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Sample records for intermediate term comparison

  1. [Cement-free and cemented Excia hip shaft prosthesis: comparison of intermediate term results].

    Science.gov (United States)

    Urschel, C; Döring, M; Strecker, W

    2014-09-01

    inlay with an anti-luxation shoulder was necessary. A fracture of the trochanter major was conservatively treated and an intraoperative shaft fissure was stabilized with wire cerclage and titan banding. The radiological evaluation showed no implant loosening or statistically significant differences in the shaft positioning. Short and intermediate clinical and radiological results showed no differences in patients of similar average age in the sixth decade of life. The significant improvements in the Harris hip score and the range of movement could be confirmed in the intermediate term and are comparable to other current implants. It can be concluded that an intraoperative decision on the fixation technique based on the macroscopically visible bone quality supports the reliably good results of both methods.

  2. Comparison between covered and bare Cheatham-Platinum stents for endovascular treatment of patients with native post-ductal aortic coarctation: immediate and intermediate-term results.

    Science.gov (United States)

    Sohrabi, Bahram; Jamshidi, Peiman; Yaghoubi, Alireza; Habibzadeh, Afshin; Hashemi-Aghdam, Yashar; Moin, Araz; Kazemi, Babak; Ghaffari, Samad; Abdolahzadeh Baghayi, Mohammad Reza; Mahmoody, Khalil

    2014-04-01

    This study sought to evaluate the outcomes of endovascular treatment with covered versus bare Cheatham-platinum stents (NuMed, Hopkinton, New York) in coarctation of aorta (CoA) patients. Covered stenting has been newly recognized as a useful therapeutic method for patients with native CoA, but there has been no study comparing the use of covered stents with bare stents for treating CoA. In this randomized clinical trial, 120 patients with a mean age of 23.60 ± 10.99 years (range 12 to 58 years, 79 men), with post-ductal, short-segment, severe native CoA underwent implantation of bare Cheatham-Platinum (bCP) (n = 60) or covered Cheatham-Platinum (cCP) (n = 60) stents. Patients were followed clinically at 1, 3, 6, and 12 months after the stenting and yearly thereafter. During follow-up, multislice computed tomography (64 slices) was scheduled to assess any complications. The procedural success rate was 100% in both groups. Patients were followed for 31.1 ± 19.2 months. Although recoarctation was seen only in the bCP group during follow-up, the difference between groups did not reach statistical significance (6.7% vs. 0%; p = NS). Two cases of pseudoaneurysm (3.3%) occurred in the cCP group, but none was observed in the bCP group (p = NS). Normotensive status significantly increased during follow-up in both groups (from 15% to 73.3% in the bCP group and 16.7% to 78.3% in the cCP group, p Coarctation: The Initial and Intermediate-Term Follow-Up Results; IRCT201012045311N1). Copyright © 2014 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  3. Optimizing the marketing interventions mix in intermediate-term CRM

    NARCIS (Netherlands)

    Rust, RT; Verhoef, PC

    2005-01-01

    W e provide a fully personalized model for optimizing multiple marketing interventions in intermediate-term customer relationship management (CRM). We derive theoretically based propositions on the moderating effects of past customer behavior and conduct a longitudinal validation test to compare the

  4. Optimizing the marketing interventions mix in intermediate-term CRM

    NARCIS (Netherlands)

    R.T. Rust (Roland); P.C. Verhoef (Peter)

    2005-01-01

    textabstractWe provide a fully personalized model for optimizing multiple marketing interventions in intermediate-term customer relationship management (CRM). We derive theoretically based propositions on the moderating effects of past customer behavior and conduct a longitudinal validation test to

  5. Intermediate Term (3-6 Years Post Surgery) Outcome of ...

    African Journals Online (AJOL)

    Post-operatively, the 5 eyes had VA ranging from 6/60 to NLP, after a variable follow-up period of 3-6 years. Complications included development of tough vascularized retroprosthetic membrane (4 eyes) and infective endophthalmitis in one eye. Conclusion: The intermediate-term outcome of keratoprosthesis surgery in ...

  6. Upward and downward comparison in the intermediate-status group: the role of social stratification stability.

    Science.gov (United States)

    Caricati, Luca

    2012-06-01

    This work analyses intergroup comparison choices made by intermediate-status group members. Seventy-six psychology students were categorized in an intermediate position with respect to other faculties. Stability was manipulated at three levels: stable, upwardly unstable, and downwardly unstable. Data on strength of comparison, comparison for enhancing, comparison for evaluation, and ingroup identification were collected. Results revealed that in the stable condition, participants were equally engaged in both upward and downward comparison. In the upwardly unstable condition, participants were more likely to compare themselves with the high-status group, whereas in the downwardly unstable condition, they were more likely to choose a downward comparison. In this latter condition, both downward comparison for enhancement and in-group identification were lower than in other conditions. © 2012 The British Psychological Society.

  7. Local control and intermediate-term cosmetic outcome following IMRT for nasal tumors. An update

    Energy Technology Data Exchange (ETDEWEB)

    Mukai, Yuki [University Hospital Zurich, Department of Radiation Oncology, Head Neck Cancer Center, Zurich (Switzerland); Yokohama City University Graduate School of Medicine, Department of Radiology, Yokohama (Japan); Janssen, Stefan [University Hospital Zurich, Department of Radiation Oncology, Head Neck Cancer Center, Zurich (Switzerland); Glanzmann, Christoph; Studer, Gabriela [University Hospital Zurich, Department of Radiation Oncology, Head Neck Cancer Center, Zurich (Switzerland); Cantonal Hospital Lucerne, Institute for Radiation Oncology, Lucerne (Switzerland); Holzmann, David [University Hospital Zurich, Department of Otorhinolaryngology, Head and Neck Surgery, Head Neck Cancer Center, Zurich (Switzerland)

    2017-04-15

    This study aims to evaluate local control and intermediate-term cosmetic outcome in patients with cancer of the nose treated with intensity-modulated radiotherapy (IMRT). From June 2008 to September 2015, 36 consecutive patients presenting with nasal cavity, ala of the nose, or nasal vestibule tumors were treated at the Department of Radiation Oncology, University Hospital Zurich either postoperatively (n = 14; 3/14 with nasal ablation) or with definitive IMRT (n = 22). Of these 36 patients, 8 presented with recurrent disease after surgery only and 1/36 with N1 disease. Concurrent systemic therapy was administered in 18/36 patients (50%). Nasal follow-up (FU) imaging documentation of 13 patients with preserved organ and >6 months FU offers a pre/post IMRT FU comparison. In addition, these patients' subjective evaluation of cosmesis was assessed. Mean/median FU was 41/33 months (range 5-92 months). Salvage ablation with curative intent was undergone by 3 patients with local relapse after definitive (n = 2) and postoperative (n = 1) IMRT. The 3-year local control, ultimate local control, and overall survival rates were 90, 97, and 90 %, respectively. Subjective and objective cosmetic outcome after IMRT is very satisfying so far. IMRT for nasal tumors was found to be effective and well tolerated. Intermediate-term cosmetic results are good. Radical surgical procedures may be saved for curative salvage treatment. (orig.) [German] Evaluation der Lokalkontrolle und des mittelfristigen kosmetischen Resultats nach intensitaetsmodulierter Radiotherapie (IMRT) von Patienten mit Nasentumoren. Von Juni 2008 bis September 2015 wurden an der Klinik fuer RadioOnkologie am UniversitaetsSpital Zuerich 36 konsekutive Patienten mit Tumoren der Nasenhoehle, der Nasenfluegel oder des Vestibulum nasi postoperativ (n = 14; 3/14 nach Nasenablation) oder definitiv IMRT-bestrahlt (n = 22). Von diesen 36 Patienten zeigten 8 ein Lokalrezidiv nach alleiniger vorangegangener Chirurgie und

  8. Intermediate-term and long-term mortality among acute medical patients hospitalized with community-acquired sepsis

    DEFF Research Database (Denmark)

    Henriksen, Daniel P; Pottegård, Anton; Laursen, Christian B

    2017-01-01

    .5%) presented with severe sepsis, and 21 (1.2%) presented with septic shock. Thirty-day all-cause mortality for patients with sepsis, severe sepsis, and septic shock was 6.1, 18.8, and 38.1%, respectively. The adjusted HR among patients with sepsis of any severity within the time periods 31-180, 181-365, 366......OBJECTIVE: Admission with severe sepsis is associated with an increased short-term mortality, but it is unestablished whether sepsis severity has an impact on intermediate-term and long-term mortality following admission to an acute medical admission unit. PATIENTS AND METHODS......-730, and 731-1096 days). Mortality hazard ratios (HRs), comparing patients admitted with sepsis with those of a well-defined background population, were estimated using multivariable Cox regression. HRs were presented with 95% confidence intervals. RESULTS: In total, 621 (36.3%) presented with sepsis, 1071 (62...

  9. Short-term Prognosis and Current Management of Syncopal Patients at Intermediate Risk: Results from the IRiS (Intermediate-Risk Syncope) Study.

    Science.gov (United States)

    Numeroso, Filippo; Mossini, Gianluigi; Giovanelli, Michela; Lippi, Giuseppe; Cervellin, Gianfranco

    2016-08-01

    Despite guidelines, admission rates and expenditures for syncope remain high. This may be caused by an imprecise definition of cardiovascular disease considered at risk and an overestimation of the role of comorbidities and advanced age. In a cohort of patients with undetermined syncope, we prospectively compared the short-term prognosis of patients at intermediate risk (i.e., with stable heart diseases or comorbidities, of any age) versus those at high risk for cardiogenic syncope and identified factors associated with serious events. Secondarily, we analyzed the current management of intermediate-risk patients. In a cohort of patients with undetermined syncope, we analyzed personal data, the presence of stable heart diseases or comorbidities, destination, length of hospitalization, incidence of serious events at 30 days, and costs. In a 6-month period, 347 patients (185 male and 162 female, age 72.8 years) with undetermined syncope were enrolled, 250 at intermediate risk and 97 at high risk. Intermediate-risk patients were younger, with less frequent comorbidities and with a drastically lower incidence of serious events (0.8% vs. 27.8%, p Risk factors for cardiogenic syncope were the unique variable associated with serious events. Intermediate-risk patients were mostly admitted (62.8%) in an ordinary ward or into an emergency department observation unit; in the case of ordinary admission we observed a mean prolonged hospitalization (8.8 days), elevated costs ($270,183), and a high rate of unexplained syncope (51%). According to the results of this study, the authors believe that intermediate-risk patients could be safely discharged, with potentially significant costs saving. In prognostic stratification, priority is to seek risk factors for cardiogenic syncope while advanced age, stable heart diseases, or comorbidities likely lead to inappropriate hospitalization. © 2016 by the Society for Academic Emergency Medicine.

  10. Impact of low-level BK polyomavirus viremia on intermediate-term renal allograft function.

    Science.gov (United States)

    Korth, Johannes; Widera, Marek; Dolff, Sebastian; Guberina, Hana; Bienholz, Anja; Brinkhoff, Alexandra; Anastasiou, Olympia Evdoxia; Kribben, Andreas; Dittmer, Ulf; Verheyen, Jens; Wilde, Benjamin; Witzke, Oliver

    2018-02-01

    BK polyomavirus (BKPyV)-associated nephropathy (PyVAN) is a significant cause of premature renal transplant failure. High-level BKPyV viremia is predictive for PyVAN; however, low-level BKPyV viremia does not necessarily exclude the presence of PyVAN. As data are limited regarding whether or not low-level BKPyV viremia has an effect on intermediate-term graft outcome, this study analyzes the impact of low-level BKPyV viremia on intermediate-term graft function and outcome compared with high-level viremia and non-viremic patients. All renal transplant patients received follow-up examinations at the Department of Nephrology, University Hospital Essen. Patients were screened for BKPyV viremia and stratified into three groups according to their maximum BKPyV load in serum (low-level viremia, high-level viremia, and no viremia). In 142 of 213 (67%) patients, BKPyV was never detected in serum; 42 of 213 (20%) patients were found positive for low-level viremia (≤10 4 copies/mL); and 29 of 213 (13%) patients showed high-level viremia (>10 4 copies/mL). No significant differences regarding transplant function and graft failure were observed between patients without BKPyV viremia (delta estimated glomerular filtration rate [eGFR] +0.1 mL/min [month 1 vs last visit at month 44]) and patients with low-level BKPyV viremia (delta eGFR -1.7 mL/min). In patients with high-level viremia, transplant function was significantly restricted (delta eGFR -6.5 mL/min) compared with low-level viremia until the last visit at 44 ± 9.7 months after transplantation. Although the graft function and graft loss were worse in the high-level viremia group compared with no viremia (eGFR 37 vs 45 mL/min), the difference was not significant. High-level viremia was associated with impaired graft function. In contrast, low-level BKPyV viremia had no significant impact on intermediate-term graft function. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  11. The Carpentier-Edwards Perimount Magna mitral valve bioprosthesis: intermediate-term efficacy and durability.

    Science.gov (United States)

    Loor, Gabriel; Schuster, Andres; Cruz, Vincent; Rafael, Aldo; Stewart, William J; Diaz, James; McCurry, Kenneth

    2016-01-27

    The Carpentier-Edwards Perimount Magna mitral valve bioprosthesis (Edwards Lifesciences, Irvine, CA) is a low-profile version of the earlier Perimount valve that uses the ThermaFix process for enhanced calcium removal. The Magna valve has been in use since 2008, yet no publication, until now, has verified its intermediate-term safety and efficacy. From 2008 through 2011 (our 4-year study period), 70 Magna valves were implanted in the mitral position at a single institution (the Cleveland Clinic). Echocardiograms were prospectively interpreted. For this study, we reviewed patients' charts; endpoints included hemodynamic measurements, in-hospital morbidity and mortality, valve-related events, resource utilization, and 5-year survival rates. The mean patient age was 68 years; 43 % of the patients had New York Heart Association (NYHA) class III or IV disease, and 51.4 % had moderately severe, or worse, mitral regurgitation (MR). For 43 % of the patients, the Magna valve implantation was a reoperation. For 83 %, the Magna valve implantation also included a concomitant cardiac procedure. The median survival rate was 4.7 years and 90 % of patients were free from significant structural valve degeneration at 5 years. Preoperative atrial fibrillation, ischemic MR, intraaortic balloon pump placement, cardiogenic shock, cardiac arrest, and renal failure were associated with increased mortality. Right ventricular systolic pressure decreased from 50 mmHg preoperatively to 40 mmHg postoperatively, according to our matched-pair analysis (P = 0.003). Per their final echocardiogram during our study period, 98 % of surviving patients had trivial or no MR, one patient had mild MR, and one patient had severe MR. Our 5-year experience indicates that the Magna valve offers excellent intermediate-term durability and substantial echocardiographic improvement; its low-profile design make it ideal for reoperations and for concomitant cardiac procedures, including valve replacement.

  12. Whereas Short-Term Facilitation Is Presynaptic, Intermediate-Term Facilitation Involves Both Presynaptic and Postsynaptic Protein Kinases and Protein Synthesis

    Science.gov (United States)

    Jin, Iksung; Kandel, Eric R.; Hawkins, Robert D.

    2011-01-01

    Whereas short-term plasticity involves covalent modifications that are generally restricted to either presynaptic or postsynaptic structures, long-term plasticity involves the growth of new synapses, which by its nature involves both pre- and postsynaptic alterations. In addition, an intermediate-term stage of plasticity has been identified that…

  13. MR imaging of meniscal tears: comparison of intermediate-weighted FRFSE imaging with intermediate-weighted FSE imaging.

    Science.gov (United States)

    Tokuda, Osamu; Harada, Yuko; Ueda, Takaaki; Iida, Etsushi; Shiraishi, Gen; Motomura, Tetsuhisa; Fukuda, Kouji; Matsunaga, Naofumi

    2012-11-01

    We compared intermediate-weighted fast spin-echo (IW-FSE) images with intermediate-weighted fast-recovery FSE (IW-FRFSE) images in the diagnosis of meniscal tears. First, 64 patients were recruited, and the arthroscopic findings (n = 40) and image analysis (n = 19) identified 59 torn menisci with 36 patients. Both the diagnostic performance and image quality in assessing meniscal tears was evaluated for IW-FSE and IW-FRFSE images using a four-point scale. Signal-to-noise ratio (SNR) calculation was performed for both sets of images. IW-FRFSE image specificity (100 %) for diagnosing the posterior horn of the medial meniscus (MM) tear with reader 1 was significantly higher than that of IW-FSE images (90 %). Mean ratings of the contrast between the lesion and normal signal intensity within the meniscus were significantly higher for the IW-FRFSE image ratings than the IW-FSE images in most meniscal tears. Mean SNRs were significantly higher for IW-FSE images than for IW-FRFSE images (P meniscal tears.

  14. Calculation of intermediate neutron flux in the radial reflectors of graphite reactors, comparison with experiments

    International Nuclear Information System (INIS)

    Brisbois, J.; Vergnaud, T.; Oceraies, Y.

    1967-12-01

    In a graphite pile, EDF or Inca type reactor, it is necessary to know the value of the intermediate neutron flux at the output of the lateral reflector in order to determine more precisely the neutron flux at the level of ionisation chambers. A sub critical pile of graphite and natural uranium was built, allowing to reconstitute the geometry of the radiation sources and the disposition of inferior and lateral protections of these piles. This pile is supplied with thermal neutrons coming from the Nereide light water type reactor. Some measurements of intermediate neutron flux have been made in this pile in order to establish a formalism for neutron flux calculation in slowing down in a whole core-lateral reflector, from the distribution of the thermal neutrons flux in the core. The flux calculation is done by age theory in three dimensions, in two homogenous media, separated by an axially semi infinite and laterally finite plane. One of these media includes a distribution of source. The constants are modified in order to take into account the presence of empty channels in the stacking. These calculations are done by the Malaga code. The checking of the formalism has been made in a greater complex geometry of these reactors that introduces an uncertainty factor in the comparison of results. We can however tell that we estimate correctly the variation of the intermediate neutrons flux in the core as well as its descending in a holed lateral reflector. The ratio between the calculation and the experiment is inferior to 2 or 3. Most of the time to a factor 2 [fr

  15. Intermediate-term middle-range predictions in Italy: a review

    International Nuclear Information System (INIS)

    Peresan, A.; Kossobokov, V.; Romashkova, L.; Panza, G.F.

    2003-11-01

    The Italian territory has been object of several studies devoted to the analysis of seismicity and to earthquake precursors' research. Although a number of observations have been claimed to precede large earthquakes, only few systematic studies have been carried out and almost no test of their performances is available up to now. In this paper we review the application to the Italian territory of two formally defined intermediate-term middle-range earthquake prediction algorithms, namely CN and M8S. The general methodology common to the two different algorithms makes use of general concepts of pattern recognition that permit to deal with multiple sets of seismic precursors, and allows for a systematic monitoring of seismicity, as well as for a widespread testing of the prediction performances. Italy represents the only region of moderate seismic activity where the M8S and CN algorithms are applied simultaneously for the routine monitoring. Significant efforts have been made to minimize the intrinsic space uncertainty of predictions and the subjectivity of the definition of the areas where precursors should be identified. Several experiments have been dedicated to assess the robustness of the methodology against the unavoidable uncertainties in the data. With these results acquired, predictions are routinely issued by CN algorithm, since January 1998, and by M8S algorithm, since January 2002. Starting in July 2003 an experiment has been launched for the real-time test of M8S and CN predictions. (author)

  16. Comparison of Open and Closed Stance Forehand Strokes among Intermediate Tennis Players

    Directory of Open Access Journals (Sweden)

    Tajul Arifin Muhamad

    2016-01-01

    Full Text Available Background: Nowadays tennis is becoming faster and players are able to hit powerful from virtually anywhere on the tennis court. Training programmers and effective planning will help in designing safe, effective, and productive programs designed to help optimize the tennis performance of players. Objective: This research examine the effectiveness of open and closed stance forehand strokes in terms of percentage of success, accuracy and also to investigate whether there is a relation between level of accuracy and the choice of forehand strokes used by tennis player. Method: Participants were divided into two groups, namely, male and female who learned forehand strokes for one month. The participants were tested by using a two skill test for percentage of success and level of accuracy. Result: Founding showed that the closed stance forehand stroke has far better percentage of success and accuracy among the intermediate tennis players, but the difference was not significant. In addition, male players showed more accuracy and success in this research. And also accuracy did not have any influence to choice of forehand stroke among the intermediate tennis players. Conclusion: This research could improve the training protocol design for teaching the closed stance and open stance strokes. Keywords: Forehand stroke, open stance, closed stance, tennis accuracy, percentage of success

  17. Long-term Monitoring Algorithm Verification Using an Intermediate Scale Groundwater Facility

    Science.gov (United States)

    Wei, X.; Pinder, G. F.

    2004-12-01

    Long term groundwater monitoring networks created by nonlinear optimization methods coupled with stochastic transport simulators are currently available. However, few of the schemes have been tested. In an effort to test one of these design algorithms a 4.22 by 2.74 by 2.13 meter intermediate-scale indoor facility that mimics a heterogeneous subsurface environment was constructed at the University of Vermont. Time Domain Reflectometry (TDR) sensors were installed in the facility at 105 locations to monitor the change of electrical conductivities in the subsurface. A 20-day point source continuous-injection experiment was conducted. Salt concentrations were collected at a frequency of 20 minutes per measurement per sensor. An exhaustive dataset of a migrating plume was thereby established. Various tests were conducted to provide the measures and statistics of the hydraulic conductivities (K) in the subsurface. Latin Hypercube Sampling based random field generator was adopted to create the realizations of random fields of hydraulic conductivity based on the information of K from the previous step. Groundwater flow and transport simulators were used to calculate the associated concentration fields. A static Kalman filter and a genetic algorithm were then used to choose sampling locations and times based on minimizing the cost subject to the constraint of a desired accuracy. A monitoring network was thereby designed. Computed concentration plume statistics were updated using the information obtained from samples proposed by the monitoring network. Finally, these updated plumes were compared with the actual plumes to determine the effectiveness of the optimized monitoring network.

  18. Comparison of novel risk markers for improvement in cardiovascular risk assessment in intermediate-risk individuals.

    Science.gov (United States)

    Yeboah, Joseph; McClelland, Robyn L; Polonsky, Tamar S; Burke, Gregory L; Sibley, Christopher T; O'Leary, Daniel; Carr, Jeffery J; Goff, David C; Greenland, Philip; Herrington, David M

    2012-08-22

    Risk markers including coronary artery calcium, carotid intima-media thickness, ankle-brachial index, brachial flow-mediated dilation, high-sensitivity C-reactive protein (CRP), and family history of coronary heart disease (CHD) have been reported to improve on the Framingham Risk Score (FRS) for prediction of CHD, but there are no direct comparisons of these markers for risk prediction in a single cohort. We compared improvement in prediction of incident CHD/cardiovascular disease (CVD) of these 6 risk markers within intermediate-risk participants (FRS >5%-index, high-sensitivity CRP, and family history were independently associated with incident CHD in multivariable analyses (HR, 2.60 [95% CI, 1.94-3.50]; HR, 0.79 [95% CI, 0.66-0.95]; HR, 1.28 [95% CI, 1.00-1.64]; and HR, 2.18 [95% CI, 1.38-3.42], respectively). Carotid intima-media thickness and brachial flow-mediated dilation were not associated with incident CHD in multivariable analyses (HR, 1.17 [95% CI, 0.95-1.45] and HR, 0.95 [95% CI, 0.78-1.14]). Although addition of the markers individually to the FRS plus race/ethnicity improved AUC, coronary artery calcium afforded the highest increment (0.623 vs 0.784), while brachial flow-mediated dilation had the least (0.623 vs 0.639). For incident CHD, the net reclassification improvement with coronary artery calcium was 0.659, brachial flow-mediated dilation was 0.024, ankle-brachial index was 0.036, carotid intima-media thickness was 0.102, family history was 0.160 and high-sensitivity CRP was 0.079. Similar results were obtained for incident CVD. Coronary artery calcium, ankle-brachial index, high-sensitivity CRP, and family history were independent predictors of incident CHD/CVD in intermediate-risk individuals. Coronary artery calcium provided superior discrimination and risk reclassification compared with other risk markers.

  19. The Short-Term and Intermediate-Term Risk of Second Neoplasms After Diagnosis and Treatment of Unilateral Vestibular Schwannoma: Analysis of 9460 Cases

    Energy Technology Data Exchange (ETDEWEB)

    Carlson, Matthew L., E-mail: carlson.matthew@mayo.edu [Department of Otorhinolaryngology, Mayo Clinic School of Medicine, Rochester, Minnesota (United States); Department of Neurologic Surgery, Mayo Clinic School of Medicine, Rochester, Minnesota (United States); Glasgow, Amy E. [Division of Health Care Policy and Research and the Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic School of Medicine, Rochester, Minnesota (United States); Jacob, Jeffrey T. [Department of Neurologic Surgery, Mayo Clinic School of Medicine, Rochester, Minnesota (United States); Habermann, Elizabeth B. [Division of Health Care Policy and Research and the Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic School of Medicine, Rochester, Minnesota (United States); Link, Michael J. [Department of Otorhinolaryngology, Mayo Clinic School of Medicine, Rochester, Minnesota (United States); Department of Neurologic Surgery, Mayo Clinic School of Medicine, Rochester, Minnesota (United States)

    2016-07-15

    . The short-term and intermediate-term incidence of second neoplasm after radiation of VS is not greater than the incidence after microsurgery or observation.

  20. Intermediate-term earthquake prediction and seismic zoning in Northern Italy

    International Nuclear Information System (INIS)

    Panza, G.F.; Orozova Stanishkova, I.; Costa, G.; Vaccari, F.

    1993-12-01

    The algorithm CN for intermediate earthquake prediction has been applied to an area in Northern Italy, which has been chosen according to a recently proposed seismotectonic model. Earthquakes with magnitude ≥ 5.4 occur in the area with a relevant frequency and their occurrence is predicted by algorithm CN. Therefore a seismic hazard analysis has been performed using a deterministic procedure, based on the computation of complete synthetic seismograms. The results are summarized in a map giving the distribution of peak ground acceleration, but the complete time series are available, which can be used by civil engineers in the design of new seismo-resistant constructions and in the retrofitting of the existing ones. This risk reduction action should be intensified in connection with warnings issued on the basis of the forward predictions made by CN. (author). Refs, 7 figs, 1 tab

  1. Intermediate and long-term quality of life after total knee replacement: a systematic review and meta-analysis.

    Science.gov (United States)

    Shan, Leonard; Shan, Bernard; Suzuki, Arnold; Nouh, Fred; Saxena, Akshat

    2015-01-21

    Total knee replacement is a highly successful and frequently performed operation. Technical outcomes of surgery are excellent, with favorable early postoperative health-related quality of life. This study reviews intermediate and long-term quality of life after surgery. A systematic review and meta-analysis of all studies published from January 2000 onward was performed to evaluate health-related quality of life after primary total knee replacement for osteoarthritis in patients with at least three years of follow-up. Key outcomes were postoperative quality of life, function, and satisfaction compared with the preoperative status. Strict inclusion and exclusion criteria were applied. Quality appraisal and data tabulation were performed with use of predefined criteria. Data were synthesized by narrative review and random-effects meta-analysis utilizing standardized mean differences. Heterogeneity was assessed with the tau(2) and I(2) statistics. Nineteen studies were included in the review. Intermediate and long-term postoperative quality of life was superior to the preoperative level in qualitative and quantitative analyses. The pooled effect in combined WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) and KSS (Knee Society Score) outcomes was a marked improvement from baseline with respect to the total score (2.17; 95% CI [confidence interval], 1.13 to 3.22; p implied significant clinical and statistical heterogeneity. Total knee replacement confers significant intermediate and long-term benefits with respect to both disease-specific and generic health-related quality of life, especially pain and function, leading to positive patient satisfaction. Recommendations for necessary future studies are provided. Therapeutic Level II. See Instructions for Authors for a complete description of levels of evidence. Copyright © 2015 by The Journal of Bone and Joint Surgery, Incorporated.

  2. Long-term residual radioactivity in an intermediate-energy proton linac

    Science.gov (United States)

    Blaha, J.; La Torre, F. P.; Silari, M.; Vollaire, J.

    2014-07-01

    A new 160 MeV H- linear accelerator (LINAC4) is being installed at CERN to replace the present 50 MeV LINAC2 as proton injector of the PS Booster (PSB). During operation, the accelerator components will be activated by the beam itself and by the secondary radiation field. Detailed Monte Carlo simulations, for various beam energies and several decay times, were performed to predict the residual radioactivity in the main accelerator components and to estimate the residual dose rate inside the tunnel. The results of this study will facilitate future dismantling, handling and storage of the activated parts and consequently minimize the radiation dose to involved workers. The component activation was also compared with the exemption limits given in the current Swiss legislation and to the CERN design values, in order to make predictions for the future storage and disposal of radioactive waste. The airborne radioactivity induced by particles escaping the beam dump and the activation of the beam dump cooling water circuit were also quantified. The aim of this paper is to provide data of sufficiently general interest to be used for similar studies at other intermediate-energy proton accelerator facilities.

  3. Long-term residual radioactivity in an intermediate-energy proton linac

    International Nuclear Information System (INIS)

    Blaha, J.; La Torre, F.P.; Silari, M.; Vollaire, J.

    2014-01-01

    A new 160 MeV H − linear accelerator (LINAC4) is being installed at CERN to replace the present 50 MeV LINAC2 as proton injector of the PS Booster (PSB). During operation, the accelerator components will be activated by the beam itself and by the secondary radiation field. Detailed Monte Carlo simulations, for various beam energies and several decay times, were performed to predict the residual radioactivity in the main accelerator components and to estimate the residual dose rate inside the tunnel. The results of this study will facilitate future dismantling, handling and storage of the activated parts and consequently minimize the radiation dose to involved workers. The component activation was also compared with the exemption limits given in the current Swiss legislation and to the CERN design values, in order to make predictions for the future storage and disposal of radioactive waste. The airborne radioactivity induced by particles escaping the beam dump and the activation of the beam dump cooling water circuit were also quantified. The aim of this paper is to provide data of sufficiently general interest to be used for similar studies at other intermediate-energy proton accelerator facilities

  4. Laparoscopic versus Open Roux-en-Y hepatojejunostomy for children with choledochal cysts: intermediate-term follow-up results.

    Science.gov (United States)

    Diao, Mei; Li, Long; Cheng, Wei

    2011-05-01

    Laparoscopic hepatojejunostomy (LH) for children with choledochal cysts (CDC) has been gaining popularity recently. However, its safety and efficacy remain unknown. The purpose of this study was to evaluate the intermediate-term results of LH for CDC children. We reviewed 218 patients who underwent LH between October 2001 and October 2009 and 200 patients who underwent open hepatojejunostomy (OH) between September 1993 and September 2001. Ultrasonography, upper gastrointestinal contrast studies, and laboratory tests were performed during the follow-up period. Age, operative blood loss, operative time, postoperative hospital stay, time to full feed, duration of drainage, postoperative complications, and perioperative laboratory tests were evaluated in both groups. The median follow-up periods of the LH and OH groups were 38 and 146 months, respectively. There was no significant difference in age between the two groups. Interestingly, the operative time of the LH group decreased significantly with increasing number of cases (Palimentation, and duration of drainage in the LH group were significantly shorter (P<0.001, respectively). Two of 218 (0.9%) LH patients developed bile leak. This was significantly less than 11 of 200 (5.5%) in the OH group (P<0.01). The morbidities of LH group were significantly lower than those of the OH group. Postoperative liver function tests and serum amylase levels normalized in both groups (P<0.001). Laparoscopic hepatojejunostomy is safe and effective. Its intermediate-term results are comparable to open surgery.

  5. [Intermediate term outcome in 70 patients with Tako-Tsubo syndromes].

    Science.gov (United States)

    Réglat, C; Chevalier, J-M; Coste, P; Godon, P; Renault, L; Roudaut, R; Seguy, B; Gerbaud, E

    2014-04-01

    Tako-Tsubo syndrome is a reversible left ventricular myocardial dysfunction. There are few publications on its evolution and the purpose of this study is to describe the medium-term outcome of patients who presented this pathology. This retrospective study included 70 patients presenting with Tako-Tsubo syndrome who were referred to Haut-Lévèque hospital between November 2003 and January 2012. The parameters included in follow-up were: number of cardiovascular events, recurrence, electrocardiographic and echocardiographic evolution. Sixty-eight patients had a mean follow-up of 4.8±2.4 years. The survival rate was 92%, 39 patients (57%) showed no cardiovascular symptoms, 12 (18%) had one or more new episodes of chest pain and 4 (6%) had stage II dyspnoea on the NYHA classification scale. One patient had a recurrence 6.5 years later, triggered by the same stress as the first instance. Forty-five patients (64%) had ECGs which evolved in the early days to diffuse T-wave inversion. In the medium term, 32 (54%) patients had a normal ECG, 19 (32%) had inverted T-waves in precordial leads and 2 (3%) had Q-waves. In terms of echocardiography, left ventricular ejection fraction was normal in all with variable delays. Four patients continued to have apical hypokinesia. This study shows that the medium-term outlook is favourable in terms of cardiovascular mortality and that recurrence is rare. It highlights, however, the persistence of electrocardiographic and echocardiographic abnormalities. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  6. Intermediate and Long-term Outcomes of Giant Fibroadenoma Excision in Adolescent and Young Adult Patients.

    Science.gov (United States)

    Cerrato, Felecia E; Pruthi, Sandhya; Boughey, Judy C; Simmons, Patricia S; Salje, Barbara; Nuzzi, Laura C; Lemaine, Valerie; Labow, Brian I

    2015-01-01

    Giant fibroadenomas (5 cm or greater) are benign breast masses that often present in adolescence and require surgical excision. Long-term outcomes, recurrence rates, and the need for additional reconstructive surgery in this population are unknown. Patients aged 11-25 years whose pathology reports indicated the presence of a giant fibroadenoma were eligible for this study. Medical records were reviewed for presentation, treatment, and outcomes. A subset of patients completed an investigator-designed long-term outcome survey to measure additional outcomes and the desire or need for subsequent reconstructive surgery. Forty-six patients with at least one giant fibroadenoma (mean size 7.4 ± 2.8 cm) were identified. Most patients underwent excision with a periaroeolar incision (n = 31), and an enucleation technique (n = 41), and four patients underwent immediate breast reconstruction. Thirty-three patients had complete medical records with a mean follow-up time of 2.2 ± 4.1 years and no complaints of asymmetry, additional breast deformities, or reconstructive surgery procedures documented. In addition, nine patients completed the investigator-designed survey with a mean follow-up time of 10.1 ± 8.7 years (range 1.5-27.0). Three of these patients reported postoperative breast asymmetry and the desire to pursue reconstructive surgery. Aesthetic outcomes of giant fibroadenoma excision may be satisfactory for many patients without immediate reconstruction, but for others, the need for reconstructive surgery may arise during development. Providers should address this potential need prior to discussing treatment options and during postoperative follow-up. Caution should be exercised before recommending immediate reconstruction. © 2015 Wiley Periodicals, Inc.

  7. Intermediate-term emotional bookkeeping is necessary for long-term reciprocal grooming partner preferences in an agent-based model of macaque groups

    Directory of Open Access Journals (Sweden)

    Ellen Evers

    2016-01-01

    Full Text Available Whether and how primates are able to maintain long-term affiliative relationships is still under debate. Emotional bookkeeping (EB, the partner-specific accumulation of emotional responses to earlier interactions, is a candidate mechanism that does not require high cognitive abilities. EB is difficult to study in real animals, due to the complexity of primate social life. Therefore, we developed an agent-based model based on macaque behavior, the EMO-model, that implements arousal and two emotional dimensions, anxiety-FEAR and satisfaction-LIKE, which regulate social behavior. To implement EB, model individuals assign dynamic LIKE attitudes towards their group members, integrating partner-specific emotional responses to earlier received grooming episodes. Two key parameters in the model were varied to explore their effects on long-term affiliative relationships: (1 the timeframe over which earlier affiliation is accumulated into the LIKE attitudes; and (2 the degree of partner selectivity. EB over short and long timeframes gave rise to low variation in LIKE attitudes, and grooming partner preferences were only maintained over one to two months. Only EB over intermediate-term timeframes resulted in enough variation in LIKE attitudes, which, in combination with high partner selectivity, enables individuals to differentiate between regular and incidental grooming partners. These specific settings resulted in a strong feedback between differentiated LIKE attitudes and the distribution of grooming, giving rise to strongly reciprocated partner preferences that could be maintained for longer periods, occasionally up to one or two years. Moreover, at these settings the individual’s internal, socio-emotional memory of earlier affiliative episodes (LIKE attitudes corresponded best to observable behavior (grooming partner preferences. In sum, our model suggests that intermediate-term LIKE dynamics and high partner selectivity seem most plausible for

  8. Intermediate-term emotional bookkeeping is necessary for long-term reciprocal grooming partner preferences in an agent-based model of macaque groups

    Science.gov (United States)

    Evers, Ellen; de Vries, Han; Spruijt, Berry M.

    2016-01-01

    Whether and how primates are able to maintain long-term affiliative relationships is still under debate. Emotional bookkeeping (EB), the partner-specific accumulation of emotional responses to earlier interactions, is a candidate mechanism that does not require high cognitive abilities. EB is difficult to study in real animals, due to the complexity of primate social life. Therefore, we developed an agent-based model based on macaque behavior, the EMO-model, that implements arousal and two emotional dimensions, anxiety-FEAR and satisfaction-LIKE, which regulate social behavior. To implement EB, model individuals assign dynamic LIKE attitudes towards their group members, integrating partner-specific emotional responses to earlier received grooming episodes. Two key parameters in the model were varied to explore their effects on long-term affiliative relationships: (1) the timeframe over which earlier affiliation is accumulated into the LIKE attitudes; and (2) the degree of partner selectivity. EB over short and long timeframes gave rise to low variation in LIKE attitudes, and grooming partner preferences were only maintained over one to two months. Only EB over intermediate-term timeframes resulted in enough variation in LIKE attitudes, which, in combination with high partner selectivity, enables individuals to differentiate between regular and incidental grooming partners. These specific settings resulted in a strong feedback between differentiated LIKE attitudes and the distribution of grooming, giving rise to strongly reciprocated partner preferences that could be maintained for longer periods, occasionally up to one or two years. Moreover, at these settings the individual’s internal, socio-emotional memory of earlier affiliative episodes (LIKE attitudes) corresponded best to observable behavior (grooming partner preferences). In sum, our model suggests that intermediate-term LIKE dynamics and high partner selectivity seem most plausible for primates relying on

  9. Valve-sparing aortic root replacement in children: intermediate-term results.

    Science.gov (United States)

    Patel, Nishant D; Arnaoutakis, George J; George, Timothy J; Allen, Jeremiah G; Alejo, Diane E; Dietz, Harry C; Cameron, Duke E; Vricella, Luca A

    2011-03-01

    Valve-sparing root replacement (VSRR) is an attractive option for aortic aneurysm in children with low-operative risk, but mid- and late-term results are not yet known. Between 1997 and 2009, 56 children (mean age 11.5 years) underwent VSRR at our institution. Twenty-six (46.4%) had Marfan syndrome and 24 (42.8%) had Loeys-Dietz syndrome. Mean preoperative max sinus diameter was 4.2±0.8 cm (Z-score 7.7±2.9). Five (8.9%) had >2+ aortic insufficiency (AI). Two (3.6%) underwent David I reimplantation with a straight-tube, 12 (21.4%) had a Yacoub remodeling procedure, and 42 (75.0%) had reimplantation using a Valsalva-graft. There were one (1.8%) operative and three (5.4%) late deaths. One patient required reoperation for bleeding and one required late repair of a distal pseudoaneurysm. Mean follow-up was 5.2 years (range 0-12 years). No patients suffered thromboembolic events or had endocarditis. Of the 12 remodeling patients, four (33.3%) developed >2+ AI and required aortic valve repair or replacement. No patient developed >2+ AI after reimplantation. VSRR in children is a safe alternative to aortic root replacement with mechanical or biological prostheses. In this particular group of patients with connective tissue disorders and proclivity toward annular dilation and late AI, reimplantation is superior to remodeling.

  10. PFLOTRAN-RepoTREND Source Term Comparison Summary.

    Energy Technology Data Exchange (ETDEWEB)

    Frederick, Jennifer M

    2018-03-01

    Code inter-comparison studies are useful exercises to verify and benchmark independently developed software to ensure proper function, especially when the software is used to model high-consequence systems which cannot be physically tested in a fully representative environment. This summary describes the results of the first portion of the code inter-comparison between PFLOTRAN and RepoTREND, which compares the radionuclide source term used in a typical performance assessment.

  11. CUE USAGE IN VOLLEYBALL: A TIME COURSE COMPARISON OF ELITE, INTERMEDIATE AND NOVICE FEMALE PLAYERS

    Science.gov (United States)

    Vaeyens, R; Zeuwts, L; Philippaerts, R; Lenoir, M

    2014-01-01

    This study compared visual search strategies in adult female volleyball players of three levels. Video clips of the attack of the opponent team were presented on a large screen and participants reacted to the final pass before the spike. Reaction time, response accuracy and eye movement patterns were measured. Elite players had the highest response accuracy (97.50 ± 3.5%) compared to the intermediate (91.50 ± 4.7%) and novice players (83.50 ± 17.6%; pvolleyball and suggests that expert players extract more information from parafoveal regions. PMID:25609887

  12. Intermediate Radical Termination Theory in Elucidation of RAFT Kinetics and Comparison to Experimental Data

    Directory of Open Access Journals (Sweden)

    M. Baqeri-Jagharq

    2008-12-01

    Full Text Available In current work a comprehensive mechanism based on intermediate radical termination theory is assumed for RAFT polymerization of styrene over cumyl dithiobenzoate as RAFT agent. Rate constants for addition (ka and fragmentation reactions (kf are set to 6×106 and 5×104 respectively, which lead to an equilibrium constant value of K = ka/kf = 1.2 x 102. Moment equations method was used to model this mechanism and the results were compared to experimental data to verify modeling. The effects of changing RAFT agent concentration on conversion, molecular weight and polydispersity index of the final product were investigated through the modeling. According to the results, the likelihood of living polymerization increases with raising RAFT agent concentration which leads to linearity of conversion and molecular weight curves and therefore lowering the polydispersity index and narrowing the molecular weight distribution.

  13. A retrospective study of late-onset bipolar disorder: A comparison with early and intermediate onset

    Directory of Open Access Journals (Sweden)

    Sandeep Grover

    2017-01-01

    Full Text Available Aim: To evaluate the sociodemographic, clinical, and treatment characteristics profile of late-onset (LO bipolar affective disorder (BPAD (onset ≥50 years and compare the patients with LO BPAD with early age of onset (10–25 years and intermediate age of onset (26–40 years BPAD for the demographic features, illness characteristics, and treatment characteristics. Methodology: In this retrospective study, data (demographic features, clinical characteristics, and treatment characteristics of 115 patients with LO BPAD (onset ≥50 years were extracted and were compared with 93 patients with intermediate-onset (IO (26–40 years and 130 patients with early-onset (EO (10–25 years BPAD groups. Results: Patients with LO BPAD differ from EO and IO BPAD in having higher rates of family history of mental disorders, higher rates of comorbid psychiatric disorders (especially substance use disorders and physical illnesses, higher rates of suicidal ideations, lower rates of suicidal attempts, higher rates of Type-II BPAD, lower prevalence of psychotic symptoms during the episodes, shorter interepisodic duration, higher use of combination of mood stabilizers and antidepressants, lower preference of lithium, higher preference for valproate, and lower use of benzodiazepines. In addition, patients with LO BPAD differed from those with EO BPAD in having higher rates of having a depressive-manic illness pattern, longer duration of depressive episodes, and lower number of manic episodes. Patients with LO BPAD differed significantly from IO BPAD in having lower number of episodes and more often use of antipsychotic monotherapy during the acute phase. Conclusions: LO BPAD differs from IO and EO BPAD on several of the clinical characteristics. Treatment preferences by the clinicians for LO BPAD also differ from EO and IO BPAD.

  14. Intermediate and long-term risk of new-onset heart failure after hospitalization for pneumonia in elderly adults.

    Science.gov (United States)

    Corrales-Medina, Vicente F; Taljaard, Monica; Yende, Sachin; Kronmal, Richard; Dwivedi, Girish; Newman, Anne B; Elkind, Mitchell S V; Lyles, Mary F; Chirinos, Julio A

    2015-08-01

    Pneumonia is associated with high risk of heart failure (HF) in the short term (30 days) postinfection. Whether this association persists beyond this period is unknown. We studied 5,613 elderly (≥65 years) adults enrolled in the Cardiovascular Health Study between 1989 and 1994 at 4 US communities. Participants had no clinical diagnosis of HF at enrollment, and they were followed up through December 2010. Hospitalizations for pneumonia were identified using validated International Classification of Disease Ninth Revision codes. A centralized committee adjudicated new-onset HF events. Using Cox regression, we estimated adjusted hazard ratios (HRs) of new-onset HF at different time intervals after hospitalization for pneumonia. A total of 652 participants hospitalized for pneumonia during follow-up were still alive and free of clinical diagnosis of HF by day 30 posthospitalization. Relative to the time of their hospitalization, new-onset HF occurred in 22 cases between 31 and 90 days (HR 6.9, 95% CI 4.46-10.63, P Hospitalization for pneumonia is associated with increased risk of new-onset HF in the intermediate and long term. Studies should characterize the mechanisms of this association in order to prevent HF in elderly pneumonia survivors. Copyright © 2015 Elsevier Inc. All rights reserved.

  15. Age-Related Changes in Insulin-like Signaling Lead to Intermediate-Term Memory Impairment in Drosophila.

    Science.gov (United States)

    Tanabe, Kento; Itoh, Motoyuki; Tonoki, Ayako

    2017-02-14

    Insulin and insulin-growth-factor-like signaling (IIS) plays important roles in the regulation of development, growth, metabolic homeostasis, and aging, as well as in brain functions such as learning and memory. The temporal-spatial role of IIS in learning and memory and its effect on age-dependent memory impairment remain unclear. Here, we report that intermediate-term memory (ITM), but not short-term memory (STM), in Drosophila aversive olfactory memory requires transient IIS during adulthood. The expression of Drosophila insulin-like peptide 3 (Dilp3) in insulin-producing cells and insulin receptor function in the fat body are essential for ITM. Although the expression of dilp3 decreases with aging, which is unique among dilp genes, the transient expression of dilp3 in aged flies enhances ITM. These findings indicate that ITM is systemically regulated by communication between insulin-producing cells and fat body and that age-dependent changes in IIS contribute to age-related memory impairment. Copyright © 2017 The Author(s). Published by Elsevier Inc. All rights reserved.

  16. Durable intermediate- to long-term outcomes after minimally invasive transiliac sacroiliac joint fusion using triangular titanium implants

    Directory of Open Access Journals (Sweden)

    Sachs D

    2016-07-01

    Full Text Available Donald Sachs,1 Don Kovalsky,2 Andy Redmond,3 Robert Limoni,4 S Craig Meyer,5 Charles Harvey,6 Dimitriy Kondrashov7 1Center for Spinal Stenosis and Neurologic Care, Lakeland, FL, 2Orthopaedic Center of Southern Illinois, Mount Vernon, IL, 3Precision Spine Care, Tyler, TX, 4BayCare Clinic, Green Bay, WI, 5Columbia Orthopaedic Group, Columbia, MO, 6Riverside Medical Center, Kankakee, IL, 7SF Spine Group at St Mary’s Spine Center, San Francisco, CA, USA Background: Sacroiliac joint (SIJ fusion (SIJF, first performed 95 years ago, has become an increasingly accepted surgical option for chronic SIJ dysfunction. Few studies have reported intermediate- or long-term outcomes after SIJF.Objective: The objective of this study is to determine patient-based outcomes after SIJF for chronic SIJ dysfunction due to degenerative sacroiliitis or SIJ disruption at ≥3 years of follow-up.Methods: Consecutive patients who underwent SIJF prior to December 2012 were contacted over phone or through email. Participants completed questionnaires in clinic, over phone or by email, regarding SIJ pain, activities related to SIJ dysfunction, and the Oswestry Disability Index. Charts were reviewed to extract baseline parameters and the clinical course of follow-up.Results: One hundred seven patients were eligible and participated in this study. Mean (standard deviation preoperative SIJ pain score was 7.5 (1.7. At mean follow-up of 3.7 years, the mean SIJ pain score was 2.6 (representing a 4.8-point improvement from baseline, P<0.0001 and the mean Oswestry Disability Index was 28.2. The ability to perform activities commonly impaired by SIJ dysfunction showed positive improvements in most patients. SIJ revision surgery was uncommon (five patients, 4.7%. Fourteen patients (13.1% underwent contralateral SIJF during follow-up, 25.2% of patients had additional non-SIJ-related lumbar spine or hip surgeries during follow-up.Conclusion: In intermediate- to long-term follow

  17. Sorption comparison between phenanthrene and its degradation intermediates, 9,10-phenanthrenequinone and 9-phenanthrol in soils/sediments.

    Science.gov (United States)

    Xiao, Di; Pan, Bo; Wu, Min; Liu, Ying; Zhang, Di; Peng, Hongbo

    2012-01-01

    The degradation intermediates of phenanthrene (PHE) may have increased health risks to organisms than PHE. Therefore, environmental fate and risk assessment studies should take into considerations of PHE degradation products. This study compared the sorption properties of PHE and its degradation intermediates, 9,10-phenanthrenequinone (PQN) and 9-phenanthrol (PTR) in soils, sediments and soil components. A relationship between organic carbon content (f(OC)) and single-point sorption coefficient (logK(d)) was observed for all three chemicals in 10 soils/sediments. The large intercept in the logf(OC)-logK(d) regression for PTR indicated that inorganic fractions control PTR sorption in soils/sediments. No relationship between specific surface area and K(d) was observed. This result indicated that determination of surface area based on gas sorption could not identify surface properties for PHE, PQN, and PTR sorption and thus provide limit information on sorption mechanisms. The high sorption and strong nonlinearity (low n values) of PTR in comparison to PHE suggested that the mobility of PTR could be lower than PHE. Increased mobility of PQN compared with PHE may be expected in soils/sediments because of PQN lower sorption. The varied sorption properties of the three chemicals suggested that their environmental risks should be assessed differently. Copyright © 2011 Elsevier Ltd. All rights reserved.

  18. PKA Increases in the Olfactory Bulb Act as Unconditioned Stimuli and Provide Evidence for Parallel Memory Systems: Pairing Odor with Increased PKA Creates Intermediate- and Long-Term, but Not Short-Term, Memories

    Science.gov (United States)

    Grimes, Matthew T.; Harley, Carolyn W.; Darby-King, Andrea; McLean, John H.

    2012-01-01

    Neonatal odor-preference memory in rat pups is a well-defined associative mammalian memory model dependent on cAMP. Previous work from this laboratory demonstrates three phases of neonatal odor-preference memory: short-term (translation-independent), intermediate-term (translation-dependent), and long-term (transcription- and…

  19. Comparison of hemolytic activity of the intermediate subunit of Entamoeba histolytica and Entamoeba dispar lectins.

    Directory of Open Access Journals (Sweden)

    Kentaro Kato

    Full Text Available Galactose and N-acetyl-D-galactosamine-inhibitable lectin of Entamoeba histolytica has roles in pathogenicity and induction of protective immunity in rodent models of amoebiasis. Recently, the intermediate subunit of the lectin, Igl1, of E. histolytica has been shown to have hemolytic activity. However, the corresponding lectin is also expressed in a non-virulent species, Entamoeba dispar, and another subunit, Igl2, is expressed in the protozoa. Therefore, in this study, we compared the activities of Igl1 and Igl2 subunits from E. histolytica and E. dispar using various regions of recombinant Igl proteins expressed in Escherichia coli. The recombinant E. dispar Igl proteins had comparable hemolytic activities with those of E. histolytica Igl proteins. Furthermore, Igl1 gene-silenced E. histolytica trophozoites showed less hemolytic activity compared with vector-transfected trophozoites, indicating that the expression level of Igl1 protein influences the activity. These results suggest that the lower hemolytic activity in E. dispar compared with E. histolytica reflects the lower expression level of Igl1 in the E. dispar parasite.

  20. Comparison of hemolytic activity of the intermediate subunit of Entamoeba histolytica and Entamoeba dispar lectins.

    Science.gov (United States)

    Kato, Kentaro; Makiuchi, Takashi; Cheng, Xunjia; Tachibana, Hiroshi

    2017-01-01

    Galactose and N-acetyl-D-galactosamine-inhibitable lectin of Entamoeba histolytica has roles in pathogenicity and induction of protective immunity in rodent models of amoebiasis. Recently, the intermediate subunit of the lectin, Igl1, of E. histolytica has been shown to have hemolytic activity. However, the corresponding lectin is also expressed in a non-virulent species, Entamoeba dispar, and another subunit, Igl2, is expressed in the protozoa. Therefore, in this study, we compared the activities of Igl1 and Igl2 subunits from E. histolytica and E. dispar using various regions of recombinant Igl proteins expressed in Escherichia coli. The recombinant E. dispar Igl proteins had comparable hemolytic activities with those of E. histolytica Igl proteins. Furthermore, Igl1 gene-silenced E. histolytica trophozoites showed less hemolytic activity compared with vector-transfected trophozoites, indicating that the expression level of Igl1 protein influences the activity. These results suggest that the lower hemolytic activity in E. dispar compared with E. histolytica reflects the lower expression level of Igl1 in the E. dispar parasite.

  1. Intermediate and Long-term Outcomes of Mitomycin C-enhanced Trabeculectomy as a First Glaucoma Procedure in Uveitic Glaucoma.

    Science.gov (United States)

    Almobarak, Faisal A; Alharbi, Ali H; Morales, Jose; Aljadaan, Ibrahim

    2017-05-01

    To evaluate the intermediate and long-term outcomes of mitomycin C-enhanced trabeculectomy as a first glaucoma procedure in uveitic glaucoma. Retrospective cohort study included 70 eyes of 50 patients with uveitic glaucoma who underwent mitomycin C-enhanced trabeculectomy as a first glaucoma procedure at King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia between 1996 and 2014. The main outcome measures were: the intraocular pressure (IOP), the number of antiglaucoma medications, the presence of visually threatening complications, and the need for further surgeries to control the IOP. Surgical outcome of each eye was classified as an absolute success, qualified success, or failure, based on the main outcome measures. The mean follow-up period was 77.0 months (±40.9). The IOP and number of antiglaucoma medications decreased significantly from a mean of 39.5 mm Hg (±8.9) and 3.7 (±0.8) to 14.4 mm Hg (±6.9) and 1 (±1.3) at the last follow-up, respectively (Pglaucoma, a significant number of patients needed further procedures to control the pressure. Thus, continuous monitoring of the pressure and inflammation are crucial.

  2. Long{sub t}erm performance of structural component of intermediate- and low-level radioactive waste disposal facility

    Energy Technology Data Exchange (ETDEWEB)

    Whang, J. H.; Kim, S. S.; Chun, T. H.; Lee, J. M.; Yum, M. O.; Kim, J. H.; Kim, M. S. [Kyunghee Univ., Seoul (Korea, Republic of)

    1997-03-15

    Underground repository for intermediate- and low-level radioactive waste is to be sealed and closed after operation. Structural components, which are generally made of cement concrete, are designed and accommodated in the repository for the purpose of operational convenience and stability after closure. To forecast the change of long-term integrity of the structural components, experimental verification, using in-situ or near in-situ conditions, is necessary. Domestic and foreign requirements with regard to the selection criteria and the performance criteria for structural components in disposal facility were surveyed. Characteristics of various types of cement were studied. Materials and construction methods of structural components similar to those of disposal facility was investigated and test items and methods for integrity of cement concrete were included. Literature survey for domestic groundwater characteristics was performed together with Ca-type bentonite ore which is a potential backfill material. Causes or factors affecting the durability of the cement structures were summarized. Experiments to figure out the ions leaching out from and migrating into cement soaked in distilled water and synthetic groundwater, respectively, were carried out. And finally, diffusion of chloride ion through cement was experimentally measured.

  3. Numerical comparison between deep water and intermediate water depth expressions applied to a wave energy converter

    Directory of Open Access Journals (Sweden)

    Pedro Beirão

    2015-09-01

    Full Text Available The energy that can be captured from the sea waves and converted into electricity should be seen as a contribution to decrease the excessive dependency and growing demand of fossil fuels. Devices suitable to harness this kind of renewable energy source and convert it into electricity—wave energy converters (WECs—are not yet commercially competitive. There are several types of WECs, with different designs and working principles. One possible classification is their distance to the shoreline and thus their depth. Near-shore devices are one of them since they are typically deployed at intermediate water depth (IWD. The selection of the WEC deployment site should be a balance between several parameters; water depth is one of them. Another way of classifying WECs is grouping them by their geometry, size and orientation. Considering a near-shore WEC belonging to the floating point category, this paper is focused on the numerical study about the differences arising in the power captured from the sea waves when the typical deep water (DW assumption is compared with the more realistic IWD consideration. Actually, the production of electricity will depend, among other issues, on the depth of the deployment site. The development of a dynamic model including specific equations for the usual DW assumption as well as for IWD is also described. Derived equations were used to build a time domain simulator (TDS. Numerical results were obtained by means of simulations performed using the TDS. The objective is to simulate the dynamic behavior of the WEC due to the action of sea waves and to characterize the wave power variations according with the depth of the deployment site.

  4. Application of Polymers for the Long-Term Storage and Disposal of Low- and Intermediate-Level Radioactive Waste

    International Nuclear Information System (INIS)

    Bonin, Hugues W.; Walker, Michael W.; Bui, Van Tam

    2004-01-01

    differences in chemical transition temperatures characteristic of radiation damage. All the changes in these properties are characteristic of the cross-linking phenomenon. For the glass-fiber-reinforced polymers, the results of the tests evidenced minor radiation degradation at the fiber/matrix interfaces. Based on these results, any of the investigated polymers could potentially be used for disposal containers due to their abilities to adequately resist radiation. This allowed proceeding one step further into determining a potential design framework for containers for the long-term storage and disposal of low- and intermediate-level radioactive waste

  5. Computational analysis of the mechanism of chemical reactions in terms of reaction phases: hidden intermediates and hidden transition States.

    Science.gov (United States)

    Kraka, Elfi; Cremer, Dieter

    2010-05-18

    (A(n,s) reaction complex. URVA can show the mechanism of a reaction expressed in terms of reaction phases, revealing the sequence of chemical processes in the reaction complex and making it possible to determine those electronic factors that control the mechanism and energetics of the reaction. The magnitude of adiabatic curvature coupling coefficients is related to strength and polarizability of the bonds being broken. Transient points along the reaction path are associated with hidden intermediates and hidden transition states, which can be converted into real intermediates and transition states when the reaction conditions or the substitution pattern of the reaction complex are appropriately changed. Accordingly, URVA represents a theoretical tool with tremendous experimental potential, offering the chemist the ability to assert greater control over reactions.

  6. Maxillary Four Implant-retained Overdentures via Locator® Attachment: Intermediate-term Results from a Retrospective Study.

    Science.gov (United States)

    Wang, Feng; Monje, Alberto; Huang, Wei; Zhang, Zhiyong; Wang, Guomin; Wu, Yiqun

    2016-06-01

    Maxillary overdentures have been utilized to restore oral function in scenarios where limited bone structure represents a drawback for financial issues and for cases where oral hygiene is uncertain. The aim of this study was to evaluate the intermediate-term clinical outcome of four locator attachment retaining maxillary overdentures and to test their reliability. A retrospective study was conducted from January 2007 to October 2013. After the placement of four maxillary dental implants and a healing period of approximately 3 months, all the implants were restored with locator-retained overdentures with partial palatal coverage. Subjects and implant characteristics, implant position (anterior vs posterior maxilla), bone quality, and opposing dentition were recorded. Peri-implant clinical parameters and marginal bone loss (MBL) were evaluated after delivery of the final prosthesis and annually thereafter. The performance of locator components and the prosthetic restoration were also recorded at follow-up. A total of 104 implants were placed in 26 subjects (11 women, 15 men; mean age, 64 years; age range, 55-76 years). One implant failed before loading. One subject dropped out of the study during a mean follow-up period of 46 months (range: 7-73 months), achieving an overall survival rate of 95.2%. Clinical parameters revealed healthy tissues around most of the implants, with low scores of plaque and bleeding indices. At the last follow-up evaluation, the mean MBL was 1.7 ± 1.1 mm (0.4-2.6 mm). Regression model analysis indicated that MBL for implants in the posterior maxilla was significantly higher than that for implants in the anterior maxilla (p = .0487). Overall, 26 technical and prosthetic complications were reported. Within the limitations of this study, maxillary four implant-retained overdentures via Locator attachment seem to be a predictable alternative for oral rehabilitation. © 2015 Wiley Periodicals, Inc.

  7. Transcatheter aortic valve implantation for bicuspid aortic valve stenosis: Acute and intermediate-term outcomes in a high volume institution

    Directory of Open Access Journals (Sweden)

    Anže Djordjević

    2017-03-01

    Full Text Available Background: We report our experience with transcatheter aortic valve implantation (TAVI in patients with bicuspid aortic valve (BAV stenosis.Methods: Perioperative and intermediate-term follow-up data were retrospectively analysed. All procedures were performed within the premises of an experienced high-volume TAVI centre.Results: Tirty-three consecutive BAV patients (age 55 to 87 years underwent TAVI. Mean logistic European System for Cardiac Operative Risk Evaluation (EuroSCORE was 23,2 ± 19,3. Transapical Edwards Sapien® valve was implanted in the majority of patients (87.9 %. Nine patients (27.3 % required post-ballooning of the implanted valve for moderate to severe paravalvular leak, 3 patients (9 % required a second valve implantation for persistent severe paravalvular leak, and 2 (6 % required conversion to conventional surgery. Post-operative mild aortic regurgitation (AR was presented in 12 patients (36.4% and AR = 2 in 3 %. No AR > 2 was observed. Te device success rate according to the valve academic research consortium (VARC criteria was 82 %. Similar BAV anatomy, calcium distribution, type and size of implanted valve were noticed in patients with and without residual AR. Tere was no thirty-day mortality. Two-year estimated survival was 70 % (CI: 52.7–93.1 and was similar in patients with and without post-procedural residual paravalvular leak.Conclusions: TAVI in BAV stenosis is feasible but, even in experienced centres, is technically more challenging and is associated with a higher rate of post-dilatation, re-valving, and conversion to conventional surgery. Results should be re-tested in light of the recent introduction of second-generation TAVI prostheses.

  8. Long-term degradation of organic polymers under conditions found in deep repositories for low and intermediate-level wastes

    International Nuclear Information System (INIS)

    Warthmann, R.; Mosberger, L.; Baier, U.

    2013-06-01

    On behalf of Nagra, the Environmental Biotechnology Section of the Zürich University of Applied Sciences in Wädenswil investigated the potential for microbiological degradation of organic polymers under the conditions found in a deep geological repository for low- and intermediate-level waste (L/ILW). The existing scientific literature on the topic was analysed, some thermodynamic calculations carried out and input was elicited from internationally recognised experts in the field. The study was restricted to a few substances which, in terms of mass, are most significant in the Swiss L/ILW inventory; these are polystyrene (PS), polyvinyl chloride (PVC), other plastics and bitumen. There were no clear indications in the literature that the polymer structure of synthetic polymers is biodegraded under anoxic conditions. However, functional groups of ion exchangers and plasticizers in plastics are considered to be readily available and biodegradable. The greatest obstacle to biological degradation of synthetic polymers is depolymerisation to produce labile monomers. As energy is generally required for such breakdown, the chances of this process taking place outside the cells are very low. In so far as they are present, monomers are, in principle, anaerobically biodegradable. Thermodynamic considerations indicate that degradation of synthetic polymers under repository conditions is theoretically possible. However, the degradation of polystyrene is very close to thermodynamic equilibrium and the usable energy for microorganisms would barely be sufficient. Under high H2 partial pressures, it is predicted that there will be a thermodynamic inhibition of anaerobic degradation, as certain interim steps in degradation are endergonic. The starting conditions for microbial growth in a deep repository are unfavourable in terms of availability of water and prevailing pH values. Practically no known microorganisms can tolerate the combination of these conditions; most known

  9. Intermediate-term seismic precursors to the 2007 Father's Day intrusion and eruption at Kilauea Volcano, Hawai'i

    Science.gov (United States)

    Roman, D. C.; Wauthier, C.; Poland, M. P.

    2012-12-01

    For two days beginning on June 17 (Father's Day), 2007, and following a four-year-long period of summit inflation, magma intruded into Kilauea's east rift zone, resulting in a small eruption just north of Makaopuhi Crater (~7 km west of the long-lived Pu'u O'o vent). On the basis of concurrent summit deflation and observations of lava chemistry and temperature, the June 17-19 Father's Day event has been interpreted as the result of forcible intrusion driven by high magma pressure at the summit, as opposed to a passive response to rifting. The Father's Day event was preceded by a) two shallow oblique strike-slip M4+ earthquakes along the outermost caldera faults on 24 May 2007, and b) a strong swarm of shallow volcano-tectonic (VT) earthquakes beginning on June 17 and signaling the onset of intrusion into the ERZ. Little is known, however, about any intermediate-term precursors that may have occurred between these two sets of earthquakes. We analyzed continuous and event-detected seismic data recorded by the Hawaiian Volcano Observatory permanent seismic monitoring network during the first half of 2007 and observe a) a subtle increase in the rate of seismic moment release beginning in April 2007, and b) a subtle decrease in seismic event rate beginning in early June 2007, both of which appear to correspond to changes in shallow (5 km BSL) seismicity. Most located events during this period occur in the upper southwest and east rift zones; however, relocation of newly-detected low-magnitude events also indicates the presence of a 'ring' of seismicity centered on the southeast caldera rim and a cluster of events with epicenters near Kilauea Iki crater. Additional analyses will indicate whether these features are unique to the months preceding the Father's Day event or whether they represent long-term features of Kilauea's seismicity. Finally, Interferometric Synthetic Aperture Radar (InSAR) analyses were used to examine the M4.7 and M4.1 earthquakes that occurred on

  10. Possible associations between long term anomalous geomagnetic variations, Vrancea (Romania) intermediate depths earthquakes and the solar activity for the last 15 years

    Science.gov (United States)

    Moldovan, I. A.; Moldovan, A. S.; Placinta, A. O.; Takla, E. M.; Constantin, A. P.; Popescu, E.

    2012-04-01

    Geomagnetic variations associated with earthquakes are widely accepted and several anomalous geomagnetic observations have been interpreted as a result of changing rock magnetic properties under varying tectonic stress (piezomagnetic effect). During the last 15 years of geomagnetic investigations conducted in Vrancea seismogenic zone, period covering more than a complete solar cycle, the solar-terrestrial perturbations have fluctuated from very low to very large values, providing the ideal medium to observe the correlation between the long and short term geomagnetic field perturbations, solar activity and earthquakes. The October 2004 intermediate depth earthquake (Mw=6.0) offered us the opportunity to investigate possible connections between the local geomagnetic field behavior and the occurrence of moderate magnitude Vrancea earthquakes. The comparison between the geomagnetic data obtained at a station inside the epicentral zone with other remote reference stations (outside the epicenter) considers an effective technique to detect the anomalous variation of a lithospheric origin. The working data are: (i) the geomagnetic field records made at Muntele Rosu Observatory (MLR), Surlari (SUA) and/or Tihany (THY) INTERMAGNET Observatories; (ii) the seismic data for Vrancea source zone; (iii) the daily geomagnetic index from NOAA/Space Weather. The one minute and daily averaged geomagnetic data were calculated at these stations for the whole period 1996-2011. The geomagnetic components: X, Y (horizontal North-South and East-West) and Z (vertical) and the normalized vertical component (Bz/Bx and Bz/By) were used in the data analysis processes and also in the comparison of the geomagnetic data between the selected stations. Our results indicate the presence of long term anomalous variations (weeks or months) in the geomagnetic components and in the magnetic impedance at MLR Observatory (close to the epicenter) and no magnetic modifications in the SUA and THY recordings

  11. Intermediate and long-term radiological consequences of an uncontrolled access of saline solution into the Asse mine - 59163

    International Nuclear Information System (INIS)

    Ustohalova, Veronika; Kueppers, Christian

    2012-01-01

    The risk of radioactive contamination in the biosphere surrounding the Asse salt mine has been assessed to determine the possible radioactive exposure to humans if the mine collapses. Geological conditions and anthropogenic activities have made the mine instable and allow salt-saturated ground water to seep in. This uncontrolled brine inflow significantly increases the risk of the mine collapsing. If the mine collapses, the brine will be pressed into groundwater, where the radionuclides can migrate into the biosphere and cause radioactive exposure. The key issue discussed in this paper is estimating the short- and long-term radiation burden for humans under several possible scenarios of radionuclide release. Only a radioecological model able to quantify and estimate processes taking place can generate usable results. This work develops the radioecological model describing both radionuclide migration and the resulting radiological exposure along several exposition pathways. Development of the model took into account the sorption processes, solubility limits and special aspects of decay chain migration. The radiological exposure was estimated under non-equilibrated conditions for the case of short-time expositions. At the end of this paper, the model's background, the results of the computations and a comparison of several scenarios will be presented. The estimating short- and long-term radiation burden for humans under several possible scenarios of radionuclide release in the biosphere surrounding the Asse salt mine is the key issue for further planning of suitable decommissioning options. In the case that the mine collapses, the radionuclide can be pressed out into groundwater and migrate into the biosphere. A radioecological model consisting of two independent tools -- radionuclide migration in groundwater ('Migration') and resulting radiological exposure along several pathways ('Exposure') - was developed. The radionuclide migration can be computed with the

  12. Comparison of three-phase three-level voltage source inverter with intermediate dc–dc boost converter and quasi-Z-source inverter

    DEFF Research Database (Denmark)

    Panfilov, Dmitry; Husev, Oleksandr; Blaabjerg, Frede

    2016-01-01

    This study compares a three-phase three-level voltage source inverter with an intermediate dc-dc boost converter and a quasi-Z-source inverter in terms of passive elements values and dimensions, semiconductor stresses, and overall efficiency. A comparative analysis was conducted with relative...

  13. Lithium hydride doped intermediate connector for high-efficiency and long-term stable tandem organic light-emitting diodes.

    Science.gov (United States)

    Ding, Lei; Tang, Xun; Xu, Mei-Feng; Shi, Xiao-Bo; Wang, Zhao-Kui; Liao, Liang-Sheng

    2014-10-22

    Lithium hydride (LiH) is employed as a novel n-dopant in the intermediate connector for tandem organic light-emitting diodes (OLEDs) because of its easy coevaporation with other electron transporting materials. The tandem OLEDs with two and three electroluminescent (EL) units connected by a combination of LiH doped 8-hydroxyquinoline aluminum (Alq3) and 1,4,5,8,9,11-hexaazatriphenylene-hexacarbonitrile (HAT-CN) demonstrate approximately 2-fold and 3-fold enhancement in current efficiency, respectively. In addition, no extra voltage drop across the intermediate connector is observed. Particularly, the lifetime (T75%) in the tandem OLED with two and three EL units is substantially improved by 3.8 times and 7.4 times, respectively. The doping effect of LiH into Alq3, the charge injection, and transport characteristics of LiH-doped Alq3 are further investigated by ultraviolet photoelectron spectroscopy (UPS) and X-ray photoemission spectroscopy (XPS).

  14. Effect of Long-Term Hormonal Therapy (vs Short-Term Hormonal Therapy): A Secondary Analysis of Intermediate-Risk Prostate Cancer Patients Treated on NRG Oncology RTOG 9202.

    Science.gov (United States)

    Mirhadi, Amin J; Zhang, Qiang; Hanks, Gerald E; Lepor, Herbert; Grignon, David J; Peters, Christopher A; Rosenthal, Seth A; Zeitzer, Kenneth; Radwan, John S; Lawton, Colleen; Parliament, Matthew B; Reznik, Robert S; Sandler, Howard M

    2017-03-01

    NRG Oncology RTOG 9202 was a randomized trial testing long-term adjuvant androgen deprivation (LTAD) versus initial androgen deprivation only (STAD) with external beam radiation therapy (RT) in mostly high-risk and some intermediate-risk prostate cancer patients. RTOG 9408 found an overall survival (OS) advantage in patients with cT1b-T2b disease and prostate-specific antigen (PSA) risk patients. It was still unknown whether intermediate-risk patients would experience an additional survival benefit with LTAD; thus, we performed a secondary analysis to explore whether LTAD had any incremental benefit beyond STAD among the intermediate-risk subset of RTOG 9202. The study endpoints were OS, disease-specific survival (DSS), and PSA failure (PSAF). An analysis was performed for all patients enrolled in RTOG 9202 defined as intermediate-risk (cT2 disease, PSArisk subset in this study. Whereas the subset was relatively small, treatment assignment was randomly applied, and a trend in favor of LTAD would have been of interest. Given the small number of disease-specific deaths observed and lack of benefit with respect to our endpoints, this secondary analysis does not suggest that exploration of longer hormonal therapy is worth testing in the intermediate-risk prostate cancer subset. Copyright © 2016. Published by Elsevier Inc.

  15. Comparison of High, Intermediate, and Low Frequency Shock Wave Lithotripsy for Urinary Tract Stone Disease: Systematic Review and Network Meta-Analysis.

    Science.gov (United States)

    Kang, Dong Hyuk; Cho, Kang Su; Ham, Won Sik; Lee, Hyungmin; Kwon, Jong Kyou; Choi, Young Deuk; Lee, Joo Yong

    2016-01-01

    To perform a systematic review and network meta-analysis of randomized controlled trials (RCTs) to determine the optimal shock wave lithotripsy (SWL) frequency range for treating urinary stones, i.e., high-frequency (100-120 waves/minute), intermediate-frequency (80-90 waves/minute), and low-frequency (60-70 waves/minute) lithotripsy. Relevant RCTs were identified from electronic databases for meta-analysis of SWL success and complication rates. Using pairwise and network meta-analyses, comparisons were made by qualitative and quantitative syntheses. Outcome variables are provided as odds ratios (ORs) with 95% confidence intervals (CIs). Thirteen articles were included in the qualitative and quantitative synthesis using pairwise and network meta-analyses. On pairwise meta-analyses, comparable inter-study heterogeneity was observed for the success rate. On network meta-analyses, the success rates of low- (OR 2.2; 95% CI 1.5-2.6) and intermediate-frequency SWL (OR 2.5; 95% CI 1.3-4.6) were higher than high-frequency SWL. Forest plots from the network meta-analysis showed no significant differences in the success rate between low-frequency SWL versus intermediate-frequency SWL (OR 0.87; 95% CI 0.51-1.7). There were no differences in complication rate across different SWL frequency ranges. By rank-probability testing, intermediate-frequency SWL was ranked highest for success rate, followed by low-frequency and high-frequency SWL. Low-frequency SWL was also ranked highest for low complication rate, with high- and intermediate-frequency SWL ranked lower. Intermediate- and low-frequency SWL have better treatment outcomes than high-frequency SWL when considering both efficacy and complication.

  16. Comparison of High, Intermediate, and Low Frequency Shock Wave Lithotripsy for Urinary Tract Stone Disease: Systematic Review and Network Meta-Analysis.

    Directory of Open Access Journals (Sweden)

    Dong Hyuk Kang

    Full Text Available To perform a systematic review and network meta-analysis of randomized controlled trials (RCTs to determine the optimal shock wave lithotripsy (SWL frequency range for treating urinary stones, i.e., high-frequency (100-120 waves/minute, intermediate-frequency (80-90 waves/minute, and low-frequency (60-70 waves/minute lithotripsy.Relevant RCTs were identified from electronic databases for meta-analysis of SWL success and complication rates. Using pairwise and network meta-analyses, comparisons were made by qualitative and quantitative syntheses. Outcome variables are provided as odds ratios (ORs with 95% confidence intervals (CIs.Thirteen articles were included in the qualitative and quantitative synthesis using pairwise and network meta-analyses. On pairwise meta-analyses, comparable inter-study heterogeneity was observed for the success rate. On network meta-analyses, the success rates of low- (OR 2.2; 95% CI 1.5-2.6 and intermediate-frequency SWL (OR 2.5; 95% CI 1.3-4.6 were higher than high-frequency SWL. Forest plots from the network meta-analysis showed no significant differences in the success rate between low-frequency SWL versus intermediate-frequency SWL (OR 0.87; 95% CI 0.51-1.7. There were no differences in complication rate across different SWL frequency ranges. By rank-probability testing, intermediate-frequency SWL was ranked highest for success rate, followed by low-frequency and high-frequency SWL. Low-frequency SWL was also ranked highest for low complication rate, with high- and intermediate-frequency SWL ranked lower.Intermediate- and low-frequency SWL have better treatment outcomes than high-frequency SWL when considering both efficacy and complication.

  17. Preheating and incubation of cane juice prior to liming: a comparison of intermediate and cold lime clarification.

    Science.gov (United States)

    Eggleston, Gillian; Monge, Adrian; Pepperman, Armand

    2002-01-30

    In the U.S., cold lime clarification remains the clarification process of choice in raw sugar manufacturing. A comparative study of cold vs intermediate lime clarification was undertaken at a factory that operated intermediate liming (approximately 30% mixed juice (MJ) of pH 5.2 +/- 0.3 was preheated to 87-93 degrees C to help maintain clean limed juice heaters, incubated at approximately 54 degrees C, and then limed) but still had the pipes to revert to cold liming (MJ incubated and limed at approximately 40 degrees C) for this study. Hourly samples were collected over a 6 h sampling period across cold and intermediate clarification processes on two consecutive days, respectively, and this was repeated three times across the 1999 grinding season. A total of 1.57% less sucrose was lost to inversion reactions across intermediate rather than cold liming. In intermediate liming, which required approximately 4.6% less lime, preheating of only 30% of the MJ markedly removed color (-29%), dextran (-10%), and starch (-24%) and caused large flocs to form that settled faster in the clarifiers. Faster settling led to an impressive 4.6% (season average) more turbidity removal across the clarifiers in intermediate rather than cold liming. Intermediate clarified juice (CJ) turbidity (season average 2028 ICU +/- 675) was approximately half of cold CJ turbidity (average 3952 ICU +/- 1450) with over 2-fold more CJ turbidity control. Subsequent turbidity values and control were significantly improved in the final evaporator syrup samples too. For both processes, juice incubation caused approximately 10% color removal, but this was offset by color formation on liming, because of the alkaline degradation of invert; however, overall, more color was removed than formed in intermediate liming. Starch was reduced in the incubator tank, for both processes, because added filtrate reduced the acidity enabling natural diastase from the cane to degrade starch. Some dextran occasionally formed

  18. Comparison between modelling and experimental measurements of Criegee intermediates from the ozonolysis of biogenic and anthropogenic VOCs

    Science.gov (United States)

    Giorio, Chiara; Campbell, Steven; Bruschi, Maurizio; Archibald, Alexander; Kalberer, Markus

    2017-04-01

    One of the most important reactions in the troposphere is ozonolysis of alkenes contributing to local photochemical smog and global climate change (Vereecken, 2013). Ozonolysis of alkenes occurs with a generally accepted mechanism, in which ozone adds to the double bond of alkenes forming a primary ozonide, which promptly decomposes to form a carbonyl compound and a biradical/zwitterion called Criegee intermediate (CI) (Criegee, 1975). CIs are highly reactive and short-lived and therefore their analysis represents an analytical challenge. We generated CIs in a flow tube by reacting olefinic compounds with ozone and we stabilised them with the volatile spin trap 5,5-dimethyl-pyrroline N-oxide (DMPO) prior to analysis with proton transfer reaction mass spectrometry (PTR-MS). In a recent study we unambiguously identified the structure of the CI-spin trap adducts formed in the ozonolysis of α-pinene (Giorio et al, submitted). Identification was performed and molecular structures of the adducts were determined with mass spectrometry techniques and nuclear magnetic resonance and supported by density functional theory (DFT) calculations (Giorio et al., submitted). We have now expanded the study to the ozonolysis of various biogenic alkenes, including β-pinene, limonene and methacrolein, as well as anthropogenic alkenes, including cis-2-hexene and styrene. As an example, for the ozonolysis of β-pinene both of the expected C1 and C9 CIs have been detected. These measurements indicate that the ratio between the yields of the C9 CI- and the C1 CI- DMPO adducts formed in this system is about 0.1, while theoretical estimates with the model "Master Chemical Mechanism" (MCM) 3.3.1 suggest a ratio of 0.7 (considering the stabilised CIs) (Saunders et al., 2003). This difference is likely due to different reaction rates of the two CIs with the spin trap DMPO. Similarly, for limonene, all three masses corresponding to the CIs from ozone attack to both the endo and the exo double

  19. Secondary Education Systems and the General Skills of Less- and Intermediate-Educated Adults: A Comparison of 18 Countries

    Science.gov (United States)

    Heisig, Jan Paul; Solga, Heike

    2015-01-01

    We investigate the impact of external differentiation and vocational orientation of (lower and upper) secondary education on country variation in the mean numeracy skills of, and skills gaps between, adults with low and intermediate formal qualifications. We use data on 30- to 44-year-olds in 18 countries from the 2011-12 round of the Program for…

  20. The Effects of Stress on Reading: A Comparison of First-Language versus Intermediate Second-Language Reading Comprehension

    Science.gov (United States)

    Rai, Manpreet K.; Loschky, Lester C.; Harris, Richard Jackson

    2015-01-01

    This study investigated how resource-demanding reading tasks and stressful conditions affect 1st-language (L1) and intermediate 2nd-language (L2) reading comprehension. Using the attentional control theory framework (Eysenck, Derakshan, Santos, & Calvo, 2007), we investigated the roles of central executive working memory (WM) resources,…

  1. Long-Term Performance of Silo Concrete in Low- and Intermediate-Level Waste (LILW) Disposal Facility

    International Nuclear Information System (INIS)

    Jung, Hae Ryong; Kwon, Ki Jung; Lee, Seung Hyun; Lee, Sung Bok; Jeong, Yi Yeong; Yoon, Eui Sik; Kim, Do Gyeum

    2012-01-01

    Concrete has been considered one of the engineered barriers in the geological disposal facility for low- and intermediate-level wastes (LILW). The concrete plays major role as structural support, groundwater infiltration barrier, and transport barrier of radionuclides dissolved from radioactive wastes. It also works as a chemical barrier due to its high pH condition. However, the performance of the concrete structure decrease over a period of time because of several physical and chemical processes. After a long period of time in the future, the concrete would lose its effectiveness as a barrier against groundwater inflow and the release of radionuclides. An subsurface environment below the frost depth should be favorable for concrete longevity as temperature and moisture variation should be minimal, significantly reducing the potential of cracking due to drying shrinkage and thermal expansion and contraction. Therefore, the concrete structures of LILW disposal facilities below groundwater table are expected to have relatively longer service life than those of near-surface or surface concrete structures. LILW in Korea is considered to be disposed of in the Wolsong LILW Disposal Center which is under construction in geological formation. 100,000 waste packages are expected to be disposed in the 6 concrete silos below EL -80m in the Wolsong LILW Disposal Center as first stage. The concrete silo has been considered the main engineered barrier which plays a role to inhibit water inflow and the release of radionuclides to the environments. Although a number of processes are responsible for the degradation of the silo concrete, it is concluded that a reinforcing steel corrosion cause the failure of the silo concrete. Therefore, a concrete silo failure time is calculated based on a corrosion initiation time which takes for chloride ions to penetrate through the concrete cover, and a corrosion propagation time. This paper aims to analyze the concrete failure time in the

  2. Long term behaviour of low and intermediate level waste packages under repository conditions. Results of a co-ordinated research project 1997-2002

    International Nuclear Information System (INIS)

    2004-06-01

    The development and application of approaches and technologies that provide long term safety is an essential issue in the disposal of radioactive waste. For low and intermediate level radioactive waste, engineered barriers play an important role in the overall safety and performance of near surface repositories. Thus, developing a strong technical basis for understanding the behaviour and performance of engineered barriers is an important consideration in the development and establishment of near surface repositories for radioactive waste. In 1993, a Co-ordinated Research Project (CRP) on Performance of Engineered Barrier Materials in Near Surface Disposal Facilities for Radioactive Waste was initiated by the IAEA with the twin goals of addressing some of the gaps in the database on radionuclide isolation and long term performance of a wide variety of materials and components that constitute the engineered barriers system (IAEA-TECDOC-1255 (2001)). However, during the course of the CRP, it was realized that that the scope of the CRP did not include studies of the behaviour of waste packages over time. Given that a waste package represents an important component of the overall near surface disposal system and the fact that many Member States have active R and D programmes related to waste package testing and evaluation, a new CRP was launched, in 1997, on Long Term Behaviour of Low and Intermediate Level Waste Packages Under Repository Conditions. The CRP was intended to promote research activities on the subject area in Member States, share information on the topic among the participating countries, and contribute to advancing technologies for near surface disposal of radioactive waste. Thus, this CRP complements the afore mentioned CRP on studies of engineered barriers. With the active participation and valuable contributions from twenty scientists and engineers from Argentina, Canada, Czech Republic, Egypt, Finland, India, Republic of Korea, Norway, Romania

  3. Summary report of the technical meeting on intermediate-term nuclear data needs for medical applications: cross sections and decay data

    International Nuclear Information System (INIS)

    Nichols, Alan L.; Qaim, Syed M.; Noy, Roberto Capote

    2011-09-01

    A summary is given of a Technical Meeting on 'Intermediate-term Nuclear Data Needs for Medical Applications: Cross Sections and Decay Data'. Participants assessed and reviewed cross-section and decay data for an extensive number of radionuclides deemed as potentially suitable for application in nuclear medicine and radiotherapy. Technical discussions are described in this report, along with comprehensive listings and detailed recommendations for future work. Recommendations focused on cross-section studies for a reasonably wide range of targets and projectiles, along with decay data measurements for specific radionuclides. Cross-section and decay-data evaluations are also merited to ensure the necessary quality and consistency of the data to be assembled in an appropriate IAEA-NDS database. (author)

  4. A Comparison Study on Co- and Counterrotating Dual-Rotor System with Squeeze Film Dampers and Intermediate Bearing

    Directory of Open Access Journals (Sweden)

    Fei Wang

    2017-01-01

    Full Text Available Nonlinear dynamic model of a coaxial rotor system was established with a method combining the finite element method and the fixed interface modal synthesis method. Then an implicit time domain method was presented to solve the nonlinear equations of motion; thus dynamic characteristics of the rotor system can be obtained. With nonlinear forces of squeeze film damper and intermediate bearing considered, nonlinear dynamic response characteristics of the co- and counterrotating coaxial rotor system under multiple unbalance forces were studied and compared in this work. It was found that the critical speeds of the corotating system were equal to or slightly higher than those of the counterrotating case due to the gyroscopic moments. The results showed that the unbalance excitation frequencies are dominant in the responses of the rotor system. Besides, due to coupling effect of the intermediate bearing some combinations of the unbalance excitation frequencies were also observed in the spectrogram but the combinations were different for co- and counterrotating cases. Stability and periodicity of the rotor system were investigated with bifurcation diagram, Poincare map, and phase diagram. It was found that the rotor system executes four-period quasi-periodic motion around critical speeds.

  5. Intermediate-term and long-term outcome of piggyback drainage: connecting glaucoma drainage device to a device in-situ for improved intraocular pressure control.

    Science.gov (United States)

    Dervan, Edward; Lee, Edward; Giubilato, Antonio; Khanam, Tina; Maghsoudlou, Panayiotis; Morgan, William H

    2017-11-01

    This study provides results of a treatment option for patients with failed primary glaucoma drainage device. The study aimed to describe and evaluate the long-term intraocular pressure control and complications of a new technique joining a second glaucoma drainage device directly to an existing glaucoma drainage device termed 'piggyback drainage'. This is a retrospective, interventional cohort study. Eighteen eyes of 17 patients who underwent piggyback drainage between 2004 and 2013 inclusive have been studied. All patients had prior glaucoma drainage device with uncontrolled intraocular pressure. The piggyback technique involved suturing a Baerveldt (250 or 350 mm) or Molteno3 glaucoma drainage device to an unused scleral quadrant and connecting the silicone tube to the primary plate bleb. Failure of intraocular pressure control defined as an intraocular pressure greater than 21 mmHg on maximal therapy on two separate occasions or further intervention to control intraocular pressure. The intraocular pressure was controlled in seven eyes (39%) at last follow-up with a mean follow-up time of 74.2 months. The mean preoperative intraocular pressure was 27.1 mmHg (95% confidence interval 23.8-30.3) compared with 18.4 mmHg (95% confidence interval 13.9-22.8) at last follow-up. The mean time to failure was 57.1 months (95% confidence interval 32.2-82), and the mean time to further surgery was 72.3 months (95% confidence interval 49.9-94.7). Lower preoperative intraocular pressure was associated with longer duration of intraocular pressure control (P = 0.048). If the intraocular pressure was controlled over 2 years, it continued to be controlled over the long term. Two eyes (11%) experienced corneal decompensation. Piggyback drainage represents a viable surgical alternative for the treatment of patients with severe glaucoma with failing primary glaucoma drainage device, particularly in those at high risk of corneal decompensation. © 2017 Royal Australian and New Zealand

  6. Multicode comparison of selected source-term computer codes

    Energy Technology Data Exchange (ETDEWEB)

    Hermann, O.W.; Parks, C.V.; Renier, J.P.; Roddy, J.W.; Ashline, R.C.; Wilson, W.B.; LaBauve, R.J.

    1989-04-01

    This report summarizes the results of a study to assess the predictive capabilities of three radionuclide inventory/depletion computer codes, ORIGEN2, ORIGEN-S, and CINDER-2. The task was accomplished through a series of comparisons of their output for several light-water reactor (LWR) models (i.e., verification). Of the five cases chosen, two modeled typical boiling-water reactors (BWR) at burnups of 27.5 and 40 GWd/MTU and two represented typical pressurized-water reactors (PWR) at burnups of 33 and 50 GWd/MTU. In the fifth case, identical input data were used for each of the codes to examine the results of decay only and to show differences in nuclear decay constants and decay heat rates. Comparisons were made for several different characteristics (mass, radioactivity, and decay heat rate) for 52 radionuclides and for nine decay periods ranging from 30 d to 10,000 years. Only fission products and actinides were considered. The results are presented in comparative-ratio tables for each of the characteristics, decay periods, and cases. A brief summary description of each of the codes has been included. Of the more than 21,000 individual comparisons made for the three codes (taken two at a time), nearly half (45%) agreed to within 1%, and an additional 17% fell within the range of 1 to 5%. Approximately 8% of the comparison results disagreed by more than 30%. However, relatively good agreement was obtained for most of the radionuclides that are expected to contribute the greatest impact to waste disposal. Even though some defects have been noted, each of the codes in the comparison appears to produce respectable results. 12 figs., 12 tabs.

  7. Complete mitochondrial genomes of the 'intermediate form' of Fasciola and Fasciola gigantica, and their comparison with F. hepatica.

    Science.gov (United States)

    Liu, Guo-Hua; Gasser, Robin B; Young, Neil D; Song, Hui-Qun; Ai, Lin; Zhu, Xing-Quan

    2014-03-31

    Fascioliasis is an important and neglected disease of humans and other mammals, caused by trematodes of the genus Fasciola. Fasciola hepatica and F. gigantica are valid species that infect humans and animals, but the specific status of Fasciola sp. ('intermediate form') is unclear. Single specimens inferred to represent Fasciola sp. ('intermediate form'; Heilongjiang) and F. gigantica (Guangxi) from China were genetically identified and characterized using PCR-based sequencing of the first and second internal transcribed spacer regions of nuclear ribosomal DNA. The complete mitochondrial (mt) genomes of these representative specimens were then sequenced. The relationships of these specimens with selected members of the Trematoda were assessed by phylogenetic analysis of concatenated amino acid sequence datasets by Bayesian inference (BI). The complete mt genomes of representatives of Fasciola sp. and F. gigantica were 14,453 bp and 14,478 bp in size, respectively. Both mt genomes contain 12 protein-coding genes, 22 transfer RNA genes and two ribosomal RNA genes, but lack an atp8 gene. All protein-coding genes are transcribed in the same direction, and the gene order in both mt genomes is the same as that published for F. hepatica. Phylogenetic analysis of the concatenated amino acid sequence data for all 12 protein-coding genes showed that the specimen of Fasciola sp. was more closely related to F. gigantica than to F. hepatica. The mt genomes characterized here provide a rich source of markers, which can be used in combination with nuclear markers and imaging techniques, for future comparative studies of the biology of Fasciola sp. from China and other countries.

  8. Complete mitochondrial genomes of the ‘intermediate form’ of Fasciola and Fasciola gigantica, and their comparison with F. hepatica

    Science.gov (United States)

    2014-01-01

    Background Fascioliasis is an important and neglected disease of humans and other mammals, caused by trematodes of the genus Fasciola. Fasciola hepatica and F. gigantica are valid species that infect humans and animals, but the specific status of Fasciola sp. (‘intermediate form’) is unclear. Methods Single specimens inferred to represent Fasciola sp. (‘intermediate form’; Heilongjiang) and F. gigantica (Guangxi) from China were genetically identified and characterized using PCR-based sequencing of the first and second internal transcribed spacer regions of nuclear ribosomal DNA. The complete mitochondrial (mt) genomes of these representative specimens were then sequenced. The relationships of these specimens with selected members of the Trematoda were assessed by phylogenetic analysis of concatenated amino acid sequence datasets by Bayesian inference (BI). Results The complete mt genomes of representatives of Fasciola sp. and F. gigantica were 14,453 bp and 14,478 bp in size, respectively. Both mt genomes contain 12 protein-coding genes, 22 transfer RNA genes and two ribosomal RNA genes, but lack an atp8 gene. All protein-coding genes are transcribed in the same direction, and the gene order in both mt genomes is the same as that published for F. hepatica. Phylogenetic analysis of the concatenated amino acid sequence data for all 12 protein-coding genes showed that the specimen of Fasciola sp. was more closely related to F. gigantica than to F. hepatica. Conclusions The mt genomes characterized here provide a rich source of markers, which can be used in combination with nuclear markers and imaging techniques, for future comparative studies of the biology of Fasciola sp. from China and other countries. PMID:24685294

  9. Measurement-model comparison of stabilized Criegee intermediate and highly oxygenated molecule production in the CLOUD chamber

    Science.gov (United States)

    Sarnela, Nina; Jokinen, Tuija; Duplissy, Jonathan; Yan, Chao; Nieminen, Tuomo; Ehn, Mikael; Schobesberger, Siegfried; Heinritzi, Martin; Ehrhart, Sebastian; Lehtipalo, Katrianne; Tröstl, Jasmin; Simon, Mario; Kürten, Andreas; Leiminger, Markus; Lawler, Michael J.; Rissanen, Matti P.; Bianchi, Federico; Praplan, Arnaud P.; Hakala, Jani; Amorim, Antonio; Gonin, Marc; Hansel, Armin; Kirkby, Jasper; Dommen, Josef; Curtius, Joachim; Smith, James N.; Petäjä, Tuukka; Worsnop, Douglas R.; Kulmala, Markku; Donahue, Neil M.; Sipilä, Mikko

    2018-02-01

    Atmospheric oxidation is an important phenomenon which produces large quantities of low-volatility compounds such as sulfuric acid and oxidized organic compounds. Such species may be involved in the nucleation of particles and enhance their subsequent growth to reach the size of cloud condensation nuclei (CCN). In this study, we investigate α-pinene, the most abundant monoterpene globally, and its oxidation products formed through ozonolysis in the Cosmic Leaving OUtdoor Droplets (CLOUD) chamber at CERN (the European Organization for Nuclear Research). By scavenging hydroxyl radicals (OH) with hydrogen (H2), we were able to investigate the formation of highly oxygenated molecules (HOMs) purely driven by ozonolysis and study the oxidation of sulfur dioxide (SO2) driven by stabilized Criegee intermediates (sCIs). We measured the concentrations of HOM and sulfuric acid with a chemical ionization atmospheric-pressure interface time-of-flight (CI-APi-TOF) mass spectrometer and compared the measured concentrations with simulated concentrations calculated with a kinetic model. We found molar yields in the range of 3.5-6.5 % for HOM formation and 22-32 % for the formation of stabilized Criegee intermediates by fitting our model to the measured sulfuric acid concentrations. The simulated time evolution of the ozonolysis products was in good agreement with measured concentrations except that in some of the experiments sulfuric acid formation was faster than simulated. In those experiments the simulated and measured concentrations met when the concentration reached a plateau but the plateau was reached 20-50 min later in the simulations. The results shown here are consistent with the recently published yields for HOM formation from different laboratory experiments. Together with the sCI yields, these results help us to understand atmospheric oxidation processes better and make the reaction parameters more comprehensive for broader use.

  10. Single-Fraction High-Dose-Rate Brachytherapy and Hypofractionated External Beam Radiation Therapy in the Treatment of Intermediate-Risk Prostate Cancer - Long Term Results

    Energy Technology Data Exchange (ETDEWEB)

    Cury, Fabio L., E-mail: fabio.cury@muhc.mcgill.ca [Department of Radiation Oncology, McGill University Health Centre, Montreal, QC (Canada); Duclos, Marie [Department of Radiation Oncology, McGill University Health Centre, Montreal, QC (Canada); Aprikian, Armen [Department of Urology, McGill University Health Centre, Montreal, QC (Canada); Patrocinio, Horacio [Department of Medical Physics, McGill University Health Centre, Montreal, QC (Canada); Kassouf, Wassim [Department of Urology, McGill University Health Centre, Montreal, QC (Canada); Shenouda, George; Faria, Sergio; David, Marc; Souhami, Luis [Department of Radiation Oncology, McGill University Health Centre, Montreal, QC (Canada)

    2012-03-15

    Purpose: We present the long-term results of a cohort of patients with intermediate-risk prostate cancer (PC) treated with single-fraction high-dose-rate brachytherapy (HDRB) combined with hypofractionated external beam radiation therapy (HypoRT). Methods and Materials: Patients were treated exclusively with HDRB and HypoRT. HDRB delivered a dose of 10 Gy to the prostate surface and HypoRT consisted of 50 Gy delivered in 20 daily fractions. The first 121 consecutive patients with a minimum of 2 years posttreatment follow-up were assessed for toxicity and disease control. Results: The median follow-up was 65.2 months. No acute Grade III or higher toxicity was seen. Late Grade II gastrointestinal toxicity was seen in 9 patients (7.4%) and Grade III in 2 (1.6%). Late Grade III genitourinary toxicity was seen in 2 patients (1.6%). After a 24-month follow-up, a rebiopsy was offered to the first 58 consecutively treated patients, and 44 patients agreed with the procedure. Negative biopsies were found in 40 patients (91%). The 5-year biochemical relapse-free survival rate was 90.7% (95% CI, 84.5-96.9%), with 13 patients presenting biochemical failure. Among them, 9 were diagnosed with distant metastasis. Prostate cancer-specific and overall survival rates at 5 years were 100% and 98.8% (95% CI, 96.4-100%), respectively. Conclusion: The combination of HDRB and HypoRT is well tolerated, with acceptable toxicity rates. Furthermore, results from rebiopsies revealed an encouraging rate of local control. These results confirm that the use of conformal RT techniques, adapted to specific biological tumor characteristics, have the potential to improve the therapeutic ratio in intermediate-risk PC patients.

  11. [Prevention of dyslexia – short-term and intermediate effects of promoting phonological awareness and letter-sound correspondence with at-risk preschool children].

    Science.gov (United States)

    Höse, Anna; Wyschkon, Anne; Moraske, Svenja; Eggeling, Marie; Quandte, Sabine; Kohn, Juliane; Poltz, Nadine; von Aster, Michael; Esser, Günter

    2016-09-01

    This study assesses the short-term and intermediate effects of preschool training stimulating phonological awareness and letter-sound correspondence for children at risk of developing dyslexia. Moreover, we examined whether training reduced the frequency of subsequent dyslexic problems. 25 children at risk of developing dyslexia were trained with Hören, Lauschen, Lernen 1 und 2 (Küspert & Schneider, 2008; Plume & Schneider, 2004) by their kindergarten teachers and were compared with 60 untrained at-risk children. The training revealed a significant short-term effect: The phonological awareness of trained at-risk children increased significantly over that of untrained at-risk children. However, there were no differences in phonological awareness, spelling, and reading ability between the first-graders in the training and control group. Furthermore, reading problems were reduced in the training group. In the future, phonological awareness as well as additional predictors should be included when identifying children vulnerable to developing dyslexia. Moreover, in order to prevent dyslexia, additional prerequisite deficits need to be identified, alleviated, and their effects evaluated.

  12. Loads imposed on dual purpose casks in German on-site-storage facilities for long term intermediate storage of spent nuclear fuel

    Energy Technology Data Exchange (ETDEWEB)

    Wetzel, N.; Rabe, O. [TUeV NORD EnSys Hannover GmbH und Co. KG, Hanover (Germany)

    2004-07-01

    In accordance with recent changes of the atomic energy act and in order to secure reliable removal of spent fuel from the nuclear power plants' fuel storage ponds the German utilities filed license applications for a total of 12 onsite- storage facilities for spent fuel assemblies. By the end of 2003 the last of these storage facilities were licensed and are currently under construction. The first on-site-storage facility of that line became operational in late 2002. There are several design lines of storage facilities with different handling procedures or possible accident conditions. Short term interim storage facilities for a few casks are characterized by individual concrete hoods shielding the casks in horizontal position whereas long term intermediate storage facilities currently erected for large numbers of casks typically feature a condensed pattern of casks stored in upright position and massive structures of reinforced concrete. TUeV Hannover/Sachsen-Anhalt e. V. (now TUeV NORD EnSys Hannover GmbH and Co. KG) has been contracted as a body of independent experts for the assessment of all related safety requirements on behalf of the national licensing authority, the federal office for radiation protection (BfS).

  13. A dosimetric comparison of fan-beam intensity modulated radiotherapy with gamma knife stereotactic radiosurgery for treating intermediate intracranial lesions

    International Nuclear Information System (INIS)

    Ma Lijun; Xia Ping; Verhey, Lynn J.; Boyer, Arthur L.

    1999-01-01

    Purpose: To compare and evaluate treatment plans for the fan-beam intensity modulated radiotherapy and the Gamma Knife radiosurgery for treating medium-size intracranial lesions (range 4-25 cm 3 ). Methods and Materials: Treatment plans were developed for the Leksell Gamma Knife and a fan-beam inverse treatment planning system for intensity modulated radiotherapy. Treatment plan comparisons were carried out using dose-volume histogram (DVH), tissue-volume ratio (TVR), and maximum dose to the prescription dose (MDPD) ratio. The study was carried out for both simulated targets and clinical targets with irregular shapes and at different locations. Results: The MDPD ratio was significantly greater for the Gamma Knife plans than for the fan-beam IMRT plans. The Gamma Knife plans produced equivalent TVR values to the fan-beam IMRT plans. Based on the DVH comparison, the fan-beam IMRT delivered significantly more dose to the normal brain tissue than the Gamma Knife. The results of the comparison were found to be insensitive to the target locations. Conclusion: The Gamma Knife is better than the fan-beam IMRT in sparing normal brain tissue while producing equivalent tumor dose conformity for treating medium-size intracranial lesions. However, the target dose homogeneity is significantly better for the fan-beam IMRT than for the Gamma Knife

  14. Pairwise Comparison and Distance Measure of Hesitant Fuzzy Linguistic Term Sets

    Directory of Open Access Journals (Sweden)

    Han-Chen Huang

    2014-01-01

    Full Text Available A hesitant fuzzy linguistic term set (HFLTS, allowing experts using several possible linguistic terms to assess a qualitative linguistic variable, is very useful to express people’s hesitancy in practical decision-making problems. Up to now, a little research has been done on the comparison and distance measure of HFLTSs. In this paper, we present a comparison method for HFLTSs based on pairwise comparisons of each linguistic term in the two HFLTSs. Then, a distance measure method based on the pairwise comparison matrix of HFLTSs is proposed, and we prove that this distance is equal to the distance of the average values of HFLTSs, which makes the distance measure much more simple. Finally, the pairwise comparison and distance measure methods are utilized to develop two multicriteria decision-making approaches under hesitant fuzzy linguistic environments. The results analysis shows that our methods in this paper are more reasonable.

  15. Activity of the pterophyllins 2 and 4 against postharvest fruit pathogenic fungi. Comparison with a synthetic analog and related intermediates.

    Science.gov (United States)

    Pergomet, Jorgelina L; Di Liberto, Melina G; Derita, Marcos G; Bracca, Andrea B J; Kaufman, Teodoro S

    2018-03-01

    The antifungal activity of pterophyllin 2, pterophyllin 4, a 5-desmethyl analog of the latter and some of their synthetic intermediates, against three postharvest phytopathogenic fungi, was evaluated. The target fungi were Rhizopus stolonifer, Botrytis cinerea and Monilinia fructicola, which affect fruits worldwide, causing important economic losses. The tests were carried out with imazalil and carbendazim as positive controls. Minimum inhibitory concentrations and minimum fungicidal concentrations were determined, and the morphology of the colonies was examined microscopically. In liquid medium, it was found that pterophyllin 4 exhibited selective fungicidal activity toward M. fructicola, whereas its congener pterophyllin 2 proved to be less potent and not selective and the 5-desmethyl analog of pterophyllin 4 displayed a different activity profile. Morphological changes were observed in the colonies exposed to pterophyllin 4. The results highlighted the importance of small structural features for the antifungal behavior and also suggested that, in Nature, the pterophyllins may act as plant defenses against pathogens. Copyright © 2018 Elsevier B.V. All rights reserved.

  16. Engineered intermediate storage of solidified high level wastes. A comparison of an air cooled and a water cooled concept

    International Nuclear Information System (INIS)

    Ahner, S.; Dekais, J.J.

    1980-01-01

    In the course of the CEC-Program sheet N 0 6, Nukem jointly with Belgonucleaire performed a comparative study on an air cooled and a water cooled intermediate storage of vitrified, highly radioactive waste (HLW) in overground installations. For this purpose, common design basis were determined. In the concept of the air cooled storage facility (Nukem design) the decay heat from the storage canisters will be removed, using natural convection. In the water cooled concept (Belgonucleaire concept) the decay heat is carried off by a primary and secondary forced cooling system with redundant and diverse devices. The safety analysis carried out by Nukem used a fault tree method. It shows that the reliability of the designed water cooling system is very high and comparable to the inherent safe air cooled system. The impact for both concepts on the environment, is determined by the release route, but even during accident conditions the release is far below permissible limits. The economic analysis carried out by Belgonucleaire shows, that the construction costs for both systems do not differ very much, but the operation and maintenance costs for the water cooled facility are 4 to 8 higher than for the air cooled facility

  17. Formation of Reactive Intermediates, Color, and Antioxidant Activity in the Maillard Reaction of Maltose in Comparison to d-Glucose.

    Science.gov (United States)

    Kanzler, Clemens; Schestkowa, Helena; Haase, Paul T; Kroh, Lothar W

    2017-10-11

    In this study, the Maillard reaction of maltose and d-glucose in the presence of l-alanine was investigated in aqueous solution at 130 °C and pH 5. The reactivity of both carbohydrates was compared in regards of their degradation, browning, and antioxidant activity. In order to identify relevant differences in the reaction pathways, the concentrations of selected intermediates such as 1,2-dicarbonyl compounds, furans, furanones, and pyranones were determined. It was found, that the degradation of maltose predominantly yields 1,2-dicarbonyls that still carry a glucosyl moiety and thus subsequent reactions to HMF, furfural, and 2-acetylfuran are favored due to the elimination of d-glucose, which is an excellent leaving group in aqueous solution. Consequently, higher amounts of these heterocycles are formed from maltose. 3-deoxyglucosone and 3-deoxygalactosone represent the only relevant C 6 -1,2-dicarbonyls in maltose incubations and are produced in nearly equimolar amounts during the first 60 min of heating as byproducts of the HMF formation.

  18. A cross cultural comparison of long-term supply relationships

    NARCIS (Netherlands)

    Jong, Gjalt de; Nooteboom, Bart

    2003-01-01

    This paper challenges the received view that long-term supply relationships are a typically Japanese feature, embedded and developed in a typically Japanese society characterized by high levels of trust and cooperation, and for that reason cannot be established in the typically a-cooperative,

  19. The long-term effect of social comparison on academic performance

    NARCIS (Netherlands)

    Wehrens, Maike J. P. W.; Kuyper, Hans; Dijkstra, Pieternel; Buunk, Abraham P.; van der Werf, Margaretha P. C.

    2010-01-01

    The present study was part of a large-scale cohort study among several thousand students in the Netherlands. The purpose of the study was to investigate the long-term effects of comparison choice, i.e., comparison with a target performing better or worse than oneself, and academic comparative

  20. Intermediate-Sized Conjugated Donor Molecules for Organic Solar Cells: Comparison of Benzodithiophene and Benzobisthiazole-Based Cores

    KAUST Repository

    Zhang, Siyuan

    2017-09-05

    Two intermediate-sized donor molecules, BBTz-X and BDT-X, have been synthesized by the Stille coupling between 4-(4,4-bis(2-ethylhexyl)-6-(trimethylstannyl)-4H-silolo[3,2-b:4,5-b′]dithiophen-2-yl)-7-(5′-hexyl-[2,2′-bithiophen]-5-yl)-[1,2,5]thiadiazolo[3,4-c]pyridine and either 4,8-bis(5-(2-ethylhexyl)thiophen-2-yl)-2,6-diiodobenzo[1,2-d:4,5-d′]bis(thiazole) or 2,6-dibromo-4,8-bis(5-(2-ethylhexyl)thiophen-2-yl)benzo[1,2-b:4,5-b′]dithiophene, respectively. Both oxidation and reduction potentials for BBTz-X are anodically shifted relative to those for BDT-X, but the oxidation potential is more sensitive to the identity of the core; this is consistent with what is seen for DFT-calculated HOMO and LUMO energies and with a slightly blue-shifted absorption maximum for BBTz-X. Although DFT calculations, along with crystal structures of related compounds, suggest more planar molecular structures for BBTz-X than for BDT-X, film structures and the effects of various annealing processes on these films, as revealed by GIWAXS, are similar. The performance of BDT-X:PC61BM bulk-heterojunction solar cells is more sensitive to annealing conditions than that of BBTz-X:PC61BM cells, but under appropriate conditions, both yield power conversion efficiencies of >7%.

  1. Good outcome of adolescent onset anorexia nervosa after systematic treatment. Intermediate to long-term follow-up of a representative county-sample.

    Science.gov (United States)

    Halvorsen, Inger; Andersen, Anne; Heyerdahl, Sonja

    2004-10-01

    We studied the intermediate to long-term outcome of childhood and adolescent onset anorexia nervosa (AN), in a sample that had received systematic treatment based on close cooperation between parents, paediatric department and child and adolescent psychiatry. Of 55 female AN-patients, 51 were examined 3.5-14.5 years after treatment start. The material includes all AN-patients under 18 years in one county that received inpatient treatment and almost all that received outpatient treatment, during the time period 1986-1998. Forty-two (82%) subjects had no eating disorder (ED) at follow-up, one (2%) had AN, one (2%) bulimia nervosa (BN) and seven (14%) had less severe ED (EDNOS). Except the one with BN, none had bulimic symptoms. There was no mortality. Twenty (41%) had one or more other axis-1 psychiatric diagnoses at follow-up. Depression and anxiety disorders were most frequent. Psychosocial functioning assessed by Global Assessment of Functioning (GAF) was fairly good; mean 73+/-SD14 for symptoms and mean 77+/-SD13 for functioning. Only 48% were satisfied with life, compared to 83% in a normal population sample. Our conclusion is that the eating disorder outcome was good. However, in accordance with other studies, many subjects had other psychiatric problems at follow-up.

  2. Comparison of Plant Life Management Approaches for Long Term Operations

    International Nuclear Information System (INIS)

    Kang, Kisig

    2012-01-01

    Plant life management can be defined as the integration of ageing and economic planning to maintain a high level of safety and optimize operations. Many Member States have given high priority to long term operation of nuclear power plants beyond the time frame originally anticipated (e. g. 30 or 40 years). Out of a total of 445 (369 GWe) operating nuclear power plants, 349 units (297 GWe) have been in operation for more than 20 years (as of November 2011). The need for engineering support to operation, maintenance, safety review and life management for long term operation as well as education and training in the field is increasingly evident. In addition the Fukushima accident has rendered all stake holders even more attentive to safety concerns and to the provision of beyond safety measures in the preparation and scrutiny of applications for operational design life extensions. In many countries, the safety performance of NPPs is periodically followed and characterized via the periodic safety review (PSR) approach. The regulatory The regulatory review and acceptance of the PSR gives the licensee the permission to operate the plant for up to the end of the next PSR cycle (usually 10 years). In the USA and other countries operating US designed plants, the license renewal application is based on the five pre-requisite requirements and ageing management programme for passive long life system structure and components(SSCs) and active systems is adequately addressed by the maintenance rule (MR) requirements and other established regulatory processes. Other Member States have adopted a combined approach that incorporates elements of both PSR and additional LRA specific requirements primarily focused on time limited ageing analysis. Taking into account this variety of approaches, the international atomic energy agency (IAEA) initiated work for collecting and sharing information among Member States about good practices on plant life management for long term operation in

  3. [Comparison of anatomical terms from Basle nomina anatomica to Terminologia anatomica--terms of general anatomy].

    Science.gov (United States)

    Kimura, Kunihiko

    2004-06-01

    This paper compared and considered terms of general anatomy from the Basle Nomina Anatomica (1895) to the Terminologia Anatomica (1998), together with the Jena Nomina Anatomica (1935). Some differences are found in ideas of the BNA-NA3, NA4-6 and TA. It was noticed after the NA4, that the "coronalis" was used for the site and the "frontalis" for the direction in head, that the term of line and plane was reasonably rearranged, and that some terms were omitted from the part of human body and moved to the systemic anatomy in head and trunk and to the region in limbs.

  4. Laboratory investigation of a suspected outbreak caused by Providencia stuartii with intermediate resistance to imipenem at a long-term care facility

    Directory of Open Access Journals (Sweden)

    Yuan-Chih Mao

    2018-04-01

    Full Text Available Background: Providencia stuartii survives well in natural environment and often causes opportunistic infection in residents of long-term care facilities (LTCFs. Clinical isolates of P. stuartii are usually resistant to multiple antibiotics. The bacterium is also naturally resistant to colistin and tigecycline. Treatment of infections caused by carbapenem-resistant P. stuartii is challenging. Methods: During a 15-month period in 2013–2014, four isolates (P1, P2, and P3B/P3U of P. stuartii showing intermediate resistance to imipenem were identified at a regional hospital in southern Taiwan. They were identified from three patients (P1–P3 transferred from the same LTCF for the treatment of the infection. Pulsed-field gel electrophoresis was used to genotype the isolates. Resistance genes/plasmids and outer membrane proteins were investigated by polymerase chain reaction and sequence analysis. Results: Isolates P1 and P3B/P3U demonstrated similar pulsotypes. All isolates were found to have resistance genes (blaCMY-2, qnrD1, aac(6′-Ib-cr carried on nonconjugative IncA/C plasmids of different sizes. A single point mutation was identified in the chromosomal gyrA (Ser83Ile and parC (Ser84Ile genes of all isolates. Various point mutations and insertion/deletion changes were found in their major outer membrane protein gene ompPst1. Conclusions: Isolates of similar pulsotypes could appear after 15 months and caused urosepsis in another resident of the same LTCF. The bacterium may have persisted in the environment and caused opportunistic infection. As LTCF residents are usually vulnerable to infections, surveillance of multidrug-resistant organisms and infection control intervention that have been established in acute-care hospitals to control infections by resistant organisms are apparently as essential in LTCFs. Keywords: carbapenem resistance, long-term care facility, multidrug-resistant organisms, outbreak, Providencia stuartii

  5. The effect of kangaroo ward care in comparison with "intermediate intensive care" on the growth velocity in preterm infant with birth weight control trial.

    Science.gov (United States)

    Sharma, Deepak; Murki, Srinivas; Pratap, Oleti Tejo

    2016-10-01

    Kangaroo mother care (KMC) reduces neonatal mortality, neonatal sepsis and improves growth outcome in preterm infants. In this study, we compared the efficacy of "baby care in kangaroo ward (KWC)" with "baby care in intermediate intensive care (IIC)" in stable preterm infants (birth weight birth weight <1100 g) infants at term gestational age. Clinical trial registry of India CTRI/2014/05/004625 WHAT IS KNOWN: • Kangaroo mother care (KMC) reduces neonatal mortality, neonatal sepsis and improves growth outcome in VLBW infants. What is new: • Baby care by mother can be given safely in kangaroo ward from a weight of 1150 g in stable preterm infants without any adverse effects.

  6. Transcatheter closure of large atrial septal defects using 40 mm amplatzer septal occluder: Single group experience with short and intermediate term follow-up.

    Science.gov (United States)

    Dalvi, Bharat; Sheth, Kshitij; Jain, Shreepal; Pinto, Robin

    2017-05-01

    To assess feasibility, safety, and efficacy of the use of 40 mm Amplatzer septal occluder (ASO 40) for the closure of large atrial septal defects (ASD). There is very little data available on closure of large ASDs with ASO 40. Case records of patients who underwent ASD closure with ASO 40 between 2002 and 2014 were retrospectively analyzed. All patients had clinical, transthoracic, and transesophageal echocardiographic (TEE) evaluation prior to device closure. Postclosure follow-up was done at 6 weeks, 6 months, and annually thereafter. 87 patients underwent ASD closure using ASO 40 during the study period. Mean age and weight of the group was 32.4 ± 11.6 years and 59.5 ± 11.3 kg respectively. Mean ASD diameter on TEE was 32 ± 2.8 mm. The balloon stretched diameter (N = 40) was 37.8 ± 1.3 mm. The balloon assisted technique was used in 80/87 patients for device deployment. The procedure was successful in 84/87 patients. Follow-up was available in 77 patients over a period of 44 ± 15.7 months. 3/77 patients had a small residual shunt. The severity of tricuspid regurgitation decreased in 40/77 patients. The pulmonary artery systolic pressure decreased from 49.7 ± 9.2 to 41.2 ± 6.2 mm Hg (N = 61; P 40 can be used safely and effectively with promising short and intermediate term results.© 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  7. The first report on intermediate-term outcome of Ex-PRESS® glaucoma filtration device implanted under scleral flap in Japanese patients

    Directory of Open Access Journals (Sweden)

    Sugiyama T

    2011-07-01

    Full Text Available Tetsuya Sugiyama, Maho Shibata, Shota Kojima, Mari Ueki, Tsunehiko IkedaDepartment of Ophthalmology, Osaka Medical College, Takatsuki, Osaka, JapanPurpose: This paper compares the outcomes of the Ex-PRESS® Glaucoma Filtration Device (Alcon, Fort Worth, TX implant observed in Japanese patients for 1 year with those of patients undergoing trabeculectomy.Patients and methods: The subjects comprised ten eyes of ten cases with open-angle glaucoma for which filtration surgery using Ex-PRESS (P-50 was performed by one operator from February 2008 and observed for at least 1 year (Ex-PRESS Group, and eleven eyes of eleven cases for which trabeculectomy was performed by the same operator (TE Group. For both groups, mitomycin C was used and a scleral flap was created after a fornix-based incision of the conjunctiva.Results: Hypotony and choroidal detachment were observed as early postoperative complications during a 1-week period in one-third of the cases in the TE Group, and failing vision in about 45%, while these were seen in fewer cases in the Ex-PRESS Group. No significant difference in intraocular pressure (IOP was observed during the period, but IOP variations on the day following the surgery were obviously narrower in the Ex-PRESS Group than in the TE Group. Visual acuity was significantly poorer from 1 week to 3 months in the TE Group while it was stable in the Ex-PRESS Group. The Ex-PRESS Group had fewer cases of laser suture lysis and fewer administrations of glaucoma eyedrop, and no cases of progression in the stage of visual field defect.Conclusion: Filtration surgery using the Ex-PRESS is unlikely to cause early complications in Japanese patients. Similarly to the trabeculectomy, the intermediate-term control of IOP showed favorable results.Keywords: Ex-PRESS, miniature glaucoma device, complication, efficacy, Japanese

  8. Comparison between Ni-Rh/gadolinia doped ceria catalysts in reforming of propane for anode implementations in intermediate solid oxide fuel cells

    Science.gov (United States)

    Boaro, M.; Modafferi, V.; Pappacena, A.; Llorca, J.; Baglio, V.; Frusteri, F.; Frontera, P.; Trovarelli, A.; Antonucci, P. L.

    Steam and autothermal reforming of propane over Ni-Rh/GDC catalysts prepared by coprecipitation and by Pechini method were investigated in the temperature range 873-1073 K. The weight ratio for Ni, Rh and Ce 0.8Gd 0.2O 2 (45:5:50) and the operating temperatures were chosen in order to gain propaedeutical information on fuel reactivity under typical intermediate solid oxide fuel cell (IT-SOFC) operating conditions. The Pechini synthesis allows to obtain catalysts with lower surface area, smaller nickel crystallites and a bimodal distribution of rhodium in comparison to the coprecipitation method. Despite the different methods of synthesis lead to catalysts with different morphological and structural properties, the activity of catalysts is quite similar. At reaction temperature higher than 973 K, under both steam reforming (SR) and autothermal reforming (ATR), the catalysts show high propane conversion and syngas (H 2 + CO) productivity. Deactivation of catalysts was observed at 873 and 973 K under SR conditions due to coke formation. In ATR, coke formation was almost completely depressed and the catalysts resulted to be very stable even at low reaction temperature (873 K). In SR coke formation occurs with higher rate on the catalyst having higher Ni dispersion, probably since propane cracking reaction is the pre-eminent phenomenon in promoting coke formation.

  9. Intermediate processes in nuclear reactions

    International Nuclear Information System (INIS)

    Petrovici, M.

    1983-01-01

    The main results presented here cannot be interpreted in terms of the direct reaction model or the statistical models and one can more or less explicitely use some nuclear configurations for their interpretation. The first chapter deals with the so-called second order intermediate structures observed in the elastic and inelastic proton scattering on 66 Zn and 70 Ge targets in the energetic regions of some isobaric analog resonances. A formal theory for their interpretation is developed and the comparison with the experimental data is presented. New experimental results on the resonant structures observed in the elastic and inelastic scattering of 12 C on 24 Mg are presented in the second chapter. Detailed statistical analysis and their interpretation is presented too. Charge equilibration in deep inelastic collisions is the main subject of the third chapter. The experimental results obtained by the 98 Mo + 154 Sm collision at 12 MeV/n, a quantum treatment of a damped harmonic oscillator and the comparison with the experimental data are given. In the last chapter, some results on the existence of two other processes which could candidate to be involved in the main topic are presented. Those processes are: the fast fragmentation and preequilibrium charged particles emission. All these processes originate in the excitation of some simple configurations which can be seen on ''doorway'' states (''Hallway'' in the case of the second intermediate structures). The coupling of these states to other more complicated excitation modes of the nuclei and to outgoing channel=gives the possibility to study the nuclear dynamics. This justifies the interest for their detailed theoretical and experimental investigations. (author)

  10. Prognostic Value of Stress Echocardiography in Patients With Low-Intermediate or High Short-Term (10 Years) Versus Low (Risk of Cardiovascular Disease According to the American College of Cardiology/American Heart Association 2013 Cardiovascular Risk Calculator.

    Science.gov (United States)

    Yao, Siu-Sun; Supariwala, Azhar; Yao, Amanda; Dukkipati, Sai Sreenija; Wyne, Jamshad; Chaudhry, Farooq A

    2015-09-01

    This study evaluates the prognostic value of stress echocardiography (Secho) in short-term (10 years) and lifetime atherosclerotic cardiovascular disease risk-defined groups according to the American College of Cardiology/American Heart Association 2013 cardiovascular risk calculator. The ideal risk assessment and management of patients with low-to-intermediate or high short-term versus low (risk is unclear. The purpose of this study was to evaluate the prognostic value of Secho in short-term and lifetime CV risk-defined groups. We evaluated 4,566 patients (60 ± 13 years; 46% men) who underwent Secho (41% treadmill and 59% dobutamine) with low-intermediate short-term (risk divided into low (risk and third group with high short-term risk (≥20%, n = 3,537). Follow-up (3.2 ± 1.5 years) for nonfatal myocardial infarction (n = 102) and cardiac death (n = 140) were obtained. By univariate analysis, age (p risk and also in those with high short-term CV risk group (3.5% vs 1.0% per year, p risk assessment in patients with low-intermediate or high short-term versus low or high lifetime cardiovascular risk. Event rate with normal Secho is low (≤1% per year) but higher in patients with high short-term CV risk by the American College of Cardiology/American Heart Association 2013 cardiovascular risk calculator. Copyright © 2015 Elsevier Inc. All rights reserved.

  11. Comparison of antibody titer against the infectious bursal disease virus following the disease with that obtained from live intermediate vaccines using indirect hemagglutination (IHA test in broiler chicks

    Directory of Open Access Journals (Sweden)

    A Feizi

    2009-02-01

    Full Text Available In this study, antibody titer obtained from the outbreak of the infection bursal disease (IBD was compared with the titer obtained from live intermediate vaccines by indirect haemagglutination (IHA test in broiler chicks. A total of 450 one day old Cobb chicks were divided into 3 groups each containing 150 chicks and were kept for 42 days in the same rearing conditions. Chicks in groups 1 and 2 received Bursin-2 and D-78 vaccines respectively via drinking water n days 14 and 21. The rest of the chicks were kept as the controls (group 4 and did not receive any vaccine against the IBD. Serum samples were collected from all birds 2 weeks after the second IBD vaccination. Additional 150 serum samples were also collected from 3 broiler flocks that were affected by IBD and had a history of vaccination by the previously mentioned method, two weeks after the last clinical sings were observed (group 3. Antibody titer of the samples against the IBD virus were determined by the IHA test and the results were evaluated using ANOVA and SPSS software. The mean antibody titer obtained from Bursin-2 and D-78 vaccines were 3.19 and 3.21 respectively which is less than the titer of 6 needed for protection against the disease. The antibody titer in affected flocks was 7.19. comparison of the mean titer of the two vaccines did not show any significant difference but there was significant difference between the titer obtained from each vaccine and that of the effected flock (p

  12. The Intermediate Neutrino Program

    Energy Technology Data Exchange (ETDEWEB)

    Adams, C.; et al.

    2015-03-23

    The US neutrino community gathered at the Workshop on the Intermediate Neutrino Program (WINP) at Brookhaven National Laboratory February 4-6, 2015 to explore opportunities in neutrino physics over the next five to ten years. Scientists from particle, astroparticle and nuclear physics participated in the workshop. The workshop examined promising opportunities for neutrino physics in the intermediate term, including possible new small to mid-scale experiments, US contributions to large experiments, upgrades to existing experiments, R&D plans and theory. The workshop was organized into two sets of parallel working group sessions, divided by physics topics and technology. Physics working groups covered topics on Sterile Neutrinos, Neutrino Mixing, Neutrino Interactions, Neutrino Properties and Astrophysical Neutrinos. Technology sessions were organized into Theory, Short-Baseline Accelerator Neutrinos, Reactor Neutrinos, Detector R&D and Source, Cyclotron and Meson Decay at Rest sessions.This report summarizes discussion and conclusions from the workshop.

  13. The Intermediate Neutrino Program

    CERN Document Server

    Adams, C.; Ankowski, A.M.; Asaadi, J.A.; Ashenfelter, J.; Axani, S.N.; Babu, K.; Backhouse, C.; Band, H.R.; Barbeau, P.S.; Barros, N.; Bernstein, A.; Betancourt, M.; Bishai, M.; Blucher, E.; Bouffard, J.; Bowden, N.; Brice, S.; Bryan, C.; Camilleri, L.; Cao, J.; Carlson, J.; Carr, R.E.; Chatterjee, A.; Chen, M.; Chen, S.; Chiu, M.; Church, E.D.; Collar, J.I.; Collin, G.; Conrad, J.M.; Convery, M.R.; Cooper, R.L.; Cowen, D.; Davoudiasl, H.; de Gouvea, A.; Dean, D.J.; Deichert, G.; Descamps, F.; DeYoung, T.; Diwan, M.V.; Djurcic, Z.; Dolinski, M.J.; Dolph, J.; Donnelly, B.; Dwyer, D.A.; Dytman, S.; Efremenko, Y.; Everett, L.L.; Fava, A.; Figueroa-Feliciano, E.; Fleming, B.; Friedland, A.; Fujikawa, B.K.; Gaisser, T.K.; Galeazzi, M.; Galehouse, D.C.; Galindo-Uribarri, A.; Garvey, G.T.; Gautam, S.; Gilje, K.E.; Gonzalez-Garcia, M.; Goodman, M.C.; Gordon, H.; Gramellini, E.; Green, M.P.; Guglielmi, A.; Hackenburg, R.W.; Hackenburg, A.; Halzen, F.; Han, K.; Hans, S.; Harris, D.; Heeger, K.M.; Herman, M.; Hill, R.; Holin, A.; Huber, P.; Jaffe, D.E.; Johnson, R.A.; Joshi, J.; Karagiorgi, G.; Kaufman, L.J.; Kayser, B.; Kettell, S.H.; Kirby, B.J.; Klein, J.R.; Kolomensky, Yu. G.; Kriske, R.M.; Lane, C.E.; Langford, T.J.; Lankford, A.; Lau, K.; Learned, J.G.; Ling, J.; Link, J.M.; Lissauer, D.; Littenberg, L.; Littlejohn, B.R.; Lockwitz, S.; Lokajicek, M.; Louis, W.C.; Luk, K.; Lykken, J.; Marciano, W.J.; Maricic, J.; Markoff, D.M.; Martinez Caicedo, D.A.; Mauger, C.; Mavrokoridis, K.; McCluskey, E.; McKeen, D.; McKeown, R.; Mills, G.; Mocioiu, I.; Monreal, B.; Mooney, M.R.; Morfin, J.G.; Mumm, P.; Napolitano, J.; Neilson, R.; Nelson, J.K.; Nessi, M.; Norcini, D.; Nova, F.; Nygren, D.R.; Orebi Gann, G.D.; Palamara, O.; Parsa, Z.; Patterson, R.; Paul, P.; Pocar, A.; Qian, X.; Raaf, J.L.; Rameika, R.; Ranucci, G.; Ray, H.; Reyna, D.; Rich, G.C.; Rodrigues, P.; Romero, E.Romero; Rosero, R.; Rountree, S.D.; Rybolt, B.; Sanchez, M.C.; Santucci, G.; Schmitz, D.; Scholberg, K.; Seckel, D.; Shaevitz, M.; Shrock, R.; Smy, M.B.; Soderberg, M.; Sonzogni, A.; Sousa, A.B.; Spitz, J.; St. John, J.M.; Stewart, J.; Strait, J.B.; Sullivan, G.; Svoboda, R.; Szelc, A.M.; Tayloe, R.; Thomson, M.A.; Toups, M.; Vacheret, A.; Vagins, M.; Van de Water, R.G.; Vogelaar, R.B.; Weber, M.; Weng, W.; Wetstein, M.; White, C.; White, B.R.; Whitehead, L.; Whittington, D.W.; Wilking, M.J.; Wilson, R.J.; Wilson, P.; Winklehner, D.; Winn, D.R.; Worcester, E.; Yang, L.; Yeh, M.; Yokley, Z.W.; Yoo, J.; Yu, B.; Yu, J.; Zhang, C.

    2015-01-01

    The US neutrino community gathered at the Workshop on the Intermediate Neutrino Program (WINP) at Brookhaven National Laboratory February 4-6, 2015 to explore opportunities in neutrino physics over the next five to ten years. Scientists from particle, astroparticle and nuclear physics participated in the workshop. The workshop examined promising opportunities for neutrino physics in the intermediate term, including possible new small to mid-scale experiments, US contributions to large experiments, upgrades to existing experiments, R&D plans and theory. The workshop was organized into two sets of parallel working group sessions, divided by physics topics and technology. Physics working groups covered topics on Sterile Neutrinos, Neutrino Mixing, Neutrino Interactions, Neutrino Properties and Astrophysical Neutrinos. Technology sessions were organized into Theory, Short-Baseline Accelerator Neutrinos, Reactor Neutrinos, Detector R&D and Source, Cyclotron and Meson Decay at Rest sessions.This report summ...

  14. The Intermediate Neutrino Program

    Energy Technology Data Exchange (ETDEWEB)

    Adams, C. [Yale Univ., New Haven, CT (United States); Alonso, J. R. [Massachusetts Inst. of Technology (MIT), Cambridge, MA (United States); Ankowski, A. M. [Virginia Polytechnic Inst. and State Univ. (Virginia Tech), Blacksburg, VA (United States); Asaadi, J. A. [Syracuse Univ., NY (United States); Ashenfelter, J. [Yale Univ., New Haven, CT (United States); Axani, S. N. [Massachusetts Inst. of Technology (MIT), Cambridge, MA (United States); Babu, K [Oklahoma State Univ., Stillwater, OK (United States); Backhouse, C. [California Inst. of Technology (CalTech), Pasadena, CA (United States); Band, H. R. [Yale Univ., New Haven, CT (United States); Barbeau, P. S. [Duke Univ., Durham, NC (United States); Barros, N. [Univ. of Pennsylvania, Philadelphia, PA (United States); Bernstein, A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Betancourt, M. [Illinois Inst. of Technology, Chicago, IL (United States); Bishai, M. [Brookhaven National Lab. (BNL), Upton, NY (United States); Blucher, E. [Univ. of Chicago, IL (United States); Bouffard, J. [State Univ. of New York (SUNY), Albany, NY (United States); Bowden, N. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Brice, S. [Illinois Inst. of Technology, Chicago, IL (United States); Bryan, C. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Camilleri, L. [Columbia Univ., New York, NY (United States); Cao, J. [Inst. of High Energy Physics, Beijing (China); Carlson, J. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Carr, R. E. [Columbia Univ., New York, NY (United States); Chatterjee, A. [Univ. of Texas, Arlington, TX (United States); Chen, M. [Univ. of California, Irvine, CA (United States); Chen, S. [Tsinghua Univ., Beijing (China); Chiu, M. [Brookhaven National Lab. (BNL), Upton, NY (United States); Church, E. D. [Illinois Inst. of Technology, Chicago, IL (United States); Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Collar, J. I. [Univ. of Chicago, IL (United States); Collin, G. [Massachusetts Inst. of Technology (MIT), Cambridge, MA (United States); Conrad, J. M. [Massachusetts Inst. of Technology (MIT), Cambridge, MA (United States); Convery, M. R. [SLAC National Accelerator Lab., Menlo Park, CA (United States); Cooper, R. L. [Indiana Univ., Bloomington, IN (United States); Cowen, D. [Pennsylvania State Univ., University Park, PA (United States); Davoudiasl, H. [Brookhaven National Lab. (BNL), Upton, NY (United States); Gouvea, A. D. [Northwestern Univ., Evanston, IL (United States); Dean, D. J. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Deichert, G. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Descamps, F. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); DeYoung, T. [Michigan State Univ., East Lansing, MI (United States); Diwan, M. V. [Brookhaven National Lab. (BNL), Upton, NY (United States); Djurcic, Z. [Argonne National Lab. (ANL), Argonne, IL (United States); Dolinski, M. J. [Drexel Univ., Philadelphia, PA (United States); Dolph, J. [Brookhaven National Lab. (BNL), Upton, NY (United States); Donnelly, B. [Massachusetts Inst. of Technology (MIT), Cambridge, MA (United States); Dwyer, D. A. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Dytman, S. [Univ. of Pittsburgh, PA (United States); Efremenko, Y. [Univ. of Tennessee, Knoxville, TN (United States); Everett, L. L. [Univ. of Wisconsin, Madison, WI (United States); Fava, A. [University of Padua, Padova (Italy); Figueroa-Feliciano, E. [Massachusetts Inst. of Technology (MIT), Cambridge, MA (United States); Fleming, B. [Yale Univ., New Haven, CT (United States); Friedland, A. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Fujikawa, B. K. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Gaisser, T. K. [Univ. of Delaware, Newark, DE (United States); Galeazzi, M. [Univ. of Miami, FL (United States); Galehouse, DC [Univ. of Akron, OH (United States); Galindo-Uribarri, A. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Garvey, G. T. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Gautam, S. [Tribhuvan Univ., Kirtipur (Nepal); Gilje, K. E. [Illinois Inst. of Technology, Chicago, IL (United States); Gonzalez-Garcia, M. [Stony Brook Univ., NY (United States); Goodman, M. C. [Argonne National Lab. (ANL), Argonne, IL (United States); Gordon, H. [Brookhaven National Lab. (BNL), Upton, NY (United States); Gramellini, E. [Yale Univ., New Haven, CT (United States); Green, M. P. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Guglielmi, A. [University of Padua, Padova (Italy); Hackenburg, R. W. [Brookhaven National Lab. (BNL), Upton, NY (United States); Hackenburg, A. [Yale Univ., New Haven, CT (United States); Halzen, F. [Univ. of Wisconsin, Madison, WI (United States); Han, K. [Yale Univ., New Haven, CT (United States); Hans, S. [Brookhaven National Lab. (BNL), Upton, NY (United States); Harris, D. [Illinois Inst. of Technology, Chicago, IL (United States); Heeger, K. M. [Yale Univ., New Haven, CT (United States); Herman, M. [Brookhaven National Lab. (BNL), Upton, NY (United States); Hill, R. [Univ. of Chicago, IL (United States); Holin, A. [Univ. College London, Bloomsbury (United Kingdom); Huber, P. [Virginia Polytechnic Inst. and State Univ. (Virginia Tech), Blacksburg, VA (United States); Jaffe, D. E. [Brookhaven National Lab. (BNL), Upton, NY (United States); Johnson, R. A. [Univ. of Cincinnati, OH (United States); Joshi, J. [Brookhaven National Lab. (BNL), Upton, NY (United States); Karagiorgi, G. [Univ. of Manchester (United Kingdom); Kaufman, L. J. [Indiana Univ., Bloomington, IN (United States); Kayser, B. [Illinois Inst. of Technology, Chicago, IL (United States); Kettell, S. H. [Brookhaven National Lab. (BNL), Upton, NY (United States); Kirby, B. J. [Brookhaven National Lab. (BNL), Upton, NY (United States); Klein, J. R. [Univ. of Texas, Arlington, TX (United States); Kolomensky, Y. G. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Univ. of California, Berkeley, CA (United States); Kriske, R. M. [Univ. of Minnesota, Minneapolis, MN (United States); Lane, C. E. [Drexel Univ., Philadelphia, PA (United States); Langford, T. J. [Yale Univ., New Haven, CT (United States); Lankford, A. [Univ. of California, Irvine, CA (United States); Lau, K. [Univ. of Houston, TX (United States); Learned, J. G. [Univ. of Hawaii, Honolulu, HI (United States); Ling, J. [Univ. of Illinois, Urbana-Champaign, IL (United States); Link, J. M. [Virginia Polytechnic Inst. and State Univ. (Virginia Tech), Blacksburg, VA (United States); Lissauer, D. [Brookhaven National Lab. (BNL), Upton, NY (United States); Littenberg, L. [Brookhaven National Lab. (BNL), Upton, NY (United States); Littlejohn, B. R. [Illinois Inst. of Technology, Chicago, IL (United States); Lockwitz, S. [Illinois Inst. of Technology, Chicago, IL (United States); Lokajicek, M. [Inst. of Physics of the Academy of Sciences of Czech Republic, Prague (Czech Republic); Louis, W. C. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Luk, K. [Univ. of California, Berkeley, CA (United States); Lykken, J. [Illinois Inst. of Technology, Chicago, IL (United States); Marciano, W. J. [Brookhaven National Lab. (BNL), Upton, NY (United States); Maricic, J. [Univ. of Hawaii, Honolulu, HI (United States); Markoff, D. M. [North Carolina Central Univ., Durham, NC (United States); Caicedo, D. A. M. [Illinois Inst. of Technology, Chicago, IL (United States); Mauger, C. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Mavrokoridis, K. [Univ. of Liverpool (United Kingdom); McCluskey, E. [Illinois Inst. of Technology, Chicago, IL (United States); McKeen, D. [Univ. of Washington, Seattle, WA (United States); McKeown, R. [Thomas Jefferson National Accelerator Facility (TJNAF), Newport News, VA (United States); Mills, G. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Mocioiu, I. [Pennsylvania State Univ., University Park, PA (United States); Monreal, B. [Univ. of California, Santa Barbara, CA (United States); Mooney, M. R. [Brookhaven National Lab. (BNL), Upton, NY (United States); Morfin, J. G. [Illinois Inst. of Technology, Chicago, IL (United States); Mumm, P. [National Inst. of Standards and Technology (NIST), Boulder, CO (United States); Napolitano, J. [Temple Univ., Philadelphia, PA (United States); Neilson, R. [Drexel Univ., Philadelphia, PA (United States); Nelson, J. K. [College of William and Mary, Williamsburg, VA (United States); Nessi, M. [European Organization for Nuclear Research (CERN), Geneva (Switzerland); Norcini, D. [Yale Univ., New Haven, CT (United States); Nova, F. [Univ. of Texas, Austin, TX (United States); Nygren, D. R. [Univ. of Texas, Arlington, TX (United States); Gann, GDO [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Univ. of California, Berkeley, CA (United States); Palamara, O. [Illinois Inst. of Technology, Chicago, IL (United States); Parsa, Z. [Brookhaven National Lab. (BNL), Upton, NY (United States); Patterson, R. [California Inst. of Technology (CalTech), Pasadena, CA (United States); Paul, P. [Stony Brook Univ., NY (United States); Pocar, A. [Univ. of Massachusetts, Amherst, MA (United States); Qian, X. [Brookhaven National Lab. (BNL), Upton, NY (United States); Raaf, J. L. [Illinois Inst. of Technology, Chicago, IL (United States); Rameika, R. [Illinois Inst. of Technology, Chicago, IL (United States); Ranucci, G. [National Inst. of Nuclear Physics, Milano (Italy); Ray, H. [Univ. of Florida, Gainesville, FL (United States); Reyna, D. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Rich, G. C. [Triangle Universities Nuclear Lab., Durham, NC (United States); Rodrigues, P. [Univ. of Rochester, NY (United States); Romero, E. R. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Univ. of Tennessee, Knoxville, TN (United States); Rosero, R. [Brookhaven National Lab. (BNL), Upton, NY (United States); Rountree, S. D. [Virginia Polytechnic Inst. and State Univ. (Virginia Tech), Blacksburg, VA (United States); Rybolt, B. [Univ. of Tennessee, Knoxville, TN (United States); Sanchez, M. C. [Iowa State Univ., Ames, IA (United States); Santucci, G. [Stony Brook Univ., NY (United States); Schmitz, D. [Univ. of Chicago, IL (United States); Scholberg, K. [Duke Univ., Durham, NC (United States); Seckel, D. [Univ. of Delaware, Newark, DE (United States); Shaevitz, M. [Columbia Univ., New York, NY (United States); Shrock, R. [Stony Brook Univ., NY (United States); Smy, M. B. [Univ. of California, Irvine, CA (United States); Soderberg, M. [Syracuse Univ., NY (United States); Sonzogni, A. [Brookhaven National Lab. (BNL), Upton, NY (United States); Sousa, A. B. [Univ. of Cincinnati, OH (United States); Spitz, J. [Massachusetts Inst. of Technology (MIT), Cambridge, MA (United States); John, J. M. S. [Univ. of Cincinnati, OH (United States); Stewart, J. [Brookhaven National Lab. (BNL), Upton, NY (United States); Strait, J. B. [Illinois Inst. of Technology, Chicago, IL (United States); Sullivan, G. [Univ. of Maryland, College Park, MD (United States); Svoboda, R. [Univ. of California, Davis, CA (United States); Szelc, A. M. [Yale Univ., New Haven, CT (United States); Tayloe, R. [Indiana Univ., Bloomington, IN (United States); Thomson, M. A. [Univ. of Cambridge (United Kingdom); Toups, M. [Massachusetts Inst. of Technology (MIT), Cambridge, MA (United States); Vacheret, A. [Univ. of Oxford (United Kingdom); Vagins, M. [Univ. of California, Irvine, CA (United States); Water, R. G. V. D. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Vogelaar, R. B. [Virginia Polytechnic Inst. and State Univ. (Virginia Tech), Blacksburg, VA (United States); Weber, M. [Bern (Switzerland); Weng, W. [Brookhaven National Lab. (BNL), Upton, NY (United States); Wetstein, M. [Univ. of Chicago, IL (United States); White, C. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); White, B. R. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Whitehead, L. [Univ. of Houston, TX (United States); Whittington, D. W. [Indiana Univ., Bloomington, IN (United States); Wilking, M. J. [Stony Brook Univ., NY (United States); Wilson, R. J. [Colorado State Univ., Fort Collins, CO (United States); Wilson, P. [Illinois Inst. of Technology, Chicago, IL (United States); Winklehner, D. [Massachusetts Inst. of Technology (MIT), Cambridge, MA (United States); Winn, D. R. [Fairfield Univ., CT (United States); Worcester, E. [Brookhaven National Lab. (BNL), Upton, NY (United States); Yang, L. [Univ. of Illinois, Urbana-Champaign, IL (United States); Yeh, M [Brookhaven National Lab. (BNL), Upton, NY (United States); Yokley, Z. W. [Virginia Polytechnic Inst. and State Univ. (Virginia Tech), Blacksburg, VA (United States); Yoo, J. [Illinois Inst. of Technology, Chicago, IL (United States); Yu, B. [Brookhaven National Lab. (BNL), Upton, NY (United States); Yu, J. [Univ. of Texas, Arlington, TX (United States); Zhang, C. [Brookhaven National Lab. (BNL), Upton, NY (United States)

    2017-04-03

    The US neutrino community gathered at the Workshop on the Intermediate Neutrino Program (WINP) at Brookhaven National Laboratory February 4-6, 2015 to explore opportunities in neutrino physics over the next five to ten years. Scientists from particle, astroparticle and nuclear physics participated in the workshop. The workshop examined promising opportunities for neutrino physics in the intermediate term, including possible new small to mid-scale experiments, US contributions to large experiments, upgrades to existing experiments, R&D plans and theory. The workshop was organized into two sets of parallel working group sessions, divided by physics topics and technology. Physics working groups covered topics on Sterile Neutrinos, Neutrino Mixing, Neutrino Interactions, Neutrino Properties and Astrophysical Neutrinos. Technology sessions were organized into Theory, Short-Baseline Accelerator Neutrinos, Reactor Neutrinos, Detector R&D and Source, Cyclotron and Meson Decay at Rest sessions.This report summarizes discussion and conclusions from the workshop.

  15. Implications of long-term surface or near-surface storage of intermediate and low-level wastes in the UK

    International Nuclear Information System (INIS)

    Murray, N.; Vande Putte, D.; Ware, R.J.

    1986-02-01

    Various options for 200 year-long storage of all Low- and Intermediate-Level wastes generated to the year 2030 are considered. On-site storage and centralised storage have been examined and compared. The feasibility of storing some of the wastes in underground facilities that are convertible to repositories has been demonstrated, but it is shown that centralised, surface storage of wastes would be more economical. There appears to be little merit in storing Intermediate Level wastes in separate facilities that could be converted to repositories. Storage is shown to be more expensive than direct disposal, except if future costs are discounted by more than about 10%. With carefully designed stores and remote handling, the collective dose to operators could be limited to about 20-40 man Sv over the whole period of storage. (author)

  16. Long-Term Outcomes for Patients with Prostate Cancer Having Intermediate and High-Risk Disease, Treated with Combination External Beam Irradiation and Brachytherapy

    Directory of Open Access Journals (Sweden)

    Michael Dattoli

    2010-01-01

    Full Text Available Background. Perception remains that brachytherapy-based regimens are inappropriate for patients having increased risk of extracapsular extension (ECE. Methods. 321 consecutive intermediate and high-risk disease patients were treated between 1/92 and 2/97 by one author (M. Dattoli and stratified by NCCN guidelines. 157 had intermediate-risk; 164 had high-risk disease. All were treated using the combination EBRT/brachytherapy ± hormones. Biochemical failure was defined using PSA >0.2 and nadir +2 at last followup. Nonfailing patients followup was median 10.5 years. Both biochemical data and original biopsy slides were independently rereviewed at an outside institution. Results. Overall actuarial freedom from biochemical progression at 16 years was 82% (89% intermediate, 74% high-risk with failure predictors: Gleason score (=.01 and PSA (=.03. Hormonal therapy did not affect failure rates (=.14. Conclusion. This study helps to strengthen the rationale for brachytherapy-based regimens as being both durable and desirable treatment options for such patients. Prospective studies are justified to confirm these positive results.

  17. Comparison study between the effects of different terms contributing to viscous dissipation in saturated porous media

    KAUST Repository

    Salama, Amgad

    2013-02-01

    Some sort of controversy is associated with the problem of viscous dissipation in saturated porous media for which we try to present a comparison study between the influences of the different terms contributing to this phenomenon. We consider viscous dissipation by studying the case of semi-infinite flat plate embedded in saturated porous medium and is kept at constant, higher temperature compared with the surrounding fluid. The fluid is induced to move upwards by natural convection during which viscous dissipation is considered. The boundary layer assumptions are considered to simplify the treatment and to highlight the influencing parameters. The behavior of temperature, and velocity fields in the neighborhood of the vertical flat plate were used to highlight the effects of these parameters. Three terms were considered to contribute to viscous dissipation, namely Darcy\\'s term, the Forchheimer term and Al-Hadharami\\'s term. Although there are no unanimous agreements between researchers to include the Forchhemier term in the dissipation function, some researchers argued it might have an indirect effect and hence for this sake and for completion purposes, we include it in this comparison study. Dimensional considerations reveal that Darcy\\'s term is influenced by Gebhart number, the Forchheimer term is controlled by the non-Darcy parameter and Al-Hadharami\\'s term is influenced by Darcy\\'s number. The governing, non-dimensional set of equations together with the imposed boundary conditions is numerically investigated by finite element method. The results for the details of the governing parameters are presented and investigated. It is found that the irreversible process of transforming the kinetic energy of the moving fluid to heat energy via the viscosity of the moving fluid (i.e., viscous dissipation) is very much influenced by the relative magnitude of these dimensionless parameters. © 2012 Elsevier Masson SAS. All rights reserved.

  18. Long term results of a prospective dose escalation phase-II trial: Interstitial pulsed-dose-rate brachytherapy as boost for intermediate- and high-risk prostate cancer

    International Nuclear Information System (INIS)

    Lettmaier, Sebastian; Lotter, Michael; Kreppner, Stephan; Strnad, Annedore; Fietkau, Rainer; Strnad, Vratislav

    2012-01-01

    Purpose: We reviewed our seven year single institution experience with pulsed dose rate brachytherapy dose escalation study in patients with intermediate and high risk prostate cancer. Materials and methods: We treated a total of 130 patients for intermediate and high risk prostate cancer at our institution between 2000 and 2007 using PDR-brachytherapy as a boost after conformal external beam radiation therapy to 50.4 Gy. The majority of patients had T2 disease (T1c 6%, T2 75%, T3 19%). Seventy three patients had intermediate-risk and 53 patients had high-risk disease according to the D’Amico classification. The dose of the brachytherapy boost was escalated from 25 to 35 Gy – 33 pts. received 25 Gy (total dose 75 Gy), 63 pts. 30 Gy (total dose 80 Gy) and 34 pts. 35 Gy, (total dose 85 Gy) given in one session (dose per pulse was 0.60 Gy or 0.70 Gy/h, 24 h per day, night and day, with a time interval of 1 h between two pulses). PSA-recurrence-free survival according to Kaplan–Meier using the Phoenix definition of biochemical failure was calculated and also late toxicities according to Common Toxicity Criteria scale were assessed. Results: At the time of analysis with a median follow-up of 60 months biochemical control was achieved by 88% of patients – only 16/130 patients (12.3%) developed a biochemical relapse. Biochemical relapse free survival calculated according to Kaplan–Meier for all patients at 5 years was 85.6% (83.9% for intermediate-risk patients and 84.2% for high-risk patients) and at 9 years’ follow up it was 79.0%. Analysing biochemical relapse free survival separately for different boost dose levels, at 5 years it was 97% for the 35 Gy boost dose and 82% for the 25 and 30 Gy dose levels. The side effects of therapy were negligible: There were 18 cases (15%) of grade 1/2 rectal proctitis, one case (0.8%) of grade 3 proctitis, 18 cases (15%) of grade 1/2 cystitis, and no cases (0%) with dysuria grade 3. No patient had a bulbourethral

  19. A review of the predictive modelling and data requirements for the long-term safety assessment of the deep disposal of low and intermediate level radioactive wastes

    International Nuclear Information System (INIS)

    Broyd, T.W.

    1988-06-01

    This report considers the Her Majesty's Inspectorate of Pollution research and modelling requirements for a robust post-closure radiological risk assessment methodology applicable to the deep disposal of Low-Level Wastes and Intermediate-Level Wastes. Two disposal concepts have been envisaged: horizontal tunnels or galleries in a low permeability stratum of a sedimentary sequence located inland; vertical boreholes or shafts up to 15m diameter lined with concrete and of the order 500m to 1000m deep sunk into the seabed within territorial coastal waters of the United Kingdom. (author)

  20. Comparison of short-term estrogenicity tests for identification of hormone-disrupting chemicals

    DEFF Research Database (Denmark)

    Andersen, H R; Andersson, A M; Arnold, S F

    1999-01-01

    The aim of this study was to compare results obtained by eight different short-term assays of estrogenlike actions of chemicals conducted in 10 different laboratories in five countries. Twenty chemicals were selected to represent direct-acting estrogens, compounds with estrogenic metabolites...... cells, transient reporter gene expression in MCF-7 cells, reporter gene expression in yeast strains stably transfected with the human ER and an estrogen-responsive reporter gene, and vitellogenin production in juvenile rainbow trout. 17beta-Estradiol, 17alpha-ethynyl estradiol, and diethylstilbestrol...... methods vary in their sensitivity to estrogenic compounds. Thus, short-term tests are useful for screening purposes, but the methods must be further validated by additional interlaboratory and interassay comparisons to document the reliability of the methods....

  1. Comparison of Short-Term Estrogenicity Tests for Identification of Hormone-Disrupting Chemicals

    DEFF Research Database (Denmark)

    Andersen, Helle Raun; Andersson, Anna-Maria; Arnold, Steven F.

    1999-01-01

    The aim of this study was to compare results obtained by eight different short-term assays of estrogenlike actions of chemicals conducted in 10 different laboratories in five countries. Twenty chemicals were selected to represent direct-acting estrogens, compounds with estrogenic metabolites......, transient reporter gene expression in MCF-7 cells, reporter gene expression in yeast strains stably transfected with the human ER and an estrogen-responsive reporter gene, and vitellogenin production in juvenile rainbow trout. 17β-Estradiol, 17α-ethynyl estradiol, and diethylstilbestrol induced a strong...... in their sensitivity to estrogenic compounds. Thus, short-term tests are useful for screening purposes, but the methods must be further validated by additional interlaboratory and interassay comparisons to document the reliability of the methods....

  2. Comparison of the long-term trends in stratospheric dynamics of four reanalyses

    Directory of Open Access Journals (Sweden)

    M. Kozubek

    2017-02-01

    Full Text Available Since the long-term trends of different atmospheric parameters have been already studied separately in many papers, this study is focused on the stratospheric wind (zonal and meridional components and temperature over the whole globe at 10 hPa during 1979–2015. We present the trends for the whole winter (October–March, for each individual month of winter and separately for the period before and after the ozone trend turnaround during the mid-1990s. The change of ozone trends has a clear impact on trends in other investigated stratospheric parameters. Four reanalyses (MERRA, ERA-Interim, JRA-55 and NCEP-DOE are used for comparison. Every grid point is analysed, not zonal averages. The comparison of trends in meridional wind, which is closely connected with Brewer–Dobson circulation, shows a good agreement for all four reanalyses (main features and amplitudes of the trends in terms of winter averages, but there are some differences in individual months, particularly in trend amplitude. These results could be important for studying dynamics (transport in the whole stratosphere.

  3. Comparison of advanced and intermediate 200-m backstroke swimmers' dominant and non-dominant shoulder entry angles across various swimming speeds.

    Science.gov (United States)

    Andrews, Claire; Bakewell, James; Scurr, Joanna C

    2011-04-01

    During backstroke, an optimum shoulder entry angle of 180° has been anecdotally suggested; however, this has yet to be investigated biomechanically. The aim of this study was to quantify shoulder entry angles for advanced and intermediate backstroke swimmers. Six advanced (season's best 160 s) 200-m backstroke swimmers had markers applied to the medial humeral epicondyles and glenoid cavities. Following a familarization period, participants completed backstroke swimming trials (90 s each) in a swimming flume at 50%, 60%, 70%, and 80% of their season's best 200-m velocity. A camera positioned above the flume recorded frontal plane motion, which was digitized and analysed in Simi Motion Systems. The mean peak angle between the upper arm and the line of progression was established in ten strokes for each participant. The results showed backstroke shoulder entry angles for advanced swimmers (170°) were significantly closer to the suggested optimum 180° compared with those of intermediate swimmers (161°). The non-dominant arm displayed values closer to the optimum (171°), while swimming speed had no effect on backstroke shoulder entry angle. In conclusion, backstroke shoulder entry angle may help discriminate between advanced and intermediate backstroke swimmers and may be influenced by laterality dominance, being independent of swimming speed.

  4. Comparison of short term mortality in ischemic stroke patients with or without stress hyperglycemia

    International Nuclear Information System (INIS)

    Raja, W; Zaidi, S.B.H.; Waheed, S.; Khan, M.

    2016-01-01

    Objective: To compare short term mortality in non-diabetic ischemic stroke patients with or without stress hyperglycemia. Study Design: Cohort study. Place and Duration of Study: This study was carried out at Neurology Department of Military Hospital, Rawalpindi from Jan 2010 to Jul 2012 for a total duration of six months. Material and Methods: Non-diabetic ischemic stroke patients were included in the study and they were divided in two groups. Each group had 75 patients. Group 'I' (Normoglycemic or control group) had normal blood glucose level while group 'II' (Hyperglycaemic or cohort) had hyperglycaemia on presentation or over next 72 hours. Prognosis in terms of patient either being dead or alive was determined within or at 4 weeks of admission in both groups. Data were entered and analysed using Statistical Package for Social Sciences SPSS version 10. Descriptive statistics were calculated for both qualitative and quantitative variables. For comparison of short term mortality in hyperglycaemic and normoglycemic stroke patients, chi-square test was applied. p-value <0.05 was considered statistically significant. Results: Short term mortality was higher in cohort (hyperglycemic) group as compared to control (normoglycemic) group (34.7 percent vs. 14.7 percent). Relative risk was 2.36. The groups had a statistically significant difference in the short term mortality within four weeks with a Chi-Square 'p' value of 0.004 (p=0.004). Conclusion: Short term mortality in non-diabetic ischemic stroke patients with stress hyperglycemia is higher than those patients who do not have stress hyperglycemia. (author)

  5. Forecasting stock return volatility: A comparison between the roles of short-term and long-term leverage effects

    Science.gov (United States)

    Pan, Zhiyuan; Liu, Li

    2018-02-01

    In this paper, we extend the GARCH-MIDAS model proposed by Engle et al. (2013) to account for the leverage effect in short-term and long-term volatility components. Our in-sample evidence suggests that both short-term and long-term negative returns can cause higher future volatility than positive returns. Out-of-sample results show that the predictive ability of GARCH-MIDAS is significantly improved after taking the leverage effect into account. The leverage effect for short-term volatility component plays more important role than the leverage effect for long-term volatility component in affecting out-of-sample forecasting performance.

  6. Larval helminths in intermediate hosts

    DEFF Research Database (Denmark)

    Fredensborg, Brian Lund; Poulin, R

    2005-01-01

    Density-dependent effects on parasite fitness have been documented from adult helminths in their definitive hosts. There have, however, been no studies on the cost of sharing an intermediate host with other parasites in terms of reduced adult parasite fecundity. Even if larval parasites suffer...... transmission to their bird definitive host by predation. In experimental infections, we found an intensity-dependent establishment success, with a decrease in the success rate of cercariae developing into infective metacercariae with an increasing dose of cercariae applied to each amphipod. In natural...... the two species. Our results thus indicate that the infracommunity of larval helminths in their intermediate host is interactive and that any density-dependent effect in the intermediate host may have lasting effects on individual parasite fitness....

  7. Short-term memory for spatial configurations in the tactile modality: a comparison with vision.

    Science.gov (United States)

    Picard, Delphine; Monnier, Catherine

    2009-11-01

    This study investigates the role of acquisition constraints on the short-term retention of spatial configurations in the tactile modality in comparison with vision. It tests whether the sequential processing of information inherent to the tactile modality could account for limitation in short-term memory span for tactual-spatial information. In addition, this study investigates developmental aspects of short-term memory for tactual- and visual-spatial configurations. A total of 144 child and adult participants were assessed for their memory span in three different conditions: tactual, visual, and visual with a limited field of view. The results showed lower tactual-spatial memory span than visual-spatial, regardless of age. However, differences in memory span observed between the tactile and visual modalities vanished when the visual processing of information occurred within a limited field. These results provide evidence for an impact of acquisition constraints on the retention of spatial information in the tactile modality in both childhood and adulthood.

  8. Long-term results of dose-intensive chemotherapy with G-CSF support (TCC-NHL-91) for advanced intermediate-grade non-Hodgkin's lymphoma: a review of 59 consecutive cases treated at a single institute.

    Science.gov (United States)

    Akutsu, Miyuki; Tsunoda, Saburo; Izumi, Tohru; Tanaka, Masaru; Katano, Susumu; Inoue, Koichi; Igarashi, Seiji; Hirabayashi, Kaoru; Furukawa, Yusuke; Ohmine, Ken; Sato, Kazuya; Kobayashi, Hiroyuki; Ozawa, Keiya; Kirito, Keita; Nagashima, Takahiro; Teramukai, Satoshi; Fukushima, Masanori; Kano, Yasuhiko

    2008-01-01

    We evaluated the long-term outcome of very dose-intensive chemotherapy (TCC-NHL-91) for advanced intermediate-grade lymphoma, in which an eight-cycle regimen with 11 drugs was given with granulocyte colony-stimulating factor (G-CSF) support (total 18 weeks). Fifty-nine patients were treated during February 1, 1991 and March 31, 2001 (median age: 48 years). Forty-three patients (73%) were in a high-intermediate risk or high-risk group (HI/H) according to the age-adjusted International Prognostic Index (aa-IPI). Forty-six patients received 7 or 8 cycles of therapy. Ten of 15 patients over age 60 stopped before 7 cycles. Forty-three patients with an initial bulky mass or a residual mass received involved-field radiation. Overall, 56 patients (95%) achieved complete remission (CR). Grade 4 hematotoxicity was observed in all patients. With a median follow-up of 128 months, the 10-year overall survival (OS) and progression-free survival (PFS) rates were 76% and 61%, respectively. Neither aa-IPI risk factors nor the index itself was associated with response, OS, or PFS. One patient died of sepsis during the therapy and one died of secondary leukemia. This retrospective study suggests that the TCC-NHL-91 regimen achieves high CR, OS, and PFS in patients with advanced intermediate-grade lymphoma up to 60 years old and may be a valuable asset in the management of this disease. Further evaluation and prospective studies of the TCC-NHL-91 are warranted.

  9. Comparison of two new short-term wind-power forecasting systems

    Energy Technology Data Exchange (ETDEWEB)

    Ramirez-Rosado, Ignacio J. [Department of Electrical Engineering, University of Zaragoza, Zaragoza (Spain); Fernandez-Jimenez, L. Alfredo [Department of Electrical Engineering, University of La Rioja, Logrono (Spain); Monteiro, Claudio; Sousa, Joao; Bessa, Ricardo [FEUP, Fac. Engenharia Univ. Porto (Portugal)]|[INESC - Instituto de Engenharia de Sistemas e Computadores do Porto, Porto (Portugal)

    2009-07-15

    This paper presents a comparison of two new advanced statistical short-term wind-power forecasting systems developed by two independent research teams. The input variables used in both systems were the same: forecasted meteorological variable values obtained from a numerical weather prediction model; and electric power-generation registers from the SCADA system of the wind farm. Both systems are described in detail and the forecasting results compared, revealing great similarities, although the proposed structures of the two systems are different. The forecast horizon for both systems is 72 h, allowing the use of the forecasted values in electric market operations, as diary and intra-diary power generation bid offers, and in wind-farm maintenance planning. (author)

  10. Comparison between Galileo CBOC Candidates and BOC(1,1 in Terms of Detection Performance

    Directory of Open Access Journals (Sweden)

    Fabio Dovis

    2008-01-01

    Full Text Available Many scientific activities within the navigation field have been focused on the analysis of innovative modulations for both GPS L1C and Galileo E1 OS, after the 2004 agreement between United States and European Commission on the development of GPS and Galileo. The joint effort by scientists of both parties has been focused on the multiplexed binary offset carrier (MBOC which is defined on the basis of its spectrum, and in this sense different time waveforms can be selected as possible modulation candidates. The goal of this paper is to present the detection performance of the composite BOC implementation of an MBOC signal in terms of detection and false alarm probabilities. A comparison among the CBOC and BOC(1,1 modulations is also presented to show how the CBOC solution, designed to have excellent tracking performance and multipath rejection capabilities, does not limit the acquisition process.

  11. Long-term outcomes from dose-escalated image-guided intensity-modulated radiotherapy with androgen deprivation: encouraging results for intermediate- and high-risk prostate cancer

    Directory of Open Access Journals (Sweden)

    Wilcox SW

    2014-08-01

    Full Text Available Shea W Wilcox,1,4 Noel J Aherne,2,4 Linus C Benjamin,1 Bosco Wu,1 Thomaz de Campos Silva,3 Craig S McLachlan,4 Michael J McKay,3,5 Andrew J Last,1 Thomas P Shakespeare1–4 1North Coast Cancer Institute, Port Macquarie, NSW, Australia; 2North Coast Cancer Institute, Coffs Harbour, NSW, Australia; 3North Coast Cancer Institute, Lismore, NSW, Australia; 4The University of New South Wales, Rural Clinical School, Sydney, NSW, Australia; 5The University of Sydney, Sydney, NSW, Australia Purpose: Dose-escalated (DE radiotherapy in the setting of localized prostate cancer has been shown to improve biochemical disease-free survival (bDFS in several studies. In the same group of patients, androgen deprivation therapy (ADT has been shown to confer a survival benefit when combined with radiotherapy doses of up to 70 Gy; however, there is currently little long-term data on patients who have received high-dose intensity-modulated radiotherapy (IMRT with ADT. We report the long-term outcomes in a large cohort of patients treated with the combination of DE image-guided IMRT (IG-IMRT and ADT. Methods and materials: Patients with localized prostate cancer were identified from a centralized database across an integrated cancer center. All patients received DE IG-IMRT, combined with ADT, and had a minimum follow up of 12 months post-radiotherapy. All relapse and toxicity data were collected prospectively. Actuarial bDFS, metastasis-free survival, prostate cancer-specific survival, and multivariate analyses were calculated using the SPSS v20.0 statistical package. Results: Seven hundred and eighty-two eligible patients were identified with a median follow up of 46 months. Overall, 4.3% of patients relapsed, 2.0% developed distant metastases, and 0.6% died from metastatic prostate cancer. At 5-years, bDFS was 88%, metastasis-free survival was 95%, and prostate cancer-specific survival was 98%. Five-year grade 2 genitourinary and gastrointestinal toxicity was 2

  12. Hospital-at-home Integrated Care Programme for the management of disabling health crises in older patients: comparison with bed-based Intermediate Care.

    Science.gov (United States)

    Mas, Miquel À; Inzitari, Marco; Sabaté, Sergi; Santaeugènia, Sebastià J; Miralles, Ramón

    2017-11-01

    to analyse the clinical impact of a home-based Intermediate Care model in the Catalan health system, comparing it with usual bed-based care. quasi-experimental longitudinal study. hospital Municipal de Badalona and El Carme Intermediate Care Hospital, Badalona, Catalonia, Spain. we included older patients with medical and orthopaedic disabling health crises in need of Comprehensive Geriatric Assessment (CGA) and rehabilitation. a CGA-based hospital-at-home Integrated Care Programme (acute care and rehabilitation) was compared with a propensity score matched cohort of contemporary patients attended by usual inpatient hospital care (acute care plus intermediate care hospitalisation), for the management of medical and orthopaedics processes. Main outcomes measures were: (a) Health crisis resolution (referral to primary care at the end of the intervention); (b) functional resolution: relative functional gain (functional gain/functional loss) ≥ 0.35; and (c) favourable crisis resolution (health + functional) = a + b. We compared between-groups outcomes using uni/multivariable logistic regression models. clinical characteristics were similar between home-based and bed-based groups. Acute stay was shorter in home group: 6.1 (5.3-6.9) versus 11.2 (10.5-11.9) days, P home-based scheme showed better results on functional resolution 79.1% (versus 75.2%), OR 1.62 (1.09-2.41) and on favourable crisis resolution 73.8% (versus 69.6%), OR 1.54 (1.06-2.22), with shorter length of intervention, with a reduction of -5.72 (-9.75 and -1.69) days. in our study, the extended CGA-based hospital-at-home programme was associated with shorter stay and favourable clinical outcomes. Future studies might test this intervention to the whole Catalan integrated care system. © The Author 2017. Published by Oxford University Press on behalf of the British Geriatrics Society.All rights reserved. For permissions, please email: journals.permissions@oup.com

  13. Chlorella vulgaris vs cyanobacterial biomasses: Comparison in terms of biomass productivity and biogas yield

    International Nuclear Information System (INIS)

    Mendez, Lara; Mahdy, Ahmed; Ballesteros, Mercedes; González-Fernández, Cristina

    2015-01-01

    Highlights: • Cyanobacteria and C. vulgaris were compared in terms of growth and methane production. • Biomasses were subjected to anaerobic digestion without applying any disruption method. • Cyanobacteria showed an increased methane yield in comparison with C. vulgaris. - Abstract: The aim of the present study was to compare cyanobacteria strains (Aphanizomenon ovalisporum, Anabaena planctonica, Borzia trilocularis and Synechocystis sp.) and microalgae (Chlorella vulgaris) in terms of growth rate, biochemical profile and methane production. Cyanobacteria growth rate ranged 0.5–0.6 day −1 for A. planctonica, A. ovalisporum and Synecochystis sp. and 0.4 day −1 for B. tricularis. Opposite, C. vulgaris maximum growth rate was double (1.2 day −1 ) than that of cyanobacteria. Regarding the methane yield, microalgae C. vulgaris averaged 120 mL CH 4 g COD in −1 due to the presence of a strong cell wall. On the other hand, anaerobic digestion of cyanobacteria supported higher methane yields. B. trilocularis and A. planctonica presented 1.42-fold higher methane yield than microalgae while this value was raised to approximately 1.85-fold for A. ovalisporum and Synechochystis sp. In the biogas production context, this study showed that the low growth rates of cyanobacteria can be overcome by their increased anaerobic digestibility when compared to their microalgae counterpartners, such is the case of C. vulgaris

  14. Treatment of pediatric vesicoureteral reflux using endoscopic injection of hyaluronic acid/dextranomer gel: intermediate-term experience by a single surgeon.

    Science.gov (United States)

    Hsieh, Michael H; Madden-Fuentes, Ramiro J; Lindsay, Nicholas E; Roth, David R

    2010-07-01

    Endoscopic injection of non-animal-stabilized hyaluronic acid/dextranomer gel is an increasingly recognized treatment option for vesicoureteral reflux. The procedure is minor compared with open surgery and, when successful, avoids the need for long-term antibiotic prophylaxis. We present data from 3 years of using non-animal-stabilized hyaluronic acid/dextranomer gel to treat children with vesicoureteral reflux. Pediatric patients aged 16 years with uncomplicated primary vesicoureteral reflux were recruited for endoscopic treatment with non-animal-stabilized hyaluronic acid/dextranomer gel. A follow-up voiding cystourethrogram was scheduled at 2 weeks after treatment, and vesicoureteral reflux resolution was defined as grade 0. Repeat non-animal-stabilized hyaluronic acid/dextranomer gel treatment was offered to patients with persistent vesicoureteral reflux. Of 178 patients treated, 12 were lost to follow-up or yet to undergo post-treatment voiding cystourethrogram. The 166 remaining patients (efficacy population) had a mean age of 4.21 years (range: 0-16), and the median reflux grade was 3 (range: 1-5). Vesicoureteral reflux was resolved in 81.9% of patients and 86.4% of ureters after initial endoscopic treatment with non-animal-stabilized hyaluronic acid/dextranomer gel. The overall reflux resolution rate for patients increased to 89.6% after a second treatment in 19 patients, and 90.2% after a third treatment in 1 patient. No adverse events were reported. Five patients underwent open ureteral reimplantation after failed endoscopic injections. Endoscopic treatment with non-animal-stabilized hyaluronic acid/dextranomer gel is effective in a high proportion of children with vesicoureteral reflux and, in our opinion, should be considered as a first-line treatment option. Copyright 2010 Elsevier Inc. All rights reserved.

  15. Measurement–model comparison of stabilized Criegee intermediate and highly oxygenated molecule production in the CLOUD chamber

    Directory of Open Access Journals (Sweden)

    N. Sarnela

    2018-02-01

    Full Text Available Atmospheric oxidation is an important phenomenon which produces large quantities of low-volatility compounds such as sulfuric acid and oxidized organic compounds. Such species may be involved in the nucleation of particles and enhance their subsequent growth to reach the size of cloud condensation nuclei (CCN. In this study, we investigate α-pinene, the most abundant monoterpene globally, and its oxidation products formed through ozonolysis in the Cosmic Leaving OUtdoor Droplets (CLOUD chamber at CERN (the European Organization for Nuclear Research. By scavenging hydroxyl radicals (OH with hydrogen (H2, we were able to investigate the formation of highly oxygenated molecules (HOMs purely driven by ozonolysis and study the oxidation of sulfur dioxide (SO2 driven by stabilized Criegee intermediates (sCIs. We measured the concentrations of HOM and sulfuric acid with a chemical ionization atmospheric-pressure interface time-of-flight (CI-APi-TOF mass spectrometer and compared the measured concentrations with simulated concentrations calculated with a kinetic model. We found molar yields in the range of 3.5–6.5 % for HOM formation and 22–32 % for the formation of stabilized Criegee intermediates by fitting our model to the measured sulfuric acid concentrations. The simulated time evolution of the ozonolysis products was in good agreement with measured concentrations except that in some of the experiments sulfuric acid formation was faster than simulated. In those experiments the simulated and measured concentrations met when the concentration reached a plateau but the plateau was reached 20–50 min later in the simulations. The results shown here are consistent with the recently published yields for HOM formation from different laboratory experiments. Together with the sCI yields, these results help us to understand atmospheric oxidation processes better and make the reaction parameters more comprehensive for broader use.

  16. An experimental study of the integral properties of U235 and Pu239 in an intermediate energy spectrum, and comparison with theoretical prediction

    International Nuclear Information System (INIS)

    Fox, W.N.; King, D.C.; MacBean, I.J.; Pitcher, H.H.W.; Sanders, J.E.; Small, V.G.

    1968-03-01

    Present-day methods of calculation for thermal and fast reactors involve the use of multigroup cross-section sets derived from basic nuclear data files. Since the accuracy of the calculations depends ultimately on the accuracy of these data, it is important to test them against results of 'integral experiments' in critical or sub-critical assemblies. The present report describes integral experiments designed to provide a sensitive test of the U235 and Pu239 cross-sections spectrum-averaged over the 'intermediate' energy range from about 10 eV to 10 keV. This is an area where the fissile nuclide cross-section data, particularly that for radiative capture, are still inadequately defined, as evidenced by the considerable discrepancies between various determinations. The difficulties stem from the problems of resolving and analysing the properties of closely spaced resonances and particularly in separating the fission and capture contributions. From the parameters of the resolved resonances, the distributions of the partial widths must be derived in order to provide a sound basis for the calculation of the averaged properties in the unresolved region, which constitute a significant part of the region of interest. The correct assignment of the fission and capture widths and their distributions is also necessary for the calculation of the spectrum-average capture to fission ratio (a), which has an important bearing on conversion and breeding ratios. Unlike the situation for the thermal and fast neutron regions (i.e. those below and above that considered here), where many critical and sub-critical assemblies have been made, very few integral experiments suitable for adequately testing the U235 and Pu239 data in the intermediate energy range have been reported. Hence the decision, in 1965, to undertake the work described here

  17. Medium-Term Results of Laparoscopic Sleeve Gastrectomy: a Matched Comparison with Gastric Bypass.

    Science.gov (United States)

    Lee, Wei-Jei; Pok, Eng-Hong; Almulaifi, Abdullah; Tsou, Ju Juin; Ser, Kong-Han; Lee, Yi-Chih

    2015-08-01

    Laparoscopic sleeve gastrectomy (LSG) is considered a primary bariatric surgery and is increasingly being performed worldwide; however, long-term data regarding the durability of this procedure are inadequate. Here, we report the long-term results of LSGs in comparison to those of gastric bypass surgeries. A prospectively collected bariatric database from Ming-Shen General Hospital was retrospectively studied. Five hundred nineteen morbidly obese patients (mean age 36.0 ± 9.1 years old (14-71), 74.6 % female, mean body mass index (BMI) 37.5 ± 6.1 kg/m(2)) underwent LSG as a primary bariatric procedure from 2006 to 2012 at our institute. The operative parameters, weight loss, laboratory data, and quality of life were followed. Another two matched groups of laparoscopic Roux-en-Y gastric bypass (RYGB) and laparoscopic single anastomosis (mini-) gastric bypass (SAGB) patients who were matched in terms of age, sex, and BMI were recruited for comparisons. The mean surgical time for LSG was 113.5 ± 31.3 min, and the mean blood loss was 49.1 + 100.9 ml. The rate of major complications was 1.6 %, and the average length of the postoperative stay was 3.0 ± 1.7 days. The operation times of the RYGB patients were longer than those of both the LSG and SAGB patients. The RYGB and SAGB patients experienced higher major complication rate than the LSG patients. The weight loss of the LSG patient at 5 years was 28.3 + 8.9 %, and the mean BMI was 27.1 + 4.3. The RYGB patients exhibited a 5-year weight loss similar to the LSG patients, and the SAGB patients exhibited greater weight loss than both of the other groups. Both the RYGB and SAGB patients exhibited significantly better glycemic control and lower blood lipids than the LSG patients, but the LSG patients exhibited a lesser micronutrient deficiency than the RYGB and SAGB groups. All three of the groups exhibited improved quality of life at 5 years after surgery, and there was no significant

  18. Immediate and intermediate-term results of optical coherence tomography guided atherectomy in the treatment of peripheral arterial disease: Initial results from the VISION trial

    International Nuclear Information System (INIS)

    Cawich, Ian; Paixao, Andre R.M.; Marmagkiolis, Konstantinos; Lendel, Vasili; Rodriguez-Araujo, Gerardo; Rollefson, William A.; Mego, David M.; Cilingiroglu, Mehmet

    2016-01-01

    Background: Long-term patency rates for percutaneous peripheral arterial interventions are suboptimal. Optical coherence tomography (OCT) guided atherectomy may yield superior patency by optimizing plaque removal while preserving the tunica media and adventitia. Methods: The VISION study is a multicenter prospective study of patients with peripheral arterial disease undergoing OCT guided atherectomy with the Pantheris™ device. In 11 patients enrolled in a single center, we report procedural and clinical outcomes, at 30 days and 6 months. Results: The mean age was 63 ± 11 years and 73% (n = 8) were men. The target lesion was in the superficial femoral artery in 82% (n = 9) of the patients. Mean stenosis severity was 87% ± 10% and mean lesion length was 39 ± 31 mm. Procedural success was observed in all patients with no device related complications. Mean post-atherectomy stenosis was 18% ± 15%. Almost all excised tissue consisted of intimal plaque (94%). At 30 days, significant improvements in Rutherford class, VascuQoL scores and ABI were observed, 0.9 ± 0.8 vs. 3.1 ± 0.7 (p = 0.01), 4.9 ± 1.9 vs. 3.6 ± 1.5 (p = 0.03) and 1.04 ± 0.19 vs. 0.80 ± 0.19 (p < 0.01) respectively. At 6 months, there were significant improvements in Rutherford class (1.0 ± 1.0 vs. 3.1 ± 0.7, p = 0.01) and ABI (0.93 ± 0.19 versus 0.80 ± 0.19, p = 0.02) but not in VascuQoL scores (3.7 ± 1.4 versus 3.6 ± 1.5, p = 0.48). Target lesion revascularization occurred in 18% (n = 2) of the patients. Conclusion: OCT guided atherectomy resulted in high procedural success, no device related complications and encouraging results up to 6 months. Histological analysis suggested little injury to the media and adventitia. Larger studies are needed to confirm the efficacy of this approach. - Highlights: • OCT- guided atherectomy may yield superior patency by optimizing plaque removal and preserving the tunica media and adventitia. • OCT guided atherectomy resulted in high procedural

  19. Immediate and intermediate-term results of optical coherence tomography guided atherectomy in the treatment of peripheral arterial disease: Initial results from the VISION trial

    Energy Technology Data Exchange (ETDEWEB)

    Cawich, Ian; Paixao, Andre R.M. [Arkansas Heart Hospital, Peripheral Vascular Institute, Little Rock, AR (United States); Marmagkiolis, Konstantinos [Citizens Memorial Heart and Vascular Institute, Bolivar, MO (United States); University of Missouri, Columbia, MO (United States); Lendel, Vasili; Rodriguez-Araujo, Gerardo; Rollefson, William A.; Mego, David M. [Arkansas Heart Hospital, Peripheral Vascular Institute, Little Rock, AR (United States); Cilingiroglu, Mehmet, E-mail: Cilingiroglumehmet@gmail.com [Arkansas Heart Hospital, Peripheral Vascular Institute, Little Rock, AR (United States); Koc University, School of Medicine, Istanbul (Turkey)

    2016-10-15

    Background: Long-term patency rates for percutaneous peripheral arterial interventions are suboptimal. Optical coherence tomography (OCT) guided atherectomy may yield superior patency by optimizing plaque removal while preserving the tunica media and adventitia. Methods: The VISION study is a multicenter prospective study of patients with peripheral arterial disease undergoing OCT guided atherectomy with the Pantheris™ device. In 11 patients enrolled in a single center, we report procedural and clinical outcomes, at 30 days and 6 months. Results: The mean age was 63 ± 11 years and 73% (n = 8) were men. The target lesion was in the superficial femoral artery in 82% (n = 9) of the patients. Mean stenosis severity was 87% ± 10% and mean lesion length was 39 ± 31 mm. Procedural success was observed in all patients with no device related complications. Mean post-atherectomy stenosis was 18% ± 15%. Almost all excised tissue consisted of intimal plaque (94%). At 30 days, significant improvements in Rutherford class, VascuQoL scores and ABI were observed, 0.9 ± 0.8 vs. 3.1 ± 0.7 (p = 0.01), 4.9 ± 1.9 vs. 3.6 ± 1.5 (p = 0.03) and 1.04 ± 0.19 vs. 0.80 ± 0.19 (p < 0.01) respectively. At 6 months, there were significant improvements in Rutherford class (1.0 ± 1.0 vs. 3.1 ± 0.7, p = 0.01) and ABI (0.93 ± 0.19 versus 0.80 ± 0.19, p = 0.02) but not in VascuQoL scores (3.7 ± 1.4 versus 3.6 ± 1.5, p = 0.48). Target lesion revascularization occurred in 18% (n = 2) of the patients. Conclusion: OCT guided atherectomy resulted in high procedural success, no device related complications and encouraging results up to 6 months. Histological analysis suggested little injury to the media and adventitia. Larger studies are needed to confirm the efficacy of this approach. - Highlights: • OCT- guided atherectomy may yield superior patency by optimizing plaque removal and preserving the tunica media and adventitia. • OCT guided atherectomy resulted in high procedural

  20. Anterior cruciate ligament reconstruction using bone plug-free quadriceps tendon autograft: intermediate-term clinical outcome after 24-36 months.

    Science.gov (United States)

    Schulz, Arndt P; Lange, Vivien; Gille, Justus; Voigt, Christine; Fröhlich, Susanne; Stuhr, Markus; Jürgens, Christian

    2013-01-01

    Although known as a possible graft option for decades, quadriceps tendon grafts have often been termed a second-line graft option. We report a consecutive case series using this method as the primary treatment line. The rationale for this study was to evaluate the midterm results of this method in a prospective and consecutive case series. The primary study question was to determine the clinical results 24-36 months after primary anterior cruciate ligament (ACL) reconstruction using a bone plug-free quadriceps tendon autograft fixed with bioabsorbable cross-pins. The study population included 55 patients, of whom 24 were female (43.6%). The mean age at the index procedure was 31.7 years (15-58 years). All patients received an ACL construction using a bone block-free quadriceps tendon graft fixed with resorbable cross-pins. The postoperative regimen included partial weight-bearing for 3 weeks and flexion limited to 90° for six weeks; an orthosis was not used. The mean follow-up duration was 29.5 months (24.3-38.5 months) after the index procedure. The International Knee Documentation Committee (IKDC) subjective score and examination form was assessed, as well as the Lysholm and Gillquist score and the Tegner activity index. The Rolimeter arthrometer was used to assess the anterior laxity of the knee. Graft harvesting was possible in all cases; a bony extension was never required. On average, graft length was measured at 8.8 cm (7.5-10 cm). The mean IKDC subjective score at follow-up was 80.44 points (55.17-100 points, standard deviation [SD] 12.05). The mean preinjury Tegner activity index was 4.98 (2-7) compared to a mean value of 4.16 (2-7, SD 0.8) at follow-up. There was a mean loss of 0.82 index points. The average Lysholm and Gillquist score was 89 points (65-100, SD 17.7). Of the results, 89.1% were in the good or very good groups; in one case (1.8%), the result was poor, while the rest were fair. ACL reconstruction using a bone plug-free quadriceps tendon

  1. Project JADE. Long-term function and safety. Comparison of repository systems

    International Nuclear Information System (INIS)

    Birgersson, Lars; Pers, K.; Wiborgh, M.

    2001-12-01

    A comparison of the KBS-3 V(ertical deposition), KBS-3 H(orizontal deposition) and MLH repository systems with regard to the long-term repository performance and the radionuclide migration is presented in the report. Several differences between the repository systems have been identified. The differences are mainly related to the: distance between canister and backfilled tunnels, excavated rock volumes, deposition hole direction. The overall conclusion is that the differences are in general quite small with regard to the repository function and safety. None of the differences are of such importance for the long-term repository performance and radionuclide migration that they discriminate any of the repository systems. The differences between the two KBS-3 systems are small. Based on this study, there is no reason to change from the reference system KBS-3 V to KBS-3 H. MLH has the potential to be a very robust system, especially in a long-term perspective. However, the MLH system will require extensive research, development, and analysis before it will be as confident as the reference repository system, KBS-3 V. Although the MLH and KBS-3 H systems are in some ways favourable compared to the reference system KBS-3 V, the overall conclusion is that the KBS-3 V system is still a very attractive system. A major advantage with KBS-3 V is that it is by far the most investigated and developed system. The JADE-project was initiated in 1996, and the main part of the study was carried out during 1997 and 1998. The JADE study is consequently based on presumptions that were valid a few years ago. Some of these presumptions have been modified since then. The new presumptions are however not judged to change the overall conclusions

  2. Project JADE. Long-term function and safety. Comparison of repository systems

    Energy Technology Data Exchange (ETDEWEB)

    Birgersson, Lars; Pers, K.; Wiborgh, M. [Kemakta Konsult AB, Stockholm (Sweden)

    2001-12-01

    A comparison of the KBS-3 V(ertical deposition), KBS-3 H(orizontal deposition) and MLH repository systems with regard to the long-term repository performance and the radionuclide migration is presented in the report. Several differences between the repository systems have been identified. The differences are mainly related to the: distance between canister and backfilled tunnels, excavated rock volumes, deposition hole direction. The overall conclusion is that the differences are in general quite small with regard to the repository function and safety. None of the differences are of such importance for the long-term repository performance and radionuclide migration that they discriminate any of the repository systems. The differences between the two KBS-3 systems are small. Based on this study, there is no reason to change from the reference system KBS-3 V to KBS-3 H. MLH has the potential to be a very robust system, especially in a long-term perspective. However, the MLH system will require extensive research, development, and analysis before it will be as confident as the reference repository system, KBS-3 V. Although the MLH and KBS-3 H systems are in some ways favourable compared to the reference system KBS-3 V, the overall conclusion is that the KBS-3 V system is still a very attractive system. A major advantage with KBS-3 V is that it is by far the most investigated and developed system. The JADE-project was initiated in 1996, and the main part of the study was carried out during 1997 and 1998. The JADE study is consequently based on presumptions that were valid a few years ago. Some of these presumptions have been modified since then. The new presumptions are however not judged to change the overall conclusions.

  3. What can organic agriculture contribute to sustainable development? – Long-term comparisons of farming systems in the tropics

    OpenAIRE

    Zundel, Ch.; Kilcher, L.; Mäder, P.

    2008-01-01

    Despite the high demand for sound data on the agronomic, ecological and economic performance of organic agriculture in developing countries, systematic comparison of organic and conventional farming systems has not so far been carried out. The Research Institute of Organic Farming (FiBL), together with its partners, is presently establishing long-term comparisons of farming systems in various agro-ecological and agro-economic contexts to study the different parameters that are essential for s...

  4. Anterior cruciate ligament reconstruction using bone plug-free quadriceps tendon autograft: intermediate-term clinical outcome after 24–36 months

    Directory of Open Access Journals (Sweden)

    Schulz AP

    2013-11-01

    Full Text Available Arndt P Schulz,1 Vivien Lange,2 Justus Gille,1 Christine Voigt,3 Susanne Fröhlich,4 Markus Stuhr,1 Christian Jürgens5 1Department of Orthopedics, Trauma, and Sports Medicine, University Hospital Lübeck, Lübeck, Germany; 2Department of Rehabilitation, Sana Regio Klinikum, Wedel, Germany; 3Department of Sports Medicine and Arthroscopy, Diakoniekrankenhaus Friederikenstift, Hannover, Germany; 4Department of Orthopedics, University of Rostock, Rostock, Germany; 5Department of Orthopedics, Trauma, and Sports Medicine, BG Trauma Hospital Hamburg, Hamburg, Germany Introduction: Although known as a possible graft option for decades, quadriceps tendon grafts have often been termed a second-line graft option. We report a consecutive case series using this method as the primary treatment line. The rationale for this study was to evaluate the midterm results of this method in a prospective and consecutive case series. The primary study question was to determine the clinical results 24–36 months after primary anterior cruciate ligament (ACL reconstruction using a bone plug-free quadriceps tendon autograft fixed with bioabsorbable cross-pins. Materials and methods: The study population included 55 patients, of whom 24 were female (43.6%. The mean age at the index procedure was 31.7 years (15–58 years. All patients received an ACL construction using a bone block-free quadriceps tendon graft fixed with resorbable cross-pins. The postoperative regimen included partial weight-bearing for 3 weeks and flexion limited to 90° for six weeks; an orthosis was not used. The mean follow-up duration was 29.5 months (24.3–38.5 months after the index procedure. The International Knee Documentation Committee (IKDC subjective score and examination form was assessed, as well as the Lysholm and Gillquist score and the Tegner activity index. The Rolimeter arthrometer was used to assess the anterior laxity of the knee. Results: Graft harvesting was possible in all cases

  5. Long-term physical health consequences of perceived inequality: Results from a twin comparison design.

    Science.gov (United States)

    Schwartz, Joseph A

    2017-08-01

    Previous research has identified long-term exposure to stress as a risk factor for negative mental and physical health outcomes. This pattern of findings suggests that environmental stimuli that evoke feelings of stress or strain may also result in physiological responses, which may accumulate over the life course and ultimately increase the overall risk of various physical health conditions. This physiological "wear and tear" resulting from sustained levels of stress or strain has been previously operationalized as allostatic load (AL), a comprehensive indicator of stress exposure. The current study examines the association between one potential environmental stressor-perceived inequality-and AL with a research design aimed at addressing both observed and unobserved sources of confounding; it also employs a more comprehensive AL measure (comprised of 24 biomarkers tapping seven physiological systems) than previous studies. The biomarker twin sample from the Midlife Development in the United States (MIDUS) study was used to estimate a series of twin comparison models, which include controls for latent sources of influence that cluster within families. The sibling comparison models also included additional controls for lifestyle choices, overall physical health, and demographics which may confound the examined associations. The results revealed significant associations between greater perceptions of inequality and greater overall levels of AL. The association persisted even after including controls for both observed and unobserved influences that may confound the examined associations but was limited to more recent measures of perceived inequality. Associations involving earlier measures of perceived inequality, along with a lifetime measure, failed to reach conventional levels of significance. Perceived inequality appears to be a robust predictor of AL and potentially contributes to subsequent physical health problems, particularly for more proximate forms of

  6. Comparison of spatially matched airways reveals thinner airway walls in COPD. The Multi-Ethnic Study of Atherosclerosis (MESA) COPD Study and the Subpopulations and Intermediate Outcomes in COPD Study (SPIROMICS).

    Science.gov (United States)

    Smith, Benjamin M; Hoffman, Eric A; Rabinowitz, Dan; Bleecker, Eugene; Christenson, Stephanie; Couper, David; Donohue, Kathleen M; Han, Meilan K; Hansel, Nadia N; Kanner, Richard E; Kleerup, Eric; Rennard, Stephen; Barr, R Graham

    2014-11-01

    COPD is characterised by reduced airway lumen dimensions and fewer peripheral airways. Most studies of airway properties sample airways based upon lumen dimension or at random, which may bias comparisons given reduced airway lumen dimensions and number in COPD. We sought to compare central airway wall dimensions on CT in COPD and controls using spatially matched airways, thereby avoiding selection bias of airways in the lung. The Multi-Ethnic Study of Atherosclerosis (MESA) COPD Study and Subpopulations and Intermediate Outcomes in COPD Study (SPIROMICS) recruited smokers with COPD and controls aged 50-79 years and 40-80 years, respectively. COPD was defined by current guidelines. Using CT image data, airway dimensions were measured for all central airway segments (generations 0-6) following 5 standardised paths into the lungs. Case-control airway comparisons were spatially matched by generation and adjusted for demographics, body size, smoking, CT dose, per cent emphysema, airway length and lung volume. Among 311 MESA COPD participants, airway wall areas at generations 3-6 were smaller in COPD compared with controls (all pcentral airways. Other approaches to airway sampling result in comparisons of more proximal to more distal airways and potentially biased assessment of airway properties in COPD. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  7. Long-term histological comparison between near-infrared irradiated skin and scar tissues

    Directory of Open Access Journals (Sweden)

    Yohei Tanaka

    2010-11-01

    Full Text Available Yohei Tanaka1,2, Kiyoshi Matsuo1, Shunsuke Yuzuriha11Department of Plastic and Reconstructive Surgery, Shinshu University School of Medicine, Matsumoto, Japan; 2Clinica Tanaka Plastic and Reconstructive Surgery and Anti-aging Center, Matsumoto, JapanBackground and objective: Our previous histological studies indicated that near-infrared (NIR irradiation stimulates collagen proliferation in rat and human skin for 3 months. High collagen density in the dermis and smoothing of the epidermis were observed in irradiated rat skin, and appeared to last up to 6 months. Epidermal smoothness in irradiated rat skin seems to resemble scarring. Here, we performed a long-term histological comparison between NIR (1100 to 1800 nm irradiated skin and scar tissues.Materials and methods: Rat skin was irradiated using a NIR device. Scar tissues were harvested from wounded areas and were compared with irradiated skin. Histological changes up to 180 days post-treatment were evaluated with hematoxylin and eosin, Azan-Mallory staining, and collagen type I and III staining.Results: In nonirradiated control skin, the dermis showed a low density of type I and III collagen, the surface of the epidermis was rough, and no significant changes were observed over time. In irradiated skin, both type I and III collagen increased significantly, and persisted up to 180 days. The density of type I collagen was significantly higher than that of type III collagen, whereas type I and III collagen of the control group did not differ significantly. Epidermis was thickened for 30 days, and epidermal smoothness persisted up to 180 days. In scar tissues, the density of type III collagen was higher than that of type I collagen. The number of fibroblasts remained high and the glial fibrils were dense until 180 days after injury compared with irradiated skin. Significant increases in both type I and III collagen and epidermal flattering persisted until 180 days.Conclusions: NIR irradiation

  8. Comparison Between the Original and Shortened Versions of the National Institutes of Health Stroke Scale in Ischemic Stroke Patients of Intermediate Severity.

    Science.gov (United States)

    Lee, Chun Fan; Venketasubramanian, Narayanaswamy; Wong, K S Lawrence; Chen, Christopher L H

    2016-01-01

    The 15-item National Institutes of Health Stroke Scale (NIHSS) has been critiqued for its complexity and variability, and shortened versions have been proposed. This study aimed to compare the measurement properties of the original version with 3 shortened versions with 11, 8, and 5 items, respectively. Analyses were performed using data from an international, double-blind randomized controlled trial investigating the efficacy of MLC601 on stroke recovery in patients with ischemic stroke of intermediate severity (Chinese Medicine Neuroaid Efficacy on Stroke recovery [CHIMES]). To compare discriminative ability and responsiveness to change, the effect sizes of the NIHSS scores in relation to modified Rankin Scale, mini-mental status examination, and Barthel index were estimated using regression analysis. For both discriminative ability and responsiveness to change, the original version exhibited a larger effect size (0.55 and 0.84) in relation to modified Rankin Scale than the other 3 shortened versions (0.35-0.46 and 0.74-0.78). The original 15-item NIHSS retained information that made it more discriminative and responsive to change than the shortened versions. We recommend future clinical researchers to use the full version NIHSS to evaluate patients' stroke severity. URL: http://www.clinicaltrials.gov. Unique identifier: NCT00554723. © 2015 American Heart Association, Inc.

  9. Comparison of intermediate-dose methotrexate with cranial irradiation for the post-induction treatment of acute lymphocytic leukemia in children

    International Nuclear Information System (INIS)

    Freeman, A.I.; Weinberg, V.; Brecher, M.L.

    1983-01-01

    The authors compared two regimens with respect to their ability to prolong disease-free survival in 506 children and adolescents with acute lymphocytic leukemia. All responders to induction therapy were randomized to treatment with 2400 rad of cranial irradiation plus intrathecal methotrexate or to treatment with intermediate-dose methotrexate plus intrathecal methotrexate, as prophylaxis for involvement of the central nervous system and other sanctuary areas. Complete responders were stratified into either standard-risk or increased-risk groups on the basis of age and white-cell count at presentation. Among patients with standard risk, hematologic relapses occurred in 9 of 117 given methotrexate and 24 of 120 given irradiation. The rate of central-nervous-system relapse was higher in the methotrexate group (23 of 117) than in the irradiation group. Among patients with increased risk, radiation offered greater protection to the central nervous system than methotrexate; there was no difference in the rate of hematologic relapse. Methotrexate offered better protection against systemic relapse in standard-risk patients and better protection against testicular relapse overall, but it offered less protection against relapses in the central nervous system than cranial irradiation

  10. Long-term radiation belt simulation with the VERB 3-D code: Comparison with CRRES observations

    Science.gov (United States)

    Subbotin, D. A.; Shprits, Y. Y.; Ni, B.

    2011-12-01

    Highly energetic electrons in the Earth’s radiation belts are hazardous for satellite equipment. Fluxes of relativistic electrons can vary by orders of magnitude during geomagnetic storms. The evolution of relativistic electron fluxes in the radiation belts is described by the 3-D Fokker-Planck equation in terms of the radial distance, energy, and equatorial pitch angle. To better understand the mechanisms that control radiation belt acceleration and loss and particle flux dynamics, we present a long-term radiation belt simulation for 100 days from 29 July to 6 November 1990 with the 3-D Versatile Electron Radiation Belt (VERB) code and compare the results with the electron fluxes observed by the Combined Release and Radiation Effects Satellite (CRRES). We also perform a comparison of Phase Space Density with a multisatellite reanalysis obtained by using Kalman filtering of observations from CRRES, Geosynchronous (GEO), GPS, and Akebono satellites. VERB 3-D simulations include radial, energy, and pitch angle diffusion and mixed energy and pitch angle diffusion driven by electromagnetic waves inside the magnetosphere with losses to the atmosphere. Boundary conditions account for the convective source of electrons and loss to the magnetopause. The results of the simulation that include all of the above processes show a good agreement with the data. The agreement implies that these processes are important for the radiation belt electron dynamics and therefore should be accounted for in outer radiation belt simulations. We also show that the results are very sensitive to the assumed wave model. Our simulations are driven only by the variation of the Kp index and variations of the seed electron population around geosynchronous orbit, which allows the model to be used for forecasting and nowcasting.

  11. ESL intermediate/advanced writing

    CERN Document Server

    Munoz Page, Mary Ellen; Jaskiewicz, Mary

    2011-01-01

    Master ESL (English as a Second Language) Writing with the study guide designed for non-native speakers of English. Skill-building lessons relevant to today's topics help ESL students write complete sentences, paragraphs, and even multi-paragraph essays. It's perfect for classroom use or self-guided writing preparation.DETAILS- Intermediate drills for improving skills with parallel structure, mood, correct shifting errors & dangling participles- Advanced essay drills focusing on narrative, descriptive, process, reaction, comparison and contrast- Superb preparation for students taking the TOEFL

  12. Planck intermediate results: II. Comparison of sunyaev-zeldovich measurements from planck and from the arcminute microkelvin imager for 11 galaxy clusters

    DEFF Research Database (Denmark)

    Bucher, M.; Delabrouille, J.; Fromenteau, S.

    2013-01-01

    A comparison is presented of Sunyaev-Zeldovich measurements for 11 galaxy clusters as obtained by Planck and by the ground-based interferometer, the Arcminute Microkelvin Imager. Assuming a universal spherically-symmetric Generalised Navarro, Frenk and White (GNFW) model for the cluster gas...... pressure profile, we jointly constrain the integrated Compton-Y parameter (Y 500) and the scale radius (θ500) of each cluster. Our resulting constraints in the Y500-θ500 2D parameter space derived from the two instruments overlap significantly for eight of the clusters, although, overall...

  13. Intermediate and long-term health effects

    International Nuclear Information System (INIS)

    Leaf, A.

    1987-01-01

    This report summarizes the health effects caused by immune suppression, infectious diseases, and food supplies and starvation in the aftermath of a nuclear war. It has been concluded that starvation will be essentially global - a consequence of a major nuclear war that at present seems likely to cause more deaths than all the direct effects of nuclear war combined. 68 refs, 1 fig., 1 tab

  14. The Comparison of Typed and Handwritten Essays of Iranian EFL Students in terms of Length, Spelling, and Grammar

    Directory of Open Access Journals (Sweden)

    Behrouz Sarbakhshian

    2016-11-01

    Full Text Available This study attempted to compare typed and handwritten essays of Iranian EFL students in terms of length, spelling, and grammar. To administer the study, the researchers utilized Alice Touch Typing Tutor software to select 15 upper intermediate students with higher ability to write two essays: one typed and the other handwritten. The students were both males and females between the ages of 22 to 35. The analyses of the students’ scores in the three mentioned criteria through three paired samples t-tests indicate that typed essays are significantly better than handwritten ones in terms of length of texts and grammatical mistakes, but not significantly different in spelling mistakes. Positive effects of typing can provide a logical reason for students, especially TOEFL applicants, to spend more time on acquiring typing skill and also for teachers to encourage their students with higher typing ability to choose typed format in their essays.

  15. Prospective comparison of the clinical impacts of heterogeneous vancomycin-intermediate methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-susceptible MRSA.

    Science.gov (United States)

    Horne, K C; Howden, B P; Grabsch, E A; Graham, M; Ward, P B; Xie, S; Mayall, B C; Johnson, P D R; Grayson, M L

    2009-08-01

    Although methicillin (meticillin)-resistant Staphylococcus aureus (MRSA) strains with reduced susceptibility to vancomycin (RVS-MRSA; including vancomycin-intermediate S. aureus [VISA] and heterogeneous VISA [hVISA]) have been linked with vancomycin treatment failure, it is unclear whether they are more pathogenic than vancomycin-susceptible MRSA (VS-MRSA). We prospectively assessed patients with clinical MRSA isolates during a 10-month period to determine clinical status (infection versus colonization) and therapeutic outcome before correlating these findings with the results of detailed in vitro assessment of vancomycin susceptibility, including population analysis profile (PAP) testing. hVISA and VISA were defined by standard PAP criteria (area-under-the-curve ratio compared to that of the reference hVISA strain Mu3 [>or=0.9]) and routine CLSI criteria (vancomycin MIC, 4 to 8 microg/ml), respectively. Among the 117 patients assessed, 58 had RVS-MRSA isolates (56 hVISA and 2 VISA) and 59 had VS-MRSA isolates; the patient demographics and comorbidities were similar. RVS-MRSA was associated with a lower rate of infection than VS-MRSA (29/58 versus 46/59; P = 0.003), including a lower rate of bacteremia (3/58 versus 20/59, respectively; P rates in RVS-MRSA and VS-MRSA groups were not statistically different (16/26 versus 31/42; P = 0.43), but the post hoc assessment of treatment regimes and study size made detailed conclusions difficult. The results of the macro method Etest correlated well with the PAP results (sensitivity, 98.3%, and specificity, 91.5%), but broth microdilution and our preliminary RVS-MRSA detection method correlated poorly. All isolates were susceptible to linezolid and daptomycin. These data suggest that detailed prospective laboratory identification of RVS-MRSA isolates may be of limited value and that, instead, such in vitro investigation should be reserved for isolates from patients who are failing appropriate anti-MRSA therapy.

  16. Planck intermediate results. XXI. Comparison of polarized thermal emission from Galactic dust at 353 GHz with interstellar polarization in the visible

    DEFF Research Database (Denmark)

    Cardoso, J.F.; Delabrouille, J.; Ganga, K.

    2015-01-01

    ) in the visible with that in the submillimetre. For those lines of sight through the diffuse interstellar medium with comparable values of the estimated column density and polarization directions close to orthogonal, we correlate properties in the submillimetre and visible to find two ratios, RS/V = (PS......The Planck survey provides unprecedented full-sky coverage of the submillimetre polarized emission from Galactic dust. In addition to the information on the direction of the Galactic magnetic field, this also brings new constraints on the properties of dust. The dust grains that emit the radiation...... seen by Planck in the submillimetre also extinguish and polarize starlight in the visible. Comparison of the polarization of the emission and of the interstellar polarization on selected lines of sight probed by stars provides unique new diagnostics of the emission and light scattering properties...

  17. Effect of Intermediate Hosts on Emerging Zoonoses.

    Science.gov (United States)

    Cui, Jing-An; Chen, Fangyuan; Fan, Shengjie

    2017-08-01

    Most emerging zoonotic pathogens originate from animals. They can directly infect humans through natural reservoirs or indirectly through intermediate hosts. As a bridge, an intermediate host plays different roles in the transmission of zoonotic pathogens. In this study, we present three types of pathogen transmission to evaluate the effect of intermediate hosts on emerging zoonotic diseases in human epidemics. These types are identified as follows: TYPE 1, pathogen transmission without an intermediate host for comparison; TYPE 2, pathogen transmission with an intermediate host as an amplifier; and TYPE 3, pathogen transmission with an intermediate host as a vessel for genetic variation. In addition, we established three mathematical models to elucidate the mechanisms underlying zoonotic disease transmission according to these three types. Stability analysis indicated that the existence of intermediate hosts increased the difficulty of controlling zoonotic diseases because of more difficult conditions to satisfy for the disease to die out. The human epidemic would die out under the following conditions: TYPE 1: [Formula: see text] and [Formula: see text]; TYPE 2: [Formula: see text], [Formula: see text], and [Formula: see text]; and TYPE 3: [Formula: see text], [Formula: see text], [Formula: see text], and [Formula: see text] Simulation with similar parameters demonstrated that intermediate hosts could change the peak time and number of infected humans during a human epidemic; intermediate hosts also exerted different effects on controlling the prevalence of a human epidemic with natural reservoirs in different periods, which is important in addressing problems in public health. Monitoring and controlling the number of natural reservoirs and intermediate hosts at the right time would successfully manage and prevent the prevalence of emerging zoonoses in humans.

  18. Safety relevant aspects of the long-term intermediate storage of spent fuel elements and vitrified high-level radioactive wastes; Sicherheitstechnische Aspekte der langfristigen Zwischenlagerung von bestrahlten Brennelementen und verglastem HAW

    Energy Technology Data Exchange (ETDEWEB)

    Ellinger, A.; Geupel, S.; Gewehr, K.; Gmal, B.; Hannstein, V.; Hummelsheim, K.; Kilger, R.; Wagner, M. [Gesellschaft fuer Anlagen- und Reaktorsicherheit mbH (GRS), Koeln (Germany); Schmidt, G.; Spieth-Achtnich, A. [Oeko-Institut e.V. - Institut fuer angewandte Oekolgie (Germany)

    2010-04-15

    The currently in Germany pursued concept for management of spent fuel from nuclear power plants provides intermediate dry cask storage at the NPP sites until direct disposal in a deep geologic repository. In addition the earlier commissioned centralized dry storage facilities are being used for storage of high level radioactive waste returned from foreign reprocessing of German spent fuel performed so far. The dry interim storage facilities are licensed for 40 years of operation time. According to the German regulations a full scope periodic safety review is not required so far, neither practical experience on dry storage for this period of time is available. With regard to this background the report at hand is dealing with long term effects, which may affect safety of the interim storage during the 40 years period or beyond if appropriate, and with the question, whether additional analyses or monitoring measures may be required. Therefore relevant publications have been evaluated, calculations have been performed as well as a systematic screening with regard to loads and possible ageing effects has been applied to structures and components important for safety of the storage, in order to identify relevant long term effects, which may not have been considered sufficiently so far and to provide proposals for an improved ageing management. The report firstly provides an overview on the current state of technology describing shortly the national and international practice and experience. In the following chapters safety aspects of interim storage with regard to time dependent effects and variations are being analyzed and discussed. Among this not only technical aspects like the long term behavior of fuel elements, canisters and storage systems are addressed, but also operational long term aspects regarding personnel planning, know how conservation, documentation and quality management are taken into account. A separate chapter is dedicated to developing and describing

  19. Intermediate algebra a textworkbook

    CERN Document Server

    McKeague, Charles P

    1985-01-01

    Intermediate Algebra: A Text/Workbook, Second Edition focuses on the principles, operations, and approaches involved in intermediate algebra. The publication first takes a look at basic properties and definitions, first-degree equations and inequalities, and exponents and polynomials. Discussions focus on properties of exponents, polynomials, sums, and differences, multiplication of polynomials, inequalities involving absolute value, word problems, first-degree inequalities, real numbers, opposites, reciprocals, and absolute value, and addition and subtraction of real numbers. The text then ex

  20. Intermediate algebra & analytic geometry

    CERN Document Server

    Gondin, William R

    1967-01-01

    Intermediate Algebra & Analytic Geometry Made Simple focuses on the principles, processes, calculations, and methodologies involved in intermediate algebra and analytic geometry. The publication first offers information on linear equations in two unknowns and variables, functions, and graphs. Discussions focus on graphic interpretations, explicit and implicit functions, first quadrant graphs, variables and functions, determinate and indeterminate systems, independent and dependent equations, and defective and redundant systems. The text then examines quadratic equations in one variable, system

  1. Intermediate Inflation or Late Time Acceleration?

    International Nuclear Information System (INIS)

    Sanyal, A.K.

    2008-01-01

    The expansion rate of intermediate inflation lies between the exponential and power law expansion but corresponding accelerated expansion does not start at the onset of cosmological evolution. Present study of intermediate inflation reveals that it admits scaling solution and has got a natural exit form it at a later epoch of cosmic evolution, leading to late time acceleration. The corresponding scalar field responsible for such feature is also found to behave as a tracker field for gravity with canonical kinetic term.

  2. A naturalistic long-term comparison study of selective serotonin reuptake inhibitors in the treatment of panic disorder.

    Science.gov (United States)

    Dannon, Pinhas N; Iancu, Iulian; Lowengrub, Katherine; Gonopolsky, Yehudit; Musin, Ernest; Grunhaus, Leon; Kotler, Moshe

    2007-01-01

    Selective serotonin reuptake inhibitors (SSRIs) are currently considered as the first drug of choice in the treatment of panic disorder (PD). The aim of this long-term, naturalistic comparison study was to compare 4 SSRIs with respect to tolerability and treatment outcome of PD. Outcome measures included relapse rates and adverse effects. Two hundred patients with PD were enrolled in our study. All subjects met DSM-IV criteria for PD or PD with agoraphobia (PDA). All patients were assigned to receive SSRI monotherapy for 12 months with either citalopram (n = 50), fluoxetine (n = 50), fluvoxamine (n = 50), or paroxetine (n = 50) in a randomized, nonblinded fashion. Both the treating psychiatrist and the patients were not blind to the assigned treatment, but the clinician raters were blind to the study medication. The study design allowed for assignment of a particular SSRI as indicated according to the clinical judgment of the study psychiatrists. The Panic Self-Questionnaire, which is a self-report scale, was administered at baseline and then once per month during the duration of the 12-month study. The visual analog scale and the Clinical Global Impression Scale were administered at baseline and then once per month during the period of the study. Reports of sexual dysfunction were assessed using a nonstructured clinical interview at monthly visits. The body weight of study subjects was measured at baseline, and then at the 12th month visit end point. Of 200 patients who entered the study, 127 patients (63.5%) completed the full 12-month protocol. Retention rates were highest for paroxetine (76% [38/50]), intermediate for citalopram (68% [34/50]) and fluvoxamine (60% [30/50]), and lowest for fluoxetine (50% [25/50]). Patients who completed the 12-month protocol responded favorably to the study treatment. The paroxetine and the citalopram groups had significantly lower rates of panic symptoms as measured at visits on weeks 4 and 8. At visits on months 3, 6, 9, and

  3. On the production of He, C, and N by low- and intermediate-mass stars: a comparison of observed and model-predicted planetary nebula abundances

    Science.gov (United States)

    Henry, R. B. C.; Stephenson, B. G.; Miller Bertolami, M. M.; Kwitter, K. B.; Balick, B.

    2018-01-01

    The primary goal of this paper is to make a direct comparison between the measured and model-predicted abundances of He, C, and N in a sample of 35 well-observed Galactic planetary nebulae (PNe). All observations, data reductions, and abundance determinations were performed in house to ensure maximum homogeneity. Progenitor star masses (M ≤ 4 M⊙) were inferred using two published sets of post-asymptotic giant branch model tracks and L and Teff values. We conclude the following: (1) the mean values of N/O across the progenitor mass range exceeds the solar value, indicating significant N enrichment in the majority of our objects; (2) the onset of hot bottom burning appears to begin around 2 M⊙, i.e. lower than ∼5 M⊙ implied by theory; (3) most of our objects show a clear He enrichment, as expected from dredge-up episodes; (4) the average sample C/O value is 1.23, consistent with the effects of third dredge up; and (5) model grids used to compare to observations successfully span the distribution over metallicity space of all C/O and many He/H data points but mostly fail to do so in the case of N/O. The evident enrichment of N in PN and the general discrepancy between the observed and model-predicted N/O abundance ratios signal the need for extra mixing as an effect of rotation and/or thermohaline mixing in the models. The unexpectedly high N enrichment that is implied here for low-mass stars, if confirmed, will likely impact our conclusions about the source of N in the Universe.

  4. The Comparison between Contextual Guessing Strategies vs. Memorizing a List of Isolated Words in Vocabulary Learning Regarding Long Term Memory

    Directory of Open Access Journals (Sweden)

    Leyla Vakili S AMIYAN

    2014-03-01

    Full Text Available Guessing the meaning of unknown vocabularies within a text is a way of learning new words which is named textual vocabulary acquisition. The main purpose of this study is to investigate the effectiveness of a textual guessing strategy on vocabulary learning at the intermediate le vel. Textual guessing strategy is to guess the meaning of vocabularies with the help of surrounding words or sentences in the co - text without any translation. This paper reports the findings of two quantitative studies conducted on English language learner s with the Intermediate 2 level of proficiency in Kavosh foreign language institute, Mashhad, Iran. Twenty male and female attendants were selected and assigned to ’context’ and ‘non - context’ groups. The context group received an instruction to infer the m eaning of new words while the non - context participants were treated as learning new vocabularies individually (autonomously. The result of the independent sample t - test at the post - test stage revealed that the probability value of t - test with an equality of variances assumption is lower than 0.05 (0.04700. So this result represented that there is a meaningful difference between the experimental group and the control group considering their amount of learning. The results indicated that textual guessing s trategy had more effect on their long term memory. It was also revealed that the words learned through context are used more frequently than those learned in isolation in the speaking repertoire of the participants.

  5. Cross-cultural comparison of long-term care in the United States and Finland: Research done through a short-term study-abroad experience.

    Science.gov (United States)

    Kruger, Tina M; Gilland, Sarah; Frank, Jacquelyn B; Murphy, Bridget C; English, Courtney; Meade, Jana; Morrow, Kaylee; Rush, Evan

    2017-01-01

    In May 2014, a short-term study-abroad experience was conducted in Finland through a course offered at Indiana State University (ISU). Students and faculty from ISU and Eastern Illinois University participated in the experience, which was created to facilitate a cross-cultural comparison of long-term-care settings in the United States and Finland. With its outstanding system of caring for the health and social needs of its aging populace, Finland is a logical model to examine when considering ways to improve the quality of life for older adults who require care in the United States . Those participating in the course visited a series of long-term-care facilities in the region surrounding Terre Haute, Indiana, then travelled to Lappeenranta, Finland to visit parallel sites. Through limited-participation observation and semistructured interviews, similarities and differences in experiences, educations, and policies affecting long-term care workers in the United States and Finland were identified and are described here.

  6. Taxation of Financial Intermediation Activities in Hong Kong

    OpenAIRE

    Jack M. Mintz; Stephen R. Richardson

    2001-01-01

    This paper discusses issues related to the taxation of financial intermediation in Hong Kong in the context of Hong Kong's position as a major regional financial centre. It first provides some background analysis as to the definition of financial intermediation and identification of the providers of financial services. This is then followed by a discussion of the principles of taxation applicable to financial intermediation, including a comparison of income taxes to consumption taxes. Some sp...

  7. Neoadjuvant androgen deprivation and long-term results for patients with intermediate- and high-risk prostate cancer treated with high-dose rate brachytherapy and external beam radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Pellizzon, Antonio Cassio Assis; Fogaroli, Ricardo Cesar; Silva, Maria Leticia Gobo; Castro, Douglas Guedes; Maia, Maria Conte, E-mail: acapellizzon@hcancer.org.b [Hospital A.C. Camargo, Sao Paulo, SP (Brazil). Radiation Oncology Dept.

    2010-07-01

    Purpose: to evaluate the influence of neoadjuvant androgen deprivation (NAAD) and report the long term biochemical control rates according to the Phoenix Consensus Conference, and prognostic factors of intermediate- (IR) and high-risk (HR) prostate cancer treated with external beam radiotherapy and high-dose-rate brachytherapy (HDR-BT). Methods and materials: between March, 1997 and June, 2005, 184 patients considered IR or HR were treated with localized radiotherapy and HDR-BT at the Department of Radiation Oncology, Hospital A.C. Camargo, Sao Paulo, Brazil. Patient's age, Gleason score, clinical stage, initial PSA value, risk group for biochemical failure, presence of NAAD, doses of radiotherapy and HDR-BT were evaluated. Results: median age and follow-up were 70 years old (range, 47-83) and 74.5 months (range, 24-123 months), respectively. Patients considered IR were 91 (49.4%) and HR 93 (50.6%). Ninety-nine (53.8%) patients had no NAAD. The overall survival at 5 years was 93.6%. The 5-year actuarial biochemical control rates for all patients, IR and HR were 83.4%, 86.2% and 78.8%, respectively, p0.076. On univariate analysis the prognostic factors related to better biochemical control were Gleason score < 6 ng/ml (p= 0.037), radiotherapy dose > 45 Gy (p= 0.011) and HDR-BT dose > 20 Gy (p< 0.001). On multivariate analysis no statistical significant predictive factor related to biochemical control was found. Conclusions: the role of NAAD for IR and HR prostate cancer is still to be defined. HDR-BT combined to external radiotherapy is a successful form of treatment for these patients, with our results comparable to published data. (author)

  8. Mobile communication and intermediality

    DEFF Research Database (Denmark)

    Helles, Rasmus

    2013-01-01

    The article argues the importance of intermediality as a concept for research in mobile communication and media. The constant availability of several, partially overlapping channels for communication (texting, calls, email, Facebook, etc.) requires that we adopt an integrated view of the various...

  9. an intermediate moisture meat

    African Journals Online (AJOL)

    Bunmi

    Matured leaves of Ocimum gratissimum were harvested and the extracts used to cure. Suya (an intermediate moisture meat). O. gratissimum leaves were collected from. Oyo state south west region of Nigeria, rinsed in distilled water and squeezed to extract the fluid. The meat used was Semi membranosus muscle from beef ...

  10. Long-term degradation of organic polymers under conditions found in deep repositories for low and intermediate-level wastes; Langzeit-Degradation von organischen Polymeren unter SMA-Tiefenlagerbedingungen

    Energy Technology Data Exchange (ETDEWEB)

    Warthmann, R.; Mosberger, L.; Baier, U.

    2013-06-15

    On behalf of Nagra, the Environmental Biotechnology Section of the Zürich University of Applied Sciences in Wädenswil investigated the potential for microbiological degradation of organic polymers under the conditions found in a deep geological repository for low- and intermediate-level waste (L/ILW). The existing scientific literature on the topic was analysed, some thermodynamic calculations carried out and input was elicited from internationally recognised experts in the field. The study was restricted to a few substances which, in terms of mass, are most significant in the Swiss L/ILW inventory; these are polystyrene (PS), polyvinyl chloride (PVC), other plastics and bitumen. There were no clear indications in the literature that the polymer structure of synthetic polymers is biodegraded under anoxic conditions. However, functional groups of ion exchangers and plasticizers in plastics are considered to be readily available and biodegradable. The greatest obstacle to biological degradation of synthetic polymers is depolymerisation to produce labile monomers. As energy is generally required for such breakdown, the chances of this process taking place outside the cells are very low. In so far as they are present, monomers are, in principle, anaerobically biodegradable. Thermodynamic considerations indicate that degradation of synthetic polymers under repository conditions is theoretically possible. However, the degradation of polystyrene is very close to thermodynamic equilibrium and the usable energy for microorganisms would barely be sufficient. Under high H2 partial pressures, it is predicted that there will be a thermodynamic inhibition of anaerobic degradation, as certain interim steps in degradation are endergonic. The starting conditions for microbial growth in a deep repository are unfavourable in terms of availability of water and prevailing pH values. Practically no known microorganisms can tolerate the combination of these conditions; most known

  11. Fractional Differential Equations in Terms of Comparison Results and Lyapunov Stability with Initial Time Difference

    Directory of Open Access Journals (Sweden)

    Coşkun Yakar

    2010-01-01

    Full Text Available The qualitative behavior of a perturbed fractional-order differential equation with Caputo's derivative that differs in initial position and initial time with respect to the unperturbed fractional-order differential equation with Caputo's derivative has been investigated. We compare the classical notion of stability to the notion of initial time difference stability for fractional-order differential equations in Caputo's sense. We present a comparison result which again gives the null solution a central role in the comparison fractional-order differential equation when establishing initial time difference stability of the perturbed fractional-order differential equation with respect to the unperturbed fractional-order differential equation.

  12. Wave directional spreading at shallow and intermediate depth

    Digital Repository Service at National Institute of Oceanography (India)

    SanilKumar, V.; Deo, M.C.; Anand, N.M.

    Based on wave measurements carried out at shallow and intermediate water depths variation of directional spread parameter 's' is studied. A comparison of the mean wave directional and principal wave direction shows that the two are the same...

  13. Different impact of intermediate and unfavourable cytogenetics at the time of diagnosis on outcome of de novo AML after allo-SCT: a long-term retrospective analysis from a single institution.

    Science.gov (United States)

    Nahi, H; Remberger, M; Machaczka, M; Ungerstedt, J; Mattson, J; Ringden, O; Le-Blanc, Katarina; Ljungman, P; Hägglund, H

    2012-12-01

    Karyotype of myeloblasts at the time of AML diagnosis has been shown to be prognostic significant for pre-remission outcome and outcome after allo-SCT, but the latter requires further studies. We conducted a retrospective analysis of the impact of intermediate and unfavourable cytogenetics at the time of primary diagnosis on outcome after allo-SCT in de novo AML. The study included 169 patients who underwent allo-SCT at Karolinska University Hospital between 1980 and 2010. Intermediate and unfavourable cytogenetics were found in 129 (76%) and 40 patients (24%), respectively. Myeloablative and reduced-intensity conditioning were given to 120 (71%) and 49 (29%) patients, respectively. Allo-SCT was performed in CR1 in 122 patients (72%). TRM was 16% in both cytogenetics groups. Relapse occurred in 29% patients with intermediate and in 45% patients with unfavourable cytogenetics (P=0.01). The probabilities of 5-year OS for patients with intermediate and unfavourable cytogenetics were 60 and 43%, respectively (P=0.02). Multivariate analysis revealed intermediate cytogenetics, chronic GVHD, and recipient CMV-negative serostatus as variables associated with favourable OS. Our study showed that outcome after allo-SCT in de novo AML differs depending on cytogenetic risk-group; however its position in post-remission therapy of eligible AML patients is not threatened.

  14. A Comparison of Query-by-Example Methods for Spoken Term Detection

    Science.gov (United States)

    2009-09-01

    consistent “errors” between the in- dex and the query. Few query terms have more than one pro- nunciation (avg. 1.1 prons . per term), as a result, there is... pron lex. one dict entry (llr) 73.01 47.66 21.11 all dict entries (avg+llr) 73.99 48.16 20.92 all dict entries (max+llr) 74.27 48.26 20.93 Table 1

  15. A Comparison of Spastic Diplegia in Term and Preterm-Born Children.

    Science.gov (United States)

    Jauhari, Prashant; Singhi, Pratibha; Sankhyan, Naveen; Malhi, Prahbhjot; Vyas, Sameer; Khandelwal, Niranjan

    2018-01-01

    This study compared the risk factors and clinical and radiologic profile of children with spastic diplegic cerebral palsy born at term (≥37 weeks) with those born preterm. Children (2-14 years) with cerebral palsy meeting the study criteria for spastic diplegia were enrolled. Antecedent risk factors, clinical profile, and magnetic resonance imaging (MRI) findings were recorded. Spasticity, functional ability, intellectual ability, and social quotient were assessed using standard scales. Ninety-three children met the study inclusion criteria (45 term, 48 preterm). Moderate to severe intellectual disability (53% vs 21%, P = .001) and epilepsy (51% vs 33%) were significantly more common in term-born children, whereas periventricular white matter injury was less common in term-born children (64%vs 89.4%, P = .004). Term spastic diplegia was associated with cortical/subcortical involvement in (11/42 (26%) vs 3/47(6.4%); P = .01). We conclude that term-spastic-diplegia is clinicopathologically different from preterm-spastic-diplegia. Their neuroradiologic pattern also differs with more frequent involvement of cortical/subcortical areas.

  16. Intermediate energy data

    International Nuclear Information System (INIS)

    Koning, A.J.; Fukahori, T.; Hasegawa, A.

    1998-01-01

    Subgroup 13 (SG13) on Intermediate Energy Nuclear data was formed by NEA Nuclear Science Committee to solve common problems of these types of data for nuclear applications. An overview is presented in this final report of the present activities of SG13, including data needs, high-priority nuclear data request list (nuclides), compilation of experimental data, specialists meetings and benchmarks, data formats and data libraries. Some important accomplishments are summarized, and recommendations are presented. (R.P.)

  17. Comparison of Conventional and Advanced Concrete Technologies in terms of Construction Efficiency

    Directory of Open Access Journals (Sweden)

    Matej Špak

    2016-01-01

    Full Text Available Nowadays, high-performance concrete (HPC and ultra-high-performance concrete (UHPC are ranked among advanced concrete technologies. The application of the mentioned advanced technologies may have potential to improve the construction efficiency from several points of view. For instance, reducing of construction time and construction material, construction quality improving, environmental impact minimizing, and increasing of both durability and lifetime of structures as well as reducing of total construction costs may be obtained. Particular advanced concrete technologies are described and the possibilities of their utilization in both monolithic structures and precast units are presented in the article. The main benefits of modern methods of construction (MMC based on advanced concrete technologies application in precast elements production are presented. Regarding the selected aspects of construction efficiency assessment, a comparison of conventional and advanced concrete technologies that are applied in monolithic structures and precast units is made. The results of this comparison, estimated in semantic differential scale, are presented in the article. By the results of the comparison, the significance of applying the advanced concrete technologies in modern methods of concrete structures production is demonstrated in order to improve construction efficiency.

  18. Short-term enzalutamide treatment for the potential remission of active surveillance or intermediate-risk prostate cancer: a case study, review, and the need for a clinical trial

    Directory of Open Access Journals (Sweden)

    Moyad MA

    2014-07-01

    Full Text Available Mark A Moyad,1 Mark C Scholz21Department of Urology, Jenkins/Pokempner Preventive and Complementary Medicine, University of Michigan Hospitals and Health Centers, Ann Arbor, MI, USA; 2Prostate Oncology Specialists, Marina del Rey, CA, USAAbstract: Active surveillance (AS is a widely recognized and utilized option by which prostate cancer patients with less aggressive tumors on diagnosis defer immediate traditional conventional therapy (surgery, radiation and undergo close monitoring by a physician for any clinical or pathologic changes. The juxtaposition of low- to intermediate-risk elderly patients between effective and conventional treatment with associated risks and monitoring without the opportunity for relief of anxiety and other psychological problems can be significant. Minimal and safe treatment over 6 months with the hope of eliminating the existing disease is of significant interest to prostate cancer patients. Unfortunately, dietary supplements have failed to improve and have sometimes even contributed to disease progression. In addition, the use of multiple medications is not always appropriate or safe. In this case study, we administered low doses of enzalutamide (80 mg/day–120 mg/day in an AS patient during a 6 month period. Results showed a significant reduction in tumor size, as evidenced by magnetic resonance imaging and color Doppler, as well as a an undetectable level of prostate specific antigen during, and immediately following treatment. The use of an oral second-generation androgen-receptor signaling inhibitor was shown to be of benefit to patients unwilling to pursue AS and conventional treatment. Administration of enzalutamide did not reduce testosterone levels, but helped maintain good quality of life, was more cost effective at low doses, and was previously shown to be heart healthy and efficacious during early stages of castration-resistant prostate cancer. Although we do not advocate enzalutamide as a treatment

  19. Shallow and intermediate depth earthquakes in the Hindu Kush region across the Afghan-Pakistan border

    Science.gov (United States)

    Rehman, Khaista; Ali, Wajid; Ali, Asghar; Ali, Aamir; Barkat, Adnan

    2017-10-01

    We investigated the spatio-temporal seismicity parameters of shallow (0-70 km) and intermediate (70-300 km) depth earthquakes in the Hindu Kush region, which is characterized by the occurrence of large earthquakes in a small zone of intense activity. By way of comparison, intermediate depth earthquakes dominate the Hindu Kush seismicity. Using a catalogue of 3820 earthquakes, we determined the various earthquake histograms, time-series plots, variations of frequency-magnitude distribution (b-value) and seismicity rate changes (z-value). Both time periods, encompassing pre- and post-1964 subsets of earthquakes, differ significantly in terms of reporting earthquakes, b- and z-value for shallow and intermediate seismicity. The b-values appear to be lower (1.07 and 0.90) for intermediate depth earthquakes than do the b-values produced by shallow earthquakes (1.32 and 1.06) using the pre- and post-1964 data sets. The three low b-value (Hindu Kush. The z-value maps show that the earthquakes with magnitude of 7.0 and above can only be seen in the intermediate depth earthquake maps.

  20. Comparison of two humidification systems for long-term noninvasive mechanical ventilation.

    Science.gov (United States)

    Nava, S; Cirio, S; Fanfulla, F; Carlucci, A; Navarra, A; Negri, A; Ceriana, P

    2008-08-01

    There is no consensus concerning the best system of humidification during long-term noninvasive mechanical ventilation (NIMV). In a technical pilot randomised crossover 12-month study, 16 patients with stable chronic hypercapnic respiratory failure received either heated humidification or heat and moisture exchanger. Compliance with long-term NIMV, airway symptoms, side-effects and number of severe acute pulmonary exacerbations requiring hospitalisation were recorded. Two patients died. Intention-to-treat statistical analysis was performed on 14 patients. No significant differences were observed in compliance with long-term NIMV, but 10 out of 14 patients decided to continue long-term NIMV with heated humidification at the end of the trial. The incidence of side-effects, except for dry throat (significantly more often present using heat and moisture exchanger), hospitalisations and pneumonia were not significantly different. In the present pilot study, the use heated humidification and heat and moisture exchanger showed similar tolerance and side-effects, but a higher number of patients decided to continue long-term noninvasive mechanical ventilation with heated humidification. Further larger studies are required in order to confirm these findings.

  1. Short- and long-term adaptation to cancer : a comparison of patients with the general population

    NARCIS (Netherlands)

    Schroevers, Maatje Jannetje

    2002-01-01

    Both from a scientific and common sense point of view, there are many ideas about how patients adjust to a life-threatening disease such as cancer. However, the empirical evidence on this topic is still elusive, especially about the consequences that patients may experience in the long term. The

  2. Comparison of short-term estrogenicity tests for identification of hormone-disrupting chemicals

    DEFF Research Database (Denmark)

    Andersen, H R; Andersson, A M; Arnold, S F

    1999-01-01

    The aim of this study was to compare results obtained by eight different short-term assays of estrogenlike actions of chemicals conducted in 10 different laboratories in five countries. Twenty chemicals were selected to represent direct-acting estrogens, compounds with estrogenic metabolites...

  3. Posterior fossa abnormalities in high-risk term infants: comparison of ultrasound and MRI

    Energy Technology Data Exchange (ETDEWEB)

    Steggerda, S.J.; Smits-Wintjens, V.E.H.J.; Verbon, P.; Walther, F.J. [Leiden University Medical Centre, Department of Neonatology, Leiden (Netherlands); Bruine, F.T. de [Leiden University Medical Centre, Department of Radiology, Leiden (Netherlands); Wezel-Meijler, G. van [Leiden University Medical Centre, Department of Radiology, Leiden (Netherlands); Isala Hospital, Department of Neonatology, Zwolle (Netherlands)

    2015-09-15

    We aimed to assess the characteristics of posterior fossa (PF) abnormalities in a cohort of high-risk term neonates, as well as the diagnostic performance of cranial ultrasound (CUS) with additional mastoid fontanelle (MF) views for the detection of these abnormalities, with magnetic resonance imaging (MRI) being the reference standard. In this retrospective study, 113 term neonates with CUS and subsequent MRI were included. Sensitivity, specificity, and predictive values of routine CUS and CUS with MF views were calculated. Posterior fossa abnormalities were diagnosed on CUS in 46 of 113 infants. MRI confirmed these findings in 43 and showed additional abnormalities in 32 infants. The sensitivity and specificity of anterior fontanelle views for major PF abnormalities as seen on MRI were 16 % and 99 %. Adding MF views increased the sensitivity of US to 82 %. The sensitivity and specificity of MF views for the detection of any (major or minor) PF abnormality were 57 % and 95 %. Especially acute hypoxic-ischemic injury and small subdural and punctate cerebellar haemorrhage remained undetected by CUS. PF abnormalities are frequent in high-risk term infants. MF-CUS enables early diagnosis of major PF abnormalities. We therefore advocate to perform MF-CUS in high-risk term neonates. (orig.)

  4. Comparison of non verbal learning difficulties in preschoolers born preterm with the term born peers.

    Science.gov (United States)

    Patil, Yashodha Jayadev; Metgud, Deepa

    2014-04-01

    To identify the incidence and pattern of specific areas of non verbal learning deficits (NVLD) associated with preterm and term born peers and also to evaluate influence of gestational age on cognition, motor, language and behavior in preterm and term infants. Children were screened for prematurity by giving parents a comprehensive questionnaire covering the family details, birth history, medical history and school performance. After finding their suitability, the children were picked randomly using the lottery method. Hundred children born moderately preterm were allocated in Group B and 100 term born children were recruited in Group A. Participants of both the groups were evaluated using the First STEP- screening test to evaluate preschoolers. This study revealed that there was significant difference between both the preterm and the control group in all the domains of First STEP and there was 10 % incidence of NVLD in preterm born preschoolers. Thus, the gestational age influences the cognitive, motor, behavior and academic performance in the preschoolers, thereby increasing the incidence of NVLD in preterm than the term born peers.

  5. Posterior fossa abnormalities in high-risk term infants: comparison of ultrasound and MRI

    International Nuclear Information System (INIS)

    Steggerda, S.J.; Smits-Wintjens, V.E.H.J.; Verbon, P.; Walther, F.J.; Bruine, F.T. de; Wezel-Meijler, G. van

    2015-01-01

    We aimed to assess the characteristics of posterior fossa (PF) abnormalities in a cohort of high-risk term neonates, as well as the diagnostic performance of cranial ultrasound (CUS) with additional mastoid fontanelle (MF) views for the detection of these abnormalities, with magnetic resonance imaging (MRI) being the reference standard. In this retrospective study, 113 term neonates with CUS and subsequent MRI were included. Sensitivity, specificity, and predictive values of routine CUS and CUS with MF views were calculated. Posterior fossa abnormalities were diagnosed on CUS in 46 of 113 infants. MRI confirmed these findings in 43 and showed additional abnormalities in 32 infants. The sensitivity and specificity of anterior fontanelle views for major PF abnormalities as seen on MRI were 16 % and 99 %. Adding MF views increased the sensitivity of US to 82 %. The sensitivity and specificity of MF views for the detection of any (major or minor) PF abnormality were 57 % and 95 %. Especially acute hypoxic-ischemic injury and small subdural and punctate cerebellar haemorrhage remained undetected by CUS. PF abnormalities are frequent in high-risk term infants. MF-CUS enables early diagnosis of major PF abnormalities. We therefore advocate to perform MF-CUS in high-risk term neonates. (orig.)

  6. A Comparison of Short- And Long-Term Family Therapy for Adolescent Anorexia Nervosa.

    Science.gov (United States)

    Lock, James; Agras, W. Stewart; Bryson, Susan; Kraemer, Helena C.

    2005-01-01

    Objective: Research suggests that family treatment for adolescents with anorexia nervosa may be effective. This study was designed to determine the optimal length of such family therapy. Method: Eighty-six adolescents (12-18 years of age) diagnosed with anorexia nervosa were allocated at random to either a short-term (10 sessions over 6 months) or…

  7. Comparison of Long-Term Outcomes in Adolescents with Anorexia Nervosa Treated with Family Therapy

    Science.gov (United States)

    Lock, James; Couturier, Jennifer; Agras, W. Stewart

    2006-01-01

    Objective: To describe the relative effectiveness of a short versus long course of family-based therapy (FBT) for adolescent anorexia nervosa at long-term follow-up. Method: This study used clinical and structured interviews to assess psychological and psychosocial outcomes of adolescents (ages 12-18 years at baseline) who were previously treated…

  8. Maternal and paternal infant representations : A comparison between parents of term and preterm infants

    NARCIS (Netherlands)

    Tooten, A.; Hall, R.A.S.; Hoffenkamp, H.N.; Braeken, J.; Vingerhoets, A.J.J.M.; van Bakel, A.M.

    2014-01-01

    Objective Research on parental attachment representations after preterm birth is limited and inconclusive. The present study is the first in which maternal and paternal attachment representations after term, moderately and very preterm birth are compared. In addition, special attention was directed

  9. Comparison of Hair Cortisol Levels and Perceived Stress in Mothers Who Deliver at Preterm and Term.

    Science.gov (United States)

    Duffy, Allyson R; Schminkey, Donna L; Groer, Maureen W; Shelton, Melissa; Dutra, Samia

    2018-01-01

    To evaluate relationships between hair cortisol levels and perceived stress in mothers who deliver preterm and term. We hypothesized that the rate of change in cortisol levels would be greater in the preterm delivery group. This preliminary study compared hair cortisol levels and Perceived Stress Scale (PSS) scores in predominately Caucasian mothers who delivered preterm ( n = 22) and term ( n = 30). We collected PSS and hair samples of ≥10 cm in length from mothers after delivery. Hair was segmented into three sections, and cortisol was measured using enzyme-linked immunosorbent assay. The mean gestational age was 31.45 ( SD = 4.2) weeks for preterm deliveries and 39.45 ( SD = 1.1) for term. Cortisol differed significantly in the third trimester between mothers delivering term and preterm ( t = 2.16, df = 48, p = .04) and trended toward significance in the second trimester ( t = 1.88, df = 48, p = .06). PSS differed significantly between the two groups ( t = -2.96, df = 50, p = .05). Our data did not provide support for our hypothesis. There appeared to be a blunted, flattened pattern of change in cortisol levels across gestation in the women who delivered preterm, suggesting diminished hypothalamic-pituitary-adrenal axis responsiveness in mechanisms that promote preterm labor. Future studies are needed to further evaluate best strategies for measuring the mechanisms of allostatic load during pregnancy along with the psychoneuroendocrine and immune triggers and placental responses that lead to premature birth.

  10. Maternal and neonatal outcome in obstetric cholestasis: a comparison of early versus late term delivery

    International Nuclear Information System (INIS)

    Anjum, N.; Babar, N.; Sheikh, S.

    2015-01-01

    To evaluate maternal and neonatal outcome in Obstetric Cholestasis (OC) in early versus late term delivery. Study Design: Retrospective cohort study. Place and Duration of Study: Aga khan hospital for women (AKHW) Karimabad, Karachi, from 1st Jan, 2011 to 31st Oct, 2012. Patient and Methods: This was a retrospective cohort study. All patients of OC with singleton pregnancy, admitted for labor induction between Jan 2011 to Oct 2012 were included in the study. At or after 37 week of gestation, patient is offered labor induction. Patients were divided in two groups as in early term delivery (Group A) and late term delivery (Group B). Early term delivery is taken from 37+o to 37+6 and late term delivery at or after 38 weeks of gestation. The demographic, laboratory and clinical data of these patients were collected from their medical record. Maternal and neonatal outcome were analyzed using SPSS version 19. Results: The study found that in obstetric cholestasis patients admitted for labor induction, the risk of caesarean delivery was higher in group A (before 38 weeks) as compared to group B (after 38 weeks). There was no difference in postpartum hemorrhage and drop in hemoglobin between two groups. Obstetric cholestasis was not associated with adverse perinatal outcome such as intrauterine death (IUD), low Apgar Scores, respiratory distress and neonatal intensive care admission in both the groups. However more cases of neonatal jaundice were observed in babies born after 38 weeks. Conclusion: OC patients who deliver after 38 weeks of gestation have a higher chance of vaginal delivery without increasing the risk of IUD. (author)

  11. Natural analogue study for low-and-intermediate level radioactive waste shallow burial disposal

    International Nuclear Information System (INIS)

    Gu Cunli; Fan Zhiwen; Huang Yawen; Cui Anxi; Liu Xiuzheng; Zhang Jinshen

    1995-01-01

    The paper makes a comparison of low-and-intermediate level radioactive waste shallow burial disposal with Chinese ancient tombs in respects of siting, engineering structures, design principle and construction procedures. Results showed that Chinese ancient tombs are very good analogue for low-and-intermediate level radioactive waste shallow burial disposal. Long-term preservation of ancient tombs and buried objects demonstrated that low-and-intermediate level radioactive waste shallow burial disposal would be safe if suitable sites were selected, reasonable engineering structures and good backfill materials were adopted, and scientific construction procedures were followed. The paper reports for the first time the testing results of certain ancient tomb backfill materials. The results indicated that the materials have so low a permeability as 1.5 x 10 -8 cm/s , and strong adsorption to radionuclides Co and Cs with the distribution coefficients of 1.4 x 10 4 mL/g and 2.1 x 10 4 mL/g, and the retardation factors of 4.4 x 10 4 and 7.7 x 10 4 respectively. Good performance of these materials is important assurance of long-term preservation of the ancient tombs. These materials may be considered to be used as backfill materials in low-and-intermediate level radioactive shallow burial disposal. (4 figs., 10 tabs.)

  12. Comparison of Temporal Artery Thermometry with Axillary and Rectal Thermometry in Full Term Neonates.

    Science.gov (United States)

    Goswami, Ekta; Batra, Prerna; Khurana, Ritika; Dewan, Pooja

    2017-03-01

    To assess the efficacy of temporal artery thermometer in febrile and hypothermic neonates in comparison to axillary thermometer. It was a cross sectional observational study. Study participants included 210 neonates admitted in neonatal intensive care unit of a tertiary care teaching hospital, divided into three groups of 70 each, namely normothermic, febrile and hypothermic. Temperatures were measured using temporal artery, axillary and rectal thermometers in each patient. Mean rectal temperature was found to be comparable to mean temporal artery temperature in normothermic babies. Temporal artery thermometer had a better sensitivity to diagnose fever, than hypothermia. Also, temporal artery temperature showed a good correlation with rectal temperature in normothermic and febrile group and not in hypothermic neonates. Temporal artery thermometer can accurately detect temperature in febrile and normothermic fullterm neonates but not in hypothermic neonates. Further studies are required before advocating temporal artery thermometry as a replacement of rectal thermometry among this group of population.

  13. Results of a Longer Term NDACC Measurements Comparison Campaign at Mauna Loa Observatory

    Directory of Open Access Journals (Sweden)

    McGee Thomas J.

    2016-01-01

    Full Text Available Between November, 2015 and January, 2015, the Goddard Space Flight Center operated a pair of lidar instruments at the NOAA facility at Mauna Loa on the Big Island of Hawaii (Lat. 19.5N, Lon. 155.5 W, Altitude 3.397 km. Measurements were made during six different four week periods during this time period by both the NASA GSFC Stratospheric Ozone Lidar (STROZ and the Aerosol and Temperature (ATL lidar. Also making measurements were the JPL Stratospheric Ozone Lidar and the NOAA Aerosol and Water Vapor Lidar. All instruments participate and archive data with the Network for the Detection of Atmospheric Composition Change. Measurement comparisons were made among various instruments in accordance with the standard intercomparison protocols of the NDACC.

  14. TURKEY’S COMPETITIVENESS IN TERMS OF DETERMINANTS OFFDI: A COMPARISON WITH HUNGARY AND POLAND

    Directory of Open Access Journals (Sweden)

    Ismet Ates

    2011-01-01

    Full Text Available Foreign direct investments (FDI have increased rapidly in the world especiallyafter 1990s. Both developing and developed countries consider FDI as a source ofcapital and they compete with each other to get more FDI to their countries. Inthis context, the factors that make attractive thehost country are becomingimportant to attract FDI. Determinants of FDI classified differently by economic,political and geographical in the literature.In this study, the economic factors determine FDI in Turkey (market size, laborcosts, exchange rates, interest rates, economic growth rate, geographic location,infrastructure, taxes, etc. will be investigated and compared with data of Hungaryand Poland. As a result of this comparison, the factors attracting FDI and affectingthe competitiveness of Turkey against to Hungary and Poland will be determined.

  15. Long-term postplacement cost comparison of AneuRx and Zenith endografts.

    Science.gov (United States)

    Noll, Robert E; Tonnessen, Britt H; Kim, Jason; Money, Samuel R; Sternbergh, W Charles

    2008-11-01

    Long-term postplacement costs increase the global cost of endovascular aneurysm repair (EVAR) by 44%. Secondary procedures and endoleaks significantly increase long-term expense. This study evaluates device-specific long-term postplacement costs using two different endografts. AneuRx and Zenith endografts were used to treat 250 patients with abdominal aortic aneurysms between December 1998 and June 2006 at a single institution. A relative value unit-based hospital cost accounting system was used to calculate both direct and indirect hospital departmental costs. Institutional overhead expenses, costs of professional services, and outpatient visits were also included in cost determinations. All costs were valued in 2006 dollars. To examine long-term costs, patients with <1 year follow-up were excluded. The initial 50 EVAR patients between December 1995 and 1998 were also excluded, to limit the effect of the learning curve on postplacement cost. The cumulative 5-year postplacement costs per patient were $12,465 (AneuRx) and $10,606 (Zenith, p = 0.22). Mean durations of follow-up were 38.5 +/- 5.2 months (AneuRx) and 32.8 +/- 3.8 months (Zenith, p = 0.12). For both devices, the largest cost components were secondary procedures (59.5% AneuRx vs. 56.4% Zenith) and radiologic studies (29.2% AneuRx vs. 34.9% Zenith). Freedom from secondary procedures (80% vs. 51%, p < 0.05) and endoleaks (83% vs. 58%, p = 0.05) was higher in patients treated with Zenith vs. AneuRx endografts, respectively. There was a reduction in secondary procedures and endoleaks in patients treated with Zenith compared to AneuRx. The corresponding 15% reduction in cost, however, was not statistically significant. Additional device-related cost reductions may be possible through improvements in device and technique and alterations in surveillance imaging.

  16. Long-term health effects of neutering dogs: comparison of Labrador Retrievers with Golden Retrievers.

    Directory of Open Access Journals (Sweden)

    Benjamin L Hart

    Full Text Available Our recent study on the effects of neutering (including spaying in Golden Retrievers in markedly increasing the incidence of two joint disorders and three cancers prompted this study and a comparison of Golden and Labrador Retrievers. Veterinary hospital records were examined over a 13-year period for the effects of neutering during specified age ranges: before 6 mo., and during 6-11 mo., year 1 or years 2 through 8. The joint disorders examined were hip dysplasia, cranial cruciate ligament tear and elbow dysplasia. The cancers examined were lymphosarcoma, hemangiosarcoma, mast cell tumor, and mammary cancer. The results for the Golden Retriever were similar to the previous study, but there were notable differences between breeds. In Labrador Retrievers, where about 5 percent of gonadally intact males and females had one or more joint disorders, neutering at <6 mo. doubled the incidence of one or more joint disorders in both sexes. In male and female Golden Retrievers, with the same 5 percent rate of joint disorders in intact dogs, neutering at <6 mo. increased the incidence of a joint disorder to 4-5 times that of intact dogs. The incidence of one or more cancers in female Labrador Retrievers increased slightly above the 3 percent level of intact females with neutering. In contrast, in female Golden Retrievers, with the same 3 percent rate of one or more cancers in intact females, neutering at all periods through 8 years of age increased the rate of at least one of the cancers by 3-4 times. In male Golden and Labrador Retrievers neutering had relatively minor effects in increasing the occurrence of cancers. Comparisons of cancers in the two breeds suggest that the occurrence of cancers in female Golden Retrievers is a reflection of particular vulnerability to gonadal hormone removal.

  17. Comparison of the abilities of five scoring systems to predict short-term and medium-term death risks in patients with decompensated cirrhosis

    Directory of Open Access Journals (Sweden)

    FAN Xiaoli

    2017-07-01

    Full Text Available ObjectiveTo compare the abilities of Child-Turcotte-Pugh (CTP score, Model for End-Stage Liver Disease (MELD, MELD combined with serum sodium concentration (MELD-Na, integrated MELD (iMELD, and MELD to SNa ratio (MESO to predict short-term and medium-term death risks in patients with decompensated cirrhosis at months 3 and 12. MethodsThe records of 269 patients with decompensated cirrhosis in Department of Gastroenterology, West China Hospital, Sichuan University from January 1 to December 31, 2014 were retrospectively analyzed. The CTP, MELD, MELD-Na, iMELD, and MESO scores were evaluated for these patients within 48 hours after admission and these patients were followed up for at least 12 months. The predictive abilities of these five scoring systems were evaluated by the area under the receiver operating characteristic curve (AUC at months 3 and 12. Comparison of continuous data was conducted using t test (for data with normal distribution and homogeneity of variance or Mann-Whitney U test (for data with non-normal distribution, while comparison of categorical data was conducted usingχ2 test. Meanwhile, logistic regression analysis, Hosmer-Lemeshow goodness-of-fit test, and Kaplan-Meier survival analysis were performed. ResultsTwenty-five (9.29% and thirty-eight (1413% of all patients died within 3 months and 12 months, respectively. There were significant differences between the patients who died and survived within 12 months in total bilirubin, creatinine, urea, albumin, white blood cell count, prothrombin time, international normalized ratio, serum sodium, the presence or absence of hepatic encephalopathy on admission, degree of ascites, the CTP, MELD, MELD-Na, iMELD, and MESO scores on admission, history of hepatic encephalopathy, and treatments for these factors after discharge (all P<0.05. The multivariate logistic regression analysis revealed that all five scores were independent prognostic factors for the patients (odds ratios

  18. Long-Term Food Tolerance After Bariatric Surgery: Comparison of Three Different Surgical Techniques.

    Science.gov (United States)

    Cano-Valderrama, Oscar; Sánchez-Pernaute, Andrés; Rubio-Herrera, Miguel A; Domínguez-Serrano, Inmaculada; Torres-García, Antonio J

    2017-11-01

    Food tolerance has been related to quality of life after bariatric surgery. However, long-term results about this issue are quite limited. The aim of this study was to evaluate the long-term food tolerance in obese patients submitted to surgery, comparing the results between gastric bypass (GBP), long alimentary modified biliopancreatic diversion (MBPD), and long alimentary modified duodenal switch (MDS). A cross-sectional analytic study was performed. Food tolerance was studied with a questionnaire based on subjective alimentary satisfaction, tolerance to different foods, and frequency of vomiting and regurgitation. A food tolerance score was obtained (1 point being the worst possible tolerance and 27 points being a perfect one). Information was obtained with a telephone interview. One hundred ninety-six patients submitted to bariatric surgery were included. Ninety-nine patients were submitted to GBP, 54 to MBPD, and 43 to MDS. One hundred and sixty-one patients (82.1%) were not lost during a mean follow-up time of 87.9 months. Mean food tolerance score was 24.2. Tolerance satisfaction was good or excellent in 73.3% of the patients. Red meat was the worst tolerated food, but nearly 80% of the patients could tolerate it without any problem. Mean food tolerance score was 24.6, 24.0, and 23.7 for GBP, MBPD, and MDS, respectively. There were no significant differences between these procedures in food tolerance score, alimentary satisfaction, or frequency of vomiting. Long-term food tolerance after bariatric surgery is good. No differences between GBP, MBPD, and MDS were found.

  19. Comparison of long-term results of laparoscopic and endoscopic exploration of common bile duct

    Directory of Open Access Journals (Sweden)

    Rai Sarabjit

    2006-01-01

    Full Text Available Background: To compare long term results of laparoscopic and endoscopic exploration of common bile duct, to assess post-procedure quality of life. Materials and Methods: From September 1992 to August 2003, we performed 4058 cholecystectomies, out of which 479 (11.80% patients had choledocholithiasis. There were 163 males and 316 females. Mean age was 63.65 ± 5.5 years. These patients were put in two groups. In the first group of 240 patients, a majority of patients underwent two-stage procedures. ERCP/ES was performed in 210 (87.50% cases. In the second group of 239 patients, a majority of patients underwent single-stage procedures. ERCP/ES was done in 32 (13.38% cases. Results: Mortality was zero in both groups. Morbidity was 15.1% in first group and 7.5% in second group. Mean hospital stay was 11.7 ± 3.2 days in first group and 6.2 ± 2.1 days in second group. Average operative time was 95.6 ± 20 minutes in first group and 128.4 ± 32 minutes in second group. Completed questionnaires received from 400 (83.50% patients revealed better long-term results in the second group. Clinical features of low-grade cholangitis were seen in 20% of patients who underwent ES. Hence the post-procedure quality of life in patients who underwent single-stage procedures was definitely much better, because of minimal damage of sphincter of Oddi. Conclusions: Single-stage laparoscopic operations provide better results and shorter hospital stay. Damage to sphincter of Oddi should be minimal, to avoid long-term low-grade cholangitis. In young patients, the operation of choice should be single-stage laparoscopic procedure with absolutely no damage to sphincter of Oddi.

  20. A comparison between preterm and full-term infants' preference for faces.

    Science.gov (United States)

    Pereira, Silvana A; Pereira Junior, Antônio; Costa, Marcelo F da; Monteiro, Margareth de V; Almeida, Valéria A de; Fonseca Filho, Gentil G da; Arrais, Nívia; Simion, Francesca

    Visual preference for faces at birth is the product of a multimodal sensory experience experienced by the fetus even during the gestational period. The ability to recognize faces allows an ecologically advantageous interaction with the social environment. However, perinatal events such as premature birth, may adversely affect the adequate development of this capacity. In this study, we evaluated the preference for facial stimuli in preterm infants within the first few hours after birth. This is a cross-sectional observational study of 59 newborns, 28 preterm and 31 full-term infants. The babies were assessed in the first hours of life, with two white boards in the shape of a head and neck: one with the drawing of a face similar to the human face (natural face), and one with the drawing of misaligned eyes, mouth and nose (distorted face). After the newborn fixated the eyes on the presented stimulus, it was slowly moved along the visual field. The recognition of the stimulus was considered present when the baby had eye or head movements toward the stimulus. The preterm infants, in addition to showing a lower occurrence of orientation movements for both stimuli, on average (1.8±1.1 to natural faces and 2.0±1.2 for distorted ones) also showed no preference for any of them (p=0.35). Full-term newborns showed a different behavior, in which they showed a preference for natural faces (p=0.002) and a higher number of orientations for the stimulus, for both natural (3.2±0.8) and distorted faces (2.5±0.9). Preterm newborns recognize facial stimuli and disclose no preference for natural faces, different from full-term newborns. Copyright © 2016 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.

  1. A comparison between preterm and full-term infants' preference for faces

    Directory of Open Access Journals (Sweden)

    Silvana A. Pereira

    Full Text Available Abstract: Objective: Visual preference for faces at birth is the product of a multimodal sensory experience experienced by the fetus even during the gestational period. The ability to recognize faces allows an ecologically advantageous interaction with the social environment. However, perinatal events such as premature birth, may adversely affect the adequate development of this capacity. In this study, we evaluated the preference for facial stimuli in preterm infants within the first few hours after birth. Methods: This is a cross-sectional observational study of 59 newborns, 28 preterm and 31 full-term infants. The babies were assessed in the first hours of life, with two white boards in the shape of a head and neck: one with the drawing of a face similar to the human face (natural face, and one with the drawing of misaligned eyes, mouth and nose (distorted face. After the newborn fixated the eyes on the presented stimulus, it was slowly moved along the visual field. The recognition of the stimulus was considered present when the baby had eye or head movements toward the stimulus. Results: The preterm infants, in addition to showing a lower occurrence of orientation movements for both stimuli, on average (1.8 ± 1.1 to natural faces and 2.0 ± 1.2 for distorted ones also showed no preference for any of them (p = 0.35. Full-term newborns showed a different behavior, in which they showed a preference for natural faces (p = 0.002 and a higher number of orientations for the stimulus, for both natural (3.2 ± 0.8 and distorted faces (2.5 ± 0.9. Conclusion: Preterm newborns recognize facial stimuli and disclose no preference for natural faces, different from full-term newborns.

  2. Comparison of Two Intraocular Lens Implantation Techniques in Pediatric Cataract Surgery in Terms of Postoperative Complications

    Directory of Open Access Journals (Sweden)

    Mustafa Erdoğan Cicik

    2018-03-01

    Full Text Available Background: Pediatric cataract surgery differs substantially from adult cataract surgery. Numerous studies have focused on reducing the development of postoperative complications. Aims: To compare two intraocular lens implantation techniques used in pediatric cataract surgery in terms of postoperative complications. Study Design: Case-control study. Methods: Patients who underwent pediatric cataract surgery and intraocular lens implantation between 2008 and 2016 were evaluated in this retrospective study. Patients aged 3-15 years with unilateral or bilateral cataract and without corneal pathology were included in the study. The patients were categorized into the following two groups: those who underwent posterior capsulorhexis and anterior vitrectomy using in-the-bag intraocular lens implantation (group 1 and those who underwent posterior capsulorhexis and intraocular lens implantation with the optic fixed behind the posterior capsulorhexis (group 2. Rates of postoperative visual axis opacification and complications (glaucoma, posterior synechiae, uveitic reaction, and intraocular lens decentration were evaluated in these groups. The implanted intraocular lenses were either monoblock (AcrySof SN60AT intraocular lens, triple-piece (AcrySof MA60BM intraocular lens foldable hydrophobic acrylic lenses, or multifocal lenses (AcrySof IQ ReSTOR. Results: This retrospective study included 52 eyes of 37 patients. Group 1 comprised 26 eyes of 20 patients and group 2 comprised 26 eyes of 17 patients. During the follow-up, visual axis opacification was observed in two patients in group 1 but no patients in group 2. Regarding postoperative complications, there was no uveitic reaction, posterior synechiae, or intraocular lens decentration in either group. There was no significant difference between the groups in terms of the postoperative complications (p>0.05. Conclusion: There was no significant difference between in-the-bag intraocular lens implantation

  3. GFDM performance in terms of BER, PAPR and OOB and comparison to OFDM system

    Energy Technology Data Exchange (ETDEWEB)

    Antapurkar, Shwetal K., E-mail: h2014077@pilani.bits-pilani.ac.in; Pandey, Avinash, E-mail: h2014083@pilani.bits-pilani.ac.in [P G student, Dept. of EEE, Birla Institute of Technology and Science, Pilani, Rajasthan, India-333031 (India); Gupta, K. K., E-mail: kgupta@pilani.bits-pilani.ac.in [Asst Prof, Dept. of EEE, Birla Institute of Technology and Science, Pilani, Rajasthan, India-333031 (India)

    2016-03-09

    Generalized frequency division multiplexing is a multicarrier modulation technique which can be foreseen as a potential alternative for upcoming wireless networks. GFDM attractive features include reduced out-of-band radiation(OOB) and low peak-to-average ratio(PAPR), which are the crucial shortcomings of OFDM used in present day wireless communication networks. This paper gives detailed description of GFDM system model and further studies and validates through simulations, the performance of GFDM in terms of OOB, PAPR and Bit Error Rate (BER) and compares the results obtained with OFDM system.

  4. GFDM performance in terms of BER, PAPR and OOB and comparison to OFDM system

    International Nuclear Information System (INIS)

    Antapurkar, Shwetal K.; Pandey, Avinash; Gupta, K. K.

    2016-01-01

    Generalized frequency division multiplexing is a multicarrier modulation technique which can be foreseen as a potential alternative for upcoming wireless networks. GFDM attractive features include reduced out-of-band radiation(OOB) and low peak-to-average ratio(PAPR), which are the crucial shortcomings of OFDM used in present day wireless communication networks. This paper gives detailed description of GFDM system model and further studies and validates through simulations, the performance of GFDM in terms of OOB, PAPR and Bit Error Rate (BER) and compares the results obtained with OFDM system.

  5. A comparison of short-term dispersion estimates resulting from various atmospheric stability classification methods

    International Nuclear Information System (INIS)

    Mitchell, A.E. Jr.

    1982-01-01

    Four methods of classifying atmospheric stability class are applied at four sites to make short-term (1-h) dispersion estimates from a ground-level source based on a model consistent with U.S. Nuclear Regulatory Commission practice. The classification methods include vertical temperature gradient, standard deviation of horizontal wind direction fluctuations (sigma theta), Pasquill-Turner, and modified sigma theta which accounts for meander. Results indicate that modified sigma theta yields reasonable dispersion estimates compared to those produced using methods of vertical temperature gradient and Pasquill-Turner, and can be considered as a potential economic alternative in establishing onsite monitoring programs. (author)

  6. Comparisons of periodontal regenerative therapies: A meta-analysis on the long-term efficacy.

    Science.gov (United States)

    Wu, Yun-Chun; Lin, Liang-Ko; Song, Cheng-Jie; Su, Yu-Xuan; Tu, Yu-Kang

    2017-05-01

    We conducted a meta-analysis for the long-term differences in treatment outcomes between periodontal regeneration therapies and flap operation. A systematic literature search was conducted using the EMBASE, PubMed and Cochrane databases up to June 2016. Treatment outcomes were changes in probing pocket depth and clinical attachment level. We extracted data reported at different time points after periodontal surgery and incorporated all data into the same model. The restricted cubic spline regression was used to estimate the non-linear trend in treatment outcomes. As some studies reported outcomes at multiple time points, we considered several correlation structures for data reported by the same study. A total of 52 randomized controlled trials were included in our longitudinal meta-analysis. The follow-up length ranged from 0.5 year to 10 years. The trends in the treatment outcomes were similar under different correlation structures. Enamel matrix derivatives (EMD) and guided tissue regeneration (GTR) achieved greater probing pocket depth (PPD) reduction and clinical attachment level (CAL) gain than flap operation (FO) in the long-term follow up, but no differences were found between EMD and GTR. Compared with FO, periodontal regeneration surgeries achieved greater PPD reduction and gain in CAL after 1 year, and its effects may last for 5-10 years. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  7. A direct comparison of short-term audiomotor and visuomotor memory.

    Science.gov (United States)

    Ward, Amanda M; Loucks, Torrey M; Ofori, Edward; Sosnoff, Jacob J

    2014-04-01

    Audiomotor and visuomotor short-term memory are required for an important variety of skilled movements but have not been compared in a direct manner previously. Audiomotor memory capacity might be greater to accommodate auditory goals that are less directly related to movement outcome than for visually guided tasks. Subjects produced continuous isometric force with the right index finger under auditory and visual feedback. During the first 10 s of each trial, subjects received continuous auditory or visual feedback. For the following 15 s, feedback was removed but the force had to be maintained accurately. An internal effort condition was included to test memory capacity in the same manner but without external feedback. Similar decay times of ~5-6 s were found for vision and audition but the decay time for internal effort was ~4 s. External feedback thus provides an advantage in maintaining a force level after feedback removal, but may not exclude some contribution from a sense of effort. Short-term memory capacity appears longer than certain previous reports but there may not be strong distinctions in capacity across different sensory modalities, at least for isometric force.

  8. A comparison of serial order short-term memory effects across verbal and musical domains.

    Science.gov (United States)

    Gorin, Simon; Mengal, Pierre; Majerus, Steve

    2018-04-01

    Recent studies suggest that the mechanisms involved in the short-term retention of serial order information may be shared across short-term memory (STM) domains such as verbal and visuospatial STM. Given the intrinsic sequential organization of musical material, the study of STM for musical information may be particularly informative about serial order retention processes and their domain-generality. The present experiment examined serial order STM for verbal and musical sequences in participants with no advanced musical expertise and experienced musicians. Serial order STM for verbal information was assessed via a serial order reconstruction task for digit sequences. In the musical domain, serial order STM was assessed using a novel melodic sequence reconstruction task maximizing the retention of tone order information. We observed that performance for the verbal and musical tasks was characterized by sequence length as well as primacy and recency effects. Serial order errors in both tasks were characterized by similar transposition gradients and ratios of fill-in:infill errors. These effects were observed for both participant groups, although the transposition gradients and ratios of fill-in:infill errors showed additional specificities for musician participants in the musical task. The data support domain-general serial order STM effects but also suggest the existence of additional domain-specific effects. Implications for models of serial order STM in verbal and musical domains are discussed.

  9. Biomass allocation and long-term growth patterns of temperate lianas in comparison with trees.

    Science.gov (United States)

    Ichihashi, Ryuji; Tateno, Masaki

    2015-08-01

    The host-dependent support habit of lianas is generally interpreted as a strategy designed to reduce resource investment in mechanical tissues; this allows preferential allocation to leaf and stem extension, thereby enhancing productivity and competitive abilities. However, this hypothesis has not been rigorously tested. We examined the aboveground allometries regarding biomass allocation (leaf mass and current-year stem mass (approximated as biomass allocated to extension growth) vs total aboveground mass) and long-term apparent growth patterns (height and aboveground mass vs age, i.e. numbers of growth rings) for nine deciduous liana species in Japan. Lianas had, on average, three- and five-fold greater leaf and current-year stem mass, respectively, than trees for a given aboveground mass, whereas the time course to reach the forest canopy was comparable and biomass accumulation during that period was only one-tenth that of co-occurring canopy trees. The balance between the lengths of yearly stem extension and existing older stems indicated that lianas lost c. 75% of stem length during growth to the canopy, which is probably a consequence of the host-dependent growth. Our observations suggest that, although lianas rely on hosts mechanically, allowing for short-term vigorous growth, this habit requires a large cost and could limit plant growth over protracted periods. © 2015 The Authors. New Phytologist © 2015 New Phytologist Trust.

  10. Towards an unbiased comparison of CC, BCC, and FCC lattices in terms of prealiasing

    KAUST Repository

    Vad, Viktor

    2014-06-01

    In the literature on optimal regular volume sampling, the Body-Centered Cubic (BCC) lattice has been proven to be optimal for sampling spherically band-limited signals above the Nyquist limit. On the other hand, if the sampling frequency is below the Nyquist limit, the Face-Centered Cubic (FCC) lattice was demonstrated to be optimal in reducing the prealiasing effect. In this paper, we confirm that the FCC lattice is indeed optimal in this sense in a certain interval of the sampling frequency. By theoretically estimating the prealiasing error in a realistic range of the sampling frequency, we show that in other frequency intervals, the BCC lattice and even the traditional Cartesian Cubic (CC) lattice are expected to minimize the prealiasing. The BCC lattice is superior over the FCC lattice if the sampling frequency is not significantly below the Nyquist limit. Interestingly, if the original signal is drastically undersampled, the CC lattice is expected to provide the lowest prealiasing error. Additionally, we give a comprehensible clarification that the sampling efficiency of the FCC lattice is lower than that of the BCC lattice. Although this is a well-known fact, the exact percentage has been erroneously reported in the literature. Furthermore, for the sake of an unbiased comparison, we propose to rotate the Marschner-Lobb test signal such that an undue advantage is not given to either lattice. © 2014 The Eurographics Association and John Wiley & Sons Ltd. Published by John Wiley & Sons Ltd.

  11. Early and Long-Term Results of Subclavian Angioplasty in Aortoarteritis (Takayasu Disease): Comparison with Atherosclerosis

    International Nuclear Information System (INIS)

    Tyagi, Sanjay; Verma, Puneet K.; Gambhir, Daljeet S.; Kaul, Upkar A.; Saha, Renuka; Arora, Ramesh

    1998-01-01

    Purpose: To compare the early andlong-term outcomes of subclavian artery angioplasty in patients with aortoarteritis and atherosclerosis. Methods: Sixty-one subclavian artery angioplasties were performed in 55 consecutive patients with aortoarteritis (n= 32) and atherosclerosis (n= 23) between 1986 and 1995. An arch aortogram followed by a selective subclavian artery angiogram was done to profile the site and extent of the lesion, its relation to the vertebral artery, and the distal circulation. Percutaneous transluminal angioplasty (PTA) was performed via the femoral route for 56 stenotic lesions and 5 total occlusions. Results: PTA was successful in 52 (92.8%) stenotic lesions and 3 (60%) total occlusions. Three patients (5.4%) had complications, that could be effectively managed nonsurgically. Compared with atherosclerosis, patients with aortoarteritis were younger (27.4 ± 9.3 years vs 54.5 ± 10.5 years; p < 0.001), more often female (75% vs 17.4%; p < 0.001), gangrene was uncommon (0% vs 17.4%; p < 0.05), and diffuse involvement was seen more often (43.8% vs 4.4%; p < 0.001). The luminal diameter stenoses were similar before PTA (88.6 ± 9.7% vs 89.0 ± 9.1%; p= NS). Higher balloon inflation pressure was required to dilate the lesions of aortoarteritis (9.9 ± 4.6 ATM vs 5.5 ± 1.0 ATM; p < 0.001). This group had more residual stenosis (15.5 ± 12.4% vs 8.3 ± 9.4%; p < 0.05) after PTA. There were no neurological sequelae, even in PTA of prevertebral lesions. On 3-120 months (mean 43.3 ± 28.9 months) follow-up of 40 patients, restenosis was more often observed in patients with aortoarteritis, particularly in those with diffuse arterial narrowing. These lesions could be effectively redilated. Clinical symptoms showed marked improvement after successful angioplasty. Conclusion: Subclavian PTA is safe and can be performed as effectively in aortoarteritis as in atherosclerosis, with good long-term results. Long-term follow-up shows that it provides good

  12. Comparison Between Use of Oral Misoprostol Versus Vaginal Misoprostol for Induction of Labour at Term.

    Science.gov (United States)

    Prameela; Sharma, Kavya D

    2018-04-01

    In modern obstetrics, around 30% of cases require induction of labour for various reasons. Misoprostol is gaining popularity as pharmacological inducing agent, though the route and dosage of administration are not standardised. The objective of the study is to compare the safety and efficacy of the two routes of misoprostol administration-oral (100 μg 4th hourly) and vaginal (25 μg 4th hourly), for induction of labour at term. In this randomised trial, 104 women having crossed the expected date of delivery without going into spontaneous labour and cases which had premature rupture of membranes <12 h were considered for labour induction and were divided into two equal groups. Group A received 100 μg misoprostol orally 4th hourly, and group B received 25 μg misoprostol vaginally 4th hourly. Labour characteristics and maternal and foetal outcome were compared. In terms of maternal outcome, mean number of doses for oral group is 2.73 and vaginal group is 3.04. In oral group, mean induction to vaginal delivery interval was 13 h 43 min and in vaginal group interval is 13 h 26 min which was statistically not significant. The need for oxytocin augmentation was also statistically not significant. Both groups had equal number of failed inductions. Emergency LSCS done for foetal distress was more in vaginal group 2.9% compared to oral group which is 1%, but difference was not statistically significant ( p value -0.55). Number of thick MSL in oral group was 3.2% as compared to vaginal group which is 10.7% which was statistically significant ( p value -0.04). APGAR score at 5 min 7/10 was seen in 7.7% in vaginal group as compared to 0% in oral group which was also statistically significant (0.004). Number of NICU admissions was also more in vaginal group compared to oral group. Misoprostol in either oral or vaginal route has proven to be equally effective for inducing labour in women at term pregnancy. However, occurrence of lesser incidence of meconium

  13. Bacterial intermediate filaments

    DEFF Research Database (Denmark)

    Charbon, Godefroid; Cabeen, M.; Jacobs-Wagner, C.

    2009-01-01

    Crescentin, which is the founding member of a rapidly growing family of bacterial cytoskeletal proteins, was previously proposed to resemble eukaryotic intermediate filament (IF) proteins based on structural prediction and in vitro polymerization properties. Here, we demonstrate that crescentin...... also shares in vivo properties of assembly and dynamics with IF proteins by forming stable filamentous structures that continuously incorporate subunits along their length and that grow in a nonpolar fashion. De novo assembly of crescentin is biphasic and involves a cell size-dependent mechanism...... a new function for MreB and providing a parallel to the role of actin in IF assembly and organization in metazoan cells. Additionally, analysis of an MreB localization mutant suggests that cell wall insertion during cell elongation normally occurs along two helices of opposite handedness, each...

  14. A comparison of heterosexual and homosexual long-term sexual relationships.

    Science.gov (United States)

    Weingourt, R

    1998-04-01

    This is a study of a nonrandom sample of 94 women who are in long-term sexual relationships. The women were divided into groups of heterosexual and homosexual women who reported childhood sexual abuse, and heterosexual and homosexual women who reported no history of childhood sexual abuse. The groups were rated according to their levels of sexual satisfaction and relationship satisfaction. Results indicate that women who have not been abused are more satisfied with their relationships than women who have been abused. Heterosexual and homosexual women who have a history of childhood sexual abuse are less satisfied with their sexual relationships than women without histories of abuse. However, homosexual women who have been abused rated their relationship satisfaction higher than heterosexual women who have been abused. By showing that one cannot draw conclusions about homosexual women based on research on heterosexual women, this study encourages further research to enable nurses to refine their care planning.

  15. Comparison of different risk stratification systems in predicting short-term serious outcome of syncope patients

    Directory of Open Access Journals (Sweden)

    Saeed Safari

    2016-01-01

    Full Text Available Background: Determining etiologic causes and prognosis can significantly improve management of syncope patients. The present study aimed to compare the values of San Francisco, Osservatorio Epidemiologico sulla Sincope nel Lazio (OESIL, Boston, and Risk Stratification of Syncope in the Emergency Department (ROSE score clinical decision rules in predicting the short-term serious outcome of syncope patients. Materials and Methods: The present diagnostic accuracy study with 1-week follow-up was designed to evaluate the predictive values of the four mentioned clinical decision rules. Screening performance characteristics of each model in predicting mortality, myocardial infarction (MI, and cerebrovascular accidents (CVAs were calculated and compared. To evaluate the value of each aforementioned model in predicting the outcome, sensitivity, specificity, positive likelihood ratio, and negative likelihood ratio were calculated and receiver-operating curve (ROC curve analysis was done. Results: A total of 187 patients (mean age: 64.2 ΁ 17.2 years were enrolled in the study. Mortality, MI, and CVA were seen in 19 (10.2%, 12 (6.4%, and 36 (19.2% patients, respectively. Area under the ROC curve for OESIL, San Francisco, Boston, and ROSE models in prediction the risk of 1-week mortality, MI, and CVA was in the 30-70% range, with no significant difference among models (P > 0.05. The pooled model did not show higher accuracy in prediction of mortality, MI, and CVA compared to others (P > 0.05. Conclusion: This study revealed the weakness of all four evaluated models in predicting short-term serious outcome of syncope patients referred to the emergency department without any significant advantage for one among others.

  16. Comparison of different risk stratification systems in predicting short-term serious outcome of syncope patients.

    Science.gov (United States)

    Safari, Saeed; Baratloo, Alireza; Hashemi, Behrooz; Rahmati, Farhad; Forouzanfar, Mohammad Mehdi; Motamedi, Maryam; Mirmohseni, Ladan

    2016-01-01

    Determining etiologic causes and prognosis can significantly improve management of syncope patients. The present study aimed to compare the values of San Francisco, Osservatorio Epidemiologico sulla Sincope nel Lazio (OESIL), Boston, and Risk Stratification of Syncope in the Emergency Department (ROSE) score clinical decision rules in predicting the short-term serious outcome of syncope patients. The present diagnostic accuracy study with 1-week follow-up was designed to evaluate the predictive values of the four mentioned clinical decision rules. Screening performance characteristics of each model in predicting mortality, myocardial infarction (MI), and cerebrovascular accidents (CVAs) were calculated and compared. To evaluate the value of each aforementioned model in predicting the outcome, sensitivity, specificity, positive likelihood ratio, and negative likelihood ratio were calculated and receiver-operating curve (ROC) curve analysis was done. A total of 187 patients (mean age: 64.2 ± 17.2 years) were enrolled in the study. Mortality, MI, and CVA were seen in 19 (10.2%), 12 (6.4%), and 36 (19.2%) patients, respectively. Area under the ROC curve for OESIL, San Francisco, Boston, and ROSE models in prediction the risk of 1-week mortality, MI, and CVA was in the 30-70% range, with no significant difference among models ( P > 0.05). The pooled model did not show higher accuracy in prediction of mortality, MI, and CVA compared to others ( P > 0.05). This study revealed the weakness of all four evaluated models in predicting short-term serious outcome of syncope patients referred to the emergency department without any significant advantage for one among others.

  17. Peer assisted versus expert assisted learning: a comparison of effectiveness in terms of academic scores.

    Science.gov (United States)

    Riaz, Iram

    2014-11-01

    To compare the effectiveness of peer assisted learning versus expert assisted learning in terms of academic scores. Cross over-randomized control trial followed by a cross-sectional survey. Fatima Memorial Hospital, College of Medicine and Dentistry, Lahore, during January to October 2012. This study was conducted on 4th year MBBS students. The students were randomly divided in two groups by lottery method following their roll numbers. The groups A and B were dealt with Peer Assisted Learning (PAL) and Expert Assisted Learning (EAL) respectively. Effectiveness of both methods of learning was calculated on the basis of academic scores obtained in MCQ tests. One best answer type of MCQs were used and their construct validity was checked by other senior faculty members. After crossover of groups and altered teaching strategy, academic scores were compared again within the group and the comparable group. Student's views about this technique were measured by Likert's scale. P-values were obtained by applying independent and paired t-tests and considered statistically significant at ≥ 0.05. There were 70 students of 4th year MBBS which included 24 (34.3%) males and 46 (65.7%) females. TheCrohnbach's alpha value of these MCQs was 0.64. Scores of MCQ test were compared by applying independent t-test and p-value obtained was 0.971; after cross over p-value was 0.468 which was not significant between the results obtained by two learning strategies. Twenty five students (46.3%) said that PAL is an effective technique. Thirty eight (70.4%) students found it easy to communicate with a peer. For incorporation of PAL in curriculum of community medicine, 24 (44.4%) students voted in its favour. Peer assisted learning has proved of equivalent efficacy in terms of students score in MCQs test as expert assisted learning.

  18. A comparison of tympanic and rectal temperatures in term NIGERIAN neonates

    Directory of Open Access Journals (Sweden)

    Duru Chika O

    2012-06-01

    Full Text Available Abstract Background Tympanic thermometry has come as a suitable alternative to traditional thermometry because of its safety and ease of use. However, it is still yet to gain wide acceptance in African settings due to conflicting results on its accuracy, thus rectal thermometry remains the gold standard in the newborn. The aim of this study was to compare tympanic and rectal temperatures in term Nigerian neonates. Methods Rectal and tympanic temperatures were measured simultaneously in 300 consecutive term neonates between the ages of 37 and 42 weeks gestation using mercury-in-glass and the Infrared tympanic thermometers respectively. Paired t test, Pearson correlation coefficient and the Bland-Altman plot were used to compute data. Using rectal thermometry as gold standard, the sensitivity, specificity and predictive values of tympanic thermometry at various rectal temperature cut-offs were determined. Receiver Operating Curves (ROC were constructed and the Areas Under the Curves (AUC were compared. Results The mean rectal temperature (37.34 ± 0.55°C was significantly higher than the mean tympanic temperature (37.25 ± 0.56°C (p  Conclusions The sensitivity of tympanic thermometry was relatively low in detecting rectal temperatures despite the good correlation and agreement between them. The specificities and predictive values of tympanic temperatures in detecting rectal temperatures were high and accuracy increased with higher temperatures. Though using the tympanic route for measuring temperature in the newborn is relatively safe and non-invasive, its low sensitivity limits its use. Further studies would be required to further assess the accuracy of tympanic temperature measurements in the newborn.

  19. Placental pathology in HIV infection at term: a comparison with HIV-uninfected women.

    Science.gov (United States)

    Kalk, Emma; Schubert, Pawel; Bettinger, Julie A; Cotton, Mark F; Esser, Monika; Slogrove, Amy; Wright, Colleen A

    2017-05-01

    To describe and correlate placental characteristics from pregnancies in HIV-infected and HIV-negative women with maternal and infant clinical and immunological data. Prospective descriptive study of placentas from term, uncomplicated vaginal births in a cohort of HIV-infected (n = 120) and HIV-negative (n = 103) women in Cape Town, South Africa. Microscopic and macroscopic features were used to determine pathological cluster diagnoses. The majority of HIV-infected women received some form of drug treatment for the prevention of vertical transmission of HIV. Data were analysed using logistic regression. HIV-infected women were older (median [IQR] 27.4 years [24-31] vs. 25.8 [23-30]), more likely to be multiparous (81.7% vs. 71.8%) and had lower CD4 counts (median [IQR] 323.5 cells/ml [235-442] vs. 467 [370-656]). There were no differences in gestational age at first antenatal visit or at delivery. The proportion of specimens with placental lesions was similar in both groups (39.2% vs. 44.7%). Half of all samples were below the tenth percentile expected-weight-for-gestation regardless of HIV status. This was unaffected by adjustment for confounding variables. Maternal vascular malperfusion (MVM) was more frequent in HIV infection (24.2% vs. 12.6%; P = 0.028), an association which strengthened after adjustment (aOR 2.90 [95% confidence interval 1.11-7.57]). Otherwise the frequency of individual diagnoses did not differ between the groups on multivariate analysis. In this cohort of term, uncomplicated pregnant women, few differences were observed between the HIV-infected and uninfected groups apart from MVM. This lesion may underlie the development of hypertensive disorders of pregnancy, which have been observed at higher rates in some HIV-infected women on ART. © 2017 John Wiley & Sons Ltd.

  20. Comparison of long-term outcomes of patients treated with nonthoracotomy and thoracotomy implantable defibrillators.

    Science.gov (United States)

    Kim, S G; Pathapati, R; Fisher, J D; Rameneni, A; Nagabhairu, R; Ferrick, K J; Roth, J A; Ben-Zur, U; Gross, J; Brodman, R; Furman, S

    1996-11-15

    In 193 consecutive patients treated with implantable defibrillators at our institution, thoracotomy approaches were used in 87 patients and nonthoracotomy approaches in 106 patients. Long-term outcomes of the 2 groups were compared by the intention-to-treat analysis. Surgical mortality (30-day mortality) rates were 5.7% in the thoracotomy group and 0% in the nonthoracotomy group. Six of 106 patients who underwent nonthoracotomy implantation had a high defibrillation threshold and did not receive nonthoracotomy defibrillators. The duration of follow-up was 52 +/- 31 months in the thoracotomy group, and 23 +/- 15 months in nonthoracotomy group. Actuarial survival rates at 6 and 24 months were, respectively, 90% and 81% in nonthoracotomy patients and 89% and 80% in thoracotomy patients (p = NS). In patients with left ventricular ejection fraction <30%, surgical mortality was 0% by the nonthoracotomy and 10% by the thoracotomy approach. Despite the 10% difference in 30-day mortality, survival rates at 6 months were 85% in nonthoracotomy patients and 81% in thoracotomy patients. At 24 months they were 73% in nonthoracotomy patients and 74% in thoracotomy patients. Thus, this nonrandomized study suggests that while short-term survival is better in nonthoracotomy patients than thoracotomy patients, the difference in survival diminishes quickly during the first few months and disappears by 6 months. The results were similar in patients with severe ventricular dysfunction. Several important implantable-cardioverter defibrillator (ICD) trials initially utilized thoracotomy ICDs. Although questions may be raised with regard to applicability of such a trial in the era of nonthoracotomy ICDs, this study suggests that the results of such ICD trials will be largely applicable to patients treated with nonthoracotomy ICDs.

  1. Long-Term Creep Behavior of the Intervertebral Disc: Comparison between Bioreactor Data and Numerical Results

    Directory of Open Access Journals (Sweden)

    APG eCastro

    2014-11-01

    Full Text Available The Loaded Disc Culture System (LDCS is an Intervertebral Disc (IVD-oriented bioreactor developed by the VU Medical Center (VUmc, Amsterdam, The Netherlands, which has the capacity of maintaining up to 12 IVDs in culture, for approximately 3 weeks after extraction. Using this system, 8 goat IVDs were provided with the essential nutrients and submitted to compression tests without losing their biomechanical and physiological properties, for 22 days. Based on previous reports (Detiger et al., 2013; Paul et al., 2013, 2012, 4 of these IVDs were kept in physiological condition (control and the other 4 were previously injected with chondroitinase ABC (CABC, in order to promote Degenerative Disc Disease (DDD. The loading profile intercalated 16h of activity loading with 8h of loading recovery to express the standard circadian variations.The displacement behavior of these 8 IVDs along the first 2 days of the experiment was numerically reproduced, using an IVD osmo-poro-hyper-viscoelastic and fiber-reinforced Finite Element (FE model. The simulations were run on a custom FE solver (Castro et al., 2014.The analysis of the experimental results allowed concluding that the effect of the CABC injection was only significant in 2 of the 4 IVDs. The 4 control IVDs showed no signs of degeneration, as expected. In what concerns to the numerical simulations, the IVD FE model was able to reproduce the generic behavior of the two groups of goat IVDs (control and injected. However, some discrepancies were still noticed on the comparison between the injected IVDs and the numerical simulations, namely on the recovery periods. This may be justified by the complexity of the pathways for DDD, associated with the multiplicity of physiological responses to each direct or indirect stimulus. Nevertheless, one could conclude that ligaments, muscles and IVD covering membranes could be added to the FE model, in order to improve its accuracy and properly describe the recovery

  2. Comparison between Rosellinia necatrix isolates from soil and diseased roots in terms of hypovirulence.

    Science.gov (United States)

    Ikeda, Ken-ichi; Nakamura, Hitoshi; Matsumoto, Naoyuki

    2005-10-01

    The white root rot fungus, Rosellinia necatrix, is a devastating soil-borne pathogen of many plant species. Biocontrol with the hypovirulence factor is promising, but disease symptoms, signs or culture morphology of the pathogen cannot be reliably used as markers for hypovirulence in this fungus. We attempted to obtain hypovirulent isolates from soil rather than from diseased roots, based on the hypothesis that hypovirulent isolates were more likely to persist in soil as saprobes. Sixteen isolates, belonging to eight mycelial compatibility groups (MCGs), were obtained from soil in two active and one abandoned Japanese pear orchards. Comparison of these isolates based on clonality revealed that six MCGs were commonly recovered from both diseased roots and soil and two MCGs exclusively from soil. No MCG was found in more than one orchard. With two exceptions, isolates within the same MCG were similar in virulence, competitive saprophytic ability (CSA) and mycelial growth rate whether or not they carried dsRNA. The two exceptional isolates recovered from soil had multiple dsRNA segments that caused hypovirulence, weakened CSA and restricted mycelial growth on nutrient-rich media. They belonged to different MCGs, each including dsRNA-free isolates. Isolates from soil contained various dsRNAs (44%), including the hypovirulence factor, more frequently than isolates from diseased roots in the same fields (25%), which is much higher than the proportion of isolates with dsRNA from diseased roots (19%) in a total of 424 isolates from Japan examined so far. These results suggest that isolation of R. necatrix from soil is an effective method to obtain isolates with dsRNAs, including the hypovirulence factor.

  3. A Short-term Comparison Between Result of Palisade Cartilage Tympanoplasty and Temporalis Fascia Technique

    Directory of Open Access Journals (Sweden)

    Mahmood Shishegar

    2012-03-01

    Full Text Available Introduction: The use of cartilage as a grafting material has been advocated in cases where there is a high risk of graft failure, such as subtotal perforations, adhesive processes, and residual defects after primary tympanoplasties. The purpose of this study was to compare the graft acceptance rates and auditory outcomes of cartilage tympanoplasty operations using a palisade technique with those of primary tympanoplasty using temporalis fascia in a homogenous group of patients. Study Design: Prospective study.  Materials and Methods:The study population included 54 patients who were operated on in two groups (palisade technique & temporalis fascia technique with each group containing 27 patients. Patients with pure subtotal perforations (perforation of >50% of the whole tympanic membrane [TM] area, an intact ossicular chain, at least a one month dry period, and normal middle ear mucosa were included in the study. Grafts acceptance rates and pre- and post-operative audiograms were compared. The follow-up time was six months.  Results: Graft acceptance was achieved in all patients (100% in the palisade cartilage tympanoplasty group and in 25 patients (92.5% in the temporalis fascia group. This difference was not statistically significant (P= 0.15. Comparison of the increases in mean speech reception threshold, air–bone gap, and pure-tone average scores between both techniques showed no significant changes.    Conclusion: Our experience with the palisade cartilage technique demonstrates that subtotal or total perforation at high risk for graft failure can be treated efficiently, and that a durable and resistant reconstruction of the TM with reasonable auditory function can be achieved.  

  4. Intermediate Vector Boson

    Indian Academy of Sciences (India)

    Keith Ulmer

    in a quantum field theory, there exists a massless scalar (spin-0) boson ... Do not know its mass. ❖. Production rate is very very low in comparison with other physics process, need. ➢. High luminosity,. ➢. High energy. ➢. High precision ..... Magnificent triumph of human thought and intelligence! But still strong interaction is ...

  5. Longer-term Baerveldt to Trabectome glaucoma surgery comparison using propensity score matching.

    Science.gov (United States)

    Kostanyan, Tigran; Shazly, Tarek; Kaplowitz, Kevin B; Wang, Steven Z; Kola, Sushma; Brown, Eric N; Loewen, Nils A

    2017-12-01

    To apply propensity score matching to compare Baerveldt glaucoma drainage implant (BGI) to Trabectome-mediated ab interno trabeculectomy (AIT). Recent data suggests that AIT can produce results similar to BGI which is traditionally reserved for more severe glaucoma. BGI and AIT patients with at least 1 year of follow-up were included. The primary outcome measures were intraocular pressure (IOP), number of glaucoma medications, and a Glaucoma Index (GI) score. GI reflected glaucoma severity based on visual field, the number of preoperative medications, and preoperative IOP. Score matching used a genetic algorithm consisting of age, gender, type of glaucoma, concurrent phacoemulsification, baseline number of medications, and baseline IOP. Patients with neovascular glaucoma, with prior glaucoma surgery, or without a close match were excluded. Of 353 patients, 30 AIT patients were matched to 29 BGI patients. Baseline characteristics including, IOP, the number of glaucoma medications, type of glaucoma, the degree of VF loss and GI were not significantly different between AIT and BGI. BGI had a preoperative IOP of 21.6 ± 6.3 mmHg compared to 21.5 ± 7.4 for AIT on 2.8 ± 1.1 medications and 2.5 ± 2.3 respectively. At 30 months, the mean IOP was 15.0 ± 3.9 mmHg for AIT versus 15.0 ± 5.7 mmHg for BGI (p > 0.05), while the number of drops was 1.5 ± 1.3 for AIT (change: p = 0.001) versus 2.4 ± 1.2 for BGI (change: p = 0.17; AIT vs BGI: 0.007). Success, defined as IOP  0.05) and 50% versus 52% at 2.5 years. A propensity score matched comparison of AIT and BGI demonstrated a similar IOP reduction through 1 year. AIT required fewer medications.

  6. A comparison of digital radiography systems in terms of effective detective quantum efficiency

    Energy Technology Data Exchange (ETDEWEB)

    Bertolini, Marco; Nitrosi, Andrea; Rivetti, Stefano; Lanconelli, Nico; Pattacini, Pierpaolo; Ginocchi, Vladimiro; Iori, Mauro [Department of Advanced Technology, Medical Physics Unit, Azienda Ospedaliera ASMN, Istituto di Ricovero e Cura a Carattere Scientifico, Reggio Emilia 42123 (Italy); Fisica Medica, Ospedale di Sassuolo S.p.A., Modena 41049 (Italy); Alma Mater Studiorum, Physics Department, University of Bologna, Bologna 40127 (Italy); Department of Diagnostic Imaging, Radiology Unit, Azienda Ospedaliera ASMN, Istituto di Ricovero e Cura a Carattere Scientifico, Reggio Emilia 42123 (Italy); Department of Diagnostic Imaging, Radiology Unit, Azienda USL, Reggio Emilia 42122 (Italy); Department of Advanced Technology, Medical Physics Unit, Azienda Ospedaliera ASMN, Istituto di Ricovero e Cura a Carattere Scientifico, Reggio Emilia 42123 (Italy)

    2012-05-15

    Purpose: The purpose of this study is to compare digital radiography systems using the metric effective detective quantum efficiency (eDQE), which better reflects digital radiography imaging system performance under clinical operating conditions, in comparison with conventional metrics such as modulation transfer function (MTF), normalized noise power spectra (NNPS), and detective quantum efficiency (DQE). Methods: The eDQE was computed by the calculation of the MTF, the NNPS, the phantom attenuation and scatter, and estimation of x-ray flux. The physical characterization of the systems was obtained with the standard beam conditions RQA5 and RQA9, using the PA Chest phantom proposed by AAPM Report no. 31 simulating the attenuation and scatter characteristics of the adult human thorax. The MTF (eMTF) was measured by using an edge test placed at the frontal surface of the phantom, the NNPS (eNNPS) was calculated from images of the phantom acquired at three different exposure levels covering the operating range of the system (E{sub 0}, which is the exposure at which a system is normally operated, 1/3 E{sub 0}, and 3 E0), and scatter measurements were assessed by using a beam-stop technique. The integral of DQE (IDQE) and eDQE (IeDQE) was calculated over the whole spatial frequency range. Results: The eMTF results demonstrate degradation due to magnification and the presence of scattered radiation. The eNNPS was influenced by the grid presence, and in some systems, it contained structured noise. At typical clinical exposure levels, the magnitude of eDQE(0) with respect to DQE(0) at RQA9 beam conditions was 13%, 17%, 16%, 36%, and 24%, respectively, for Carestream DRX-1, Carestream DRX-1C, Carestream Direct View CR975, Philips Digital Diagnost VM, and GE Revolution XR/d. These results were confirmed by the ratio of IeDQE and IDQE in the same conditions. Conclusions: The authors confirm the robustness and reproducibility of the eDQE method. As expected, the DR systems

  7. A comparison of digital radiography systems in terms of effective detective quantum efficiency

    International Nuclear Information System (INIS)

    Bertolini, Marco; Nitrosi, Andrea; Rivetti, Stefano; Lanconelli, Nico; Pattacini, Pierpaolo; Ginocchi, Vladimiro; Iori, Mauro

    2012-01-01

    Purpose: The purpose of this study is to compare digital radiography systems using the metric effective detective quantum efficiency (eDQE), which better reflects digital radiography imaging system performance under clinical operating conditions, in comparison with conventional metrics such as modulation transfer function (MTF), normalized noise power spectra (NNPS), and detective quantum efficiency (DQE). Methods: The eDQE was computed by the calculation of the MTF, the NNPS, the phantom attenuation and scatter, and estimation of x-ray flux. The physical characterization of the systems was obtained with the standard beam conditions RQA5 and RQA9, using the PA Chest phantom proposed by AAPM Report no. 31 simulating the attenuation and scatter characteristics of the adult human thorax. The MTF (eMTF) was measured by using an edge test placed at the frontal surface of the phantom, the NNPS (eNNPS) was calculated from images of the phantom acquired at three different exposure levels covering the operating range of the system (E 0 , which is the exposure at which a system is normally operated, 1/3 E 0 , and 3 E0), and scatter measurements were assessed by using a beam-stop technique. The integral of DQE (IDQE) and eDQE (IeDQE) was calculated over the whole spatial frequency range. Results: The eMTF results demonstrate degradation due to magnification and the presence of scattered radiation. The eNNPS was influenced by the grid presence, and in some systems, it contained structured noise. At typical clinical exposure levels, the magnitude of eDQE(0) with respect to DQE(0) at RQA9 beam conditions was 13%, 17%, 16%, 36%, and 24%, respectively, for Carestream DRX-1, Carestream DRX-1C, Carestream Direct View CR975, Philips Digital Diagnost VM, and GE Revolution XR/d. These results were confirmed by the ratio of IeDQE and IDQE in the same conditions. Conclusions: The authors confirm the robustness and reproducibility of the eDQE method. As expected, the DR systems performed

  8. The Comparison Study of Short-Term Prediction Methods to Enhance the Model Predictive Controller Applied to Microgrid Energy Management

    Directory of Open Access Journals (Sweden)

    César Hernández-Hernández

    2017-06-01

    Full Text Available Electricity load forecasting, optimal power system operation and energy management play key roles that can bring significant operational advantages to microgrids. This paper studies how methods based on time series and neural networks can be used to predict energy demand and production, allowing them to be combined with model predictive control. Comparisons of different prediction methods and different optimum energy distribution scenarios are provided, permitting us to determine when short-term energy prediction models should be used. The proposed prediction models in addition to the model predictive control strategy appear as a promising solution to energy management in microgrids. The controller has the task of performing the management of electricity purchase and sale to the power grid, maximizing the use of renewable energy sources and managing the use of the energy storage system. Simulations were performed with different weather conditions of solar irradiation. The obtained results are encouraging for future practical implementation.

  9. Comparison and interactions between the long-term pursuit of energy independence and climate policies

    Science.gov (United States)

    Jewell, Jessica; Vinichenko, Vadim; McCollum, David; Bauer, Nico; Riahi, Keywan; Aboumahboub, Tino; Fricko, Oliver; Harmsen, Mathijs; Kober, Tom; Krey, Volker; Marangoni, Giacomo; Tavoni, Massimo; van Vuuren, Detlef P.; van der Zwaan, Bob; Cherp, Aleh

    2016-06-01

    Ensuring energy security and mitigating climate change are key energy policy priorities. The recent Intergovernmental Panel on Climate Change Working Group III report emphasized that climate policies can deliver energy security as a co-benefit, in large part through reducing energy imports. Using five state-of-the-art global energy-economy models and eight long-term scenarios, we show that although deep cuts in greenhouse gas emissions would reduce energy imports, the reverse is not true: ambitious policies constraining energy imports would have an insignificant impact on climate change. Restricting imports of all fuels would lower twenty-first-century emissions by only 2-15% against the Baseline scenario as compared with a 70% reduction in a 450 stabilization scenario. Restricting only oil imports would have virtually no impact on emissions. The modelled energy independence targets could be achieved at policy costs comparable to those of existing climate pledges but a fraction of the cost of limiting global warming to 2 ∘C.

  10. Comparison of two generation-recombination terms in the Poisson-Nernst-Planck model

    Energy Technology Data Exchange (ETDEWEB)

    Lelidis, I. [Solid State Section, Department of Physics, University of Athens, Panepistimiopolis, Zografos, Athens 157 84 (Greece); Department of Applied Science and Technology, Politecnico di Torino, Corso Duca degli Abruzzi 24, 10129 Torino (Italy); Universite de Picardie Jules Verne, Laboratoire de Physique des Systemes Complexes, 33 rue Saint-Leu 80039, Amiens (France); Barbero, G. [Department of Applied Science and Technology, Politecnico di Torino, Corso Duca degli Abruzzi 24, 10129 Torino (Italy); Sfarna, A. [Solid State Section, Department of Physics, University of Athens, Panepistimiopolis, Zografos, Athens 157 84 (Greece)

    2012-10-21

    Two phenomenological forms proposed to take into account the generation-recombination phenomenon of ions are investigated. The first form models the phenomenon as a chemical reaction, containing two coefficients describing the dissociation of neutral particles in ions, and the recombination of ions to give neutral particles. The second form is based on the assumption that in thermodynamical equilibrium, a well-defined density of ions is stable. Any deviation from the equilibrium density gives rise to a source term proportional to the deviation, whose phenomenological coefficient plays the role of a life time. The analysis is performed by evaluating the electrical response of an electrolytic cell to an external stimulus for both forms. For simplicity we assume that the electrodes are blocking, that there is only a group of negative and positive ions, and that the negative ions are immobile. For the second form, two cases are considered: (i) the generation-recombination phenomenon is due to an intrinsic mechanism, and (ii) the production of ions is triggered by an external source of energy, as in a solar cell. We show that the predictions of the two models are different at the impedance as well as at the admittance level. In particular, the first model predicts the existence of two plateaux for the real part of the impedance, whereas the second one predicts just one. It follows that impedance spectroscopy measurements could give information on the model valid for the generation-recombination of ions.

  11. Comparison of long-term financial implications for five veterinary career tracks.

    Science.gov (United States)

    Gordon, Meg E; Lloyd, James W; Harris-Kober, Donna L

    2010-08-15

    To compare present values of expected income streams for 5 distinct veterinary medical career tracks. Present value model. AVMA survey data. Present values of expected income streams (net of debt repayment) were created and ranked. Sensitivity to each independent variable was assessed. Career present value at 34 years after graduation (CPV(34)) was highest for board-certified specialist (SP; $2,272,877), followed by practice owner (PO; $2,119,596), practice owner buying into practice after 10 years (PO-10; $1,736,333), SP working three-fourths time (SP3/4; $1,702,744), and general practitioner (GP; $1,221,131). Compared with CPV(34) for SP, other career tracks yielded values of 93.3% (PO), 76.4% (PO-10), 74.9% (SP3/4), and 53.7% (GP). The model was robust to debt, interest rate, loan term, and discount rate but was sensitive to mean starting incomes and mean incomes. Greatest return on time and money invested by a veterinary student is through practicing full-time as an SP or through being a PO. Being an SP or SP3/4 was substantially more lucrative than being a GP and was comparable to being a PO. Practice ownership and working as an SP3/4 may be options for balancing financial gain with free time. Specialty training and practice ownership may be career tracks with the best potential repayment options for veterinarians with a large educational debt. Regardless of the amount of debt, the type of practice, mean incomes in a particular field, personal lifestyle, and professional interests are important factors when deciding among career tracks.

  12. A comparison of the short-term settling of three scleral lens designs.

    Science.gov (United States)

    Kauffman, Matthew J; Gilmartin, Christopher A; Bennett, Edward S; Bassi, Carl J

    2014-12-01

    Scleral gas-permeable lenses are rapidly gaining international popularity. Unlike corneal gas-permeable lenses, scleral lenses are fitted to the bulbar conjunctiva and settle into the tissue after insertion. To date, we are unaware of any studies examining the settling behavior of three varying scleral lens designs. The purpose of this study was to quantify the mean total settling and mean rates of settling for three scleral lens designs: Onefit P&A (Blanchard Contact Lens, Inc), Mini Scleral Design (msd) (Blanchard Contact Lens, Inc), and Jupiter (Visionary Optics). A randomized, repeated-measures study of Onefit P&A, msd, and Jupiter was performed. Subjects were fitted from a trial lens set, according to the manufacturer's guidelines. After insertion, lens settling was measured at 0 minutes, 15 minutes, 30 minutes, 45 minutes, 1 hour, 2 hours, 4 hours, 6 hours, and 8 hours. Statistical analyses were performed using analysis of variance and two-stage, nonlinear regression analyses of settling over time. On average, the Onefit P&A, msd, and Jupiter lenses settled a total of 113.7, 133.7, and 88.1 μm, respectively. Although the rates of settling were not linear, analysis of variance revealed a significant difference in the average settling rates (p lenses settled to about 80% of the final estimated values for the Onefit P&A lens, 90% for msd, and 99% for the Jupiter, after 8 hours. We concluded that the amount of settling varied significantly among the three lens designs. Settling rates were greatest shortly after insertion. Larger lenses were estimated to be settled by 8 hours. Based on the results of this short-term study, careful consideration to the settling patterns of individual scleral lens designs should be given.

  13. Comparison of long-term follow up of laparoscopic versus open colectomy for transverse colon cancer.

    Science.gov (United States)

    Agarwal, Samir; Gincherman, Mikhail; Birnbaum, Elisa; Fleshman, James W; Mutch, Matthew

    2015-07-01

    Clinical Outcomes of Surgical Therapy (COST) was a landmark study demonstrating that laparoscopic-assisted colectomy had oncologic outcomes similar to those of open colectomy for colon cancer, but transverse colon cancers (TCCs) were excluded from that study. Oncologic results of a laparoscopic resection for TCC are unknown. This single-institution retrospective 3:1 case-matched review examined patients treated for TCC from January 1, 1996, to April 15, 2009. Laparoscopic colectomy (LC) and open colectomy (OC; extended right, extended left, and total abdominal) cases completed for Stage I to III adenocarcinoma of the transverse colon (hepatic flexure, transverse colon, and splenic flexure) were analyzed. Patients were matched for age, tumor location, and stage. Primary endpoints were overall survival and disease-free survival. Secondary endpoints were length of stay and pathologic parameters. One hundred and twenty-three OC cases were matched with 41 LC cases. There were four conversions (9.7%) in the LC group. Length of stay was reduced by 28% in the LC group (P = 0.02). Complication rate and severity were similar between the two groups (29% vs 24%; P = 0.68). Lymph node harvest was higher in the LC group than in the OC group (23.3 vs 18.6; P = 0.03). All pathologic margins were clear, and no local recurrence was found in either group. Five-year overall survival (61% vs 59%; P = 0.39) and disease-free survival (88% vs 82%; P = 0.23) were similar in the two groups. Short-term recovery was faster and lymph node harvest was improved in the LC group. Thus, laparoscopic management of TCC is a safe and feasible procedure.

  14. Comparison of open and closed techniques of haemorrhoidectomy in terms of post-operative complications

    International Nuclear Information System (INIS)

    Majeed, S.; Qamar, S.R.; Tariq, M.; Ali, M.A.

    2015-01-01

    and closed haemorrhoidectomy for the treatment of 3rd and 4th degree haemorrhoids in terms of wound healing time and post-operative complications. (author)

  15. Information acquisition and financial intermediation

    OpenAIRE

    Boyarchenko, Nina

    2012-01-01

    This paper considers the problem of information acquisition in an intermediated market, where the specialists have access to superior technology for acquiring information. These informational advantages of specialists relative to households lead to disagreement between the two groups, changing the shape of the intermediation-constrained region of the economy and increasing the frequency of periods when the intermediation constraint binds. Acquiring the additional information is, however, cost...

  16. Comparison of Postural Stubility and Auditory Short- Term Memory Taks Interference between Patients with Functional Ankle Instability and Healthy Individuals

    Directory of Open Access Journals (Sweden)

    Maryam Hayati

    2010-04-01

    Full Text Available Objective: With increased recognition of the importance of conscious process and cognition activities in the stability and regulation of posture and also in line of probable adaptation in central nervous system in patients with functional ankle instability, this study was aimed to assess interference patterns between short–term memory task and postural stability tasks in functional ankle instability patients in comparison with healthy individuals. Materials & Methods: In this cross–sectional and case–control study, with dual–task paradigm fifteen functional ankle instability patients whom were selected simply and conveniently and fifteen healthy persons whom were matched with patients as control group were assessed and compared. Six steps of tests were performed for every case with two situation of balance Biodex system instability and three situation of auditory short–term memory task. Data were analyzed by repeated measurement ANOVA. Results: Finding showed that there was significant interference between postural task and cognitive task in both groups (P<0.05 , but there was no significant difference between interferences of two groups. Conclusion: Present study, certificated disruption in information processing in a peripheral musculoskeletal injury such as functional ankle instability. Application of training programs in order to facilitate central information processing in balance rehabilitation process of this patients and improved dual–task paradigms with different degrees of cognitive and postural tasks seems to be effective.

  17. Intermediate inputs and economic productivity.

    Science.gov (United States)

    Baptist, Simon; Hepburn, Cameron

    2013-03-13

    Many models of economic growth exclude materials, energy and other intermediate inputs from the production function. Growing environmental pressures and resource prices suggest that this may be increasingly inappropriate. This paper explores the relationship between intermediate input intensity, productivity and national accounts using a panel dataset of manufacturing subsectors in the USA over 47 years. The first contribution is to identify sectoral production functions that incorporate intermediate inputs, while allowing for heterogeneity in both technology and productivity. The second contribution is that the paper finds a negative correlation between intermediate input intensity and total factor productivity (TFP)--sectors that are less intensive in their use of intermediate inputs have higher productivity. This finding is replicated at the firm level. We propose tentative hypotheses to explain this association, but testing and further disaggregation of intermediate inputs is left for further work. Further work could also explore more directly the relationship between material inputs and economic growth--given the high proportion of materials in intermediate inputs, the results in this paper are suggestive of further work on material efficiency. Depending upon the nature of the mechanism linking a reduction in intermediate input intensity to an increase in TFP, the implications could be significant. A third contribution is to suggest that an empirical bias in productivity, as measured in national accounts, may arise due to the exclusion of intermediate inputs. Current conventions of measuring productivity in national accounts may overstate the productivity of resource-intensive sectors relative to other sectors.

  18. Comparison Study of Braden Scale and Time-to-Erythema Measures in Long-term Care.

    Science.gov (United States)

    Yap, Tracey L; Rapp, Mary Pat; Kennerly, Susan; Cron, Stanley G; Bergstrom, Nancy

    2015-01-01

    The Braden Scale for Predicting Pressure Sore Risk is used to assess risk, and the Centers for Medicare & Medicaid guidelines suggest the use of a tissue tolerance procedure that detects time-to-erythema (TTE) to further refine tissue tolerance, a component of the Braden Scale. The aim of this study was to compare the Braden Scale and TTE as risk classification methods and their utility in identifying care planning interventions. Descriptive study using retrospective chart review. Participants were a convenience sample of 89 adults 65 years or older residing in a long-term care facility in the Midwestern United States. The sample was drawn from a facility-generated list of 90 residents who had both Braden Scale and tissue tolerance testing performed within 24 hours of admission from any setting, readmission after a hospital stay, or performed as part of a routine annual reassessment. Results of staff performance on the Braden Scale and TTE were compared as risk classification methods and based on their utility for identifying care planning interventions. Data were collected during 1 session when TTE and the Braden Scale were completed. Agreement between the 5 risk categories from the Braden Scale and 5 TTE risk categories was analyzed via the kappa statistic and Kendall tau-c statistic. Spearman or Pearson correlation coefficients were calculated as appropriate for ordinal and continuous risk, intervention, and severity measures. The mean Braden Scale score was 17.5 ± 3 (mean ± SD); the mean TTE-Bed was 2.35 ± 0.57 hours and the mean TTE-Chair was 2.18 ± 0.52. Using a Braden Scale score of 18 or less as a cut point for identifying clinically relevant risk for pressure ulcer development, 55 participants were deemed at risk, 62 had mobility subscale scores less than 4, 76 had activity subscale scores less than 4, and 73 were incontinent. The weighted kappa statistic demonstrated weak agreement between TTE-Bed and the Braden Scale Total Score (κ = 0.04; 95% CI: 0

  19. Comparison of tobacco control scenarios: quantifying estimates of long-term health impact using the DYNAMO-HIA modeling tool.

    Science.gov (United States)

    Kulik, Margarete C; Nusselder, Wilma J; Boshuizen, Hendriek C; Lhachimi, Stefan K; Fernández, Esteve; Baili, Paolo; Bennett, Kathleen; Mackenbach, Johan P; Smit, H A

    2012-01-01

    There are several types of tobacco control interventions/policies which can change future smoking exposure. The most basic intervention types are 1) smoking cessation interventions 2) preventing smoking initiation and 3) implementation of a nationwide policy affecting quitters and starters simultaneously. The possibility for dynamic quantification of such different interventions is key for comparing the timing and size of their effects. We developed a software tool, DYNAMO-HIA, which allows for a quantitative comparison of the health impact of different policy scenarios. We illustrate the outcomes of the tool for the three typical types of tobacco control interventions if these were applied in the Netherlands. The tool was used to model the effects of different types of smoking interventions on future smoking prevalence and on health outcomes, comparing these three scenarios with the business-as-usual scenario. The necessary data input was obtained from the DYNAMO-HIA database which was assembled as part of this project. All smoking interventions will be effective in the long run. The population-wide strategy will be most effective in both the short and long term. The smoking cessation scenario will be second-most effective in the short run, though in the long run the smoking initiation scenario will become almost as effective. Interventions aimed at preventing the initiation of smoking need a long time horizon to become manifest in terms of health effects. The outcomes strongly depend on the groups targeted by the intervention. We calculated how much more effective the population-wide strategy is, in both the short and long term, compared to quit smoking interventions and measures aimed at preventing the initiation of smoking. By allowing a great variety of user-specified choices, the DYNAMO-HIA tool is a powerful instrument by which the consequences of different tobacco control policies and interventions can be assessed.

  20. Comparison of tobacco control scenarios: quantifying estimates of long-term health impact using the DYNAMO-HIA modeling tool.

    Directory of Open Access Journals (Sweden)

    Margarete C Kulik

    Full Text Available BACKGROUND: There are several types of tobacco control interventions/policies which can change future smoking exposure. The most basic intervention types are 1 smoking cessation interventions 2 preventing smoking initiation and 3 implementation of a nationwide policy affecting quitters and starters simultaneously. The possibility for dynamic quantification of such different interventions is key for comparing the timing and size of their effects. METHODS AND RESULTS: We developed a software tool, DYNAMO-HIA, which allows for a quantitative comparison of the health impact of different policy scenarios. We illustrate the outcomes of the tool for the three typical types of tobacco control interventions if these were applied in the Netherlands. The tool was used to model the effects of different types of smoking interventions on future smoking prevalence and on health outcomes, comparing these three scenarios with the business-as-usual scenario. The necessary data input was obtained from the DYNAMO-HIA database which was assembled as part of this project. All smoking interventions will be effective in the long run. The population-wide strategy will be most effective in both the short and long term. The smoking cessation scenario will be second-most effective in the short run, though in the long run the smoking initiation scenario will become almost as effective. Interventions aimed at preventing the initiation of smoking need a long time horizon to become manifest in terms of health effects. The outcomes strongly depend on the groups targeted by the intervention. CONCLUSION: We calculated how much more effective the population-wide strategy is, in both the short and long term, compared to quit smoking interventions and measures aimed at preventing the initiation of smoking. By allowing a great variety of user-specified choices, the DYNAMO-HIA tool is a powerful instrument by which the consequences of different tobacco control policies and

  1. Intermediation, Brokerage and Translation

    NARCIS (Netherlands)

    Hönke, Jana; Müller, Markus-Michael; Risse, Thomas; Draude, Anke; Börzel, Tanja

    2018-01-01

    Brokerage, a term prominent in the 1960s and 1970s, has returned. A huge literature analyses how brokers and intermediators— such as government officials, heads of non-governmental organization (NGOs), translators, neo-traditional authorities— strategically negotiate flows of resources and political

  2. Intermediate mass dimuon events

    International Nuclear Information System (INIS)

    Moser, H.-G.

    1985-01-01

    We report the observation of 67 dimuon events at the CERN p anti p collider with the UA1 detector. The events will be interpreted in terms of the Drell-Yan mechanism, J/PSI and UPSILON decays and heavy flavour production. (author)

  3. Long term contaminant migration and impacts from uranium mill tailings. Comparison of computer models using a hypothetical dataset

    Energy Technology Data Exchange (ETDEWEB)

    Camus, H. [CEA Centre d' Etudes Nucleaires de Fontenay-aux-Roses (France). Inst. de Protection et de Surete Nucleaire] [and others

    1995-11-01

    The Uranium Mill Tailings Working Group of BIOMOVS II was initiated in Vienna in 1991 with the primary objective of comparing models which can be used to assess the long term impact of radioactive releases from uranium mill tailings, involving multiple pathways, multiple contaminants and multiple environmental receptors. A secondary objective was to examine how these models can be used to assess the fate of stable toxic elements. This is an interim report of the Working Group describing: development of a basic scenario describing a tailings system; application of models in deterministic calculations of contaminant concentrations in biosphere media, and related radiation doses, contaminant intakes and health risks; comparison of model results and review of the modelling. A hypothetical scenario has been developed for contaminant releases from a uranium mill tailings facility. The assumptions for the tailings facility and its environs have been chosen to facilitate the evaluation of potentially important processes incorporated into models. The site description is therefore idealised and does not represent any particular facility or type of facility. Atmospheric and groundwater release source terms have been chosen to facilitate comparison of models and should not be considered realistic. The time and effort taken over derivation of the scenario description and the associated preliminary modelling has been an important and valuable learning exercise. It also reflects the importance of gaining a clear picture of what is being modelled so that comparisons of model results are meaningful. Work within the exercise has contributed to new model development and to improvements and extensions to existing models. The scenario is a simplified description of a real facility and the releases which might occur. No allowance has been made for engineered features on the tailings disposal system which might reduce releases. The source terms have been chosen so as to test the models

  4. Long term contaminant migration and impacts from uranium mill tailings. Comparison of computer models using a hypothetical dataset

    International Nuclear Information System (INIS)

    Camus, H.

    1995-11-01

    The Uranium Mill Tailings Working Group of BIOMOVS II was initiated in Vienna in 1991 with the primary objective of comparing models which can be used to assess the long term impact of radioactive releases from uranium mill tailings, involving multiple pathways, multiple contaminants and multiple environmental receptors. A secondary objective was to examine how these models can be used to assess the fate of stable toxic elements. This is an interim report of the Working Group describing: development of a basic scenario describing a tailings system; application of models in deterministic calculations of contaminant concentrations in biosphere media, and related radiation doses, contaminant intakes and health risks; comparison of model results and review of the modelling. A hypothetical scenario has been developed for contaminant releases from a uranium mill tailings facility. The assumptions for the tailings facility and its environs have been chosen to facilitate the evaluation of potentially important processes incorporated into models. The site description is therefore idealised and does not represent any particular facility or type of facility. Atmospheric and groundwater release source terms have been chosen to facilitate comparison of models and should not be considered realistic. The time and effort taken over derivation of the scenario description and the associated preliminary modelling has been an important and valuable learning exercise. It also reflects the importance of gaining a clear picture of what is being modelled so that comparisons of model results are meaningful. Work within the exercise has contributed to new model development and to improvements and extensions to existing models. The scenario is a simplified description of a real facility and the releases which might occur. No allowance has been made for engineered features on the tailings disposal system which might reduce releases. The source terms have been chosen so as to test the models

  5. Welding. Performance Objectives. Intermediate Course.

    Science.gov (United States)

    Vincent, Kenneth

    Several intermediate performance objectives and corresponding criterion measures are listed for each of nine terminal objectives for an intermediate welding course. The materials were developed for a 36-week (3 hours daily) course designed to prepare the student for employment in the field of welding. Electric welding and specialized (TIG & MIG)…

  6. MHD oxidant intermediate temperature ceramic heater study

    Science.gov (United States)

    Carlson, A. W.; Chait, I. L.; Saari, D. P.; Marksberry, C. L.

    1981-09-01

    The use of three types of directly fired ceramic heaters for preheating oxygen enriched air to an intermediate temperature of 1144K was investigated. The three types of ceramic heaters are: (1) a fixed bed, periodic flow ceramic brick regenerative heater; (2) a ceramic pebble regenerative heater. The heater design, performance and operating characteristics under conditions in which the particulate matter is not solidified are evaluated. A comparison and overall evaluation of the three types of ceramic heaters and temperature range determination at which the particulate matter in the MHD exhaust gas is estimated to be a dry powder are presented.

  7. RHIZOME AND DISCOURSE OF INTERMEDIALITY

    Directory of Open Access Journals (Sweden)

    Л Н Синельникова

    2017-12-01

    Full Text Available Rhizomaticity is a strategy and a regularity of text creation in a lot of modern commu-nicative discourse practices. What remains urgent is the problem of the systematic interdisciplinary de-scription of texts whose structure and language qualities are determined by the signs of the rhizome - a concept of post-modern philosophy introduced into the scientific field by the French philosopher Gilles Deleuze and the psychotherapist Félix Guattari (Deleuze, Guattari 1996. The rhizome (Fr. rhizome - rootstock, tuber, bulb, mycelium possesses the following qualities: it is non-linear, open and directed towards the unpredictability of discourse transformations through the possibilities of structure development in any direction; there is no centre or periphery in the rhizome, and any discourse element can become ‘a vital structure’ for text-creation. The rhizome does not have non-intersecting boundaries; and in the space of the rhizomatic discourse environment, an increase of reality facets takes place, non-standard associative con-nections appear, multiplication effects are formed, which create new meanings. Rhizomaticity is the quality of texts being organised by the laws of rhizomatic logic (V.F. Sharkov 2007, by the terms of which ‘su-perposition’ of discourses can take place, a transition from one semiotic system to another. The article makes an attempt to correlate the qualities of the rhizome with the signs of the intermedia discourse, which is built on the semiotic interaction of different media. The moving lines of the rhizome, its ‘branch-ing’ qualities can be found in poetic texts, in the evaluating segments of political discourse, in advertising discourse, in internet communications, which represent rhizomorphic environments. An analysis of examples from these spheres has shown that the rhizomatic approach opens new facets of intermediality. The author uses the methods of discourse analysis to prove that the openness and non

  8. Neodymium isotopes and the Neogene evolution of Arctic intermediate water

    Science.gov (United States)

    Haley, B. A.; Frank, M.; Spielhagen, R.

    2006-12-01

    We present the first Nd isotope record of Arctic intermediate water obtained from metal-oxide coatings weakly leached off sediments from the IODP Leg 302 (ACEX) cores drilled on the Lomonosov Ridge in the central Arctic Ocean. The ACEX cores provide the first archive of Arctic Ocean sedimentation covering most of the Cenozoic, and show that detrital sediments dominate the most recent 17 Ma, deposited above a condensed section spanning the period from ~17 to 45 Ma. Comparison of core top sediment leaches to direct seawater measurements demonstrate the Nd isotopic signal of the leaches robustly records the ambient Arctic bottom water Nd isotopic composition (typical Nd of Arctic core top sediment leachates is ~-10.5, compared with measured deep water Nd of ~-11; Andersson, Porcelli, Frank et al., unpublished). This is critical, as the Arctic sediments in the upper 200 m are essentially barren of other authigenic phases- such as carbonates - from which seawater Nd could potentially be extracted. Sampling resolution was generally low (Myr) with the exception of sections showing distinct glacial/interglacial cyclicities during the Late Quaternary, where sampling was increased to kyr resolution. This cyclicity was reproduced in the well-dated nearby piston core PS2185. The Nd isotopic variations are pronounced, for both the glacial-interglacial cycles of the Quaternary (Nd ranges from ~-7.5 to ~-10.5, respectively), and for the Nd on the million year time scale (maxima at ~-6 and minima at ~-8.5). On the long time scale, the Nd isotopic record is argued to reflect tectonically- driven changes in gateways to the Arctic. The Nd isotopic record becomes more positive from 17 to 8 Ma, reflecting the subsidence of the Greenland-Scotland Ridge with a closed Fram Strait, which increased the hydrological cycle and erosion over N.Europe/ W. Siberia. Opening of the Fram Strait at 8 Ma allowed N. Atlantic-sourced Intermediate water forming in the Greenland-Iceland-Norwegian Seas to

  9. [Long-term results of thrust plate prostheses: comparison of patients younger than and older than 50 years].

    Science.gov (United States)

    Wienbeck, S; Osada, N; Basad, E; Stürz, H; Ishaque, B A

    2011-03-01

    Hip replacement in patients younger than 50 years old is no longer an exception in view of the increasing necessity for care. The aim of the present study was to analyze whether the results after implantation of thrust plate prosthesis (TPP) with metaphyseal anchorage are equal for patients below 50 years compared to older patients. The investigation comprised 465 TPP implantations. In 149 TPP the patient age was below 50 years (group A) und in 316 TPP cases above 50 years (group B). Clinical and radiological evaluation of the results for both groups was carried out as well as a differentiated survival analysis with defined endpoints. Survival analysis of group A (96%/13.2 years) showed a significantly improved survival rate compared to group B (86%/12.5 years). Additionally, the risk of prosthesis and/or radiological signs loosening of was significantly lower in group A than in group B (p <0.05). Comparison of long-term results of prostheses with intramedullary fixation shows that the anchorage principle of TPP with bone-saving implantation to the proximal femur is justified especially for patients below 50 years of age.

  10. Short-term outcome of cardiac resynchronization therapy - a comparison between newly implanted and chronically right ventricle-paced patients.

    Science.gov (United States)

    Lipar, Luka; Srivathsan, Komandoor; Scott, Luis Roberto

    2016-09-15

    Cardiac resynchronization therapy (CRT) is considered as a standard adjunct therapy in symptomatic patients with congestive heart failure (CHF) who have a prolonged QRS. There is an increasing number of patients who do not receive de novo CRT devices but are upgraded from right ventricular (RV) pacing to biventricular stimulation. We wanted to evaluate the benefit of CRT in patients with chronic RV pacing in comparison to previously non-paced heart failure patients. One hundred and sixty-five patients who had their device newly implanted (group I) and 116 who were upgraded from previously implanted RV pacing systems (group II) at Mayo Clinic Hospital were retrospectively analyzed. Clinical and echocardiographic response to CRT was evaluated. Mean follow-up time was 290±250days. Baseline characteristics did not differ between the two groups of patients. Clinical response rate was identical in Groups I and II (65 vs. 65%, respectively; P=0.98) and echocardiographic response rate was similar in both groups of patients (64 vs. 62%; P=0.80). Post-implant QRS increased in group I and was reduced in group II (5 (27.4) vs. -20.0 (33.9) ms; PChronically RV-paced patients who receive CRT have similar short-term benefits when compared with patients with new CRT implantations. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  11. Rates and patterns in the evolution of snake-like body form in squamate reptiles: evidence for repeated re-evolution of lost digits and long-term persistence of intermediate body forms.

    Science.gov (United States)

    Brandley, Matthew C; Huelsenbeck, John P; Wiens, John J

    2008-08-01

    An important challenge in evolutionary biology is to understand how major changes in body form arise. The dramatic transition from a lizard-like to snake-like body form in squamate reptiles offers an exciting system for such research because this change is replicated dozens of times. Here, we use morphometric data for 258 species and a time-calibrated phylogeny to explore rates and patterns of body-form evolution across squamates. We also demonstrate how time-calibrated phylogenies may be used to make inferences about the time frame over which major morphological transitions occur. Using the morphometric data, we find that the transition from lizard-like to snake-like body form involves concerted evolution of limb reduction, digit loss, and body elongation. These correlations are similar across squamate clades, despite very different ecologies and >180 million years (My) of divergence. Using the time-calibrated phylogeny and ancestral reconstructions, we find that the dramatic transition between these body forms can occur in 20 My or less, but that seemingly intermediate morphologies can also persist for tens of millions of years. Finally, although loss of digits is common, we find statistically significant support for at least six examples of the re-evolution of lost digits in the forelimb and hind limb.

  12. Acute myocardial infarction: a comparison of short-term survival in national outcome registries in Sweden and the UK.

    Science.gov (United States)

    Chung, Sheng-Chia; Gedeborg, Rolf; Nicholas, Owen; James, Stefan; Jeppsson, Anders; Wolfe, Charles; Heuschmann, Peter; Wallentin, Lars; Deanfield, John; Timmis, Adam; Jernberg, Tomas; Hemingway, Harry

    2014-04-12

    International research for acute myocardial infarction lacks comparisons of whole health systems. We assessed time trends for care and outcomes in Sweden and the UK. We used data from national registries on consecutive patients registered between 2004 and 2010 in all hospitals providing care for acute coronary syndrome in Sweden and the UK. The primary outcome was all-cause mortality 30 days after admission. We compared effectiveness of treatment by indirect casemix standardisation. This study is registered with ClinicalTrials.gov, number NCT01359033. We assessed data for 119,786 patients in Sweden and 391,077 in the UK. 30-day mortality was 7·6% (95% CI 7·4-7·7) in Sweden and 10·5% (10·4-10·6) in the UK. Mortality was higher in the UK in clinically relevant subgroups defined by troponin concentration, ST-segment elevation, age, sex, heart rate, systolic blood pressure, diabetes mellitus status, and smoking status. In Sweden, compared with the UK, there was earlier and more extensive uptake of primary percutaneous coronary intervention (59% vs 22%) and more frequent use of β blockers at discharge (89% vs 78%). After casemix standardisation the 30-day mortality ratio for UK versus Sweden was 1·37 (95% CI 1·30-1·45), which corresponds to 11,263 (95% CI 9620-12,827) excess deaths, but did decline over time (from 1·47, 95% CI 1·38-1·58 in 2004 to 1·20, 1·12-1·29 in 2010; p=0·01). We found clinically important differences between countries in acute myocardial infarction care and outcomes. International comparisons research might help to improve health systems and prevent deaths. Seventh Framework Programme for Research, National Institute for Health Research, Wellcome Trust (UK), Swedish Association of Local Authorities and Regions, Swedish Heart-Lung Foundation. Copyright © 2014 Chung et al. Open Access article distributed under the terms of CC BY-NC-ND. Published by Elsevier Ltd. All rights reserved.

  13. Insomnia in Long-Term Care Facilities: A Comparison of Seven European Countries and Israel: The Services and Health for Elderly in Long TERm care Study

    NARCIS (Netherlands)

    Gindin, J.; Shochat, T.; Chetrit, A.; Epstein, S.; Ben Israel, Y.; Levi, S.; Onder, G.; Carpenter, I.; Finne-Soveri, H.; van Hout, H.P.J.; Henrard, J.C.; Nikolaus, T.; Topinkova, E.; Fialova, D.; Bernabei, R.

    2014-01-01

    Objectives To assess insomnia and its correlates as part of the Services and Health for Elderly in Long TERm care (SHELTER) study, funded by the 7th Framework Programme of the European Union. Design Cross-cultural investigation. Setting Long-term care facilities (LTCFs) in eight European countries

  14. Peyton's 4-Steps-Approach in comparison: Medium-term effects on learning external chest compression – a pilot study

    Directory of Open Access Journals (Sweden)

    Münster, Tobias

    2016-08-01

    Full Text Available Introduction: The external chest compression is a very important skill required to maintain a minimum of circulation during cardiac arrest until further medical procedures can be taken. Peyton’s 4-Steps-Approach is one method of skill training, the four steps being:Based on CPR skill training, this method is widely, allegedly predominantly used, although there are insufficient studies on Peyton’s 4-Steps-Approach for skill training in CPR in comparison with other methods of skill training. In our study, we compared the medium- term effects on learning external chest compression with a CPR training device in three different groups: PEY (Peyton’s 4-Steps-Approach, PMOD (Peyton’s 4-Steps-Approach without Step 3 and STDM, the standard model, according to the widely spread method “see one, do one” (this is equal to Peyton’s step 1 and 3.Material and Methods: This prospective and randomised pilot study took place during the summer semester of 2009 at the SkillsLab and Simulation Centre of the University of Cologne (Kölner interprofessionelles Skills Lab und Simulationszentrum - KISS. The subjects were medical students (2 and 3 semester. They volunteered for the study and were randomised in three parallel groups, each receiving one of the teaching methods mentioned above. One week and 5/6 months after the intervention, an objective, structured single assessment was taken. Compression rate, compression depth, correct compressions, and the sum of correct checklist items were recorded. Additionally, we compared cumulative percentages between the groups based on the correct implementation of the resuscitation guidelines during that time.Results: The examined sample consisted of 134 subjects (68% female; age 22±4; PEY: n=62; PMOD: n=31; STDM: n=41. There was no difference between the groups concerning age, gender, pre-existing experience in CPR or time of last CPR course. The only significant difference between the groups was the mean

  15. Peyton's 4-Steps-Approach in comparison: Medium-term effects on learning external chest compression - a pilot study.

    Science.gov (United States)

    Münster, Tobias; Stosch, Christoph; Hindrichs, Nina; Franklin, Jeremy; Matthes, Jan

    2016-01-01

    The external chest compression is a very important skill required to maintain a minimum of circulation during cardiac arrest until further medical procedures can be taken. Peyton's 4-Steps-Approach is one method of skill training, the four steps being: Demonstration, Deconstruction, Comprehension and Execution. Based on CPR skill training, this method is widely, allegedly predominantly used, although there are insufficient studies on Peyton's 4-Steps-Approach for skill training in CPR in comparison with other methods of skill training. In our study, we compared the medium- term effects on learning external chest compression with a CPR training device in three different groups: PEY (Peyton's 4-Steps-Approach), PMOD (Peyton's 4-Steps-Approach without Step 3) and STDM, the standard model, according to the widely spread method "see one, do one" (this is equal to Peyton's step 1 and 3). This prospective and randomised pilot study took place during the summer semester of 2009 at the SkillsLab and Simulation Centre of the University of Cologne (Kölner interprofessionelles Skills Lab und Simulationszentrum - KISS). The subjects were medical students (2(nd) and 3(rd) semester). They volunteered for the study and were randomised in three parallel groups, each receiving one of the teaching methods mentioned above. One week and 5/6 months after the intervention, an objective, structured single assessment was taken. Compression rate, compression depth, correct compressions, and the sum of correct checklist items were recorded. Additionally, we compared cumulative percentages between the groups based on the correct implementation of the resuscitation guidelines during that time. The examined sample consisted of 134 subjects (68% female; age 22±4; PEY: n=62; PMOD: n=31; STDM: n=41). There was no difference between the groups concerning age, gender, pre-existing experience in CPR or time of last CPR course. The only significant difference between the groups was the mean

  16. Should we stop saying "epileptic"? A comparison of the effect of the terms "epileptic" and "person with epilepsy".

    Science.gov (United States)

    Noble, Adam J; Marson, Anthony G

    2016-06-01

    The advantages and disadvantages of using "epileptic" as a noun to describe someone with epilepsy have long been debated. Recent high-profile recommendations have stated that the term should not be used, including in English, as it perpetuates stigma. This decision was largely informed by a Brazilian Global Campaign Against Epilepsy study that reported experimental evidence indicating that, with students, the label evokes more negative attitudes than "person with epilepsy". The generalizability of this effect to different countries/cultures, and thus the justification for the recommendations, has never been tested. We replicated the Brazilian study in the UK, in English, while also addressing methodological limitations. It was powered to detect the effects reported by the Brazilian study, with 234 students completing a survey regarding epilepsy attitudes. Half were randomized to Group 1 and half to Group 2. In Group 1, patients were referred to as "people/person with epilepsy" within the attitudinal measures, while in Group 2 they were referred to as "epileptic/s". Measures included translations of the questions used in the Brazilian study and the Attitudes and Beliefs about Living with Epilepsy scale. Participants' epilepsy familiarity and knowledge were also assessed. The two groups were comparable in characteristics. A comparison of their responses to the attitude measures revealed no statistically significant or meaningful differences. In this English replication, the word "epileptic" did not provoke more negative attitudes. This suggests that the effect reported by the Brazilian study might be culturally dependent. Methodological limitations to that study might also be relevant. Our results have implications for the global debate about how negative attitudes towards epilepsy might be addressed. Simply not saying "epileptic" may not promote the positive attitudes towards epilepsy that had been expected. To know how to best refer to those with epilepsy, evidence

  17. Quality of life in long-term forensic psychiatric care: comparison of self-report and proxy assessments.

    Science.gov (United States)

    Schel, Sandra Helena Hendrika; Bouman, Yvonne Helena Alexandra; Bulten, Berend Hendrik

    2015-06-01

    To compare quality of life (QoL) ratings of long term forensic psychiatric care patients with the ratings of psychiatric nurses, in which the nurses indicate how they think the patient would answer. Agreement on QoL-scores according to the Forensic inpatient Quality of Life Questionnaire (FQL) was investigated for seventy- seven pairs of patients and psychiatric nurses from two forensic psychiatric long-care facilities where QoL is seen as an important treatment goal. This study also examined whether the amount of agreement was related to specific patient characteristics and characteristics of the patient- psychiatric nurse relationship. On group level, only small and mostly non-significant differences were found between patients' and psychiatric nurses' mean QoL scores. However, pairwise comparisons revealed poor agreement between patients' and nurses' QoL scores for half of the domains and moderate agreement on the other half of the domains, except for Leave, which was the only domain on which patients and their nurses had similar scores. Patient characteristics such as type of offence and type of psychopathology were negligibly related to the level of agreement. However, characteristics of the patient-nurse relationship such as age of the nurse and length of the patient-nurse relationship did influence the amount of consensus between patients' and proxies' QoL-scores significantly. Nurses were not sufficiently able to accurately estimate their patients' QoL experience and could probably benefit from a training aimed at assessing QoL of their patients and how to support their patients in optimizing their QoL themselves. Copyright © 2015 Elsevier Inc. All rights reserved.

  18. Intermediate coupling vibrational descriptions of odd mass gold isotopes

    CERN Document Server

    Vieu, C; Paar, V

    1976-01-01

    The theoretical analysis of /sup 193-195/Au levels is semi qualitatively performed in the frame of the intermediate coupling vibrational models of Kisslinger-Sorensen and Alaga. From the comparison between the experimental data and the corresponding predictions of the two models, conclusions are drawn on the influence of the clusters and broken pairs.

  19. Firearm Homicide in Australia, Canada, and New Zealand: What Can We Learn from Long-Term International Comparisons?

    Science.gov (United States)

    McPhedran, Samara; Baker, Jeanine; Singh, Pooja

    2011-01-01

    Although firearm homicide remains a topic of interest within criminological and policy discourse, existing research does not generally undertake longitudinal comparisons between countries. However, cross-country comparisons provide insight into whether "local" trends (e.g., declines in firearm homicide in one particular country) differ…

  20. Students' Comparison of Their Trigonometric Answers with the Answers of a Computer Algebra System in Terms of Equivalence and Correctness

    Science.gov (United States)

    Tonisson, Eno; Lepp, Marina

    2015-01-01

    The answers offered by computer algebra systems (CAS) can sometimes differ from those expected by the students or teachers. The comparison of the students' answers and CAS answers could provide ground for discussion about equivalence and correctness. Investigating the students' comparison of the answers gives the possibility to study different…

  1. Estimation of Source Term Behaviors in SBO Sequence in a Typical 1000MWth PWR and Comparison with Other Source Term Results

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Tae Woon; Han, Seok Jung; Ahn, Kwang Il; Fynan, Douglas; Jung, Yong Hoon [KAERI, Daejeon (Korea, Republic of)

    2016-05-15

    Since the Three Mile Island (TMI) (1979), Chernobyl (1986), Fukushima Daiichi (2011) accidents, the assessment of radiological source term effects on the environment has been a key concern of nuclear safety. In the Fukushima Daiichi accident, the long-term SBO (station blackout) accident occurs. Using the worst case assumptions like in Fukushima accident on the accident sequences and on the availability of safety systems, the thermal hydraulic behaviors, core relocation and environmental source terms behaviors are estimated for long-term SBO accident for OPR-1000 reactor. MELCOR code version 1.8.6 is used in this analysis. Source term results estimated in this study is compared with other previous studies and estimated results in Fukushima accidents in UNSCEAR-2013 report. This study estimated that 11 % of iodine can be released to environment and 2% of cesium can be released to environment. UNSCEAR-2013 report estimated that 2 - 8 % of iodine have been released to environment and 1 - 3 % of cesium have been released to the environment. They have similar results in the aspect of release fractions of iodine and cesium to environment.

  2. Randomized comparison of postoperative short-term and mid-term complications between t-tube and primary closure after cbd exploration

    International Nuclear Information System (INIS)

    Muzaffar, I.; Zula, P.; Yimit, Y.; Jaan, A.T.; Wen, H.

    2014-01-01

    To compare the postoperative short-term and mid-term complications in patients who underwent CBD exploration and closure by using T-tube or primary closure. Study Design: Prospective randomized clinical trial. Place and Duration of Study: Hepatobiliary Department of First Affiliated Hospital of Xinjiang Medical University, Urumqi, China, from August 2009 to March 2013. Methodology: A total of 148 consecutive patients with Common Bile Duct Stones (CBDS) and CBD dilation were enrolled in this randomized study to undergo open cholecystectomy with CBD exploration. Pre-operative findings, postoperative short-term complications, postoperative follow-up (mid-term), and hospital stay were recorded and analyzed. Results: A T-tube was inserted in 76 (51.35%) patients and the primary closure was done in 72 (48.64%) patients. There were no differences in the demographic characteristics and clinical presentations between the two groups. Compared with the T-tube group 8.97 +- 1.629 days, the postoperative stay in primary closure 5.34 +- 1.25 days was significantly shorter (p < 0.01). The incidence of overall postoperative short-term complications and mid-term complications were statistically but not significantly lower in the primary closure group (9.7%) than that in T-tube group (17.10%, p=0.189). Conclusion: Complications in the primary closure group were lower than that in T-tube group but there was no significant statistical difference. So during open surgery for CBD stones, primary closure of CBD appeared safe and effective with shorter hospital stays and less complications. (author)

  3. Gravity with Intermediate Goods Trade

    Directory of Open Access Journals (Sweden)

    Sujin Jang

    2017-12-01

    Full Text Available This paper derives the gravity equation with intermediate goods trade. We extend a standard monopolistic competition model to incorporate intermediate goods trade, and show that the gravity equation with intermediates trade is identical to the one without it except in that gross output should be used as the output measure instead of value added. We also show that the output elasticity of trade is significantly underestimated when value added is used as the output measure. This implies that with the conventional gravity equation, the contribution of output growth can be substantially underestimated and the role of trade costs reduction can be exaggerated in explaining trade expansion, as we demonstrate for the case of Korea's trade growth between 1995 and 2007.

  4. Randomized comparison of postoperative short-term and mid-term complications between T-tube and primary closure after CBD exploration.

    Science.gov (United States)

    Muzaffar, Iqbal; Zula, Pai; Yimit, Yusp; Jaan, Ajim Tuergan; Wen, Hao

    2014-11-01

    To compare the postoperative short-term and mid-term complications in patients who underwent CBD exploration and closure by using T-tube or primary closure. Prospective randomized clinical trial. Hepatobiliary Department of First Affiliated Hospital of Xinjiang Medical University, Urumqi, China, from August 2009 to March 2013. A total of 148 consecutive patients with Common Bile Duct Stones (CBDS) and CBD dilation were enrolled in this randomized study to undergo open cholecystectomy with CBD exploration. Pre-operative findings, postoperative short-term complications, postoperative follow-up (mid-term), and hospital stay were recorded and analyzed. A T-tube was inserted in 76 (51.35%) patients and the primary closure was done in 72 (48.64%) patients. There were no differences in the demographic characteristics and clinical presentations between the two groups. Compared with the T-tube group 8.97 ± 1.629 days, the postoperative stay in primary closure 5.34 ± 1.25 days was significantly shorter (p CBD stones, primary closure of CBD appeared safe and effective with shorter hospital stays and less complications.

  5. Global and long-term comparison of SCIAMACHY limb ozone profiles with correlative satellite data (2002–2008

    Directory of Open Access Journals (Sweden)

    S. Mieruch

    2012-04-01

    Full Text Available SCIAMACHY limb scatter ozone profiles from 2002 to 2008 have been compared with MLS (2005–2008, SABER (2002–2008, SAGE II (2002–2005, HALOE (2002–2005 and ACE-FTS (2004–2008 measurements. The comparison is performed for global zonal averages and heights from 10 to 50 km in one km steps. The validation was performed by comparing monthly mean zonal means and by comparing averages over collocated profiles within a zonal band and month. Both approaches yield similar results. For most of the stratosphere SCIAMACHY agrees to within 10% or better with other correlative data. A systematic bias of SCIAMACHY ozone of up to 100% between 10 and 20 km in the tropics points to some remaining issues with regard to convective cloud interference. Statistical hypothesis testing reveals at which altitudes and in which region differences between SCIAMACHY and other satellite data are statistically significant. We also estimated linear trends from monthly mean data for different periods where SCIAMACHY has common observations with other satellite data using a classical trend model with QBO and seasonal terms in order to draw conclusions on potential instrumental drifts as a function of latitude and altitude. Since the time periods considered here are rather short these trend estimates are only used to identify potential instrumental issues with the SCIAMACHY data. As a result SCIAMACHY exhibits a statistically significant negative trend in the range of of about 1–3% per year depending on latitude during the period 2002–2005 (overlapping with HALOE and SAGE II and somewhat less during 2002–2008 (overlapping with SABER in the altitude range of 30–40 km, while in the period 2004–2008 (overlapping with MLS and ACE-FTS no significant trends are observed. Since all correlative satellite instruments do not show to a very large extent statistically significant trends in any of the time periods considered here, the negative trends observed with SCIAMACHY

  6. Deep geologic repository for low and intermediate radioactive level waste in Canada

    International Nuclear Information System (INIS)

    Liu Jianqin; Li Honghui; Sun Qinghong; Yang Zhongtian

    2012-01-01

    Ontario Power Generation (OPG) is undergoing a project for the long-term management of low and intermediate level waste (LILW)-a deep geologic repository (DGR) project for low and intermediate level waste. The waste source term disposed, geologic setting, repository layout and operation, and safety assessment are discussed. It is expected to provide reference for disposal of low and intermediate level waste that contain the higher concentration of long-lived radionuclides in China. (authors)

  7. Comparison of Workload for University Core Courses Taught in Regular Semester and Time-Compressed Term Formats

    Science.gov (United States)

    Lutes, Lyndell; Davies, Randall

    2018-01-01

    This study compared student workload and perceived value of coursework assigned for a matching set of semester and term general education courses at Brigham Young University. Statistically significant differences in workloads were found between most semester and term courses. While term workloads were slightly lighter in general, both could be…

  8. Long term contaminant migration and impacts from uranium mill tailings. Comparison of computer models using a realistic dataset

    International Nuclear Information System (INIS)

    Camus, H.

    1996-08-01

    This is the final report of the Working Group describing: the enhancement of the previously devised V1 scenario to produce a V2 scenario which includes more detailed source term and other site specific data; the application of models in deterministic and probabilistic mode to calculate contaminant concentrations in biosphere media, and related radiation doses, contaminant intakes and health risks, including estimates of uncertainties; the comparison and analysis of the resulting calculations. A series of scenarios was developed based on data provided by Working Group members from a range of actual tailings disposal sites, culminating in the V2.2 and V2.3 scenarios. The V2.2 and V2.3 scenarios are identical in all respects, except that the V2.2 considers radioactive (U-238 chain) contaminants, whilst the V2.3 considers stable elements (As, Ni, Pb). Since the scenarios are based on data obtained from a range of actual sites, they should be considered to be generically realistic rather than representative of a particular single site. In both scenarios, the contaminants of interest are assumed to be released in leachate from a tailings pile into an underlying aquifer. They are transported in groundwater through the aquifer to a well. Water is abstracted from the well and used for: watering beef cattle; human consumption; and irrigating leafy vegetables. The beef and leafy vegetables are consumed by humans living in the area. The same contaminants are also released into the atmosphere due to the wind erosion of the pile and then deposited upon the soil, pasture and leafy vegetables. In addition, for the V2.2 scenario, Rn-222 is assumed to be released to atmosphere from the pile. Unlike the V1 scenario, no consideration is given to surface water exposure pathways. Results show that there is exceedingly good agreement between participants' deterministic and probabilistic estimates of total dose or intake. They agree within a factor of two to three for both scenarios. Even

  9. Long term contaminant migration and impacts from uranium mill tailings. Comparison of computer models using a realistic dataset

    Energy Technology Data Exchange (ETDEWEB)

    Camus, H. [CEA Centre d' Etudes Nucleaires de Fontenay-aux-Roses, 92 (France). Inst. de Protection et de Surete Nucleaire] [and others

    1996-08-01

    This is the final report of the Working Group describing: the enhancement of the previously devised V1 scenario to produce a V2 scenario which includes more detailed source term and other site specific data; the application of models in deterministic and probabilistic mode to calculate contaminant concentrations in biosphere media, and related radiation doses, contaminant intakes and health risks, including estimates of uncertainties; the comparison and analysis of the resulting calculations. A series of scenarios was developed based on data provided by Working Group members from a range of actual tailings disposal sites, culminating in the V2.2 and V2.3 scenarios. The V2.2 and V2.3 scenarios are identical in all respects, except that the V2.2 considers radioactive (U-238 chain) contaminants, whilst the V2.3 considers stable elements (As, Ni, Pb). Since the scenarios are based on data obtained from a range of actual sites, they should be considered to be generically realistic rather than representative of a particular single site. In both scenarios, the contaminants of interest are assumed to be released in leachate from a tailings pile into an underlying aquifer. They are transported in groundwater through the aquifer to a well. Water is abstracted from the well and used for: watering beef cattle; human consumption; and irrigating leafy vegetables. The beef and leafy vegetables are consumed by humans living in the area. The same contaminants are also released into the atmosphere due to the wind erosion of the pile and then deposited upon the soil, pasture and leafy vegetables. In addition, for the V2.2 scenario, Rn-222 is assumed to be released to atmosphere from the pile. Unlike the V1 scenario, no consideration is given to surface water exposure pathways. Results show that there is exceedingly good agreement between participants' deterministic and probabilistic estimates of total dose or intake. They agree within a factor of two to three for both scenarios

  10. Intermediate Temperature Solid Oxide Fuel Cell Development

    Energy Technology Data Exchange (ETDEWEB)

    S. Elangovan; Scott Barnett; Sossina Haile

    2008-06-30

    Solid oxide fuel cells (SOFCs) are high efficiency energy conversion devices. Present materials set, using yttria stabilized zirconia (YSZ) electrolyte, limit the cell operating temperatures to 800 C or higher. It has become increasingly evident however that lowering the operating temperature would provide a more expeditious route to commercialization. The advantages of intermediate temperature (600 to 800 C) operation are related to both economic and materials issues. Lower operating temperature allows the use of low cost materials for the balance of plant and limits degradation arising from materials interactions. When the SOFC operating temperature is in the range of 600 to 700 C, it is also possible to partially reform hydrocarbon fuels within the stack providing additional system cost savings by reducing the air preheat heat-exchanger and blower size. The promise of Sr and Mg doped lanthanum gallate (LSGM) electrolyte materials, based on their high ionic conductivity and oxygen transference number at the intermediate temperature is well recognized. The focus of the present project was two-fold: (a) Identify a cell fabrication technique to achieve the benefits of lanthanum gallate material, and (b) Investigate alternative cathode materials that demonstrate low cathode polarization losses at the intermediate temperature. A porous matrix supported, thin film cell configuration was fabricated. The electrode material precursor was infiltrated into the porous matrix and the counter electrode was screen printed. Both anode and cathode infiltration produced high performance cells. Comparison of the two approaches showed that an infiltrated cathode cells may have advantages in high fuel utilization operations. Two new cathode materials were evaluated. Northwestern University investigated LSGM-ceria composite cathode while Caltech evaluated Ba-Sr-Co-Fe (BSCF) based pervoskite cathode. Both cathode materials showed lower polarization losses at temperatures as low as 600

  11. Intermediate energy nucleon-deuteron scattering theory.

    Science.gov (United States)

    Wilson, J. W.

    1973-01-01

    Sloan's conclusion (1969) that terms of the multiple-scattering series beyond single scattering contribute only to S- and P-wave amplitudes in an S-wave separable model is examined. A comparison of experiments with the calculation at 146 MeV shows that the conclusion is valid in nucleon-deuteron scattering applications.

  12. Comparison of sirolimus-eluting stent versus polyzene-F polymer-coated stent in terms of early inflammatory response and long term outcomes

    Directory of Open Access Journals (Sweden)

    Murat Yuksel

    2015-06-01

    Full Text Available Objective: The intra-coronary stents provided great benefit after percutaneous transluminal coronary angioplasty (PTCA; however, high in-stent restenosis rates, even up to 25-30%, is the the main concern. Cytotoxic drug-eluting stents were developed to overcome this challenge. Whereas, they interfered vessel healing and endothelization process which led to increased risk of stent thrombosis. A bioinert molecule, polyzene-F(PzF, was applied to the surface of a new generation stent to provide anti-inflammatory and anti-thrombogenic property. We aimed to compare the sirolimus-eluting stent with PzF-coated cobalt-chrome stent in terms of early inflammatory response and long-term major adverse cardiac events (MACE rates. Methods: Stable coronary artery disease patients treated with PzF-coated cobalt-chrome stent formed the 1st group (n=19, and those received sirolimus-eluting stent (n=13 formed the 2nd group. Serum hsCRP and IL-6 levels were measured before percutaneous coronary intervention (pre-PCI, and after 1st and 10th days (post-PCI 1, and post-PCI 10, respectively of PCI. The patients were followed-up to 1 year in terms of MACE experience. Results: The study groups were comparable in terms of pre-PCI, post-PCI-1 and post-PCI-10 serum hsCRP and IL-6 levels. Four of 19 patients (21% in the 1st group and 1 of 13 patients (8% in the 2nd group experienced MACE during 1-year follow-up; whereas this difference was not statistically significant (p=0.26. Conclusion: Although, the PzF-coated cobalt-chrome stent was claimed to have lower anti-inflammatory and anti-thrombogenic properties, we showed similar inflammatory response and long-term MACE rates compared to sirolimus-eluting stent. Prospective, randomized, large scale studies are needed to clarify this issue. J Clin Exp Invest 2015; 6 (2: 159-164

  13. Formation of large target residues in intermediate energy nuclear collisions

    International Nuclear Information System (INIS)

    Loveland, W.; Aleklett, K.; Sihver, L.; Xu, Z.; Seaborg, G.T.

    1987-04-01

    We have used radiochemical techniques to measure the yields, angular distributions and velocity spectra of the large (A/sub frag/ ≥ 2/3 A/sub tgt/) target residues from the fragmentation of 197 Au by intermediate energy 12 C, 20 Ne, 32 S, 40 Ar, 84 Kr, and 139 La projectiles. The fragment moving frame angular distributions are asymmetric for the lighter projectiles (C-Ar). The fragment velocity spectra are Maxwellian for the Kr induced reactions and non-Maxwellian for the reactions induced by the lighter ions. We interpret these results in terms of a change in the dominant fragment production mechanism(s) from one(s) involving a fast non-equilibrium process for the lighter ions to a slow, equilibrium process for Kr. Comparison of the measured yields and angular distributions with calculations made using a Boltzmann transport equation with appropriate modifications for Pauli blocking, etc., show excellent agreement between data and theory. 12 refs., 12 figs

  14. Intermediate Infrastructure Analyst | IDRC - International ...

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

    The incumbent conducts research on technologies and tools that might enhance service delivery and where appropriate, makes recommendations to management. The Intermediate Infrastructure System Analyst provides leadership and direction to junior team members and functional direction to consultants and ...

  15. Comparison of short-term and long-term outcomes of spinal fusion with and without posterior instrumentation in congenital scoliosis

    Directory of Open Access Journals (Sweden)

    Behtash H.

    2007-10-01

    Full Text Available Background: Congenital scoliosis is a developmental disorder defined as a lateral curvature of the spine. Its progressive trend and complications, such as cosmetic problems, pain and pulmonary symptoms, have put scoliosis as an important skeletal deformity that should be corrected. One of the currently accepted methods of treatment is posterior spinal fusion (PSF that may be performed with or without instrumentation. However, the use of implants in conjunction with PSF in congenital spine deformity has been debated over the past three decades primarily because of increased risk of neurological deficit and implant displacement. The aim of this study was to compare short-term and long-term outcomes of spinal fusion with and without posterior instrumentation in congenital scoliosis.Methods: In this historical cohort study, 41 patients with congenital scoliosis were recruited. All patients underwent PSF surgery between 1977 and 1996. They were divided into two groups according to the use of instrumentation: 22 congenital scoliotic patients who were treated by PSF without any instrumentation (group A, and 19 instrumented PSF patients (group B. Instrumentation was mostly performed using the Harrington rod. The major curve angle was measured before surgery, two weeks and one year after PSF surgery and at the end of the follow-up period. Results: The mean baseline curve angles were 66.3° and 69.1° in groups A and B, respectively. The mean Cobb angles one year after PSF were 43.1° and 38.4° in groups A and B, respectively. The mean follow-up period was 8 years (SD=3 and, at the end of this period, the final Cobb angles were 47.3° and 39.4° in groups A and B, respectively. Therefore, the final angle correction was 28.7% in patients without instrumentation and 43% in patients with instrumentation. The mean loss of correction was 5.5% and 4.3% in groups A and B, respectively. The final curve angles was significantly more corrected for those patients

  16. Comparison of perinatal outcomes between long-term and short-term use of tocolytic agent: a historical cohort study in a single perinatal hospital.

    Science.gov (United States)

    Nakamura, Masamitsu; Hasegawa, Junichi; Arakaki, Tatsuya; Hamada, Shoko; Takita, Hiroko; Oba, Tomohiro; Koide, Keiko; Matsuoka, Ryu; Sekizawa, Akihiko

    2016-12-01

    The aim of this study was to evaluate the effect of long-term use of tocolytic agents to prevent preterm delivery and improve perinatal outcome. A historical cohort study was performed in a single perinatal center. The maternal characteristics, frequency of preterm labor and prescribed dose of tocolytic agents were compared before and after changing the management protocol for threatened premature delivery. A total of 1548 deliveries were carried out before changing the protocol for the use of tocolytic agents for threatened premature delivery and 1444 deliveries afterwards. There was no significant difference in the maternal characteristics before and after the revision except for maternal age. The total number of ritodrine hydrochloride ampules used was reduced from 4654 to 514, and the total vials of magnesium sulfate used were reduced from 1574 to 193, but perinatal outcomes, such as rate of preterm birth, neonatal weight, and rate of NICU hospitalization were not different between the groups. There was no significant change in the frequency of preterm delivery before and after changing of the protocol for threatened premature delivery. Because a decrease in the given dose of tocolytic agents did not affect the timing of delivery and neonatal outcomes, long-term tocolysis in patients with threatened premature delivery should be restricted to prevent maternal and fetal adverse side-effects. © 2016 Japan Society of Obstetrics and Gynecology.

  17. Long-term patterns of mass loss during the decomposition of leaf and fine root litter: an intersite comparison

    Science.gov (United States)

    Mark E. Harmon; Whendee L. Silver; Becky Fasth; Hua Chen; Ingrid C. Burke; William J. Parton; Stephen C. Hart; William S. Currie; Ariel E. Lugo

    2009-01-01

    Decomposition is a critical process in global carbon cycling. During decomposition, leaf and fine root litter may undergo a later, relatively slow phase; past long-term experiments indicate this phase occurs, but whether it is a general phenomenon has not been examined. Data from Long-term Intersite Decomposition Experiment Team, representing 27 sites and nine litter...

  18. Long-term effects of divorce on parent-child relationships: within-family comparisons of fathers and mothers

    NARCIS (Netherlands)

    Kalmijn, M.

    2013-01-01

    Using national representative survey data from the Netherlands, this article examines the effects of a parental divorce in childhood on relationships between adult children and their parents. Using a within-family design, we make comparisons between fathers and mothers within the same family. Our

  19. Intermediate scattering function of an anisotropic Brownian circle swimmer.

    Science.gov (United States)

    Kurzthaler, Christina; Franosch, Thomas

    2017-09-27

    Microswimmers exhibit noisy circular motion due to asymmetric propulsion mechanisms, their chiral body shape, or by hydrodynamic couplings in the vicinity of surfaces. Here, we employ the Brownian circle swimmer model and characterize theoretically the dynamics in terms of the directly measurable intermediate scattering function. We derive the associated Fokker-Planck equation for the conditional probabilities and provide an exact solution in terms of generalizations of the Mathieu functions. Different spatiotemporal regimes are identified reflecting the bare translational diffusion at large wavenumbers, the persistent circular motion at intermediate wavenumbers and an enhanced effective diffusion at small wavenumbers. In particular, the circular motion of the particle manifests itself in characteristic oscillations at a plateau of the intermediate scattering function for wavenumbers probing the radius.

  20. Comparison of the long term efficacy of radiofrequency ablation and surgical turbinoplasty in inferior turbinate hypertrophy: a randomized clinical study.

    Science.gov (United States)

    Bakshi, Satvinder Singh; Shankar Manoharan, Kiruba; Gopalakrishnan, Surianarayanan

    2017-08-01

    To compare the long term effectiveness of radiofrequency thermal ablation with that of surgical turbinoplasty, a prospective, randomized, blinded clinical study was conducted. Eighty six patients suffering from nasal obstruction due to bilateral inferior turbinate hypertrophy were enrolled. Forty four patients were operated by radiofrequency ablation, while 42 underwent surgical turbinoplasty. The outcomes of both techniques were compared in terms of symptoms using visual analogue score (VAS) and endoscopic scores. A statistically significant difference in the VAS scores existed between the two groups by the 3rd month in terms of nasal obstruction (p=.0002) and headache (p=.0001), by the 6th month in terms of nasal secretions (p=.007), by the end of 1 year in terms of sneezing (p=.023) and no statistically significant difference even till the end of year with respect to hyposmia. Radiofrequency thermal ablation is more effective than surgical turbinoplasty in terms of treating nasal obstruction and equally effective in terms of managing sneezing. Radiofrequency ablation has the advantage of being a day care procedure and minimal complications.

  1. Electron scattering from sodium at intermediate energies

    International Nuclear Information System (INIS)

    Mitroy, J.; McCarthy, I.E.

    1986-10-01

    A comprehensive comparison is made between theoretical calculations and experimental data for intermediate energy (≥ 10 eV) electron scattering from sodium vapour. The theoretical predictions of coupled-channels calculations (including one, two or four channels) do not agree with experimental values of the differential cross sections for elastic scattering or the resonant 3s to 3p excitation. Increasingly-more-sophisticated calculations, incorporating electron correlations in the target states, and also including core-excited states in the close-coupling expansion, are done at a few selected energies in an attempt to isolate the cause of the discrepancies between theory and experiment. It is found that these more-sophisticated calculations give essentially the same results as the two- and four-channel calculations using Hartree-Fock wavefunctions. Comparison of the sodium high-energy elastic differential cross sections with those of neon suggests that the sodium differential cross section experiments may suffer from systematic errors. There is also disagreement, at the higher energies, between theoretical values for the scattering parameters and those that are derived from laser-excited superelastic scattering and electron photon coincidence experiments. When allowance is made for the finite acceptance angle of the electron spectrometers used in the experiments by convoluting the theory with a function representing the distribution of electrons entering the electron spectrometer it is found that the magnitudes of the differences between theory and experiment are reduced

  2. A Prospective Comparison of Clinical, Radiographic, and Intraoperative Features of Hallux Rigidus: Long-Term Follow-Up and Analysis.

    Science.gov (United States)

    Elliott, Andrew D; Borgert, Andrew J; Roukis, Thomas S

    2016-01-01

    Forty-seven patients (50 feet) underwent surgical intervention for symptomatic hallux rigidus from February 1998 to April 1999. Thirty-eight patients (41 feet) returned at 1 year for a follow-up evaluation. Of these 38 patients, 20 (21 feet) returned for the 15-year follow-up evaluation. Subjective evaluations were performed using the modified American Orthopaedic Foot and Ankle Surgery hallux metatarsophalangeal-interphalangeal 100-point scale. Long-term postoperative objective physical examination and radiographic analysis were performed. These data were compared with the preoperative and short-term follow-up data. The subjective evaluation showed a statistically significant differing over the long term, with a mean increase of 27.6 points. The results of the physical examination and radiographic measurements were mixed. The long-term dorsal range of motion was not significant across surgery type. Radiographically, the procedure types resulted in similar changes, suggesting that neither joint preservation nor joint destructive procedures were more stable over time. Plantar transposition of the capital fragment, offsetting the longitudinal shortening of the first metatarsal, was not significant, confirming the short-term findings. For this patient population, the long-term results of surgical intervention for hallux rigidus, regardless of procedure type, provided subjective patient improvement but no statistically significant increase in first metatarsophalangeal joint function or dorsal range of motion. Copyright © 2016 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

  3. On the Use of Writing Assignments in Intermediate Microeconomic Theory

    Science.gov (United States)

    O'Neill, Patrick B.

    2009-01-01

    A typical writing assignment in upper level required courses is a term paper. However many economics majors, particularly those in business schools, need to develop skill at writing shorter pieces. In this paper I describe numerous examples of shorter writing assignments that I have incorporated into an Intermediate Microeconomic Theory course.…

  4. Intermediate-term Outcome of Psychiatric Inpatients with Major Depression

    Directory of Open Access Journals (Sweden)

    Mei-Chih Tseng

    2006-01-01

    Conclusion: At follow-up, almost half of the discharged depressive patients were still depressed. Screening for predictive factors of chronic depressive morbidity facilitates better outcome by considering the heterogeneity of psychopathology that can lead to failure in the treatment plan.

  5. Do gerontology nurse specialists make a difference in hospitalization of long-term care residents? Results of a randomized comparison trial.

    Science.gov (United States)

    Boyd, Michal; Armstrong, Delwyn; Parker, Janet; Pilcher, Carole; Zhou, Lifeng; McKenzie-Green, Barbara; Connolly, Martin J

    2014-10-01

    Residents of long-term care facilities have highly complex care needs and quality of care is of international concern. Maintaining resident wellness through proactive assessment and early intervention is key to decreasing the need for acute hospitalization. The Residential Aged Care Integration Program (RACIP) is a quality improvement intervention to support residential aged care staff and includes on-site support, education, clinical coaching, and care coordination provided by gerontology nurse specialists (GNSs) employed by a large district health board. The effect of the outreach program was evaluated through a randomized comparison of hospitalization 1 year before and after program implementation. The sample included 29 intervention facilities (1,425 residents) and 25 comparison facilities (1,128 residents) receiving usual care. Acute hospitalization rate unexpectedly increased for both groups after program implementation, although the rate of increase was significantly less for the intervention facilities. The hospitalization rate after the intervention increased 59% for the comparison group and 16% for the intervention group (rate ratio (RR) = 0.73, 95% confidence interval (CI) = 0.61-0.86, P < .001). Subgroup analysis showed a significantly lower rate change for those admitted for medical reasons for the intervention group (13% increase) than the comparison group (69% increase) (RR = 0.67, 95% CI = 0.56-0.82, P < .001). Conversely, there was no significant difference in the RR for surgical admissions between the intervention and comparison groups (RR = 1.0, 95% CI = 0.68-1.46, P = .99). The integration of GNS expertise through the RACIP intervention may be one approach to support staff to provide optimal care and potentially improve resident health. © 2014, Copyright the Authors Journal compilation © 2014, The American Geriatrics Society.

  6. Intermediate resonance contributions to K+→π+e+ e-

    International Nuclear Information System (INIS)

    Eeg, J.O.

    It has been argued that the resonance terms are negligible in the decay K + →π + e + e - , and that to take them into account would moreover lead to double counting. This is not thought to be generally true, and it is shown here that the intermediate resonance terms make sizeable contributions to K + →π + γ*, where γ* is a virtual photon giving the e + e - pair. (JIW)

  7. Melting of metallic intermediate level waste

    International Nuclear Information System (INIS)

    Huutoniemi, Tommi; Larsson, Arne; Blank, Eva

    2013-08-01

    This report presents a feasibility study of a melting facility for core components and reactor internals. An overview is given of how such a facility for treatment of intermediate level waste might be designed, constructed and operated and highlights both the possibilities and challenges. A cost estimate and a risk analysis are presented in order to make a conclusion of the technical feasibility of such a facility. Based on the authors' experience in operating a low level waste melting facility, their conclusion is that without technical improvements such a facility is not feasible today. This is based on the cost of constructing and operating such a facility, in conjunction with the radiological risks associated with operation and the uncertain benefits to disposal and long term safety

  8. Melting of metallic intermediate level waste

    Energy Technology Data Exchange (ETDEWEB)

    Huutoniemi, Tommi; Larsson, Arne; Blank, Eva [Studsvik Nuclear AB, Nykoeping (Sweden)

    2013-08-15

    This report presents a feasibility study of a melting facility for core components and reactor internals. An overview is given of how such a facility for treatment of intermediate level waste might be designed, constructed and operated and highlights both the possibilities and challenges. A cost estimate and a risk analysis are presented in order to make a conclusion of the technical feasibility of such a facility. Based on the authors' experience in operating a low level waste melting facility, their conclusion is that without technical improvements such a facility is not feasible today. This is based on the cost of constructing and operating such a facility, in conjunction with the radiological risks associated with operation and the uncertain benefits to disposal and long term safety.

  9. Transmodal comparison of auditory, motor, and visual post-processing with and without intentional short-term memory maintenance.

    Science.gov (United States)

    Bender, Stephan; Behringer, Stephanie; Freitag, Christine M; Resch, Franz; Weisbrod, Matthias

    2010-12-01

    To elucidate the contributions of modality-dependent post-processing in auditory, motor and visual cortical areas to short-term memory. We compared late negative waves (N700) during the post-processing of single lateralized stimuli which were separated by long intertrial intervals across the auditory, motor and visual modalities. Tasks either required or competed with attention to post-processing of preceding events, i.e. active short-term memory maintenance. N700 indicated that cortical post-processing exceeded short movements as well as short auditory or visual stimuli for over half a second without intentional short-term memory maintenance. Modality-specific topographies pointed towards sensory (respectively motor) generators with comparable time-courses across the different modalities. Lateralization and amplitude of auditory/motor/visual N700 were enhanced by active short-term memory maintenance compared to attention to current perceptions or passive stimulation. The memory-related N700 increase followed the characteristic time-course and modality-specific topography of the N700 without intentional memory-maintenance. Memory-maintenance-related lateralized negative potentials may be related to a less lateralised modality-dependent post-processing N700 component which occurs also without intentional memory maintenance (automatic memory trace or effortless attraction of attention). Encoding to short-term memory may involve controlled attention to modality-dependent post-processing. Similar short-term memory processes may exist in the auditory, motor and visual systems. Copyright © 2010 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.

  10. Neurocognitive function in clinically stable individuals with long-term bipolar I disorder: Comparisons with schizophrenia patients and controls.

    Science.gov (United States)

    Lin, Pei-Yun; Wang, Peng-Wei; Chen, Cheng-Sheng; Yen, Cheng-Fang

    2017-05-01

    This study compared the levels of the five domains of neurocognitive function-executive function, attention, memory, verbal comprehension, and perceptual organization-among clinically stable individuals with long-term bipolar I disorder, individuals with long-term schizophrenia, and a group of controls. We recruited a total of 93 clinically stable individuals with bipolar I disorder, 94 individuals with schizophrenia, and 106 controls in this study. Their neurocognitive function was measured using a series of neurocognitive function tests: the Wechsler Adult Intelligence Scale-Third Edition (WAIS-III), Line Cancellation Test, Visual Form Discrimination, Controlled Oral Word Association Test, Wisconsin Card Sorting Test, Continuous Performance Task, and Wechsler Memory Scale-Third Edition. Neurocognitive function was compared among the three groups through a multivariate analysis of variance. The results indicated that when the effect of age was controlled, clinically stable individuals with bipolar I disorder and those with schizophrenia demonstrated poor neurocognitive function on all tests except for the WAIS-III Similarity and Information and the Line Cancellation Test. The individuals with bipolar I disorder had similar levels of neurocognitive function compared with the schizophrenia group, but higher levels of neurocognitive function on the WAIS-III Comprehension, Controlled Oral Word Association Test, and Wechsler Memory Scale-Third Edition Auditory Immediate and Delayed Index and Visual Immediate and Delayed Index. The conclusions of this study suggest that compared with controls, individuals with long-term bipolar I disorder and those with long-term schizophrenia have poorer neurocognitive function, even when clinically stable. Individuals with long-term bipolar I disorder and those with long-term schizophrenia have similar levels of deficits in several domains of neurocognitive function. Copyright © 2017. Published by Elsevier Taiwan.

  11. Neurocognitive function in clinically stable individuals with long-term bipolar I disorder: Comparisons with schizophrenia patients and controls

    Directory of Open Access Journals (Sweden)

    Pei-Yun Lin

    2017-05-01

    Full Text Available This study compared the levels of the five domains of neurocognitive function—executive function, attention, memory, verbal comprehension, and perceptual organization—among clinically stable individuals with long-term bipolar I disorder, individuals with long-term schizophrenia, and a group of controls. We recruited a total of 93 clinically stable individuals with bipolar I disorder, 94 individuals with schizophrenia, and 106 controls in this study. Their neurocognitive function was measured using a series of neurocognitive function tests: the Wechsler Adult Intelligence Scale—Third Edition (WAIS-III, Line Cancellation Test, Visual Form Discrimination, Controlled Oral Word Association Test, Wisconsin Card Sorting Test, Continuous Performance Task, and Wechsler Memory Scale—Third Edition. Neurocognitive function was compared among the three groups through a multivariate analysis of variance. The results indicated that when the effect of age was controlled, clinically stable individuals with bipolar I disorder and those with schizophrenia demonstrated poor neurocognitive function on all tests except for the WAIS-III Similarity and Information and the Line Cancellation Test. The individuals with bipolar I disorder had similar levels of neurocognitive function compared with the schizophrenia group, but higher levels of neurocognitive function on the WAIS-III Comprehension, Controlled Oral Word Association Test, and Wechsler Memory Scale—Third Edition Auditory Immediate and Delayed Index and Visual Immediate and Delayed Index. The conclusions of this study suggest that compared with controls, individuals with long-term bipolar I disorder and those with long-term schizophrenia have poorer neurocognitive function, even when clinically stable. Individuals with long-term bipolar I disorder and those with long-term schizophrenia have similar levels of deficits in several domains of neurocognitive function.

  12. Comparison of Iranian Monolingual and Bilingual EFL Students' Listening Comprehension in Terms of Watching English Movie with Latinized Persian Subtitles

    Science.gov (United States)

    Yamchi, Roghayeh; Kumar, Vishal

    2016-01-01

    The main concern of the present study was to compare Iranian monolingual and bilingual EFL students' listening comprehension in terms of Latinized Persian subtitling of English movie to see whether there was a significant difference between monolinguals and bilinguals on immediate linguistic comprehension of the movie. Latinized Persian subtitling…

  13. Comparison of Loneliness and Social Skill Levels of Children with Specific Learning Disabilities in Terms of Participation in Sports

    Science.gov (United States)

    Yilmaz, Atike; Kirimoglu, Hüseyin; Soyer, Fikret

    2018-01-01

    This study was conducted in order to compare loneliness and social skill levels of children with specific learning disabilities in terms of participation in sports. For this study, a screening model was used. The study group was composed of 56 children who were aged between 7 and 14 years and diagnosed with a specific learning disability (30 boys…

  14. Long-term outcome and quality of life after arterial switch operation : A prospective study with a historical comparison

    NARCIS (Netherlands)

    Ruys, T.P.E.; van der Bosch, A.E.M.; Cuypers, J.A.A.E.; Witsenburg, M.; Helbing, W.A.; Bogers, A.J.J.C.; van Domburg, R.T.; McGhie, J.S.; Geleijnse, M.L.; Henrichs, J.; Utens, E.; van der Zwaan, H.B.; Takkenberg, J.J.M.; Roos-Hesselink, J.W.

    2013-01-01

    Aim. The study aims to describe the long-term cardiological and psychological results of our first surgical cohort of arterial switch operation (ASO) patients and compare the results with our earlier series of Mustard patients. Methods. Twenty-four survivors of ASO operated in our center (1985–1990)

  15. Long-term outcome and quality of life after arterial switch operation: A prospective study with a historical comparison

    NARCIS (Netherlands)

    T.P.E. Ruys (Titia); A.E. van den Bosch (Annemien); J.A.A.E. Cuypers (Judith); M. Witsenburg (Maarten); W.A. Helbing (Willem); A.J.J.C. Bogers (Ad); R.T. van Domburg (Ron); J.S. Vletter-McGhie (Jackie); M.L. Geleijnse (Marcel); J. Henrichs (Jens); E.M.W.J. Utens (Elisabeth); H.B. van der Zwaan (Heleen); J.J.M. Takkenberg (Hanneke); J.W. Roos-Hesselink (Jolien)

    2013-01-01

    textabstractAim.: The study aims to describe the long-term cardiological and psychological results of our first surgical cohort of arterial switch operation (ASO) patients and compare the results with our earlier series of Mustard patients. Methods.: Twenty-four survivors of ASO operated in our

  16. Comparison of long-term drug survival and safety of biologic agents in patients with psoriasis vulgaris

    DEFF Research Database (Denmark)

    Gniadecki, R; Bang, B; Bryld, L E

    2015-01-01

    BACKGROUND: Drug survival (time to drug discontinuation) has recently emerged as an important parameter reflecting the long-term therapeutic performance in a real-life setting. Biologic drug survival in psoriasis is mainly limited by a gradual loss of efficacy over time. Previous studies have been...

  17. Comparison of two voltage-sensitive dyes and their suitability for long-term imaging of neuronal activity.

    Directory of Open Access Journals (Sweden)

    Stephanie Preuss

    Full Text Available One of the key approaches for studying neural network function is the simultaneous measurement of the activity of many neurons. Voltage-sensitive dyes (VSDs simultaneously report the membrane potential of multiple neurons, but often have pharmacological and phototoxic effects on neuronal cells. Yet, to study the homeostatic processes that regulate neural network function long-term recordings of neuronal activities are required. This study aims to test the suitability of the VSDs RH795 and Di-4-ANEPPS for optically recording pattern generating neurons in the stomatogastric nervous system of crustaceans with an emphasis on long-term recordings of the pyloric central pattern generator. We demonstrate that both dyes stain pyloric neurons and determined an optimal concentration and light intensity for optical imaging. Although both dyes provided sufficient signal-to-noise ratio for measuring membrane potentials, Di-4-ANEPPS displayed a higher signal quality indicating an advantage of this dye over RH795 when small neuronal signals need to be recorded. For Di-4-ANEPPS, higher dye concentrations resulted in faster and brighter staining. Signal quality, however, only depended on excitation light strength, but not on dye concentration. RH795 showed weak and slowly developing phototoxic effects on the pyloric motor pattern as well as slow bleaching of the staining and is thus the better choice for long-term experiments. Low concentrations and low excitation intensities can be used as, in contrast to Di-4-ANEPPS, the signal-to-noise ratio was independent of excitation light strength. In summary, RH795 and Di-4-ANEPPS are suitable for optical imaging in the stomatogastric nervous system of crustaceans. They allow simultaneous recording of the membrane potential of multiple neurons with high signal quality. While Di-4-ANEPPS is better suited for short-term experiments that require high signal quality, RH795 is a better candidate for long-term experiments

  18. Comparison of merged profile ozone satellite observations (1984-2011): Assessment and implications in terms of ozone recovery

    Science.gov (United States)

    Tummon, Fiona; Hassler, Birgit; Harris, Neil, , Dr; Staehelin, Johannes

    The successful implementation of the Montreal Protocol has led to reductions in stratospheric halogen loading, which is expected to result in less chemical depletion of ozone and thus increased stratospheric ozone amounts [WMO, 2011]. To unambiguously identify a positive ozone response directly attributable to declining halogen levels, consistent long-term ozone profile observations are required. Although near-global satellite observations of the ozone profile have been made since 1979, no single instrument has covered this entire period, meaning that merged data series combining several instrument records are required to fully understand long-term ozone changes. As part of the Si2N (Stratosphere-troposphere Processes And their Role in Climate (SPARC), the International Ozone Commission (IOC), the ozone focus area of the Integrated Global Atmospheric Chemistry Observations (IGACO-O3), and the Network for Detection of Atmospheric Composition Change (NDACC) - SPARC/IOC/IGACO-O3/NDACC) initiative, all available merged, long-term data sets were compared and assessed. Seven data sets, each based on a varying combination of instruments including SBUV/2, SAGE-2, HALOE, UARS-MLS, OSIRIS, SAGE-3, GOMOS, ACE-FTS, and Aura-MLS, were investigated. The analysis covers the period 1984-2011, for which all data sets were available. The analyses reveal that all data sets represent seasonality and interannual variability well, with those data sets based on the same instrument set tending to be more similar, despite different merging techniques being used. A multiple linear regression analysis reveals that long-term ozone trends are similar in the period prior to 1997, but show more diversity for the period 1998-2011. This is likely a result of the different instruments used to construct each data set, which vary more in the latter period. These results have important implications in terms of the detection of ozone recovery resulting from the reduction in stratospheric halogen

  19. Comparison of Domestic and Foreign Commercial Brown Layer Hens in Terms of Yield Characteristics in Free-Range Raising System

    Directory of Open Access Journals (Sweden)

    İsmail Türker

    2017-07-01

    Full Text Available This research was carried out under producer conditions to determine the appropriate hen material to be used in the free range laying system. For this purpose, the foreign brown commercial layer genotype which coded YB and native brown egg layer Atak-S genotype was compared in terms of yield and egg quality characteristics. This study included 150 hens from each genotype and a total of 300 chickens were used. Each genotype divided into three groups among themselves and 50 hens were raised each group. In the poultry house with deep-litter ground system, 5 chickens were raised in the unit area (m2 and, 4 m2 grazing area was allocated per each hen in the grazing area. The pullets that hatched on the same day were obtained from a commercial firm at 16 weeks of age. The study was carried out until 80 weeks of age. Egg yield and egg quality characteristics were determined during this period. There was no difference between the genotypes in terms of 50% egg yield age, egg weight, hen-day egg yield, hen-house egg yield, viability, albumen index, yolk index, haugh unit and yolk color. In contrast, the difference between the genotypes was found to be important in terms of body weight at weeks of 18th and 80th age, feed consumption, feed conversation ratio, shape index, shell thickness, density, meat-blood spot ratio and egg shell color. In this study, genotypes were not superior to each other in terms of all traits. However, as a result of the economic analyzes made in consideration of market conditions and observations made in terms of animal sensitivities, it was concluded that the Atak-S genotype was more suitable for free-range egg production system.

  20. Intermediate neutron detection by thermoluminescence

    International Nuclear Information System (INIS)

    Santos, E.N. dos; Muccillo, R.

    1979-01-01

    Thermoluminescent (TL) studies were carried out in cold-pressed CaSO 4 :Dy + Dy 2 O 3 + KCl and CaF 2 + Dy 2 O 3 + KCl polycrystalline samples exposed to mixed neutron-gamma fields, for the detection of intermediate neutrons which is based on the evaluation of the TL signal of the specimens stored for 24 hours after being exposed to a mixed neutron-gamma field and thermally annealed to erase the total radiation-induced TL. The addition of Dy 2 O 3 to CaSO 4 :Dy in the proportion 1:2 increased the neutron response by a factor of 160 relative to that of CaSO 4 :Dy. 180 mg of CaSO 4 :Dy + Dy 2 O 3 + KCl in the proportion 2:1:3 showed to be an appropriate detector of intermediate neutrons; the minimum detectable fluence was estimated to be 3.5 x 10 5 neutrons/cm 2 . (Author) [pt

  1. Comparison of primary and delayed primary closure in dirty abdominal wounds in terms of frequency of surgical site infection

    International Nuclear Information System (INIS)

    Aziz, O.B.A.; Ahmed, N.; Butt, M.W.U.D.; Saleem, M.R.

    2013-01-01

    Objective: Objective of this study was to compare primary and delayed primary wound closure for dirty abdominal wounds in terms of frequency of surgical site infection. Study Design: Randomized Controlled Trial. Place and Duration of Study: Combined Military Hospital, Multan. From 16 Sep 2010 to 15 Mar 2011. Patients and Methods: A total of 110 patients were randomly divided into two groups of 55 patients each using random numbers table. Abdominal wounds of one group were closed primarily and of other group were subjected to delayed primary wound closure. The wounds were then checked for surgical site infection for seven post operative days. Results: A higher frequency of surgical site infection was observed in primary closure group (27.3%) as compared to delayed primary closure group (9.1%) which was statistically significant (p=0.013). Conclusion: Delayed primary closure is superior to primary closure in dirty abdominal wounds in terms of frequency of surgical site infection. (author)

  2. A Comparison between Generation X and Generation Y in Terms of Individual Innovativeness Behavior: The Case of Turkish Health Professionals

    OpenAIRE

    Sema Yigit; Kadir Aksay

    2015-01-01

    Today the criterion of innovation has become a paradigm for all institutions to maintain their success. Innovation is essential for service industry as well as production industry. It is the individual that is in the center of innovation, which can be defined as the difference between a good idea and a good product. The innovative work behavior of individuals is an area that needs to be scrutinized in terms of innovativeness. Because innovation directly effects the quality of life, it has a s...

  3. Comparison of Respiratory Morbidity Incidence in Term Newborns Born by Elective Cesarean Section and Emergency Cesarean Section

    OpenAIRE

    Kh. Mani Kashani; N. Pezeshki; M.H. Azimian

    2005-01-01

    Introduction & Objective: Although emergency cesarean section is performed to save mother and neonate life in many cases, but this is not always safe in all cases, especially in elective one. In addition to maternal problems it can increases neonatal morbidity and mortality rate especially in term neonates. One of the most prominent problems in this regard is neonatal respiratory distress following elective cesarean section, which are studied in this research.Materials & Methods : This was a ...

  4. A comparison of JEFLLs' and NESs' referential expressions in written English narratives in terms of distribution patterns and referential distance

    OpenAIRE

    INOI, Shin'ichi

    2010-01-01

    This study compares 39 Japanese EFL learners’ (JEFLLs’) and 9 native English speakers’ (NESs’)referential expressions for story characters in written English narratives in terms of distribution patternsand referential distance. It shows that JEFLLs produced pronouns and bare nominals frequently duringL2 English narrative production, whereas it was pronouns and definite nominals that NESs producedfrequently during L1 English narrative production. It also shows that referential distance is a ke...

  5. Comparison of Loneliness and Social Skill Levels of Children with Specific Learning Disabilities in Terms of Participation in Sports

    Directory of Open Access Journals (Sweden)

    Atike Yılmaz

    2018-03-01

    Full Text Available This study was conducted in order to compare loneliness and social skill levels of children with specific learning disabilities in terms of participation in sports. For this study, a screening model was used. The study group was composed of 56 children who were aged between 7 and 14 years and diagnosed with a specific learning disability (30 boys and 26 girls. “Personal Information Form”, “Children’s Loneliness Scale”, “Matson Evaluation of Social Skills with Youngsters (MESSY” were used in this study. For the data processes and data analyses, SPSS 22 was used. According to the test of normality, non-parametric tests were employed for those data that did not follow a normal distribution and the correlations among variables were tested with correlation analysis at p < 0.05 while differences among variables were tested with Mann–Whitney U and Kruskal–Wallis tests at p < 0.05. According to the findings obtained in this study, there were no significant differences in terms of sex, the number of family members and the number of brothers and sisters while there were significant correlations in terms of age, sports status, MESSY-subscales and loneliness. In sum, it may be concluded that sports played a positive role in social skill and loneliness levels among children with specific learning disabilities.

  6. Electrical Rating of Concentrated Photovoltaic (CPV) Systems: Long-Term Performance Analysis and Comparison to Conventional PV Systems

    KAUST Repository

    Burhan, Muhammad

    2016-02-29

    The dynamic nature of meteorological data and the commercial availability of diverse photovoltaic systems, ranging from single-junction silicon-based PV panels to concentrated photovoltaic (CPV) systems utilizing multi-junction solar cells and a two-axis solar tracker, demand a simple but accurate methodology for energy planners and PV system designers to understand the economic feasibility of photovoltaic or renewable energy systems. In this paper, an electrical rating methodology is proposed that provides a common playing field for planners, consumers and PV manufacturers to evaluate the long-term performance of photovoltaic systems, as long-term electricity rating is deemed to be a quick and accurate method to evaluate economic viability and determine plant sizes and photovoltaic system power production. A long-term performance analysis based on monthly and electrical ratings (in kWh/m2/year) of two developed CPV prototypes, the Cassegrain mini dish and Fresnel lens CPVs with triple-junction solar cells operating under the meteorological conditions of Singapore, is presented in this paper. Performances are compared to other conventional photovoltaic systems.

  7. Comparison of the long-term effectiveness of progressive neuromuscular facilitation and continuous passive motion therapies after total knee arthroplasty.

    Science.gov (United States)

    Alaca, Nuray; Atalay, Ayçe; Güven, Zeynep

    2015-11-01

    [Purpose] The aim of this longitudinal study was to examine the long term functional effectiveness of proprioceptive neuromuscular facilitation (PNF) after total knee arthroplasty. [Subjects and Methods] We included 30 patients and they were randomly assigned to two groups. In addition to the standard rehabilitation program the PNF group received proprioceptive neuromuscular facilitation therapy and the CPM group received continuous passive motion therapy. The outcome measures included range of motion using a goniometer, pain scores using a numeric pain rating scale, days to reach functional benchmarks, the Beck depression scale and isokinetic torque and isometric strength measurements. [Results] There were no significant differences between the two groups in terms of baseline demographic data, clinical findings and length of stay. Days to reach range of motion benchmarks were similar in the two groups. Pain at the 8th week was slightly higher in the PNF group. With the exception of walking with a walker, days to reach functional benchmarks were statistically significantly fewer in patients of the PNF group despite similar isokinetic measurements. Administration of PNF resulted in earlier functional gains in patients after total knee arthroplasty. These functional accomplishments were more pronounced in the PNF group despite it having isokinetic torque measurements similar to those of the CPM group. [Conclusion] PNF techniques can positively affect functional outcomes over the long term.

  8. [Comparison of long-term dental treatment effects of children treated under general anesthesia and passive restraint].

    Science.gov (United States)

    Zhou, F; Xia, B; Zhang, S; Ma, W L; Xiao, Y M; Ge, L H

    2017-02-09

    Objective: To compare the long-term dental treatment effects, oral health habits and oral-health-related qualities of life of children treated under general anesthesia (GA) and passive restraint (PR), respectively. Methods: Twenty seven 2 to 4-year-old children treated under GA and thirty four children treated under PR were recruited in the Department of Pediatric Dentistry, Peking University School and Hospital of Stomatology. Up to 2 years after the treatment, a follow up assessment was conducted. The data of general information, dental plaque level and the unplanned treatments were recorded and analyzed. The questionnaire of oral health habits and early childhood oral health impact scale (ECOHIS) for each child was also completed and analyzed. The survival rate and median survival time of the deciduous teeth were calculated. Multivariate analysis was performed by using Cox proportional hazard model. Results: Twenty-five children under GA and 32 under PR were finally included, with a total of 1 098 deciduous teeth. The postoperative dental plaque indicesin both GA and PR groups had significantly improved than that of before the treatments ( P= 0.019, Pbehavior management techniques. Conclusions: The long-term dental treatment effects of children treated under GA was significantly better than that of PR group. Continuous reinforcement of proper dietary and oral hygiene habits might help in maintaining the long-term treatment effect.

  9. Comparison of Growth of Healthy Term Infants Fed Extensively Hydrolyzed Protein- and Amino Acid-Based Infant Formulas

    Directory of Open Access Journals (Sweden)

    Marlene W. Borschel

    2018-03-01

    Full Text Available The aim of this narrative review was to assess published growth data for healthy, term, infants consuming extensively hydrolyzed protein-based (EHF, or amino acid-based formulas (AAF. These data may be of use to clinicians managing infants with medical conditions consuming these products. A search was conducted using key terms: amino acid-based, hydrolysate, hydrolyzed, hydrolysed, infant formula, infant formulae or formulas, baby formula, or formulae or formulas, infant, infants, infantile, and growth. Seven controlled, randomized, prospective growth trials of healthy term infants fed EHFs or AAFs at similar time points during the first four months of age met these and other criteria, including that the trial was published in a peer-reviewed journal, subjects were enrolled by ≤14 days of age and were exclusively formula-fed at entry and throughout the duration of the trial, and infants were assessed at regular intervals with weight measures available ideally at 14 days, one, two, three, and four months of age. Results suggested that healthy infants receiving commonly available EHFs and AAFs do not appear to experience accelerated growth as reported for infants fed many standard formulas. Differences in growth patterns were observed with some formulas supporting normative growth patterns during the first four months but others appearing to support markedly lower growth patterns. These observations should be confirmed in well-designed prospective randomized trials. Until that time, it is recommended that EHFs and AAFs be chosen carefully with individual patient needs considered.

  10. Comparison of blood lead levels of mothers and cord blood in intrauterine growth retarded neonates and normal term neonates

    International Nuclear Information System (INIS)

    Iranpour, R.; Besharati, Amir A.; Nasseri, F.; Hashemipour, M.; Kelishadi, R.; Balali-Mood, M.

    2007-01-01

    Objective was to compare the blood lead levels of mothers and cord blood in intrauterine growth retarded (IUGR) neonates and normal term neonates. From April 2005, we carried out a cross-sectional, prospective study in Isfahan University of Medical Sciences, Isfahan, Iran. Blood lead levels were measured in the umbilical cord and maternal venous blood samples in the 32 mother-infant pairs with IUGR full term neonates and 34 mother-infant pairs with normal full term neonates. Blood-lead levels were analyzed by atomic absorption spectrometry. The mean lead concentration in neonates of IUGR and normal groups was not significantly different (107.47+- 16.75 versus 113.08+-19.08 ug/L, p=0.2). The mean lead concentration in mothers of IUGR group was lower than normal groups, but this difference was not significant (124.56+-19.71 versus 135.26+-26.91 ug/L, p=0.07). Maternal lead levels were strongly related with related with cord blood in both IUGR and normal groups (r=0.8, p 100ug/L by the centers for disease control; however, this was not statistically different between the groups. Our results indicate that the mean lead level was not higher in IUGR neonates, and the whole blood lead was not related to the birth weight. In addition, maternal and cord blood lead levels were strongly correlated, and there were remarkable lead burdens on both the mothers and their neonates in this industrial area. (author)

  11. Comparison of surfactant protein B polymorphisms of healthy term newborns with preterm newborns having respiratory distress syndrome

    Directory of Open Access Journals (Sweden)

    P.P.R. Lyra

    2007-06-01

    Full Text Available Polymorphisms and mutations in the surfactant protein B (SP-B gene have been associated with the pathogenesis of respiratory distress syndrome (RDS. The objective of the present study was to compare the frequencies of SP-B gene polymorphisms between preterm babies with RDS and healthy term newborns. We studied 50 preterm babies with RDS (inclusion criteria - newborns with RDS and gestational age between 28 and 33 weeks and 6 days, and 100 healthy term newborns. Four SP-B gene polymorphisms were analyzed: A/C at nucleotide -18, C/T at nucleotide 1580, A/G at nucleotide 9306, and G/C at nucleotide 8714, by PCR amplification of genomic DNA and genotyping by cRFLP. The healthy newborns comprised 42 female and 58 male neonates; 39 were white and 61 non-white. The RDS group comprised 21 female and 29 male preterm neonates; 28 were white and 22 non-white. Weight ranged from 640 to 2080 g (mean: 1273 g; mean gestational age was 31 weeks and 2 days (range: 28-33 weeks and 6 days. When white children were analyzed separately, a statistically significant difference in the G/C polymorphism at 8714 was observed between groups (P = 0.028. All other genotype frequencies were similar for both groups when sex and race were analyzed together. Analysis of the SP-B polymorphism G/C at nucleotide 8714 showed that among white neonates the GG genotype was found only in the RDS group at a frequency of 17% and the GC genotype was more frequently found in healthy term newborns. These data demonstrate an association of GG genotype with RDS.

  12. Laparoscopic Surgery for Transverse Colon Cancer: Short- and Long-Term Outcomes in Comparison with Conventional Open Surgery.

    Science.gov (United States)

    Kim, Min Ki; Won, Dae-Youn; Lee, Jin-Kwon; Kang, Won-Kyung; Kye, Bong-Hyeon; Cho, Hyeon-Min; Kim, Hyung-Jin; Kim, Jun-Gi

    2015-12-01

    Published studies on laparoscopic surgery for transverse colon cancer are scarce. More studies are necessary to evaluate the feasibility, safety, and long-term oncologic outcomes of laparoscopic surgery for transverse colon cancer. From April 1996 to December 2010, 102 consecutive patients with stage II or III disease who had undergone curative resection for transverse colon cancer were enrolled. Seventy-nine patients underwent laparoscopy-assisted colectomy (LAC), whereas 23 patients underwent conventional open colectomy (OC). Short- and long-term outcomes of the two groups were compared. The OC group had a larger tumor size (7.6 ± 3.4 cm versus 5.2 ± 2.3 cm, P = .004) and more retrieved lymph nodes (26.4 ± 11.6 versus 17.5 ± 9.4, P = .002), without differences in resection margins. In the LAC group, return to diet was faster (4.5 ± 1.2 days versus 5.4 ± 1.8 days, P = .013), and postoperative hospital stay was shorter (12.1 ± 4.2 days versus 15.9 ± 4.8 days, P = .000). There were no differences in occurrence of intra- or postoperative complications. There were no statistically significant differences in overall survival rate (OS) or disease-free survival rate (DFS) between the two groups (5-year OS, 90.4% versus 90.5%, P = .670; 5-year DFS, 84.2% versus 90.7%, P = .463). Laparoscopic surgery for transverse colon cancer has better short-term outcomes compared with open surgery, with acceptable long-term outcomes. As in colorectal cancer of other sites, laparoscopic surgery can be a feasible alternative to conventional surgery for transverse colon cancer.

  13. Long-term air temperature changes in Ljubljana (Slovenia in comparison to Trieste (Italy and Zagreb (Croatia

    Directory of Open Access Journals (Sweden)

    Ogrin Darko

    2015-09-01

    Full Text Available The cities of Ljubljana, Trieste and Zagreb are proximate in terms of distance but differ in terms of geographical and climatic conditions. Continuous meteorological measurements in these cities began in the mid-19th century. The 100-year trends of changes in mean annual and seasonal air temperatures for these cities are presented here, evaluating the differences between them which result from their different geographical and climatic positions. Differences in trends between Ljubljana and Zagreb that result from different measurement histories and the impact of urban climate are also presented: the impact of city growth on air temperatures in Ljubljana after 1950 was not completely eliminated in the process of data homogenization. The lowest air warming trends occur in the maritime climate of Trieste (mean annual air temperature: + 0.8 °C × 100 yr−1, where measurements were continuously performed in the densely built-up section of the city. The strongest trends occur in Ljubljana, mainly due to city growth (mean annual air temperature: + 1.1 °C × 100 yr−1. Comparing the linear trends in Zagreb-Grič and in Ljubljana, the impact of Ljubljana's urban heat island on the 100-year warming trend was assessed at about 0.2 °C, at 0.3–0.4 °C for the trend after 1950, and if non-homogenized data are used, at about 0.5 °C.

  14. Randomized Comparison of Isosorbide Mononitrate and PGE2 Gel for Cervical Ripening at Term including High Risk Pregnancy

    Directory of Open Access Journals (Sweden)

    Kavita Agarwal

    2014-01-01

    Full Text Available Aims. Prostaglandin E2 is the most commonly used drug for cervical ripening prior to labour induction. However, there are concerns regarding uterine tachysystole and nonreassuring fetal heart (N-RFH. Isosorbide mononitrate (IMN has been used successfully for cervical ripening. The present study was conducted to compare the two drugs for cervical ripening at term in hospital. Methods. Two hundred women with term pregnancies referred for induction of labour with Bishop score less than 6 were randomly allocated to receive either 40 mg IMN tablet vaginally (n=100 or 0.5 mg PGE2 gel intracervically (n=100. Adverse effects, progress, and outcomes of labour were assessed. Results. PGE2 group had significantly higher postripening mean Bishop score, shorter time from start of medication to vaginal delivery (13.37 ± 10.67 hours versus 30.78 ± 17.29 hours, and shorter labour-delivery interval compared to IMN group (4.53 ± 3.97 hours versus 7.34 ± 5.51 hours. However, PGE2 group also had significantly higher incidence of uterine tachysystole (15% and N-RFH (11% compared to none in IMN group, as well as higher caesarean section rate (27% versus 17%. Conclusions. Cervical ripening with IMN was less effective than PGE2 but resulted in fewer adverse effects and was safer especially in high risk pregnancies.

  15. Time-integrating radon gas measurements in domestic premises: comparison of short-, medium- and long-term exposures

    International Nuclear Information System (INIS)

    Groves-Kirkby, C.J.; Denman, A.R.; Crockett, R.G.M.; Phillips, P.S.; Woolridge, A.C.; Gillmore, G.K.

    2006-01-01

    To identify the most applicable technology for the short-term assessment of domestic radon levels, comparative assessments of a number of integrating detector types, including track-etch, electret and activated charcoal were undertaken. Thirty-four unremediated dwellings in a high-radon area were monitored using track-etch detectors exposed for one-month and three-month periods. In parallel, one-week measurements were made in the same homes at one-month intervals, using co-located track-etch, charcoal and electret detectors exposed simultaneously, while three of the homes were also monitored by continuous-sampling detectors at hourly intervals over extended periods. Calibration of dose-integrating devices against each other and against continuous-monitoring systems confirmed good responsivity and linearity. Although track-etch, charcoal and electret devices are suitable in principle for one-week measurements, zero-exposure offset and natural radon variability cause many one-week results to be equivocal, necessitating repetition of the measurement. One-week exposures can be reliable indicators in low-radon areas or for new properties, but in high-radon areas, the use of three-month exposures is indicated. This analysis also established confidence limits for short-term measurements

  16. Retrospective comparison of long-term ten-day/month rifaximin or mesalazine in prevention of relapse in acute diverticulitis.

    Science.gov (United States)

    Festa, V; Spila Alegiani, S; Chiesara, F; Moretti, A; Bianchi, M; Dezi, A; Traversa, G; Koch, M

    2017-03-01

    Diverticular disease (DD) of the colon has an increasing burden on health services. The effectiveness of rifaximin for the treatment of DD, is not yet established. The aim of this study is to assess the impact of long-term treatment with rifaximin or mesalazine in a 10-day schedule for the prevention of recurrent diverticulitis. This is a retrospective study. We identified all consecutive patients with DD and previous acute diverticulitis (AD) in our outpatients' database; 124 patients, were included. The recommended therapy consisted of a ten-day/month treatment with either rifaximin (400 mg bid), or mesalazine (2.4 g/daily). Primary end point was AD recurrence. Between 2010 and 2014, 72 patients were treated with rifaximin and 52 with mesalazine. During a median follow-up of 15 months (range 1-50), we observed 21 episodes of AD among users of either rifaximin (n=7; 0.54 per 100 person-months), or mesalazine group (n=14; 1.46 per 100 person-months). Kaplan-Meier survival estimates of recurrent AD significantly differed between rifaximin and mesalazine groups (p=0.015). The multivariate Cox regression analysis showed that AD recurrence was significantly associated with therapy (rifaximin vs. mesalazine, adjusted HR 0.27; 95% CI: 0.10 to 0.72), age and gender. Long-term treatment with rifaximin in a 10-day schedule appears more effective than mesalazine in preventing recurrent AD.

  17. Comparison of gingival health between mothers with preterm and term labor at Mahdieh Hospital between 2001 and 2002

    Directory of Open Access Journals (Sweden)

    Zadeh Modarres Sh.

    2007-05-01

    Full Text Available Background and Aim: Low birth weight is a significant public health issue. Recent studies have suggested periodontal diseases as risk factor for preterm labor. The aim of this study was to assess the relation between gingival health and preterm labor in a sample of Iranian female population. "nMaterials and Methods: In this cross sectional study, 201 pregnant women without any systemic diseases or other risk factors like psychotic conditions were selected. Ninety-nine of them had term labor (infant≥37 weeks and 102 had preterm labor (infant<37 weeks. Bleeding index, pocket depth and debris index were measured. Data were analyzed by Chi-square and Mann-Whitney tests with p<0.05 as the level of significance."nResults: Bleeding index, probing depth and debris index showed statistically significant differences between preterm and term labor mothers (P<0.001."nConclusion: According to the findings of this study, there is a significant relationship between gingival health and duration of pregnancy. Consequently, periodontal diseases could be risk factor for preterm labor. Oral hygiene is strongly recommended to be included in pregnancy health programs.

  18. Comparison of Long-Term Outcomes of Postmastectomy Radiotherapy between Breast Cancer Patients with and without Immediate Flap Reconstruction.

    Directory of Open Access Journals (Sweden)

    Hsin-Hua Lee

    Full Text Available To compare the long-term clinical outcomes of postmastectomy radiotherapy (PMRT between breast cancer patients with and without immediate transverse rectus abdominis myocutaneous (TRAM flap reconstruction.The study included 492 patients with stage II or III breast cancer who underwent modified radical mastectomy (MRM and chemotherapy followed by PMRT between 1997 and 2011. Cox regression model and Kaplan-Meier curves were calculated, and the log-rank test was used to evaluate the differences between overall and disease-free survival rates in the 2 groups.Among 492 patients, 213 patients had immediate TRAM flap reconstruction. The mean follow-up was 7.2 years (range, 11-191 months. The 5-year and 10-year disease free survival rates were 81% and 76% for the TRAM flap group and 78% and 73% for the non-flap group. The 5-year and 10-year overall survival rates were 89% and 73% for the TRAM flap group and 83% and 74% for the non-flap group.There exists no statistically significant difference in the rates of local recurrence, distant metastasis, disease-free and overall survival when comparing immediate TRAM flap reconstruction with no reconstruction. Our results suggest that immediate TRAM flap reconstruction does not compromise long term clinical outcomes in breast cancer patients requiring PMRT.

  19. Marketization in Long-Term Care: A Cross-Country Comparison of Large For-Profit Nursing Home Chains

    Directory of Open Access Journals (Sweden)

    Charlene Harrington

    2017-06-01

    Full Text Available This article presents cross-country comparisons of trends in for-profit nursing home chains in Canada, Norway, Sweden, United Kingdom, and the United States. Using public and private industry reports, the study describes ownership, corporate strategies, costs, and quality of the 5 largest for-profit chains in each country. The findings show that large for-profit nursing home chains are increasingly owned by private equity investors, have had many ownership changes over time, and have complex organizational structures. Large for-profit nursing home chains increasingly dominate the market and their strategies include the separation of property from operations, diversification, the expansion to many locations, and the use of tax havens. Generally, the chains have large revenues with high profit margins with some documented quality problems. The lack of adequate public information about the ownership, costs, and quality of services provided by nursing home chains is problematic in all the countries. The marketization of nursing home care poses new challenges to governments in collecting and reporting information to control costs as well as to ensure quality and public accountability.

  20. Connectomic intermediate phenotypes for psychiatric disorders

    Directory of Open Access Journals (Sweden)

    Alex eFornito

    2012-04-01

    Full Text Available Psychiatric disorders are phenotypically heterogeneous entities with a complex genetic basis. To mitigate this complexity, many investigators study so-called intermediate phenotypes that putatively provide a more direct index of the physiological effects of candidate genetic risk variants than overt psychiatric syndromes. Magnetic resonance imaging (MRI is a particularly popular technique for measuring such phenotypes because it allows interrogation of diverse aspects of brain structure and function in vivo. Much of this work however, has focused on relatively simple measures that quantify variations in the physiology or tissue integrity of specific brain regions in isolation, contradicting an emerging consensus that most major psychiatric disorders do not arise from isolated dysfunction in one or a few brain regions, but rather from disturbed interactions within and between distributed neural circuits; i.e., they are disorders of brain connectivity. The recent proliferation of new MRI techniques for comprehensively mapping the entire connectivity architecture of the brain, termed the human connectome, has provided a rich repertoire of tools for understanding how genetic variants implicated in mental disorder impact distinct neural circuits. In this article, we review research using these connectomic techniques to understand how genetic variation influences the connectivity and topology of human brain networks. We highlight recent evidence from twin and imaging genetics studies suggesting that the penetrance of candidate risk variants for mental illness, such as those in SLC6A4, MAOA, ZNF804A and APOE, may be higher for intermediate phenotypes characterised at the level of distributed neural systems than at the level of spatially localised brain regions. The findings indicate that imaging connectomics provides a powerful framework for understanding how genetic risk for psychiatric disease is expressed through altered structure and function of

  1. Comparison of effect of kangaroo mother care, breastfeeding and swaddling on Bacillus Calmette-Guerin vaccination pain score in healthy term neonates by a clinical trial.

    Science.gov (United States)

    Fallah, Razieh; Naserzadeh, Naeimah; Ferdosian, Farzad; Binesh, Fariba

    2017-05-01

    The purpose of this research was to compare the analgesic effect of kangaroo mother care (KMC), breastfeeding and swaddling in Bacillus Calmette-Guerin (BCG) vaccination in term neonates. In a randomized 120 healthy term neonates who received routine BCG vaccination in the first day of their life are distributed into three groups. In group 1, neonates breastfed two minutes before, during and one minute after BCG vaccination. In group 2, neonates received KMC 10 minutes before, during and one minute after vaccination and in group 3, they were swaddled 10 minutes before, during and one minute after vaccination. Primary outcomes included pain score during, one minute and two minutes after BCG vaccination and obtaining pain score of less than three during vaccination . Pain scores during, one minute and two minutes after vaccination in group 1 were lower than in groups 2 and 3. Group 1 had higher success rate in painless vaccination and had lower crying duration in comparison to another groups (p vaccination pain in healthy term neonates.

  2. Comparison and statistical analysis of long-term overheating indices applied on energy renovated dwellings in temperate climates

    DEFF Research Database (Denmark)

    Psomas, Theofanis Ch.; Heiselberg, Per Kvols; Duer, Karsten

    2018-01-01

    Stakeholders, researchers and designers apply different overheating metrics because they follow different comfort theories or comply with different regulations and standards. As a result, there is no common ground for generalization, intercomparison and final concordance of their conclusions....... Correlation of indices would simplify the analysis being conducted during the design (optimization process) or operational (comfort assessment) phase of buildings. This research compares and statistically correlates results of seven widely used long-term overheating indices on four ‘free......-running’ representative dwellings and characteristic climatic conditions of central Europe (Denmark, United Kingdom, Austria and France). Different renovation steps and passive cooling strategies were applied on these case studies creating 66 variants for comfort assessment. The analyses were conducted with the use...

  3. Energetic, Relativistic and Ultra-Relativistic Electrons: Comparison of Long-term VERB Code Simulations with Van Allen Probes Measurements

    Science.gov (United States)

    Drozdov, A.; Shprits, Y.; Orlova, K.; Kellerman, A. C.; Subbotin, D.; Baker, D. N.; Spence, H. E.

    2014-12-01

    In this study, we compare long-term simulations performed by the Versatile Electron Radiation Belt (VERB) code with observations from the MagEIS and REPT instruments on the Van Allen Probes. The model takes into account radial, energy, pitch-angle and mixed diffusion, losses into the atmosphere, and magnetopause shadowing. We consider the energetic (>100 KeV), relativistic (~0.5-1 MeV) and ultra-relativistic (>2 MeV) electrons. One year of relativistic electron measurements (μ=700 MeV/G) from October 1, 2012 to October 1, 2013 are well reproduced by the simulation during a period of the various geomagnetic activity. However, for ultra-relativistic energies (μ=3500 MeV/G), the VERB code simulation overestimates electron phase space density (PSD). These results indicate that an additional loss mechanism is operational and efficient for these high energies. We discuss possible solutions for improving the modeling of the radiation belts dynamics.

  4. Long-term VERB code simulations of ultra-relativistic electrons and comparison with Van Allen Probes measurements

    Science.gov (United States)

    Drozdov, Alexander; Shprits, Yuri; Kellerman, Adam; Usanova, Maria; Aseev, Nikita; Baker, Daniel; Spence, Harlan; Reeves, Geoff

    2016-04-01

    In this study, we compare long-term simulations performed by the Versatile Electron Radiation Belt (VERB) code with the Van Allen Probes observations. The model takes into account radial, energy, pitch-angle and mixed diffusion, losses into the atmosphere, and magnetopause shadowing. We include scattering by hiss and chorus based on a recently developed statistical models of VLF/ELF waves obtained from EMFISIS instrument. We consider the energetic (>100 KeV), relativistic (~0.5-1 MeV) and ultra-relativistic (>2 MeV) electrons. One year of relativistic electron measurements are well reproduced by the simulation during a period of the various geomagnetic activity. However, for ultra-relativistic energies, the VERB code simulation significantly overestimates electron phase space density. Since the additional loss is required only at very high energies we conclude that EMIC waves is the most likely additional source of scattering that could explain observed decay rates.

  5. Comparison of statistically downscaled precipitation in terms of future climate indices and daily variability for southern Ontario and Quebec, Canada

    Science.gov (United States)

    Gaitan, Carlos F.; Hsieh, William W.; Cannon, Alex J.

    2014-12-01

    Given the coarse resolution of global climate models, downscaling techniques are often needed to generate finer scale projections of variables affected by local-scale processes such as precipitation. However, classical statistical downscaling experiments for future climate rely on the time-invariance assumption as one cannot know the true change in the variable of interest, nor validate the models with data not yet observed. Our experimental setup involves using the Canadian regional climate model (CRCM) outputs as pseudo-observations to estimate model performance in the context of future climate projections by replacing historical and future observations with model simulations from the CRCM, nested within the domain of the Canadian global climate model (CGCM). In particular, we evaluated statistically downscaled daily precipitation time series in terms of the Peirce skill score, mean absolute errors, and climate indices. Specifically, we used a variety of linear and nonlinear methods such as artificial neural networks (ANN), decision trees and ensembles, multiple linear regression, and k-nearest neighbors to generate present and future daily precipitation occurrences and amounts. We obtained the predictors from the CGCM 3.1 20C3M (1971-2000) and A2 (2041-2070) simulations, and precipitation outputs from the CRCM 4.2 (forced with the CGCM 3.1 boundary conditions) as predictands. Overall, ANN models and tree ensembles outscored the linear models and simple nonlinear models in terms of precipitation occurrences, without performance deteriorating in future climate. In contrast, for the precipitation amounts and related climate indices, the performance of downscaling models deteriorated in future climate.

  6. Comparison of Two Predictive Models for Short-Term Mortality in Patients after Severe Traumatic Brain Injury.

    Science.gov (United States)

    Kesmarky, Klara; Delhumeau, Cecile; Zenobi, Marie; Walder, Bernhard

    2017-07-15

    The Glasgow Coma Scale (GCS) and the Abbreviated Injury Score of the head region (HAIS) are validated prognostic factors in traumatic brain injury (TBI). The aim of this study was to compare the prognostic performance of an alternative predictive model including motor GCS, pupillary reactivity, age, HAIS, and presence of multi-trauma for short-term mortality with a reference predictive model including motor GCS, pupil reaction, and age (IMPACT core model). A secondary analysis of a prospective epidemiological cohort study in Switzerland including patients after severe TBI (HAIS >3) with the outcome death at 14 days was performed. Performance of prediction, accuracy of discrimination (area under the receiver operating characteristic curve [AUROC]), calibration, and validity of the two predictive models were investigated. The cohort included 808 patients (median age, 56; interquartile range, 33-71), median GCS at hospital admission 3 (3-14), abnormal pupil reaction 29%, with a death rate of 29.7% at 14 days. The alternative predictive model had a higher accuracy of discrimination to predict death at 14 days than the reference predictive model (AUROC 0.852, 95% confidence interval [CI] 0.824-0.880 vs. AUROC 0.826, 95% CI 0.795-0.857; p predictive model had an equivalent calibration, compared with the reference predictive model Hosmer-Lemeshow p values (Chi2 8.52, Hosmer-Lemeshow p = 0.345 vs. Chi2 8.66, Hosmer-Lemeshow p = 0.372). The optimism-corrected value of AUROC for the alternative predictive model was 0.845. After severe TBI, a higher performance of prediction for short-term mortality was observed with the alternative predictive model, compared with the reference predictive model.

  7. Comparison of Mid-Term Graft Patency between On-Pump and Off-Pump Coronary Artery Bypass Grafting.

    Science.gov (United States)

    Seki, Tatsuya; Yoshida, Toshihito

    2017-06-20

    Multiple studies have compared on-pump coronary artery bypass (ONCAB) grafting with off-pump coronary artery bypass (OPCAB) grafting, but the optimal surgical strategy has yet to be established. Furthermore, there is limited evidence regarding mid-term graft patency rates. Between April 2001 and March 2014, 365 consecutive patients underwent isolated coronary artery bypass grafting (CABG; male: 75%; mean age: 69 ± 10 years). After propensity-score-matched analysis, we assessed the results of 67 patients in each group (ONCAB: group A, OPCAB: group B). The mean follow-up period of graft patency and survival rate was 35 ± 37 months and 54 ± 47 months, respectively. There were no significant differences in baseline characteristics between the two groups. There was a trend for an increased number of distal anastomoses in group B as compared to group A (group A vs. group B: 3.8 ± 1.1 vs. 4.1 ± 1.6, P = 0.17). The total graft patency rate was tend to be lower in group A, but not statistically significant (group A: 156 months, 45.2%; group B: 96 months, 72.6%; P = 0.21). There was no difference for survival and major-adverse-cardiac-and-cerebrovascular-events (MACCE) free rate (P = 0.42 and 0.76, respectively). Propensity-score-matched analysis revealed no difference in mid-term survival rate, MACCE free rate, graft patency rates, and number of distal anastomoses between ONCAB and OPCAB groups.

  8. A comparison of long-term changes in seismicity at The Geysers, Salton Sea, and Coso geothermal fields

    Science.gov (United States)

    Trugman, Daniel T.; Shearer, Peter M.; Borsa, Adrian A.; Fialko, Yuri

    2016-01-01

    Geothermal energy is an important source of renewable energy, yet its production is known to induce seismicity. Here we analyze seismicity at the three largest geothermal fields in California: The Geysers, Salton Sea, and Coso. We focus on resolving the temporal evolution of seismicity rates, which provides important observational constraints on how geothermal fields respond to natural and anthropogenic loading. We develop an iterative, regularized inversion procedure to partition the observed seismicity rate into two components: (1) the interaction rate due to earthquake-earthquake triggering and (2) the smoothly varying background rate controlled by other time-dependent stresses, including anthropogenic forcing. We apply our methodology to compare long-term changes in seismicity to monthly records of fluid injection and withdrawal. At The Geysers, we find that the background seismicity rate is highly correlated with fluid injection, with the mean rate increasing by approximately 50% and exhibiting strong seasonal fluctuations following construction of the Santa Rosa pipeline in 2003. In contrast, at both Salton Sea and Coso, the background seismicity rate has remained relatively stable since 1990, though both experience short-term rate fluctuations that are not obviously modulated by geothermal plant operation. We also observe significant temporal variations in Gutenberg-Richter b value, earthquake magnitude distribution, and earthquake depth distribution, providing further evidence for the dynamic evolution of stresses within these fields. The differing field-wide responses to fluid injection and withdrawal may reflect differences in in situ reservoir conditions and local tectonics, suggesting that a complex interplay of natural and anthropogenic stressing controls seismicity within California's geothermal fields.

  9. Technologically important extremophile 16S rRNA sequence Shannon entropy and fractal property comparison with long term dormant microbes

    Science.gov (United States)

    Holden, Todd; Gadura, N.; Dehipawala, S.; Cheung, E.; Tuffour, M.; Schneider, P.; Tremberger, G., Jr.; Lieberman, D.; Cheung, T.

    2011-10-01

    Technologically important extremophiles including oil eating microbes, uranium and rocket fuel perchlorate reduction microbes, electron producing microbes and electrode electrons feeding microbes were compared in terms of their 16S rRNA sequences, a standard targeted sequence in comparative phylogeny studies. Microbes that were reported to have survived a prolonged dormant duration were also studied. Examples included the recently discovered microbe that survives after 34,000 years in a salty environment while feeding off organic compounds from other trapped dead microbes. Shannon entropy of the 16S rRNA nucleotide composition and fractal dimension of the nucleotide sequence in terms of its atomic number fluctuation analyses suggest a selected range for these extremophiles as compared to other microbes; consistent with the experience of relatively mild evolutionary pressure. However, most of the microbes that have been reported to survive in prolonged dormant duration carry sequences with fractal dimension between 1.995 and 2.005 (N = 10 out of 13). Similar results are observed for halophiles, red-shifted chlorophyll and radiation resistant microbes. The results suggest that prolonged dormant duration, in analogous to high salty or radiation environment, would select high fractal 16S rRNA sequences. Path analysis in structural equation modeling supports a causal relation between entropy and fractal dimension for the studied 16S rRNA sequences (N = 7). Candidate choices for high fractal 16S rRNA microbes could offer protection for prolonged spaceflights. BioBrick gene network manipulation could include extremophile 16S rRNA sequences in synthetic biology and shed more light on exobiology and future colonization in shielded spaceflights. Whether the high fractal 16S rRNA sequences contain an asteroidlike extra-terrestrial source could be speculative but interesting.

  10. Comparison of long-term quality of life of pediatric burn survivors with and without inhalation injury.

    Science.gov (United States)

    Rosenberg, Marta; Ramirez, Maribel; Epperson, Kathy; Richardson, Lisa; Holzer, Charles; Andersen, Clark R; Herndon, David N; Meyer, Walter; Suman, Oscar E; Mlcak, Ronald

    2015-06-01

    To examine the long-term quality of life of pediatric burn survivors with and without inhalation injuries. We hypothesized that patients with inhalation injury would report more disability and lower quality of life. We examined 51 patients with inhalation injury and 72 without inhalation injury who had burns of ≥10% total body surface area, were age ≥16 years at time of the interview, and were greater than 5 years from injury. Subjects completed the World Health Organization Disability Assessment Scale II (WHODAS II) and the Burn Specific Health Scale-Brief (BSHS-B). Multiple regression analyses were used to measure the effects of inhalation injury while controlling for age at burn and TBSA. The mean age of burn of participants with inhalation injury was 11.7±3.6 years, mean TBSA 55%±18, and mean ventilator days 8.4±9. The mean age of burn of participants without inhalation injury was 10.3±34.1 years, mean TBSA 45%±20, and mean ventilator days 1.3±5.2. Inhalation injury did not appear to significantly impact participants' scores on the majority of the domains. The WHODAS II domain of household activities showed a significant relation with TBSA (p=0.01). Increased size of burn was associated with difficulty completing tasks for both groups. The BSHS-B domain of treatment regimen showed a relation with age at burn (p=0.02). Increased age was associated difficulty in this area for both groups. Overall the groups were comparable in their reports of disability and quality of life. Inhalation injury did not affect long-term quality of life. Copyright © 2015 Elsevier Ltd and ISBI. All rights reserved.

  11. Comparison of long-term quality of life of pediatric burn survivors with and without inhalation injury⋆

    Science.gov (United States)

    Rosenberg, Marta; Ramirez, Maribel; Epperson, Kathy; Richardson, Lisa; Holzer, Charles; Andersen, Clark R.; Herndon, David N.; Meyer, Walter; Suman, Oscar E.; Mlcak, Ronald

    2015-01-01

    Objective To examine the long-term quality of life of pediatric burn survivors with and without inhalation injuries. We hypothesized that patients with inhalation injury would report more disability and lower quality of life. Methods We examined 51 patients with inhalation injury and 72 without inhalation injury who had burns of ≥10% total body surface area, were age ≥16 years at time of the interview, and were greater than 5 years from injury. Subjects completed the World Health Organization Disability Assessment Scale II (WHODAS II) and the Burn Specific Health Scale-Brief (BSHS-B). Multiple regression analyses were used to measure the effects of inhalation injury while controlling for age at burn and TBSA. Results The mean age of burn of participants with inhalation injury was 11.7 ± 3.6 years, mean TBSA 55% ± 18, and mean ventilator days 8.4 ± 9. The mean age of burn of participants without inhalation injury was 10.3 ± 34.1 years, mean TBSA 45% ± 20, and mean ventilator days 1.3 ± 5.2. Inhalation injury did not appear to significantly impact participants' scores on the majority of the domains. The WHODAS II domain of household activities showed a significant relation with TBSA (p = 0.01). Increased size of burn was associated with difficulty completing tasks for both groups. The BSHS-B domain of treatment regimen showed a relation with age at burn (p = 0.02). Increased age was associated difficulty in this area for both groups. Conclusions Overall the groups were comparable in their reports of disability and quality of life. Inhalation injury did not affect long-term quality of life. PMID:25670250

  12. Atmospheric nutrient inputs to the northern levantine basin from a long-term observation: sources and comparison with riverine inputs

    Directory of Open Access Journals (Sweden)

    M. Koçak

    2010-12-01

    Full Text Available Aerosol and rainwater samples have been collected at a rural site located on the coastline of the Eastern Mediterranean, Erdemli, Turkey between January 1999 and December 2007. Riverine sampling was carried out at five Rivers (Ceyhan, Seyhan, Göksu, Berdan and Lamas draining into the Northeastern Levantine Basin (NLB between March 2002 and July 2007. Samples have been analyzed for macronutrients of phosphate, silicate, nitrate and ammonium (PO43−, Sidiss, NO3 and NH4+. Phosphate and silicate in aerosol and rainwater showed higher and larger variations during the transitional period when air flows predominantly originate from North Africa and Middle East/Arabian Peninsula. Deficiency of alkaline material have been found to be the main reason of the acidic rain events whilst high pH values (>7 have been associated with high Sidiss concentrations due to sporadic dust events. In general, lowest nitrate and ammonium concentrations in aerosol and rainwater have been associated with air flow from the Mediterranean Sea. Comparison of atmospheric with riverine fluxes demonstrated that DIN and PO43− fluxes to NLB have been dominated by atmosphere (~90% and ~60% respectively whereas the input of Si was mainly derived from riverine runoff (~90%. N/P ratios in the atmospheric deposition (233; riverine discharge (28 revealed that NLB receives excessive amounts of DIN and this unbalanced P and N inputs may provoke even more phosphorus deficiency. Observed molar Si/N ratio suggested Si limitation relative to nitrogen might cause a switch from diatom dominated communities to non-siliceous populations particularly at coastal NLB.

  13. Short-term outcomes of laparoscopy-assisted hybrid living donor hepatectomy: a comparison with the conventional open procedure.

    Science.gov (United States)

    Kitajima, Toshihiro; Kaido, Toshimi; Iida, Taku; Seo, Satoru; Taura, Kojiro; Fujimoto, Yasuhiro; Ogawa, Kohei; Hatano, Etsuro; Okajima, Hideaki; Uemoto, Shinji

    2017-12-01

    Although minimally invasive living donor surgery has been increasingly accepted, its safety remains to be fully clarified in a large-scale study. This study evaluated the safety and effectiveness of our laparoscopy-assisted hybrid living donor surgery (LAHDS) procedure with an upper median incision in comparison with conventional open donor hepatectomy (ODH). From 2011 to 2016, 153 adult living donors [right lobe (RL) graft: 80 donors; left lobe (LL) graft: 73 donors] were enrolled and divided into LAHDS (n = 76) and ODH (n = 77) groups. Donor characteristics, surgical outcomes, and postoperative complications were compared between the 2 groups in each graft subgroup. Postoperative liver function tests (LFTs), inflammatory markers, pain parameters, incision-related symptoms, and recipient outcomes were compared between the 2 groups in all donors. In RL donors, operative blood loss was significantly lower in the LAHDS group than in the ODH group (201 vs. 313 g; p = 0.034). In LL donors, duration of surgery was significantly longer in the LAHDS group than in the ODH group (459 vs. 403 min; p = 0.034). The incidence of complications, length of hospital stay, and postoperative changes in both LFTs and inflammatory markers were comparable. The incidence of postoperative scar discomfort or tightness was significantly lower in the LAHDS group than in the ODH group (2.6 vs. 31.2%; p < 0.001), whereas postoperative pain parameters were comparable. The incidence of wound problems and abdominal wall numbness tended to be lower, but not significantly so, in the LAHDS group. This large consecutive case series demonstrates that our LAHDS procedure can be performed as safely as ODH, and it can improve quality of life without impaired donor and recipient outcomes.

  14. Surgical versus percutaneous isolated pelvic perfusion (IPP) for advanced melanoma: comparison in terms of melphalan pharmacokinetic pelvic bio-availability.

    Science.gov (United States)

    Guadagni, Stefano; Palumbo, Giancarlo; Fiorentini, Giammaria; Clementi, Marco; Marsili, Luca; Giordano, Aldo Victor; Masedu, Francesco; Valenti, Marco

    2017-08-15

    Isolated pelvic perfusion (IPP) can be used to treat unresectable melanoma metastases of the pelvis. IPP can be performed either by surgical or percutaneous approaches, using different balloon catheters. The aim of this study was to examine whether the surgical and percutaneous approaches were comparable with respect to tumor drug exposure in the pelvis. A pharmacokinetic study was performed in 5 melanoma patients treated with surgical IPP and five with percutaneous IPP. Both groups received melphalan at the dose of 30 mg/m 2 . Melphalan pharmacokinetic analyses were performed and the main parameter used to evaluate pelvic tumor drug-exposure was the ratio of areas under the melphalan plasma concentration curves in the pelvis and the systemic compartment, during the perfusion time (AUC 0 to 20 ). Non-parametric Mann-Whitney tests were employed for statistical comparisons. The median and interquartile range (IQR) values of the ratios between melphalan AUC 0 to 20 in pelvic and systemic compartments were 7.9 (IQR 7.2 to 9.9) and 5 (IQR 4 to 7.9) for surgical and percutaneous IPPs, respectively (p = 0.209). Tumor exposure to drug using these two methods did not statistically differ and both methods, therefore, can be adopted interchangeably, utilizing a perfusion blood flow rate of approximately 120 ml/min. The small sample size is a limitation of this study but our preliminary results can be used to calculate the effect size of a larger trial. Trial Registration Clinical Trials.gov Identifier NCT01920516; date of trial registration: August 6, 2013.

  15. Comparison of Dissolved Nickel and Nickel Nanoparticles Toxicity in Larval Zebrafish in Terms of Gene Expression and DNA Damage.

    Science.gov (United States)

    Boran, Halis; Şaffak, Savaş

    2018-01-01

    With the use of nanoparticles (NPs) in many industrial activities and consumer products, it is important to evaluate the effects of their release into the environment. Metal NPs (e.g., Ni-NPs or Cu-NPs) can release metal ions that are toxic to aquatic organisms; however, whether the toxicity is from metal ions rather than unique "nano-scale" effects of the NPs is unresolved. This research investigated Ni-NP toxicity in zebrafish Danio rerio larvae to clarify whether toxic effects are attributable to release of Ni ions. First, the acute (96-h lethal) toxicity of Ni-NPs was determined in comparison to aqueous Ni in fish exposed to Ni(II) by water-soluble NiCl 2 . Subsequently, sublethal experiments with Ni-NPs and Ni(II) were conducted to assess changes in expression of stress-related genes (mt2, rad51, and p53) by quantitative PCR. Acute toxicity of Ni in fish exposed to Ni(II) was higher (96-h LC 50  = 32.6 mg/L) than for fish exposed to Ni-NPs (96-h LC 50  = 122.2 mg/L). Also, DNA strand breaks were higher in Ni(II)- than Ni-NPs-exposed larvae. Induction of stress-related genes in larvae was complex and was not directly related to Ni-NPs and Ni(II) concentration, although there was a significant induction in the mt2 and p53 gene of the larvae exposed to Ni-NPs and Ni(II) relative to controls. Results indicated that while Ni-NPs induced gene expression (presumably by the release of Ni ions), the differences in concentration relationships of gene expression between Ni-NPs and Ni(II) suggest that factors in addition to the release of Ni ions from Ni-NPs influence acute toxicity of Ni-NPs.

  16. 20-gauge and 23-gauge phacovitrectomy for idiopathic macular holes: comparison of complications and long-term outcomes.

    Science.gov (United States)

    Krishnan, R; Tossounis, C; Fung Yang, Y

    2013-01-01

    To assess and compare the complications and long-term visual and anatomical outcomes of 20- and 23-gauge phacovitrectomy (PVT) for idiopathic macular hole repair. A retrospective, consecutive, interventional case series of 72 eyes with idiopathic macular holes were managed with 20-gauge PVT (n=36) or 23-gauge PVT (n=36). All patients underwent a posterior-chamber intra-ocular lens implantation and internal-limiting-membrane peel with the aid of either trypan blue or brilliant blue G(250) dyes. The macular hole closure rate was 97% with 20-gauge PVT and 100% with 23-gauge PVT. Mean follow-up was 24.06 (±12.83) months with 20-gauge PVT and 17.47 (±5.79) with 23-gauge PVT. Mean visual acuity improvement in LogMar was 0.41 (±0.32) with 20-gauge PVT and 0.52 (±0.25) with 23-gauge PVT (P=0.135). The incidence of retinal breaks was higher with the 20-gauge PVT compared with the 23-gauge PVT, occurring in 13 (36.1%) and 4 (11.1%) cases, respectively (P=0.025). There were no cases of retinal detachment. Postoperative intraocular pressure (IOP), at day 1, was significantly higher with 20-gauge PVT at 24.77 (±12.68) mm Hg compared with 17.20 (±6.95) mm Hg in 23-gauge PVT (P=0.0028). Operating times were longer in 20-gauge PVT at 89.36 (±15.26) min compared with the 23-gauge PVT at 79.33 (±23.82) min (P=0.04). The 20-gauge PVT compared with 23-gauge PVT for macular hole repair is a slightly longer procedure and was associated with an increased incidence of retinal breaks and short-term elevated IOP. Both techniques have comparable visual and anatomical outcomes, but the 23-gauge PVT has advantages with regard to safety profile and operating time.

  17. Effect of transanal total mesorectal excision for rectal cancer: comparison of short-term outcomes with laparoscopic and open surgeries.

    Science.gov (United States)

    Perdawood, Sharaf Karim; Thinggaard, Benjamin Sejr; Bjoern, Maya Xania

    2018-05-01

    To compare short-term results of total mesorectal excision (TME) for mid and low rectal cancer, achieved by transanal (TaTME), laparoscopic (LaTME), and open (OpTME) approaches. The impact of TaTME on the surgical treatment of mid and low rectal cancer has yet to be clarified. This is a case-matched study, based on data from a prospectively maintained database of patients who underwent TaTME from May 2015 to March 2017, and a retrospective chart review of patients who underwent LaTME and OpTME in the previous period. Each patient in the TaTME group was matched to one LaTME and one OpTME based on sex, BMI, tumor status, and the height of the tumor from the anal verge. Primary end-points were rates of positive circumferential resection margin (CRM), distal resection margin, and the macroscopic quality of the surgical specimen. Composite of these outcomes was compared as an indication for successful surgery. Secondary end-points included intraoperative data and postoperative course and complications. Three hundred patients were included (TaTME = 100, LaTME = 100, OpTME = 100). The three groups were comparable in the baseline characteristics. TaTME resulted in lower rates of incomplete TME specimens than LaTME, but not OpTME (P = 0.016, P = 0.750, respectively). The rates of CRM involvement, mean CRM distance, and the percentages of successful surgery were comparable among the three groups (P = 0.368). The conversion to open surgery occurred only in the LaTME group. TaTME resulted in shorter operation time and less blood loss than the other two groups (P benefits over other approaches. The pathological results were not significantly superior to LaTME and OpTME. The procedure is however feasible and safe. Further studies are needed to evaluate the long-term oncological and quality of life outcomes.

  18. A comparison of oral misoprostol and vaginal prostaglandin e2 tablets for induction of labour at term

    International Nuclear Information System (INIS)

    Munzar, Z.

    2015-01-01

    To compare the efficacy and safety of oral misoprostol with prostaglandin E2 vaginal tablets for ripening of cervix and induction of labour at term. Study Design: A non blinded, randomised, controlled trial. Place and Duration of Study: Department of Obstetrics and Gynaecology, Pakistan Air Force Hospital, Air Headquarters Islamabad from July 2005 to January 2006. Patients and Methods: Hundred pregnant women with a singleton live pregnancy, at term (37-42 weeks) with cephalic presentation were selected for induction of labour for various indications having a Bishop's score of < or =5. These women were randomly allocated to receive either 100 micro gm of misoprostol rally repeated four hourly to a maximum of four doses or a 3mg PGE2 tablet vaginally repeated six hourly to a maximum of two doses. Main outcomes measured: Cervical score before and after oral misoprostol and prostaglandin E2 vaginal tablets, vaginal birth within 24 hours of first prostaglandin dose, no of patients having failed induction, caesarean sections (all), caesarean section for fetal distress and uterine hyperstimulation with associated changes in fetal heart rate. Results: Over the period of one year 100 women were recruited for the study, 50 to the misoprostol group and 50 to the vaginal prostaglandin E2 group. There was no significant differences between the two treatment groups in the primary outcomes: improvement in bishops score in both the groups, no of patients with failed induction in both the groups misoprostol 2/50 (4%) v PGE2 3/50 (6%) , vaginal birth achieved in 24 hours (misoprostol 27/50 (54%) v PGE2 29/50 (58%), caesarean sections 14/50 (28%) v 12/50(24%) caesarean section for fetal distress 4/50((8%) v 5/50(9%); uterine hyperstimulation with fetal heart rate changes 2/50 ((4%) v none in the PGE2 group.). Neonatal outcomes were not significantly different in the two groups. Conclusion: Oral misoprostol in strength of 100 micro gm has similar efficacy to vaginal PGE2 tablets

  19. Comparison of the Long-Term Outcomes of Mechanical and Bioprosthetic Aortic Valves - A Propensity Score Analysis.

    Science.gov (United States)

    Minakata, Kenji; Tanaka, Shiro; Tamura, Nobushige; Yanagi, Shigeki; Ohkawa, Yohei; Okonogi, Shuichi; Kaneko, Tatsuo; Usui, Akihiko; Abe, Tomonobu; Shimamoto, Mitsuomi; Takahara, Yoshiharu; Yamanaka, Kazuo; Yaku, Hitoshi; Sakata, Ryuzo

    2017-07-25

    The aim of this study was to assess the long-term outcomes of aortic valve replacement (AVR) with either mechanical or bioprosthetic valves according to age at operation.Methods and Results:A total of 1,002 patients (527 mechanical valves and 475 bioprosthetic valves) undergoing first-time AVR were categorized according to age at operation: group Y, age mechanical and bioprosthetic valves for all age groups. Valve-related mortality was significantly higher for mechanical valves in group O (HR, 2.53; P=0.02). Reoperation rate was significantly lower for mechanical valves in group Y (HR, 0.16; Pmechanical valves). Although the rate of thromboembolic events was higher in mechanical valves in group Y (no events for tissue valves) and group M (HR, 9.05; P=0.03), there were no significant differences in bleeding events between all age groups. The type of prosthetic valve used in AVR does not significantly influence overall mortality.

  20. Comparison of long-term knowledge retention in lecture-based versus flipped team-based learning course delivery.

    Science.gov (United States)

    Taglieri, Catherine; Schnee, David; Dvorkin Camiel, Lana; Zaiken, Kathy; Mistry, Amee; Nigro, Stefanie; Tataronis, Gary; Patel, Dhiren; Jacobson, Susan; Goldman, Jennifer

    2017-05-01

    To determine whether team based learning (TBL) is superior to traditional lecture -based learning in confidence and knowledge retention one year later. A survey was administered 17 months after a completion of a required over-the-counter /self-care (OTC) course to two different cohorts of students. The survey assessed confidence and knowledge related to OTC topics. The lecture group had a traditional lecture based classroom experience; the intervention group experienced a TBL format throughout the entire course. One hundred forty-seven students of 283 enrolled (51.9%) in the lecture group and 222 of 305 (72.8%) students in the TBL group participated in the knowledge assessment and survey. Demographic data including student grade point averages (GPA) and confidence were similar in both groups. Mean assessment scores (±SD) on OTC knowledge was significantly higher in the traditional lecture based group versus the TBL group; 62.9±19.3 vs. 54.9±15.7 (p=0.001). Although TBL is thought to improve student engagement and mastery of material, after an initial implementation of TBL, knowledge retention in the long term appears to be lower than lecture based learning. Copyright © 2017 Elsevier Inc. All rights reserved.

  1. Long-Term Persistence of Pesticides and TPs in Archived Agricultural Soil Samples and Comparison with Pesticide Application.

    Science.gov (United States)

    Chiaia-Hernandez, Aurea C; Keller, Armin; Wächter, Daniel; Steinlin, Christine; Camenzuli, Louise; Hollender, Juliane; Krauss, Martin

    2017-09-19

    For polar and more degradable pesticides, not many data on long-term persistence in soil under field conditions and real application practices exist. To assess the persistence of pesticides in soil, a multiple-compound screening method (log K ow 1.7-5.5) was developed based on pressurized liquid extraction, QuEChERS and LC-HRMS. The method was applied to study 80 polar pesticides and >90 transformation products (TPs) in archived topsoil samples from the Swiss Soil Monitoring Network (NABO) from 1995 to 2008 with known pesticide application patterns. The results reveal large variations between crop type and field sites. For the majority of the sites 10-15 pesticides were identified with a detection rate of 45% at concentrations between 1 and 330 μg/kg dw in soil. Furthermore, TPs were detected in 47% of the cases where the "parent-compound" was applied. Overall, residues of about 80% of all applied pesticides could be detected with half of these found as TPs with a persistence of more than a decade.

  2. Comparison of manual toothbrushes with different bristle designs in terms of cleaning efficacy and potential role on gingival recession.

    Science.gov (United States)

    Cifcibasi, Emine; Koyuncuoglu, Cenker Zeki; Baser, Ulku; Bozacioglu, Busra; Kasali, Kamber; Cintan, Serdar

    2014-07-01

    The aim was to compare the efficacy of plaque control and potential effects on gingival recession of the toothbrushes with angled and straight bristles. A total of 40 healthy dental students (25 females and 15 males; age range: 23-25 years) participated and two study groups were constituted. Participants were randomly distributed into two groups to use either angled or standard design manual tooth brushes with soft bristles. Oral hygiene indicators and soft tissue levels were monitored for 6 months. Plaque index, gingival index (GI), probing depth, clinical attachment level, and bleeding on probing were measured at six sites. Vertical recession (VR) and horizontal recession (HR) were also recorded. All measurements were repeated at 3 and 6 months. Plaque scores were reduced significantly at 6 months compared to baseline in both groups (P recession (GR) values were not statistically significant (P > 0.05) at baseline, 3 and 6 months suggesting no pronounced impact of bristle design in terms of GR (VR = 0.596, HR = 0.572; VR = 0.884, HR = 0.572; VR = 0.884, HR = 0.572 in the groups). Bristle design has little impact on plaque removal capacity of a toothbrush. Both designs are safe enough to prevent GR as long as soft bristle material is used.

  3. Presentation and long-term follow-up of refractory celiac disease: comparison of type I with type II.

    Science.gov (United States)

    Malamut, Georgia; Afchain, Pauline; Verkarre, Virginie; Lecomte, Thierry; Amiot, Aurélien; Damotte, Diane; Bouhnik, Yoram; Colombel, Jean-Frédéric; Delchier, Jean-Charles; Allez, Matthieu; Cosnes, Jacques; Lavergne-Slove, Anne; Meresse, Bertrand; Trinquart, Ludovic; Macintyre, Elizabeth; Radford-Weiss, Isabelle; Hermine, Olivier; Brousse, Nicole; Cerf-Bensussan, Nadine; Cellier, Christophe

    2009-01-01

    Refractory celiac disease (RCD) was recently subdivided into 2 subtypes (RCD I and II) based on a normal or abnormal phenotype of intraepithelial lymphocytes (IELs), respectively. It is not clear, however, if these 2 entities differ in their presentation at diagnosis or long-term outcome. We compared the clinical and biological characteristics of RCD I and RCD II at diagnosis, the risk of developing an overt lymphoma, and the predictive factors of survival. Medical files of 14 patients with RCD I and 43 with RCD II were analyzed retrospectively. Predictive factors of overt lymphoma and survival were studied in univariate and multivariate analyses. At diagnosis, malnutrition, ulcerative jejunitis, and lymphocytic gastritis were more common in patients with RCD II than RCD I (PRCD I and 16 with RCD II. In the univariate analysis, abnormal IEL phenotype and increased age at diagnosis of RCD were predictive factors for overt lymphoma. Abnormal IEL phenotype (PRCD I and 44% with RCD II. RCD II has a much more severe presentation and prognosis than patients with RCD I; RCD II survive 5 years after diagnosis. Abnormal IEL phenotype is a predictive factor but not a necessary condition for the development of overt lymphoma.

  4. Comparison of laparoscopic and open appendectomy in terms of operative time, hospital stay and frequency of surgical site infection

    International Nuclear Information System (INIS)

    Ibrahim, T.; Saleem, M.R.; Aziz, O.B.; Arshad, A.

    2014-01-01

    To compare laparoscopic and conventional open appendectomy in terms of operative time, hospital stay and frequency of surgical site infection (SSI). Patient and Methods: A total of 417 patients underwent appendectomy during this period. 137 patients underwent laparoscopic appendectomy (group A) while 280 patient had open appendectomy (group B). The samples include all patients who were operated open between the time span of june 2010 to september 2011. A chi square-test was performed to compare the data for statistical significance. Result: Mean operative time for group A was 79.21+-23.42 minitues where as in group B, the mean operative time was 41.49+-20.86 minitues. Group A patients had a shorter hospital 1 stay (3.6+-1 day) but in group B it was (5.2+-3 days). Seven patients (5.1 %) developed surgical site infection (SSI) in group A and 34 patients (12.14 %)developed postoperative SSI in group B. Conclusion: Laparoscopic appendectomy is superior to open appendectomy because of shorter hospital stay and laser-operative SSI, but requires longer operative time. (author)

  5. Latest generation of unipolar and bipolar steroid eluting leads: long-term comparison of electrical performance in atrium and ventricles.

    Science.gov (United States)

    Cornacchia, D; Fabbri, M; Puglisi, A; Moracchini, P; Bernasconi, M; Nastasi, M; Menozzi, C; Mascioli, G; Marotta, T; de Seta, F

    2000-07-01

    One hundred and seventy-three patients, mean age 74 years permanently paced with 123 atrial (53 unipolar, 70 bipolar) and 143 ventricular (73 unipolar, 70 bipolar) pacing leads were included in this study. The pacing leads were recent generation low surface area steroid eluting leads from one manufacturer: leads with silicone and polyurethane insulation were studied, and they were combined with generations of one pacemaker family from the same manufacturer permitting identical measurements to be made over a follow-up of 2 years. Pacing threshold was measured using pulse duration at a fixed voltage of 1.5 V: peak to peak P and R wave amplitude and pacing impedance at 2.5 V and 0.5 ms were all measured using the manufacturer's standard programmer. Although many significant differences, in the parameters measures, existed between atrium and ventricle and unipolar and bipolar configurations, none was felt to be of clinical significance. These data permit the physician to choose the lead type with regard to sensing performance and long-term lead integrity.

  6. Comparison of Turkey’s Geographical Regions in terms of Stand-Alone PV System Design and Cost Parameters

    Directory of Open Access Journals (Sweden)

    Nevzat Onat

    2017-01-01

    Full Text Available Stand-alone photovoltaic (SAPV systems are widely used in rural areas where there is no national grid or as a precaution against power outages. In this study, technical and economic analysis of a SAPV system was carried out using meteorological data for 75 province centers in seven geographical regions of Turkey. Obtained results for each province center were separated by geographical area. The averages of the centers for each region are taken as output. A calculation algorithm based on MsExcel has been established for these operations. The analyses made with the developed algorithm are repeated for five different scenarios that they cover periods of time when a constant strong load is active for all seasons (winter, spring, summer, and autumn and all year round. The developed algorithm calculates the life-cycle cost, the unit energy cost, the electrical capacity utilization rate, the amount of generated/excess energy per month, the initial investment/replacement, and operating and maintenance (O&M costs of each element. As a result, geographical regions of Turkey are compared in terms of these outputs graphically. Further investigations may include the sale of excess energy generated, small-scale PV system cost factors parallel to the grid, and the effects of government incentives.

  7. Energetic, relativistic, and ultrarelativistic electrons: Comparison of long-term VERB code simulations with Van Allen Probes measurements

    Science.gov (United States)

    Drozdov, A. Y.; Shprits, Y. Y.; Orlova, K. G.; Kellerman, A. C.; Subbotin, D. A.; Baker, D. N.; Spence, H. E.; Reeves, G. D.

    2015-05-01

    In this study, we compare long-term simulations performed by the Versatile Electron Radiation Belt (VERB) code with observations from the Magnetic Electron Ion Spectrometer and Relativistic Electron-Proton Telescope instruments on the Van Allen Probes satellites. The model takes into account radial, energy, pitch angle and mixed diffusion, losses into the atmosphere, and magnetopause shadowing. We consider the energetic (>100 keV), relativistic (~0.5-1 MeV), and ultrarelativistic (>2 MeV) electrons. One year of relativistic electron measurements (μ = 700 MeV/G) from 1 October 2012 to 1 October 2013 are well reproduced by the simulation during varying levels of geomagnetic activity. However, for ultrarelativistic energies (μ = 3500 MeV/G), the VERB code simulation overestimates electron fluxes and phase space density. These results indicate that an additional loss mechanism is operational and efficient for these high energies. The most likely mechanism for explaining the observed loss at ultrarelativistic energies is scattering by the electromagnetic ion cyclotron waves.

  8. The presence and accuracy of food and nutrition terms in the Spanish and English editions of Wikipedia: in comparison with the Mini Larousse encyclopaedia.

    Science.gov (United States)

    Cabrera-Hernández, Laura María; Wanden-Berghe, Carmina; Curbelo Castro, Celeste; Sanz-Valero, Javier

    2014-10-02

    To determine the presence and appropriateness of the terminology concerning Food/Nutrition Science in the Spanish and English editions of Wikipedia and to compare them with that of an encyclopaedia for general use (Mini Larousse). Méthods: The terms in the study were taken from the LID dictionary on metabolism and nutrition: The existence and appropriateness of the selected terms were checked through random sample estimate with no replacement (n=386), using the Spanish and English editions of Wikipedia. The existence of 261 terms in the Spanish edition and 306 in the English edition was determined from the study sample (n=386). Several differences were found between the two editions (p<0,001). There were differences between the two editions in relation to the appropriateness of definitions, though these were not studied in any depth (p<0,001). During the study of the 261 terms in the Spanish version of Wikipedia,3 entries (1,15%, IC95%: 0,00-2.44) were found to be lacking in appropriate information; 2 of the 306 entries in the English edition failed to give appropriate information (0,52%, IC95%: 0,00-1,23). A comparison between the existing entries of the Mini Larousse Encyclopaedia and the Spanish edition of Wikipedia, showed Wikipedia (p<0,001) as having a larger number of entries. The terminology under study is present to a lesser extent in the Spanish edition of Wikipedia than in the English edition. The appropriateness of content was greater in the English edition. Both the Spanish and English editions have a greater number of entries and more exact ones than the Mini Larousse. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.

  9. Evaluation of the deposition, translocation and pathological response of brake dust with and without added chrysotile in comparison to crocidolite asbestos following short-term inhalation: Interim results

    Energy Technology Data Exchange (ETDEWEB)

    Bernstein, David M., E-mail: davidb@itox.ch [Consultant in Toxicology, 1208 Geneva (Switzerland); Rogers, Rick, E-mail: rarogers5@yahoo.com [Rogers Imaging, Needham, MA 02494 (United States); Sepulveda, Rosalina [Rogers Imaging, Needham, MA 02494 (United States); Kunzendorf, Peter, E-mail: Peter.Kunzendorf@GSA-Ratingen.de [GSA Gesellschaft für Schadstoffanalytik mbH, D-40882 Ratingen (Germany); Bellmann, Bernd [Fraunhofer Institute for Toxicology and Experimental Medicine, D-30625 Hannover (Germany); Ernst, Heinrich, E-mail: Heinrich.ernst@item.fraunhofer.de [Fraunhofer Institute for Toxicology and Experimental Medicine, D-30625 Hannover (Germany); Phillips, James I., E-mail: jim.phillips@nioh.nhls.ac.za [National Institute for Occupational Health, National Health Laboratory Service (South Africa); Department of Biomedical Technology, Faculty of Health Sciences, University of Johannesburg (South Africa)

    2014-04-01

    Chrysotile has been frequently used in the past in manufacturing brakes and continues to be used in brakes in many countries. This study was designed to provide an understanding of the biokinetics and potential toxicology following inhalation of brake dust following short term exposure in rats. The deposition, translocation and pathological response of brake dust derived from brake pads manufactured with chrysotile were evaluated in comparison to the amphibole, crocidolite asbestos. Rats were exposed by inhalation 6 h/day for 5 days to either brake dust obtained by sanding of brake-drums manufactured with chrysotile, a mixture of chrysotile and the brake dust or crocidolite asbestos. No significant pathological response was observed at any time point in either the brake dust or chrysotile/brake dust exposure groups. The long chrysotile fibers (> 20 μm) cleared quickly with T{sub 1/2} estimated as 30 and 33 days, respectively in the brake dust and the chrysotile/brake dust exposure groups. In contrast, the long crocidolite fibers had a T{sub 1/2} > 1000 days and initiated a rapid inflammatory response in the lung following exposure resulting in a 5-fold increase in fibrotic response within 91 days. These results provide support that brake dust derived from chrysotile containing brake drums would not initiate a pathological response in the lung following short term inhalation. - Highlights: • We evaluated brake dust w/wo added chrysotile in comparison to crocidolite asbestos. • Persistence, translocation, pathological response in the lung and pleural cavity. • Chrysotile cleared rapidly from the lung while the crocidolite asbestos persisted. • No significant pathology observed at any time point in the brake-dust groups. • Crocidolite produced pathological response - Wagner 4 interstitial fibrosis by 32d.

  10. On financial equilibrium with intermediation costs

    DEFF Research Database (Denmark)

    Markeprand, Tobias Ejnar

    2008-01-01

    This paper studies the set of competitive equilibria in financial economies with intermediation costs. We consider an arbitrary dividend structure, which includes options and equity with limited liabilities.We show a general existence result and upper-hemi continuity of the equilibrium...... correspondence. Finally, we prove that when intermediation costs approach zero, unbounded volume of asset trades is a necessary and sufficient condition, provided that, there is no financial equilibrium without intermediation costs....

  11. Biocatalytic Synthesis of Chiral Pharmaceutical Intermediates

    Directory of Open Access Journals (Sweden)

    Ramesh N. Patel

    2004-01-01

    Full Text Available The production of single enantiomers of drug intermediates has become increasingly important in the pharmaceutical industry. Chiral intermediates and fine chemicals are in high demand from both the pharmaceutical and agrochemical industries for the preparation of bulk drug substances and agricultural products. The enormous potential of microorganisms and enzymes for the transformation of synthetic chemicals with high chemo-, regio- and enantioselectivities has been demonstrated. In this article, biocatalytic processes are described for the synthesis of chiral pharmaceutical intermediates.

  12. Experiments in intermediate energy physics

    Energy Technology Data Exchange (ETDEWEB)

    Dehnhard, D.

    2003-02-28

    Research in experimental nuclear physics was done from 1979 to 2002 primarily at intermediate energy facilities that provide pion, proton, and kaon beams. Particularly successful has been the work at the Los Alamos Meson Physics Facility (LAMPF) on unraveling the neutron and proton contributions to nuclear ground state and transition densities. This work was done on a wide variety of nuclei and with great detail on the carbon, oxygen, and helium isotopes. Some of the investigations involved the use of polarized targets which allowed the extraction of information on the spin-dependent part of the triangle-nucleon interaction. At the Indiana University Cyclotron Facility (IUCF) we studied proton-induced charge exchange reactions with results of importance to astrophysics and the nuclear few-body problem. During the first few years, the analysis of heavy-ion nucleus scattering data that had been taken prior to 1979 was completed. During the last few years we created hypernuclei by use of a kaon beam at Brookhaven National Laboratory (BNL) and an electron beam at Jefferson Laboratory (JLab). The data taken at BNL for a study of the non-mesonic weak decay of the A particle in a nucleus are still under analysis by our collaborators. The work at JLab resulted in the best resolution hypernuclear spectra measured thus far with magnetic spectrometers.

  13. A Comparison between Transcutaneous and Total Serum Bilirubin in Healthy-term Greek Neonates with Clinical Jaundice

    Directory of Open Access Journals (Sweden)

    Charalambos Neocleous

    2014-01-01

    Full Text Available The accuracy of transcutaneous bilirubin meters has been assessed in newborns from various ethnic backgrounds. However, there are limited data on Greek newborns. Our study examined the accuracy of transcutaneous bilirubin measurements in clinically jaundiced healthy-term Greek newborns, using total serum bilirubin as the reference standard, in order to re-evaluate our local guidelines about neonatal jaundice. Clinically jaundiced newborns requiring total serum bilirubin level estimation were recruited prospectively. 368 pairs of total serum bilirubin/transcutaneous bilirubin measurements were taken in 222 newborns, using a direct spectrophotometric device and the BiliCheck device, respectively. The level of agreement between the obtained transcutaneous bilirubin and total serum bilirubin values was assessed. Our data were analysed using the Stata/SE 12.0 (StataCorp LP, USA statistical programme. The mean (± SD TSB was 225.4 ± 25.4 μmol/l and the mean (± SD TcB was 237.9 ± 21.0 μmol/l. The correlation between the values was poor (Pearson’s correlation coefficient 0.439; Lin’s concordance coefficient 0.377 [95% CI 0.301 to 0.453]; P<0.001. The Bland-Altman analysis demonstrated that transcutaneous bilirubin measurements tended to overestimate the total serum bilirubin value (mean difference 12.5 ± 24.9 μmol/l, with wide 95% limits of agreement (–36.2 μmol/l to 61.3 μmol/l. Transcutaneous bilirubin values did not correlate well with total serum bilirubin values, being often imprecise in predicting the actual total serum bilirubin levels. This permits us to continue estimating total serum bilirubin in clinically jaundiced newborns according to our local guidelines, in order to safely decide the appropriate care plan.

  14. Long-term care planning and preferences among Japanese American baby boomers: Comparison with non-Japanese Americans.

    Science.gov (United States)

    Iwasaki, Michiko; Pierson, Mark E; Madison, Devon; McCurry, Susan M

    2016-09-01

    Nikkei (Japanese American) communities are known to be forerunners for building culturally sensitive long-term care (LTC) services and programs. Existing literature highlights evolving cultural shifts among Nikkei communities as well as the baby boomers from the previous aging cohort. The present study's primary purpose was to examine Japanese American (JA) boomers' perceptions about their LTC planning compared with their non-JA counterparts. JA's residential and care preferences were also examined. The study applied survey methodology with a total of 499 "boomers" (age 51-71 years) in the state of Washington. Data obtained from JA (n = 264) were compared with the data from non-JA Washingtonians (non-JA, n = 235). Data from an additional subset of questions asking JA's preferences for retirement/LTC facilities were also analyzed. The findings showed similarities and differences between the two groups. No group differences were found with regard to caregiving experiences, exposure to LTC, expectation of requiring future LTC or physical proximity to their adult children. JA boomers, however, showed more knowledge about LTC-related facts, stronger preference to avoid becoming dependent on their families and a higher rate of LTC insurance purchases. JA boomers ranked higher preferences on culturally universal elements (e.g. transportation services, Internet access) for their retirement and LTC facilities over Japanese cultural-specific elements. JA boomers also preferred to reside with a mixture of racial/ethnic residents. The present study suggests that the LTC industry including JA communities should accommodate boomers' retirement plans and preferences with a multicultural selection of services and settings. Geriatr Gerontol Int 2016; 16: 1074-1084. © 2015 Japan Geriatrics Society.

  15. Comparison of Living and Bedrooms in Terms of House Dust Mites in the Province of Erzincan, Turkey.

    Science.gov (United States)

    Zeytun, Erhan; Doğan, Salih; Özçiçek, Fatih; Ünver, Edhem; Dilkaraoğlu, Sibel

    2016-01-01

    The most important factors in development of symptoms such as allergic asthma, rhinitis, conjunctivitis, and dermatitis in atopic persons are the allergens of house dust mites. The objective of this study was to compare living rooms and bedrooms, and woolen and spring mattresses in terms of the number and species of mites in houses in the province of Erzincan, Turkey. In total, 74 dust samples were collected from living rooms and bedrooms of 37 randomly selected houses from various districts of the city. All examined houses were positive for house dust mites. In total, 5,210 mites were isolated, 1,058 from the living rooms and 4,152 from the bedrooms, and the differences were statistically significant (P mites detected in bedrooms, 1,330 (32%) were isolated from 31 spring mattresses and 2,822 (68%) from 6 woolen mattresses (P < 0.001). The study identified 14 families, 17 genera, and 16 species belonging to Astigmata, Prostigmata, and Oribatida. Of these, Dermatophagoides pteronyssinus (Trouessart) was the dominant species: living rooms, 63.3%; bedrooms, 74.4%; woolen mattresses, 84.6%; and spring mattresses, 52.8%. This was followed by Lepidoglyphus destructor (Schrank) (9.8%), Dermatophagoides farinae Hughes (5.1%), Tyrophagus putrescentiae (Schrank) (4.3%), and Acarus siro L. (2.5%) in living rooms; L. destructor (11.2%), Euroglyphus maynei (Cooreman) (4.2%), D. farinae (3.8%), and T. putrescentiae (1.0%) in bedrooms; L. destructor (11.8%), D. farinae (2.1%), E. maynei (0.3%), and T. putrescentiae (0.2%) in woolen mattresses; and E. maynei (12.5%), L. destructor (9.9%), D. farinae (7.5%), and T. putrescentiae (2.7%) in spring mattresses.

  16. A Comparison of the Effects of Short-Term Plyometric and Resistance Training on Lower Body Muscular Performance.

    Science.gov (United States)

    Whitehead, Malcolm T; Scheett, Timothy P; McGuigan, Michael R; Auckland, N Z; Martin, Angel V

    2017-11-01

    The purpose of this study was to compare effects of short-term plyometric and resistance training on lower body muscular performance. A convenience sample of thirty males aged 21.3 ± 1.8 years, height 177.3 ± 9.4 cm, mass 80.0 ± 2.6 kg, body fat 16.1 ± 1.2 % participated in this investigation. Participants were grouped and participated in progressive plyometric (PLT) or resistance training (SRT) twice per week for eight consecutive weeks or a control (CNT) group that did not participate in any training. Performance tests were administered prior to and following the training period and included measures of high-speed muscular strength (standing long jump, vertical jump), low-speed muscular strength (one-repetition maximal back squat), running speed (20-meter sprint) and running agility (505 agility test agility test-Test). Analysis of variance followed by post hoc analyses was performed to determine significant differences between the groups. Significance set at p ≤ 0.05 for all analyses. Significant improvements were observed in the PLT group for standing long jump, vertical jump, and one-repetition maximal back squat compared to the CNT group, and for vertical jump as compared to the SRT group. Significant improvements were observed in the SRT group one-repetition maximal back squat compared to the CNT group. There were no differences observed between any of the groups for the 20-meter sprint or the 505 agility test following the training. These data indicate eight weeks of progressive plyometric training results in improvements in parameters of high and low-speed muscular strength with no appreciable change in speed or agility. Additionally, the improvement in low-speed muscular strength observed from 8-weeks of progressive plyometric training was comparable to the results observed from 8-weeks of progressive strength training.

  17. Comparison of metabolic syndrome with growing epidemic syndrome Z in terms of risk factors and gender differences.

    Science.gov (United States)

    Uyar, Meral; Davutoğlu, Vedat; Aydın, Neriman; Filiz, Ayten

    2013-05-01

    The aim of this study is to compare metabolic syndrome with syndrome Z growing epidemic in terms of risk factors, demographic variables, and gender differences in our large cohort at southeastern area in Turkey. Data of patients admitted to sleep clinic in University of Gaziantep from January 2006 to January 2011 were retrospectively evaluated. ATP III and JNC 7 were used for defining metabolic syndrome and hypertension. Data of 761 patients were evaluated. Hypertension, diabetes mellitus, coronary artery disease, pulmonary hypertension, and left ventricular hypertrophy were more common in patients with syndrome Z than in patients without metabolic syndrome. Age, waist/neck circumferences, BMI, triglyceride, glucose, and Epworth sleepiness scale score were detected higher, whereas the minimum oxygen saturation during sleep was lower in patients with syndrome Z. Metabolic syndrome was more common in sleep apneic subjects than in controls (58 versus 30 %). Female sleep apneics showed higher rate of metabolic syndrome than those of males (74 versus 52 %). Hypertension, diabetes mellitus, coronary artery disease, and left ventricular hypertrophy were detected higher in males with syndrome Z than in males without metabolic syndrome. Snoring and excessive daytime sleepiness were detected higher in females with syndrome Z than in females without metabolic syndrome. Systemic/pulmonary hypertension, diabetes mellitus, and left ventricular hypertrophy were more common in females with syndrome Z than in females without metabolic syndrome. Complaints of headache and systemic/pulmonary hypertension were more common among females than males with syndrome Z. Female syndrome Z patients had lower minimum oxygen saturation than male patients with syndrome Z. Metabolic syndrome in sleep apneic patients is more prevalent than in controls. All metabolic syndrome parameters were significantly different among obstructive sleep apneic patients with respect to gender with more severe

  18. Comparison of umbilical cord ghrelin concentrations in full-term pregnant women with or without gestational diabetes.

    Science.gov (United States)

    Karakulak, Murat; Saygili, Uğur; Temur, Muzaffer; Yilmaz, Özgür; Özün Özbay, Pelin; Calan, Mehmet; Coşar, Hese

    2017-05-01

    Ghrelin is a potent orexigenic peptide hormone secreted from the gastrointestinal tract that plays a crucial role in the regulation of lipids and glucose metabolism. Ghrelin also has links with fetal development and growth. Gestational diabetes mellitus (GDM) causes fetal macrosomia, but there is no available evidence of a relationship between ghrelin levels and birth weight in women with GDM. The purpose of this study is to investigate whether umbilical cord ghrelin concentrations are altered in full-term pregnant women with GDM compared to women without GDM and whether birth weight is correlated with ghrelin levels. Sixty pregnant women with GDM and 64 healthy pregnant women without GDM were included in this cross-sectional study. Blood samples were drawn from the umbilical vein following birth. Ghrelin concentrations were measured using enzyme-linked immunosorbent assay (ELISA). Umbilical vein ghrelin levels were decreased in women with GDM (879.6 ± 256.1 vs. 972.2 ± 233.6 pg/ml in women without GDM, p=0.033), whereas birth weights were higher for babies in the GDM than in the non-GDM group (3448 ± 410 vs. 3308 ± 365 gr, respectively, p=0.046). Umbilical ghrelin levels were inversely correlated with birth weight (r=-0.765, pghrelin levels (β= -2.077, 95% CI=-2.652 to -1.492, p=0.002). Umbilical ghrelin levels were lower in GDM women. Birth weight was inversely associated with umbilical ghrelin levels. This association may be explained by a negative feedback mechanism between ghrelin and birth weight.

  19. Compact Intermediate-Temperature Fuel Cells

    National Research Council Canada - National Science Library

    Sun, Yipeng

    2003-01-01

    In Phase I, we demonstrate the feasibility of making supported electronically insulating, proton conducting inorganic thin films on metal hydride foils for intermediate temperature fuel cell electrolytes...

  20. Long-term outcome of aplastic anemia in adults treated with antithymocyte globulin: comparison with bone marrow transplantation.

    Science.gov (United States)

    Paquette, R L; Tebyani, N; Frane, M; Ireland, P; Ho, W G; Champlin, R E; Nimer, S D

    1995-01-01

    The outcome of 155 adult aplastic anemia (AA) patients treated with antithymocyte globulin (ATG, Upjohn, Kalamazoo, MI) at University of California, Los Angeles from 1977 to 1988 was evaluated. The median survival of the 146 patients who did not undergo bone marrow transplantation was 5.6 years, with 49% +/- 4% surviving more than 6 years. The most important predictor of survival was positive response to ATG (P < 0.001), which was observed in 48% of patients. Among pretreatment variables, disease severity was the best predictor of survival. Patients with moderate AA (MAA) had significantly better survival than those with severe (SAA) or very severe (VSAA) disease (P = 0.04). The 6-year actuarial survival rates of the three groups were 71% +/- 9%, 48% +/- 7% and 38% +/- 7%, respectively. Cox regression analysis found disease severity to be the only pretreatment variable significantly associated with survival (P = .02). Patient age, sex, disease etiology, concurrent treatment with androgens, or duration of ATG therapy were not associated with differences in survival or response to ATG. Late clonal hematologic complications (ie, myelodysplasia, acute myelogenous leukemia) were observed in 5 of the 77 patients followed for more than 2 years after ATG treatment. In addition, one case of non-Hodgkin's lymphoma and three solid tumors occurred in the ATG-treated patients. The survival of 56 ATG-treated patients with SAA or VSAA between the ages of 16 and 43 did not differ significantly from that of 55 adult AA patients who underwent bone marrow transplant (BMT) during the same time period (P = 0.6). However, 6-year survival rates improved from 43% for patients transplanted before 1984, to 72% for those who underwent BMT between 1984 and 1989. In contrast, there was no difference in the survival rates of patients treated with ATG during these two time periods (46% v 45%, respectively). The results suggest a superior long-term outcome for adult patients with SAA treated with

  1. Propensity-Weighted Comparison of Long-Term Risk of Urinary Adverse Events in Elderly Women Treated For Cervical Cancer

    International Nuclear Information System (INIS)

    Elliott, Sean P.; Fan, Yunhua; Jarosek, Stephanie; Chu, Haitao; Downs, Levi; Dusenbery, Kathryn; Geller, Melissa A.; Virnig, Beth A.

    2015-01-01

    Purpose: Cervical cancer treatment is associated with a risk of urinary adverse events (UAEs) such as ureteral stricture and vesicovaginal fistula. We sought to measure the long-term UAE risk after surgery and radiation therapy (RT), with confounding controlled through propensity-weighted models. Methods and Materials: From the Surveillance, Epidemiology, and End Results (SEER)-Medicare database, we identified women ≥66 years old with nonmetastatic cervical cancer treated with simple surgery (SS), radical hysterectomy (RH), external beam RT plus brachytherapy (EBRT+BT), or RT+surgery. We matched them to noncancer controls 1:3. Differences in demographic and cancer characteristics were balanced by propensity weighting. Grade 3 to 4 UAEs were identified by diagnosis codes plus treatment codes. Cumulative incidence was measured using Kaplan-Meier methods. The hazard associated with different cancer treatments was compared using Cox models. Results: UAEs occurred in 272 of 1808 cases (17%) and 222 of 5424 (4%) controls; most (62%) were ureteral strictures. The raw cumulative incidence of UAEs was highest in advanced cancers. UAEs occurred in 31% of patients after EBRT+BT, 25% of patients after RT+surgery, and 15% of patients after RH; however, after propensity weighting, the incidence was similar. In adjusted Cox models (reference = controls), the UAE risk was highest after RT+surgery (hazard ratio [HR], 5.07; 95% confidence interval [CI], 2.32-11.07), followed by EBRT+BT (HR, 3.33; 95% CI, 1.45-7.65), RH (HR, 3.65; 95% CI, 1.41-9.46) and SS (HR, 0.99; 95% CI, 0.32-3.01). The higher risk after RT+surgery versus EBRT+BT was statistically significant, whereas, EBRT+BT and RH were not significantly different from each other. Conclusions: UAEs are common after cervical cancer treatment, particularly in patients with advanced cancers. UAEs are more common after RT, but these women tend to have the advanced cancers. After propensity weighting, the risk after RT was similar

  2. Structural and kinetic studies on native intermediates and an intermediate analogue in benzoylformate decarboxylase reveal a least motion mechanism with an unprecedented short-lived predecarboxylation intermediate.

    Science.gov (United States)

    Bruning, Marc; Berheide, Marco; Meyer, Danilo; Golbik, Ralph; Bartunik, Hans; Liese, Andreas; Tittmann, Kai

    2009-04-21

    The thiamin diphosphate- (ThDP-) dependent enzyme benzoylformate decarboxylase (BFDC) catalyzes the nonoxidative decarboxylation of benzoylformic acid to benzaldehyde and carbon dioxide. To date, no structural information for a cofactor-bound reaction intermediate in BFDC is available. For kinetic analysis, a chromophoric substrate analogue was employed that produces various absorbing intermediates during turnover but is a poor substrate with a 10(4)-fold compromised kcat. Here, we have analyzed the steady-state distribution of native intermediates by a combined chemical quench/1H NMR spectroscopic approach and estimated the net rate constants of elementary catalytic steps. At substrate saturation, carbonyl addition of the substrate to the cofactor (k' approximately 500 s-1 at 30 degrees C) and elimination of benzaldehyde (k' approximately 2.400 s-1) were found to be partially rate-determining for catalysis, whereas decarboxylation of the transient 2-mandelyl-ThDP intermediate is 1 order of magnitude faster with k' approximately 16.000 s-1, the largest rate constant of decarboxylation in any thiamin enzyme characterized so far. The X-ray structure of a predecarboxylation intermediate analogue was determined to 1.6 A after cocrystallization of BFDC from Pseudomonas putida with benzoylphosphonic acid methyl ester. In contrast to the free acid, for which irreversible phosphorylation of active center Ser26 was reported, the methyl ester forms a covalent adduct with ThDP with a similar configuration at C2alpha as observed for other thiamin enzymes. The C2-C2alpha bond of the intermediate analogue is out of plane by 7degrees, indicating strain. The phosphonate part of the adduct forms hydrogen bonds with Ser26 and His281, and the 1-OH group is held in place by interactions with His70 and the 4'-amino group of ThDP. The phenyl ring accommodates in a hydrophobic pocket formed by Phe464, Phe397, Leu109, and Leu403. A comparison with the previously determined structure of

  3. Frozen lattice and absorptive model for high angle annular dark field scanning transmission electron microscopy: A comparison study in terms of integrated intensity and atomic column position measurement.

    Science.gov (United States)

    Alania, M; Lobato, I; Van Aert, S

    2018-01-01

    In this paper, both the frozen lattice (FL) and the absorptive potential (AP) approximation models are compared in terms of the integrated intensity and the precision with which atomic columns can be located from an image acquired using high angle annular dark field (HAADF) scanning transmission electron microscopy (STEM). The comparison is made for atoms of Cu, Ag, and Au. The integrated intensity is computed for both an isolated atomic column and an atomic column inside an FCC structure. The precision has been computed using the so-called Cramér-Rao Lower Bound (CRLB), which provides a theoretical lower bound on the variance with which parameters can be estimated. It is shown that the AP model results into accurate measurements for the integrated intensity only for small detector ranges under relatively low angles and for small thicknesses. In terms of the attainable precision, both methods show similar results indicating picometer range precision under realistic experimental conditions. Copyright © 2017 Elsevier B.V. All rights reserved.

  4. HFC404A vaporisation inside a Brazed Plate Heat Exchanger (BPHE): Comparison with the possible long-term low GWP substitutes HC290 (Propane) and HC1270 (Propylene)

    International Nuclear Information System (INIS)

    Longo, Giovanni A.; Mancin, Simone; Righetti, Giulia; Zilio, Claudio

    2016-01-01

    Highlights: • This paper investigates HFC404A vaporisation inside a BPHE. • HC290 and HC1270 exhibit heat transfer coefficients similar to HFC404A. • HC290 and HC1270 exhibit frictional pressure drops higher than HFC404A. • The experimental measurements are complemented with an IR thermography analysis. - Abstract: This paper presents the heat transfer coefficients and the pressure drops measured during HFC404A vaporisation inside a commercial BPHE and the comparison of this data with previous measurements carried out during HC290 (Propane) and HC1270 (Propylene) vaporisation inside the same BPHE and similar operating condition in order to assess the capability of HydroCarbon refrigerants as long-term low GWP substitutes for HFC404A in commercial and industrial refrigeration. Propane and Propylene exhibit boiling heat transfer coefficient very similar and frictional pressure drops higher than to those of HFC404A, therefore, taking into account also their good thermodynamic properties, they seems to be very promising as long-term low GWP substitutes for HFC404A. The HFC404A boiling heat transfer coefficients were also compared with a new model for refrigerant boiling inside BPHE (Longo et al., 2015): the mean absolute percentage deviation between calculated and experimental data is 6.0%. The heat transfer measurements were also complemented with an IR thermography analysis for a better understanding of refrigerant vaporisation heat transfer regime inside a BPHE.

  5. Nuclear structure at intermediate energies

    International Nuclear Information System (INIS)

    Bonner, B.E.; Mutchler, G.S.

    1991-01-01

    The theme that unites the sometimes seemingly disparate experiments undertaken by the Bonner Lab Medium Energy Group is a determination to understand in detail the many facets and manifestations of the strong interaction, that which is now referred to as nonperturbative QCD. Whether we are investigating the question of just what does carry the spin of baryons, or the extent of the validity of the SU(6) wavefunctions for the excited hyperons (as will be measured in their radiative decays in our CEBAF experiment), or questions associated with the formation of a new state of matter predicted by QCD (the subject of our BNL experiments E810, E854, as well as our approved experiment at RHIC), -- all these projects share this common goal. Our other experiments represent different approaches to the same broad undertaking. LAMPF E1097 will provide definitive answers to the question of the spin dependence of the inelastic channel of pion production in the n-p interaction. FNAL E683 may well open a new field of investigation in nuclear physics: that of just how quarks and gluons interact with nuclear matter as they transverse nuclei of different sizes. In most all of the experiments mentioned above, the Bonner Lab Group is playing major leadership roles as well as doing a big fraction of the hard work that such experiments require. We use many of the facilities that are unavailable to the intermediate energy physics community and we use our expertise to design and fabricate the detectors and instrumentation that are required to perform the measurements which we decide to do

  6. Nuclear structure at intermediate energies

    Energy Technology Data Exchange (ETDEWEB)

    Bonner, B.E.; Mutchler, G.S.

    1991-09-30

    The theme that unites the sometimes seemingly disparate experiments undertaken by the Bonner Lab Medium Energy Group is a determination to understand in detail the many facets and manifestations of the strong interaction, that which is now referred to as nonperturbative QCD. Whether we are investigating the question of just what does carry the spin of baryons, or the extent of the validity of the SU(6) wavefunctions for the excited hyperons (as will be measured in their radiative decays in our CEBAF experiment), or questions associated with the formation of a new state of matter predicted by QCD (the subject of our BNL experiments E810, E854, as well as our approved experiment at RHIC), -- all these projects share this common goal. Our other experiments represent different approaches to the same broad undertaking. LAMPF E1097 will provide definitive answers to the question of the spin dependence of the inelastic channel of pion production in the n-p interaction. FNAL E683 may well open a new field of investigation in nuclear physics: that of just how quarks and gluons interact with nuclear matter as they transverse nuclei of different sizes. In most all of the experiments mentioned above, the Bonner Lab Group is playing major leadership roles as well as doing a big fraction of the hard work that such experiments require. We use many of the facilities that are unavailable to the intermediate energy physics community and we use our expertise to design and fabricate the detectors and instrumentation that are required to perform the measurements which we decide to do.

  7. Intermediate hepatocellular carcinoma: current treatments and future perspectives.

    Science.gov (United States)

    Dufour, J-F; Bargellini, I; De Maria, N; De Simone, P; Goulis, I; Marinho, R T

    2013-04-01

    Current guidelines recommend transarterial chemoembolization (TACE) as the standard treatment of Barcelona-Clinic Liver Cancer (BCLC)-B patients. However, the long-term survival outcomes of patients managed with this technique do not appear fully satisfactory; in addition, intermediate-stage hepatocellular carcinoma (HCC) includes a heterogeneous population of patients with varying tumour burdens, liver function and disease aetiology. Therefore, not all patients with intermediate-stage HCC may derive similar benefit from TACE, and some patients may benefit from other treatment options, which are currently approved or being explored. These include different TACE modalities, such as selective TACE or drug-eluting beads TACE and radioembolization. The introduction of sorafenib in the therapeutic armamentarium for HCC has provided a new therapeutic option for the treatment of BCLC-B patients who are unsuitable to TACE or in whom TACE resulted in unacceptable toxicity. In addition, clinical trials aimed at investigating the potential role of this molecule in the treatment of patients with intermediate-stage HCC within combination therapeutic regimens are ongoing. This narrative review will present and discuss the most recent evidence on the locoregional or medical treatment with sorafenib in patients with intermediate-stage HCC.

  8. 19 CFR 122.84 - Intermediate airport.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Intermediate airport. 122.84 Section 122.84... Intermediate airport. (a) Application. The provisions of this section apply at any U.S. airport to which an... aircraft arrives at the next airport, the aircraft commander or agent shall make entry by filing the: (1...

  9. Gasoline Engine Mechanics. Performance Objectives. Intermediate Course.

    Science.gov (United States)

    Jones, Marion

    Several intermediate performance objectives and corresponding criterion measures are listed for each of six terminal objectives presented in this curriculum guide for an intermediate gasoline engine mechanics course at the secondary level. (For the beginning course guide see CE 010 947.) The materials were developed for a two-semester (2 hour…

  10. Some Intermediate-Level Violin Concertos.

    Science.gov (United States)

    Abramson, Michael

    1997-01-01

    Contends that many violin students attempt difficult concertos before they are technically or musically prepared. Identifies a variety of concertos at the intermediate and advanced intermediate-level for students to study and master before attempting the advanced works by Bach and Mozart. Includes concertos by Vivaldi, Leclair, Viotti, Haydn,…

  11. Automotive Body Repair. Performance Objectives. Intermediate Course.

    Science.gov (United States)

    Lang, Thomas

    Several intermediate performance objectives and corresponding criterion measures are listed for each of 10 terminal objectives for an intermediate automotive body repair and refinishing course. The materials were developed for a two-semester (3 hours daily) course for specialized classrooms, shop, and practical experiences designed to enable the…

  12. 39 CFR 3001.39 - Intermediate decisions.

    Science.gov (United States)

    2010-07-01

    ... 39 Postal Service 1 2010-07-01 2010-07-01 false Intermediate decisions. 3001.39 Section 3001.39 Postal Service POSTAL REGULATORY COMMISSION PERSONNEL RULES OF PRACTICE AND PROCEDURE Rules of General Applicability § 3001.39 Intermediate decisions. (a) Initial decision by presiding officer. In any proceedings in...

  13. Brazil : Interest Rates and Intermediation Spreads

    OpenAIRE

    World Bank

    2006-01-01

    This study sheds light on the analytical and policy issues regarding the high intermediation spread in Brazil, focusing on its determinants, the reasons for its persistence, and its impact on the real economy, especially on access to finance for Brazilian firms. The key contention of the analysis is that high intermediation spreads are a symptom of underlying problems; as such, spreads constitute ...

  14. Epithelial Intermediate Filaments: Guardians against Microbial Infection?

    Directory of Open Access Journals (Sweden)

    Florian Geisler

    2016-06-01

    Full Text Available Intermediate filaments are abundant cytoskeletal components of epithelial tissues. They have been implicated in overall stress protection. A hitherto poorly investigated area of research is the function of intermediate filaments as a barrier to microbial infection. This review summarizes the accumulating knowledge about this interaction. It first emphasizes the unique spatial organization of the keratin intermediate filament cytoskeleton in different epithelial tissues to protect the organism against microbial insults. We then present examples of direct interaction between viral, bacterial, and parasitic proteins and the intermediate filament system and describe how this affects the microbe-host interaction by modulating the epithelial cytoskeleton, the progression of infection, and host response. These observations not only provide novel insights into the dynamics and function of intermediate filaments but also indicate future avenues to combat microbial infection.

  15. Inelastic α-particle scattering at intermediate energy

    International Nuclear Information System (INIS)

    Bauer, T.S.; Beurtey, R.; Boudard, A.; Bruge, G.; Catz, H.; Couvert, P.; Escudie, J.L.; Fontaine, J.M.; Garcon, M.; Lugol, J.C.; Matoba, M.; Platchkov, S.; Rouger, M.; Terrien, Y.

    1979-01-01

    The rigid body approximation is used to extend the Glauber formalism to the analysis of inelastic scattering of 1.37 GeV α particles by 24 Mg and 58 Ni. Angular distributions for low-lying states in 24 Mg and 58 Ni are analyzed in this framework together with previously published data for Ca isotopes. Intermediate energy α particle scattering is tested as a tool to observe the isoscalar giant quadrupole resonance. Energy weighted sum rules are drawn from the analysis of L = 2 angular distributions measured in the proper energy range. Comparison is made with existing data

  16. Direct short-term effects of EBP teaching: change in knowledge, not in attitude; a cross-cultural comparison among students from European and Asian medical schools

    Directory of Open Access Journals (Sweden)

    Indah S. Widyahening

    2012-10-01

    Full Text Available Introduction: We report about the direct short-term effects of a Clinical Epidemiology and Evidence-based Medicine (CE-EBM module on the knowledge, attitude, and behavior of students in the University Medical Center Utrecht (UMCU, Universitas Indonesia (UI, and University of Malaya (UM. Methods: We used an adapted version of a 26-item validated questionnaire, including four subscales: knowledge, attitude, behavior, and future use of evidence-based practice (EBP. The four components were compared among the students in the three medical schools before the module using one-way ANOVA. At the end of the module, we measured only knowledge and attitudes. We computed Cronbach's α to assess the reliability of the responses in our population. To assess the change in knowledge and attitudes, we used the paired t-test in the comparison of scores before and after the module. Results: In total, 526 students (224 UI, 202 UM, and 100 UMCU completed the questionnaires. In the three medical schools, Cronbach's α for the pre-module total score and the four subscale scores always exceeded 0.62. UMCU students achieved the highest pre-module scores in all subscales compared to UI and UM with the comparison of average (SD score as the following: knowledge 5.04 (0.4 vs. 4.73 (0.69 and 4.24 (0.74, p<0.001; attitude 4.52 (0.64 vs. 3.85 (0.68 and 3.55 (0.63, p<0.001; behavior 2.62 (0.55 vs. 2.35 (0.71 and 2.39 (0.92, p=0.016; and future use of EBP 4.32 (0.59 vs. 4.08 (0.62 and 3.7 (0.71, p<0.01. The CE-EBM module increased the knowledge of the UMCU (from average 5.04±0.4 to 5.35±0.51; p<0.001 and UM students (from average 4.24±0.74 to 4.53±0.72; p<0.001 but not UI. The post-module scores for attitude did not change in the three medical schools. Conclusion: EBP teaching had direct short-term effects on knowledge, not on attitude. Differences in pre-module scores are most likely related to differences in the system and infrastructure of both medical schools and their

  17. Long-term Comparison of a Large Spot Vacuum Assisted Handpiece vs the Small Spot Size Traditional Handpiece of the 800 nm Diode Laser.

    Science.gov (United States)

    Youssef, Nour J; Rizk, Alain G; Ibrahimi, Omar A; Tannous, Zeina S

    2017-09-01

    BACKGROUND The 800 nm long-pulsed diode laser machine is safe and effective for permanent hair reduction. Traditionally, most long-pulsed diode lasers used for hair removal had a relatively small spot size. Recently, a long-pulsed diode laser with a large spot size and vacuum assisted suction handpiece was introduced. The treatment parameters of each type of handpiece differ. Short and long-term clinical efficacy, treatment associated pain, and patient satisfaction are important factors to be considered. This study aims to conduct a direct head to head comparison of both handpieces of the 800nm long-pulsed diode laser by evaluating long term hair reduction, treatment associated pain and patient satisfaction. Thirteen subjects were enrolled in this prospective, self-controlled, single-center study of axillary laser hair removal. The study involved 4 treatments using a long pulsed diode laser with a large spot size HS handpiece (single pass), HS handpiece (double pass), and a small spot size ET handpiece according to a randomized choice. The treatment sessions were done at 4-8 week intervals with follow up visits taken at 6 and 12 months after the last treatment session. Hair clearance and thickness analysis were assessed using macro hair count photographs taken at baseline visit, at each treatment session visit and at follow up visits. Other factors including pain, treatment duration, and patients' preference were secondary study endpoints. At 6 months follow up visits after receiving four laser treatments, there was statistically significant hair clearance in the three treatment arms with 66.1 % mean percentage hair reduction with the ET handpiece, 43.6% with the HSS (single pass) and 64.1 % with the HSD (double). However, at one year follow up, the results significantly varied from the 6 months follow up. The mean percentage hair reduction was 57.8% with the ET handpiece treated axillas (n=9), 16.5% with the HSS (single pass) handpiece treated axillas (n=7), and

  18. Bipolar plasma enucleation of the prostate vs open prostatectomy in large benign prostatic hyperplasia cases - a medium term, prospective, randomized comparison.

    Science.gov (United States)

    Geavlete, Bogdan; Stanescu, Florin; Iacoboaie, Catalin; Geavlete, Petrisor

    2013-05-01

    WHAT'S KNOWN ON THE SUBJECT? AND WHAT DOES THE STUDY ADD?: According to the EAU Guidelines 2012, large size benign prostatic hyperplasia (BPH) cases (>80 mL) continue to have open prostatectomy as the first line treatment alternative, despite the substantial peri-operative morbidity and extended catheterization and convalescence periods related to this undoubtedly invasive approach. During the past two decades, holmium laser enucleation of the prostate was constantly described as a successful choice for this category of patients. According to rather numerous studies, the technique displayed superior results in terms of surgical safety and postoperative recovery compared with the open procedure. On the other hand, the concept of electrosurgical enucleation of the prostate, using either a monopolar or bipolar cutting current, materialized into several technical applications that eventually failed to gain general acknowledgement as reliable alternatives to the BPH transurethral approach. While keeping in mind the already proved advantage of enucleating substantial quantities of BPH tissue, bipolar plasma enucleation of the prostate was introduced as a novel endoscopic approach in cases of large prostates. The present trial represents the first prospective, medium-term, randomized comparison to be published of this innovative technique with standard open prostatectomy. Basically, the premises for a viable alternative relied on the practical advantages provided by the 'button' electrode, mainly the large surface creating the conditions for a fast enucleation process, continuous vaporization and concomitant haemostasis. Eventually, it was concluded that the plasma enucleation procedure distinguished itself as a successful treatment option in large BPH patients, characterized by good surgical efficiency, significantly reduced complications, faster postoperative recovery, similar prostatic tissue ablation capabilities and satisfactory follow-up results compared with the

  19. Characteristics of bank financial intermediation in Croatian counties

    Directory of Open Access Journals (Sweden)

    Jakša Krišto

    2015-03-01

    Full Text Available Research on bank financial intermediation in a country’s narrower territorial units is scarce, in both domestic and international literature. Banks are almost the only financial intermediaries in narrower territorial units and their role is substantial, ranging from participating in regional development to the successful running of their own business. Hence, the main objective of this paper is to examine the characteristics of the financial intermediation of banks in the counties of the Republic of Croatia, both through a comparison between their economic development levels and the general presence of financial intermediation, and a more specific analysis of their deposit and credit policies. The article uses hierarchical and non-hierarchical (k-means cluster analyses to identify relatively homogeneous groups of counties based on sets of indicators of: economic environment, financial development and infrastructure and, at a more detailed level, the deposit and credit policies of banks. The research results suggest heterogeneity and diversity of bank policies across the counties and sets of indicators. Differences have been observed between developed and developing counties, as well as in approaches to banks’ deposit and credit policies. The paper’s findings encourage further research into these issues.

  20. Disruption of hippocampal synaptic transmission and long-term potentiation by psychoactive synthetic cannabinoid 'Spice' compounds: comparison with Δ9-tetrahydrocannabinol.

    Science.gov (United States)

    Hoffman, Alexander F; Lycas, Matthew D; Kaczmarzyk, Jakub R; Spivak, Charles E; Baumann, Michael H; Lupica, Carl R

    2017-03-01

    There has been a marked increase in the availability of synthetic drugs designed to mimic the effects of marijuana. These cannabimimetic drugs, sold illicitly as 'Spice' and related products, are associated with serious medical complications in some users. In vitro studies suggest that synthetic cannabinoids in these preparations are potent agonists at central cannabinoid CB1 receptors (CB1Rs), but few investigations have delineated their cellular effects, particularly in comparison with the psychoactive component of marijuana, Δ 9 -tetrahydrocannabinol (Δ 9 -THC). We compared the ability of three widely abused synthetic cannabinoids and Δ 9 -THC to alter glutamate release and long-term potentiation in the mouse hippocampus. JWH-018 was the most potent inhibitor of hippocampal synaptic transmission (EC 50 ~15 nM), whereas its fluoropentyl derivative, AM2201, inhibited synaptic transmission with slightly lower potency (EC 50 ~60 nM). The newer synthetic cannabinoid, XLR-11, displayed much lower potency (EC 50 ~900 nM) that was similar to Δ 9 -THC (EC 50 ~700 nM). The effects of all compounds occurred via activation of CB1Rs, as demonstrated by reversal with the selective antagonist/inverse agonist AM251 or the neutral CB1R antagonist PIMSR1. Moreover, AM2201 was without effect in the hippocampus of transgenic mice lacking the CB1R. Hippocampal slices exposed to either synthetic cannabinoids or Δ 9 -THC exhibited significantly impaired long-term potentiation (LTP). We find that, compared with Δ 9 -THC, the first-generation cannabinoids found in Spice preparations display higher potency, whereas a recent synthetic cannabinoid is roughly equipotent with Δ 9 -THC. The disruption of synaptic function by these synthetic cannabinoids is likely to lead to profound impairments in cognitive and behavioral function. Published 2016. This article is a U.S. Government work and is in the public domain in the USA.

  1. Audience-response systems for evaluation of pediatric lectures – comparison with a classic end-of-term online-based evaluation

    Directory of Open Access Journals (Sweden)

    Bode, Sebastian Felix Nepomuk

    2015-05-01

    Full Text Available Aim: Course evaluations are often conducted and analyzed well after the course has taken place. By using a digital audience response system (ARS, it is possible to collect, view and discuss feedback during or directly following a course or lecture session. This paper analyzes a student evaluation of a lecture course with ARS to determine if significant differences exist between the results of the ARS lecture evaluation and those of the online evaluation at the end of the semester. In terms of the overall evaluation, consideration is given to the level of students’ prior knowledge, the presentation of the lecture material by the lecturers and the relevance of the lecture topic for students.Method: During the 2011-12 winter semester, the lecture on Pediatrics at the Freiburg Center for Pediatric and Adolescent Medicine ( was evaluated using ARS. Thirty-four lectures were evaluated by an average of 22 (range 8-44 students, who responded to four questions each time an evaluation took place.Results: On a 6-point Likert scale (1=very good to 6=deficient, the students rated their level of preparedness with a mean of 3.18, the presentation of the lecture with 2.44, and the relevance of the lecture topic with 2.19. The overall evaluation of the lecture course by means of ARS resulted in 2.31. The online evaluation conducted at the end of the semester yielded a score of 2.45. Highly significant correlations were seen between the results of the ARS for the overall evaluation, assessment of prior knowledge, lecture presentation, and the estimated relevance of the lecture topic.Conclusion: The use of ARS is suitable for immediate evaluation of lectures, in particular regarding timely feedback for the individual lecturerlecturers. In comparison with an end-of-term evaluation, ARS yielded a better assessment.

  2. Comparison of hemihypoglossal nerve versus masseteric nerve transpositions in the rehabilitation of short-term facial paralysis using the Facial Clima evaluating system.

    Science.gov (United States)

    Hontanilla, Bernardo; Marré, Diego

    2012-11-01

    Masseteric and hypoglossal nerve transfers are reliable alternatives for reanimating short-term facial paralysis. To date, few studies exist in the literature comparing these techniques. This work presents a quantitative comparison of masseter-facial transposition versus hemihypoglossal facial transposition with a nerve graft using the Facial Clima system. Forty-six patients with complete unilateral facial paralysis underwent reanimation with either hemihypoglossal transposition with a nerve graft (group I, n = 25) or direct masseteric-facial coaptation (group II, n = 21). Commissural displacement and commissural contraction velocity were measured using the Facial Clima system. Postoperative intragroup commissural displacement and commissural contraction velocity means of the reanimated versus the normal side were first compared using a paired sample t test. Then, mean percentages of recovery of both parameters were compared between the groups using an independent sample t test. Onset of movement was also compared between the groups. Significant differences of mean commissural displacement and commissural contraction velocity between the reanimated side and the normal side were observed in group I but not in group II. Mean percentage of recovery of both parameters did not differ between the groups. Patients in group II showed a significantly faster onset of movement compared with those in group I (62 ± 4.6 days versus 136 ± 7.4 days, p = 0.013). Reanimation of short-term facial paralysis can be satisfactorily addressed by means of either hemihypoglossal transposition with a nerve graft or direct masseteric-facial coaptation. However, with the latter, better symmetry and a faster onset of movement are observed. In addition, masseteric nerve transfer avoids morbidity from nerve graft harvesting. Therapeutic, III.

  3. Long-term results of RTOG trial 8911 (USA Intergroup 113): a random assignment trial comparison of chemotherapy followed by surgery compared with surgery alone for esophageal cancer.

    Science.gov (United States)

    Kelsen, David P; Winter, Katryn A; Gunderson, Leonard L; Mortimer, Joanne; Estes, Norman C; Haller, Daniel G; Ajani, Jaffer A; Kocha, Walter; Minsky, Bruce D; Roth, Jack A; Willett, Christopher G

    2007-08-20

    We update Radiation Therapy Oncology Group trial 8911 (USA Intergroup 113), a comparison of chemotherapy plus surgery versus surgery alone for patients with localized esophageal cancer. The relationship between resection type and between tumor response and outcome were also analyzed. The chemotherapy group received preoperative cisplatin plus fluorouracil. Outcome based on the type of resection (R0, R1, R2, or no resection) was evaluated. The main end point was overall survival. Disease-free survival, relapse pattern, the influence of postoperative treatment, and the relationship between response to preoperative chemotherapy and outcome were also evaluated. Two hundred sixteen patients received preoperative chemotherapy, 227 underwent immediate surgery. Fifty-nine percent of surgery only and 63% of chemotherapy plus surgery patients underwent R0 resections (P = .5137). Patients undergoing less than an R0 resection had an ominous prognosis; 32% of patients with R0 resections were alive and free of disease at 5 years, only 5% of patients undergoing an R1 resection survived for longer than 5 years. The median survival rates for patients with R1, R2, or no resections were not significantly different. While, as initially reported, there was no difference in overall survival for patients receiving perioperative chemotherapy compared with the surgery only group, patients with objective tumor regression after preoperative chemotherapy had improved survival. For patients with localized esophageal cancer, whether or not preoperative chemotherapy is administered, only an R0 resection results in substantial long-term survival. Even microscopically positive margins are an ominous prognostic factor. After a R1 resection, postoperative chemoradiotherapy therapy offers the possibility of long-term disease-free survival to a small percentage of patients.

  4. Language in use intermediate : classroom book

    CERN Document Server

    Doff, Adrian

    1995-01-01

    ach of the four levels comprises about 80 hours of class work, with additional time for the self-study work. The Teacher's Book contains all the pages from the Classroom Book, with interleaved teaching notes including optional activities to cater for different abilities. There is a video to accompany the Beginner, Pre-intermediate and Intermediate levels. Each video contains eight stimulating and entertaining short programmes, as well as a booklet of photocopiable activities. Free test material is available in booklet and web format for Beginner and Pre-intermediate levels. Visit www.cambridge.org/elt/liu or contact your local Cambridge University Press representative.

  5. Language in use intermediate : teacher's book

    CERN Document Server

    Doff, Adrian

    1998-01-01

    Each of the four levels comprises about 80 hours of class work, with additional time for the self-study work. The Teacher's Book contains all the pages from the Classroom Book, with interleaved teaching notes including optional activities to cater for different abilities. There is a video to accompany the Beginner, Pre-intermediate and Intermediate levels. Each video contains eight stimulating and entertaining short programmes, as well as a booklet of photocopiable activities. Free test material is available in booklet and web format for Beginner and Pre-intermediate levels. Visit www.cambridge.org/elt/liu or contact your local Cambridge University Press representative.

  6. Intermedial Strategies of Memory in Contemporary Novels

    DEFF Research Database (Denmark)

    Tanderup, Sara

    2014-01-01

    , and Judd Morrissey and drawing on the theoretical perspectives of N. Katherine Hayles (media studies) and Andreas Huyssen (cultural memory studies), Tanderup argues that recent intermedial novels reflect a certain nostalgia celebrating and remembering the book as a visual and material object in the age......In her article "Intermedial Strategies and Memory in Contemporary Novels" Sara Tanderup discusses a tendency in contemporary literature towards combining intermedial experiments with a thematic preoccupation with memory and trauma. Analyzing selected works by Steven Hall, Jonathan Safran Foer...... of digital media while also highlighting the influence of new media on our cultural understanding and representation of memory and the past....

  7. Model of cosmology and particle physics at an intermediate scale

    International Nuclear Information System (INIS)

    Bastero-Gil, M.; Di Clemente, V.; King, S. F.

    2005-01-01

    We propose a model of cosmology and particle physics in which all relevant scales arise in a natural way from an intermediate string scale. We are led to assign the string scale to the intermediate scale M * ∼10 13 GeV by four independent pieces of physics: electroweak symmetry breaking; the μ parameter; the axion scale; and the neutrino mass scale. The model involves hybrid inflation with the waterfall field N being responsible for generating the μ term, the right-handed neutrino mass scale, and the Peccei-Quinn symmetry breaking scale. The large scale structure of the Universe is generated by the lightest right-handed sneutrino playing the role of a coupled curvaton. We show that the correct curvature perturbations may be successfully generated providing the lightest right-handed neutrino is weakly coupled in the seesaw mechanism, consistent with sequential dominance

  8. Evaluation of an organic package of practice towards integrated management of Solanum tuberosum and its comparison with conventional farming in terms of yield, quality, energy efficiency and economics

    Directory of Open Access Journals (Sweden)

    Antara Seal

    2017-09-01

    Full Text Available A study was taken up during 2014-16 for evaluating the potential of an organic package of practice towards integrated crop production (green farming in comparison to conventional farmers’ practice in West Bengal, India. Under green farming, compost was integrated with chemical fertilizer for soil management while organic plant/ pest management was undertaken utilizing Inhana Rational Farming (IRF Technology. The study indicated higher yield (9.7 %, higher nutrient use efficiency and economic sustainability under green farming irrespective of study area or potato variety. Higher qualitative expression in terms of starch content, pulp pH, vitamin C etc. under green farming might be due to the organic plant management aimed at energization of plant biochemical functions. Soil quality development as noted under green farming might have been influenced by the on-farm produced compost containing rich self- generated micro flora (in order of 1016 per colony forming unit.. The study indicated that green farming may serve as an efficient substitute of conventional farming towards yield sustenance, abatement of food toxicity and quality end product; through higher use of renewable energy and activation of plant physiological functions.

  9. Comparison of comprehensive properties of Ni-MH (nickel-metal hydride) and Li-ion (lithium-ion) batteries in terms of energy efficiency

    International Nuclear Information System (INIS)

    Kang, Jianqiang; Yan, Fuwu; Zhang, Pei; Du, Changqing

    2014-01-01

    In this work, we successfully proposed a method to compare the comprehensive properties of different battery systems in terms of a parameter, energy efficiency. The quantitative relationship of OCV (open circuit voltage) and SOC (state of charge) for Ni-MH batteries is firstly established to calculate the energy efficiency. Then a comprehensive comparison of the energy efficiency for Ni-MH and Li-ion batteries is systemically analyzed under different operating conditions. The results suggest that the energy efficiency is larger for Li-ion batteries than for Ni-MH batteries under charge and charge–discharge cycles, but lesser under a large current rate discharge. The outcome indicates that Ni-MH batteries are more favorable in the case of large current rates discharge than Li-ion batteries. Under plus current rates, two factors, SOC and current rates are analyzed with respect to energy efficiency. For both the batteries, the energy efficiency is varied slightly with SOC, but declines greatly with increased current rates. - Highlights: • A method to compare the comprehensive property for different battery systems. • The relationship of OCV and SOC for Ni-MH batteries established. • An analysis of energy efficiency for Ni-MH and Li-ion batteries. • Ni-MH batteries are more favorable under large current rates discharge

  10. Short-term glucocorticoid administration in patients with protracted and chronic gout arthritis. Part 2 — comparison of different medication forms efficacy

    Directory of Open Access Journals (Sweden)

    A A Fedorova

    2008-01-01

    Full Text Available Objective. To compare efficacy of different glucocorticoid (GC medication forms in protracted and chronic gout arthritis. Material and methods. 59 pts with tophaceous gout (crystal-verified diagnosis and arthritis of three and more joints lasting more than a months in spite of treatment with sufficient doses of nonsteroidal anti-inflammatory drugs were included. Median age of pts was 56 [48;63], median disease duration — 15,2 years [7,4;20], median swollen joint count at the examination — 8 [5; 11]. The patients were randomized into 2 groups. Methylprednisolone (MP 500 mg/day iv during 2 days and placebo im once was administered in one of them, betamethasone (BM 7 mg im once and placebo iv twice — in the other. Results. Number of pts with full resolution of arthritis, recurrent exacerbation, insufficient arthritis resolution or clinically insignificant response was comparable in both groups. More rapid decrease of pain at moving was achieved during the first 2-3 days after GC administration in pts with full resolution of arthritis (p=0,03 in group receiving MP in comparison with BM. At day 14 joint damage measures did not differ between groups. Conclusion. Efficacy of short-term glucocorticoid administration does not depend on mode of administration and GC medication form (methylprednisolone 500 mg/day iv during 2 days or betamethasone 7 mg im once.

  11. [A comparison between wheel-running and ambulatory activities in young, adult and old rats based on long-term observation].

    Science.gov (United States)

    Shinoda, M; Miura, T

    1994-01-01

    It has been considered that spontaneous motor activity (SMA) represented by wheel-running activity (WRA) or ambulatory activity (AA) is one of the most basic indicators in the behavioral-pharmacological test in small rodents. Since various differences are noticeable between WRA and AA in their characteristics or drug responses, both activities may be not considered as the same category of SMA. The main purpose of this study was to elucidate the background difference between WRA and AA in three different aged groups, based on their long-term observation. AA data obtained by Gundai type Ambulo-drinkometer were applied for comparison with WRA data obtained by Wheel-drinkometer. WRA, AA and drinking behavior all showed clear diurnal rhythms characterized by nocturnal animals under light-dark condition (LD = 12:12 h). WRA and AA, in particular the former, tended to decrease according to the aging. More than 30 days habituation was required in order to obtain stable daily WRA level in adult rats. AA of young rats was higher than the other aged rats. The present results suggest that indicators, conditions, measurement apparatus, age etc have to be considered in behavioral-pharmacological observations using WRA or AA.

  12. Single-incision laparoscopic surgery using colon-lifting technique for colorectal cancer: a matched case-control comparison with standard multiport laparoscopic surgery in terms of short-term results and access instrument cost.

    Science.gov (United States)

    Fujii, Shoichi; Watanabe, Kazuteru; Ota, Mitsuyoshi; Watanabe, Jun; Ichikawa, Yasushi; Yamagishi, Shigeru; Tatsumi, Kenji; Suwa, Hirokazu; Kunisaki, Chikara; Taguri, Masataka; Morita, Satoshi; Endo, Itaru

    2012-05-01

    Single-incision laparoscopic surgery (SILS) has been used for colorectal cancer as a minimally invasive procedure. However, there are still difficulties concerning effective triangulation and countertraction. The study's purpose was to clarify the usefulness of the colon-lifting technique (CLT) in SILS for colorectal cancer. SILS was performed for cancer (cT2N0 or less) of the right-sided colon (near the ileocecum), sigmoid, or rectosigmoid. The SILS™ Port was used for transumbilical access. A suture string was inserted through the abdominal wall and passed through the mesocolon. The colon was retracted anteriorly and fixed to the abdominal wall. The main mesenteric vessels were placed under tension. Lymph node dissection was performed by medial approach. Short-term surgical outcomes and access port costs were compared between SILS (using CLT) and the standard multiport technique (MPT). The two groups were case-matched by propensity scoring. Analyzed variables included preoperative Dukes stage and tumor location. From June 2009 to April 2011, 27 patients underwent SILS, and from April 2005 to April 2011, 85 patients underwent MPT. Propensity scoring generated 23 matched patients per group for SILS versus MPT comparisons. There were no significant differences in operating time, blood loss, early complications, postoperative analgesic frequency, or length of hospital stay. One MPT patient was converted to open surgery (4.5%); no SILS patients were converted. There were no significant differences in the length of distal cut margin and the number of harvested lymph nodes, except incision length (SILS vs. MPT: 33 vs. 55 mm, P Japanese yen, P CLT was safe and effective in providing radical treatment of cT2N0 cancer in the right-sided colon, sigmoid, or rectosigmoid. SILS was advantageous with respect to cosmesis and lower cost of access instruments.

  13. Radiolysis studies on reactive intermediates

    International Nuclear Information System (INIS)

    Kevan, L.

    1977-11-01

    A more quantitative characterization of the structure and reaction mechanism of solvated electrons produced by high energy chemistry was developed. Neutral atoms may undergo solvation in polar media to cause significant geometrical rearrangement. The geometrical arrangement of six OH bond oriented water molecules around a localized electron is the preferred geometry in frozen aqueous systems even at low solute ion concentration. The energy level structure of electrons in polar aqueous and alcoholic glasses was systematized from a comparison of photoconductivity and optical spectra. Experimental and theoretical evidence on electron solvation was evaluated to suggest the dominance of first solvation shell orientation in the solvation process. A laser photolysis study as a function of temperature suggests that electron solvation in ethanol glass occurs by a hindered molecular reorientation mechanism. In mixed polar and nonpolar glassy matrices it was shown that the electron is first solvated in the nonpolar matrix and is later transformed to a more stable species surrounded by the polar molecules. It was found that the spin lattice relaxation of solvated electrons is dominated by a new mechanism characteristic of disordered matrices which involves relaxation by tunneling modes in the matrix. The noninteracting spin packet model of electron spin resonance lines was shown to apply to solvated electrons in deuterated matrices but not in protiated matrices. A new type of recombination fluorescence experiment was devised which allows easy distinction between tunnelling and diffusive recombination mechanisms between solvate electrons and cations. Several theoretical studies have helped to delimit the applicability of an electron tunneling mechanism to solvated electron reactions. Electron spin echospectrometry was used to demonstrate that silver atoms undergo dramatic solvation and desolvation changes in frozen aqueous systems

  14. Intermediate/Advanced Research Design and Statistics

    Science.gov (United States)

    Ploutz-Snyder, Robert

    2009-01-01

    The purpose of this module is To provide Institutional Researchers (IRs) with an understanding of the principles of advanced research design and the intermediate/advanced statistical procedures consistent with such designs

  15. The deterioration of intermediate moisture foods

    Science.gov (United States)

    Labruza, T. P.

    1971-01-01

    Deteriorative reactions are low and food quality high if intermediate moisture content of a food is held at a water activity of 0.6 to 0.75. Information is of interest to food processing and packaging industry.

  16. Proposed changes in intermediate pipe break criteria

    International Nuclear Information System (INIS)

    Schmitz, R.P.

    1984-01-01

    Bechtel Power Corporation proposed to the US NRC in 1983 that the NRC eliminate from their criteria all intermediate breaks. Bechtel's rationale for the proposal and support for their position are presented

  17. MNE Entrepreneurial Capabilities at Intermediate Levels

    DEFF Research Database (Denmark)

    Hoenen, Anne K.; Nell, Phillip Christopher; Ambos, Björn

    2014-01-01

    at intermediate geographical levels differ from local subsidiaries and global corporate headquarters, and why those differences are important. We illustrate our arguments using data on European regional headquarters (RHQs). We find that RHQs' entrepreneurial capabilities depend on their external embeddedness...

  18. Directional spread parameter at intermediate water depth

    Digital Repository Service at National Institute of Oceanography (India)

    SanilKumar, V.; Deo, M.C.; Anand, N.M.; AshokKumar, K.

    The characteristics of directional spread parameters at intermediate water depth are investigated based on a cosine power '2s' directional spreading model. This is based on wave measurements carried out using a Datawell directional waverider buoy...

  19. Intermediality, Architecture, and the Politics of Urbanity

    OpenAIRE

    Tortosa Garrigós, Virgilio

    2011-01-01

    In his article "Intermediality, Architecture, and the Politics of Urbanity" Virgilio Tortosa Garrigós discusses aspects of the exponential development of large cities, the neoliberal economy, and the "spectacle" of architecture in the context of intermediality. With the connivance between land speculators and politicians — which has led not only to the loss of spatial identity but to irreversible pollution and geographic degradation — urbanity is epitomized on the Mediterranean coast line. In...

  20. Higher order antibunching in intermediate states

    International Nuclear Information System (INIS)

    Verma, Amit; Sharma, Navneet K.; Pathak, Anirban

    2008-01-01

    Since the introduction of binomial state as an intermediate state, different intermediate states have been proposed. Different nonclassical effects have also been reported in these intermediate states. But till now higher order antibunching is predicted in only one type of intermediate state, which is known as shadowed negative binomial state. Recently we have shown that the higher order antibunching is not a rare phenomenon [P. Gupta, P. Pandey, A. Pathak, J. Phys. B 39 (2006) 1137]. To establish our earlier claim further, here we have shown that the higher order antibunching can be seen in different intermediate states, such as binomial state, reciprocal binomial state, hypergeometric state, generalized binomial state, negative binomial state and photon added coherent state. We have studied the possibility of observing the higher order subpoissonian photon statistics in different limits of intermediate states. The effects of different control parameters on the depth of non classicality have also been studied in this connection and it has been shown that the depth of nonclassicality can be tuned by controlling various physical parameters

  1. Associations of Systemic Diseases with Intermediate Uveitis.

    Science.gov (United States)

    Shoughy, Samir S; Kozak, Igor; Tabbara, Khalid F

    2016-01-01

    To determine the associations of systemic diseases with intermediate uveitis. The medical records of 50 consecutive cases with intermediate uveitis referred to The Eye Center in Riyadh, Saudi Arabia, were reviewed. Age- and sex-matched patients without uveitis served as controls. Patients had complete ophthalmic and medical examinations. There were 27 male and 23 female patients. Mean age was 29 years with a range of 5-62 years. Overall, 21 cases (42%) had systemic disorders associated with intermediate uveitis and 29 cases (58%) had no associated systemic disease. A total of 11 patients (22%) had asthma, 4 (8%) had multiple sclerosis, 3 (6%) had presumed ocular tuberculosis, 1 (2%) had inflammatory bowel disease, 1 (2%) had non-Hodgkin lymphoma and 1 (2%) had sarcoidosis. Evidence of systemic disease was found in 50 (5%) of the 1,000 control subjects. Bronchial asthma was found in 37 patients (3.7 %), multiple sclerosis in 9 patients (0.9%), inflammatory bowel disease in 3 patients (0.3%), and tuberculosis in 1 patient (0.1%). None of the control patients had sarcoidosis or lymphoma. There were statistically significant associations between intermediate uveitis and bronchial asthma (p = 0.0001), multiple sclerosis (p = 0.003) and tuberculosis (p = 0.0005). Bronchial asthma and multiple sclerosis were the most frequently encountered systemic diseases associated with intermediate uveitis in our patient population. Patients with intermediate uveitis should undergo careful history-taking and investigations to rule out associated systemic illness.

  2. Comparison of Right Ventricle Systolic Function between Long-Term Anabolic-Androgenic Steroid User and Nonuser Bodybuilder Athletes: A Study of Two-Dimensional Speckle Tracking Echocardiography.

    Science.gov (United States)

    Alizade, Elnur; Avci, Anil; Tabakcı, Mehmet Mustafa; Toprak, Cuneyt; Zehir, Regayip; Acar, Goksel; Kargin, Ramazan; Emiroğlu, Mehmet Yunas; Akçakoyun, Mustafa; Pala, Selçuk

    2016-08-01

    Right ventricular (RV) effects of long-term use of anabolic-androgenic steroids (AAS) are not clearly known. The aim of this study was to assess RV systolic functions by two-dimensional speckle tracking echocardiography (2DSTE) in AAS user and nonuser bodybuilders. A total of 33 competitive male bodybuilders (15 AAS users, 18 AAS nonusers) were assessed. To assess RV systolic functions, all participants underwent standard two-dimensional and Doppler echocardiography, and 2DSTE. Interventricular septal thickness, left ventricle posterior wall thickness, relative wall thickness, and left ventricle mass index were significantly higher in AAS users than nonusers. While standard diastolic parameters were not statistically different between the groups, tissue Doppler parameters including RV E' and E'/A' were lower in AAS users than nonusers (10.1 ± 2.0 vs. 12.7 ± 2.1; P = 0.001, 1.1 ± 0.1 vs. 1.5 ± 0.4; P = 0.009, respectively). Tricuspid annular plane systolic excursion, RV fractional area change, and RV S' were in normal ranges. However, RV S' was found to be lower in users than nonusers (12.2 ± 2.2 vs. 14.6 ± 2.8, P = 0.011). RV free wall longitudinal strain and strain rate were decreased in AAS users in comparison with nonusers (-20.2 ± 3.1 vs. -23.3 ± 3.5; P = 0.012, -3.2 ± 0.1 vs. -3.4 ± 0.1; P = 0.022, respectively). In addition, there were good correlations between 2DSTE parameters and RV S', E', and E'/A'. Despite normal standard systolic echo parameters, peak systolic RV free wall strain and strain rate were reduced in AAS user bodybuilders in comparison with nonusers. Strain and strain rate by 2DSTE may be useful for early determination of subclinical RV dysfunction in AAS user bodybuilders. © 2016, Wiley Periodicals, Inc.

  3. The Impact of Text Genre on Iranian Intermediate EFL Students' Writing Errors: An Error Analysis Perspective

    Science.gov (United States)

    Moqimipour, Kourosh; Shahrokhi, Mohsen

    2015-01-01

    The present study aimed at analyzing writing errors caused by the interference of the Persian language, regarded as the first language (L1), in three writing genres, namely narration, description, and comparison/contrast by Iranian EFL students. 65 English paragraphs written by the participants, who were at the intermediate level based on their…

  4. Intermediate-Term Memory as a Bridge between Working and Long-Term Memory

    OpenAIRE

    Kamiński, Jan

    2017-01-01

    Working memory is the ability to maintain information in an active and readily available state for short periods of time. It is a key component of many cognitive processes, including inference, decision-making, mental calculations, and awareness. One of the dominant models of working memory postulates that memoranda are stored through persistent neuronal activity (Goldman-Rakic, 1995). This model is supported by numerous single-neuron recordings from different brain areas in animals using a v...

  5. Proteomic comparisons of venoms of long-term captive and recently wild-caught Eastern brown snakes (Pseudonaja textilis) indicate venom does not change due to captivity.

    Science.gov (United States)

    McCleary, Ryan J R; Sridharan, Sindhuja; Dunstan, Nathan L; Mirtschin, Peter J; Kini, R Manjunatha

    2016-07-20

    Snake venom is a highly variable phenotypic character, and its variation and rapid evolution are important because of human health implications. Because much snake antivenom is produced from captive animals, understanding the effects of captivity on venom composition is important. Here, we have evaluated toxin profiles from six long-term (LT) captive and six recently wild-caught (RC) eastern brown snakes, Pseudonaja textilis, utilizing gel electrophoresis, HPLC-MS, and shotgun proteomics. We identified proteins belonging to the three-finger toxins, group C prothrombin activators, Kunitz-type serine protease inhibitors, and phospholipases A2, among others. Although crude venom HPLC analysis showed LT snakes to be higher in some small molecular weight toxins, presence/absence patterns showed no correlation with time in captivity. Shotgun proteomics indicated the presence of similar toxin families among individuals but with variation in protein species. Although no venom sample contained all the phospholipase A2 subunits that form the textilotoxin, all did contain both prothrombin activator subunits. This study indicates that captivity has limited effects on venom composition, that venom variation is high, and that venom composition may be correlated to geographic distribution. Through proteomic comparisons, we show that protein variation within LT and RC groups of snakes (Pseudonaja textilis) is high, thereby resulting in no discernible differences in venom composition between groups. We utilize complementary techniques to characterize the venom proteomes of 12 individual snakes from our study area, and indicate that individuals captured close to one another have more similar venom gel electrophoresis patterns than those captured at more distant locations. These data are important for understanding natural variation in and potential effects of captivity on venom composition. Copyright © 2016 Elsevier B.V. All rights reserved.

  6. Evaluation of an integrated system for classification, assessment and comparison of services for long-term care in Europe: the eDESDE-LTC study.

    Science.gov (United States)

    Salvador-Carulla, Luis; Alvarez-Galvez, Javier; Romero, Cristina; Gutiérrez-Colosía, Mencia R; Weber, Germain; McDaid, David; Dimitrov, Hristo; Sprah, Lilijana; Kalseth, Birgitte; Tibaldi, Giuseppe; Salinas-Perez, Jose A; Lagares-Franco, Carolina; Romá-Ferri, Maria Teresa; Johnson, Sonia

    2013-06-15

    The harmonization of European health systems brings with it a need for tools to allow the standardized collection of information about medical care. A common coding system and standards for the description of services are needed to allow local data to be incorporated into evidence-informed policy, and to permit equity and mobility to be assessed. The aim of this project has been to design such a classification and a related tool for the coding of services for Long Term Care (DESDE-LTC), based on the European Service Mapping Schedule (ESMS). The development of DESDE-LTC followed an iterative process using nominal groups in 6 European countries. 54 researchers and stakeholders in health and social services contributed to this process. In order to classify services, we use the minimal organization unit or "Basic Stable Input of Care" (BSIC), coded by its principal function or "Main Type of Care" (MTC). The evaluation of the tool included an analysis of feasibility, consistency, ontology, inter-rater reliability, Boolean Factor Analysis, and a preliminary impact analysis (screening, scoping and appraisal). DESDE-LTC includes an alpha-numerical coding system, a glossary and an assessment instrument for mapping and counting LTC. It shows high feasibility, consistency, inter-rater reliability and face, content and construct validity. DESDE-LTC is ontologically consistent. It is regarded by experts as useful and relevant for evidence-informed decision making. DESDE-LTC contributes to establishing a common terminology, taxonomy and coding of LTC services in a European context, and a standard procedure for data collection and international comparison.

  7. Intermediate structures in alpha scattering on 28Si nuclei

    International Nuclear Information System (INIS)

    Kamys, B.; Bobrovska, A.; Budzanovski, A. et al.

    1975-01-01

    Excitation functions and angular distributions of α-particles scattering on 28 Si nuclei, measured by various authors, are analyzed. Theoretical processing of results is divided into two stages: statistical analysis and analysis in terms of the Regge pole model (RPM). The aim of the statistical analysis is to demonstrate that the structure of excitation curves contains resonance effects. RMP with non-resonance background, described by the optical model (OM), is used to obtain data on properties of intermediate resonances. Autocorrelation functions for one elastic and two inelastic scattering channels are calculated. The mean width of compound states is about 100keV, which is in a good agreement with results of other authores. An analysis of correlation coefficients calculated for all pairs of excitation curves for elastic and two inelastic channels points to the existence of intermediate resonances in each of investigated reaction channels. In the case of large-angle scattering the contribution of potential interaction into the total cross-section is 20-30%, and that of resonance scattering is 50-60%. Energy dependence of Regge pole parameters has also been studied to obtain data on the existence and properties of intermediate resonances

  8. Structural characterization of an equilibrium unfolding intermediate in cytochrome c.

    Science.gov (United States)

    Latypov, Ramil F; Cheng, Hong; Roder, Navid A; Zhang, Jiaru; Roder, Heinrich

    2006-03-31

    Although the denaturant-induced unfolding transition of cytochrome c was initially thought to be a cooperative process, recent spectroscopic studies have shown deviations from two-state behavior consistent with accumulation of an equilibrium intermediate. However, little is known about the structural and thermodynamic properties of this state, and whether it is stabilized by the presence of non-native heme ligands. We monitored the reversible denaturant-induced unfolding equilibrium of oxidized horse cytochrome c using various spectroscopic probes, including fluorescence, near and far-UV CD, heme absorbance bands in the Soret, visible and near-IR regions of the spectrum, as well as 2D NMR. Global fitting techniques were used for a quantitative interpretation of the results in terms of a three-state model, which enabled us to determine the intrinsic spectroscopic properties of the intermediate. A well-populated intermediate was observed in equilibrium experiments at pH 5 using either guanidine-HCl or urea as a denaturant, both for wild-type cytochrome c as well as an H33N mutant chosen to prevent formation of non-native His-heme ligation. For a more detailed structural characterization of the intermediate, we used 2D 1H-15N correlation spectroscopy to follow the changes in peak intensity for individual backbone amide groups. The equilibrium state observed in our optical and NMR studies contains many native-like structural features, including a well-structured alpha-helical sub-domain, a short Trp59-heme distance and solvent-shielded heme environment, but lacks the native Met80 sulfur-iron linkage and shows major perturbations in side-chain packing and other tertiary interactions. These structural properties are reminiscent of the A-state of cytochrome c, a compact denatured form found under acidic high-salt conditions, as well as a kinetic intermediate populated at a late stage of folding. The denaturant-induced intermediate also resembles alkaline forms of

  9. Isobaric intermediate states in proton-nucleus elastic scattering

    International Nuclear Information System (INIS)

    Auger, J.P.; Lazard, C.; Lombard, R.J.

    1981-05-01

    The effects of the propagation of isobaric nucleon states in the intermediate steps of the multiple scattering have been studied with application on the proton- 4 He elastic scattering at 1 GeV. The calculations are performed in the Glauber model and results are given for the differential cross section, the polarization and the spin rotation parameter. In our conclusions we stress the large cancellations observed between terms of various orders and the great sensitivity of the effects to the nucleon-nucleon amplitudes

  10. Partially folded intermediates during trypsinogen denaturation

    Directory of Open Access Journals (Sweden)

    Martins N.F.

    1999-01-01

    Full Text Available The equilibrium unfolding of bovine trypsinogen was studied by circular dichroism, differential spectra and size exclusion HPLC. The change in free energy of denaturation was = 6.99 ± 1.40 kcal/mol for guanidine hydrochloride and = 6.37 ± 0.57 kcal/mol for urea. Satisfactory fits of equilibrium unfolding transitions required a three-state model involving an intermediate in addition to the native and unfolded forms. Size exclusion HPLC allowed the detection of an intermediate population of trypsinogen whose Stokes radii varied from 24.1 ± 0.4 Å to 26.0 ± 0.3 Å for 1.5 M and 2.5 M guanidine hydrochloride, respectively. During urea denaturation, the range of Stokes radii varied from 23.9 ± 0.3 Å to 25.7 ± 0.6 Å for 4.0 M and 6.0 M urea, respectively. Maximal intrinsic fluorescence was observed at about 3.8 M urea with 8-aniline-1-naphthalene sulfonate (ANS binding. These experimental data indicate that the unfolding of bovine trypsinogen is not a simple transition and suggest that the equilibrium intermediate population comprises one intermediate that may be characterized as a molten globule. To obtain further insight by studying intermediates representing different stages of unfolding, we hope to gain a better understanding of the complex interrelations between protein conformation and energetics.

  11. The ARES High-level Intermediate Representation

    Energy Technology Data Exchange (ETDEWEB)

    Moss, Nicholas David [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2017-03-03

    The LLVM intermediate representation (IR) lacks semantic constructs for depicting common high-performance operations such as parallel and concurrent execution, communication and synchronization. Currently, representing such semantics in LLVM requires either extending the intermediate form (a signi cant undertaking) or the use of ad hoc indirect means such as encoding them as intrinsics and/or the use of metadata constructs. In this paper we discuss a work in progress to explore the design and implementation of a new compilation stage and associated high-level intermediate form that is placed between the abstract syntax tree and when it is lowered to LLVM's IR. This highlevel representation is a superset of LLVM IR and supports the direct representation of these common parallel computing constructs along with the infrastructure for supporting analysis and transformation passes on this representation.

  12. Long-term forecasting and comparison of mortality in the Evaluation of the Xience Everolimus Eluting Stent vs. Coronary Artery Bypass Surgery for Effectiveness of Left Main Revascularization (EXCEL) trial: prospective validation of the SYNTAX Score II.

    Science.gov (United States)

    Campos, Carlos M; van Klaveren, David; Farooq, Vasim; Simonton, Charles A; Kappetein, Arie-Pieter; Sabik, Joseph F; Steyerberg, Ewout W; Stone, Gregg W; Serruys, Patrick W

    2015-05-21

    To prospectively validate the SYNTAX Score II and forecast the outcomes of the randomized Evaluation of the Xience Everolimus-Eluting Stent Versus Coronary Artery Bypass Surgery for Effectiveness of Left Main Revascularization (EXCEL) Trial. Evaluation of the Xience Everolimus Eluting Stent vs. Coronary Artery Bypass Surgery for Effectiveness of Left Main Revascularization is a prospective, randomized multicenter trial designed to establish the efficacy and safety of percutaneous coronary intervention (PCI) with the everolimus-eluting stent compared with coronary artery bypass graft (CABG) surgery in subjects with unprotected left-main coronary artery (ULMCA) disease and low-intermediate anatomical SYNTAX scores (EXCEL, the SYNTAX Score II was prospectively applied to predict 4-year mortality in the CABG and PCI arms. The 95% prediction intervals (PIs) for mortality were computed using simulation with bootstrap resampling (10 000 times). For the entire study cohort, the 4-year predicted mortalities were 8.5 and 10.5% in the PCI and CABG arms, respectively [odds ratios (OR) 0.79; 95% PI 0.43-1.50). In subjects with low (≤22) anatomical SYNTAX scores, the predicted OR was 0.69 (95% PI 0.34-1.45); in intermediate anatomical SYNTAX scores (23-32), the predicted OR was 0.93 (95% PI 0.53-1.62). Based on 4-year mortality predictions in EXCEL, clinical characteristics shifted long-term mortality predictions either in favour of PCI (older age, male gender and COPD) or CABG (younger age, lower creatinine clearance, female gender, reduced left ventricular ejection fraction). The SYNTAX Score II indicates at least an equipoise for long-term mortality between CABG and PCI in subjects with ULMCA disease up to an intermediate anatomical complexity. Both anatomical and clinical characteristics had a clear impact on long-term mortality predictions and decision making between CABG and PCI. Published on behalf of the European Society of Cardiology. All rights reserved. © The

  13. Intermediate-energy nuclear chemistry workshop

    Energy Technology Data Exchange (ETDEWEB)

    Butler, G.W.; Giesler, G.C.; Liu, L.C.; Dropesky, B.J.; Knight, J.D.; Lucero, F.; Orth, C.J.

    1981-05-01

    This report contains the proceedings of the LAMPF Intermediate-Energy Nuclear Chemistry Workshop held in Los Alamos, New Mexico, June 23-27, 1980. The first two days of the Workshop were devoted to invited review talks highlighting current experimental and theoretical research activities in intermediate-energy nuclear chemistry and physics. Working panels representing major topic areas carried out indepth appraisals of present research and formulated recommendations for future research directions. The major topic areas were Pion-Nucleus Reactions, Nucleon-Nucleus Reactions and Nuclei Far from Stability, Mesonic Atoms, Exotic Interactions, New Theoretical Approaches, and New Experimental Techniques and New Nuclear Chemistry Facilities.

  14. Intermediate-energy nuclear chemistry workshop

    International Nuclear Information System (INIS)

    Butler, G.W.; Giesler, G.C.; Liu, L.C.; Dropesky, B.J.; Knight, J.D.; Lucero, F.; Orth, C.J.

    1981-05-01

    This report contains the proceedings of the LAMPF Intermediate-Energy Nuclear Chemistry Workshop held in Los Alamos, New Mexico, June 23-27, 1980. The first two days of the Workshop were devoted to invited review talks highlighting current experimental and theoretical research activities in intermediate-energy nuclear chemistry and physics. Working panels representing major topic areas carried out indepth appraisals of present research and formulated recommendations for future research directions. The major topic areas were Pion-Nucleus Reactions, Nucleon-Nucleus Reactions and Nuclei Far from Stability, Mesonic Atoms, Exotic Interactions, New Theoretical Approaches, and New Experimental Techniques and New Nuclear Chemistry Facilities

  15. Cryo-EM structures of two bovine adenovirus type 3 intermediates

    Energy Technology Data Exchange (ETDEWEB)

    Cheng, Lingpeng; Huang, Xiaoxing; Li, Xiaomin [National Laboratory of Biomacromolecules, Institute of Biophysics, Chinese Academy of Sciences, Beijing 100101 (China); Xiong, Wei [State Key Laboratory of Virology, College of Life Sciences, Wuhan University, Luo-jia-shan, Wuhan, Hubei 430072 (China); Sun, Wei; Yang, Chongwen; Zhang, Kai; Wang, Ying [National Laboratory of Biomacromolecules, Institute of Biophysics, Chinese Academy of Sciences, Beijing 100101 (China); Liu, Hongrong [College of Physics and Information Science, Hunan Normal University, Changsha, Hunan 410081 (China); Huang, Xiaojun; Ji, Gang; Sun, Fei [National Laboratory of Biomacromolecules, Institute of Biophysics, Chinese Academy of Sciences, Beijing 100101 (China); Zheng, Congyi, E-mail: cctcc202@whu.edu.cn [State Key Laboratory of Virology, College of Life Sciences, Wuhan University, Luo-jia-shan, Wuhan, Hubei 430072 (China); Zhu, Ping, E-mail: zhup@ibp.ac.cn [National Laboratory of Biomacromolecules, Institute of Biophysics, Chinese Academy of Sciences, Beijing 100101 (China)

    2014-02-15

    Adenoviruses (Ads) infect hosts from all vertebrate species and have been investigated as vaccine vectors. We report here near-atomic structures of two bovine Ad type 3 (BAd3) intermediates obtained by cryo-electron microscopy. A comparison between the two intermediate structures reveals that the differences are localized in the fivefold vertex region, while their facet structures are identical. The overall facet structure of BAd3 exhibits a similar structure to human Ads; however, BAd3 protein IX has a unique conformation. Mass spectrometry and cryo-electron tomography analyses indicate that one intermediate structure represents the stage during DNA encapsidation, whilst the other intermediate structure represents a later stage. These results also suggest that cleavage of precursor protein VI occurs during, rather than after, the DNA encapsidation process. Overall, our results provide insights into the mechanism of Ad assembly, and allow the first structural comparison between human and nonhuman Ads at backbone level. - Highlights: • First structure of bovine adenovirus type 3. • Some channels are located at the vertex of intermediate during DNA encapsidation. • Protein IX exhibits a unique conformation of trimeric coiled–coiled structure. • Cleavage of precursor protein VI occurs during the DNA encapsidation process.

  16. Governance-Default Risk Relationship and the Demand for Intermediated and Non-Intermediated Debt

    Directory of Open Access Journals (Sweden)

    Husam Aldamen

    2012-09-01

    Full Text Available This paper explores the impact of corporate governance on the demand for intermediated debt (asset finance, bank debt, non-bank private debt and non-intermediated debt (public debt in the Australian debt market. Relative to other countries the Australian debt market is characterised by higher proportions of intermediated or private debt with a lower inherent level of information asymmetry in that private lenders have greater access to financial information (Gray, Koh & Tong 2009. Our firm level, cross-sectional evidence suggests that higher corporate governance impacts demand for debt via the mitigation of default risk. However, this relationship is not uniform across all debt types. Intermediated debt such as bank and asset finance debt are more responsive to changes in governance-default risk relationship than non-bank and non-intermediated debt. The implication is that a firm’s demand for different debt types will reflect its governance-default risk profile.

  17. Cognitive precursors of the developmental relation between lexical quality and reading comprehension in the intermediate elementary grades

    NARCIS (Netherlands)

    Swart, N.M.; Muijselaar, M.M.L.; Steenbeek-Planting, E.G.; Droop, W.; Jong, P.F. de; Verhoeven, L.T.W.

    2017-01-01

    In a longitudinal study, we investigated how cognitive precursors (short-term memory, working memory, and nonverbal reasoning) influence the developmental relation between lexical quality (decoding and vocabulary) and reading comprehension skill in 282 Dutch students in the intermediate elementary

  18. Cognitive precursors of the developmental relation between lexical quality and reading comprehension in the intermediate elementary grades.

    NARCIS (Netherlands)

    Swart, N.M.; Muijselaar, M.M.L.; Steenbeek-Planting, E.G.; Droop, M.; de Jong, P.F.; Verhoeven, L.

    2017-01-01

    In a longitudinal study, we investigated how cognitive precursors (short-term memory, working memory, and nonverbal reasoning) influence the developmental relation between lexical quality (decoding and vocabulary) and reading comprehension skill in 282 Dutch students in the intermediate elementary

  19. Status and advice of the low and intermediate level radioactive waste disposal sites in China

    International Nuclear Information System (INIS)

    Teng Keyan; Lu Caixia

    2012-01-01

    With the rapid development of nuclear power industry in China, as well as the decommissioning of the nuclear facilities, and the process of radioactive waste management, a mount of the low and intermediate level radioactive solid wastes will increase rapidly. How to dispose the low and intermediate level radioactive solid wastes, that not only related to Chinese nuclear energy and nuclear technology with sustainable development, but also related to the public health, environment safety. According to Chinese « long-term development plan of nuclear power (2005- 2020) », when construct the nuclear power, should simultaneous consider the sites that dispose the low and intermediate level radioactive waste, In order to adapt to the needs that dispose the increasing low and intermediate level radioactive waste with development of nuclear power. In the future, all countries are facing the enormous challenge of nuclear waste disposal. (authors)

  20. An evaluation on the disposal alternatives for low- and intermediate- level radwaste (II)

    International Nuclear Information System (INIS)

    Park, Hun Hwee; Han, Kyung Won; Hahn, Pil Soo; Lee, Han Soo; Cho, Won Jin; Lee, Jae Dwan; Park, Chung Kyun; Lee, Myung Joo; Choi, Heui Joo; Lee, Youn Myoung

    1988-02-01

    An evaluation on the radioactive waste disposal alternatives for the low-and intermediate level wastes being produced from nuclear power generation and radioisotope application was carried out in view of the radiological safety, socio-political aspects and repository construction economics. Three types of possible alternatives-sample shallow land disposal method, engineered shallow land disposal method and engineered rock cavern disposal method are investigated. The safety assessment consists of radiological dose calculation and nonradiological impacts which is expressed as total number of injuries and fatalities during construction, operation and transportation. The sociopolitical assessment is done in terms of site conditions including easiness for land acquisition, technical feasibility and public acceptance. The economic assessment is performed by cost comparison regarding land acquisition, construction, operation and closure for each alternatives. The evaluation shows that engineered rock cavern disposal method has remarkable favour in safety than others. And also an integrated evaluation using AHP results the engineered rock cavern disposal method as the most favorable option

  1. Researchers Resolve Intermediate Mass Black Hole Mystery

    Science.gov (United States)

    2004-04-01

    New research, funded by the Royal Netherlands Academy of Sciences, the Institute of Advanced Physical and Chemical Research, NASA and the University of Tokyo, solved the mystery of how a black hole, with the mass more than several hundreds times larger than that of our Sun, could be formed in the nearby starburst galaxy, M82. Recent observations of the Chandra X-ray observatory (Matsumoto et al., 2001 ApJ 547, L25) indicate the presence of an unusually bright source in the star cluster MGG11 in the starburst galaxy M82. The properties of the X-ray source are best explained by a black hole with a mass of about a thousand times the mass of the Sun, placing it intermediate between the relatively small (stellar mass) black holes in the Milky way Galaxy and the supermassive black holes found in the nuclei of galaxies. For comparison, stellar-mass black holes are only a few times more massive than the Sun, whereas the black hole in the center of the Milky-way Galaxy is more than a few million times more massive than the Sun. An international team of researchers, using the world's fastest computer, the GRAPE-6 system in Japan, were engaged in a series of simulations of star clusters that resembled MGG11. They used the GRAPE-6 to perform simulations with two independently developed computer programs (Starlab and NBODY4 developed by Sverre Aarseth in Cambridge), both of which give the same qualitative result. The simulations ware initiated by high resolution observations of the star cluster MGG11 by McCrady et al (2003, ApJ 596, 240) using the Hubble Space Telescope and Keck, and by Harashima et al (2001) using the giant Subaru telescope. M82 Chandra X-ray image of the central region of the starburst galaxy M82. The GRAPE's detailed, star-by-star simulations represent the state of the art in cluster modeling. For the first time using the GRAPE, researchers perform simulations of the evolution of young and dense star clusters with up to 600000 stars; they calculate the

  2. Catalytic Ozonation of Phenolic Wastewater: Identification and Toxicity of Intermediates

    Directory of Open Access Journals (Sweden)

    Mahdi Farzadkia

    2014-01-01

    Full Text Available A new strategy in catalytic ozonation removal method for degradation and detoxification of phenol from industrial wastewater was investigated. Magnetic carbon nanocomposite, as a novel catalyst, was synthesized and then used in the catalytic ozonation process (COP and the effects of operational conditions such as initial pH, reaction time, and initial concentration of phenol on the degradation efficiency and the toxicity assay have been investigated. The results showed that the highest catalytic potential was achieved at optimal neutral pH and the removal efficiency of phenol and COD is 98.5% and 69.8%, respectively. First-order modeling demonstrated that the reactions were dependent on the initial concentration of phenol, with kinetic constants varying from 0.038 min−1  ([phenol]o = 1500 mg/L to 1.273 min−1 ([phenol]o = 50 mg/L. Bioassay analysis showed that phenol was highly toxic to Daphnia magna (LC50 96 h=5.6 mg/L. Comparison of toxicity units (TU of row wastewater (36.01 and the treated effluent showed that TU value, after slightly increasing in the first steps of ozonation for construction of more toxic intermediates, severely reduced at the end of reaction (2.23. Thus, COP was able to effectively remove the toxicity of intermediates which were formed during the chemical oxidation of phenolic wastewaters.

  3. Fostering teamwork in an intermediate care unit.

    Science.gov (United States)

    Spence, Heather; Cappleman, Julia

    2011-06-01

    The government has emphasised that, to deliver high quality, integrated care, staff must work across organisational boundaries using a team approach so that everyone works towards the same goals. This article describes how one NHS-managed intermediate care unit has integrated care staff employed by the independent sector.

  4. Essays in corporate finance and financial intermediation

    NARCIS (Netherlands)

    Kempf, Elisabeth

    2016-01-01

    This thesis consists of three chapters in corporate finance and financial intermediation. The first two chapters explore sources of incentives and learning for finance professionals. Specifically, the first chapter studies how the option to go work for an investment bank affects the incentives of

  5. 34 CFR 200.17 - Intermediate goals.

    Science.gov (United States)

    2010-07-01

    ..., DEPARTMENT OF EDUCATION TITLE I-IMPROVING THE ACADEMIC ACHIEVEMENT OF THE DISADVANTAGED Improving Basic.... Each State must establish intermediate goals that increase in equal increments over the period covered by the timeline under § 200.15 as follows: (a) The first incremental increase must take effect not...

  6. Trusted intermediating agents in electronic trade networks

    NARCIS (Netherlands)

    T.B. Klos (Tomas); F. Alkemade (Floortje)

    2005-01-01

    htmlabstract Electronic commerce and trading of information goods significantly impact the role of intermediaries: consumers can bypass intermediating agents by forming direct links to producers. One reason that traditional intermediaries can still make a profit, is that they have more knowledge of

  7. Intermediates and Generic Convergence to Equilibria

    DEFF Research Database (Denmark)

    Marcondes de Freitas, Michael; Wiuf, Carsten; Feliu, Elisenda

    2017-01-01

    Known graphical conditions for the generic and global convergence to equilibria of the dynamical system arising from a reaction network are shown to be invariant under the so-called successive removal of intermediates, a systematic procedure to simplify the network, making the graphical condition...

  8. Financial intermediation with credit constrained agents

    Czech Academy of Sciences Publication Activity Database

    Boháček, Radim

    2007-01-01

    Roč. 29, č. 4 (2007), s. 741-759 ISSN 0164-0704 R&D Projects: GA AV ČR IAA700850602 Institutional research plan: CEZ:AV0Z70850503 Keywords : financial intermediation * occupational choice * general equilibrium Subject RIV: AH - Economics Impact factor: 0.360, year: 2007

  9. What Should be Taught in Intermediate Macroeconomics?

    Science.gov (United States)

    de Araujo, Pedro; O'Sullivan, Roisin; Simpson, Nicole B.

    2013-01-01

    A lack of consensus remains on what should form the theoretical core of the undergraduate intermediate macroeconomic course. In determining how to deal with the Keynesian/classical divide, instructors must decide whether to follow the modern approach of building macroeconomic relationships from micro foundations, or to use the traditional approach…

  10. Interaction between Biomphalaria pfeifferi, the snail intermediate ...

    African Journals Online (AJOL)

    Biological control of snail intermediate host of human schistosome parasites has been suggested. In this study, the effect of Indoplanobis exustus a planorbid snail and possible competitor snail of Biomphalaria pfeifferi on the fecundity and growth rate of the later was evaluated. The results showed a significant difference in ...

  11. Bridge: Intelligent Tutoring with Intermediate Representations

    Science.gov (United States)

    1988-05-01

    Research and Development Center and Psychology Department University of Pittsburgh Pittsburgh, PA. 15260 The Artificial Intelligence and Psychology...problem never introduces more than one unfamiliar plan. Inteligent Tutoring With Intermediate Representations - Bonar and Cunniigbam 4 You must have a... Inteligent Tutoring With ntermediate Representations - Bonar and Cunningham 7 The requirements are specified at four differcnt levels, corresponding to

  12. Intermediality and politics in theatre and performance

    NARCIS (Netherlands)

    Dapp, G.S.

    2013-01-01

    This dissertation applies the concepts of intermediality and politics to five performances by Rimini Protokoll, Christoph Schlingensief, and Igneous, and analyzes the implications that emerge on both a significational and a theoretical level. Based on the specific mediality involved, it argues that

  13. Changes to the Intermediate Accounting Course Sequence

    Science.gov (United States)

    Davidson, Lesley H.; Francisco, William H.

    2009-01-01

    There is an ever-growing amount of information that must be covered in Intermediate Accounting courses. Due to recent accounting standards and the implementation of IFRS this trend is likely to continue. This report incorporates the results of a recent survey to examine the trend of spending more course time to cover this additional material.…

  14. Unraveling Intermediate Filaments : The super resolution solution

    NARCIS (Netherlands)

    Nahidiazar, L.

    2017-01-01

    Intermediate Filaments (IFs) carry out major functions in cells. Several diseases have been associated with malfunctioning IFs in the cells and among them are certain sub types of cancer. To determine the structure and organization of IFs, we have used Single Molecule Localization Microscopy (SMLM)

  15. Intermediate state trapping of a voltage sensor

    DEFF Research Database (Denmark)

    Lacroix, Jérôme J; Pless, Stephan Alexander; Maragliano, Luca

    2012-01-01

    transition pathway determined using the string method. The experimental results and computational analysis suggest that the phenotype of I241W may originate in the formation of a hydrogen bond between the indole nitrogen atom and the backbone carbonyl of R2. This work provides new information on intermediate...... states in voltage-gated ion channels with an approach that produces minimum chemical perturbation....

  16. Intuitionistic Rules : Admissible Rules of Intermediate Logics

    NARCIS (Netherlands)

    Goudsmit, J.P.

    2015-01-01

    In this thesis, we investigate the admissible rules of intermediate logics. On the one hand, one can characterize the admissibility of rules in certain logic, and on the other hand, one can characterize logics through their admissible rules. We take both approaches, and reach new results in both

  17. Intermediate Systems Analyst | IDRC - International Development ...

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

    The intermediate Systems Analyst will bring to the System Development Group the necessary skills to understand in depth the architecture of Oracle to allow better design and implementation of new and enhanced information systems and applications. The incumbent will take full responsibility for the ITM division's ...

  18. Software Testing An ISEB Intermediate Certificate

    CERN Document Server

    Hambling, Brian

    2009-01-01

    Covering testing fundamentals, reviews, testing and risk, test management and test analysis, this book helps newly qualified software testers to learn the skills and techniques to take them to the next level. Written by leading authors in the field, this is the only official textbook of the ISEB Intermediate Certificate in Software Testing.

  19. Bismuth phosphates as intermediate temperature proton conductors

    DEFF Research Database (Denmark)

    Huang, Yunjie; Christensen, Erik; Shuai, Qin

    2017-01-01

    Proton conducting electrolyte materials operational in the intermediate temperature range of 200-400 °C are of special interest for applications in fuel cells and water electrolysers. Bismuth phosphates in forms of polycrystalline powders and amorphous glasses are synthesized and investigated...

  20. Strong nuclear enhancement in intermediate mass Drell-Yan production

    CERN Document Server

    Jian Wei Qiu

    2002-01-01

    We calculate nuclear effect in Drell-Yan massive lepton-pair production in terms of parton multiple scattering in Quantum Chromodynamics (QCD). We present the nuclear modification to inclusive Drell-Yan cross sections d sigma /dQ/sup 2/ in terms of multiparton correlation functions. By extracting the size of the correlation functions from measured Drell-Yan transverse momentum broadening in nuclear media, we determine the nuclear modification at O( alpha /sub s//Q/sup 2/). We find that the nuclear modification strongly enhances the inclusive Drell-Yan cross section in the intermediate mass region (IMR): 1.5

  1. Biomarkers of intermediate endpoints in environmental and occupational health

    DEFF Research Database (Denmark)

    Knudsen, Lisbeth E; Hansen, Ase M

    2007-01-01

    The use of biomarkers in environmental and occupational health is increasing due to increasing demands on information about health risks from unfavourable exposures. Biomarkers provide information about individual loads. Biomarkers of intermediate endpoints benefit in comparison with biomarkers...... of exposure from the fact that they are closer to the adverse outcome in the pathway from exposure to health effects and may provide powerful information for intervention. Some biomarkers are specific, e.g., DNA and protein adducts, while others are unspecific like the cytogenetic biomarkers of chromosomal...... health effect from the result of the measurement has been performed for the cytogenetic biomarkers showing a predictive value of high levels of CA and increased risk of cancer. The use of CA in future studies is, however, limited by the laborious and sensitive procedure of the test and lack of trained...

  2. Pion form factor in QCD at intermediate momentum transfers

    Science.gov (United States)

    Braun, V. M.; Khodjamirian, A.; Maul, M.

    2000-04-01

    We present a quantitative analysis of the electromagnetic pion form factor in the light-cone sum rule approach, including radiative corrections and higher-twist effects. The comparison to the existing data favors the asymptotic profile of the pion distribution amplitude and allows us to estimate the deviation: [∫du/uφπ(u)]/[∫du/uφasπ(u)]=1.1+/-0.1 at the scale of 1 GeV. Special attention is paid to the precise definition and interplay of soft and hard contributions at intermediate momentum transfer, and to the matching of the sum rule to the perturbative QCD prediction. We observe a strong numerical cancellation between the soft (end-point) contribution and power-suppressed hard contributions of higher twist, so that the total nonperturbative correction to the usual PQCD result turns out to be of the order of 30% for Q2~1 GeV2.

  3. Clinical manifestations of intermediate allele carriers in Huntington disease

    DEFF Research Database (Denmark)

    Cubo, Esther; Ramos-Arroyo, María A; Martinez-Horta, Saul

    2016-01-01

    into IA carriers (27-35 CAG) and controls (IA carriers and controls were compared for sociodemographic, environmental, and outcome measures. We used regression analysis to estimate the association of age and CAG repeats on the UHDRS scores. RESULTS: Of 12......OBJECTIVE: There is controversy about the clinical consequences of intermediate alleles (IAs) in Huntington disease (HD). The main objective of this study was to establish the clinical manifestations of IA carriers for a prospective, international, European HD registry. METHODS: We assessed......,190 participants, 657 (5.38%) with IA carriers (11.56%) and 581 controls (88.44%). After correcting for multiple comparisons, at baseline, we found no significant differences between IA carriers and controls for total UHDRS motor, SF-36, behavioral, cognitive, or TFC scores...

  4. Carbonyl Sulfides as Possible Intermediates in the Photolysis of Oxathiiranes

    DEFF Research Database (Denmark)

    Carlsen, Lars; Snyder, J. P.; Holm, A.

    1981-01-01

    Diphenyl oxathiirane, formed by irradiation of thiobenzophenone S-oxide at 77 K, is photochemically converted into a blue, thermally unstable compound which decomposes at ca 100–110 K (λmax 550 nm, (ϵ ca 11,000). Lack of change in magnetic susceptibility during the light induced conversion...... of sulfine to ketone via the oxathiirane and the subsequent blue intermediate implies the absence of triplet and biradical singlet transients. The unknown carbonyl sulfide functionality, R2C&z.dbnd;O&z.dbnd;S, thereby emerges as a strong candidate for producing the visible absorption. Comparison of the wave...... functions for CH2&z.dbnd;S&z.dbnd;O and CH2&z.dbnd;O&z.dbnd;S arising from MNDO limited CI geometry optimizations leads to the conclusion that the carbonyl sulfide structure is best described as a zwitterion rather than as a singlet biradical. The failure to observe cycloaddition products between the blue...

  5. Hipse: an event generator for nuclear collisions at intermediate energies

    Energy Technology Data Exchange (ETDEWEB)

    Lacroix, D.; Van Lauwe, A.; Durand, D

    2003-11-01

    An event generator, HIPSE (Heavy-Ion Phase-Space Exploration), dedicated to the description of nuclear collisions in the intermediate energy range is presented. Based on the sudden approximation and on geometrical hypothesis, it can conveniently simulate heavy-ion interactions at all impact parameters and thus can constitute a valuable tool for the understanding of processes such as neck emission or multifragmentation in peripheral or/and central collisions. After a detailed description of the ingredients of the model, first comparisons with experimental data collected by the INDRA collaboration are shown. Special emphasis is put on the kinematical characteristics of fragments and light particles observed at all impact parameters for Xe+Sn reactions at 25 and 50 MeV/u and Ni + Ni at 82 MeV/u. (authors)

  6. Validation of Erosion 3D in Lower Saxony - Comparison between modelled soil erosion events and results of a long term monitoring project

    Science.gov (United States)

    Bug, Jan; Mosimann, Thomas

    2013-04-01

    Since 2000 water erosion has been surveyed on 400 ha arable land in three different regions of Lower Saxony (Mosimann et al. 2009). The results of this long-term survey are used for the validation of the soil erosion models such as USLE and Erosion 3D. The validation of the physically-based model Erosion 3D (Schmidt & Werner 2000) is possible because the survey analyses the effects (soil loss, sediment yield, deposition on site) of single thunder storm events and also maps major factors of soil erosion (soil, crop, tillage). A 12.5 m Raster DEM was used to model the soil erosion events.Rainfalldata was acquired from climate stations. Soil and landuse parameters were derived from the "Parameterkatalog Sachsen"(Michael et al. 1996). During thirteen years of monitoring, high intensity storms fell less frequently than expected. High intensity rainfalls with a return period of five or ten years usually occurred during periods of maximum plant cover.Winter events were ruled out because dataon snow melt and rainfallwere not measured. The validation is therefore restricted to 80 events. The validation consists of three parts. The first part compares the spatial distribution of the mapped soil erosion with the model results. The second part calculates the difference in the amount of redistributed soil. The third part analyses off-site effects such as sediment yield and pollution of water bodies. The validation shows that the overall result of erosion 3D is quite good. Spatial hotspots of soil erosion and of off-site effects are predicted correctly in most cases. However, quantitative comparison is more problematic, because the mapping allows only the quantification of rillerosion and not of sheet erosion. So as a rule,the predicted soil loss is higher than the mapped. The prediction of rill development is also problematic. While the model is capable of predicting rills in thalwegs, the modelling of erosion in tractor tracks and headlands is more complicated. In order to

  7. Opening the Black Box of Intermediation

    DEFF Research Database (Denmark)

    Nowinska, Agnieszka

    ) and at the interfirm level (between partners and within alliances and associations).The tentative results show that both of these levels are important in defining the intermediating firms' business models and in answering their environmental threats and in building up competitive advantage. The paper ends with a short......This paper attempts to answer how external environmental factors affect intermediating firms within the maritime industry - the middlemen that plays a very important role in the sector. The category encompasses firms such as liner and port agencies, freight forwarders and shipbrokers, who link......, by its global character and by volatility. As such, the industry offers an interesting and generalizable environment for research. Moreover, the choice of the middleman, an intermediary in the value chain, as the object of study, offers additional insights into the complex industry and value chain...

  8. Hγ Line Spectrum of Intermediate Polars

    Directory of Open Access Journals (Sweden)

    Yonggi Kim

    1998-06-01

    Full Text Available Kim & Beuermann (1995, 1996 have developed a model for the propagation of X-rays from the accreting white dwarf through the infalling material and the re-emission of the energy deposited by photo-absorption in the optical (and UV spectral range. By using this model, we calculate the profiles of the Hγ emission-line spectrum of intermediate polars. Photoabsorption of X-rays by the infalling material is the dominant process in forming the observed energy-dependent rotational modulation of the X-ray flux. X-ray and optical modulations are sensitive to model parameters in different ways. In principle, these dependencies allow us to obtain improved insight into the accretion geometry of the intermediate polars. We present results of our calculations and compare them with the Hβ line spectrum (Kim & Beuermann 1996.

  9. Intermediate storage for the Start accelerator

    International Nuclear Information System (INIS)

    Gaponenko, N.I.; Tkach, Yu.V.; Stepanenko, I.A.; Kozachek, A.S.; Komarov, A.D.; Gadetskij, N.P.

    1988-01-01

    Usage of the chain of series-connected capacitors, placed near the voltage pulse generator (VPG) cascades, as an intermediate storage (IS) has allowed to reduce the inductance of the PG-IS charging circuit and to reduce storage charging time up to 30 ns. In such cases the electrical strength of the IS capacitor insulation is essentially higher, than at dc voltage, it has allowed to reduce the number of capacitors in the chain and to reduce IS self-inductance. Additional ways to reduce the inductance of the VPG-IS charging circuit are considered. Reduction of storage charging time has allowed to stabilize the operation of the commutator, which connects the intermediate storage with the accelerator shaping line

  10. Improving interMediAte Risk management. MARK study

    Directory of Open Access Journals (Sweden)

    Garcia-Gil Maria

    2011-10-01

    Full Text Available Abstract Background Cardiovascular risk functions fail to identify more than 50% of patients who develop cardiovascular disease. This is especially evident in the intermediate-risk patients in which clinical management becomes difficult. Our purpose is to analyze if ankle-brachial index (ABI, measures of arterial stiffness, postprandial glucose, glycosylated hemoglobin, self-measured blood pressure and presence of comorbidity are independently associated to incidence of vascular events and whether they can improve the predictive capacity of current risk equations in the intermediate-risk population. Methods/Design This project involves 3 groups belonging to REDIAPP (RETICS RD06/0018 from 3 Spanish regions. We will recruit a multicenter cohort of 2688 patients at intermediate risk (coronary risk between 5 and 15% or vascular death risk between 3-5% over 10 years and no history of atherosclerotic disease, selected at random. We will record socio-demographic data, information on diet, physical activity, comorbidity and intermittent claudication. We will measure ABI, pulse wave velocity and cardio ankle vascular index at rest and after a light intensity exercise. Blood pressure and anthropometric data will be also recorded. We will also quantify lipids, glucose and glycosylated hemoglobin in a fasting blood sample and postprandial capillary glucose. Eighteen months after the recruitment, patients will be followed up to determine the incidence of vascular events (later follow-ups are planned at 5 and 10 years. We will analyze whether the new proposed risk factors contribute to improve the risk functions based on classic risk factors. Discussion Primary prevention of cardiovascular diseases is a priority in public health policy of developed and developing countries. The fundamental strategy consists in identifying people in a high risk situation in which preventive measures are effective and efficient. Improvement of these predictions in our country

  11. Far from the intermediate nuclear field

    International Nuclear Information System (INIS)

    Dietrich, K.; Wagner, G.J.; Gregoire, C.; Campi, X.; Silvestre-Brac, B.; Platchkov, S.; Mayer, B.; Abgrall, Y.; Bohigas, O.; Grange, P.; Signarbieux, C.

    1988-01-01

    Pairing correlations in nuclear physics; the BCS state and quasi-particles; the layer model; collision effects on nuclear dynamics; the theory of cluster formation (application to nucleus fragmentation); short range correlations (few-particle systems); deuterium electron scattering; dibaryonic resonances; traditional and exotic hadron probes of nuclear structure; spectral fluctuations and chaotic motion; corrections to the intermediate nuclear field (nonrelativistic and other effects); and heavy nuclei splitting and nuclear superfluidity are introduced [fr

  12. International express student's book : pre-intermediate

    CERN Document Server

    Taylor, Liz

    1996-01-01

    The New Edition of International Express Pre-Intermediate retains all the keys features of this popular and successel four-level course. It combines engaging, up-to-date topics with a time-efficient and student-centred approach to language work, and clearly focused activities that reflect learner's real communicative needs - the ideal course for professional adults who use English for work, travel, and socializing.

  13. Assembly of intermediates for rapid membrane fusion.

    Science.gov (United States)

    Harner, Max; Wickner, William

    2018-01-26

    Membrane fusion is essential for intracellular protein sorting, cell growth, hormone secretion, and neurotransmission. Rapid membrane fusion requires tethering and Sec1-Munc18 (SM) function to catalyze R-, Qa-, Qb-, and Qc-SNARE complex assembly in trans , as well as SNARE engagement by the SNARE-binding chaperone Sec17/αSNAP. The hexameric vacuolar HOPS ( ho motypic fusion and vacuole p rotein s orting) complex in the yeast Saccharomyces cerevisiae tethers membranes through its affinities for the membrane Rab GTPase Ypt7. HOPS also has specific affinities for the vacuolar SNAREs and catalyzes SNARE complex assembly, but the order of their assembly into a 4-SNARE complex is unclear. We now report defined assembly intermediates on the path to membrane fusion. We found that a prefusion intermediate will assemble with HOPS and the R, Qa, and Qc SNAREs, and that this assembly undergoes rapid fusion upon addition of Qb and Sec17. HOPS-tethered membranes and all four vacuolar SNAREs formed a complex that underwent an even more dramatic burst of fusion upon Sec17p addition. These findings provide initial insights into an ordered fusion pathway consisting of the following intermediates and events: 1) Rab- and HOPS-tethered membranes, 2) a HOPS:R:Qa:Qc trans -complex, 3) a HOPS:4-SNARE trans -complex, 4) an engagement with Sec17, and 5) the rapid lipid rearrangements during fusion. In conclusion, our results indicate that the R:Qa:Qc complex forms in the context of membrane, Ypt7, HOPS, and trans -SNARE assembly and serves as a functional intermediate for rapid fusion after addition of the Qb-SNARE and Sec17 proteins. © 2018 by The American Society for Biochemistry and Molecular Biology, Inc.

  14. Biodentine versus Mineral Trioxide Aggregate versus Intermediate Restorative Material for Retrograde Root End Filling: An Invitro Study.

    Directory of Open Access Journals (Sweden)

    Saravanapriyan Soundappan

    2014-04-01

    Full Text Available The aim of this study was to evaluate the marginal adaptation of Biodentine in comparison with Mineral Trioxide Aggregate (MTA and Intermediate Restorative Material (IRM, as a root end filling material, using Scanning Electron Microscopy (SEM.Thirty permanent maxillary central incisors were chemo-mechanically prepared and obturated. Three millimetres of the root end were resected and 3mm retro cavity preparation was done using ultrasonic retrotips. The samples were randomly divided into three groups (n=10 and were restored with root end filling materials: Group I - MTA, Group II - Biodentine, Group III - IRM. The root ends were sectioned transversely at 1mm and 2mm levels and evaluated for marginal adaptation using SEM. The gap between dentin and retro filling material was measured at four quadrants. The mean gap at 1mm level and 2mm level from the resected root tip and combined mean were calculated. The data were statistically analyzed, using one-way ANOVA and Tukey's HSD post hoc test for intergroup analysis and paired t-test for intragroup analysis.The overall results showed no statistically significant difference between MTA and IRM but both were superior when compared to Biodentine. At 1mm level there was no statistically significant difference among any of the tested materials. At 2mm level MTA was superior to both IRM and Biodentine.In overall comparison, MTA and IRM were significantly superior when compared to Biodentine in terms of marginal adaptation, when used as retrograde filling material.

  15. Comparison of Hourly Solar Radiation from a Ground–Based Station, Remote Sensing and Weather Forecast Models at a Coastal Site of South Italy (Lamezia Terme)

    DEFF Research Database (Denmark)

    Feudo, Teresa Lo; Avolio, Elenio; Gullì, Daniel

    2015-01-01

    The solar radiation is a critical input parameter when working with solar energy and radiation dependent surface processes. In this study, we present preliminary results from an inter-comparison between hourly values from a pyranometer, MSG-SEVIRI sensor and two meso-scale models, WRF and RAMS...

  16. Transfer to Intermediate Forms Following Concept Discrimination by Pigeons: Chimeras and Morphs

    Science.gov (United States)

    Ghosh, Natasha; Lea, S. E. G.; Noury, Malia

    2004-01-01

    Two experiments examined pigeons' generalization to intermediate forms following training of concept discriminations. In Experiment 1, the training stimuli were sets of images of dogs and cats, and the transfer stimuli were head/body chimeras, which humans tend to categorize more readily in terms of the head part rather than the body part. In…

  17. Local exclusion principle for identical particles obeying intermediate and fractional statistics

    DEFF Research Database (Denmark)

    Lundholm, Douglas; Solovej, Jan Philip

    2013-01-01

    A local exclusion principle is observed for identical particles obeying intermediate and fractional exchange statistics in one and two dimensions, leading to bounds for the kinetic energy in terms of the density. This has implications for models of Lieb-Liniger and Calogero-Sutherland type...

  18. Local Exclusion and Lieb-Thirring Inequalities for Intermediate and Fractional Statistics

    DEFF Research Database (Denmark)

    Lundholm, Douglas; Solovej, Jan Philip

    2014-01-01

    A local exclusion principle is observed for identical particles obeying intermediate/fractional exchange statistics in one and two dimensions, leading to bounds for the kinetic energy in terms of the density. This has implications for models of Lieb-Liniger and Calogero-Sutherland type, and implies...

  19. Impact of Explicit Vocabulary Instruction on Writing Achievement of Upper-Intermediate EFL Learners

    Science.gov (United States)

    Solati-Dehkordi, Seyed Amir; Salehi, Hadi

    2016-01-01

    Studying explicit vocabulary instruction effects on improving L2 learners' writing skill and their short and long-term retention is the purpose of the present study. To achieve the mentioned goal, a fill-in-the-blank test including 36 single words and 60 lexical phrases were administrated to 30 female upper-intermediate EFL learners. The EFL…

  20. Policy and technical considerations for intermediate-level and low-level radioactive waste

    International Nuclear Information System (INIS)

    Anon.

    1977-01-01

    This section has addressed issues, topics, and considerations related to low-level and intermediate-level wastes that are basic to developing and establishing environmental radiation protection criteria for radioactive wastes. Applicability of criteria, criteria considerations for sites, control of radiological impact to the population, and long-term considerations are discussed

  1. Low and intermediate level radioactive waste in Mexico

    International Nuclear Information System (INIS)

    Paredes, L.C.; Ortiz, J.R.; Sanchez, S.

    2002-01-01

    Currently, it is necessary to establish, in a few years, a definitive repository for low and intermediate level radioactive waste in order to satisfy the necessities of Mexico for the next 50 years. Consequently, it is required to estimate the volumes of the radioactive waste generated annually, the stored volumes to-date and their projection to medium-term. On this subject, the annual average production of low and intermediate level radioactive waste from the electricity production by means of nuclear power reactors is 250 m 3 /y which consist of humid and dry solid waste from the 2 units of the Laguna Verde Nuclear Power plant having a re-use efficiency of effluents of 95%. On the other hand, the applications in medicine, industry and research generate 20 m 3 /y of solid waste, 280 m 3 /y of liquid waste and approximately 10 m 3 /y from 300 spent sealed radioactive sources. The estimation of the total volume of these waste to the year 2035 is 17500 m 3 corresponding to the 46% of the volume generated by the operation and maintenance of the 2 units of the Laguna Verde Nuclear Power plant, 34% to the decommissioning of these 2 units at the end of their useful life and 20% to the waste generated by applications in medicine, industry and research. (author)

  2. Calibration of laboratory equipment and its intermediate verification

    International Nuclear Information System (INIS)

    Remedi, Jorge O.

    2011-01-01

    When a laboratory wants to prove that he has technical competence to carry out tests or calibrations must demonstrate that it has complied with certain requirements that establish , among others, the mandatory : calibrate or verify equipment before putting it into service in order to ensure that it meets to the specifications of laboratory equipment to keep records evidencing the checks that equipment complies with the specification ; perform intermediate checks for maintain confidence in the calibration status of the equipment , ensure that the operation is checked and calibration status of equipment when the equipment goes outside the direct control of the laboratory , before be returned to service, establish a program and procedure for the calibration of equipment; show how determined the calibration periods of their equipment as well as evidence that intermediate checks are suitable for the calibration periods. However, some confusion is observed as to the meaning of the terms 'calibration' and 'verification' of a computer. This paper analyzes applicable documentation and suggests that the differences are generated in part by translations and by characterization concepts upon its usage, that is, if it is legal metrology or assessment conformity. Therefore, this study aims to characterize both concepts , fundamentals to zoom distinguish , outline appropriate strategies for calibration and verification activities to ensure the compliance with regulatory requirements [es

  3. Dehydration-induced instabilities at intermediate depths in subduction zones

    Science.gov (United States)

    Brantut, Nicolas; Stefanou, Ioannis; Sulem, Jean

    2017-08-01

    We formulate a model for coupled deformation and dehydration of antigorite, based on a porosity-dependent yield criterion and including shear-enhanced compaction. A pore pressure and compaction instability can develop when the net volume change associated with the reaction is negative, i.e., at intermediate depth in subduction zones. The instability criterion is derived in terms of the dependence of the yield criterion on porosity: if that dependence is strong, instabilities are more likely to occur. We also find that the instability is associated with strain localization, over characteristic length scales determined by the hydraulic diffusivity, the elasto-plastic parameters of the rock, and the reaction rate. Typical lower bounds for the localization length are of the order of 10 to 100 for antigorite dehydration and deformation at 3 GPa. The fluid pressure and deformation instability is expected to induce stress buildup in the surrounding rocks forming the subducted slab, which provides a mechanism for the nucleation and propagation of intermediate-depth earthquakes.

  4. What is the optimum fusion technique for adult isthmic spondylolisthesis--PLIF or PLF? A long-term prospective cohort comparison study.

    Science.gov (United States)

    Cunningham, John Edward; Elling, Elizabeth Mary; Milton, Abul Hasnat; Robertson, Peter Alexander

    2013-07-01

    Long-term prospective observational cohort study. The objective of the study was to compare the long-term functional outcomes of posterolateral fusion (PLF) and posterior lumbar interbody fusion (PLIF) for the treatment of adult isthmic spondylolisthesis (IS). PLIF has the theoretical advantage of improving sagittal alignment and providing a larger, more consistent fusion mass in patients with IS compared with PLF. Studies to date though have not shown a clinical difference, with follow-up of 2 years. An prospective cohort study was performed of a single surgeon's patients with IS treated surgically over a 10-year period. Average follow-up was 7 years and 10 months. Preoperative patient characteristics between the 2 groups were not significantly different. The return rate of the long-term questionnaires was 83%. Outcome measures were the Roland Morris Disability Questionnaire (RMDQ), Low Back Outcome Score (LBOS), Short Form (SF)-12v2, and SF-6D R2. PLIF provided better short-term and long-term results than PLF. The PLIF group had significantly better LBOS scores in the long term, and nonsignificantly better RMDQ scores. As measured by the RMDQ Minimal Clinically Important Difference set at 4 and 8, the LBOS Minimal Clinically Important Difference set at 7.5 points and by SF-12v2 Physical Component Score, PLIF patients performed better than PLF patients. When analyzing single-level fusions alone, the difference is more pronounced, with Physical Component Score, Mental Component Scores, and SF-6D R2 all being significantly better in the PLIF group rather than the PLF group. This study strongly supports the use of PLIF to obtain equivalent or superior clinical outcomes compared with PLF for spinal fusion for lumbar IS. Although there are considerable issues when commenting on the results of observational studies, the results of this study are the first to report long-term follow-up beyond 2 years, and further larger long-term randomized studies are suggested.

  5. A COMPARISON OF WINTER SHORT-TERM AND ANNUAL AVERAGE RADON MEASUREMENTS IN BASEMENTS OF A RADON-PRONE REGION AND EVALUATION OF FURTHER RADON TESTING INDICATORS

    Science.gov (United States)

    Barros, Nirmalla G.; Steck, Daniel J.; Field, R. William

    2014-01-01

    The primary objective of this study was to investigate the temporal variability between basement winter short-term (7 to 10 days) and basement annual radon measurements. Other objectives were to test the short-term measurement’s diagnostic performance at two reference levels and to evaluate its ability to predict annual average basement radon concentrations. Electret ion chamber (short-term) and alpha track (annual) radon measurements were obtained by trained personnel in Iowa residences. Overall, the geometric mean of the short-term radon concentrations (199 Bq m−3) was slightly greater than the geometric mean of the annual radon concentrations (181 Bq m−3). Short-term tests incorrectly predicted that the basement annual radon concentrations would be below 148 Bq m−3 12% of the time and 2% of the time at 74 Bq m−3. The short-term and annual radon concentrations were strongly correlated (r=0.87, pradon potential when the reference level is lowered to 74 Bq m−3. PMID:24670901

  6. dd →3 Hen Reaction at Intermediate Energies

    International Nuclear Information System (INIS)

    Ladygina, N. B.

    2012-01-01

    The dd → 3 Hen reaction is considered at the energies between 200 and 520 MeV. The Alt-Grassberger-Sandhas equations are iterated up to the lowest order terms over the nucleon-nucleon t-matrix. The parameterized 3He wave function including five components is used. The angular dependence of the differential cross section and energy dependence of tensor analyzing power T 20 at the zero scattering angle are presented in comparison with the experimental data. (author)

  7. Conditioning of low- and intermediate-level radioactive wastes

    International Nuclear Information System (INIS)

    1983-01-01

    The nuclear fuel cycle, together with the use of separated radioisotopes, in many endeavours generates a variety of low- and intermediate-level radioactive wastes. These waste materials contain quantities of radionuclides sufficient to present potential health risks to people if the wastes are not adequately managed, but usually insufficient quantities to require heat removal. Adequate management involves a series of steps which lead from the arising of the wastes to their safe disposal, steps which may include collection, segregation, treatment, volume reduction, conditioning, transport, interim storage and disposal. Each step is defined by the need to accommodate to the preceding one and to facilitate the ones that follow. This technical report describes primarily the technologies available for the conditioning steps (i.e., immobilization and packaging) and relates them to the other steps. In broad terms, the purpose of conditioning is to convert the wastes into packages that are suitable for transport, storage and disposal

  8. One-stage correction of intermediate imperforate anus in males ...

    African Journals Online (AJOL)

    Background: This prospective study was designed to assess the safety, cost effectiveness, and advantages of performing posterior sagittal anorectoplasty without colostomy on males with intermediate imperforate anus. Method: Five consecutive males with intermediate imperforate anus were entered into the study.

  9. Intermediate temperature solid oxide fuel cells.

    Science.gov (United States)

    Brett, Daniel J L; Atkinson, Alan; Brandon, Nigel P; Skinner, Stephen J

    2008-08-01

    High temperature solid oxide fuel cells (SOFCs), typified by developers such as Siemens Westinghouse and Rolls-Royce, operate in the temperature region of 850-1000 degrees C. For such systems, very high efficiencies can be achieved from integration with gas turbines for large-scale stationary applications. However, high temperature operation means that the components of the stack need to be predominantly ceramic and high temperature metal alloys are needed for many balance-of-plant components. For smaller scale applications, where integration with a heat engine is not appropriate, there is a trend to move to lower temperatures of operation, into the so-called intermediate temperature (IT) range of 500-750 degrees C. This expands the choice of materials and stack geometries that can be used, offering reduced system cost and, in principle, reducing the corrosion rate of stack and system components. This review introduces the IT-SOFC and explains the advantages of operation in this temperature regime. The main advances made in materials chemistry that have made IT operation possible are described and some of the engineering issues and the new opportunities that reduced temperature operation affords are discussed. This tutorial review examines the advances being made in materials and engineering that are allowing solid oxide fuel cells to operate at lower temperature. The challenges and advantages of operating in the so-called 'intermediate temperature' range of 500-750 degrees C are discussed and the opportunities for applications not traditionally associated with solid oxide fuel cells are highlighted. This article serves as an introduction for scientists and engineers interested in intermediate temperature solid oxide fuel cells and the challenges and opportunities of reduced temperature operation.

  10. Medicines reablement in intermediate health and social care services.

    Science.gov (United States)

    Gerrish, Kate; Laker, Sara; Wright, Sarah; Stainrod, Wendy

    2017-07-01

    Aim To evaluate a medicines reablement initiative involving health and social care, to include consideration of the training package, proportion of patients reabled successfully, and patient and staff perspectives of the service. Intermediate care services provide short-term intervention to support patients with chronic conditions transition from hospital to community-based services and involves maximising patients' independence through reablement. The term 'medicines reablement' describes the process of rehabilitating patients to be independent with their medication. Pharmacy technicians led the medicines reablement initiative. They delivered a competency-based training programme for frontline health and social care staff. They assessed and set goals with patients to facilitate independence in self-administration of their medication. The pharmacy technicians provided on-going support to staff helping patients to reable. They reassessed patients after six weeks to determine if medicines reablement had been successful or whether further input was needed. Data were collected by means of a questionnaire and semi-structured interviews with pharmacy technicians, frontline staff, managers, and patients. Findings Twenty per cent of patients discharged from hospital to intermediate care were assessed to be suitable for medicines reablement. Of these patients, 44% were successfully reabled and a further 25% benefited from the input of a pharmacy technician. Patients and staff were positive about medicines reablement, emphasising the importance of patients attaining independence for self-administration of medication. Although following training, health and social care staff felt confident in facilitating medicines reablement they valued on-going access to pharmacy technicians for timely support, help with problem solving, and advice throughout the reablement process. Medicines reablement can lead to patients becoming independent with taking medication and contribute to staff

  11. Intermediate Energy Activation File (IEAF-99)

    International Nuclear Information System (INIS)

    Korovin, Yu.; Konobeev, A.; Pereslavtsev, P.; Stankovskij, A.; Fischer, U.; Moellendorff, U. von

    1999-01-01

    Nuclear data library IEAF-99, elaborated to study processes of interactions of intermediate energy neutrons with materials in accelerator driven systems, is described. The library is intended for activation and transmutation studies for materials irradiated by neutrons. IEAF-99 contains evaluated neutron induced reaction cross sections at the energies 0-150 MeV for 665 stable and unstable nuclei from C to Po. Approximately 50,000 excitation functions are included in the library. The IEAF-99 data are written in the ENDF-6 format combining MF = 3,6 MT = 5 data recording. (author)

  12. Thermoelectric power generator with intermediate loop

    Science.gov (United States)

    Bell, Lon E; Crane, Douglas Todd

    2013-05-21

    A thermoelectric power generator is disclosed for use to generate electrical power from heat, typically waste heat. An intermediate heat transfer loop forms a part of the system to permit added control and adjustability in the system. This allows the thermoelectric power generator to more effectively and efficiently generate power in the face of dynamically varying temperatures and heat flux conditions, such as where the heat source is the exhaust of an automobile, or any other heat source with dynamic temperature and heat flux conditions.

  13. Intermediate Bandgap Solar Cells From Nanostructured Silicon

    Energy Technology Data Exchange (ETDEWEB)

    Black, Marcie [Bandgap Engineering, Lincoln, MA (United States)

    2014-10-30

    This project aimed to demonstrate increased electronic coupling in silicon nanostructures relative to bulk silicon for the purpose of making high efficiency intermediate bandgap solar cells using silicon. To this end, we formed nanowires with controlled crystallographic orientation, small diameter, <111> sidewall faceting, and passivated surfaces to modify the electronic band structure in silicon by breaking down the symmetry of the crystal lattice. We grew and tested these silicon nanowires with <110>-growth axes, which is an orientation that should produce the coupling enhancement.

  14. Present status of intermediate energy data evaluation for accelerator-based transmutation of radioactive waste

    International Nuclear Information System (INIS)

    Koning, A.J.

    1994-05-01

    The recent developments in the field of nuclear data evaluation for energies above 20 MeV are outlined. As a particularly interesting application we consider accelerator-based transmutation of radioactive waste. The most urgent data needs for accelerator-based transmutation have been prioritized and translated in terms of intermediate-energy data libraries. Priorities are assigned to the materials relevant to an incineration system and to the most important associated nuclear reactions (notably reactions involving nucleons). In this contribution, the proposed actions as indicated in previous work are further discussed and a sample intermediate-energy ''starter'' data file is presented. (orig.)

  15. A photochromic diode with a continuum of intermediate states: towards high density multilevel storage.

    Science.gov (United States)

    Shallcross, R Clayton; Körner, Peter O; Maibach, Eduard; Köhnen, Anne; Meerholz, Klaus

    2013-09-14

    A continuum of intermediate states (current levels) is demonstrated for an organic diode utilizing a photochromic (dithienylethene) switching layer. Specific intermediate states can be attained by controlling the fraction of closed isomer (X) in the transduction layer, affording a novel methodology for multilevel storage applications. The analog response of the device is discussed in terms of the concentration and morphology of closed dithienylethene isomer, which can be accessed via optical and electrical switching reactions. Copyright © 2013 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  16. Intermediation by Banks and Economic Growth: A Review of Empirical Evidence

    Directory of Open Access Journals (Sweden)

    Marijana Bađun

    2009-06-01

    Full Text Available This paper provides a review of empirical research on the link between financial intermediation by banks and economic growth. Special attention is paid to the issues of causality, non-linearity, time perspective, financial intermediation proxies, and interaction terms. The review shows that there are still quite a few unresolved issues in empirical research, which causes scepticism towards prioritizing financial sector policies in order to cause economic growth. Progress in the finance and growth literature is slow and researchers seem to go round in circles. A possibly fruitful direction for future empirical research is the relationship between government and banks, especially from the standpoint of political economy.

  17. Numerical simulation of flow induced by a pitched blade turbine. Comparison of the sliding mesh technique and an averaged source term method

    Energy Technology Data Exchange (ETDEWEB)

    Majander, E.O.J.; Manninen, M.T. [VTT Energy, Espoo (Finland)

    1996-12-31

    The flow induced by a pitched blade turbine was simulated using the sliding mesh technique. The detailed geometry of the turbine was modelled in a computational mesh rotating with the turbine and the geometry of the reactor including baffles was modelled in a stationary co-ordinate system. Effects of grid density were investigated. Turbulence was modelled by using the standard k-{epsilon} model. Results were compared to experimental observations. Velocity components were found to be in good agreement with the measured values throughout the tank. Averaged source terms were calculated from the sliding mesh simulations in order to investigate the reliability of the source term approach. The flow field in the tank was then simulated in a simple grid using these source terms. Agreement with the results of the sliding mesh simulations was good. Commercial CFD-code FLUENT was used in all simulations. (author)

  18. Goniometer Measurements of Oral Labial Angle and Evaluation of Oral Motor Reflexes in Preterm Infants: Comparison to Findings in Term Infants.

    Science.gov (United States)

    Ince, Deniz Anuk; Tugcu, Ali Ulas; Ecevit, Ayşe; Ciyiltepe, Muzeyyen; Kurt, Abdullah; Abbasoğlu, Aslıhan; Tekindal, Mustafa Agah; Tarcan, Aylin

    2015-10-01

    To date, no study has evaluated changes in oral labial angle as preterm infants mature. The main purpose of this study was to document goniometer measurements of the labial angle of the mouth in preterm infants, to assess changes with development, to compare to findings in healthy term infants, and also evaluate oral motor reflexes in these groups. Seventy-eight preterm infants and 45 healthy term infants were recruited for the prospective study. Labial angle was assessed via goniometer, and oral motor reflexes and the volume of milk ingested were evaluated. There was significant difference between term and preterm infants' labial angles (P Goniometer measurements of the oral labial angle may reveal oral motor performance in preterm infants and may be relevant for feeding skills assessment in this group of infants. © The Author(s) 2015.

  19. 40 CFR 721.983 - Sulfonyl azide intermediate (generic).

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 30 2010-07-01 2010-07-01 false Sulfonyl azide intermediate (generic... Substances § 721.983 Sulfonyl azide intermediate (generic). (a) Chemical substance and significant new uses subject to reporting. (1) The chemical substance identified generically as sulfonyl azide intermediate...

  20. Surface Intermediate Zone of Submerged Turbulent Buoyant Jet in Current

    DEFF Research Database (Denmark)

    Chen, H. B.; Larsen, Torben

    1995-01-01

    This paper deals with the intermediate zone between the jet and plume stages of a submerged buoyant discharge from sea outfall in current. The stability criteria, plume width and height after the intermediate zone and the dilution within the intermediate region have been studied theoretically...

  1. Intermediate product selection and blending in the food processing industry

    DEFF Research Database (Denmark)

    Kilic, Onur A.; Akkerman, Renzo; van Donk, Dirk Pieter

    2013-01-01

    This study addresses a capacitated intermediate product selection and blending problem typical for two-stage production systems in the food processing industry. The problem involves the selection of a set of intermediates and end-product recipes characterising how those selected intermediates...

  2. 42 CFR 54.12 - Treatment of intermediate organizations.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Treatment of intermediate organizations. 54.12... intermediate organizations. If a nongovernmental organization (referred to here as an “intermediate organization”), acting under a contract or other agreement with the Federal Government or a State or local...

  3. 40 CFR 86.246-94 - Intermediate temperature testing.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 18 2010-07-01 2010-07-01 false Intermediate temperature testing. 86... New Medium-Duty Passenger Vehicles; Cold Temperature Test Procedures § 86.246-94 Intermediate temperature testing. (a) This section is applicable to tests which are conducted at an intermediate...

  4. Can Morphing Methods Predict Intermediate Structures?

    Science.gov (United States)

    Weiss, Dahlia R.; Levitt, Michael

    2009-01-01

    Movement is crucial to the biological function of many proteins, yet crystallographic structures of proteins can give us only a static snapshot. The protein dynamics that are important to biological function often happen on a timescale that is unattainable through detailed simulation methods such as molecular dynamics as they often involve crossing high-energy barriers. To address this coarse-grained motion, several methods have been implemented as web servers in which a set of coordinates is usually linearly interpolated from an initial crystallographic structure to a final crystallographic structure. We present a new morphing method that does not extrapolate linearly and can therefore go around high-energy barriers and which can produce different trajectories between the same two starting points. In this work, we evaluate our method and other established coarse-grained methods according to an objective measure: how close a coarse-grained dynamics method comes to a crystallographically determined intermediate structure when calculating a trajectory between the initial and final crystal protein structure. We test this with a set of five proteins with at least three crystallographically determined on-pathway high-resolution intermediate structures from the Protein Data Bank. For simple hinging motions involving a small conformational change, segmentation of the protein into two rigid sections outperforms other more computationally involved methods. However, large-scale conformational change is best addressed using a nonlinear approach and we suggest that there is merit in further developing such methods. PMID:18996395

  5. Intermediate heat exchanger project for Super Phenix

    International Nuclear Information System (INIS)

    Roumailhac, J.; Desir, D.

    1975-01-01

    The Super Phenix (1200 MWe) intermediate heat exchangers are derived directly from those of Phenix (250 MWe). The intermediate exchangers are housed in the reactor vessel annulus: as this annulus must be of the smallest volume possible, these IHX are required to work at a high specific rating. The exchange surface is calculated for nominal conditions. A range is then defined, consistent with the above requirements and throughout which the ratio between bundle thickness and bundle length remains acceptable. Experimental technics and calculations were used to determine the number of tube constraint systems required to keep the vibration amplitude within permissible limits. From a knowledge of this number, the pressure drop produced by the primary flow can be calculated. The bundle geometry is determined together with the design of the corresponding tube plates and the way in which these plates should be joined to the body of the IHX. The experience (technical and financial) acquired in the construction of Phenix is then used to optimize the design of the Super Phenix project. An approximate definition of the structure of the IHX is obtained by assuming a simplified load distribution in the calculations. More sophisticated calculations (e.g. finite element method) are then used to determine the behaviour of the different points of the IHX, under nominal and transient conditions

  6. How do verbal short-term memory and working memory relate to the acquisition of vocabulary and grammar? : A comparison between first and second language learners

    NARCIS (Netherlands)

    Verhagen, Josje; Leseman, Paul

    Previous studies show that verbal short-term memory (VSTM) is related to vocabulary learning, whereas verbal working memory (VWM) is related to grammar learning in children learning a second language (L2) in the classroom. In this study, we investigated whether the same relationships apply to

  7. A comparison of the long-term durability of nevirapine, efavirenz and lopinavir in routine clinical practice in Europe: a EuroSIDA study

    DEFF Research Database (Denmark)

    Reekie, J; Reiss, P; Ledergerber, B

    2011-01-01

    The durability of combination antiretroviral therapy (cART) regimens can be measured as time to discontinuation because of toxicity or treatment failure, development of clinical disease or serious long-term adverse events. The aim of this analysis was to compare the durability of nevirapine...

  8. Comparison between GIPSY OASIS 6.0 and BERNESE 5.0 time series for long term GPS stations in Denmark

    DEFF Research Database (Denmark)

    Khan, Shfaqat Abbas; Knudsen, Per

    2012-01-01

    We study influence of software on determination of secular uplift rates. For this purpose we process GPS data for three long term permanent GPS stations, SMID, SULD, and BUDP, all located in Denmark (fig 1). To process the GPS data, we use the GIPSY OASIS 6.0 software and the Bernese 5.0 software...

  9. The Comparison of Fourth Grade Students' Essays Based on Free and Guided Writing Technique in Terms of the Quality of Written Expression

    Science.gov (United States)

    Calp, Mehrali

    2015-01-01

    Writing exercises are more effective than grammar rules in terms of making children acquire language skills. Knowing the characteristics of text genres and the rules of writing are not enough to improve writing skills of teacher candidates and to acquire necessary strategies for teaching how to write. Teachers would be uncertain about assessment…

  10. The Analysis and Comparison of Pre-Service Music Teachers' Attitudes towards the Piano Lesson and Their Sight-Reading Skills in Terms of Certain Variables

    Science.gov (United States)

    Özen, Çagla; Onuray Egilmez, Hatice; Engür, Doruk

    2017-01-01

    This study seeks to analyze pre-service music teachers' attitudes towards the piano lesson and their piano sight-reading skills in terms of academic achievement in the piano lesson, year of study, and gender and reveal the relationship between their attitudes towards the piano lesson and piano sight-reading skills. Descriptive model and…

  11. Comparison of long-term stability of containment systems for residues and wastes contaminated with naturally occurring radionuclides at an arid site and two humid sites

    International Nuclear Information System (INIS)

    Winters, M.; Merry-Libby, P.; Hinchman, R.

    1985-01-01

    The long-term stability of near-surface containment systems designed for the management of radioactive wastes and residues contaminated with naturally occurring radionuclides are compared at the three different sites. The containment designs are: (1) a diked 8.9-m high mound, including a 3.2-m layered cap at a site (humid) near Lewiston, New York, (2) a 6.8-m-high mound, including a similar 3.2-m cap at a site (humid) near Oak Ridge, Tennessee, and (3) 4.8-m deep trenches with 3.0-m backfilled caps at a site (arid) near Hanford, Washington. Geological, hydrological, and biological factors affecting the long-term (1000-year) integrity of the containment systems at each site are examined, including: erosion, flooding, drought, wildfire, slope and cover failure, plant root penetration, burrowing animals, other soil-forming processes, and land-use changes. For the containment designs evaluated, releases of radon-222 at the arid site are predicted to be several orders of magnitude higher than at the two humid sites - upon initial burial and at 1000 years (after severe erosion). Transfer of wastes containing naturally occurring radionuclides from a humid to an arid environment offers little or no advantage relative to long-term stability of the containment system and has a definite disadvantage in terms of gaseous radioactive releases. 26 references, 3 figures, 4 tables

  12. A Comparison of Students in Physical Education and Sports College and the Students in Other Departments in Terms of Problem Solving Skills

    Science.gov (United States)

    Görücü, Alpaslan; Cantav, Erkan

    2017-01-01

    In this research, it is aimed to analyze the problem solving skills of university students in terms of different variables and to analyze the differences among the levels of perceived problem solving skill of the students of Physical Education and Sports College and other branch students. The sample consists of the university students from the…

  13. Effects of organic matter removal, soil compaction, and vegetation control on 5-year seedling performance: a regional comparison of long-term soil productivity sites

    Science.gov (United States)

    Robert L. Fleming; Robert F. Powers; Neil W. Foster; J. Marty Kranabetter; D. Andrew Scott; Felix Jr. Ponder; Shannon Berch; William K. Chapman; Richard D. Kabzems; Kim H. Ludovici; David M. Morris; Deborah S. Page-Dumroese; Paul T. Sanborn; Felipe G. Sanchez; Douglas M. Stone; Allan E. Tiarks

    2006-01-01

    We examined fifth-year seedling response to soil disturbance and vegetation control at 42 experimental locations representing 25 replicated studies within the North American Long-Term Soil Productivity (LTSP) program. These studies share a common experimental design while encompassing a wide range of climate, site conditions, and forest types. Whole-tree harvest had...

  14. Medium-term (5-year) comparison of the functional outcomes of combined anterior cruciate ligament and posterolateral corner reconstruction compared with isolated anterior cruciate ligament reconstruction.

    Science.gov (United States)

    Cartwright-Terry, Matthew; Yates, Jonny; Tan, Chin K; Pengas, Ioannis P; Banks, Joanne V; McNicholas, Michael J

    2014-07-01

    To present a 5-year comparison of the functional outcomes of combined anterior cruciate ligament (ACL) and posterolateral corner (PLC) reconstruction with those of isolated ACL reconstruction. All patients were reviewed clinically and completed knee function questionnaires prospectively, by use of the International Knee Documentation Committee (IKDC) 2000, Knee Injury and Osteoarthritis Outcome Score (KOOS), and Lysholm scoring systems, preoperatively and at 1, 2, and 5 years postoperatively. Patients who underwent combined ACL-PLC reconstruction were identified and reviewed. These patients had intact lateral collateral ligaments. A comparison group was created from a group of patients who underwent isolated ACL reconstruction. The ACL group was selected to have the same profile with regard to age, sex, and meniscal procedure. There were 25 patients in the ACL-PLC group and 100 in the ACL group. All patients underwent restoration of their PLC function as shown on dial testing. The preoperative values for all KOOS measures and the Lysholm score were significantly lower in the ACL-PLC group than in the ACL group (P reconstruction. The KOOS for sport outcomes suggests that sports were resumed at lower functional levels. Level III, case-control study. Copyright © 2014 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

  15. The intermediate endpoint effect in logistic and probit regression

    Science.gov (United States)

    MacKinnon, DP; Lockwood, CM; Brown, CH; Wang, W; Hoffman, JM

    2010-01-01

    Background An intermediate endpoint is hypothesized to be in the middle of the causal sequence relating an independent variable to a dependent variable. The intermediate variable is also called a surrogate or mediating variable and the corresponding effect is called the mediated, surrogate endpoint, or intermediate endpoint effect. Clinical studies are often designed to change an intermediate or surrogate endpoint and through this intermediate change influence the ultimate endpoint. In many intermediate endpoint clinical studies the dependent variable is binary, and logistic or probit regression is used. Purpose The purpose of this study is to describe a limitation of a widely used approach to assessing intermediate endpoint effects and to propose an alternative method, based on products of coefficients, that yields more accurate results. Methods The intermediate endpoint model for a binary outcome is described for a true binary outcome and for a dichotomization of a latent continuous outcome. Plots of true values and a simulation study are used to evaluate the different methods. Results Distorted estimates of the intermediate endpoint effect and incorrect conclusions can result from the application of widely used methods to assess the intermediate endpoint effect. The same problem occurs for the proportion of an effect explained by an intermediate endpoint, which has been suggested as a useful measure for identifying intermediate endpoints. A solution to this problem is given based on the relationship between latent variable modeling and logistic or probit regression. Limitations More complicated intermediate variable models are not addressed in the study, although the methods described in the article can be extended to these more complicated models. Conclusions Researchers are encouraged to use an intermediate endpoint method based on the product of regression coefficients. A common method based on difference in coefficient methods can lead to distorted

  16. Alberta Infant Motor Scale (AIMS) Performance of Greek Preterm Infants: Comparisons With Full-Term Infants of the Same Nationality and Impact of Prematurity-Related Morbidity Factors.

    Science.gov (United States)

    Syrengelas, Dimitrios; Kalampoki, Vassiliki; Kleisiouni, Paraskevi; Manta, Vassiliki; Mellos, Stavros; Pons, Roser; Chrousos, George P; Siahanidou, Tania

    2016-07-01

    Only a few studies have been conducted with the objective of creating norms of the Alberta Infant Motor Scale (AIMS) for the assessment of gross motor development of preterm infants. The AIMS performance of preterm infants has been compared with that of the Canadian norms of full-term infants, but not with that of full-term infants of the same nationality. Moreover, the possible impact of prematurity-related morbidity factors on AIMS performance is unknown. The aims of this study were: (1) to evaluate AIMS trajectory in a large population of Greek preterm infants and create norms, (2) to compare it with the AIMS trajectory of Greek full-term infants, and (3) to examine the possible influence of neonatal morbidity on AIMS scores in the preterm sample. This was a cross-sectional study. Mean AIMS scores were compared, per month (1-19), between 403 preterm infants (≤32 weeks of age, corrected for prematurity) and 1,038 full-term infants. In preterm infants, the association of AIMS scores with respiratory distress syndrome (RDS), intraventricular hemorrhage (IVH) of grade ≤III, bronchopulmonary dysplasia (BPD), retinopathy of prematurity (ROP), and sepsis was assessed by hierarchical regression analysis. Alberta Infant Motor Scale scores were significantly lower in preterm infants than in full-term infants. Mean AIMS scores in preterm infants were significantly associated with RDS (b=-1.93; 95% CI=-2.70, -1.16), IVH (b=-0.97; 95% CI=-1.69, -0.25), and ROP (b=-1.12; 95% CI=-1.99, -0.24) but not with BPD or sepsis in hierarchical regression analysis. Alberta Infant Motor Scale norms were created for Greek preterm infants. This study confirms that AIMS trajectories of preterm infants are below those of full-term infants of the same nationality. The influence of morbidity factors, including RDS, IVH, and ROP, should be taken into account when administering the AIMS in preterm infants. © 2016 American Physical Therapy Association.

  17. A prospective comparison of the use of nasogastric and percutaneous endoscopic gastrostomy tubes for long-term enteral feeding in older people.

    Science.gov (United States)

    Dwolatzky, T; Berezovski, S; Friedmann, R; Paz, J; Clarfield, A M; Stessman, J; Hamburger, R; Jaul, E; Friedlander, Y; Rosin, A; Sonnenblick, M

    2001-12-01

    To compare the indications for and the outcome of long-term enteral feeding by nasogastric tube (NGT) with that of percutaneous endoscopic gastrostomy (PEG) tube. A prospective, multicenter cohort study. Acute geriatric units and long-term care (LTC) hospitals in Jerusalem, Israel. 122 chronic patients aged 65 years and older for whom long-term enteral feeding was indicated as determined by the treating physician. Patients with acute medical conditions at the time of tube placement were excluded. We examined the indications for enteral feeding, nutritional status, outcome and complications in all subjects. Subjects were followed for a minimum period of six months. Although the PEG patients were older and had a higher incidence of dementia, there was an improved survival in those patients with PEG as compared to NGT (hazard ratio (HR)=0.41; 95% confidence interval (CI) 0.22-0.76; P=0.01). Also, the patients with PEG had a lower rate of aspiration (HR=0.48; 95% CI 0.26-0.89) and self-extubation (HR=0.17; 95% CI 0.05-0.58) than those with NGT. Apart from a significant improvement in the serum albumin level at the 4-week follow-up assessment in the patients with PEG compared to those with NGT (adjusted mean 3.35 compared to 3.08; F=4.982), nutritional status was otherwise similar in both groups. In long-term enteral feeding, in a selected group of non-acute patients, the use of PEG was associated with improved survival, was better tolerated by the patient and was associated with a lower incidence of aspiration. A randomized controlled study is needed to determine whether PEG is truly superior to NGT. Copyright 2001 Harcourt Publishers Ltd.

  18. Long-term outcome and quality of life of patients treated in surgical intensive care: a comparison between sepsis and trauma

    OpenAIRE

    Korošec Jagodič, Helena; Jagodič, Klemen; Podbregar, Matej

    2006-01-01

    Introduction Our aim was to determine long-term survival and quality of life of patients admitted to a surgical intensive care unit (ICU) because of sepsis or trauma. Methods This was an observational study conducted in an 11-bed, closed surgical ICU at a 860-bed teaching general hospital over a 1-year period (January 2003 to December 2003). Patients were divided into two groups according to admission diagnoses: group 1 included patients with sepsis; and group 2 included patients with trauma ...

  19. Aberrant crypt foci and colon cancer: comparison between a short- and medium-term bioassay for colon carcinogenesis using dimethylhydrazine in Wistar rats

    Directory of Open Access Journals (Sweden)

    Rodrigues M.A.M.

    2002-01-01

    Full Text Available Aberrant crypt foci (ACF in the colon of carcinogen-treated rodents are considered to be the earliest hallmark of colon carcinogenesis. In the present study the relationship between a short-term (4 weeks and medium-term (30 weeks assay was assessed in a model of colon carcinogenesis induced by dimethylhydrazine (DMH in the rat. Six-week-old male Wistar rats were given subcutaneous injections of DMH (40 mg/kg twice a week for 2 weeks and killed at the end of the 4th or 30th week. ACF were scored for number, distribution pattern along the colon and crypt multiplicity in 0.1% methylene-blue whole-mount preparations. ACF were distinguished from normal crypts by their larger size and elliptical shape. The incidence, distribution and morphology of colon tumors were recorded. The majority of ACF were present in the middle and distal colon of DMH-treated rats and their number increased with time. By the 4th week, 91.5% ACF were composed of one or two crypts and 8.5% had three or more crypts, while by the 30th week 46.9% ACF had three or more crypts. Thus, a progression of ACF consisting of multiple crypts was observed from the 4th to the 30th week. Nine well-differentiated adenocarcinomas were found in 10 rats by the 30th week. Seven tumors were located in the distal colon and two in the middle colon. No tumor was found in the proximal colon. The present data indicate that induction of ACF by DMH in the short-term (4 weeks assay was correlated with development of well-differentiated adenocarcinomas in the medium-term (30 weeks assay.

  20. Long Term Changes in Muscles around the Knee Joint after ACL Resection in Rats: Comparisons of ACL-Resected, Contralateral and Normal Limb

    Directory of Open Access Journals (Sweden)

    Mahiro Ohno, Hiroto Fujiya, Katsumasa Goto, Mitsutoshi Kurosaka, Yuji Ogura, Kanaka Yatabe, Takaaki Kudo, Hajime Kobayashi, Hisateru Niki, Haruki Musha

    2017-09-01

    Full Text Available The purpose of this study was to investigate the long-term effects of anterior cruciate ligament (ACL resection on the morphological and contractile characteristics of rectus femoris (RF and semimembranosus (SM muscles in both injured and contralateral hindlimbs in rats. Wistar male rats (8-week old were used. Rats were divided into two groups; ACL-resected and (sham-operated control groups. Furthermore, right and left limbs of rats in the ACL-resected group were assigned as ACL-resected and contralateral groups, respectively, at 1 day, 1, 4, and 48 weeks after ACL resection. No ACL-resection-associated changes in the mass of both muscles were observed 1 week after ACL resection. On the other hand, ACL-resection-associated reduction on mean fiber cross-sectional area (fiber CSA in RF muscle lasted 48 weeks after ACL resection. Furthermore, ACL-resection associated increase in fiber composition of type I fiber in RF muscle in contralateral limbs. In addition, long-term effects of ACL resection were observed in both ACL-resected and contralateral limbs. Evidences from this study suggested that ACL resection may cause to change in the morphological (fiber CSA and contractile (distribution of fiber types properties of skeletal muscles around the knee joint in not only injured but also contralateral limb. Rehabilitation for quantitative and qualitative muscle changes by ACL resection may be required a special care for a long-term period.

  1. Longitudinal associations between maternal disrupted representations, maternal interactive behavior and infant attachment: a comparison between full-term and preterm dyads.

    Science.gov (United States)

    Hall, R A S; Hoffenkamp, H N; Tooten, A; Braeken, J; Vingerhoets, A J J M; van Bakel, H J A

    2015-04-01

    This prospective study examined whether or not a mother's representations of her infant were more often disrupted after premature childbirth. Furthermore, the study examined if different components of maternal interactive behavior mediated the relation between maternal disrupted representations and infant attachment. The participants were mothers of full-term (n = 75), moderately preterm (n = 68) and very preterm infants (n = 67). Maternal representations were assessed by the Working Model of the Child Interview at 6 months post-partum. Maternal interactive behavior was evaluated at 6 and 24 months post-partum, using the National Institute of Child Health and Human Development Early Care Research Network mother-infant observation scales. Infant attachment was observed at 24 months post-partum and was coded by the Attachment Q-Set. The results reveal that a premature childbirth does not necessarily generate disrupted maternal representations of the infant. Furthermore, maternal interactive behavior appears to be an important mechanism through which maternal representations influence the development of infant attachment in full-term and preterm infants. Early assessment of maternal representations can identify mother-infant dyads at risk, in full-term and preterm samples.

  2. Thermal Conductivity of Superconductors in the Intermediate State: Size Effect in a Longitudinal Lamellar Structure

    International Nuclear Information System (INIS)

    Suter, J.M.; Rinderer, L.

    1978-01-01

    The thermal conductivity of type I superconductors has been measured in a well-defined, optically controlled intermediate-state configuration the so-called longitudinal lamellar structure (LLS). A regular arrangement of alternating normal and superconducting lamellas is obtained in an elongated plate by applying the magnetic field obliquely (following Sharvin) and decreasing it from the critical values. The heat current is set parallel to the lamellas. Due to the peculiar reflection law governing the quasiparticle reflections at a normal-superconductor interphase boundary, the thermal conductivity of the LLS is reduced when the electronic mean free path is larger than or comparable to the width of the lamellas. As first pointed out by Andreev, the reflection occurs with vecotr-momentum conservation, and only the quasiparticles moving nearly parallel to the lamellas can transport heat efficiently. The corresponding reduction of the thermal conductivity is a size effect.Systematic measurements of the thermal conductivity of the LLS in high-purity lead and tin are interpreted in terms of the size-effect model. The parameters of the model were experimentally determined in a preliminary study, to enable an unambiguous comparison with the theory. In particular, the geometrical aspects of the structures were studied using a magnetooptical technique. Interesting results on the characteristics of the LLS were obtained. The thermal conductivity data on lead essentially confirm the size-effect description. In tin heat transport by the lamellas of both types takes place, the heat carriers being the electrons (T > or approx. = 1.6 K). The discrepancy between the predictions of the size-effect model and the observed values in tin are attributed to an oversimplified calculation of the contribution of the superconducting lamellas to the conductivity

  3. Dust Evolution in Intermediate Velocity Clouds

    Science.gov (United States)

    Pinheiro Gonçalves, D.; Martin, P. G.; Blagrave, K.; Miville-Deschenes, M. A.

    We search for evidence of dust evolution in high Galactic latitude regions by looking at variations in the emissivities of dust associated with different velocity clouds. In order to do so, we spatially correlate infrared IRAS/IRIS dust maps with HI column density maps derived from 21-cm radio observations with the GBT. Our findings show that intermediate velocity clouds (IVCs or halo clouds) have a higher 60µm/100µm and lower 12µm/100µm color ratio when compared to dust in local low-velocity gas. This suggests that large thermal dust grains are shattered into smaller ones (VSGs) and that there is a low relative abundance of PAHs in IVCs.

  4. Slab tears and intermediate-depth seismicity

    Science.gov (United States)

    Meighan, Hallie E.; ten Brink, Uri S.; Pulliam, Jay

    2013-01-01

    Active tectonic regions where plate boundaries transition from subduction to strike slip can take several forms, such as triple junctions, acute, and obtuse corners. Well-documented slab tears that are associated with high rates of intermediate-depth seismicity are considered here: Gibraltar arc, the southern and northern ends of the Lesser Antilles arc, and the northern end of Tonga trench. Seismicity at each of these locations occurs, at times, in the form of swarms or clusters, and various authors have proposed that each marks an active locus of tear propagation. The swarms and clusters start at the top of the slab below the asthenospheric wedge and extend 30–60 km vertically downward within the slab. We propose that these swarms and clusters are generated by fluid-related embrittlement of mantle rocks. Focal mechanisms of these swarms generally fit the shear motion that is thought to be associated with the tearing process.

  5. Intermediate normal metal layers in superconducting circuitry

    International Nuclear Information System (INIS)

    Sweeney, M.F.; Gershenson, M.; Fleming, D.L.; Barta, R.E.

    1987-01-01

    This patent describes a superconducting device comprising a first superconducting layer, a junction layer on the first superconducting layer, an insulating layer on the first superconducting layer, at least one superconducting area on the junction layer surrounded by the insulator layer, superconducting connector pad means disposed over the superconducting area, and superconducting wire means electrically connected to the superconducting connector pad means. The improvement comprising a first metal layer is disposed over the insulator layer and intermediate the superconducting area. The connector pad means and a second metal layer are disposed between the connector pad means and the superconductor wire means. The first metal layer covers the superconducting area and the first and second metal layers are sufficiently thin to allow quantum mechanical tunneling between the connector pad means and the superconducting area and the connector pad means and the superconducting wire means, respectively

  6. Modernisation of the intermediate physics laboratory

    Science.gov (United States)

    Kontro, Inkeri; Heino, Olga; Hendolin, Ilkka; Galambosi, Szabolcs

    2018-03-01

    The intermediate laboratory courses at the Department of Physics, University of Helsinki, were reformed using desired learning outcomes as the basis for design. The reformed laboratory courses consist of weekly workshops and small-group laboratory sessions. Many of the laboratory exercises are open-ended and have several possible ways of execution. They were designed around affordable devices, to allow for the purchase of multiple sets of laboratory equipment. This allowed students to work on the same problems simultaneously. Thus, it was possible to set learning goals which build on each other. Workshop sessions supported the course by letting the students solve problems related to conceptual and technical aspects of each laboratory exercise. The laboratory exercises progressed biweekly to allow for iterative problem solving. Students reached the learning goals well and the reform improved student experiences. Neither positive or negative changes in expert-like attitudes towards experimental physics (measured by E-CLASS questionnaire) were observed.

  7. Environmental issues of an intermediate city

    International Nuclear Information System (INIS)

    Ahmad, N.

    2005-01-01

    Our urban centers present a unique dimension of environmental problems. They are at one and the same time, enormous consumers of natural resources and produces of waste and pollution. In this respect intermediate cities and small towns appear to be more vulnerable to natural catastrophes and ecological accidents caused by human factors. While in large cities there exist pressure groups which attain government attention for the solution of their problems and have well equipped municipalities. However, a vast majority of the population lives in rural areas and depends upon medium sized cities and towns for access to services. These cities and towns form the pivot of economic, social, cultural and political life for a large part of the population. Therefore, it deserves more attention than bigger ones. This paper explores local people perception about urban environmental problems exist in the city. Attempts are also made to shape and guide municipality efforts to overcome such problems with available resources. (author)

  8. q-Gamow states for intermediate energies

    Energy Technology Data Exchange (ETDEWEB)

    Plastino, A. [La Plata National University and Argentina' s National Research Council, (IFLP-CCT-CONICET)-C. C. 727, 1900 La Plata (Argentina); Rocca, M.C., E-mail: mariocarlosrocca@gmail.com [La Plata National University and Argentina' s National Research Council, (IFLP-CCT-CONICET)-C. C. 727, 1900 La Plata (Argentina); Ferri, G.L. [Fac. de C. Exactas, National University La Pampa, Peru y Uruguay, Santa Rosa, La Pampa (Argentina); Zamora, D.J. [La Plata National University and Argentina' s National Research Council, (IFLP-CCT-CONICET)-C. C. 727, 1900 La Plata (Argentina)

    2016-11-15

    In a recent paper Plastino and Rocca (2016) [18] we have demonstrated the possible existence of Tsallis' q-Gamow states. Now, accelerators' experimental evidence for Tsallis' distributions has been ascertained only at very high energies. Here, instead, we develop a different set of q-Gamow states for which the associated q-Breit–Wigner distribution could easily be found at intermediate energies, for which accelerators are available at many locations. In this context, it should be strongly emphasized Vignat and Plastino (2009) [2] that, empirically, one never exactly and unambiguously “detects” pure Gaussians, but rather q-Gaussians. A prediction is made via Eq. (3.4).

  9. Being back home after intermediate care

    DEFF Research Database (Denmark)

    Martinsen, Bente; Harder, Ingegerd; Norlyk, Annelise

    2015-01-01

    Older people may face many challenges and experience insecurity after discharge from hospital to home. To bridge the potential gap between general hospital and home, the concept ‘Intermediate Care’ (IC) was developed at the beginning of 2000. IC aims to safeguard older people from being discharged...... to their home before they have sufficiently recovered, but knowledge within this area is sparse. In particular the experience of older people is yet to be explored. The aim of this study was to explore older people’s experiences of being back home after a stay in an IC unit. Data were drawn from 12 interviews....... Transcripts were analysed using a phenomenological approach. The essential meaning of being back home after a stay in an IC unit was characterised by ‘uncertainty’. Four constituents emerged: ‘in a state of shock about coming home’, ‘dependence on informal helpers’, ‘a sense of isolation’, and ‘fear of losing...

  10. Turned Back: Mad Men as Intermedial Melodrama

    Directory of Open Access Journals (Sweden)

    Monique Rooney

    2012-09-01

    Full Text Available This essay draws on definitions of gesture (Giorgio Agamben and Peter Brooks and catachresis (Peter Brooks, Jacques Derrida to examine the primacy of non-verbal signifiers as communicators of meaning in AMC’s Mad Men. Beginning with an analysis of Mad Men’s credit sequence, it draws attention to Mad Men’s use of gesture and catachresis in relation to melodrama’s privileging of non-verbal and naturalistic expression and its persistence as an intermedial mode that has moved back and forth between various media (theatre, novel, cinema, television and now digital formats. It argues that Mad Men’s melodramatic aesthetic is one that obliquely, and via a gestural and rhetorical ‘turned back’, communicates its relation to the past and the present.

  11. Treatment of low and intermediate level wastes

    International Nuclear Information System (INIS)

    Hoehlein, G.

    1978-05-01

    The methods described of low and intermediate level waste treatment are based exclusively on operating experience gathered with the KfK facilities for waste management, the Karlsruhe Reprocessing Plant (WAK), the ALKEM fuel element fabrication plant, the MZFR, KNK and FR 2 reactors as well as at the Karlsruhe Nuclear Research Center and at the state collecting depot of Baden-Wuerttemberg. The processing capacities and technical status are similar to that in 1976. With an annual throughput of 10000 m 3 of solid and liquid raw wastes, an aggregate activity of 85000 Ci, 500 kg of U and 2 kg of Pu, final waste in the amount of 500 m 3 was produced which was stored in the ASSE II salt mine. (orig.) [de

  12. Fission cross section measurements at intermediate energies

    International Nuclear Information System (INIS)

    Laptev, Alexander

    2005-01-01

    The activity in intermediate energy particle induced fission cross-section measurements of Pu, U isotopes, minor actinides and sub-actinides in PNPI of Russia is reviewed. The neutron-induced fission cross-section measurements are under way in the wide energy range of incident neutrons from 0.5 MeV to 200 MeV at the GNEIS facility. In number of experiments at the GNEIS facility, the neutron-induced fission cross sections were obtained for many nuclei. In another group of experiments the proton-induced fission cross-section have been measured for proton energies ranging from 200 to 1000 MeV at 100 MeV intervals using the proton beam of PNPI synchrocyclotron. (author)

  13. On the Intermediate Line Region in AGNs

    Directory of Open Access Journals (Sweden)

    Tek P. Adhikari

    2017-09-01

    Full Text Available In this paper we explore the intermediate line region (ILR by using the photoionisation simulations of the gas clouds present at different radial distances from the center, corresponding to the locations from BLR out to NLR in four types of AGNs. We let for the presence of dust whenever conditions allow for dust existence. All spectral shapes are taken from the recent multi-wavelength campaigns. The cloud density decreases with distance as a power law. We found that the slope of the power law density profile does not affect the line emissivity radial profiles of major emission lines: Hβ, He II, Mg II, C III, and O III. When the density of the cloud at the sublimation radius is as high as 1011.5 cm−3, the ILR should clearly be seen in the observations independently of the shape of the illuminating radiation. Moreover, our result is valid for low ionization nuclear emission regions of active galaxies.

  14. Intermediate storage device of start accelerator

    International Nuclear Information System (INIS)

    Gaponenko, N.I.; Tkach, Yu.V.; Stepanenko, I.A.; Kozachek, A.S.; Komarov, A.D.; Gadetskii, N.P.

    1989-01-01

    The use as an intermediate storage device (ISD) of a chain of series-connected capacitors near the stages of a voltage-pulse generator (VPG) reduces the inductance of the VPG-ISD charging circuit and reduces the charging time to 330 nsec. For such times, the electric strength of the capacitor insulation is considerably higher than for dc voltage, which makes it possible to reduce the number of capacitors in the chain and the inductance of the ISD. Additional methods for reduction of the inductance of the VPG-ISD charging circuit are examined. Reduction of the charging time of the storage device makes the operation of the switch connecting the ISD to the shaping line more stable

  15. Intermediate Ethanol Blends Catalyst Durability Program

    Energy Technology Data Exchange (ETDEWEB)

    West, Brian H; Sluder, Scott; Knoll, Keith; Orban, John; Feng, Jingyu

    2012-02-01

    In the summer of 2007, the U.S. Department of Energy (DOE) initiated a test program to evaluate the potential impacts of intermediate ethanol blends (also known as mid-level blends) on legacy vehicles and other engines. The purpose of the test program was to develop information important to assessing the viability of using intermediate blends as a contributor to meeting national goals for the use of renewable fuels. Through a wide range of experimental activities, DOE is evaluating the effects of E15 and E20 - gasoline blended with 15% and 20% ethanol - on tailpipe and evaporative emissions, catalyst and engine durability, vehicle driveability, engine operability, and vehicle and engine materials. This report provides the results of the catalyst durability study, a substantial part of the overall test program. Results from additional projects will be reported separately. The principal purpose of the catalyst durability study was to investigate the effects of adding up to 20% ethanol to gasoline on the durability of catalysts and other aspects of the emissions control systems of vehicles. Section 1 provides further information about the purpose and context of the study. Section 2 describes the experimental approach for the test program, including vehicle selection, aging and emissions test cycle, fuel selection, and data handling and analysis. Section 3 summarizes the effects of the ethanol blends on emissions and fuel economy of the test vehicles. Section 4 summarizes notable unscheduled maintenance and testing issues experienced during the program. The appendixes provide additional detail about the statistical models used in the analysis, detailed statistical analyses, and detailed vehicle specifications.