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Sample records for iras-based whole-sky upper

  1. IRAS-based whole-sky upper limit on Dyson Spheres

    Energy Technology Data Exchange (ETDEWEB)

    Carrigan, Richard A., Jr.; /Fermilab

    2008-09-01

    A Dyson Sphere is a hypothetical construct of a star purposely cloaked by a thick swarm of broken-up planetary material to better utilize all of the stellar energy. A clean Dyson Sphere identification would give a significant signature for intelligence at work. A search for Dyson Spheres has been carried out using the 250,000 source database of the IRAS infrared satellite which covered 96% of the sky. The search has used the Calgary data collection of the IRAS Low Resolution Spectrometer (LRS) to look for fits to blackbody spectra. Searches have been conducted for both pure (fully cloaked) and partial Dyson Spheres in the blackbody temperature region 100 {le} T {le} 600 K. Other stellar signatures that resemble a Dyson Sphere are reviewed. When these signatures are used to eliminate sources that mimic Dyson Spheres very few candidates remain and even these are ambiguous. Upper limits are presented for both pure and partial Dyson Spheres. The sensitivity of the LRS was enough to find solar-sized Dyson Spheres out to 300 pc, a reach that encompasses a million solar-type stars.

  2. Automatic cloud classification of whole sky images

    Directory of Open Access Journals (Sweden)

    A. Heinle

    2010-05-01

    Full Text Available The recently increasing development of whole sky imagers enables temporal and spatial high-resolution sky observations. One application already performed in most cases is the estimation of fractional sky cover. A distinction between different cloud types, however, is still in progress. Here, an automatic cloud classification algorithm is presented, based on a set of mainly statistical features describing the color as well as the texture of an image. The k-nearest-neighbour classifier is used due to its high performance in solving complex issues, simplicity of implementation and low computational complexity. Seven different sky conditions are distinguished: high thin clouds (cirrus and cirrostratus, high patched cumuliform clouds (cirrocumulus and altocumulus, stratocumulus clouds, low cumuliform clouds, thick clouds (cumulonimbus and nimbostratus, stratiform clouds and clear sky. Based on the Leave-One-Out Cross-Validation the algorithm achieves an accuracy of about 97%. In addition, a test run of random images is presented, still outperforming previous algorithms by yielding a success rate of about 75%, or up to 88% if only "serious" errors with respect to radiation impact are considered. Reasons for the decrement in accuracy are discussed, and ideas to further improve the classification results, especially in problematic cases, are investigated.

  3. The actuality and progress of whole sky infrared cloud remote sensing techniques

    Institute of Scientific and Technical Information of China (English)

    ZHANG; Ting; LIU; Lei; GAO; Taichang; HU; Shuai

    2015-01-01

    Clouds are crucial regulators of both weather and climate. Properties such as the amount,type,height,distribution and movement of them have an impact on the earth’s radiation budget and the hydrological cycle,thus cloud observation is very important. The disadvantages of zenith pointing measuring instruments and whole sky visible imagers limit the application of them.A summary of the actuality and application of ground-based whole sky infrared cloud measuring instruments and analyses of the techniques of radiometric calibrations,removal of atmospheric emission and calculation of cloud cover,amount,type are conducted to promote the automatically observation of the whole sky. Fully considering whole sky infrared cloud sounding theories,techniques and applications,there are still a lot of studies on improving the properties of instruments,enhancing the techniques of cloud base height measurements and establishing instrumental cloud classification criterion before actual operations.

  4. WAHRSIS: A Low-cost, High-resolution Whole Sky Imager With Near-Infrared Capabilities

    CERN Document Server

    Dev, Soumyabrata; Lee, Yee Hui; Winkler, Stefan

    2016-01-01

    Cloud imaging using ground-based whole sky imagers is essential for a fine-grained understanding of the effects of cloud formations, which can be useful in many applications. Some such imagers are available commercially, but their cost is relatively high, and their flexibility is limited. Therefore, we built a new daytime Whole Sky Imager (WSI) called Wide Angle High-Resolution Sky Imaging System. The strengths of our new design are its simplicity, low manufacturing cost and high resolution. Our imager captures the entire hemisphere in a single high-resolution picture via a digital camera using a fish-eye lens. The camera was modified to capture light across the visible as well as the near-infrared spectral ranges. This paper describes the design of the device as well as the geometric and radiometric calibration of the imaging system.

  5. Estimation of solar irradiance using ground-based whole sky imagers

    CERN Document Server

    Dev, Soumyabrata; Lee, Yee Hui; Winkler, Stefan

    2016-01-01

    Ground-based whole sky imagers (WSIs) can provide localized images of the sky of high temporal and spatial resolution, which permits fine-grained cloud observation. In this paper, we show how images taken by WSIs can be used to estimate solar radiation. Sky cameras are useful here because they provide additional information about cloud movement and coverage, which are otherwise not available from weather station data. Our setup includes ground-based weather stations at the same location as the imagers. We use their measurements to validate our methods.

  6. Day/night whole sky imagers for 24-h cloud and sky assessment: history and overview.

    Science.gov (United States)

    Shields, Janet E; Karr, Monette E; Johnson, Richard W; Burden, Art R

    2013-03-10

    A family of fully automated digital whole sky imagers (WSIs) has been developed at the Marine Physical Laboratory over many years, for a variety of research and military applications. The most advanced of these, the day/night whole sky imagers (D/N WSIs), acquire digital imagery of the full sky down to the horizon under all conditions from full sunlight to starlight. Cloud algorithms process the imagery to automatically detect the locations of cloud for both day and night. The instruments can provide absolute radiance distribution over the full radiance range from starlight through daylight. The WSIs were fielded in 1984, followed by the D/N WSIs in 1992. These many years of experience and development have resulted in very capable instruments and algorithms that remain unique. This article discusses the history of the development of the D/N WSIs, system design, algorithms, and data products. The paper cites many reports with more detailed technical documentation. Further details of calibration, day and night algorithms, and cloud free line-of-sight results will be discussed in future articles.

  7. DISTRIBUTION AND ORIGIN OF HIGH-VELOCITY CLOUDS .2. STATISTICAL-ANALYSIS OF THE WHOLE-SKY SURVEY

    NARCIS (Netherlands)

    WAKKER, BP

    1991-01-01

    A sensitive, almost complete, whole-sky survey of high-velocity clouds (HVCs) has been made available by Bajaja et al. (1985) and Hulsbosch & Wakker (1988, Paper I). This paper (Paper II in a series on HVCs) is dedicated to the analysis of the statistical properties of these surveys. The main conclu

  8. 2MASS Photometric Redshift catalog: a comprehensive three-dimensional census of the whole sky

    CERN Document Server

    Bilicki, Maciej; Peacock, John A; Cluver, Michelle E; Steward, Louise

    2014-01-01

    Key cosmological applications require the three-dimensional galaxy distribution on the entire celestial sphere. These include measuring the gravitational pull on the Local Group, estimating the large-scale bulk flow and testing the Copernican principle. However, the largest all-sky redshift surveys -- the 2MRS and IRAS PSCz -- have median redshifts of only z=0.03 and sample the very local Universe. There exist all-sky galaxy catalogs reaching much deeper -- SuperCOSMOS in the optical, 2MASS in the near-IR and WISE in the mid-IR -- but these lack complete redshift information. At present, the only rapid way towards larger 3D catalogs covering the whole sky is through photometric redshift techniques. In this paper we present the 2MASS Photometric Redshift catalog (2MPZ) containing 1 million galaxies, constructed by cross-matching 2MASS XSC, WISE and SuperCOSMOS all-sky samples and employing the artificial neural network approach (the ANNz algorithm), trained on such redshift surveys as SDSS, 6dFGS and 2dFGRS. T...

  9. The computation of cloud base height from paired whole-sky imaging cameras

    Energy Technology Data Exchange (ETDEWEB)

    Allmen, M.C.; Kegelmeyer, W.P. Jr.

    1994-03-01

    A major goal for global change studies is to improve the accuracy of general circulation models (GCMs) capable of predicting the timing and magnitude of greenhouse gas-induced global warming. Research has shown that cloud radiative feedback is the single most important effect determining the magnitude of possible climate responses to human activity. Of particular value to reducing the uncertainties associated with cloud-radiation interactions is the measurement of cloud base height (CBH), both because it is a dominant factor in determining the infrared radiative properties of clouds with respect to the earth`s surface and lower atmosphere and because CBHs are essential to measuring cloud cover fraction. We have developed a novel approach to the extraction of cloud base height from pairs of whole sky imaging (WSI) cameras. The core problem is to spatially register cloud fields from widely separated WSI cameras; this complete, triangulation provides the CBH measurements. The wide camera separation (necessary to cover the desired observation area) and the self-similarity of clouds defeats all standard matching algorithms when applied to static views of the sky. To address this, our approach is based on optical flow methods that exploit the fact that modern WSIs provide sequences of images. We will describe the algorithm and present its performance as evaluated both on real data validated by ceilometer measurements and on a variety of simulated cases.

  10. The Information Of The Milky Way From 2MASS Whole Sky Star Count: The Bimodal Color Distributions

    CERN Document Server

    Chang, Chan-Kao; Ko, Chung-Ming; Peng, Ting-Hung

    2012-01-01

    The J-Ks color distribution (CD) with a bin size of 0.05 magnitude for the entire Milky Way has been carried out by using the Two Micron All Sky Survey Point Source Catalog (2MASS PSC). The CDs are bimodal, which has a red peak at 0.8 < J-Ks < 0.85 and a blue peak at 0.3 < J-Ks < 0.4. The colors of the red peak are more or less the same for the whole sky, but that of the blue peak depend on Galactic latitude, (J-Ks ~ 0.35 at low Galactic latitudes and 0.35 < J-Ks < 0.4 for other sky areas). The blue peak dominates the bimodal CDs at low Galactic latitudes and becomes comparable with the red peak in other sky regions. In order to explain the bimodal distribution and the global trend shown by the all sky 2MASS CDs, we assemble an empirical HR diagram, which is composed by observational-based near infrared HR diagrams and color magnitude diagrams, and incorporate a Milky Way model. In the empirical HR diagram, the main sequence stars turnoff the thin disk is relatively bluer, (J-Ks)0 = 0.31, wh...

  11. Hierarchical Formation in Action: Characterizing Accelerated Galaxy Evolution in Compact Groups Using Whole-Sky WISE Data

    CERN Document Server

    Zucker, Catherine; Johnson, Kelsey; Gallagher, Sarah; Alatalo, Katherine; Tzanavaris, Panayiotis

    2016-01-01

    Compact groups provide an environment to study the growth of galaxies amid multiple prolonged interactions. With their dense galaxy concentrations and relatively low velocity dispersions, compact groups mimic the conditions of hierarchical galaxy assembly. Compact group galaxies are known to show a bimodality in $Spitzer$ IRAC infrared colorspace: galaxies are preferentially either quiescent with low specific star formation rates, or are prolifically forming stars---galaxies with moderate levels of specific star formation are rare. Previous $Spitzer$ IRAC studies identifying this "canyon" have been limited by small number statistics. We utilize whole-sky WISE data to study 163 compact groups, thereby tripling our previous sample and including more galaxies with intermediate mid-IR colors indicative of moderate specific star formation rates (SSFRs). We define a distinct WISE mid-IR color-space ($\\log[{\\frac{\\rm f_{12}}{\\rm f_{4.6}}}]$ vs. $\\log[{\\frac{\\rm f_{22}}{\\rm f_{3.4}}}]$) that we use to identify canyon...

  12. Hierarchical Formation in Action: Characterizing Accelerated Galaxy Evolution in Compact Groups Using Whole-sky WISE Data

    Science.gov (United States)

    Zucker, Catherine; Walker, Lisa May; Johnson, Kelsey; Gallagher, Sarah; Alatalo, Katherine; Tzanavaris, Panayiotis

    2016-04-01

    Compact groups provide an environment to study the growth of galaxies amid multiple prolonged interactions. With their dense galaxy concentrations and relatively low velocity dispersions, compact groups mimic the conditions of hierarchical galaxy assembly. Compact group galaxies are known to show a bimodality in Spitzer IRAC infrared color space: galaxies are preferentially either quiescent with low specific star formation rates (SSFRs) or prolifically forming stars—galaxies with moderate levels of specific star formation are rare. Previous Spitzer IRAC studies identifying this “canyon” have been limited by small number statistics. We utilize whole-sky Wide-field Infrared Survey Explorer (WISE) data to study 163 compact groups, thereby tripling our previous sample and including more galaxies with intermediate mid-IR colors indicative of moderate SSFRs. We define a distinct WISE mid-IR color space ≤ft({log}≤ft[\\tfrac{{f}12}{{f}4.6}\\right]\\right) versus ≤ft({log}≤ft[\\tfrac{{f}22}{{f}3.4}\\right]\\right) that we use to identify canyon galaxies from the larger sample. We confirm that compact group galaxies show a bimodal distribution in the mid-infrared and identify 37 canyon galaxies with reliable photometry and intermediate mid-IR colors. Morphologically, we find that the canyon harbors a large population of both Sa-Sbc and E/S0 type galaxies, and that they fall on the optical red sequence rather than the green valley. Finally, we provide a catalog of WISE photometry for 567 of 652 galaxies selected from the sample of 163 compact groups.

  13. Classification of Whole Sky Infrared Cloud Image Based on the LBP Operator%基于LBP算法的全天空红外云图的分类研究

    Institute of Scientific and Technical Information of China (English)

    孙学金; 刘磊; 高太长; 赵世军

    2009-01-01

    This paper proposes a classification method of sky-condition based on whole sky infrared cloud image, where the Local Binary Patterns(LBP) operator and the contrast of local cloud image tex-ture(VAR signal) are used to classify sky conditions. The correspondence relationship between tradi-tional cloud classes and instrument-measured cloud classes is suggested;and the LBP spectra and VAR characteristics for the five classes of stratus, cumulus, undulatus, cirrus clouds and clear sky are ana-lyzed. The classification correct rates for the above five classes in the class-recognition of 274 cloud im-age samples are 100. 0%, 84. 2%, 70. 3%, 64. 7%, and 99.0%, respectively, with an average of 87.2%.%利用局部二值模式(Local Binary Patterns,LBP),结合局部云图的方差信息(VAR),对全天空红外测云系统获得的红外云图进行了分类研究.首先建立了器测云状分类与传统分类的对应关系,其次分析了层状云、积状云、波状云、卷云和晴空5种类型天空的LBP谱和VAR特征,最后对274个样本进行了分类识别,并与人工观测结果比较,结果表明,层状云、积状云、波状云、卷云和晴空的识别正确率分别为100.0%、84.2%、70.3%、64.7%、99.0%,平均正确率达到87.2%.

  14. Total Cloud Amount Calculation Based on Clear Sky Threshold Using Whole Sky Infrared Images%基于晴空阈值法的全天空红外图像云量计算

    Institute of Scientific and Technical Information of China (English)

    陈磊; 韩燕; 秦方强; 石鹏飞; 关军

    2015-01-01

    To improve the ground-based automatic observation of total cloud amount (TCA) in Xinjiang Gobi region, based on the cumulative infrared radiation images obtained by Whole Sky Infrared Cloud Measuring System (WSIRCMS), the sensitivity of instrument measurement band to different sky conditions (including clear and cloudy)was analyzed using radiative transfer model SBDART, and the fitting equation suitable for relationship of atmospheric downward infrared radiation and zenith angle was designed, and then the clear sky threshold of typical seasons was determined by statistically analyzing the clear sky infrared radiation samples using fitting equation, and TCA was calculated using the clear sky threshold. Feasibility and accuracy of the clear sky threshold method were verified by comparing with the artificial TCA observation data and that the probability of difference within ±2 was higher than 80%, this showed that the method has high accuracy and has a good prospect in daily TCA observations.%为提高新疆戈壁地区云的自动化观测水平,基于全天空红外成像仪(WSIRCMS)获取的红外辐射图像,利用辐射传输模式SBDART分析了仪器测量波段对有云无云状况的敏感性并构建了拟合方程,同时利用典型季节的晴空辐射样本拟合了晴空曲线并统计形成了晴空阈值,最后利用统计晴空阈值对全天空红外辐射图像进行云像素识别和总云量计算。将不同季节总云量计算结果同人工观测结果对比验证表明:观测时段算法计算总云量和人工观测总云量差值在±2成以下的概率均在80%以上,说明该方法具有较高的准确度和较强的实用性,在观测业务中具有较好的应用前景。

  15. Cloud classification using whole-sky imager data

    Energy Technology Data Exchange (ETDEWEB)

    Buch, K.A. Jr.; Sun, C.H.; Thorne, L.R. [Sandia National Labs., Livermore, CA (United States)

    1996-04-01

    Clouds are one of the most important moderators of the earth radiation budget and one of the least understood. The effect that clouds have on the reflection and absorption of solar and terrestrial radiation is strongly influenced by their shape, size, and composition. Physically accurate parameterization of clouds is necessary for any general circulation model (GCM) to yield meaningful results. The work presented here is part of a larger project that is aimed at producing realistic three-dimensional (3D) volume renderings of cloud scenes based on measured data from real cloud scenes. These renderings will provide the important shape information for parameterizing GCMs. The specific goal of the current study is to develop an algorithm that automatically classifies (by cloud type) the clouds observed in the scene. This information will assist the volume rendering program in determining the shape of the cloud. Much work has been done on cloud classification using multispectral satellite images. Most of these references use some kind of texture measure to distinguish the different cloud types and some also use topological features (such as cloud/sky connectivity or total number of clouds). A wide variety of classification methods has been used, including neural networks, various types of clustering, and thresholding. The work presented here uses binary decision trees to distinguish the different cloud types based on cloud features vectors.

  16. Upper Endoscopy

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  17. First all-sky upper limits from LIGO on the strength of periodic gravitational waves using the Hough transform

    CERN Document Server

    Abbott, B; Adhikari, R; Ageev, A; Agresti, J; Allen, B; Allen, J; Amin, R; Anderson, S B; Anderson, W G; Araya, M; Armandula, H; Ashley, M; Asiri, F; Aufmuth, P; Aulbert, C; Babak, S; Balasubramanian, R; Ballmer, S; Barish, B C; Barker, C; Barker, D; Barnes, M; Barr, B; Barton, M A; Bayer, K; Beausoleil, R; Belczynski, K; Bennett, R; Berukoff, S J; Betzwieser, J; Bhawal, B; Bilenko, I A; Billingsley, G; Black, E; Blackburn, K; Blackburn, L; Bland, B; Bochner, B; Bogue, L; Bork, R; Bose, S; Brady, P R; Braginsky, V B; Brau, J E; Brown, D A; Bullington, A; Bunkowski, A; Buonanno, A; Burgess, R; Busby, D; Butler, W E; Byer, R L; Cadonati, L; Cagnoli, G; Camp, J B; Cannizzo, J; Cannon, K; Cantley, C A; Cardenas, L; Carter, K; Casey, M M; Castiglione, J; Chandler, A; Chapsky, J; Charlton, P; Chatterji, S; Chelkowski, S; Chen, Y; Chickarmane, V; Chin, D; Christensen, N; Churches, D; Cokelaer, T; Colacino, C; Coldwell, R; Coles, M; Cook, D; Corbitt, T; Coyne, D; Creighton, J D E; Creighton, T D; Crooks, D R M; Csatorday, P; Cusack, B J; Cutler, C; Dalrymple, J; D'Ambrosio, E; Danzmann, K; Davies, G; Daw, E; De Bra, D; Delker, T; Dergachev, V; Desai, S; DeSalvo, R; Dhurandhar, S V; Di Credico, A; Díaz, M; Ding, H; Drever, R W P; Dupuis, R J; Edlund, J A; Ehrens, P; Elliffe, E J; Etzel, T; Evans, M; Evans, T; Fairhurst, S; Fallnich, C; Farnham, D; Fejer, M M; Findley, T; Fine, M; Finn, L S; Franzen, K Y; Freise, A; Frey, R; Fritschel, P; Frolov, V V; Fyffe, M; Ganezer, K S; Garofoli, J; Giaime, J A; Gillespie, A; Goda, K; Goggin, L; González, G; Gossler, S; Grandclément, P; Grant, A; Gray, C; Gretarsson, A M; Grimmett, D; Grote, H; Grünewald, S; Günther, M; Gustafson, E; Gustafson, R; Hamilton, W O; Hammond, M; Hanson, J; Hardham, C; Harms, J; Harry, G; Hartunian, A; Heefner, J; Hefetz, Y; Heinzel, G; Heng, I S; Hennessy, M; Hepler, N; Heptonstall, A; Heurs, M; Hewitson, M; Hild, S; Hindman, N; Hoang, P; Hough, J; Hrynevych, M; Hua, W; Ito, M; Itoh, Y; Ivanov, A; Jennrich, O; Johnson, B; Johnson, W W; Johnston, W R; Jones, D I; Jones, G; Jones, L; Jungwirth, D; Kalogera, V; Katsavounidis, E; Kawabe, K; Kawamura, S; Kells, W; Kern, J; Khan, A; Killbourn, S; Killow, C J; Kim, C; King, C; King, P; Klimenko, S; Koranda, S; Kotter, K; Kovalik, Yu; Kozak, D; Krishnan, B; Landry, M; Langdale, J; Lantz, B; Lawrence, R; Lazzarini, A; Lei, M; Leonor, I; Libbrecht, K; Libson, A; Lindquist, P; Liu, S; Logan, J; Lormand, M; Lubinski, M; Luck, H; Luna, M; Lyons, T T; Machenschalk, B; MacInnis, M; Mageswaran, M; Mailand, K; Majid, W; Malec, M; Mandic, V; Mann, F; Marin, A; Marka, S; Maros, E; Mason, J; Mason, K; Matherny, O; Matone, L; Mavalvala, N; McCarthy, R; McClelland, D E; McHugh, M; McNabb, J W C; Melissinos, A C; Mendell, G; Mercer, R A; Meshkov, S; Messaritaki, E; Messenger, C; Mikhailov, E; Mitra, S; Mitrofanov, V P; Mitselmakher, G; Mittleman, R; Miyakawa, O; Miyoki, S; Mohanty, S; Moreno, G; Mossavi, K; Müller, G; Mukherjee, S; Murray, P; Myers, E; Myers, J; Nagano, S; Nash, T; Nayak, R; Newton, G; Nocera, F; Noel, J S; Nutzman, P; Olson, T; O'Reilly, B; Ottaway, D J; Ottewill, A; Ouimette, D A; Overmier, H; Owen, B J; Pan, Y; Papa, M A; Parameshwaraiah, V; Parameswaran, A J; Parameswariah, C; Pedraza, M; Penn, S; Pitkin, M; Plissi, M; Prix, R; Quetschke, V; Raab, F; Radkins, H; Rahkola, R; Rakhmanov, M; Rao, S R; Rawlins, K; Ray-Majumder, S; Re, V; Redding, D; Regehr, M W; Regimbau, T; Reid, S; Reilly, K T; Reithmaier, K; Reitze, D H; Richman, S; Riesen, R; Riles, K; Rivera, B; Rizzi, A; Robertson, D I; Robertson, N A; Robinson, C; Robison, L; Roddy, S; Rodríguez, A; Rollins, J; Romano, J D; Romie, J; Rong, H; Rose, D; Rotthoff, E; Rowan, S; Rüdiger, A; Ruet, L; Russell, P; Ryan, K; Salzman, I; Sandberg, V; Sanders, G H; Sannibale, V; Sarin, P; Sathyaprakash, B; Saulson, P R; Savage, R; Sazonov, A; Schilling, R; Schlaufman, K; Schmidt, V; Schnabel, R; Schofield, R; Schutz, B F; Schwinberg, P; Scott, S M; Seader, S E; Searle, A C; Sears, B; Seel, S; Seifert, F; Sellers, D; Sengupta, A S; Shapiro, C A; Shawhan, P; Shoemaker, D H; Shu, Q Z; Sibley, A; Siemens, X; Sievers, L; Sigg, D; Sintes, A M; Smith, J R; Smith, M; Smith, M R; Sneddon, P H; Spero, R; Spjeld, O; Stapfer, G; Steussy, D; Strain, K A; Strom, D; Stuver, A; Summerscales, T; Sumner, M C; Sung, M; Sutton, P J; Sylvestre, J; Takamori, A; Tanner, D B; Tariq, H; Taylor, I; Taylor, R; Thorne, K A; Thorne, K S; Tibbits, M; Tilav, S; Tinto, M; Tokmakov,K V; Torres, C; Torrie, C; Traylor, G; Tyler, W; Ugolini, D W; Ungarelli, C; Vallisneri, M; Van Putten, M H P M; Vass, S; Vecchio, A; Veitch, J; Vorvick, C; Vyachanin, S P; Wallace, L; Walther, H; Ward, H; Ward, R; Ware, B; Watts, K; Webber, D; Weidner, A; Weiland, U; Weinstein, A; Weiss, R; Welling, H; Wen, L; Wen, S; Wette, K; Whelan, J T; Whitcomb, S E; Whiting, B F; Wiley, S; Wilkinson, C; Willems, P A; Williams, P R; Williams, R; Willke, B; Wilson, A; Winjum, B J; Winkler, W; Wise, S; Wiseman, A G; Woan, G; Woods, D; Wooley, R; Worden, J; Wu, W; Yakushin, I; Yamamoto, H; Yoshida, S; Zaleski, K D; Zanolin, M; Zawischa, I; Zhang, L; Zhu, R; Zotov, N P; Zucker, M; Zweizig, J

    2005-01-01

    We perform a wide parameter space search for continuous gravitational waves over the whole sky and over a large range of values of the frequency and the first spin-down parameter. Our search method is based on the Hough transform, which is a semi-coherent, computationally efficient, and robust pattern recognition technique. We apply this technique to data from the second science run of the LIGO detectors and our final results are all-sky upper limits on the strength of gravitational waves emitted by unknown isolated spinning neutron stars on a set of narrow frequency bands in the range 200-$400 $Hz. The best upper limit on the gravitational wave strain amplitude that we obtain in this frequency range is $4.43\\times 10^{-23}$.

  18. Upper Endoscopy

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  19. Upper Endoscopy

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  20. Upper Endoscopy

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  1. Upper Endoscopy

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  2. Upper Endoscopy

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  3. Upper Endoscopy

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  4. Upper Endoscopy

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  5. Upper Endoscopy

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  6. Upper Endoscopy

    Medline Plus

    Full Text Available ... Staff Rent IT&T Facility Gastrointestinal Glossary of Terms Home / Clinical Topics / Procedures F - Z / Upper Endoscopy ( ... Facebook ASGE on Youtube ASGE on Twitter Privacy | Terms of Use | © 2017 American Society for Gastrointestinal Endoscopy

  7. Cloud Data Collection, Composites and Analysis for Whole-Sky Imager (WSI) Studies

    Science.gov (United States)

    1991-07-01

    6 3.0 APPLICATIONS OF COMPOSITES AND CLIMATOLOGIES ....... 12 4.0 FUTURE EFFORTS...11 - 3.0 APPLICATIONS OF COMPOSITES AND CLIMATOLOGIES There are a number of applications of the new high space/time resolu- tion satellite cloud...INTERANNUAL COMPARISONS ........... ..... ...... ....... 8 4.0 APPLICATIONS OF COMPOSITES AND CLIMATOLOGIES ........... 12 5.0 FUTURE EFFORTS

  8. Sky coverage modeling for the whole sky for laser guide star multiconjugate adaptive optics.

    Science.gov (United States)

    Wang, Lianqi; Andersen, David; Ellerbroek, Brent

    2012-06-01

    The scientific productivity of laser guide star adaptive optics systems strongly depends on the sky coverage, which describes the probability of finding natural guide stars for the tip/tilt wavefront sensor(s) to achieve a certain performance. Knowledge of the sky coverage is also important for astronomers planning their observations. In this paper, we present an efficient method to compute the sky coverage for the laser guide star multiconjugate adaptive optics system, the Narrow Field Infrared Adaptive Optics System (NFIRAOS), being designed for the Thirty Meter Telescope project. We show that NFIRAOS can achieve more than 70% sky coverage over most of the accessible sky with the requirement of 191 nm total rms wavefront.

  9. Infrared Astronomy and Education: Linking Infrared Whole Sky Mapping with Teacher and Student Research

    Science.gov (United States)

    Borders, Kareen; Mendez, Bryan; Thaller, Michelle; Gorjian, Varoujan; Borders, Kyla; Pitman, Peter; Pereira, Vincent; Sepulveda, Babs; Stark, Ron; Knisely, Cindy; Dandrea, Amy; Winglee, Robert; Plecki, Marge; Goebel, Jeri; Condit, Matt; Kelly, Susan

    The Spitzer Space Telescope and the recently launched WISE (Wide Field Infrared Survey Explorer) observe the sky in infrared light. Among the objects WISE will study are asteroids, the coolest and dimmest stars, and the most luminous galaxies. Secondary students can do authentic research using infrared data. For example, students will use WISE data to mea-sure physical properties of asteroids. In order to prepare students and teachers at this level with a high level of rigor and scientific understanding, the WISE and the Spitzer Space Tele-scope Education programs provided an immersive teacher professional development workshop in infrared astronomy.The lessons learned from the Spitzer and WISE teacher and student pro-grams can be applied to other programs engaging them in authentic research experiences using data from space-borne observatories such as Herschel and Planck. Recently, WISE Educator Ambassadors and NASA Explorer School teachers developed and led an infrared astronomy workshop at Arecibo Observatory in PuertoRico. As many common misconceptions involve scale and distance, teachers worked with Moon/Earth scale, solar system scale, and distance and age of objects in the Universe. Teachers built and used basic telescopes, learned about the history of telescopes, explored ground and satellite based telescopes, and explored and worked on models of WISE Telescope. An in-depth explanation of WISE and the Spitzer telescopes gave participants background knowledge for infrared astronomy observations. We taught the electromagnetic spectrum through interactive stations. We will outline specific steps for sec-ondary astronomy professional development, detail student involvement in infrared telescope data analysis, provide data demonstrating the impact of the above professional development on educator understanding and classroom use, and detail future plans for additional secondary professional development and student involvement in infrared astronomy. Funding was provided by NASA, WISE Telescope, the Spitzer Space Telescope, the American Institute of Aeronautics and Astronautics, the National Optical Astronomy Observatory, Starbucks, and Washington Space Grant Consortium.

  10. Upper Limb Exoskeleton

    NARCIS (Netherlands)

    Rusak, Z.; Luijten, J.; Kooijman, A.

    2015-01-01

    The present invention relates a wearable exoskeleton for a user having a torso with an upper limb to support motion of the said upper limb. The wearable exoskeleton comprises a first fixed frame mountable to the torso, an upper arm brace and a first group of actuators for moving the upper arm brace

  11. Upper Limb Exoskeleton

    NARCIS (Netherlands)

    Rusak, Z.; Luijten, J.; Kooijman, A.

    2015-01-01

    The present invention relates a wearable exoskeleton for a user having a torso with an upper limb to support motion of the said upper limb. The wearable exoskeleton comprises a first fixed frame mountable to the torso, an upper arm brace and a first group of actuators for moving the upper arm brace

  12. Upper Kenai Corridor Study

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Upper Kenai Corridor study describes and evaluates the Upper Kenai River and the land which embraces it. It also places the river corridor in its regional...

  13. Upper limb arterial thromboembolism

    DEFF Research Database (Denmark)

    Andersen, L V; Lip, Gregory Y.H.; Lindholt, J S;

    2013-01-01

    The aim of this review is to focus on risk factors, risk-modifying drugs and prognosis for upper limb arterial thromboembolism, and the relationship between upper limb arterial thromboembolism and atrial fibrillation (AF).......The aim of this review is to focus on risk factors, risk-modifying drugs and prognosis for upper limb arterial thromboembolism, and the relationship between upper limb arterial thromboembolism and atrial fibrillation (AF)....

  14. Transconjunctival upper blepharoplasty.

    Science.gov (United States)

    Januszkiewicz, J S; Nahai, F

    1999-03-01

    Transconjunctival lower lid blepharoplasty now has an established role as an option in rejuvenation of the lower eyelid. Transconjunctival upper lid blepharoplasty, or transconjunctival removal of medial upper eyelid fat, also has a role in rejuvenation of the upper eyelid. However, this is a rather limited role. We have found this approach safe and efficacious as a primary as well as a secondary procedure for removal of excess medial upper eyelid fat. We report on 20 patients who have undergone this operation: 5 as a primary procedure and 15 as secondary. There were no complications, no revisions, and the patients have been uniformly happy with their results.

  15. Nonvariceal upper gastrointestinal bleeding

    Energy Technology Data Exchange (ETDEWEB)

    Burke, Stephen J.; Weldon, Derik; Sun, Shiliang [University of Iowa, Department of Radiology, Iowa, IA (United States); Golzarian, Jafar [University of Iowa, Department of Radiology, Iowa, IA (United States); University of Iowa, Department of Radiology, Carver College of Medicine, Iowa, IA (United States)

    2007-07-15

    Nonvariceal upper gastrointestinal bleeding (NUGB) remains a major medical problem even after advances in medical therapy with gastric acid suppression and cyclooxygenase (COX-2) inhibitors. Although the incidence of upper gastrointestinal bleeding presenting to the emergency room has slightly decreased, similar decreases in overall mortality and rebleeding rate have not been experienced over the last few decades. Many causes of upper gastrointestinal bleeding have been identified and will be reviewed. Endoscopic, radiographic and angiographic modalities continue to form the basis of the diagnosis of upper gastrointestinal bleeding with new research in the field of CT angiography to diagnose gastrointestinal bleeding. Endoscopic and angiographic treatment modalities will be highlighted, emphasizing a multi-modality treatment plan for upper gastrointestinal bleeding. (orig.)

  16. [Upper extremity arterial diseases].

    Science.gov (United States)

    Becker, F

    2007-02-01

    Compared to lower limb arterial diseases, upper limb arterial diseases look rare, heterogeneous with various etiologies and a rather vague clinical picture, but with a negligible risk of amputation. Almost all types of arterial diseases can be present in the upper limb, but the anatomical and hemodynamic conditions particular to the upper limb often confuse the issue. Thus, atherosclerosis affects mainly the subclavian artery in its proximal segment where the potential of collateral pathway is high making the symptomatic forms not very frequent whereas the prevalence of subclavian artery stenosis or occlusion is relatively high. The clinical examination and the etiologies are discussed according to the clinical, anatomical and hemodynamic context.

  17. ACA Federal Upper Limits

    Data.gov (United States)

    U.S. Department of Health & Human Services — Affordable Care Act Federal Upper Limits (FUL) based on the weighted average of the most recently reported monthly average manufacturer price (AMP) for...

  18. Upper GI Endoscopy

    Science.gov (United States)

    ... to diagnose conditions such as cancer celiac disease gastritis Doctors also use upper GI endoscopy to treat ... Bhutani MS. Esophagogastroduodenoscopy. Medscape website. emedicine.medscape.com/article/1851864-overview#a17 . Updated June 3, 2013. Accessed ...

  19. Upper gastrointestinal bleeding.

    Science.gov (United States)

    Feinman, Marcie; Haut, Elliott R

    2014-02-01

    Upper gastrointestinal (GI) bleeding remains a commonly encountered diagnosis for acute care surgeons. Initial stabilization and resuscitation of patients is imperative. Stable patients can have initiation of medical therapy and localization of the bleeding, whereas persistently unstable patients require emergent endoscopic or operative intervention. Minimally invasive techniques have surpassed surgery as the treatment of choice for most upper GI bleeding. Copyright © 2014 Elsevier Inc. All rights reserved.

  20. Upper GI Bleeding in Children

    Science.gov (United States)

    Upper GI Bleeding in Children What is upper GI Bleeding? Irritation and ulcers of the lining of the esophagus, stomach or duodenum can result in upper GI bleeding. When this occurs the child may vomit ...

  1. Upper GI Bleeding in Children

    Science.gov (United States)

    Upper GI Bleeding in Children What is upper GI Bleeding? Irritation and ulcers of the lining of the esophagus, stomach or duodenum can result in upper GI bleeding. When this occurs the child may vomit blood ...

  2. Nonvariceal Upper Gastrointestinal Bleeding.

    Science.gov (United States)

    Rahman, Syed Irfan-Ur; Saeian, Kia

    2016-04-01

    In the intensive care unit, vigilance is needed to manage nonvariceal upper gastrointestinal bleeding. A focused history and physical examination must be completed to identify inciting factors and the need for hemodynamic stabilization. Although not universally used, risk stratification tools such as the Blatchford and Rockall scores can facilitate triage and management. Urgent evaluation for nonvariceal upper gastrointestinal bleeds requires prompt respiratory assessment, and identification of hemodynamic instability with fluid resuscitation and blood transfusions if necessary. Future studies are needed to evaluate the indication, safety, and efficacy of emerging endoscopic techniques. Copyright © 2016 Elsevier Inc. All rights reserved.

  3. Upper Eyelid Reconstruction.

    Science.gov (United States)

    Espinoza, Gabriela Mabel; Prost, Angela Michelle

    2016-05-01

    Reconstruction of the upper eyelid is complicated because the eyelid must retain mobility, flexibility, function, and a suitable mucosal surface over the delicate cornea. Defects of the upper eyelid may be due to congenital defects or traumatic injury or follow oncologic resection. This article focuses on reconstruction due to loss of tissue. Multiple surgeries may be needed to reach the desired results, addressing loss of tissue and then loss of function. Each defect is unique and the laxity and availability of surrounding tissue vary. Knowing the most common techniques for repair assists surgeons in the multifaceted planning that takes place.

  4. Postoperative upper airway problems

    African Journals Online (AJOL)

    QuickSilver

    2003-06-09

    Jun 9, 2003 ... REVIEW ARTICLE. Southern African Journal of Anaesthesia & Analgesia - May 2003. 12. Postoperative upper airway problems way. A number of factors, some avoidable, influence the incidence ... debilitating pain, inability to swallow and temporary voice changes, and are a ..... decrease airway resistance.

  5. Upper urinary tract tumors

    DEFF Research Database (Denmark)

    Gandrup, Karen L; Nordling, Jørgen; Balslev, Ingegerd

    2014-01-01

    BACKGROUND: Computed tomography urography (CTU) is used widely in the work-up of patients with symptoms of urinary tract lesions. Preoperative knowledge of whether a tumor is invasive or non-invasive is important for the choice of surgery. So far there are no studies about the distinction...... of invasive and non-invasive tumors in ureter and renal pelvis based on the enhancement measured with Hounsfield Units. PURPOSE: To examine the value of CTU using split-bolus technique to distinguish non-invasive from invasive urothelial carcinomas in the upper urinary tract. MATERIAL AND METHODS: Patients...... obtained at CTU could distinguish between invasive and non-invasive lesions. No patients had a CTU within the last year before the examination that resulted in surgery. CONCLUSION: A split-bolus CTU cannot distinguish between invasive and non-invasive urothelial tumors in the upper urinary tract...

  6. Myxomycetes from upper Egypt.

    Science.gov (United States)

    Abdel-Raheem, Ahmed M

    2002-01-01

    The results of the first inventory of Myxomycetes from the subtropical region Upper Egypt are reported. The substrates were wood, bark of living and dead tree and leaf litter. 20 species belonging to 17 genera of Myxomycetes were identified. Wood was the best substrate for Myxomycetes colonization. Ceratiomyxa fruticulosa, Didymiun melanospermum, Licea biforis and Lycogala epidendrum were the most common species. Brief description and classification of species are provided.

  7. The Galactic O-Star Spectroscopic Catalog (GOSC) and Survey (GOSSS): first whole-sky results and further updates

    CERN Document Server

    Apellániz, J Maíz; Morrell, N I; Barbá, R H; Walborn, N R; Alfaro, E J; Gamen, R C; Arias, J I; Calvente, A T Gallego

    2013-01-01

    The Galactic O-Star Spectroscopic Survey (GOSSS) is obtaining high quality R~2500 blue-violet spectroscopy of all Galactic stars ever classified as of O type with B < 12 and a significant fraction of those with B = 12-14. As of June 2013, we have obtained, processed, and classified 2653 spectra of 1593 stars, including all of the sample with B < 8 and most of the sample with B = 8-10, making GOSSS already the largest collection of high quality O-star optical spectra ever assembled by a factor of 3. We discuss the fraction of false positives (stars classified as O in previous works that do not belong to that class) and the implications of the observed magnitude distribution for the spatial distribution of massive stars and dust within a few kpc of the Sun. We also present new spectrograms for some of the interesting objects in the sample and show applications of GOSSS data to the study of the intervening ISM. Finally, we present the new version of the Galactic O-Star Catalog (GOSC), which incorporates th...

  8. in upper gastrointestinal endoscopy

    Directory of Open Access Journals (Sweden)

    Sinan Uzman

    2016-07-01

    Full Text Available Introduction : There is increasing interest in sedation for upper gastrointestinal endoscopy (UGE. Prospective randomized studies comparing sedation properties and complications of propofol and midazolam/meperidine in upper gastrointestinal endoscopy (UGE are few. Aim: To compare propofol and midazolam/meperidine sedation for UGE in terms of cardiopulmonary side effects, patient and endoscopist satisfaction and procedure-related times. Material and methods: This was a prospective, randomized, double-blind study of propofol versus midazolam and meperidine in 100 patients scheduled for diagnostic upper gastrointestinal endoscopy. The patients were divided into propofol and midazolam/meperidine groups. Randomization was generated by a computer. Cardiopulmonary side effects (hypotension, bradycardia, hypoxemia, procedure-related times (endoscopy time, awake time, time to hospital discharge, and patient and endoscopist satisfaction were compared between groups. Results: There was no significant difference between the groups with respect to the cost, endoscopy time, or demographic and clinical characteristics of the patients. Awake time and time to hospital discharge were significantly shorter in the propofol group (6.58 ±4.72 vs. 9.32 ±4.26 min, p = 0.030 and 27.60 ±7.88 vs. 32.00 ±10.54 min, p = 0.019. Hypotension incidence was significantly higher in the propofol group (12% vs. 0%, p = 0.027. The patient and endoscopist satisfaction was better with propofol. Conclusions : Propofol may be preferred to midazolam/meperidine sedation, with a shorter awake and hospital discharge time and better patient and endoscopist satisfaction. However, hypotension risk should be considered with propofol, and careful evaluation is needed, particularly in cardiopulmonary disorders.

  9. Acute upper gastrointestinal bleeding.

    Science.gov (United States)

    Kurien, Matthew; Lobo, Alan J

    2015-10-01

    Acute upper gastrointestinal bleeding (AUGIB) is a frequently encountered medical emergency with an incidence of 84-160/100000 and associated with mortality of approximately 10%. Guidelines from the National Institute for Care and Care Excellence outline key features in the management of AUGIB. Patients require prompt resuscitation and risk assessment using validated tools. Upper gastrointestinal endoscopy provides accurate diagnosis, aids in estimating prognosis and allows therapeutic intervention. Endoscopy should be undertaken immediately after resuscitation in unstable patients and within 24 hours in all other patients. Interventional radiology may be required for bleeding unresponsive to endoscopic intervention. Drug therapy depends on the cause of bleeding. Intravenous proton pump inhibitors should be used in patients with high-risk ulcers. Terlipressin and broad-spectrum antibiotics should be used following variceal haemorrhage. Hospitals admitting patients with AUGIB need to provide well organised services and ensure access to relevant services for all patients, and particularly to out of hours endoscopy. © Royal College of Physicians 2015. All rights reserved.

  10. Upper Carboniferous herbaceous lycopsids

    Energy Technology Data Exchange (ETDEWEB)

    Thomas, B.A. [University of Wales, Cardigan (United Kingdom). Dept. of Geography

    1997-01-01

    Herbaceous lycopsids are often overlooked in palaeobotanical studies because of problems of morphological interpretation and identification. The literature on Euramerican Upper Carboniferous herbaceous lycopsids is reviewed on those species referred to the genera Selaginellites, Lycopodites, Paurodendron, Carinostrobus, Miadesmia, Spencerites and the identification of some specimens is challenged. The stratigraphical range of these lycopsids and those of dispersed spores referable to them are also reviewed and suggestions are given for the relatively late appearance of many of these lycopsids in the Euramerican Coal Measures swamps. It is suggested that anisophyllous Selaginella-like lycopsids made their first appearance in the Bolsovian (ex Westphalian C) of the Saar-Lorraine intramontane basin. Evidence from studies of coal balls and dispersed spore assemblages confirm that herbaceous lycopsids were most abundantly present in open-moor communities. Certain species of these herbaceous lycopsids, the Selaginella-like ones, are included within the extant genus Selaginella Linnaeus. For this reason a number of new combinations are proposed.

  11. Upper bounds for centerlines

    CERN Document Server

    Bukh, Boris

    2011-01-01

    In 2008, Bukh, Matousek, and Nivasch conjectured that for every n-point set S in R^d and every k, 0 <= k <= d-1, there exists a k-flat f in R^d (a "centerflat") that lies at "depth" (k+1) n / (k+d+1) - O(1) in S, in the sense that every halfspace that contains f contains at least that many points of S. This claim is true and tight for k=0 (this is Rado's centerpoint theorem), as well as for k = d-1 (trivial). Bukh et al. showed the existence of a (d-2)-flat at depth (d-1) n / (2d-1) - O(1) (the case k = d-2). In this paper we concentrate on the case k=1 (the case of "centerlines"), in which the conjectured value for the leading constant is 2/(d+2). We prove that 2/(d+2) is an *upper bound* for the leading constant. Specifically, we show that for every fixed d and every n there exists an n-point set in R^d for which no line in R^d lies at depth larger than 2n/(d+2) + o(n). This point set is the "stretched grid"---a set which has been previously used by Bukh et al. for other related purposes.

  12. [Pathomimia in upper limb].

    Science.gov (United States)

    Maalla, Riadh; Bensalma, Hichem; Hamdi, Lamia; Assel, Salem; Bahri, Hichem; Hamdi, Abdelaziz

    2005-03-01

    Pathomimia, or factitious disorders, are characterized by producing symptoms voluntarily with the intention of playing the role of the patient. Inspite of being considerd as a psychatric disorder, pathomimuia is often encountered in the daily professional life of doctors without being recognized or diagnosed. There are various clinical aspects of pathomimia. The items that decide the orientation of the diagnosis are essentially the uncommon and odd expression of the reported symptoms, A capricious evolution as well as the multiplicity of the past medical cases. We report a group of five patients who were followed and treated between the years 2000 and 2003. This group was composed of three men and two women with an average age of 30 years. In three cases, we found the notion of skin injury. In one case, we noted a median nerve lesion in the elbow and once in the right upper member. The evolution was performed towards recidives of the initial symptomatology with more or less long periods of improvements.

  13. Upper airway resistance syndrome.

    Science.gov (United States)

    Montserrat, J M; Badia, J R

    1999-03-01

    This article reviews the clinical picture, diagnosis and management of the upper airway resistance syndrome (UARS). Presently, there is not enough data on key points like the frequency of UARS and the morbidity associated with this condition. Furthermore, the existence of LIARS as an independent sleep disorder and its relation with snoring and obstructive events is in debate. The diagnosis of UARS is still a controversial issue. The technical limitations of the classic approach to monitor airflow with thermistors and inductance plethysmography, as well as the lack of a precise definition of hypopnea, may have led to a misinterpretation of UARS as an independent diagnosis from the sleep apnea/hypopnea syndrome. The diagnosis of this syndrome can be missed using a conventional polysomnographic setting unless appropriate techniques are applied. The use of an esophageal balloon to monitor inspiratory effort is currently the gold standard. However, other sensitive methods such as the use of a pneumotachograph and, more recently, nasal cannula/pressure transducer systems or on-line monitoring of respiratory impedance with the forced oscillation technique may provide other interesting possibilities. Recognition and characterization of this subgroup of patients within sleep breathing disorders is important because they are symptomatic and may benefit from treatment. Management options to treat UARS comprise all those currently available for sleep apnea/hypopnea syndrome (SAHS). However, the subset of patients classically identified as LIARS that exhibit skeletal craneo-facial abnormalities might possibly obtain further benefit from maxillofacial surgery.

  14. Upper medium segment cooling down

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    <正>The sluggish growth of the passenger car market in top provinces was also reflected in a depression of the upper medium segment. In Jan-Apr, 2008, the top 3 upper medium models accounting for nearly 40% of this segment performed poorly, with the Passat-Lingyu and the Accord decreasing. The Camry also saw a decrease in three top provinces: Guangdong,

  15. Upper Kenai River Cooperative Plan

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Upper Kenai River Cooperative Plan is the product of a joint effort of the Chugach National Forest, Kenai National Wildlife Refuge, Alaska Division of Parks and...

  16. Upper atmosphere pollution measurements (GASP)

    Science.gov (United States)

    Rudey, R. A.; Holdeman, J. D.

    1975-01-01

    The environmental effects are discussed of engine effluents of future large fleets of aircraft operating in the stratosphere. Topics discussed include: atmospheric properties, aircraft engine effluents, upper atmospheric measurements, global air sampling, and data reduction and analysis

  17. Extensive upper respiratory tract sarcoidosis.

    Science.gov (United States)

    Soares, Mafalda Trindade; Sousa, Carolina; Garanito, Luísa; Freire, Filipe

    2016-04-18

    Sarcoidosis is a chronic granulomatous disease of unknown aetiology. It can affect any part of the organism, although the lung is the most frequently affected organ. Upper airway involvement is rare, particularly if isolated. Sarcoidosis is a diagnosis of exclusion, established by histological evidence of non-caseating granulomas and the absence of other granulomatous diseases. The authors report a case of a man with sarcoidosis manifesting as a chronic inflammatory stenotic condition of the upper respiratory tract and trachea.

  18. Upper extremity amputations and prosthetics.

    Science.gov (United States)

    Ovadia, Steven A; Askari, Morad

    2015-02-01

    Upper extremity amputations are most frequently indicated by severe traumatic injuries. The location of the injury will determine the level of amputation. Preservation of extremity length is often a goal. The amputation site will have important implications on the functional status of the patient and options for prosthetic reconstruction. Advances in amputation techniques and prosthetic reconstructions promote improved quality of life. In this article, the authors review the principles of upper extremity amputation, including techniques, amputation sites, and prosthetic reconstructions.

  19. Prognosis following upper gastrointestinal bleeding.

    Directory of Open Access Journals (Sweden)

    Stephen E Roberts

    Full Text Available BACKGROUND: Upper gastrointestinal (GI bleeding is one of the most common, high risk emergency disorders in the western world. Almost nothing has been reported on longer term prognosis following upper GI bleeding. The aim of this study was to establish mortality up to three years following hospital admission with upper GI bleeding and its relationship with aetiology, co-morbidities and socio-demographic factors. METHODS: Systematic record linkage of hospital inpatient and mortality data for 14 212 people in Wales, UK, hospitalised with upper GI bleeding between 1999 and 2004 with three year follow-up to 2007. The main outcome measures were mortality rates, standardised mortality ratios (SMRs and relative survival. RESULTS: Mortality at three years was 36.7% overall, based on 5215 fatalities. It was highest for upper GI malignancy (95% died within three years and varices (52%. Compared with the general population, mortality was increased 27-fold during the first month after admission. It fell to 4.3 by month four, but remained significantly elevated during every month throughout the three years following admission. The most important independent prognostic predictors of mortality at three years were older age (mortality increased 53 fold for people aged 85 years and over compared with those under 40 years; oesophageal and gastric/duodenal malignancy (48 and 32 respectively and gastric varices aetiologies (2.8 when compared with other bleeds; non-upper GI malignancy, liver disease and renal failure co-morbidities (15, 7.9 and 3.9; social deprivation (29% increase for quintile V vs I; incident bleeds as an inpatient (31% vs admitted with bleeding and male patients (25% vs female. CONCLUSION: Our study shows a high late as well as early mortality for upper GI bleeding, with very poor longer term prognosis following bleeding due to malignancies and varices. Aetiologies with the worst prognosis were often associated with high levels of social

  20. Upper incisors' positions after extraction.

    Science.gov (United States)

    Werneck, Eduardo César; Mattos, Fernanda Silva; Cotrim-Ferreira, Flávio Augusto; Prado, Renata Falchete; Silva, Márcio Garcia; Araújo, Adriano Marotta

    2014-01-01

    The aim of this research was to verify the amount of horizontal and vertical movement and incisor inclination of upper incisors and correlate these with Edgewise and Alexander brackets use and the presence of overbite during anterior retraction in sliding mechanics. The sample was composed of 40 adult patients divided into 2 groups, treated with Edgewise and Alexander brackets (20 each) subdivided in 2 groups (10 each), according to the presence or absence of deep bite. Treatment consisted of 4 extraction cases with sliding mechanics with the 2 different brackets. Pre- and post-treatment cephalograms were measured and the values of interest submitted to descriptive statistical analysis, ANOVA at 5%, the Tukey test and Pearson's correlation. Upper incisor retraction was not related to the brackets used nor to the presence of deep bite, though lingual tipping was greater when Edgewise brackets were used and deep bite was absent. No statistically significant differences in upper incisor vertical movements were observed and no correlation was determined between upper incisor intrusion and lower incisor labial tipping in overbite correction or in upper incisor retraction and lower incisor labial tipping for overjet correction. Bracket prescription and its interaction with deep bite were significant and Edgewise brackets without deep bite showed the worst inclination control. It was concluded that bracket prescriptions are important to increase control of sliding mechanics.

  1. Acute, nonvariceal upper gastrointestinal bleeding.

    Science.gov (United States)

    Klein, Amir; Gralnek, Ian M

    2015-04-01

    Acute, nonvariceal upper gastrointestinal bleeding (UGIB) is a common medical emergency encountered worldwide. Despite medical and technological advances, it remains associated with significant morbidity and mortality. Rapid patient assessment and management are paramount. When indicated, upper endoscopy in patients presenting with acute UGIB is effective for both diagnosis of the bleeding site and provision of endoscopic hemostasis. Endoscopic hemostasis significantly reduces rebleeding rates, blood transfusion requirements, length of hospital stay, surgery, and mortality. Furthermore, early upper endoscopy, defined as being performed within 24 h of patient presentation, improves patient outcomes. A structured approach to the patient with acute UGIB that includes early hemodynamic resuscitation and stabilization, preendoscopic risk stratification using validated instruments, pharmacologic and endoscopic intervention, and postendoscopy therapy is important to optimize patient outcome and assure efficient use of medical resources.

  2. Simulation of Upper Limb Movements

    Science.gov (United States)

    Uherčík, Filip; Hučko, Branislav

    2011-12-01

    The paper deals with controlling an upper limb prosthesis based on the measurement of myoelectric signals (MES) while drinking. MES signals have been measured on healthy limbs to obtain the same response for the prosthesis. To simulate the drinking motion of a healthy upper limb, the program ADAMS was used, with all degrees of freedom and a hand after trans-radial amputation with an existing hand prosthesis. Modification of the simulation has the exact same logic of control, where the muscle does not have to be strenuous all the time, but it is the impulse of the muscle which drives the motor even though the impulse disappears and passed away.

  3. Uncommon upper extremity compression neuropathies.

    Science.gov (United States)

    Knutsen, Elisa J; Calfee, Ryan P

    2013-08-01

    Hand surgeons routinely treat carpal and cubital tunnel syndromes, which are the most common upper extremity nerve compression syndromes. However, more infrequent nerve compression syndromes of the upper extremity may be encountered. Because they are unusual, the diagnosis of these nerve compression syndromes is often missed or delayed. This article reviews the causes, proposed treatments, and surgical outcomes for syndromes involving compression of the posterior interosseous nerve, the superficial branch of the radial nerve, the ulnar nerve at the wrist, and the median nerve proximal to the wrist. Copyright © 2013 Elsevier Inc. All rights reserved.

  4. Horizontal Diplopia Following Upper Blepharoplasty

    Directory of Open Access Journals (Sweden)

    Tomás Ortiz-Basso

    2014-09-01

    Full Text Available Diplopia is an infrequent complication after blepharoplasty. Most of the cases are in its vertical form due to trauma of the extraocular muscles. In this article, we present a case of horizontal diplopia following cosmetic upper blepharoplasty; we review the literature on this unexpected complication and offer some recommendations to avoid it.

  5. Upper Gastrointestinal (GI) Tract X-Ray (Radiography)

    Science.gov (United States)

    ... Site Index A-Z X-ray (Radiography) - Upper GI Tract Upper gastrointestinal tract radiography or upper GI ... GI) Tract X-ray? What is Upper Gastrointestinal (GI) Tract Radiography? Upper gastrointestinal tract radiography, also called ...

  6. Technology improves upper extremity rehabilitation.

    Science.gov (United States)

    Kowalczewski, Jan; Prochazka, Arthur

    2011-01-01

    Stroke survivors with hemiparesis and spinal cord injury (SCI) survivors with tetraplegia find it difficult or impossible to perform many activities of daily life. There is growing evidence that intensive exercise therapy, especially when supplemented with functional electrical stimulation (FES), can improve upper extremity function, but delivering the treatment can be costly, particularly after recipients leave rehabilitation facilities. Recently, there has been a growing level of interest among researchers and healthcare policymakers to deliver upper extremity treatments to people in their homes using in-home teletherapy (IHT). The few studies that have been carried out so far have encountered a variety of logistical and technical problems, not least the difficulty of conducting properly controlled and blinded protocols that satisfy the requirements of high-level evidence-based research. In most cases, the equipment and communications technology were not designed for individuals with upper extremity disability. It is clear that exercise therapy combined with interventions such as FES, supervised over the Internet, will soon be adopted worldwide in one form or another. Therefore it is timely that researchers, clinicians, and healthcare planners interested in assessing IHT be aware of the pros and cons of the new technology and the factors involved in designing appropriate studies of it. It is crucial to understand the technical barriers, the role of telesupervisors, the motor improvements that participants can reasonably expect and the process of optimizing IHT-exercise therapy protocols to maximize the benefits of the emerging technology.

  7. Targeted therapies in upper gastrointestinal cancer

    NARCIS (Netherlands)

    Kordes, S.

    2016-01-01

    Upper gastrointestinal (GI) cancers, as esophageal, gastric and pancreatic cancer, are still highly lethal diseases, in spite of advances in surgery, radiotherapy, chemotherapy and specific targeted therapy. Especially when patients are diagnosed with locally advanced or metastasized disease, upper

  8. Cancer of the upper rectum.

    Science.gov (United States)

    Bondeven, Peter

    2016-10-01

    Rectal cancer constitutes one-third of all colorectal cancers, and the incidence in Denmark increasing. In 2012, 1.400 cases were registered, and of these 38% were located in the upper rectum. There have been several key advances in the optimal management of rectal cancer during the past decades, primarily by standardisation and improvement of the surgical procedure. There is now general agreement that the optimal surgical treatment involves the concept of total mesorectal excision and that a resection with tumour-free margins is crucial. Controversy exists as to whether total mesorectal excision (TME) is necessary for upper rectal cancers or if a partial mesorectal excision (PME) with mesorectal transection 5 cm below the tumour is adequate. Furthermore, there is no agreement as to whether surgery alone is sufficient or whether neoadjuvant radio- and/or chemotherapy should be administered for tumours of the upper rectum. This thesis aims to discuss aspects of the treatment of rectal cancer with regard to the adequacy of mesorectal excision and oncological outcome with a particular focus on cancer of the upper rectum. In study I, the extent and completeness of mesorectal excision was estimated by postoperative magnetic resonance imaging of the pelvis in patients with primary surgery for rectal cancer. In the 136 patients with post-operative MRI, inadvertent residual mesorectal tissue was evident in 40%, especially following PME, suggesting suboptimal surgery performed. Additionally in patients who had PME, the distal margin was found to be less than 3 cm in more than 50% of patients, suggesting a discrepancy between guidelines and the actual surgery performed. In study II, we estimated the risk of local recurrence in the previously audited cohort of patients, with a particular focus on patients with upper rectal cancer treated by PME and without neo-adjuvant therapy as standard. Using Kaplan-Meier analysis, the total three-year local recurrence rate was 7% with

  9. Satellite Upper Air Network (SUAN)

    Science.gov (United States)

    Reale, Tony L.; Thorne, Peter

    2004-10-01

    During the past 20 years of NOAA operational polar satellites, it has become evident that a growing problem concerning their utilization in Climate and also Numerical Weather Prediction (NWP) applications are the systematic errors and uncertainties inherent in the satellite measurements. Similar arguments can be made for global radiosonde observations. These uncertainties are often larger than the sensitive signals and processes, that satellite and radiosonde measurements are designed to reveal, particularly in the realm of climate. Possible strategies to quantify and compensate for these problems include the analysis of satellite overlap data and/or available collocations of satellite and ground truth (radiosonde) observations. However, overlap observations are typically not available except in extreme polar regions and current sampling strategies for compiling collocated radiosonde and satellite observations are insufficient, further compounding the inherent uncertainties in the ground-truth radiosonde data. A Satellite Upper Air Network is proposed to provide reference radiosonde launches coincident with operational polar satellite(s) overpass. The SUAN consist of 36 global radiosonde stations sub-sampled from the Global Upper Air Network (GUAN), and is designed to provide a robust, global sample of collocated radiosonde and satellite observations conducive to the monitoring and validation of satellite and radiosonde observations. The routine operation of such a network in conjunction with operational polar satellites would provide a long-term of performance for critical observations of particular importance for climate. The following report presents a candidate network of 36 upper-air sites that could comprise a SUAN. Their selection along with the mutual benefit across the satellite, radiosonde, climate, numerical weather prediction (NWP) and radiative transfer (RT) model areas are discussed.

  10. Advances in upper extremity prosthetics.

    Science.gov (United States)

    Zlotolow, Dan A; Kozin, Scott H

    2012-11-01

    Until recently, upper extremity prostheses had changed little since World War II. In 2006, the Defense Advanced Research Projects Agency responded to an increasing number of military amputees with the Revolutionizing Prosthetics program. The program has yielded several breakthroughs both in the engineering of new prosthetic arms and in the control of those arms. Direct brain-wave control of a limb with 22° of freedom may be within reach. In the meantime, advances such as individually powered digits have opened the door to multifunctional full and partial hand prostheses. Restoring sensation to the prosthetic limb remains a major challenge to full integration of the limb into a patient's self-image.

  11. Composites for Exploration Upper Stage

    Science.gov (United States)

    Fikes, J. C.; Jackson, J. R.; Richardson, S. W.; Thomas, A. D.; Mann, T. O.; Miller, S. G.

    2016-01-01

    The Composites for Exploration Upper Stage (CEUS) was a 3-year, level III project within the Technology Demonstration Missions program of the NASA Space Technology Mission Directorate. Studies have shown that composites provide important programmatic enhancements, including reduced weight to increase capability and accelerated expansion of exploration and science mission objectives. The CEUS project was focused on technologies that best advanced innovation, infusion, and broad applications for the inclusion of composites on future large human-rated launch vehicles and spacecraft. The benefits included near- and far-term opportunities for infusion (NASA, industry/commercial, Department of Defense), demonstrated critical technologies and technically implementable evolvable innovations, and sustained Agency experience. The initial scope of the project was to advance technologies for large composite structures applicable to the Space Launch System (SLS) Exploration Upper Stage (EUS) by focusing on the affordability and technical performance of the EUS forward and aft skirts. The project was tasked to develop and demonstrate critical composite technologies with a focus on full-scale materials, design, manufacturing, and test using NASA in-house capabilities. This would have demonstrated a major advancement in confidence and matured the large-scale composite technology to a Technology Readiness Level 6. This project would, therefore, have bridged the gap for providing composite application to SLS upgrades, enabling future exploration missions.

  12. Acquired Upper Extremity Growth Arrest.

    Science.gov (United States)

    Gauger, Erich M; Casnovsky, Lauren L; Gauger, Erica J; Bohn, Deborah C; Van Heest, Ann E

    2017-01-01

    This study reviewed the clinical history and management of acquired growth arrest in the upper extremity in pediatric patients. The records of all patients presenting from 1996 to 2012 with radiographically proven acquired growth arrest were reviewed. Records were examined to determine the etiology and site of growth arrest, management, and complications. Patients with tumors or hereditary etiology were excluded. A total of 44 patients (24 boys and 20 girls) with 51 physeal arrests who presented at a mean age of 10.6 years (range, 0.8-18.2 years) were included in the study. The distal radius was the most common site (n=24), followed by the distal humerus (n=8), metacarpal (n=6), distal ulna (n=5), proximal humerus (n=4), radial head (n=3), and olecranon (n=1). Growth arrest was secondary to trauma (n=22), infection (n=11), idiopathy (n=6), inflammation (n=2), compartment syndrome (n=2), and avascular necrosis (n=1). Twenty-six patients (59%) underwent surgical intervention to address deformity caused by the physeal arrest. Operative procedures included ipsilateral unaffected bone epiphysiodesis (n=21), shortening osteotomy (n=10), lengthening osteotomy (n=8), excision of physeal bar or bone fragment (n=2), angular correction osteotomy (n=1), and creation of single bone forearm (n=1). Four complications occurred; 3 of these required additional procedures. Acquired upper extremity growth arrest usually is caused by trauma or infection, and the most frequent site is the distal radius. Growth disturbances due to premature arrest can be treated effectively with epiphysiodesis or osteotomy. In this series, the specific site of anatomic growth arrest was the primary factor in determining treatment. [Orthopedics. 2017; 40(1):e95-e103.]. Copyright 2016, SLACK Incorporated.

  13. Upper-Stage Flight Experiment

    Science.gov (United States)

    Anderson, W. E.; Boxwell, R.; Crockett, D. V.; Ross, R.; Lewis, T.; McNeal, C.; Verdarame, K.

    1999-01-01

    For propulsion applications that require that the propellants are storable for long periods, have a high density impulse, and are environmentally clean and non-toxic, the best choice is a combination of high-concentration hydrogen peroxide (High Test Peroxide, or HTP) and a liquid hydrocarbon (LHC) fuel. The HTP/LHC combination is suitable for low-cost launch vehicles, space taxi and space maneuvering vehicles, and kick stages. Orbital Sciences Corporation is under contract with the NASA Marshall Space Flight Center in cooperation with the Air Force Research Lab to design, develop and demonstrate a new low-cost liquid upper stage based on HTP and JP-8. The Upper Stage Flight Experiment (USFE) focuses on key technologies necessary to demonstrate the operation of an inherently simple propulsion system with an innovative, state-of-the-art structure. Two key low-cost vehicle elements will be demonstrated - a 10,000 lbf thrust engine and an integrated composite tank structure. The suborbital flight test of the USFE is scheduled for 2001. Preceding the flight tests are two major series of ground tests at NASA Stennis Space Center and a subscale tank development program to identify compatible composite materials and to verify their compatibility over long periods of time. The ground tests include a thrust chamber development test series and an integrated stage test. This paper summarizes the results from the first phase of the thrust chamber development tests and the results to date from the tank material compatibility tests. Engine and tank configurations that meet the goals of the program are described.

  14. Upper gastrointestinal physiology and diseases.

    Science.gov (United States)

    Waldum, Helge L; Kleveland, Per M; Fossmark, Reidar

    2015-06-01

    Nordic research on physiology and pathophysiology of the upper gastrointestinal tract has flourished during the last 50 years. Swedish surgeons and physiologists were in the frontline of research on the regulation of gastric acid secretion. This research finally led to the development of omeprazole, the first proton pump inhibitor. When Swedish physiologists developed methods allowing the assessment of acid secretion in isolated oxyntic glands and isolated parietal cells, the understanding of mechanisms by which gastric acid secretion is regulated took a great step forward. Similarly, in Trondheim, Norway, the acid producing isolated rat stomach model combined with a sensitive and specific method for determination of histamine made it possible to evaluate this regulation qualitatively as well as quantitatively. In Lund, Sweden, the identification of the enterochromaffin-like cell as the cell taking part in the regulation of acid secretion by producing and releasing histamine was of fundamental importance both physiologically and clinically. Jorpes and Mutt established a center at Karolinska Institutet in Stockholm for the purification of gastrointestinal hormones in the 1960s, and Danes followed up this work by excelling in the field of determination and assessment of biological role of gastrointestinal hormones. A Finnish group was for a long period in the forefront of research on gastritis, and the authors' own studies on the classification of gastric cancer and the role of gastrin in the development of gastric neoplasia are of importance. It can, accordingly, be concluded that Nordic researchers have been central in the research on area of the upper gastrointestinal physiology and diseases.

  15. Lacrimal gland fistula after upper eyelid blepharoplasty

    Directory of Open Access Journals (Sweden)

    Mohsen Bahmani Kashkouli

    2011-01-01

    Full Text Available To report the first case of lacrimal gland fistula after upper eyelid blepharoplasty for blepharochalasis. Standard upper blepharoplasty and the hooding excision were performed in a female with blepharochalasis. The patient developed a fistulous tract with tearing from the incision few days after hooding excision. Fistula excision and lacrimal gland repositioning were performed. There were no complications after the repositioning procedure (6 months follow up. Prolapsed lacrimal gland and fistula formation can occur after upper blepharoplasty hooding excision.

  16. Upper Eyelid Retraction After Periorbital Trauma

    OpenAIRE

    2008-01-01

    We report four unusual cases of upper eyelid retraction following periorbital trauma. Four previously healthy patients were evaluated for unilateral upper eyelid retraction following periorbital trauma. A 31-year-old man (Case 1) and a 24-year-old man (Case 2) presented with left upper eyelid retraction which developed after blow-out fractures, a 44-year-old woman (Case 3) presented with left upper eyelid retraction secondary to a periorbital contusion that occurred one week prior, and a 56-y...

  17. Upper gastrointestinal bleeding - state of the art.

    Science.gov (United States)

    Szura, Mirosław; Pasternak, Artur

    2014-01-01

    Upper gastrointestinal (GI) bleeding is a condition requiring immediate medical intervention, with high associated mortality exceeding 10%. The most common cause of upper GI bleeding is peptic ulcer disease, which largely corresponds to the intake of NSAIDs and Helicobacter pylori infection. Endoscopy is the essential tool for the diagnosis and treatment of active upper GI hemorrhage. Endoscopic therapy together with proton pump inhibitors and eradication of Helicobacter pylori significantly reduces rebleeding rates, mortality and number of emergency surgical interventions. This paper presents contemporary data on the diagnosis and treatment of upper gastrointestinal bleeding.

  18. Endoscopy for Nonvariceal Upper Gastrointestinal Bleeding

    National Research Council Canada - National Science Library

    Kim, Ki Bae; Yoon, Soon Man; Youn, Sei Jin

    2014-01-01

    Endoscopy for acute nonvariceal upper gastrointestinal bleeding plays an important role in primary diagnosis and management, particularly with respect to identification of high-risk stigmata lesions...

  19. Anomalous Feeding of the Left Upper Lobe.

    Science.gov (United States)

    Hazzard, Christopher; Itagaki, Shinobu; Lajam, Fouad; Flores, Raja M

    2016-09-01

    We report the case of a 53-year-old woman who presented with massive hemoptysis. Computed tomographic angiography revealed an anomalous vessel arising from the abdominal aorta, coursing anteriorly and through the diaphragm, and feeding the left upper lobe. At operation the vessel was found to anastomose to the left upper lobe lingula, which contained multiple vascular abnormalities and arteriovenous fistulas. The vessel was ligated, and the affected portion of the left upper lobe was resected. Anomalous systemic arterial supply of an upper lobe is an especially rare form of a Pryce type 1 abnormality. Recognition of these unusual anatomic variants is crucial to successful treatment and avoidance of adverse events.

  20. Smartphone supported upper limb prosthesis

    Directory of Open Access Journals (Sweden)

    Hepp D.

    2015-09-01

    Full Text Available State of the art upper limb prostheses offer up to six active DoFs (degrees of freedom and are controlled using different grip patterns. This low number of DoFs combined with a machine-human-interface which does not provide control over all DoFs separately result in a lack of usability for the patient. The aim of this novel upper limb prosthesis is both offering simplified control possibilities for changing grip patterns depending on the patients’ priorities and the improvement of grasp capability. Design development followed the design process requirements given by the European Medical Device Directive 93/42 ECC and was structured into the topics mechanics, software and drive technology. First user needs were identified by literature research and by patient feedback. Consequently, concepts were evaluated against technical and usability requirements. A first evaluation prototype with one active DoF per finger was manufactured. In a second step a test setup with two active DoF per finger was designed. The prototype is connected to an Android based smartphone application. Two main grip patterns can be preselected in the software application and afterwards changed and used by the EMG signal. Three different control algorithms can be selected: “all-day”, “fine” and “tired muscle”. Further parameters can be adjusted to customize the prosthesis to the patients’ needs. First patient feedback certified the prosthesis an improved level of handling compared to the existing devices. Using the two DoF test setup, the possibilities of finger control with a neural network are evaluated at the moment. In a first user feedback test, the smartphone based software application increased the device usability, e.g. the change within preselected grip patterns and the “tired muscle” algorithm. Although the overall software application was positively rated, the handling of the prosthesis itself needs to be proven within a patient study to be

  1. Schwannoma in the Upper Limbs

    Directory of Open Access Journals (Sweden)

    Chris Yuk Kwan Tang

    2013-01-01

    Full Text Available Schwannomas are the commonest tumours of peripheral nerves. Despite the classical description that schwannomas are well encapsulated and can be completely enucleated during excision, a portion of them have fascicular involvement and could not be completely shelled out. A retrospective review for 8 patients was carried out over 10 years. 75% of schwannoma occurred over the distal region of upper limb (at elbow or distal to it. It occurs more in the mixed nerve instead of pure sensory or motor nerve. 50% of patients had mixed nerve involvement. Fascicular involvement was very common in schwannoma (75% of patients. Removal of the tumour with fascicles can cause functional deficit. At present, there is no method (including preoperative MRI which can predict the occurrence of fascicular involvement; the authors therefore proposed a new system to stratify patients who may benefit from interfascicular nerve grafts. In this group of patients, the authors strongly recommend that the possibility and option of nerve graft should be discussed with patients prior to schwannoma excision, so that nerve grafting could be directly proceeded with patient consent in case there is fascicular involvement of tumour found intraoperatively.

  2. Upper gastrointestinal bleeding in patients with CKD.

    Science.gov (United States)

    Liang, Chih-Chia; Wang, Su-Ming; Kuo, Huey-Liang; Chang, Chiz-Tzung; Liu, Jiung-Hsiun; Lin, Hsin-Hung; Wang, I-Kuan; Yang, Ya-Fei; Lu, Yueh-Ju; Chou, Che-Yi; Huang, Chiu-Ching

    2014-08-07

    Patients with CKD receiving maintenance dialysis are at risk for upper gastrointestinal bleeding. However, the risk of upper gastrointestinal bleeding in patients with early CKD who are not receiving dialysis is unknown. The hypothesis was that their risk of upper gastrointestinal bleeding is negatively linked to renal function. To test this hypothesis, the association between eGFR and risk of upper gastrointestinal bleeding in patients with stages 3-5 CKD who were not receiving dialysis was analyzed. Patients with stages 3-5 CKD in the CKD program from 2003 to 2009 were enrolled and prospectively followed until December of 2012 to monitor the development of upper gastrointestinal bleeding. The risk of upper gastrointestinal bleeding was analyzed using competing-risks regression with time-varying covariates. In total, 2968 patients with stages 3-5 CKD who were not receiving dialysis were followed for a median of 1.9 years. The incidence of upper gastrointestinal bleeding per 100 patient-years was 3.7 (95% confidence interval, 3.5 to 3.9) in patients with stage 3 CKD, 5.0 (95% confidence interval, 4.8 to 5.3) in patients with stage 4 CKD, and 13.9 (95% confidence interval, 13.1 to 14.8) in patients with stage 5 CKD. Higher eGFR was associated with a lower risk of upper gastrointestinal bleeding (P=0.03), with a subdistribution hazard ratio of 0.93 (95% confidence interval, 0.87 to 0.99) for every 5 ml/min per 1.73 m(2) higher eGFR. A history of upper gastrointestinal bleeding (Pupper gastrointestinal bleeding risk. In patients with CKD who are not receiving dialysis, lower renal function is associated with higher risk for upper gastrointestinal bleeding. The risk is higher in patients with previous upper gastrointestinal bleeding history and low serum albumin. Copyright © 2014 by the American Society of Nephrology.

  3. [Upper thoracic sympathectomy in treatment of upper limb ischaemia in distal lesions of the arterial bed].

    Science.gov (United States)

    Alukhanian, O A; Martirosian, Kh G; Aristov, D S; Kurganskiĭ, O V

    2013-01-01

    Analysed herein was efficacy of 76 videothoracoscopic upper chest sympathectomies performed for upper limb ischaemia in a total of 61 patients. Of these, 15 patients were found to suffer bilateral lesions. The findings of clinical follow up and instrumental examinations (laser Doppler flowmetry, rheovasography, measuring transcranial oxygen tension in tissues) made it possible to draw a conclusion on efficacy of upper chest sympathectomy in distal lesions of the vascular bed of the upper extremities.

  4. X-Ray Exam: Femur (Upper Leg)

    Science.gov (United States)

    ... Old Feeding Your 1- to 2-Year-Old X-Ray Exam: Femur (Upper Leg) KidsHealth > For Parents > X-Ray Exam: Femur (Upper Leg) A A A ... español Radiografía: fémur What It Is A femur X-ray is a safe and painless test that ...

  5. Upper High School Students' Understanding of Electromagnetism

    Science.gov (United States)

    Saglam, Murat; Millar, Robin

    2006-01-01

    Although electromagnetism is an important component of upper secondary school physics syllabuses in many countries, there has been relatively little research on students' understanding of the topic. A written test consisting of 16 diagnostic questions was developed and used to survey the understanding of electromagnetism of upper secondary school…

  6. Upper gastrointestinal issues in athletes.

    Science.gov (United States)

    Waterman, Jason J; Kapur, Rahul

    2012-01-01

    Gastrointestinal (GI) complaints are common among athletes with rates in the range of 30% to 70%. Both the intensity of sport and the type of sporting activity have been shown to be contributing factors in the development of GI symptoms. Three important factors have been postulated as contributing to the pathophysiology of GI complaints in athletes: mechanical forces, altered GI blood flow, and neuroendocrine changes. As a result of those factors, gastroesophageal reflux disease (GERD), nausea, vomiting, gastritis, peptic ulcers, GI bleeding, or exercise-related transient abdominal pain (ETAP) may develop. GERD may be treated with changes in eating habits, lifestyle modifications, and training modifications. Nausea and vomiting may respond to simple training modifications, including no solid food 3 hours prior to an athletic event. Mechanical trauma, decreased splanchnic blood flow during exercise, and non-steroidal anti-inflammatory drugs (NSAID) contribute to gastritis, GI bleeding, and ulcer formation in athletes. Acid suppression with proton-pump inhibitors may be useful in athletes with persistence of any of the above symptoms. ETAP is a common, poorly-understood, self-limited acute abdominal pain which is difficult to treat. ETAP incidence increases in athletes beginning a new exercise program or increasing the intensity of their current exercise program. ETAP may respond to changes in breathing patterns or may resolve simply with continued training. Evaluation of the athlete with upper GI symptoms requires a thorough history, a detailed training log, a focused physical examination aimed at ruling out potentially serious causes of symptoms, and follow-up laboratory testing based on concerning physical examination findings.

  7. Sleep Disturbance and Upper-Extremity Disability

    Directory of Open Access Journals (Sweden)

    Rinne Peters

    2016-01-01

    Full Text Available Background: Although upper-extremity disability correlates with psychosocial aspects of illness the association with sleep disturbance in upper extremity disability is less certain. To evaluate whether sleep disturbance is associated with upper-extremity disability among patients with upper extremity illness, accounting for sociodemographic, condition-related, and psychosocial factors. Methods: A cohort of 111 new or follow-up patients presenting to an urban academic hospital-based hand surgeon completed a sociodemographic survey and measures of sleep disturbance (PROMIS Sleep Disturbance, disability (PROMIS Upper-Extremity Physical Function, ineffective coping strategies (PROMIS Pain Interference, and depression (PROMIS Depression. Bivariate and multivariable linear regression modeling were performed. Results: Sleep disturbance correlated with disability (r=-0.38; P

  8. The Upper Mississippi River System—Topobathy

    Science.gov (United States)

    Stone, Jayme M.; Hanson, Jenny L.; Sattler, Stephanie R.

    2017-03-23

    The Upper Mississippi River System (UMRS), the navigable part of the Upper Mississippi and Illinois Rivers, is a diverse ecosystem that contains river channels, tributaries, shallow-water wetlands, backwater lakes, and flood-plain forests. Approximately 10,000 years of geologic and hydrographic history exist within the UMRS. Because it maintains crucial wildlife and fish habitats, the dynamic ecosystems of the Upper Mississippi River Basin and its tributaries are contingent on the adjacent flood plains and water-level fluctuations of the Mississippi River. Separate data for flood-plain elevation (lidar) and riverbed elevation (bathymetry) were collected on the UMRS by the U.S. Army Corps of Engineers’ (USACE) Upper Mississippi River Restoration (UMRR) Program. Using the two elevation datasets, the U.S. Geological Survey (USGS) Upper Midwest Environmental Sciences Center (UMESC) developed a systemic topobathy dataset.

  9. A Note on Upper Convex Density

    Institute of Scientific and Technical Information of China (English)

    YIN JIAN-DONG; ZHOU ZUO-LING

    2010-01-01

    For a self-similar set E satisfying the open set condition,upper convex density is an important concept for the computation of its Hausdorff measure,and it is well known that the set of relative interior points with upper convex density 1has a full Hausdorff measure.But whether the upper convex densities of E at all the relative interior points are equal to 1? In other words,whether there exists a relative interior point of E such that the upper convex density of E at this point is less than 1?In this paper,the authors construct a self-similar set satisfying the open set condition,which has a relative interior point with upper convex density less than 1.Thereby,the above problem is sufficiently answered.

  10. Delaware River and Upper Bay Sediment Data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The area of coverage consists of 192 square miles of benthic habitat mapped from 2005 to 2007 in the Delaware River and Upper Delaware Bay. The bottom sediment map...

  11. Dirichlet Problem on the Upper Half Space

    Indian Academy of Sciences (India)

    Dewu Yang; Yudong Ren

    2014-05-01

    In this paper, a solution of the Dirichlet problem on the upper half space for a fast growing continuous boundary function is constructed by the generalized Dirichlet integral with this boundary function.

  12. Saline Nasal Irrigation for Upper Respiratory Conditions

    Science.gov (United States)

    2009-01-01

    Acute and chronic upper respiratory conditions are common and expensive disorders with enormous impact on patient quality of life and society at large. Saline nasal irrigation (SNI), a therapy with roots in Ayurvedic medicine that bathes the nasal mucosa with in spray or liquid saline, has been used as adjunctive care for upper respiratory conditions. In liquid form, SNI has been found to be effective adjunctive care by the Cochrane Collaboration for symptoms associated with chronic rhinosinusitis. Less conclusive clinical trial evidence supports its use in spray and liquid forms as adjunctive treatment for mild-to-moderate allergic rhinitis and acute upper respiratory infections. Consensus or expert opinion recommendations exist for SNI as a treatment for a variety of other conditions including rhinitis of pregnancy. SNI appears safe; side effects are minimal and transient. It can be recommended by clinicians to interested patients with a range of upper respiratory conditions in the context of patient education and printed instructional handouts. PMID:19904896

  13. Upper limb prosthetic use in Slovenia.

    Science.gov (United States)

    Burger, H; Marincek, C

    1994-04-01

    The article deals with the use of different types of upper limb prostheses in Slovenia. Four hundred and fourteen upper limb amputees were sent a questionnaire on the type of their prosthesis, its use and reasons for non-use, respectively. The replies were subject to statistical analysis. Most of the questioned upper limb amputees (70%) wear a prosthesis only for cosmesis. The use of a prosthesis depends on the level of upper limb amputation, loss of the dominant hand, and time from amputation. Prosthetic success appears to be unrelated to age at the time of amputation and the rehabilitation programme. The most frequent reason for not wearing a prosthesis is heat and consequent sweating of the stump. More than a third of amputees are dissatisfied with their prostheses.

  14. Unusual foreign bodies of upper gastrointestinal tract.

    Science.gov (United States)

    Nijhawan, S; Rai, R R; Agarwal, S; Vijayvergiya, R

    1995-01-01

    We report management of unusual foreign bodies of upper gastrointestinal tract, namely beer bottle cap, raisins and pistachu, mango peel, betelnut and plum seed at a university hospital in Northern India.

  15. Congenital microgastria and hypoplastic upper limb anomalies.

    Science.gov (United States)

    Lueder, G T; Fitz-James, A; Dowton, S B

    1989-03-01

    Six cases of congenital microgastria associated with limb anomalies are reviewed. The microgastria-hypoplastic upper limb association may arise as a result of aberrant mesodermal development in the 5th embryonic week.

  16. An approach to the painful upper limb

    African Journals Online (AJOL)

    to the shoulder, arm or hand, suggesting ... hand up towards the upper arm, suggesting .... typically includes the tips of the thumb, index and middle fingers, .... pathophysiology of overuse tendon injuries: Ideas on insertional tendinopathy.

  17. Massive upper gastrointestinal bleed from epiphrenic diverticulum.

    Science.gov (United States)

    Garcia, Cesar J; Dias, Ajoy; Hejazi, Reza A; Burgos, Jose D; Huerta, Ana; Zuckerman, Marc J

    2011-05-01

    Epiphrenic diverticula are outpouchings of the esophagus that retain some or all layers of the esophageal wall. Symptoms such as intermittent dysphagia and vomiting may occur. The authors present a case of an elderly woman with a history of dysphagia who presented with a massive upper gastrointestinal bleed because of a bleeding epiphrenic diverticulum seen at endoscopy who responded to conservative management. Bleeding epiphrenic diverticula should be considered as a cause of upper gastrointestinal bleeding.

  18. Inertial Upper Stage Thermal Test Program

    Science.gov (United States)

    1989-04-12

    REPORT SD-TR-89-26 Inertial Upper Stage Thermal Test Program D. J. SPENCER and H. A. BIXLER Aerophysics Laboratory Laboratory Operations The...TITLE (Include Security Classification) Inertial Upper Stage Thermal Test Program 12. PERSONAL AUTHOR(S) Spencer, Donald J., and Bixler, Henry A. 13a...by the laboratory thermal test program under consideration here. Details of the IUS launch vehicle characteristics and corrective action taken in

  19. Upper Bounds for the Laplacian Graph Eigenvalues

    Institute of Scientific and Technical Information of China (English)

    Jiong Sheng LI; Yong Liang PAN

    2004-01-01

    We first apply non-negative matrix theory to the matrix K = D + A, where D and A are the degree-diagonal and adjacency matrices of a graph G, respectively, to establish a relation on the largest Laplacian eigenvalue λ1 (G) of G and the spectral radius ρ(K) of K. And then by using this relation we present two upper bounds for λ1 (G) and determine the extremal graphs which achieve the upper bounds.

  20. Gingival hyperplasia by upper airway obstruction

    OpenAIRE

    Díaz Soriano, Ana; Docente Departamento Académico de Estomatología Biosocial.; Lévano Torres, Víctor; Docente Departamento Académico Médico Quirúrgico.; Pastor Yataco, Shamila; Alumnos del 3er año de Odontología de la UNMSM.; Vallejos Pulido, Arturo; Alumnos del 3er año de Odontología de la UNMSM.; Huamanyauri Gonzales, Lizbeth; Alumnos del 3er año de Odontología de la UNMSM.

    2014-01-01

    The effects of mouth breathing are the introduction of cold air, dry and dusty in the mouth and pharynx, the lost functions of heating, humedificacion and filtering the air entering the nose increases the oral mucosa irritation and pharyngeal. A case of a female patient 15 years old who comes for consultation of Periodontology with increase in volume and gingival redness in the upper anterior sector of upper airway obstruction caused by deviated septum right turbinate hypertrophy and maxillar...

  1. Upper quantum Lyapunov exponent and parametric oscillators

    Science.gov (United States)

    Jauslin, H. R.; Sapin, O.; Guérin, S.; Wreszinski, W. F.

    2004-11-01

    We introduce a definition of upper Lyapunov exponent for quantum systems in the Heisenberg representation, and apply it to parametric quantum oscillators. We provide a simple proof that the upper quantum Lyapunov exponent ranges from zero to a positive value, as the parameters range from the classical system's region of stability to the instability region. It is also proved that in the instability region the parametric quantum oscillator satisfies the discrete quantum Anosov relations defined by Emch, Narnhofer, Sewell, and Thirring.

  2. Updating upper extremity temporary prosthesis: thermoplastics.

    Science.gov (United States)

    Fletchall, S; Tran, T; Ungaro, V; Hickerson, W

    1992-01-01

    Since 1989 amputees with upper-extremity burns have been fitted with a temporary prosthesis fabricated from low-temperature thermoplastic. Before 1989 conventional temporary prostheses were fabricated with plaster. The use of the thermoplastic material has produced a lightweight, cost-effective, modular system. No patients exhibited skin breakdown with the thermoplastic material. It appears that thermoplastics may be the next major breakthrough in terms of a design for a temporary upper-extremity prosthesis.

  3. Lower and Upper Fuzzy Topological Subhypergroups

    Institute of Scientific and Technical Information of China (English)

    Irina CRISTEA; Jian Ming ZHAN

    2013-01-01

    This paper provides a new connection between algebraic hyperstructures and fuzzy sets.More specifically,using both properties of fuzzy topological spaces and those of fuzzy subhypergroups,we define the notions of lower (upper) fuzzy topological subhypergroups of a hypergroup endowed with a fuzzy topology.Some results concerning the image and the inverse image of a lower (upper) topological subhypergroup under a very good homomorphism of hypergroups (endowed with fuzzy topologies) are pointed out.

  4. clinical characteristics and outcome of patients with upper ...

    African Journals Online (AJOL)

    Upper gastrointestinal bleeding (UGIB) is a potentially fatal, time-critical ... WITH UPPER. GASTROINTESTINAL BLEEDING AT THE EMERGENCY DEPARTMENT OF A ..... Registry on Nonvariceal Upper Gastrointestinal. Bleeding and ...

  5. AN UNUSUAL CAUSE OF UPPER GASTROINTESTINAL BLEEDING.

    Science.gov (United States)

    Ali, Kishwar; Zarin, Muhammad; Latif, Humera

    2015-01-01

    Gastrointestinal haemorrhage (GI) is a serious condition that presents both diagnostic as well as therapeutic challenges. Resuscitation of the patient is the first and most important step in its management followed by measures to localize and treat the exact source and site of bleeding. These modalities are upper and lower GI endoscopies, radionuclide imaging and angiography. Surgery is the last resort to handle the situation, if the patient does not respond to resuscitative measures and the various interventional procedures fail to locate and stop the bleeding. We present a case of upper GI bleeding which presented with massive per rectal bleeding and the patient was not responding to resuscitation with multiple blood transfusions. Ultimately an exploratory laparotomy was done which revealed an extra-intestinal source of bleeding into the lumen of duodenum, presenting as upper GI bleeding.

  6. Hypnosis and upper digestive function and disease

    Institute of Scientific and Technical Information of China (English)

    Giuseppe Chiarioni; Olafur S Palsson; William E Whitehead

    2008-01-01

    Hypnosis is a therapeutic technique that primarily involves aRentive receptive concentration. Even though a small number of health professionals are trained in hypnosis and lingering myths and misconceptions associated with this method have hampered its widespread use to treat medical conditions, hypnotherapy has gained relevance as an effective treatment for irritable bowel syndrome not responsive to standard care. More recently, a few studies have addressed the potential influence of hypnosis on upper digestive function and disease. This paper reviews the efficacy of hypnosis in the modulation of upper digestive motor and secretory function. The present evidence of the effectiveness of hypnotherapy as a treatment for functional and organic diseases of the upper bowel is also summarized, coupled with a discussion of potential mechanisms of its therapeutic action.

  7. A Boundary Property for Upper Domination

    KAUST Repository

    AbouEisha, Hassan M.

    2016-08-08

    An upper dominating set in a graph is a minimal (with respect to set inclusion) dominating set of maximum cardinality.The problem of finding an upper dominating set is generally NP-hard, but can be solved in polynomial time in some restricted graph classes, such as P4-free graphs or 2K2-free graphs.For classes defined by finitely many forbidden induced subgraphs, the boundary separating difficult instances of the problem from polynomially solvable ones consists of the so called boundary classes.However, none of such classes has been identified so far for the upper dominating set problem.In the present paper, we discover the first boundary class for this problem.

  8. Management of nonvariceal upper gastrointestinal bleeding.

    Science.gov (United States)

    Wee, E

    2011-01-01

    Nonvariceal upper gastrointestinal bleeding is unique from variceal bleeding in terms of patient characteristics, management, rebleeding rates, and prognosis, and should be managed differently. The majority of nonvariceal upper gastrointestinal bleeds will not rebleed once treated successfully. The incidence is 80 to 90% of all upper gastrointestinal bleeds and the mortality is between 5 to 10%. The causes include nonacid-related ulceration from tumors, infections, inflammatory disease, Mallory-Weiss tears, erosions, esophagitis, dieulafoy lesions, angiodysplasias, gastric antral vascular ectasia, and portal hypertensive gastropathy. Rarer causes include hemobilia, hemosuccus pancreaticus, and aortoenteric fistulas. Hematemesis and melena are the key features of bleeding from the upper gastrointestinal tract, but fresh per rectal bleeding may be present in a rapidly bleeding lesion. Resuscitation and stabilization before endoscopy leads to improved outcomes. Fluid resuscitation is essential to avoid hypotension. Though widely practiced, there is currently insufficient evidence to show that routine red cell transfusion is beneficial. Coagulopathy requires correction, but the optimal international normalized ratio has not been determined yet. Risk stratification scores such as the Rockall and Glasgow-Blatchford scores are useful to predict rebleeding, mortality, and to determine the urgency of endoscopy. Evidence suggests that high-dose proton pump inhibitors (PPI) should be given as an infusion before endoscopy. If patients are intolerant of PPIs, histamine-2 receptor antagonists can be given, although their acid suppression is inferior. Endoscopic therapy includes thermal methods such as coaptive coagulation, argon plasma coagulation, and hemostatic clips. Four quadrant epinephrine injections combined with either thermal therapy or clipping reduces mortality. In hypoxic patients, endoscopy masks allow high-flow oxygen during upper gastrointestinal endoscopy. The

  9. Management of nonvariceal upper gastrointestinal bleeding

    Directory of Open Access Journals (Sweden)

    E Wee

    2011-01-01

    Full Text Available Nonvariceal upper gastrointestinal bleeding is unique from variceal bleeding in terms of patient characteristics, management, rebleeding rates, and prognosis, and should be managed differently. The majority of nonvariceal upper gastrointestinal bleeds will not rebleed once treated successfully. The incidence is 80 to 90% of all upper gastrointestinal bleeds and the mortality is between 5 to 10%. The causes include nonacid-related ulceration from tumors, infections, inflammatory disease, Mallory-Weiss tears, erosions, esophagitis, dieulafoy lesions, angiodysplasias, gastric antral vascular ectasia, and portal hypertensive gastropathy. Rarer causes include hemobilia, hemosuccus pancreaticus, and aortoenteric fistulas. Hematemesis and melena are the key features of bleeding from the upper gastrointestinal tract, but fresh per rectal bleeding may be present in a rapidly bleeding lesion. Resuscitation and stabilization before endoscopy leads to improved outcomes. Fluid resuscitation is essential to avoid hypotension. Though widely practiced, there is currently insufficient evidence to show that routine red cell transfusion is beneficial. Coagulopathy requires correction, but the optimal international normalized ratio has not been determined yet. Risk stratification scores such as the Rockall and Glasgow-Blatchford scores are useful to predict rebleeding, mortality, and to determine the urgency of endoscopy. Evidence suggests that high-dose proton pump inhibitors (PPI should be given as an infusion before endoscopy. If patients are intolerant of PPIs, histamine-2 receptor antagonists can be given, although their acid suppression is inferior. Endoscopic therapy includes thermal methods such as coaptive coagulation, argon plasma coagulation, and hemostatic clips. Four quadrant epinephrine injections combined with either thermal therapy or clipping reduces mortality. In hypoxic patients, endoscopy masks allow high-flow oxygen during upper

  10. PATTERN OF UPPER GASTROINTESTINAL MALIGNANCIES IN TRIPURA

    Directory of Open Access Journals (Sweden)

    Pradip

    2015-08-01

    Full Text Available OBJECTIVE : To study the pattern of upper gastrointestinal (GI malignancies in Tripura . METHODOLOGY: The study was conducted at the dept. of Medicine, Agartala Govt Medical College. All the patient s who underwent upper GI Endoscopy and were found to have an upper GI malignancy on histopathology were reviewed for the part of the gut involved. Patient’s demographics including age, clinical presentation, histological diagnosis and type were evaluated. RESULT: During the study period 95 cases of upper GI malignancy were seen in our institute. Total 7.36% cases were below 40 year of age. Mean patient age was 62.43 years. Among all the cases, 61.06% were esophageal carcinoma & 38.94% cases were gastric carcinoma. Mean patient age for oesophageal carcinoma is 58.37and 68.78 years respectively. Among the gastric carcinoma, 51.35% were in fundus, 32.43% in body and 16.21% in pyloric end and all were adenocarcinoma in histological type. In oesophageal carcinoma, upper third, middle third and lower third of oesophagus were involved in 15.51%, 62.06% and 24.13% of cases respectively and histologically 86.21% were squamous cell carcinoma whereas 13.79% were adenocarcinoma. CONCLUSION: Oesophageal carcinoma is more common than gastric carcinoma in this region and squamous type of esophageal carcinoma is the dominant type and fundal part is the most frequent site for gastric carcinoma. Endoscopic screening in subjects suspected of upper GI malignancy results in significant yield of carcinoma.

  11. Jaw thrust can deteriorate upper airway patency.

    Science.gov (United States)

    von Ungern-Sternberg, B S; Erb, T O; Frei, F J

    2005-04-01

    Upper airway obstruction is a frequent problem in spontaneously breathing children undergoing anesthesia or sedation procedures. Failure to maintain a patent airway can rapidly result in severe hypoxemia, bradycardia, or asystole, as the oxygen demand of children is high and oxygen reserve is low. We present two children with cervical masses in whom upper airway obstruction exaggerated while the jaw thrust maneuver was applied during induction of anesthesia. This deterioration in airway patency was probably caused by medial displacement of the lateral tumorous tissues which narrowed the pharyngeal airway.

  12. Upper respiratory tract disease and bronchial asthma

    Institute of Scientific and Technical Information of China (English)

    1993-01-01

    930119 Lung sound analysis of upper airwayobstruction.SHI Yi(施毅),et al.Dept RespirMed,General Hosp,Nanjing Command,210002.Chin J Tuberc & Respir Dis 1992;15(4):228-230.The frequency spectrum of stridor was stud-ied by the computer program in the patientswith upper airway obstruction.The resultsshowed that the peak frequency of respiratorysound increased significantly,the frequencyspectrum got wider and moved to the high fre-quency area above 200Hz and the E ratio wassmaller than 1.These changes were more ap-

  13. Recent Cooling of the Upper Ocean

    Science.gov (United States)

    Lyman, John M.; Willis, Josh K.; Johnson, Gregory C.

    2006-01-01

    We observe a net loss of 3.2 (+/- 1.1) x 1022 J of heat from the upper ocean between 2003 and 2005. Using a broad array of in situ ocean measurements, we present annual estimates of global upper-ocean heat content anomaly from 1993 through 2005. Including the recent downturn, the average warming rate for the entire 13-year period is 0.33 +/- 0.23 W/m2 (of the Earth's total surface area). A new estimate of sampling error in the heat content record suggests that both the recent and previous global cooling events are significant and unlikely to be artifacts of inadequate ocean sampling.

  14. Regional & Topical Anaesthesia of Upper Airways

    Directory of Open Access Journals (Sweden)

    Nibedita Pani

    2009-01-01

    Full Text Available A combination of techniques are required to adequately anaesthetise upper airway structures for awake intubation . The widest coverage is provided by the inhalational technique. This technique, however, does not always provide a dense enough level of anaesthesia for all patients. Supplementation of this technique with any of the specific nerve blocks is an excellent way to accomplish efficacious anaesthesia for awake inubation. Anaesthetising upper airway is not a difficult skill to master and should be in the armamentarium of all practising anaesthetist.

  15. [Upper lateral incisor with 2 canals].

    Science.gov (United States)

    Fabra Campos, H

    1991-01-01

    Clinical case summary of the patient with an upper lateral incisor with two root canals. The suspicion that there might be an anatomic anomaly in the root that includes a complex root canal system was made when an advanced radicular groove was detected in the lingual surface or an excessively enlarged cingulum.

  16. External Environment and Upper Echelons Theory

    DEFF Research Database (Denmark)

    Escribá-Esteve, Alejandro; Nielsen, Sabina; Yamak, Sibel

    This work reviews empirical research on TMTs with a specific emphasis on the role of the external environment. We extend the existing research on upper echelons theory, which has largely focused on the team and firm level of analyses of top management teams (TMT). Considering institutional...

  17. Unusual Differential Diagnosis of Upper Abdominal Pain

    Directory of Open Access Journals (Sweden)

    Lanthaler Monika

    2009-01-01

    The peculiarity of this case is the rarity of toothpick ingestion and gastric perforation in a young and healthy white Caucasian followed by development of a liver abscess after primary uneventful endoscopic removal. In light of this case, gastric perforation due to ingested foreign bodies such as toothpicks can be considered a rare cause of upper abdominal pain.

  18. The Upper Permian in the Netherlands

    NARCIS (Netherlands)

    Visser, W.A.

    1955-01-01

    The Upper Permian in the Netherlands, as known from borehole data, is deposited in a mainly evaporitic facies north of the Brabant and Rhenish Massifs. In the extreme south (Belgian Campine, de Peel) a near-shore facies of reef dolomites and elastics occurs. In the western and central Netherlands th

  19. Lactobacillus rhamnosus Endocarditis After Upper Endoscopy

    OpenAIRE

    Aaron, Justin G.; Sobieszczyk, Magdalena E.; Weiner, Shepard D.; Whittier, Susan; Lowy, Franklin D.

    2017-01-01

    Abstract Lactobacillus rhamnosus is commonly found in gastrointestinal flora and used in probiotics but is a rare human pathogen. We report a case of L. rhamnosus endocarditis following upper endoscopy in a frequent consumer of yogurt containing the organism, who required aortic and mitral valve replacement for cure.

  20. Postoperative pleural effusion following upper abdominal surgery

    DEFF Research Database (Denmark)

    Nielsen, P H; Jepsen, S B; Olsen, A D

    1989-01-01

    Of 128 patients who underwent upper abdominal surgery, examined by standard preoperative and postoperative chest roentgenograms for the formation of postoperative pleural effusions, 89 had postoperative pleural effusions. Their presence was not related to the type of operation, infection, serum a...

  1. Postoperative pleural effusion following upper abdominal surgery

    DEFF Research Database (Denmark)

    Nielsen, P H; Jepsen, S B; Olsen, A D

    1989-01-01

    Of 128 patients who underwent upper abdominal surgery, examined by standard preoperative and postoperative chest roentgenograms for the formation of postoperative pleural effusions, 89 had postoperative pleural effusions. Their presence was not related to the type of operation, infection, serum a...

  2. Upper Limit for Regional Sea Level Projections

    Science.gov (United States)

    Jevrejeva, Svetlana; Jackson, Luke; Riva, Riccardo; Grinsted, Aslak; Moore, John

    2016-04-01

    With more than 150 million people living within 1 m of high tide future sea level rise is one of the most damaging aspects of warming climate. The latest Intergovernmental Panel on Climate Change report (AR5 IPCC) noted that a 0.5 m rise in mean sea level will result in a dramatic increase the frequency of high water extremes - by an order of magnitude, or more in some regions. Thus the flood threat to the rapidly growing urban populations and associated infrastructure in coastal areas are major concerns for society. Hence, impact assessment, risk management, adaptation strategy and long-term decision making in coastal areas depend on projections of mean sea level and crucially its low probability, high impact, upper range. With probabilistic approach we produce regional sea level projections taking into account large uncertainties associated with Greenland and Antarctica ice sheets contribution. We calculate the upper limit (as 95%) for regional sea level projections by 2100 with RCP8.5 scenario, suggesting that for the most coastlines upper limit will exceed the global upper limit of 1.8 m.

  3. Pulmonary complications of upper abdominal surgery.

    Directory of Open Access Journals (Sweden)

    Deodhar S

    1991-04-01

    Full Text Available Pulmonary complications encountered in 67 patients undergoing upper abdominal surgery in our unit in one year period are analysed. Pulmonary function tests and their post-operative reduction, as also the risk factors are discussed. Pathophysiology responsible for pulmonary complications is outlined.

  4. Replantation of an amputated upper lip.

    Science.gov (United States)

    Husami, T W; Cervino, A L; Pennington, G A; Douglas, B K

    1992-01-01

    Soft tissue defects of the face are a difficult reconstructive problem. Replantation of large amputated segments of the face has been rarely successful and has lagged well behind extremity trauma due in part to the relative rarity of these defects. Presented is a case of successful microvascular replantation of half of the upper lip after a dog bite.

  5. Generalized upper bound for inelastic diffraction

    Science.gov (United States)

    Troshin, S. M.; Tyurin, N. E.

    2017-01-01

    For inelastic diffraction, we obtain an upper bound valid for the whole range of the elastic scattering amplitude variation allowed by unitarity. We discuss the energy dependence of the inelastic diffractive cross-section on the base of this bound and recent Large Hadron Collider (LHC) data.

  6. A generalized upper bound for inelastic diffraction

    CERN Document Server

    Troshin, S M

    2016-01-01

    For the inelastic diffraction, we obtain an upper bound valid in the whole range of the elastic scattering amplitude variation allowed by unitarity. We discuss the energy dependence of the inelastic diffractive cross-section on the base of this bound and recent LHC data.

  7. Update on embryology of the upper limb.

    Science.gov (United States)

    Al-Qattan, Mohammad M; Kozin, Scott H

    2013-09-01

    Current concepts in the steps of upper limb development and the way the limb is patterned along its 3 spatial axes are reviewed. Finally, the embryogenesis of various congenital hand anomalies is delineated with an emphasis on the pathogenetic basis for each anomaly.

  8. Uprated OMS engine for upper stage propulsion

    Science.gov (United States)

    Boyd, William C.

    1986-01-01

    The results of a pre-development component demonstration program on the use of a gas generator-driven turbopump that increases the Space Shuttle's Orbital Maneuvering Engine (OME) operating pressure are given. Tests and analysis confirm the the capability of the concept to meet or exceed performance and life requirements. Storable propellant upper stage concepts are also discussed.

  9. The Upper Permian in the Netherlands

    NARCIS (Netherlands)

    Visser, W.A.

    1955-01-01

    The Upper Permian in the Netherlands, as known from borehole data, is deposited in a mainly evaporitic facies north of the Brabant and Rhenish Massifs. In the extreme south (Belgian Campine, de Peel) a near-shore facies of reef dolomites and elastics occurs. In the western and central Netherlands

  10. Upper atmospheric rotation rate from orbit analysis

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    The rotation speed Λ of the upper atmosphere,mainly at heights of 180-360 km,was evaluated from the changes in orbital inclinations of GFZ. The results indicate that the value of Λ(in rev/d) decreases from 1.2 at 360 km to 0.9 at 180 km.

  11. Upper gastrointestinal hemorrhage caused by superwarfarin poisoning

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    Superwarfarins are a class of rodenticides. Gastrointestinal hemorrhage is a fatal complication of superwarfarin poisoning, requiring immediate treatment. Here, we report a 55-year-old woman with tardive upper gastrointestinal hemorrhage caused by superwarfarin poisoning after endoscopic cold mucosal biopsy.

  12. Information Literacy in the Upper Secondary School

    DEFF Research Database (Denmark)

    Holm, Claus; Schreiber, Trine; Tønnesen, Pia Hvid

    The discussion paper is a publication from the project Information Literacy in the Upper Secondary School. The project is a collaboration between the National Library of Education at the Danish School of Education, Aarhus University, and the Royal School of Library and Information Science. The pr...

  13. Characterisation and Outcomes of Upper Extremity Amputations

    Science.gov (United States)

    2014-06-01

    www.warms.vba.va.gov/bookc.html [accessed 01.10.10]. [14] Biddiss EA, Chau TT. Upper limb prosthesis use and abandonment: a survey of the last 25 years...combat injured patient. Foot Ankle Clin 2010;15(1):157–74. [22] Harvey ZT, Loomis GA, Mitsch S, Murphy IC, Griffin SC, Potter BK, et al. Advanced

  14. Feasibility of Upper Port Plug tube handling

    NARCIS (Netherlands)

    Koning, J.F.; Elzendoorn, B.S.Q.; Ronden, D.M.S.; Klinkhamer, J.F.F.; Biel, W.; Krasikov, Y.; Walker, C.I.

    2011-01-01

    Central, retractable tubes are proposed in several Upper Port Plugs (UPPs) designs for ITER, to enable fast exchange of specific components of diagnostics housed in these UPPs. This paper investigates into possible designs to enable the efficient handling of tubes. The feasibility of tube handling i

  15. Effect of Upper Limb Deformities on Gross Motor and Upper Limb Functions in Children with Spastic Cerebral Palsy

    Science.gov (United States)

    Park, Eun Sook; Sim, Eun Geol; Rha, Dong-wook

    2011-01-01

    The aims of this study were to investigate the nature and extent of upper limb deformities via the use of various classifications, and to analyze the relationship between upper limb deformities and gross motor or upper limb functionality levels. Upper extremity data were collected from 234 children with spastic cerebral palsy (CP) who were…

  16. Sulphide melt evolution in upper mantle to upper crust magmas, Tongling, China

    Directory of Open Access Journals (Sweden)

    Yilun Du

    2014-03-01

    Full Text Available Sulphide inclusions, which represent melts trapped in the minerals of magmatic rocks and xenoliths, provide important clues to the behaviour of immiscible sulphide liquids during the evolution of magmas and the formation of Ni–Cu–Fe deposits. We describe sulphide inclusions from unique ultramafic clots within mafic xenoliths, from the mafic xenoliths themselves, and from the three silica-rich host plutons in Tongling, China. For the first time, we are able to propose a general framework model for the evolution of sulphide melts during the evolution of mafic to felsic magmas from the upper mantle to the upper crust. The model improves our understanding of the sulphide melt evolution in upper mantle to upper crust magmas, and provides insight into the formation of stratabound skarn-type Fe–Cu polymetallic deposits associated with felsic magmatism, thus promising to play an important role during prospecting for such deposits.

  17. Radiofrequency upper thoracic sympathectomy in the treatment of critical upper limb ischemia--a case series.

    Science.gov (United States)

    Gabrhelik, Tomas; Stehlik, Daniel; Adamus, Milan; Zalesak, Bohumil; Michalek, Pavel

    2013-06-01

    Patients with significant medical and social problems resulting from impaired perfusion of the upper limbs caused by micro- or macro-angiopathy are now frequent in clinical practice. Vasospastic disease of the upper limbs of combined origin is a difficult condition to treat by conservative methods and therapeutic strategies are usually multidisciplinary. In addition to standard pharmacotherapy, treatment may involve regional anaesthesia, thoracoscopic or radiofrequency sympathectomy and surgical treatment of defects, including plastic surgery. This paper describes our successful work in the treatment of upper limb critical ischemia using radiofrequency upper thoracic sympathectomy. In three case reports we present the results of radiofrequency thermolysis applied to treat patients with chronic defects of the hand and fingers. These patients were diagnosed with upper limb critical ischemia of combined origin, standard conservative treatment methods failed and surgical intervention was originally not indicated, however, radiofrequency thermolysis proved to be beneficial. Radiofrequency thoracic sympathectomy could improve peripheral perfusion of the upper limbs and thereby contribute to healing of chronic defects, reduction of pain and improvement in the quality of life of the patients.

  18. Emulating Upper Limb Disorder for Therapy Education

    Directory of Open Access Journals (Sweden)

    Noor Ayuni binti Che Zakaria

    2014-11-01

    Full Text Available Robotics not only contributes to the invention of rehabilitation devices, it can also enhance the quality of medical education. In recent years, the use of patient simulators and part-task trainers in the medical education field has brought meaningful improvements in the training of medical practitioners. Nevertheless, in the context of therapy training for upper limb disorders, trainee therapists still have to engage directly with the patients to gain experience of the rehabilitation of physical diseases. In this work, a high-fidelity part-task trainer that is able to reproduce the stiffness of spasticity and rigidity symptoms of the upper limb, such as those observed in post-stroke patients and Parkinson's disease patients, has been developed. Based on the evaluation carried out by two experienced therapists, the developed part-task trainer is able to simulate different patient cases and help trainee therapists gain pre-clinical experience in a safe and intuitive learning environment.

  19. Endoscopic low coherence interferometry in upper airways

    Science.gov (United States)

    Delacrétaz, Yves; Boss, Daniel; Lang, Florian; Depeursinge, Christian

    2009-07-01

    We introduce Endoscopic Low Coherence Interferometry to obtain topology of upper airways through commonly used rigid endoscopes. Quantitative dimensioning of upper airways pathologies is crucial to provide maximum health recovery chances, for example in order to choose the correct stent to treat endoluminal obstructing pathologies. Our device is fully compatible with procedures used in day-to-day examinations and can potentially be brought to bedside. Besides this, the approach described here can be almost straightforwardly adapted to other endoscopy-related field of interest, such as gastroscopy and arthroscopy. The principle of the method is first exposed, then filtering procedure used to extract the depth information is described. Finally, demonstration of the method ability to operate on biological samples is assessed through measurements on ex-vivo pork bronchi.

  20. Upper Hybrid Effects in Artificial Ionization

    Science.gov (United States)

    Papadopoulos, K.; Eliasson, B. E.

    2014-12-01

    A most fascinating result of recent ionospheric experiments has been the discovery of artificial ionization by Pedersen et al. (GRL, 37, L02106, 2010). The Artificial Ionospheric Layers (AIL) were the result of F-region O-mode HF irradiation using the HAARP ionospheric heater operating at 3.6 MW power. As demonstrated by Eliasson et al. (JGR, 117, A10321, 2012) the physics controlling the observed phenomenon and its threshold can be summarized as: " Collisional ionization due to high energy (~ 20 eV) electron tails generated by the interaction of strong Langmuir turbulence with plasma heated at the upper hybrid resonance and transported at the reflection height". The objective of the current presentation is to explore the role of the upper hybrid heating in the formation of AIL and its implications to future experiments involving HF heaters operating in middle and equatorial latitudes.

  1. Deep venous thrombosis of the upper extremity

    DEFF Research Database (Denmark)

    Klitfod, Lotte; Broholm, R; Baekgaard, N

    2013-01-01

    to the condition. Malignancy and therapeutic interventions are major risk factors for the secondary deep vein thrombosis in combination with the patient's characteristics, comorbidities and prior history of deep vein thrombosis. Complications: recurrent deep venous thrombosis, pulmonary embolism and Post......Upper extremity deep venous thrombosis (UEDVT) occurs either spontaneously, as a consequence of strenuous upper limb activity (also known as the Paget-Schroetter syndrome) or secondary to an underlying cause. Primary and secondary UEDVT differs in long-term sequelae and mortality. This review...... will focus on the clinical presentation, risk factors, diagnosis, and treatment strategies of UEDVT. In the period from January to October 2012 an electronic literature search was performed in the PubMed/MEDLINE database, and 27 publications were included. Clinical presentation: swelling, pain and functional...

  2. Collaborative Tools in Upper Secondary School - Why?

    DEFF Research Database (Denmark)

    Mathiasen, Helle; Degn, Hans-Peter; Bech, Christian Winther

    2013-01-01

    500 students and 65 teachers. Within the period from 2010 to 2011, the involved schools have experimented with new teaching methods and integration of different kinds of digital media. Based on these empirical studies, the paper will discuss how students can utilize digital media to support group work......The paper will discuss potentials of digital media to support student engagement and student production in Danish upper secondary education with a specific focus on group work and collaboration. With the latest school reform, upper secondary education in Denmark has experienced an increased focus...... on problem-based and self-governed work of students. The paper is based on a large research project involving 800 students and around 100 teachers from 15 schools. The empirical study is based on observations, interviews with teachers and students from the involved schools and on a survey with answers from...

  3. Sources of particulates in the upper stratosphere

    Science.gov (United States)

    Bigg, E. Keith

    2011-10-01

    The dominant forms of particles collected at altitudes of 39, 42 and 45km during three balloon flights over Australia were aggregates having components with diameters typically 40 to 50nm. Their partial electron transparency suggested an organic composition and all were accompanied by a volatile liquid that could be stabilised by reaction with a thin copper film. They closely resembled particles called "fluffy micrometeorites" collected earlier in the mesosphere from rockets and their properties were consistent with those of particles collected from a comet by a recent spacecraft experiment. Particles in the upper stratosphere included some that resembled viruses and cocci, the latter being one of the organisms cultured from upper stratospheric air in a recent experiment. A plausible source of the stratospheric, mesospheric and cometary aggregates is consistent with the "panspermia" theory, that microorganisms present in space at the birth of the solar system could have reproduced in water within comets and brought life to Earth.

  4. Disorders of the upper extremity in children.

    Science.gov (United States)

    Azouz, E M; Oudjhane, K

    1998-08-01

    This article presents a brief overview of the indications of MR imaging in a variety of disorders of the upper extremity of the pediatric patient. This covers congenital anomalies: Sprengel shoulder, Poland sequence, arthrogryposis; posttraumatic lesions of cartilage, bone, tendon, muscle and nerve including the brachial plexus injury; inflammatory arthritis and synovitis; bone and joint infection; osteochondritis dissecans, bone necrosis and infarcts in sickle cell anemia and juvenile Gaucher disease, as well as tumors. In this last category, the authors briefly describe the appearances of cysts and tumors of bones and soft tissues of the upper extremity. Indications for the intravenous administration of Gadolinium are given throughout the article with emphasis on the synovial enhancement seen in active arthritis and synovitis.

  5. Upper Locating-Domination Numbers of Cycles

    Institute of Scientific and Technical Information of China (English)

    Yan Cai ZHAO; Er Fang SHAN; Ru Zhao GAO

    2011-01-01

    A set D of vertices in a graph G=(V,E) is a locating-dominating set (LDS) if for every two vertices u,v of V\\D the sets N(u)∩ D and N(v)∩ D are non-empty and different.The locating-domination number γL(G) is the minimum cardinality of an LDS of G,and the upper-locating domination number ΓL(G) is the maximum cardinality of a minimal LDS of G.In the present paper,methods for determining the exact values of the upper locating-domination numbers of cycles are provided.

  6. Collaborative Tools in Upper Secondary School - Why?

    DEFF Research Database (Denmark)

    Mathiasen, Helle; Degn, Hans-Peter; Bech, Christian Winther

    2013-01-01

    on problem-based and self-governed work of students. The paper is based on a large research project involving 800 students and around 100 teachers from 15 schools. The empirical study is based on observations, interviews with teachers and students from the involved schools and on a survey with answers from......The paper will discuss potentials of digital media to support student engagement and student production in Danish upper secondary education with a specific focus on group work and collaboration. With the latest school reform, upper secondary education in Denmark has experienced an increased focus...... 500 students and 65 teachers. Within the period from 2010 to 2011, the involved schools have experimented with new teaching methods and integration of different kinds of digital media. Based on these empirical studies, the paper will discuss how students can utilize digital media to support group work...

  7. Fibrolipoma on upper eyelid in child

    Directory of Open Access Journals (Sweden)

    Corredor-Osorio, Rafael

    2016-03-01

    Full Text Available An 18-months-old male infant presented with a rapidly growing tumor on the right upper eyelid. Orbital computed tomography (CT revealed a large, well-circumscribed mass with low density signal in the right upper eyelid. Magnetic resonance images (MRI showed a lesion of mixed T1-signal intensity and high signal intensity in T2-weighted images. The tumor was treated by simple anterior orbitotomy with excisional biopsy, and the diagnosis of fibrolipoma was made by histopathologic examination. There was no evidence of tumor at the four-year follow-up. Fibrolipoma is one of the rare variant of the lipoma and only four cases have been reported in the orbit including the present case. Except for this case all other cases were reported in adults.

  8. [Antithrombotic therapy and nonvariceal upper gastrointestinal bleeding].

    Science.gov (United States)

    Belanová, Veronika; Gřiva, Martin

    2015-12-01

    The incidence of acute upper gastrointestinal bleeding is about 85-108/100,000 inhabitants per year, nonvariceal bleeding accounts for 80-90%. Antiplatelet and anticoagulation treatment are the significant risk factors for upper gastrointestinal bleeding. To evaluate the occurrence of upper gastrointestinal bleeding in the general community of patients in a county hospital. And to compare the role played by antiplatelet and anticoagulation drugs and other risk medication. Retrospective analysis of patients over 18 years of age who underwent endoscopy for acute upper gastrointestinal bleeding or anaemia (haemoglobinupper gastrointestinal tract during a hospital stay in 2013 (from January to June). We included 111 patients of average age 69±15 years, men 60%. Nonvariceal bleeding accounted for 90% of the cases. None of the patients with variceal bleeding (10% of patients) took antiplatelet or anticoagulation therapy. There were 100 patients with nonvariceal bleeding of average age 70±15, 61% men. With the symptoms of acute bleeding (hematemesis, melena) presented in 73% of patients. The most frequent cause of bleeding was gastric and duodenal ulcer (54%). 32% of patients with nonvariceal bleeding had antiplatelets, 19% anticoagulants and 10% used nonsteroidal anti-inflammatory drugs, selective serotonin reuptake inhibitors or corticosteroids. 30-days mortality of patients with nonvariceal bleeding was 11%, annual mortality was 23%. There was no significant difference in mortality, blood transfusion requirements or surgical intervention between the patients with antithrombotic agents and without them. 25% of patients (8 patients) using acetylsalicylic acid did not fulfil the indication for this treatment. Among the patients examined by endoscopy for symptomatic nonvariceal bleeding and/or anaemia (haemoglobingastrointestinal bleeding. With regard to that, it is alarming, that there still exists a nonnegligible percentage of patients taking acetylsalicylic acid even

  9. Upper airway collapsibility in anesthetized children.

    Science.gov (United States)

    Litman, Ronald S; McDonough, Joseph M; Marcus, Carole L; Schwartz, Alan R; Ward, Denham S

    2006-03-01

    We sought to establish the feasibility of measuring upper airway narrowing in spontaneously breathing, anesthetized children using dynamic application of negative airway pressure. A secondary aim was to compare differences in upper airway collapsibility after the administration of sevoflurane or halothane. Subjects were randomized to either drug for inhaled anesthetic induction. Each was adjusted to their 1 MAC value (0.9% for halothane and 2.5% for sevoflurane) and a blinded anesthesia provider held the facemask without performing manual airway opening maneuvers but with inclusion of an oral airway device. Inspiratory flows were measured during partial upper airway obstruction created by an adjustable negative pressure-generating vacuum motor inserted into the anesthesia circuit. Critical closing pressure of the pharynx (Pcrit) was obtained by plotting the peak inspiratory flow of the obstructed breaths against the corresponding negative pressure in the facemask and extrapolating to zero airflow using linear correlation. Fourteen children were enrolled, seven in each anesthetic group. Two children in the halothane group did not develop flow-limited airway obstruction despite negative pressures as low as -9 cm H2O. Pcrit for sevoflurane ranged from -6.7 to -11.6 (mean +/- sd, -9.8 +/- 1.9) cm H2O. Pcrit for halothane ranged from -8.1 to -33 (mean +/- sd, -19.4 +/- 9.3) cm H2O (sevoflurane versus halothane, P = 0.048). We conclude that when using dynamic application of negative airway pressure, halothane appears to cause less upper airway obstruction than sevoflurane at equipotent concentrations.

  10. A New Approach to Upper Eyelid Reconstruction.

    Science.gov (United States)

    Bulla, A; Vielà, C; Fiorot, L; Bolletta, A; Pancrazi, E; Campus, G V

    2017-04-01

    Reconstruction of large defects of the upper eyelid is challenging because of its complex anatomy and specialized function. The aim of this work is to develop a single-stage reconstruction procedure based on a new approach. The technique consists of the advancement of an orbicularis oculi myocutaneous flap designed within the blepharoplasty skin excision pattern. After the tumor's excision is completed with clear margins, the borders of the flap are incised down to the submuscular plane inside the classical pattern of upper eyelid blepharoplasty. Two myocutaneous triangles are excised on both sides of the flap to allow its advancement to cover the defect. When it is necessary to repair the posterior lamella, we harvest a mucochondral graft. From 2012 to 2015, we performed upper eyelid reconstruction with this technique on six patients. The flap survived in all the patients, without total or partial necrosis. No patient required surgical revision. The results were aesthetically satisfying, and no tumor recurrence was noted. Our new approach to upper eyelid reconstruction maximizes the cosmetic outcome respecting the principles of radicality. This flap is better suited for lesions involving the median or paramedian eyelid border from the marginal zone up to the palpebral crease. The approach we propose is safe and versatile, and it ensures either a functional or a good aesthetic reconstruction. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

  11. Pleomorphic Adenoma of the Upper Lip

    Directory of Open Access Journals (Sweden)

    Ülkü KÜÇÜK

    2011-01-01

    Full Text Available Pleomorphic adenoma is the most common neoplasm of the salivary glands and is most commonly located in the parotis followed by the submandibular glands. Its localization in the minor salivary glands is mostly reported in the palate. Few publications report pleomorphic adenoma cases located in the lip.We present a 35-year-old male patient with a pleomorphic adenoma located in the upper lip.

  12. Proximal monomelic amyotrophy of the upper limb.

    Science.gov (United States)

    Amir, D; Magora, A; Vatine, J J

    1987-07-01

    A 30-year-old patient of Central European origin, suffering from monomelic amyotrophy, is presented. The disease was characterized by proximal weakness of one upper limb, mainly of the shoulder girdle, accompanied by atrophy. The electrodiagnostic examination revealed signs of partial denervation in the presence of normal motor and sensory conduction. The disease, which is probably of the anterior horn cells, had a benign course and good prognosis, as evident from repeated examinations during a follow-up of eight years.

  13. Effective Height Upper Bounds on Algebraic Tori

    CERN Document Server

    Habegger, Philipp

    2012-01-01

    The main emphasis will be on height upper bounds in the algebraic torus G^{n}_{m}. By height we will mean the absolute logarithmic Weil height. Section 3.2 contains a precise definition of this and other more general height functions. The first appendix gives a short overview of known results in the abelian case. The second appendix contains a few height bounds in Shimura varieties.

  14. Current management of the mangled upper extremity

    OpenAIRE

    Bumbasirevic, Marko; Stevanovic, Milan; Lesic, Aleksandar; Atkinson, Henry D. E.

    2012-01-01

    Mangled describes an injury caused by cutting, tearing, or crushing, which leads to the limb becoming unrecognizable; in essence, there are two treatment options for mangled upper extremities, amputation and salvage reconstruction. With advances in our understanding of human physiology and basic science, and with the development of new fixation devices, modern microsurgical techniques and the possibility of different types of bony and soft tissue reconstruction, the clinical and functional ou...

  15. Upper ocean response to typhoon Kalmaegi (2014)

    Science.gov (United States)

    Zhang, Han; Chen, Dake; Zhou, Lei; Liu, Xiaohui; Ding, Tao; Zhou, Beifeng

    2016-08-01

    Typhoon Kalmaegi passed over an array of buoys and moorings in the northern South China Sea in September 2014, leaving a rare set of observations on typhoon-induced dynamical and thermohaline responses in the upper ocean. The dynamical response was characterized by strong near-inertial currents with opposite phases in the surface mixed layer and in the thermocline, indicating the dominance of the response by the excitation of the first baroclinic mode. The thermohaline response showed considerable changes in the mean fields in addition to a near-inertial oscillation. In particular, temperature and salinity anomalies generally exhibited a three-layer vertical structure, with the surface layer becoming cooler and saltier, the subsurface layer warmer and fresher, and the lower layer cooler and saltier again. The response in the surface and subsurface layers was much stronger to the right of the typhoon track, while that in the lower layer was stronger along the track and to the left. These features of the upper ocean response were grossly reproduced by a three-dimensional numerical model. A model-based heat budget analysis suggests that vertical mixing was mainly responsible for the surface cooling and subsurface warming, while upwelling was the cause of cooling from below. Both observations and model results indicate that the whole upper ocean experienced an overall cooling in the wake of typhoon Kalmaegi.

  16. Anatomic Optical Coherence Tomography of Upper Airways

    Science.gov (United States)

    Chin Loy, Anthony; Jing, Joseph; Zhang, Jun; Wang, Yong; Elghobashi, Said; Chen, Zhongping; Wong, Brian J. F.

    The upper airway is a complex and intricate system responsible for respiration, phonation, and deglutition. Obstruction of the upper airways afflicts an estimated 12-18 million Americans. Pharyngeal size and shape are important factors in the pathogenesis of airway obstructions. In addition, nocturnal loss in pharyngeal muscular tone combined with high pharyngeal resistance can lead to collapse of the airway and periodic partial or complete upper airway obstruction. Anatomical optical coherence tomography (OCT) has the potential to provide high-speed three-dimensional tomographic images of the airway lumen without the use of ionizing radiation. In this chapter we describe the methods behind endoscopic OCT imaging and processing to generate full three dimensional anatomical models of the human airway which can be used in conjunction with numerical simulation methods to assess areas of airway obstruction. Combining this structural information with flow dynamic simulations, we can better estimate the site and causes of airway obstruction and better select and design surgery for patients with obstructive sleep apnea.

  17. On accuracy of upper quantiles estimation

    Directory of Open Access Journals (Sweden)

    I. Markiewicz

    2010-11-01

    Full Text Available Flood frequency analysis (FFA entails the estimation of the upper tail of a probability density function (PDF of annual peak flows obtained from either the annual maximum series or partial duration series. In hydrological practice, the properties of various methods of upper quantiles estimation are identified with the case of known population distribution function. In reality, the assumed hypothetical model differs from the true one and one cannot assess the magnitude of error caused by model misspecification in respect to any estimated statistics. The opinion about the accuracy of the methods of upper quantiles estimation formed from the case of known population distribution function is upheld. The above-mentioned issue is the subject of the paper. The accuracy of large quantile assessments obtained from the four estimation methods is compared to two-parameter log-normal and log-Gumbel distributions and their three-parameter counterparts, i.e., three-parameter log-normal and GEV distributions. The cases of true and false hypothetical models are considered. The accuracy of flood quantile estimates depends on the sample size, the distribution type (both true and hypothetical, and strongly depends on the estimation method. In particular, the maximum likelihood method loses its advantageous properties in case of model misspecification.

  18. On accuracy of upper quantiles estimation

    Science.gov (United States)

    Markiewicz, I.; Strupczewski, W. G.; Kochanek, K.

    2010-11-01

    Flood frequency analysis (FFA) entails the estimation of the upper tail of a probability density function (PDF) of annual peak flows obtained from either the annual maximum series or partial duration series. In hydrological practice, the properties of various methods of upper quantiles estimation are identified with the case of known population distribution function. In reality, the assumed hypothetical model differs from the true one and one cannot assess the magnitude of error caused by model misspecification in respect to any estimated statistics. The opinion about the accuracy of the methods of upper quantiles estimation formed from the case of known population distribution function is upheld. The above-mentioned issue is the subject of the paper. The accuracy of large quantile assessments obtained from the four estimation methods is compared to two-parameter log-normal and log-Gumbel distributions and their three-parameter counterparts, i.e., three-parameter log-normal and GEV distributions. The cases of true and false hypothetical models are considered. The accuracy of flood quantile estimates depends on the sample size, the distribution type (both true and hypothetical), and strongly depends on the estimation method. In particular, the maximum likelihood method loses its advantageous properties in case of model misspecification.

  19. Neck muscle fatigue alters upper limb proprioception.

    Science.gov (United States)

    Zabihhosseinian, Mahboobeh; Holmes, Michael W R; Murphy, Bernadette

    2015-05-01

    Limb proprioception is an awareness by the central nervous system (CNS) of the location of a limb in three-dimensional space and is essential for movement and postural control. The CNS uses the position of the head and neck when interpreting the position of the upper limb, and altered input from neck muscles may affect the sensory inputs to the CNS and consequently may impair the awareness of upper limb joint position. The purpose of this study was to determine whether fatigue of the cervical extensors muscles (CEM) using a submaximal fatigue protocol alters the ability to recreate a previously presented elbow angle with the head in a neutral position. Twelve healthy individuals participated. CEM activity was examined bilaterally using surface electromyography, and kinematics of the elbow joint was measured. The fatigue protocol included an isometric neck extension task at 70 % of maximum until failure. Joint position error increased following fatigue, demonstrating a significant main effect of time (F 2, 18 = 19.41, p ≤ 0.0001) for absolute error. No significant differences were found for variable error (F 2, 18 = 0.27, p = 0.76) or constant error (F 2, 18 = 1.16 of time, p ≤ 0.33). This study confirms that fatigue of the CEM can reduce the accuracy of elbow joint position matching. This suggests that altered afferent input from the neck subsequent to fatigue may impair upper limb proprioception.

  20. Infantile lipofibromatosis of the upper limb

    Energy Technology Data Exchange (ETDEWEB)

    Teo, Harvey E.L.; Peh, Wilfred C.G. [KK Women' s and Children' s Hospital, Department of Diagnostic Imaging, Singapore (Singapore); Chan, Mei-Yoke [KK Women' s and Children' s Hospital, Department of Paediatric Medicine, Singapore (Singapore); Walford, Norman [Tan Tock Seng Hospital, Department of Pathology, Singapore (Singapore)

    2005-12-01

    The imaging features of extensive lipofibromatosis presenting in a 1-day-old female infant are reported. This lesion involved her entire right upper limb, extending from the axilla to the palm of the hand. Radiographs showed marked deformity and thinning of all the right upper-limb bones due to pressure effect of soft-tissue enlargement, especially affecting the distal humerus and proximal forearm bones. Magnetic resonance imaging showed a huge soft-tissue mass infiltrating most of the muscles of the entire upper limb, with bony erosion. The mass was largely T1-isointense, moderately T2-hyperintense and showed marked enhancement. There were intra-lesional signal changes consistent with fatty elements. A lesion debulking procedure was performed and the histology was that of lipofibromatosis. The limb was found to be non-viable after the procedure and a subsequent above-elbow amputation was performed. Although the resection margins were not clear, she had no further recurrence over a subsequent 3-year follow-up period. (orig.)

  1. Renal failure after upper-gastrointestinal bleeding among cirrhotic patients in Upper Egypt.

    Science.gov (United States)

    Makhlouf, Nahed A; Morsy, Khairy H

    2012-09-01

    Renal dysfunction is a common and serious problem in patients with advanced liver disease. The study aims to assess the incidence, risk factors and short-term prognosis of renal failure after upper-gastrointestinal bleeding among cirrhotic patients in Upper Egypt. We recruited 159 cirrhotic patients with 168 episodes of upper-gastrointestinal bleeding from Tropical Medicine and Gastroenterology Department, Assiut University Hospital. For all participants, the following were conducted: clinical evaluation, abdominal ultrasonography (US) examination, laboratory investigations and upper endoscopy. Risk factors of renal failure were identified using univariate, then multivariate analysis. The incidence of renal failure among bleeding episodes was 28%. Higher risk of renal failure among cirrhotic patients with upper-gastrointestinal bleeding was observed with shock (odds ratio (OR) 0.171, 95% confidence interval (CI) 0.047:0.624), bacterial infection (OR 0.310, 95% CI 107:897), Child-Pugh class C (OR 2.79, 95% CI 1.018:7.62), higher serum bilirubin (OR 0.122, 95% CI 0.000:0.002), lower serum albumin (OR -0.188, 95% CI -0.288:-0.056) and raised baseline blood urea (OR 0.181, 95% CI 0.003:0.017) and serum creatinine (OR 0.533, 95% CI 0.002:0.004). Mortality among patients with renal failure was 31.9%. Renal failure is a frequent event among cirrhotic patients with upper-gastrointestinal bleeding and there are many contributing factors for its development. Mortality is relatively high among patients with renal failure in cirrhotics with upper-gastrointestinal bleeding. Copyright © 2012 Arab Journal of Gastroenterology. Published by Elsevier Ltd. All rights reserved.

  2. 1989 Aquatic Areas - Upper Mississippi River System - Open River 1

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) has created high-resolution land cover/use data sets for the Upper Mississippi River...

  3. 2000 Aerial Photo Mosaics - Upper Mississippi River System -- Pool 3

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) collects aerial photography of the Upper Mississippi River System (UMRS) floodplain...

  4. 2000 Aerial Photo Mosaics - Upper Mississippi River System -- Pool 25

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) collects aerial photography of the Upper Mississippi River System (UMRS) floodplain...

  5. Bathymetric Contours for Upper Gar Lake, Dickinson County, Iowa

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This data set consists of digital bathymetry contours for Upper Gar Lake in Dickinson Co., Iowa. The U.S. Geological Survey conducted a bathymetric survey of Upper...

  6. 2000 Aerial Photo Mosaics - Upper Mississippi River System -- Pool 11

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) collects aerial photography of the Upper Mississippi River System (UMRS) floodplain...

  7. 2000 Aerial Photo Mosaics - Upper Mississippi River System -- Pool 9

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) collects aerial photography of the Upper Mississippi River System (UMRS) floodplain...

  8. 2000 Aerial Photo Mosaics - Upper Mississippi River System -- Pool 26

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) collects aerial photography of the Upper Mississippi River System (UMRS) floodplain...

  9. Upper internals arrangement for a pressurized water reactor

    Energy Technology Data Exchange (ETDEWEB)

    Singleton, Norman R; Altman, David A; Yu, Ching; Rex, James A; Forsyth, David R

    2013-07-09

    In a pressurized water reactor with all of the in-core instrumentation gaining access to the core through the reactor head, each fuel assembly in which the instrumentation is introduced is aligned with an upper internals instrumentation guide-way. In the elevations above the upper internals upper support assembly, the instrumentation is protected and aligned by upper mounted instrumentation columns that are part of the instrumentation guide-way and extend from the upper support assembly towards the reactor head in hue with a corresponding head penetration. The upper mounted instrumentation columns are supported laterally at one end by an upper guide tube and at the other end by the upper support plate.

  10. 2000 Aerial Photo Mosaics - Upper Mississippi River System -- Pool 7

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) collects aerial photography of the Upper Mississippi River System (UMRS) floodplain...

  11. 2000 Aerial Photo Mosaics - Upper Mississippi River System -- Brandon

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) collects aerial photography of the Upper Mississippi River System (UMRS) floodplain...

  12. 2000 Aerial Photo Mosaics - Upper Mississippi River System -- Pool 24

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) collects aerial photography of the Upper Mississippi River System (UMRS) floodplain...

  13. 2000 Aerial Photo Mosaics - Upper Mississippi River System -- Pool 16

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) collects aerial photography of the Upper Mississippi River System (UMRS) floodplain...

  14. 2000 Aerial Photo Mosaics - Upper Mississippi River System -- Pool 20

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) collects aerial photography of the Upper Mississippi River System (UMRS) floodplain...

  15. 2000 Aerial Photo Mosaics - Upper Mississippi River System -- Pool 14

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) collects aerial photography of the Upper Mississippi River System (UMRS) floodplain...

  16. 2000 Aerial Photo Mosaics - Upper Mississippi River System -- Alton

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) collects aerial photography of the Upper Mississippi River System (UMRS) floodplain...

  17. 2000 Aerial Photo Mosaics - Upper Mississippi River System -- Dresden

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) collects aerial photography of the Upper Mississippi River System (UMRS) floodplain...

  18. 2000 Aerial Photo Mosaics - Upper Mississippi River System -- Pool 6

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) collects aerial photography of the Upper Mississippi River System (UMRS) floodplain...

  19. 2000 Aerial Photo Mosaics - Upper Mississippi River System -- Pool 19

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) collects aerial photography of the Upper Mississippi River System (UMRS) floodplain...

  20. 2000 Aerial Photo Mosaics - Upper Mississippi River System -- Pool 1

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) collects aerial photography of the Upper Mississippi River System (UMRS) floodplain...

  1. 2000 Aerial Photo Mosaics - Upper Mississippi River System -- Pool 8

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) collects aerial photography of the Upper Mississippi River System (UMRS) floodplain...

  2. 2000 Aerial Photo Mosaics - Upper Mississippi River System -- Pool 13

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) collects aerial photography of the Upper Mississippi River System (UMRS) floodplain...

  3. 2000 Aerial Photo Mosaics - Upper Mississippi River System -- Pool 21

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) collects aerial photography of the Upper Mississippi River System (UMRS) floodplain...

  4. 2000 Aerial Photo Mosaics - Upper Mississippi River System -- La Grange

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) collects aerial photography of the Upper Mississippi River System (UMRS) floodplain...

  5. 2000 Aerial Photo Mosaics - Upper Mississippi River System -- Pool 10

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) collects aerial photography of the Upper Mississippi River System (UMRS) floodplain...

  6. 2000 Aerial Photo Mosaics - Upper Mississippi River System -- Lockport

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) collects aerial photography of the Upper Mississippi River System (UMRS) floodplain...

  7. 2000 Aerial Photo Mosaics - Upper Mississippi River System -- Pool 4

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) collects aerial photography of the Upper Mississippi River System (UMRS) floodplain...

  8. 2000 Aerial Photo Mosaics - Upper Mississippi River System -- Pool 18

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) collects aerial photography of the Upper Mississippi River System (UMRS) floodplain...

  9. 2000 Aerial Photo Mosaics - Upper Mississippi River System -- Minnesota

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) collects aerial photography of the Upper Mississippi River System (UMRS) floodplain...

  10. 2000 Aerial Photo Mosaics - Upper Mississippi River System -- Pool 12

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) collects aerial photography of the Upper Mississippi River System (UMRS) floodplain...

  11. 2000 Aerial Photo Mosaics - Upper Mississippi River System -- Pool 2

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) collects aerial photography of the Upper Mississippi River System (UMRS) floodplain...

  12. 2000 Aerial Photo Mosaics - Upper Mississippi River System -- Pool 15

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) collects aerial photography of the Upper Mississippi River System (UMRS) floodplain...

  13. 2000 Aerial Photo Mosaics - Upper Mississippi River System -- Pool 5

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) collects aerial photography of the Upper Mississippi River System (UMRS) floodplain...

  14. 2000 Aerial Photo Mosaics - Upper Mississippi River System -- Pool 17

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) collects aerial photography of the Upper Mississippi River System (UMRS) floodplain...

  15. 2000 Aerial Photo Mosaics - Upper Mississippi River System -- Pool 22

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey's Upper Midwest Environmental Sciences Center (UMESC) collects aerial photography of the Upper Mississippi River System (UMRS) floodplain...

  16. Thoracic sympathectomy for upper extremity ischemia.

    Science.gov (United States)

    Hoexum, Frank; Coveliers, Hans M; Lu, Joyce J; Jongkind, Vincent; Yeung, Kakkhee K; Wisselink, Willem

    2016-12-01

    Thoracic sympathectomy is performed in the management of a variety of disorders of the upper extremity. To evaluate the contemporary results of thoracic sympathectomy for upper extremity ischemia a systematic review of the literature was conducted. We performed a PubMed, EMBASE and Cochrane search of the literature written in the English language from January 1975 to December 2015. All articles presenting original patient data regarding the effect of treatment on symptoms or on the healing of ulcers were eligible for inclusion. Individual analyses for Primary Raynaud's Disease (PRD) and Secondary Raynaud's Phenomenon (SRP) were performed. We included 6 prospective and 23 retrospective series with a total of 753 patients and 1026 affected limbs. Early beneficial effects of thoracic sympathectomy were noticed in 63-100% (median 94%) of all patients, in 73-100% (median 98%) of PRD patients and in 63-100% (median 94%) of SRP patients. The beneficial effect was noted to lessen over time. Long-term beneficial effects were reported in 13-100% (median 75%) of all patients, in 22-100% (median 58%) of PRD patients, and in 13-100% (median 79%) of SRD patients. Complete or improved ulcer healing was achieved in 33-100% and 25-67% respectively, of all patients. Thoracic sympathectomy can be beneficial in the treatment of upper extremity ischemia in select patients. Although the effect in patients with PRD will lessen over time, it may still reduce the severity of symptoms. In SRD, effects are more often long-lasting. In addition, thoracic sympathectomy may maximize tissue preservation or prevent amputation in cases of digital ulceration.

  17. Social networking among upper extremity patients.

    Science.gov (United States)

    Rozental, Tamara D; George, Tina M; Chacko, Aron T

    2010-05-01

    Despite their rising popularity, the health care profession has been slow to embrace social networking sites. These are Web-based initiatives, designed to bring people with common interests or activities under a common umbrella. The purpose of this study is to evaluate social networking patterns among upper extremity patients. A total of 742 anonymous questionnaires were distributed among upper extremity outpatients, with a 62% response rate (462 were completed). Demographic characteristics (gender, age, level of education, employment, type of health insurance, and income stratification) were defined, and data on computer ownership and frequency of social networking use were collected. Social network users and nonusers were compared according to their demographic and socioeconomic characteristics. Our patient cohort consisted of 450 patients. Of those 450 patients, 418 had a high school education or higher, and 293 reported a college or graduate degree. The majority of patients (282) were employed at the time of the survey, and income was evenly distributed among U.S. Census Bureau quintiles. A total of 349 patients reported computer ownership, and 170 reported using social networking sites. When compared to nonusers, social networking users were younger (pnetworking use. Most users (n = 114) regularly visit a single site. Facebook was the most popular site visited (n=142), followed by MySpace (n=28) and Twitter (n=16). Of the 450 upper extremity patients in our sample, 170 use social networking sites. Younger age, higher level of education, and computer ownership were associated with social networking use. Physicians should consider expanding their use of social networking sites to reach their online patient populations. Copyright 2010 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  18. Upper and lower bounds on quantum codes

    Science.gov (United States)

    Smith, Graeme Stewart Baird

    This thesis provides bounds on the performance of quantum error correcting codes when used for quantum communication and quantum key distribution. The first two chapters provide a bare-bones introduction to classical and quantum error correcting codes, respectively. The next four chapters present achievable rates for quantum codes in various scenarios. The final chapter is dedicated to an upper bound on the quantum channel capacity. Chapter 3 studies coding for adversarial noise using quantum list codes, showing there exist quantum codes with high rates and short lists. These can be used, together with a very short secret key, to communicate with high fidelity at noise levels for which perfect fidelity is, impossible. Chapter 4 explores the performance of a family of degenerate codes when used to communicate over Pauli channels, showing they can be used to communicate over almost any Pauli channel at rates that are impossible for a nondegenerate code and that exceed those of previously known degenerate codes. By studying the scaling of the optimal block length as a function of the channel's parameters, we develop a heuristic for designing even better codes. Chapter 5 describes an equivalence between a family of noisy preprocessing protocols for quantum key distribution and entanglement distillation protocols whose target state belongs to a class of private states called "twisted states." In Chapter 6, the codes of Chapter 4 are combined with the protocols of Chapter 5 to provide higher key rates for one-way quantum key distribution than were previously thought possible. Finally, Chapter 7 presents a new upper bound on the quantum channel capacity that is both additive and convex, and which can be interpreted as the capacity of the channel for communication given access to side channels from a class of zero capacity "cloning" channels. This "clone assisted capacity" is equal to the unassisted capacity for channels that are degradable, which we use to find new upper

  19. Comparison of upper cervical flexion and cervical flexion angle of computer workers with upper trapezius and levator scapular pain.

    Science.gov (United States)

    Yoo, Won-Gyu

    2014-02-01

    [Purpose] In this study, we compared upper cervical flexion and cervical flexion angle of computer workers with upper trapezius and levator scapular pain. [Subject] Eight male computer workers with upper trapezius muscle pain and eight others with levator scapular muscle pain participated. [Methods] Each subject was assessed in terms of upper cervical flexion angle and total cervical flexion angles using a cervical range of motion instrument after one hour of computer work. [Results] The upper cervical flexion angle of the group with levator scapular pain was significantly lower than that of the group with upper trapezius pain after computer work. The total cervical flexion angle of the group with upper trapezius pain was significantly lower than that of the group with levator scapular pain after computer work. [Conclusion] For selective and effective intervention for neck pain, therapists should evaluate upper and lower cervical motion individually.

  20. [Epidemiology of upper gastrointestinal bleeding in Gabon].

    Science.gov (United States)

    Gaudong Mbethe, G L; Mounguengui, D; Ondounda, M; Magne, C; Bignoumbra, R; Ntsoumou, S; Moussavou Kombila, J-B; Nzenze, J R

    2014-01-01

    The department of internal medicine of the military hospital of Gabon managed 92 cases of upper gastrointestinal bleeding from April 2009 to November 2011. The frequency of these hemorrhages in the department was 8.2%; they occurred most often in adults aged 30-40 years and 50-60 years, and mainly men (74%). Erosive-ulcerative lesions (65.2%) were the leading causes of hemorrhage, followed by esophageal varices (15.2%). These results underline the importance of preventive measures for the control of this bleeding.

  1. Exponential Polynomial Approximation with Unrestricted Upper Density

    Institute of Scientific and Technical Information of China (English)

    Xiang Dong YANG

    2011-01-01

    We take a new approach to obtaining necessary and sufficient conditions for the incompleteness of exponential polynomials in Lp/α, where Lp/α is the weighted Banach space of complex continuous functions f defined on the real axis (R)satisfying (∫+∞/-∞|f(t)|pe-α(t)dt)1/p, 1 < p < ∞, and α(t) is a nonnegative continuous function defined on the real axis (R). In this paper, the upper density of the sequence which forms the exponential polynomials is not required to be finite. In the study of weighted polynomial approximation, consideration of the case is new.

  2. [Plasmacytomas of the upper respiratory tract].

    Science.gov (United States)

    Gegova, A; Kunev, K; Popkhristova, E; Terziev, I

    1995-01-01

    Nine cases of plasmocytoma of the upper airways in the current biopsy material are studied over a three-year period (1991-1993). Initially, all nine cases are clinically diagnosed as neoplasms: hemangiofibroma--one, chondrosarcoma--one, suspected carcinoma--five, and unspecified diagnosis--two. "Plasmocytoma" diagnosis is made on the ground of histological investigation of the material, supported histochemically and electron-microscopically. Some diagnostic problems (differential diagnosis inclusive) are discussed, as well as issues relating to the clinical and morphological evolution of the disease, and predilected gender and age groups.

  3. Tranexamic acid for upper gastrointestinal bleeding

    DEFF Research Database (Denmark)

    Bennett, Cathy; Klingenberg, Sarah Louise; Langholz, Ebbe

    2014-01-01

    no intervention, placebo or other antiulcer drugs for upper gastrointestinal bleeding.Search methods We updated the review by performing electronic database searches (Cochrane Central Register of Controlled Trials (CENTRAL),MEDLINE, EMBASE, Science Citation Index) and manual searches in July 2014.Selection...... and should include all participants with suspected bleeding or with endoscopically verified bleeding, as well as a tranexamic placebo arm and co-administration of pump inhibitors and endoscopic therapy. Assessment of outcome measures in such studies should be clearly defined. Endoscopic examination...

  4. Upper bounds on the photon mass

    CERN Document Server

    Accioly, Antonio; Scatena, Eslley; 10.1103/PhysRevD.82.065026

    2010-01-01

    The effects of a nonzero photon rest mass can be incorporated into electromagnetism in a simple way using the Proca equations. In this vein, two interesting implications regarding the possible existence of a massive photon in nature, i.e., tiny alterations in the known values of both the anomalous magnetic moment of the electron and the gravitational deflection of electromagnetic radiation, are utilized to set upper limits on its mass. The bounds obtained are not as stringent as those recently found; nonetheless, they are comparable to other existing bounds and bring new elements to the issue of restricting the photon mass.

  5. Upper extremity disorders in performing artists.

    Science.gov (United States)

    Rozmaryn, L M

    1993-03-01

    Studies in the past decade have shown that a significant proportion of instrumentalists report musculoskeletal problems severely affecting their musical performance. Musicians endure daily intensive use of their upper extremities, frequently placing them in bizarre positions. Their training schedules are rigorous and long term Predisposing factors to, and treatment for, overuse syndromes, tendinitis, and tendon trauma commonly encountered by musical performers are discussed at length. Nerve entrapment has also surfaced as a major problem in musicians, and the means of evaluation and treatment and the role of surgery are put forth. Techniques for studying and analyzing the difficulties faced by instrumentalists are summarized.

  6. Compressive neuropathy in the upper limb

    Directory of Open Access Journals (Sweden)

    Mukund R Thatte

    2011-01-01

    Full Text Available Entrampment neuropathy or compression neuropathy is a fairly common problem in the upper limb. Carpal tunnel syndrome is the commonest, followed by Cubital tunnel compression or Ulnar Neuropathy at Elbow. There are rarer entities like supinator syndrome and pronator syndrome affecting the Radial and Median nerves respectively. This article seeks to review comprehensively the pathophysiology, Anatomy and treatment of these conditions in a way that is intended for the practicing Hand Surgeon as well as postgraduates in training. It is generally a rewarding exercise to treat these conditions because they generally do well after corrective surgery. Diagnostic guidelines, treatment protocols and surgical technique has been discussed.

  7. Exploring Responsible Tourism in Upper Myanmar

    Directory of Open Access Journals (Sweden)

    Mirella Loda

    2017-03-01

    Full Text Available The concept of “responsible tourism”, which has spread rapidly in recent years, evokes conscious tourist behavior so as to minimize negative impacts on destinations, from an environmental, economic and cultural point of view. While intuitively comprehensible, the concept is not easy to operationalize in empirical studies. Facing this difficulty, our contribution illustrates an attempt to operatively define the concept within the framework of the development of a sustainable destination plan for the Ancient Cities of Upper Myanmar (ACUM. The paper describes the index adopted to survey and measure responsible attitudes among tourists and the main results of the research.

  8. Upper Bounds on Numerical Approximation Errors

    DEFF Research Database (Denmark)

    Raahauge, Peter

    2004-01-01

    This paper suggests a method for determining rigorous upper bounds on approximationerrors of numerical solutions to infinite horizon dynamic programming models.Bounds are provided for approximations of the value function and the policyfunction as well as the derivatives of the value function....... The bounds apply to moregeneral problems than existing bounding methods do. For instance, since strict concavityis not required, linear models and piecewise linear approximations can bedealt with. Despite the generality, the bounds perform well in comparison with existingmethods even when applied...... to approximations of a standard (strictly concave)growth model.KEYWORDS: Numerical approximation errors, Bellman contractions, Error bounds...

  9. UPPER LIMB PROSTHETIC FOR STROKE AFFECTED PATIENTS

    Directory of Open Access Journals (Sweden)

    DEBIKA KHANRA,

    2011-04-01

    Full Text Available Paralysis causes loss of muscle function and loss of feeling in the affected area. The main problem faced by the patients after paralysis is muscle atrophy caused due to non-functionality of the stump. Orthotics is an orthopedic device which supports the function of the arm, leg or torso. This paper deals with the design of an upper limb orthotic device which has a hollow shell/ braces structure and can be used by paralyzed patients to bring about simple hand movements independently by the patient.

  10. Comparison of Upper Cervical Flexion and Cervical Flexion Angle of Computer Workers with Upper Trapezius and Levator Scapular Pain

    OpenAIRE

    Yoo, Won-gyu

    2014-01-01

    [Purpose] In this study, we compared upper cervical flexion and cervical flexion angle of computer workers with upper trapezius and levator scapular pain. [Subject] Eight male computer workers with upper trapezius muscle pain and eight others with levator scapular muscle pain participated. [Methods] Each subject was assessed in terms of upper cervical flexion angle and total cervical flexion angles using a cervical range of motion instrument after one hour of computer work. [Results] The uppe...

  11. Interhemispheric sensorimotor integration; an upper limb phenomenon?

    Science.gov (United States)

    Ruddy, Kathy L; Jaspers, Ellen; Keller, Martin; Wenderoth, Nicole

    2016-10-01

    Somatosensory information from the limbs reaches the contralateral Primary Sensory Cortex (S1) with a delay of 23ms for finger, and 40ms for leg (somatosensory N20/N40). Upon arrival of this input in the cortex, motor evoked potentials (MEPs) elicited by Transcranial Magnetic Stimulation (TMS) are momentarily inhibited. This phenomenon is called 'short latency afferent inhibition (SAI)' and can be used as a tool for investigating sensorimotor interactions in the brain. We used SAI to investigate the process of sensorimotor integration in the hemisphere ipsilateral to the stimulated limb. We hypothesized that ipsilateral SAI would occur with a delay following the onset of contralateral SAI, to allow for transcallosal conduction of the signal. We electrically stimulated the limb either contralateral or ipsilateral to the hemisphere receiving TMS, using a range of different interstimulus intervals (ISI). We tested the First Dorsal Interosseous (FDI) muscle in the hand, and Tibialis Anterior (TA) in the lower leg, in three separate experiments. Ipsilateral SAI was elicited in the upper limb (FDI) at all ISIs that were greater than N20+18ms (all p<.05) but never at any earlier timepoint. No ipsilateral SAI was detected in the lower limb (TA) at any of the tested ISIs. The delayed onset timing of ipsilateral SAI suggests that transcallosal communication mediates this inhibitory process for the upper limb. The complete absence of ipsilateral SAI in the lower limb warrants consideration of the potential limb-specific differences in demands for bilateral sensorimotor integration.

  12. Mammal extinctions in the Vallesian (Upper Miocene)

    Science.gov (United States)

    Agusti, J.; Moya-Sola, S.

    The term Vallesian was created by Crusafont (1950) to designate the first European Mammalian palaeofaunas containing the equid Hipparion, the remainder of the faunas being composed of typical elements coming from the Middle Miocene such as Micromeryx, Euprox, Sansanosmilus, Pseudaelurus, and Listriodon. Thus, the Aragonian-Vallesian boundary does not show a strong change among European Miocene mammalian faunas (Agusti et al., 1984). On the other hand, the Lower Vallesian/Upper Vallesian transition corresponds to a major biotic crisis. This boudnary is characterized by the disappearence of most of the Aragonian artiodactyl forms such as Protragocerus, Miotragocerus, Listriodon, Hyotherium, Parachleusastochoerus, etc. Among the rodents, this crisis affects the family Eomyidae and most of the cricetid and glirid species. On the other hand, a number of eastern elements appear in the area at the same time. This is the case of the suid Schizochoerus and the murid Progonomys. Other eastern forms are Tragoportax, Graecoryx, Adcrocuta, Paramachairodus, Microstonyx, etc. Most of these are typical elements of the next Mammal stage, the Turolian. Thus, whereas the Lower Vallesian fauna has a typical Aragonian composition except for Hipparion. After the Middle Vallesian event, the Upper Vallesian faunas are already largely Turolian in character. The possible factors involved in this extinction event are discussed.

  13. Upper gastrointestinal symptoms in autoimmune gastritis

    Science.gov (United States)

    Carabotti, Marilia; Lahner, Edith; Esposito, Gianluca; Sacchi, Maria Carlotta; Severi, Carola; Annibale, Bruno

    2017-01-01

    Abstract Autoimmune gastritis is often suspected for its hematologic findings, and rarely the diagnosis is made for the presence of gastrointestinal symptoms. Aims of this cross-sectional study were to assess in a large cohort of patients affected by autoimmune gastritis the occurrence and the pattern of gastrointestinal symptoms and to evaluate whether symptomatic patients are characterized by specific clinical features. Gastrointestinal symptoms of 379 consecutive autoimmune gastritis patients were systematically assessed and classified following Rome III Criteria. Association between symptoms and anemia pattern, positivity to gastric autoantibodies, Helicobacter pylori infection, and concomitant autoimmune disease were evaluated. In total, 70.2% of patients were female, median age 55 years (range 17–83). Pernicious anemia (53.6%), iron deficiency anemia (34.8%), gastric autoantibodies (68.8%), and autoimmune disorders (41.7%) were present. However, 56.7% of patients complained of gastrointestinal symptoms, 69.8% of them had exclusively upper symptoms, 15.8% only lower and 14.4% concomitant upper and lower symptoms. Dyspepsia, subtype postprandial distress syndrome was the most represented, being present in 60.2% of symptomatic patients. Univariate and multivariate analyses showed that age gastritis is associated in almost 60% of cases with gastrointestinal symptoms, in particular dyspepsia. Dyspepsia is strictly related to younger age, no smoking, and absence of anemia. PMID:28072728

  14. Prosthetic rehabilitation of the upper limb amputee

    Directory of Open Access Journals (Sweden)

    Bernard O′Keeffe

    2011-01-01

    Full Text Available The loss of all or part of the arm is a catastrophic event for a patient and a significant challenge to rehabilitation professionals and prosthetic engineers. The large, upper extremity amputee population in India has, historically, been poorly served, with most having no access to support or being provided with ineffective prostheses. In recent years, the arrival of organisations like Otto Bock has made high quality service standards and devices accessible to more amputees. This review attempts to provide surgeons and other medical professionals with an overview of the multidisciplinary, multistage rehabilitation process and the solution options available. With worldwide upper extremity prosthesis rejection rates at significant levels, the review also describes some of the factors which influence the outcome. This is particularly relevant in the Indian context where the service can involve high cost investments. It is the responsibility of all contributing professionals to guide vulnerable patients through the process and try to maximise the benefit that can be obtained within the resources available.

  15. Accurate upper body rehabilitation system using kinect.

    Science.gov (United States)

    Sinha, Sanjana; Bhowmick, Brojeshwar; Chakravarty, Kingshuk; Sinha, Aniruddha; Das, Abhijit

    2016-08-01

    The growing importance of Kinect as a tool for clinical assessment and rehabilitation is due to its portability, low cost and markerless system for human motion capture. However, the accuracy of Kinect in measuring three-dimensional body joint center locations often fails to meet clinical standards of accuracy when compared to marker-based motion capture systems such as Vicon. The length of the body segment connecting any two joints, measured as the distance between three-dimensional Kinect skeleton joint coordinates, has been observed to vary with time. The orientation of the line connecting adjoining Kinect skeletal coordinates has also been seen to differ from the actual orientation of the physical body segment. Hence we have proposed an optimization method that utilizes Kinect Depth and RGB information to search for the joint center location that satisfies constraints on body segment length and as well as orientation. An experimental study have been carried out on ten healthy participants performing upper body range of motion exercises. The results report 72% reduction in body segment length variance and 2° improvement in Range of Motion (ROM) angle hence enabling to more accurate measurements for upper limb exercises.

  16. Severe upper airway obstruction during sleep.

    Science.gov (United States)

    Bonekat, H William; Hardin, Kimberly A

    2003-10-01

    Few disorders may manifest with predominantly sleep-related obstructive breathing. Obstructive sleep apnea (OSA) is a common disorder, varies in severity and is associated with significant cardiovascular and neurocognitive morbidity. It is estimated that between 8 and 18 million people in the United States have at least mild OSA. Although the exact mechanism of OSA is not well-delineated, multiple factors contribute to the development of upper airway obstruction and include anatomic, mechanical, neurologic, and inflammatory changes in the pharynx. OSA may occur concomitantly with asthma. Approximately 74% of asthmatics experience nocturnal symptoms of airflow obstruction secondary to reactive airways disease. Similar cytokine, chemokine, and histologic changes are seen in both disorders. Sleep deprivation, chronic upper airway edema, and inflammation associated with OSA may further exacerbate nocturnal asthma symptoms. Allergic rhinitis may contribute to both OSA and asthma. Continuous positive airway pressure (CPAP) is the gold standard treatment for OSA. Treatment with CPAP therapy has also been shown to improve both daytime and nighttime peak expiratory flow rates in patients with concomitant OSA and asthma. It is important for allergists to be aware of how OSA may complicate diagnosis and treatment of asthma and allergic rhinitis. A thorough sleep history and high clinical suspicion for OSA is indicated, particularly in asthma patients who are refractory to standard medication treatments.

  17. Current management of the mangled upper extremity.

    Science.gov (United States)

    Bumbasirevic, Marko; Stevanovic, Milan; Lesic, Aleksandar; Atkinson, Henry D E

    2012-11-01

    Mangled describes an injury caused by cutting, tearing, or crushing, which leads to the limb becoming unrecognizable; in essence, there are two treatment options for mangled upper extremities, amputation and salvage reconstruction. With advances in our understanding of human physiology and basic science, and with the development of new fixation devices, modern microsurgical techniques and the possibility of different types of bony and soft tissue reconstruction, the clinical and functional outcomes are often good, and certainly preferable to those of contemporary prosthetics. Early or even immediate (emergency) complete upper extremity reconstruction appears to give better results than delayed or late reconstruction and should be the treatment of choice where possible. Before any reconstruction is attempted, injuries to other organs must be excluded. Each step in the assessment and treatment of a mangled extremity is of utmost importance. These include radical tissue debridement, prophylactic antibiotics, copious irrigation with a lavage system, stable bone fixation, revascularization, nerve repair, and soft tissue coverage. Well-planned and early rehabilitation leads to a better functional outcome. Despite the use of scoring systems to help guide decisions and predict outcomes, the decision to reconstruct or to amputate still ultimately lies with the surgical judgment and experience of the treating surgeon.

  18. [Arterial surgery of the upper limb].

    Science.gov (United States)

    Perrault, L; Lassonde, J; Laurendeau, F

    1991-01-01

    Arterial surgery of the upper limb represents 2.5% of peripheral vascular procedures in our center. From 1976 to 1989, 58 procedures were performed in 45 patients. There were 26 men and 19 women with average age of 52 years, ranging from 6 to 92 years. These patients were grouped in three categories according to etiology: 1) trauma; 2) acute non traumatic ischemia and 3) chronic ischemia. Sixteen patients (35.5%) were operated on for arterial trauma including three false aneurysms. Blunt trauma was the cause in 9 patients, penetrating in 6 and iatrogenic in one. Angioplasty and primary end to end anastomosis were used in 6, bypass in 4, simple ligation in 3, thrombectomy in 3. The outcome was excellent in 15/16 (93%). Non traumatic acute ischemia occurred in 16 patients (35.5%) and was due to emboli of cardiac origin in 92%. All patients were treated by thromboembolectomy. This group had a high mortality (5/16, 31%) because of associated medical conditions. The third group of 13 patients (29%) underwent surgery for chronic ischemia of the upper limb localized to the subclavian artery in 92%. They were treated with carotid subclavian bypasses in 9, other types of bypass in 3 and endarterectomy in 1. Excellent results were obtained in 10/13 (78%). Overall, satisfactory results were obtained in 90% of surviving patients. Operative mortality was 11.1% and the amputation rate was 13%.

  19. [Tumours of the upper cervical spine].

    Science.gov (United States)

    Hernández García, Borja Jesús; Isla Guerrero, Alberto; Castaño, Ana; Alvarez Ruiz, Fernando; Gómez de la Riva, Alvaro

    2013-01-01

    Vertebral tumours arising in the upper cervical spine are rare. We present our experience in managing these neoplasms. We retrospectively reviewed the case histories of patients treated at our institution between January 2000 and June 2011. There were 9 patients with tumours in C1-C2-C3: 2metastases, 3chordomas, 2plasmocytomas, 1chondrosarcoma and 1osteochondroma. All patients complained of neck pain at the time of diagnosis. Three patients underwent an anterior and posterior approach, 3 an exclusively posterior approach and 3 an exclusively anterior surgical approach. Tumour resection was intralesional in 7 cases. Chemo-radiotherapy was used as adjuvant therapy in patients with malignant tumours. Vertebral tumours in the upper cervical spine are usually malignant. Achieving en bloc resection is particularly challenging and is technically unfeasible in many cases. This worsens the prognosis and makes adjuvant treatment very important. Copyright © 2012 Sociedad Española de Neurocirugía. Published by Elsevier España. All rights reserved.

  20. Mid-upper-arm-circumference and mid-upper-arm circumference z-score

    DEFF Research Database (Denmark)

    Rasmussen, J; Andersen, A; Fisker, A B

    2012-01-01

    Mid-upper-arm circumference (MUAC) is a simple method of assessing nutritional status in children above 6 months of age. In 2007 World Health Organization (WHO) introduced a MUAC z-score for children above 3 months of age. We evaluated whether MUAC or MUAC z-score had the best ability to identify...

  1. Prospects for an upper Givetian substage

    Directory of Open Access Journals (Sweden)

    Z. S. Aboussalam

    2001-01-01

    Full Text Available New ammonoid and conodont data from Germany, the Montagne Noire (France and southeastern Morocco document a complex sequence of sedimentary events and faunal changes within an extended Givetian (late Middle Devonian Taghanic Event Interval or Taghanic Biocrisis. Direct association of supposed typical middle Givetian ammonoids, trilobites and corals with upper Givetian marker taxa such as pharciceratids have been found, for example, in Moroccan and French time equivalents of the New York Upper Tully Limestone. The initial and eustatic Taghanic Onlap level is not known to be characterized by the first appearance of any widespread index conodont, goniatite or other taxon. A future upper Givetian substage, therefore, might be based either on the entry of Ozarkodina semialternans or on the first appearance of Schmidtognathus hermanni. The semialternans Zone correlates with a third sedimentary cycle within the Tully Limestone and with the spread of the first Pharciceratidae. Eobeloceratidae (Mzerrebites juvenocostatus and Archoceratidae n. fam. (Atlantoceras. The (Lower hermanni Zone is marked by a post-event transgression which led to a significant conodont radiation and to a further diversification of Pharciceratidae and Eobeloceratidae (Mz. erraticus. Neue Ammonoideen- und Conodonten-Daten aus Deutschland, Frankreich (Montagne Noire und aus Südost-Marokko belegen eine komplexe Abfolge sedimentärer Ereignisse und von Faunenwechseln in einem längerfristigen Taghanic-Event-Intervall bzw. einer Taghanic-Biokrise des Givetiums (oberes Mittel-Devon. Direkte Vergesellschaftungen von Ammonoideen, Trilobiten und Korallen, die früher als typische Mittel-Givetium-Formen angesehen wurden, mit Leitformen des Ober-Givetiums (z. B. Pharciceraten konnten in Marokko und Frankreich in Zeitequivalenten des Oberen Tully-Kalkes von New York nachgewiesen werden. Der initiale und eustatisch bedingte Taghanic Onlap ist bisher nicht durch das Einsetzen eines weit

  2. Climate Change in the Upper Atmosphere

    Science.gov (United States)

    Solomon, S. C.; Liu, H.; Marsh, D. R.; McInerney, J. M.; Qian, L.; Vitt, F.

    2016-12-01

    The terrestrial upper atmosphere is cooling and contracting in response to anthropogenic increases in greenhouse gases. This effect, the opposite of troposheric behavior, is primarily due to infrared radiative cooling by heterogeneous molecules, particularly carbon dioxide, as predicted by Roble and Dickinson in 1989. Upper atmosphere global change has been observed in several ways, most definitively by changes in thermospheric density inferred from satellite drag measurements, or, more controversially, in the possible increase of polar mesospheric clouds. When the TIMED mission launched in 2001, climate change was on its agenda, but surreptitiously, because trends were not expected to be observable during a supposed two-year mission. Now, 15 years later, TIMED has become a pathfinder for climate analysis, particularly through carbon dioxide emissions measured by the SABER instrument. New complexities have emerged, however: the possibility that the carbon dioxide mixing ratio near the mesopause is increasing faster with increasing altitude, and the possibility that solar ultraviolet and geomagnetic activity are exhibiting a decreasing trend over the past one-to-three solar cycles. We have conducted simulations of anthropogenic change in the upper atmosphere using the Whole Atmosphere Community Climate Model - eXtended (WACCM-X), a component of the NCAR Community Earth System Model. The atmospheric response was evaluated using carbon dioxide, methane, and CFC lower boundary conditions from the late 1900's and early 2000's. The results show that the thermosphere should cool at a rate of several degrees per decade under present rates of change, largely driven by the effect of carbon dioxide cooling on thermospheric scale heights. Changes in middle atmosphere temperature, methane, and ozone, have much smaller effects on the thermosphere. Thermospheric cooling causes the ionosphere to also contract to lower altitude, but with small changes induced in NmF2. Whole

  3. Upper tropospheric ice sensitivity to sulfate geoengineering

    Science.gov (United States)

    Visioni, Daniele; Pitari, Giovanni; Mancini, Eva

    2017-04-01

    In light of the Paris Agreement which aims to keep global warming under 2 °C in the next century and considering the emission scenarios produced by the IPCC for the same time span, it is likely that to remain below that threshold some kind of geoengineering technique will have to be deployed. Amongst the different methods, the injection of sulfur into the stratosphere has received much attention considering its effectiveness and affordability. Aside from the rather well established surface cooling sulfate geoengineering (SG) would produce, the investigation on possible side-effects of this method is still ongoing. For instance, some recent studies have investigated the effect SG would have on upper tropospheric cirrus clouds, expecially on the homogenous freezing mechanisms that produces the ice particles (Kuebbeler et al., 2012). The goal of the present study is to better understand the effect of thermal and dynamical anomalies caused by SG on the formation of ice crystals via homogeneous freezing by comparing a complete SG simulation with a RCP4.5 reference case and with a number of sensitivity studies where atmospheric temperature changes in the upper tropospheric region are specified in a schematic way as a function of the aerosol driven stratospheric warming and mid-lower tropospheric cooling. These changes in the temperature profile tend to increase atmospheric stabilization, thus decreasing updraft and with it the amount of water vapor available for homogeneous freezing in the upper troposphere. However, what still needs to be assessed is the interaction between this dynamical effect and the thermal effects of tropospheric cooling (which would increase ice nucleation rates) and stratospheric warming (which would probably extend to the uppermost troposphere via SG aerosol gravitational settling, thus reducing ice nucleation rates), in order to understand how they combine together. Changes in ice clouds coverage could be important for SG, because cirrus ice

  4. Upper Stage Engine Composite Nozzle Extensions

    Science.gov (United States)

    Valentine, Peter G.; Allen, Lee R.; Gradl, Paul R.; Greene, Sandra E.; Sullivan, Brian J.; Weller, Leslie J.; Koenig, John R.; Cuneo, Jacques C.; Thompson, James; Brown, Aaron; hide

    2015-01-01

    Carbon-carbon (C-C) composite nozzle extensions are of interest for use on a variety of launch vehicle upper stage engines and in-space propulsion systems. The C-C nozzle extension technology and test capabilities being developed are intended to support National Aeronautics and Space Administration (NASA) and United States Air Force (USAF) requirements, as well as broader industry needs. Recent and on-going efforts at the Marshall Space Flight Center (MSFC) are aimed at both (a) further developing the technology and databases for nozzle extensions fabricated from specific CC materials, and (b) developing and demonstrating low-cost capabilities for testing composite nozzle extensions. At present, materials development work is concentrating on developing a database for lyocell-based C-C that can be used for upper stage engine nozzle extension design, modeling, and analysis efforts. Lyocell-based C-C behaves in a manner similar to rayon-based CC, but does not have the environmental issues associated with the use of rayon. Future work will also further investigate technology and database gaps and needs for more-established polyacrylonitrile- (PAN-) based C-C's. As a low-cost means of being able to rapidly test and screen nozzle extension materials and structures, MSFC has recently established and demonstrated a test rig at MSFC's Test Stand (TS) 115 for testing subscale nozzle extensions with 3.5-inch inside diameters at the attachment plane. Test durations of up to 120 seconds have been demonstrated using oxygen/hydrogen propellants. Other propellant combinations, including the use of hydrocarbon fuels, can be used if desired. Another test capability being developed will allow the testing of larger nozzle extensions (13.5- inch inside diameters at the attachment plane) in environments more similar to those of actual oxygen/hydrogen upper stage engines. Two C-C nozzle extensions (one lyocell-based, one PAN-based) have been fabricated for testing with the larger

  5. Energy Deposition Processes in Titan's Upper Atmosphere

    Science.gov (United States)

    Sittler, Edward C., Jr.; Bertucci, Cesar; Coates, Andrew; Cravens, Tom; Dandouras, Iannis; Shemansky, Don

    2008-01-01

    Most of Titan's atmospheric organic and nitrogen chemistry, aerosol formation, and atmospheric loss are driven from external energy sources such as Solar UV, Saturn's magnetosphere, solar wind and galactic cosmic rays. The Solar UV tends to dominate the energy input at lower altitudes of approximately 1100 km but which can extend down to approximately 400 km, while the plasma interaction from Saturn's magnetosphere, Saturn's magnetosheath or solar wind are more important at higher altitudes of approximately 1400 km, but the heavy ion plasma [O(+)] of approximately 2 keV and energetic ions [H(+)] of approximately 30 keV or higher from Saturn's magnetosphere can penetrate below 950km. Cosmic rays with energies of greater than 1 GeV can penetrate much deeper into Titan's atmosphere with most of its energy deposited at approximately 100 km altitude. The haze layer tends to dominate between 100 km and 300 km. The induced magnetic field from Titan's interaction with the external plasma can be very complex and will tend to channel the flow of energy into Titan's upper atmosphere. Cassini observations combined with advanced hybrid simulations of the plasma interaction with Titan's upper atmosphere show significant changes in the character of the interaction with Saturn local time at Titan's orbit where the magnetosphere displays large and systematic changes with local time. The external solar wind can also drive sub-storms within the magnetosphere which can then modify the magnetospheric interaction with Titan. Another important parameter is solar zenith angle (SZA) with respect to the co-rotation direction of the magnetospheric flow. Titan's interaction can contribute to atmospheric loss via pickup ion loss, scavenging of Titan's ionospheric plasma, loss of ionospheric plasma down its induced magnetotail via an ionospheric wind, and non-thermal loss of the atmosphere via heating and sputtering induced by the bombardment of magnetospheric keV ions and electrons. This

  6. Upper Paleozoic petroleum system, Ordos Basin, China

    Energy Technology Data Exchange (ETDEWEB)

    Xiao, X.M.; Zhao, B.Q.; Thu, Z.L.; Song, Z.G. [State Key Laboratory of Organic Geochemistry, Guangzhou Institute of Geochemistry, Chinese Academy of Sciences, Guangzhou 510640 (China); Wilkins, R.W.T. [CSIRO Petroleum, P.O. Box 136, North Ryde, NSW 2113 (Australia)

    2005-09-01

    The Ordos Basin is a typical lapped basin, including three sequences of strata: early Paleozoic, late Paleozoic and Mesozoic, with a total thickness of 4000-6000m. Impermeable sealing beds are well developed at the top and base of the upper Paleozoic sequence, separating it from the Mesozoic and the lower Paleozoic strata to form an independent petroleum system. In this petroleum system, the source rocks are widely distributed coals and dark mudstones occurring in the Carboniferous-lower Permian coal measures, with a thickness of 10-15 and 40-60m, respectively. The reservoirs are mainly early Permian tight sandstones, mostly with a porosity of 4-8% and a permeability of 0.1-1.0x10{sup -3}{mu}m{sup 2}. The regional cap rock is a 100-150m thick mudstone in the upper Permian strata. The structural framework of the basin is a huge asymmetric syncline, dipping gently toward the east and north, and steeply toward the south and west. Well data show that gas-saturated, gas-water transition and water-saturated zones are developed from the depositional center to the basin edges. The gas-saturated zone mainly lies in the gently dipping slope area of the Shanbei Slope. Toward eastern and northern up-dip directions the water-gas transitional zone occurs, and finally the water-saturated zone, presenting a reverse relation of water on top of gas. An abnormal negative strata pressure is developed in the gas-bearing area, with a pressure coefficient (C{sub p}) ranging from 0.83 to 0.95. Fluid inclusion data indicate that the upper Paleozoic gas pool began to develop around the Wuqi area at about 150Ma, and it extended toward the north and was largely formed at about 120Ma, showing there was a regional migration of the gas-water interface from south to north during the gas pool formation. These characteristics appear to show that the northern and eastern margins of the petroleum system are defined by a regional hydrodynamic regime. The critical moment of the petroleum system

  7. Energy Deposition Processes in Titan's Upper Atmosphere

    Science.gov (United States)

    Sittler, Edward C., Jr.; Bertucci, Cesar; Coates, Andrew; Cravens, Tom; Dandouras, Iannis; Shemansky, Don

    2008-01-01

    Most of Titan's atmospheric organic and nitrogen chemistry, aerosol formation, and atmospheric loss are driven from external energy sources such as Solar UV, Saturn's magnetosphere, solar wind and galactic cosmic rays. The Solar UV tends to dominate the energy input at lower altitudes of approximately 1100 km but which can extend down to approximately 400 km, while the plasma interaction from Saturn's magnetosphere, Saturn's magnetosheath or solar wind are more important at higher altitudes of approximately 1400 km, but the heavy ion plasma [O(+)] of approximately 2 keV and energetic ions [H(+)] of approximately 30 keV or higher from Saturn's magnetosphere can penetrate below 950km. Cosmic rays with energies of greater than 1 GeV can penetrate much deeper into Titan's atmosphere with most of its energy deposited at approximately 100 km altitude. The haze layer tends to dominate between 100 km and 300 km. The induced magnetic field from Titan's interaction with the external plasma can be very complex and will tend to channel the flow of energy into Titan's upper atmosphere. Cassini observations combined with advanced hybrid simulations of the plasma interaction with Titan's upper atmosphere show significant changes in the character of the interaction with Saturn local time at Titan's orbit where the magnetosphere displays large and systematic changes with local time. The external solar wind can also drive sub-storms within the magnetosphere which can then modify the magnetospheric interaction with Titan. Another important parameter is solar zenith angle (SZA) with respect to the co-rotation direction of the magnetospheric flow. Titan's interaction can contribute to atmospheric loss via pickup ion loss, scavenging of Titan's ionospheric plasma, loss of ionospheric plasma down its induced magnetotail via an ionospheric wind, and non-thermal loss of the atmosphere via heating and sputtering induced by the bombardment of magnetospheric keV ions and electrons. This

  8. Bayesian network modelling of upper gastrointestinal bleeding

    Science.gov (United States)

    Aisha, Nazziwa; Shohaimi, Shamarina; Adam, Mohd Bakri

    2013-09-01

    Bayesian networks are graphical probabilistic models that represent causal and other relationships between domain variables. In the context of medical decision making, these models have been explored to help in medical diagnosis and prognosis. In this paper, we discuss the Bayesian network formalism in building medical support systems and we learn a tree augmented naive Bayes Network (TAN) from gastrointestinal bleeding data. The accuracy of the TAN in classifying the source of gastrointestinal bleeding into upper or lower source is obtained. The TAN achieves a high classification accuracy of 86% and an area under curve of 92%. A sensitivity analysis of the model shows relatively high levels of entropy reduction for color of the stool, history of gastrointestinal bleeding, consistency and the ratio of blood urea nitrogen to creatinine. The TAN facilitates the identification of the source of GIB and requires further validation.

  9. Endoscopy for nonvariceal upper gastrointestinal bleeding.

    Science.gov (United States)

    Kim, Ki Bae; Yoon, Soon Man; Youn, Sei Jin

    2014-07-01

    Endoscopy for acute nonvariceal upper gastrointestinal bleeding plays an important role in primary diagnosis and management, particularly with respect to identification of high-risk stigmata lesions and to providing endoscopic hemostasis to reduce the risk of rebleeding and mortality. Early endoscopy, defined as endoscopy within the first 24 hours after presentation, improves patient outcome and reduces the length of hospitalization when compared with delayed endoscopy. Various endoscopic hemostatic methods are available, including injection therapy, mechanical therapy, and thermal coagulation. Either single treatment with mechanical or thermal therapy or a treatment that combines more than one type of therapy are effective and safe for peptic ulcer bleeding. Newly developed methods, such as Hemospray powder and over-the-scope clips, may provide additional options. Appropriate decisions and specific treatment are needed depending upon the conditions.

  10. Endovascular management of nonvariceal upper gastrointestinal hemorrhage.

    Science.gov (United States)

    Abdel-Aal, Ahmed K; Bag, Asim K; Saddekni, Souheil; Hamed, Maysoon F; Ahmed, Fatma Y

    2013-07-01

    Upper gastrointestinal bleeding (UGIB) remains a frequent presentation in the emergency department. There are several causes of UGIB, which can be generally classified into variceal and nonvariceal bleeding. Although most cases of nonvariceal UGIB spontaneously resolve or respond to medical management and/or endoscopic treatment, transcatheter arterial embolization (TAE) remains an important available tool in the emergency evaluation and management of nonvariceal UGIB. In this article, we will discuss the current strategies for rendering a specific diagnosis of nonvariceal UGIB, and we will focus on the various TAE techniques for its management. We will also provide an algorithm for the diagnostic work-up of these patients. The majority of patients with nonvariceal UGIB that is refractory to endoscopic treatment is successfully treated with minimally invasive TAE and can avoid undergoing surgery.

  11. Palpation of the upper thoracic spine

    DEFF Research Database (Denmark)

    Christensen, Henrik Wulff; Vach, Werner; Vach, Kirstin;

    2002-01-01

    procedure. RESULTS: Using an "expanded" definition of agreement that accepts small inaccuracies (+/-1 segment) in the numbering of spinal segments, we found--based on the pooled data from the thoracic spine--kappa values of 0.59 to 0.77 for the hour-to-hour and the day-to-day intraobserver reliability......OBJECTIVE: To assess the intraobserver reliability (in terms of hour-to-hour and day-to-day reliability) and the interobserver reliability with 3 palpation procedures for the detection of spinal biomechanic dysfunction in the upper 8 segments of the thoracic spine. DESIGN: A repeated....... INTERVENTION: Three types of palpation were performed: Sitting motion palpation and prone motion palpation for biomechanic dysfunction and paraspinal palpation for tenderness. Each dimension was rated as "absent" or "present" for each segment. All examinations were performed according to a standard written...

  12. Replantation of upper extremity, hand and digits.

    Science.gov (United States)

    Bumbasirević, Marko Z; Vucković, Cedo D; Vucetić, Cedomir; Manojlović, Radovan; Andjelkovic, Sladjana Z; Palibrk, Tomislav D; Milutinović, Suzana M; Raspopović, Emilija Dubljanin

    2013-01-01

    Replantation is defined as reattachment of the part that has been completely amputated and there is no connection between the severed part and the patient. In Boston in 1962 Malt successfully replanted a completely amputated arm of a 12-year-old boy. Komatsu and Tamai reported the first successful replantation of an amputated digit by microvascular technique. There are no strict indications and contraindications for replantation. It's on surgeon to explain to the patient the chances of success of viability, expected function, length of operation, hospitalization and long rehabilitation protocol. Survival and useful function in replantation of upper extremity amputations is questionable. Success depends on microvascular anastomoses, but the final function is related with tendon, nerve, bone and joint repair.

  13. Acute allergic angioedema of upper lip

    Directory of Open Access Journals (Sweden)

    Kavitha Mahendran

    2016-01-01

    Full Text Available Mishaps can occur during dental procedures, some owing to inattention to detail and others are totally unpredictable. They usually include anaphylaxis or allergic reactions to materials used for restorative purposes or drugs such as local anesthetics. A patient reported to our department with moderate dental fluorosis, and the treatment was planned with indirect composite veneering. During the procedure while cementation acute allergic reaction occurred, the specific cause could not be identified after allergic testing. During the procedure while cementationacute allergic angioedema of upper lip. Anaphylaxis, urticaria, allergy, hereditary atopic eczema, cellulitis, cheilitis granulomatosa, and cheilitis glandularis. The patient was reassured and given prednisolone 10 mg and cetirizine 10 mg orally, once daily for 3 days after which the symptoms subsided. This paper will discuss the pathogenesis, classification, identification, and management of angioedema during dental procedures.

  14. Hemospray application in nonvariceal upper gastrointestinal bleeding

    DEFF Research Database (Denmark)

    Smith, Lyn A; Stanley, Adrian J; Bergman, Jacques J

    2013-01-01

    patients, who otherwise may have required either surgery or interventional radiology, were treated with TC-325 as second-line therapy after failure of other endoscopic treatments, all of whom achieved hemostasis following the adjunct of TC-325. CONCLUSIONS: This multicentre registry identifies potentially......BACKGROUND: Hemospray TM (TC-325) is a novel hemostatic agent licensed for use in nonvariceal upper gastrointestinal bleeding (NVUGIB) in Europe. GOALS: We present the operating characteristics and performance of TC-325 in the largest registry to date of patients presenting with NVUGIB in everyday...... in combination with other hemostatic modalities at the endoscopists' discretion. RESULTS: Sixty-three patients (44 men, 19 women), median age 69 (range, 21 to 98) years with NVUGIB requiring endoscopic hemostasis were treated with TC-325. There were 30 patients with bleeding ulcers and 33 with other NVUGIB...

  15. [Leukoplakia of the upper urinary tract].

    Science.gov (United States)

    Armora Mani, J; Muñoz Segui, J; Pérez Céspedes, M; Aguiló Lucia, F; Torrecilla Ortiz, C; Serrallach Mila, N

    1992-01-01

    Leukoplakia is a morphological term that attempts to define keratinizing desquamative squamous metaplasia of the transitional epithelium. It is uncommon in the upper urinary tract (less than 100 cases have been reported) and has been attributed to infection or mechanical injury to the epithelium and/or genetic factors. We present a case of leukoplakia in a male patient with renal tuberculosis that had been in remission for the past 15 years. Eight years earlier he had intermittently passed keratin laminas (pathognomonic of leukoplakia) during the course of various episodes of nephritic colic. After discarding a reactivation of tuberculosis and malignancy of the metaplastic lesion, we continued conservative treatment with radiologic and cytologic control evaluations.

  16. Slipped upper femoral epiphysis with hemophilia A

    Directory of Open Access Journals (Sweden)

    Iyer Deepa

    2007-01-01

    Full Text Available A 13-year-old boy who had hemophilia A was reported with pain in the left thigh and hip on walking. He had no history of trauma. Severe hemophilia A is diagnosed with a Factor VIII level of < 1 iu/dl. The presumptive diagnosis was that of a spontaneous bleed into the hip joint. Factor VIII mutational analysis revealed a C to G substitution at nucleotide 6683 which results in a cystine change at codon 2194. However, the symptoms persisted and an X-ray demonstrated the presence of an acute on chronic slip of the upper femoral epiphysis. The patient was transferred to the center treating his hemophilia where the hip was pinned in situ under cover with Factor VIII. This case demonstrates the need to be aware of a possible traumatic diagnosis of hip pain in a hemophiliac child with a longstanding history of spontaneous bleeding into joints.

  17. The Escaping Upper Atmospheres of Hot Jupiters

    Science.gov (United States)

    Davidson, Eric; Jones, Gabrielle; Uribe, Ana; Carson, Joseph

    2017-01-01

    Hot Jupiters are massive gaseous planets which orbit closely to their parent star. The strong stellar irradiation at these small orbital separations causes the temperature of the upper atmosphere of the planet to rise. This can cause the planet's atmosphere to escape into space, creating an exoplanet outflow. We ascertained which factors determine the presence and structure of these outflows by creating one dimensional simulations of the density, pressure, velocity, optical depth, and neutral fraction of hot Jupiter atmospheres. This was done for planets of masses and radii ranging from 0.5-1.5 Mj and 0.5-1.5 Rj. We found the outflow rate to be highest for a planet of 0.5 Mj and 1.5 Rj at 5.3×10-14 Mj/Yr. We also found that the higher the escape velocity, the lower the chance of the planet having an outflow.

  18. Upper Pennsylvanian Steubenville coal-ball flora

    Energy Technology Data Exchange (ETDEWEB)

    Rothwell, G.W.

    1988-03-01

    The Upper Pennsylvanian (Conemaugh Group) Duquesne Coal west of Steubenville, Ohio represents a deltaic peat-accumulating swamp, and is one the best known of coal swamp floras. In a few places, the peat was infiltrated and permineralized by calcium carbonate prior to coalification, thus producing coal balls in which both morphological and anatomical structure of the constituent plant parts are preserved. The plant material represents primarily the community that inhabited the peat-accumulating environment, but some remains from near-swamp environments also are represented. The flora is relatively diverse, consisting of over 55 megafossil taxa of isolated organs that were produced by at least 25 species of plants. All five major groups of Pennsylvanian coal-swamp plants (i.e. Lycopsida, Sphenopsida, Pteridopsida, Pteridospermopsida and Cordaitales) are represented. 31 refs., 2 figs.

  19. Do statins protect against upper gastrointestinal bleeding?

    DEFF Research Database (Denmark)

    Gulmez, Sinem Ezgi; Lassen, Annmarie Touborg; Aalykke, Claus;

    2009-01-01

    AIMS: Recently, an apparent protective effect of statins against upper gastrointestinal bleeding (UGB) was postulated in a post hoc analysis of a randomized trial. We aimed to evaluate the effect of statin use on acute nonvariceal UGB alone or in combinations with low-dose aspirin and other...... of statins with UGB were 0.94 (0.78-1.12) for current use, 1.40 (0.89-2.20) for recent use and 1.42 (0.96-2.10) for past use. The lack of effect was consistent across most patient subgroups, different cumulative or current statin doses and different statin substances. In explorative analyses, a borderline...... significant protective effect was observed for concurrent users of low-dose aspirin [OR 0.43 (0.18-1.05)]. CONCLUSION: Statins do not prevent UGB, except possibly in users of low-dose aspirin....

  20. Acute allergic angioedema of upper lip

    Science.gov (United States)

    Mahendran, Kavitha; Padmini, Govindasway; Murugesan, Ramesh; Srikumar, Arthiseethalakshmi

    2016-01-01

    Mishaps can occur during dental procedures, some owing to inattention to detail and others are totally unpredictable. They usually include anaphylaxis or allergic reactions to materials used for restorative purposes or drugs such as local anesthetics. A patient reported to our department with moderate dental fluorosis, and the treatment was planned with indirect composite veneering. During the procedure while cementation acute allergic reaction occurred, the specific cause could not be identified after allergic testing. During the procedure while cementationacute allergic angioedema of upper lip. Anaphylaxis, urticaria, allergy, hereditary atopic eczema, cellulitis, cheilitis granulomatosa, and cheilitis glandularis. The patient was reassured and given prednisolone 10 mg and cetirizine 10 mg orally, once daily for 3 days after which the symptoms subsided. This paper will discuss the pathogenesis, classification, identification, and management of angioedema during dental procedures. PMID:27217646

  1. Women in Upper Houses: A Global Perspective

    Directory of Open Access Journals (Sweden)

    Pedro Neiva

    2008-06-01

    Full Text Available In analyses of female representation in lower houses, the adoption of quotas, the electoral system and the religious aspect have been identified as the main explanatory variables. In the case of upper houses, I see a relationship between their political strength and women’s presence in them: when they are weak, the presence of female representatives tends to be larger, when they are strong, women’s presence is smaller. Furthermore, the article shows that an analysis based solely on the number of seats held by women is insufficient for one to gather the true dimensions of their participation in politics. Evaluating the role and expressiveness of the institutions in which they are present is also necessary.

  2. Toxicology of upper aerodigestive tract pollutants

    Energy Technology Data Exchange (ETDEWEB)

    Holt, G.R. (Department of Otolaryngology--Head and Neck Surgery, University of Texas Health Science Center, San Antonio (United States))

    1992-06-01

    The field of environmental toxicology has become quite important to the study of environmental health in human beings. The stability of the ecosystem in which we live is threatened by the nearly 5 million chemical compounds that have been synthesized worldwide, many of which have real or potentially toxic effects on the environment and on life forms. Four major groups of chemicals--metallic elements, nonmetallic elements, organic compounds and inorganic compounds--have certain agents within them that are known toxins to human beings. Some of these agents have an as yet unknown effect, whereas others have been well characterized. They can be found in the workplace, home, and outdoors, and many are unseen and odorless. In the past, most agents have been described in terms of their carcinogenic potential or major toxic effects on organ systems. It is now likely that the important characterization of some of these agents referrable to the upper aerodigestive tract should be at their receptor sites and identify the very discrete and small effects on these sites and their cumulative effects. The concept of threshold is probably an arbitrary one because to date these discrete effects have not been studied. Susceptibility on an individual basis probably varies from low to high, depending on the patient's immunologic and defense mechanisms and the existence of congenital or acquired risk factors. New attention must be given to more subtle effects on the upper aerodigestive tract (i.e., sinusitis and laryngitis) in view of the potential effects of certain toxic agents on these tissues.

  3. International spinal cord injury upper extremity basic data set

    DEFF Research Database (Denmark)

    Biering-Sørensen, F; Bryden, A; Curt, A;

    2014-01-01

    OBJECTIVE: To develop an International Spinal Cord Injury (SCI) Upper Extremity Basic Data Set as part of the International SCI Data Sets, which facilitates consistent collection and reporting of basic upper extremity findings in the SCI population. SETTING: International. METHODS: A first draft.......iscos.org.uk). CONCLUSION: The International SCI Upper Extremity Basic Data Set will facilitate consistent collection and reporting of basic upper extremity findings in the SCI population....... of a SCI Upper Extremity Data Set was developed by an international working group. This was reviewed by many different organisations, societies and individuals over several months. A final version was created. VARIABLES: The final version of the International SCI Upper Extremity Data Set contains variables...

  4. Optimizing early upper gastrointestinal cancer detection at endoscopy.

    Science.gov (United States)

    Veitch, Andrew M; Uedo, Noriya; Yao, Kenshi; East, James E

    2015-11-01

    Survival rates for upper gastrointestinal cancers are poor and oesophageal cancer incidence is increasing. Upper gastrointestinal cancer is also often missed during examinations; a predicament that has not yet been sufficiently addressed. Improvements in the detection of premalignant lesions, early oesophageal and gastric cancers will enable organ-preserving endoscopic therapy, potentially reducing the number of advanced upper gastrointestinal cancers and resulting in improved prognosis. Japan is a world leader in high-quality diagnostic upper gastrointestinal endoscopy and the clinical routine in this country differs substantially from Western practice. In this Perspectives article, we review lessons learnt from Japanese gastroscopy technique, training and screening for risk stratification. We suggest a key performance indicator for upper gastrointestinal endoscopy with a minimum total procedure time of 8 min, and examine how quality assurance concepts in bowel cancer screening in the UK could be applied to upper gastrointestinal endoscopy and improve clinical practice.

  5. Upper-extremity deep venous thrombosis: a review.

    Science.gov (United States)

    Mai, Cuc; Hunt, Daniel

    2011-05-01

    Upper-extremity deep venous thrombosis is less common than lower-extremity deep venous thrombosis. However, upper-extremity deep venous thrombosis is associated with similar adverse consequences and is becoming more common in patients with complex medical conditions requiring central venous catheters or wires. Although guidelines suggest that this disorder be managed using approaches similar to those for lower-extremity deep venous thrombosis, studies are refining the prognosis and management of upper-extremity deep venous thrombosis. Physicians should be familiar with the diagnostic and treatment considerations for this disease. This review will differentiate between primary and secondary upper-extremity deep venous thromboses; assess the risk factors and clinical sequelae associated with upper-extremity deep venous thrombosis, comparing these with lower-extremity deep venous thrombosis; and describe an approach to treatment and prevention of secondary upper-extremity deep venous thrombosis based on clinical evidence.

  6. Upper extremity thrombosis in Behçet’s disease

    Directory of Open Access Journals (Sweden)

    Adem Küçük

    2013-09-01

    Full Text Available Behçet’s disease (BD is a systemic disease characterizedby oral aphthosis, genital ulcers, ocular lesions andalso gastrointestinal, musculoskeletal, neurological andvessel involvements may develop. Venous manifestationsare more common than arterial involvement. Venousinvolvement often occurs in the veins of lower extremity.Upper extremity venous involvement is rare. In this paperwe report a case of BH presenting with upper extremitysuperficial vein thrombosis.Key words: Behçet’s disease, upper extremity, superficialvein thrombosis

  7. Current perspective of venous thrombosis in the upper extremity

    OpenAIRE

    Flinterman, L.E.; Meer, van der, D; Rosendaal, F.R.; Doggen, C. J. M.

    2008-01-01

    Venous thrombosis of the upper extremity is a rare disease. Therefore, not as much is known about risk factors, treatment and the risk of recurrence as for venous thrombosis of the leg. Only central venous catheters and strenuous exercise are commonly known risk factors for an upper extremity venous thrombosis. In this review an overview of the different risk factors, possible treatments and the complications for patients with a venous thrombosis of the upper extremity is given

  8. Clinical implications of alignment of upper and lower cervical spine

    OpenAIRE

    Sherekar S; Yadav Y; Basoor A; Baghel Arvind; Adam Nelson

    2006-01-01

    Aims and Objectives: The alignment of upper and lower cervical spine is presumed to be closely interrelated and the knowledge of this is mandatory when performing occipito-cervical and upper cervical fusions. The aim of this study was to establish standard values for upper and lower cervical spine alignment in the Indian population. Materials and Methods: Five hundred eighteen asymptomatic volunteers (261 males and 257 females) between 12 and 80 years of age underwent lateral radiography w...

  9. Metastability of Bose and Fermi gases on the upper branch

    Science.gov (United States)

    LeClair, André; Roditi, Itzhak; Squires, Joshua

    2016-12-01

    We study three-dimensional Bose and Fermi gases in the upper branch, a phase defined by the absence of bound states in the repulsive interaction regime, within an approximation that considers only two-body interactions. Employing a formalism based on the S matrix, we derive useful analytic expressions that hold on the upper branch in the weak coupling limit. We determine upper branch phase diagrams for both bosons and fermions with techniques valid for arbitrary positive scattering length.

  10. A STUDY ON UPPER GASTROINTESTINAL ENDOSCOPIC FINDINGS IN PATIENTS WITH UPPER GASTROINTESTINAL BLEEDING

    Directory of Open Access Journals (Sweden)

    Salla Surya Prakasa Rao

    2016-10-01

    Full Text Available BACKGROUND Vomiting of blood almost always proximal to the ligament of Treitz is the upper gastrointestinal haemorrhage. The incidence of acute upper gastrointestinal haemorrhage has been estimated to be 50-100 per 1,00,000 person per year, with an annual hospitalization rate of approximately 100 per 1, 00,000 hospital admission. This study is to find out the prevalence of nature of lesion on Upper Gastrointestinal Endoscopy in patients admitted for Gastrointestinal bleeding. (UGI Bleed. MATERIALS AND METHODS Place of Study- Department of General Medicine, Andhra Medical College, Visakhapatnam, India. Type of Study- Prospective study. Period of Study- July 2015 to August 2016. RESULTS The Results Study on Endoscopic Findings in Upper Gastro Intestinal Bleed are 1. The peptic ulcer disease was the most common lesion found on endoscopy with prevalence of 54%. 2. Varices contributes second common lesion, next to peptic ulcer disease in UGI bleed with prevalence of 16%. 3. Minor UGI bleed was the commonest presentation. Majority of lesions (60% presented with minor UGI bleed, 28% lesions presented as moderate UGI bleed. Only 8% presented as major UGI bleed. 4. Varices account for the most common cause for major UGI bleed contributing 50%. 5. Gastric ulcer was commonest lesions accounting for 37 cases (37% among 72 cases having single acid peptic lesions on endoscopy. The second most common is duodenal ulcer (31%. 6. Multiple lesions were found in 10% of cases. Peptic ulcer lesions were found in 20% of total number of varices cases. CONCLUSION Peptic ulcer disease was found to be most common lesion causing UGI bleed, with most common presentation as minor UGI bleed and variceal bleed being most common cause of major UGI bleed.

  11. Proper motions of Upper Sco T-type candidates

    CERN Document Server

    Lodieu, N; Dobbie, P D

    2013-01-01

    We present new z- and H-band photometry and proper motion measurements for the five candidate very-low-mass T-type objects we recently proposed to be members of the nearest OB association to the Sun, Upper Scorpius. These new data fail to corroborate our prior conclusions regarding their spectral types and affiliation with the Upper Scorpius population. We conclude that we may be in presence of a turnover in the mass function of Upper Sco taking place below 10-4 Jupiter masses, depending on the age assigned to Upper Sco and the models used.

  12. Upper bounds on superpartner masses from upper bounds on the Higgs boson mass.

    Science.gov (United States)

    Cabrera, M E; Casas, J A; Delgado, A

    2012-01-13

    The LHC is putting bounds on the Higgs boson mass. In this Letter we use those bounds to constrain the minimal supersymmetric standard model (MSSM) parameter space using the fact that, in supersymmetry, the Higgs mass is a function of the masses of sparticles, and therefore an upper bound on the Higgs mass translates into an upper bound for the masses for superpartners. We show that, although current bounds do not constrain the MSSM parameter space from above, once the Higgs mass bound improves big regions of this parameter space will be excluded, putting upper bounds on supersymmetry (SUSY) masses. On the other hand, for the case of split-SUSY we show that, for moderate or large tanβ, the present bounds on the Higgs mass imply that the common mass for scalars cannot be greater than 10(11)  GeV. We show how these bounds will evolve as LHC continues to improve the limits on the Higgs mass.

  13. European upper mantle tomography: adaptively parameterized models

    Science.gov (United States)

    Schäfer, J.; Boschi, L.

    2009-04-01

    We have devised a new algorithm for upper-mantle surface-wave tomography based on adaptive parameterization: i.e. the size of each parameterization pixel depends on the local density of seismic data coverage. The advantage in using this kind of parameterization is that a high resolution can be achieved in regions with dense data coverage while a lower (and cheaper) resolution is kept in regions with low coverage. This way, parameterization is everywhere optimal, both in terms of its computational cost, and of model resolution. This is especially important for data sets with inhomogenous data coverage, as it is usually the case for global seismic databases. The data set we use has an especially good coverage around Switzerland and over central Europe. We focus on periods from 35s to 150s. The final goal of the project is to determine a new model of seismic velocities for the upper mantle underlying Europe and the Mediterranean Basin, of resolution higher than what is currently found in the literature. Our inversions involve regularization via norm and roughness minimization, and this in turn requires that discrete norm and roughness operators associated with our adaptive grid be precisely defined. The discretization of the roughness damping operator in the case of adaptive parameterizations is not as trivial as it is for the uniform ones; important complications arise from the significant lateral variations in the size of pixels. We chose to first define the roughness operator in a spherical harmonic framework, and subsequently translate it to discrete pixels via a linear transformation. Since the smallest pixels we allow in our parameterization have a size of 0.625 °, the spherical-harmonic roughness operator has to be defined up to harmonic degree 899, corresponding to 810.000 harmonic coefficients. This results in considerable computational costs: we conduct the harmonic-pixel transformations on a small Beowulf cluster. We validate our implementation of adaptive

  14. Variability of subtropical upper tropospheric humidity

    Directory of Open Access Journals (Sweden)

    J.-M. Ryoo

    2008-01-01

    Full Text Available Analysis of Atmospheric Infrared Sounder (AIRS measurements for five northern winters shows significant longitudinal variations in subtropical upper tropospheric relative humidity (RH, not only in the climatological mean values but also in the local distributions and temporal variability. The largest climatological mean values in the northern subtropics occur over the eastern Pacific and Atlantic oceans, where there is also large day-to-day variability. In contrast, there are smaller mean values, and smaller variability that occurs at lower frequency, over the Indian and western Pacific oceans. These differences in the distribution and variability of subtropical RH are related to differences in the key transport processes in the different sectors. The large variability and intermittent high and low RH over the Eastern Pacific and Atlantic oceans, and to a smaller extent over the Indian ocean, are due to intrusions of high potential vorticity air into the subtropics. Intrusions seldom occur over the eastern Indian and western Pacific oceans, and here the subtropical RH is more closely linked to the location and strength of subtropical anticyclones. In this region there are eastward propagating features in the subtropical RH that are out of phase with the tropical RH, and are caused by modulation of the subtropical anticyclones by the Madden-Julian Oscillation.

  15. Upper gastrointestinal bleeding after open heart surgery

    Directory of Open Access Journals (Sweden)

    Aithoussa Mahdi

    2014-01-01

    Full Text Available Objective: The occurrence of digestive complications especially upper gastrointestinal bleeding (UGIB has increased after cardiac surgery. The aim of this study was to determine the incidence of UGIB and identify the independent risk factors. Materials and Methods: We retrospectively analyzed data of 1077 patients undergoing cardiopulmonary bypass (CPB from 1994 to 2012 The group of patients with UGIB (n1 = 20 was compared with the population group (n2 = 1057. Demographic characteristics, therapeutic management, endoscopic findings, and outcomes were analyzed. Through a regression analysis we identified independent risk factors of UGIB. Results: The mean age of the group n1 was 58.2 ± 12.4 years and 50.18 ± 13.5 years in the group n2 . UGIB occurred about 13 ± 5.5 days after cardiac surgery. Gastroduodenal ulcer was the most common etiology of hemorrhage (n = 13, 65%. Renal insufficiency, previous gastric ulcer, increased lactate concentration during CPB, prolonged mechanical ventilation, use of vasopressor drug and pulmonary infection was likely contributing factors in UGIB. Conclusion: UGIB following open cardiac surgery is most frequently secondary to gastroduodenal ulceration. Many determinant factors of bleeding are incriminated. Surgeons must be aware of these factors to avoid fatal complications.

  16. Urogenital trauma: imaging upper GU trauma

    Energy Technology Data Exchange (ETDEWEB)

    Goldman, Stanford M. E-mail: Stanford.M.Goldman@uth.tmc.edu; Sandler, Carl M

    2004-04-01

    Objectives: This article will define the current controversies and concepts in the classification, clinical presentation, imaging approaches and management of upper urinary tract trauma. Materials and methods, results: This review will include the experience of the authors in the field of renal trauma over a 32-year period. Current thinking accepts the view that significant renal trauma is generally present when there is gross hematuria, signs of shock, or other clinical signs of severe injury. In most patients, suspected renal injury will be evaluated as a part of the overall assessment of the patient for suspected intraperitoneal injury. The authors will stress some exceptions to the rule. Conclusions: Most trauma experts now advocate conservative management, unless the patient is unstable or a renal vascular thrombosis or avulsion is suspected. Similarly, penetrating trauma to the kidney in and of itself no longer requires mandatory surgery. In the United States, computed tomography (CT), especially spiral CT, is considered the best diagnostic study, if available. Intravenous pyelography (IVP) is adequate if this is the only imaging modality available and if no concomitant injuries to the abdominal structure are suspected. Ultrasound, although strongly advocated in some countries, can lead to some significant false negatives. The diagnosis and management of unusual problems such as the traumatic AV fistula, the patient with an absent kidney or injury to the congenitally abnormal kidney, the serendipitous renal tumor in a patient with trauma, or serious bleeding after an apparent minor injury (i.e., spontaneous hemorrhage) are also reviewed in this article.

  17. An upper limit for macromolecular crowding effects

    Directory of Open Access Journals (Sweden)

    Miklos Andrew C

    2011-05-01

    Full Text Available Abstract Background Solutions containing high macromolecule concentrations are predicted to affect a number of protein properties compared to those properties in dilute solution. In cells, these macromolecular crowders have a large range of sizes and can occupy 30% or more of the available volume. We chose to study the stability and ps-ns internal dynamics of a globular protein whose radius is ~2 nm when crowded by a synthetic microgel composed of poly(N-isopropylacrylamide-co-acrylic acid with particle radii of ~300 nm. Results Our studies revealed no change in protein rotational or ps-ns backbone dynamics and only mild (~0.5 kcal/mol at 37°C, pH 5.4 stabilization at a volume occupancy of 70%, which approaches the occupancy of closely packing spheres. The lack of change in rotational dynamics indicates the absence of strong crowder-protein interactions. Conclusions Our observations are explained by the large size discrepancy between the protein and crowders and by the internal structure of the microgels, which provide interstitial spaces and internal pores where the protein can exist in a dilute solution-like environment. In summary, microgels that interact weakly with proteins do not strongly influence protein dynamics or stability because these large microgels constitute an upper size limit on crowding effects.

  18. Radiogrammetric analysis of upper limb long bones

    Directory of Open Access Journals (Sweden)

    Stojanović Zlatan

    2011-01-01

    Full Text Available Radiogrammetry is radiological method of bone mineral density quantification. Besides giving an insight in diagnostics and evolution of metabolic bone disorders (osteoporosis, osteomalacia, osteitis deformans- Paget's disease, it can also explain some specific biomechanical characteristics of bone structures. The aim of this study is to evaluate the significance and perspectives of radiogrammetry as a scientific model for further inquiry of skeletal system. The work demonstrates mathematical parameters (Ca-Cortical area, CI- Cortical index, GI- Garn's index, ESI- Exton Smith's index of upper limb long bones (humerus, radius, ulna. Two standard radiological projections of bones were taken: antero-posterior (AP and latero-lateral (LL. Correlation with metacarpal and lower limb bones was also performed. The value of the cortical area of humerus is significantly higher comparing with the two other examined bones (Xmean 2,2443 cm2, p < 0.01. Radial bone has the highest values of the relational mathematical parameters, which implicates its higher strength by volumetric unit concerning humerus and ulna. Despite the development of contemporary osteometric procedures (ultrasound densitometry, dual X-ray absorptiometry, digital X-ray radiogrammetry, the classical radiogrammetry sustains its important role in diagnostics of metabolic bone disorders and it can be successfully used for biomechanical inquiry of skeletal system.

  19. Transformation of Taiwan's Upper Secondary Education System

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    Hueih-Lirng Laih

    1998-09-01

    Full Text Available This paper explores the policy issues circling around the structural "transition" in upper secondary education implicit in the twenty-year increase in secondary and third-level school enrollment rates in Taiwan. This expansion has taken place within a secondary school system which is rigidly divided into both general, i.e., academic, and vocational tracks and into public and private sectors: the majority of students are enrolled in the private vocational sector which is only loosely articulated with the university sector. These features of the school system are analysed against the background of social and economic developments in Taiwan as well as public opinion. The analysis suggests that the present structures of school must be "reformed" in ways that will result in a more unified secondary system with both greater public funding and better articulation of all school types with the third level. The policy options that circle around the possibility of such reforms in the areas of curriculum, examination structures and second level-third level articulation are discussed and a policy framework for the reform of the Taiwan secondary education sector is outlined.

  20. Temporal Decrease in Upper Atmospheric Chlorine

    Science.gov (United States)

    Froidevaux, L.; Livesey, N. J.; Read, W. G.; Salawitch, R. J.; Waters, J. W.; Drouin, B.; MacKenzie, I. A.; Pumphrey, H. C.; Bernath, P.; Boone, C.; hide

    2006-01-01

    We report a steady decrease in the upper stratospheric and lower mesospheric abundances of hydrogen chloride (HCl) from August 2004 through January 2006, as measured by the Microwave Limb Sounder (MLS) aboard the Aura satellite. For 60(deg)S to 60(deg)N zonal means, the average yearly change in the 0.7 to 0.1 hPa (approx.50 to 65 km) region is -27 +/- 3 pptv/year, or -0.78 +/- 0.08 percent/year. This is consistent with surface abundance decrease rates (about 6 to 7 years earlier) in chlorine source gases. The MLS data confirm that international agreements to reduce global emissions of ozone-depleting industrial gases are leading to global decreases in the total gaseous chlorine burden. Tracking stratospheric HCl variations on a seasonal basis is now possible with MLS data. Inferred stratospheric total chlorine (CITOT) has a value of 3.60 ppbv at the beginning of 2006, with a (2-sigma) accuracy estimate of 7%; the stratospheric chlorine loading has decreased by about 43 pptv in the 18-month period studied here. We discuss the MLS HCl measurements in the context of other satellite-based HCl data, as well as expectations from surface chlorine data. A mean age of air of approx. 5.5 years and an age spectrum width of 2 years or less provide a fairly good fit to the ensemble of measurements.

  1. Regional aerosol deposition in human upper airways

    Energy Technology Data Exchange (ETDEWEB)

    Swift, D.L.

    1991-11-01

    During the current report experimental studies of upper respiratory deposition of radon progeny aerosols and stimulant aerosols were carried out in replicate casts of nasal and oral passages of adults and children. Additionally, preliminary studies of nasal passage deposition of unattached Po{sup 218} particles was carried out in four human subjects. Data on nasal inspiratory deposition in replicate models of adults and infants from three collaborating laboratories were compared and a best-fit curve of deposition efficiency for both attached and unattached particles was obtained, showing excellent inter-laboratory agreement. This curve demonstrates that nasal inspiratory deposition of radon progeny is weakly dependent upon flow rate over physiologically realistic ranges of flow, does not show a significant age effect, and is relatively independent of nasal passage dimensions for a given age range. Improved replicate models of the human adult oral passage extending to the mid-trachea were constructed for medium and higher flow mouth breathing states; these models were used to assess the deposition of unattached Po{sup 218} particles during oronasal breathing in the oral passage and demonstrated lower deposition efficiency than the nasal passage. Measurements of both Po{sup 218} particle and attached fraction particle size deposition were performed in replicate nasal passage of a four week old infant. 5 refs., 1 fig.

  2. Energy cascades in the upper ocean

    Institute of Scientific and Technical Information of China (English)

    Ray Q.Lin; Scott Chubb

    2006-01-01

    Wave-wave interactions cause energy cascades. These are the most important processes in the upper ocean because they govern wave-growth and dissipation. Through indirect cascades, wave energy is transferred from higher frequencies to lower frequencies, leading to wave growth. In direct cascades, energy is transferred from lower frequencies to the higher frequencies, which causes waves to break, and dissipation of wave energy. However, the evolution and origin of energy cascade processes are still not fully understood. In particular, for example, results from a recent theory (Kalmykov, 1998) suggest that the class I wave-wave interactions (defined by situations involving 4-, 6-, 8-, etc, even numbers of resonantly interacting waves) cause indirect cascades, and Class II wave-wave interactions (involving, 5-, 7-, 9-, etc, .., odd numbers of waves) cause direct cascades. In contrast to this theory, our model results indicate the 4-wave interactions can cause significant transfer of wave energy through both direct and indirect cascades. In most situations, 4-wave interactions provide the major source of energy transfer for both direct cascades and indirect cascades, except when the wave steepness is larger than 0.28. Our model results agree well with wave measurements, obtained using field buoy data (for example, Lin and Lin, 2002). In particular, in these observations, asymmetrical wave-wave interactions were studied. They found that direct and indirect cascades both are mainly due to the 4-wave interactions when wave steepness is less than 0.3.

  3. Tumor budding in upper gastrointestinal carcinomas

    Directory of Open Access Journals (Sweden)

    Viktor Hendrik Koelzer

    2014-08-01

    Full Text Available The basis of personalized medicine in oncology is the prediction of an individual’s risk of relapse and death from disease. The presence of tumor budding (TB at the tumor-host interface of gastrointestinal cancers has been recognized as a hallmark of unfavorable disease biology. TB is defined as the presence of dedifferentiated cells or small clusters of up to five cells at the tumor invasive front and can be observed in aggressive carcinomas of the esophagus, stomach, pancreas, ampulla, colon and rectum. Presence of TB reproducibly correlates with advanced tumor stage, frequent lymphovascular invasion, nodal and distant metastasis. The UICC has officially recognized TB as additional independent prognostic factor in cancers of the colon and rectum. Recent studies have also characterized TB as a promising prognostic indicator for clinical management of esophageal squamous cell carcinoma, adenocarcinoma of the gastro-esophageal junction and gastric adenocarcinoma. However, several important issues have to be addressed for application in daily diagnostic practice: 1 Validation of prognostic scoring systems for tumor budding in large, multi-center studies 2 Consensus on the optimal assessment method 3 Inter-observer reproducibility. This review provides a comprehensive analysis of TB in cancers of the upper gastrointestinal tract including critical appraisal of perspectives for further study.

  4. Towards a Global Upper Mantle Attenuation Model

    Science.gov (United States)

    Karaoglu, Haydar; Romanowicz, Barbara

    2015-04-01

    Global anelastic tomography is crucial for addressing the nature of heterogeneity in the Earth's interior. The intrinsic attenuation manifests itself through dispersion and amplitude decay. These are contaminated by elastic effects such as (de)focusing and scattering. Therefore, mapping anelasticity accurately requires separation of elastic effects from the anelastic ones. To achieve this, a possible approach is to try and first predict elastic effects through the computation of seismic waveforms in a high resolution 3D elastic model, which can now be achieved accurately using numerical wavefield computations. Building upon the recent construction of such a whole mantle elastic and radially anisotropic shear velocity model (SEMUCB_WM1, French and Romanowicz, 2014), which will be used as starting model, our goal is to develop a higher resolution 3D attenuation model of the upper mantle based on full waveform inversion. As in the development of SEMUCB_WM1, forward modeling will be performed using the spectral element method, while the inverse problem will be treated approximately, using normal mode asymptotics. Both fundamental and overtone time domain long period waveforms (T>60s) will be used from a dataset of over 200 events observed at several hundred stations globally. Here we present preliminary results of synthetic tests, exploring different iterative inversion strategies.

  5. Risk stratification in upper gastrointestinal bleeding; prediction, prevention and prognosis

    NARCIS (Netherlands)

    de Groot, N.L.|info:eu-repo/dai/nl/341387924

    2013-01-01

    In the first part of this thesis we developed a novel prediction score for predicting upper gastrointestinal (GI) bleeding in both NSAID and low-dose aspirin users. Both for NSAIDs and low-dose aspirin use risk scores were developed by identifying the five most dominant predictors. The risk of upper

  6. 49 CFR 572.185 - Thorax (upper torso) assembly.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 7 2010-10-01 2010-10-01 false Thorax (upper torso) assembly. 572.185 Section 572... Impact Crash Test Dummy, 50th Percentile Adult Male § 572.185 Thorax (upper torso) assembly. (a) The thorax assembly of the dummy must meet the requirements of both (b) and (c) of this section. Section 572...

  7. 7 CFR 1030.2 - Upper Midwest marketing area.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 9 2010-01-01 2009-01-01 true Upper Midwest marketing area. 1030.2 Section 1030.2 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements and Orders; Milk), DEPARTMENT OF AGRICULTURE MILK IN THE UPPER MIDWEST MARKETING AREA Order...

  8. Qualitative and Quantitative Changes of Upper Secondary Education in Poland

    Science.gov (United States)

    Hnatiuk, Michal

    2016-01-01

    The article presents the Polish educational system, its constituent part - upper secondary education, in particular. Describing the qualitative changes in the upper secondary schools (secondary schools of the second extent) the author singles out one significant document that has changed the direction of education, created the conditions for…

  9. LATERAL CEPHALOMETRIC RADIOGRAPHY FOR EVALUATION OF UPPER AIRWAY

    Directory of Open Access Journals (Sweden)

    Miesje Karmiati Purwanegara

    2015-06-01

    Full Text Available The influenced of respiration to dentocraniofacial growth and development is still controversial. The accurate radiologic examination is important factor for proper diagnosis. Deviation of upper airway (i.e. nasopharynx, oropharymx and nasal cavity could be evaluated by lateral and anteroposterior cephalometric projection technique. This paper explains several methods to evaluate upper respiratory tract by lateral radiograph.

  10. Career Development of Upper Primary School Students in Turkey

    Science.gov (United States)

    Nazli, Serap

    2014-01-01

    The purpose of this exploratory-descriptive study was to determine the career development of upper primary school students in Turkey. The Revised Career Awareness Survey (RCAS) was completed by 644 Turkish upper primary school students. Results indicated that the students were able to associate their own personal characteristics with particular…

  11. Cerebral gas embolism due to upper gastrointestinal endoscopy

    NARCIS (Netherlands)

    ter Laan, Mark; Totte, Erik; van Hulst, Rob A.; van der Linde, Klaas; van der Kamp, Wim; Pierie, Jean-Pierre E.

    2009-01-01

    Cerebral gas embolism as a result of upper gastrointestinal endoscopy is a rare complication and bares a high morbidity. A patient is presented who underwent an upper endoscopy for evaluation of a gastric-mediastinal fistula after subtotal oesophagectomy and gastric tube reconstruction because of oe

  12. Current perspective of venous thrombosis in the upper extremity

    NARCIS (Netherlands)

    Flinterman, L.E.; Meer, van der F.J.M.; Rosendaal, F.R.; Doggen, C.J.M.

    2008-01-01

    Venous thrombosis of the upper extremity is a rare disease. Therefore, not as much is known about risk factors, treatment and the risk of recurrence as for venous thrombosis of the leg. Only central venous catheters and strenuous exercise are commonly known risk factors for an upper extremity venous

  13. Cerebral gas embolism due to upper gastrointestinal endoscopy

    NARCIS (Netherlands)

    ter Laan, Mark; Totte, Erik; van Hulst, Rob A.; van der Linde, Klaas; van der Kamp, Wim; Pierie, Jean-Pierre E.

    2009-01-01

    Cerebral gas embolism as a result of upper gastrointestinal endoscopy is a rare complication and bares a high morbidity. A patient is presented who underwent an upper endoscopy for evaluation of a gastric-mediastinal fistula after subtotal oesophagectomy and gastric tube reconstruction because of oe

  14. A Cause of Mortal Massive Upper Gastrointestinal Bleeding: Aortoesophageal Fistula

    OpenAIRE

    Akin, Mete; Yalcinkaya, Tolga; Alkan, Erhan; Arslan, Gokhan; Tuna, Yasar; Yildirim, Bulent

    2016-01-01

    Introduction: Aortoesophageal fistula is an uncommon but mortal cause of massive upper gastrointestinal bleeding. The most common causes are thoracic aortic aneurisym, foreign body reaction, malignancy and postoperative complication. It can be seen in different pattern on upper gastrointestinal endoscopy. There are surgical, endoscopic and interventional radiological treatment options, however, definitive treatment is surgical intervention. Diagnosis and treatment desicion should be made quic...

  15. Upper mantle viscosity and lithospheric thickness under Iceland

    NARCIS (Netherlands)

    Barnhoorn, A.; Wal, W. van der; Drury, M.R.

    2011-01-01

    Deglaciation during the Holocene on Iceland caused uplift due to glacial isostatic adjustment. Relatively low estimates for the upper mantle viscosity and lithospheric thickness result in rapid uplift responses to the deglaciation cycles on Iceland. The relatively high temperatures of the upper mant

  16. Congenital monomelic muscular hypertrophy of the upper extremity.

    NARCIS (Netherlands)

    Gilhuis, H.J.; Zophel, O.T.; Lammens, M.M.Y.; Zwarts, M.J.

    2009-01-01

    Pathological muscular hypertrophy results from either muscular or neurogenic damage. Rarely, it is caused by a congenital malformation consisting of a unilateral muscular hyperplasia of the upper extremity. We report on a young woman with an enlargement of the right upper extremity. Electromyography

  17. 42 CFR 447.304 - Adherence to upper limits; FFP.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Adherence to upper limits; FFP. 447.304 Section 447... Noninstitutional Services § 447.304 Adherence to upper limits; FFP. (a) The Medicaid agency must not pay more than... payments may be made only up to the reasonable charge under Medicare. (c) FFP is not available for a...

  18. Career Development of Upper Primary School Students in Turkey

    Science.gov (United States)

    Nazli, Serap

    2014-01-01

    The purpose of this exploratory-descriptive study was to determine the career development of upper primary school students in Turkey. The Revised Career Awareness Survey (RCAS) was completed by 644 Turkish upper primary school students. Results indicated that the students were able to associate their own personal characteristics with particular…

  19. Upper Limb Ischemic Gangrene as a Complication of Hemodialysis Access

    Directory of Open Access Journals (Sweden)

    Shamir O. Cawich

    2015-01-01

    Full Text Available Upper limb ischemia is a well-recognized complication of dialysis access creation but progression to gangrene is uncommon. We report a case of upper limb ischemic gangrene and discuss the lessons learned during the management of this case. Clinicians must be vigilant for this complication and they should be reminded that it requires urgent management to prevent tissue loss.

  20. Congenital monomelic muscular hypertrophy of the upper extremity.

    NARCIS (Netherlands)

    Gilhuis, H.J.; Zophel, O.T.; Lammens, M.M.Y.; Zwarts, M.J.

    2009-01-01

    Pathological muscular hypertrophy results from either muscular or neurogenic damage. Rarely, it is caused by a congenital malformation consisting of a unilateral muscular hyperplasia of the upper extremity. We report on a young woman with an enlargement of the right upper extremity. Electromyography

  1. New upper bounds for kissing numbers from semidefinite programming

    NARCIS (Netherlands)

    C. Bachoc; F. Vallentin (Frank)

    2006-01-01

    htmlabstractRecently A. Schrijver derived new upper bounds for binary codes using semidefinite programming. In this paper we adapt this approach to codes on the unit sphere and we compute new upper bounds for the kissing number in several dimensions. In particular our computations give the (known)

  2. New upper bounds for kissing numbers from semidefinite programming

    NARCIS (Netherlands)

    C. Bachoc; F. Vallentin (Frank)

    2008-01-01

    htmlabstractRecently A. Schrijver derived new upper bounds for binary codes using semidefinite programming. In this paper we adapt this approach to codes on the unit sphere and we compute new upper bounds for the kissing number in several dimensions. In particular our computations give the (known)

  3. Impact of ethnicity in upper gastrointestinal hemorrhage.

    Science.gov (United States)

    Wollenman, Casey S; Chason, Rebecca; Reisch, Joan S; Rockey, Don C

    2014-04-01

    To examine ethnicity's role in the etiology and outcome of upper gastrointestinal hemorrhage (UGIH). UGIH is a serious condition with considerable associated morbidity and mortality. We analyzed 2196 patients admitted with acute UGIH between January 2006 and February 2012. Complete clinical data were gathered prospectively and entered into our GI Bleed Registry, which captures demographic and clinical variables. Results were analyzed using the χ² analyses and the analysis of variance techniques with Tukey multiple comparisons. Among 2196 patients, 620 (28%) were black, 625 (29%) white, 881 (40%) Hispanic, and 70 (3%) were members of other ethnicities. Gastroduodenal ulcers (25%), esophageal varices (25%), and esophagitis (12%) were the most frequently identified causes of UGIH. Blacks experienced a high rate of gastroduodenal ulcers (199/620), whereas Hispanics most commonly had esophageal varices. In all ethnicities, the most common cause of bleeding in patients younger than 35 or older than 65 years was gastroduodenal ulcer disease. However, among patients aged 35 to 64 years, there were differences in the etiology of UGIH. Blacks aged 50 to 64 years frequently experienced gastroduodenal ulcers, whereas Hispanics aged 35 to 49 years typically had esophageal varices. Rebleeding rates were significantly lower in whites (5.8%) than in Hispanics (9.9%) or blacks (8.7%) (P=0.02). By examining a diverse population, we conclude that UGIH may follow trends. Hispanics were likely to have esophageal varices and higher rebleeding rates, whereas blacks were likely to have ulcers and the highest mortality. Whites were equally likely to have ulcers or varices, but a lower rate of rebleeding.

  4. [Recurrence of upper aerodigestive tract tumors].

    Science.gov (United States)

    Martin, Laurent; Zoubir, Mustapha; Le Tourneau, Christophe

    2014-05-01

    Recurrences of tumours of the upper aerodigestive tract are frequent despite the improvement of the primary treatment and they limit the rate of survival long-term. They occur in patients with multiple co-morbidities, often associated with sequelae or side effects of earlier treatments. The salvage treatment will add a cumulative toxicity and therapeutic options are limited. The choice will go from curator to palliative treatment. The report benefit-risk must be assessed in each case depending on the terrain and prognostic factors that have been identified, such as performance status, the time between initial disease and the recurrence, the site and the stratification of the recurrence. In operable non-metastatic recurrence surgery remains the treatment of choice. Multimodal treatment involving surgery, radiation therapy and chemotherapy in this context is being evaluated. Non-operable tumors have long been considered only in a palliative context. The evaluation of detailed irradiation as bifractionnated radiotherapy combined with chemotherapy helped establish protocols allowing long-term survivals and consider these treatments as potentially curators. However, the toxicity of these treatments is important. That is why the technical innovations of the radiation and the development of new chemotherapeutic agents today offer opportunities remaining to assess. The use of irradiation targeted by intensity-modulated radiation therapy (IMRT), and stereotactic radiotherapy by decreasing the irradiated volume should decrease the toxicity. Generally better tolerated than conventional chemotherapy agents, targeted therapies also took their places associated with radiotherapy in the treatment of these patients already treated. Cetuximab was the first agent obtaining an indication. Other agents are being evaluated in metastatic recurrent tumors, including exploring the possibilities of radiopotentialisation nanoparticles and the inhibitors of apoptosis proteins.

  5. Physical activity and upper respiratory tract infections.

    Science.gov (United States)

    Kostka, T; Drygas, W; Jegier, A; Praczko, K

    2008-02-01

    We explored the relationship of current and lifetime physical activity (PA) with upper respiratory tract infections (URTI) symptomatology in 142 male volunteers aged 33 to 90. They participated in baseline and one-year follow-up examinations and fulfilled the log books for daily recording of URTI symptomatology during the whole year. PA was assessed by the Seven Day Recall PA Questionnaire and the Historical Leisure Activity Questionnaire. Number of URTI episodes per year and the number of days with URTI per year were significantly inversely associated with the follow-up 7-Day Recall Hard score (rho = - 0.21; p = 0.013 and rho = - 0.18; p = 0.032, respectively). In logistic regression model, after adjustment for age and anthropometric data, the subjects with high follow-up 7-Day Recall Hard score (dichotomised as high vs. low) had a lower probability of having at least 2 URTI episodes per year (OR = 0.38; CI = 0.18 - 0.78), lower probability of having at least 3 URTI episodes per year (OR = 0.42; CI = 0.20 - 0.87), and lower probability of having at least 15 days with URTI (OR = 0.36; CI = 0.15 - 0.88). URTI symptomatology was not related to cardiorespiratory fitness or any measures of the historical PA questionnaire. We conclude that in middle-aged and older men the symptomatology of URTI over long periods of time is inversely related to current but not to lifetime PA.

  6. Treatment of congestion in upper respiratory diseases

    Directory of Open Access Journals (Sweden)

    Eli O Meltzer

    2010-02-01

    Full Text Available Eli O Meltzer1, Fernan Caballero2, Leonard M Fromer3, John H Krouse4, Glenis Scadding51Allergy and Asthma Medical Group and Research Center, San Diego, CA and Department of Pediatrics, University of California, San Diego, USA; 2Allergy and Clinical Immunology Service, Centro Medico-Docente La Trinidad, Caracas, Venezuela; 3David Geffen School of Medicine, University of California, Los Angeles, USA; 4Wayne State University School of Medicine, Detroit, Michigan, USA; 5Department of Allergy and Rhinology, Royal National TNE Hospital, London, UKAbstract: Congestion, as a symptom of upper respiratory tract diseases including seasonal and perennial allergic rhinitis, acute and chronic rhinosinusitis, and nasal polyposis, is principally caused by mucosal inflammation. Though effective pharmacotherapy options exist, no agent is universally efficacious; therapeutic decisions must account for individual patient preferences. Oral H1-antihistamines, though effective for the common symptoms of allergic rhinitis, have modest decongestant action, as do leukotriene receptor antagonists. Intranasal antihistamines appear to improve congestion better than oral forms. Topical decongestants reduce congestion associated with allergic rhinitis, but local adverse effects make them unsuitable for long-term use. Oral decongestants show some efficacy against congestion in allergic rhinitis and the common cold, and can be combined with oral antihistamines. Intranasal corticosteroids have broad anti-inflammatory activities, are the most potent long-term pharmacologic treatment of congestion associated with allergic rhinitis, and show some congestion relief in rhinosinusitis and nasal polyposis. Immunotherapy and surgery may be used in some cases refractory to pharmacotherapy. Steps in congestion management include (1 diagnosis of the cause(s, (2 patient education and monitoring, (3 avoidance of environmental triggers where possible, (4 pharmacotherapy, and (5 immunotherapy

  7. Mycotic corneal ulcers in upper Assam

    Directory of Open Access Journals (Sweden)

    Reema Nath

    2011-01-01

    Full Text Available Purpose : To study the association of various risk factors and epidemiological variables of mycotic keratitis treated at a tertiary referral hospital of upper Assam. Materials and Methods: In this hospital-based prospective study a total of 310 consecutive corneal ulcer cases attending the ophthalmology outpatient department of Assam Medical College were enrolled between April 2007 and March 2009. After clinical and slit-lamp biomicroscopic examination in all suspected cases, smears and culture examination for fungus was done to establish the etiology. Demographic information and associated probable risk factors of individual cases were noted in a predesigned questionnaire. Results: In 188 (60.6% cases fungal etiology could be established. Out of them 67.6% were males. The most commonly affected age group was 41-50 years (25.5%. The maximum (23.4% cases were reported during the paddy harvesting season in Assam (January and February. Fungal element could be demonstrated in 65.2% cases in direct potassium hydroxide (KOH mount. The commonest predisposing factor was corneal injury (74.5%. While diabetes was a significant systemic predisposing factor in mixed bacterial and fungal infections in 11.1% cases, blocked naso-lacrimal duct was the local predisposing factor in 11.1% of cases. Fusarium solani (25% was the commonest isolate followed by Aspergillus species (19%, Curvularia species (18.5% and Penicillium species (15.2%. Yeasts were isolated in 2.7% (n=5 cases. Conclusions : Ocular trauma was the commonest cause of fungal corneal ulcer in Assam and Fusarium solani was the commonest species responsible for it. Most of the mycotic ulcer cases come from rural areas including the tea gardens.

  8. Bilateral upper eyelid retraction caused by topical bimatoprost therapy.

    Science.gov (United States)

    Noma, Kazunami; Kakizaki, Hirohiko

    2012-01-01

    The authors report a case with upper eyelid retraction caused by topical bimatoprost therapy. Topical bimatoprost 0.03% was administered to a 69-year-old woman with bilateral normal-tension glaucoma. It was first administered to the left eye, and 3 weeks later, therapy on the right side of the eye was initiated. One week after the initiation of therapy on the right side, right upper eyelid retraction occurred, and 63 days after starting treatment on the left side (42 days after initiation on the right side), conspicuous bilateral upper eyelid retraction was observed. Bimatoprost instillation was then stopped and the medication was switched to latanoprost 0.005%. Upper eyelid retraction was reversed to normal levels approximately 1 week after cessation of bimatoprost therapy. In conclusion, a rare case of upper eyelid retraction caused by topical bimatoprost therapy, which was reversed after discontinuation of the medication, is reported.

  9. Why Eddy Momentum Fluxes are Concentrated in the Upper Troposphere

    CERN Document Server

    Ait-Chaalal, Farid

    2015-01-01

    The extratropical eddy momentum flux (EMF) is controlled by generation, propagation, and dissipation of large-scale eddies and is concentrated in Earth's upper troposphere. An idealized GCM is used to investigate how this EMF structure arises. In simulations in which the poles are heated more strongly than the equator, EMF is concentrated near the surface, demonstrating that surface drag generally is not responsible for the upper-tropospheric EMF concentration. Although Earth's upper troposphere favors linear wave propagation, quasi-linear simulations in which nonlinear eddy-eddy interactions are suppressed demonstrate that this is likewise not primarily responsible for the upper-tropospheric EMF concentration. The quasi-linear simulations reveal the essential role of nonlinear eddy-eddy interactions in the surf zone in the upper troposphere, where wave activity absorption away from the baroclinic generation regions occurs through the nonlinear generation of small scales. In Earth-like atmospheres, wave activ...

  10. Upper limits on gravitational wave emission from 78 radio pulsars

    CERN Document Server

    Abbott, B; Adhikari, R; Agresti, J; Ajith, P; Allen, B; Amin, R; Anderson, S B; Anderson, W G; Arain, M; Araya, M; Armandula, H; Ashley, M; Aston, S; Aufmuth, P; Aulbert, C; Babak, S; Ballmer, S; Bantilan, H; Barish, B C; Barker, C; Barker, D; Barr, B; Barriga, P; Barton, M; Bayer, K; Betzwieser, J; Beyersdorf, P T; Bhawal, B; Bilenko, I A; Billingsley, G; Biswas, R; Black, E; Blackburn, K; Blackburn, L; Blair, D; Bland, B; Bogenstahl, J; Bogue, L; Bork, R; Boschi, V; Bose, S; Brady, P R; Braginsky, V B; Brau, J E; Brinkmann, M; Brooks, A; Brown, D A; Bullington, A; Bunkowski, A; Buonanno, A; Burmeister, O; Busby, D; Byer, R L; Cadonati, L; Cagnoli, G; Camp, J B; Cannizzo, J; Cannon, K; Cantley, C A; Cao, J; Cardenas, L; Castaldi, G; Cepeda, C; Chalkey, E; Charlton, P; Chatterji, S; Chelkowski, S; Chen, Y; Chiadini, F; Christensen, N; Clark, J; Cochrane, P; Cokelaer, T; Coldwell, R; Conte, R; Cook, D; Corbitt, T; Coyne, D; Creighton, J D E; Croce, R P; Crooks, D R M; Cruise, A M; Cumming, A; D'Ambrosio, E; Dalrymple, J; Danzmann, K; Davies, G; De Bra, D; DeSalvo, R; Degallaix, J; Degree, M; Demma, T; Dergachev, V; Desai, S; Dhurandhar, S V; Di Credico, A; Dickson, J; Diederichs, G; Dietz, A; Doomes, E E; Drever, R W P; Dumas, J C; Dupuis, R J; Dwyer, J G; Díaz, M; Ehrens, P; Espinoza, E; Etzel, T; Evans, M; Evans, T; Fairhurst, S; Fan, Y; Fazi, D; Fejer, M M; Finn, L S; Fiumara, V; Fotopoulos, N; Franzen, A; Franzen, K Y; Freise, A; Frey, R E; Fricke, T; Fritschel, P; Frolov, V V; Fyffe, M; Galdi, V; Garofoli, J; Gholami, I; Giaime, J A; Giampanis, S; Giardina, K D; Goda, K; Goetz, E; Goggin, L; González, G; Gossler, S; Grant, A; Gras, S; Gray, C; Gray, M; Greenhalgh, J; Gretarsson, A M; Grosso, R; Grote, H; Grünewald, S; Gustafson, R; Günther, M; Hage, B; Hammer, D; Hanna, C; Hanson, J; Harms, J; Harry, G; Harstad, E; Hayler, T; Heefner, J; Heng, I S; Heptonstall, A; Heurs, M; Hewitson, M; Hild, S; Hirose, E; Hoak, D; Hosken, D; Hough, J; Hoyland, D; Huttner, S H; Ingram, D; Innerhofer, E; Ito, M; Itoh, Y; Ivanov, A; Johnson, B; Johnson, W W; Jones, D I; Jones, G; Jones, R; Ju, L; Kalmus, Peter Ignaz Paul; Kalogera, V; Kasprzyk, D; Katsavounidis, E; Kawabe, K; Kawamura, S; Kawazoe, F; Kells, W; Keppel, D G; Khalili, F Ya; Kim, C; King, P; Kissel, J S; Klimenko, S; Kokeyama, K; Kondrashov, V; Kopparapu, R K; Kozak, D; Krishnan, B; Krämer, M; Kwee, P; Lam, P K; Landry, M; Lantz, B; Lazzarini, A; Lei, M; Leiner, J; Leonhardt, V; Leonor, I; Libbrecht, K; Lindquist, P; Lockerbie, N A; Longo, M; Lormand, M; Lubinski, M; Luck, H; Lyne, A G; MacInnis, M; Machenschalk, B; Mageswaran, M; Mailand, K; Malec, M; Mandic, V; Marano, S; Marka, S; Markowitz, J; Maros, E; Martin, I; Marx, J N; Mason, K; Matone, L; Matta, V; Mavalvala, N; McCarthy, R; McClelland, D E; McGuire, S C; McHugh, M; McKenzie, K; McWilliams, S; Meier, T; Melissinos, A C; Mendell, G; Mercer, R A; Meshkov, S; Messaritaki, E; Messenger, C J; Meyers, D; Mikhailov, E; Mitra, S; Mitrofanov, V P; Mitselmakher, G; Mittleman, R; Miyakawa, O; Mohanty, S; Moreno, G; Mossavi, K; Mow Lowry, C; Moylan, A; Mukherjee, S; Muller-Ebhardt, H; Munch, J; Murray, P; Myers, E; Myers, J; Müller, G; Newton, G; Nishizawa, A; Numata, K; O'Reilly, B; O'Shaughnessy, R; Ottaway, D J; Overmier, H; Owen, B J; Pan, Y; Papa, M A; Parameshwaraiah, V; Patel, P; Pedraza, M; Penn, S; Pierro, V; Pinto, I M; Pitkin, M; Pletsch, H; Plissi, M V; Postiglione, F; Prix, R; Quetschke, V; Raab, F; Rabeling, D; Radkins, H; Rahkola, R; Rainer, N; Rakhmanov, M; Ray-Majumder, S; Re, V; Rehbein, H; Reid, S; Reitze, D H; Ribichini, L; Riesen, R; Riles, K; Rivera, B; Robertson, N A; Robinson, C; Robinson, E L; Roddy, S; Rodríguez, A; Rogan, A M; Rollins, J; Romano, J D; Romie, J; Route, R; Rowan, S; Ruet, L; Russell, P; Ryan, K; Rüdiger, A; Sakata, S; Samidi, M; Sancho de la Jordana, L; Sandberg, V; Sannibale, V; Saraf, S; Sarin, P; Sathyaprakash, B S; Sato, S; Saulson, P R; Savage, R; Savov, P; Schediwy, S; Schilling, R; Schnabel, R; Schofield, R; Schutz, B F; Schwinberg, P; Scott, S M; Searle, A C; Sears, B; Seifert, F; Sellers, D; Sengupta, A S; Shawhan, P; Shoemaker, D H; Sibley, A; Sidles, J A; Siemens, X; Sigg, D; Sinha, S; Sintes, A M; Slagmolen, B; Slutsky, J; Smith, J R; Smith, M R; Somiya, K; Strain, K A; Strom, D M; Stuver, A; Summerscales, T Z; Sun, K X; Sung, M; Sutton, P J; Takahashi, H; Tanner, D B; Taylor, R; Thacker, J; Thorne, K A; Thorne, K S; Thüring, A; Tokmakov, K V; Torres, C; Torrie, C; Traylor, G; Trias, M; Tyler, W; Ugolini, D W; Urbanek, K; Vahlbruch, H; Vallisneri, M; Van Den Broeck, C; Varvella, M; Vass, S; Vecchio, A; Veitch, J; Veitch, P; Villar, A; Vorvick, C; Vyachanin, S P; Waldman, S J; Wallace, L; Ward, H; Ward, R; Watts, K; Weidner, A; Weinert, M; Weinstein, A; Weiss, R; Wen, S; Wette, K; Whelan, J T; Whitcomb, S E; Whiting, B F; Wilkinson, C

    2007-01-01

    We present upper limits on the gravitational wave emission from 78 radio pulsars based on data from the third and fourth science runs of the LIGO and GEO600 gravitational wave detectors. The data from both runs have been combined coherently to maximise sensitivity. For the first time pulsars within binary (or multiple) systems have been included in the search by taking into account the signal modulation due to their orbits. Our upper limits are therefore the first measured for 56 of these pulsars. For the remaining 22, our results improve on previous upper limits by up to a factor of 10. For example, our tightest upper limit on the gravitational strain is 3.2e-25 for PSRJ1603-7202, and the equatorial ellipticity of PSRJ2124-3358 is less than 10e-6. Furthermore, our strain upper limit for the Crab pulsar is only three times greater than the fiducial spin-down limit.

  11. New insights into Troglotella incrustans WERNLI & FOOKES, 1992, a fascinating Upper Jurassic-Upper Cretaceous foraminifer

    Directory of Open Access Journals (Sweden)

    Felix Schlagintweit

    2012-05-01

    Full Text Available New data about the highly variable test morphology of the benthic foraminifer Troglotella incrustans WERNLI & FOOKES (Oxfordian-Lower Cenomanian are presented, permitting an emended species/genus diagnosis. This concerns mainly the existence of a large final chamber with fistulose extensions that may follow the uniserial or the irregular-branching test part. The way of life of T. incrustans (cryptoendolithic vs. euendolithic is discussed against the background of different existing models in the literature. The study is based on material (thin-sections and provided photographs mainly from the Upper Jurassic of Austria, Italy, Romania, Ukraine, and also the type-locality of France.

  12. Upper Pennsylvanian coals and associated rocks - depositional environments, sedimentation, paleontology and paleobotany, upper Ohio River valley

    Energy Technology Data Exchange (ETDEWEB)

    Cross, A.T.

    1988-03-01

    A number of geologically interesting sites in the upper Ohio River valley will be visited during the North-Central Section of the Geological Society of America's meeting in Akron, OH in April 1988. Sixteen scheduled sites (and three substitutes) have been chosen. They represent the following features: field examples of various types of stratigraphic problems; sedimentologic characteristics of diverse environments; controlling structural or physiographic anomalies of pre-coal-forming peat accumulation surfaces; typical or unusual faunas and floras of terrestrial, brackish or marine origin; and various economic coals demonstrating geologic problems related to their origin, constitution and extraction.

  13. A STUDY ON UPPER GASTRO INTESTINAL ENDOSCOPIC FINDINGS IN PATIENTS ADMITTED WITH UPPER GASTRO INTESTINAL BLEEDING

    Directory of Open Access Journals (Sweden)

    Sudhakar Merugu

    2017-01-01

    Full Text Available BACKGROUND Endoscopy is key diagnostic tool for management of upper gastro intestinal bleeding. In addition it provides a unique therapeutic opportunity which has over years reduced the need for emergency surgery, but the impact on survival is less dramatic with the mortality from severe upper gastro intestinal bleeding remaining fairly constant. MATERIALS AND METHODS Hundred Patients who were giving definite history of vomiting of frank blood or coffee ground coloured vomit and or passed dark coloured stools were admitted during study period and were subjected to endoscopy to identify the aetiology. RESULTS In this study of 100 patients mean age of the patients was 48 years. Majority of them are males (82% and Male to Female ratio was 4.5:1. The most common cause of UGIB was portal hypertension related variceal bleed seen in 28% of patients. Peptic ulcer related bleed was seen in 25% of patients. Mallory Weiss tear was seen in 15% of patients, Oesophagitis (12% of patients, gastric erosions 7% of patients, duodenitis 6% of patients, GAVE accounted for 3% of patients, 2% of patients showing normal endoscopic findings, post EVL variceal bleed (1% and carcinoma stomach accounted for 1% of cases. CONCLUSION In present study variceal bleed was the most common cause of UGIB, followed by peptic ulcer bleed and variceal bleed was most common cause for major UGI bleed.

  14. Paleomagnetism of the Upper Carboniferous and Upper Permian sedimentary rocks from Novaya Zemlya Archipelago

    Science.gov (United States)

    Abashev, Victor V.; Mikhaltsov, Nikolay E.; Vernikovsky, Valery A.; Metelkin, Dmitry V.; Matushkin, Nikolay Yu.; Doubrovine, Pavel V.

    2016-04-01

    Here we present the first paleomagnetic directions and paleomagnetic poles for Upper Permian and Upper Carboniferous sedimentary rocks (sandstones and limestones) of the Novaya Zemlya Archipelago in the Russian High Arctic region. The paleomagnetic directions were obtained through detailed thermal and alternating field demagnetization experiments, using the principal component analysis of demagnetization data. A positive fold test and a positive reversal test indicate that the isolated paleomagnetic directions correspond to the primary magnetization components. Magnetic remanence carriers were characterized through rock-magnetic analyses, including measurements of temperature dependence of low-field magnetic susceptibility, magnetic hysteresis curves, and first-order reversal curves (FORC). We will describe the rock-magnetic properties of different lithological units and discuss their implications for the stability of natural remanent magnetization (NRM) and the veracity of paleomagnetic record. The tectonics implications of the new paleomagnetic data for the evolution of the Barents-Kara continental margin and the Novaya Zemlya Archipelago will be also discussed. The paleomagnetic poles differ slightly from the corresponding section of the APWP for Baltica, which is probably due to inclination shallowing effect or the tectonic features of the region. The study was supported by Russian Science Foundation grant 14-37-00030, the SIU project HNPla-2013/10049 (HEAT) and by Ministry of Education and Science of the Russian Federation grant 5.515.2014/K.

  15. Energy development vs water quality in the Upper Colorado and Upper Missouri River Basins

    Energy Technology Data Exchange (ETDEWEB)

    Bishop, A.B.; Klemetson, S.L.; Torpy, M.F.; McKee, M.

    1978-10-01

    This report examines the relationship between energy development and water quality in the Upper Colorado and Upper Missouri River Basins. The location and type of energy resources and present and possible future developments are identified relative to the water resource systems. Impacts from energy developments are discussed in terms of the various pollutants generated by energy extraction and processing activities, and the pollution transport mechanisms and pathways by which they can enter surface and groundwater. The report discusses the implications for energy development of the water quality aspects of legislative requirements and regulations. These include the Federal Water Pollution Control Act Amendments, the Safe Drinking Water Act, the Surface Mining Control and Reclamation Act, the Resource Conservation and Recovery Act, and the Toxic Substances Control Act. Many of the potential water pollution problems associated with energy development will occur through the transport of pollutants from air pollution and solid waste disposal. The consumptive use of all water withdrawn for energy processing as a pollution control measure raises three important issues--each of which represents a potential conflict between energy developers' compliance with the legislation and western water law: (1) junior rights and water transfer, (2) the beneficial use question, and (3) the reasonable use measure of certain water quality practices.

  16. Nitrogen Chemistry in Titan's Upper Atmosphere

    Science.gov (United States)

    Kammer, J. A.; Shemansky, D. E.; Zhang, X.; Yung, Y. L.

    2012-04-01

    Titan’s atmosphere has evolved over time into its current state through complex photochemical processes (Yung et al. 1984), involving nitrogen (N2), the dominant molecular species in the atmosphere, as well as methane (CH4). It has been proposed that this composition may be analogous to the early Earth’s, as it certainly provides an abundance of hydrocarbons the like from which early life may have arisen (Coustenis & Taylor 1999; Lunine 2005). Recent results from the Cassini spacecraft have greatly improved our knowledge of the current state of Titan’s atmosphere, and measurements made by the Ultraviolet Imaging Spectrograph (UVIS) in particular are able to probe the region of interest from 400 km to 1500 km in altitude where much of the photochemistry on Titan occurs (Shemansky et al. 2005, Koskinen et al. 2011). This photochemistry in part converts nitrogen from stable N2 molecules and incorporates it into detectable hydrocarbon products such as HCN, HC3N, and other heavier compounds. Therefore the nitrogen story is of particular interest, and we examine UVIS occultation observations in both the EUV and FUV regions of the spectrum in order to directly retrieve the vertical profiles of N2 in addition to its related hydrocarbon derivatives. Constraints from UVIS on temperature profiles of the upper atmosphere are also examined and compared to current results from the Ion and Neutral Mass Spectrometer (INMS), which probes a region above 1000 km altitude in Titan’s atmosphere (Westlake et al. 2011). References: Coustenis, A., and F. Taylor: “Titan: The Earth-Like Moon”. Singapore: World Scientific, 1999. Koskinen, T. T., et al.: “The mesosphere and thermosphere of Titan revealed by Cassini/UVIS stellar occultations”. Icarus, Vol. 216, pp. 507-534, 2011. Lunine, J. I.: “Astrobiology: A Multidisciplinary Approach”. San Francisco, CA: Pearson Addison Wesley, 2005. Shemansky, D. E., et al.: “The Cassini UVIS stellar probe of the Titan atmosphere

  17. Space Launch System Upper Stage Technology Assessment

    Science.gov (United States)

    Holladay, Jon; Hampton, Bryan; Monk, Timothy

    2014-01-01

    The Space Launch System (SLS) is envisioned as a heavy-lift vehicle that will provide the foundation for future beyond low-Earth orbit (LEO) exploration missions. Previous studies have been performed to determine the optimal configuration for the SLS and the applicability of commercial off-the-shelf in-space stages for Earth departure. Currently NASA is analyzing the concept of a Dual Use Upper Stage (DUUS) that will provide LEO insertion and Earth departure burns. This paper will explore candidate in-space stages based on the DUUS design for a wide range of beyond LEO missions. Mission payloads will range from small robotic systems up to human systems with deep space habitats and landers. Mission destinations will include cislunar space, Mars, Jupiter, and Saturn. Given these wide-ranging mission objectives, a vehicle-sizing tool has been developed to determine the size of an Earth departure stage based on the mission objectives. The tool calculates masses for all the major subsystems of the vehicle including propellant loads, avionics, power, engines, main propulsion system components, tanks, pressurization system and gases, primary structural elements, and secondary structural elements. The tool uses an iterative sizing algorithm to determine the resulting mass of the stage. Any input into one of the subsystem sizing routines or the mission parameters can be treated as a parametric sweep or as a distribution for use in Monte Carlo analysis. Taking these factors together allows for multi-variable, coupled analysis runs. To increase confidence in the tool, the results have been verified against two point-of-departure designs of the DUUS. The tool has also been verified against Apollo moon mission elements and other manned space systems. This paper will focus on trading key propulsion technologies including chemical, Nuclear Thermal Propulsion (NTP), and Solar Electric Propulsion (SEP). All of the key performance inputs and relationships will be presented and

  18. Clinical investigation of upper gastrointestinal hemorrhage after percutaneous endoscopic gastrostomy.

    Science.gov (United States)

    Nishiwaki, Shinji; Araki, Hiroshi; Takada, Jun; Watanabe, Naoki; Asano, Takahiko; Iwashita, Masahide; Tagami, Atsushi; Hatakeyama, Hiroo; Hayashi, Takao; Maeda, Teruo; Saito, Koshiro

    2010-07-01

    Upper gastrointestinal (GI) hemorrhage after percutaneous endoscopic gastrostomy (PEG) is sometimes reported as one of the serious complications. Our purpose was to clarify the cause of upper GI hemorrhage after PEG. We retrospectively investigated the causes of upper GI hemorrhage among a total of 416 patients out of 426 consecutive patients who underwent PEG in our institution, excluding 10 patients who showed upper GI tumors on PEG placement. Among 17 patients who developed upper GI hemorrhage after PEG, three and four patients showed PEG tube placement and replacement-related hemorrhage, respectively; these lesions were vascular or mucosal tears around the gastrostomy site. Ten patients experienced 12 episodes of upper GI hemorrhage during PEG tube feeding. The lesions showing bleeding were caused by reflux esophagitis (five patients), gastric ulcer (two patients), gastric erosion due to mucosal inclusion in the side hole of the internal bolster (two patients), and duodenal diverticular hemorrhage (one patient). Anticoagulants were administered in six patients, including four patients with replacement-related hemorrhage and one patient each with reflux esophagitis and gastric ulcer. Reflux esophagitis was the most frequent reason for upper GI hemorrhage after PEG. The interruption of anticoagulants should be considered for the prevention of hemorrhage on the placement as well as replacement of a gastrostomy tube.

  19. Are the fish of the upper and lower Mekong interconnected?

    Institute of Scientific and Technical Information of China (English)

    KANG Bin; PERRETT Lisa; LI Yungang; HE Daming

    2009-01-01

    The Mekong supports one of the richest inland fisheries in the world, with many of the fish migrating long distance to spawn. Little is known about the fisheries and migration strategies of the Upper Mekong whilst it is supposed that many fish species move between the Lower and Upper Mekong. Most likely, natural fish migration in the fiver has been altered by dam construction across the mainstream of the Upper Mekong. In this paper, the interconnectivity of fish species between different sections of the Mekong and negative impacts of dams on migratory fish are studied. Of the 162 fish species in the Upper Mekong and the 869 species in the Lower Mekong, 61 species are common. Results show that there is no significant difference at order level between the UM and LM. Similarity coefficients are used to evaluate interconnectivity at species, genus and family levels among four different sections of the Upper Mekong with each other and with the Lower Mekong as a whole. The highest similarity is found between the middle and lower reach of the Upper Mekong at species and genus levels and the middle and upper reach at family level. Of the eight cascade dams, Mengsong Dam in planning is considered as the biggest threat to migratory fish from the Lower Mekong and should be particularly concerned.

  20. Tranexamic acid for upper gastrointestinal bleeding.

    Science.gov (United States)

    Bennett, Cathy; Klingenberg, Sarah Louise; Langholz, Ebbe; Gluud, Lise Lotte

    2014-11-21

    Background Tranexamic acid reduces haemorrhage through its antifibrinolytic effects. In a previous version of the present review, we found that tranexamic acid may reduce mortality. This review includes updated searches and new trials.Objectives To assess the effects of tranexamic acid versus no intervention, placebo or other antiulcer drugs for upper gastrointestinal bleeding.Search methods We updated the review by performing electronic database searches (Cochrane Central Register of Controlled Trials (CENTRAL),MEDLINE, EMBASE, Science Citation Index) and manual searches in July 2014.Selection criteriaRandomised controlled trials, irrespective of language or publication status.Data collection and analysis We used the standard methodological procedures of the The Cochrane Collaboration. All-cause mortality, bleeding and adverse events were the primary outcome measures. We performed fixed-effect and random-effects model meta-analyses and presented results as risk ratios (RRs) with 95% confidence intervals (CIs) and used I² as a measure of between-trial heterogeneity. We analysed tranexamic acid versus placebo or no intervention and tranexamic acid versus antiulcer drugs separately. To analyse sources of heterogeneity and robustness of the overall results, we performed subgroup, sensitivity and sequential analyses.Main results We included eight randomised controlled trials on tranexamic acid for upper gastrointestinal bleeding. Additionally, we identified one large ongoing pragmatic randomised controlled trial from which data are not yet available. Control groups were randomly assigned to placebo (seven trials) or no intervention (one trial). Two trials also included a control group randomly assigned to antiulcer drugs(lansoprazole or cimetidine). The included studies were published from 1973 to 2011. The number of participants randomly assigned ranged from 47 to 216 (median 204). All trials reported mortality. In total, 42 of 851 participants randomly assigned to

  1. Survey of upper extremity injuries among martial arts participants.

    Science.gov (United States)

    Diesselhorst, Matthew M; Rayan, Ghazi M; Pasque, Charles B; Peyton Holder, R

    2013-01-01

    To survey participants at various experience levels of different martial arts (MA) about upper extremity injuries sustained during training and fighting. A 21-s question survey was designed and utilised. The survey was divided into four groups (Demographics, Injury Description, Injury Mechanism, and Miscellaneous information) to gain knowledge about upper extremity injuries sustained during martial arts participation. Chi-square testing was utilised to assess for significant associations. Males comprised 81% of respondents. Involvement in multiple forms of MA was the most prevalent (38%). The hand/wrist was the most common area injured (53%), followed by the shoulder/upper arm (27%) and the forearm/elbow (19%). Joint sprains/muscle strains were the most frequent injuries reported overall (47%), followed by abrasions/bruises (26%). Dislocations of the upper extremity were reported by 47% of participants while fractures occurred in 39%. Surgeries were required for 30% of participants. Females were less likely to require surgery and more likely to have shoulder and elbow injuries. Males were more likely to have hand injuries. Participants of Karate and Tae Kwon Do were more likely to have injuries to their hands, while participants of multiple forms were more likely to sustain injuries to their shoulders/upper arms and more likely to develop chronic upper extremity symptoms. With advanced level of training the likelihood of developing chronic upper extremity symptoms increases, and multiple surgeries were required. Hand protection was associated with a lower risk of hand injuries. Martial arts can be associated with substantial upper extremity injuries that may require surgery and extended time away from participation. Injuries may result in chronic upper extremity symptoms. Hand protection is important for reducing injuries to the hand and wrist.

  2. Inequalities Involving Upper Bounds for Certain Matrix Operators

    Indian Academy of Sciences (India)

    R Lashkaripour; D Foroutannia

    2006-08-01

    In this paper, we considered the problem of finding the upper bound Hausdorff matrix operator from sequence spaces $l_p(v)$ (or $d(v,p)$) into $l_p(w)$ (or $d(w, p)$). Also we considered the upper bound problem for matrix operators from $d(v,1)$ into $d(w,1)$, and matrix operators from $e(w,∞)$ into $e(v,∞)$, and deduce upper bound for Cesaro, Copson and Hilbert matrix operators, which are recently considered in [5] and [6] and similar to that in [10].

  3. [Oclusion of upper ophthalmic vein--a case report].

    Science.gov (United States)

    Kácerik, M; Alexík, M; Lipková, B

    2009-07-01

    Thrombosis of upper ophthalmic vein is both rare and serious pathologic event. Authors present a case of isolated unilateral upper ophthalmic vein thrombosis in 76-year-old woman, who despite treatment ended with amaurosis and secondary neovascular glaucoma. In differential diagnosis authors focused on searching for inflammatory process of orbit with adjacent structures as well as local and general causes leading to venous thrombosis. None of these were proven; it was a rare case of a patient with isolated upper ophthalmic vein thrombosis.

  4. A Case Report on Upper Extremity Pain of Cardiac Origin

    Directory of Open Access Journals (Sweden)

    Turgay Altınbilek

    2016-08-01

    Full Text Available Upper extremity pain can originate from the musculoskeletal system, or be a reflection of problems originating from various organs. Therefore, it is highly important to perform a detailed clinical evaluation on patients during differential diagnosis. In this case report, we present a 61 year-old male patient who was admitted with pain in both upper extremities and the upper back that presumed to be of cardiac origin following our clinical evaluations. The patient was referred to the cardiology department, where he was diagnosed with coronary heart disease. The patient’s complaints of pain were fully resolved through the application of an intracoronary stent.

  5. [Design and accuracy analysis of upper slicing system of MSCT].

    Science.gov (United States)

    Jiang, Rongjian

    2013-05-01

    The upper slicing system is the main components of the optical system in MSCT. This paper focuses on the design of upper slicing system and its accuracy analysis to improve the accuracy of imaging. The error of slice thickness and ray center by bearings, screw and control system were analyzed and tested. In fact, the accumulated error measured is less than 1 microm, absolute error measured is less than 10 microm. Improving the accuracy of the upper slicing system contributes to the appropriate treatment methods and success rate of treatment.

  6. Benign monomelic amyotrophy with proximal upper limb involvement: case report.

    Science.gov (United States)

    Neves, Marco Antonio Orsini; Freitas, Marcos R G de; Mello, Mariana Pimentel de; Dumard, Carlos Henrique; Freitas, Gabriel R de; Nascimento, Osvaldo J M

    2007-06-01

    Monomelic amyotrophy (MA) is a rare condition in which neurogenic amyotrophy is restricted to an upper or lower limb. Usually sporadic, it usually has an insidious onset with a mean evolution of 2 to 4 years following first clinical manifestations, which is, in turned, followed by stabilization. We report a case of 20-years-old man who presented slowly progressive amyotrophy associated with proximal paresis of the right upper limb, which was followed by clinical stabilization 4 years later. Eletroneuromyography revealed denervation along with myofasciculations in various muscle groups of the right upper limb. We call attention to this rare location of MA, as well as describe some theories concerning its pathophysiology .

  7. Congenital upper eyelids ectropion in Down’s syndrome

    Directory of Open Access Journals (Sweden)

    Corredor-Osorio, Rafael

    2017-02-01

    Full Text Available Congenital bilateral ectropion of the upper eyelids is a rare, benign condition reported in ophthalmic literature. It is more frequently associated with Down’s syndrome, ichthyosis, and sporadic cases in newborns from black population. We report three cases of congenital bilateral upper eyelid ectropion associated with Down’s syndrome. Management of these patients usually requires medial and lateral canthoplasties, full-thickness pentagonal resection of the upper eyelids and placement of skin grafts. We present herein the evolution of one of these patients and we will discuss the mechanism of the eyelid ectropion and its treatment.

  8. Petrology of the Upper Border Series of the Skaergaard Intrusion

    Science.gov (United States)

    Salmonsen, L.; Tegner, C.; Jakobsen, J. K.

    2009-12-01

    The Upper Border Series crystallized downwards from the roof of the Skaergaard magma chamber. It met with the Layered Series that crystallized upwards from the floor in the Sandwich Horizon that contains the last and most evolved rocks of the intrusion. Previous investigations of the Upper Border Series (Naslund, 1984) have shown that the compositional trends of plagioclase, olivine and pyroxene largely mirror those of the Layered Series. At the same time it was argued that the crystallization sequence in Upper Border Series differed from the Layered Series in that apatite precipitated before magnetite that, in turn, appeared before Ca-rich pyroxene. From the existing data the magma from which the Upper Border Series crystallized was inferred to be enriched in SiO2, K2O, P2O5 and H2O relative to the magma in the lower parts of the intrusion. This has lead to the conception that the Upper Border Series crystallized from a chemically different magma. Here we present new petrography, mineralogy and bulk compositions for samples collected in three profiles through the Upper Border Series (Kilen, Hammerpas and Brødretoppen transects). Although euhedral apatite is present throughout most of the Upper Border Series, we interpret a marked increase in modal apatite late in the crystallization sequence as marking its first appearance on the liquidus at the crystallization front. The plagioclase An% at this level in the Upper Border Series is ˜40 and is identical with plagioclase An% at the level of apatite-in in the Layered Series. Similarly, we find that the plagioclase An% at the onset of FeTi-oxide and sulphide precipitation in the Upper Border Series (52 and 47, respectively) and Layered Series are alike. Finally, we interpret abundant augite in Upper Border Series rocks before magnetite-in as a cumulus phase. We therefore conclude that the crystallization sequences of the two series are identical. The new bulk rock data reveal that the Upper Border Series and the

  9. Low Cost Upper Atmosphere Sounder (LOCUS)

    Science.gov (United States)

    Gerber, Daniel; Swinyard, Bruce M.; Ellison, Brian N.; Aylward, Alan D.; Aruliah, Anasuya; Plane, John M. C.; Feng, Wuhu; Saunders, Christopher; Friend, Jonathan; Bird, Rachel; Linfield, Edmund H.; Davies, A. Giles; Parkes, Steve

    2014-05-01

    near future. We describe the current instrument configuration of LOCUS, and give a first preview of the expected science return such a mission would yield. The LOCUS instrument concept calls for four spectral bands, a first band at 4.7 THz to target atomic oxygen (O), a second band at 3.5 THz to target hydroxyl (OH), a third band at 1.1 THz to cover several diatomic species (NO, CO, O3, H2O) and finally a fourth band at 0.8 THz to retrieve pointing information from molecular oxygen (O2). LOCUS would be the first satellite instrument to measure atomic oxygen on a global scale with a precision that will allow the retrieval of the global O distribution. It would also be the first time that annual and diurnal changes in O are measured. This will be a significant step forward in understanding the chemistry and dynamics of the MLT. Current indications (derived from CRISTA measurement) lead us to believe that current models only give a poor representation of upper atmospheric O. The secondary target species can help us to address additional scientific questions related to both Climate (distribution of climate relevant gases, highly geared cooling of the MLT in response to Climate change, increased occurrence of Polar Mesospheric Clouds (PMC), etc) and Space Weather (precipitation of electrically charged particles and impact on NOx chemistry, fluctuations of solar Lyman-alpha flux through shown in the the distribution of photochemically active species, etc).

  10. Acute upper gastrointestinal bleeding (UGIB) - initial evaluation and management.

    Science.gov (United States)

    Khamaysi, Iyad; Gralnek, Ian M

    2013-10-01

    Acute upper gastrointestinal bleeding (UGIB) is the most common reason that the 'on-call' gastroenterologist is consulted. Despite the diagnostic and therapeutic capabilities of upper endoscopy, there is still significant associated morbidity and mortality in patients experiencing acute UGIB, thus this is a true GI emergency. Acute UGIB is divided into non-variceal and variceal causes. The most common type of acute UGIB is 'non-variceal' and includes diagnoses such as peptic ulcer (gastric and duodenal), gastroduodenal erosions, Mallory-Weiss tears, erosive oesophagitis, arterio-venous malformations, Dieulafoy's lesion, and upper GI tract tumours and malignancies. This article focuses exclusively on initial management strategies for acute upper GI bleeding. We discuss up to date and evidence-based strategies for patient risk stratification, initial patient management prior to endoscopy, potential causes of UGIB, role of proton pump inhibitors, prokinetic agents, prophylactic antibiotics, vasoactive pharmacotherapies, and timing of endoscopy. Copyright © 2013 Elsevier Ltd. All rights reserved.

  11. Diagnosis and management of upper gastrointestinal bleeding in children.

    Science.gov (United States)

    Owensby, Susan; Taylor, Kellee; Wilkins, Thad

    2015-01-01

    Upper gastrointestinal bleeding is an uncommon but potentially serious, life-threatening condition in children. Rapid assessment, stabilization, and resuscitation should precede all diagnostic modalities in unstable children. The diagnostic approach includes history, examination, laboratory evaluation, endoscopic procedures, and imaging studies. The clinician needs to determine carefully whether any blood or possible blood reported by a child or adult represents true upper gastrointestinal bleeding because most children with true upper gastrointestinal bleeding require admission to a pediatric intensive care unit. After the diagnosis is established, the physician should start a proton pump inhibitor or histamine 2 receptor antagonist in children with upper gastrointestinal bleeding. Consideration should also be given to the initiation of vasoactive drugs in all children in whom variceal bleeding is suspected. An endoscopy should be performed once the child is hemodynamically stable. © Copyright 2015 by the American Board of Family Medicine.

  12. Endoscopic Management of Nonvariceal, Nonulcer Upper Gastrointestinal Bleeding

    NARCIS (Netherlands)

    Tjwa, E.T.; Holster, I.L.; Kuipers, E.J.

    2014-01-01

    Upper gastrointestinal bleeding (UGIB) is the most common emergency condition in gastroenterology. Although peptic ulcer and esophagogastric varices are the predominant causes, other conditions account for up to 50% of UGIBs. These conditions, among others, include angiodysplasia, Dieulafoy and Mall

  13. Upper Souris National Wildlife Refuge annual habitat work plan 2005

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This annual habitat management plan outlines working habitat objectives for wetland habitats based on refuge purposes, professional judgment and experience for Upper...

  14. Science, the Media, and Interpretations of Upper Paleolithic Figurines

    National Research Council Canada - National Science Library

    Nowell, April; Chang, Melanie L

    2014-01-01

    Using the recent discovery of the Hohle Fels figurine as a catalyst, in this article we briefly review the history of scholarship regarding Upper Paleolithic figurines that are often referred to as “Venus” figurines...

  15. VT Lidar Slope (1.6 meter) - 2010 - Missisquoi Upper

    Data.gov (United States)

    Vermont Center for Geographic Information — (Link to Metadata) This metadata applies to the following collection area(s): Missisquoi Upper 2010 1.6m and related SLOPE datasets. Created using ArcGIS "SLOPE"...

  16. Upper Mississippi River : Furbearer Manangement Plan and Environmental Assessment

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Upper Mississippi River NWR Furbearer Management Plan directs the management and regulation of trapping. The furbearer management program directly supports the...

  17. Forest Management Plan : Upper Mississippi River Wildlife & Fish Refuge

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Upper Mississippi National Wildlife and Fish Refuge Forest Management Plan is a general plan which outlines the refuge management objectives, forest...

  18. Cost Analysis of Medications Used in Upper Respiratory Tract ...

    African Journals Online (AJOL)

    Cost Analysis of Medications Used in Upper Respiratory Tract Infections and Prescribing Patterns in University Sans ... Tropical Journal of Pharmaceutical Research ... The study was done in the clinics under University Sains Malaysia. A total ...

  19. Upper airway imaging and its role in preoperative airway evaluation

    Directory of Open Access Journals (Sweden)

    Jagadish G Sutagatti

    2016-01-01

    Full Text Available Ultrasonography (USG is well-known as a fast, safe, and noninvasive technique. Its application for imaging of the airway is now gaining momentum. The upper airway has a complex anatomy, and its assessment forms a vital part of every preanesthetic evaluation. Ultrasound (US imaging can help in upper airway assessment in the preoperative period. There are various approaches to upper airway USG. The technique has its own advantages, disadvantages, and limitations. This simple yet challenging imaging technique is all set to become an important part of routine preoperative airway evaluation. This article reviews the various approaches to upper airway US imaging, interpretation of the images, limitations, and disadvantages of the technique and its varied clinical applications in the preoperative period. The scientific material presented here was hand searched from textbooks and journals, electronically from PubMed, and Google scholar using text words.

  20. A hybrid joint based controller for an upper extremity exoskeleton

    Science.gov (United States)

    Mohd Khairuddin, Ismail; Taha, Zahari; Majeed, Anwar P. P. Abdul; Hakeem Deboucha, Abdel; Azraai Mohd Razman, Mohd; Aziz Jaafar, Abdul; Mohamed, Zulkifli

    2016-02-01

    This paper presents the modelling and control of a two degree of freedom upper extremity exoskeleton. The Euler-Lagrange formulation was used in deriving the dynamic modelling of both the human upper limb as well as the exoskeleton that consists of the upper arm and the forearm. The human model is based on anthropometrical measurements of the upper limb. The proportional-derivative (PD) computed torque control (CTC) architecture is employed in this study to investigate its efficacy performing joint-space control objectives specifically in rehabilitating the elbow and shoulder joints along the sagittal plane. An active force control (AFC) algorithm is also incorporated into the PD-CTC to investigate the effectiveness of this hybrid system in compensating disturbances. It was found that the AFC- PD-CTC performs well against the disturbances introduced into the system whilst achieving acceptable trajectory tracking as compared to the conventional PD-CTC control architecture.

  1. [Tests of hand functionality in upper limb amputation with prosthesis].

    Science.gov (United States)

    Bazzini, G; Orlandini, D; Moscato, T A; Nicita, D; Panigazzi, M

    2007-01-01

    The need for standardized instruments for clinical measurements has become pressing in the fields of occupational rehabilitation and ergonomics. This is particularly the case for instruments that allow a quantitative evaluation of upper limb function, and especially hand function in patients who have undergone an amputation and then application of an upper limb prosthesis. This study presents a review of the main tests used to evaluate hand function, with a critical analysis of their use in subjects with an upper limb prosthesis. The tests are divided into: tests to evaluate strength, tests to evaluate co-ordination and dexterity, tests of global or overall function, and tests proposed specifically for subjects with an upper limb prosthesis. Of the various tests presented, the authors give their preference to the Bimanual Functional Assessment, Abilhand and/or the ADL Questionnaire, because of the practical usefulness, clinimetric features, simplicity and ease of administration of these tests.

  2. Monthly narrative reports for the Upper Souris Wildlife Refuge: 1937

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This narrative report for Upper Souris National Wildlife Refuge outlines Refuge accomplishments during the 1937 calendar year. Wildlife- including upland game birds,...

  3. Cryptographic Technique Used Lower and Upper Triangular Decomposition Method

    Directory of Open Access Journals (Sweden)

    B. KumaraswamyAchary,

    2016-02-01

    Full Text Available In this paper, the main cryptographic technique we will use affine cipher used for encryption and also decryption by using one of the linear algebra technique lower and upper triangular technique

  4. Haemorrhagic cholecystitis: an unusual cause of upper gastrointestinal bleeding.

    Science.gov (United States)

    Hicks, Natalie

    2014-01-17

    Haemorrhagic cholecystitis is a rare cause of upper gastrointestinal bleeding and is a difficult diagnosis to make. This case report describes an orthopaedic patient, who developed deranged liver function tests and anaemia after a hemiarthroplasty of the hip. The patient had upper abdominal pain and black stools which clinically appeared to be melaena. An ultrasound scan of the abdomen was inconclusive, and therefore a CT was performed and the potential diagnosis of haemorrhagic cholecystitis was raised. An endoscopic evaluation of the upper gastrointestinal tract showed no evidence of other causes of upper gastrointestinal bleeding. Following an emergency laparotomy and cholecystectomy, she recovered well. This report aims to increase awareness about the uncommon condition of haemorrhagic cholecystitis, and to educate regarding clinical and radiological signs which lead to this diagnosis.

  5. Sign Plan : Upper Mississippi River National Wildlife and Fish Refuge

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Upper Mississippi River National Wildlife and Fish Refuge Sign Plan explains how signs are used on the Refuge to help guide and educate visitors. An inventory of...

  6. Upper Ouachita National Wildlife Refuge [Land Status Map: Sheet 1

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This map was produced by the Division of Realty to depict landownership at Upper Ouachita National Wildlife Refuge. It was generated from rectified aerial...

  7. Upper Ouachita National Wildlife Refuge contaminants study 1989-1990

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Ouachita River and the adjacent Upper Ouachita National Wildlife Refuge (NWR), located in north-central Louisiana, are subject to potential impacts from oil and...

  8. Upper Limb Absence : Predictors of Work Participation and Work Productivity

    NARCIS (Netherlands)

    Postema, Sietke G.; Bongers, Raoul. M.; Brouwers, Michael. A.; Burger, Helena; Norling-Hermansson, Liselotte M.; Reneman, Michiel F.; Dijkstra, Pieter U.; van der Sluis, Corry K.

    Objectives: To analyze work participation, work productivity, contributing factors, and physical work demands of individuals with upper limb absence (ULA). Design: Cross-sectional study: postal survey (response rate, 45%). Setting: Twelve rehabilitation centers and orthopedic workshops.

  9. EVALUATION OF SERVICES' QUALITY IN UPPER SILESIA ACCOMMODATION FACILITIES

    National Research Council Canada - National Science Library

    Iwona Cieślik; Ewa Cieślik; Agnieszka Siembida; Małgorzata Tomczyk

    2013-01-01

    ... the accommodation facilities, and making a choice of a hotel in the Upper Silesia. The study involved 200 people, taking into account their gender, age, place of residence, education and occupational status...

  10. On Generalized Upper(kRecord Values From Weibull Distribution

    Directory of Open Access Journals (Sweden)

    Jerin Paul

    2015-09-01

    Full Text Available In this paper we study the generalized upper(krecord values arising from Weibull distribution. Expressions for the moments and product moments of those generalized upper(krecord values  are derived. Some properties of generalized upper(krecord values which characterize the Weibull distribution  have been established. Also some distributional properties of generalized upper(krecord values arising from Weibull distribution are considered and used for suggesting an estimator for the shape parameter of Weibull distribution. The location and scale parameters are estimated using the Best Linear Unbiased Estimation procedure. Prediction of a future record using Best Linear Unbiased Predictor has been studied. A real life data is used to illustrate the results generated in this work.

  11. Narrative report: Upper Souris National Wildlife Refuge: 1972

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This narrative report for Upper Souris National Wildlife Refuge outlines Refuge accomplishments during the 1972 calendar year. The report begins by summarizing the...

  12. [Upper Souris National Wildlife Refuge Narrative report: Calendar year 1976

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This narrative report for Upper Souris National Wildlife Refuge outlines Refuge accomplishments during the 1976 calendar year. The report begins with an introduction...

  13. Upper-tropospheric moistening in response to anthropogenic warming.

    Science.gov (United States)

    Chung, Eui-Seok; Soden, Brian; Sohn, B J; Shi, Lei

    2014-08-12

    Water vapor in the upper troposphere strongly regulates the strength of water-vapor feedback, which is the primary process for amplifying the response of the climate system to external radiative forcings. Monitoring changes in upper-tropospheric water vapor and scrutinizing the causes of such changes are therefore of great importance for establishing the credibility of model projections of past and future climates. Here, we use coupled ocean-atmosphere model simulations under different climate-forcing scenarios to investigate satellite-observed changes in global-mean upper-tropospheric water vapor. Our analysis demonstrates that the upper-tropospheric moistening observed over the period 1979-2005 cannot be explained by natural causes and results principally from an anthropogenic warming of the climate. By attributing the observed increase directly to human activities, this study verifies the presence of the largest known feedback mechanism for amplifying anthropogenic climate change.

  14. Visceral pain originating from the upper urinary tract

    DEFF Research Database (Denmark)

    Pedersen, Katja Venborg; Drewes, Asbjørn Mohr; Frimodt-Møller, Poul Christian

    2010-01-01

    are still poorly understood, which often leads to a trial and error approach in clinical pain management. Pain from the upper urinary tract seems to have all the characteristics of pure visceral pain, including referred pain with or without hyperalgesia/trophic changes in somatic tissues and viscero-visceral...... hyperalgesia. However, further studies are needed to better understand these visceral pain mechanisms with regard to optimising pain management. This review gives an introduction to visceral pain in general and upper urinary tract pain in particular, with special reference to pain pathways and pharmacological......Pain originating from the upper urinary tract is a common problem and stone colic is one of the most intense pain conditions that can be experienced in the clinic. The pain is difficult to alleviate and often leads to medical attention. In humans, pain mechanisms of the upper urinary tract pain...

  15. Upper Ouachita National Wildlife Refuge Habitat Management Plan

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Upper Ouachita National Wildlife Refuge Habitat Management Plan provides a long-term vision and specific guidance on managing habitats for the resources of...

  16. Skin Cancer of the Hand and Upper Extremity

    Science.gov (United States)

    ... Therapist? Media Find a Hand Surgeon Home Anatomy Skin Cancer of the Hand and Upper Extremity Email to ... E – Evolving (changing in any way) How is Skin Cancer Diagnosed? Diagnosis starts with you asking your doctor ...

  17. Design and manufacturing of the ITER ECRH Upper launcher mirrors

    OpenAIRE

    Sanchez, Francisco; Bertizzolo, Robert; Chavan, Rene; Collazos, Andres; Landis, Jean Daniel

    2008-01-01

    Four of the 16 ITER upper port plugs will be devoted to electron cyclotron resonance heating (ECRH) in order to control the magneto-hydrodynamic (MHD) instabilities. In order to achieve the stabilisation of the neoclassical tearing modes (NTM) and sawtooth oscillation, a deposition of a very localized and peaked current density profile over a broad poloidal steering range is required. In the present optical configuration eight 2MW mm-wave beams enter each of the four upper launchers (UL) thro...

  18. Upper bounds for domination related parameters in graphs on surfaces

    Directory of Open Access Journals (Sweden)

    Vladimir Samodivkin

    2016-08-01

    Full Text Available In this paper we give tight upper bounds on the total domination number, the weakly connected domination number and the connected domination number of a graph in terms of order and Euler characteristic. We also present upper bounds for the restrained bondage number, the total restrained bondage number and the restricted edge connectivity of graphs in terms of the orientable/nonorientable genus and maximum degree.

  19. Upper Maxwellian bounds for the spatially homogeneous Boltzmann equation

    OpenAIRE

    Gamba, I. M.; Panferov, V.; Villani, C.

    2007-01-01

    For the spatially homogeneous Boltzmann equation with cutoff hard potentials it is shown that solutions remain bounded from above, uniformly in time, by a Maxwellian distribution, provided the initial data have a Maxwellian upper bound. The main technique is based on a comparison principle that uses a certain dissipative property of the linear Boltzmann equation. Implications of the technique to propagation of upper Maxwellian bounds in the spatially-inhomogeneous case are discussed.

  20. Review of Topical Treatment of Upper Tract Urothelial Carcinoma

    Directory of Open Access Journals (Sweden)

    Kenneth G. Nepple

    2009-01-01

    Full Text Available A select group of patients with upper tract urothelial carcinoma may be appropriate candidates for minimally invasive management. Organ-preserving endoscopic procedures may be appropriate for patients with an inability to tolerate major surgery, solitary kidney, bilateral disease, poor renal function, small tumor burden, low-grade disease, or carcinoma in situ. We review the published literature on the use of topical treatment for upper tract urothelial carcinoma and provide our approach to treatment in the office setting.

  1. Congenital eversion of upper eyelids: Case report and management

    Directory of Open Access Journals (Sweden)

    Maheshwari Rajat

    2006-01-01

    Full Text Available Congenital eversion of the upper eyelids is a rare condition, the exact cause of which remains unknown. It is more frequently associated with Down′s syndrome and black babies. If diagnosed early and treated properly, the condition can be managed without surgery. We report a case of congenital bilateral severe upper eyelid eversion in a normal infant, born by vaginal delivery. The case was conservatively managed by lubricants, antibiotics and eyelid patching.

  2. Aquatic macrophyte diversity of the Pantanal wetland and upper basin

    OpenAIRE

    VJ. Pott; Pott, A; LCP. Lima; SN. Moreira; AKM Oliveira

    2011-01-01

    This is a short review of the state of the art concerning diversity of aquatic macrophytes and the main aquatic vegetation types in the Brazilian Pantanal wetland and upper watershed. There are ca. 280 species of aquatic macrophytes on the Pantanal floodplain, with scarce endemism. On the upper watershed, Cerrado wetlands (veredas) and limestone springs have a distinct flora from the Pantanal, with twice the species richness. As a representative case of aquatic habitats influenced by river fl...

  3. Benign monomelic amyotrophy with proximal upper limb involvement: case report

    OpenAIRE

    Neves,Marco Antonio Orsini; Marcos R. G.de Freitas; Mello,Mariana Pimentel; Dumard,Carlos Henrique; Gabriel R. de Freitas; Nascimento, Osvaldo J.M.

    2007-01-01

    Monomelic amyotrophy (MA) is a rare condition in which neurogenic amyotrophy is restricted to an upper or lower limb. Usually sporadic, it usually has an insidious onset with a mean evolution of 2 to 4 years following first clinical manifestations, which is, in turned, followed by stabilization. We report a case of 20-years-old man who presented slowly progressive amyotrophy associated with proximal paresis of the right upper limb, which was followed by clinical stabilization 4 years later. E...

  4. Thermodynamic upper bound on broadband light coupling with photonic structures.

    Science.gov (United States)

    Yu, Zongfu; Raman, Aaswath; Fan, Shanhui

    2012-10-26

    The coupling between free space radiation and optical media critically influences the performance of optical devices. We show that, for any given photonic structure, the sum of the external coupling rates for all its optical modes are subject to an upper bound dictated by the second law of thermodynamics. Such bound limits how efficient light can be coupled to any photonic structure. As one example of application, we use this upper bound to derive the limit of light absorption in broadband solar absorbers.

  5. Upper Eyelid Filling With or Without Surgical Treatment.

    Science.gov (United States)

    Romeo, Francesco

    2016-04-01

    The upper eyelid of young people is characterized by a proper fullness and projection. Aging eyes show upper eyelid volume loss, symmetric or asymmetric hollowing with too much upper lid showing, dermatochalasis with skin excess. While in the past blepharoplasty surgery was the only approach used to improve eye appearance in the last years, hyaluronic acid (HA) filling of the upper eyelid area has been found very effective in reaching good eye rejuvenation and use of traditional surgical techniques can be limited. A total of 154 patients were enrolled in this study to improve eye appearance. One hundred twenty-eight patients were treated with HA injections in the upper eyelid only, 21 patients underwent surgical treatment followed by HA injections to ensure full correction, and 5 patients underwent blepharoplasty surgery only. The correct approach has been evaluated on the basis of standardized criterion. Twelve-month clinical follow-up was used to evaluate the results and the degree of patient satisfaction was high. The results are very lasting and no modifications after 2 years are common. HA filling is an effective means to rejuvenate the upper eyelid and in several cases it is the only approach able to restore the proper fullness of the upper eyelids. Surgical techniques should be used in the presence of dermatochalasis with excess skin. HA injections in the upper eyelid are easy to perform but it is important to use the correct technique and follow proper indications. This method is a manageable, lasting, and low-cost treatment. This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www

  6. Scales of Heterogeneities in the Continental Crust and Upper Mantle

    OpenAIRE

    M. Tittgemeyer; F. Wenzel; Trond Ryberg; Fuchs, K

    1999-01-01

    A seismological characterization of crust and upper mantle can refer to large-scale averages of seismic velocities or to fluctuations of elastic parameters. Large is understood here relative to the wavelength used to probe the earth. In this paper we try to characterize crust and upper mantle by the fluctuations in media properties rather than by their average velocities. As such it becomes evident that different scales of heterogeneities prevail in different layers of crust mantle. Although ...

  7. Ubiquitous human upper-limb motion estimation using wearable sensors.

    Science.gov (United States)

    Zhang, Zhi-Qiang; Wong, Wai-Choong; Wu, Jian-Kang

    2011-07-01

    Human motion capture technologies have been widely used in a wide spectrum of applications, including interactive game and learning, animation, film special effects, health care, navigation, and so on. The existing human motion capture techniques, which use structured multiple high-resolution cameras in a dedicated studio, are complicated and expensive. With the rapid development of microsensors-on-chip, human motion capture using wearable microsensors has become an active research topic. Because of the agility in movement, upper-limb motion estimation has been regarded as the most difficult problem in human motion capture. In this paper, we take the upper limb as our research subject and propose a novel ubiquitous upper-limb motion estimation algorithm, which concentrates on modeling the relationship between upper-arm movement and forearm movement. A link structure with 5 degrees of freedom (DOF) is proposed to model the human upper-limb skeleton structure. Parameters are defined according to Denavit-Hartenberg convention, forward kinematics equations are derived, and an unscented Kalman filter is deployed to estimate the defined parameters. The experimental results have shown that the proposed upper-limb motion capture and analysis algorithm outperforms other fusion methods and provides accurate results in comparison to the BTS optical motion tracker.

  8. The gothic arch tracing and the upper canine teeth as guides in the positioning of upper posterior teeth.

    Science.gov (United States)

    el-Gheriani, A S; Davies, A L; Winstanley, R B

    1989-09-01

    The relationship between the position of the buccal cusps of the natural upper posterior teeth and the distance between the lateral arms of the Gothic arch tracing or the distance between the upper canine teeth has been found to be constant to within +/- 2 mm. This may be of value when setting up artificial teeth for denture patients, enabling them to be positioned close to the natural predecessors.

  9. UPPER FRASNIAN (UPPER DEVONIAN POLYGNATHUS AND ICRIODUS CONODONTS FROM THE BAHRAM FORMATION, HUR SECTION, KERMAN PROVINCE, SOUTHEASTERN IRAN

    Directory of Open Access Journals (Sweden)

    TAYEBEH AHMADI

    2012-07-01

    Full Text Available Conodont fauna from the Upper Devonian (Frasnian Bahram Formation at the Hur section, north of Kerman, southeast Iran, is dominated by species of Icriodus and Polygnathus. This fauna allowed discrimination of two biointervals from the Lower rhenana Zone to an Upper rhenana-linguiformis interval. The age of the lower part of the studied section is tentatively considered to be older than the Lower rhenana Zone. 

  10. AETIOLOGICAL PROFILE OF PATIENTS PRESENTING WITH UPPER GASTROINTESTINAL BLEEDING

    Directory of Open Access Journals (Sweden)

    Amit Govind Kamat

    2017-06-01

    Full Text Available BACKGROUND In the recent years, the number of studies exclusively examining epidemiologic patterns of Upper Gastrointestinal Bleeding (UGIB has been quite limited. However, most epidemiologic studies have shown a decrease in the incidence of all causes of upper gastrointestinal bleeding. Although, the incidences of peptic ulcers have remained unchanged. Gastrointestinal bleeding is a very common emergency accounting for 7-8% of acute medical admissions. UGIB is 4-5 times more common than the lower GI haemorrhage. Acute erosive gastritis is the most common cause followed by oesophageal varices, peptic ulcer and reflux oesophagitis. Upper GI bleed is more common in men than women (ratio 3:2 and the frequency increases with age. Hence, the present study was designed to study the aetiological profile of patients presenting with upper gastrointestinal bleeding. MATERIALS AND METHODS This one year cross-sectional study was conducted from January 2013 to December 2013. Sample size of 50 was considered. Patients aged 18 years and above presenting with upper gastrointestinal bleeding and who are fit for endoscopy were selected. Endoscopy was performed in all patients within 24 hrs. of admission and data was plotted in terms of rates, ratios and percentages and continuous data was expressed as mean ± standard deviation. RESULTS In the present study, most of the patients reported past history of liver disease and intake of NSAIDs and aspirins. In the present study, on clinical examination, most of the patients had pallor followed by tenderness. In the present study, the commonest diagnosis was cirrhosis of liver due to alcohol-induced with portal hypertension. CONCLUSION Upper GI endoscopy revealed varices as most common cause of upper gastrointestinal bleeding.

  11. Trends in Acute Nonvariceal Upper Gastrointestinal Bleeding in Dialysis Patients

    Science.gov (United States)

    Yang, Ju-Yeh; Lee, Tsung-Chun; Montez-Rath, Maria E.; Paik, Jane; Chertow, Glenn M.; Desai, Manisha

    2012-01-01

    Impaired kidney function is a risk factor for upper gastrointestinal (GI) bleeding, an event associated with poor outcomes. The burden of upper GI bleeding and its effect on patients with ESRD are not well described. Using data from the US Renal Data System, we quantified the rates of occurrence of and associated 30-day mortality from acute, nonvariceal upper GI bleeding in patients undergoing dialysis; we used medical claims and previously validated algorithms where available. Overall, 948,345 patients contributed 2,296,323 patient-years for study. The occurrence rates for upper GI bleeding were 57 and 328 episodes per 1000 person-years according to stringent and lenient definitions of acute, nonvariceal upper GI bleeding, respectively. Unadjusted occurrence rates remained flat (stringent) or increased (lenient) from 1997 to 2008; after adjustment for sociodemographic characteristics and comorbid conditions, however, we found a significant decline for both definitions (linear approximation, 2.7% and 1.5% per year, respectively; Pupper GI bleeding episodes and were more likely to receive blood transfusions during an episode. Overall 30-day mortality was 11.8%, which declined significantly over time (relative declines of 2.3% or 2.8% per year for the stringent and lenient definitions, respectively). In summary, despite declining trends worldwide, crude rates of acute, nonvariceal upper GI bleeding among patients undergoing dialysis have not decreased in the past 10 years. Although 30-day mortality related to upper GI bleeding declined, perhaps reflecting improvements in medical care, the burden on the ESRD population remains substantial. PMID:22266666

  12. Trends in acute nonvariceal upper gastrointestinal bleeding in dialysis patients.

    Science.gov (United States)

    Yang, Ju-Yeh; Lee, Tsung-Chun; Montez-Rath, Maria E; Paik, Jane; Chertow, Glenn M; Desai, Manisha; Winkelmayer, Wolfgang C

    2012-03-01

    Impaired kidney function is a risk factor for upper gastrointestinal (GI) bleeding, an event associated with poor outcomes. The burden of upper GI bleeding and its effect on patients with ESRD are not well described. Using data from the US Renal Data System, we quantified the rates of occurrence of and associated 30-day mortality from acute, nonvariceal upper GI bleeding in patients undergoing dialysis; we used medical claims and previously validated algorithms where available. Overall, 948,345 patients contributed 2,296,323 patient-years for study. The occurrence rates for upper GI bleeding were 57 and 328 episodes per 1000 person-years according to stringent and lenient definitions of acute, nonvariceal upper GI bleeding, respectively. Unadjusted occurrence rates remained flat (stringent) or increased (lenient) from 1997 to 2008; after adjustment for sociodemographic characteristics and comorbid conditions, however, we found a significant decline for both definitions (linear approximation, 2.7% and 1.5% per year, respectively; Pupper GI bleeding episodes and were more likely to receive blood transfusions during an episode. Overall 30-day mortality was 11.8%, which declined significantly over time (relative declines of 2.3% or 2.8% per year for the stringent and lenient definitions, respectively). In summary, despite declining trends worldwide, crude rates of acute, nonvariceal upper GI bleeding among patients undergoing dialysis have not decreased in the past 10 years. Although 30-day mortality related to upper GI bleeding declined, perhaps reflecting improvements in medical care, the burden on the ESRD population remains substantial.

  13. Upper Gastrointestinal Disorders in Children with End -Stage Renal Disease

    Directory of Open Access Journals (Sweden)

    Esfahani S.T

    2009-04-01

    Full Text Available This study was undertaken to define the prevalence of the upper Gastrointestinal (GI lesions, dyspeptic symptoms, H.pylori infection, and the impact of duration of dialysis on upper GI symptoms and lesions of children with End-stage renal disease. We studied 69 children with ESRD who were under regular hemodialysis therapy in our department. The age of the patients were between 4-18 years (mean: 11.3. 57(82.6% of 69 patients had GI symptoms and 12(17.4% were symptom free, the prevalence of each symptom in 57 symptomatic children was as follows: anorexia 48(84.2%, nausea/vomiting 39 (68.4%, belching/heartburn 20(35%, abdominal distention 15(26.3%, and epigastric pain 8(14%. 65(92.4% of 69 patients with ESRD had pathologic lesions and the most common lesion was gastritis .There was no case of gastric angiodysplasia in our patients. 15(21.7% of 69 patients had H. pylori infection. The prevalence of H.pylori infection in non-uremic children with upper GI symptoms is about 27% in our pediatric gastroenterology department, so there was no significant difference in prevalence of H.pylori infection between uremic and non-uremic children in our study (p value = 0.4735. There was no significant relationship between duration of dialysis and dyspeptic symptoms or upper GI lesions (p values were 0.8775 and 0.7435, respectively. Conclusions: Upper GI disorders are very common in children with ESRD, even when they have no upper GI symptoms, the most common lesion is gastritis. The prevalence of H.pylori infection is not different between children with ESRD and non-uremic children with upper GI symptoms, and duration of hemodialysis therapy has no significant effect on prevalence of GI symptoms and lesions.

  14. Progress of the ECRH Upper Launcher design for ITER

    Energy Technology Data Exchange (ETDEWEB)

    Strauss, D., E-mail: dirk.strauss@kit.edu [Karlsruhe Institute of Technology, Assoc. KIT-EURATOM, D-76021 Karlsruhe (Germany); Aiello, G. [Karlsruhe Institute of Technology, Assoc. KIT-EURATOM, D-76021 Karlsruhe (Germany); Bruschi, A. [Istituto di Fisica del Plasma CNR, Euratom Association, 20125 Milano (Italy); Chavan, R. [Centre de Recherches en Physique des Plasmas, CRPP–EPFL, CH-1015 Lausanne (Switzerland); Farina, D.; Figini, L. [Istituto di Fisica del Plasma CNR, Euratom Association, 20125 Milano (Italy); Gagliardi, M.; Garcia, V. [Fusion for Energy, Barcelona (Spain); Goodman, T.P. [Centre de Recherches en Physique des Plasmas, CRPP–EPFL, CH-1015 Lausanne (Switzerland); Grossetti, G. [Karlsruhe Institute of Technology, Assoc. KIT-EURATOM, D-76021 Karlsruhe (Germany); Heemskerk, C. [Heemskerk Innovative Technology, Merelhof 2, 2172 HZ Sassenheim (Netherlands); Henderson, M.A. [ITER Organization, 13108 Saint-Paul-lez-Durance (France); Kasparek, W. [Institut für Plasmaforschung, IPF, D-70569 Stuttgart (Germany); Krause, A.; Landis, J.-D. [Centre de Recherches en Physique des Plasmas, CRPP–EPFL, CH-1015 Lausanne (Switzerland); Meier, A. [Karlsruhe Institute of Technology, Assoc. KIT-EURATOM, D-76021 Karlsruhe (Germany); Moro, A.; Platania, P. [Istituto di Fisica del Plasma CNR, Euratom Association, 20125 Milano (Italy); Plaum, B. [Institut für Plasmaforschung, IPF, D-70569 Stuttgart (Germany); Poli, E. [Max-Planck-IPP, Euratom Association, D-85748 Garching (Germany); and others

    2014-10-15

    The design of the ITER ECRH system provides 20 MW millimeter wave power for central plasma heating and MHD stabilization. The system consists of an array of 24 gyrotrons with power supplies coupled to a set of transmission lines guiding the beams to the four upper and the equatorial launcher. The front steering upper launcher design described herein has passed successfully the preliminary design review, and it is presently in the final design stage. The launcher consists of a millimeter wave system and steering mechanism with neutron shielding integrated into an upper port plug with the plasma facing blanket shield module (in-vessel) and a set of ex-vessel waveguides connecting the launcher to the transmission lines. Part of the transmission lines are the ultra-low loss CVD torus diamond windows and a shutter valve, a miter bend section and the feedthroughs integrated in the plug closure plate. These components are connected by corrugated waveguides and form together the first confinement system (FCS). In-vessel, the millimeter-wave system includes a quasi-optical beam propagation system including four mirror sets and a front steering mirror. The millimeter wave system is integrated into a specifically optimized upper port plug providing structural stability to withstand plasma disruption forces and the high heat load from the plasma side with a dedicated blanket shield module. A recent update in the ITER interface definition has resulted in the recession of the upper port plug first wall panels, which is now integrated into the design. Apart from the millimeter wave system the upper port plug houses also a set of shield blocks which provide neutron shielding. An overview of the actual ITER ECRH Upper Launcher is given together with some highlights of the design.

  15. Upper limits on gravitational wave emission from 78 radio pulsars

    Science.gov (United States)

    Abbott, B.; Abbott, R.; Adhikari, R.; Agresti, J.; Ajith, P.; Allen, B.; Amin, R.; Anderson, S. B.; Anderson, W. G.; Arain, M.; Araya, M.; Armandula, H.; Ashley, M.; Aston, S.; Aufmuth, P.; Aulbert, C.; Babak, S.; Ballmer, S.; Bantilan, H.; Barish, B. C.; Barker, C.; Barker, D.; Barr, B.; Barriga, P.; Barton, M. A.; Bayer, K.; Belczynski, K.; Betzwieser, J.; Beyersdorf, P. T.; Bhawal, B.; Bilenko, I. A.; Billingsley, G.; Biswas, R.; Black, E.; Blackburn, K.; Blackburn, L.; Blair, D.; Bland, B.; Bogenstahl, J.; Bogue, L.; Bork, R.; Boschi, V.; Bose, S.; Brady, P. R.; Braginsky, V. B.; Brau, J. E.; Brinkmann, M.; Brooks, A.; Brown, D. A.; Bullington, A.; Bunkowski, A.; Buonanno, A.; Burmeister, O.; Busby, D.; Butler, W. E.; Byer, R. L.; Cadonati, L.; Cagnoli, G.; Camp, J. B.; Cannizzo, J.; Cannon, K.; Cantley, C. A.; Cao, J.; Cardenas, L.; Carter, K.; Casey, M. M.; Castaldi, G.; Cepeda, C.; Chalkey, E.; Charlton, P.; Chatterji, S.; Chelkowski, S.; Chen, Y.; Chiadini, F.; Chin, D.; Chin, E.; Chow, J.; Christensen, N.; Clark, J.; Cochrane, P.; Cokelaer, T.; Colacino, C. N.; Coldwell, R.; Conte, R.; Cook, D.; Corbitt, T.; Coward, D.; Coyne, D.; Creighton, J. D. E.; Creighton, T. D.; Croce, R. P.; Crooks, D. R. M.; Cruise, A. M.; Cumming, A.; Dalrymple, J.; D'Ambrosio, E.; Danzmann, K.; Davies, G.; Debra, D.; Degallaix, J.; Degree, M.; Demma, T.; Dergachev, V.; Desai, S.; Desalvo, R.; Dhurandhar, S.; Díaz, M.; Dickson, J.; di Credico, A.; Diederichs, G.; Dietz, A.; Doomes, E. E.; Drever, R. W. P.; Dumas, J.-C.; Dupuis, R. J.; Dwyer, J. G.; Ehrens, P.; Espinoza, E.; Etzel, T.; Evans, M.; Evans, T.; Fairhurst, S.; Fan, Y.; Fazi, D.; Fejer, M. M.; Finn, L. S.; Fiumara, V.; Fotopoulos, N.; Franzen, A.; Franzen, K. Y.; Freise, A.; Frey, R.; Fricke, T.; Fritschel, P.; Frolov, V. V.; Fyffe, M.; Galdi, V.; Ganezer, K. S.; Garofoli, J.; Gholami, I.; Giaime, J. A.; Giampanis, S.; Giardina, K. D.; Goda, K.; Goetz, E.; Goggin, L.; González, G.; Gossler, S.; Grant, A.; Gras, S.; Gray, C.; Gray, M.; Greenhalgh, J.; Gretarsson, A. M.; Grosso, R.; Grote, H.; Grunewald, S.; Guenther, M.; Gustafson, R.; Hage, B.; Hammer, D.; Hanna, C.; Hanson, J.; Harms, J.; Harry, G.; Harstad, E.; Hayler, T.; Heefner, J.; Heng, I. S.; Heptonstall, A.; Heurs, M.; Hewitson, M.; Hild, S.; Hirose, E.; Hoak, D.; Hosken, D.; Hough, J.; Howell, E.; Hoyland, D.; Huttner, S. H.; Ingram, D.; Innerhofer, E.; Ito, M.; Itoh, Y.; Ivanov, A.; Jackrel, D.; Johnson, B.; Johnson, W. W.; Jones, D. I.; Jones, G.; Jones, R.; Ju, L.; Kalmus, P.; Kalogera, V.; Kasprzyk, D.; Katsavounidis, E.; Kawabe, K.; Kawamura, S.; Kawazoe, F.; Kells, W.; Keppel, D. G.; Khalili, F. Ya.; Kim, C.; King, P.; Kissel, J. S.; Klimenko, S.; Kokeyama, K.; Kondrashov, V.; Kopparapu, R. K.; Kozak, D.; Krishnan, B.; Kwee, P.; Lam, P. K.; Landry, M.; Lantz, B.; Lazzarini, A.; Lee, B.; Lei, M.; Leiner, J.; Leonhardt, V.; Leonor, I.; Libbrecht, K.; Lindquist, P.; Lockerbie, N. A.; Longo, M.; Lormand, M.; Lubiński, M.; Lück, H.; Machenschalk, B.; Macinnis, M.; Mageswaran, M.; Mailand, K.; Malec, M.; Mandic, V.; Marano, S.; Márka, S.; Markowitz, J.; Maros, E.; Martin, I.; Marx, J. N.; Mason, K.; Matone, L.; Matta, V.; Mavalvala, N.; McCarthy, R.; McClelland, D. E.; McGuire, S. C.; McHugh, M.; McKenzie, K.; McNabb, J. W. C.; McWilliams, S.; Meier, T.; Melissinos, A.; Mendell, G.; Mercer, R. A.; Meshkov, S.; Messaritaki, E.; Messenger, C. J.; Meyers, D.; Mikhailov, E.; Mitra, S.; Mitrofanov, V. P.; Mitselmakher, G.; Mittleman, R.; Miyakawa, O.; Mohanty, S.; Moreno, G.; Mossavi, K.; Mowlowry, C.; Moylan, A.; Mudge, D.; Mueller, G.; Mukherjee, S.; Müller-Ebhardt, H.; Munch, J.; Murray, P.; Myers, E.; Myers, J.; Nash, T.; Newton, G.; Nishizawa, A.; Nocera, F.; Numata, K.; O'Reilly, B.; O'Shaughnessy, R.; Ottaway, D. J.; Overmier, H.; Owen, B. J.; Pan, Y.; Papa, M. A.; Parameshwaraiah, V.; Parameswariah, C.; Patel, P.; Pedraza, M.; Penn, S.; Pierro, V.; Pinto, I. M.; Pitkin, M.; Pletsch, H.; Plissi, M. V.; Postiglione, F.; Prix, R.; Quetschke, V.; Raab, F.; Rabeling, D.; Radkins, H.; Rahkola, R.; Rainer, N.; Rakhmanov, M.; Rawlins, K.; Ray-Majumder, S.; Re, V.; Regimbau, T.; Rehbein, H.; Reid, S.; Reitze, D. H.; Ribichini, L.; Riesen, R.; Riles, K.; Rivera, B.; Robertson, N. A.; Robinson, C.; Robinson, E. L.; Roddy, S.; Rodriguez, A.; Rogan, A. M.; Rollins, J.; Romano, J. D.; Romie, J.; Route, R.; Rowan, S.; Rüdiger, A.; Ruet, L.; Russell, P.; Ryan, K.; Sakata, S.; Samidi, M.; de La Jordana, L. Sancho; Sandberg, V.; Sanders, G. H.; Sannibale, V.; Saraf, S.; Sarin, P.; Sathyaprakash, B. S.; Sato, S.; Saulson, P. R.; Savage, R.; Savov, P.; Sazonov, A.; Schediwy, S.; Schilling, R.; Schnabel, R.; Schofield, R.; Schutz, B. F.; Schwinberg, P.; Scott, S. M.; Searle, A. C.; Sears, B.; Seifert, F.; Sellers, D.; Sengupta, A. S.; Shawhan, P.; Shoemaker, D. H.; Sibley, A.; Sidles, J. A.; Siemens, X.; Sigg, D.; Sinha, S.; Sintes, A. M.; Slagmolen, B. J. J.; Slutsky, J.; Smith, J. R.; Smith, M. R.; Somiya, K.; Strain, K. A.; Strom, D. M.; Stuver, A.; Summerscales, T. Z.; Sun, K.-X.; Sung, M.; Sutton, P. J.; Takahashi, H.; Tanner, D. B.; Tarallo, M.; Taylor, R.; Taylor, R.; Thacker, J.; Thorne, K. A.; Thorne, K. S.; Thüring, A.; Tokmakov, K. V.; Torres, C.; Torrie, C.; Traylor, G.; Trias, M.; Tyler, W.; Ugolini, D.; Ungarelli, C.; Urbanek, K.; Vahlbruch, H.; Vallisneri, M.; van den Broeck, C.; van Putten, M.; Varvella, M.; Vass, S.; Vecchio, A.; Veitch, J.; Veitch, P.; Villar, A.; Vorvick, C.; Vyachanin, S. P.; Waldman, S. J.; Wallace, L.; Ward, H.; Ward, R.; Watts, K.; Webber, D.; Weidner, A.; Weinert, M.; Weinstein, A.; Weiss, R.; Wen, S.; Wette, K.; Whelan, J. T.; Whitbeck, D. M.; Whitcomb, S. E.; Whiting, B. F.; Wiley, S.; Wilkinson, C.; Willems, P. A.; Williams, L.; Willke, B.; Wilmut, I.; Winkler, W.; Wipf, C. C.; Wise, S.; Wiseman, A. G.; Woan, G.; Woods, D.; Wooley, R.; Worden, J.; Wu, W.; Yakushin, I.; Yamamoto, H.; Yan, Z.; Yoshida, S.; Yunes, N.; Zanolin, M.; Zhang, J.; Zhang, L.; Zhao, C.; Zotov, N.; Zucker, M.; Zur Mühlen, H.; Zweizig, J.; Kramer, M.; Lyne, A. G.

    2007-08-01

    We present upper limits on the gravitational wave emission from 78 radio pulsars based on data from the third and fourth science runs of the LIGO and GEO 600 gravitational wave detectors. The data from both runs have been combined coherently to maximize sensitivity. For the first time, pulsars within binary (or multiple) systems have been included in the search by taking into account the signal modulation due to their orbits. Our upper limits are therefore the first measured for 56 of these pulsars. For the remaining 22, our results improve on previous upper limits by up to a factor of 10. For example, our tightest upper limit on the gravitational strain is 2.6×10-25 for PSR J1603-7202, and the equatorial ellipticity of PSR J2124 3358 is less than 10-6. Furthermore, our strain upper limit for the Crab pulsar is only 2.2 times greater than the fiducial spin-down limit.

  16. A new approach to classifier fusion based on upper integral.

    Science.gov (United States)

    Wang, Xi-Zhao; Wang, Ran; Feng, Hui-Min; Wang, Hua-Chao

    2014-05-01

    Fusing a number of classifiers can generally improve the performance of individual classifiers, and the fuzzy integral, which can clearly express the interaction among the individual classifiers, has been acknowledged as an effective tool of fusion. In order to make the best use of the individual classifiers and their combinations, we propose in this paper a new scheme of classifier fusion based on upper integrals, which differs from all the existing models. Instead of being a fusion operator, the upper integral is used to reasonably arrange the finite resources, and thus to maximize the classification efficiency. By solving an optimization problem of upper integrals, we obtain a scheme for assigning proportions of examples to different individual classifiers and their combinations. According to these proportions, new examples could be classified by different individual classifiers and their combinations, and the combination of classifiers that specific examples should be submitted to depends on their performance. The definition of upper integral guarantees such a conclusion that the classification efficiency of the fused classifier is not less than that of any individual classifier theoretically. Furthermore, numerical simulations demonstrate that most existing fusion methodologies, such as bagging and boosting, can be improved by our upper integral model.

  17. The Acute Management of Nonvariceal Upper Gastrointestinal Bleeding

    Directory of Open Access Journals (Sweden)

    Hisham AL Dhahab

    2012-01-01

    Full Text Available Background. The mortality from nonvariceal upper gastrointestinal bleeding is still around 5%, despite the increased use of proton-pump inhibitors and the advancement of endoscopic therapeutic modalities. Aim. To review the state-of-the-art management of acute non variceal upper gastrointestinal bleeding from the presentation to the emergency department, risk stratification, endoscopic hemostasis, and postendoscopic consolidation management to reduce the risk of recurrent bleeding from peptic ulcers. Methods. A PubMed search was performed using the following key words acute management, non variceal upper gastrointestinal bleeding, and bleeding peptic ulcers. Results. Risk stratifying patients with acute non variceal upper gastrointestinal bleeding allows the categorization into low risk versus high risk of rebleeding, subsequently safely discharging low risk patients early from the emergency department, while achieving adequate hemostasis in high-risk lesions followed by continuous proton-pump inhibitors for 72 hours. Dual endoscopic therapy still remains the recommended choice in controlling bleeding from peptic ulcers despite the emergence of new endoscopic modalities such as the hemostatic powder. Conclusion. The management of nonvariceal upper gastrointestinal bleeding involves adequate resuscitation, preendoscopic risk assessment, endoscopic hemostasis, and post endoscopic pharmacological and nonpharmacological treatment.

  18. Application of RFID technology-upper extremity rehabilitation training.

    Science.gov (United States)

    Chen, Chih-Chen; Chen, Yu-Luen; Chen, Shih-Ching

    2016-01-01

    [Purpose] Upper extremity rehabilitation after an injury is very important. This study proposes radio frequency identification (RFID) technology to improve and enhance the effectiveness of the upper extremity rehabilitation. [Subjects and Methods] People use their upper extremities to conduct daily activities. When recovering from injuries, many patients neglect the importance of rehabilitation, which results in degraded function. This study recorded the training process using the traditional rehabilitation hand gliding cart with a RFID reader, RFID tags in the panel, and a servo host computer. [Results] Clinical evidence, time taken to achieve a full score, counts of missing the specified spots, and Brunnstrom stage of aided recovery, the proximal part of the upper extremity show that the RFID-based upper extremity training significantly and reduce negative impacts of the disability in daily life and activities. [Conclusion] This study combined a hand-gliding cart with an RFID reader, and when patients moved the cart, the movement could be observed via the activated RFID tags. The training data was collected and quantified for a better understanding of the recovery status of the patients. Each of the participating patients made progress as expected.

  19. Work-Related Upper Limb Disorders: A Case Report

    Directory of Open Access Journals (Sweden)

    Zlatka Borisova Stoyneva

    2015-03-01

    Full Text Available In this study the complex interrelationship between physical factors, job stress, lifestyle and genetic factors on symptoms of work-related musculoskeletal disorders of the upper limbs is demonstrated by a case report and discussion of the literature. A 58 year old woman with long lasting complaints of the upper limbs with increasing intensity and duration, generalisation, combined with skin thickness, Raynaud’s phenomenon, joint disorders, arterial and pulmonary hypertension, metabolic lipid dysfunctions is presented. Occupational history proves continuous duration of service at a job with occupational physical static load with numerous repetitive monotonous systematic motions of fingers and hands as a weaver of Persian rugs followed by work at an automated loom and variable labour activities. Though the complaints dated since the time she was a manual weaver, the manifestations of generalized joint degenerative changes, system sclerosis with Raynaud’s phenomenon with similar upper extremities signs and symptoms discount upper limbs musculoskeletal disorder as caused only or mainly by occupational risk factors. The main principles and criteria for occupational diagnosis of musculoskeletal upper limb disorders and legislative requirements for their reglamentation are discussed.

  20. MRI findings in the upper cervical spine of rheumatoid arthritis

    Energy Technology Data Exchange (ETDEWEB)

    Kawaida, Hidefumi; Sakou, Takashi; Morizono, Yoshiyuki; Yoshikuni, Nagatoshi; Taketomi, Eiji; Hashiguchi, Masanao

    1989-04-01

    In 55 patients with rheumatoid arthritis associated with upper cervical spine abnormality, the presence or absence of medullary and upper cervical pressures was examined on sagittal MRI scans. Atlanto-dental anterior incomplete dislocation and horizontal dislocation were imaged concurrently with X-rays. For horizontal dislocation, an abnormal Redlund-Johnell value and a Ranawat value of 7 mm or less were always associated with medullary pressure as seen on MRI. For anterior incomplete dislocation, upper cervical pressure was always associated when a space available for the spinal cord was 13 mm or less or frequently associated when the atlanto-dental interval was 8 mm or more. Many of the patients with the upper cervical abnormalities complained of occipital or cervical pain. The pain was always encountered in patients with an abnormal Redlund-Johnell value. Roentgenography of the cervical spine confirmed MRI-proven medullary or upper cervical pressure, suggesting the potential of MRI in the treatment of rheumatoid arthritis. (Namekawa, K).

  1. Assessing Upper-Level Winds on Day-of-Launch

    Science.gov (United States)

    Bauman, William H., III; Wheeler, Mark M.

    2012-01-01

    On the day-or-launch. the 45th Weather Squadron Launch Weather Officers (LWOS) monitor the upper-level winds for their launch customers to include NASA's Launch Services Program (LSP). During launch operations, the payload launch team sometimes asks the LWO if they expect the upper level winds to change during the countdown but the LWOs did not have the capability to quickly retrieve or display the upper-level observations and compare them to the numerical weather prediction model point forecasts. The LWOs requested the Applied Meteorology Unit (AMU) develop a capability in the form of a graphical user interface (GUI) that would allow them to plot upper-level wind speed and direction observations from the Kennedy Space Center Doppler Radar Wind Profilers and Cape Canaveral Air Force Station rawinsondes and then overlay model point forecast profiles on the observation profiles to assess the performance of these models and graphically display them to the launch team. The AMU developed an Excel-based capability for the LWOs to assess the model forecast upper-level winds and compare them to observations. They did so by creating a GUI in Excel that allows the LWOs to first initialize the models by comparing the O-hour model forecasts to the observations and then to display model forecasts in 3-hour intervals from the current time through 12 hours.

  2. Seismic anisotropy of upper mantle in Sichuan and adjacent regions

    Institute of Scientific and Technical Information of China (English)

    CHANG LiJun; WANG ChunYong; DING ZhiFeng

    2008-01-01

    Based on the polarization analysis of teleseismic SKS waveform data recorded at 94 broadband seismic stations in Sichuan and adjacent regions, the SKS fast-wave direction and the delay time between the fast and slow shear waves were determined at each station using the grid searching method of minimum transverse energy and the stacking analysis method, and the image of upper mantle anisotropy was acquired. The fast-wave polarization directions are mainly NW-SE in the study area,NWW-SEE to its northeast and NS to its west. The delay time falls into the interval [0.47 s, 1.68 s]. The spatial variation of the fast-wave directions is similar to the variation of GPS velocity directions. The anisotropic image indicates that the regional tectonic stress field has resulted in deformation and flow of upper mantle material, and made the alignment of upper mantle peridotite lattice parallel to the direction of material deformation. The crust-upper mantle deformation in Sichuan and adjacent regions accords with the mode of vertically coherent deformation. In the eastern Tibetan Plateau, the crustal material was extruded to east or southeast clue to SE traction force of the upper mantle material. The extrusion might be obstructed by a rigid block under the Sichuan Basin and the crust has been deformed. After a long-term accumulation of tectonic strain energy, the accumulative energy suddenly released in Yingxiu town of the Longmenshan region, and Wenchuan Ms8.0 earthquake occurred.

  3. Primary Upper Limb Lymphedema: Case Report of a Rare Pathology

    Science.gov (United States)

    McFarlane, Michael EC

    2017-01-01

    Introduction Lymphedema is characterized by a defect in the lymphatic system that causes limb swelling. Impaired uptake and transport of lymphatic fluid through lymphatic vessels causes accumulation of protein-rich fluid in the interstitial spaces, which leads to swelling of the limb. Primary lymphedema often presents at birth. The rare cases that arise after age 35 years are described as lymphedema tarda. The great majority of patients with lymphedema have swelling of the lower limbs—upper limb lymphedema is a rare disorder. Case Presentation An 84-year-old woman presented with a 3-year history of unilateral swelling of the right upper limb. There were no constitutional symptoms and no evidence of lymphadenopathy or systemic disease. Blood tests, carcinoembryonic antigen test, computed tomography scans, and venous Doppler ultrasound were all normal. The diagnosis was primary upper limb lymphedema. Discussion The swelling that occurs in upper limb lymphedema is permanent and usually extends to the hand. About one-third of patients with this condition also present with lower limb lymphedema. Thorough investigations are warranted in cases of unilateral upper limb lymphedema to rule out occult malignancy and systemic disease. PMID:28080951

  4. Upper mantle geotherm for eastern China and its geological implications

    Institute of Scientific and Technical Information of China (English)

    徐义刚; 林传勇; 史兰斌; J-C.C.Mercier; J.V.Ross

    1995-01-01

    The equilibrium temperature and pressure of both spinel and garnet peridotite xenolithsfrom eastern China have been estimated by using different geothermobarometers that are currentlyconsidered to be reliable.Based on these data,the upper mantle geotherm for eastern China has beenconstructed.The obtained geotherm is higher than that for old craton regions,but is similar to that for southeasternAustralia.The most prominent feature of the geotherm is that there is a slight gradient at about 60 kmdepth,and the inflection of the geotherm just passes through the transition line between spinel and garnetfacies.It is likely that the inflection represents the botmdary between the lithosphere and asthenosphere.Thestructures of the upper mantle beneath eastern China have also been discussed by combining the results ofpetrologic,rheological and dynamical studies of the upper mantle.

  5. A sharp upper bound for departure from normality

    Energy Technology Data Exchange (ETDEWEB)

    Lee, S.L.

    1993-08-01

    The departure from normality of a matrix is a real scalar that is impractical to compute if a matrix is large and its eigenvalues are unknown. A simple formula is presented for computing an upper bound for departure from normality in the Frobenius norm. This new upper bound is cheaper to compute than the upper bound derived by Henrici. Moreover, the new bound is sharp for Hermitian matrices, skew-Hermitian matrices and, in general, any matrix with eigenvalues that are horizontally or vertically aligned in the complex plane. In terms of applications, the new bound can be used in computing bounds for the spectral norm of matrix functions or bounds for the sensitivity of eigenvalues to matrix perturbations.

  6. Modelling and control of an upper extremity exoskeleton for rehabilitation

    Science.gov (United States)

    Taha, Zahari; Majeed, Anwar P. P. Abdul; Tze, Mohd Yashim Wong Paul; Abdo Hashem, Mohammed; Mohd Khairuddin, Ismail; Azraai Mohd Razman, Mohd

    2016-02-01

    This paper presents the modelling and control of a two degree of freedom upper extremity exoskeleton for rehabilitation. The Lagrangian formulation was employed to obtain the dynamic modelling of both the anthropometric based human upper limb as well as the exoskeleton that comprises of the upper arm and the forearm. A proportional-derivative (PD) architecture is employed to investigate its efficacy performing a joint task trajectory tracking in performing flexion/extension on the elbow joint as well as the forward adduction/abduction on the shoulder joint. An active force control (AFC) algorithm is also incorporated into the aforementioned controller to examine its effectiveness in compensating disturbances. It was found from the study that the AFC-PD performed well against the disturbances introduced into the system without compromising its tracking performances as compared to the conventional PD control architecture.

  7. Soccer players' fitting perception of different upper boot materials.

    Science.gov (United States)

    Olaso Melis, J C; Priego Quesada, J I; Lucas-Cuevas, A G; González García, J C; Puigcerver Palau, S

    2016-07-01

    The present study assessed the influence of upper boot materials on fitting perception. Twenty players tested three soccer boots only differing in the upper boot material (natural calf leather, natural kangaroo leather and synthetic leather). Players reported fitting perception and preference on specific foot areas using a perceived fitting scale. Ratings were averaged for every foot area. Repeated measures ANOVA was used to analyze the differences between boots. The kangaroo leather boots were perceived tighter and closer to the preferred fitting in general fitting, metatarsals area and instep area. The synthetic leather boots were perceived as the loosest and as the most distant boot from the preferred fitting in medial front area and instep area. In conclusion, the type of upper boot material influences the fitting perception of soccer players. The kangaroo leather was the material whose fitting was perceived closest to the players fitting preference.

  8. A Note on Upper Tail Behavior of Liouville Copulas

    Directory of Open Access Journals (Sweden)

    Lei Hua

    2016-11-01

    Full Text Available The family of Liouville copulas is defined as the survival copulas of multivariate Liouville distributions, and it covers the Archimedean copulas constructed by Williamson’s d-transform. Liouville copulas provide a very wide range of dependence ranging from positive to negative dependence in the upper tails, and they can be useful in modeling tail risks. In this article, we study the upper tail behavior of Liouville copulas through their upper tail orders. Tail orders of a more general scale mixture model that covers Liouville distributions is first derived, and then tail order functions and tail order density functions of Liouville copulas are derived. Concrete examples are given after the main results.

  9. BOREAS AFM-5 Level-1 Upper Air Network Data

    Science.gov (United States)

    Barr, Alan; Hrynkiw, Charmaine; Newcomer, Jeffrey A. (Editor); Hall, Forrest G. (Editor); Smith, David E. (Technical Monitor)

    2000-01-01

    The Boreal Ecosystem-Atmosphere Study (BOREAS) Airborne Fluxes and Meteorology (AFM)-5 team collected and processed data from the numerous radiosonde flights during the project. The goals of the AFM-05 team were to provide large-scale definition of the atmosphere by supplementing the existing Atmospheric Environment Service (AES) aerological network, both temporally and spatially. This data set includes basic upper-air parameters collected from the network of upper-air stations during the 1993, 1994, and 1996 field campaigns over the entire study region. The data are contained in tabular ASCII files. The level-1 upper-air network data are available from the Earth Observing System Data and Information System (EOSDIS) Oak Ridge National Laboratory (ORNL) Distributed Active Archive Center (DAAC). The data files also are available on a CD-ROM (see document number 20010000884).

  10. A passively safe cable driven upper limb rehabilitation exoskeleton.

    Science.gov (United States)

    Chen, Yanyan; Fan, Jizhuang; Zhu, Yanhe; Zhao, Jie; Cai, Hegao

    2015-01-01

    When using upper limb exoskeletons that assist the movement of physically weak people, safety should be the most important index. In this paper, a passively safe, cable-driven upper limb exoskeleton with parallel actuated joints, which perfectly mimics human motions, is proposed. Compared with the existing upper limb exoskeletons which are mostly designed only considering the realization of functional properties, and having poor wearabity, a passively safe prototype for motion assistance based on human anatomy structure has been developed in our design. This design is based on the prior exoskeleton structure with the adoption of a gravity balanced device. The gravity balanced mechanism was confirmed in theory and simulation, showing it has a positive effect on balance.

  11. Non-thermal hydrogen atoms in the terrestrial upper thermosphere.

    Science.gov (United States)

    Qin, Jianqi; Waldrop, Lara

    2016-12-06

    Model predictions of the distribution and dynamical transport of hydrogen atoms in the terrestrial atmosphere have long-standing discrepancies with ultraviolet remote sensing measurements, indicating likely deficiencies in conventional theories regarding this crucial atmospheric constituent. Here we report the existence of non-thermal hydrogen atoms that are much hotter than the ambient oxygen atoms in the upper thermosphere. Analysis of satellite measurements indicates that the upper thermospheric hydrogen temperature, more precisely the mean kinetic energy of the atomic hydrogen population, increases significantly with declining solar activity, contrary to contemporary understanding of thermospheric behaviour. The existence of hot hydrogen atoms in the upper thermosphere, which is the key to reconciling model predictions and observations, is likely a consequence of low atomic oxygen density leading to incomplete collisional thermalization of the hydrogen population following its kinetic energization through interactions with hot atomic or ionized constituents in the ionosphere, plasmasphere or magnetosphere.

  12. Upper Limits on O VI Emission from Voyager Observations

    Indian Academy of Sciences (India)

    Jayant Murthy

    2002-03-01

    We have examined 426 Voyager fields distributed across the sky for O VI ( 1032/1038 Å) emission from the Galactic diffuse interstellar medium. No such emission was detected in any of our observed fields. Our most constraining limit was a 90% confidence upper limit of 2600 photons cm-2 sr-1 s-1 on the doublet emission in the direction (l, b) = (117.3, 50.6). Combining this with an absorption line measurement in nearly the same direction allows us to place an upper limit of 0.01 cm-3 on the electron density of the hot gas in this direction. We have placed 90% confidence upper limits of less than or equal to 10,000 photons cm-2 sr-1 s-1 on the O VI emission in 16 of our 426 observations.

  13. Upper extremity function: What's posture got to do with it?

    Science.gov (United States)

    Harbourne, Regina; Kamm, Kathi

    2015-01-01

    This perspective paper reviews the linkage between developing postural control and upper extremity function. We suggest updated principles for guiding clinical practice, based on current views from motor learning, motor development, and motor control research. Using three clinical examples, we illustrate principles focusing on the use of variability, the importance of errors in learning movement, task specific exploration and practice, and the critical timing necessary to build skill of the upper extremity in a variety of postures. These principles differ from historic approaches in therapeutic exercise, which treated posture as a separate system and a precursor for extremity skill building. We maintain that current movement science supports the tight interaction of posture and upper extremity function through developmental time and in real time, such that one system cannot be considered separate from the other. Specific suggestions for clinical practice flow from the guiding principles outlined in this paper.

  14. Tropical upper tropospheric humidity variations due to potential vorticity intrusions

    Science.gov (United States)

    Sandhya, M.; Sridharan, S.; Indira Devi, M.

    2015-09-01

    Four cases (March 2009, May 2009, April 2010 and February 2012) are presented in which the ERA-interim relative humidity (RH) shows consistent increase by more than 50 % in the upper troposphere (200-250 hPa) over tropics at the eastward side of the potential vorticity (PV) intrusion region. The increase in RH is confirmed with the spaceborne microwave limb sounder observations and radiosonde observations over Gadanki (13.5° N, 79.2° E) and is observed irrespective of whether the PV intrusions are accompanied by deep convection or not. It is demonstrated that the increase in RH is due to poleward advection induced by the PV intrusions in their eastward side at the upper tropospheric heights. It is suggested that the low-latitude convection, which is not necessarily triggered by the PV intrusion, might have transported water vapour to the upper tropospheric heights.

  15. Satisfaction with upper extremity surgery in individuals with tetraplegia

    DEFF Research Database (Denmark)

    Gregersen, Hanne; Lybæk, Mille; Lauge Johannesen, Inger

    2015-01-01

    OBJECTIVE: To supplement the scant information available regarding the satisfaction of patients with tetraplegia following upper extremity reconstructive surgery for such individuals with spinal cord injury (SCI). STUDY DESIGN: Retrospective study with questionnaire follow-up. SETTING: The Danish...... questions (P satisfaction with upper extremity surgery is high. It can have a positive impact on life in general, ability to perform ADL, as well as supplying an increased level of independence....... to strongly disagree regarding satisfaction. Forty patients completed the questionnaire. RESULTS: Median time from first surgery was 13 years (2-36). Sixty-five percent of the sample had a C5-C6 SCI, with 64% experiencing complete injury. Initially, 76% of the sample expressed general satisfaction with life......OBJECTIVE: To supplement the scant information available regarding the satisfaction of patients with tetraplegia following upper extremity reconstructive surgery for such individuals with spinal cord injury (SCI). STUDY DESIGN: Retrospective study with questionnaire follow-up. SETTING: The Danish...

  16. Upper extremity compartmental anatomy: clinical relevance to radiologists

    Energy Technology Data Exchange (ETDEWEB)

    Toomayan, Glen A.; Robertson, Fabienne; Major, Nancy M. [Duke University Medical Center, Department of Radiology, P.O. Box 3808, Durham, NC (United States); Duke University Medical Center, Division of Orthopaedic Surgery, Department of Surgery, P.O. Box 3808, Durham, NC (United States); Brigman, Brian E. [Duke University Medical Center, Division of Orthopaedic Surgery, Department of Surgery, P.O. Box 3808, Durham, NC (United States)

    2006-04-15

    Malignant tumors of the upper extremity are uncommon, and their care should be referred to specialized facilities with experience treating these lesions. The Musculoskeletal Tumor Society (MSTS) staging system is used by the surgeon to determine appropriate surgical management, assess prognosis, and communicate with other healthcare providers. Magnetic resonance imaging (MRI) is employed pre-operatively to identify a lesion's compartment of origin, determine extent of spread, and plan biopsy and resection approaches. Involvement of neurovascular structures may result in devastating loss of upper extremity function, requiring amputation. Violation of high-resistance compartmental barriers necessitates more extensive surgical resection. Biopsy may be performed by the radiologist using imaging guidance. Knowledge of compartmental anatomy allows the radiologist or surgeon to use an easily excisable biopsy approach and prevent iatrogenic spread to unaffected compartments. Case examples are presented to illustrate the importance of compartmental anatomy in the management of benign and malignant upper extremity tumors. (orig.)

  17. Upper extremity sensorimotor control among collegiate football players.

    Science.gov (United States)

    Laudner, Kevin G

    2012-03-01

    Injuries stemming from shoulder instability are very common among athletes participating in contact sports, such as football. Previous research has shown that increased laxity negatively affects the function of the sensorimotor system potentially leading to a pathological cycle of shoulder dysfunction. Currently, there are no data detailing such effects among football players. Therefore, the purpose of this study was to examine the differences in upper extremity sensorimotor control among football players compared with that of a control group. Forty-five collegiate football players and 70 male control subjects with no previous experience in contact sports participated. All the subjects had no recent history of upper extremity injury. Each subject performed three 30-second upper extremity balance trials on each arm. The balance trials were conducted in a single-arm push-up position with the test arm in the center of a force platform and the subjects' feet on a labile device. The trials were averaged, and the differences in radial area deviation between groups were analyzed using separate 1-way analyses of variance (p football players showed significantly more radial area deviation of the dominant (0.41 ± 1.23 cm2, p = 0.02) and nondominant arms (0.47 ± 1.63 cm2, p = 0.03) when compared with the control group. These results suggest that football players may have decreased sensorimotor control of the upper extremity compared with individuals with no contact sport experience. The decreased upper extremity sensorimotor control among the football players may be because of the frequent impacts accumulated during football participation. Football players may benefit from exercises that target the sensorimotor system. These findings may also be beneficial in the evaluation and treatment of various upper extremity injuries among football players.

  18. Aging increases upper airway collapsibility in Fischer 344 rats.

    Science.gov (United States)

    Ray, Andrew D; Ogasa, Toshiyuki; Magalang, Ulysses J; Krasney, John A; Farkas, Gaspar A

    2008-11-01

    The upper airway muscles play an important role in maintaining upper airway collapsibility, and the incidence of sleep-disordered breathing increases with age. We hypothesize that the increase in airway collapsibility with increasing age can be linked to changes in upper airway muscle mechanics and structure. Eight young (Y: 6 mo) and eight old (O: 30 mo) Fischer 344 rats were anesthetized and mechanically ventilated, and the pharyngeal pressure associated with flow limitation (Pcrit) was measured 1) with the hypoglossal (cnXII) nerve intact, 2) following bilateral cnXII denervation, and 3) during cnXII stimulation. With the cnXII intact, the upper airways of older rats were more collapsible compared with their younger counterparts [Pcrit = -7.1 +/- 0.6 (SE) vs. -9.5 +/- 0.7 cmH2O, respectively; P = 0.033]. CnXII denervation resulted in an increase in Pcrit such that Pcrit became similar in both groups (O: -4.2 +/- 0.5 cmH2O; Y: -5.4 +/- 0.5 cmH2O). In all rats, cnXII stimulation decreased Pcrit (less collapsible) in both groups (O: -11.3 +/- 1.0 cmH2O; Y: -10.2 +/- 1.0 cmH2O). The myosin heavy chain composition of the genioglossus muscle demonstrated a decrease in the percentage of the IIb isoform (38.3 +/- 2.5 vs. 21.7 +/- 1.7%; P collapsible with age and that the increase in upper airway collapsibility with age is likely related to altered neural control rather than to primary alterations in upper airway muscle structure and function.

  19. Upper airway collapsibility is associated with obesity and hyoid position.

    Science.gov (United States)

    Genta, Pedro R; Schorr, Fabiola; Eckert, Danny J; Gebrim, Eloisa; Kayamori, Fabiane; Moriya, Henrique T; Malhotra, Atul; Lorenzi-Filho, Geraldo

    2014-10-01

    Upper airway anatomy plays a major role in obstructive sleep apnea (OSA) pathogenesis. An inferiorly displaced hyoid as measured by the mandibular plane to hyoid distance (MPH) has been consistently associated with OSA. The hyoid is also a common landmark for pharyngeal length, upper airway volume, and tongue base. Tongue dimensions, pharyngeal length, and obesity are associated with OSA severity, although the link between these anatomical variables and pharyngeal collapsibility is less well known. We hypothesized that obesity as measured by body mass index (BMI), neck and waist circumferences, and variables associated with hyoid position (pharyngeal length, upper airway volume, and tongue dimensions) would be associated with passive pharyngeal critical closing pressure (Pcrit). Cross-sectional. Academic hospital. 34 Japanese-Brazilian males age 21 to 70 y. N/A. We performed computed tomography scans of the upper airway, overnight polysomnography, and Pcrit measurements in all subjects. On average, subjects were overweight (BMI = 28 ± 4 kg/m(2)) and OSA was moderately severe (apnea-hypopnea index = 29 [13-51], range 1-90 events/h). Factor analysis identified two factors among the studied variables: obesity (extracted from BMI, neck and waist circumferences) and hyoid position (MPH, pharyngeal length, tongue length, tongue volume, and upper airway volume). Both obesity and hyoid position correlated with Pcrit (r = 0.470 and 0.630, respectively) (P obesity and hyoid position. Tongue dimensions, pharyngeal length, and the mandibular plane to hyoid distance are associated with obesity variables. These findings provide novel insight into the potential factors mediating upper airway collapse in obstructive sleep apnea. © 2014 Associated Professional Sleep Societies, LLC.

  20. Black breast cancer survivors experience greater upper extremity disability.

    Science.gov (United States)

    Dean, Lorraine T; DeMichele, Angela; LeBlanc, Mously; Stephens-Shields, Alisa; Li, Susan Q; Colameco, Chris; Coursey, Morgan; Mao, Jun J

    2015-11-01

    Over one-third of breast cancer survivors experience upper extremity disability. Black women present with factors associated with greater upper extremity disability, including: increased body mass index (BMI), more advanced disease stage at diagnosis, and varying treatment type compared with Whites. No prior research has evaluated the relationship between race and upper extremity disability using validated tools and controlling for these factors. Data were drawn from a survey study among 610 women with stage I-III hormone receptor positive breast cancer. The disabilities of the arm, shoulder and hand (QuickDASH) is an 11-item self-administered questionnaire that has been validated for breast cancer survivors to assess global upper extremity function over the past 7 days. Linear regression and mediation analysis estimated the relationships between race, BMI and QuickDASH score, adjusting for demographics and treatment types. Black women (n = 98) had 7.3 points higher average QuickDASH scores than White (n = 512) women (p education, cancer treatment, months since diagnosis, and aromatase inhibitor status, Black women had an average 4-point (95 % confidence interval 0.18-8.01) higher QuickDASH score (p = 0.04) than White women. Mediation analysis suggested that BMI attenuated the association between race and disability by 40 %. Even several years post-treatment, Black breast cancer survivors had greater upper extremity disability, which was partially mediated by higher BMIs. Close monitoring of high BMI Black women may be an important step in reducing disparities in cancer survivorship. More research is needed on the relationship between race, BMI, and upper extremity disability.

  1. Bilateral and multiple cavitation sounds during upper cervical thrust manipulation

    Directory of Open Access Journals (Sweden)

    Dunning James

    2013-01-01

    Full Text Available Abstract Background The popping produced during high-velocity, low-amplitude (HVLA thrust manipulation is a common sound; however to our knowledge, no study has previously investigated the location of cavitation sounds during manipulation of the upper cervical spine. The primary purpose was to determine which side of the spine cavitates during C1-2 rotatory HVLA thrust manipulation. Secondary aims were to calculate the average number of pops, the duration of upper cervical thrust manipulation, and the duration of a single cavitation. Methods Nineteen asymptomatic participants received two upper cervical thrust manipulations targeting the right and left C1-2 articulation, respectively. Skin mounted microphones were secured bilaterally over the transverse process of C1, and sound wave signals were recorded. Identification of the side, duration, and number of popping sounds were determined by simultaneous analysis of spectrograms with audio feedback using custom software developed in Matlab. Results Bilateral popping sounds were detected in 34 (91.9% of 37 manipulations while unilateral popping sounds were detected in just 3 (8.1% manipulations; that is, cavitation was significantly (P Conclusions Cavitation was significantly more likely to occur bilaterally than unilaterally during upper cervical HVLA thrust manipulation. Most subjects produced 3–4 pops during a single rotatory HVLA thrust manipulation targeting the right or left C1-2 articulation; therefore, practitioners of spinal manipulative therapy should expect multiple popping sounds when performing upper cervical thrust manipulation to the atlanto-axial joint. Furthermore, the traditional manual therapy approach of targeting a single ipsilateral or contralateral facet joint in the upper cervical spine may not be realistic.

  2. Clinical implications of alignment of upper and lower cervical spine

    Directory of Open Access Journals (Sweden)

    Sherekar S

    2006-01-01

    Full Text Available Aims and Objectives: The alignment of upper and lower cervical spine is presumed to be closely interrelated and the knowledge of this is mandatory when performing occipito-cervical and upper cervical fusions. The aim of this study was to establish standard values for upper and lower cervical spine alignment in the Indian population. Materials and Methods: Five hundred eighteen asymptomatic volunteers (261 males and 257 females between 12 and 80 years of age underwent lateral radiography with their neck in the neutral position. Angles for occipital to 2nd cervical (Oc-C2, 1st to 2nd cervical (C1-C2 and sagittal alignment of 2nd to 7th cervical vertebrae (C2-C7 were measured. Statistical analyses were performed using a statistical package SPSS 10 for windows and the students ′t′ test. Results: The mean Oc-C2, C1-C2 and C2--C7 angles were 14.66 + 9.5°, 25.6 + 7.9° and 16.8 + 12.7° in male, while same angles in female were 15.59 + 8.26°, 26.9 + 6.8° and 9.11 + 10.4° respectively. Weak statistically significant negative correlation was observed between the measured angles of the upper (Oc-C2 and C1-C2 and lower (C2-C7 cervical spines, which means if the lordosis of the occiput and upper cervical spine increases (if the Oc-C2 angle increases, the alignment of lower cervical spine becomes kyphotic and vice versa. This negative correlation was stronger between the Oc-C2 and C2-C7 angles than between the C1-C2 and C2-C7 angles. Conclusions: Relationship between alignment of the upper and the lower cervical spine should be taken into consideration when performing cervical fusion.

  3. Haemorrhage from Pancreatic Pseudocysts Presenting as Upper Gastrointestinal Haemorrhage

    Directory of Open Access Journals (Sweden)

    Giuseppe Garcea

    2004-04-01

    Full Text Available Haemorrhage is a rare but frequently fatal complication of pancreatic pseudocysts. The high mortality associated with pancreatic haemorrhage makes prompt and aggressive management essential. Occasionally, haemorrhage may present atypically, leading to delay in its diagnosis and management. This report details a case of pancreatic haemorrhage presenting as an upper gastrointestinal bleed and discusses the subsequent management. When managing patients with pancreatic pseudocysts who present with the stigmata of upper gastrointestinal bleeding, the possibility that the bleeding originates from the pancreas must always be borne in mind.

  4. Endoscopic management of nonvariceal, nonulcer upper gastrointestinal bleeding.

    Science.gov (United States)

    Tjwa, Eric T T L; Holster, I Lisanne; Kuipers, Ernst J

    2014-12-01

    Upper gastrointestinal bleeding (UGIB) is the most common emergency condition in gastroenterology. Although peptic ulcer and esophagogastric varices are the predominant causes, other conditions account for up to 50% of UGIBs. These conditions, among others, include angiodysplasia, Dieulafoy and Mallory-Weiss lesions, gastric antral vascular ectasia, and Cameron lesions. Upper GI cancer as well as lesions of the biliary tract and pancreas may also result in severe UGIB. This article provides an overview of the endoscopic management of these lesions, including the role of novel therapeutic modalities such as hemostatic powder and over-the-scope-clips. Copyright © 2014 Elsevier Inc. All rights reserved.

  5. Upper bounds for reversible circuits based on Young subgroups

    DEFF Research Database (Denmark)

    Abdessaied, Nabila; Soeken, Mathias; Thomsen, Michael Kirkedal;

    2014-01-01

    We present tighter upper bounds on the number of Toffoli gates needed in reversible circuits. Both multiple controlled Toffoli gates and mixed polarity Toffoli gates have been considered for this purpose. The calculation of the bounds is based on a synthesis approach based on Young subgroups that...... that results in circuits using a more generalized gate library. Starting from an upper bound for this library we derive new bounds which improve the existing bound by around 77%. © 2014 Elsevier B.V. All rights reserved....

  6. Evaluating the Patient with Right Upper Quadrant Abdominal Pain.

    Science.gov (United States)

    Avegno, Jennifer; Carlisle, Matthew

    2016-05-01

    Right upper quadrant (RUQ) pain is among the most common complaints in the emergency department. The differential diagnosis is broad and includes gastrointestinal (GI) and non-GI causes for pain. Evaluation of patients requires a combination of history, physical examination, laboratory testing, and diagnostic imaging. This article details the anatomy and physiology of the right upper abdomen and approach to the history and physical examination of the most common diseases encountered in the emergency department. "Can't miss," non-GI diagnoses are discussed. Best practices of laboratory and imaging, and treatment of most common diagnoses of RUQ pain are reviewed.

  7. Perfusion pressure flow study in the upper urinary tract

    Directory of Open Access Journals (Sweden)

    Hong-Lin Cheng

    2015-06-01

    Full Text Available Hydronephrosis with an undetermined pathology is a common condition detected in imaging studies. In urological clinical practice, it is a persistent dilemma to predict whether this condition will progress to result in the deterioration of renal function. Perfusion pressure flow study of the upper urinary tract, known as the Whitaker test, provides an alternative diagnostic tool for solving this condition. Perfusion pressure flow study has been criticized for its invasiveness, nonphysiological approach, and inconsistency in predicting outcomes. However, it continues to be used to evaluate difficult or equivocal cases and to provide an objective assessment of the upper urinary tract.

  8. A New Upper Bound on 2D Online Bin Packing

    OpenAIRE

    Han, Xin; Francis Y L Chin; Ting, Hing-Fung; Zhang, Guochuan

    2009-01-01

    The 2D Online Bin Packing is a fundamental problem in Computer Science and the determination of its asymptotic competitive ratio has attracted great research attention. In a long series of papers, the lower bound of this ratio has been improved from 1.808, 1.856 to 1.907 and its upper bound reduced from 3.25, 3.0625, 2.8596, 2.7834 to 2.66013. In this paper, we rewrite the upper bound record to 2.5545. Our idea for the improvement is as follows. In SODA 2002 \\cite{SS03}, Seiden and van Stee p...

  9. Pathophysiological aspects of ureterorenoscopic management of upper urinary tract calculi

    DEFF Research Database (Denmark)

    Osther, Palle J S; Pedersen, Katja V; Lildal, Søren K;

    2016-01-01

    PURPOSE OF REVIEW: Indications for ureterorenoscopy are expanding without hard scientific evidence to support its efficacy. Therefore, it is extremely important to focus on potential harmful effects of the procedure itself. This review explores how physiology of the upper urinary tract reacts...... of the β-receptor agonist isoproterenol in the irrigation fluid has shown a potential for reducing both intrarenal pressure and ureteral tone during ureterorenoscopy. SUMMARY: Upper urinary tract physiology has unique features that may be pushed into pathophysiological processes by the unique elements...

  10. The Role of External Environment in Upper Echelons Theory

    DEFF Research Database (Denmark)

    Yamak, Sibel; Nielsen, Sabina; Escribá-Esteve, Alejandro

    2014-01-01

    Upper echelons research has largely focused on the antecedents and consequences of top management teams (TMTs) from the team and firm levels of analysis. This paper reviews empirical research on TMTs with a specific emphasis on the role of the external environment. Applying institutional...... and industrial organization theories, a cross-level conceptual model outlining the direct, mediating, and moderating effects of the external environment on upper echelons is developed. This review distinguishes between industry and institutional levels of analysis and three types of environmental characteristics...

  11. Thermodynamic Upper Bound on Broadband Light Coupling with Photonic Structures

    KAUST Repository

    Yu, Zongfu

    2012-10-01

    The coupling between free space radiation and optical media critically influences the performance of optical devices. We show that, for any given photonic structure, the sum of the external coupling rates for all its optical modes are subject to an upper bound dictated by the second law of thermodynamics. Such bound limits how efficient light can be coupled to any photonic structure. As one example of application, we use this upper bound to derive the limit of light absorption in broadband solar absorbers. © 2012 American Physical Society.

  12. [Acute pulmonary edema secondary to acute upper airway obstruction].

    Science.gov (United States)

    Sánchez-Ortega, J L; Carpintero-Moreno, F; Olivares-López, A; Borrás-Rubio, E; Alvarez-López, M J; García-Izquierdo, A

    1992-01-01

    We report a 72 years old woman with mild arterial hypertension and no other pathological history who presented an acute pulmonary edema due to acute obstruction of the upper airway secondary to vocal chord paralysis developing during the immediate postoperative phase of thyroidectomy. The acute pulmonary edema resolved after application of tracheal reintubation, mechanical ventilation controlled with end expiratory positive pressure, diuretics, morphine, and liquid restriction. We discuss the possible etiopathogenic possibilities of this infrequent clinical picture and we suggest that all patients who suffered and acute obstruction of the upper airways require a careful clinical surveillance in order to prevent the development of the pulmonary syndrome.

  13. Upper Ocean Stratification in the Bay of Bengal

    Science.gov (United States)

    2014-09-20

    are too cold and mixed layer depths that are too deep. The biases are large and likely reduce the intensity of air-sea interaction by overestimating...the thermal inertia of the upper ocean and thus the time scale on which the ocean can respond to the atmosphere. A likely reason for this bias is an...help refine their shipboard procedures. Eric D’Asaro was also a teacher at the ASIRI-OMM summer workshop on Upper Ocean Physics in the Bay of Bengal

  14. Upper Hölder continuity of parametric vector optimization problems

    Directory of Open Access Journals (Sweden)

    Xian-Fu Hu

    2016-11-01

    Full Text Available Abstract This paper is concerned with upper Hölder continuity and Hölder calmness of a perturbed vector optimization problem. We establish some new sufficient conditions for upper Hölder continuity and Hölder calmness of the perturbed solution mappings and the perturbed optimal value mappings of a vector optimization problem under the case that the objective function and the feasible set are, respectively, perturbed by parameters. Our results generalize and extend the corresponding ones of Li and Li (Appl. Math. Comput. 232:908-918, 2014.

  15. Spironolactone use and the risk of upper gastrointestinal bleeding

    DEFF Research Database (Denmark)

    Gulmez, Sinem E; Lassen, Annmarie T; Aalykke, Claus

    2008-01-01

    WHAT IS ALREADY KNOWN ABOUT THIS SUBJECT * Recent studies have suggested an increased risk of upper gastrointestinal bleeding (UGB) in spironolactone users. * We conducted this population-based case-control study to confirm the association between spironolactone use and acute nonvaricose UGB alone...... is not modified by high cumulative doses or by concurrent use of antithrombotic or nonsteroidal anti-inflammatory drugs. AIMS Recent studies have suggested an increased risk of upper gastrointestinal bleeding (UGB) in spironolactone users. The aim was to confirm the association, identify the risk factors...

  16. Female's Characteristic Index of Upper Body for Apparel Mass Customization

    Institute of Scientific and Technical Information of China (English)

    CUI Zhi-ying; CONG Shan; ZHANG Wei-yuan

    2006-01-01

    The measurements of female aged from 18 to 50 in the East China are taken by TC2 3D-body scanner. The first five factors are obtained by factor analysis of SPSS from 25items of the upper body which influence the body shape,that is, circumference factor, height factor, side shape factor, frontal shape factor, and shoulder slope factor.Then characteristic indices of upper body are chosen by analyzing body scan data. This study will be useful for developing pattern more fitting and faster and helpful for realizing apparel mass customization.

  17. Radiographic assessment of congenital malformations of the upper extremity

    Energy Technology Data Exchange (ETDEWEB)

    Winfeld, Matthew J. [Perelman School of Medicine at the University of Pennsylvania, Department of Radiology, Musculoskeletal Division, Penn Medicine University City, Philadelphia, PA (United States); Otero, Hansel [Children' s National Medical Center, Department of Radiology, Washington, DC (United States)

    2016-09-15

    Congenital and developmental malformations of the upper extremity are uncommon and their diagnosis can challenge radiologists. Many complex classification systems exist, the latest of which accounts for the complex embryology and pathogenetic mechanisms that govern the formation of these anomalies. Using appropriate descriptors allows for more specific diagnosis and improved consultation with referring pediatricians and surgeons, helping to guide medical and surgical interventions and, if indicated, further investigation for associated abnormalities and underlying syndromes. We review the imaging characteristics of upper limb malformations to help pediatric radiologists better understand the classification and workup necessary in these cases. (orig.)

  18. Upper bounds for parabolic equations and the Landau equation

    Science.gov (United States)

    Silvestre, Luis

    2017-02-01

    We consider a parabolic equation in nondivergence form, defined in the full space [ 0 , ∞) ×Rd, with a power nonlinearity as the right-hand side. We obtain an upper bound for the solution in terms of a weighted control in Lp. This upper bound is applied to the homogeneous Landau equation with moderately soft potentials. We obtain an estimate in L∞ (Rd) for the solution of the Landau equation, for positive time, which depends only on the mass, energy and entropy of the initial data.

  19. Splenic duplication: a rare cause of acute upper gastrointestinal bleeding.

    Science.gov (United States)

    Sharma, Pankaj; Alkadhi, Hatem; Gubler, Christoph; Bauerfeind, Peter; Pfammatter, Thomas

    2013-02-01

    Acute gastrointestinal bleeding represents a common medical emergency. We report the rare case of acute upper gastrointestinal bleeding caused by varices in the gastric fundus secondary to splenic duplication. Splenic duplication has been only rarely reported in the literature, and no case so far has described the associated complication of gastrointestinal bleeding, caused by venous drainage of the upper spleen via varices in the gastric fundus. We describe the imaging findings from endoscopy, endosonography, computed tomography (CT), flat-panel CT, and angiography in this rare condition and illustrate the effective role of intra-arterial embolization.

  20. An upper limit to polarized submillimetre emission in Arp 220

    CERN Document Server

    Seiffert, M; Scott, D; Halpern, M; Seiffert, Michael; Borys, Colin; Scott, Douglas; Halpern, Mark

    2006-01-01

    We report the results of pointed observations of the prototypical ultra-luminous infrared galaxy (ULIRG) Arp 220 at 850 microns using the polarimeter on the SCUBA instrument on the James Clerk Maxwell Telescope. We find a Bayesian 99 per cent confidence upper limit on the polarized emission for Arp 220 of 1.54 per cent, averaged over the 15 arcsec beam-size. Arp 220 can serve as a proxy for other, more distant such galaxies. This upper limit constrains the magnetic field geometry in Arp 220 and also provides evidence that polarized ULIRGs will not be a major contaminant for next-generation cosmic microwave background polarization measurements.

  1. Stellate ganglion blockade for analgesia following upper limb surgery.

    LENUS (Irish Health Repository)

    McDonnell, J G

    2012-01-31

    We report the successful use of a stellate ganglion block as part of a multi-modal postoperative analgesic regimen. Four patients scheduled for orthopaedic surgery following upper limb trauma underwent blockade of the stellate ganglion pre-operatively under ultrasound guidance. Patients reported excellent postoperative analgesia, with postoperative VAS pain scores between 0 and 2, and consumption of morphine in the first 24 h ranging from 0 to 14 mg. While these are preliminary findings, and must be confirmed in a clinical trial, they highlight the potential for stellate ganglion blockade to provide analgesia following major upper limb surgery.

  2. Upper bounds for Neyman-Pearson cooperative spectrum sensing

    KAUST Repository

    Zahabi, Sayed Jalal

    2011-06-01

    We consider a cooperative spectrum sensing scenario where the local sensors at the secondary users are viewed as one-level quantizers, and the quantized data are to be fused under Neyman-Pearson (N-P) criterion. We demonstrate how the N-P fusion results in a randomized test, which represents the total performance of our spectrum sensing scheme. We further introduce an upper performance bound for the overall primary user signal detection. An analytical procedure towards the upper bound and its relevant quantization setup at the local sensors are proposed and examined through simulations. © 2011 IEEE.

  3. On η-Upper Sign Property and Upper Sign Continuity and Their Applications in Equilibrium-Like Problems

    Directory of Open Access Journals (Sweden)

    Ali Farajzadeh

    2014-01-01

    which is an extension of the upper sign property introduced in Castellani and Giuli, 2013, by relaxing convexity on the set. Afterwards, we establish a link between the solution sets of local dual equilibrium problem (Minty local equilibrium problem and equilibrium problem for mappings whose domains are not necessarily convex by relaxing the upper sign continuity on the map, as it is assumed in the literature (Bianchi and Pini, 2005; Castellani and Giuli, 2013; Farajzadeh and Zafarani, 2010. Accordingly, it allows us to extend and obtain some existence results for equilibrium-like problems.

  4. Predicting Recovery of Voluntary Upper Extremity Movement in Subacute Stroke Patients with Severe Upper Extremity Paresis

    Science.gov (United States)

    Koh, Chia-Lin; Pan, Shin-Liang; Jeng, Jiann-Shing; Chen, Bang-Bin; Wang, Yen-Ho; Hsueh, I-Ping; Hsieh, Ching-Lin

    2015-01-01

    Background and Objective Prediction of voluntary upper extremity (UE) movement recovery is largely unknown in patients with little voluntary UE movement at admission. The present study aimed to investigate (1) the extent and variation of voluntary UE movement recovery, and (2) the best predictive model of the recovery of voluntary UE movement by clinical variables in patients with severe UE paresis. Design Prospective cohort study. Methods 140 (out of 590) stroke patients with severe UE paresis completed all assessments. Voluntary UE movement was assessed using the UE subscale of the Stroke Rehabilitation Assessment of Movement (STREAM-UE). Two outcome measures, STREAM-UE scores at discharge (DCSTREAM-UE) and changes between admission and discharge (ΔSTREAM-UE), were investigated to represent the final states and improvement of the recovery of voluntary UE movement. Stepwise regression analyses were used to investigate 19 clinical variables and to find the best predictive models of the two outcome measures. Results The participants showed wide variation in both DCSTREAM-UE and ΔSTREAM-UE. 3.6% of the participants almost fully recovered at discharge (DCSTREAM-UE > 15). A large improvement (ΔSTREAM-UE >= 10) occurred in 16.4% of the participants, while 32.9% of the participants did not have any improvement. The four predictors for the DCSTREAM-UE (R2 = 35.0%) were ‘baseline STREAM-UE score’, ‘hemorrhagic stroke’, ‘baseline National Institutes of Health Stroke Scale (NIHSS) score’, and ‘cortical lesion excluding primary motor cortex’. The three predictors for the ΔSTREAM-UE (R2 = 22.0%) were ‘hemorrhagic stroke’, ‘baseline NIHSS score’, and ‘cortical lesion excluding primary motor cortex’. Conclusions Recovery of voluntary UE movement varied widely in patients with severe UE paresis after stroke. The predictive power of clinical variables was poor. Both results indicate the complex nature of voluntary UE movement recovery in patients

  5. Upper limit map of a background of gravitational waves

    Science.gov (United States)

    Abbott, B.; Abbott, R.; Adhikari, R.; Agresti, J.; Ajith, P.; Allen, B.; Amin, R.; Anderson, S. B.; Anderson, W. G.; Arain, M.; Araya, M.; Armandula, H.; Ashley, M.; Aston, S.; Aufmuth, P.; Aulbert, C.; Babak, S.; Ballmer, S.; Bantilan, H.; Barish, B. C.; Barker, C.; Barker, D.; Barr, B.; Barriga, P.; Barton, M. A.; Bayer, K.; Belczynski, K.; Betzwieser, J.; Beyersdorf, P. T.; Bhawal, B.; Bilenko, I. A.; Billingsley, G.; Biswas, R.; Black, E.; Blackburn, K.; Blackburn, L.; Blair, D.; Bland, B.; Bogenstahl, J.; Bogue, L.; Bork, R.; Boschi, V.; Bose, S.; Brady, P. R.; Braginsky, V. B.; Brau, J. E.; Brinkmann, M.; Brooks, A.; Brown, D. A.; Bullington, A.; Bunkowski, A.; Buonanno, A.; Burmeister, O.; Busby, D.; Byer, R. L.; Cadonati, L.; Cagnoli, G.; Camp, J. B.; Cannizzo, J.; Cannon, K.; Cantley, C. A.; Cao, J.; Cardenas, L.; Casey, M. M.; Castaldi, G.; Cepeda, C.; Chalkey, E.; Charlton, P.; Chatterji, S.; Chelkowski, S.; Chen, Y.; Chiadini, F.; Chin, D.; Chin, E.; Chow, J.; Christensen, N.; Clark, J.; Cochrane, P.; Cokelaer, T.; Colacino, C. N.; Coldwell, R.; Conte, R.; Cook, D.; Corbitt, T.; Coward, D.; Coyne, D.; Creighton, J. D. E.; Creighton, T. D.; Croce, R. P.; Crooks, D. R. M.; Cruise, A. M.; Cumming, A.; Dalrymple, J.; D'Ambrosio, E.; Danzmann, K.; Davies, G.; Debra, D.; Degallaix, J.; Degree, M.; Demma, T.; Dergachev, V.; Desai, S.; Desalvo, R.; Dhurandhar, S.; Díaz, M.; Dickson, J.; di Credico, A.; Diederichs, G.; Dietz, A.; Doomes, E. E.; Drever, R. W. P.; Dumas, J.-C.; Dupuis, R. J.; Dwyer, J. G.; Ehrens, P.; Espinoza, E.; Etzel, T.; Evans, M.; Evans, T.; Fairhurst, S.; Fan, Y.; Fazi, D.; Fejer, M. M.; Finn, L. S.; Fiumara, V.; Fotopoulos, N.; Franzen, A.; Franzen, K. Y.; Freise, A.; Frey, R.; Fricke, T.; Fritschel, P.; Frolov, V. V.; Fyffe, M.; Galdi, V.; Garofoli, J.; Gholami, I.; Giaime, J. A.; Giampanis, S.; Giardina, K. D.; Goda, K.; Goetz, E.; Goggin, L. M.; González, G.; Gossler, S.; Grant, A.; Gras, S.; Gray, C.; Gray, M.; Greenhalgh, J.; Gretarsson, A. M.; Grosso, R.; Grote, H.; Grunewald, S.; Guenther, M.; Gustafson, R.; Hage, B.; Hammer, D.; Hanna, C.; Hanson, J.; Harms, J.; Harry, G.; Harstad, E.; Hayler, T.; Heefner, J.; Heng, I. S.; Heptonstall, A.; Heurs, M.; Hewitson, M.; Hild, S.; Hirose, E.; Hoak, D.; Hosken, D.; Hough, J.; Howell, E.; Hoyland, D.; Huttner, S. H.; Ingram, D.; Innerhofer, E.; Ito, M.; Itoh, Y.; Ivanov, A.; Jackrel, D.; Johnson, B.; Johnson, W. W.; Jones, D. I.; Jones, G.; Jones, R.; Ju, L.; Kalmus, P.; Kalogera, V.; Kasprzyk, D.; Katsavounidis, E.; Kawabe, K.; Kawamura, S.; Kawazoe, F.; Kells, W.; Keppel, D. G.; Khalili, F. Ya.; Kim, C.; King, P.; Kissel, J. S.; Klimenko, S.; Kokeyama, K.; Kondrashov, V.; Kopparapu, R. K.; Kozak, D.; Krishnan, B.; Kwee, P.; Lam, P. K.; Landry, M.; Lantz, B.; Lazzarini, A.; Lee, B.; Lei, M.; Leiner, J.; Leonhardt, V.; Leonor, I.; Libbrecht, K.; Lindquist, P.; Lockerbie, N. A.; Longo, M.; Lormand, M.; Lubiński, M.; Lück, H.; Machenschalk, B.; Macinnis, M.; Mageswaran, M.; Mailand, K.; Malec, M.; Mandic, V.; Marano, S.; Márka, S.; Markowitz, J.; Maros, E.; Martin, I.; Marx, J. N.; Mason, K.; Matone, L.; Matta, V.; Mavalvala, N.; McCarthy, R.; McClelland, D. E.; McGuire, S. C.; McHugh, M.; McKenzie, K.; McNabb, J. W. C.; McWilliams, S.; Meier, T.; Melissinos, A.; Mendell, G.; Mercer, R. A.; Meshkov, S.; Messaritaki, E.; Messenger, C. J.; Meyers, D.; Mikhailov, E.; Mitra, S.; Mitrofanov, V. P.; Mitselmakher, G.; Mittleman, R.; Miyakawa, O.; Mohanty, S.; Moreno, G.; Mossavi, K.; Mowlowry, C.; Moylan, A.; Mudge, D.; Mueller, G.; Mukherjee, S.; Müller-Ebhardt, H.; Munch, J.; Murray, P.; Myers, E.; Myers, J.; Newton, G.; Nishizawa, A.; Numata, K.; O'Reilly, B.; O'Shaughnessy, R.; Ottaway, D. J.; Overmier, H.; Owen, B. J.; Pan, Y.; Papa, M. A.; Parameshwaraiah, V.; Patel, P.; Pedraza, M.; Penn, S.; Pierro, V.; Pinto, I. M.; Pitkin, M.; Pletsch, H.; Plissi, M. V.; Postiglione, F.; Prix, R.; Quetschke, V.; Raab, F.; Rabeling, D.; Radkins, H.; Rahkola, R.; Rainer, N.; Rakhmanov, M.; Rawlins, K.; Ray-Majumder, S.; Re, V.; Rehbein, H.; Reid, S.; Reitze, D. H.; Ribichini, L.; Riesen, R.; Riles, K.; Rivera, B.; Robertson, N. A.; Robinson, C.; Robinson, E. L.; Roddy, S.; Rodriguez, A.; Rogan, A. M.; Rollins, J.; Romano, J. D.; Romie, J.; Route, R.; Rowan, S.; Rüdiger, A.; Ruet, L.; Russell, P.; Ryan, K.; Sakata, S.; Samidi, M.; Sancho de La Jordana, L.; Sandberg, V.; Sannibale, V.; Saraf, S.; Sarin, P.; Sathyaprakash, B. S.; Sato, S.; Saulson, P. R.; Savage, R.; Savov, P.; Schediwy, S.; Schilling, R.; Schnabel, R.; Schofield, R.; Schutz, B. F.; Schwinberg, P.; Scott, S. M.; Searle, A. C.; Sears, B.; Seifert, F.; Sellers, D.; Sengupta, A. S.; Shawhan, P.; Shoemaker, D. H.; Sibley, A.; Sidles, J. A.; Siemens, X.; Sigg, D.; Sinha, S.; Sintes, A. M.; Slagmolen, B. J. J.; Slutsky, J.; Smith, J. R.; Smith, M. R.; Somiya, K.; Strain, K. A.; Strom, D. M.; Stuver, A.; Summerscales, T. Z.; Sun, K.-X.; Sung, M.; Sutton, P. J.; Takahashi, H.; Tanner, D. B.; Tarallo, M.; Taylor, R.; Taylor, R.; Thacker, J.; Thorne, K. A.; Thorne, K. S.; Thüring, A.; Tokmakov, K. V.; Torres, C.; Torrie, C.; Traylor, G.; Trias, M.; Tyler, W.; Ugolini, D.; Ungarelli, C.; Urbanek, K.; Vahlbruch, H.; Vallisneri, M.; van den Broeck, C.; Varvella, M.; Vass, S.; Vecchio, A.; Veitch, J.; Veitch, P.; Villar, A.; Vorvick, C.; Vyachanin, S. P.; Waldman, S. J.; Wallace, L.; Ward, H.; Ward, R.; Watts, K.; Webber, D.; Weidner, A.; Weinert, M.; Weinstein, A.; Weiss, R.; Wen, S.; Wette, K.; Whelan, J. T.; Whitbeck, D. M.; Whitcomb, S. E.; Whiting, B. F.; Wilkinson, C.; Willems, P. A.; Williams, L.; Willke, B.; Wilmut, I.; Winkler, W.; Wipf, C. C.; Wise, S.; Wiseman, A. G.; Woan, G.; Woods, D.; Wooley, R.; Worden, J.; Wu, W.; Yakushin, I.; Yamamoto, H.; Yan, Z.; Yoshida, S.; Yunes, N.; Zanolin, M.; Zhang, J.; Zhang, L.; Zhao, C.; Zotov, N.; Zucker, M.; Zur Mühlen, H.; Zweizig, J.

    2007-10-01

    We searched for an anisotropic background of gravitational waves using data from the LIGO S4 science run and a method that is optimized for point sources. This is appropriate if, for example, the gravitational wave background is dominated by a small number of distinct astrophysical sources. No signal was seen. Upper limit maps were produced assuming two different power laws for the source strain power spectrum. For an f-3 power law and using the 50 Hz to 1.8 kHz band the upper limits on the source strain power spectrum vary between 1.2×10-48Hz-1 (100Hz/f)3 and 1.2×10-47Hz-1 (100Hz/f)3, depending on the position in the sky. Similarly, in the case of constant strain power spectrum, the upper limits vary between 8.5×10-49Hz-1 and 6.1×10-48Hz-1. As a side product a limit on an isotropic background of gravitational waves was also obtained. All limits are at the 90% confidence level. Finally, as an application, we focused on the direction of Sco-X1, the brightest low-mass x-ray binary. We compare the upper limit on strain amplitude obtained by this method to expectations based on the x-ray flux from Sco-X1.

  6. The ITER EC H&CD upper launcher: Structural design

    NARCIS (Netherlands)

    Spaeh, P.; Aiello, G.; de M. Baar,; Chavan, R.; Elzendoorn, B.; Goodman, T.; Henderson, M.; Kleefeldt, K.; Landis, J. D.; Meier, A.; Ronden, D.; Saibene, G.; Scherer, T.; Schreck, S.; Serikov, A.; Strauss, D.; Vaccaro, A.

    2011-01-01

    Four ITER EC H&CD (Electron Cyclotron Heating and Current Drive) Upper Launchers will be installed in the ITER Tokamak to counteract plasma instabilities by injection of up to 20 MW of millimeter-wave power at 170 GHz. Each Launcher features a structural system which is equipped with eight b

  7. A Case of Basal Cell Adenoma of the Upper Lip

    Directory of Open Access Journals (Sweden)

    Masanori Kudoh

    2014-01-01

    Full Text Available Basal cell adenoma is a rare type of benign salivary gland tumor found most commonly in the parotid gland. We present a rare case of basal cell adenoma arising in the minor salivary gland of the upper lip. The patient was a 59-year-old Japanese man who visited our department in December 2012 with a chief complaint of a mass in the upper lip, which had increased in size over several years. A mobile, elastic, and relatively soft mass without tenderness was palpable in the upper lip region. The mucosa of the upper lip covering the mass was normal. Tumor extirpation was performed under local anesthesia. Histologically, the tumor had a capsule and was composed of islands of relatively uniform, monotonous cells. Immunohistochemically, the inner tumor comprised tubuloductal structures that showed strong staining for CK7, while the outer tumor showed weak staining for CK7. The outer tumor cells also stained positively for CD10 and p63. The MIB-1 (Ki-67 labeling index was extremely low. Basal cell adenoma was diagnosed based on these results. The postoperative course was uneventful 12 months after surgery and there has been no recurrence.

  8. Early outcomes from the Dutch Upper Gastrointestinal Cancer Audit

    NARCIS (Netherlands)

    Busweiler, L A D; Wijnhoven, B P L; van Berge Henegouwen, M I; Henneman, D; van Grieken, N C T; Wouters, M W J M; van Hillegersberg, R; van Sandick, J W

    2016-01-01

    BACKGROUND: In 2011, the Dutch Upper Gastrointestinal Cancer Audit (DUCA) group began nationwide registration of all patients undergoing surgery with the intention of resection for oesophageal or gastric cancer. The aim of this study was to describe the initiation and implementation of this process

  9. Modeling streamflow from snowmelt in the upper Rio Grande

    Science.gov (United States)

    Annual snowpack in the high elevation snowsheds of the Upper Rio Grande (URG) Basin is a vital source of surface water for irrigated agriculture in New Mexico. Maximum streamflow from the annual snowpack usually occurs in early May for the southernmost snowsheds (e.g., Ojo Caliente) and at the end o...

  10. The dynamics of giftedness in the upper primary grades

    NARCIS (Netherlands)

    Gubbels, J.C.G.

    2016-01-01

    Titel: The dynamics of giftedness in the upper primary grades Auteur: Joyce C.G. Gubbels Engelse samenvatting: Giftedness is often defined as an IQ-score of 130 or higher, that indicates strong analytical abilities. The research by Joyce Gubbels shows that in addition to analytically gifted childr

  11. Contested minorities – the case of Upper Silesia

    Directory of Open Access Journals (Sweden)

    Gierczak Dariusz

    2015-06-01

    Full Text Available Upper Silesia in terms of ethnicity is a typical example of a historical region in Europe, but in fact, one of the few exceptions in contemporary Poland, where its mixed ethnic and religious structures have at least partly survived until today. While their existence had been denied by Nazi Germany (1933-1945 as well as by the Polish People's Republic (1945-1989, the emancipation of the German and Silesian minorities after the democratic changes of 1989 have evoked strong emotions in the ethnically almost uniform country. Nonetheless, the recent situation of minorities has improved as never before. Minority organisations has been officially recognized and German finally has become the second language in some municipalities of Upper Silesia, but the largest ethnic group in the whole country, the Silesians, have still experienced no formal recognition as a national minority. This article deals with the demographic aspects of the ethnic groups in Upper Silesia since the 19th century until recent times. The census results concerning the ethnic minorities or languages in Upper Silesia have been contested since the first records of that kind have been taken. The outcomes of the both last censuses of 2002 and 2011 concerning the minority question reflected for the first time a much more realistic picture of the status quo. Furthermore, they showed that the idea of Silesian identification found an unexpected high number of supporters. This fact indicates an emerging meaning of regional identification amid significant changes of cultural values in Polish society.

  12. Upper extremity venous thrombosis. Case report and literature review.

    Science.gov (United States)

    Nemmers, D W; Thorpe, P E; Knibbe, M A; Beard, D W

    1990-02-01

    Upper extremity venous thrombosis is a clinical entity with numerous etiologic factors. Only 2% of all cases of deep venous thrombosis involve the upper extremity, and the incidence of pulmonary embolism related to thrombosis in this location is approximately 12%. Primary or "effort" thrombosis of the upper limb is related to the inherent anatomical structure of the thoracic outlet and axillary region. Secondary thrombosis may have such diverse origins as trauma, infection, congestive heart failure, central venous catheters, neoplasms, septic phlebitis, intravenous drug use, and hypercoagulable states. Patients present with peripheral edema and prominent superficial veins, and neurologic symptoms (pain and paresthesias) are usually present as well. Clinical diagnosis is confirmed by venography or sonography. Treatment regimens include conservative measures, thrombolysis with fibrinolytic agents, and surgical correction of indicated thoracic outlet and axillary structures. We present an unusual case in which upper extremity venous thrombosis in a young healthy female athlete was associated with the presence of cervical ribs. The patient was successfully treated with focal thrombolysis and surgical resection of her ipsilateral cervical rib.

  13. The causes of upper gastrointestinal hemorrhage analysis and nursing observation

    Institute of Scientific and Technical Information of China (English)

    Ma; Junhong; hang; Jin

    2013-01-01

    Objective To investigate the common causes of upper gastrointestinal hemorrhage and clinical nursing observation. Methods In our hospital from January 2011 to December 2012 medical hospitalized in our hospital clinical data of 46 patients with upper gastrointestinal bleeding were retrospectively analysis. Adopt routine medical care,nursing science system ( including psychological nursing, homeostatic treatment nursing,and diet nursing and health guidance after discharge,etc. ) aspects of the patient and family care,analyze the effect of nursing. Results The physician in 46 patients with upper gastrointestinal bleeding,medical,endoscopic treatment,and science of nursing,28 patients recovered and discharged,11 patients curative effect is distinct,6 cases have a therapeutic effect,1 case of no effect, turn over the superior hospital treatment,no deaths occur during treatment of total effective rate reached 94. 8% . Conclusion In patients with upper gastrointestinal bleeding,gives scientific and effective system of nursing,which can effectively help patients heal as soon as possi- ble,to reduce the recurrence rate and mortality,reduce the economic burden of the patients.

  14. Upper bounds on the solution of coupled algebraic riccati equation

    Directory of Open Access Journals (Sweden)

    Czornik Adam

    2001-01-01

    Full Text Available Upper bounds for eigenvalues of a solution to continuous time coupled algebraic Riccati equation (CCARE and discrete time coupled algebraic Riccati equation (DCARE are developed as special cases of bounds for the unified coupled algebraic Riccati equation (UCARE. They include bounds of the maximal eigenvalues, the sums of the eigenvalues and the trace.

  15. Impact of upper gastrointestinal endoscopic ultrasound in children

    DEFF Research Database (Denmark)

    Bjerring, Ole Steen; Durup, Jesper; Qvist, Niels

    2008-01-01

    Abstract The impact and feasibility of upper gastrointestinal endoscopic ultrasound (EUS) in younger children are unknown. We retrospectively reviewed the EUS procedures we had performed in children younger than 16 years with regard to feasibility, safety, and impact on further treatment. In all,...

  16. Upper Limit in the Periodic Table of Elements

    Directory of Open Access Journals (Sweden)

    Khazan A.

    2007-01-01

    Full Text Available The method of rectangular hyperbolas is developed for the first time, by which a means for estimating the upper bound of the Periodic Table is established in calculating that its last element has an atom mass of 411.663243 and an atomic number (the nuclear charge of 155. The formulating law is given.

  17. Digital Atlas of the Upper Washita River Basin, Southwestern Oklahoma

    Science.gov (United States)

    Becker, Carol J.; Masoner, Jason R.; Scott, Jonathon C.

    2008-01-01

    Numerous types of environmental data have been collected in the upper Washita River basin in southwestern Oklahoma. However, to date these data have not been compiled into a format that can be comprehensively queried for the purpose of evaluating the effects of various conservation practices implemented to reduce agricultural runoff and erosion in parts of the upper Washita River basin. This U.S. Geological Survey publication, 'Digital atlas of the upper Washita River basin, southwestern Oklahoma' was created to assist with environmental analysis. This atlas contains 30 spatial data sets that can be used in environmental assessment and decision making for the upper Washita River basin. This digital atlas includes U.S. Geological Survey sampling sites and associated water-quality, biological, water-level, and streamflow data collected from 1903 to 2005. The data were retrieved from the U.S. Geological Survey National Water Information System database on September 29, 2005. Data sets are from the Geology, Geography, and Water disciplines of the U.S. Geological Survey and cover parts of Beckham, Caddo, Canadian, Comanche, Custer, Dewey, Grady, Kiowa, and Washita Counties in southwestern Oklahoma. A bibliography of past reports from the U.S. Geological Survey and other State and Federal agencies from 1949 to 2004 is included in the atlas. Additionally, reports by Becker (2001), Martin (2002), Fairchild and others (2004), and Miller and Stanley (2005) are provided in electronic format.

  18. Mitral Valve Regurgitation Causing Right Upper Lobe Pulmonary Edema

    OpenAIRE

    Young, Andrew L.; Langston, Charles S.; Schiffman, Robert L.; Shortsleeve, Michael J.

    2001-01-01

    When radiography is performed in patients with mitral regurgitation, cardiogenic pulmonary edema is a typical finding; however, asymmetric pulmonary edema has also been reported. We describe the case of a patient in whom mitral valve regurgitation caused isolated pulmonary edema in the right upper lung. We include a discussion of pulmonary edema in conjunction with mitral regurgitation.

  19. People, soil and manioc interactions in the upper Amazon region

    NARCIS (Netherlands)

    Peña Venegas, C.P.

    2015-01-01

    Abstract Clara Patricia Peña Venegas (2015). People, soil and manioc interactions in the upper Amazon region. PhD thesis, Wageningen University, The Netherlands, with summaries in English and Dutch, 210 pp. The presence of anthropogenic soils, or Amazonian Dark

  20. Non-compliance Appliances for Upper Molar Distalization: An Overview.

    Science.gov (United States)

    Noorollahian, Saeed; Alavi, Shiva; Shirban, Farinaz

    2015-01-01

    Tooth Size Arch-length Discrepancy (TSALD) is a common problem in orthodontics. Its clinical signs are tooth crowding, impaction and incisor proclination. The treatment options are dental arch expansion or tooth mass reduction (stripping or extraction). The "extraction versus non-extraction" controversy has been widely debated in the orthodontic literature. Distalization is a kind of arch expansion in anetro-posterior dimension. Several studies have evaluated both the therapeutic effectiveness and the side effects of the appliances for this method of space gaining. In some cases molar distalization is preferred, e.g., a patient with acceptable profile and skeletal pattern and half cusp Class II molar malocclusion or even less. In some cases molar distalization is the only way, e.g., the patient with previous upper premolar extraction and excessive overijet, or a skeletal Class III patient with previous upper premolar extraction needed upper anterior teeth retraction to create reverse overjet aspre surgical orthodontic decompensation. In this review article, we described non-compliance upper molar distalizing appliances.

  1. The deep thermal field of the Upper Rhine Graben

    Science.gov (United States)

    Freymark, Jessica; Sippel, Judith; Scheck-Wenderoth, Magdalena; Bär, Kristian; Stiller, Manfred; Fritsche, Johann-Gerhard; Kracht, Matthias

    2017-01-01

    The Upper Rhine Graben has a significant socioeconomic relevance as it provides a great potential for geothermal energy production. The key for the utilisation of this energy resource is to understand the controlling factors of the thermal field in this area. We have therefore built a data-based lithospheric-scale 3D structural model of the Upper Rhine Graben and its adjacent areas. In addition, 3D gravity modelling was performed to constrain the internal structure of the crystalline crust consistent with seismic information. Based on this lithosphere scale 3D structural model the present-day conductive thermal field was calculated and compared to measured temperatures. Our results show that the regional thermal field is mainly controlled by the configuration of the upper crust, which has different thermal properties characteristic for the Variscan and Alpine domains. Temperature maxima are predicted for the Upper Rhine Graben where thick insulating Cenozoic sediments cause a thermal blanketing effect and where the underlying crustal units are characterised by high radiogenic heat production. The comparison of calculated and measured temperatures overall shows a reasonable fit, while locally occuring model deviations indicate where a larger influence of groundwater flow may be expected.

  2. People, soil and manioc interactions in the upper Amazon region

    NARCIS (Netherlands)

    Peña Venegas, C.P.

    2015-01-01

    Abstract Clara Patricia Peña Venegas (2015). People, soil and manioc interactions in the upper Amazon region. PhD thesis, Wageningen University, The Netherlands, with summaries in English and Dutch, 210 pp. The presence of anthropogenic soils, or Amazonian Dark   Ea

  3. A short overview of upper limb rehabilitation devices

    Science.gov (United States)

    Macovei, S.; Doroftei, I.

    2016-08-01

    As some studies show, the number of people over 65 years old increases constantly, leading to the need of solution to provide services regarding patient mobility. Diseases, accidents and neurologic problems affect hundreds of people every day, causing pain and lost of motor functions. The ability of using the upper limb is indispensable for a human being in everyday activities, making easy tasks like drinking a glass of water a real challenge. We can agree that physiotherapy promotes recovery, but not at an optimal level, due to limited financial and human resources. Hence, the need of robot-assisted rehabilitation emerges. A robot for upper-limb exercises should have a design that can accurately control interaction forces and progressively adapt assistance to the patients’ abilities and also to record the patient's motion and evolution. In this paper a short overview of upper limb rehabilitation devices is presented. Our goal is to find the shortcomings of the current developed devices in terms of utility, ease of use and costs, for future development of a mechatronic system for upper limb rehabilitation.

  4. The dynamics of giftedness in the upper primary grades

    NARCIS (Netherlands)

    Gubbels, J.C.G.

    2016-01-01

    Titel: The dynamics of giftedness in the upper primary grades Auteur: Joyce C.G. Gubbels Engelse samenvatting: Giftedness is often defined as an IQ-score of 130 or higher, that indicates strong analytical abilities. The research by Joyce Gubbels shows that in addition to analytically gifted

  5. Core muscle activation during dynamic upper limb exercises in women.

    Science.gov (United States)

    Tarnanen, Sami P; Siekkinen, Kirsti M; Häkkinen, Arja H; Mälkiä, Esko A; Kautiainen, Hannu J; Ylinen, Jari J

    2012-12-01

    Although several everyday functions and sporting activities demand controlled use of the abdominal and back muscles while working with the upper limbs, the activity of core muscles during dynamic upper limb exercises in the standing position has not been studied extensively. The purpose of this cross-sectional study was to examine abdominal and back muscle activity during dynamic upper limb exercises while standing and to evaluate whether dynamic exercises are appropriate for strengthening muscles. The activation of the rectus abdominis, obliquus externus abdominis, longissimus, and multifidus muscles during dynamic bilateral or unilateral shoulder exercises with or without fixation of the pelvis was measured in 20 healthy women using surface electromyography. Trunk muscle activation during isometric maximum contraction was used as a comparative reference. With bilateral shoulder extension and unilateral shoulder horizontal adduction, abdominal muscle activity was >60% of activity during reference exercises. With unilateral shoulder horizontal abduction and shoulder extension exercises, back muscle activity was >60% of the activity level reference exercise. Muscle activation levels were 35-64% lower during shoulder horizontal adduction and abduction without fixation compared with exercises with fixation. The results indicate that upper limb exercises performed in the standing position are effective for activating core muscles. Bilateral and unilateral shoulder extension and unilateral shoulder horizontal abduction and adduction with the pelvis fixed elicited the greatest activity of the core muscles.

  6. Therapeutic upper gastrointestinal tract endoscopy in Paediatric Gastroenterology.

    Science.gov (United States)

    Rahman, Imdadur; Patel, Praful; Boger, Philip; Rasheed, Shahnawaz; Thomson, Mike; Afzal, Nadeem Ahmad

    2015-03-16

    Since the first report of use of endoscopy in children in the 1970s, there has seen an exponential growth in published experience and innovation in the field. In this review article we focus on modern age therapeutic endoscopy practice, explaining use of traditional as well as new and innovative techniques, for diagnosis and treatment of diseases in the paediatric upper gastrointestinal tract.

  7. NEW ABELISAURID MATERIAL FROM THE UPPER CRETACEOUS (CENOMANIAN OF MOROCCO

    Directory of Open Access Journals (Sweden)

    SIMONE D'ORAZI PORCHETTI

    2011-11-01

    Full Text Available Fragmentary cranial bones of dinosaur origin have been recently recovered from the Kem Kem beds (Upper Cretaceous, Cenomanian of Morocco. They include two incompletely preserved maxillary bones evidencing diagnostic features of abelisaurid theropods. These new finds provide further evidence of Abelisauridae in the Late Cretaceous of Morocco. 

  8. Sleep and upper airway obstruction in children with achondroplasia

    NARCIS (Netherlands)

    Zucconi, M; Weber, G; Castronovo, [No Value; FeriniStrambi, L; Russo, F; Chiumello, G; Smirne, S

    1996-01-01

    Objective: The features of achondroplasia, the most common form of dwarfism, includes short cranial base and midface hypoplasia; both abnormalities increased the risk of upper airway obstruction during sleep, The aim of our study was to evaluate sleep and respiratory function of children with achond

  9. EQUILIBRIUM PROBLEMS WITH LOWER AND UPPER BOUNDS IN TOPOLOGICAL SPACES

    Institute of Scientific and Technical Information of China (English)

    Ding Xieping

    2005-01-01

    By employing a fixed point theorem due to Ding, Park and Jung, some existence theorems of solutions for equilibrium problems with lower and upper bounds are proved in noncompact topological spaces. These results further answer the open problem raised by Isac, Sehgal and Singh under much weaker assumptions.

  10. Upper limits for air humidity based on human comfort

    DEFF Research Database (Denmark)

    Toftum, Jørn; Fanger, Povl Ole; Jørgensen, Anette S.

    1998-01-01

    respiratory cooling. Human subjects perceived the condition of their skin to be less acceptable with increasing skin humidity. Inhaled air was rated warmer, more stuffy and less acceptable with increasing air humidity and temperature. Based on the subjects' comfort responses, new upper limits for air humidity...

  11. Genioglossus muscle responses to upper airway pressure changes: afferent pathways.

    Science.gov (United States)

    Mathew, O P; Abu-Osba, Y K; Thach, B T

    1982-02-01

    The afferent pathway of an upper airway reflex in which genioglossus muscle electromyographic (GG EMG) activity is influenced by pharyngeal pressure changes was investigated in 20 anesthetized rabbits. We took advantage of the fact that the upper airway was separated into two compartments by pharyngeal closure occurring when the animals breathe through a tracheostomy. This allowed pressure to be delivered selectively either to the nose and nasopharynx or to the larynx and hypopharynx. Midcervical vagotomy did not eliminate the GG EMG response to pressure stimuli. On the other hand high cervical vagotomy or superior laryngeal nerve section eliminated the response in the laryngeal compartment, but not in the nasopharyngeal compartment. Topical anesthesia of the mucosa of the nose, pharynx, and larynx abolished the response in both compartments. Therefore we conclude that more than one afferent pathway exists for this upper airway pressure reflex; the primary afferent pathway from the laryngeal compartment is the superior laryngeal branch of the vagus nerve, whereas the primary afferent pathway for the nasopharynx is nonvagal. Trigeminal nerve, glossopharyngeal nerve, and/or nervus intermedius carry nonvagal afferents from the nasopharynx and nose. The topical anesthetic and nerve section studies suggest that superficial receptors mediate this response. The occurrence of swallowing in response to upper airway pressure changes and its elimination by topical anesthesia or superior mechanoreceptors may mediate both genioglossus respiratory responses and swallowing responses.

  12. Endoscopic thoracic sympathectomy in the treatment of upper limb hyperhidrosis.

    Science.gov (United States)

    Malone, P. S.; Cameron, A. E.; Rennie, J. A.

    1986-01-01

    The technique of endoscopic sympathectomy is described and its value in the treatment of upper limb hyperhidrosis is reported in an initial series of 7 patients (13 sympathectomies). It is recommended as the treatment of choice for this condition. Images Fig. 1 Fig. 2 PMID:3954316

  13. Teaching Introductory Upper-Level Religion and Theology Classes

    Science.gov (United States)

    Clingerman, Forrest; O'Brien, Kevin J.

    2015-01-01

    The undergraduate study of religion is predominantly undertaken by non-majors who are meeting a general education requirement. This means that, while curricular discussions make important distinctions between the work of lower- and upper-division courses, many religion and theology faculty are teaching hybrid courses that we call…

  14. A pilot study of myoelectrically controlled FES of upper extremity

    NARCIS (Netherlands)

    Thorsen, Rune; Spadone, Rafaella; Ferrarin, Maurizio

    2001-01-01

    Functional electrical stimulation (FES) of upper limbs can be used for the recovery of some hand functions on patients with CNS lesions. This study deals with the control of FES by means of myoelectrical activity detected from voluntarily activated paretic muscles. The specific aim of this paper is

  15. Teaching Introductory Upper-Level Religion and Theology Classes

    Science.gov (United States)

    Clingerman, Forrest; O'Brien, Kevin J.

    2015-01-01

    The undergraduate study of religion is predominantly undertaken by non-majors who are meeting a general education requirement. This means that, while curricular discussions make important distinctions between the work of lower- and upper-division courses, many religion and theology faculty are teaching hybrid courses that we call…

  16. Heating of Jupiter's upper atmosphere above the Great Red Spot

    Science.gov (United States)

    O'Donoghue, James; Moore, Luke; Stallard, Tom; Melin, Henrik

    2016-10-01

    Measured upper-atmospheric, mid-to-low latitude temperatures of the giant planets are hundreds of degrees warmer than simulations based on solar heating alone can explain. Modelling studies, focused on additional sources of heating, have been so far unable to resolve this significant model-data discrepancy. Equatorward transport of energy from the hot auroral regions was expected to heat low latitude regions; instead, models have demonstrated that auroral energy is trapped at high latitudes, a consequence of the strong Coriolis forces on these rapidly rotating planets. Wave heating, driven from below, represents another potential source of upper-atmospheric heating. Using data taken in 2012 by the ground-based NASA IRTF, we found through observations of the H3+ ion that the upper atmosphere above Jupiter's Great Red Spot (GRS) - the largest storm in the solar system - is hundreds of degrees hotter than anywhere else on the planet. Specifically, the result shows that the northern region of the spot was over 1600 K, and that background temperatures away from the spot are ~850 K. The hotspot, by process of elimination, must be heated from below, and this detection is therefore strong evidence for coupling between Jupiter's lower and upper atmospheres, likely the result of upward propagating acoustic and/or gravity waves. Our results indicate that the lower atmosphere may yet play an important role in resolving the giant planet 'energy crisis'.

  17. Conceptual design of the ECH upper launcher system for ITER

    NARCIS (Netherlands)

    Heidinger, R.; Bertizzolo, R.; Bruschi, A.; Chavan, R.; Cirant, S.; Collazos, A.; de M. Baar,; Elzendoorn, B.; Farina, D.; Fischer, U.; Gafert, J.; Gandini, F.; Gantenbein, G.; Goede, A.; Goodman, T.; Hailfinger, G.; Henderson, M.; Kasparek, W.; Kleefeldt, K.; Landis, J. D.; Meier, A.; Moro, A.; Platania, P.; Poli, E.; Ramponi, G.; Saibene, G.; Sanchez, F.; Sauter, O.; Scherer, T.; Serikov, A.; Shidara, H.; Sozzi, C.; Spaeh, P.; Strauss, D.; Udintsev, V.S.; Vaccaro, A.; Zohm, H.; Zucca, C.

    2009-01-01

    The challenge of developing the conceptual design of the ECH Upper Launcher system for MHD control in the ITER plasmas has been tackled by team of European Associations together with the European Domestic Agency ("F4E"). The launcher system has to meet the following requirements: (a) a mm-

  18. Lung mass, right upper lung - chest x-ray (image)

    Science.gov (United States)

    ... chest x-ray of a person with a lung mass. This is a front view, where the lungs are the two dark areas and the heart ... ray shows a mass in the right upper lung, indicated with the arrow (seen on the left ...

  19. Vocabulary Learning Strategies of Iranian Upper-Intermediate EFL Learners

    Science.gov (United States)

    Khatib, Mohammad; Hassanzadeh, Mohammad; Rezaei, Saeed

    2011-01-01

    This study examines the preferred vocabulary learning strategies of Iranian upper-intermediate EFL learners. In order to identify the aforementioned group in terms of language proficiency, a TOEFL test was administered to a population of 146 undergraduate EFL students at the university of Vali-e-Asr in Rafsanjan, Iran. Those scoring above 480 were…

  20. Upper spine morphology in hypophosphatemic rickets and healthy controls

    DEFF Research Database (Denmark)

    Gjørup, Hans; Sonnesen, Liselotte; Beck-Nielsen, Signe S

    2014-01-01

    BACKGROUND/OBJECTIVES: The aim of this study was to describe upper spine morphology in adult patients with hypophosphatemic rickets (HR) compared with controls to assess differences in spine morphology in terms of severity of skeletal impact and to study associations between spine morphology and ...

  1. Viral and Bacterial Interactions in the Upper Respiratory Tract

    NARCIS (Netherlands)

    Bosch, Astrid A. T. M.; Biesbroek, Giske; Trzcinski, Krzysztof; Sanders, Elisabeth A. M.; Bogaert, Debby

    2013-01-01

    Respiratory infectious diseases are mainly caused by viruses or bacteria that often interact with one another. Although their presence is a prerequisite for subsequent infections, viruses and bacteria may be present in the nasopharynx without causing any respiratory symptoms. The upper respiratory t

  2. Upper Respiratory Infections and Barotrauma Among Commercial Pilots

    DEFF Research Database (Denmark)

    Boel, Nina Monrad; Klokker, Mads

    2017-01-01

    BACKGROUND: Health incapacitation is a serious threat to flight safety. Therefore, a study conducted 10 yr ago examined the incidents of ear-nose-throat (ENT) barotrauma and upper respiratory infection (URI) among commercial pilots and found that a large number continued to carry out their duties...

  3. Salinization of the Upper Colorado River - Fingerprinting Geologic Salt Sources

    Science.gov (United States)

    Tuttle, Michele L.W.; Grauch, Richard I.

    2009-01-01

    Salt in the upper Colorado River is of concern for a number of political and socioeconomic reasons. Salinity limits in the 1974 U.S. agreement with Mexico require the United States to deliver Colorado River water of a particular quality to the border. Irrigation of crops, protection of wildlife habitat, and treatment for municipal water along the course of the river also place restrictions on the river's salt content. Most of the salt in the upper Colorado River at Cisco, Utah, comes from interactions of water with rock formations, their derived soil, and alluvium. Half of the salt comes from the Mancos Shale and the Eagle Valley Evaporite. Anthropogenic activities in the river basin (for example, mining, farming, petroleum exploration, and urban development) can greatly accelerate the release of constituents from these geologic materials, thus increasing the salt load of nearby streams and rivers. Evaporative concentration further concentrates these salts in several watersheds where agricultural land is extensively irrigated. Sulfur and oxygen isotopes of sulfate show the greatest promise for fingerprinting the geologic sources of salts to the upper Colorado River and its major tributaries and estimating the relative contribution from each geologic formation. Knowing the salt source, its contribution, and whether the salt is released during natural weathering or during anthropogenic activities, such as irrigation and urban development, will facilitate efforts to lower the salt content of the upper Colorado River.

  4. Diagnostic distribution of non-traumatic upper limb disorders

    DEFF Research Database (Denmark)

    Laursen, Lise H; Sjøgaard, Gisela; Hagert, C G

    2007-01-01

    BACKGROUND: Upper limb disorders (ULDs) are common, and so are the difficulties in specific diagnoses of these disorders. Prior studies have shed light on the nerves in the diagnostic approach beside disorders related to muscles, tendons and joints (MCDs). OBJECTIVE: The study aimed to compare th...

  5. Upper Cervical Epidural Abscess in a Patient With Parkinson Disease

    Science.gov (United States)

    Al-Hourani, Khalid; Frost, Chelsea

    2015-01-01

    To our knowledge, there are no reports in the literature of patients with Parkinson disease (PD) developing upper cervical spine infections. Our objective is to present a case of upper cervical epidural abscess in a patient with PD and to review upper cervical spine infection. We present the patient’s presentation, physical examination, imaging findings, and management as well a review of the literature. A 66-year-old male with PD presented to the emergency department (ED) following referral by a neurologist for a presumed C2 fracture. The preceding history was 1 week of severe neck pain requiring a magnetic resonance imaging (MRI), which was initially interpreted as a C2 fracture. On admission from the ED, further review of the MRI appeared to show anterior prevertebral abscess and an epidural abscess. The patient’s neurological examination was at baseline. In the span of 2 days, the patient developed significant motor weakness. A repeat MRI demonstrated expansion of the epidural collection and spinal cord compression. Surgical management consisting of C1 and C2 laminectomy, irrigation, and debridement from anterior and posterior approaches was performed. Postoperatively, the patient did not recover any motor strength and elected to withdraw care and died. Spinal epidural abscess requires a high index of suspicion and needs prompt recognition to prevent neurological impairment. Upper cervical spine infections are rare but can lead to lethal consequences. PMID:26623170

  6. Ergotamine-induced upper extremity ischemia: a case report

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Man Deuk; Lee, Gun [Bundang CHA General Hospital, Pochon (China); Shin, Sung Wook [Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul (Korea, Republic of)

    2005-06-15

    Ergotamine-induced limb ischemia is an extremely rare case. We present a case of a 64-year-old man, who developed ischemia on the right upper extremity due to long-term use of Ergot for migraine headache. Angiography revealed diffused, smooth, and tapered narrowing of the brachial artery. The patient was successfully treated with intravenous nitroprusside.

  7. A Method for Upper Bounding on Network Access Speed

    DEFF Research Database (Denmark)

    Knudsen, Thomas Phillip; Patel, A.; Pedersen, Jens Myrup;

    2004-01-01

    This paper presents a method for calculating an upper bound on network access speed growth and gives guidelines for further research experiments and simulations. The method is aimed at providing a basis for simulation of long term network development and resource management....

  8. Survey of Hand and Upper Extremity Injuries Among Rock Climbers.

    Science.gov (United States)

    Nelson, Clayton E; Rayan, Ghazi M; Judd, Dustin I; Ding, Kai; Stoner, Julie A

    2017-07-01

    Rock climbing first evolved as a sport in the late 18th century. With its growing popularity, the number of rock climbing-related injuries has potential to increase, spurring a rise in the number of articles associated with it. Despite the available literature, there remains a paucity of information about upper extremity injuries sustained by rock climbers, and no studies to date have focused on gender-specific injuries. A 24-question online survey was distributed to rock climbers about upper extremity injuries sustained during rock climbing. Statistical analysis was used to study association between participants' demographics and injuries. A total of 397 participants responded to the survey. Mean age was 32.5 years with males comprising 85%. No significant differences in demographics or climbing behaviors were found between males and females. Ninety percent of participants reported sustaining an upper extremity injury. Fingers were the most common injury followed by shoulder/arm and elbow/forearm. Our study found females to be more likely to report a rock climbing-related injury, and more likely to undergo surgery for it. Female rock climbers were significantly more likely to report a shoulder/upper arm injury and were also more likely to report undergoing surgery compared with males, where these differences were not due to age or climbing behaviors. Further investigation is warranted into the association between shoulder injuries and female athletes to determine how the gender differences relate to extent of injury as well as health service utilization behaviors.

  9. Management of penetrating injuries of the upper extremities

    NARCIS (Netherlands)

    O.J.F. van Waes (Oscar); P.H. Navsaria; R.C. Verschuren (Renske Cm); L.C. Vroon (Laurens); E.M.M. van Lieshout (Esther); J.A. Halm (Jens); A.J. Nicol; J. Vermeulen (Jefrey)

    2013-01-01

    textabstractBackground: Routine surgical exploration after penetrating upper extremity trauma (PUET) to exclude arterial injury leads to a large number of negative explorations and iatrogenic injuries. Selective non-operative management (SNOM) is gaining in favor for patients with PUET. The present

  10. Long-term outcomes after upper limb arterial injuries

    NARCIS (Netherlands)

    vanderSluis, CK; Kucey, DS; Brenneman, FD; Hunter, GA; Maggisano, R; tenDuis, HJ

    OBJECTIVE: To assess long-term outcomes in multisystem trauma victims who have arterial injuries to upper limbs. DESIGN: A retrospective case series. SETTING: Tertiary care regional trauma centre in a university hospital. PATIENTS: All consecutive severely injured patients (Injury Severity Score

  11. Dysbiosis of upper respiratory tract microbiota in elderly pneumonia patients

    NARCIS (Netherlands)

    Piters, Wouter A. A. de Steenhuijsen; Huijskens, Elisabeth G. W.; Wyllie, Anne L.; Biesbroek, Giske; van den Bergh, Menno R.; Veenhoven, Reinier H.; Wang, Xinhui; Trzcinski, Krzysztof; Bonten, Marc J.; Rossen, John W. A.; Sanders, Elisabeth A. M.; Bogaert, Debby

    2016-01-01

    Bacterial pneumonia is a major cause of morbidity and mortality in elderly. We hypothesize that dysbiosis between regular residents of the upper respiratory tract (URT) microbiome, that is balance between commensals and potential pathogens, is involved in pathogen overgrowth and consequently disease

  12. Upper limb tendinitis and entrapment neuropathy in coal miners.

    Science.gov (United States)

    Özdolap, Senay; Emre, Ufuk; Karamercan, Ayşe; Sarikaya, Selda; Köktürk, Fürüzan

    2013-05-01

    It is well-known that work-related upper limb musculoskeletal disorders, particularly tendinitis and nerve entrapment, remain a difficult and costly problem in industrialized countries. The aim of this study was to evaluate tendinitis and entrapment neuropathy of the upper limb of Turkish coal miners. Eighty coal miners and 43 age-matched clerical workers were included in the study. The evaluation procedures included collection of personal and clinical data, physical examination and bilateral electrodiagnostic testing. Subjects were examined to diagnose tendinitis and nerve entrapment of the upper limb. Bilateral median and ulnar nerves conduction tests were performed on all subjects. Data were collected between August 2011 and December 2011. There were 33 subjects with lateral epicondylitis, 10 with medial epicondylitis, and 22 with De Quervain's disease among the coal miners. There were seven subjects with lateral epicondylitis, eight with medial epicondylitis, and four with De Quervain's disease in the control group. The two groups significantly differed in the prevalences of lateral epicondylitis and De Quervain's disease (P = 0.024 and P =0.029, respectively). Sixteen subjects in the coal miners and 12 subjects in the controls had carpal tunnel syndrome (P = 0.66). Thirty-seven subjects in the coal miners had ulnar neuropathy of the elbow (UNE), while four subjects in the controls had UNE; this difference was statistically significant (P Quervain disease, and ulnar neuropathy are common work-related upper limb disorders among coal miners. Copyright © 2013 Wiley Periodicals, Inc.

  13. Teaching Quantum Physics in Upper Secondary School in France:

    Science.gov (United States)

    Lautesse, Philippe; Vila Valls, Adrien; Ferlin, Fabrice; Héraud, Jean-Loup; Chabot, Hugues

    2015-01-01

    One of the main problems in trying to understand quantum physics is the nature of the referent of quantum theory. This point is addressed in the official French curriculum in upper secondary school. Starting in 2012, after about 20 years of absence, quantum physics has returned to the national program. On the basis of the historical construction…

  14. Teaching Quantum Physics in Upper Secondary School in France:

    Science.gov (United States)

    Lautesse, Philippe; Vila Valls, Adrien; Ferlin, Fabrice; Héraud, Jean-Loup; Chabot, Hugues

    2015-01-01

    One of the main problems in trying to understand quantum physics is the nature of the referent of quantum theory. This point is addressed in the official French curriculum in upper secondary school. Starting in 2012, after about 20 years of absence, quantum physics has returned to the national program. On the basis of the historical construction…

  15. Mirror therapy enhances upper extremity motor recovery in stroke patients.

    Science.gov (United States)

    Mirela Cristina, Luca; Matei, Daniela; Ignat, Bogdan; Popescu, Cristian Dinu

    2015-12-01

    The purpose of this study was to evaluate the effects of mirror therapy program in addition with physical therapy methods on upper limb recovery in patients with subacute ischemic stroke. 15 subjects followed a comprehensive rehabilitative treatment, 8 subjects received only control therapy (CT) and 7 subjects received mirror therapy (MT) for 30 min every day, five times a week, for 6 weeks in addition to the conventional therapy. Brunnstrom stages, Fugl-Meyer Assessment (upper extremity), the Ashworth Scale, and Bhakta Test (finger flexion scale) were used to assess changes in upper limb motor recovery and motor function after intervention. After 6 weeks of treatment, patients in both groups showed significant improvements in the variables measured. Patients who received MT showed greater improvements compared to the CT group. The MT treatment results included: improvement of motor functions, manual skills and activities of daily living. The best results were obtained when the treatment was started soon after the stroke. MT is an easy and low-cost method to improve motor recovery of the upper limb.

  16. [Lagophthalmos and ectropion of the upper eyelids in congenital ichthyosis].

    Science.gov (United States)

    Handzel, D M; Zubcov-Iwantscheff, A A; Aral, H

    2013-10-01

    This report concerns the case of a 10-year-old female patient with congenital ichthyosis who developed bilateral ectropion of the upper eyelids resulting in massive ocular surface alterations due to lagophthalmos. A complex surgical approach with partial excision, tarsal strip refixation and a free skin graft led to normalization of the eyelid positioning and healing of the ocular surface.

  17. Surveys of colonial waterbirds in upper Cook Inlet, 1983

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Nearly 11,000 mew gulls (Larus canus) and 4,400 herring gulls or herring x glaucous-winged gull hybrids (L. argentatus x glaucescens) were found breeding in upper...

  18. Upper Secondary Teachers' Knowledge for Teaching Chemical Bonding Models

    Science.gov (United States)

    Bergqvist, Anna; Drechsler, Michal; Chang Rundgren, Shu-Nu

    2016-01-01

    Researchers have shown a growing interest in science teachers' professional knowledge in recent decades. The article focuses on how chemistry teachers impart chemical bonding, one of the most important topics covered in upper secondary school chemistry courses. Chemical bonding is primarily taught using models, which are key for understanding…

  19. UPPER MIDWEST REGIONAL EDUCATIONAL LABORATORY PROGRAM DEVELOPMENT PROJECT. REPORT.

    Science.gov (United States)

    KEGLER, STANLEY B.; AND OTHERS

    THIS REPORT DESCRIBES THE DEVELOPMENT, DIVISION, SERVICES, AND CORPORATE STRUCTURE OF THE UPPER MIDWEST REGIONAL EDUCATIONAL LABORATORY, A NON-PROFIT REGIONAL LABORATORY DEVOTED TO CURRICULUM IMPROVEMENT IN THE ELEMENTARY AND SECONDARY SCHOOLS. MEMBERS OF THE ADMINISTRATIVE STAFF, EXECUTIVE COMMITTEE, BOARD OF TRUSTEES, AND STATE COUNCILS OF THE…

  20. Happy ending of life-threatening upper GI bleeding

    Science.gov (United States)

    Islam, Quazi Tarikul; Siddiqui, Mahmudur Rahman; Rahman, Md Anisur; Ahmed, Syed Salahuddin

    2011-01-01

    Strongyloides stercoralis is an intestinal nematode in humans, and estimated about tens of millions of people are infected worldwide. This parasite is endemic in tropical or temperate and subtropical climates like Bangladesh. The authors report a 33-year-old man who presented with recurrent life-threatening upper gastrointestinal bleeding from gastric infection by S stercoralis. PMID:22673715

  1. Stump sensibility in children with upper limb reduction deficiency

    NARCIS (Netherlands)

    Reinkingh, Marianne; Reinders-Messelink, Heleen A.; Dijkstra, Pieter U.; Maathuis, Karel G. B.; van der Sluis, Corry K.

    2014-01-01

    Objectives: To compare stump sensibility in children with upper limb reduction deficiency with sensibility of the unaffected arm and hand. In addition, to evaluate the associations between stump sensibility, stump length and activity level. Design: Cross-sectional study. Subjects: Children and young

  2. Broadening Participation in Research Focused, Upper-Division Learning Communities

    Science.gov (United States)

    Hinckley, Robert A.; McGuire, John P.

    2015-01-01

    We address several challenges faced by those who wish to increase the number of faculty participating in upper-division learning communities that feature a student research experience. Using illustrations from our own learning community, we describe three strategies for success that focus on providing low cost incentives and other means to promote…

  3. Supratentorial ischemic stroke: more than an upper motor neuron disorder.

    NARCIS (Netherlands)

    Kuijk, A. van; Pasman, J.W.; Hendricks, H.T.; Schelhaas, H.J.; Zwarts, M.J.; Geurts, A.C.H.

    2007-01-01

    The primary goal of this study was to identify secondary functional changes in the peripheral motor units of the paretic upper extremity (UE) in patients with severe ischemic stroke and to determine how these changes develop during the first weeks after stroke. An inception cohort of 27 consecutive

  4. Upper Limb Assessment in Tetraplegia: Clinical, Functional and Kinematic Correlations

    Science.gov (United States)

    Cacho, Enio Walker Azevedo; de Oliveira, Roberta; Ortolan, Rodrigo L.; Varoto, Renato; Cliquet, Alberto

    2011-01-01

    The aim of this study was to correlate clinical and functional evaluations with kinematic variables of upper limp reach-to-grasp movement in patients with tetraplegia. Twenty chronic patients were selected to perform reach-to-grasp kinematic assessment using a target placed at a distance equal to the arm's length. Kinematic variables (hand peak…

  5. Large Abundances of Polycyclic Aromatic Hydrocarbons in Titan's Upper Atmosphere

    Science.gov (United States)

    Lopez-Puertas, M.; Dinelli, B. M.; Adriani, A.; Funke, B.; Garcia-Comas, M.; Moriconi, M. L.; D'Aversa, E.; Boersma, C.; Allamandola, L. J.

    2013-01-01

    In this paper, we analyze the strong unidentified emission near 3.28 micron in Titan's upper daytime atmosphere recently discovered by Dinelli et al.We have studied it by using the NASA Ames PAH IR Spectroscopic Database. The polycyclic aromatic hydrocarbons (PAHs), after absorbing UV solar radiation, are able to emit strongly near 3.3 micron. By using current models for the redistribution of the absorbed UV energy, we have explained the observed spectral feature and have derived the vertical distribution of PAH abundances in Titan's upper atmosphere. PAHs have been found to be present in large concentrations, about (2-3) × 10(exp 4) particles / cubic cm. The identified PAHs have 9-96 carbons, with a concentration-weighted average of 34 carbons. The mean mass is approx 430 u; the mean area is about 0.53 sq. nm; they are formed by 10-11 rings on average, and about one-third of them contain nitrogen atoms. Recently, benzene together with light aromatic species as well as small concentrations of heavy positive and negative ions have been detected in Titan's upper atmosphere. We suggest that the large concentrations of PAHs found here are the neutral counterpart of those positive and negative ions, which hence supports the theory that the origin of Titan main haze layer is located in the upper atmosphere.

  6. Reexploring the upper bound for the chromatic number of graphs

    Institute of Scientific and Technical Information of China (English)

    LI Shuchao; MAO Jingzhong

    2004-01-01

    The upper bound of the chromatic number of simple graphs is explored. Its original idea comes from Coffman, Hakimi and Schmeichel, who recently studied the chromatic number of graphs with strong conditions. In this paper, corresponding conditions are weakened and the result proves that of Ershov and Kozhukhin's.

  7. Physical working capacity of male inhabitants from Upper Surinam

    NARCIS (Netherlands)

    Staudt, F.J.

    1978-01-01

    Aerobic power tests were carried out on twenty male Bushnegroes, as part of a medical survey in two villages on the Upper Marowijn river in the interior of Surinam (South America). The subjects were submitted to a discontinuous series of increasing submaximal loads by means of a bicycle ergometer. H

  8. Lithostratigraphy of the upper Oligocene–Miocene succession in Denmark

    DEFF Research Database (Denmark)

    Rasmussen, Erik Skovbjerg; Dybkjær, Karen; Piasecki, Stefan

    2010-01-01

    The Upper Oligocene – Miocene succession of onshore Denmark is about 250 m thick and is composed of interdigitating, coarse-grained fluvio-deltaic and mud-rich marine sediments; it is best exposed in coastal cliffs in eastern and northern Jylland but is also seen locally inland. These sediments...

  9. Scaling laws for the upper ocean temperature dissipation rate

    NARCIS (Netherlands)

    Bogucki, D.J.; Huguenard, K.; Haus, B.K.; Özgökmen, T.M.; Reniers, A.J.H.M.; Laxague, N.J.M.

    2015-01-01

    Our understanding of temperature dissipation rate χ within the upper ocean boundary layer, which is critical for climate forecasts, is very limited. Near-surface turbulence also affects dispersion of contaminants and biogeochemical tracers. Using high-resolution optical turbulence measurements, scal

  10. Increasing the admission rate to upper secondary school

    DEFF Research Database (Denmark)

    Hoest, A.; Jensen, V.M.; Nielsen, L.P.

    2013-01-01

    the effects of a school intervention that introduces structured student career guidance in lower secondary school on upper secondary school admission. Disregarding the sunk-cost of implementation, the reform was cost-neutral. In a difference-in-difference framework, we find that the reform increases admission...

  11. Torsion of right middle lobe after a right upper lobectomy

    Directory of Open Access Journals (Sweden)

    Chen Tung-Ying

    2009-04-01

    Full Text Available Abstract Lobar torsion after lung resection is a quite rare complication. A 50-year-old woman presented typical features on chest radiographs and CT(computed tomography scan of lobar torsion after a right upper lobectomy. After emergency lobectomy of right middle lobe, the patient recovered well and discharged 10 days after the second operation.

  12. Upper limit map of a background of gravitational waves

    CERN Document Server

    Abbott, B; Adhikari, R; Agresti, J; Ajith, P; Allen, B; Amin, R; Anderson, S B; Anderson, W G; Arain, M; Araya, M; Armandula, H; Ashley, M; Aston, S; Aufmuth, P; Aulbert, C; Babak, S; Ballmer, S; Bantilan, H; Barish, B C; Barker, C; Barker, D; Barr, B; Barriga, P; Barton, M A; Bayer, K; Belczynski, K; Betzwieser, J; Beyersdorf, P T; Bhawal, B; Bilenko, I A; Billingsley, G; Biswas, R; Black, E; Blackburn, K; Blackburn, L; Blair, D; Bland, B; Bogenstahl, J; Bogue, L; Bork, R; Boschi, V; Bose, S; Brady, P R; Braginsky, V B; Brau, J E; Brinkmann, M; Brooks, A; Brown, D A; Bullington, A; Bunkowski, A; Buonanno, A; Burmeister, O; Busby, D; Byer, R L; Cadonati, L; Cagnoli, G; Camp, J B; Cannizzo, J; Cannon, K; Cantley, C A; Cao, J; Cardenas, L; Casey, M M; Castaldi, G; Cepeda, C; Chalkey, E; Charlton, P; Chatterji, S; Chelkowski, S; Chen, Y; Chiadini, F; Chin, D; Chin, E; Chow, J; Christensen, N; Clark, J; Cochrane, P; Cokelaer, T; Colacino, C N; Coldwell, R; Conte, R; Cook, D; Corbitt, T; Coward, D; Coyne, D; Creighton, J D E; Creighton, T D; Croce, R P; Crooks, D R M; Cruise, A M; Cumming, A; Dalrymple, J; D'Ambrosio, E; Danzmann, K; Davies, G; De Bra, D; Degallaix, J; Degree, M; Demma, T; Dergachev, V; Desai, S; DeSalvo, R; Dhurandhar, S V; Díaz, M; Dickson, J; Di Credico, A; Diederichs, G; Dietz, A; Doomes, E E; Drever, R W P; Dumas, J C; Dupuis, R J; Dwyer, J G; Ehrens, P; Espinoza, E; Etzel, T; Evans, M; Evans, T; Fairhurst, S; Fan, Y; Fazi, D; Fejer, M M; Finn, L S; Fiumara, V; Fotopoulos, N; Franzen, A; Franzen, K Y; Freise, A; Frey, R; Fricke, T; Fritschel, P; Frolov, V V; Fyffe, M; Galdi, V; Garofoli, J; Gholami, I; Giaime, J A; Giampanis, S; Giardina, K D; Goda, K; Goetz, E; Goggin, L; González, G; Gossler, S; Grant, A; Gras, S; Gray, C; Gray, M; Greenhalgh, J; Gretarsson, A M; Grosso, R; Grote, H; Grünewald, S; Günther, M; Gustafson, R; Hage, B; Hammer, D; Hanna, C; Hanson, J; Harms, J; Harry, G; Harstad, E; Hayler, T; Heefner, J; Heng, I S; Heptonstall, A; Heurs, M; Hewitson, M; Hild, S; Hirose, E; Hoak, D; Hosken, D; Hough, J; Howell, E; Hoyland, D; Huttner, S H; Ingram, D; Innerhofer, E; Ito, M; Itoh, Y; Ivanov, A; Jackrel, D; Johnson, B; Johnson, W W; Jones, D I; Jones, G; Jones, R; Ju, L; Kalmus, Peter Ignaz Paul; Kalogera, V; Kasprzyk, D; Katsavounidis, E; Kawabe, K; Kawamura, S; Kawazoe, F; Kells, W; Keppel, D G; Khalili, F Ya; Kim, C; King, P; Kissel, J S; Klimenko, S; Kokeyama, K; Kondrashov, V; Kopparapu, R K; Kozak, D; Krishnan, B; Kwee, P; Lam, P K; Landry, M; Lantz, B; Lazzarini, A; Lee, B; Lei, M; Leiner, J; Leonhardt, V; Leonor, I; Libbrecht, K; Lindquist, P; Lockerbie, N A; Longo, M; Lormand, M; Lubinski, M; Luck, H; Machenschalk, B; MacInnis, M; Mageswaran, M; Mailand, K; Malec, M; Mandic, V; Marano, S; Marka, S; Markowitz, J; Maros, E; Martin, I; Marx, J N; Mason, K; Matone, L; Matta, V; Mavalvala, N; McCarthy, R; McClelland, D E; McGuire, S C; McHugh, M; McKenzie, K; McNabb, J W C; McWilliams, S; Meier, T; Melissinos, A C; Mendell, G; Mercer, R A; Meshkov, S; Messaritaki, E; Messenger, C J; Meyers, D; Mikhailov, E; Mitra, S; Mitrofanov, V P; Mitselmakher, G; Mittleman, R; Miyakawa, O; Mohanty, S; Moreno, G; Mossavi, K; Mow Lowry, C; Moylan, A; Mudge, D; Müller, G; Mukherjee, S; Muller-Ebhardt, H; Munch, J; Murray, P; Myers, E; Myers, J; Newton, G; Nishizawa, A; Numata, K; O'Reilly, B; O'Shaughnessy, R; Ottaway, D J; Overmier, H; Owen, B J; Pan, Y; Papa, M A; Parameshwaraiah, V; Patel, P; Pedraza, M; Penn, S; Pierro, V; Pinto, I M; Pitkin, M; Pletsch, H; Plissi, M V; Postiglione, F; Prix, R; Quetschke, V; Raab, F; Rabeling, D; Radkins, H; Rahkola, R; Rainer, N; Rakhmanov, M; Ray-Majumder, S; Re, V; Rehbein, H; Reid, S; Reitze, D H; Ribichini, L; Riesen, R; Riles, K; Rivera, B; Robertson, N A; Robinson, C; Robinson, E L; Roddy, S; Rodríguez, A; Rogan, A M; Rollins, J; Romano, J D; Romie, J; Route, R; Rowan, S; Rüdiger, A; Ruet, L; Russell, P; Ryan, K; Sakata, S; Samidi, M; Sancho de la Jordana, L; Sandberg, V; Sannibale, V; Saraf, S; Sarin, P; Sathyaprakash, B S; Sato, S; Saulson, P R; Savage, R; Savov, P; Schediwy, S; Schilling, R; Schnabel, R; Schofield, R; Schutz, B F; Schwinberg, P; Scott, S M; Searle, A C; Sears, B; Seifert, F; Sellers, D; Sengupta, A S; Shawhan, P; Shoemaker, D H; Sibley, A; Sidles, J A; Siemens, X; Sigg, D; Sinha, S; Sintes, A M; Slagmolen, B; Slutsky, J; Smith, J R; Smith, M R; Somiya, K; Strain, K A; Strom, D M; Stuver, A; Summerscales, T Z; Sun, K X; Sung, M; Sutton, P J; Takahashi, H; Tanner, D B; Tarallo, M; Taylor, R; Thacker, J; Thorne, K A; Thorne, K S; Thüring, A; Tokmakov, K V; Torres, C; Torrie, C; Traylor, G; Trias, M; Tyler, W; Ugolini, D W; Ungarelli, C; Urbanek, K; Vahlbruch, H; Vallisneri, M; Van Den Broeck, C; Varvella, M; Vass, S; Vecchio, A; Veitch, J; Veitch, P; Villar, A; Vorvick, C; Vyachanin, S P; Waldman, S J; Wallace, L

    2007-01-01

    We searched for an anisotropic background of gravitational waves using data from the LIGO S4 science run and a method that is optimized for point sources. This is appropriate if, for example, the gravitational wave background is dominated by a small number of distinct astrophysical sources. No signal was seen. Upper limit maps were produced assuming two different power laws for the source strain power spectrum. For an f^-3 power law and using the 50 Hz to 1.8 kHz band the upper limits on the source strain power spectrum vary between 1.2e-48 Hz^-1 (100 Hz/f)^3 and 1.2e-47 Hz^-1 (100 Hz /f)^3, depending on the position in the sky. Similarly, in the case of constant strain power spectrum, the upper limits vary between 8.5e-49 Hz^-1 and 6.1e-48 Hz^-1. As a side product a limit on an isotropic background of gravitational waves was also obtained. All limits are at the 90% confidence level. Finally, as an application, we focused on the direction of Sco-X1, the closest low-mass X-ray binary. We compare the upper limi...

  13. Pyomyositis in the upper Negro river basin, Brazilian Amazonia

    DEFF Research Database (Denmark)

    Borges, Alvaro Humberto Diniz; Faragher, Brian; Lalloo, David G

    2012-01-01

    Pyomyositis remains poorly documented in tropical Latin America. We therefore performed a retrospective review of cases admitted to a hospital in the upper Negro river basin during 2002-2006. Seasonality was assessed by the cosinor model and independent predictors of outcome were identified...

  14. [Upper Steele Bayou Projects : Yazoo River Basin, Mississippi

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This is a collection of documents related to four projects which were proposed by the U.S. Army, Corps of Engineers in the Yazoo River Basin. The Upper Yazoo Basin...

  15. Proboscidea (Mammalia) from the Upper Miocene of Crevillente (Alicante, Spain)

    NARCIS (Netherlands)

    Mazo, A.V.; Montoya, P.

    2003-01-01

    The fossil Proboscidea from the Spanish Turolian (Upper Miocene) sites of Crevillente 2 (MN11) and Crevillente 15 and 16 (MN12) are described. The mastodont from Crevillente 2 is assigned to Tetralophodon cf. longirostris ‘grandincisivoid form’, recognised for the first time in the Iberian Peninsula

  16. Combined injuries in the upper cervical spine: clinical and epidemiological data over a 14-year period

    OpenAIRE

    Gleizes, V; Jacquot, F. P.; Signoret, F.; Féron, J.-M. G.

    2000-01-01

    Concomitant traumatic injuries in the upper cervical spine are often encountered and rarely reported. We examined the data concerning 784 patients with cervical spine injuries following trauma, including 116 patients with upper cervical spine injuries. Twenty-six percent of patients with upper cervical spine injuries (31 cases) were found to have combined injuries involving either the upper or the upper and lower cervical spine. The frequent patterns were combined type I bipedicular fracture ...

  17. Thermal and compositional structure of the upper mantle

    Science.gov (United States)

    Gilbert, Hersh Joseph

    Constraints for models of the convective, thermal, and mineralogical structure within the mantle depend heavily on seismic observations of the deep, and otherwise inaccessible, Earth. Studies presented within this dissertation focus primarily on the upper mantle discontinuities that bound the transition zone between the upper and lower mantle at the nominal depths of 410 and 660 km. These discontinuities are attributed to phase transitions of the mantle mineral olivine to denser configurations. Additionally, they may demark compositional layers within the mantle. This region figures prominently in the convective style of the planet. I address the questions of whether the 660-km discontinuity in some way inhibits flow from crossing between the upper and lower mantle and, more specifically, if it coincides with a compositional barrier in the mantle. Thermal variations associated with warm-rising and cool-sinking material in the mantle produce observable variations in the depths of the discontinuities. If rising or sinking materials cross the entire extent of the mantle, then the transition zone should respond to its associated thermal perturbations in a correlated manner. If instead, convection were divided between the upper and lower mantle, then thermal perturbations in the transition zone need not be spatially correlated. Observations presented in this dissertation display regions in which both the 410- and 660-km discontinuities possess greater than 20 km of peak-to-peak topography that is not correlated between the two. Studying the upper mantle below the western United States, I find no correlation between the upper mantle and the surface tectonics of the region. The topography on both discontinuities in this region is nearly as pronounced as that found where the cold subducting Tonga slab interacts with the upper mantle, suggesting the presence of a similar thermal anomaly. Additionally, amplitudes of the velocity jumps associated with the discontinuities

  18. Analysis and classification of the upper lip aesthetic unit.

    Science.gov (United States)

    Raphael, Peter; Harris, Ryan; Harris, Scott W

    2013-09-01

    Disharmonies of the upper lip aesthetic unit generally stem from tall ergotrids and/or thin lips. Comprehension and correction of such defects has been stifled by a lack of metrics and organized systems of diagnosis and treatment. The philtral-labial score was devised to better analyze the upper lip region. Measurements were made with Adobe Photoshop CS6, and computations were performed on a standard calculator. A retrospective medical records review identified 908 patients of the senior authors' (P.R. and S.W.H.) practices who underwent perioral rejuvenation between January 1, 2001, and July 31, 2012. Two hundred patients were randomly selected and assessed for disharmonies in three surveys that sequentially built on data points provided. When preoperative anteroposterior and lateral photographs, dental show measurements, and philtral-labial scores were available, diagnostic concordance between the authors approached 100 percent. Pattern analysis resulted in a classification system (labral classification system), designating patients as either type 0 (no defects), type 1 (thin upper lip), type 2 (long philtrum), or type 3 (both) defects. Characteristic dental show values, philtral-labial scores, and suggested treatments were paired with each type. The labral classification system and its associated analytical tools serve as useful references in consultation, simplify discussion of patients with upper lip defects, furnish a practical alternative to complex algorithms, enable documentation of changes, and facilitate analysis of large sample sizes. When implemented judiciously, the tools described in this article will help surgeons confidently address upper lip problems by streamlining accurate diagnosis and guiding proper treatment.

  19. Seismic anisotropy of upper mantle in eastern China

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    Based on the polarization analysis of teleseismic SKS waveform data recorded at 65 seismic stations which respectively involved in the permanent and temporary broadband seismograph networks deployed in eastern China, the SKS fast-wave direction and the delay time between the fast and slow shear waves at each station were determined by use of SC method and the stacking analysis method, and then the image of upper mantle anisotropy in eastern China was acquired. In the study region, from south to north, the fast-wave polarization directions are basically EW in South China, gradually clockwise rotate to NWW-SEE in North China, then to NW-SE in Northeast China. The delay time falls into the interval [0.41 s, 1.52 s]. Anisotropic characteristics in eastern China indicate that the upper mantle anisotropy is possibly caused by both the collision between the Indian and Eurasian Plates and the subduction from the Pacific and Philippine Sea Plates to the Eurasian Plate. The collision between two plates made the crust of western China thickening and uplifting and the material eastwards extruding, and then caused the upper mantle flow eastwards and southeastwards. The subduction of Pacific Plate and Philippine Sea Plate has resulted in the lithosphere and the asthenosphere deformation in eastern China, and made the alignment of upper mantle peridotite lattice parallel to the deformation direction. The fast-wave polarization direction is consistent with the direction of lithosphere extension and the GPS velocity direction, implying that the crust-upper mantle deformation is possibly a vertically coherent deformation.

  20. Seismic anisotropy of upper mantle in eastern China

    Institute of Scientific and Technical Information of China (English)

    CHANG LiJun; WANG ChunYong; Ding ZhiFeng

    2009-01-01

    Based on the polarization analysis of teleseismic SKS waveform data recorded at 65 seismic stations which respectively involved in the permanent and temporary broadband seismograph networks de-ployed in eastern China,the SKS fast-wave direction and the delay time between the fast and slow shear waves at each station were determined by use of SC method and the stacking analysis method,and then the image of upper mantle anisotropy in eastern China was acquired.In the study region,from south to north,the fast-wave polarization directions are basically EW in South China,gradually clock-wise rotate to NWW-SEE in North China,then to NW-SE in Northeast China.The delay time falls into the Interval [0.41 s,1.52 s].Anisotropic characteristics in eastern China indicate that the upper mantle anisotropy is possibly caused by both the collision between the Indian and Eurasian Plates and the subduction from the Pacific and Philippine Sea Plates to the Eurasian Plate.The collision between two plates made the crust of western China thickening and uplifting and the material eastwards extruding,and then caused the upper mantle flow eastwards and southeastwards.The subduction of Pacific Plate and Philippine Sea Plate has resulted in the lithosphere and the asthenosphere deformation in eastern China,and made the alignment of upper mantle peridotite lattice parallel to the deformation direction.The fast-wave polarization direction is consistent with the direction of lithosphere extension and the GPS velocity direction,implying that the crust-upper mantle deformation is possibly a vertically co-herent deformation.

  1. Online Health Information Seeking in Hand and Upper Extremity Surgery.

    Science.gov (United States)

    Özkan, Sezai; Mellema, Jos J; Nazzal, Adam; Lee, Sang-Gil; Ring, David

    2016-12-01

    Information gathering is a key component of shared decision making and has a measurable effect on treatment decisions. Access to health information might improve quality of care in hand surgery. Our purpose was to identify socio-demographic, condition-related, and psychosocial factors associated with online information-seeking behavior in patients with hand and upper-extremity conditions. From June 2015 to February 2016, we enrolled 134 patients with an upper-extremity condition who presented to an outpatient hand surgery office at an urban level I trauma center in this cross-sectional study. Participants provided socio-demographic information and completed online questionnaires assessing their online information-seeking behavior, pain intensity, symptoms of depression, and pain interference, and an upper extremity-specific, patient-reported outcome measure. A total of 57 patients (43%) sought information regarding their condition online before their visit. Compared with patients with no online information-seeking behavior, patients who sought information online were more educated. Psychosocial and condition-related factors were not associated with online information seeking. In multivariable analysis, education in years and involvement of the dominant upper limb were independently associated with online information-seeking behavior. Education in years and involvement of the dominant upper limb were independently associated with online information-seeking behavior but psychosocial and condition-related factors were not. As health information seeking is becoming an integral part of the modern day clinical experience, efforts to make online information more appealing and useful to people of all education levels are merited. Copyright © 2016 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  2. Responsiveness of outcome measures for upper limb prosthetic rehabilitation.

    Science.gov (United States)

    Resnik, Linda; Borgia, Matthew

    2016-02-01

    There is limited research on responsiveness of prosthetic rehabilitation outcome measures. To examine responsiveness of the Box and Block test, Jebsen-Taylor Hand Function tests, Upper Extremity Functional Scale, University of New Brunswick skill and spontaneity tests, Activity Measure for Upper Limb Amputation, and the Patient-Specific Functional Scale. This was a quasi-experimental study with repeated measurements in a convenience sample of upper limb amputees. Measures were collected before, during, and after training with the DEKA Arm. Largest effect sizes were observed for Patient-Specific Functional Scale (effect size: 1.59, confidence interval: 1.00, 2.14), Activity Measure for Upper Limb Amputation (effect size: 1.33, confidence interval: 0.73, 1.90), and University of New Brunswick skill test (effect size: 1.18, confidence interval: 0.61, 1.73). Other measures that were responsive to change were Box and Block test, Jebsen-Taylor Hand Function light and heavy can tests, and University of New Brunswick spontaneity test. Responsiveness and pattern of responsiveness varied by prosthetic level. The Box and Block test, Jebsen-Taylor Hand Function light and heavy can tests, University of New Brunswick skill and spontaneity tests, Activities Measure for Upper Limb Amputation, and the Patient-Specific Functional Scale were responsive to change during prosthetic training. These findings have implications for choice of measures for research and practice and inform clinicians about the amount of training necessary to maximize outcomes with the DEKA Arm. Findings on responsiveness of outcome measures have implications for the choice of measures for clinical trials and practice. Findings regarding the responsiveness to change over the course of training can inform clinicians about the amount of training that may be necessary to maximize specific outcomes with the DEKA Arm. © The International Society for Prosthetics and Orthotics 2014.

  3. Upper temperature limits of tropical marine ectotherms: global warming implications.

    Directory of Open Access Journals (Sweden)

    Khanh Dung T Nguyen

    Full Text Available Animal physiology, ecology and evolution are affected by temperature and it is expected that community structure will be strongly influenced by global warming. This is particularly relevant in the tropics, where organisms are already living close to their upper temperature limits and hence are highly vulnerable to rising temperature. Here we present data on upper temperature limits of 34 tropical marine ectotherm species from seven phyla living in intertidal and subtidal habitats. Short term thermal tolerances and vertical distributions were correlated, i.e., upper shore animals have higher thermal tolerance than lower shore and subtidal animals; however, animals, despite their respective tidal height, were susceptible to the same temperature in the long term. When temperatures were raised by 1°C hour(-1, the upper lethal temperature range of intertidal ectotherms was 41-52°C, but this range was narrower and reduced to 37-41°C in subtidal animals. The rate of temperature change, however, affected intertidal and subtidal animals differently. In chronic heating experiments when temperature was raised weekly or monthly instead of every hour, upper temperature limits of subtidal species decreased from 40°C to 35.4°C, while the decrease was more than 10°C in high shore organisms. Hence in the long term, activity and survival of tropical marine organisms could be compromised just 2-3°C above present seawater temperatures. Differences between animals from environments that experience different levels of temperature variability suggest that the physiological mechanisms underlying thermal sensitivity may vary at different rates of warming.

  4. Common data items in seven European oesophagogastric cancer surgery registries: towards a European upper GI cancer audit (EURECCA Upper GI).

    Science.gov (United States)

    de Steur, W O; Henneman, D; Allum, W H; Dikken, J L; van Sandick, J W; Reynolds, J; Mariette, C; Jensen, L; Johansson, J; Kolodziejczyk, P; Hardwick, R H; van de Velde, C J H

    2014-03-01

    Seven countries (Denmark, France, Ireland, the Netherlands, Poland, Sweden, United Kingdom) collaborated to initiate a EURECCA (European Registration of Cancer Care) Upper GI project. The aim of this study was to identify a core dataset of shared items in the different data registries which can be used for future collaboration between countries. Item lists from all participating Upper GI cancer registries were collected. Items were scored 'present' when included in the registry, or when the items could be deducted from other items in the registry. The definition of a common item was that it was present in at least six of the seven participating countries. The number of registered items varied between 40 (Poland) and 650 (Ireland). Among the 46 shared items were data on patient characteristics, staging and diagnostics, neoadjuvant treatment, surgery, postoperative course, pathology, and adjuvant treatment. Information on non-surgical treatment was available in only 4 registries. A list of 46 shared items from seven participating Upper GI cancer registries was created, providing a basis for future quality assurance and research in Upper GI cancer treatment on a European level. Copyright © 2013 Elsevier Ltd. All rights reserved.

  5. Lower-right and upper-left biases within upper and lower visual fields in a circular array task.

    Science.gov (United States)

    Szelest, Izabela; Elias, Lorin J

    2014-12-01

    Visuospatial performance varies along the horizontal and vertical dimensions, resulting in behavioral biases such as pseudoneglect. The interaction between the horizontal and vertical attentional biases was investigated using a novel circular array task capable of conveying relative brightness information across vertical and horizontal dimensions simultaneously. In a novel circular array task comprised of six discs, the grayscale gradient was disrupted by switching two grayscale values within the array. Leftward biases were observed in the lower visual fields and rightward biases in the upper visual fields. More importantly, the magnitude of bias within the upper/lower horizontal dimension altered depending on the relative position of the stimuli along horizontal and vertical axes within each dimension. Manipulating the upper-most and leftward discs yield stronger biases than manipulating rightward discs. Furthermore, stronger biases were observed during bottom and rightward disc manipulation. The upper-left and lower-right biases within the horizontal dimension indicate that the interactions between the horizontal and vertical biases may not rely simply on the dichotomy within the horizontal and vertical dimensions, but also on the relative spatial distribution of stimuli within these dimensions.

  6. Assessing upper limb function: transcultural adaptation and validation of the Portuguese version of the Stroke Upper Limb Capacity Scale.

    Science.gov (United States)

    Branco, João Paulo; Oliveira, Sandra; Páscoa Pinheiro, João; L Ferreira, Pedro

    2017-01-01

    Brachial hemiparesis is one of the most frequent sequelae of stroke, leading to important functional disability given the role of the upper limb in executing activities of daily living (ADL). The Stroke Upper Limb Capacity Scale (SULCS) is a stroke-specific assessment instrument that evaluates functional capacity of the upper limb based on the execution of 10 tasks. The objective of this study is the transcultural adaptation and psychometric validation of the Portuguese version of the SULCS. A Portuguese version of the SULCS was developed, using the process of forward-backward translation, after authorisation from the author of the original scale. Then, a multicentre study was conducted in Portuguese stroke patients (n = 122) to validate the psychometric properties of the instrument. The relationship between sociodemographic and clinical characteristics was used to test construct validity. The relationship between SULCS scores and other instruments was used to test criterion validity. Semantic and linguistic adaptation of the SULCS was executed without substantial issues and allowed the development of a Portuguese version. The application of this instrument suggested the existence of celling effect (19.7% of participants with maximum score). Reliability was demonstrated through the intraclass correlation coefficient of 0.98. As for construct validity, SULCS was sensible to muscle tonus and aphasia. SULCS classification impacted the scores of the Motor Evaluation Scale for Upper Extremity in Stroke (MESUPES) and the Stroke Impact Scale (SIS). The present version of SULCS shows valid and reliable cultural adaptation, with good reliability and stability.

  7. AB094. Upper urinary stone management in China

    Science.gov (United States)

    Wang, Shaogang; Liu, Jihong; Ye, Zhangqun

    2015-01-01

    Objective To give an overview of the contemporary management for upper urinary stones in China. Methods Contemporary treatment methods, especially novel or developing modality with Chinese characteristics, for upper urinary stones in China has been reviewed and introduced. Results Urolithiasis is one of the most prevalent diseases in the urologic clinic and usually affects people aged 20 to 60 years. In recent years, the overall morbidity of urolithiasis in Chinese population has increased with a significant reduction of lower urinary stone and an increase of upper urinary stone. Upper urinary stone may induce more severe complications and have been considered to be the main cause of nephrectomy besides urinary tumor. The management of upper urinary stone can be challenging somehow. Extracorporeal shock wave lithotripsy (ESWL) is usually the first choice for patients with simple upper urinary stone sized 2 cm or less. Recent years, according to the mechanism of lithecbole by vibration and body position, some Chinese urologists have developed a novel machine, external physical vibration lithecbole (EPVL), which can facilitate removal of urinary stone after ESWL or endoscopic lithotripsy. The combination of EPVL therapy with ESWL or endoscopic lithotripsy significantly improves the stone-free rate. Percutaneous nephrolithotomy (PCNL) is increasingly employed as a major modality for patients with large and complex upper urinary stone. The minimally invasive PCNL (mPCNL), which was performed with a miniature endoscope by way of a small size tract (12-20 F), could decrease morbidity, especially uncontrolled hemorrhage. However, its efficiency of removing stone fragments is lower. The Chinese urologists have modified PCNL technique by using an 8/9.8 F rigid ureteroscope through the 14-18 F percutaneous tract under the guidance of ultrasound or X-ray. The results from a series of studies demonstrate that Chinese mPCNL is a safe, feasible and efficient method for treating

  8. Evolutionary trends of stature in upper Paleolithic and Mesolithic Europe.

    Science.gov (United States)

    Formicola, V; Giannecchini, M

    1999-03-01

    Long bone lengths of all available European Upper Paleolithic (41 males, 25 females) and Mesolithic (171 males, 118 females) remains have been transformed into stature estimates by means of new regression equations derived from Early Holocene skeletal samples using "Fully's anatomical stature" and the major axis regression technique (Formicola & Franceschi, 1996). Statistical analysis of the data, with reference both to time and space parameters, indicates that: (1) Early Upper Paleolithic samples (pre-Glacial Maximum) are very tall; (2) Late Upper Paleolithic groups (post-Glacial Maximum) from Western Europe, compared to their ancestors, show a marked decrease in height; (3) a further, although not significant, reduction of stature affects Western Mesolithics; (4) no regional differences have been observed during both phases of the Upper Paleolithic; (5) a high level of homogeneity has also been found in the Mesolithic, both in Western and Eastern Europe; (6) the internal homogeneity found during the Mesolithic in Western and Eastern Europe is associated with marked inter-regional variability, with populations of the latter region showing systematically significantly greater stature than their Western contemporaries. Evaluation of possible causes for the great stature of the Early Upper Paleolithic samples points to high nutritional standards as the most important factor. Results obtained on later groups clearly indicate that the Last Glacial Maximum, rather than the Mesolithic transition, is the critical phase in the negative trend affecting Western European populations. While changes in the quality of the diet, and in particular decreased protein intake, provide a likely explanation for that trend, variations in levels of gene flow probably also played a role. Reasons for the West-East Mesolithic dichotomy remain unclear and lack of information for the Late Upper Paleolithic of Eastern Europe prevents insight into the remote origins of this phenomenon. Analysis

  9. Congenital upper eyelid coloboma with ipsilateral eyebrow hypoplasia

    Directory of Open Access Journals (Sweden)

    Vulović Dejan

    2012-01-01

    Full Text Available Introduction. Coloboma is a Greek word, which describes the defect of all layers of the organ, and it can be congenital or as the result of an injury, operation, or some disease. Congenital upper eyelid coloboma is a rare anomaly, with the unknown incidence. The size of the defect is different, but it always involves all layers of the eyelid. This malformation is more frequent at the upper eyelid, and unilaterally, at the junction of the medial two thirds. Sometimes, it can also involve the eye, and may be a component of many syndromes (Goldenhar, Fraser, Manitoba, CHARGE, Cat eye. Case report. We are describing the case of the upper eyelid coloboma with the rare eyebrow anomaly at the three-month old girl, and the result of reconstruction. The baby was treated conservatively with lubricants and overnight patching. Pentagonal excision of the defect was performed in general anesthesia. Three layers of the eyelid were prepared: the skin, muscle and tarsoconjunctival layer. Because of orbicularis muscle malposition, reinsertion and reposition of the muscle fibres were performed. Then, lateral canthotomy was made and the suture of three layers of the eyelid. Catgut suture 7-0 was used for the conjunctiva and muscle. Nylon 6-0 was used for skin suture. Z-plasty was done on the upper part of the pentagonal excision in order to reduce skin tension at the suture line. The operation lasted about 60 minutes and the hospitalization three days. The occlusive dressing was applied for two days. The stitches were removed after seven days. The postoperative swelling of the upper and lower eyelid disappeared in five days. There were no complications in the postoperative period. Conclusion. The main principle of the treatment of eyelid coloboma is surgical reconstruction of all layers of the eyelid, in optimal period, using different surgical methods, which depends on the size of the defect. An early diagnosis is of the greatest importance, as well as the

  10. Bilateral and multiple cavitation sounds during upper cervical thrust manipulation.

    Science.gov (United States)

    Dunning, James; Mourad, Firas; Barbero, Marco; Leoni, Diego; Cescon, Corrado; Butts, Raymond

    2013-01-15

    The popping produced during high-velocity, low-amplitude (HVLA) thrust manipulation is a common sound; however to our knowledge, no study has previously investigated the location of cavitation sounds during manipulation of the upper cervical spine. The primary purpose was to determine which side of the spine cavitates during C1-2 rotatory HVLA thrust manipulation. Secondary aims were to calculate the average number of pops, the duration of upper cervical thrust manipulation, and the duration of a single cavitation. Nineteen asymptomatic participants received two upper cervical thrust manipulations targeting the right and left C1-2 articulation, respectively. Skin mounted microphones were secured bilaterally over the transverse process of C1, and sound wave signals were recorded. Identification of the side, duration, and number of popping sounds were determined by simultaneous analysis of spectrograms with audio feedback using custom software developed in Matlab. Bilateral popping sounds were detected in 34 (91.9%) of 37 manipulations while unilateral popping sounds were detected in just 3 (8.1%) manipulations; that is, cavitation was significantly (P thrust manipulation was 3.57 (95% CI: 3.19, 3.94) and the mean number of pops per subject following both right and left C1-2 thrust manipulations was 6.95 (95% CI: 6.11, 7.79). The mean duration of a single audible pop was 5.66 ms (95% CI: 5.36, 5.96) and the mean duration of a single manipulation was 96.95 ms (95% CI: 57.20, 136.71). Cavitation was significantly more likely to occur bilaterally than unilaterally during upper cervical HVLA thrust manipulation. Most subjects produced 3-4 pops during a single rotatory HVLA thrust manipulation targeting the right or left C1-2 articulation; therefore, practitioners of spinal manipulative therapy should expect multiple popping sounds when performing upper cervical thrust manipulation to the atlanto-axial joint. Furthermore, the traditional manual therapy approach of

  11. Upper extremity injuries in Danish children aged 6–12, mechanisms, and risk factors

    DEFF Research Database (Denmark)

    Nauta, J.; Jespersen, Eva; Verhagen, Evert

    2017-01-01

    Although injuries to the upper extremity are most costly, the picture of the upper extremity injury problem remains incomplete. This study is the first to describe the etiology and mechanisms of upper extremity injuries in Danish children. A 2.5-year observational prospective cohort study was con...... childhood injury prevention.......Although injuries to the upper extremity are most costly, the picture of the upper extremity injury problem remains incomplete. This study is the first to describe the etiology and mechanisms of upper extremity injuries in Danish children. A 2.5-year observational prospective cohort study...... was conducted to record upper extremity injuries in 1048 children. Data were weekly collected by sending a text message. A total of 176 upper extremity injuries were reported (128 acute injuries). Of the acute upper extremity injuries, 55% were sprains, 47% occurred in the hand/wrist, and 53% of cases were...

  12. Upper airway imaging in sleep-disordered breathing.

    Science.gov (United States)

    Poirrier, Anne-Lise; Fanielle, Julien; Bruwier, Annick; Chakar, Bassam; Poirrier, Robert

    2014-06-01

    Our understanding of sleep-disordered breathing has evolved considerably over the past three decades, and clinical techniques of evaluation have progressed tremendously. Myriad imaging techniques are now available for the physician to approach the dynamic features resulting in turbulent airflow, upper airway narrowing or collapse at different levels. Controversy exists in the choice of investigations, probably because the best evaluation should be a combination of different techniques. Physical, radiographic, endoscopic and acoustic evaluations could be integrated to understand the degree and the levels of airway reduction and/or obstruction in a given patient. This review focuses on cost-effective and easily implemented techniques in daily practice, allowing quality assessment of the dynamic anatomy of sleep-disordered breathing: cephalometry, (sleep-)endoscopy and acoustic reflectometry of the upper airway.

  13. Boerhaave's syndrome presenting as an upper gastrointestinal bleed.

    Science.gov (United States)

    Lee, William; Siau, Keith; Singh, Gurjit

    2013-11-29

    A 64-year-old man without any significant medical history presented to accident and emergency department with haematemesis and melaena, quite similar to an upper gastrointestinal bleed. However, the unexplained left-sided neck pain with a history of overnight vomiting prompted further imaging. Air was visible in the soft tissues on a lateral X-ray of the neck, which led to a CT scan and this showed a proximal-mid oesophageal rupture. The patient was stabilised and transferred to a cardiothoracic unit for observation. An inpatient endoscopy did not detect a perforation and the patient was discharged 5 days later without any further complications. This case report highlights how a high oesophageal rupture can mimic an upper gastrointestinal bleed and also the need for further imaging when there is an incongruent history, so that appropriate care is provided to minimise mortality.

  14. Initial Assessment and Resuscitation in Nonvariceal Upper Gastrointestinal Bleeding.

    Science.gov (United States)

    Simon, Tracey G; Travis, Anne C; Saltzman, John R

    2015-07-01

    Acute nonvariceal upper gastrointestinal bleeding remains an important cause of hospital admission with an associated mortality of 2-14%. Initial patient evaluation includes rapid hemodynamic assessment, large-bore intravenous catheter insertion and volume resuscitation. A hemoglobin transfusion threshold of 7 g/dL is recommended, and packed red blood cell transfusion may be necessary to restore intravascular volume and improve tissue perfusion. Patients should be risk stratified into low- and high-risk categories, using validated prognostic scoring systems such as the Glasgow-Blatchford, AIMS65 or Rockall scores. Effective early management of acute, nonvariceal upper gastrointestinal hemorrhage is critical for improving patient outcomes. Copyright © 2015 Elsevier Inc. All rights reserved.

  15. Development and Uses of Upper-division Conceptual Assessment

    CERN Document Server

    Wilcox, Bethany R; Baily, Charles; Sadaghiani, Homeyra; Chasteen, Stephanie V; Ryan, Qing X; Pollock, Steven J

    2014-01-01

    The use of validated conceptual assessments alongside more standard course exams has become standard practice for the introductory courses in many physics departments. These assessments provide a more standard measure of certain learning goals, allowing for comparisons of student learning across instructors, semesters, and institutions. Researchers at the University of Colorado Boulder have developed several similar assessments designed to target the more advanced physics content of upper-division classical mechanics, electrostatics, quantum mechanics, and electrodynamics. Here, we synthesize the existing research on our upper-division assessments and discuss some of the barriers and challenges associated with developing, validating, and implementing these assessments as well as some of the strategies we have used to overcome these barriers.

  16. Upper Limit on the Cosmological Gamma-ray Background

    CERN Document Server

    Inoue, Yoshiyuki

    2012-01-01

    We show that the current extragalactic gamma-ray background (EGB) measurement below 100 GeV sets an upper limit on EGB itself at very high energy (VHE) above 100 GeV. The limit is conservative for the electromagnetic cascade emission from VHE EGB interacting with the cosmic microwave-to-optical background radiation not to exceed the current EGB measurement. The cascade component fits the measured VHE EGB spectrum rather well. However, once we add the contribution from known source classes, the Fermi VHE EGB observation exceeds or even violates the limit, which is approximated as E^2dN/dE < 4.5x10^-5 (E/100 GeV)^-0.7 MeV/cm^2/s/sr. The upper limit above 100 GeV is useful in the future to probe the EGB origin and the new physics like axion-like particles and Lorentz-invariance violation.

  17. Upper Bounds for Maximally Greedy Binary Search Trees

    CERN Document Server

    Fox, Kyle

    2011-01-01

    At SODA 2009, Demaine et al. presented a novel connection between binary search trees (BSTs) and subsets of points on the plane. This connection was independently discovered by Derryberry et al. As part of their results, Demaine et al. considered GreedyFuture, an offline BST algorithm that greedily rearranges the search path to minimize the cost of future searches. They showed that GreedyFuture is actually an online algorithm in their geometric view, and that there is a way to turn GreedyFuture into an online BST algorithm with only a constant factor increase in total search cost. Demaine et al. conjectured this algorithm was dynamically optimal, but no upper bounds were given in their paper. We prove the first non-trivial upper bounds for the cost of search operations using GreedyFuture including giving an access lemma similar to that found in Sleator and Tarjan's classic paper on splay trees.

  18. [Tumor of upper urinary tract in renal polycystic disease].

    Science.gov (United States)

    Rabii, Redouane; el Mejjad, Amine; Fekak, Hamid; Querfani, Baderdine; Joual, Abdenbi; el Mrini, Mohamed

    2003-09-01

    Upper urinary tract tumours are exceptional in the context of renal polycystic disease. The authors report the case of Mrs B. F., 56 years old, who presented with left loin pain associated with haematuria. Clinical examination was normal and ultrasound examination revealed bilateral renal polycystic disease with a mass in the left renal sinus. CT urography showed a tumour arising from the renal pelvis suggestive of an upper urinary tract tumour. The laboratory assessment revealed normal renal function and normal urine cytology. Treatment consisted of radical nephroureterectomy with resection of a bladder cuff. Histological examination revealed a urothelial tumour of the renal pelvis with negative surgical margins. In the light of this case, the authors discuss the diagnostic difficulties and specificities, the treatment and the outcome of this unusual clinical association.

  19. Aquatic macrophyte diversity of the Pantanal wetland and upper basin.

    Science.gov (United States)

    Pott, V J; Pott, A; Lima, L C P; Moreira, S N; Oliveira, A K M

    2011-04-01

    This is a short review of the state of the art concerning diversity of aquatic macrophytes and the main aquatic vegetation types in the Brazilian Pantanal wetland and upper watershed. There are ca. 280 species of aquatic macrophytes on the Pantanal floodplain, with scarce endemism. On the upper watershed, Cerrado wetlands (veredas) and limestone springs have a distinct flora from the Pantanal, with twice the species richness. As a representative case of aquatic habitats influenced by river flood, some primary data are presented for the Pantanal Matogrossense National Park and associated Acurizal Preserve, analysing the floristic similarity among aquatic vegetation types. We comment on problems of conservation and observe that Panicum elephantipes Nees is one of the few natives to compete with the invasive Urochloa arrecta (Hack. ex T. Durand & Schinz) Morrone & Zuloaga.

  20. Some Ontological Principles for Designing Upper Level Lexical Resources

    CERN Document Server

    Guarino, N

    1998-01-01

    The purpose of this paper is to explore some semantic problems related to the use of linguistic ontologies in information systems, and to suggest some organizing principles aimed to solve such problems. The taxonomic structure of current ontologies is unfortunately quite complicated and hard to understand, especially for what concerns the upper levels. I will focus here on the problem of ISA overloading, which I believe is the main responsible of these difficulties. To this purpose, I will carefully analyze the ontological nature of the categories used in current upper-level structures, considering the necessity of splitting them according to more subtle distinctions or the opportunity of excluding them because of their limited organizational role.