperature in steam generators; Deteccion y evaluacion de zonas de corrosion en alta temperatura de generadoras de vapor

    Energy Technology Data Exchange (ETDEWEB)

    Martinez Villafane, Alberto; Chacon Nava, Jose G.; Huerta Espino, Mario; Mojica Calderon, Cecilio; Castillo Viveros, Antonio [Instituto de Investigaciones Electricas, Cuernavaca (Mexico)

    1990-12-31

    This paper presents the methodology for the detection and evaluation of high corrosion zones at high temperature. The results found up to now, show a critical zone in the Babcock Hitachi design, specifically in the high temperature reheater in the zone nearby the outlet header. In the normalized design CE (Mitsubishi) of 300 MW and CE (Canada) of 300 MW, the results found in recent years show small thickness reduction, therefore a good operation of these steam generators is recognized. [Espanol] En este trabajo se presenta la metodologia para la deteccion y evaluacion de zonas de corrosion en alta temperatura. Los resultados encontrados hasta el momento muestran una zona critica en el diseno Babcock Hitachi, especificamente en el recalentador de alta temperatura en la zona cercana al cabezal de salida. En el diseno normalizado CE (Mitsubishi) de 300 MW y CE (Canada) de 300 MW, los resultados encontrados en anos recientes muestran poca disminucion de espesor, por lo que se considera una buena operacion de estos generadores de vapor.

  4. Detection and evaluation of corrosion zones at high temperature in steam generators; Deteccion y evaluacion de zonas de corrosion en alta temperatura de generadoras de vapor

    Energy Technology Data Exchange (ETDEWEB)

    Martinez Villafane, Alberto; Chacon Nava, Jose G; Huerta Espino, Mario; Mojica Calderon, Cecilio; Castillo Viveros, Antonio [Instituto de Investigaciones Electricas, Cuernavaca (Mexico)

    1991-12-31

    This paper presents the methodology for the detection and evaluation of high corrosion zones at high temperature. The results found up to now, show a critical zone in the Babcock Hitachi design, specifically in the high temperature reheater in the zone nearby the outlet header. In the normalized design CE (Mitsubishi) of 300 MW and CE (Canada) of 300 MW, the results found in recent years show small thickness reduction, therefore a good operation of these steam generators is recognized. [Espanol] En este trabajo se presenta la metodologia para la deteccion y evaluacion de zonas de corrosion en alta temperatura. Los resultados encontrados hasta el momento muestran una zona critica en el diseno Babcock Hitachi, especificamente en el recalentador de alta temperatura en la zona cercana al cabezal de salida. En el diseno normalizado CE (Mitsubishi) de 300 MW y CE (Canada) de 300 MW, los resultados encontrados en anos recientes muestran poca disminucion de espesor, por lo que se considera una buena operacion de estos generadores de vapor.

  5. High Genomic Instability Predicts Survival in Metastatic High-Risk Neuroblastoma

    Directory of Open Access Journals (Sweden)

    Sara Stigliani

    2012-09-01

    Full Text Available We aimed to identify novel molecular prognostic markers to better predict relapse risk estimate for children with high-risk (HR metastatic neuroblastoma (NB. We performed genome- and/or transcriptome-wide analyses of 129 stage 4 HR NBs. Children older than 1 year of age were categorized as “short survivors” (dead of disease within 5 years from diagnosis and “long survivors” (alive with an overall survival time ≥ 5 years. We reported that patients with less than three segmental copy number aberrations in their tumor represent a molecularly defined subgroup with a high survival probability within the current HR group of patients. The complex genomic pattern is a prognostic marker independent of NB-associated chromosomal aberrations, i.e., MYCN amplification, 1p and 11q losses, and 17q gain. Integrative analysis of genomic and expression signatures demonstrated that fatal outcome is mainly associated with loss of cell cycle control and deregulation of Rho guanosine triphosphates (GTPases functioning in neuritogenesis. Tumors with MYCN amplification show a lower chromosome instability compared to MYCN single-copy NBs (P = .0008, dominated by 17q gain and 1p loss. Moreover, our results suggest that the MYCN amplification mainly drives disruption of neuronal differentiation and reduction of cell adhesion process involved in tumor invasion and metastasis. Further validation studies are warranted to establish this as a risk stratification for patients.

  6. Carotid Stenting in Patients With High Risk Versus Standard Risk for Open Carotid Endarterectomy (REAL-1 Trial).

    Science.gov (United States)

    De Haro, Joaquin; Michel, Ignacio; Bleda, Silvia; Cañibano, Cristina; Acin, Francisco

    2017-07-15

    Carotid stenting (CAS) has been mainly offered to those patients considered at "high risk" for open carotid endarterectomy based on available data from large randomized clinical trials. However, several recent studies have called medical "high risk" into question for CAS indication. The REAL-1 trial evaluated the safety and perioperative and long-term effectiveness in patients with significant carotid artery stenosis with "high-risk" criteria treated with CAS and proximal protection device (MOMA) compared with those with standard surgical-risk features. This nonrandomized double-arm registry included 125 patients (40% symptomatic), 71 (56%) with "standard-risk" and 54 (44%) with "high-risk" criteria. The primary end point was the cumulative incidence of any major adverse event, a composite of stroke, myocardial infarction, and death within 30 days after the intervention or ipsilateral stroke after 30 days and up to 4 years. There was no significant difference in primary end point rate at 30 days between patients at "standard risk" and those with "high risk" (1.4% vs 1.9% respectively; hazard ratio for "standard risk" 1.1; 95% CI 0.8 to 1.2, p = 0.77) nor estimated 4-year rate of ipsilateral stroke (1.3% vs 1.8%; hazard ratio for "standard risk" 1.05, 95% CI 0.86 to 1.14, p = 0.9). In conclusion, 4-year postprocedure results demonstrated that CAS with proximal device (MOMA) is safe and effective for patients with and without "high-risk" for carotid endarterectomy. Copyright © 2017 Elsevier Inc. All rights reserved.

  7. Pressure ulcer prevention in high-risk postoperative cardiovascular patients.

    Science.gov (United States)

    Jackson, Melissa; McKenney, Teresa; Drumm, Jennifer; Merrick, Brian; LeMaster, Tamara; VanGilder, Catherine

    2011-08-01

    Little has been published about how to prevent pressure ulcers in severely debilitated, immobile patients in intensive care units. To present a possible prevention strategy for postoperative cardiovascular surgery patients at high risk for development of pressure ulcers. Staff chose to implement air fluidized therapy beds, which provide maximal immersion and envelopment as a measure for preventing pressure ulcers in patients who (1) required vasopressors for at least 24 hours and (2) required mechanical ventilation for at least 24 hours postoperatively. Only 1 of 27 patients had a pressure ulcer develop while on the air fluidized therapy bed (February 2008 through August 2008), and that ulcer was only a stage I ulcer, compared with 40 ulcers in 25 patients before the intervention. Patients spent a mean of 7.9 days on the mattress, and the cost of bed rental was approximately $18000, which was similar to the cost of treatment of 1 pressure ulcer in stage III or IV (about $40000) and was considered cost-effective.

  8. Global risk of pharmaceutical contamination from highly populated developing countries.

    Science.gov (United States)

    Rehman, Muhammad Saif Ur; Rashid, Naim; Ashfaq, Muhammad; Saif, Ameena; Ahmad, Nasir; Han, Jong-In

    2015-11-01

    Global pharmaceutical industry has relocated from the west to Asian countries to ensure competitive advantage. This industrial relocation has posed serious threats to the environment. The present study was carried out to assess the possible pharmaceutical contamination in the environment of emerging pharmaceutical manufacturing countries (Bangladesh, China, India and Pakistan). Although these countries have made tremendous progress in the pharmaceutical sector but most of their industrial units discharge wastewater into domestic sewage network without any treatment. The application of untreated wastewater (industrial and domestic) and biosolids (sewage sludge and manure) in agriculture causes the contamination of surface water, soil, groundwater, and the entire food web with pharmaceutical compounds (PCs), their metabolites and transformed products (TPs), and multidrug resistant microbes. This pharmaceutical contamination in Asian countries poses global risks via product export and international traveling. Several prospective research hypotheses including the development of new analytical methods to monitor these PCs/TPs and their metabolites, highly resistant microbial strains, and mixture toxicity as a consequence of pharmaceutical contamination in these emerging pharmaceutical exporters have also been proposed based on the available literature. Copyright © 2013 Elsevier Ltd. All rights reserved.

  9. Characteristics of violence among high-risk adolescent girls.

    Science.gov (United States)

    Secor-Turner, Molly; Garwick, Ann; Sieving, Renee; Seppelt, Ann

    2014-01-01

    Recent evidence demonstrates increasing rates of involvement with violence among adolescent girls. The objective of this study was to describe the types and sources of violence experienced within social contexts of adolescent girls at high risk for pregnancy. Qualitative data for this analysis are drawn from intervention summary reports of 116 girls participating in Prime Time, a youth development intervention for adolescent girls. Descriptive content analysis techniques were used to identify types and sources of violence experienced by girls within their daily contexts. Types of violence included physical fighting, witnessing violence, physical abuse, gang-related violence, verbal fighting, verbal abuse, and sexual abuse. Sources of violence included family, peers and friends, romantic partners, community violence, and self-perpetrated violence. Many girls in this study experienced violence in multiple contexts. It is imperative that efforts to assess and prevent violence among adolescent girls include paying attention to the social contexts in which these adolescents live. Copyright © 2014 National Association of Pediatric Nurse Practitioners. Published by Mosby, Inc. All rights reserved.

  10. The genetic landscape of high-risk neuroblastoma.

    Science.gov (United States)

    Pugh, Trevor J; Morozova, Olena; Attiyeh, Edward F; Asgharzadeh, Shahab; Wei, Jun S; Auclair, Daniel; Carter, Scott L; Cibulskis, Kristian; Hanna, Megan; Kiezun, Adam; Kim, Jaegil; Lawrence, Michael S; Lichenstein, Lee; McKenna, Aaron; Pedamallu, Chandra Sekhar; Ramos, Alex H; Shefler, Erica; Sivachenko, Andrey; Sougnez, Carrie; Stewart, Chip; Ally, Adrian; Birol, Inanc; Chiu, Readman; Corbett, Richard D; Hirst, Martin; Jackman, Shaun D; Kamoh, Baljit; Khodabakshi, Alireza Hadj; Krzywinski, Martin; Lo, Allan; Moore, Richard A; Mungall, Karen L; Qian, Jenny; Tam, Angela; Thiessen, Nina; Zhao, Yongjun; Cole, Kristina A; Diamond, Maura; Diskin, Sharon J; Mosse, Yael P; Wood, Andrew C; Ji, Lingyun; Sposto, Richard; Badgett, Thomas; London, Wendy B; Moyer, Yvonne; Gastier-Foster, Julie M; Smith, Malcolm A; Guidry Auvil, Jaime M; Gerhard, Daniela S; Hogarty, Michael D; Jones, Steven J M; Lander, Eric S; Gabriel, Stacey B; Getz, Gad; Seeger, Robert C; Khan, Javed; Marra, Marco A; Meyerson, Matthew; Maris, John M

    2013-03-01

    Neuroblastoma is a malignancy of the developing sympathetic nervous system that often presents with widespread metastatic disease, resulting in survival rates of less than 50%. To determine the spectrum of somatic mutation in high-risk neuroblastoma, we studied 240 affected individuals (cases) using a combination of whole-exome, genome and transcriptome sequencing as part of the Therapeutically Applicable Research to Generate Effective Treatments (TARGET) initiative. Here we report a low median exonic mutation frequency of 0.60 per Mb (0.48 nonsilent) and notably few recurrently mutated genes in these tumors. Genes with significant somatic mutation frequencies included ALK (9.2% of cases), PTPN11 (2.9%), ATRX (2.5%, and an additional 7.1% had focal deletions), MYCN (1.7%, causing a recurrent p.Pro44Leu alteration) and NRAS (0.83%). Rare, potentially pathogenic germline variants were significantly enriched in ALK, CHEK2, PINK1 and BARD1. The relative paucity of recurrent somatic mutations in neuroblastoma challenges current therapeutic strategies that rely on frequently altered oncogenic drivers.

  11. The genetic landscape of high-risk neuroblastoma

    Science.gov (United States)

    Pugh, Trevor J.; Morozova, Olena; Attiyeh, Edward F.; Asgharzadeh, Shahab; Wei, Jun S.; Auclair, Daniel; Carter, Scott L.; Cibulskis, Kristian; Hanna, Megan; Kiezun, Adam; Kim, Jaegil; Lawrence, Michael S.; Lichenstein, Lee; McKenna, Aaron; Pedamallu, Chandra Sekhar; Ramos, Alex H.; Shefler, Erica; Sivachenko, Andrey; Sougnez, Carrie; Stewart, Chip; Ally, Adrian; Birol, Inanc; Chiu, Readman; Corbett, Richard D.; Hirst, Martin; Jackman, Shaun D.; Kamoh, Baljit; Khodabakshi, Alireza Hadj; Krzywinski, Martin; Lo, Allan; Moore, Richard A.; Mungall, Karen L.; Qian, Jenny; Tam, Angela; Thiessen, Nina; Zhao, Yongjun; Cole, Kristina A.; Diamond, Maura; Diskin, Sharon J.; Mosse, Yael P.; Wood, Andrew C.; Ji, Lingyun; Sposto, Richard; Badgett, Thomas; London, Wendy B.; Moyer, Yvonne; Gastier-Foster, Julie M.; Smith, Malcolm A.; Auvil, Jaime M. Guidry; Gerhard, Daniela S.; Hogarty, Michael D.; Jones, Steven J. M.; Lander, Eric S.; Gabriel, Stacey B.; Getz, Gad; Seeger, Robert C.; Khan, Javed; Marra, Marco A.; Meyerson, Matthew; Maris, John M.

    2013-01-01

    Neuroblastoma is a malignancy of the developing sympathetic nervous system that often presents with widespread metastatic disease, resulting in survival rates of less than 50%1. To determine the spectrum of somatic mutation in high-risk neuroblastoma, we studied 240 cases using a combination of whole exome, genome and transcriptome sequencing as part of the Therapeutically Applicable Research to Generate Effective Treatments (TARGET) initiative. Here we report a low median exonic mutation frequency of 0.60 per megabase (0.48 non-silent), and remarkably few recurrently mutated genes in these tumors. Genes with significant somatic mutation frequencies included ALK (9.2% of cases), PTPN11 (2.9%), ATRX (2.5%, an additional 7.1% had focal deletions), MYCN (1.7%, a recurrent p.Pro44Leu alteration), and NRAS (0.83%). Rare, potentially pathogenic germline variants were significantly enriched in ALK, CHEK2, PINK1, and BARD1. The relative paucity of recurrent somatic mutations in neuroblastoma challenges current therapeutic strategies reliant upon frequently altered oncogenic drivers. PMID:23334666

  12. High risk of postpartum relapses in neuromyelitis optica spectrum disorder.

    Science.gov (United States)

    Klawiter, Eric C; Bove, Riley; Elsone, Liene; Alvarez, Enrique; Borisow, Nadja; Cortez, Melissa; Mateen, Farrah; Mealy, Maureen A; Sorum, Jaime; Mutch, Kerry; Tobyne, Sean M; Ruprecht, Klemens; Buckle, Guy; Levy, Michael; Wingerchuk, Dean; Paul, Friedemann; Cross, Anne H; Jacobs, Anu; Chitnis, Tanuja; Weinshenker, Brian

    2017-11-28

    To study the effect of pregnancy on the frequency of neuromyelitis optica spectrum disorder (NMOSD) relapse and evaluate rates of pregnancy-related complications in an international multicenter setting. We administered a standardized survey to 217 women with NMOSD from 7 medical centers and reviewed their medical records. We compared the annualized relapse rate (ARR) during a baseline period 2 years prior to a participant's first pregnancy to that during pregnancy and to the 9 months postpartum. We also assessed pregnancy-related complications. There were 46 informative pregnancies following symptom onset in 31 women with NMOSD. Compared to baseline (0.17), ARR was increased both during pregnancy (0.44; p = 0.035) and during the postpartum period (0.69; p = 0.009). The highest ARR occurred during the first 3 months postpartum (ARR 1.33). A total of 8 of 76 (10.5%) with onset of NMOSD prior to age 40 experienced their initial symptom during the 3 months postpartum, 2.9 times higher than expected. The postpartum period is a particularly high-risk time for initial presentation of NMOSD. In contrast to published observations in multiple sclerosis, in neuromyelitis optica, relapse rate during pregnancy was also increased, although to a lesser extent than after delivery. © 2017 American Academy of Neurology.

  13. High blood pressure in school children: prevalence and risk factors

    Directory of Open Access Journals (Sweden)

    Rivers Patrick A

    2006-11-01

    Full Text Available Abstract Background The purpose of this study was to determine the prevalence of high blood pressure (HBP and associated risk factors in school children 8 to 13 years of age. Methods Elementary school children (n = 1,066 were examined. Associations between HBP, body mass index (BMI, gender, ethnicity, and acanthosis nigricans (AN were investigated using a school based cross-sectional study. Blood pressure was measured and the 95th percentile was used to determine HBP. Comparisons between children with and without HBP were utilized. The crude and multiple logistic regression adjusted odds ratios were used as measures of association. Results Females, Hispanics, overweight children, and children with AN had an increased likelihood of HBP. Overweight children (BMI ≥ 85th percentile and those with AN were at least twice as likely to present with HBP after controlling for confounding factors. Conclusion Twenty one percent of school children had HBP, especially the prevalence was higher among the overweight and Hispanic group. The association identified here can be used as independent markers for increased likelihood of HBP in children.

  14. Availability of high school extracurricular sports programs and high-risk behaviors.

    Science.gov (United States)

    Cohen, Deborah A; Taylor, Stephanie L; Zonta, Michela; Vestal, Katherine D; Schuster, Mark A

    2007-02-01

    The Surgeon General has called for an expansion of school-based extracurricular sports programs to address the obesity epidemic. However, little is known about the availability of and participation in high school extracurricular sports and how participation in these sports is related to high-risk behaviors. We surveyed Los Angeles County public high schools in 2002 to determine the number of extracurricular sports programs offered and the percentage of students participating in those programs. We used community data on rates of arrests, births, and sexually transmitted diseases (STDs) among youth to examine associations between risk behaviors and participation in sports programs. The average school offered 14 sports programs, and the average participation rate was 39% for boys and 30% for girls. Smaller schools and schools with higher percentages of disadvantaged students offered fewer programs. The average school offering 13 or fewer programs had 14% of its students participating, while the average school offering 16 or more programs had 31% of its students participating in sports. Controlling for area-level demographics, juvenile arrest rates and teen birth rates, but not STD rates, were lower in areas where schools offered more extracurricular sports. Opportunities for participation in high school extracurricular sports are limited. Future studies should test whether increased opportunities will increase physical activity and impact the increasing overweight problem in youths.

  15. Sound Zones

    DEFF Research Database (Denmark)

    Møller, Martin Bo; Olsen, Martin

    2017-01-01

    Sound zones, i.e. spatially confined regions of individual audio content, can be created by appropriate filtering of the desired audio signals reproduced by an array of loudspeakers. The challenge of designing filters for sound zones is twofold: First, the filtered responses should generate...... an acoustic separation between the control regions. Secondly, the pre- and post-ringing as well as spectral deterioration introduced by the filters should be minimized. The tradeoff between acoustic separation and filter ringing is the focus of this paper. A weighted L2-norm penalty is introduced in the sound...

  16. High biologically effective dose radiation therapy using brachytherapy in combination with external beam radiotherapy for high-risk prostate cancer

    Directory of Open Access Journals (Sweden)

    Keisei Okamoto

    2017-02-01

    Full Text Available Purpose : To evaluate the outcomes of high-risk prostate cancer patients treated with biologically effective dose (BED ≥ 220 Gy of high-dose radiotherapy, using low-dose-rate (LDR brachytherapy in combination with external beam radiotherapy (EBRT and short-term androgen deprivation therapy (ADT. Material and methods : From 2005 to 2013, a total of 143 patients with high-risk prostate cancer were treated by radiotherapy of BED ≥ 220 Gy with a combination of LDR brachytherapy, EBRT, and androgen deprivation therapy (ADT. The high-risk patients in the present study included both high-risk and very high-risk prostate cancer. The number of high-risk features were: 60 patients with 1 high-risk factor (42%, 61 patients with 2 high-risk factors (43%, and 22 patients with 3 high-risk factors (15% including five N1 disease. External beam radiotherapy fields included prostate and seminal vesicles only or whole pelvis depending on the extension of the disease. Biochemical failure was defined by the Phoenix definition. Results : Six patients developed biochemical failure, thus providing a 5-year actual biochemical failure-free survival (BFFS rate of 95.2%. Biochemical failure was observed exclusively in