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Sample records for jubail an aeromedical staging

  1. Aeromedical Evacuation: Validating Civil Reserve Air Fleet

    Science.gov (United States)

    2009-02-25

    Aeromedical Evacuation: Validating Civil Reserve Air Fleet FORMAT : Civilian Research Paper DATE: 25 February 2009 WORDS: 10,172 PAGES: 56 CLASSIFICATION... Barrancas , Florida, in 1910. Unfortunately, on its first test flight, it flew only 500 yards at an altitude of 100 feet before crashing. This flight

  2. Ludolph Brauer, German aeromedical pioneer.

    Science.gov (United States)

    Harsch, Viktor

    2004-08-01

    Ludolph Brauer (1865-1951) played an influential role in the history of aviation medicine in Germany. The Treaty of Versailles had put a stop to the development of German aviation and associated medical activities at the end of World War I. Brauer deserves credit for restarting civilian aviation medicine in Germany in the 1920s, paving the way for it to flourish in the 1930s. As Medical Director of the Hamburg-Eppendorf General Hospital, Brauer established the first German Institute of Aviation Medicine (GIAM) in 1927 in affiliation with the Tuberculosis Research Institute with its two large pneumatic chambers. The GIAM was active in altitude research and the selection of pilots, as well as educating medical students in aviation medicine, training Aviation Medical Examiners, and exploring clinical applications of hypobaric and climatic therapy. Brauer was forced to retire in 1934 for political reasons as the GIAM came under the influence of the military; in 1939 it was made part of the Aeromedical Research Institute of the "Reichsluftfahrt" Ministry. Brauer was a co-editor of the journal Luftfahrtmedizin in the 1930s and 1940s. He died in Munich on November 25th, 1951.

  3. Flying High: The Aeromedical Aspects of Marihuana

    Science.gov (United States)

    A summary of the discussions from the Civil Aeromedical Institute Symposium on aeromedical aspects of marihuana is presented. The invited panel...discussed the legal aspects of marihuana use and aviation, the experiences of military aviation, and the acute and chronic effects of the drug. For civil...aviation, the panel proposed a 12-16 hour period between marihuana use and work in aviation, no radical changes in FAA policy towards marihuana use, and additional research on aeromedical aspects of marihuana .

  4. Effect of Kuwait oil field fires on human comfort and environment in Jubail, Saudi Arabia

    Science.gov (United States)

    Riley, James J.; Hicks, Neal G.; Thompson, T. Lewis

    1992-03-01

    The plumes from the Kuwait oil field fires reduced hemispheric (total) solar radiation by 26 36% during January June 1991 in Jubail (300 km SE of Kuwait City), Saudi Arabia. Residents feel noticeably cooler even though air temperatures have not been lowered significantly (up to June 1991). These observations support human comfort theories and demonstrate the importance of shade to comfort. The desirability of complete solar radiation measurements, including those of diffuse radiation, is indicated.

  5. Pattern of Survival and Mortality of Mangrove Populations Grown at Al-Jubail Area (Saudi Arabia of the Arabian Gulf

    Directory of Open Access Journals (Sweden)

    Akram Ali

    2008-01-01

    Full Text Available The life table and fecundity schedule were produced for [Avicennia marina (Forsk. Vierh] populations of four habitat types at Al-Jubail area, KSA. These types are sand mounds, salt flats, shoreline and intertidal sites. Survivorship (lx was least in sand mounds and similar in all other sites. Age-specific-mortality rates (qx where parallel in the flower bud, flower, fruiting and seedling stages in all sites, while demonstrated site-specific variations in adult stages with highest values in the shoreline and salt flat sites. The killing power (kx values were parallel in all sites except for the sand mounds. The expectations of future life (ex were variable at different age classes and sites with highest values attained in the intertidal and shoreline sites. Plants in the sand mounds and salt flats showed lower expectations for future life than in the other habitats. The reproductive values were close to zero in all age classes of the salt flats site. The net reproduction rate (R0 ranged from 0.023 to 0.4 with negative or close to zero intrinsic rate of increase per capita (r. The generation time (T ranged from 25.6 years in the sand flats to 53.75 years in the sand mounds. This study supported that the conservation of Avicennia marina may allow for continued dynamic adaptation to different habitat types in the Arabian Gulf coast.

  6. Aeromedical certification of aircrew and controllers with renal calculi.

    Science.gov (United States)

    Drane, A Michael C; Navathe, Pooshan; Clem, Peter

    2013-10-01

    Acute renal colic is an incapacitating condition. Advances in understanding the pathogenesis of calculi and their detection and treatment require a new approach to aeromedical risk assessment. Can this new information support the stratification of aeromedical risk into "High" and "Low" categories, and fulfill the paramount responsibility of the Civil Aviation Safety Authority, Australia's aviation regulator, which isthe maintenance of aviation safety? This article reviews the epidemiology of calculi and finds 2-10% annual risk of a symptomatic event following incidental detection of a calculus. While calculi 4 mm or less in size may not require surgical intervention, this does not equate to a pain-free passage. Similarly, calculus recurrence rates may vary in different anatomical locations, but no location can be considered "safe." The recognition of parenchymal calcification and Randall's plaques as precursors to the development of calculi places such individuals at elevated risk of developing calculi. More recently evidence has supported a link between metabolic syndrome and calculus formation. In an occupational group where there is potential for elevated radiation exposure, appropriate imaging is of particular importance. CT, X-ray, and ultrasound modalities are reviewed with recommendations presented for aeromedical assessment and surveillance based on identification of those at high risk of colic and minimization of investigational radiation exposure.

  7. Seismic behavior and zoning of the sabkha soils in Jubail industrial city, Saudi Arabia

    Science.gov (United States)

    Ahmed, H. R.; Al Shayea, N. A.

    2017-09-01

    This study aimed at the micro-level seismic behavior and zoning of the saline sabkha strata in Jubail industrial area in Eastern Saudi Arabia. It encompasses the evaluation of the site-specific seismic response parameters and the liquefaction potential for various possible subsurface conditions under the probable seismic event(s). The approach to achieve the objectives of this study included the following: analysis of geologic, hydrologic, and geotechnical data of the area; performance of field and laboratory dynamic testing; and dynamic modeling and analysis of the subsurface profiles. The results of the simulation have been used to develop liquefaction potential maps and site-specific spectra of the study area, consisting of ten seismic zones under a range of probable peak horizontal ground acceleration (PHA). Results do not show significant probability of liquefaction of the loose soil layers in the study area at the maximum possible design PHA of 0.035 g; however, liquefaction is anticipated at higher PHA values. Site-specific spectral response resulted in values of S s and S 1 spectral accelerations to be different as compared to those suggested by local standards. The resulting seismic micro-zonation maps and the corresponding parameters are very useful for the stability analysis of the existing and planned structures in the Jubail area.

  8. Surface water quality in a water run-off canal system: A case study in Jubail Industrial City, Kingdom of Saudi Arabia

    Directory of Open Access Journals (Sweden)

    Zia Mahmood Siddiqi

    2016-06-01

    Full Text Available Water quality in a run-off canal system in an industrial area was evaluated for a range of physical and chemical properties comprising trace metals (including mercury (Hg, chromium (Cr, iron (Fe, manganese (Mn, salinity, pH, turbidity, total dissolved solids, total suspended solids, chemical oxygen demand (COD, and dissolved oxygen. High concentrations of potassium (K (1.260–2.345 mg/l and calcium (Ca (19.170–35510 mg/l demonstrated that the salinity in the water was high, which indicates that industrial effluents from fertilizer manufacturing and Chlor-alkali units are being discharged into the canal system. Almost all the metal concentrations in water and sediment were within the thresholds established by the local regulatory body. Concentrations of Cr (0.0154–0.0184 mg/l, Mn (0.0608–0.199 mg/l, Fe (0.023–0.035 mg/l, COD (807–916 mg/l, and turbidity (633 ± 15–783 ± 22 NTU were high where the canal discharges into the Persian Gulf; these discharges may compromise the health of the aquatic ecosystem. There is concern about the levels of Hg in water (0.00135–0.0084 mg/l, suspended sediment (0.00308–0.0096 mg/l, and bed sediment (0.00172–0.00442 mg/l because of the bio-accumulative nature of Hg. We also compared the total Hg concentrations in fish from Jubail, and two nearby cities. Hg contents were highest in fish tissues from Jubail. This is the first time that heavy metal pollution has been assessed in this water run-off canal system; information about Hg is of particular interest and will form the basis of an Hg database for the area that will be useful for future investigations.

  9. Aeromedical transport after acute myocardial infarction

    DEFF Research Database (Denmark)

    Seidelin, Jakob B; Bruun, Niels Eske; Nielsen, Henrik

    2009-01-01

    BACKGROUND: No guidelines exist for the planning of aeromedical repatriation after acute myocardial infarction (AMI). In 2004, we employed a risk evaluation-based decision-making system for repatriation of patients after AMI. The objective was to evaluate the safety of transports during 2005...

  10. Women in the fast jet cockpit--aeromedical considerations.

    Science.gov (United States)

    Lyons, T J

    1992-09-01

    Historically, women have demonstrated the capacity to be successful aviators. A review of the scientific literature between 1966 and 1991 pertinent to the role of women in military aviation revealed only minor differences of questionable operational significance between men and women. Women may be more susceptible to motion sickness, radiation, and decompression sickness than men, but may be more resistant to cold water immersion and altitude sickness. Although men are on the average, larger, stronger, and more aerobically fit than women, there are large variations within each sex and a large overlap between the sexes. Gender differences in work performance, G tolerance, heat stress, and injury rate disappear when allowance is made for size, strength, and fitness. Aeromedical selection criteria can, thus, address individual characteristics without reference to gender. The possibility of fetal damage in the early stages of pregnancy (before diagnosis) appears to be perhaps the biggest single medical concern in allowing women access to all aviation and space careers.

  11. Laboratory evaluation of 10 heat and moisture exchangers using simulated aeromedical evacuation conditions.

    Science.gov (United States)

    Suliman, Huda S; Fecura, Stephen E; Baskin, Jonathan; Kalns, John E

    2011-06-01

    Heat and moisture exchangers (HMEs) are used for airway humidification in mechanically ventilated patients and have been evaluated only under hospital conditions. U.S. Air Force aeromedical evacuation transports are performed under rugged conditions further complicated by the cold and dry environment in military aircrafts, and HMEs are used to provide airway humidification for patients. This study evaluated 10 commercial HMEs using a test system that simulated aeromedical evacuation conditions. Although the American National Standards Institute recommends inspired air to be at an absolute humidity value of > or = 30 mg/L for mechanically ventilated patients, the highest absolute humidity by any HME was approximately 20 mg/L. Although none of the HMEs were able to maintain a temperature high enough to achieve the humidity standard of the American National Standards Institute, the clinical significance of this standard may be less important than the relative humidity maintained in the respired air, especially on evacuation flights of short duration.

  12. Clinical Experience and Learning Style of Flight Nurse and Aeromedical Evacuation Technician Students.

    Science.gov (United States)

    De Jong, Marla J; Dukes, Susan F; Dufour, Karey M; Mortimer, Darcy L

    2017-01-01

    The clinical experience and preferred learning style of U.S. Air Force flight nurses and aeromedical evacuation technicians are unknown. Using a cross-sectional survey design, we gathered data regarding the clinical experience, level of comfort providing clinical care, and preferred learning style of 77 active duty (AD), Air Force Reserve (AFR), and Air National Guard (ANG) nurses enrolled in the U.S. Air Force School of Aerospace Medicine Flight Nurse course, and 121 AD, AFR, and ANG medical technicians enrolled in the Aeromedical Evacuation Technician course. Nurses and medical technicians reported 7.6 ± 5.5 and 3.9 ± 4.5 yr of experience, respectively. AD, AFR, and ANG nurses had comparable years of experience: 5.8 ± 3.2, 8.3 ± 6.6, and 7.9 ± 4.2 yr, respectively; however, AD medical technicians had more years of experience (5.6 ± 4.4 yr) than AFR (3.1 ± 4.8 yr) and ANG (1.9 ± 2.8 yr) medical technicians. Both nurses and medical technicians reported infrequently caring for patients with various disease processes and managing equipment or devices that they will routinely encounter when transporting patients as an aeromedical evacuation clinician. Nurses and medical technicians preferred a kinesthetic learning style or a multimodal learning style that included kinesthetic learning. Nearly all (99%) nurses and 97% of medical technicians identified simulation as their preferred teaching method. These findings confirm faculty concerns regarding the clinical experience of flight nurse and aerospace evacuation technician students.De Jong MJ, Dukes SF, Dufour KM, Mortimer DL. Clinical experience and learning style of flight nurse and aeromedical evacuation technician students. Aerosp Med Hum Perform. 2017; 88(1):23-29.

  13. On shift simulation in aeromedical operations - making it work

    Directory of Open Access Journals (Sweden)

    John Glasheen

    2017-06-01

    Full Text Available Patient care in the prehospital and retrieval medicine (PHARM environment presents many technical and non-technical challenges. Clinicians are frequently required to perform complex interventions in a time critical and resource limited setting. Intensive training is required prior to operational deployment, and ongoing training is vital to ensure optimal team performance in the delivery of high quality patient care. Regular simulation training with high situational fidelity is valuable in developing and maintaining excellence in PHARM. We describe the methods employed by two Australian aeromedical retrieval services to facilitate daily on shift simulation.

  14. Mass Casualty Incident Response and Aeromedical Evacuation in Antarctica

    Directory of Open Access Journals (Sweden)

    Mills, Christopher N

    2011-02-01

    Full Text Available Antarctica is one of the most remote regions on Earth. Mass casualty incident (MCI responses in Antarctica are prone to complications from multiple environmental and operational challenges. This review of the current status of MCI risks and response strategies for Antarctica focuses on aeromedical evacuation, a critical component of many possible MCI scenarios. Extreme cold and weather, a lack of medical resources and a multitude of disparate international bases all exert unique demands on MCI response planning. Increasing cruise ship traffic is also escalating the risk of MCI occurrence. To be successful, MCI response must be well coordinated and undertaken by trained rescuers, especially in the setting of Antarctica. Helicopter rescue or aeromedical evacuation of victims to off-continent facilities may be necessary. Currently, military forces have the greatest capacity for mass air evacuation. Specific risks that are likely to occur include structure collapses, vehicle incapacitations, vehicle crashes and fires. All of these events pose concomitant risks of hypothermia among both victims and rescuers. Antarctica’s unique environment requires flexible yet robust MCI response planning among the many entities in operation on the continent. [West J Emerg Med. 2011;12(1:37-42.

  15. [Flight nurses' comprehension about their role in the multiprofesional team of aero-medical transport].

    Science.gov (United States)

    Scuissiato, Dayane Reinhardt; Boffi, Letícia Valois; da Rocha, Roseline da Rocha; Montezeli, Juliana Helena; Bordin, Michelle Taverna; Peres, Aida Maris

    2012-01-01

    This is a descriptive qualitative research which aimed at identifying the flight nurses' comprehension by about their role in the aero-medical multiprofesional team. A semi-structured interview was carried out with eight flight nurses from Curitiba-PR, from June to August 2009. The speeches were analyzed by the content analysis, from which three categories emerged. The first describes the responsibilities of the flight nurses as managers of the aero-medical mission, planning for before, during and after the transport, what includes the aircraft check-list and knowledge of the patient's case. The second category deals with aspects of these professionals as care providers to the aero-transferred patient. The third describes communication and team-work as fundamental requirements for flight nurses. It was concluded that the nurse in aero-medical team mixes management and caring in his/her professional practice by the use of specific competences.

  16. U.S. Army Aeromedical Research Laboratory Annual Progress Report Fiscal Year 2010

    Science.gov (United States)

    2011-03-01

    milestones per ANSI/ ISO /IEC 17025 (General Requirements for Competence testing and Calibration Labs and ISO 9001 Laboratory Accreditation Program...58  Training ...instructors before, during, and after training . U.S. Army Aeromedical Research Laboratory — Fiscal Year 2010 11 Validation of a Weapons Simulator

  17. Evaluation of Neurophysiologic and Systematic Changes during Aeromedical Evacuation and en Route Care of Combat Casualties in a Swine Polytrauma

    Science.gov (United States)

    2016-02-01

    and en Route Care of Combat Casualties in a Swine Polytrauma PRINCIPAL INVESTIGATOR: Richard McCarron, PhD CONTRACTING ORGANIZATION: Henry M...Aeromedical Evacuation and en Route Care of Combat Casualties in a Swine Polytrauma Award Number: W81XWH-13-2-0022, 3rd Annual Report JAN2016 3...models of neurotrauma and polytrauma . We plan to investigate the effects of aero-medical evacuation on neurophysiology and lung function in swine

  18. Characterizing Musculoskeletal Injury among Aeromedical Evacuation Personnel: An Observational Study

    Science.gov (United States)

    2016-09-28

    during Operation Iraqi Freedom. Mil Med. 2010; 175(7):469-476. 4. Sanders JW, Putnam SD, Frankart C, Frenck RW, Monteville MR, et al. Impact of illness... Roberts CP, Leppaniemi A. A profile of combat injury. J Trauma. 2003; 54(5 Suppl):S13-S19. 6. Roy TC. Diagnoses and mechanisms of musculoskeletal...Administration nursing employees. AAOHN J. 2010; 58(8):323-329. 19. Skeehan CD, Tribble DR, Sanders JW, Putnam SD, Armstrong AW, Riddle MS

  19. An Analysis of Kohlberg's "Stage 4 1/2" within an Enhanced Framework of Moral Stages.

    Science.gov (United States)

    Minnameier, Gerhard

    This paper discusses a well-known problem of stage categorization within Kohlberg's theory of moral stages (L. Kohlberg, 1973), that of "Stage 4 1/2." Some subjects previously scored at stage 4 in Kohlberg's framework took on some characteristics of stage 2 reasoning, which suggested the possibility of regression. To reconcile this…

  20. Optimization, an Important Stage of Engineering Design

    Science.gov (United States)

    Kelley, Todd R.

    2010-01-01

    A number of leaders in technology education have indicated that a major difference between the technological design process and the engineering design process is analysis and optimization. The analysis stage of the engineering design process is when mathematical models and scientific principles are employed to help the designer predict design…

  1. An actuarial approach to comparing early stage and late stage lung cancer mortality and survival.

    Science.gov (United States)

    Goldberg, Sara W; Mulshine, James L; Hagstrom, Dale; Pyenson, Bruce S

    2010-02-01

    Comparing the mortality characteristics of different cohorts is an essential process in the life insurance industry. Pseudodisease, lead-time bias, and length bias, which are critical to determining the value of cancer screening, have close analogues in life insurance company management, including the temporal impact of underwriting. Ratios of all-cause mortality rates for cancer cohorts relative to standard population mortality rates can provide insights into early stage and late stage mortality differences, differences by age, sex, race, and histology, and allow modeling of biases associated with early stage detection or screening protocols. The Surveillance, Epidemiology and End Results (SEER) data set has characteristics that allow efficient application of actuarial techniques. We show the mortality burden associated with treated early stage lung cancer and that identifying all lung cancers at early stage could reduce US lung cancer deaths by over 70,000 per year.

  2. Baton twirling on an international stage

    CERN Multimedia

    Stephanie McClellan

    2013-01-01

    There aren’t many people who can throw a baton in the air, do a backhand spring and catch it with the grace of a dancer. Well, Julie Haffner from the CERN Press Office can. Baton twirling started as her hobby but soon became a passion - leading her team to win the International Baton Twirling Cup.    Gex Twirling Club performing their winning number at the 2013 International Baton Twirling Cup. (Image: Véronique Bellour). There is no telling when or where people will find their passion. For Julie Haffner, it was when she followed her cousin to a baton twirling class at the age of 10. Since that fortuitous day, she has committed herself to the sport and competed on international stages. Very close to rhythmic gymnastics, baton twirling requires skilful coordination and teamwork. Julie’s performances combine the precision of baton manipulation, the grace of a dancer and the strength of a gymnast. The first year in which she competed with the Gex Twirlin...

  3. Smoking Stages in an Iranian Adolescent Population

    Directory of Open Access Journals (Sweden)

    Akbar Fotouhi

    2012-11-01

    Full Text Available The aim of this study is determining the prevalence of smoking stages in adolescents of Tabriz city (northwest of Iran and identifying the personal, environmental, and psychological factors relating to cigarette smoking. Fifty-seven high schools were randomly selected, and 4903 students were completed a self-administered questionnaire about cigarette smoking and the related risk factors. The association of independent variables with cigarette smoking was evaluated using the ordinal logistic regression model. In total, 17.3% of the participants were experimenters (95% CI: 15.8-18.9 and 5.0% were regular smokers (95% CI: 3.7-6.2. The results showed that the male gender (OR=2.92; CI: 1.94-4.77, age (OR=1.27; CI: 1.02-1.64, having general risk taking behavior (OR=1.50; CI: 1.02-2.21, presence of a cigarette smoker in the family (OR=1.78; CI: 1.23-2.54, friendship with close cigarette smoker friends (OR=2.52; CI: 1.65-3.86, substance abuse experience (OR=8.27; CI: 2.61-25.61, attitude toward cigarette smoking (OR=1.22; CI: 1.10-1.27 and positive thinking about cigarette smoking (OR=1.05; CI: 1.01-1.14 are associated to cigarette smoking in adolescents. The cigarette smoking prevalence is minimal in Tabriz city adolescents, especially in girls; but the experimenter prevalence is considerable. Findings of this study justifies adopting more serious measures in the pre-adolescence and adolescence period.

  4. FASTER: an unsupervised fully automated sleep staging method for mice

    OpenAIRE

    Sunagawa, GA; Sei, H; Shimba, S; Urade, Y; Ueda, HR

    2013-01-01

    Identifying the stages of sleep, or sleep staging, is an unavoidable step in sleep research and typically requires visual inspection of electroencephalography (EEG) and electromyography (EMG) data. Currently, scoring is slow, biased and prone to error by humans and thus is the most important bottleneck for large-scale sleep research in animals. We have developed an unsupervised, fully automated sleep staging method for mice that allows less subjective and high-throughput evaluation of sleep. ...

  5. An SIS Epidemic Model with Stage Structure and a Delay

    Institute of Scientific and Technical Information of China (English)

    Yah-ni Xiao; Lan-sun Chen

    2002-01-01

    A disease transmission model of SIS type with stage structure and a delay is formulated. Stability of the disease free equilibrium, and existence, uniqueness, and stability of an endemic equilibrium, are investigated for the model. The stability results are stated in terms of a key threshold parameter. The effects of stage structure and time delay on dynamical behavior of the infectious disease are analyzed. It is shown that stage structure has no effect on the epidemic model and Hopf bifurcation can occur as the time delay increases.

  6. Motivational factors that affect the retention of reserve nurses in eight aeromedical evacuation flights.

    Science.gov (United States)

    Janelli, L M; Jarmuz, P A

    1987-04-01

    The purpose of the study was to identify the motivational factors which contribute to the retention of reserve flight nurses in aeromedical evacuation flights. Almost all units experience some difficulty in retaining nurses, and with the reserve program becoming increasingly complex, this problem is likely to become more severe. The motivation maintenance theory developed by Frederich Herzberg contends that two sets of factors can impinge on job satisfaction. Hygiene factors such as salary and working conditions can lead to job dissatisfaction. Motivators, such as job content and professional achievement are job satisfaction factors. A convenience sample of 69 reserve flight nurses from 8 flights was utilized in the survey approach. Participants filled out a Demographic Questionnaire, and a Reserve Flight Nurse Satisfaction Questionnaire. The results confirmed the proposed hypotheses in that not only were the nurses able to identify motivational factors, but that these factors had more impact on job satisfaction than did the hygiene factors.

  7. Emergency Aeromedical Services in Ireland – A Single-Centre Study in 2014

    LENUS (Irish Health Repository)

    Sheridan, G.A.

    2017-03-01

    This retrospective analysis includes patients requiring Emergency Aeromedical Services (EAS) in 2014. The aim of this paper is to evaluate the HEMS service in a single centre and to accurately assess whether certain internationally validated criteria can predict admission rates better than the currently used criteria. Using the American College of Surgeons (ACS) trauma-related dispatch criteria, each case was retrospectively evaluated. Results showed the mean total criteria met were 2.73 (σ=0.88) and 1.45 (σ=0.82) in admitted and discharged patients respectively. The total criteria met had a significant predictive value on admission rates (p<0.05). Increased admission rates were shown in patients with a high Mechanism of Injury (MOI) (p<0.05). False positive rates of HEMS transfer were higher when applying the current criteria compared to the ACS criteria. ACS total criteria can predict admission in HEMS patients with a higher specificity than currently used guidelines.

  8. [Doctor, may I travel in space? Aeromedical considerations regarding commercial suborbital space flights].

    Science.gov (United States)

    Haerkens, Marck H T M; Simons, Ries; Kuipers, André

    2011-01-01

    Within a few years, the first commercial operators will start flying passengers on suborbital flights to the verge of space. Medical data on the effects of space journeys on humans have mainly been provided by professional astronauts. There is very little research into the aeromedical consequences of suborbital flights for the health of untrained passengers. Low air pressure and oxygen tension can be compensated for by pressurising the spacecraft or pressure suit. Rapid changes in gravitational (G-)force pose ultimate challenges to cardiovascular adaptation mechanisms. Zero-gravity and G-force may cause motion sickness. Vibrations and noise during the flight may disturb communication between passengers and crew. In addition, the psychological impact of a suborbital flight should not be underestimated. There are currently no legal requirements available for medical examinations for commercial suborbital flights, but it seems justifiable to establish conditions for potential passengers' states of health.

  9. FASTER: an unsupervised fully automated sleep staging method for mice.

    Science.gov (United States)

    Sunagawa, Genshiro A; Séi, Hiroyoshi; Shimba, Shigeki; Urade, Yoshihiro; Ueda, Hiroki R

    2013-06-01

    Identifying the stages of sleep, or sleep staging, is an unavoidable step in sleep research and typically requires visual inspection of electroencephalography (EEG) and electromyography (EMG) data. Currently, scoring is slow, biased and prone to error by humans and thus is the most important bottleneck for large-scale sleep research in animals. We have developed an unsupervised, fully automated sleep staging method for mice that allows less subjective and high-throughput evaluation of sleep. Fully Automated Sleep sTaging method via EEG/EMG Recordings (FASTER) is based on nonparametric density estimation clustering of comprehensive EEG/EMG power spectra. FASTER can accurately identify sleep patterns in mice that have been perturbed by drugs or by genetic modification of a clock gene. The overall accuracy is over 90% in every group. 24-h data are staged by a laptop computer in 10 min, which is faster than an experienced human rater. Dramatically improving the sleep staging process in both quality and throughput FASTER will open the door to quantitative and comprehensive animal sleep research. © 2013 The Authors Genes to Cells © 2013 by the Molecular Biology Society of Japan and Wiley Publishing Asia Pty Ltd.

  10. An Exploration of Inexpensive, Automated Methods for Measuring River Stage

    Science.gov (United States)

    Kruger, A.; Niemeier, J. J.; Krajewski, W. F.; Ceynar, D.; Wagner, G. D.

    2009-12-01

    River stage measurements are of fundamental importance in many hydrologic and environmental applications. Even though the U.S. Geological Survey (USGS) operates a large network of stream gauging stations on larger rivers, river stage is unavailable in many locations, especially on smaller rivers and streams. We have been exploring a variety of relatively inexpensive techniques for automated river stage measurements, targeting medium and smaller rivers. These techniques include ultrasonic water-surface height measurement, submerged pressure transducers that incorporate a unique bladder system, and a new radio-based technique. The latter method uses inexpensive radios that operate in the unlicensed industrial, scientific, and medical (ISM) band, and uses the phase delay of radio waves from a submerged radio to infer river stage. The technique holds promise as an inexpensive/disposable sensor that can find application in rapid-response settings such as flooding. In this work, we present and discuss the instruments along with comparisons of the different methods.

  11. Records Review of Musculoskeletal Injuries in Aeromedical Evacuation Personnel

    Science.gov (United States)

    2015-04-21

    because of increased medical care costs , loss in duty time, possible separation, and decreased quality of life. In AE, ergo- nomic risk factors that...brings about unique challenges often linked to a specific type of aircraft. Aircraft configuration typically occurs on the ground or during an inbound ...do highlight an important issue that costs the AF significantly in terms of medical costs and lost duty time and also causes pain, sometimes long

  12. Evaluation of Neurophysiologic and Systematic Changes during Aeromedical Evacuation and en Route Care of Combat Casualties in a Swine Polytrauma

    Science.gov (United States)

    2017-02-01

    Combat Casualties in a Swine Polytrauma PRINCIPAL INVESTIGATOR: Richard McCarron, PhD CONTRACTING ORGANIZATION: Henry M. Jackson Foundation Bethesda...MD 20817-1834 REPORT DATE: February 2017 TYPE OF REPORT: Annual PREPARED FOR: U.S. Army Medical Research and Materiel Command Fort Detrick...Aeromedical Evacuation and en Route Care of Combat Casualties in a Swine Polytrauma 5a. CONTRACT NUMBER W81XWH-13-2-0022 6. AUTHOR(S) Richard M. McCarron

  13. U.S. Navy Aeromedical Reference and Waiver Guide

    Science.gov (United States)

    2010-05-05

    abuse, gout, renal failure, nephrotic syndrome, myeloma and systemic lupus erythematosus . 2. Treatment with fibric acids require: a. Lipid panel...Disease 11.6 Pregnancy 12.0 OPHTHALMOLOGY 12.1 Cataracts 12.2 Color Vision Abnormalities 12.3 Decreased Visual Acuity 12.4 Defective Depth...5-10 years. RVH is dependent on the RV systolic pressures, and should be suspected if the ECG shows the features of RVH. Pregnancy places an

  14. Virtual Civilian Aeromedical Evacuation Sustainment Training Project (V-CAEST)

    Science.gov (United States)

    2015-08-01

    to run CliniSpace Mass Casualty are- Component Recommended Operating System Windows XP, Windows Vista , Windows 7, Windows 8, Mac OS X 10.5 + with...Graders Mathematics Kyle R. Cheney, Scotty D. Craig, Xiangen Hu (University of Memphis) This project incorporated a web-based artificially intelli...gent program (ALEKS) into an after-school tutoring pro- gram on mathematics . The program was open to sixth grade students in a rural west Tennessee

  15. The Clinical Basis for Aeromedical Decision MAking (Les Bases Cliniques Pour la Prise de Decision dans Le Domaine Aeromedical)

    Science.gov (United States)

    1994-09-01

    were %,,ulbaittcd to the sama:e tesis and tlook 4.1 Subjects palt in the dusensitisatioau coursu as well. Twelve student pilots, who had passed the... Cide 0 to what extenft deviat ion!; froim accepted standlards arme wa~lly piathoilogical.15 *Ex~miina t Sionis by inca usof advca nced an uidm

  16. Requirement Defect Mitigation Technique: An Early Stage Implementation

    Directory of Open Access Journals (Sweden)

    Md. Rizwan Beg

    2012-09-01

    Full Text Available Requirement defect identification and mitigation at early stage of Software Development Life Cycle (SDLC is very cost effective than to later stages. The requirements analysis in requirement engineering process is critical and major foundation of requirement defect identification. A poor requirement analysis process may lead to software requirement specification (SRS full of defects akin to misplaced, ambiguous, incompatible, misinterpreted, and incomplete requirements. In this paper, requirement defects are being identified and properly mitigated as per its severity in the requirement phase to get rid of major rework by spending extra cost and effort at the later stages. Here, a Defect Mitigation Technique (DMT is proposed for mitigating the identified requirement defect and also the reliability of requirement is being assessed to deliver Reliable Requirement. The proposed algorithm is helping the DMT for its proper processing, defect mitigation and reliability assessment. The prime motive of this study is an effort to put off requirements stage defects from entering into later stages of SDLC.

  17. Time-Limited Psychotherapy: An Interactional Stage Model.

    Science.gov (United States)

    Tracey, Terence J.

    One model of successful time-limited psychotherapy characterizes the therapy as a movement through three interactional stages: the early rapport attainment stage, the middle conflict stage, and the final resolution stage. According to this model, these stages are indicated by the relative presence of communicational harmony. To examine the…

  18. Aeromedical evacuation-relevant hypobaria worsens axonal and neurologic injury in rats after underbody blast-induced hyperacceleration.

    Science.gov (United States)

    Proctor, Julie L; Mello, Kaitlin T; Fang, Raymond; Puche, Adam C; Rosenthal, Robert E; Fourney, William L; Leiste, Ulrich H; Fiskum, Gary

    2017-07-01

    Occupants of military vehicles targeted by explosive devices often suffer from traumatic brain injury (TBI) and are typically transported by the aeromedical evacuation (AE) system to a military medical center within a few days. This study tested the hypothesis that exposure of rats to AE-relevant hypobaria worsens cerebral axonal injury and neurologic impairment caused by underbody blasts. Anesthetized adult male rats were secured within cylinders attached to a metal plate, simulating the hull of an armored vehicle. An explosive located under the plate was detonated, resulting in a peak vertical acceleration force on the plate and occupant rats of 100G. Rats remained under normobaria or were exposed to hypobaria equal to 8,000 feet in an altitude chamber for 6 hours, starting at 6 hours to 6 days after blast. At 7 days, rats were tested for vestibulomotor function using the balance beam walking task and euthanized by perfusion. The brains were then analyzed for axonal fiber injury. The number of internal capsule silver-stained axonal fibers was greater in animals exposed to 100G blast than in shams. Animals exposed to hypobaria starting at 6 hours to 6 days after blast exhibited more silver-stained fibers than those not exposed to hypobaria. Rats exposed to 100% oxygen (O2) during hypobaria at 24 hours postblast displayed greater silver staining and more balance beam foot-faults, in comparison with rats exposed to hypobaria under 21% O2. Exposure of rats to blast-induced acceleration of 100G increases cerebral axonal injury, which is significantly exacerbated by exposure to hypobaria as early as 6 hours and as late as 6 days postblast. Rats exposed to underbody blasts and then to hypobaria under 100% O2 exhibit increased axonal damage and impaired motor function compared to those subjected to blast and hypobaria under 21% O2. These findings raise concern about the effects of AE-related hypobaria on TBI victims, the timing of AE after TBI, and whether these effects

  19. An Effective Technique for Endoscopic Resection of Advanced Stage Angiofibroma

    Directory of Open Access Journals (Sweden)

    Mojtaba Mohammadi Ardehali

    2014-01-01

    Full Text Available Introduction: In recent years, the surgical management of angiofibroma has been greatly influenced by the use of endoscopic techniques. However, large tumors that extend into difficult anatomic sites present major challenges for management by either endoscopy or an open-surgery approach which needs new technique for the complete en block resection.   Materials and Methods: In a prospective observational study we developed an endoscopic transnasal technique for the resection of angiofibroma via pushing and pulling the mass with 1/100000 soaked adrenalin tampons. Thirty two patients were treated using this endoscopic technique over 7 years. The mean follow-up period was 36 months. The main outcomes measured were tumor staging, average blood loss, complications, length of hospitalization, and residual and/or recurrence rate of the tumor.   Results: According to the Radkowski staging, 23,5, and 4 patients were at stage IIC, IIIA, and IIIB, respectively. Twenty five patients were operated on exclusively via transnasal endoscopy while 7 patients were managed using endoscopy-assisted open-surgery techniques. Mean blood loss in patients was 1261± 893 cc. The recurrence rate was 21.88% (7 cases at two years following surgery. Mean hospitalization time was 3.56 ± 0.6 days.   Conclusion:  Using this effective technique, endoscopic removal of more highly advanced angiofibroma is possible. Better visualization, less intraoperative blood loss, lower rates of complication and recurrence, and shorter hospitalization time are some of the advantages.

  20. Estramustine phosphate reversibly inhibits an early stage during adenovirus replication.

    Science.gov (United States)

    Everitt, E; Ekstrand, H; Boberg, B; Hartley-Asp, B

    1990-01-01

    Estramustine phosphate, an estradiol-mustard conjugate, was shown to reversibly inhibit a stage during the first hour of productive adenovirus 2 infection of HeLa cells. This drug, employed in the therapy of advanced prostatic cancer, specifically interacts with microtubule-associated proteins (MAPs) of the cytoskeleton. The results obtained under physiological conditions in vivo suggest a MAPs-interference with the microtubule-mediated vectorial migration of the virus inoculum to the nucleus. Virus attachment, uncoating kinetics and the appearance of established uncoating intermediates were not affected.

  1. Cochliomyia Homnivorax in an advanced stage in the oral cavity

    Directory of Open Access Journals (Sweden)

    Layla Gomes

    Full Text Available Myiasis is characterized by the invasion of body or cavity tissues of live animals by larva. It is most frequently observed in underdeveloped and tropical countries, but there are cases described worldwide. Conventional treatment consists of mechanical removal of the larvae, one by one, which is a painful, embarrassing and repugnant process, both for the professional and patient. Although it is not considered rare, it has been observed that the dental professional has little knowledge for the diagnosis and treatment of this pathology. For this reason, this study reports a case of oral myiasis at an advanced stage, which affected a nine-year-old patient, treated at a medical-dental clinic. Diagnosis was based on the visual presence of Cochliomyia homnivorax larvae, diptera of the Calliphoridae family, which were between the second and third stages of development. Predisposing factors, such as the lack of information, malnutrition, poor oral hygiene, preexistenceof oral lesions and severe halitosis have a decisive influence in the appearance and progression of oral myiasis. A brief literaturereview was also conducted, in which this pathology was discussed, including the importance of early clinical diagnosis, its etiology, possible associations with other pathologies, and different types of treatment.

  2. Evaluation of an automated single-channel sleep staging algorithm

    Directory of Open Access Journals (Sweden)

    Wang Y

    2015-09-01

    Full Text Available Ying Wang,1 Kenneth A Loparo,1,2 Monica R Kelly,3 Richard F Kaplan1 1General Sleep Corporation, Euclid, OH, 2Department of Electrical Engineering and Computer Science, Case Western Reserve University, Cleveland, OH, 3Department of Psychology, University of Arizona, Tucson, AZ, USA Background: We previously published the performance evaluation of an automated electroencephalography (EEG-based single-channel sleep–wake detection algorithm called Z-ALG used by the Zmachine® sleep monitoring system. The objective of this paper is to evaluate the performance of a new algorithm called Z-PLUS, which further differentiates sleep as detected by Z-ALG into Light Sleep, Deep Sleep, and Rapid Eye Movement (REM Sleep, against laboratory polysomnography (PSG using a consensus of expert visual scorers. Methods: Single night, in-lab PSG recordings from 99 subjects (52F/47M, 18–60 years, median age 32.7 years, including both normal sleepers and those reporting a variety of sleep complaints consistent with chronic insomnia, sleep apnea, and restless leg syndrome, as well as those taking selective serotonin reuptake inhibitor/serotonin–norepinephrine reuptake inhibitor antidepressant medications, previously evaluated using Z-ALG were re-examined using Z-PLUS. EEG data collected from electrodes placed at the differential-mastoids (A1–A2 were processed by Z-ALG to determine wake and sleep, then those epochs detected as sleep were further processed by Z-PLUS to differentiate into Light Sleep, Deep Sleep, and REM. EEG data were visually scored by multiple certified polysomnographic technologists according to the Rechtschaffen and Kales criterion, and then combined using a majority-voting rule to create a PSG Consensus score file for each of the 99 subjects. Z-PLUS output was compared to the PSG Consensus score files for both epoch-by-epoch (eg, sensitivity, specificity, and kappa and sleep stage-related statistics (eg, Latency to Deep Sleep, Latency to REM

  3. Performance studies on an axial flow compressor stage

    Science.gov (United States)

    Sitaram, N.

    1986-12-01

    A low-speed, medium loaded axial flow compressor stage is studied experimentally and theoretically. The flow compressor facility, composed of an inlet guide vane row, a rotor blade row, and a stator blade row, and the principles of the streamline curvature method (SCM) and the Douglas-Neumann cascade program are described. The radial distribution of the flow properties, the rotor blade static pressure distribution, and the lift coefficient and relative flow angle derived experimentally and theoretically are compared. It is determined that there is good correlation between the experimental flow properties and the SCM data, the Douglas-Neumann cascade program and experimental rotor blade static pressure data, and the experimental and theoretical lift coefficients only in the midspan region. Modifications to the SCM and the Douglas-Neumann cascade program in order to improve their accuracy are discussed.

  4. An algorithm for expanding the TNM staging system.

    Science.gov (United States)

    Chen, Dechang; Hueman, Matthew T; Henson, Donald E; Schwartz, Arnold M

    2016-01-01

    We describe a new method to expand the tumor, lymph node, metastasis (TNM) staging system using a clustering algorithm. Cases of breast cancer were used for demonstration. An unsupervised ensemble-learning algorithm was used to create dendrograms. Cutting the dendrograms produced prognostic systems. Prognostic systems contained groups of patients with similar outcomes. The prognostic systems based on tumor size and lymph node status recapitulated the general structure of the TNM for breast cancer. The prognostic systems based on tumor size, lymph node status, histologic grade and estrogen receptor status revealed a more detailed stratification of patients when grade and estrogen receptor status were added. Prognostic systems from cutting the dendrogram have the potential to improve and expand the TNM.

  5. Experimental Results of the First Two Stages of an Advanced Transonic Core Compressor Under Isolated and Multi-Stage Conditions

    Science.gov (United States)

    Prahst, Patricia S.; Kulkarni, Sameer; Sohn, Ki H.

    2015-01-01

    NASA's Environmentally Responsible Aviation (ERA) Program calls for investigation of the technology barriers associated with improved fuel efficiency of large gas turbine engines. Under ERA the task for a High Pressure Ratio Core Technology program calls for a higher overall pressure ratio of 60 to 70. This mean that the HPC would have to almost double in pressure ratio and keep its high level of efficiency. The challenge is how to match the corrected mass flow rate of the front two supersonic high reaction and high corrected tip speed stages with a total pressure ratio of 3.5. NASA and GE teamed to address this challenge by using the initial geometry of an advanced GE compressor design to meet the requirements of the first 2 stages of the very high pressure ratio core compressor. The rig was configured to run as a 2 stage machine, with Strut and IGV, Rotor 1 and Stator 1 run as independent tests which were then followed by adding the second stage. The goal is to fully understand the stage performances under isolated and multi-stage conditions and fully understand any differences and provide a detailed aerodynamic data set for CFD validation. Full use was made of steady and unsteady measurement methods to isolate fluid dynamics loss source mechanisms due to interaction and endwalls. The paper will present the description of the compressor test article, its predicted performance and operability, and the experimental results for both the single stage and two stage configurations. We focus the detailed measurements on 97 and 100 of design speed at 3 vane setting angles.

  6. Perceptions of Speaking Ability: An Explanation for Stage Fright.

    Science.gov (United States)

    Ayres, Joe

    1986-01-01

    Argues that stage fright is a function of the speaker's perception that ability falls short of audience expectation. Discusses the implications of this theory for future investigations and interventions. (MS)

  7. An Anthropological Reinterpretation of Kohlberg's Stages of Moral Development.

    Science.gov (United States)

    Reid, B.V.

    1984-01-01

    Compares and demonstrates a correspondence between L. Kohlberg's stages of moral development and M. Douglas's grid/group theory. Reinterprets Kohlberg's findings and discusses limitations of both theories. (BJD)

  8. An Analysis of Immunoreactive Signatures in Early Stage Hepatocellular Carcinoma

    Directory of Open Access Journals (Sweden)

    Yu Hong

    2015-05-01

    Interpretation: Tumor-associated autoimmune reactions may be triggered by early stage HCCs. Measurement of serum autoantibody to TAAs may be complementary to AFP measurements and improve diagnosis of early HCC.

  9. An improved index for the waxed stage of an implant-retained framework.

    Science.gov (United States)

    Adrian, E D; Krantz, W A; Ivanhoe, J R; Edge, M J

    1991-11-01

    A method for making an improved index for the waxed stage of Branemark implant-retained frameworks is described. The index improves visibility of the tooth and abutment cylinder relationship permitting the optimization of framework dimensions and contour.

  10. Ingestion into the upstream wheelspace of an axial turbine stage

    Science.gov (United States)

    Green, T.; Turner, A. B.

    1994-04-01

    The upstream wheelspace of an axial air turbine stage complete with nozzle guide vanes (NGVs) and rotor blades (430 mm mean diameter) has been tested with the objective of examining the combined effect of NGVs and rotor blades on the level of mainstream ingestion for different seal flow rates. A simple axial clearance seal was used with the rotor spun up to 6650 rpm by drawing air through it from atmospheric pressure with a large centrifugal compressor. The effect of rotational speed was examined for several constant mainstream flow rates by controlling the rotor speed with an air brake. The circumferential variation in hub static pressure was measured at the trailing edge of the NGVs upstream of the seal gap and was found to affect ingestion significantly. The hub static pressure distribution on the rotor blade leading edges was rotor speed dependent and could not be measured in the experiments. The Denton three-dimensional CFD computer code was used to predict the smoothed time-dependent pressure field for the rotor together with the pressure distribution downstream of the NGVs. The level and distribution of mainstream ingestion, and thus, the seal effectiveness, was determined from nitrous oxide gas concentration measurements and related to static pressure measurements made throughout the wheelspace. With the axial clearance rim seal close to the rotor the presence of the blades had a complex effect. Rotor blades in connection with NGVs were found to reduce mainstream ingestion seal flow rates significantly, but a small level of ingestion existed even for very high levels of seal flow rate.

  11. Investigation of the flow through an axial turbine stage

    Energy Technology Data Exchange (ETDEWEB)

    Svensdotter, S.; Wei Ning [Royal Inst. of Tech., Stockholm (Sweden). Dept. of Energy Technology

    1995-12-31

    In this licentiate thesis the classical turbine theory and experimental results from the test turbine at KTH have been studied. The theory for the data evaluation program has also been studied and the loss models by Traupel and Denton have been investigated and applied to the measured results. The work has been performed to prepare for a theory concerning aerodynamic design of so called compound leaned blades and for future experiments on this non-conventional blade design with a new measurement system. A literature survey shows that the compound lean can be an effective three-dimensional technique in turbine designs, with significantly improved flow conditions, especially near the end-wall regions. A new measurement system, PSI, has been installed and the first preliminary tests shows good agreement with the existing system. The speed of the global measurements has been improved from about 10 minutes to about 12 seconds. The system reliability and documentation is also improved with the PSI system. The accuracy of the PSI-system is significantly better on the pressure measurement side, while the analogue side has somewhat less accuracy for the moment. From the analysis of the measurement results on the 25 mm stage, the tendencies of parameter variation versus pressure and velocity ratios were gained by the authors. The results show high secondary flow loss cores near the end-walls downstream the stator. The result is similar with those from the literature survey. The radial positions of the secondary flow cores change when simulating stator leakage flow. 140 refs, 54 figs, 14 tabs, 14 appendices

  12. Increased Maleness at Flowering Stage and Femaleness at Fruiting Stage with Size in an Andromonoecious Perennial,Veratrum nigrum

    Institute of Scientific and Technical Information of China (English)

    Wan-Jin Liao; Da-Yong Zhang

    2008-01-01

    Theory predicts that cosexual plants should adjust their resource investment in male and female functions according to their size if female and male fitness are differentially affected by size.However,few empirical studies have been carried out at both the flowering and fruiting stages to adequately address size-dependent sex allocation in cosexual plants.In this paper,we investigated resource investment between female and male reproduction,and their size-dependence in a perennial andromonoecious herb,Veratrum nigrum L.We sampled 192 flowering plants,estimated their standardized phenotypic gender,and assessed the resource investment in male and female functions in terms of absolute dry biomass.At the flowering stage,male investment increased with plant size more rapidly than female investment,and the standardized phenotypic femaleness (ranging from 0.267 to 0.776) was negatively correlated with plant size.By contrast,female biased allocation was found at the fruiting stage,although both flower biomass and fruit biomass were positively correlated with plant size.We propose that increased maleness with plant size at the flowering stage may represent an adaptive strategy for andromonoecious plants,because male flowers promote both male and female fertility by increasing pollinator attraction without aggravating pollen discounting.

  13. Two-Stage Exams Improve Student Learning in an Introductory Geology Course: Logistics, Attendance, and Grades

    Science.gov (United States)

    Knierim, Katherine; Turner, Henry; Davis, Ralph K.

    2015-01-01

    Two-stage exams--where students complete part one of an exam closed book and independently and part two is completed open book and independently (two-stage independent, or TS-I) or collaboratively (two-stage collaborative, or TS-C)--provide a means to include collaborative learning in summative assessments. Collaborative learning has been shown to…

  14. Design of an Image-Servo Mask Alignment System Using Dual CCDs with an XXY Stage

    Directory of Open Access Journals (Sweden)

    Chih-Jer Lin

    2016-02-01

    Full Text Available Mask alignment of photolithography technology is used in many applications, such as micro electro mechanical systems’ semiconductor process, printed circuits board, and flat panel display. As the dimensions of the product are getting smaller and smaller, the automatic mask alignment of photolithography is becoming more and more important. The traditional stacked XY-Θz stage is heavy and it has cumulative flatness errors due to its stacked assembly mechanism. The XXY stage has smaller cumulative error due to its coplanar design and it can move faster than the traditional XY-Θz stage. However, the relationship between the XXY stage’s movement and the commands of the three motors is difficult to compute, because the movements of the three motors on the same plane are coupling. Therefore, an artificial neural network is studied to establish a nonlinear mapping from the desired position and orientation of the stage to three motors’ commands. Further, this paper proposes an image-servo automatic mask alignment system, which consists of a coplanar XXY stage, dual GIGA-E CCDs with lens and a programmable automatic controller (PAC. Before preforming the compensation, a self-developed visual-servo provides the positioning information which is obtained from the image processing and pattern recognition according to the specified fiducial marks. To obtain better precision, two methods including the center of gravity method and the generalize Hough Transformation are studied to correct the shift positioning error.

  15. Development of an ADR Refrigerator with Two Continuous Stages

    Science.gov (United States)

    Duval, Jean-Marc; Camus, Philippe; Calvo, Martino; Prouvé, Thomas; Exshaw, Olivier; Brasiliano, Diego Paixao

    2016-08-01

    We present a magnetic cooling chain designed to have a continuous heat sink below 50 mK. It has been focused on providing a cryogen-free and autonomous operation for the users. The challenge is to provide two levels of continuous cooling in order to control the heat balance on the coldest stage. Designed for scientific research and high sensitivity cryogenic detectors applications, the prototype has been validated with a kinetic inductance detectors array. A completely autonomous operation of the cryogenics system from 300 K down to 100 mK has been validated.

  16. An Analysis of Immunoreactive Signatures in Early Stage Hepatocellular Carcinoma

    Science.gov (United States)

    Hong, Yu; Long, Jiang; Li, Hai; Chen, Shuhong; Liu, Qiqi; Zhang, Bei; He, Xiaomin; Wang, Yan; Li, Hongyi; Li, Yimei; Zhang, Tao; Lu, Chenzhen; Yan, Hao; Zhang, Minli; Li, Qing; Cao, Bangwei; Bai, Zhigang; Wang, Jin; Zhang, Zhongtao; Zhu, Shengtao; Zheng, Jiasheng; Ou, Xiaojuan; Ma, Hong; Jia, Jidong; You, Hong; Wang, Shengqi; Huang, Jian

    2015-01-01

    Background Hepatocellular carcinoma (HCC) is prevalent worldwide and early diagnosis of HCC is critical for effective treatment and optimal prognosis. Methods Serum was screened first by immunoproteomic analysis for HCC-related tumor associated antigens (TAAs). Selected TAAs were clinically evaluated retrospectively in patients with HCC, liver cirrhosis, chronic hepatitis and healthy controls. Levels of autoantibody to the selected TAAs were measured by protein microarrays containing protein antigens of the candidate TAAs. Analyses were done by using receiver operating characteristics (ROC) to calculate diagnostic accuracy. Findings Twenty-two candidate TAAs were assessed by protein microarray analysis in 914 participants with serum α-fetoprotein (AFP) available. Twelve candidate TAAs were statistically different in signal intensity between HCC and controls. Among them, CENPF, HSP60 and IMP-2 showed AUC (area under the curve) values of 0.826, 0.764 and 0.796 respectively for early HCC. The highest prevalence of autoantibody positivity was observed in HCC cases with BCLC tumor stage A, well-differentiated histology and Child-Pugh grade C. Specifically, 73.6% or 79.3% cases of early HCC with negative AFP were positive for autoantibody to CENPF or HSP60. Interpretation Tumor-associated autoimmune reactions may be triggered by early stage HCCs. Measurement of serum autoantibody to TAAs may be complementary to AFP measurements and improve diagnosis of early HCC. PMID:26137588

  17. Staged diabetes management. Toward an integrated model of diabetes care.

    Science.gov (United States)

    Mazze, R S; Etzwiler, D D; Strock, E; Peterson, K; McClave, C R; Meszaros, J F; Leigh, C; Owens, L W; Deeb, L C; Peterson, A

    1994-06-01

    This paper introduces a new and innovative approach to diabetes management in the primary-care setting. Staged diabetes management (SDM) represents a four-year effort to develop and test a data-based approach to diabetes management that could be easily adapted to a variety of health-care settings in which diabetes management is principally under the direction of primary-care physicians was limited access to specialists. After testing under controlled circumstances at the International Diabetes Center (Minneapolis, MN), SDM was subjected to substantial field trials under conditions that represent the scope and variety of primary-care practices in diabetes. The following represents the work of several investigators who independently undertook a review of SDM.

  18. Two Stage Assessment of Thermal Hazard in An Underground Mine

    Science.gov (United States)

    Drenda, Jan; Sułkowski, Józef; Pach, Grzegorz; Różański, Zenon; Wrona, Paweł

    2016-06-01

    The results of research into the application of selected thermal indices of men's work and climate indices in a two stage assessment of climatic work conditions in underground mines have been presented in this article. The difference between these two kinds of indices was pointed out during the project entitled "The recruiting requirements for miners working in hot underground mine environments". The project was coordinated by The Institute of Mining Technologies at Silesian University of Technology. It was a part of a Polish strategic project: "Improvement of safety in mines" being financed by the National Centre of Research and Development. Climate indices are based only on physical parameters of air and their measurements. Thermal indices include additional factors which are strictly connected with work, e.g. thermal resistance of clothing, kind of work etc. Special emphasis has been put on the following indices - substitute Silesian temperature (TS) which is considered as the climatic index, and the thermal discomfort index (δ) which belongs to the thermal indices group. The possibility of the two stage application of these indices has been taken into consideration (preliminary and detailed estimation). Based on the examples it was proved that by the application of thermal hazard (detailed estimation) it is possible to avoid the use of additional technical solutions which would be necessary to reduce thermal hazard in particular work places according to the climate index. The threshold limit value for TS has been set, based on these results. It was shown that below TS = 24°C it is not necessary to perform detailed estimation.

  19. Stability of an HIV/AIDS Treatment Model with Different Stages

    Directory of Open Access Journals (Sweden)

    Hai-Feng Huo

    2015-01-01

    Full Text Available An HIV/AIDS treatment model with different stages is proposed in this paper. The stage of the HIV infection is divided into two stages, that is, HIV-positive in the asymptomatic stage of HIV infection and HIV-positive individuals in the pre-AIDS stage. The fact that some individuals with HIV-positive individuals after the treatment can be transformed into the compartment of HIV-positive individuals in the asymptomatic stage of HIV infection, the compartment of HIV-positive individuals in the pre-AIDS stage, or the compartment of individuals with full-blown AIDS is also considered. Mathematical analyses establish the idea that the global dynamics of the HIV/AIDS model are determined by the basic reproduction number R0. The disease-free equilibrium is globally asymptotically stable if R01 for a special case. Numerical simulations are also conducted to support the analytic results.

  20. Lung Adenocarcinoma Staged as an Unknown Primary Presenting with Symptomatic Colon Metastases: Staging by 18F FDG PET/CT

    Energy Technology Data Exchange (ETDEWEB)

    Makis, William [Brandon Regional Health Centre, Brandon (Canada); Ciarallo, Anthony [Royal Victoria Hospital, Montreal (Canada)

    2011-12-15

    A 66 year old man, who presented with bright red blood per rectum, was referred for an {sup 18F} FDG PET/CT after colonoscopy showed two suspicious colon masses, which were biopsied to reveal an adenocarcinoma of unknown origin. PET/CT showed two intensely FDG avid colon massed as well as an unsuspected FDG avid lung mass, which was biopsied to reveal a primary lung adenocarcinoma. Immunohistochemistry confirmed the two colon metastases were of pulmonary origin. It is extremely rare for lung carcinoma to present with symptomatic colon metastases, with only 11 cases described in the literature. We report the first case of the utility of {sup 18F} FDG PET/CT in staging a patient who presented with symptomatic colon metastases of an unknown primary lung malignancy.

  1. Dynamics Analysis of an HIV Infection Model including Infected Cells in an Eclipse Stage

    Directory of Open Access Journals (Sweden)

    Shengyu Zhou

    2013-01-01

    Full Text Available In this paper, an HIV infection model including an eclipse stage of infected cells is considered. Some quicker cells in this stage become productively infected cells, a portion of these cells are reverted to the uninfected class, and others will be latent down in the body. We consider CTL-response delay in this model and analyze the effect of time delay on stability of equilibrium. It is shown that the uninfected equilibrium and CTL-absent infection equilibrium are globally asymptotically stable for both ODE and DDE model. And we get the global stability of the CTL-present equilibrium for ODE model. For DDE model, we have proved that the CTL-present equilibrium is locally asymptotically stable in a range of delays and also have studied the existence of Hopf bifurcations at the CTL-present equilibrium. Numerical simulations are carried out to support our main results.

  2. Redistribution of an inlet temperature distortion in an axial flow turbine stage

    Science.gov (United States)

    Butler, T. L.; Sharma, O. P.; Joslyn, H. D.; Dring, R. P.

    1986-06-01

    The results of an experimental program aimed at determining the extent of the redistribution of an inlet temperature distortion in an axial flow turbine stage are presented. The program was conducted in a large-scale, low speed, single stage turbine where air, seeded with CO2 was introduced at one circumferential location upstream of the inlet guide vane. The migration of the seeded air through the turbine was determined by sensing CO2 concentration inside the stage. A temperature distortion was introduced by heating the seeded air. The CO2 concentration contours measured downstream of the vane showed little change with heating, indicating that the vane flowfield was relatively unaffected by the introduction of the temperature distortion. However, the CO2 contours observed on the rotor airfoil surfaces for the case with inlet heating indicated segregation of hot and cold gas, with the higher temperature gas migrating to the pressure side and the lower temperature gas migrating to the suction side. Significant increases in rotor secondary flow were also observed.

  3. An arena for things? Sociomaterial staging of strategists, devices and praxis

    DEFF Research Database (Denmark)

    Friis, Ole Uhrskov; Koch, Christian

    Strategy practices involve social as well as material elements. More specifically, strategy formulation can be viewed as an entanglement of soft and hard materiality (i.e. procedures and templates) with social players, such as CEOs, managers and consultants. Apart from this sociomaterial...... perspective used, a Goffmanian perspective of staging is adopted, inquiring into what arenas are staged for strategy formulation, what types of devices are involved, how they enable or constrain strategy formulation and what the dynamics between devices and the arenas where they are staged are. Using material...... from an ethnographic study of strategy formulation, three (front) staged arenas are identified, as is their back stage intermediation. A series of devices are purposely mobilised by management and consultants first in staging the managers in a more traditional strategy workshop with the employees...

  4. Staging of gastroenteropancreatic neuroendocrine tumors: how we do it based on an evidence-based approach.

    LENUS (Irish Health Repository)

    McDermott, Shaunagh

    2013-01-01

    In contrast to other common types of malignant tumors, the vast majority of gastroenteropancreatic neuroendocrine tumors are well differentiated and slowly growing with only a minority showing aggressive behavior. It is important to accurately stage patients radiologically so the correct treatment can be implemented and to improve prognosis. In this article, we critically appraise the current literature in an effort to establish the current role of radiologic imaging in the staging of neuroendocrine tumors. We also discuss our protocol for staging neuroendocrine tumors.

  5. Challenges at different stages of an iris based biometric system

    Directory of Open Access Journals (Sweden)

    Sunil Kumar Singla

    2012-04-01

    Full Text Available Iris recognition has been used for authentication for the past few years and is capable of positive/negative authenticationof an individual without any physical contact or intervention. This technique is being used mainly because of its uniqueness,stability, and reliability but still many challenges are being faced an the iris based recognition system. This paperpresents the difficulties faced in different modules, like the sensor module, preprocessing module, feature extraction module,and matching module of an iris biometric system.

  6. The use of Bispectral Index (BIS values as an indicator for sleep staging

    Directory of Open Access Journals (Sweden)

    Evangelia Nena

    2009-01-01

    Full Text Available SUMMARY. The aim of this study was to examine whether BIS values during sleep correspond to the different sleep stages, in order to assess BIS as an alternative means of sleep staging. Patients-Methods: The study was conducted on 23 patients who were examined concurrently with polysomnography (PSG for diagnosing sleep-disordered breathing and with BIS. Exclusion criteria were sleep duration <4 hours, sleep efficiency <80% on PSG and signal quality index (SQI <50% on BIS. Comparisons in recordings were performed. Results: The patients provided 806 different sleep periods. The mean BIS value was 93.6±4.8 in the wakeful state, and in sleep, according to each stage: 84±11.5 in stage 1, 75.4±13.2 in stage 2, 53.4±15.8 in slow wave sleep (SWS, and 81.5±13.3 during REM sleep. A significant difference was observed between BIS values in the wakeful state and stage 1 (p<0.005 and between stages 1 and 2 and SWS (p<0.001, but not between stage 1 and REM (p=0.102. Conclusion: BIS values decrease with sleep and remain low, with the exception of REM sleep, the BIS values in which overlap with those in stage 1, reducing the sensitivity of BIS in sleep staging. Pneumon 2009, 22(3:230-239.

  7. Optimization of an industrial retrofitted heat exchanger network, using a stage-wise model

    Energy Technology Data Exchange (ETDEWEB)

    Kovac Kralj, Anita [Faculty of Chemistry and Chemical Engineering, University of Maribor, Smetanova 17, Maribor 2000 (Slovenia)

    2010-12-15

    The heat exchanger network (HEN) can be optimized using the stage-wise model of superstructure representation, as proposed by Yee and Grossmann. This model can be easily solved regarding both trivial problems, and serious and complex new industrial design plants. In this paper, a stage-wise model for new designs is extended for retrofits by using a stage-wise model for a retrofitted HEN. This method using a stage-wise model is very general; it can be used in new designs as well as during existing process integration. The methodology of the stage-wise model for retrofitted HEN can be used to solve HENs easily and well enough, over a short time, and simultaneously. A mathematical model of stage-wise for retrofit HEN can include additional equations and limitations for retrofits. This model was tested by using a retrofitted methanol process generating an additional profit of 189,200 EUR/a. (author)

  8. Advocating for Abolition: Staging an Abolitionist Society Convention

    Science.gov (United States)

    Robinson, Andy; Schur, Joan Brodsky

    2010-01-01

    What students remember about their 8th grade study of American history is the historical simulations and the roles they played in them that stick in their memories. Other teachers across America have had similar successes implementing role-plays. Of course, these role-plays have an important place in the curriculum; to understand the controversies…

  9. Evaluation of an automated single-channel sleep staging algorithm

    OpenAIRE

    Wang Y.; Loparo KA; Kelly,, F; Kaplan RF

    2015-01-01

    Ying Wang,1 Kenneth A Loparo,1,2 Monica R Kelly,3 Richard F Kaplan1 1General Sleep Corporation, Euclid, OH, 2Department of Electrical Engineering and Computer Science, Case Western Reserve University, Cleveland, OH, 3Department of Psychology, University of Arizona, Tucson, AZ, USA Background: We previously published the performance evaluation of an automated electroencephalography (EEG)-based single-channel sleep–wake detection algorithm called Z-ALG used by the Zmachine® s...

  10. Investigation of an automatic sleep stage classification by means of multiscorer hypnogram.

    Science.gov (United States)

    Figueroa Helland, V C; Gapelyuk, A; Suhrbier, A; Riedl, M; Penzel, T; Kurths, J; Wessel, N

    2010-01-01

    Scoring sleep visually based on polysomnography is an important but time-consuming element of sleep medicine. Whereas computer software assists human experts in the assignment of sleep stages to polysomnogram epochs, their performance is usually insufficient. This study evaluates the possibility to fully automatize sleep staging considering the reliability of the sleep stages available from human expert sleep scorers. We obtain features from EEG, ECG and respiratory signals of polysomnograms from ten healthy subjects. Using the sleep stages provided by three human experts, we evaluate the performance of linear discriminant analysis on the entire polysomnogram and only on epochs where the three experts agree in their sleep stage scoring. We show that in polysomnogram intervals, to which all three scorers assign the same sleep stage, our algorithm achieves 90% accuracy. This high rate of agreement with the human experts is accomplished with only a small set of three frequency features from the EEG. We increase the performance to 93% by including ECG and respiration features. In contrast, on intervals of ambiguous sleep stage, the sleep stage classification obtained from our algorithm, agrees with the human consensus scorer in approximately 61%. These findings suggest that machine classification is highly consistent with human sleep staging and that error in the algorithm's assignments is rather a problem of lack of well-defined criteria for human experts to judge certain polysomnogram epochs than an insufficiency of computational procedures.

  11. Predictors of cervical cancer being at an advanced stage at diagnosis in Sudan

    DEFF Research Database (Denmark)

    Ibrahim, Ahmed; Rasch, Vibeke; Pukkala, Eero

    2011-01-01

    of this cancer, but other factors potentially associated with advanced stages of cervical cancer at diagnosis are unknown. The purpose of this research was to investigate the relationship between age, marital status, ethnicity, health insurance coverage, residence in an urban vs a rural setting, and stage (at...

  12. 国外空运医疗后送的形成与发展%Formation and Development of Foreign Aeromedical Evacuation

    Institute of Scientific and Technical Information of China (English)

    张晓丽; 钟方虎; 陈良恩; 安瑞卿

    2012-01-01

    The author mainly introduced the history, formation, development and innovation of aeromedical evacuation. The aeromedical evacuation system were initially formed during the World War I and World War II. It was period between the Korean War and the Vietnam War, aeromedical evacuation had a significant development that medical aircraft and medical personnel were improved. During the Gulf War and the Iraq war, injuries and patients evacuated by helicopter are more than fixed wing aircraft. In the future, the function of medical aircraft will be more perfectly and medical personnel need improve their skills.%本文主要回顾国外空运医疗后送的历史,介绍空运医疗后送形成、发展和变革.第一次世界大战和第二次世界大战空运医疗后送系统基本形成.朝鲜战争和越南战争中,空运医疗后送得到极大的发展,从卫生飞机的改进到医务人员的配备日趋完善.海湾战争和伊拉克战争期间,空运医疗后送发生了变革,旋翼机后送的伤病员数量超过固定翼飞机.未来空运医疗后送飞机的功能会更加完善,卫生人员的技术需要不断提高.

  13. An experimentally validated simulation model for a four-stage spray dryer

    DEFF Research Database (Denmark)

    Petersen, Lars Norbert; Poulsen, Niels Kjølstad; Niemann, Hans Henrik

    2017-01-01

    is divided into four consecutive stages: a primary spray drying stage, two heated fluid bed stages, and a cooling fluid bed stage. Each of these stages in the model is assumed ideally mixed and the dynamics are described by mass- and energy balances. These balance equations are coupled with constitutive...... equations such as a thermodynamic model, the water evaporation rate, the heat transfer rates, and an equation for the stickiness of the powder (glass transition temperature). Laboratory data is used to model the equilibrium moisture content and the glass transition temperature of the powder. The resulting...... mathematical model is an index-1 differential algebraic equation (DAE) model with 12 states, 9 inputs, 8 disturbances, and 30 parameters. The parameters in the model are identified from well-excited experimental data obtained from the industrialtype spray dryer. The simulated outputs ofthe model are validated...

  14. Model of unplanned smoking initiation of children and adolescents: an integrated stage model of smoking behavior.

    Science.gov (United States)

    Kremers, S P J; Mudde, A N; De Vries, H

    2004-05-01

    Two lines of psychological research have attempted to spell out the stages of adolescent smoking initiation. The first has focused on behavioral stages of smoking initiation, while the second line emphasized motivational stages. A large international sample of European adolescents (N = 10,170, mean age = 13.3 years) was followed longitudinally. Self-reported motivational and behavioral stages of smoking initiation were integrated, leading to the development of the Model of Unplanned Smoking Initiation of Children and Adolescents (MUSICA). The MUSICA postulates that youngsters experiment with smoking while they are in an unmotivated state as regards their plans for smoking regularly in the future. More than 95% of the total population resided in one of the seven stages distinguished by MUSICA. The probability of starting to smoke regularly during the 12 months follow-up period increased with advanced stage assignment at baseline. Unique social cognitive predictors of stage progression from the various stages were identified, but effect sizes of predictors of transitions were small. The integration of motivational and behavioral dimensions improves our understanding of the process of smoking initiation. In contrast to current theories of smoking initiation, adolescent uptake of smoking behavior was found to be an unplanned action.

  15. An ensemble system for automatic sleep stage classification using single channel EEG signal.

    Science.gov (United States)

    Koley, B; Dey, D

    2012-12-01

    The present work aims at automatic identification of various sleep stages like, sleep stages 1, 2, slow wave sleep (sleep stages 3 and 4), REM sleep and wakefulness from single channel EEG signal. Automatic scoring of sleep stages was performed with the help of pattern recognition technique which involves feature extraction, selection and finally classification. Total 39 numbers of features from time domain, frequency domain and from non-linear analysis were extracted. After extraction of features, SVM based recursive feature elimination (RFE) technique was used to find the optimum number of feature subset which can provide significant classification performance with reduced number of features for the five different sleep stages. Finally for classification, binary SVMs were combined with one-against-all (OAA) strategy. Careful extraction and selection of optimum feature subset helped to reduce the classification error to 8.9% for training dataset, validated by k-fold cross-validation (CV) technique and 10.61% in the case of independent testing dataset. Agreement of the estimated sleep stages with those obtained by expert scoring for all sleep stages of training dataset was 0.877 and for independent testing dataset it was 0.8572. The proposed ensemble SVM-based method could be used as an efficient and cost-effective method for sleep staging with the advantage of reducing stress and burden imposed on subjects.

  16. Late-stage disease at presentation to an HIV clinic in eastern ...

    African Journals Online (AJOL)

    Late-stage disease at presentation to an HIV clinic in eastern Tanzania: A retrospective cross-sectional study. ... Alternatively, you can download the PDF file directly to your computer, from where it can be opened using a PDF reader.

  17. End-stage renal disease causes an imbalance between endothelial and smooth muscle progenitor cells

    NARCIS (Netherlands)

    Westerweel, Peter E; Hoefer, Imo E; Blankestijn, Peter J; de Bree, Petra; Groeneveld, Dafna; van Oostrom, Olivia; Braam, Branko; Koomans, Hein A; Verhaar, Marianne C

    2007-01-01

    Patients with end-stage renal disease (ESRD) on hemodialysis have an increased risk of cardiovascular disease (CVD). Circulating endothelial progenitor cells (EPC) contribute to vascular regeneration and repair, thereby protecting against CVD. However, circulating smooth muscle progenitor cells (SPC

  18. ANALYSIS OF AN SI EPIDEMIC MODEL WITH NONLINEAR TRANSMISSION AND STAGE STRUCTURE

    Institute of Scientific and Technical Information of China (English)

    陆忠华; 高淑京; 陈兰荪

    2003-01-01

    A disease transmission model of SI type with stage structure is formulated.The stability of disease free equilibrium, the existence and uniqueness of an endemic equi-librium, the existence of a global attractor are investigated.

  19. CONCEPTUAL MODEL OF STAGED FORMATION OF AN INDIVIDUAL CREATIVE METHOD OF AN ARCHITECT

    Directory of Open Access Journals (Sweden)

    Kolstet O. A.

    2016-03-01

    Full Text Available The article considers the development of a model of gradual formation of individual creative method of an architect in the propaedeutic level since preuniversity stage (with the involvement of distance training and its continuity of the first courses of architectural disciplines in high school in terms of the Rostov school of architecture. There have been examined some studies by Nechaev N.N. and Sulimenko S.D. at the architectural department of the Far Eastern Technical University, that have revealed a non-linear nature of the formation of spatial thinking and the need to develop a systematic approach in the propaedeutic phase of training. These studies formed the basis of a new conceptual model. A list of the input competence requirements for applicants entering architectural universities to ensure the quality of training at university propaedeutic phase is done. Methodological feature of the Rostov school of architecture, which is both a synthesis of problems in the field of threedimensional composition and design problems is revealed, as well as a combination of methods of modeling and manual architectural drawing with computer graphics (SketchUp, CorelDraw, Photoshop, AutoCad. The schemes of a number of separate stages of the formation of individual creative method of the architect, as well as the general scheme of the whole conceptual model is given

  20. Perception of affective prosody in patients at an early stage of relapsing-remitting multiple sclerosis.

    Science.gov (United States)

    Kraemer, Markus; Herold, Michele; Uekermann, Jennifer; Kis, Bernhard; Daum, Irene; Wiltfang, Jens; Berlit, Peter; Diehl, Rolf R; Abdel-Hamid, Mona

    2013-03-01

    Cognitive dysfunction is well known in patients suffering from multiple sclerosis (MS) and has been described for many years. Cognitive impairment, memory, and attention deficits seem to be features of advanced MS stages, whereas depression and emotional instability already occur in early stages of the disease. However, little is known about processing of affective prosody in patients in early stages of relapsing-remitting MS (RRMS). In this study, tests assessing attention, memory, and processing of affective prosody were administered to 25 adult patients with a diagnosis of RRMS at an early stage and to 25 healthy controls (HC). Early stages of the disease were defined as being diagnosed with RRMS in the last 2 years and having an Expanded Disability Status Scale (EDSS) of 2 or lower. Patients and HC were comparable in intelligence quotient (IQ), educational level, age, handedness, and gender. Patients with early stages of RRMS performed below the control group with respect to the subtests 'discrimination of affective prosody' and 'matching of affective prosody to facial expression' for the emotion 'angry' of the 'Tübingen Affect Battery'. These deficits were not related to executive performance. Our findings suggest that emotional prosody comprehension is deficient in young patients with early stages of RRMS. Deficits in discriminating affective prosody early in the disease may make misunderstandings and poor communication more likely. This might negatively influence interpersonal relationships and quality of life in patients with RRMS.

  1. Accuracy of MRI with an endorectal coil for staging endometrial cancer

    Energy Technology Data Exchange (ETDEWEB)

    Alt, Celine D.; Kauczor, Hans-Ulrich; Hallscheidt, Peter [Dept. of Diagnostic and Interventional Radiology, Univ. of Heidelberg Medical School, Heidelberg (Germany)], e-mail: celine.alt@med.uni-heidelberg.de; Brocker, Kerstin A.; Eichbaum, Michael; Sohn, Christof [Dept. of Obstetrics and Gynecology, Univ. of Heidelberg Medical School, Heidelberg (Germany); Kopp-Schneider, Annette [Dept. of Biostatistics, German Cancer Research Center, Heidelberg (Germany)

    2012-06-15

    Background: The very good results of magnetic resonance imaging (MRI) using an endorectal coil in staging prostate cancer at 1.5T suggested that this imaging technique might be able to be used to stage endometrial cancer, the most common tumor in postmenopausal women. Purpose: To evaluate the accuracy of MRI with an endorectal surface coil for staging primary endometrial carcinoma. Material and Methods: A total of 33 consecutive patients with biopsy-proven endometrial cancer underwent 1.5T MRI with an endorectal surface coil (eMRI) using sagittal and axial T2-weighted (T2w) turbo spin echo (TSE), axial T1 gradient echo 2D fat-saturated (fs), sagittal T1 gradient echo 3D with and without contrast enhancement (CE), and axial T1 TSE fs CE sequence. Evaluation of local tumor extension was based on the revised standard TNM classification for endometrial cancer. eMRI staging was compared with the histopathological results after surgery. Results: A total of 33 consecutive patients underwent eMRI for staging endometrial cancer, and 21 of these underwent primary surgery. The histological stages were as follows: T1a (n = 8), T1b (n = 10), T2b (n = 2), and T3a (n = 1). Overall staging accuracy by eMRI was 71% (15 of 21). With regard to depth of myometrial invasion, eMRI correctly diagnosed stage T1a in 75% (6/8) and stage T1b in 80% (8/10). eMRI overstaged the tumor in four patients and understaged it in two. Conclusion: eMRI is highly accurate in staging myometrial invasion. However, eMRI at 1.5T does not seem to be significantly more accurate than pelvic MRI without an endorectal coil at 1.5T for staging primary endometrial cancer. eMRI for endometrial carcinoma therefore might not meet expectations compared with the results obtained using eMRI for staging prostate cancer at 1.5T.

  2. Identification of an AP2-family protein that is critical for malaria liver stage development.

    Directory of Open Access Journals (Sweden)

    Shiroh Iwanaga

    Full Text Available Liver-stage malaria parasites are a promising target for drugs and vaccines against malaria infection. However, little is currently known about gene regulation in this stage. In this study, we used the rodent malaria parasite Plasmodium berghei and showed that an AP2-family transcription factor, designated AP2-L, plays a critical role in the liver-stage development of the parasite. AP2-L-depleted parasites proliferated normally in blood and in mosquitoes. However, the ability of these parasites to infect the liver was approximately 10,000 times lower than that of wild-type parasites. In vitro assays showed that the sporozoites of these parasites invaded hepatocytes normally but that their development stopped in the middle of the liver schizont stage. Expression profiling using transgenic P. berghei showed that fluorescent protein-tagged AP2-L increased rapidly during the liver schizont stage but suddenly disappeared with the formation of the mature liver schizont. DNA microarray analysis showed that the expression of several genes, including those of parasitophorous vacuole membrane proteins, was significantly decreased in the early liver stage of AP2-L-depleted parasites. Investigation of the targets of this transcription factor should greatly promote the exploration of liver-stage antigens and the elucidation of the mechanisms of hepatocyte infection by malaria parasites.

  3. An Enhanced Preventive Maintenance Optimization Model Based on a Three-Stage Failure Process

    Directory of Open Access Journals (Sweden)

    Ruifeng Yang

    2015-01-01

    Full Text Available Nuclear power plants are highly complex systems and the issues related to their safety are of primary importance. Probabilistic safety assessment is regarded as the most widespread methodology for studying the safety of nuclear power plants. As maintenance is one of the most important factors for affecting the reliability and safety, an enhanced preventive maintenance optimization model based on a three-stage failure process is proposed. Preventive maintenance is still a dominant maintenance policy due to its easy implementation. In order to correspond to the three-color scheme commonly used in practice, the lifetime of system before failure is divided into three stages, namely, normal, minor defective, and severe defective stages. When the minor defective stage is identified, two measures are considered for comparison: one is that halving the inspection interval only when the minor defective stage is identified at the first time; the other one is that if only identifying the minor defective stage, the subsequent inspection interval is halved. Maintenance is implemented immediately once the severe defective stage is identified. Minimizing the expected cost per unit time is our objective function to optimize the inspection interval. Finally, a numerical example is presented to illustrate the effectiveness of the proposed models.

  4. Extremely high ferritin level after an acute myocardial infarction in an end stage renal disease patient.

    Science.gov (United States)

    Sandhu, Gagangeet; Mankal, Pavan; Gupta, Isha; Tagani, Adrian; Ranade, Aditi; Jones, James; Bansal, Anip

    2014-07-01

    We present here a case of an asymptomatic end-stage renal disease (ESRD) patient, who had an unexplained persistent mild leukocytosis in the setting of an extremely high ferritin level (8,997 ng/ml; reference range: 12 - 300 ng/ml) 3 weeks after she suffered from a myocardial infarction (MI). Infection as the cause of these laboratory abnormalities was ruled out. A week later, the patient was noted to have asymptomatic hypotension (100/60 mmHg; her baseline blood pressure was 120/70 mmHg) during a maintenance hemodialysis session. An echocardiography revealed an interval development of moderate pericardial effusion when compared to her previous echocardiography 4 weeks before. In the setting of a recent MI with other laboratory markers suggesting an ongoing inflammatory process, a tentative diagnosis of Dressler's syndrome was made. A pericardial tap yielded exudative (bloody) fluid, thus, confirming our suspicion. Dressler's syndrome results from an inflammation of the pericardium as a consequence of an underlying autoimmune process few weeks to months after a myocardial infarction or post-cardiac surgery. Although it typically presents with pleuritic chest pain, fever, leukocytosis, and a friction rub; our case illustrates that the initial presentation may be asymptomatic in ESRD patients. For the same reason, it is likely an under-recognized entity in such patients. An unexplained elevated ferritin in an ESRD patient with recent history of MI should prompt an investigation for Dressler's syndrome. In those with associated significant pericardial effusion, daily HD should be initiated and anticoagulation should be avoided. Unlike other ESRD associated pericarditis, steroids and NSAIDs should be avoided in Dressler's syndrome as they may hamper cardiac remodeling in the immediate post-MI period. Colchicine may offer some benefit in patients with associated chest pain. For those failing medical management or manifesting overt signs of tamponade, surgical drainage

  5. Subtask 2.11 - An Investigation into the EERC Staged Electrostatic Precipitator Concept

    Energy Technology Data Exchange (ETDEWEB)

    Ye Zhuang; Jay Almlie; Stanley Miller

    2008-03-31

    A new concept of electrostatic precipitator (ESP), named a Staged ESP (an Energy & Environmental Research Center proprietary), was conceived in June 2004. The concept is based on a simple design that can be retrofitted on existing coal-fired power plants to provide high particulate matter (PM) collection efficiency without compromising reliability. A prototype of Staged ESP was designed, fabricated, and tested in two different combustion coal flue gases with different fly ash resistivities. Several design parameters of the Staged ESP were evaluated under various operating conditions to optimize PM collection performance. A set of particulate sampling data, including aerodynamic particle sizer, scanning mobility particle sizer, and U.S. Environmental Protection Agency Method 5 data, was collected to determine PM emissions of the Staged ESP configurations. These data were compared against data collected with a conventional ESP configuration. Compared to PM capture performance in conventional ESPs, an additional 30% to 70% reductions on total PM emissions were achieved for Staged ESPs in flue gas with medium- to high-resistivity fly ashes. Experimental data proved that the Staged ESP concept is capable of achieving higher PM collection efficiency, especially for particles in the submicrometer size range typically thought difficult to capture in an ESP.

  6. Stages of change in adults who have failed an online hearing screening.

    Science.gov (United States)

    Laplante-Lévesque, Ariane; Brännström, K Jonas; Ingo, Elisabeth; Andersson, Gerhard; Lunner, Thomas

    2015-01-01

    Hearing screening has been proposed to promote help-seeking and rehabilitation in adults with hearing impairment. However, some longitudinal studies point to low help-seeking and subsequent rehabilitation after a failed hearing screening (positive screening result). Some barriers to help-seeking and rehabilitation could be intrinsic to the profiles and needs of people who have failed a hearing screening. Theories of health behavior change could help to understand this population. One of these theories is the transtheoretical (stages-of-change) model of health behavior change, which describes profiles and needs of people facing behavior changes such as seeking help and taking up rehabilitation. According to this model, people go through distinct stages toward health behavior change: precontemplation, contemplation, action, and finally, maintenance. The present study describes the psychometric properties (construct validity) of the stages of change in adults who have failed an online hearing screening. Stages of change were measured with the University of Rhode Island Change Assessment (URICA). Principal component analysis is presented, along with cluster analysis. Internal consistency was investigated. Finally, relationships between URICA scores and speech-in-noise recognition threshold, self-reported hearing disability, and self-reported duration of hearing disability are presented. In total, 224 adults who had failed a Swedish online hearing screening test (measure of speech-in-noise recognition) completed further questionnaires online, including the URICA. A principal component analysis identified the stages of precontemplation, contemplation, and action, plus an additional stage, termed preparation (between contemplation and action). According to the URICA, half (50%) of the participants were in the preparation stage of change. The contemplation stage was represented by 38% of participants, while 9% were in the precontemplation stage. Finally, the action stage

  7. An intracooling system for a novel two-stage sliding-vane air compressor

    Science.gov (United States)

    Murgia, Stefano; Valenti, Gianluca; Costanzo, Ida; Colletta, Daniele; Contaldi, Giulio

    2017-08-01

    Lube-oil injection is used in positive-displacement compressors and, among them, in sliding-vane machines to guarantee the correct lubrication of the moving parts and as sealing to prevent air leakage. Furthermore, lube-oil injection allows to exploit lubricant also as thermal ballast with a great thermal capacity to minimize the temperature increase during the compression. This study presents the design of a two-stage sliding-vane rotary compressor in which the air cooling is operated by high-pressure cold oil injection into a connection duct between the two stages. The heat exchange between the atomized oil jet and the air results in a decrease of the air temperature before the second stage, improving the overall system efficiency. This cooling system is named here intracooling, as opposed to intercooling. The oil injection is realized via pressure-swirl nozzles, both within the compressors and inside the intracooling duct. The design of the two-stage sliding-vane compressor is accomplished by way of a lumped parameter model. The model predicts an input power reduction as large as 10% for intercooled and intracooled two-stage compressors, the latter being slightly better, with respect to a conventional single-stage compressor for compressed air applications. An experimental campaign is conducted on a first prototype that comprises the low-pressure compressor and the intracooling duct, indicating that a significant temperature reduction is achieved in the duct.

  8. An enhanced developmental staging table for the painted turtle, Chrysemys picta (Testudines: Emydidae).

    Science.gov (United States)

    A Cordero, Gerardo; Janzen, Fredric J

    2014-04-01

    Normal developmental staging tables often undergo expansion and enhancement in response to advancing research paradigms and technologies. The Painted Turtle, Chrysemys picta, has long been a preferred reference taxon for comparative embryology and recently became the first turtle species to feature a sequenced genome. However, modern descriptive studies on embryogenesis are lacking and an earlier developmental staging table has been ignored. To address these problems, we re-evaluated descriptions of developmental stages by studying embryos under standardized laboratory conditions. We created an enhanced normal developmental staging table that clarifies and validates previous descriptions of developmental processes in this species. Moreover, we emphasized description of turtle-specific developmental characters such as the carapacial ridge. We demonstrated that embryo growth rate, length of incubation period, and timing to developmental stages are predictable under controlled environmental conditions. The appearance of characters associated with eye, limb, and shell anatomy was congruent with observations made in other turtle species. To reduce experimental bias, we recommend the use of our enhanced staging table when describing embryogenesis in the Painted Turtle. Copyright © 2013 Wiley Periodicals, Inc.

  9. Defining an abnormal first stage of labor based on maternal and neonatal outcomes.

    Science.gov (United States)

    Harper, Lorie M; Caughey, Aaron B; Roehl, Kimberly A; Odibo, Anthony O; Cahill, Alison G

    2014-06-01

    The objective of the study was to determine the threshold for defining abnormal labor that is associated with adverse maternal and neonatal outcomes. This study consisted of a retrospective cohort of all consecutive women admitted at a gestation of 37.0 weeks or longer from 2004 to 2008 who reached the second stage of labor. The 90th, 95th, and 97th percentiles for progress in the first stage of labor were determined specific for parity and labor onset. Women with a first stage above and below each centile were compared. Maternal outcomes were cesarean delivery in the second stage, operative delivery, prolonged second stage, postpartum hemorrhage, and maternal fever. Neonatal outcomes were a composite of the following: admission to level 2 or 3 nursery, 5 minute Apgar less than 3, shoulder dystocia, arterial cord pH of less than 7.0, and a cord base excess of -12 or less. Of the 5030 women, 4534 experienced first stage of less than the 90th percentile, 251 between the 90th and 94th percentiles, 102 between the 95th and 96th percentiles, and 143 at the 97th percentile or greater. Longer labors were associated with an increased risk of a prolonged second stage, maternal fever, the composite neonatal outcome, shoulder dystocia, and admission to a level 2 or 3 nursery (P labor dystocia may ultimately deliver vaginally, a longer first stage of labor is associated with adverse maternal and neonatal outcomes, in particular shoulder dystocia. This risk must be balanced against the risks of cesarean delivery for labor arrest. Copyright © 2014 Mosby, Inc. All rights reserved.

  10. STAGE TECHNOLOGY FOR OBTAINIGN AN ECONOMIC WHITE WINE TO AN INDUSTRIAL SCALE

    Directory of Open Access Journals (Sweden)

    Juan Esteban Miño Valdés

    2015-07-01

    Full Text Available The purpose of this work was to develop a sustainable technology to produce economical white wine, industrial scale, not viniferous grapes grown in Misiones. This technological project started at laboratory scale, it continued in a pilot plant and planned to an industrial scale. It was considered as productive unit 12 rural families with 27 hectares of vines each. The 8 stages followed with inductive and deductive methodology were: the development of dry white wine at laboratory scale, the evaluation of the variables of the process in the vilification, the Mathematical modeling of alcoholic fermentation in winemaking conditions, the assessment of the fitness of wines for human consumption, the establishment of a technological process for winemaking in a pilot plant, the evaluation in pilot plant of the technological process established, the calculation and selection of industrial equipment and finally, the costs estimation and profitability of the industrial technological process. A technology for a production capacity of 5,834 L day-1, with dynamic economic indicators was reached whose values were 6,602,666 net present value of U$D, an internal rate of return of 60 % for a period of payback a value net of three years to date.

  11. Evaluation of a Web-Based App Demonstrating an Exclusionary Algorithmic Approach to TNM Cancer Staging.

    Science.gov (United States)

    Kim, Matthew

    2015-04-02

    TNM staging plays a critical role in the evaluation and management of a range of different types of cancers. The conventional combinatorial approach to the determination of an anatomic stage relies on the identification of distinct tumor (T), node (N), and metastasis (M) classifications to generate a TNM grouping. This process is inherently inefficient due to the need for scrupulous review of the criteria specified for each classification to ensure accurate assignment. An exclusionary approach to TNM staging based on sequential constraint of options may serve to minimize the number of classifications that need to be reviewed to accurately determine an anatomic stage. Our aim was to evaluate the usability and utility of a Web-based app configured to demonstrate an exclusionary approach to TNM staging. Internal medicine residents, surgery residents, and oncology fellows engaged in clinical training were asked to evaluate a Web-based app developed as an instructional aid incorporating (1) an exclusionary algorithm that polls tabulated classifications and sorts them into ranked order based on frequency counts, (2) reconfiguration of classification criteria to generate disambiguated yes/no questions that function as selection and exclusion prompts, and (3) a selectable grid of TNM groupings that provides dynamic graphic demonstration of the effects of sequentially selecting or excluding specific classifications. Subjects were asked to evaluate the performance of this app after completing exercises simulating the staging of different types of cancers encountered during training. Survey responses indicated high levels of agreement with statements supporting the usability and utility of this app. Subjects reported that its user interface provided a clear display with intuitive controls and that the exclusionary approach to TNM staging it demonstrated represented an efficient process of assignment that helped to clarify distinctions between tumor, node, and metastasis

  12. Synchronous rectal and gastric cancer in a fighter pilot: aeromedical concerns.

    Science.gov (United States)

    Gu, Guo-Li; Wei, Xue-Ming; Xu, Xian-Rong; Li, De-Chang; Wang, Shi-Lin; Gu, Jin

    2013-06-01

    Synchronous cancer of the stomach and rectum is very rare. In a special population of pilots, especially fighter pilots, synchronous rectal and gastric cancer is much more uncommon. We herein report a case of synchronous carcinoma of the rectum and stomach. The patient was a 44-year-old male fighter pilot who complained with bloody stool and altered bowel habits. He was diagnosed with hereditary nonpolyposis colorectal cancer with a definite family history, and subsequently he underwent simultaneous low anterior resection and distal gastrectomy with D2 lymphadenectomy. Postoperative pathologic assessment showed a poorly differentiated gastric adenocarcinoma with signet ring cell components (pT2N1M0; stage IIb) and a moderately differentiated rectal adenocarcinoma with myxoid components (pT3N0M0; stage IIa). Both tumors showed positive expression of p53, Ki-67, VEGF, carcinoembryonic antigen, MRP, TS, P-gp, and TopoII, and negative expression of c-erbB2, CD34, CD31, D2-40, S-100, FVIII, MLH1, MSH2, and MSH6 oncoproteins. Six cycles of XELOX chemotherapy and 50 Gy/25 f radiotherapy were delivered postoperatively. Now, he has returned to his work under medical observation for about 6 months. From this patient's diagnosis and treatment, we think that the gene screening should be used in pilot selection. According to the result of gene screening, we can give pertinence examinations to the target organ of genes. It is very necessary for pilots to keep keen vigilance at gastrointestinal tumors because they have to face many high-risk factors in working. As to pilots, the selection of operation should be individualized.

  13. Estimation of sleep stages by an artificial neural network employing EEG, EMG and EOG.

    Science.gov (United States)

    Tagluk, M Emin; Sezgin, Necmettin; Akin, Mehmet

    2010-08-01

    Analysis and classification of sleep stages is essential in sleep research. In this particular study, an alternative system which estimates sleep stages of human being through a multi-layer neural network (NN) that simultaneously employs EEG, EMG and EOG. The data were recorded through polisomnography device for 7 h for each subject. These collective variant data were first grouped by an expert physician and the software of polisomnography, and then used for training and testing the proposed Artificial Neural Network (ANN). A good scoring was attained through the trained ANN, so it may be put into use in clinics where lacks of specialist physicians.

  14. Design and implementation of an active rectangular aerostatic thrust bearing stage with electromagnetic actuators

    Institute of Scientific and Technical Information of China (English)

    MAO JunHong; LI LiChuan

    2009-01-01

    The design and implementation of an active rectangular aerostaUc thrust bearing stage with electro-magnetic actuators are presented. The stage is fundamentally precise and simple since the out-of-plane degree-of-freedoms (DOF) of a thrust air bearing are closed-loop controlled by electromagnetic actua-tors. The design is one-moving-part with mechanical symmetry, and a commercially available air bear-ing is rigidly attached to the table. The actuators are four independent coils mounted to the guiding surface of the table with iron cores, which are directly machined on the table. A bench level prototype system is developed and out-of-plane axes decoupled models of the system are derived. A control al-gorithm synthesized by arbitrarily placing closed-loop poles according to the model with air bearing dynamics neglected is implemented by C programming language running on the DOS platform. The stage is capable of vertical direction precision micro-positioning and guiding 3-DOF plane motions without limiting the working range of plane motions. Positioning accuracy of the stage no longer de-pends upon design and manufacturing of an air bearing, while passive preload of the stage for a flat film aerostatic thrust bearing is eliminated.

  15. An analysis of the Athetis lepigone transcriptome from four developmental stages.

    Directory of Open Access Journals (Sweden)

    Li-Tao Li

    Full Text Available Athetis lepigone Möschler (Lepidoptera: Noctuidae has recently become an important insect pest of maize (Zea mays crops in China. In order to understand the characteristics of the different developmental stages of this pest, we used Illumina short-read sequences to perform de novo transcriptome assembly and gene expression analysis for egg, larva, pupa and adult developmental stages. We obtained 10.08 Gb of raw data from Illumina sequencing and recovered 81,356 unigenes longer than 100 bp through a de novo assembly. The total sequence length reached 49.75 Mb with 858 bp of N50 and an average unigene length of 612 bp. Annotation analysis of predicted proteins indicate that 33,736 unigenes (41.47% of total unigenes are matches to genes in the Genbank Nr database. The unigene sequences were subjected to GO, COG and KEGG functional classification. A large number of differentially expressed genes were recovered by pairwise comparison of the four developmental stages. The most dramatic differences in gene expression were found in the transitions from one stage to another stage. Some of these differentially expressed genes are related to cuticle and wing formation as well as the growth and development. We identified more than 2,500 microsatellite markers that may be used for population studies of A. lepigone. This study lays the foundation for further research on population genetics and gene function analysis in A. lepigone.

  16. Stages of use: consideration, initiation, utilization, and outcomes of an internet-mediated intervention

    Directory of Open Access Journals (Sweden)

    Eysenbach Gunther

    2010-11-01

    Full Text Available Abstract Background Attrition, or nonuse of the intervention, is a significant problem in e-health. However, the reasons for this phenomenon are poorly understood. Building on Eysenbach's "Law of Attrition", this study aimed to explore the usage behavior of users of e-health services. We used two theoretical models, Andersen's Behavioral Model of Health Service Utilization and Venkatesh's Unified Theory of Acceptance and Use of Technology, to explore the factors associated with uptake and use of an internet-mediated intervention for caregivers taking care of a family member with dementia. Methods A multiphase, longitudinal design was used to follow a convenience sample of 46 family caregivers who received an e-health intervention. Applying the two theories, usage behavior was conceptualized to form four stages: consideration, initiation, utilization (attrition or continuation, and outcome. The variables and measurement scales were selected based on these theories to measure the sociodemographic context, technology aptitudes, and clinical needs of the caregivers. Results In the Consideration Stage, caregivers who felt that the information communication technology (ICT-mediated service was easy to use were more likely to consider participating in the study (p = 0.04. In the Initiation Stage, caregivers who showed greater technology acceptance were more likely to initiate service earlier (p = 0.02. In the Utilization Stage, the frequent users were those who had a more positive attitude toward technology (p = 0.04 and a lower perceived caregiver competence (p = 0.04 compared with nonusers. In the Outcome Stage, frequent users experienced a decline in perceived burden compared with an escalation of perceived burden by nonusers (p = 0.02. Conclusions We illustrate a methodological framework describing how to develop and expand a theory on attrition. The proposed framework highlighted the importance of conceptualizing e-health "use" and "adoption" as

  17. Clinical potentials of methylator phenotype in stage 4 high-risk neuroblastoma: an open challenge.

    Directory of Open Access Journals (Sweden)

    Barbara Banelli

    Full Text Available Approximately 20% of stage 4 high-risk neuroblastoma patients are alive and disease-free 5 years after disease onset while the remaining experience rapid and fatal progression. Numerous findings underline the prognostic role of methylation of defined target genes in neuroblastoma without taking into account the clinical and biological heterogeneity of this disease. In this report we have investigated the methylation of the PCDHB cluster, the most informative member of the "Methylator Phenotype" in neuroblastoma, hypothesizing that if this epigenetic mark can predict overall and progression free survival in high-risk stage 4 neuroblastoma, it could be utilized to improve the risk stratification of the patients, alone or in conjunction with the previously identified methylation of the SFN gene (14.3.3sigma that can accurately predict outcome in these patients. We have utilized univariate and multivariate models to compare the prognostic power of PCDHB methylation in terms of overall and progression free survival, quantitatively determined by pyrosequencing, with that of other markers utilized for the patients' stratification utilizing methylation thresholds calculated on neuroblastoma at stage 1-4 and only on stage 4, high-risk patients. Our results indicate that PCDHB accurately distinguishes between high- and intermediate/low risk stage 4 neuroblastoma in agreement with the established risk stratification criteria. However PCDHB cannot predict outcome in the subgroup of stage 4 patients at high-risk whereas methylation levels of SFN are suggestive of a "methylation gradient" associated with tumor aggressiveness as suggested by the finding of a higher threshold that defines a subset of patients with an extremely severe disease (OS <24 months. Because of the heterogeneity of neuroblastoma we believe that clinically relevant methylation markers should be selected and tested on homogeneous groups of patients rather than on patients at all stages.

  18. Differentiating between light and deep sleep stages using an ambulatory device based on peripheral arterial tonometry.

    Science.gov (United States)

    Bresler, Ma'ayan; Sheffy, Koby; Pillar, Giora; Preiszler, Meir; Herscovici, Sarah

    2008-05-01

    The objective of this study is to develop and assess an automatic algorithm based on the peripheral arterial tone (PAT) signal to differentiate between light and deep sleep stages. The PAT signal is a measure of the pulsatile arterial volume changes at the finger tip reflecting sympathetic tone variations and is recorded by an ambulatory unattended device, the Watch-PAT100, which has been shown to be capable of detecting wake, NREM and REM sleep. An algorithm to differentiate light from deep sleep was developed using a training set of 49 patients and was validated using a separate set of 44 patients. In both patient sets, Watch-PAT100 data were recorded simultaneously with polysomnography during a full night sleep study. The algorithm is based on 14 features extracted from two time series of PAT amplitudes and inter-pulse periods (IPP). Those features were then further processed to yield a prediction function that determines the likelihood of detecting a deep sleep stage epoch during NREM sleep periods. Overall sensitivity, specificity and agreement of the automatic algorithm to identify standard 30 s epochs of light and deep sleep stages were 66%, 89%, 82% and 65%, 87%, 80% for the training and validation sets, respectively. Together with the already existing algorithms for REM and wake detection we propose a close to full stage detection method based solely on the PAT and actigraphy signals. The automatic sleep stages detection algorithm could be very useful for unattended ambulatory sleep monitoring assessing sleep stages when EEG recordings are not available.

  19. Compliance and control characteristics of an additive manufactured-flexure stage

    Energy Technology Data Exchange (ETDEWEB)

    Lee, ChaBum; Tarbutton, Joshua A. [Department of Mechanical Engineering, University of South Carolina, 300 Main St., Columbia, South Carolina 29208 (United States)

    2015-04-15

    This paper presents a compliance and positioning control characteristics of additive manufactured-nanopositioning system consisted of the flexure mechanism and voice coil motor (VCM). The double compound notch type flexure stage was designed to utilize the elastic deformation of two symmetrical four-bar mechanisms to provide a millimeter-level working range. Additive manufacturing (AM) process, stereolithography, was used to fabricate the flexure stage. The AM stage was inspected by using 3D X-ray computerized tomography scanner: air-voids and shape irregularity. The compliance, open-loop resonance peak, and damping ratio of the AM stage were measured 0.317 mm/N, 80 Hz, and 0.19, respectively. The AM stage was proportional-integral-derivative positioning feedback-controlled and the capacitive type sensor was used to measure the displacement. As a result, the AM flexure mechanism was successfully 25 nm positioning controlled within 500 μm range. The resonance peak was found approximately at 280 Hz in closed-loop. This research showed that the AM flexure mechanism and the VCM can provide millimeter range with high precision and can be a good alternative to an expensive metal-based flexure mechanism and piezoelectric transducer.

  20. An Overview of Markov Chain Methods for the Study of Stage-Sequential Developmental Processes

    Science.gov (United States)

    Kapland, David

    2008-01-01

    This article presents an overview of quantitative methodologies for the study of stage-sequential development based on extensions of Markov chain modeling. Four methods are presented that exemplify the flexibility of this approach: the manifest Markov model, the latent Markov model, latent transition analysis, and the mixture latent Markov model.…

  1. An effective method to predict oil recovery in high water cut stage

    Institute of Scientific and Technical Information of China (English)

    刘志斌; 刘浩翰

    2015-01-01

    The water flooding characteristic curve method based on the traditional regression equation between the oil and water phase permeability ratio and the water saturation is inappropriate to predict the oil recovery in the high water cut stage. Hence, a new water flooding characteristic curve equation adapted to the high water cut stage is proposed to predict the oil recovery. The water drive phase permeability experiments show that the curve of the oil and water phase permeability ratio vs. the water saturation, in the semi-logarithmic coordinates, has a significantly lower bend after entering the high water cut stage, so the water flooding characteristic curve method based on the traditional regression equation between the oil and water phase permeability ratio and the water saturation is inappropriate to predict the oil recovery in the high water cut stage; therefore, a new water flooding characteristic curve equation based on a better relationship betweenln(kro/krw)andwS is urgently desirable to be established to effectively and reliably predict the oil recovery of a water drive reservoir adapted to a high water cut stage. In this paper, by carrying out the water drive phase permeability experiments, a new mathematical model between the oil and water phase permeability ratio and the water saturation is established,with the regression analysis method and an integration of the established model, the water flooding characteristic curve equation adapted to a high water cut stage is obtained. Using the new water flooding characteristic curve to predict the oil recovery of the GD3-block of the SL oilfield and the J09-block of the DG oilfield in China, results with high predicted accuracy are obtained.

  2. Cases from the aerospace medicine residents' teaching file. Case #42. An aviator with concentration deficit, Lyme disease organic diagnostic evaluation, and a somatoform disorder.

    Science.gov (United States)

    Stephens, P J; Carpenter, F E

    1991-04-01

    An aviator with concentration deficit, Lyme disease organic diagnostic evaluation, and a somatoform disorder. The clinical presentation, evaluation and diagnosis of an aviator being evaluated for vague cognitive deficits of episodic and long duration with a history of rigid ideation concerning Lyme disease. The patient was diagnosed as having an atypical somatoform disorder. The aeromedical disposition of this patient is also presented.

  3. TWO-STAGE PRODUCTION SCHEDULING WITH AN OPTION OF OUTSOURCING FROM A REMOTE SUPPLIER

    Institute of Scientific and Technical Information of China (English)

    Xiangtong QI

    2009-01-01

    This paper studies a two-stage production system with n job orders where each job needs two sequential operations. In addition to the two in-house production facilities, the manufacturer has another option of outsourcing some stage-one operations to a remote outside supplier. The jobs with their stage-one operations outsourced are subject to a batch transportation delay from the outside supplier before their respective stage-two operations can be started in-house. The problem is to design an integrated schedule that considers both the in-house production and the outsourcing with the aim of optimally balancing the outsourcing cost and the makespan. The problem is NP-hard. We have developed an optimal algorithm and a heuristic algorithm to solve the problem, and conducted computational experiments to validate our model and algorithms. Our modeling and algorithm framework can be extended to handle other more general cases such as when the outside supplier has a production facility with a different processing efficiency and when there are many outside suppliers on a spot market.

  4. Understanding quality-of-life while living with late-stage lung cancer: an exploratory study.

    Science.gov (United States)

    Adorno, Gail; Brownell, Gracie

    2014-01-01

    U.S. Veterans have a higher prevalence of advanced lung cancer and poorer survival outcomes compared to the general population; yet, no studies exist which specifically explore the psychosocial and existential quality-of-life (QOL) of late-stage lung cancer among this population. This article presents the perspectives of older veterans (N = 12) living with late-stage lung cancer who were receiving chemotherapy, routine hospice care, or both concurrently. Based on individual interviews, themes associated with loss of functionality, close relationships, and communicative acts contributed to veterans' perceptions of diminished or enhanced QOL while living with advanced disease. An overarching theme, loss of the person I know myself to be, suggests that personhood is an important concept to consider in QOL assessment. While findings suggest that the experiences of older Veterans with late-stage lung cancer are similar to other populations of lung cancer patients, and persons with incurable cancer in general, further research regarding the influence of veteran identity at end-of-life is warranted. Further research is needed which explores the influence of a whole person approach to QOL during life-limiting illness and end-of-life decision-making, particularly while receiving late-stage cancer-directed therapy.

  5. Comparison of maturation ponds and constructed wetlands as the final stage of an advanced pond system.

    Science.gov (United States)

    Tanner, C C; Craggs, R J; Sukias, J P S; Park, J B K

    2005-01-01

    The treatment performance of a maturation pond (MP), the typical final polishing stage of an Advanced Pond System (APS), is compared with that of a surface-flow constructed wetland (CW) over 19 months. Both received approximately 67 mm d-1 of wastewater after passage through upstream stages of the APS. The MP, with greater sunlight exposure, had higher algal biomass (and associated suspended solids) than the CW, showed higher dissolved oxygen (DO) concentrations and greater diurnal variation in DO and pH. Neither polishing stages reduced nutrients markedly, with the CW exporting slightly more NH(3)-N and DRP, and less NO(3)-N than the MP. Disinfection was more efficient in the MP (geometric mean 1 log load removal, 12 MPN (100ml)-1) compared to the CW (0.47 log load removal, 53 MPN (100ml)-1). Incorporation of a final rock filter (28% of area) reduced median solids levels to wetland vegetation (promoting sedimentation and denitrification, and providing refugia for zooplankton) may provide more consistent effluent quality that either stage alone.

  6. A non-resonant fiber scanner based on an electrothermally-actuated MEMS stage.

    Science.gov (United States)

    Zhang, Xiaoyang; Duan, Can; Liu, Lin; Li, Xingde; Xie, Huikai

    2015-09-01

    Scanning fiber tips provides the most convenient way for forward-viewing fiber-optic microendoscopy. In this paper, a distal fiber scanning method based on a large-displacement MEMS actuator is presented. A single-mode fiber is glued on the micro-platform of an electrothermal MEMS stage to realize large range non-resonantscanning. The micro-platform has a large piston scan range of up to 800 µm at only 6V. The tip deflection of the fiber can be further amplified by placing the MEMS stage at a proper location along the fiber. A quasi-static model of the fiber-MEMS assembly has been developed and validated experimentally. The frequency response has also been studied and measured. A fiber tip deflection of up to 1650 µm for the 45 mm-long movable fiber portion has been achieved when the MEMS electrothermal stage was placed 25 mm away from the free end. The electrothermally-actuated MEMS stage shows a great potential for forward viewing fiber scanning and optical applications.

  7. Volume-staged radiosurgery for large arteriovenous malformations: an evolving paradigm.

    Science.gov (United States)

    Seymour, Zachary A; Sneed, Penny K; Gupta, Nalin; Lawton, Michael T; Molinaro, Annette M; Young, William; Dowd, Christopher F; Halbach, Van V; Higashida, Randall T; McDermott, Michael W

    2016-01-01

    patients (25%) had salvage surgery, SRS, and/or embolization. Allowing for salvage therapy, the probability of cure was more common in Era 2 (log-rank test, p = 0.0007) with 5-year probabilities of 0% in Era 1 versus 41% in Era 2. The strong trend toward improved cure in Era 2 persisted on multivariate analysis even when considering mRBAS (Cox proportional hazards, p = 0.055, HR 4.01, 95% CI 0.97-16.59). The complication rate was 29% in Era 1 compared with 13% in Era 2 (Cox proportional hazards, not significant). CONCLUSIONS VS-SRS is an option to obliterate or downsize large AVMs. Decreasing the AVM treatment volume per stage to ≤ 8 ml with this technique allowed a higher dose per fraction and decreased time to response, as well as improved rates of near obliteration and cure without increasing complications. Reducing the volume of these very large lesions can facilitate a surgical approach for cure.

  8. U.S. Army Aeromedical Research Laboratory Annual Progress Report: FY 84

    Science.gov (United States)

    1984-10-01

    This report gives an overview of USAARL during FY 84, identifies current areas of research, and gives a brief description of the research programs...rate, skin and core temperatures, and respiration can be monitored, recorded, and plottea under computer control. Software also was made Cc determine...upper respiratory disease syndrome, feline infectious anemia, and heartworms. Adult heartworms in cats have never been documented before. Cats have an

  9. Evaluation of the Stereo Optical OPTEC (registered trademark) 5000 for Aeromedical Color Vision Screening

    Science.gov (United States)

    2013-08-01

    Nagel anom- aloscope is considered the gold standard for diagnosing color vision deficiencies of the red-green type; however, it requires a highly...checkerboard background via a response pad that employs a four-alternative, forced-choice procedure with each of the four buttons corresponding to...an in-depth description of the CAD test and Barbur, Cole, and Plant (1997) for an explanation of the various types of color vision deficiencies, and

  10. Results of an Advanced Fan Stage Operating Over a Wide Range of Speed and Bypass Ratio. Part 1; Fan Stage Design and Experimental Results

    Science.gov (United States)

    Suder, Kenneth L.; Prahst, Patricia S.; Thorp, Scott A.

    2011-01-01

    NASA s Fundamental Aeronautics Program is investigating turbine-based combined cycle (TBCC) propulsion systems for access to space because it provides the potential for aircraft-like, space-launch operations that may significantly reduce launch costs and improve safety. To this end, National Aeronautics and Space Administration (NASA) and General Electric (GE) teamed to design a Mach 4 variable cycle turbofan/ramjet engine for access to space. To enable the wide operating range of a Mach 4+ variable cycle turbofan ramjet required the development of a unique fan stage design capable of multi-point operation to accommodate variations in bypass ratio (10 ), fan speed (7 ), inlet mass flow (3.5 ), inlet pressure (8 ), and inlet temperature (3 ). In this paper, NASA has set out to characterize a TBCC engine fan stage aerodynamic performance and stability limits over a wide operating range including power-on and hypersonic-unique "windmill" operation. Herein, we will present the fan stage design, and the experimental test results of the fan stage operating from 15 to 100 percent corrected design speed. Whereas, in the companion paper, we will provide an assessment of NASA s APNASA code s ability to predict the fan stage performance and operability over a wide range of speed and bypass ratio.

  11. U.S. Army Aeromedical Research Laboratory Annual Progress Report Fiscal Year 2009

    Science.gov (United States)

    2010-02-10

    Air Warrior, and EFW, Inc., to evaluate the blunt impact protection provided by an HGU-56/P flight helmet equipped with a Magnetic Receiver Unit ( MRU ...The MRU is part of an overall weapons system upgrade for the AH-64 Apache helicopter. IBB’s research showed the blunt impact protection of the...HGU-56/P to be unaffected by the addition of the MRU , and provided the basis for a Safety of Flight release, allowing the modified HGU-56/P be worn

  12. Lymph node ratio-based staging system as an alternative to the current TNM staging system to assess outcome in adenocarcinoma of the esophagogastric junction after surgical resection.

    Science.gov (United States)

    Zhang, Hongdian; Shang, Xiaobin; Chen, Chuangui; Gao, Yongyin; Xiao, Xiangming; Tang, Peng; Duan, Xiaofeng; Yang, Mingjian; Jiang, Hongjing; Yu, Zhentao

    2016-11-08

    This study aimed to assess the prognostic value of the hypothetical tumor-N-ratio (rN)-metastasis (TrNM) staging system in adenocarcinoma of the esophagogastric junction (AEG). The clinical data of 387 AEG patients who received surgical resection were retrospectively reviewed. The optimal cut-off point of rN was calculated by the best cut-off approach using log-rank test. Kaplan-Meier plots and Cox regressions model were applied for univariate and multivariate survival analyses. A TrNM staging system based on rN was proposed. The discriminating ability of each staging was evaluated by using an adjusted hazard ratio (HR) and a -2log likelihood. The prediction accuracy of the model was assessed by using the area under the curve (AUC) and the Harrell's C-index. The number of examined lymph nodes (LNs) was correlated with metastatic LNs (r = 0.322, P 0.05). The optimal cut-points of rN were calculated as 0, 0~0.3, 0.3~0.6, and 0.6~1.0. Univariate analysis revealed that pN and rN classifications significantly influenced patients' RFS and OS (P analysis adjusted for significant factors revealed that rN was recognized as an independent risk factor. A larger HR, a smaller -2log likelihood and a larger prediction accuracy were obtained for rN and the modified TrNM staging system. Taken together, our study demonstrates that the proposed N-ratio-based TrNM staging system is more reliable than the TNM staging system in evaluating prognosis of AEG patients after curative resection.

  13. Developing an inventor support service which performs early stage market and manufacturing evaluations. Final report

    Energy Technology Data Exchange (ETDEWEB)

    1991-10-01

    American businesses are learning the difficult high cost lesson of ignoring production and market factors (producibility, unit product cost (UPC), marketability, etc) during the engineering design phase of product development. Studies have shown that the Japanese spend three times as long as Americans in the design feasibility and decision process of new product introductions and one third the amount of time in the implementation of those products. There is a 20 to 1 cost benefit on effort applied in the design phase versus the production phase of the product life cycle. The number one goal of this project was to establish an organization that has, as one of its purposes, the providing of services responsive to the needs of independent inventors. The number two goal was to demonstrate the value of providing marketing and manufacturing counsel at an early stage in the product development process. The first study goal was met by providing the materials and information necessary to establish an evaluation team and an organization to handle such evaluations. The second study goal was met by demonstrating the impact of early market analysis and manufacturing considerations on product design and therefore on the description of the invention for four different inventions. These inventions were selected at various stages of development. Regardless of stage of development, the marketing and manufacturing reviews resulted in significant changes in design and/or market positioning.

  14. Developing an inventor support service which performs early stage market and manufacturing evaluations. [Final Report

    Energy Technology Data Exchange (ETDEWEB)

    1991-10-01

    American businesses are learning the difficult high cost lesson of ignoring production and market factors (producibility, unit product cost (UPC), marketability, etc) during the engineering design phase of product development. Studies have shown that the Japanese spend three times as long as Americans in the design feasibility and decision process of new product introductions and one third the amount of time in the implementation of those products. There is a 20 to 1 cost benefit on effort applied in the design phase versus the production phase of the product life cycle. The number one goal of this project was to establish an organization that has, as one of its purposes, the providing of services responsive to the needs of independent inventors. The number two goal was to demonstrate the value of providing marketing and manufacturing counsel at an early stage in the product development process. The first study goal was met by providing the materials and information necessary to establish an evaluation team and an organization to handle such evaluations. The second study goal was met by demonstrating the impact of early market analysis and manufacturing considerations on product design and therefore on the description of the invention for four different inventions. These inventions were selected at various stages of development. Regardless of stage of development, the marketing and manufacturing reviews resulted in significant changes in design and/or market positioning.

  15. Analysis of nonlinear settlement for an unsaturated soil under stage continuous loading

    Institute of Scientific and Technical Information of China (English)

    陈伟志; 蒋关鲁; 赵慧爽; 吴丽君; 李安洪

    2014-01-01

    A new approach was proposed to describe settlement behavior of an unsaturated soil with subgrade filling for high-speed railway. Firstly, based on Terzaghi consolidation theory, equations considering the variation coefficient of consolidation with void ratio and saturation for consolidation of an unsaturated soil under stage continuous loading were derived, and according to analytical solutions of equations, a formula for settlement computation under stage continuous loading was obtained. Then, combined with the width-to-height ratio of subgrade to compute ground reaction, and by means of in-situ plate loading curves, a correctional approach was presented for the analysis of nonlinear settlement of foundation. Also, the comparison between calculated and measured load−settlement behavior for an unsaturated soil in Qingdao−Ji’nan high-speed railway was given to demonstrate the effectiveness and accuracy of the proposed approach. It can be noted that the presented solution can be used to predict the settlement of an unsaturated soil foundation under stage continuous loading in engineering design.

  16. Biological treatment of whey in an UASFF bioreactor following a three-stage RBC

    OpenAIRE

    Atiye Ebrahimi; Ghasem D. Najafpou; Maedeh Mohammadi; Babak Hashemiyeh

    2010-01-01

    Biological treatment of a high strength chesses whey wastewater was investigated in a series of aerobic-anaerobic experiments. The aerobic treatment of the wastewater was conducted in a three-stage rotating biological contactor (NRBC), while the anaerobic process was performed in an up-flow anaerobic sludge fixed film (UASFF) bioreactor. Various concentrations of wastewater with influent COD of 40 to 70 g/L were introduced into the NRBC system. Treatability of the samples at various HRTs of 8...

  17. Aeromedical Aspects of Aircrew Training (les Aspects aeromedicaux de la formation des equipages)

    Science.gov (United States)

    1999-06-01

    d’un nouveau STANAG sur L’entrainement A la vision nocturne . Un consensus s’est fait jour sur la tenue d’un atelier sur le m~me sujet dans 3 ý 5 ans...Drugs TABLE 5 a Alcohol and tobacco Use PHYSIOLOGICAL TRAINING w Nutrition ( Hypoglycemia ) MAIN BIBLIOGRAPHY n Fatigue (Circadian Rhythm) "* STANAG 3114 w...or Transport Aircrew 915 Stress Factors - noise & hearing protection - thermal stress J1E>F ’ -.. .... - fatigue issues 900 Altitude Physiology - diet

  18. Dynamics of an HIV Model with Multiple Infection Stages and Treatment with Different Drug Classes.

    Science.gov (United States)

    Wang, Xia; Song, Xinyu; Tang, Sanyi; Rong, Libin

    2016-02-01

    Highly active antiretroviral therapy can effectively control HIV replication in infected individuals. Some clinical and modeling studies suggested that viral decay dynamics may depend on the inhibited stages of the viral replication cycle. In this paper, we develop a general mathematical model incorporating multiple infection stages and various drug classes that can interfere with specific stages of the viral life cycle. We derive the basic reproductive number and obtain the global stability results of steady states. Using several simple cases of the general model, we study the effect of various drug classes on the dynamics of HIV decay. When drugs are assumed to be 100% effective, drugs acting later in the viral life cycle lead to a faster or more rapid decay in viremia. This is consistent with some patient and experimental data, and also agrees with previous modeling results. When drugs are not 100% effective, the viral decay dynamics are more complicated. Without a second population of long-lived infected cells, the viral load decline can have two phases if drugs act at an intermediate stage of the viral replication cycle. The slopes of viral load decline depend on the drug effectiveness, the death rate of infected cells at different stages, and the transition rate of infected cells from one to the next stage. With a second population of long-lived infected cells, the viral load decline can have three distinct phases, consistent with the observation in patients receiving antiretroviral therapy containing the integrase inhibitor raltegravir. We also fit modeling prediction to patient data under efavirenz (a nonnucleoside reverse-transcriptase inhibitor) and raltegravir treatment. The first-phase viral load decline under raltegravir therapy is longer than that under efavirenz, resulting in a lower viral load at initiation of the second-phase decline in patients taking raltegravir. This explains why patients taking a raltegravir-based therapy were faster to achieve

  19. Aeromedical transport of a patient with massive chylothorax following pneumonectomy for mesothelioma.

    Science.gov (United States)

    Deviri, Ehud; Caine, Yehezkel; Henig-Hadar, Avinoam; Saute, Milton; Ish Tov, Eytan

    2009-11-01

    Long-distance transportation of a patient in an unstable condition is a challenging operation. When circumstances require using a commercial flight it is even more so. A 57-yr-old man in Israel underwent extrapleural pneumonectomy for mesothelioma, following which he developed a massive chylothorax of more than 6 L x d(-1). Due to the failure of medical treatment and the high operative risk under such conditions, it was decided to transfer him to the United States by commercial flight for a percutaneous, fluoroscopy-guided closure of the thoracic duct. The patient was accompanied by a physician and a nonmedical assistant and occupied a first-class seat enclosed by curtains. He arrived at the departure airport in a hypovolemic state with low cardiac output and blood pressure of 78/60 Torr. During the flight he was treated with intravenous fluids, chest physiotherapy, and oxygen. In addition, fibrin clots blocked the drainage system on two occasions, requiring corrective action. On arrival in the United States the patient's condition had improved: his blood pressure was 123/91 Torr with a capillary oxygen saturation of 95% without supplementary oxygen. During the 18 h in transit (11 h in flight) he had lost more than 5 L of lymph. Under carefully controlled circumstances it is possible to use commercial flights to transport patients whose condition is unstable and complicated. Safety can be increased by focusing on the specific problems associated with the clinical condition and anticipating possible adverse events during the flight.

  20. Validation of an integrated staging system toward improved prognostication of patients with localized renal cell carcinoma in an international population.

    NARCIS (Netherlands)

    Han, K.R.; Bleumer, I.; Pantuck, A.J.; Kim, H.L.; Dorey, F.J.; Janzen, N.K.; Zisman, A.; Dinney, C.P.; Wood, C.G.; Swanson, D.A.; Said, J.W.; Figlin, R.A.; Mulders, P.F.A.; Belldegrun, A.S.

    2003-01-01

    PURPOSE: Outcome prediction for patients with renal cell carcinoma is based on a combination of factors. In this study a previously published clinical outcome algorithm based on 1997 T stage, Fuhrman grade and performance score is validated using an international database. MATERIALS AND METHODS: A t

  1. Performance Characterization of an xy-Stage Applied to Micrometric Laser Direct Writing Lithography

    Directory of Open Access Journals (Sweden)

    Juan Jaramillo

    2017-01-01

    Full Text Available This article concerns the characterization of the stability and performance of a motorized stage used in laser direct writing lithography. The system was built from commercial components and commanded by G-code. Measurements use a pseudo-periodic-pattern (PPP observed by a camera and image processing is based on Fourier transform and phase measurement methods. The results report that the built system has a stability against vibrations determined by peak-valley deviations of 65 nm and 26 nm in the x and y directions, respectively, with a standard deviation of 10 nm in both directions. When the xy-stage is in movement, it works with a resolution of 0.36 μm, which is an acceptable value for most of research and development (R and D microtechnology developments in which the typical feature size used is in the micrometer range.

  2. Performance Characterization of an xy-Stage Applied to Micrometric Laser Direct Writing Lithography

    Science.gov (United States)

    Jaramillo, Juan; Zarzycki, Artur; Galeano, July; Sandoz, Patrick

    2017-01-01

    This article concerns the characterization of the stability and performance of a motorized stage used in laser direct writing lithography. The system was built from commercial components and commanded by G-code. Measurements use a pseudo-periodic-pattern (PPP) observed by a camera and image processing is based on Fourier transform and phase measurement methods. The results report that the built system has a stability against vibrations determined by peak-valley deviations of 65 nm and 26 nm in the x and y directions, respectively, with a standard deviation of 10 nm in both directions. When the xy-stage is in movement, it works with a resolution of 0.36 µm, which is an acceptable value for most of research and development (R and D) microtechnology developments in which the typical feature size used is in the micrometer range. PMID:28146126

  3. Performance Characterization of an xy-Stage Applied to Micrometric Laser Direct Writing Lithography.

    Science.gov (United States)

    Jaramillo, Juan; Zarzycki, Artur; Galeano, July; Sandoz, Patrick

    2017-01-31

    This article concerns the characterization of the stability and performance of a motorized stage used in laser direct writing lithography. The system was built from commercial components and commanded by G-code. Measurements use a pseudo-periodic-pattern (PPP) observed by a camera and image processing is based on Fourier transform and phase measurement methods. The results report that the built system has a stability against vibrations determined by peak-valley deviations of 65 nm and 26 nm in the x and y directions, respectively, with a standard deviation of 10 nm in both directions. When the xy-stage is in movement, it works with a resolution of 0.36 μm, which is an acceptable value for most of research and development (R and D) microtechnology developments in which the typical feature size used is in the micrometer range.

  4. An experimental program for physical education of rugby players at the stage of specialized basic training

    Directory of Open Access Journals (Sweden)

    Artur Martyrosyan

    2017-06-01

    Full Text Available Purpose: to develop a program of general physical training of rugby players at the stage of specialized basic training and to investigate the dynamics of indicators of general physical preparedness using computer technology. Material & Methods: study involved 60 athletes aged 16-18 years. Results: content of the comprehensive program of general physical training of rugby athletes at the stage of specialized basic training and the results of an experimental verification of its implementation are presented. Conclusion: in the course of the pedagogical experiment, the effectiveness of using the developed experimental program for improving the training process of rugby players of 16-18 years is proved, which is confirmed by the results of the research.

  5. Incubation stage and polychlorinated biphenyl (PCB) congener patterns in an altricial and precocial bird species.

    Science.gov (United States)

    Custer, Christine M; Custer, Thomas W; Thyen, Stefan; Becker, Peter H

    2014-12-01

    The composition of polychlorinated biphenyl (PCB) congeners was compared between non-incubated and embryonated eggs of tree swallows (Tachycineta bicolor) and little terns (Sterna albifrons) to determine if measurable changes in PCB congeners occurred during the embryonic period. There was no indication of changes in PCB congener patterns over the incubation period in tree swallows in 1999 and 2000 at a site with very high PCB exposure or a site with more modest PCB exposure. Additionally, congeners known to be either quickly metabolized or conserved based on experimental studies did not generally respond as predicted. Similarly, PCB congener patterns in eggs of little terns from Bottsand, Schleswig-Holstein, Germany, did not differ between non-incubated and embryonated eggs. The results from both species suggest that the stage of incubation is not an important consideration when evaluating PCB congener patterns; comparisons and assessments can be made with eggs collected at all stages of incubation.

  6. Optical spectroscopy for differentiation of liver tissue under distinct stages of fibrosis: an ex vivo study

    Science.gov (United States)

    Fabila, D. A.; Hernández, L. F.; de la Rosa, J.; Stolik, S.; Arroyo-Camarena, U. D.; López-Vancell, M. D.; Escobedo, G.

    2013-11-01

    Liver fibrosis is the decisive step towards the development of cirrhosis; its early detection affects crucially the diagnosis of liver disease, its prognosis and therapeutic decision making. Nowadays, several techniques are employed to this task. However, they have the limitation in estimating different stages of the pathology. In this paper we present a preliminary study to evaluate if optical spectroscopy can be employed as an auxiliary tool of diagnosis of biopsies of human liver tissue to differentiate the fibrosis stages. Ex vivo fluorescence and diffuse reflectance spectra were acquired from biopsies using a portable fiber-optic system. Empirical discrimination algorithms based on fluorescence intensity ratio at 500 nm and 680 nm as well as diffuse reflectance intensity at 650 nm were developed. Sensitivity and specificity of around 80% and 85% were respectively achieved. The obtained results show that combined use of fluorescence and diffuse reflectance spectroscopy could represent a novel and useful tool in the early evaluation of liver fibrosis.

  7. Imaging and detection of early stage dental caries with an all-optical photoacoustic microscope

    Science.gov (United States)

    Hughes, D. A.; Sampathkumar, A.; Longbottom, C.; Kirk, K. J.

    2015-01-01

    Tooth decay, at its earliest stages, manifests itself as small, white, subsurface lesions in the enamel. Current methods for detection in the dental clinic are visual and tactile investigations, and bite-wing X-ray radiographs. These techniques suffer from poor sensitivity and specificity at the earliest (and reversible) stages of the disease due to the small size (<100μm) of the lesion. A fine-resolution (600 nm) ultra-broadband (200 MHz) all-optical photoacoustic microscopy system was is used to image the early signs of tooth decay. Ex-vivo tooth samples exhibiting white spot lesions were scanned and were found to generate a larger (one order of magnitude) photoacoustic (PA) signal in the lesion regions compared to healthy enamel. The high contrast in the PA images potentially allows lesions to be imaged and measured at a much earlier stage than current clinical techniques allow. PA images were cross referenced with histology photographs to validate our experimental results. Our PA system provides a noncontact method for early detection of white-spot lesions with a high detection bandwidth that offers advantages over previously demonstrated ultrasound methods. The technique provides the sensing depth of an ultrasound system, but with the spatial resolution of an optical system.

  8. Usefulness of the recombinant liver stage antigen-3 for an early serodiagnosis of Plasmodium falciparum infection.

    Science.gov (United States)

    Lee, Hyeong-Woo; Moon, Sung-Ung; Ryu, Hye-Sun; Kim, Yeon-Joo; Cho, Shin-Hyeong; Chung, Gyung-Tae; Lin, Khin; Na, Byoung-Kuk; Kong, Yoon; Chung, Kyung-Suk; Kim, Tong-Soo

    2006-03-01

    In order to develop tools for an early serodiagnosis of Plasmodium falciparum infection, we evaluated the usefulness of P. falciparum liver stage antigen-3 (LSA-3) as a serodiagnostic antigen. A portion of LSA-3 gene was cloned, and its recombinant protein (rLSA-3) was expressed in Escherichia coli and purified by column chromatography. The purified rLSA-3 and 120 test blood/serum samples collected from inhabitants in malaria-endemic areas of Mandalay, Myanmar were used for this study. In microscopic examinations of blood samples, P. falciparum positive rate was 39.1% (47/120) in thin smear trials, and 33.3% (40/120) in thick smear trials. Although the positive rate associated with the rLSA-3 (30.8%) was lower than that of the blood stage antigens (70.8%), rLSA-3 based enzyme-linked immunosorbent assay could detect 12 seropositive cases (10.0%), in which blood stage antigens were not detected. These results indicate that the LSA-3 is a useful antigen for an early serodiagnosis of P. falciparum infection.

  9. Lymph node ratio-based staging system as an alternative to the current TNM staging system to assess outcome in adenocarcinoma of the esophagogastric junction after surgical resection

    Science.gov (United States)

    Chen, Chuangui; Gao, Yongyin; Xiao, Xiangming; Tang, Peng; Duan, Xiaofeng; Yang, Mingjian; Jiang, Hongjing; Yu, Zhentao

    2016-01-01

    This study aimed to assess the prognostic value of the hypothetical tumor-N-ratio (rN)-metastasis (TrNM) staging system in adenocarcinoma of the esophagogastric junction (AEG). The clinical data of 387 AEG patients who received surgical resection were retrospectively reviewed. The optimal cut-off point of rN was calculated by the best cut-off approach using log-rank test. Kaplan-Meier plots and Cox regressions model were applied for univariate and multivariate survival analyses. A TrNM staging system based on rN was proposed. The discriminating ability of each staging was evaluated by using an adjusted hazard ratio (HR) and a −2log likelihood. The prediction accuracy of the model was assessed by using the area under the curve (AUC) and the Harrell's C-index. The number of examined lymph nodes (LNs) was correlated with metastatic LNs (r = 0.322, P 0.05). The optimal cut-points of rN were calculated as 0, 0~0.3, 0.3~0.6, and 0.6~1.0. Univariate analysis revealed that pN and rN classifications significantly influenced patients’ RFS and OS (P TNM staging system in evaluating prognosis of AEG patients after curative resection. PMID:27517157

  10. Carbon stocks and dynamics at different successional stages in an Afromontane tropical forest

    Science.gov (United States)

    Nyirambangutse, Brigitte; Zibera, Etienne; Uwizeye, Félicien K.; Nsabimana, Donat; Bizuru, Elias; Pleijel, Håkan; Uddling, Johan; Wallin, Göran

    2017-03-01

    As a result of different types of disturbance, forests are a mixture of stands at different stages of ecological succession. Successional stage is likely to influence forest productivity and carbon storage, linking the degree of forest disturbance to the global carbon cycle and climate. Although tropical montane forests are an important part of tropical forest ecosystems (ca. 8 %, elevation > 1000 m a.s.l.), there are still significant knowledge gaps regarding the carbon dynamics and stocks of these forests, and how these differ between early (ES) and late successional (LS) stages. This study examines the carbon (C) stock, relative growth rate (RGR) and net primary production (NPP) of ES and LS forest stands in an Afromontane tropical rainforest using data from inventories of quantitatively important ecosystem compartments in fifteen 0.5 ha plots in Nyungwe National Park in Rwanda. The total C stock was 35 % larger in LS compared to ES plots due to significantly larger above-ground biomass (AGB; 185 and 76 Mg C ha-1 in LS and ES plots), while the soil and root C stock (down to 45 cm depth in the mineral soil) did not significantly differ between the two successional stages (178 and 204 Mg C ha-1 in LS and ES plots). The main reasons for the difference in AGB were that ES trees had significantly lower stature and wood density compared to LS trees. However, ES and LS stands had similar total NPP (canopy, wood and roots of all plots ˜ 9.4 Mg C ha-1) due to counterbalancing effects of differences in AGB (higher in LS stands) and RGR (higher in ES stands). The AGB in the LS plots was considerably higher than the average value reported for old-growth tropical montane forest of south-east Asia and Central and South America at similar elevations and temperatures, and of the same magnitude as in tropical lowland forest of these regions. The results of this study highlight the importance of accounting for disturbance regimes and differences in wood density and allometry of

  11. Smoking cessation: an application of theory of planned behavior to understanding progress through stages of change.

    Science.gov (United States)

    Bledsoe, Linda K

    2006-07-01

    The purpose of this research was to investigate variables relevant to smoking cessation early in the process of change through an application of the Theory of Planned Behavior [Ajzen, I. (1985). From intentions to actions: A theory of planned behavior. In J. Kuhl and J. Beckman (Eds). Action-control: From cognition to behavior (pp.11-39). Heidelberg: Springer.] to the temporal structure provided by the Transtheoretical Model. Study 1 was a preliminary elicitation study (n=68) conducted to ground the concepts used in the model testing in Study 2 [Ajzen, I., Fishbein, M. (1980). Understanding attitudes and predicting social behavior, Englewood Cliffs, NJ: Prentice-Hall.]. Study 2 tested the proposed model fit with data from a sample of 230 adult smokers. Structural equation modeling did not support the Theory of Planned Behavior as a model of motivation for progress through the stages of change and highlighted measurement issues with perceived behavioral control. A modified model using the Theory of Reasoned Action provided a good fit to the data, accounting for approximately 64% of the variance in intention to quit smoking and stage of change. This research addresses the need for a more complete theoretical rationale for progress through stages of change.

  12. Performance characteristics of an excimer laser (XeCl) with single-stage magnetic pulse compression

    Science.gov (United States)

    Varshnay, N. K.; Singh, A.; Benerji, N. S.

    2017-02-01

    Performance characteristics of an excimer laser (XeCl) with single-stage magnetic pulse compression suitable for material processing applications are presented here. The laser incorporates in-built compact gas circulation and gas cooling to ensure fresh gas mixture between the electrodes for repetitive operation. A magnetically coupled tangential blower is used for gas circulation inside the laser chamber for repetitive operation. The exciter consists of C-C energy transfer circuit and thyratron is used as a high-voltage main switch with single-stage magnetic pulse compression (MPC) between thyratron and the laser electrodes. Low inductance of the laser head and uniform and intense pre-ionization are the main features of the electric circuit used in the laser. A 250 ns rise time voltage pulse was compressed to 100 ns duration with a single-stage magnetic pulse compressor using Ni-Zn ferrite cores. The laser can generate about 150 mJ at ˜100 Hz rep-rate reliably from a discharge volume of 100 cm 3. 2D spatial laser beam profile generated is presented here. The profile shows that the laser beam is completely filled with flat-top which is suitable for material processing applications. The SEM image of the microhole generated on copper target is presented here.

  13. Detection of early-stage research fronts——An example of complex networks research

    Institute of Scientific and Technical Information of China (English)

    Lihua; ZHANG; Zhiqiang; ZHANG

    2014-01-01

    Purpose:This study aims to detect research fronts of a scientific field in its early development stage using bibliometric indicators developed based on the features of research fronts.Design/methodology/approach:We first focused on conceptualization of"research fronts"and outlined 4 indicators to measure different aspects of the concept:Innovation,timeliness,stability and interdisciplinarity.Then research specialties obtained based on direct citation networks were evaluated with the 4 indicators and research fronts were identified.Finally,methodology was illustrated and verified in the research domain of complex networks.Findings:The results indicate that the proposed method is useful in detecting research fronts in a specific field which is at an early development stage.Research limitations:The quality of clustering results was not assessed.It needs to be further studied whether the method can be applicable to the fields that evolve slowly such as mathematics or are highly specialized like entomology and zoology.Practical implications:This study helps researchers keep abreast of emerging trends and policy-makers formulate science and technology policies and strategic plans.Originality/value:This research provides insights into a quantitative assessment method to detect research fronts of a scientific field in its early development stage.

  14. Development of papain containing pellets produced by extrusion-spheronization: an operational stage approach.

    Science.gov (United States)

    Varca, Gustavo H C; Lopes, Patricia S; Ferraz, Humberto G

    2015-03-01

    The performance of the standardized extrusion-spheronization technique, operational conditions, formulation parameters and storage of the final product over the bioactivity of papain containing pellets has been evaluated to obtain an insight into the potential of the technique for the manufacture of solid protein formulations. The pellets produced were assayed in terms of biological activity - monitored at each operational stage using N-benzoyl-dl-arginine ρ-nitroanilide as a substrate, and according to the physical properties - evaluated by means of size distribution, apparent density and friability. The produced pellets presented adequate physical and mechanical properties. Monitoring biological activity at each production stage revealed that the most critical steps corresponded to drying and storage, with bioactivity decay ranging from 5 to 30% and 5 to 20% for each process. Dry mixing and extrusion did not hold any influence over papain activity, while wet massing decreased the bioactivity by approximately 0-5% and the spheronization 0-2%. The results varied as a function of the experimental conditions and formulation components. In conclusion, the extrusion--spheronization technique was suitable to produce solid multiparticulate dosage forms for papain, considering the possibility to originate pellets with relatively low bioactivity decay. However, weak points of the technique corresponded to the wet massing and drying stages as well as storage.

  15. Targeted labeling of an early-stage tumor spheroid in a chorioallantoic membrane model with upconversion nanoparticles

    NARCIS (Netherlands)

    K. Liu; J.A. Holz; Y. Ding; X. Liu; Y. Zhang; L. Tu; X. Kong; B. Priem; A. Nadort; S.A.G. Lambrechts; M.C.G. Aalders; W.J. Buma; Y. Liu; H. Zhang

    2015-01-01

    In vivo detection of cancer at an early-stage, i.e. smaller than 2 mm, is a challenge in biomedicine. In this work target labeling of an early-stage tumor spheroid (similar to 500 mu m) is realized for the first time in a chick embryo chorioallantoic membrane (CAM) model with monoclonal antibody fun

  16. Levels of physical activity, barriers, and stage of change in an urban population from a municipality in Colombia

    OpenAIRE

    Mónica María Arenas; Elkin Fernando Arango; Fredy Alonso Patiño; Mario Andrés Quintero

    2011-01-01

    Objective: To assess the levels of physical activity, barriers, and stage of change in an urban population 25 to 50 yearsof age from the Municipality of Santa Rosa de Osos, department of Antioquia.Materials and methods: A prevalence study was conducted, with a two-stage random sampling among 357 individualsnot suffering from any known cardiovascular disease. A pre-designed survey was conducted to assess the levels of physicalactivity, the stage of change, and physical activity barriers.Result...

  17. Treatment Trends for Stage I Testicular Seminoma in an Equal-Access Medical System.

    Science.gov (United States)

    Wingate, Jonathan T; Etzioni, Ruth; Macdonald, Dusten M; Brand, Timothy C

    2016-10-01

    The practice patterns for adjuvant therapies for stage I seminoma are rapidly evolving, and surveillance is currently preferred. How these recommendations have affected contemporary practice in an equal-access US population is unknown. A total of 436 men diagnosed with clinical stage IA-IB seminoma from 2001 to 2011 were identified in the Automated Central Tumor Registry (ACTUR). The ACTUR is the cancer registry system for the Department of Defense. Logistic regression models analyzed the association between patient characteristics and adjuvant therapy. Overall and recurrence-free survival were determined from Kaplan-Meier analysis. The use of adjuvant radiotherapy in this population decreased significantly from 2001 to 2011. In 2001, 83.9% of patients received radiotherapy compared with only 24.0% in 2011. During that period, a concomitant increase occurred in the use of chemotherapy from 0% to 38.0%. A later year of diagnosis was significantly associated with a greater rate of receiving chemotherapy relative to radiotherapy (P associated with the receipt of surveillance (P = .412 for 2006-2011 vs. 2001-2005; odds ratio, 0.83; 95% CI, 0.54-1.29). Black race or age was not significantly associated with adjuvant therapy. With a median follow-up period of 4.7 years, the 5-year overall and recurrence-free survival rates were 98.0% and 77.0%, respectively. The use of adjuvant radiotherapy has been replaced by chemotherapy for clinical stage I testicular seminoma in an equal-access system. The lack of an increase in active surveillance in our cohort might represent overtreatment of the population. Published by Elsevier Inc.

  18. SCYX-7158, an orally-active benzoxaborole for the treatment of stage 2 human African trypanosomiasis.

    Directory of Open Access Journals (Sweden)

    Robert T Jacobs

    2011-06-01

    Full Text Available BACKGROUND: Human African trypanosomiasis (HAT is an important public health problem in sub-Saharan Africa, affecting hundreds of thousands of individuals. An urgent need exists for the discovery and development of new, safe, and effective drugs to treat HAT, as existing therapies suffer from poor safety profiles, difficult treatment regimens, limited effectiveness, and a high cost of goods. We have discovered and optimized a novel class of small-molecule boron-containing compounds, benzoxaboroles, to identify SCYX-7158 as an effective, safe and orally active treatment for HAT. METHODOLOGY/PRINCIPAL FINDINGS: A drug discovery project employing integrated biological screening, medicinal chemistry and pharmacokinetic characterization identified SCYX-7158 as an optimized analog, as it is active in vitro against relevant strains of Trypanosoma brucei, including T. b. rhodesiense and T. b. gambiense, is efficacious in both stage 1 and stage 2 murine HAT models and has physicochemical and in vitro absorption, distribution, metabolism, elimination and toxicology (ADMET properties consistent with the compound being orally available, metabolically stable and CNS permeable. In a murine stage 2 study, SCYX-7158 is effective orally at doses as low as 12.5 mg/kg (QD×7 days. In vivo pharmacokinetic characterization of SCYX-7158 demonstrates that the compound is highly bioavailable in rodents and non-human primates, has low intravenous plasma clearance and has a 24-h elimination half-life and a volume of distribution that indicate good tissue distribution. Most importantly, in rodents brain exposure of SCYX-7158 is high, with C(max >10 µg/mL and AUC(0-24 hr >100 µg*h/mL following a 25 mg/kg oral dose. Furthermore, SCYX-7158 readily distributes into cerebrospinal fluid to achieve therapeutically relevant concentrations in this compartment. CONCLUSIONS/SIGNIFICANCE: The biological and pharmacokinetic properties of SCYX-7158 suggest that this compound will be

  19. Histopathologic findings of spontaneous osteonecrosis of the knee at an early stage: a case report.

    Science.gov (United States)

    Hatanaka, Hiroyuki; Yamamoto, Takuaki; Motomura, Goro; Sonoda, Kazuhiko; Iwamoto, Yukihide

    2016-05-01

    We histopathologically examined a surgically resected full specimen obtained from an early-stage spontaneous osteonecrosis of the knee (SPONK). On a mid-coronal cut section of the resected medial femoral condyle, a linear fracture line paralleling the subchondral bone endplate was found. Histopathologically, prominent callus formation was seen comprising of reactive woven bone and granulation tissue on both sides of the fracture. Fracture-related bone debris was focally observed at the osteochondral side of the fracture. Definitive features of antecedent bone infarction such as creeping substitution and bone marrow necrosis were not detected. These findings suggested that SPONK was the result of a subchondral fracture rather than primary osteonecrosis.

  20. The microfossils in phosphate deposit in Doushantuo stage, Sinian System, Weng'an, Guizhou Province

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    The aim of this study is to discuss the microfossils in phosphate deposit in the Doushantuo stage, Sinian System, Weng'an, Guizhou Province. Based on the detailed observation in morphology and microstructures, it is considered that those acritarchs with interior spicules probably belong to sponge animals. However, some explanations for a part of soft-tissue are still contrioversial. The reliable conclusion still needs more evidence to study. The scientific significance of this study and the key questions for further studies are suggested here.

  1. Investigations on an Axial Flow Fan Stage subjected to Circumferential Inlet Flow Distortion and Swirl

    Institute of Scientific and Technical Information of China (English)

    M.Govardhan; K.Viswanath

    1997-01-01

    The combined effects of swirl and circumferential inlet flow distortion on the flow field of an axial flow fan stage are reported in this paper,The study involves measurements at the inlet of the rotor and exit of the rotor and stator atdesign and off design flow conditions.The study indicated that at the design flow condition,swirl had caused deterioration of the performance in addition to that caused by distortion.Pressure rise imparted in the distortion zone is hogher than in the free zone.The attenuation of distortion is high in the presence of swirl.

  2. U.S. Air Force Operational Medicine: Using the Enterprise Estimating Supplies Program to Develop Materiel Solutions for the Mobile Aeromedical Staging Facility (FFQM1)

    Science.gov (United States)

    2012-05-30

    Acute appendicitis without peritonitis 6 943.20 Blisters with epidermal loss due to burn (second degree) of unspecified site of upper limb 2 802.8...6135013511131 BATTERY NONRECHARGEABLE LITHIUM 3V FLAT CONTACT SINGLE CELL EA 2 2 0.12 0.20 $37.64 0.12 0.20 $37.64 G 6515015185955 BATTERY PACK DEFIBRILLATOR...2.00 0.24 $230.40 2.00 0.24 $230.40 A 5975008783791 ROD,GROUND EA 2 2 19.60 0.50 $78.14 19.60 0.50 $78.14 A 6515014776141 ROLL PACK DRESSING

  3. Stage line diagram: An age-conditional reference diagram for tracking development

    NARCIS (Netherlands)

    Buuren, S. van; Ooms, J.C.L.

    2009-01-01

    This paper presents a method for calculating stage line diagrams, a novel type of reference diagram useful for tracking developmental processes over time. Potential fields of applications include: dentistry (tooth eruption), oncology (tumor grading, cancer staging), virology (HIV infection and

  4. Stage line diagram: an age-conditional reference diagram for tracking development.

    NARCIS (Netherlands)

    Van Buuren, S.; Ooms, J.C.L.

    2009-01-01

    This paper presents a method for calculating stage line diagrams, a novel type of reference diagram useful for tracking developmental processes over time. Potential fields of applications include: dentistry (tooth eruption), oncology (tumor grading, cancer staging), virology (HIV infection and

  5. On Branching Processes and the Early Stages of the Spread of an Epidemic

    Institute of Scientific and Technical Information of China (English)

    Ahmed E; Yassen M T

    1998-01-01

    Branching process (BP) is used to model the early stages of the spread of a sexually transmitted disease. The early stages of AIDS spread which is transmitted both homosexually and heterosexually are studied as a BP.

  6. Cancerous Tumour Model Analysis and Constructing schemes of Anti-angiogenesis Therapy at an Early Stage

    Directory of Open Access Journals (Sweden)

    O. Yu. Mukhomorova

    2015-01-01

    Full Text Available Anti-angiogenesis therapy is an alternative and successfully employed method for treatment of cancerous tumour. However, this therapy isn't widely used in medicine because of expensive drugs. It leads naturally to elaboration of such treatment regimens which use minimum amount of drugs.The aim of the paper is to investigate the model of development of illness and elaborate appropriate treatment regimens in the case of early diagnosis of the disease. The given model reflects the therapy at an intermediate stage of the disease treatment. Further treatment is aimed to destroy cancer cells and may be continued by other means, which are not reflected in the model.Analysis of the main properties of the model was carried out with consideration of two types of auxiliary systems. In the first case, the system is considered without control, as a model of tumour development in the absence of medical treatment. The study of the equilibrium point and determination of its type allowed us to describe disease dynamics and to determine tumour size resulting in death. In the second case a model with a constant control was investigated. The study of its equilibrium point showed that continuous control is not sufficient to support satisfactory patient's condition, and it is necessary to elaborate more complex treatment regimens. For this purpose, we used the method of terminal problems consisting in the search for such program control which forces system to a given final state. Selecting the initial and final states is due to medical grounds.As a result, we found two treatment regimens | one-stage treatment regimen and multi-stage one. The properties of each treatment regimen are analyzed and compared. The total amount of used drugs was a criterion for comparing these two treatment regimens. The theoretical conclusions obtained in this work are supported by computer modeling in MATLAB environment.

  7. An Alternative Approach to the Treatment of Stage Fright in the Required Public Speaking Course.

    Science.gov (United States)

    Bozik, Mary

    Because students with stage fright are numerous, different from their college peers, and capable of being helped, the University of Illinois has created stage fright sections within the basic speech course. To meet the behavioral objectives of the course, the student should be able to define stage fright and recognize its common symptoms, describe…

  8. Toward an Understanding of the Emotional Nature of Stage Fright: A Three Factor Theory.

    Science.gov (United States)

    Cahn, Dudley D.

    A comprehensive understanding of stage fright will better enable teachers and researchers to select the most appropriate "cure" and to determine those cases in which speech training will help reduce stage fright or other states of communication apprehension. Attempts to understand stage fright have focused on three psychological theories…

  9. Complementarity as a Function of Stage in Therapy: An Analysis of Minuchin's Structural Family Therapy.

    Science.gov (United States)

    Laird, Heather; Vande Kemp, Hendrika

    1987-01-01

    Explored the level of family therapist complementarity in the early, middle and late stages of therapy performing a micro-analysis of Salvador Minuchin with one family in successful therapy. Level of therapist complementarity was signficantly greater in the early and late stages than in the middle stage, and was significantly correlated with…

  10. Stage of change behavioral assessment tool fails to predict the prevalence of chlamydia in an urban adolescent health clinic.

    Science.gov (United States)

    Kasowitz, Andrea R; McCusker, Mark; Coury-Doniger, Patricia; Neal, Wendy P; Indyk, Debbie; Burk, Robert D; Jenkins, Stephen G; Rickert, Vaughn I; Herold, Betsy C

    2006-08-01

    Strategies to reduce STI among adolescents and young adults have failed to consistently demonstrate effectiveness. A universal approach may not be appropriate because individuals are at different stages with respect to self-management behaviors. Thus, the Stage of Change Transtheoretical Model has been advocated. This study was conducted to determine whether staging could be accomplished in an urban adolescent clinic and whether it provides a tool to predict STI risk. Participants were interviewed and staged according to a standardized instrument with respect to sexual risk behaviors and contraceptive use. Urban adolescent health clinic. 103 females (ages 18-24). A physical examination and diagnostic tests for syphilis, HSV, HCV, chlamydia, gonorrhea and HPV were performed. Stages for behaviors to reduce STI risk and to utilize contraception and STI prevalence. 78% of the participants were in the three earliest stages of behavior (precontemplative, contemplative, and ready for action) with respect to condom use for STI prevention; conversely only 47% were in early stages with respect to birth control practices. Of the participants tested, 12/81 (15%) had chlamydial infection detected by molecular techniques, whereas no participants had gonorrhoeae. Among the subset tested for HPV DNA, 18/45 (40%) were positive. The diagnostic behavior stage for STI prevention did not correlate with the presence of chlamydia. A staging instrument can be implemented into adolescent health clinic practice, but cannot be used as a risk assessment tool for the presence of chlamydia. Additionally females are more likely to protect themselves against pregnancy than against an STI.

  11. The development of an intervention to manage pain in people with late-stage osteoarthritis

    Directory of Open Access Journals (Sweden)

    Tina Kruger-Jakins

    2016-02-01

    Full Text Available Background: Osteoarthritis (OA is one of the most common musculoskeletal conditions worldwide, affecting the functional abilities of millions of people. Arthroplasty is recommended as a successful treatment option for late-stage OA. However, in South Africa there are extensive waiting lists for OA-related arthroplasty in government hospitals. This has negative consequences for patients having to cope for long periods of time with chronic pain and its impact. Alternative treatment methods in the form of physiotherapy-led exercise and education programmes focusing on pain, disability, self-efficacy, physical function and health-related quality of life have had good impact in populations elsewhere.Objectives: To develop an exercise and education intervention based on the current literature and by doing a field survey in a South African population.Results: A combined educational approach, with a strong focus on the physical aspects of exercise in particular, was adopted for the intervention in order to improve function and manage the disability associated with OA.Conclusion: This paper reports on the process and development of an intervention for use in South Africans with late-stage OA awaiting arthroplasty.Keywords: Hip/knee osteoarthritis, arthroplasty, joint replacement, bio-psychosocial intervention, waiting list, physiotherapy, exercise, education, chronic pain

  12. Planning an Agricultural Water Resources Management System: A Two-Stage Stochastic Fractional Programming Model

    Directory of Open Access Journals (Sweden)

    Liang Cui

    2015-07-01

    Full Text Available Irrigation water management is crucial for agricultural production and livelihood security in many regions and countries throughout the world. In this study, a two-stage stochastic fractional programming (TSFP method is developed for planning an agricultural water resources management system under uncertainty. TSFP can provide an effective linkage between conflicting economic benefits and the associated penalties; it can also balance conflicting objectives and maximize the system marginal benefit with per unit of input under uncertainty. The developed TSFP method is applied to a real case of agricultural water resources management of the Zhangweinan River Basin China, which is one of the main food and cotton producing regions in north China and faces serious water shortage. The results demonstrate that the TSFP model is advantageous in balancing conflicting objectives and reflecting complicated relationships among multiple system factors. Results also indicate that, under the optimized irrigation target, the optimized water allocation rate of Minyou Channel and Zhangnan Channel are 57.3% and 42.7%, respectively, which adapts the changes in the actual agricultural water resources management problem. Compared with the inexact two-stage water management (ITSP method, TSFP could more effectively address the sustainable water management problem, provide more information regarding tradeoffs between multiple input factors and system benefits, and help the water managers maintain sustainable water resources development of the Zhangweinan River Basin.

  13. Raman spectroscopy based investigation of molecular changes associated with an early stage of dengue virus infection

    Science.gov (United States)

    Bilal, Maria; Bilal, Muhammad; Saleem, Muhammad; Khurram, Muhammad; Khan, Saranjam; Ullah, Rahat; Ali, Hina; Ahmed, Mushtaq; Shahzada, Shaista; Ullah Khan, Ehsan

    2017-04-01

    Raman spectroscopy based investigations of the molecular changes associated with an early stage of dengue virus infection (DENV) using a partial least squares (PLS) regression model is presented. This study is based on non-structural protein 1 (NS1) which appears after three days of DENV infection. In total, 39 blood sera samples were collected and divided into two groups. The control group contained samples which were the negative for NS1 and antibodies and the positive group contained those samples in which NS1 is positive and antibodies were negative. Out of 39 samples, 29 Raman spectra were used for the model development while the remaining 10 were kept hidden for blind testing of the model. PLS regression yielded a vector of regression coefficients as a function of Raman shift, which were analyzed. Cytokines in the region 775–875 cm‑1, lectins at 1003, 1238, 1340, 1449 and 1672 cm‑1, DNA in the region 1040–1140 cm‑1 and alpha and beta structures of proteins in the region 933–967 cm‑1 have been identified in the regression vector for their role in an early stage of DENV infection. Validity of the model was established by its R-square value of 0.891. Sensitivity, specificity and accuracy were 100% each and the area under the receiver operator characteristic curve was found to be 1.

  14. One-stage open reduction of an old cervical subluxation: case report.

    Science.gov (United States)

    Barrenechea, Ignacio J

    2014-12-01

    Study Design Case report. Objective The recommended treatment of cervical subluxation is currently closed or open reduction. These treatments are better accomplished in the acute setting, when muscular and ligamentous laxity allows the required maneuvers to realign the dislocated segments. However, subsets of patients are still being treated subacutely. The majority of the literature addressing subacute subluxations reports treatment through "front and back" approaches, many of them performed in two, three, or even four stages. Other authors recommend days or weeks of traction to reduce the subluxation, followed by anterior or posterior approaches. Herein, we present a one-stage open posterior surgical treatment of a 2-month standing C5-C6 subluxation with "jumped facets," describing a useful technique to reduce these challenging cases without the need of traction or multistage procedures. Methods After opening and exposing the posterior elements, we performed a wide C5-6 bilateral foraminotomy; we then put lateral mass screws and rods from C4 to C6. Resembling the technique used in the reduction of high-grade lumbar spondylolisthesis, we used a rod reducer to bring back the C5 screw head toward the rod, thus realigning the lateral mass screw heads and reducing the subluxation. Results No changes were observed in the motor evoked or somatosensory potentials during this maneuver. Following an uneventful procedure, the patient was transferred to the postanesthetic care unit and discharged 3 days later. Conclusions This open single-stage posterior approach dramatically reduces operating time. This technique could be added into the decision-making armamentarium for cases without disk herniation.

  15. Developmental Stage Annotation of Drosophila Gene Expression Pattern Images via an Entire Solution Path for LDA.

    Science.gov (United States)

    Ye, Jieping; Chen, Jianhui; Janardan, Ravi; Kumar, Sudhir

    2008-03-01

    Gene expression in a developing embryo occurs in particular cells (spatial patterns) in a time-specific manner (temporal patterns), which leads to the differentiation of cell fates. Images of a Drosophila melanogaster embryo at a given developmental stage, showing a particular gene expression pattern revealed by a gene-specific probe, can be compared for spatial overlaps. The comparison is fundamentally important to formulating and testing gene interaction hypotheses. Expression pattern comparison is most biologically meaningful when images from a similar time point (developmental stage) are compared. In this paper, we present LdaPath, a novel formulation of Linear Discriminant Analysis (LDA) for automatic developmental stage range classification. It employs multivariate linear regression with the L(1)-norm penalty controlled by a regularization parameter for feature extraction and visualization. LdaPath computes an entire solution path for all values of regularization parameter with essentially the same computational cost as fitting one LDA model. Thus, it facilitates efficient model selection. It is based on the equivalence relationship between LDA and the least squares method for multi-class classifications. This equivalence relationship is established under a mild condition, which we show empirically to hold for many high-dimensional datasets, such as expression pattern images. Our experiments on a collection of 2705 expression pattern images show the effectiveness of the proposed algorithm. Results also show that the LDA model resulting from LdaPath is sparse, and irrelevant features may be removed. Thus, LdaPath provides a general framework for simultaneous feature selection and feature extraction.

  16. Colorimetric characterization of liquid crystal display using an improved two-stage model

    Institute of Scientific and Technical Information of China (English)

    Yong Wang; Haisong Xu

    2006-01-01

    @@ An improved two-stage model of colorimetric characterization for liquid crystal display (LCD) was proposed. The model included an S-shape nonlinear function with four coefficients for each channel to fit the Tone reproduction curve (TRC), and a linear transfer matrix with black-level correction. To compare with the simple model (SM), gain-offset-gain (GOG), S-curve and three-one-dimensional look-up tables (3-1D LUTs) models, an identical LCD was characterized and the color differences were calculated and summarized using the set of 7 × 7 × 7 digital-to-analog converter (DAC) triplets as test data. The experimental results showed that the model was outperformed in comparison with the GOG and SM ones, and near to that of the S-curve model and 3-1D LUTs method.

  17. Conrad Deep, Northern Red Sea: Development of an early stage ocean deep within the axial depression

    Science.gov (United States)

    Ehrhardt, A.; Hübscher, C.; Gajewski, D.

    2005-12-01

    The northern Red Sea represents a continental rift in its final stage and close to the following stage of seafloor spreading. Ocean deeps within the evaporites of the northern Red Sea seem to accompany this process and are thought to be surface expressions of first seafloor spreading cells. In 1999 during R/V Meteor cruise M44/3 a dense multichannel seismic and hydroacoustic survey was conducted in order to investigate the initial formation process of the Conrad Deep, a young northern Red Sea deep. Three seismic units were differentiated in the uppermost part of the Miocene evaporites and the Plio-Quaternary sediments. A weakness zone within the evaporites, oblique to the main extension direction of the Red Sea, led to a transtension process within the evaporites that opened the deep. Its formation is directly related to the emplacement of magmatic bodies in its vicinity and the focusing of the Red Sea extension to the axial depression. The Conrad Deep is an intra-evaporite basin that cannot be regarded as surficial expression of a basement structure as the low shear strength of the evaporites decouple the sediments from the basement. However, its position and shape in combination with the accompanying geophysical anomalies point to a strong correlation with the Red Sea rifting process.

  18. Performance characteristics of an excimer laser (XeCl) with single-stage magnetic pulse compression

    Indian Academy of Sciences (India)

    N K VARSHNAY; A A SINGH; N S BENERJI

    2017-02-01

    Performance characteristics of an excimer laser (XeCl) with single-stage magnetic pulse compression suitable for material processing applications are presented here. The laser incorporates in-built compact gas circulation and gas cooling to ensure fresh gas mixture between the electrodes for repetitive operation. A magnetically coupled tangential blower is used for gas circulation inside the laser chamber for repetitive operation. The exciter consists of C–C energy transfer circuit and thyratron is used as a high-voltage main switch with singlestage magnetic pulse compression (MPC) between thyratron and the laser electrodes. Low inductance of the laser head and uniform and intense pre-ionization are the main features of the electric circuit used in the laser. A 250 ns rise time voltage pulse was compressed to 100 ns duration with a single-stage magnetic pulse compressor using Ni–Zn ferrite cores. The laser can generate about 150 mJ at ∼100 Hz rep-rate reliably from a discharge volumeof 100 cm$^3$. 2D spatial laser beam profile generated is presented here. The profile shows that the laser beam is completely filled with flat-top which is suitable for material processing applications. The SEM image of the microhole generated on copper target is presented here.

  19. An Ordered Bipolar Outflow from a Massive Early-stage Core

    Science.gov (United States)

    Tan, Jonathan C.; Kong, Shuo; Zhang, Yichen; Fontani, Francesco; Caselli, Paola; Butler, Michael J.

    2016-04-01

    We present ALMA follow-up observations of two massive, early-stage core candidates, C1-N and C1-S, in IRDC G028.37+00.07, that were previously identified by their {{{N}}}2{{{D}}}+(3-2) emission, and show high levels of deuteration of this species. The cores are also dark at far-infrared wavelengths up to ˜ 100 μ {{m}}. We detect 12CO(2-1) from a narrow, highly collimated bipolar outflow that is being launched from near the center of the C1-S core, which is also the location of the peak 1.3 mm dust continuum emission. This protostar, C1-Sa, has associated dense gas traced by {{{C}}}18{{O}}(2-1) and DCN(3-2), from which we estimate that it has a radial velocity that is near the center of the range exhibited by the C1-S massive core. A second outflow-driving source is also detected within the projected boundary of C1-S, but it appears to be at a different radial velocity. After considering the properties of the outflows, we conclude that C1-Sa is a promising candidate for an early-stage massive protostar and as such it shows that these early phases of massive star formation can involve highly ordered outflow, and thus accretion, processes, similar to models developed to explain low-mass protostars.

  20. An Ordered Bipolar Outflow from a Massive Early-Stage Core

    CERN Document Server

    Tan, Jonathan C; Zhang, Yichen; Fontani, Francesco; Caselli, Paola; Butler, Michael J

    2016-01-01

    We present ALMA follow-up observations of two massive, early-stage core candidates, C1-N & C1-S, in Infrared Dark Cloud (IRDC) G028.37+00.07, which were previously identified by their N2D+(3-2) emission and show high levels of deuteration of this species. The cores are also dark at far infrared wavelengths up to ~100 microns. We detect 12CO(2-1) from a narrow, highly-collimated bipolar outflow that is being launched from near the center of the C1-S core, which is also the location of the peak 1.3mm dust continuum emission. This protostar, C1-Sa, has associated dense gas traced by C18O(2-1) and DCN(3-2), from which we estimate it has a radial velocity that is near the center of the range exhibited by the C1-S massive core. A second outflow-driving source is also detected within the projected boundary of C1-S, but is likely to be at a different radial velocity. After considering properties of the outflows, we conclude C1-Sa is a promising candidate for an early-stage massive protostar and as such it shows t...

  1. Is ADHD an early stage in the development of borderline personality disorder?

    DEFF Research Database (Denmark)

    Storebø, Ole Jakob; Simonsen, Erik

    2014-01-01

    Background: Several studies report associations between adults with borderline personality disorder (BPD) and a history of attention-deficit hyperactivity (ADHD) symptoms in childhood. Aims: To explore the association between BPD and a history of ADHD in childhood. Method: A comprehensive search...... seems to give a synergic effect, reinforce the other or complicate the disorders. In one prospective study, the risk factor for children with ADHD to develop BPD was as high as odds ratio 13.16. No studies have looked at treatment of ADHD as a mediator of the risk for BPD. Conclusions: Many studies......: Most of the 15 articles showed a statistical association between ADHD and BPD. The data, most strongly provided a basis for the hypotheses that ADHD is either an early developmental stage of BPD, or that the two disorders share an environmental and genetic aetiology. Furthermore, one of the disorders...

  2. Teen Choices, an Online Stage-Based Program for Healthy, Nonviolent Relationships: Development and Feasibility Trial.

    Science.gov (United States)

    Levesque, Deborah A; Johnson, Janet L; Prochaska, Janice M

    2017-01-01

    This paper describes the theoretical foundation, development, and feasibility testing of an online, evidence-based intervention for teen dating violence prevention designed for dissemination. Teen Choices: A Program for Healthy, Non-Violent Relationships relies on the Transtheoretical Model of Behavior Change and expert system technology to deliver assessments and feedback matched to stage of change for using healthy relationship skills. The program also tailors feedback to dating status, risk level, and other key characteristics. Ninety-nine students from high schools in Tennessee and Rhode Island completed a Teen Choices session and 97 completed an 11-item acceptability evaluation. 100% of participants completed the intervention session as intended. Evaluations of the program were favorable. For example, 88.7% agreed the program feedback was easy to understand, and 86.7% agreed that the program could help people develop healthier relationships. Findings provide encouraging evidence of the acceptability and feasibility of this approach to dating violence prevention.

  3. A numerical investigation on the unstable flow in a single stage of an axial compressors

    CERN Document Server

    Farhanieh, B; Ghorbanian, K

    2003-01-01

    An unsteady two-dimensional finite-volume solver was developed based on Van Leer's flux splitting algorithm in conjunction with sup M onotonic Upstream Scheme for Conservation Laws sup l imiters to improve the order of accuracy and the two-layer Baldwin-Lomax turbulence model was also implemented. Two test cases were prepared to validate the solver. The computed results were compared with the experimental data and a good agreement validated the solver. Finally, the solver was used for the flow through a multi-blade stage of an axial compressor in its off-design condition. The computed results showed a rotating stall-like instability with a periodic behavior. To investigate the flow properties during the instability condition, the flow pattern, vortex properties and the axial velocity were studied. It was concluded that the instability vortices in the multi-blade cascade do not have the same generation history of the separated vortices over a single body.

  4. Spontaneous Hemocholecyst in an End-Stage Renal Failure Patient on Low Molecular Weight Heparin Hemodialysis

    Directory of Open Access Journals (Sweden)

    Konstantinos Blouhos

    2012-01-01

    Full Text Available The present paper describes a case of spontaneous hemocholecyst in a patient with end-stage renal failure on low molecular weight heparin hemodialysis. The patient presented with acute right upper quadrant pain. An initial ultrasound scan demonstrated a distended gallbladder containing echogenic bile without stones. During hospitalization the patient became febrile, and jaundiced, developed leukocytosis, and had an elevation in serum bilirubin, transaminases, and alkaline phosphatase. A new ultrasound demonstrated a thick-walled gallbladder containing echogenic bile and pericholecystic fluid. MRI depicted a distended gallbladder containing material of mixed signal intensity and a normal biliary tract. Open cholecystectomy revealed a gallbladder filled with blood and clots, and transcystic common bile duct exploration flushed blood clots out of the bile duct. To our knowledge this is the second case of spontaneous hemocholecyst reported in the literature as a consequence of uremic bleeding and LMWH hemodialysis in the absence of other pathology.

  5. [An unexpected stage of alkalosis in the dynamics of the early posthemorrhagic period].

    Science.gov (United States)

    Beliaev, A V

    2000-01-01

    A study was made on acid-base metabolism in early posthemorrhagic period as exemplified by examination of patients presenting with gastrointestinal hemorrhage. It has been ascertained that hemorrhage is accompanied by a mixed variant of the acid-base state (ABS) deviation, namely metabolic lactate-acidosis and respiratory alkalosis. In the time-related course of posthemorrhagic period such deviations persist in patients with lethal outcome; with the disease running a favourable course the above deviations are found to return to normal quite soon. The development of complications leads to staging in ABC, its stages being as follows: stage I--the initial stage, stage II--persisting metabolic acidosis and respiratory alkalosis, stage III--alkalosis, stage IV--normalization, with stage III of ABS being encouraged by hypocapnia caused by function disorders of the lungs in early posthemorrhagic period, normalization of cell metabolism, increase in the rate of urination as a reflection of the third earlier identified stage of water metabolism, with the H+ excretion in the urine at the previous level. The identified ABS stage III threatens coming trouble, being accompanied by metabolic deviations together with a risk of function disorder of the myocardium.

  6. Correlation between chronological age and third molar developmental stages in an Iranian population (Demirjian method).

    Science.gov (United States)

    Khosronejad, Aria; Navabi, Manijeh; Sakhdari, Shirin; Rakhshan, Vahid

    2017-01-01

    Third molar development is the only available tool for estimating the age of individuals after puberty. Since this tooth has very high interethnic variability, formulas calculated to estimate the age from its development stages cannot be generalized to other populations and should be adjusted for each region. Therefore, this study was conducted to evaluate this method in a sample of Tehran individuals for the first time, and also to compare the development of third molars across sexes and arches, and to estimate cutoff developmental stages for legal minor/major identification. A total of 150 dental patients aged between 15 and 25 years old were prospectively enrolled, and their Demirjian stages were recorded. The associations between chronological age and Demirjian stages were evaluated. Dental formation was compared between sexes and jaws. Cutoff stages were determined to identify legal minor/major cases (above or below 18 years old). Age estimation formula was found for this population. Of the 150 included patients, 56 were males. The difference between the ages of males and females at each given developmental stage was nonsignificant (P > 0.05), except for the H stage. Age difference between same stage teeth of the maxilla and mandible was nonsignificant. Each of the G and H stages was significantly above 18 years old (P stages were below 18 years old (P stages and age were above 90% (all P development was positively affected by the chronological age (P = 0.000) and being maxillary (P = 0.000) but not sex (P = 0.113). Regression formula for age estimation was: age = 6.52+ (0.64 × sex) + (0.32 × arch) + (1.86 × Demirjian stage). Development of third molar might complete after the age 22. Iranian individuals with third molars at the G and H stages are likely above 18 while those at E and F are likely below 18. Pace of molar development differs for jaws, but intergender differences are open to further investigations.

  7. Aeromedical Factors in Aviator Fatigue, Crew Work/Rest Schedules and Extended Flight Operations: An Annotated Bibliography.

    Science.gov (United States)

    1981-01-01

    REPORT NUMBER 2. GOVT ACCESSION No. 3 RECIPIENT’S CATALOG NUMBER USAARL Reqport 81-1 2,AE,.NN 4 ITL F (-,t S.. it. ) S TYPF O F I-PORT I PFRIO nl OVFN I... medicina aeronatica). Revisti de Aoronautica y Astronautica. 37:109-118. (In Spanish.) English translation NASA TM-75165, October 1977. Literature on...environment. Several were a function of th e mission of the command but some were accessible to local modification. In the face of these problems

  8. Stage-dependent alterations of progenitor cell proliferation and neurogenesis in an animal model of Wernicke-Korsakoff syndrome.

    Science.gov (United States)

    Vetreno, Ryan P; Klintsova, Anna; Savage, Lisa M

    2011-05-19

    Alcohol-induced Wernicke-Korsakoff syndrome (WKS) culminates in bilateral diencephalic lesion and severe amnesia. Using the pyrithiamine-induced thiamine deficiency (PTD) animal paradigm of WKS, our laboratory has demonstrated hippocampal dysfunction in the absence of gross anatomical pathology. Extensive literature has revealed reduced hippocampal neurogenesis following a neuropathological insult, which might contribute to hippocampus-based learning and memory impairments. Thus, the current investigation was conducted to determine whether PTD treatment altered hippocampal neurogenesis in a stage-dependent fashion. Male Sprague-Dawley rats were assigned to one of 4 stages of thiamine deficiency based on behavioral symptoms: pre-symptomatic stage, ataxic stage, early post-opisthotonus stage, or the late post-opisthotonus stage. The S-phase mitotic marker 5'-bromo-2'-deoxyuridine (BrdU) was administered at the conclusion of each stage following thiamine restoration and subjects were perfused 24 hours or 28 days after BrdU to assess cellular proliferation or neurogenesis and survival, respectively. Dorsal hippocampal sections were immunostained for BrdU (proliferating cell marker), NeuN (neurons), GFAP (astrocytes), Iba-1 (microglia), and O4 (oligodendrocytes). The PTD treatment increased progenitor cell proliferation and survival during the early post-opisthotonus stage. However, levels of neurogenesis were reduced during this stage as well as the late post-opisthotonus stage where there was also an increase in astrocytogenesis. The diminished numbers of newly generated neurons (BrdU/NeuN co-localization) was paralleled by increased BrdU cells that did not co-localize with any of the phenotypic markers during these later stages. These data demonstrate that long-term alterations in neurogenesis and gliogenesis might contribute to the observed hippocampal dysfunction in the PTD model and human WKS.

  9. Endometrial cancer: results of clinical and histopathological staging compared to magnetic resonance imaging using an endorectal surface coil.

    Science.gov (United States)

    Brocker, Kerstin A; Alt, Céline D; Breyer, Ulrike; Hallscheidt, Peter; Sohn, Christof

    2014-04-01

    The aim of this study was to evaluate the staging accuracy of magnetic resonance imaging (MRI) with an endorectal surface coil on patients with endometrial cancer compared to results obtained using the International Federation of Gynecology and Obstetrics (FIGO) classification and histopathology. In this prospective study, patients with biopsy-proven endometrial cancer were staged clinically using the FIGO classification before undergoing 1.5 T MRI with an endorectal surface coil (eMRI). The staging results from the FIGO classification and from eMRI were compared with the histopathological results after surgery. Furthermore, each patient was given a questionnaire designed by the authors to evaluate the patients' opinions on eMRI. The responses were examined using the methods of descriptive analysis. A total of 33 consecutive patients were recruited and clinically staged before undergoing eMRI. Subsequently, 21 patients underwent primary surgery and 12 patients primary radiochemotherapy. The FIGO stages were identical to the histopathological results in 17 (81 %) cases, and those of eMRI were identical in 15 (71 %). In 13 (62 %) cases, FIGO and eMRI staged identically. In 12 (57 %) of the 21 cases, all three staging modalities diagnosed the same tumor stage. eMRI overstaged the tumor in four patients and understaged it in two. All T1a tumors were staged correctly by eMRI. Eighteen patients answered the questionnaire, of whom 11 (61 %) patients stated that their experience with eMRI was overall positive. It seems feasible in principle to employ eMRI for diagnosing patients with endometrial cancer stage T1a. Yet, the results of eMRI for our study population were not better than the results obtained using the FIGO classification or than those from using MRI without an endorectal surface coil. eMRI thus does not meet the expectations based on its use in other pelvic tumor entities.

  10. [Intellectual activity at different stages of an episode of periodic schizophrenia].

    Science.gov (United States)

    Plotnikov, V V; Tatarenko, E E

    1978-01-01

    In 44 patients with periodical forms of schizophrenia at different stages of the stereotypical acute attack, the authors performed experimental psychological tests in order to study different aspects of intellectual activity (attention, memory, special-constructive and semantic thinking). It was established that the development of attacks was accompanied by increasing disorders of voluntary attention. Depending upon the sign of dominating effects, disordered active attention was accompanied either by acceleration and lability, or by delayed and inert psychic processes. This leads to an increasing disturbances in the organization of all forms of intellectual activity, up to a total inhibition of active psychic reflection at the clinical phase of the attack. The supposition is made that these disorders are connected with the changes in the level of brain vigilance.

  11. TAX FRAUD: ASPECTS CHALLENGING LAW ENFORCEMENT AGENCIES AT THE STAGE OF INSTITUTING AN ACTION OF PROSECUTION

    Directory of Open Access Journals (Sweden)

    Elena Mihajlovna PETROSYAN

    2015-01-01

    Full Text Available The paper considered some aspects challenging experts at the stages of bringing a criminal action to court upon facts of tax cheating, i.e. fraud committed in the domain of taxation. The study reviewed for this purpose the weak points of the current legislation, arrangement and information aspects of the matter and contributed suggestions aimed at improving respective law enforcement procedures. On the basis of study carried, the author suggested stressing the position of relevant tax audit records that shall be binding for establishing circumstances being subject to evidencing because this is the matter of occupationspecific knowledge required to apply for inquiry upon every individual tax fraud. Moreover, the study has drawn attention to an urgent issue yet not solved while related to ability of tax-collecting bodies themselves to bring to light evidence specific for tax frauds. 

  12. Thrust Vector Control of an Upper-Stage Rocket with Multiple Propellant Slosh Modes

    Directory of Open Access Journals (Sweden)

    Jaime Rubio Hervas

    2012-01-01

    Full Text Available The thrust vector control problem for an upper-stage rocket with propellant slosh dynamics is considered. The control inputs are defined by the gimbal deflection angle of a main engine and a pitching moment about the center of mass of the spacecraft. The rocket acceleration due to the main engine thrust is assumed to be large enough so that surface tension forces do not significantly affect the propellant motion during main engine burns. A multi-mass-spring model of the sloshing fuel is introduced to represent the prominent sloshing modes. A nonlinear feedback controller is designed to control the translational velocity vector and the attitude of the spacecraft, while suppressing the sloshing modes. The effectiveness of the controller is illustrated through a simulation example.

  13. Treatment for end-stage renal disease: an organogenesis/tissue engineering odyssey.

    Science.gov (United States)

    Hammerman, Marc R

    2004-04-01

    The means by which kidney function can be replaced in humans with end-stage renal disease (ESRD) include dialytic therapies and renal allotransplantation. Dialysis, is lifesaving, but often poorly tolerated. Transplantation of human kidneys is limited by the availability of donor organs. During the past decades, several different approaches have been applied towards new means to replace renal function through organogenesis and tissue engineering. These include: (1) incorporation of new nephrons into the kidney; (2) growing new kidneys in situ; (3) use of stem cells; (4) generation of histocompatible tissues using nuclear transplantation; and (5) bioengineering of an artificial kidney. The development of these approaches has depended upon understanding and integrating discoveries made in a diversity of scientific disciplines. The means by which such integration has driven advances in the treatment of ESRD provides a generic roadmap for the successful application of organogenesis and tissue engineering to organ replacement therapy.

  14. Tip-Clearance Measurement in the First Stage of the Compressor of an Aircraft Engine.

    Science.gov (United States)

    García, Iker; Przysowa, Radosław; Amorebieta, Josu; Zubia, Joseba

    2016-11-11

    In this article, we report the design of a reflective intensity-modulated optical fiber sensor for blade tip-clearance measurement, and the experimental results for the first stage of a compressor of an aircraft engine operating in real conditions. The tests were performed in a ground test cell, where the engine completed four cycles from idling state to takeoff and back to idling state. During these tests, the rotational speed of the compressor ranged between 7000 and 15,600 rpm. The main component of the sensor is a tetrafurcated bundle of optical fibers, with which the resulting precision of the experimental measurements was 12 µm for a measurement range from 2 to 4 mm. To get this precision the effect of temperature on the optoelectronic components of the sensor was compensated by calibrating the sensor in a climate chamber. A custom-designed MATLAB program was employed to simulate the behavior of the sensor prior to its manufacture.

  15. Exome sequencing identifies early gastric carcinoma as an early stage of advanced gastric cancer.

    Science.gov (United States)

    Kang, Guhyun; Hwang, Woo Cheol; Do, In-Gu; Wang, Kai; Kang, So Young; Lee, Jeeyun; Park, Se Hoon; Park, Joon Oh; Kang, Won Ki; Jang, Jiryeon; Choi, Min-Gew; Lee, Jun Ho; Sohn, Tae Sung; Bae, Jae Moon; Kim, Sung; Kim, Min Ji; Kim, Seonwoo; Park, Cheol Keun; Kim, Kyoung-Mee

    2013-01-01

    Gastric carcinoma is one of the major causes of cancer-related mortality worldwide. Early detection and treatment leads to an excellent prognosis in patients with early gastric cancer (EGC), whereas the prognosis of patients with advanced gastric cancer (AGC) remains poor. It is unclear whether EGCs and AGCs are distinct entities or whether EGCs are the beginning stages of AGCs. We performed whole exome sequencing of four samples from patients with EGC and compared the results with those from AGCs. In both EGCs and AGCs, a total of 268 genes were commonly mutated and independent mutations were additionally found in EGCs (516 genes) and AGCs (3104 genes). A higher frequency of C>G transitions was observed in intestinal-type compared to diffuse-type carcinomas (P = 0.010). The DYRK3, GPR116, MCM10, PCDH17, PCDHB1, RDH5 and UNC5C genes are recurrently mutated in EGCs and may be involved in early carcinogenesis.

  16. Early stages of superplasticity and positron lifetime spectroscopy in an Al-Mg-Cu alloy

    Energy Technology Data Exchange (ETDEWEB)

    Ayciriex, M.D.; Romero, R.; Somoza, A. [Universidad Nacional del Centro de la Provincia de Buenos Aires (Argentina). Instituto de Fisica de Materiales Tandil

    1996-07-01

    In the present paper, by using positron lifetime technique, a careful study is carried out to analyze the microstructural changes induced on samples of an Al-based commercial alloy (Al-Mg-Cu-Mn-Cr) by superplastic deformation in the early stages of superplastic behavior of the alloy (strain range from 0.2% to 100%). These results are compared with those obtained on specimens only heat treated at the same temperature and for a time equivalent to the elapsed time during each tensile test, in order to evaluate the thermal contribution to the microstructural changes induced during the superplastic deformation process. Moreover, the positron results were linked with the microstructural evolution of the samples followed by means of optical microscopy and Vickers microhardness technique.

  17. Tip-Clearance Measurement in the First Stage of the Compressor of an Aircraft Engine

    Science.gov (United States)

    García, Iker; Przysowa, Radosław; Amorebieta, Josu; Zubia, Joseba

    2016-01-01

    In this article, we report the design of a reflective intensity-modulated optical fiber sensor for blade tip-clearance measurement, and the experimental results for the first stage of a compressor of an aircraft engine operating in real conditions. The tests were performed in a ground test cell, where the engine completed four cycles from idling state to takeoff and back to idling state. During these tests, the rotational speed of the compressor ranged between 7000 and 15,600 rpm. The main component of the sensor is a tetrafurcated bundle of optical fibers, with which the resulting precision of the experimental measurements was 12 µm for a measurement range from 2 to 4 mm. To get this precision the effect of temperature on the optoelectronic components of the sensor was compensated by calibrating the sensor in a climate chamber. A custom-designed MATLAB program was employed to simulate the behavior of the sensor prior to its manufacture. PMID:27845709

  18. Computer simulation of interface evolution for an Al-Li alloy during early aging stage

    Institute of Scientific and Technical Information of China (English)

    TANG Liying; WANG Yongxin; CHEN Zheng; LU Yanli; ZHANG Jianjun

    2004-01-01

    The nucleation of ordered phase was simulated based on microscopic diffusion equation and the assumptions of the classical nucleation theory were examined. The quantitative calculations of interface thickness evolution were accomplished for the first time. It was found that the interfaces between ordered phase and disordered matrix were diffuse. The interface thickness decreased with time, from the initial 1.2 nm to an equilibrium value 0.6 nm. The ratios of the radius of ordered particles and the interface thickness monotonously increased, but they were of the same order of magnitude all the time. The sharp interface assumption should not be adopted in this stage. For the Al-10%Li (atom fraction) alloy aged at 192℃, the assumptions of the classical nucleation theory disagreed with the facts. The phase transformation followed the non-classical nucleation mechanism and the applicable scope of the classical nucleation should be confined.

  19. Intravenous calcitriol therapy in an early stage prevents parathyroid gland growth

    Science.gov (United States)

    Taniguchi, Masatomo; Tokumoto, Masanori; Tsuruya, Kazuhiko; Hirakata, Hideki; Iida, Mitsuo

    2008-01-01

    Background. Both the phenotypic alterations of parathyroid (PT) cells, e.g. down-regulation of the calcium-sensing receptor, and the increase of the PT cell number in nodular hyperplasia are the main causes of refractory secondary hyperparathyroidism. It is of great importance to prevent PT growth in an early stage. Methods. To examine a more effective method of calcitriol therapy for the prevention of PT hyperplasia, we randomized haemodialysis patients with mild hyperparathyroidism to receive either daily orally administered calcitriol (n = 33) or intravenous calcitriol (n = 27) over a 12-month study period. Calcitriol was modulated so as to keep the serum intact PTH level between 100 and 150 pg/ml. Results. Both groups showed similar reductions of the serum PTH level and similar increases in serum calcium. In both groups, there were no significant changes in the serum phosphate level. Long-term daily oral calcitriol therapy failed to prevent the increase of both maximum PT volume and total volume, as assessed by ultrasonography; however, intravenous calcitriol therapy successfully suppressed this progression. In the daily, oral group, both the bone-specific alkaline phosphatase (BAP) and the N-telopeptide cross-linked of type I collagen (NTX) significantly decreased, which was probably due to the PTH suppression. However, these bone metabolism markers remained stable in the intravenous group. The total dosage of calcitriol during the study was comparable in both groups. Conclusions. These data indicate that intravenous calcitriol therapy in an early stage of secondary hyperparathyroidism is necessary to prevent PT growth and to keep a good condition of bone metabolism. PMID:18515308

  20. The role of norepinephrine and insulin resistance in an early stage of hypertension.

    Science.gov (United States)

    Penesova, Adela; Radikova, Zofia; Cizmarova, Eva; Kvetnanský, Richard; Blazicek, Pavel; Vlcek, Miroslav; Koska, Juraj; Vigas, Milan

    2008-12-01

    The interrelationship between activity of sympathetic nervous system and metabolic risk factors in youth with hypertension (HT) has been poorly studied. The aim of our present study was to assess the interrelationship between metabolic risk factors, such as insulin resistance, concentration of plasminogen activator inhibitor (PAI)-1, and catecholamines in an early stage of HT onset. An oral glucose tolerance test was performed in 17 young males with early-diagnosed nontreated HT grade 1 and 16 gender-, age-, and BMI-matched normotensive controls. Concentrations of glucose, insulin, epinephrine, norepinephrine, PAI-1, and plasma renin activity (PRA) were determined in venous plasma. Insulin sensitivity indices (ISIs) proposed by Cederholm, Matsuda, and Gutt were calculated. HT had higher baseline levels of norepinephrine, insulin (P= 0.02), and PAI-1 (P= 0.04). ISIs were lower in HT subjects (P < 0.001). Baseline concentrations of epinephrine were negatively associated with HDL cholesterol (r=-0.415, P= 0.02), ISI Matsuda (r=-0.361, P= 0.04), ISI Cederholm (r=-0.354, P= 0.04), and ISI Gutt (r=-0.429, P= 0.01), and positively with PRA (r= 0.609, P < 0.0001). Positive association was found between baseline concentrations of norepinephrine and PAI-1 (r= 0.418, P= 0.02). The sympathetic overactivity, which occurs in the early stage of HT may contribute to reduced insulin sensitivity even in young patients and intensify the undesirable development of metabolic cardiovascular risk factors and progress of the disease.

  1. Modeling screening, prevention, and delaying of Alzheimer's disease: an early-stage decision analytic model

    Directory of Open Access Journals (Sweden)

    Siemers Eric R

    2010-04-01

    Full Text Available Abstract Background Alzheimer's Disease (AD affects a growing proportion of the population each year. Novel therapies on the horizon may slow the progress of AD symptoms and avoid cases altogether. Initiating treatment for the underlying pathology of AD would ideally be based on biomarker screening tools identifying pre-symptomatic individuals. Early-stage modeling provides estimates of potential outcomes and informs policy development. Methods A time-to-event (TTE simulation provided estimates of screening asymptomatic patients in the general population age ≥55 and treatment impact on the number of patients reaching AD. Patients were followed from AD screen until all-cause death. Baseline sensitivity and specificity were 0.87 and 0.78, with treatment on positive screen. Treatment slowed progression by 50%. Events were scheduled using literature-based age-dependent incidences of AD and death. Results The base case results indicated increased AD free years (AD-FYs through delays in onset and a reduction of 20 AD cases per 1000 screened individuals. Patients completely avoiding AD accounted for 61% of the incremental AD-FYs gained. Total years of treatment per 1000 screened patients was 2,611. The number-needed-to-screen was 51 and the number-needed-to-treat was 12 to avoid one case of AD. One-way sensitivity analysis indicated that duration of screening sensitivity and rescreen interval impact AD-FYs the most. A two-way sensitivity analysis found that for a test with an extended duration of sensitivity (15 years the number of AD cases avoided was 6,000-7,000 cases for a test with higher sensitivity and specificity (0.90,0.90. Conclusions This study yielded valuable parameter range estimates at an early stage in the study of screening for AD. Analysis identified duration of screening sensitivity as a key variable that may be unavailable from clinical trials.

  2. Care during the third stage of labour: obstetricians views and practice in an Albanian maternity hospital

    Directory of Open Access Journals (Sweden)

    Dokle Anika

    2010-01-01

    Full Text Available Abstract Background Relatively little is known about current practice during the third stage of labour in low and middle income countries. We conducted a survey of attitudes and an audit of practice in a large maternity hospital in Albania. Methods Survey of 35 obstetricians and audit of practice during the third stage was conducted in July 2008 at a tertiary referral hospital in Tirana. The survey questionnaire was self completed. Responses were anonymous. For the audit, information collected included time of administration of the uterotonic drug, gestation at birth, position of the baby before cord clamping, cord traction, and need for resuscitation. Results 77% (27/35 of obstetricians completed the questionnaire, of whom 78% (21/27 reported always or usually using active management, and 22% (6/27 always or usually using physiological care. When using active management: 56% (15/27 gave the uterotonic after cord clamping; intravenous oxytocin was almost always the drug used; and 71% (19/27 clamped the cord within one minute. For physiological care: 42% (8/19 clamped the cord within 20 seconds, and 96% (18/19 within one minute. 93% would randomise women to a trial of early versus late cord clamping. Practice was observed for 156 consecutive births, of which 26% (42/156 were by caesarean section. A prophylactic uterotonic was used for 87% (137/156: this was given after cord clamping for 55% (75/137, although timing of administration was not recorded for 21% (29/137. For 85% of births (132/156 cord clamping was within 20 seconds, and for all babies it was within 50 seconds. Controlled cord traction was used for 49% (76/156 of births. Conclusions Most obstetricians reported always or usually using active management for the third stage of labour. For timing and choice of the uterotonic drug, reported practice was similar to actual practice. Although some obstetricians reported they waited longer than one minute before clamping the cord, this was not

  3. Stage line diagram: An age-conditional reference diagram for tracking development

    NARCIS (Netherlands)

    Buuren, S. van; Ooms, J.C.L.

    2009-01-01

    This paper presents a method for calculating stage line diagrams, a novel type of reference diagram useful for tracking developmental processes over time. Potential fields of applications include: dentistry (tooth eruption), oncology (tumor grading, cancer staging), virology (HIV infection and disea

  4. Evidences for viral strain selection in late stages of HIV infection: an analysis of Vpu alleles.

    Science.gov (United States)

    Gondim, Marcos Vinícius Pereira; da Silva, Joaquim Xavier; Prosdocimi, Francisco; Leonardecz-Neto, Eduardo; Franco, Octávio Luiz; Argañaraz, Enrique Roberto

    2012-02-01

    One of the most studied topics about AIDS disease is the presence of different progression levels in patients infected by HIV. Several studies have shown that this progression is directly associated with host genetics, although viral factors are also known to play a role. Here we explore the contribution of Vpu protein in the evolution of viral population. The sequence variation of Vpu was analyzed during HIV infection in peripheral blood monocyte cells of 12 patients in different clinical stages of HIV-1 infection early and late stages of infections, separated by at least 4 years. The clustering analysis of Vpu sequences showed higher diversity of early alleles, non-random distribution of sequences, and viral evolution strains selection. Forty-two amino acid modifications were found in the multiple alignments of the 57 different alleles found for early stage were 23 modifications were found in the late stage dataset. Interestingly fourteen alteration of early stage were located in conserved site related with Vpu functions alterations while these alterations appear with less frequency in the late stage of infection. Moreover, late stage alleles tend to be similar with the Vpu wild type sequence, suggesting viral selection toward populations harboring more efficient variants during the course of infection. This would contribute to higher infectivity and viral replication actually observed at the aggressive late stages of infection. These data, in conjunction with in vitro experiments, will be important to elucidation of the physiological relevance of Vpu protein in the pathogenic mechanisms of AIDS.

  5. Stage line diagram: an age-conditional reference diagram for tracking development.

    NARCIS (Netherlands)

    Van Buuren, S.; Ooms, J.C.L.

    2009-01-01

    This paper presents a method for calculating stage line diagrams, a novel type of reference diagram useful for tracking developmental processes over time. Potential fields of applications include: dentistry (tooth eruption), oncology (tumor grading, cancer staging), virology (HIV infection and disea

  6. Stage line diagram: an age-conditional reference diagram for tracking development.

    NARCIS (Netherlands)

    Van Buuren, S.; Ooms, J.C.L.

    2009-01-01

    This paper presents a method for calculating stage line diagrams, a novel type of reference diagram useful for tracking developmental processes over time. Potential fields of applications include: dentistry (tooth eruption), oncology (tumor grading, cancer staging), virology (HIV infection and disea

  7. Building performance simulation in the early design stage: An introduction to integrated dynamic models

    DEFF Research Database (Denmark)

    Negendahl, Kristoffer

    2015-01-01

    Designing with building performance simulation feedback in the early design stage has existed since the early days of computational modeling. However, as a consequence of a fragmented building industry building performance simulations (BPSs) in the early design stage are closely related to who is...

  8. Adjuvant radiotherapy for stage I endometrial cancer: an updated Cochrane systematic review and meta-analysis.

    Science.gov (United States)

    Kong, Anthony; Johnson, Nick; Kitchener, Henry C; Lawrie, Theresa A

    2012-11-07

    The role of adjuvant radiotherapy in stage I endometrial cancer has changed in recent years. This updated Cochrane systematic review aimed to reexamine the efficacy and toxicity of adjuvant radiotherapy vs no treatment in stage I endometrial cancer. We searched various databases including The Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, and the Specialised Register of the Cochrane Gynaecological Cancer Review Group (CGCRG) for randomized controlled trials that met the predefined inclusion criteria. The primary outcome was overall survival (OS); secondary outcomes were endometrial cancer-specific survival, locoregional recurrence, distant recurrence, and toxicity. Hazard ratios (HRs) were estimated and pooled if possible; otherwise, dichotomous data were extracted. All statistical tests were two-sided. Of the eight included trials, seven trials (3628 women) compared external beam radiotherapy (EBRT) and no EBRT (or vaginal brachytherapy [VBT]), and one trial (645 women) compared VBT and no additional treatment. EBRT statistically significantly reduced locoregional recurrence compared with no EBRT (or VBT alone) (HR = 0.36, 95% confidence Interval [CI] = 0.25 to 0.52; P endometrial cancer-specific survival (HR = 0.96, 95% CI = 0.72 to 1.28; P = .80), or distant recurrence rates (risk ratio = 1.04, 95% CI = 0.80 to 1.35; P = .77). EBRT was associated with an increased risk of severe acute toxicity, severe late toxicity, and reduced quality of life scores. EBRT reduces the risk of locoregional recurrence but has no statistically significant impact on cancer-related deaths or OS. However, EBRT is associated with clinically and statistically significant morbidity and a reduction in quality of life.

  9. Sildenafil and an early stage of chronic hypoxia-induced pulmonary hypertension in newborn piglets.

    Science.gov (United States)

    Binns-Loveman, Karen M; Kaplowitz, Mark R; Fike, Candice D

    2005-07-01

    Devising therapies that might prevent the onset or progression of pulmonary hypertension in newborns has received little attention. Our major objective was to determine whether sildenafil, a selective phosphodiesterase inhibitor, prevents the development of an early stage of chronic hypoxia-induced pulmonary hypertension in newborn pigs. Another objective was to determine whether sildenafil causes pulmonary vasodilation without systemic vasodilation in piglets with chronic pulmonary hypertension. Piglets were raised in room air (control, n = 5) or 10-11% O(2) (hypoxic, n = 17) for 3 days. Some piglets (n = 4) received oral sildenafil, 12 mg/kg/day, throughout exposure to hypoxia. All piglets were anesthetized and catheterized, and pulmonary arterial pressure (Ppa), pulmonary wedge pressure (Pw), aortic pressure (Ao), and cardiac output (CO) were measured. Then for some piglets raised in hypoxia for 3 days, a single oral sildenafil dose (3 mg/kg, n = 6) or placebo (n = 5) was given, and hemodynamic measurements were repeated. For piglets raised in hypoxia for 3 days, mean Ppa and calculated PVR were elevated above respective values in control piglets. Mean Ppa and PVR did not differ between piglets that received sildenafil throughout exposure to hypoxia and those that did not. For piglets with chronic hypoxia-induced pulmonary hypertension that received a single oral dose of sildenafil, mean Ppa and PVR decreased, while mean Pw, CO, mean Ao, and systemic vascular resistance remained the same. All hemodynamic measurements were unchanged after placebo. Oral sildenafil did not influence the early stage of chronic hypoxia-induced pulmonary hypertension in newborn piglets. However, a single oral dose of sildenafil caused pulmonary vasodilation, without systemic vasodilation, in piglets with chronic hypoxia-induced pulmonary hypertension, which may have therapeutic implications.

  10. Astronomical forcing of an exceptionally long Sahel wet phase during Marine Isotope Stage 11c

    Science.gov (United States)

    Prange, Matthias; Rachmayani, Rima; Schulz, Michael

    2016-04-01

    Increased rainfall and expanded vegetation over North Africa during the early-to-mid Holocene was related to an intensified West African monsoon and a northward displacement of the monsoon trough triggered by astronomical forcing. Similar wet phases are evidenced for earlier interglacials including Marine Isotope Stage (MIS) 11c (ca. 425-395 ka before present). We performed a series of time slice simulations using the comprehensive coupled climate model CCSM3 including a dynamic vegetation module in order to examine the dynamics of the MIS 11c humid period. Proxy records from a marine sediment core site off Northwest Africa suggest an extremely long Sahel/Sahara wet phase during MIS 11c between ca. 420 and 405 ka ago, revealing that North African rainfall changes did not simply follow local summer insolation. Instead, the climate model simulations suggest an important role of the obliquity-driven intra-hemispheric insolation gradient in forcing Sahelian rainfall changes. The specific phasing between precession and obliquity during the MIS 11c interglacial resulted in the exceptionally long wet phase in the Sahel region. The early part of this wet phase was primarily induced by northern-hemispheric differential warming in response to maximum obliquity around 416 ka before present. As such, this interval may well serve as an analog for potential future Sahel rainfall increase induced by strong northern hemisphere extratropical warming.

  11. An Adaptive Two-Stage BPNN–DCT Image Compression Technique

    Directory of Open Access Journals (Sweden)

    Dr. Tarun Kumar

    2014-05-01

    Full Text Available Neural Networks offer the potential for providing a novel solution to the problem of data compression by its ability to generate an internal data representation. This network, which is an application of back propagation network, accepts a large amount of image data, compresses it for storage or transmission, and subsequently restores it when desired. A new approach for reducing training time by reconstructing representative vectors has also been proposed. Performance of the network has been evaluated using some standard real world images. Neural networks can be trained to represent certain sets of data. After decomposing an image using the Discrete Cosine Transform (DCT, a two stage neural network may be able to represent the DCT coefficients in less space than the coefficients themselves. After splitting the image and the decomposition using several methods, neural networks were trained to represent the image blocks. By saving the weights and bias of each neuron, by using the Inverse DCT (IDCT coefficient mechanism an image segment can be approximately recreated. Compression can be achieved using neural networks. Current results have been promising except for the amount of time needed to train a neural network. One method of speeding up code execution is discussed. However, plenty of future research work is available in this area it is shown that the development architecture and training algorithm provide high compression ratio and low distortion while maintaining the ability to generalize and is very robust as well

  12. Development of an innovative sandwich common bulkhead for cryogenic upper stage propellant tank

    Science.gov (United States)

    Szelinski, B.; Lange, H.; Röttger, C.; Sacher, H.; Weiland, S.; Zell, D.

    2012-12-01

    In the frame of the Future Launcher Preparatory Program (FLPP) investigating advancing technologies for the Next Generation of Launchers (NGL) a number of novel key technologies are presently under development for significantly improving vehicle performance in terms of payload capacity and mission versatility. As a respective ESA guided technology development program, Cryogenic Upper Stage Technologies (CUST) has been launched within FLPP that hosts among others the development of a common bulkhead to separate liquid hydrogen from the liquid oxygen compartment. In this context, MT Aerospace proposed an advanced sandwich design concept which is currently in the development phase reaching for TRL4 under MT Aerospace responsibility. Key components of this sandwich common bulkhead are a specific core material, situated in-between two thin aluminum face sheets, and an innovative thermal decoupling element at the equatorial region. The combination of these elements provides excellent thermal insulation capabilities and mechanical performance at a minimum weight, since mechanical and thermal functions are merged in the same component. This improvement is expressed by substantial performance figures of the proposed concept that include high resistance against reverse pressure, an optimized heat leak and minimized mass, involving the sandwich dome structure and the adjacent interface rings. The development of single sub-technologies, all contributing to maturate the sandwich common bulkhead towards the desired technology readiness level (TRL), is described in the context of the given design constraints as well as technical, functional and programmatic requirements, issued from the stage level. This includes the thermal and mechanical characterization of core materials, manufacturing issues as well as non-destructive testing and the thermal and structural analyses and dimensioning of the complete common bulkhead system. Dedicated TRL assessments in the Ariane 5 Mid

  13. Aortic root aneurysm in an adult patient with aortic coarctation: a single-stage approach.

    Science.gov (United States)

    Ananiadou, Olga G; Koutsogiannidis, Charilaos; Ampatzidou, Fotini; Drossos, George E

    2012-09-01

    Coarctation of the aorta is a common congenital defect that may be undiagnosed until adulthood. Moreover, coarctation is associated with congenital and acquired cardiac pathology that may require surgical intervention. The management of an adult patient with aortic coarctation and an associated cardiac defect poses a great technical challenge since there are no standard guidelines for the therapy of such a complex pathology. Several extra-anatomic bypass grafting techniques have been described, including methods in which distal anastomosis is performed on the descending thoracic aorta, allowing simultaneous intracardiac repair. We report here a 37-year old man who was diagnosed with an aortic root aneurysm and aortic coarctation. The patient was treated electively with a single-stage approach through a median sternotomy that consisted of valve-sparing replacement of the aortic root and ascending-to-descending extra-anatomic aortic bypass, using a 18-mm Dacron graft. Firstly, the aortic root was replaced with the Yacoub remodelling procedure, and then the distal anastomosis was performed to the descending aorta, behind the heart, with the posterior pericardial approach. The extra-anatomic bypass graft was brought laterally from the right atrium and implanted in the ascending graft. Postoperative recovery was uneventful and a control computed tomographic angiogram 1 month after complete repair showed good results.

  14. An elliptical-pore model for late-stage planar viscous sintering

    Science.gov (United States)

    Crowdy, Darren G.

    2004-02-01

    A simple ‘elliptical-pore model’ of the shrinkage of compressible pores in late-stage planar viscous sintering is proposed. The model is in the spirit of matched asymptotics and relies on splitting the flow into an ‘inner’ and ‘outer’ problem. The inner problem in the vicinity of any given pore involves solving for its free-surface evolution exactly using complex-variable methods. The outer flow due to all other pores is assumed to be given by an assembly of point sinks/sources. As a test of the model, the evolution of a singly infinite periodic row of compressible pores is considered in detail. The effectiveness of the simple model is tested by comparison with a full numerical simulation. A novel boundary integral method based on Cauchy potentials and conformal mapping is used. In the case of pores with constant pressure, it is found that pores shrink faster than if in isolation. Compressible pores obeying the ideal gas law are also studied and are found to tend to a quasi-steady non-circular state. A higher-order model is also presented and compared with numerical simulations of the viscous sintering of a doubly periodic array of pores in Stokes flow.

  15. Two-stage liver transplantation: an effective procedure in urgent conditions.

    Science.gov (United States)

    Montalti, Roberto; Busani, Stefano; Masetti, Michele; Girardis, Massimo; Di Benedetto, Fabrizio; Begliomini, Bruno; Rompianesi, Gianluca; Rinaldi, Laura; Ballarin, Roberto; Pasetto, Alberto; Gerunda, Giorgio E

    2010-01-01

    Temporary portocaval shunt and total hepatectomy is a technique used in the presence of toxic liver syndrome because of fulminant hepatic failure, hepatic trauma, primary non-function (PNF), and eclampsia. We performed this technique on four patients. An indication for anhepatic state was severe hemodynamic instability in three of them. Etiologies of these three patients were as follows: PNF after liver transplantation, ischemic hepatitis after right hepatic artery embolization, and massive reperfusion syndrome during a liver transplantation. In the fourth patient, during the liver transplantation when hepatic artery was ligated, a kidney carcinoma in the donor graft was discovered. We decided to complete the hepatectomy and to construct a temporary portocaval shunt. Mean anhepatic phases were 19 h and 15 min. All patients survived the two-stage liver transplantation procedure without major complications. Our cases demonstrated that temporary portocaval shunt while awaiting urgent liver transplantation could be an effective "bridge" in selected patients who develop toxic liver syndrome; however, a short time between portocaval shunt and transplantation and careful intensive care managements are mandatory.

  16. AN INTEGRATED MODEL FOR MANAGING INNOVATION IN THE EARLY STAGES OF NEW PRODUCT DEVELOPMENT IN SMES(RIKON Group)

    OpenAIRE

    Flinders, Clare; Lynch, Patrick; Holden, Mary T.

    2009-01-01

    This paper centralises the management of innovation in the early stages of the new product development (NPD) process. The purpose of this paper is to describe the critical episodes that enabled an SME to successfully manage the development of new product concepts from inception and, in so doing, presents implementable guidelines that can be used by SMEs to manage the delivery of creative and attractive new product concepts in the early stages of NPD. Action research was used to conduct a thre...

  17. AN INTEGRATED MODEL FOR MANAGING INNOVATION IN THE EARLY STAGES OF NEW PRODUCT DEVELOPMENT IN SMES(RIKON Group)

    OpenAIRE

    Flinders, Clare; Lynch, Patrick; Holden, Mary T.

    2009-01-01

    This paper centralises the management of innovation in the early stages of the new product development (NPD) process. The purpose of this paper is to describe the critical episodes that enabled an SME to successfully manage the development of new product concepts from inception and, in so doing, presents implementable guidelines that can be used by SMEs to manage the delivery of creative and attractive new product concepts in the early stages of NPD. Action research was used to conduct a thre...

  18. Analysing outsourcing policies in an asset management context: a six-stage model

    OpenAIRE

    Schoenmaker, R.; Verlaan, J.G.

    2013-01-01

    Asset managers of civil infrastructure are increasingly outsourcing their maintenance. Whereas maintenance is a cyclic process, decisions to outsource decisions are often project-based, and confusing the discussion on the degree of outsourcing. This paper presents a six-stage model that facilitates the top-down discussion for analysing the degree of outsourcing maintenance. The model is based on the cyclic nature of maintenance. The six-stage model can: (1) give clear statements about the pre...

  19. Impacts of Greening Materials and Seed Pretreatment on Vegetation Development at an initial stage

    Science.gov (United States)

    Obriejetan, Michael

    2015-04-01

    Slope protection using greening measures as an integral part of soil-bioengineering is characterized by an increasing demand in research and practice. However, successful greening is a very complex issue due to the vast variety in specific slope characteristics such as morphology, soil properties and environmental factors. Because of practical experience in the greening of slopes and the results of further investigations in small-scale tests, it can be stated that the use of appropriate planting techniques, the quality of the materials used and the proper implementation of potential needed auxiliary materials at difficult locations are seen as key success criteria for sustainable vegetation development. Within this framework small-scale testing series were conducted regarding the influence of specific soil-properties, the use of auxiliary greening materials (fertilizer, mycorrhiza fungi, Bonded fiber matrix (BFM)…), application of different seed-pretreatment methods and influences of specific environmental factors (inclination, seeding depth) on vegetational development in an early phase. The aim of the series is to quantitatively and thus economically optimize the use of different greening-components and seed mixtures for practical application, while ensuring optimal development of vegetation. To quantify the influence of the treatment systems, vegetation cover ratio, biomass production (aboveground and belowground) and the germination of plant seeds served as main criteria for assessing the development in an initial stage. Selected findings for instance show that the admixture of mycorrhiza fungi can increase the cover ratio up to 23 % compared to untreated plots. In addition, pretreatment of seeds showed distinct effects too by shortening germination phase and increasing the capability of producing a higher amount of healthy sprouts. From a bioengineering perspective the results will serve as potential decisive advantage for successful implementation of

  20. Three stages of emotional word processing: an ERP study with rapid serial visual presentation.

    Science.gov (United States)

    Zhang, Dandan; He, Weiqi; Wang, Ting; Luo, Wenbo; Zhu, Xiangru; Gu, Ruolei; Li, Hong; Luo, Yue-Jia

    2014-12-01

    Rapid responses to emotional words play a crucial role in social communication. This study employed event-related potentials to examine the time course of neural dynamics involved in emotional word processing. Participants performed a dual-target task in which positive, negative and neutral adjectives were rapidly presented. The early occipital P1 was found larger when elicited by negative words, indicating that the first stage of emotional word processing mainly differentiates between non-threatening and potentially threatening information. The N170 and the early posterior negativity were larger for positive and negative words, reflecting the emotional/non-emotional discrimination stage of word processing. The late positive component not only distinguished emotional words from neutral words, but also differentiated between positive and negative words. This represents the third stage of emotional word processing, the emotion separation. Present results indicated that, similar with the three-stage model of facial expression processing; the neural processing of emotional words can also be divided into three stages. These findings prompt us to believe that the nature of emotion can be analyzed by the brain independent of stimulus type, and that the three-stage scheme may be a common model for emotional information processing in the context of limited attentional resources. © The Author (2014). Published by Oxford University Press. For Permissions, please email: journals.permissions@oup.com.

  1. Proteome analysis of soybean roots under waterlogging stress at an early vegetative stage.

    Science.gov (United States)

    Alam, Iftekhar; Lee, Dong-Gi; Kim, Kyung-Hee; Park, Choong-Hoon; Sharmin, Shamima Akhtar; Lee, Hyoshin; Oh, Ki-Won; Yun, Byung-Wook; Lee, Byung-Hyun

    2010-03-01

    To gain better insight into how soybean roots respond to waterlogging stress, we carried out proteomic profiling combined with physiological analysis at two time points for soybean seedlings in their early vegetative stage. Seedlings at the V2 stage were subjected to 3 and 7 days of waterlogging treatments. Waterlogging stress resulted in a gradual increase of lipid peroxidation and in vivo H2O2 level in roots. Total proteins were extracted from root samples and separated by two-dimensional gel electrophoresis (2-DE). A total of 24 reproducibly resolved, differentially expressed protein spots visualized by Coomassie brilliant blue (CBB) staining were identified by matrix assisted laser desorption ionization time-of-flight (MALDI-TOF) mass spectrometry or electrospray ionization tandem mass spectrometry (ESI-MS/MS) analysis. Of these, 14 proteins were upregulated; 5 proteins were decreased; and 5 were newly induced in waterlogged roots. The identified proteins include well-known classical anaerobically induced proteins as well as novel waterlogging-responsive proteins that were not known previously as being waterlogging responsive. The novel proteins are involved in several processes, i.e. signal transduction, programmed cell death, RNA processing, redox homeostasis and metabolisms of energy. An increase in abundance of several typical anaerobically induced proteins, such as glycolysis and fermentation pathway enzymes, suggests that plants meet energy requirement via the fermentation pathway due to lack of oxygen. Additionally, the impact of waterlogging on the several programmed cell death- and signal transduction-related proteins suggest that they have a role to play during stress. RNA gel blot analysis for three programmed cell death-related genes also revealed a differential mRNA level but did not correlate well with the protein level. These results demonstrate that the soybean plant can cope with waterlogging through the management of carbohydrate consumption

  2. Proteome analysis of soybean roots under waterlogging stress at an early vegetative stage

    Indian Academy of Sciences (India)

    Iftekhar Alam; Dong-Gi Lee; Kyung-Hee Kim; Choong-Hoon Park; Shamima Akhtar Sharmin; Hyoshin Lee; Ki-Won Oh; Byung-Wook Yun; Byung-Hyun Lee

    2010-03-01

    To gain better insight into how soybean roots respond to waterlogging stress, we carried out proteomic profiling combined with physiological analysis at two time points for soybean seedlings in their early vegetative stage. Seedlings at the V2 stage were subjected to 3 and 7 days of waterlogging treatments. Waterlogging stress resulted in a gradual increase of lipid peroxidation and in vivo H2O2 level in roots. Total proteins were extracted from root samples and separated by two-dimensional gel electrophoresis (2-DE). A total of 24 reproducibly resolved, differentially expressed protein spots visualized by Coomassie brilliant blue (CBB) staining were identified by matrix assisted laser desorption ionization time-of-flight (MALDI-TOF) mass spectrometry or electrospray ionization tandem mass spectrometry (ESI-MS/MS) analysis. Of these, 14 proteins were upregulated; 5 proteins were decreased; and 5 were newly induced in waterlogged roots. The identified proteins include well-known classical anaerobically induced proteins as well as novel waterlogging-responsive proteins that were not known previously as being waterlogging responsive. The novel proteins are involved in several processes, i.e. signal transduction, programmed cell death, RNA processing, redox homeostasis and metabolisms of energy. An increase in abundance of several typical anaerobically induced proteins, such as glycolysis and fermentation pathway enzymes, suggests that plants meet energy requirement via the fermentation pathway due to lack of oxygen. Additionally, the impact of waterlogging on the several programmed cell death- and signal transduction-related proteins suggest that they have a role to play during stress. RNA gel blot analysis for three programmed cell death-related genes also revealed a differential mRNA level but did not correlate well with the protein level. These results demonstrate that the soybean plant can cope with waterlogging through the management of carbohydrate consumption

  3. Model based design of an intercooled dual stage sliding vane rotary compressor system

    Science.gov (United States)

    Cipollone, Roberto; Bianchi, Giuseppe; Di Battista, Davide; Contaldi, Giulio; Murgia, Stefano

    2015-08-01

    Energy saving is currently one of the most important driving factors for innovation all over the world. With reference to global electricity consumptions, electrical energy for compressed air production accounts for 4-5%. Among the rotary compressor technologies, Sliding Vane Rotary Compressors (SVRC) are characterized by noteworthy specific energy consumptions and demonstrated an unforeseen energy saving potential thanks to some intrinsic features specifically related to this kind of machines. The paper presents a further reduction strategy to lower energy consumptions in compressed air systems using SVRCs that relies on the combination of the recent use of a pressure swirled oil injection technology and a dual stage intercooling. The synergy between technologies already mature approaches to the lowest energy consumption and candidates SVRCs as superior machines in the energy context. The saving potential compared to the technology at the state of the art was evaluated thanks to a comprehensive mathematical modeling of the two compressor sections and the intercooling heat exchanger and fan. Results showed a reduction of the electrical power required to drive the compressor system up to 9.5%. The overall approach represents a model-based design for a new machine which is under development.

  4. Exome sequencing identifies early gastric carcinoma as an early stage of advanced gastric cancer.

    Directory of Open Access Journals (Sweden)

    Guhyun Kang

    Full Text Available Gastric carcinoma is one of the major causes of cancer-related mortality worldwide. Early detection and treatment leads to an excellent prognosis in patients with early gastric cancer (EGC, whereas the prognosis of patients with advanced gastric cancer (AGC remains poor. It is unclear whether EGCs and AGCs are distinct entities or whether EGCs are the beginning stages of AGCs. We performed whole exome sequencing of four samples from patients with EGC and compared the results with those from AGCs. In both EGCs and AGCs, a total of 268 genes were commonly mutated and independent mutations were additionally found in EGCs (516 genes and AGCs (3104 genes. A higher frequency of C>G transitions was observed in intestinal-type compared to diffuse-type carcinomas (P = 0.010. The DYRK3, GPR116, MCM10, PCDH17, PCDHB1, RDH5 and UNC5C genes are recurrently mutated in EGCs and may be involved in early carcinogenesis.

  5. Biological treatment of whey in an UASFF bioreactor following a three-stage RBC

    Directory of Open Access Journals (Sweden)

    Atiye Ebrahimi

    2010-07-01

    Full Text Available Biological treatment of a high strength chesses whey wastewater was investigated in a series of aerobic-anaerobic experiments. The aerobic treatment of the wastewater was conducted in a three-stage rotating biological contactor (NRBC, while the anaerobic process was performed in an up-flow anaerobic sludge fixed film (UASFF bioreactor. Various concentrations of wastewater with influent COD of 40 to 70 g/L were introduced into the NRBC system. Treatability of the samples at various HRTs of 8, 12 and 16 h was evaluated in the NRBC reactor. The effluent streams of the NRBC system were introduced into a UASFF bioreactor. The anaerobic treatment of pretreated samples was investigated in the UASFF at the same HRTs of 8, 12 and 16 h. The obtained results revealed that more than 53, 69 and 78% of the influent COD (50 g/L were removed in the NRBC reactor at HRTs of 8, 12 and 16 h, respectively. Maximum COD removal efficiencies of 96, 96.8, 97.4 and 96.4% were achieved in the combined systems at total HRT of 32 h for the influent COD of 40, 50, 60 and 70 g/L, respectively.

  6. DESIGN AND CONTROL OF AN ULTRAPRECISION STAGE USED IN GRATING TILING

    Institute of Scientific and Technical Information of China (English)

    WANG Yong; LIU Zhigang; BO Feng; ZHU Jianqiang

    2007-01-01

    In petawatt laser system, the gratings used to compose pulse compressor are very large in size which can be only acquired currently by arraying small aperture gratings to form a large one instead, an approach referred to as grating tiling. Theory and experiments have demonstrated that the coherent addition of multiple small gratings to form a larger grating is viable, the key technology of which is to control the relative position and orientation of each grating with high precision. According to the main factors that affect the performance of the grating tiling, a 5-DOF ultraprecision stage is developed for the grating tiling experiment. The mechanism is formed by serial structures. The motion of the mechanism is guided by flexure hinges and driven by piezoelectric actuators and the movement resolution of which can achieve nanometer level. To keep the stability of the mechanism, capacitive position sensors with nanometer accuracy are fixed on it to provide feedback signals with which to realize closed-loop control, thus the positioning precision of the mechanism is within several nanometers range through voltage control and digital PID algorithm. Results of experiments indicate that the performance of the mechanism can meet the requirement of precision for grating tiling.

  7. [Operations on carotid arteries in an acute stage of ischaemic stroke].

    Science.gov (United States)

    Ignat'ev, I M

    2011-01-01

    presenting in an acute stage of ischaemic stroke, with appropriate observance of the strict indications for the intervention.

  8. Two-stage implant-based breast reconstruction compared with immediate one-stage implant-based breast reconstruction augmented with an acellular dermal matrix : An open-label, phase 4, multicentre, randomised, controlled trial

    NARCIS (Netherlands)

    Dikmans, Rieky E. G.; Negenborn, Vera L.; Bouman, Mark-Bram; Winters, Hay A. H.; Twisk, Jos W. R.; Ruhe, P. Quinten; Mureau, Marc A M; Smit, J.M.; Tuinder, Stefania; Eltahir, Yassir; Posch, Nicole A.; van Steveninck-Barends, Josephina M.; Meesters-Caberg, Marleen A.; van der Hulst, Rene R. W. J.; Ritt, Marco J. P. F.; Mullender, Margriet G.

    Background The evidence justifying the use of acellular dermal matrices (ADMs) in implant-based breast reconstruction (IBBR) is limited. We did a prospective randomised trial to compare the safety of IBBR with an ADM immediately after mastectomy with that of two-stage IBBR. Methods We did an

  9. Fine structure of dental epithelial cells and the enameloid during the enameloid formation stages in an elasmobranch, Heterodontus japonicus.

    Science.gov (United States)

    Sasagawa, I

    1999-11-01

    The structural features of the dental epithelial cells and the enameloid in tooth germs of the Japanese Port Jackson shark, Heterodontus japonicus, in the stages of enameloid formation, were investigated by light and transmission electron microscopy. At the enameloid matrix-formation stage, tall columnar inner dental epithelial cells contained large numbers of glycogen particles. At the enameloid mineralization stage, when many sharply outlined crystals appeared throughout the enameloid, the inner dental epithelial cells exhibited well-developed Golgi apparatuses and many mitochondria in the proximal cytoplasm, and abundant vesicles and vacuoles in the distal cytoplasm. Marked interdigitations of the lateral membrane were visible in the inner dental epithelial cells. The outer dental epithelial cells contained many mitochondria, lysosomal bodies, vesicles and microtubules, and the capillaries usually approached the outer dental epithelial cells. At the enameloid maturation stage, large numbers of crystals occupied the enameloid, and most of the organic matrix had disappeared from the enameloid area after demineralization. The organelles in the inner and outer dental epithelial cells decreased in number, but there were still widely distributed Golgi apparatuses, abundant intermediate filaments and granules containing an electron-dense substance in the inner dental epithelial cells. It is probable that the dental epithelial cells are involved in the removal of organic matrix from the enameloid and in the process of mineralization at the later stages of enameloid formation, i.e., the mineralization and the maturation stages.

  10. Evaluating Changes In Fertility Status Of An Alfisol Under Different Growth Stages Of Cassava Manihot Esculenta Crantz

    Directory of Open Access Journals (Sweden)

    B. Osundare

    2015-02-01

    Full Text Available Abstract Evaluating changes in soil nutrient status under different growth stages of cassava makes possible determination of the most critical stage in its vegetative growth phase when its demand for nutrients is highest. Determining the most critical stage in cassava vegetative growth phase when its nutrient demand is highest will enhance properly timed fertilizer application in such a way the application will coincide with the most critical stage in cassava vegetative phase when its demand for nutrients is highest. In view of this a two year field experiment was designed to assess changes in nutrient status of an Alfisol under different growth stages of cassava during 2010 and 2011 cropping seasons at the Teaching and Research Farm of the Ekiti State University Ado Ekiti Ekiti State Nigeria. The experiment was laid out in a randomized complete block design with three replicates. The different growth stages of cassava when changes in nutrient status of Alfisol were evaluated included 3 6 9 and 12 months after planting MAP. The results indicated existence of significant P 0.05 differences among the different growth stages of cassava as regards their effects on chemical properties of Alfisol. During 2010 cropping season the significant decreases in soil organic carbon SOC under growth stages of cassava were from 0.96 g kg-1 for ISNSPTC to 0.88 0.80 0.72 and0.64 g kg-1 for ages 3 6 9 and 12 MAP respectively. Similarly during 2011 cropping season the significant decreases in soil organic carbon SOC under growth stages of cassava were from 0.96 g kg-1 for ISNSPTC to 0.80 0.73 0.66 and0.58 g kg-1 for ages 3 6 9 and 12 MAP respectively. During 2010 cropping season the significant decreases in total N under growth stages of cassava were from 0.68 g kg-1 for ISNSPTC to 0.57 0.50 0.43 and0.35 g kg-1 for ages 3 6 9 and 12 MAP respectively. During 2011 cropping season the significant decreases in total N under growth stages of cassava were from 0.68 g kg-1

  11. [Hypospadias with chordee one-stage operation. An original procedure (author's transl)].

    Science.gov (United States)

    Babut, J M; Allouis, M; Paul, J L

    1980-01-01

    The common management of hypospadias involves the chordee correction before reconstructing the urethra; then staging of operative cure is so often necessary. This inconvenience is avoided by neglecting some moderate chordees as it was recorded by the authors in their own retrospective series. For the last two years they are performing a one stage procedure with simultaneous correction of chordee and urethroplasty; they briefly review main other one-stage procedures before describing their own using a tubulated and inverted flap. Twenty cases were managed with this procedure and the results were found satisfactory as well as functionally and aesthetically in spite of three transient fistulas and two meatal stenosis. However, definitive conclusion cannot be drawn because of a too short follow-up.

  12. Evolution of cosmological perturbations in a stage dominated by an oscillatory scalar field

    CERN Document Server

    Kodama, H; Kodama, Hideo; Hamazaki, Takashi

    1996-01-01

    In the investigation of the evolution of cosmological perturbations in inflationary universe models the behavior of perturbations during the reheating stage is the most unclear point. In particular in the early reheating phase in which a rapidly oscillating scalar field dominates the energy density, the behavior of perturbations is not known well because their evolution equation expressed in terms of the curvature perturbation becomes singular. In this paper it is shown that in spite of this singular behavior of the evolution equation the Bardeen parameter stays constant in a good accuracy during this stage for superhorizon-scale perturbations except for a sequence of negligibly short intervals around the zero points of the time derivative of the scalar field. This justifies the conventional formula relating the amplitudes of quantum fluctuations during inflation and those of adiabatic perturbations at horizon crossing in the Friedmann stage, except for possible corrections produced by the energy transfer fro...

  13. Two-Stage Revision Anterior Cruciate Ligament Reconstruction: Bone Grafting Technique Using an Allograft Bone Matrix.

    Science.gov (United States)

    Chahla, Jorge; Dean, Chase S; Cram, Tyler R; Civitarese, David; O'Brien, Luke; Moulton, Samuel G; LaPrade, Robert F

    2016-02-01

    Outcomes of primary anterior cruciate ligament (ACL) reconstruction have been reported to be far superior to those of revision reconstruction. However, as the incidence of ACL reconstruction is rapidly increasing, so is the number of failures. The subsequent need for revision ACL reconstruction is estimated to occur in up to 13,000 patients each year in the United States. Revision ACL reconstruction can be performed in one or two stages. A two-stage approach is recommended in cases of improper placement of the original tunnels or in cases of unacceptable tunnel enlargement. The aim of this study was to describe the technique for allograft ACL tunnel bone grafting in patients requiring a two-stage revision ACL reconstruction.

  14. Defining an optimal surgical strategy for synchronous colorectal liver metastases: staged versus simultaneous resection?

    Science.gov (United States)

    She, Wong Hoi; Chan, Albert Chi Yan; Poon, Ronnie Tung Ping; Cheung, Tan To; Chok, Kenneth Siu Ho; Chan, See Ching; Lo, Chung Mau

    2015-11-01

    We aimed to assess if simultaneous resection conferred any survival benefit in resection of synchronous colorectal liver metastases. From January 1990 to December 2008, 116 patients with synchronous colorectal liver metastases were identified. Among these 116 patients, 88 underwent staged resection (SR), while the remaining 28 patients underwent simultaneous resection (SIMR). Patients' follow-up data were reviewed. There were no significant differences between the groups in terms of patient and tumour characteristics. Major hepatectomy was performed in 54 patients (61%) undergoing SR, and 12 patients (43%) undergoing SIMR (P = 0.09). The median blood loss (SR 0.7 L versus SIMR 0.8 L) was similar. Post-operative morbidity rates and hospital mortality rates were not statistically different. The total length of hospital stay was shorter in SIMR patients (18.0 versus 11.5 days, P = 0.009). The 1-, 3- and 5-year overall survival for SR were 90.7%, 47.1% and 33.3%, whilst the corresponding survival rates for SIMR were 75.0%, 25.0% and 0%, respectively (P = 0.003). However, when the disease-free survival (DFS) was stratified according to the number of hepatic metastases, the survival benefit of SR and SIMR for solitary CRM were similar (3-year DFS: 28.3% versus 11.1%, P = 0.089). Our study showed that an operative strategy of SR generally offered better survival outcome than SIMR in the surgical management of CRM. © 2014 Royal Australasian College of Surgeons.

  15. A Two-Stage Process Model of Sensory Discrimination: An Alternative to Drift-Diffusion.

    Science.gov (United States)

    Sun, Peng; Landy, Michael S

    2016-11-02

    Discrimination of the direction of motion of a noisy stimulus is an example of sensory discrimination under uncertainty. For stimuli that are extended in time, reaction time is quicker for larger signal values (e.g., discrimination of opposite directions of motion compared with neighboring orientations) and larger signal strength (e.g., stimuli with higher contrast or motion coherence, that is, lower noise). The standard model of neural responses (e.g., in lateral intraparietal cortex) and reaction time for discrimination is drift-diffusion. This model makes two clear predictions. (1) The effects of signal strength and value on reaction time should interact multiplicatively because the diffusion process depends on the signal-to-noise ratio. (2) If the diffusion process is interrupted, as in a cued-response task, the time to decision after the cue should be independent of the strength of accumulated sensory evidence. In two experiments with human participants, we show that neither prediction holds. A simple alternative model is developed that is consistent with the results. In this estimate-then-decide model, evidence is accumulated until estimation precision reaches a threshold value. Then, a decision is made with duration that depends on the signal-to-noise ratio achieved by the first stage. Sensory decision-making under uncertainty is usually modeled as the slow accumulation of noisy sensory evidence until a threshold amount of evidence supporting one of the possible decision outcomes is reached. Furthermore, it has been suggested that this accumulation process is reflected in neural responses, e.g., in lateral intraparietal cortex. We derive two behavioral predictions of this model and show that neither prediction holds. We introduce a simple alternative model in which evidence is accumulated until a sufficiently precise estimate of the stimulus is achieved, and then that estimate is used to guide the discrimination decision. This model is consistent with the

  16. Carbon cycling and net ecosystem production at an early stage of secondary succession in an abandoned coppice forest.

    Science.gov (United States)

    Ohtsuka, Toshiyuki; Shizu, Yoko; Nishiwaki, Ai; Yashiro, Yuichiro; Koizumi, Hiroshi

    2010-07-01

    Secondary mixed forests are one of the dominant forest cover types in human-dominated temperate regions. However, our understanding of how secondary succession affects carbon cycling and carbon sequestration in these ecosystems is limited. We studied carbon cycling and net ecosystem production (NEP) over 4 years (2004-2008) in a cool-temperate deciduous forest at an early stage of secondary succession (18 years after clear-cutting). Net primary production of the 18-year-old forest in this study was 5.2 tC ha(-1 )year(-1), including below-ground coarse roots; this was partitioned into 2.5 tC ha(-1 )year(-1) biomass increment, 1.6 tC ha(-1 )year(-1) foliage litter, and 1.0 tC ha(-1 )year(-1) other woody detritus. The total amount of annual soil surface CO(2) efflux was 6.8 tC ha(-1 )year(-1), which included root respiration (1.9 tC ha(-1 )year(-1)) and heterotrophic respiration (RH) from soils (4.9 tC ha(-1 )year(-1)). The 18-year forest at this study site exhibited a great increase in biomass pool as a result of considerable total tree growth and low mortality of tree stems. In contrast, the soil organic matter (SOM) pool decreased markedly (-1.6 tC ha(-1 )year(-1)), although further study of below-ground detritus production and RH of SOM decomposition is needed. This young 18-year forest was a weak carbon sink (0.9 tC ha(-1 )year(-1)) at this stage of secondary succession. The NEP of this 18-year forest is likely to increase gradually because biomass increases with tree growth and with the improvement of the SOM pool through increasing litter and dead wood production with stand development.

  17. NT-pro-BNP is an independent predictor of mortality in patients with end-stage renal disease

    DEFF Research Database (Denmark)

    Svensson, M.; Gorst-Rasmussen, Anders; Schmidt, Erik Berg;

    2009-01-01

    Aim: Patients with end-stage renal disease (ESRD) have an increased mortality from cardiovascular disease (CVD). N-terminal pro-brain natriuretic peptide (NT-pro-BNP) is an independent predictor of mortality in patients with ischemic heart disease and congestive heart failure. Previous data have...

  18. An Instructional Approach for Minimizing Stage Fright: Insights from Buss' Theory of Audience Anxiety.

    Science.gov (United States)

    Ortiz, Joseph

    Effective instructional approaches for dealing with stage fright can be developed by examining A. H. Buss's theory of audience anxiety. Buss argues that audience anxiety correlates with feelings of self-consciousness, characteristics of the audience, and the novelty of the speaking role. From his perspective, the experience of anxiety is divided…

  19. Correlation between chronological age and third molar developmental stages in an Iranian population (Demirjian method

    Directory of Open Access Journals (Sweden)

    Aria Khosronejad

    2017-01-01

    Conclusion: Development of third molar might complete after the age 22. Iranian individuals with third molars at the G and H stages are likely above 18 while those at E and F are likely below 18. Pace of molar development differs for jaws, but intergender differences are open to further investigations.

  20. An integrated two-stage support vector machine approach to forecast inundation maps during typhoons

    Science.gov (United States)

    Jhong, Bing-Chen; Wang, Jhih-Huang; Lin, Gwo-Fong

    2017-04-01

    During typhoons, accurate forecasts of hourly inundation depths are essential for inundation warning and mitigation. Due to the lack of observed data of inundation maps, sufficient observed data are not available for developing inundation forecasting models. In this paper, the inundation depths, which are simulated and validated by a physically based two-dimensional model (FLO-2D), are used as a database for inundation forecasting. A two-stage inundation forecasting approach based on Support Vector Machine (SVM) is proposed to yield 1- to 6-h lead-time inundation maps during typhoons. In the first stage (point forecasting), the proposed approach not only considers the rainfall intensity and inundation depth as model input but also simultaneously considers cumulative rainfall and forecasted inundation depths. In the second stage (spatial expansion), the geographic information of inundation grids and the inundation forecasts of reference points are used to yield inundation maps. The results clearly indicate that the proposed approach effectively improves the forecasting performance and decreases the negative impact of increasing forecast lead time. Moreover, the proposed approach is capable of providing accurate inundation maps for 1- to 6-h lead times. In conclusion, the proposed two-stage forecasting approach is suitable and useful for improving the inundation forecasting during typhoons, especially for long lead times.

  1. The Stages of Moral Development--A Basis for an Educational Concept?

    Science.gov (United States)

    Schmitt, Rudolf

    1980-01-01

    The author outlines Kohlberg's stage theory of moral development and points out some of its questionable consequences for education. He discusses discrepancies found to date in the empirical evidence. Finally he proposes a new interpretation of Kohlberg's model and suggests some of its educational consequences for home and school. (Author/SJL)

  2. An Opinion on "Staging" of Infant Formula: A Developmental Perspective on Infant Feeding.

    Science.gov (United States)

    Lönnerdal, Bo; Hernell, Olle

    2016-01-01

    Breast milk is a dynamic fluid with compositional changes occurring throughout the period of lactation. Some of these changes in nutrient concentrations reflect the successively slowing growth rate and developmental changes in metabolic requirements that infants undergo during the first year of life. Infant formula, in contrast, has a static composition, intended to meet the nutritional requirements of infants from birth to 6 or 12 months of age. To better fit the metabolic needs of infants and to avoid nutrient limitations or excesses, we suggest that infant formulas should change in composition with the age of the infant, that is, different formulas are created/used for different ages during the first year of life. We propose that specific formulas for 0 to 3 months (stage 1), 3 to 6 months (stage 2), and 6 to 12 months (stage 3) of age may be nutritionally and physiologically advantageous to infants. Although this initially may impose some difficult practical/conceptual issues, we believe that this staging concept would improve nutrition of formula-fed infants and, ultimately, improve outcomes and make their performance more similar to that of breast-fed infants.

  3. An Institutional Three-Stage Framework: Elevating Academic Writing and Integrity Standards of International Pathway Students

    Science.gov (United States)

    Velliaris, Donna M.; Breen, Paul

    2016-01-01

    In this paper, the authors explore a holistic three-stage framework currently used by the Eynesbury Institute of Business and Technology (EIBT), focused on academic staff identification and remediation processes for the prevention of (un)intentional student plagiarism. As a pre-university pathway provider--whose student body is 98%…

  4. Two-stage, dilute sulfuric acid hydrolysis of wood : an investigation of fundamentals

    Science.gov (United States)

    John F. Harris; Andrew J. Baker; Anthony H. Conner; Thomas W. Jeffries; James L. Minor; Roger C. Pettersen; Ralph W. Scott; Edward L Springer; Theodore H. Wegner; John I. Zerbe

    1985-01-01

    This paper presents a fundamental analysis of the processing steps in the production of methanol from southern red oak (Quercus falcata Michx.) by two-stage dilute sulfuric acid hydrolysis. Data for hemicellulose and cellulose hydrolysis are correlated using models. This information is used to develop and evaluate a process design.

  5. A New Test for China? Stages in the Development of an Assessment for Professional Purposes

    Science.gov (United States)

    Jin, Yan; Hamp-Lyons, Liz

    2015-01-01

    It is increasingly recognised that attention should be paid to investigating the needs of a new test, especially in contexts where specific purpose language needs might be identified. This article describes the stages involved in establishing the need for a new assessment of English for professional purposes in China. We first investigated…

  6. The internationalization process of small and medium-sized enterprises : An evaluation of stage theory

    NARCIS (Netherlands)

    Gankema, H.G.J.; Snuif, H.R.; Zwart, P.S.

    2000-01-01

    The aim of this study is to provide better insight into the internationalization process of small and medium-sized enterprises (SMEs). Using a five-year panel dataset and a relatively new technique, DEL analysis, the predictive validity of the export stage concept of Cavusgil's innovation-related

  7. Obesity end stage renal disease and survival in an elderly cohort with cardiovascular disease

    Science.gov (United States)

    Obesity is highly prevalent in African-Americans and is associated with increased risk of end stage renal disease (ESRD) and death. It is not known if the effect of obesity is similar among Blacks and whites. The aim of this study is to examine racial differences in the association of obesity with E...

  8. Photodynamic therapy of early stage oral cavity and oropharynx neoplasms: an outcome analysis of 170 patients

    NARCIS (Netherlands)

    B. karakullukcu (Baris); K. Oudenaarde (Kim); M.P. Copper (Marcel); W.M.C. Klop; R. van Veen (Robert); M. Wildeman (Maarten); I. Bing Tan

    2010-01-01

    textabstractThe indications of photodynamic therapy (PDT) of oral cavity and oropharynx neoplasms are not well defined. The main reason is that the success rates are not well established. The current paper analyzes our institutional experience of early stage oral cavity and oropharynx neoplasms (Tis

  9. Do we need an early unfavorable (intermediate) stage of Hodgkin's lymphoma?

    DEFF Research Database (Denmark)

    Specht, Lena; Raemaekers, John

    2007-01-01

    The outcome of patients who have early unfavorable or intermediate-stage Hodgkin's lymphoma has greatly improved. The increasing efficacy of chemotherapy and late toxic effects of wide-field radiotherapy justify the careful testing of the new involved-node radiotherapy principle in the combined-m...

  10. Analysing outsourcing policies in an asset management context: a six-stage model

    NARCIS (Netherlands)

    Schoenmaker, R.; Verlaan, J.G.

    2013-01-01

    Asset managers of civil infrastructure are increasingly outsourcing their maintenance. Whereas maintenance is a cyclic process, decisions to outsource decisions are often project-based, and confusing the discussion on the degree of outsourcing. This paper presents a six-stage model that facilitates

  11. Analysing outsourcing policies in an asset management context: a six-stage model

    NARCIS (Netherlands)

    Schoenmaker, R.; Verlaan, J.G.

    2013-01-01

    Asset managers of civil infrastructure are increasingly outsourcing their maintenance. Whereas maintenance is a cyclic process, decisions to outsource decisions are often project-based, and confusing the discussion on the degree of outsourcing. This paper presents a six-stage model that facilitates

  12. Design and modelling of an innovative three-stage thermal storage system for direct steam generation CSP plants

    Science.gov (United States)

    Garcia, Pierre; Vuillerme, Valéry; Olcese, Marco; El Mourchid, Nadim

    2016-05-01

    Thermal Energy Storage systems (TES) for a Direct Steam Generation (DSG) solar plant feature preferably three stages in series including a latent heat storage module so that steam can be recovered with a limited temperature loss. The storage system designed within the Alsolen Sup project is characterized by an innovative combination of sensible and latent modules. A dynamic model of this three-stage storage has been developed and applied to size the storage system of the Alsolen Sup® plant demonstrator at CEA Cadarache. Results of this simulation show that this promising concept is an efficient way to store heat in DSG solar plants.

  13. Stage-discharge prediction in natural rivers using an innovative approach

    Science.gov (United States)

    Maghrebi, Mahmoud F.; Ahmadi, Arash

    2017-02-01

    Determination of stage-discharge relationships in natural rivers is extremely important in flood control projects. Observational data at various stages cannot be collected simultaneously. It may take a considerable amount of time and a great deal of difficulty to collect the data required for establishing the rating curves. The main purpose of the current paper is to estimate the discharge using the concept of isovel contours with the corresponding hydro-geometric parameters of the cross sections which was first introduced by Maghrebi (2006). Although the accuracy of the contours is not very high, it is believed that when the sum of the whole cross sectional contour values is used as a single parameter in the proposed relationship the accuracy of discharge estimation is surprisingly high. A relationship based on dimensional analysis is used to interrelate the discharges at two different stages by simply using the geometrical parameters such the cross-sectional area, wetted perimeter, the width of the free surface and a quantity which is related to the summations of isovel contours. Then, the most accurate relationship that is obtained by minimization of the differences between the calculated and analytical discharges at two different stages is introduced. For verification, the results of the proposed method are compared with the observed stage-discharge data taken from the Main and Severn rivers in UK, the Tomebamba River in Ecuador and the Yangtze River in China. The results indicate the high accuracy of the proposed method such that the mean values of MAPE and NRMSE of all selected rivers do not exceed 8.7% and 0.09, respectively.

  14. One-Stage Cleft Lip and Palate Repair in an Older Population.

    Science.gov (United States)

    Guneren, Ethem; Canter, Halil Ibrahim; Yildiz, Kemalettin; Kayan, Resit Burak; Ozpur, Mustafa Aykut; Baygol, Emre Gonenc; Sagir, Haci Omer; Kuzu, Ismail Melih; Akman, Onur; Arslan, Serap

    2015-07-01

    In underdeveloped countries one-stage definitive repair of cleft lip and palate is considered for late-presenting patients. A total of 25 patients with unoperated cleft lip and palate more than 2 years of age were enrolled in this study for one-stage simultaneous repair of cleft lip and palate. According to Veau-Wardill-Kilner push-back technique, 2 flap palatoplasties were performed for palatal repairs; all of the lips were repaired with the Millard II rotation-advancement technique. The authors experienced no perioperative or postoperative life-threatening complications. With respect to the registered operation periods, longer times were required to perform these double operations, but this elongation is shorter than the sum of the periods if the 2 operations had been performed separately. Although the authors were unable to evaluate the late postoperative results because the authors could not follow-up the patients after they were discharged the day after surgery, the early results related to the success of the operation without any surgical complication were prone to meet the parents' and patients' expectations. The authors presented their experiences with many volunteer cleft lip and palate trips to third world countries; however the structure of this article is not a new hypothesis and data based to support a scientific study, but observations are objective to get a conclusion. To perform one-stage definitive repair of the cleft lip and palate in late-presented patients was the reality that they had only 1 chance to undergo these operations. According to the terms and conditions of this challenging operation, one-stage simultaneous repair of cleft lip and palate is a more demanding and time-consuming procedure than is isolated cleft lip repair or cleft palate repair. Although technically challenging, single-stage repair of the whole deformity in late-presenting patients is a feasible, reliable, successful, and safe procedure in authors' experience.

  15. Mammographic findings predicting an extensive intraductal component in early stage invasive breast cancer : analysis on microcalcification

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jeong Ah; Kim, Mi Hye; Lee, Mi Kyung; Oh, Ki Keun [College of Medicine, Yonsei University, Seoul (Korea, Republic of); Kim, Eun Kyung [Pundang CHA General Hospital, College of Medicine, Pochon CHA University, Seoul (Korea, Republic of)

    2000-05-01

    To analyze the mammographic findings of extensive intraductal component (EIC)-positive early invasive breast carcinoma and to determine the mammographic features which predict an EIC positivity in an invasive carcinoma. The mammographic and pathologic findings in 71 patients aged 34-79 (mean 50) years in whom stage I or II invasive breast carcinoma had been diagnosed were retrospectively analysed. The mammographic findings were assigned to one of three groups: mass, mass with microcalcification, or microcalcification only. The shape and distribution of a calcification were classified according to the BI-RADS lexicon, and its extent was classified as either more or less than 3 cm. To detect the presence or absence of EIC and the type of ductal carcinoma in situ (DCIS), the findings were re-examined by means of slide mappings. Twenty-eight of 71 patients (39%) showed ECI positivity. The mammographic findings of EIC-positive invasive cancer (n=3D28) were mass with microcalcification (n=3D14), microcalcification only (n=3D7) and mass only (n=3D7). The mammographic finding which predicted EIC positivity was mass with microcalcification (PPV:0.67, NPV:0.33, p=3D0.02). A mammographic of mass only (n=3D39) showed a significantly high negative predictive value for EIC positivity. (PPV 0.18, NPV 0.82, P less than 0.01). A comparison of cases with or without calcification showed that those with microcalcifications (n=3D32) showed a significantly high PPV of 0.66 (NPV:0.34, p less than 0.01) while those without calcification (n=3D39) showed a significantly high NPV of 0.82 (PPV:0.18, p less than 0.01). There were no significant differences in positive predictive values for EIC between the shape, distribution and extent of calcifications. Whenever microcalcification with or without mass is seen on mammographs obtained during early breast cancer, we can predict EIC-positivity, regardless of shape or distribution according to the BI-RADS lexicon. (author)

  16. An Approach to Mapping Forest Growth Stages in Queensland, Australia through Integration of ALOS PALSAR and Landsat Sensor Data

    Directory of Open Access Journals (Sweden)

    João Carreiras

    2012-08-01

    Full Text Available Whilst extensive clearance of forests in the eastern Australian Brigalow Belt Bioregion (BBB has occurred since European settlement, appropriate management of those that are regenerating can facilitate restoration of biomass (carbon and biodiversity to levels typical of relatively undisturbed or remnant formations. However, maps of forests are different stages of regeneration are needed to facilitate restoration planning, including prevention of further re-clearing. Focusing on the Tara Downs subregion of the BBB and on forests with brigalow (Acacia harpophylla as a component, this research establishes a method for differentiating and mapping early, intermediate and remnant growth stages from Japan Aerospace Exploration Agency (JAXA Advanced Land Observing Satellite (ALOS Phased-Array L-band Synthetic Aperture Radar (PALSAR Fine Beam Dual (FBD L-band HH- and HV-polarisation backscatter and Landsat-derived Foliage Projective Cover (FPC. Using inventory data collected from 74 plots, located in the Tara Downs subregion, forests were assigned to one of three regrowth stages based on their height and cover relative to that of undisturbed stands. The image data were then segmented into objects with each assigned to a growth stage by comparing the distributions of L-band HV and HH polarisation backscatter and FPC to that of reference distributions using a z-test. Comparison with independent assessments of growth stage, based on time-series analysis of aerial photography and SPOT images, established an overall accuracy of > 70%, with this increasing to 90% when intermediate regrowth was excluded and only early-stage regrowth and remnant classes were considered. The proposed method can be adapted to respond to amendments to user-definitions of growth stage and, as regional mosaics of ALOS PALSAR and Landsat FPC are available for Queensland, has application across the state.

  17. Proteomic analysis of young leaves at three developmental stages in an albino tea cultivar

    Directory of Open Access Journals (Sweden)

    Li Juan

    2011-08-01

    Full Text Available Abstract Background White leaf No.1 is a typical albino tea cultivar grown in China and it has received increased attention in recent years due to the fact that white leaves containing a high level of amino acids, which are very important components affecting the quality of tea drink. According to the color of its leaves, the development of this tea cultivar is divided into three stages: the pre-albinistic stage, the albinistic stage and the regreening stage. To understand the intricate mechanism of periodic albinism, a comparative proteomic approach based on two-dimensional electrophoresis (2-DE and mass spectrometry was adopted first time to identify proteins that changed in abundance during the three developmental periods. Results The 2-DE results showed that the expression level of 61 protein spots varied markedly during the three developmental stages. To analyze the functions of the significantly differentially expressed protein spots, 30 spots were excised from gels and analyzed by matrix-assisted laser desorption ionization-time of flight-tandem mass spectrometry. Of these, 26 spots were successfully identified. All identified protein spots were involved in metabolism of carbon, nitrogen and sulfur, photosynthesis, protein processing, stress defense and RNA processing, indicating these physiological processes may play crucial roles in the periodic albinism. Quantitative real-time RT-PCR analysis was used to assess the transcriptional level of differentially expressed proteins. In addition, the ultrastructural studies revealed that the etioplast-chloroplast transition in the leaf cell of White leaf No. 1 was inhibited and the grana in the chloroplast was destroyed at the albinistic stage. Conclusions In this work, the proteomic analysis revealed that some proteins may have important roles in the molecular events involved in periodic albinism of White leaf No. 1 and identificated many attractive candidates for further investigation. In

  18. Three-stage autoignition of gasoline in an HCCI engine: An experimental and chemical kinetic modeling investigation

    Energy Technology Data Exchange (ETDEWEB)

    Machrafi, Hatim; Cavadias, Simeon [UPMC Universite Paris 06, LGPPTS, Ecole Nationale Superieure de Chimie de Paris (France); UPMC Universite Paris 06, Institut Jean Le Rond D' Alembert (France)

    2008-12-15

    The alternative HCCI combustion mode presents a possible means for decreasing the pollution with respect to conventional gasoline or diesel engines, while maintaining the efficiency of a diesel engine or even increasing it. This paper investigates the possibility of using gasoline in an HCCI engine and analyzes the autoignition of gasoline in such an engine. The compression ratio that has been used is 13.5, keeping the inlet temperature at 70 C, varying the equivalence ratio from 0.3 to 0.54, and the EGR (represented by N{sub 2}) ratio from 0 to 37 vol%. For comparison, a PRF95 and a surrogate containing 11 vol% n-heptane, 59 vol% iso-octane, and 30 vol% toluene are used. A previously validated kinetic surrogate mechanism is used to analyze the experiments and to yield possible explanations to kinetic phenomena. From this work, it seems quite possible to use the high octane-rated gasoline for autoignition purposes, even under lean inlet conditions. Furthermore, it appeared that gasoline and its surrogate, unlike PRF95, show a three-stage autoignition. Since the PRF95 does not contain toluene, it is suggested by the kinetic mechanism that the benzyl radical, issued from toluene, causes this so-defined ''obstructed preignition'' and delaying thereby the final ignition for gasoline and its surrogate. The results of the kinetic mechanism supporting this explanation are shown in this paper. (author)

  19. An investigation of the vibration characteristics of shrouded-bladed-disk rotor stages

    Science.gov (United States)

    Chen, L.-T.; Dugundji, J.

    1979-01-01

    Coupled differential equations of motion are given for application to a rotating, pretwisted and heated beam under the effects of thermal stresses and gas bending loads. The circumferential modes of the multi-blade vibration of a bladed-disk rotor stage were studied. A finite element method was developed for the dynamic and static deformation analysis of the blade. The deformations of a bladed disk and a shrouded-bladed disk were studied by introducing a special bladed-disk element and a special shrouded-blade element. Some features of the vibration of part-span-shrouded, bladed-disk rotor stages are discussed. The static deformation, thermal stress and gas bending effects on the blade vibration were presented previously.

  20. Corrosion properties of plasma electrolytic oxidation coatings on an aluminium alloy – The effect of the PEO process stage

    Energy Technology Data Exchange (ETDEWEB)

    Dehnavi, Vahid, E-mail: vdehnavi@uwo.ca [Department of Chemical and Biochemical Engineering, University of Western Ontario, London, N6A 5B9 ON (Canada); Shoesmith, David W., E-mail: dwshoesm@uwo.ca [Surface Science Western, Department of Chemistry, University of Western Ontario, London, N6A 5B7 ON (Canada); Luan, Ben Li, E-mail: Ben.Luan@nrc-cnrc.gc.ca [National Research Council Canada, 800 Collip Circle, London, N6G4X8 ON (Canada); Department of Chemistry, University of Western Ontario, London, N6A 5B7 ON (Canada); Yari, Mehdi, E-mail: myari@uwo.ca [Department of Chemistry, University of Western Ontario, London, N6A 5B7 ON (Canada); Liu, Xing Yang, E-mail: XingYang.Liu@nrc-cnrc.gc.ca [National Research Council Canada, 800 Collip Circle, London, N6G4X8 ON (Canada); Rohani, Sohrab, E-mail: srohani@uwo.ca [Department of Chemical and Biochemical Engineering, University of Western Ontario, London, N6A 5B9 ON (Canada)

    2015-07-01

    Plasma electrolytic oxidation (PEO) coatings were grown on an aluminium alloy substrate using different processing parameters which enabled samples to be coated to different stages of the PEO process. Electrochemical impedance spectroscopy (EIS) and linear polarization resistance (LPR) techniques were employed to investigate the impedance properties of the resulting oxide coatings which will determine the corrosion performance of the coated alloy. Scanning electron microscopy was used to relate the morphology of the coatings with their corrosion performance. A direct relationship was found between the stage of the PEO process, which affects the microstructure of the coatings, and the corrosion performance. Coating thickness and phase composition did not have any measurable influence on coating corrosion performance. To some degree corrosion performance could be tailored by the processing parameters. - Highlights: • Corrosion performance of PEO coatings was found to be dependent on coating stage. • The PEO stage determined by the process parameters controlled coatings morphology. • Samples coated at the end of stage 3 demonstrated better corrosion properties. • Coating thickness and phase composition showed no influence on corrosion resistance.

  1. Levels of physical activity, barriers, and stage of change in an urban population from a municipality in Colombia

    Directory of Open Access Journals (Sweden)

    Mónica María Arenas

    2011-09-01

    Full Text Available Objective: To assess the levels of physical activity, barriers, and stage of change in an urban population 25 to 50 yearsof age from the Municipality of Santa Rosa de Osos, department of Antioquia.Materials and methods: A prevalence study was conducted, with a two-stage random sampling among 357 individualsnot suffering from any known cardiovascular disease. A pre-designed survey was conducted to assess the levels of physicalactivity, the stage of change, and physical activity barriers.Results: The total low physical activity was 9%, and by domains: work 66.9%, transport 60.8%, household and garden(yard work 44.8%, and leisure-time 76.2%. The most important physical activity barriers were «lack of willpower» (70%and «lack of time» (46.2%. The most prevalent stages of change were «contemplation» (40.3% and «preparation» (17.1%.Conclusion: low physical activity levels were found in different domains of daily life, together with a high prevalenceof barriers and stages prior to physical activity practice, mainly among women and obese subjects.

  2. An Examination of the Volitional Stages in Consumer Decisions to Avoid Sweatshop Clothing

    OpenAIRE

    Shaw, D; Bekin, C; Shiu, E; Hassan, L.; Hogg, G; Wilson, E.

    2006-01-01

    While much research in ethical consumption has focused on contexts such as food, this research explores ethical consumer decision-making in the context of intention to avoid sweatshop clothing where consumer concern has increased but response from the market remains limited. This research seeks to deepen the theory of planned behaviour with respect to the volitional stages underlying behaviour. The findings of the research support a modified theory of planned behaviour model and also reveal v...

  3. Ultrastructure of basement membranes in monkey and shark teeth at an early stage of development.

    Science.gov (United States)

    Sawada, Takashi

    2003-12-01

    The basement membrane, which separates the inner enamel epithelium from the dental papilla in the early stages of tooth development, is known to play a significant role in odontogenesis. In this review article, this basement membrane was described in detail based on our recent findings with the use of high-resolution electron microscopy. Tooth germs of a monkey (Macaca fuscata) and a shark (Cephaloscyllium umbratile) were processed for thin-section observations. During the early stage of development, the basement membrane of the inner enamel (dental) epithelium was composed of a lamina lucida, lamina densa, and much wider lamina fibroreticularis. At higher magnification, the lamina densa in both species was made up of a fine network of cords, which are generally the main constituents of the basement membranes. In the monkey tooth, the lamina fibroreticularis was rich in fibrils, which were now characterized as basotubules, 10-nm-wide microfibril-like structures. The space between the basotubules was filled with a cord network that extended from the lamina densa. Dental papilla cell processes were inserted into the lamina fibroreticularis, and their surface was closely associated with numerous parallel basotubules via 1.5- to 3-nm-wide filaments. In the shark tooth during its early stage of development, the basotubules were absent in the lamina fibroreticularis and only narrow extensions, 60-90 nm wide and 1-2 microm long, of the cord network of the lamina densa were present. The dental papilla cells were immobilized by means of the binding of their processes to the extensions. These results indicate that basement membranes in both monkey and shark teeth at early stage of development are specialized for functions as anchoring and firm binding, which are essential for the successful differentiation of the odontoblasts.

  4. THE STRATEGIC DIAGNOSIS ANALYSIS - AN ESSENTIAL STAGE OF STRATEGIC MANAGEMENT PROCESS IN SMALL AND MEDIUM ENTERPRISES

    OpenAIRE

    Vladimir-Codrin IONESCU; Horea COROIU

    2010-01-01

    The strategic diagnosis analysis aims to assess the potential of small and medium enterprises by evaluating their inner resources and the business environment within which these enterprises perform their activity. As a first stage in the strategic management process, the strategic diagnosis analysis ensures the premises for founding, elaborating and operationalizing a competitive managerial strategy. In this context, the paper presents the conceptual criteria which are essential for thematica...

  5. Art Museums: an emergence stage for the art education research and innovation

    OpenAIRE

    Olaia Fontal Merillas

    2009-01-01

    Art Education is finding in Art Museums a stage for research and educational innovation which has held a great emergency in the last decade. We propose a tour that departs from the rethinking of the contents of a museum (collections, objects, ideas, facts, events, experiences), to approach the contents of education in the museums, analyzing some examples in which different didactic strategies are used for the education of conceptual, procedural and attitudinal contents. Finally, we think abo...

  6. End-stage renal disease in Tabuk Area, Saudi Arabia: An epidemiological study

    OpenAIRE

    Osama El Minshawy; Tawfik Ghabrah; Eman El Bassuoni

    2014-01-01

    The purpose of this study was to determine the prevalence, etiology and risk fac-tors of treated end-stage renal disease (ESRD) in the region of Tabuk, Saudi Arabia. We studied 460 renal replacement therapy patients through a review of medical records and patient interviews and obtained patient demographics, family history, risk factors for ESRD, environmental exposure to toxins, work conditions, social history and causes of death. The estimated prevalence of treated ESRD was 460 per million ...

  7. THE STRATEGIC DIAGNOSIS ANALYSIS - AN ESSENTIAL STAGE OF STRATEGIC MANAGEMENT PROCESS IN SMALL AND MEDIUM ENTERPRISES

    OpenAIRE

    Vladimir-Codrin IONESCU; Horea COROIU

    2010-01-01

    The strategic diagnosis analysis aims to assess the potential of small and medium enterprises by evaluating their inner resources and the business environment within which these enterprises perform their activity. As a first stage in the strategic management process, the strategic diagnosis analysis ensures the premises for founding, elaborating and operationalizing a competitive managerial strategy. In this context, the paper presents the conceptual criteria which are essential for thematica...

  8. Emission of spherical cesium-bearing particles from an early stage of the Fukushima nuclear accident

    OpenAIRE

    Kouji Adachi; Mizuo Kajino; Yuji Zaizen; Yasuhito Igarashi

    2013-01-01

    The Fukushima nuclear accident released radioactive materials into the environment over the entire Northern Hemisphere in March 2011, and the Japanese government is spending large amounts of money to clean up the contaminated residential areas and agricultural fields. However, we still do not know the exact physical and chemical properties of the radioactive materials. This study directly observed spherical Cs-bearing particles emitted during a relatively early stage (March 14–15) of the acci...

  9. Attention modulations on the perception of social hierarchy at distinct temporal stages: an electrophysiological investigation.

    Science.gov (United States)

    Feng, Chunliang; Tian, Tengxiang; Feng, Xue; Luo, Yue-Jia

    2015-04-01

    Recent behavioral and neuroscientific studies have revealed the preferential processing of superior-hierarchy cues. However, it remains poorly understood whether top-down controlled mechanisms modulate temporal dynamics of neurocognitive substrates underlying the preferential processing of these biologically and socially relevant cues. This was investigated in the current study by recording event-related potentials from participants who were presented with superior or inferior social hierarchy. Participants performed a hierarchy-judgment task that required attention to hierarchy cues or a gender-judgment task that withdrew their attention from these cues. Superior-hierarchy cues evoked stronger neural responses than inferior-hierarchy cues at both early (N170/N200) and late (late positive potential, LPP) temporal stages. Notably, the modulations of top-down attention were identified on the LPP component, such that superior-hierarchy cues evoked larger LPP amplitudes than inferior-hierarchy cues only in the attended condition; whereas the modulations of the N170/N200 component by hierarchy cues were evident in both attended and unattended conditions. These findings suggest that the preferential perception of superior-hierarchy cues involves both relatively automatic attentional bias at the early temporal stage as well as flexible and voluntary cognitive evaluation at the late temporal stage. Finally, these hierarchy-related effects were absent when participants were shown the same stimuli which, however, were not associated with social-hierarchy information in a non-hierarchy task (Experiment 2), suggesting that effects of social hierarchy at early and late temporal stages could not be accounted for by differences in physical attributes between these social cues. Copyright © 2015 Elsevier Ltd. All rights reserved.

  10. Optimization of an in vitro system to study the exo-erythrocytic stage of the human malaria parasite, Plasmodium falciparum

    CSIR Research Space (South Africa)

    Rossouw, C

    2010-02-01

    Full Text Available scaffold and harvesting cells via the temperature change is currently being scaled up and a prototype bioreactor has been developed. Optimization of an in vitro system to study the exo-erythrocytic stage of the human Malaria Parasite, Plasmodium... hepatocyte line that supports in vitro development of the exo-erythrocytic stages of the malaria parasites Plasmodium falciparum and P. vivax. American Journal of Tropical Medicine and Hygeine 74:708-715. [4] Shor L, Güçeri S, Wen X, Gandhi M, Sun W. 2007...

  11. Shewanella algae Bacteremia in an End-stage Renal Disease Patient: A Case Report and Review of the Literature.

    Science.gov (United States)

    Takata, Tomoaki; Chikumi, Hiroki; Morishita, Shota; Hamada, Shintaro; Hoi, Shotaro; Iyama, Takuji; Fukui, Takeaki; Matono, Tomomitsu; Fukuda, Satoko; Munemura, Chishio; Isomoto, Hajime

    2017-01-01

    A 71-year-old man was admitted because of nausea and abdominal pain. He was receiving an erythropoiesis-stimulating agent for anemia and dysregulated iron metabolism due to stage G5 chronic kidney disease. He had a history of raw fish intake and was diagnosed with infectious enterocolitis, which worsened and led to septic shock. Shewanella putrefaciens grew in the blood culture, but Shewanella algae was identified in a 16S rRNA gene sequence analysis. We herein report a case of S. algae bacteremia believed to have been transmitted orally. We also reviewed previous case reports on Shewanella infection in end-stage renal disease patients.

  12. Analysis of an Impulsive One-Predator and Two-Prey System with Stage-Structure and Generalized Functional Response

    Directory of Open Access Journals (Sweden)

    Xiangmin Ma

    2015-01-01

    Full Text Available An impulsive one-predator and two-prey system with stage-structure and generalized functional response is proposed and analyzed. By reasonable assumption and theoretical analysis, we obtain conditions for the existence and global attractivity of the predator-extinction periodic solution. Sufficient conditions for the permanence of this system are established via impulsive differential comparison theorem. Furthermore, abundant results of numerical simulations are given by choosing two different and concrete functional responses, which indicate that impulsive effects, stage-structure, and functional responses are vital to the dynamical properties of this system. Finally, the biological meanings of the main results and some control strategies are given.

  13. An Enhanced Two-Stage Impulse Noise Removal Technique based on Fast ANFIS and Fuzzy Decision

    Directory of Open Access Journals (Sweden)

    V. Saradhadevi

    2011-09-01

    Full Text Available Image enhancement plays a vital role in various applications. There are many techniques to remove the noise from the image and produce the clear visual of the image. Moreover, there are several filters and image smoothing techniques available in the literature. All these available techniques have certain limitations. Recently, neural networks are found to be a very efficient tool for image enhancement. A novel two-stage noise removal technique for image enhancement and noise removal is proposed in this paper. In noise removal stage, Adaptive Neuro-Fuzzy Inference System (ANFIS with a Modified Levenberg-Marquardt training algorithm was used to eliminate the impulse noise. The usage of Modified Levenberg-Marquardt training algorithm will reduce the execution time. In the image enhancement stage, the fuzzy decision rules inspired by the Human Visual System (HVS are used to categorize the image pixels into human perception sensitive class and nonsensitive class, and to enhance the quality of the image. The Hyper trapezoidal fuzzy membership function is used in the proposed technique. In order to improve the sensitive regions with higher visual quality, a Neural Network (NN is proposed. The experiment is conducted with standard image. It is observed from the experimental result that the proposed FANFIS shows significant performance when compared to existing methods.

  14. Relationship between early and late stages of information processing: an event-related potential study

    Directory of Open Access Journals (Sweden)

    Claudio Portella

    2012-11-01

    Full Text Available The brain is capable of elaborating and executing different stages of information processing. However, exactly how these stages are processed in the brain remains largely unknown. This study aimed to analyze the possible correlation between early and late stages of information processing by assessing the latency to, and amplitude of, early and late event-related potential (ERP components, including P200, N200, premotor potential (PMP and P300, in healthy participants in the context of a visual oddball paradigm. We found a moderate positive correlation among the latency of P200 (electrode O2, N200 (electrode O2, PMP (electrode C3, P300 (electrode PZ and the reaction time (RT. In addition, moderate negative correlation between the amplitude of P200 and the latencies of N200 (electrode O2, PMP (electrode C3, P300 (electrode PZ was found. Therefore, we propose that if the secondary processing of visual input (P200 latency occurs faster, the following will also happen sooner: discrimination and classification process of this input (N200 latency, motor response processing (PMP latency, reorganization of attention and working memory update (P300 latency, and RT. N200, PMP, and P300 latencies are also anticipated when higher activation level of occipital areas involved in the secondary processing of visual input rise (P200 amplitude.

  15. Relationship between early and late stages of information processing: an event-related potential study

    Science.gov (United States)

    Portella, Claudio; Machado, Sergio; Arias-Carrión, Oscar; Sack, Alexander T.; Silva, Julio Guilherme; Orsini, Marco; Leite, Marco Antonio Araujo; Silva, Adriana Cardoso; Nardi, Antonio E.; Cagy, Mauricio; Piedade, Roberto; Ribeiro, Pedro

    2012-01-01

    The brain is capable of elaborating and executing different stages of information processing. However, exactly how these stages are processed in the brain remains largely unknown. This study aimed to analyze the possible correlation between early and late stages of information processing by assessing the latency to, and amplitude of, early and late event-related potential (ERP) components, including P200, N200, premotor potential (PMP) and P300, in healthy participants in the context of a visual oddball paradigm. We found a moderate positive correlation among the latency of P200 (electrode O2), N200 (electrode O2), PMP (electrode C3), P300 (electrode PZ) and the reaction time (RT). In addition, moderate negative correlation between the amplitude of P200 and the latencies of N200 (electrode O2), PMP (electrode C3), P300 (electrode PZ) was found. Therefore, we propose that if the secondary processing of visual input (P200 latency) occurs faster, the following will also happen sooner: discrimination and classification process of this input (N200 latency), motor response processing (PMP latency), reorganization of attention and working memory update (P300 latency), and RT. N200, PMP, and P300 latencies are also anticipated when higher activation level of occipital areas involved in the secondary processing of visual input rise (P200 amplitude). PMID:23355929

  16. An adaptable stage perfusion incubator for the controlled cultivation of C2C12 myoblasts.

    Science.gov (United States)

    Kurth, Felix; Franco-Obregón, Alfredo; Bärtschi, Christoph A; Dittrich, Petra S

    2015-01-01

    Here we present a stage perfusion incubation system that allows for the cultivation of mammalian cells within PDMS microfluidic devices for long-term microscopic examination and analysis. The custom-built stage perfusion incubator is adaptable to any x-y microscope stage and is enabled for temperature, gas and humidity control as well as equipped with chip and tubing holder. The applied double-layered microfluidic chip allows the predetermined positioning and concentration of cells while the gas permeable PDMS material facilitates pH control via CO2 levels throughout the chip. We demonstrate the functionality of this system by culturing C2C12 murine myoblasts in buffer free medium within its confines for up to 26 hours. We moreover demonstrated the system's compatibility with various chip configurations, other cells lines (HEK-293 cells) and for longer-term culturing. The cost-efficient system are applicable for any type of PDMS-based cell culture system. Detailed technical drawings and specification to reproduce this perfusion incubation system is provided in the ESI.

  17. An improved two stages dynamic programming/artificial neural network solution model to the unit commitment of thermal units

    Energy Technology Data Exchange (ETDEWEB)

    Abbasy, N.H. [College of Technological Studies, Shuwaikh (Kuwait); Elfayoumy, M.K. [Univ. of Alexandria (Egypt). Dept. of Electrical Engineering

    1995-11-01

    An improved two stages solution model to the unit commitment of thermal units is developed in this paper. In the first stage a pre-schedule is generated using a high quality trained artificial neural net (ANN). A dynamic programming (DP) algorithm is implemented and applied in the second stage for the final determination of the commitment states. The developed solution model avoids the complications imposed by the generation of the variable window structure, proposed by other techniques. A unified approach for the treatment of the ANN is also developed in the paper. The validity of the proposed technique is proved via numerical applications to both sample and small practical power systems. 12 refs, 9 tabs

  18. An idealized model for tree-grass coexistence in savannas : The role of life stage structure and fire disturbances

    NARCIS (Netherlands)

    Baudena, Mara; D'Andrea, Fabio; Provenzale, A.

    2010-01-01

    1. We discuss a simple implicit-space model for the competition of trees and grasses in an idealized savanna environment. The model represents patch occupancy dynamics within the habitat and introduces life stage structure in the tree population, namely adults and seedlings. A tree can be out-compet

  19. Follicular lymphoma (in situ) pattern in the bone marrow: does it indicate an early stage in disease evolution?

    Science.gov (United States)

    Alobeid, Bachir; Mears, John Gregory; Bhagat, Govind

    2015-01-01

    Key Clinical Message Bone marrow involvement by an isolated interstitial lymphoid aggregate exhibiting the pattern and phenotype described for follicular lymphoma in situ (FLIS) has not been reported before. The detection of clinically silent FL in this case highlights the necessity of complete staging workup when such lesions are encountered in biopsies. PMID:26185645

  20. The Dutch Measure for quantification of Treatment Resistance in Depression (DM-TRD) : an extension of the Maudsley Staging Method

    NARCIS (Netherlands)

    Peeters, Frenk P. M. L.; Ruhe, Henricus G.; Wichers, Marieke; Abidi, Latifa; Kaub, Karin; van der Lande, H. Josephine; Spijker, Jan; Huibers, Marcus J. H.; Schene, Aart H.

    2016-01-01

    Background: Treatment resistant depression (TRD) is common in daily practice. An empirical, widely accepted and applicable measure to quantify TRD is lacking. Previously, the Maudsley Staging Method (MSM) showed good validity. We aimed to improve the MSM by refining and extending its items resulting

  1. Cancer Staging

    Science.gov (United States)

    ... the tumor is to grow and spread The TNM Staging System The TNM system is the most widely used cancer staging system. Most hospitals and medical centers use the TNM system as their main method for cancer reporting. ...

  2. Molt-inhibiting hormone stimulates vitellogenesis at advanced ovarian developmental stages in the female blue crab, Callinectes sapidus 1: an ovarian stage dependent involvement.

    Science.gov (United States)

    Zmora, Nilli; Trant, John; Zohar, Yonathan; Chung, J Sook

    2009-07-07

    To understand the hormonal coordination of the antagonism between molting and reproduction in crustaceans, the terminally anecdysial mature female Callinectes sapidus was used as a model. The regulatory roles of crustacean hyperglycemic hormone (CHH) and molt-inhibiting hormone (MIH) in vitellogenesis were examined. A competitive specific RIA was used to measure the levels of MIH and CHH in the hemolymphs of mature females at pre- and mid- vitellogenic stages, and their effects on vitellogenesis at early (early 2, E2) and mid vitellogenesis (3) stages were determined in vitro. A hepatopancreas fragments incubation system was developed and the levels of vitellogenin (VtG), as well as VtG mRNA and heterogeneous nuclear (hn)VtG RNA were determined using RIA or QPCR, respectively. MIH titers were four times higher at mid-vitellogenesis than at pre-vitellogenesis, while CHH levels in the hemolymph were constant. In the in vitro incubation experiments, MIH increased both VtG mRNA levels and secretion at ovarian stage 3. At stage E2, however, MIH resulted in a mixed response: downregulation of VtG mRNA and upregulation of hnVtG RNA. CHH had no effect on any of the parameters. Actinomycin D blocked the stimulatory effects of MIH in stage 3 animals on VtG mRNA and VtG, while cycloheximide attenuated only VtG levels, confirming the MIH stimulatory effect at this stage. MIH is a key endocrine regulator in the coordination of molting and reproduction in the mature female C. sapidus, which simultaneously inhibits molt and stimulates vitellogenesis.

  3. Identification of an early-stage gene of Chlamydia psittaci 6BC.

    Science.gov (United States)

    Wichlan, D G; Hatch, T P

    1993-05-01

    Chlamydiae are parasitic bacteria characterized by a temporally regulated developmental cycle. In the early stage of the cycle, metabolically inert elementary bodies reorganize to dividing reticulate bodies, a process about which little is known. The purpose of this investigation was to identify and clone chlamydial genes that are expressed preferentially during the early stage of the developmental cycle of Chlamydia psittaci 6BC. Several potential early genes were cloned with highly radioactive, host-free-generated RNA probes to screen a genomic library. One clone appeared to encode a gene that was particularly well expressed at 1 h postinfection. In further characterization, we found that it encodes two complete open reading frames and one partial open reading frame of 370 codons. The partial open reading frame, designated gltX, is very similar to bacterial glutamyl-tRNA synthetases and was demonstrated to be transcribed in vivo at 24 h postinfection by primer extension analysis. A lysine-rich open reading frame (LRO) of 117 codons was found upstream and divergent from gltX. The LRO lacks homology to known proteins, and we were unable to demonstrate that it is transcribed in vivo. The third open reading frame, of 182 codons, was found to be convergent with and partially overlap the LRO. It was confirmed to be preferentially expressed within the first 1.5 h of infection by Northern (RNA) blot analysis and was designated the early upstream open reading frame (EUO). Like the LRO, the EUO is not homologous to known proteins. A major potential transcription start site of the EUO was identified by primer extension analysis. However, the sequence upstream of the site does not closely resemble the consensus recognition sequences of bacterial sigma factors even though it is AT rich. The EUO is the first chlamydial gene specific to the early stage to be cloned and sequenced.

  4. An ordered EST catalogue and gene expression profiles of cassava (Manihot esculenta) at key growth stages.

    Science.gov (United States)

    Li, You-Zhi; Pan, Ying-Hua; Sun, Chang-Bin; Dong, Hai-Tao; Luo, Xing-Lu; Wang, Zhi-Qiang; Tang, Ji-Liang; Chen, Baoshan

    2010-12-01

    A cDNA library was constructed from the root tissues of cassava variety Huanan 124 at the root bulking stage. A total of 9,600 cDNA clones from the library were sequenced with single-pass from the 5'-terminus to establish a catalogue of expressed sequence tags (ESTs). Assembly of the resulting EST sequences resulted in 2,878 putative unigenes. Blastn analysis showed that 62.6% of the unigenes matched with known cassava ESTs and the rest had no 'hits' against the cassava database in the integrative PlantGDB database. Blastx analysis showed that 1,715 (59.59%) of the unigenes matched with one or more GenBank protein entries and 1,163 (40.41%) had no 'hits'. A cDNA microarray with 2,878 unigenes was developed and used to analyze gene expression profiling of Huanan 124 at key growth stages including seedling, formation of root system, root bulking, and starch maturity. Array data analysis revealed that (1) the higher ratio of up-regulated ribosome-related genes was accompanied by a high ratio of up-regulated ubiquitin, proteasome-related and protease genes in cassava roots; (2) starch formation and degradation simultaneously occur at the early stages of root development but starch degradation is declined partially due to decrease in UDP-glucose dehydrogenase activity with root maturity; (3) starch may also be synthesized in situ in roots; (4) starch synthesis, translocation, and accumulation are also associated probably with signaling pathways that parallel Wnt, LAM, TCS and ErbB signaling pathways in animals; (5) constitutive expression of stress-responsive genes may be due to the adaptation of cassava to harsh environments during long-term evolution.

  5. Stage-structured cannibalism with delay in maturation and harvesting of an adult predator.

    Science.gov (United States)

    Bhattacharyya, Joydeb; Pal, Samares

    2013-01-01

    A three-dimensional stage-structured predator-prey model is proposed and analyzed to study the effect of predation and cannibalism of the organisms at the highest trophic level with non-constant harvesting. Time lag in maturation of the predator is introduced in the system and conditions for local asymptotic stability of steady states are derived. The length of the delay preserving the stability is also estimated. Moreover, it is shown that the system undergoes a supercritical Hopf bifurcation when the maturation time lag crosses a certain critical value. Computer simulations have been carried out to illustrate various analytical results.

  6. Psychological effects of poetry workshops with people with early stage dementia: an exploratory study.

    Science.gov (United States)

    Petrescu, Ioana; MacFarlane, Kit; Ranzijn, Robert

    2014-03-01

    The aim of this study was to test the effectiveness of writing poetry on psychological functioning in people with early stage dementia. A series of poetry writing workshops was conducted with four women, at the end of which a one-on-one short structured interview was conducted. All of the women said that they benefited from the workshops, but their experiences differed greatly. Themes included competence and self-efficacy, personal growth, wanting to contribute and poetry writing as a way of coping with the progression of the condition. Creative activities such as writing poetry hold promise for enhancing the quality of life of people with dementia.

  7. An Investigation on the Formation of Carbon Nanotubes by Two-Stage Chemical Vapor Deposition

    Directory of Open Access Journals (Sweden)

    M. S. Shamsudin

    2012-01-01

    Full Text Available High density of carbon nanotubes (CNTs has been synthesized from agricultural hydrocarbon: camphor oil using a one-hour synthesis time and a titanium dioxide sol gel catalyst. The pyrolysis temperature is studied in the range of 700–900°C at increments of 50°C. The synthesis process is done using a custom-made two-stage catalytic chemical vapor deposition apparatus. The CNT characteristics are investigated by field emission scanning electron microscopy and micro-Raman spectroscopy. The experimental results showed that structural properties of CNT are highly dependent on pyrolysis temperature changes.

  8. Modeling the Hybrid Flow Shop Scheduling Problem Followed by an Assembly Stage Considering Aging Effects and Preventive Maintenance Activities

    Directory of Open Access Journals (Sweden)

    Seyyed Mohammad Hassan Hosseini

    2016-05-01

    Full Text Available Scheduling problem for the hybrid flow shop scheduling problem (HFSP followed by an assembly stage considering aging effects additional preventive and maintenance activities is studied in this paper. In this production system, a number of products of different kinds are produced. Each product is assembled with a set of several parts. The first stage is a hybrid flow shop to produce parts. All machines can process all kinds of parts in this stage but each machine can process only one part at the same time. The second stage is a single assembly machine or a single assembly team of workers. The aim is to schedule the parts on the machines and assembly sequence and also determine when the preventive maintenance activities get done in order to minimize the completion time of all products (makespan. A mathematical modeling is presented and its validation is shown by solving an example in small scale. Since this problem has been proved strongly NP-hard, in order to solve the problem in medium and large scale, four heuristic algorithms is proposed based on the Johnson’s algorithm. The numerical experiments are used to run the mathematical model and evaluate the performance of the proposed algorithms.

  9. A staged model of communication effects: evidence from an entertainment-education radio soap opera in Tanzania.

    Science.gov (United States)

    Vaughan, P W; Rogers, E M

    2000-01-01

    The authors draw on (1) the hierarchy-of-effects (HOE) model, (2) the stages-of-change (SOC) model, (3) social learning theory (SLT), and (4) the diffusion of innovations (DOI) to synthesize a staged model through which communication messages have effects on individual behavior change by stimulating (1) involvement with media characters and role modeling of their actions, and (2) interpersonal communication. Data from a field experiment in Tanzania on the effects of an entertainment-education radio soap opera, Twende na Wakati (Let's Go With the Times), on the adoption of family planning, are analyzed in light of a six-staged model of communication effects. It is found that (1) the model provides a useful framework for understanding the effects of an entertainment-education program, and (2) the radio soap opera promoted progress through the stages for family planning adoption in the treatment area in three of the four years of broadcast, and in the comparison area after broadcasts of the radio program began there.

  10. Identification of differentially expressed genes using an annealing control primer system in stage III serous ovarian carcinoma

    Directory of Open Access Journals (Sweden)

    Bae Dong-Han

    2010-10-01

    Full Text Available Abstract Background Most patients with ovarian cancer are diagnosed with advanced stage disease (i.e., stage III-IV, which is associated with a poor prognosis. Differentially expressed genes (DEGs in stage III serous ovarian carcinoma compared to normal tissue were screened by a new differential display method, the annealing control primer (ACP system. The potential targets for markers that could be used for diagnosis and prognosis, for stage III serous ovarian cancer, were found by cluster and survival analysis. Methods The ACP-based reverse transcriptase polymerase chain reaction (RT PCR technique was used to identify DEGs in patients with stage III serous ovarian carcinoma. The DEGs identified by the ACP system were confirmed by quantitative real-time PCR. Cluster analysis was performed on the basis of the expression profile produced by quantitative real-time PCR and survival analysis was carried out by the Kaplan-Meier method and Cox proportional hazards multivariate model; the results of gene expression were compared between chemo-resistant and chemo-sensitive groups. Results A total of 114 DEGs were identified by the ACP-based RT PCR technique among patients with stage III serous ovarian carcinoma. The DEGs associated with an apoptosis inhibitory process tended to be up-regulated clones while the DEGs associated with immune response tended to be down-regulated clones. Cluster analysis of the gene expression profile obtained by quantitative real-time PCR revealed two contrasting groups of DEGs. That is, a group of genes including: SSBP1, IFI6 DDT, IFI27, C11orf92, NFKBIA, TNXB, NEAT1 and TFG were up-regulated while another group of genes consisting of: LAMB2, XRCC6, MEF2C, RBM5, FOXP1, NUDCP2, LGALS3, TMEM185A, and C1S were down-regulated in most patients. Survival analysis revealed that the up-regulated genes such as DDAH2, RNase K and TCEAL2 might be associated with a poor prognosis. Furthermore, the prognosis of patients with chemo

  11. Monitoring stage fright outside the laboratory: an example in a professional musician using wearable sensors.

    Science.gov (United States)

    Kusserow, Martin; Candia, Victor; Amft, Oliver; Hildebrandt, Horst; Folkers, Gerd; Tröster, Gerhard

    2012-03-01

    We implemented and tested a wearable sensor system to measure patterns of stress responses in a professional musician under public performance conditions. Using this sensor system, we monitored the cellist's heart activity, the motion of multiple body parts, and their gradual changes during three repeated performances of a skill-demanding piece in front of a professional audience. From the cellist and her teachers, we collected stage fright self-reports and performance ratings that were related to our sensor data analysis results. Concomitant to changes in body motion and heart rate, the cellist perceived a reduction in stage fright. Performance quality was objectively improved, as technical playing errors decreased throughout repeated renditions. In particular, from performance 1 to 3, the wearable sensors measured a significant increase in the cellist's bowing motion dynamics of approximately 6% and a decrease in heart rate. Bowing motion showed a marginal correlation to the observed heart rate patterns during playing. The wearable system did not interfere with the cellist's performance, thereby allowing investigation of stress responses during natural public performances.

  12. Hematopoietic cell crisis: An early stage of evolving myeloid leukemia following radiation exposure

    Energy Technology Data Exchange (ETDEWEB)

    Seed, T.M.

    1990-01-01

    Under select radiological conditions, chronic radiation exposure elicits a high incidence of myeloproliferative disease, principally myeloid leukemia (ML), in beagles. Previously we demonstrated that for full ML expression, a four-stage preclinical sequence is required, namely (1) suppression, (2) recovery, (3) accommodation, and (4) preleukemic transition. Within this pathological sequence, a critical early event has been identified as the acquisition of radioresistance by hematopoietic progenitors that serves to mediate a newfound regenerative hematopoietic capacity. As such, this event sets the stage'' for preleukemic progression by initiating progression from preclinical phase 1 to 2. Due to the nature of target cell suppression, the induction of crisis, and the outgrowth of progenitors with altered phenotypes, this preleukemic event resembles the immortalization'' step of the in vitro transformation sequence following induction with either physical and chemical carcinogens. The radiological, temporal, and biological dictates governing this event have been extensively evaluated and will be discussed in light of their role in the induction and progression of chronic radiation leukemia. 35 refs., 2 tabs.

  13. An evaluation of silver-stage American Eel conspecific chemical cueing during outmigration

    Science.gov (United States)

    Schmucker, Andrew K.; Johnson, Nicholas S.; Galbraith, Heather S.; Li, Weiming

    2017-01-01

    American Eel Anguilla rostrata abundance has declined in recent decades, in part because sexually maturing, silver-stage adults, outmigrating from freshwater to oceanic spawning grounds, encounter migratory blockades or perish when passing through active hydroelectric turbines. To help improve downstream passage effectiveness and increase survival rates, the role of silver-stage American Eel conspecific chemical cueing during outmigration was investigated using a new type of bioassay. Inside a laboratory flume, downstream-swimming eels were exposed to both live (putative attractant) and dead (putative repellent) conspecific washings to determine whether their trajectory of downstream movement, level of activity, or time spent inside targeted areas of the arena changed after exposure. Silver eels were not attracted to or repulsed by either odor, as none of five scoring metrics indicated a behavioral response. Results did not support the hypothesis that conspecific chemical cueing is a mechanism for downstream migration coordination or danger avoidance; however responses may not have been readily apparent in this type of assay. Fisheries managers may opt to focus future research on more feasible restoration efforts using alternate experimental designs to remedy this ecological issue.

  14. Human HERC5 restricts an early stage of HIV-1 assembly by a mechanism correlating with the ISGylation of Gag

    Directory of Open Access Journals (Sweden)

    Woods Matthew W

    2011-11-01

    Full Text Available Abstract Background The identification and characterization of several interferon (IFN-induced cellular HIV-1 restriction factors, defined as host cellular proteins or factors that restrict or inhibit the HIV-1 life cycle, have provided insight into the IFN response towards HIV-1 infection and identified new therapeutic targets for HIV-1 infection. To further characterize the mechanism underlying restriction of the late stages of HIV-1 replication, we assessed the ability of IFNbeta-induced genes to restrict HIV-1 Gag particle production and have identified a potentially novel host factor called HECT domain and RCC1-like domain-containing protein 5 (HERC5 that blocks a unique late stage of the HIV-1 life cycle. Results HERC5 inhibited the replication of HIV-1 over multiple rounds of infection and was found to target a late stage of HIV-1 particle production. The E3 ligase activity of HERC5 was required for blocking HIV-1 Gag particle production and correlated with the post-translational modification of Gag with ISG15. HERC5 interacted with HIV-1 Gag and did not alter trafficking of HIV-1 Gag to the plasma membrane. Electron microscopy revealed that the assembly of HIV-1 Gag particles was arrested at the plasma membrane, at an early stage of assembly. The mechanism of HERC5-induced restriction of HIV-1 particle production is distinct from the mechanism underlying HIV-1 restriction by the expression of ISG15 alone, which acts at a later step in particle release. Moreover, HERC5 restricted murine leukemia virus (MLV Gag particle production, showing that HERC5 is effective in restricting Gag particle production of an evolutionarily divergent retrovirus. Conclusions HERC5 represents a potential new host factor that blocks an early stage of retroviral Gag particle assembly. With no apparent HIV-1 protein that directly counteracts it, HERC5 may represent a new candidate for HIV/AIDS therapy.

  15. An unit cost adjusting heuristic algorithm for the integrated planning and scheduling of a two-stage supply chain

    Directory of Open Access Journals (Sweden)

    Jianhua Wang

    2014-10-01

    Full Text Available Purpose: The stable relationship of one-supplier-one-customer is replaced by a dynamic relationship of multi-supplier-multi-customer in current market gradually, and efficient scheduling techniques are important tools of the dynamic supply chain relationship establishing process. This paper studies the optimization of the integrated planning and scheduling problem of a two-stage supply chain with multiple manufacturers and multiple retailers to obtain a minimum supply chain operating cost, whose manufacturers have different production capacities, holding and producing cost rates, transportation costs to retailers.Design/methodology/approach: As a complex task allocation and scheduling problem, this paper sets up an INLP model for it and designs a Unit Cost Adjusting (UCA heuristic algorithm that adjust the suppliers’ supplying quantity according to their unit costs step by step to solve the model.Findings: Relying on the contrasting analysis between the UCA and the Lingo solvers for optimizing many numerical experiments, results show that the INLP model and the UCA algorithm can obtain its near optimal solution of the two-stage supply chain’s planning and scheduling problem within very short CPU time.Research limitations/implications: The proposed UCA heuristic can easily help managers to optimizing the two-stage supply chain scheduling problems which doesn’t include the delivery time and batch of orders. For two-stage supply chains are the most common form of actual commercial relationships, so to make some modification and study on the UCA heuristic should be able to optimize the integrated planning and scheduling problems of a supply chain with more reality constraints.Originality/value: This research proposes an innovative UCA heuristic for optimizing the integrated planning and scheduling problem of two-stage supply chains with the constraints of suppliers’ production capacity and the orders’ delivering time, and has a great

  16. Labor Union Effects on Innovation and Commercialization Productivity: An Integrated Propensity Score Matching and Two-Stage Data Envelopment Analysis

    Directory of Open Access Journals (Sweden)

    Dongphil Chun

    2015-04-01

    Full Text Available Research and development (R&D is a critical factor in sustaining a firm’s competitive advantage. Accurate measurement of R&D productivity and investigation of its influencing factors are of value for R&D productivity improvements. This study is divided into two sections. The first section outlines the innovation and commercialization stages of firm-level R&D activities. This section analyzes the productivity of each stage using a propensity score matching (PSM and two-stage data envelopment analysis (DEA integrated model to solve the selection bias problem. Second, this study conducts a comparative analysis among subgroups categorized as labor unionized or non-labor unionized on productivity at each stage. We used Korea Innovation Survey (KIS data for analysis using a sample of 400 Korean manufacturers. The key findings of this study include: (1 firm innovation and commercialization productivity are balanced and show relatively low innovation productivity; and (2 labor unions have a positive effect on commercialization productivity. Moreover, labor unions are an influential factor in determining manufacturing firms’ commercialization productivity.

  17. An RF power amplifier with inter-metal-shuffled capacitor for inter-stage matching in a digital CMOS process

    Institute of Scientific and Technical Information of China (English)

    Feng Xiaoxing; Zhang Xing; Ge Binjie; Wang Xin'an

    2009-01-01

    One challenge of the implementation of fully-integrated RF power amplifiers into a deep submicro digital CMOS process is that no capacitor is available, especially no high density capacitor. To address this problem, a twostage class-AB power amplifier with inter-stage matching realized by an inter-metal coupling capacitor is designed in a 180-nm digital CMOS process. This paper compares three structures of inter-metal coupling capacitors with metal-insulator-metal (MIM) capacitor regarding their capacitor density. Detailed simulations are carried out for the leakage, the voltage dependency, the temperature dependency, and the quality factor between an inter-metal shuffled (IMS) capacitor and an MIM capacitor. Finally, an IMS capacitor is chosen to perform the inter-stage matching.The techniques are validated via the design and implement of a two-stage class-AB RF power amplifier for an UHF RFID application. The PA occupies 370 X 200 μm2 without pads in the 180-nm digital CMOS process and outputs 21.1 dBm with 40% drain efficiency and 28.1 dB power gain at 915 MHz from a single 3.3 V power supply.

  18. Emission of spherical cesium-bearing particles from an early stage of the Fukushima nuclear accident.

    Science.gov (United States)

    Adachi, Kouji; Kajino, Mizuo; Zaizen, Yuji; Igarashi, Yasuhito

    2013-01-01

    The Fukushima nuclear accident released radioactive materials into the environment over the entire Northern Hemisphere in March 2011, and the Japanese government is spending large amounts of money to clean up the contaminated residential areas and agricultural fields. However, we still do not know the exact physical and chemical properties of the radioactive materials. This study directly observed spherical Cs-bearing particles emitted during a relatively early stage (March 14-15) of the accident. In contrast to the Cs-bearing radioactive materials that are currently assumed, these particles are larger, contain Fe, Zn, and Cs, and are water insoluble. Our simulation indicates that the spherical Cs-bearing particles mainly fell onto the ground by dry deposition. The finding of the spherical Cs particles will be a key to understand the processes of the accident and to accurately evaluate the health impacts and the residence time in the environment.

  19. 4-Nitro styrylquinoline is an antimalarial inhibiting multiple stages of Plasmodium falciparum asexual life cycle.

    Science.gov (United States)

    Roberts, Bracken F; Zheng, Yongsheng; Cleaveleand, Jacob; Lee, Sukjun; Lee, Eunyoung; Ayong, Lawrence; Yuan, Yu; Chakrabarti, Debopam

    2017-04-01

    Drugs against malaria are losing their effectiveness because of emerging drug resistance. This underscores the need for novel therapeutic options for malaria with mechanism of actions distinct from current antimalarials. To identify novel pharmacophores against malaria we have screened compounds containing structural features of natural products that are pharmacologically relevant. This screening has identified a 4-nitro styrylquinoline (SQ) compound with submicromolar antiplasmodial activity and excellent selectivity. SQ exhibits a cellular action distinct from current antimalarials, acting early on malaria parasite's intraerythrocytic life cycle including merozoite invasion. The compound is a fast-acting parasitocidal agent and also exhibits curative property in the rodent malaria model when administered orally. In this report, we describe the synthesis, preliminary structure-function analysis, and the parasite developmental stage specific action of the SQ scaffold. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

  20. An Analysis of Risk and Function Information in Early Stage Design

    Science.gov (United States)

    Barrientos, Francesca; Tumer, Irem; Grantham, Katie; VanWie, Michael; Stone, Robert

    2005-01-01

    The concept of function offers a high potential for thinking and reasoning about designs as well as providing a common thread for relating together other design information. This paper focuses specifically on the relation between function and risk by examining how this information is addressed for a design team conducting early stage design for space missions. Risk information is decomposed into a set of key attributes which are then used to scrutinize the risk information using three approaches from the pragmatics sub-field of linguistics: i) Gricean, ii) Relevance Theory, and Functional Analysis. Results of this linguistics-based approach descriptively account for the context of designer communication with respect to function and risk, and offer prescriptive guidelines for improving designer communication.

  1. Art Museums: an emergence stage for the art education research and innovation

    Directory of Open Access Journals (Sweden)

    Olaia Fontal Merillas

    2009-12-01

    Full Text Available Art Education is finding in Art Museums a stage for research and educational innovation which has held a great emergency in the last decade. We propose a tour that departs from the rethinking of the contents of a museum (collections, objects, ideas, facts, events, experiences, to approach the contents of education in the museums, analyzing some examples in which different didactic strategies are used for the education of conceptual, procedural and attitudinal contents. Finally, we think about the work of the museum educator, approaching the concept of "author's didactics" and the need of a conscience and premeditation on the part of the educator of museum with regard to the educational designs, their applications, results and processes.

  2. 4-Nitro styrylquinoline is an antimalarial inhibiting multiple stages of Plasmodium falciparum asexual life cycle

    Directory of Open Access Journals (Sweden)

    Bracken F. Roberts

    2017-04-01

    Full Text Available Drugs against malaria are losing their effectiveness because of emerging drug resistance. This underscores the need for novel therapeutic options for malaria with mechanism of actions distinct from current antimalarials. To identify novel pharmacophores against malaria we have screened compounds containing structural features of natural products that are pharmacologically relevant. This screening has identified a 4-nitro styrylquinoline (SQ compound with submicromolar antiplasmodial activity and excellent selectivity. SQ exhibits a cellular action distinct from current antimalarials, acting early on malaria parasite's intraerythrocytic life cycle including merozoite invasion. The compound is a fast-acting parasitocidal agent and also exhibits curative property in the rodent malaria model when administered orally. In this report, we describe the synthesis, preliminary structure-function analysis, and the parasite developmental stage specific action of the SQ scaffold.

  3. Guidelines on chemotherapy in advanced stage gynecological malignancies: an evaluation of 224 professional societies and organizations.

    Directory of Open Access Journals (Sweden)

    Nikolaos P Polyzos

    Full Text Available BACKGROUND: Clinical practice guidelines are important for guiding practice, but it is unclear if they are commensurate with the available evidence. METHODS: We examined guidelines produced by cancer and gynecological societies and organizations and evaluated their coverage of and stance towards chemotherapy for advanced stage disease among 4 gynecological malignancies (breast, ovarian, cervical, endometrial cancer where the evidence for the use of chemotherapy is very different (substantial and conclusive for breast and ovarian cancer, limited and suggesting no major benefit for cervical and endometrial cancer. Eligible societies and organizations were identified through systematic internet searches (last update June 2009. Pertinent websites were scrutinized for presence of clinical practice guidelines, and relative guidelines were analyzed. RESULTS: Among 224 identified eligible societies and organizations, 69 (31% provided any sort of guidelines, while recommendations for chemotherapy on advanced stage gynecological malignancies were available in 20 of them. Only 14 had developed their own guideline, and only 5 had developed guidelines for all 4 malignancies. Use of levels of evidence and grades of recommendations, and aspects of the production, implementation, and timeliness of the guidelines did not differ significantly across malignancies. Guidelines on breast and ovarian cancer utilized significantly more randomized trials and meta-analyses. Guidelines differed across malignancies on their coverage of disease-free survival (p = 0.033, response rates (p = 0.024, symptoms relief (p = 0.005, quality of life (p = 0.001 and toxicity (p = 0.039, with breast and ovarian cancer guidelines typically covering more frequently these outcomes. All guidelines explicitly or implicitly endorsed the use of chemotherapy. CONCLUSIONS: Clinical practice guidelines are provided by the minority of professional societies and organizations

  4. Well staged

    Energy Technology Data Exchange (ETDEWEB)

    Budd, Godfrey

    2011-06-15

    Packers Plus Energy Services Inc. has commercially launched QuickFRAC, a multi-stage completition system which can fracture four to five isolated stages in one treatment and set up a record of 23-stage slickwater frac in less than 10 hours. It could take up to 40 days to do 100 fracture treatments with other systems. This technology makes it possible to distribute fluid at each port thanks to the limited entry system. In order to make multiple isolated stages within one treatment zone, each zone includes multiple QuickPORT sleeves with packers on either side. The other technology which made this possible is the repeater port system, it allows them to perform more frac stages. This technology could be useful in the future since the need for stages will be doubling soon with microdarcy shale oil extraction which is more difficult than gas.

  5. An education and motivation intervention to change clinical management of the third stage of labor - the GIRMMAHP Initiative.

    Science.gov (United States)

    Figueras, Albert; Narváez, Edgar; Valsecia, Mabel; Vásquez, Susana; Rojas, Germán; Camilo, Angiolina; del Valle, José-María; Aguilera, Cristina

    2008-12-01

    Hemorrhage and hypertensive disorders are major contributors to death after delivery in developing countries. The GIRMMAHP Initiative was designed to describe the actual delivery care in five Latin American countries and to educate and motivate clinical staff at 17 hospitals with the purpose of implementing their own clinical practice guidelines to prevent postpartum hemorrhage. A multicountry education intervention was developed in four consecutive stages, using two analyses: (a) an observational study of the clinical records in eight teaching and nine nonteaching hospitals and (b) a study of the long-term changes measured 12 months after completion of an education intervention and writing a local clinical guideline. Data from 2,247 pregnant women showed that only 23.3 percent had an active management of the third stage of labor and that 22.7 percent received no prenatal care visit. These data were used to prepare local clinical practice guidelines in each participant hospital. The proportion of active management increased to 72.6 percent of deliveries at 3 months and 58.7 percent 1 year later. Use of oxytocin during the third stage of labor increased to 85.9 percent of included deliveries. The proportion of women who had postpartum hemorrhage decreased from 12.7 percent at baseline to 5 percent at 1 year after the intervention. An education intervention and discussion of actual clinical practice problems with health professionals and their involvement in drafting clinical guidelines helped improve health care quality and practitioners' adherence to these guidelines.

  6. Trading stages

    DEFF Research Database (Denmark)

    Steiner, Uli; Tuljapurkar, Shripad; Coulson, Tim

    2012-01-01

    Interest in stage-and age structured models has recently increased because they can describe quantitative traits such as size that are left out of age-only demography. Available methods for the analysis of effects of vital rates on lifespan in stage-structured models have not been widely applied ...... examples. Much of our approach relies on trading of time and mortality risk in one stage for time and risk in others. Our approach contributes to the new framework of the study of age- and stage-structured biodemography....

  7. An Effective Method for Establishing the Stage and Reflux Requirement of Three-product Dividing Wall Columns

    OpenAIRE

    I. Dejanović; Matijašević, Lj.; Olujić, Ž.

    2011-01-01

    This paper introduces an effective method for determination and optimisation of stage and reflux requirement of a three-product dividing wall column, arranged within a commercial software package by combining a fundamentally sound shortcut method providing reliable initial guesses and a detailed, four-column model, which appeared to be the most flexible among possible configurations, for both steady state and dynamic simulations. The applicability and usability of the method is demonstrate...

  8. Estimating the incidence reporting rates of new influenza pandemics at an early stage using travel data from the source country

    OpenAIRE

    CHONG, K. C.; Fong, H. F.; ZEE, C. Y.

    2013-01-01

    SUMMARY During the surveillance of influenza pandemics, underreported data are a public health challenge that complicates the understanding of pandemic threats and can undermine mitigation efforts. We propose a method to estimate incidence reporting rates at early stages of new influenza pandemics using 2009 pandemic H1N1 as an example. Routine surveillance data and statistics of travellers arriving from Mexico were used. Our method incorporates changes in reporting rates such as linearly inc...

  9. An automatic early stage alveolar-bone-resorption evaluation method on digital dental panoramic radiographs

    Science.gov (United States)

    Zhang, Min; Katsumata, Akitoshi; Muramatsu, Chisako; Hara, Takeshi; Suzuki, Hiroki; Fujita, Hiroshi

    2014-03-01

    Periodontal disease is a kind of typical dental diseases, which affects many adults. The presence of alveolar bone resorption, which can be observed from dental panoramic radiographs, is one of the most important signs of the progression of periodontal disease. Automatically evaluating alveolar-bone resorption is of important clinic meaning in dental radiology. The purpose of this study was to propose a novel system for automated alveolar-bone-resorption evaluation from digital dental panoramic radiographs for the first time. The proposed system enables visualization and quantitative evaluation of alveolar bone resorption degree surrounding the teeth. It has the following procedures: (1) pre-processing for a test image; (2) detection of tooth root apices with Gabor filter and curve fitting for the root apex line; (3) detection of features related with alveolar bone by using image phase congruency map and template matching and curving fitting for the alveolar line; (4) detection of occlusion line with selected Gabor filter; (5) finally, evaluation of the quantitative alveolar-bone-resorption degree in the area surrounding teeth by simply computing the average ratio of the height of the alveolar bone and the height of the teeth. The proposed scheme was applied to 30 patient cases of digital panoramic radiographs, with alveolar bone resorption of different stages. Our initial trial on these test cases indicates that the quantitative evaluation results are correlated with the alveolar-boneresorption degree, although the performance still needs further improvement. Therefore it has potential clinical practicability.

  10. An updated insight into the Sialotranscriptome of Triatoma infestans: developmental stage and geographic variations.

    Directory of Open Access Journals (Sweden)

    Alexandra Schwarz

    2014-12-01

    Full Text Available Triatoma infestans is the main vector of Chagas disease in South America. As in all hematophagous arthropods, its saliva contains a complex cocktail that assists blood feeding by preventing platelet aggregation and blood clotting and promoting vasodilation. These salivary components can be immunologically recognized by their vector's hosts and targeted with antibodies that might disrupt blood feeding. These antibodies can be used to detect vector exposure using immunoassays. Antibodies may also contribute to the fast evolution of the salivary cocktail.Salivary gland cDNA libraries from nymphal and adult T. infestans of breeding colonies originating from different locations (Argentina, Chile, Peru and Bolivia, and cDNA libraries originating from F1 populations of Bolivia, were sequenced using Illumina technology. Coding sequences (CDS were extracted from the assembled reads, the numbers of reads mapped to these CDS, sequences were functionally annotated and polymorphisms determined.Over five thousand CDS, mostly full length or near full length, were publicly deposited on GenBank. Transcripts that were over 10-fold overexpressed from different geographical regions, or from different developmental stages were identified. Polymorphisms were mapped to derived coding sequences, and found to vary between developmental instars and geographic origin of the biological material. This expanded sialome database from T. infestans should be of assistance in future proteomic work attempting to identify salivary proteins that might be used as epidemiological markers of vector exposure, or proteins of pharmacological interest.

  11. Stage one Norwood procedure in an emerging economy:Initial experience in a single center

    Directory of Open Access Journals (Sweden)

    Rakhi Balachandran

    2013-01-01

    Methods : Retrospective review of medical records of seven neonates who underwent Norwood procedure at our institute from October 2010 to August 2012. Results: The median age at surgery was 9 days (range 5-16 days. All cases were done under deep hypothermic cardiopulmonary bypass and selective antegrade cerebral perfusion. The median cardiopulmonary bypass (CPB time was 240 min (range 193-439 min and aortic cross-clamp time was 130 min (range 99-159 min. A modified Blalock-Taussig (BT shunt was used to provide pulmonary blood flow in all cases. There were two deaths, one in the early postoperative period. The median duration of mechanical ventilation was 117 h (range 71-243 h and the median intensive care unit (ICU stay was 12 days (range 5-16 days. Median hospital stay was 30.5 days (range 10-36 days. Blood stream sepsis was reported in four patients. Two patients had preoperative sepsis. One patient required laparotomy for intestinal obstruction. Conclusions:Stage one Norwood is feasible in a limited-resource environment if supported by a dedicated postoperative intensive care and protocolized nursing management. Preoperative optimization and prevention of infections are major challenges in addition to preventing early circulatory collapse.

  12. An Updated Insight into the Sialotranscriptome of Triatoma infestans: Developmental Stage and Geographic Variations

    Science.gov (United States)

    Schwarz, Alexandra; Medrano-Mercado, Nora; Schaub, Günter A.; Struchiner, Claudio J.; Bargues, M. Dolores; Levy, Michael Z.; Ribeiro, José M. C.

    2014-01-01

    Background Triatoma infestans is the main vector of Chagas disease in South America. As in all hematophagous arthropods, its saliva contains a complex cocktail that assists blood feeding by preventing platelet aggregation and blood clotting and promoting vasodilation. These salivary components can be immunologically recognized by their vector's hosts and targeted with antibodies that might disrupt blood feeding. These antibodies can be used to detect vector exposure using immunoassays. Antibodies may also contribute to the fast evolution of the salivary cocktail. Methodology Salivary gland cDNA libraries from nymphal and adult T. infestans of breeding colonies originating from different locations (Argentina, Chile, Peru and Bolivia), and cDNA libraries originating from F1 populations of Bolivia, were sequenced using Illumina technology. Coding sequences (CDS) were extracted from the assembled reads, the numbers of reads mapped to these CDS, sequences were functionally annotated and polymorphisms determined. Main findings/Significance Over five thousand CDS, mostly full length or near full length, were publicly deposited on GenBank. Transcripts that were over 10-fold overexpressed from different geographical regions, or from different developmental stages were identified. Polymorphisms were mapped to derived coding sequences, and found to vary between developmental instars and geographic origin of the biological material. This expanded sialome database from T. infestans should be of assistance in future proteomic work attempting to identify salivary proteins that might be used as epidemiological markers of vector exposure, or proteins of pharmacological interest. PMID:25474469

  13. Evidence of Olfactory Imprinting at an Early Life Stage in Pink Salmon (Oncorhynchus gorbuscha).

    Science.gov (United States)

    Bett, Nolan N; Hinch, Scott G; Dittman, Andrew H; Yun, Sang-Seon

    2016-11-09

    Pacific salmon (Oncorhynchus spp.) navigate towards spawning grounds using olfactory cues they imprinted on as juveniles. The timing at which imprinting occurs has been studied extensively, and there is strong evidence that salmon imprint on their natal water during the parr-smolt transformation (PST). Researchers have noted, however, that the life histories of some species of Pacific salmon could necessitate imprinting prior to the PST. Juvenile pink salmon (O. gorbuscha) spend less time in fresh water than any other species of Pacific salmon, and presumably must imprint on their natal water at a very young age. The time at which imprinting occurs in this species, however, has not been experimentally tested. We exposed juvenile pink salmon as alevins to phenethyl alcohol (PEA) or control water, reared these fish to adulthood, and then tested their behavioural responses to PEA to determine whether the fish successfully imprinted. We found that pink salmon exposed to PEA as alevins were attracted to the chemical as adults, suggesting that imprinting can occur during this stage. Our finding provides some of the first evidence to support the long-standing belief that imprinting can occur in pink salmon prior to the PST.

  14. End-stage renal disease in Tabuk Area, Saudi Arabia: an epidemiological study.

    Science.gov (United States)

    El Minshawy, Osama; Ghabrah, Tawfik; El Bassuoni, Eman

    2014-01-01

    The purpose of this study was to determine the prevalence, etiology and risk factors of treated end-stage renal disease (ESRD) in the region of Tabuk, Saudi Arabia. We studied 460 renal replacement therapy patients through a review of medical records and patient interviews and obtained patient demographics, family history, risk factors for ESRD, environmental exposure to toxins, work conditions, social history and causes of death. The estimated prevalence of treated ESRD was 460 per million populations (PMP); 350 (76%) were treated by hemodialysis, 30 (7%) by peritoneal dialysis and 80 (17%) by kidney transplantation. The mean age was 48 ± 17 years, body mass index was 25 ± 2 kg/m 2 and the male vs. female ratio was 64% vs. 36%. Most patients (55%) were living in rural areas. Etiology of the ESRD was unknown in 33%, hypertension in 24%, chronic glomerulonephritis in 8%, obstructive uropathy in 3.5%, analgesic nephropathy in 5%, Bilhaziasis in 0.5%, chronic pyelonephritis in 2% and diabetic nephropathy in 18%. Other causes such as gouty nephropathy, collagen diseases, toxemia of pregnancy and lupus nephritis constituted 6% of the cases. We conclude that the epidemiology of the treated ESRD in Tabuk area is similar to that in Egypt, but very different from that in the United States.

  15. End-stage renal disease in Tabuk Area, Saudi Arabia: An epidemiological study

    Directory of Open Access Journals (Sweden)

    Osama El Minshawy

    2014-01-01

    Full Text Available The purpose of this study was to determine the prevalence, etiology and risk fac-tors of treated end-stage renal disease (ESRD in the region of Tabuk, Saudi Arabia. We studied 460 renal replacement therapy patients through a review of medical records and patient interviews and obtained patient demographics, family history, risk factors for ESRD, environmental exposure to toxins, work conditions, social history and causes of death. The estimated prevalence of treated ESRD was 460 per million populations (PMP; 350 (76% were treated by hemodialysis, 30 (7% by peritoneal dialysis and 80 (17% by kidney transplantation. The mean age was 48 ± 17 years, body mass index was 25 ± 2 kg/m 2 and the male vs. female ratio was 64% vs. 36%. Most patients (55% were living in rural areas. Etiology of the ESRD was unknown in 33%, hypertension in 24%, chronic glomerulonephritis in 8%, obstructive uropathy in 3.5%, analgesic nephropathy in 5%, Bilhaziasis in 0.5%, chronic pyelonephritis in 2% and diabetic nephropathy in 18%. Other causes such as gouty nephropathy, collagen diseases, toxemia of pregnancy and lupus nephritis constituted 6% of the cases. We conclude that the epidemiology of the treated ESRD in Tabuk area is similar to that in Egypt, but very different from that in the United States.

  16. End-stage renal disease in Nigeria: An overview of the epidemiology and the pathogenetic mechanisms

    Directory of Open Access Journals (Sweden)

    M O Odubanjo

    2011-01-01

    Full Text Available There is paucity of information on the magnitude of the burden of renal disease in our environment. Obtaining accurate data is hampered by the poor socioeconomic status of most patients with lack of access to specialized care in tertiary institutions, where most of the data is generated. The incidence of chronic renal failure (CRF and end-stage renal disease (ESRD in any specified area is known to be influenced by the prevalence of specific disease entities resulting in CRF. Hypertension, glomerulonephritis (GN, sickle cell disease, quartan malaria nephropathy, urinary tract schistosomiasis and other parasite-related forms of chronic GN are known to contribute significantly to the incidence of CRF in Nigeria. As is the situation in other parts of the world, diabetic nephropathy appears to be of increasing importance in the causation of ESRD in Nigeria. Even though the underlying cause of renal disease can often not be treated, extensive studies in experimental animals and preliminary studies in humans suggest that progression in chronic renal disease may largely be due to secondary factors, attention to which may be important in the prevention and/or control of renal disease.

  17. An adaptive two-stage energy-efficiency mechanism for the doze mode in EPON

    Science.gov (United States)

    Nikoukar, AliAkbar; Hwang, I.-Shyan; Su, Yu-Min; Liem, Andrew Tanny

    2016-07-01

    Sleep and doze power-saving modes are the common ways to reduce power consumption of optical network units (ONUs) in Ethernet passive optical network (EPON). The doze mode turns off the ONU transmitter when there is no traffic in the upstream direction while the sleep mode turns off the ONU transmitter and receiver. As the result, the sleep mode is more efficient compared to the doze mode, but it introduces additional complexity of scheduling and signaling, losses the clock synchronization and requires long clock recovery time; furthermore, it requires the cooperation of the optical line terminal (OLT) in the downstream direction to queue frames. To improve the energy-saving in the doze mode, a new two-stage mechanism is introduced that the doze sleep duration is extended for longer time with acceptable quality-of-services (QoS) metrics when ONU is idle in the current cycle. By this way the ONU enters the doze mode even in the high load traffic; moreover, the green dynamic bandwidth allocation (GBA) is proposed to calculate the doze sleep duration based on the ONU queue state and incoming traffic ratio. Simulation results show that the proposed mechanism significantly improves the energy-saving 74% and 54% when traffic load is from the light load to the high load in different traffic situations, and also promises the QoS performance.

  18. Estimating the incidence reporting rates of new influenza pandemics at an early stage using travel data from the source country.

    Science.gov (United States)

    Chong, K C; Fong, H F; Zee, C Y

    2014-05-01

    During the surveillance of influenza pandemics, underreported data are a public health challenge that complicates the understanding of pandemic threats and can undermine mitigation efforts. We propose a method to estimate incidence reporting rates at early stages of new influenza pandemics using 2009 pandemic H1N1 as an example. Routine surveillance data and statistics of travellers arriving from Mexico were used. Our method incorporates changes in reporting rates such as linearly increasing trends due to the enhanced surveillance. From our results, the reporting rate was estimated at 0·46% during early stages of the pandemic in Mexico. We estimated cumulative incidence in the Mexican population to be 0·7% compared to 0·003% reported by officials in Mexico at the end of April. This method could be useful in estimation of actual cases during new influenza pandemics for policy makers to better determine appropriate control measures.

  19. Evaluation of aeration pretreatment to prepare an inoculum for the two-stage hydrogen and methane production process.

    Science.gov (United States)

    Giordano, Andrea; Sarli, Valentina; Lavagnolo, Maria Cristina; Spagni, Alessandro

    2014-08-01

    This study evaluates the effect of aeration pretreatment to prepare an inoculum for H₂ and CH₄ production in a two-stage process. Moreover, the biochemical hydrogen potential and biochemical methane potential of waste from the food industry in a two-stage process was assessed. The results confirmed the possibility of using an aerobic stress for selecting a hydrogen-producing inoculum. The inoculum was fairly stable since no hydrogenotrophic-methanogenic activity was observed in 25 days. The yields measured using glucose as substrate were of approximately 160 and 280 N mL(H₂) g(COD⁻¹) of glucose for hydrogen and methane, respectively, which are in agreement with other studies using heat-shock for the pretreatment of the inoculum. When waste of the food industry (wheat milling) was used as substrate, a lower H₂ yield was achieved by the aerobically-pretreated inoculum if compared to heat-shock; however, when combined with methane production in a two-stage process, much higher CH₄ yield was achieved.

  20. An examination of stage theory of grief among individuals bereaved by natural and violent causes: a meaning-oriented contribution.

    Science.gov (United States)

    Holland, Jason M; Neimeyer, Robert A

    2010-01-01

    Despite its popularity, few attempts have been made to empirically test the stage theory of grief. The most prominent of these attempts was conducted by Maciejewski, Zhang, Block, and Prigerson (2007), who found that different states of grieving may peak in a sequence that is consistent with stage theory. The present study aimed to provide a conceptual replication and extension of these findings by examining the association between time since loss and five grief Indicators (focusing on disbelief, anger, yearning, depression, and acceptance), among an ethnically diverse sample of young adults who had been bereaved by natural (n=441) and violent (n=173) causes. We also examined the potential salience of meaning-making and assessed the extent to which participants had made sense of their losses. In general, limited support was found for stage theory, alongside some evidence of an "anniversary reaction" marked by heightened distress and reduced acceptance for participants approaching the second anniversary of the death. Overall, sense-making emerged as a much stronger predictor of grief Indicators than time since loss, highlighting the relevance of a meaning-oriented perspective.

  1. HLA-B8 association with late-stage melanoma – an immunological lesson?

    Directory of Open Access Journals (Sweden)

    Andersen Mads

    2006-03-01

    Full Text Available Abstract Background Differences in HLA allele frequencies between the diseased and healthy populations may signify efficient immune responses, a notion that has been successfully tested for infectious diseases or for association with genetic elements involved in a distinct type of immunity. This retrospective study is intended to detect differences in MHC class I carrier frequencies of advanced melanoma patients compared to healthy bone marrow donors. Methods The HLA-A and -B carrier frequencies of 748 stage IV melanoma patients retrieved from serotyping at 6 different centers in Germany were compared using a chi-square test to 13,386 fully HLA typed bone marrow donors registered in the German national bone marrow donor registry. Results The comparison of HLA carrier frequencies in advanced cancer patients with healthy bone marrow donors revealed a significant decrease in HLA-B8 carrier frequencies, which was also apparent in patients with advanced disease compared to patients with loco-regional disease. Conclusion The data suggest that protective immune responses restricted to distinct MHC class I molecules may be operational in a subset of melanoma patients, which is the prerequisite for a large scale screen for the corresponding epitopes. Alternatively, the known association of the ancestral haplotype HLA-A1, -B8 and -DR3 with genetic elements such as distinct TNF-α alleles might have a protective effect on disease progression. In any case, identification of the cause of protection within this patient subset might lead to a significant improvement in the efficacy of current immunotherapeutic approaches.

  2. An evaluation of a two-stage spiral processing ultrafine bituminous coal

    Energy Technology Data Exchange (ETDEWEB)

    Matthew D. Benusa; Mark S. Klima [Penn State University, University Park, PA (United States). Energy and Mineral Engineering

    2008-10-15

    Testing was conducted to evaluate the performance of a multistage Multotec SX7 spiral concentrator treating ultrafine bituminous coal. This spiral mimics a two-stage separation in that the refuse is removed after four turns, and the clean coal and middlings are repulped (without water addition) and then separated in the final three turns. Feed samples were collected from the spiral circuit of a coal cleaning plant located in southwestern Pennsylvania. The samples consisted of undeslimed cyclone feed (nominal -0.15 mm) and deslimed spiral feed (nominal 0.15 x 0.053 mm). Testing was carried out to investigate the effects of slurry flow rate and solids concentration on spiral performance. Detailed size and ash analyses were performed on the spiral feed and product samples. For selected tests, float-sink and sulfur analyses were performed. In nearly all cases, ash reduction occurred down to approximately 0.025 mm, with some sulfur reduction occurring even in the -0.025 mm interval. The separation of the +0.025 mm material was not significantly affected by the presence of the -0.025 mm material when treating the undeslimed feed. The -0.025 mm material split in approximately the same ratio as the slurry, and the majority of the water traveled to the clean coal stream. This split ultimately increased the overall clean coal ash value. A statistical analysis determined that both flow rate and solids concentration affected the clean coal ash value and yield, though the flow rate had a greater effect on the separation. 23 refs.

  3. The Russian-French Agreement on Mutual Qualifications Cecognition - an Important Stage of International Educational Cooperation

    Directory of Open Access Journals (Sweden)

    Gennady Fedorovich Tkach

    2016-12-01

    Full Text Available The article considers the historical background, organizational and legal circumstances of the development and signing of the Russian-French agreement on mutual recognition of education and (or qualifications and degrees. The authors reveal fundamental importance of the uniform approach by comparison the basic levels of education between the two countries and the relevant qualifications. Analysis of the main substantive provisions of the joint document is provided. It is the first such full-scale agreement signed by the Russian Federation with one of the developed countries. A brief overview of the evolution of “qualifications recognition”, its concept, essence, targets and terminology are given in the initial part of the paper. The article analyzes the definitions of terms used both in the Convention on the Recognition of Qualifications concerning Higher Education in the European region and in the modern practice of the recognition of the Russian Federation. Distinction of the purpose and possibilities of conventions application and bilateral agreements on the recognition of qualifications are shown. The authors describe the sequence and content of the basic stages of development of the draft Agreement. The article displays mismatch of the two countries on the possibility of professional recognition along with academic recognition. In conclusion, the authors express confidence that the signing of the Russian-French agreement on the recognition of qualifications will promote academic exchanges and deepen cooperation between Russia and France, and will have a stimulating effect on all aspects of international educational co-operation between Russia and other countries.

  4. Staged electrostatic precipitator

    Science.gov (United States)

    Miller, Stanley J.; Almlie, Jay C.; Zhuang, Ye

    2016-03-01

    A device includes a chamber having an air inlet and an air outlet. The device includes a plurality of stages including at least a first stage adjacent a second stage. The plurality of stages are disposed in the chamber and each stage has a plurality of discharge electrodes disposed in an interior region and is bounded by an upstream baffle on an end proximate the air inlet and bounded by a downstream baffle on an end proximate the air outlet. Each stage has at least one sidewall between the upstream baffle and the downstream baffle. The sidewall is configured as a collection electrode and has a plurality of apertures disposed along a length between the upstream baffle and the downstream baffle. The upstream baffle of the first stage is positioned in staggered alignment relative to the upstream baffle of the second stage and the downstream baffle of the first stage are positioned in staggered alignment relative to the downstream baffle of the second stage.

  5. Three-dimensional visualisation of developmental stages of an apicomplexan fish blood parasite in its invertebrate host

    Directory of Open Access Journals (Sweden)

    Hayes Polly M

    2011-11-01

    Full Text Available Abstract Background Although widely used in medicine, the application of three-dimensional (3D imaging to parasitology appears limited to date. In this study, developmental stages of a marine fish haemogregarine, Haemogregarina curvata (Apicomplexa: Adeleorina, were investigated in their leech vector, Zeylanicobdella arugamensis; this involved 3D visualisation of brightfield and confocal microscopy images of histological sections through infected leech salivary gland cells. Findings 3D assessment demonstrated the morphology of the haemogregarine stages, their spatial layout, and their relationship with enlarged host cells showing reduced cellular content. Haemogregarine meronts, located marginally within leech salivary gland cells, had small tail-like connections to the host cell limiting membrane; this parasite-host cell interface was not visible in two-dimensional (2D light micrographs and no records of a similar connection in apicomplexan development have been traced. Conclusions This is likely the first account of the use of 3D visualisation to study developmental stages of an apicomplexan parasite in its invertebrate vector. Elucidation of the extent of development of the haemogregarine within the leech salivary cells, together with the unusual connections between meronts and the host cell membrane, illustrates the future potential of 3D visualisation in parasite-vector biology.

  6. Filling the Gap for Early-Stage Breast Cancer Follow-Up: An Overview for Primary Care Providers.

    Science.gov (United States)

    Bond-Bero, Stacy

    2016-01-01

    Earlier detection and newer treatments now make breast cancer highly survivable, and breast cancer survivors are the largest female cancer survivor group in the United States. With earlier detection, more women are being diagnosed with early-stage breast cancer and need follow-up care. With the increasing number of breast cancer survivors, there is a projected shortage in the workforce of oncology specialists to care for these women. The American Society of Clinical Oncology recommends that breast cancer follow-up care can be provided by an oncologist or primary care provider, as long as the primary care provider has spoken to the oncologist about appropriate follow-up care. Several studies have shown that primary care providers and oncologists have comparable outcomes for follow-up care of women with early-stage breast cancer. The National Comprehensive Cancer Network Clinical Practice Guidelines in Oncology (NCCN Guidelines) are considered the gold standard for breast cancer treatment and follow-up. These guidelines are clear and straightforward. Using knowledge of the NCCN Guidelines, primary care providers can fill the gap for follow-up care of women with early-stage breast cancer.

  7. Effect of Air Staging Ratios on the Burning Rate and Emissions in an Underfeed Fixed-Bed Biomass Combustor

    Directory of Open Access Journals (Sweden)

    Araceli Regueiro

    2016-11-01

    Full Text Available This experimental work studies a small-scale biomass combustor (5–12 kW with an underfed fixed bed using low air staging ratios (15%–30%. This document focuses on the influence of the operative parameters on the combustion process, so gaseous emissions and the distribution and concentration of particulate matter have also been recorded. The facility shows good stability and test repeatability. For the studied airflow ranges, the results show that increasing the total airflow rate does not increase the overall air excess ratio because the burning rate is proportionally enhanced (with some slight differences that depend on the air staging ratio. Consequently, the heterogeneous reactions at the bed remain in the so-called oxygen-limited region, and thus the entire bed operates under sub-stoichiometric conditions with regards of the char content of the biomass. In addition, tests using only primary air (no staging may increase the fuel consumption, but in a highly incomplete way, approaching a gasification regime. Some measured burning rates are almost 40% higher than previous results obtained in batch combustors due to the fixed position of the ignition front. The recorded concentration of particulate matter varies between 15 and 75 mg/Nm3, with a main characteristic diameter between 50 and 100 nm.

  8. Evidence for disks at an early stage in class 0 protostars?

    Science.gov (United States)

    Gerin, M.; Pety, J.; Commerçon, B.; Fuente, A.; Cernicharo, J.; Marcelino, N.; Ciardi, A.; Lis, D. C.; Roueff, E.; Wootten, H. A.; Chapillon, E.

    2017-10-01

    Aims: The formation epoch of protostellar disks is debated because of the competing roles of rotation, turbulence, and magnetic fields in the early stages of low-mass star formation. Magnetohydrodynamics simulations of collapsing cores predict that rotationally supported disks may form in strongly magnetized cores through ambipolar diffusion or misalignment between the rotation axis and the magnetic field orientation. Detailed studies of individual sources are needed to cross check the theoretical predictions. Methods: We present 0.06-0.1'' resolution images at 350 GHz toward B1b-N and B1b-S, which are young class 0 protostars, possibly first hydrostatic cores. The images have been obtained with ALMA, and we compare these data with magnetohydrodynamics simulations of a collapsing turbulent and magnetized core. Results: The submillimeter continuum emission is spatially resolved by ALMA. Compact structures with optically thick 350 GHz emission are detected toward both B1b-N and B1b-S, with 0.2 and 0.35'' radii (46 and 80 au at the Perseus distance of 230 pc), within a more extended envelope. The flux ratio between the compact structure and the envelope is lower in B1b-N than in B1b-S, in agreement with its earlier evolutionary status. The size and orientation of the compact structure are consistent with 0.2'' resolution 32 GHz observations obtained with the Very Large Array as a part of the VANDAM survey, suggesting that grains have grown through coagulation. The morphology, temperature, and densities of the compact structures are consistent with those of disks formed in numerical simulations of collapsing cores. Moreover, the properties of B1b-N are consistent with those of a very young protostar, possibly a first hydrostatic core. These observations provide support for the early formation of disks around low-mass protostars. The reduced images and datacubes are only available at the CDS via anonymous ftp to http://cdsarc.u-strasbg.fr (http://130.79.128.5) or via

  9. Optimization of the reflux ratio for a stage distillation column based on an improved particle swarm algorithm

    DEFF Research Database (Denmark)

    Ren, Jingzheng; Tan, Shiyu; Dong, Lichun

    2010-01-01

    the searching ability of basic particle swarm algorithm significantly. An example of utilizing the improved algorithm to solve the mathematical model was demonstrated; the result showed that it is efficient and convenient to optimize the reflux ratio for a distillation column by using the mathematical model......A mathematical model relating operation profits with reflux ratio of a stage distillation column was established. In order to optimize the reflux ratio by solving the nonlinear objective function, an improved particle swarm algorithm was developed and has been proved to be able to enhance...

  10. Current Aeromedical Issues in Rotary Wing Operations. (Problemes actuels de medecine aeronautique poses par les operations utilisant des voilures tournantes)

    Science.gov (United States)

    1999-08-01

    accident, the other had early ankylosing malformation (eg spondylolisthesis) and previous spinal spondylitis . surgery. The current locations of all...Caldwell, K.A. Roberts and H.D. Jones The Effects of Exercise Versus Napping on Alertness and Mood in Sleep-Deprived Aviators 28 by P.A. LeDuc, J.A...for aircrew and passengers involved of Zolpiden and exercise on the performance of in mishaps. It was made by an analysis of sleep deprived pilots

  11. Aeromedical Aspects of Findings from Aircraft-Assisted Pilot Suicides in the United States, 1993-2002

    Science.gov (United States)

    2006-03-01

    muscle, respectively. These impairing levels of ethanol are considerably above the FAA’s legal limit of 40 mg/dL ethanol in a pilot’s blood. The...examination found 1 ng/mL tet- rahydrocannabinol (the active compound in marihuana ) in the pilot’s blood. Furthermore, tetrahydrocannabinol...tetrahydrocan- nabinol in the blood indicated the pilot used marihuana , an illegal substance, the blood concentration determined suggests that there

  12. Staging Mobilities

    DEFF Research Database (Denmark)

    Jensen, Ole B.

    that mobility is more than movement between point A and B. It explores how the movement of people, goods, information, and signs influences human understandings of self, other and the built environment. Moving towards a new understanding of the relationship between movement, interaction and environments......In recent years, the social sciences have taken a “mobilities turn.” There has been a developing realisation that mobilities do not “just happen.” Mobilities are carefully and meticulously designed, planned and staged (from above). However, they are equally importantly acted out, performed...... and lived as people are “staging themselves” (from below). Staging mobilities is a dynamic process between “being staged” (for example, being stopped at traffic lights) and the “mobile staging” of interacting individuals (negotiating a passage on the pavement). Staging Mobilities is about the fact...

  13. System implementation: managing project and post project stage - case study in an Indonesian company

    NARCIS (Netherlands)

    Govindaraju, Rajesri; Bruijn, de Erik Joost; Fisscher, Olaf M.; Laptaned, U.

    2007-01-01

    The research reported in this paper aims to get a better understanding of how the implementation process of enterprise systems (ES) can be managed, by studying the process from an organisational perspective. A review of the literature on previous research in ES implementation has been carried out an

  14. Postembryonic stages of Nucellicola holmanae Lamb et al., 1996 (copepoda, poecilostomatoida), an endoparasite of the dog whelk Nucella lapillus (gastropoda)

    Science.gov (United States)

    Lamb, E. J.; Boxshall, G. A.; Mill, P. J.; Grahame, J.

    1998-06-01

    The external morphology of the first three larval stages of Nucellicola holmanae is described. These stages were cultured from eggs found with the adults in the viscera of dog whelks collected from Robin Hood's Bay, North Yorkshire. The nauplius develops within the whelk. It moults to a metanauplius which is released as a free-swimming stage. The metanauplius moults to a free copepodid stage which exhibits a combination of characters typical of the first, second and third copepodid stages of other poecilostomatoid copepods. The infective copepodid stage which locates and penetrates the host is visible through the integument of this free-swimming copepodid.

  15. Whole Reproductive System Non-Negative Matrix Factorization Mass Spectrometry Imaging of an Early-Stage Ovarian Cancer Mouse Model.

    Directory of Open Access Journals (Sweden)

    Martin R L Paine

    Full Text Available High-grade serous carcinoma (HGSC is the most common and deadliest form of ovarian cancer. Yet it is largely asymptomatic in its initial stages. Studying the origin and early progression of this disease is thus critical in identifying markers for early detection and screening purposes. Tissue-based mass spectrometry imaging (MSI can be employed as an unbiased way of examining localized metabolic changes between healthy and cancerous tissue directly, at the onset of disease. In this study, we describe MSI results from Dicer-Pten double-knockout (DKO mice, a mouse model faithfully reproducing the clinical nature of human HGSC. By using non-negative matrix factorization (NMF for the unsupervised analysis of desorption electrospray ionization (DESI datasets, tissue regions are segregated based on spectral components in an unbiased manner, with alterations related to HGSC highlighted. Results obtained by combining NMF with DESI-MSI revealed several metabolic species elevated in the tumor tissue and/or surrounding blood-filled cyst including ceramides, sphingomyelins, bilirubin, cholesterol sulfate, and various lysophospholipids. Multiple metabolites identified within the imaging study were also detected at altered levels within serum in a previous metabolomic study of the same mouse model. As an example workflow, features identified in this study were used to build an oPLS-DA model capable of discriminating between DKO mice with early-stage tumors and controls with up to 88% accuracy.

  16. Whole Reproductive System Non-Negative Matrix Factorization Mass Spectrometry Imaging of an Early-Stage Ovarian Cancer Mouse Model

    Science.gov (United States)

    Kim, Jaeyeon; Bennett, Rachel V.; Parry, R. Mitchell; Gaul, David A.; Wang, May D.; Matzuk, Martin M.; Fernández, Facundo M.

    2016-01-01

    High-grade serous carcinoma (HGSC) is the most common and deadliest form of ovarian cancer. Yet it is largely asymptomatic in its initial stages. Studying the origin and early progression of this disease is thus critical in identifying markers for early detection and screening purposes. Tissue-based mass spectrometry imaging (MSI) can be employed as an unbiased way of examining localized metabolic changes between healthy and cancerous tissue directly, at the onset of disease. In this study, we describe MSI results from Dicer-Pten double-knockout (DKO) mice, a mouse model faithfully reproducing the clinical nature of human HGSC. By using non-negative matrix factorization (NMF) for the unsupervised analysis of desorption electrospray ionization (DESI) datasets, tissue regions are segregated based on spectral components in an unbiased manner, with alterations related to HGSC highlighted. Results obtained by combining NMF with DESI-MSI revealed several metabolic species elevated in the tumor tissue and/or surrounding blood-filled cyst including ceramides, sphingomyelins, bilirubin, cholesterol sulfate, and various lysophospholipids. Multiple metabolites identified within the imaging study were also detected at altered levels within serum in a previous metabolomic study of the same mouse model. As an example workflow, features identified in this study were used to build an oPLS-DA model capable of discriminating between DKO mice with early-stage tumors and controls with up to 88% accuracy. PMID:27159635

  17. An embedded pair of method of orders 6(4) with 6 stages for special systems of ordinary differential equations

    Science.gov (United States)

    Olemskoy, I. V.; Eremin, A. S.

    2016-06-01

    We construct here an embedded Dormand-Prince pair of explicit methods of orders 6 and 4 for systems of ordinary differential equations with special structure, namely with two parts, in which the right-hand sides are dependent only on the unknown functions from the other group. The number of stages is six, which is fewer than for general explicit Runge-Kutta methods. The comparison to Dormand-Prince method of the same computation cost is made showing the higher accuracy of the suggested method.

  18. Multi-stage cleaning plant

    Energy Technology Data Exchange (ETDEWEB)

    Kullendorff, A.; Wikner, J.

    1980-12-09

    A cleaning plant positioned within an annular fluidized bed combustion chamber is divided into a plurality of separate cleaning stages, wherein a first stage is located adjacent the fluidized bed and additional stages are arranged within the first stage. Each stage comprises a plurality of separate cleaning devices which act in parallel, while cleaning devices of different stages act in series to remove debris from the combustion gases that exit from the fluidized bed combustion chamber.

  19. Thermodynamic Analysis of Double-Stage Compression Transcritical CO2 Refrigeration Cycles with an Expander

    Directory of Open Access Journals (Sweden)

    Zhenying Zhang

    2015-04-01

    Full Text Available Four different double-compression CO2 transcritical refrigeration cycles are studied: double-compression external intercooler cycle (DCEI, double-compression external intercooler cycle with an expander (DCEIE, double-compression flash intercooler cycle (DCFI, double-compression flash intercooler cycle with an expander (DCFIE. The results showed that the optimum gas cooler pressure and optimum intermediate pressure of the flash intercooler cycles are lower than that of the external intercooler cycle. The use of an expander in the DCEI cycle leads to a decrease of the optimum gas cooler pressure and little variation of the optimum intermediate pressure. However, the replacement of the throttle valve with an expander in the DCFI cycle results in little variation of the optimal gas cooler pressure and an increase of the optimum intermediate pressure. The DCFI cycle outperforms the DCEI cycle under all the chosen operating conditions. The DCEIE cycle outperforms the DCFIE cycle when the evaporating temperature exceeds 0 °C or the gas cooler outlet temperature surpasses 35 °C. When the gas cooler exit temperature varies from 32 °C to 48 °C, the DCEI cycle, DCEIE cycle, DCFI cycle and DCFIE cycle yield averaged 4.6%, 29.2%, 12.9% and 22.3% COP improvement, respectively, over the basic cycle.

  20. Non-lethal effects of an invasive species in the marine environment: the importance of early life-history stages.

    Science.gov (United States)

    Rius, Marc; Turon, Xavier; Marshall, Dustin J

    2009-04-01

    Studies examining the effects of invasive species have focussed traditionally on the direct/lethal effects of the invasive on the native community but there is a growing recognition that invasive species may also have non-lethal effects. In terrestrial systems, non-lethal effects of invasive species can disrupt early life-history phases (such as fertilisation, dispersal and subsequent establishment) of native species, but in the marine environment most studies focus on adult rather than early life-history stages. Here, we examine the potential for an introduced sessile marine invertebrate (Styela plicata) to exert both lethal and non-lethal effects on a native species (Microcosmus squamiger) across multiple early life-history stages. We determined whether sperm from the invasive species interfered with the fertilisation of eggs from the native species and found no effect. However, we did find strong effects of the invasive species on the post-fertilisation performance of the native species. The invasive species inhibited the settlement of native larvae and, in the field, the presence of the invasive species was associated with a ten-fold increase in the post-settlement mortality of the native species, as well as an initial reduction of growth in the native. Our results suggest that larvae of the native species avoid settling near the invasive species due to reduced post-settlement survival in its presence. Overall, we found that invasive species can have complex and pervasive effects (both lethal and non-lethal) across the early life-history stages of the native species, which are likely to result in its displacement and to facilitate further invasion.

  1. [Effects of the association of sulbutiamine with an acetylcholinesterase inhibitor in early stage and moderate Alzheimer disease].

    Science.gov (United States)

    Ollat, H; Laurent, B; Bakchine, S; Michel, B-F; Touchon, J; Dubois, B

    2007-01-01

    The efficacy of the inhibitors of acetylcholinesterase in Alzheimer's Disease (AD) is moderated and some patients do not respond to these treatments. Sulbutiamine potentializes cholinergic and glutamatergic transmissions, mainly in hippocampus and prefrontal cortex. This multicentric, randomized and double-blind trial evaluates the effects of the association of sulbutiamine to an anticholinesterasic drug in cognitive functions in patients with AD at an early stage (episodic memory, working memory, executive functions, attention). Patients had first donepezil (D) or sulbutiamine (S) during three months. During this period, only attention improved in both groups. During the three following months, a placebo (P) in patients D and donepezil in patients S were added. Compared to entry results, episodic memory decreased in group D + P but improved in group S + D. At the same time the improvement of attention persisted in both groups. Daylife activities only improved in group S + D. In conclusion sulbutiamine can be an adjuvant to treatment in early stage and moderate AD by anticholinesterasic drugs.

  2. Ethical Tensions in the Pain Management of an End-Stage Cancer Patient with Evidence of Opioid Medication Diversion.

    Science.gov (United States)

    Venkat, Arvind; Kim, David

    2016-06-01

    At the end of life, pain management is commonly a fundamental part of the treatment plan for patients where curative measures are no longer possible. However, the increased recognition of opioid diversion for secondary gain coupled with efforts to treat patients in the home environment towards the end of life creates the potential for ethical dilemmas in the palliative care management of terminal patients in need of continuous pain management. We present the case of an end-stage patient with rectal cancer who required a continuous residential narcotic infusion of fentanyl for pain control due to metastatic disease. His functional status was such that he had poor oral intake and ability to perform other activities of daily living, but was able to live at home with health agency nursing care. The patient presented to this institution with a highly suspect history of having lost his fentanyl infusion in a residential accident and asking for a refill to continue home therapy. The treating physicians had concerns of diversion of the infusion medication by caregivers and were reluctant to continue the therapeutic relationship with the patient. This case exemplifies the tension that can exist between wanting to continue with palliative care management of an end-stage patient and the fear of providers when confronted by evidence of potential diversion of opioid analgesic medications. We elucidate how an ethical framework based on a combination of virtue and narrative/relationship theories with reference to proportionality can guide physicians to a pragmatic resolution of these difficult situations.

  3. Is there a role for surgery in stageA-N2 non-small cell lung cancer?

    Institute of Scientific and Technical Information of China (English)

    Paul E. VAN SCHIL; Michèle DE WAELE; Jeroen M. HENDRIKS; Patrick R. LAUWERS

    2008-01-01

    The role of surgery in stageA-N2 non-small cell lung cancer (NSCLC) remains controversial.Most important prognostic factors are mediastinal downstaging and complete surgical resection. Different restaging techniques exist to evaluate response after induction therapy and these are subdivided into non-invasive, invasive and alternative or minimally invasive techniques. In contrast to imaging or functional studies, remediastinoscopy provides pathological evidence of response after induction therapy. Although technically more challenging than a first procedure,remediastinoscopy can select patients for subsequent thoracotomy and provides prognostic information. An alternative approach consists of the use of minimally invasive staging procedures as endobronchial or endoscopic esophageal ultrasound to obtain an initial proof of mediastinal nodal involvement. Mediastinoscopy is subsequently performed after induction therapy to evaluate response. In this way, a technically more difficult remediastinoscopy can be avoided. Stage ⅢA-N2 NSCLC represents a heterogenous spectrum of locally advanced disease and different subsets exist. When N2 disease is discovered during thoracotomy after negative, careful preoperative staging a resection should be performed if this can be complete. Postoperative radiotherapy will decrease local recurrence rate but not overall survival. Adjuvant chemotherapy increases survival and is presently recommended in these cases. Most patients with pathologically proven N2 disease detected during preoperative work-up will be treated by induction therapy followed by surgery or radiotherapy.In two large, recently completed, phase Ill trials there was no difference in overall survival between the surgical and radiotherapy arm, but in one trial there was a difference in progression-free survival in favor of the surgical arm. In the surgery ann the rate of local recurrences was also lower in beth trials. Surgical resection may be recommended in those

  4. Stage classification and prognosis: an intersection of medicine, quantum physics and religion?

    Science.gov (United States)

    Detterbeck, Frank C

    2011-11-01

    Estimating prognosis is an important part of caring for patients with cancer. However, predicting prognosis is complicated and depends on many factors. Simply amassing more data alone is not the answer; we have to learn to intellectually manage the inherent complexity and uncertainty if we are to make progress.

  5. Art Therapy for an Individual with Late Stage Dementia: A Clinical Case Description

    Science.gov (United States)

    Tucknott-Cohen, Tisah; Ehresman, Crystal

    2016-01-01

    This article describes the healing benefits of art therapy for an individual with dementia of the Alzheimer's type. In this clinical case description, a woman diagnosed with Alzheimer's disease received individual art therapy for 17 weeks. The treatment concerns that arose, altered view of reality, agitation, and retrogenesis provide insight on…

  6. Art Therapy for an Individual with Late Stage Dementia: A Clinical Case Description

    Science.gov (United States)

    Tucknott-Cohen, Tisah; Ehresman, Crystal

    2016-01-01

    This article describes the healing benefits of art therapy for an individual with dementia of the Alzheimer's type. In this clinical case description, a woman diagnosed with Alzheimer's disease received individual art therapy for 17 weeks. The treatment concerns that arose, altered view of reality, agitation, and retrogenesis provide insight on…

  7. Promoting Group Work at Key Stage 3: Solving an Attitudinal Crisis among Young Adolescents?

    Science.gov (United States)

    Pell, Tony; Galton, Maurice; Steward, Susan; Page, Charlotte; Hargreaves, Linda

    2007-01-01

    The attitudes and behaviour of 1040 pupils aged 12-14 years have been measured at the beginning and end of the school year with a battery of attitude, motivation and personality tests in an investigation of the differential effects of group work compared to whole-class learning. A total of 44 secondary teachers of English, mathematics and science…

  8. Evidence for an amoeba-like infectious stage of ichthyophonus sp. and description of a circulating blood stage: a probable mechanism for dispersal within the fish host

    Science.gov (United States)

    Kocan, Richard; LaPatra, Scott; Hershberger, Paul

    2013-01-01

    Small amoeboid cells, believed to be the infectious stage of Ichthyophonus sp., were observed in the bolus (stomach contents) and tunica propria (stomach wall) of Pacific staghorn sculpins and rainbow trout shortly after they ingested Ichthyophonus sp.–infected tissues. By 24–48 hr post-exposure (PE) the parasite morphed from the classically reported multinucleate thick walled schizonts to 2 distinct cell types, i.e., a larger multinucleate amoeboid cell surrounded by a narrow translucent zone and a smaller spherical cell surrounded by a “halo” and resembling a small schizont. Both cell types also appeared in the tunica propria, indicating that they had recently penetrated the columnar epithelium of the stomach. No Ichthyophonus sp. pseudo-hyphae (“germination tubes”) were observed in the bolus or penetrating the stomach wall. Simultaneously, Ichthyophonus sp. was isolated in vitro from aortic blood, which was consistently positive from 6 to 144 hr PE, then only intermittently for the next 4 wk. Small PAS-positive cells observed in blood cultures grew into colonies consisting of non-septate tubules (pseudo-hyphae) terminating in multinucleated knob-like apices similar to those seen in organ explant cultures. Organ explants were culture positive every day; however, typical Ichthyophonus sp. schizonts were not observed histologically until 20–25 days PE. From 20 to 60 days PE, schizont diameter increased from ≤25 μm to ≥82 μm. Based on the data presented herein, we are confident that we have resolved the life cycle of Ichthyophonus sp. within the piscivorous host.

  9. Minimizing the Switch and Link Conflicts in an Optical Multi-stage Interconnection Network

    CERN Document Server

    Bhardwaj, Ved Prakash; Tyagi, Vipin

    2012-01-01

    Multistage Interconnection Networks (MINs) are very popular in switching and communication applications. A MIN connects N inputs to N outputs and is referred as an N \\times N MIN; having size N. Optical Multistage Interconnection Network (OMIN) represents an important class of Interconnection networks. Crosstalk is the basic problem of OMIN. Switch Conflict and Link Conflict are the two main reason of crosstalk. In this paper, we are considering both problems. A number of techniques like Optical window, Improved Window, Heuristic, Genetic, and Zero have been proposed earlier in this research domain. In this paper, we have proposed two algorithms called Address Selection Algorithm and Route Selection Algorithm (RSA). RSA is based on Improved Window Method. We have applied the proposed algorithms on existing Omega network, having shuffle-exchange connection pattern. The main functionality of ASA and RSA is to minimize the number of switch and link conflicts in the network and to provide conflict free routes.

  10. Minimizing the Switch and Link Conflicts in an Optical Multi-stage Interconnection Network

    Directory of Open Access Journals (Sweden)

    Ved Prakash Bhardwaj

    2011-07-01

    Full Text Available Multistage Interconnection Networks (MINs are very popular in switching and communication applications. A MIN connects N inputs to N outputs and is referred as an N andamp;times; N MIN; having size N. Optical Multistage Interconnection Network (OMIN represents an important class of Interconnection networks. Crosstalk is the basic problem of OMIN. Switch Conflict and Link Conflict are the two main reason of crosstalk. In this paper, we are considering both problems. A number of techniques like Optical window, Improved Window, Heuristic, Genetic, and Zero have been proposed earlier in this research domain. In this paper, we have proposed two algorithms called Address Selection Algorithm and Route Selection Algorithm (RSA. RSA is based on Improved Window Method. We have applied the proposed algorithms on existing Omega network, having shuffleexchange connection pattern. The main functionality of ASA and RSA is to minimize the number of switch and link conflicts in the network and to provide conflict free routes.

  11. Scientific Research of Hebei Heng An Tai Pipeline Co., Ltd. Stepped into a New Stage

    Institute of Scientific and Technical Information of China (English)

    Meng Fanjing

    2012-01-01

    The submarine pipeline production, technology research subject undertaken by Hebei Heng An Tai Pipeline Co., Ltd., namely the 2011 National 863 Technical Project during the "12th Five-year Plan", has produced some products recently, which are being tested and examined. The successful development of this project will completely break foreign countries" years of technical block and product monopoly in this field, realizing completely independent development of China's offshore oil and gas resources, and creating great economic benefits for enterprises.

  12. Is multislice computed tomography an important tool for breast cancer staging and follow-up?

    Energy Technology Data Exchange (ETDEWEB)

    Miranda, Christiana Maia Nobre Rocha de; Santos, Carla Jotta Justo dos; Maranhao, Carol Pontes de Miranda, E-mail: maiachristiana@globo.com [Clinica de Medicina Nuclear e Radiologia de Maceio (MedRadiUS), Maceio, AL (Brazil); Farias, Lucas de Padua Gomes de; Padilha, Igor Gomes; Andrade, Anna Carolina de Mendonca de; Jatoba, Mayara Stephanie de Araujo [Faculdade de Medicina da Universidade Federal de Alagoas, Maceio, AL (Brazil)

    2012-03-15

    Breast cancer is the most common cancer in women and the leading cause of cancer death among the female population. Extramammary findings related to breast cancer play an important role in the prognosis and treatment of such entity and the correct diagnosis of such alterations is essential for increasing the chance of cure. Most of the times, such manifestations result from complications arising from treatment, and may be associated with lymph node involvement, locoregional recurrence or distant metastasis. (author)

  13. Analysis of Safety Margins in an Initial Stage during the KALIMER Station Blackout

    Energy Technology Data Exchange (ETDEWEB)

    Chang, Won Pyo; Jeong, Hae Yong; Lee, Yong Bum

    2008-01-15

    The main effort in the present study contributes to investigating the safety margins by analyzing the KALIMER station blackout accident. Natural circulation becomes the main heat transfer mechanism. The flow depends mostly on pump's halving time, friction factor for the wire-wrapped rod bundles in the core, and heat transfer coefficient. Therefore, physical models concerned with heat transfer in both pipe internals (IHX/DHX tube sides) and tube bundles (core, IHX/DHX shell sides), including the core wire-wrapped rod bundles, are also to be assessed in the study. In results, the heat transfer coefficient currently featured in SSC-K for an IHX rod bundle has been found acceptable. The heat transfer coefficient used for the core rod bundle, however, has not shown suitability and thus an alternative one has been proposed. Meanwhile, the friction factor model in SSC-K has not shown a prominent discrepancy in prediction trend but it has not been backed by an enough theoretical basis so that it has been replaced by the Cheng and Todreas model. An assessment matrix has been made to analyze systematically the effects of those parameters affecting on the conservatism of the safety analysis, and the matrix is constituted with the average value and the upper/lower limits in the correlation's applicable ranges. The preliminary calculation has shown negligible effect on the fuel temperature, while the pump halving time and the friction factor for the wire-wrapped rod bundle in the core have affected on the analysis results.

  14. A scale value for the balance between stage and pit and inside an historical opera house

    Science.gov (United States)

    Prodi, Nicola; Velecka, Sylvia

    2004-05-01

    Despite its recognized importance, the balance between the singer and the orchestra inside an opera house has received minor attention in the past. In fact, after the fundamental work of Meyer [J. Meyer, ``Some problems of opera house acoustics,'' Proceedings of 12th I.C.A., Vancouver, 1986, pp. 13-18], who explained why the solo singing voice can compete with the orchestra, only partial results were reported on this perceived attribute. In this work a reference scale to assess the balance inside an historical opera house is achieved by means of listening tests inside a controlled room. Two scaling experiments were performed based on the acoustical data measured inside an historical opera house, the Teatro Comunale di Ferrara, Italy. By doing so all of the relevant acoustical characteristics of a typical Italian-style opera house could be exactly reproduced. Acceptable values do not differ much in the stalls and in the boxes and are within 2 dB(A) to +2.3 dB(A). The transfer of the findings to other types of opera houses is discussed, too.

  15. A scale value for the balance between stage and pit and inside an historical opera house

    Science.gov (United States)

    Prodi, Nicola; Velecka, Sylvia

    2001-05-01

    Despite its recognized importance, the balance between the singer and the orchestra inside an opera house has received minor attention in the past. In fact, after the fundamental work of Meyer [J. Meyer, ``Some problems of opera house acoustics,'' Proceedings of 12th I.C.A., Vancouver, 1986, pp. 13-18], who explained why the solo singing voice can compete with the orchestra, only partial results were reported on this perceived attribute. In this work a reference scale to assess the balance inside an historical opera house is achieved by means of listening tests inside a controlled room. Two scaling experiments were performed based on the acoustical data measured inside an historical opera house, the Teatro Comunale di Ferrara, Italy. By doing so all of the relevant acoustical characteristics of a typical Italian-style opera house could be exactly reproduced. Acceptable values do not differ much in the stalls and in the boxes and are within 2 dB(A) to +2.3 dB(A). The transfer of the findings to other types of opera houses is discussed, too.

  16. An alphavirus temperature-sensitive capsid mutant reveals stages of nucleocapsid assembly

    Energy Technology Data Exchange (ETDEWEB)

    Zheng, Yan, E-mail: yzheng15@students.kgi.edu; Kielian, Margaret, E-mail: margaret.kielian@einstein.yu.edu

    2015-10-15

    Alphaviruses have a nucleocapsid core composed of the RNA genome surrounded by an icosahedral lattice of capsid protein. An insertion after position 186 in the capsid protein produced a strongly temperature-sensitive growth phenotype. Even when the structural proteins were synthesized at the permissive temperature (28 °C), subsequent incubation of the cells at the non-permissive temperature (37 °C) dramatically decreased mutant capsid protein stability and particle assembly. Electron microscopy confirmed the presence of cytoplasmic nucleocapsids in mutant-infected cells cultured at the permissive temperature, but these nucleocapsids were not stable to sucrose gradient separation. In contrast, nucleocapsids isolated from mutant virus particles had similar stability to that of wildtype virus. Our data support a model in which cytoplasmic nucleocapsids go through a maturation step during packaging into virus particles. The insertion site lies in the interface between capsid proteins in the assembled nucleocapsid, suggesting the region where such a stabilizing transition occurs. - Highlights: • We characterize an alphavirus capsid insertion mutation. • These capsid mutants are highly temperature sensitive for growth. • The insertion affects nucleocapsid stability. • Results suggest that the nucleocapsid is stabilized during virus budding.

  17. Stage-specific adhesion of Leishmania promastigotes to sand fly midguts assessed using an improved comparative binding assay.

    Directory of Open Access Journals (Sweden)

    Raymond Wilson

    2010-09-01

    Full Text Available The binding of Leishmania promastigotes to the midgut epithelium is regarded as an essential part of the life-cycle in the sand fly vector, enabling the parasites to persist beyond the initial blood meal phase and establish the infection. However, the precise nature of the promastigote stage(s that mediate binding is not fully understood.To address this issue we have developed an in vitro gut binding assay in which two promastigote populations are labelled with different fluorescent dyes and compete for binding to dissected sand fly midguts. Binding of procyclic, nectomonad, leptomonad and metacyclic promastigotes of Leishmania infantum and L. mexicana to the midguts of blood-fed, female Lutzomyia longipalpis was investigated. The results show that procyclic and metacyclic promastigotes do not bind to the midgut epithelium in significant numbers, whereas nectomonad and leptomonad promastigotes both bind strongly and in similar numbers. The assay was then used to compare the binding of a range of different parasite species (L. infantum, L. mexicana, L. braziliensis, L. major, L. tropica to guts dissected from various sand flies (Lu. longipalpis, Phlebotomus papatasi, P. sergenti. The results of these comparisons were in many cases in line with expectations, the natural parasite binding most effectively to its natural vector, and no examples were found where a parasite was unable to bind to its natural vector. However, there were interesting exceptions: L. major and L. tropica being able to bind to Lu. longipalpis better than L. infantum; L. braziliensis was able to bind to P. papatasi as well as L. major; and significant binding of L. major to P. sergenti and L. tropica to P. papatasi was observed.The results demonstrate that Leishmania gut binding is strictly stage-dependent, is a property of those forms found in the middle phase of development (nectomonad and leptomonad forms, but is absent in the early blood meal and final stages (procyclic

  18. A new Design for an High Gain Vacuum Photomultiplier: The Silicon PMT Used as Amplification Stage

    Energy Technology Data Exchange (ETDEWEB)

    Barbarino, Giancarlo [Universita di Napoli ' Federico II' , Dipartimento di Scienze fisiche, via Cintia 80126 Napoli (Italy); Asmundis, Riccardo de; De Rosa, Gianfranca [Istituto Nazionale di fisica Nucleare, sezione di Napoli, Complesso di Monte S. Angelo Ed. 6, via Cintia 80126 Napoli (Italy); Fiorillo, Giuliana; Russo, Stefano [Universita di Napoli ' Federico II' , Dipartimento di Scienze fisiche, via Cintia 80126 Napoli (Italy)

    2009-12-15

    Photons detection will continue to be a channel of great interest in the High Energy Physics and Astroparticle Physics fields for medium and big scale experiments in the next future. Thus, new solutions for photon detectors, that overcome the current limits of classical photomultipliers, are welcomed. We propose an innovative design for a hybrid, modern, high gain Vacuum Silicon Photomultiplier Tube (VSiPMT) which is boosted by the recent Geiger-mode avalanche silicon photodiode (G-APD) for which a massive production is today available.

  19. Thematic Events as an Experiential Marketing Tool: Kite Festival on the Experience Stage

    Directory of Open Access Journals (Sweden)

    Muge Akyıldız

    2013-12-01

    Full Text Available The rise of experiential marketing during last decade shed some light on marketing literature. Nowadays, consumers are in search of experiences that “dazzle their senses”, “touch their hearts” and “stimulate their minds” and also marketers need to understand customer experience (Schmitt, 1999. Therefore, studies and researches on experiential features of products or services have appeared in the marketing literature. However, academic investigations on the measurement of event experiences are very recent. Thus, the main aim of this study was to identify the underlying aspects of event experience and to examine events as an experiential marketing tool via a sample of 300 respondents who were participated in Kite Festival, an annual event held in Eskisehir. Results revealed three aspects, which are “emotional experience”, “escapist and relaxing experience” and “social and nostalgic experience”. The study has significant implications as to how well marketing practitioners and recreationist implement experiential marketing and experiential dimensions of the events.

  20. Setting the stage - building and working in an ancient DNA laboratory.

    Science.gov (United States)

    Knapp, Michael; Clarke, Andrew C; Horsburgh, K Ann; Matisoo-Smith, Elizabeth A

    2012-01-20

    With the introduction of next generation high throughput sequencing in 2005 and the resulting revolution in genetics, ancient DNA research has rapidly developed from an interesting but marginal field within evolutionary biology into one that can contribute significantly to our understanding of evolution in general and the development of our own species in particular. While the amount of sequence data available from ancient human, other animal and plant remains has increased dramatically over the past five years, some key limitations of ancient DNA research remain. Most notably, reduction of contamination and the authentication of results are of utmost importance. A number of studies have addressed different aspects of sampling, DNA extraction and DNA manipulation in order to establish protocols that most efficiently generate reproducible and authentic results. As increasing numbers of researchers from different backgrounds become interested in using ancient DNA technology to address key questions, the need for practical guidelines on how to construct and use an ancient DNA facility arises. The aim of this article is therefore to provide practical tips for building a state-of-the-art ancient DNA facility. It is intended to help researchers new to the field of ancient DNA research generally, and those considering the application of next generation sequencing, in their planning process.

  1. Effectiveness of Installation Aeromedical Evacuation

    Science.gov (United States)

    2013-12-13

    60-Minutes Overlay .......................36 Figure 5. Trauma Centers by Ground Ambulance Access in 60-Minutes Overlay ........37 Figure 6. Military...Medical, Dental , and Veterinary Care, specified, “the Medical Evacuation System consists of ground and air medical evacuation platforms which work...Military Medical Center, formerly the separate entities of Brooke Army Medical Center and Wilford Hall Air Force Medical Center. The medical overlays

  2. Lipid Lowering Agents Aeromedical Concerns

    Science.gov (United States)

    2001-06-01

    elevated SGOT and SGPT Simvastatin and lovastatin are administered as levels (> 3 times upper limit of normal) were lactones, and conversion to the...Among range of cholesterol, lower values are associated patients enrolled in the primary prevention trial with fewer cardiovascular events

  3. Selective induction of P-glycoprotein at the CNS barriers during symptomatic stage of an ALS animal model.

    Science.gov (United States)

    Chan, Gary N Y; Evans, Rebecca A; Banks, David B; Mesev, Emily V; Miller, David S; Cannon, Ronald E

    2017-02-03

    P-glycoprotein (P-gp), Breast cancer resistance protein (BCRP) and Multidrug resistance-associated protein 2 (MRP2) residing at the blood-brain barrier (BBB) and the blood-spinal cord barrier (BSCB) are major obstacles for drug delivery to the Central Nervous System (CNS). Disease-induced changes of these xenobiotic transporters at the CNS barriers have been previously documented. Changes in the functional expression of these transporters at the CNS barriers would limit the clinical efficacy of therapeutic agents targeting the CNS. In this study, we characterized the changes in expression and efflux activity of P-gp, BCRP and MRP2 at the BBB and BSCB of an amyotrophic lateral sclerosis (ALS) SOD1-G93A transgenic rat model across the three stages of disease progression: pre-onset, onset and symptomatic. Up-regulation of P-gp and BCRP at the BBB and BSCB during disease progression of ALS would reduce drug entry to the CNS, while any decreases in transport activity would increase drug entry. In SOD rats at the ALS symptomatic stage, we observed increases in both P-gp transport activity and expression compared to age-matched wildtypes. BCRP and MRP2 levels were unchanged in these animals. Immunohistochemical analysis in brain and spinal cord capillaries of SOD rats from all three ALS stages and age-matched wildtypes showed no differences in nuclear localization of a known P-gp regulator, nuclear factor kappa-light-chain-enhancer of activated B cells (NFκB). It suggests that NFκB may have a limited role during P-gp induction observed in our study and additional signaling pathways could be responsible for this response. Our observations imply that novel pharmacological approaches for treating ALS require selecting drugs that are not P-gp substrates in order to improve therapeutic efficacy in the CNS during ALS progression.

  4. Is "Active Surveillance" an Acceptable Alternative?: A Qualitative Study of Couples' Decision Making about Early-Stage, Localized Prostate Cancer.

    Science.gov (United States)

    Le, Chi L; McFall, Stephanie L; Byrd, Theresa L; Volk, Robert J; Cantor, Scott B; Kuban, Deborah A; Mullen, Patricia Dolan

    2016-01-01

    The objective of our study was to describe decision making by men and their partners regarding active surveillance (AS) or treatment for early-stage, localized prostate cancer. Fifteen couples were recruited from a cancer center multispecialty clinic, which gave full information about all options, including AS. Data were collected via individual, semi-structured telephone interviews. Most patients were white, non-Hispanic, had private insurance, had completed at least some college, and were aged 49-72 years. Ten chose AS. All partners were female, and couples reported strong marital satisfaction and cohesion. All couples described similar sequences of a highly emotional initial reaction and desire to be rid of the cancer, information seeking, and decision making. The choice of AS was built on a nuanced evaluation of the man's condition in which the couple differentiated prostate cancer from other cancers and early stage from later stages, wanted to avoid/delay side effects, and trusted the AS protocol to identify negative changes in time for successful treatment. Treated couples continued to want immediate treatment to remove the cancer. We concluded that having a partner's support for AS may help a man feel more comfortable with choosing and adhering to AS. Using decision aids that address both a man's and his partner's concerns regarding AS may increase its acceptability. Our research shows that some patients want to and do involve their partners in the decision-making process. Ethical issues are related to the tension between desire for partner involvement and the importance of the patient as autonomous decision-maker. The extended period of decision making, particularly for AS, is also an ethical issue that requires additional support for patients and couples in the making of fully informed choices that includes AS.

  5. Staging atmospheres

    DEFF Research Database (Denmark)

    Bille, Mikkel; Bjerregaard, Peter; Sørensen, Tim Flohr

    2015-01-01

    The article introduces the special issue on staging atmospheres by surveying the philosophical, political and anthropological literature on atmosphere, and explores the relationship between atmosphere, material culture, subjectivity and affect. Atmosphere seems to occupy one of the classic...... localities of tensions between matter and the immaterial, the practical and the ideal, and subject and object. In the colloquial language there can, moreover, often seem to be something authentic or genuine about atmosphere, juxtaposing it to staging, which is implied to be something simulated or artificial....... This introduction seeks to outline how a number of scholars have addressed the relationship between staged atmospheres and experience, and thus highlight both the philosophical, social and political aspects of atmospheres...

  6. Conflict-Specific Aging Effects Mainly Manifest in Early Information Processing Stages-An ERP Study with Different Conflict Types.

    Science.gov (United States)

    Korsch, Margarethe; Frühholz, Sascha; Herrmann, Manfred

    2016-01-01

    Aging is usually accompanied by alterations of cognitive control functions such as conflict processing. Recent research suggests that aging effects on cognitive control seem to vary with degree and source of conflict, and conflict specific aging effects on performance measures as well as neural activation patterns have been shown. However, there is sparse information whether and how aging affects different stages of conflict processing as indicated by event related potentials (ERPs) such as the P2, N2 and P3 components. In the present study, 19 young and 23 elderly adults performed a combined Flanker conflict and stimulus-response-conflict (SRC) task. Analysis of the reaction times (RTs) revealed an increased SRC related conflict effect in elderly. ERP analysis furthermore demonstrated an age-related increase of the P2 amplitude in response to the SRC task. In addition, elderly adults exhibited an increased P3 amplitude modulation induced by incongruent SRC and Flanker conflict trials.

  7. First stage identification of syntactic elements in an extra-terrestrial signal

    Science.gov (United States)

    Elliott, John

    2011-02-01

    By investigating the generic attributes of a representative set of terrestrial languages at varying levels of abstraction, it is our endeavour to try and isolate elements of the signal universe, which are computationally tractable for its detection and structural decipherment. Ultimately, our aim is to contribute in some way to the understanding of what 'languageness' actually is. This paper describes algorithms and software developed to characterise and detect generic intelligent language-like features in an input signal, using natural language learning techniques: looking for characteristic statistical "language-signatures" in test corpora. As a first step towards such species-independent language-detection, we present a suite of programs to analyse digital representations of a range of data, and use the results to extrapolate whether or not there are language-like structures which distinguish this data from other sources, such as music, images, and white noise.

  8. Bullous Dermatosis in an End-Stage Renal Disease Patient: A Case Report and Literature Review

    Directory of Open Access Journals (Sweden)

    Zeenat Yousuf Bhat

    2016-01-01

    Full Text Available Patients with advanced chronic kidney disease including ESRD patients may present with a wide spectrum of cutaneous abnormalities, ranging from xerosis to hyperpigmentation to severe deforming necrotizing lesions. Skin problems are not uncommon in this population of patients, with a clinical presentation that can be quite bizarre, mandating a long list of differential diagnostic possibilities, and subsequent rise of a puzzling diagnostic challenge. We describe an ESRD patient who presented with blistering, nonhealing ulcerative lesions with a diagnostic skin biopsy revealing a mixed pattern of linear IgA bullous dermatosis and dermatitis herpetiformis. A clinical remission could be achieved with pulse intravenous steroids followed by oral maintenance in combination with dapsone, with no evidence of recurrence.

  9. Bullous Dermatosis in an End-Stage Renal Disease Patient: A Case Report and Literature Review

    Science.gov (United States)

    Abu Minshar, Marwan; Thompson, Andrew; Malik, Yahya Osman

    2016-01-01

    Patients with advanced chronic kidney disease including ESRD patients may present with a wide spectrum of cutaneous abnormalities, ranging from xerosis to hyperpigmentation to severe deforming necrotizing lesions. Skin problems are not uncommon in this population of patients, with a clinical presentation that can be quite bizarre, mandating a long list of differential diagnostic possibilities, and subsequent rise of a puzzling diagnostic challenge. We describe an ESRD patient who presented with blistering, nonhealing ulcerative lesions with a diagnostic skin biopsy revealing a mixed pattern of linear IgA bullous dermatosis and dermatitis herpetiformis. A clinical remission could be achieved with pulse intravenous steroids followed by oral maintenance in combination with dapsone, with no evidence of recurrence. PMID:28003921

  10. Gastric and Duodenal Pseudomelanosis: An Extended Unusual Finding in a Patient with End Stage Kidney Disease

    Directory of Open Access Journals (Sweden)

    Noor Ul Ain Qureshi

    2016-01-01

    Full Text Available Gastric and duodenal pseudomelanosis is a rare endoscopic mucosal finding, characterized by the accumulation of iron in macrophages of the lamina propria of the stomach and duodenum. The clinical significance and long term sequelae have not been clarified yet. However, this benign condition is associated with a variety of clinical conditions, such as essential hypertension, chronic renal failure, diabetes mellitus, long term intake of iron supplements, and furosemide. Duodenal pseudomelanosis appears to be more common than gastric pseudomelanosis given the fact that a few cases of gastric pseudomelanosis have been reported in the literature so far. We report a case of 88-year-old lady with ESRD who is maintained on hemodialysis and presented with abdominal pain. An upper GI endoscopy showed discoloration of the antrum of the stomach and most portion of her duodenum. Histopathology report confirmed the presence of iron laden macrophages in the lamina propria of both stomach and duodenum.

  11. Gastric and Duodenal Pseudomelanosis: An Extended Unusual Finding in a Patient with End Stage Kidney Disease

    Science.gov (United States)

    Qureshi, Noor Ul Ain; Younus, Muhammad Faraz; Alavi, Kourosh

    2016-01-01

    Gastric and duodenal pseudomelanosis is a rare endoscopic mucosal finding, characterized by the accumulation of iron in macrophages of the lamina propria of the stomach and duodenum. The clinical significance and long term sequelae have not been clarified yet. However, this benign condition is associated with a variety of clinical conditions, such as essential hypertension, chronic renal failure, diabetes mellitus, long term intake of iron supplements, and furosemide. Duodenal pseudomelanosis appears to be more common than gastric pseudomelanosis given the fact that a few cases of gastric pseudomelanosis have been reported in the literature so far. We report a case of 88-year-old lady with ESRD who is maintained on hemodialysis and presented with abdominal pain. An upper GI endoscopy showed discoloration of the antrum of the stomach and most portion of her duodenum. Histopathology report confirmed the presence of iron laden macrophages in the lamina propria of both stomach and duodenum. PMID:27042366

  12. An ultrasonically levitated noncontact stage using traveling vibrations on precision ceramic guide rails.

    Science.gov (United States)

    Koyama, Daisuke; Ide, Takeshi; Friend, James R; Nakamura, Kentaro; Ueha, Sadayuki

    2007-03-01

    This paper presents a noncontact sliding table design and measurements of its performance via ultrasonic levitation. A slider placed atop two vibrating guide rails is levitated by an acoustic radiation force emitted from the rails. A flexural traveling wave propagating along the guide rails allows noncontact transportation of the slider. Permitting a transport mechanism that reduces abrasion and dust generation with an inexpensive and simple structure. The profile of the sliding table was designed using the finite-element analysis (FEA) for high levitation and transportation efficiency. The prototype sliding table was made of alumina ceramic (Al2O3) to increase machining accuracy and rigidity using a structure composed of a pair of guide rails with a triangular cross section and piezoelectric transducers. Two types of transducers were used: bolt-clamped Langevin transducers and bimorph transducers. A 40-mm long slider was designed to fit atop the two rail guides. Flexural standing waves and torsional standing waves were observed along the guide rails at resonance, and the levitation of the slider was obtained using the flexural mode even while the levitation distance was less than 10 microm. The levitation distance of the slider was measured while increasing the slider's weight. The levitation pressure, rigidity, and vertical displacement amplitude of the levitating slider thus were measured to be 6.7 kN/m2, 3.0 kN/microm/m2, and less than 1 microm, respectively. Noncontact transport of the slider was achieved using phased drive of the two transducers at either end of the vibrating guide rail. By controlling the phase difference, the slider transportation direction could be switched, and a maximum thrust of 13 mN was obtained.

  13. Critical Thinking & Lifelong Learning: An ADKAR Model-Based Framework for Managing a Change in Thinking & English Language Learning Styles at the Secondary Stage

    Science.gov (United States)

    Abdallah, Mahmoud M. S.; Mohammad, Marwa M. M.

    2016-01-01

    The general secondary stage in Egypt is a vital educational phase since it plays an essential role in developing students' thinking and learning styles to prepare them for life in general and higher education in particular. Accordingly, it has become urgent and persistent to develop secondary-stage students' critical thinking styles while…

  14. Aortic coarctation associated with aortic valve stenosis and mitral regurgitation in an adult patient: a two-stage approach using a large-diameter stent graft.

    Science.gov (United States)

    Novosel, Luka; Perkov, Dražen; Dobrota, Savko; Ćorić, Vedran; Štern Padovan, Ranka

    2014-02-01

    We report a case of a staged surgical and endovascular management in a 62-year-old woman with aortic coarctation associated with aortic valve stenosis and mitral regurgitation. The patient was admitted for severe aortic valve stenosis and mitral valve incompetence. During hospitalization and preoperative imaging, a previously undiagnosed aortic coarctation was discovered. The patient underwent a 2-stage approach that combined a Bentall procedure and mitral valve replacement in the first stage, followed by correction of the aortic coarctation by percutaneous placement of an Advanta V12 large-diameter stent graft (Atrium, Mijdrecht, The Netherlands) which to our knowledge has not been used in an adult patient with this combination of additional cardiac comorbidities. A staged approach combining surgical treatment first and endovascular placement of an Advanta V12 stent graft in the second stage can be effective and safe in adult patients with coarctation of the aorta and additional cardiac comorbidities.

  15. Beneficial effects of an intradialytic cycling training program in patients with end-stage kidney disease.

    Science.gov (United States)

    Groussard, Carole; Rouchon-Isnard, Myriam; Coutard, Céline; Romain, Fanny; Malardé, Ludivine; Lemoine-Morel, Sophie; Martin, Brice; Pereira, Bruno; Boisseau, Nathalie

    2015-06-01

    In chronic kidney disease (CKD), oxidative stress (OS) plays a central role in the development of cardiovascular diseases. This pilot program aimed to determine whether an intradialytic aerobic cycling training protocol, by increasing physical fitness, could reduce OS and improve other CKD-related disorders such as altered body composition and lipid profile. Eighteen hemodialysis patients were randomly assigned to either an intradialytic training (cycling: 30 min, 55%-60% peak power, 3 days/week) group (EX; n = 8) or a control group (CON; n = 10) for 3 months. Body composition (from dual-energy X-ray absorptiometry), physical fitness (peak oxygen uptake and the 6-minute walk test (6MWT)), lipid profile (triglycerides (TG), total cholesterol, high-density lipoprotein, and low-density lipoprotein (LDL)), and pro/antioxidant status (15-F2α-isoprostanes (F2-IsoP) and oxidized LDL in plasma; superoxide dismutase, glutathione peroxidase, and reduced/oxidized glutathione in erythrocytes) were determined at baseline and 3 months later. The intradialytic training protocol did not modify body composition but had significant effects on physical fitness, lipid profile, and pro/antioxidant status. Indeed, at 3 months: (i) performance on the 6MWT was increased in EX (+23.4%, p < 0.001) but did not change in CON, (ii) plasma TG were reduced in EX (-23%, p < 0.03) but were not modified in CON, and (iii) plasma F2-IsoP concentrations were lower in EX than in CON (-35.7%, p = 0.02). In conclusion, our results show that 30 min of intradialytic training, 3 times per week for 3 months, are enough to exert beneficial effects on the most sensitive and reliable marker of lipid peroxidation (IsoP) while improving CKD-associated disorders (lipid profile and physical fitness). Intradialytic aerobic cycling training represents a useful and easy strategy to reduce CKD-associated disorders. These results need to be confirmed with a larger randomized study.

  16. Prognostic value of metastatic lymph node ratio as an additional tool to the TNM stage system in gastric cancer.

    Science.gov (United States)

    Wu, X-J; Miao, R-L; Li, Z-Y; Bu, Z-D; Zhang, L-H; Wu, A-W; Zong, X-L; Li, S-X; Shan, F; Ji, X; Ren, H; Ji, J-F

    2015-07-01

    Gastric cancer is one of most common malignancies in the world. Currently the prognostic prediction is entirely based on the TNM staging system. In this study, we evaluated whether metastatic lymph node ratio (rN) at the time of surgery would improve the prognostic prediction in conjunction with the TNM staging system. This retrospective study includes 745 patients, who had been referred for surgery due to gastric cancer between 1995 and 2007 and had at least 15 lymph nodes examined at the time of surgery without preoperative treatment. Clinicopathologic features and overall survival were analyzed using univariate and multivariate modes to identify the risk factors for overall survival. Median overall survival of all patients analyzed is 57.8 months and 5-year overall survival is 49.5%. Tumor site, macroscopic type, pTNM stage, and rN stage are identified as independent prognostic factors. Increased positive lymph node ratio correlates with shorter survival in all patients and in each T and N stage. In stage III gastric cancer patients, rN stage shows additional prognostic value on overall survival (p TNM stage system especially in stage III patients. But the independent prognostic value of rN stage in stage I, II and IV gastric cancer is yet to be determined. Copyright © 2015 Elsevier Ltd. All rights reserved.

  17. Self-management interventions in stages 1 to 4 chronic kidney disease: an integrative review.

    Science.gov (United States)

    Welch, Janet L; Johnson, Michelle; Zimmerman, Lani; Russell, Cynthia L; Perkins, Susan M; Decker, Brian S

    2015-05-01

    The prevalence, effect on health outcomes, and economic impact of chronic kidney disease (CKD) have created interest in self-management interventions to help slow disease progression to kidney failure. Seven studies were reviewed to identify knowledge gaps and future directions for research. All studies were published between 2010 and 2013; no investigations were conducted in the United States. Knowledge gaps included the focus on medical self-management tasks with no attention to role or emotional tasks, lack of family involvement during intervention delivery, and an inability to form conclusions about the efficacy of interventions because methodological rigor was insufficient. Educational content varied across studies. Strategies to improve self-management skills and enhance self-efficacy varied and were limited in scope. Further development and testing of theory-based interventions are warranted. There is a critical need for future research using well-designed trials with appropriately powered sample sizes, well-tested instruments, and clear and consistent reporting of results. © The Author(s) 2014.

  18. An evaluation of cardiorespiratory and movement features with respect to sleep-stage classification.

    Science.gov (United States)

    Willemen, T; Van Deun, D; Verhaert, V; Vandekerckhove, M; Exadaktylos, V; Verbraecken, J; Van Huffel, S; Haex, B; Sloten, J Vander

    2014-03-01

    Polysomnography (PSG) is considered the gold standard to assess sleep accurately, but it can be expensive, time-consuming, and uncomfortable, specifically in long-term sleep studies. Actigraphy, on the other hand, is both cheap and userfriendly, but depending on the application lacks detail and accuracy. Our aim was to evaluate cardiorespiratory and movement signals in discriminating between wake, rapid-eye-movement (REM), light (N1N2), and deep (N3) sleep. The dataset comprised 85 nights of PSG from a healthy population. Starting from a total of 750 characteristic variables (features), problem-specific subsets of 40 features were forwardly selected using the combination of a wrapper method (Cohen's kappa statistic on radial basis function (RBF)-kernel support vector machine (SVM) classifier) and filter method (minimum redundancy maximum relevance criterion on mutual information). Final classification was performed using an RBF-kernel SVM. Non-subject-specific wake versus sleep classification resulted in a Cohen’s kappa value of 0.695, while REM versus NREM resulted in 0.558 and N3 versus N1N2 in 0.553. The broad pool of initial features gave insight in which features discriminated best between the different classes. The classification results demonstrate the possibility of making long-term sleep monitoring more widely available.

  19. The softening of human bladder cancer cells happens at an early stage of the malignancy process

    Directory of Open Access Journals (Sweden)

    Jorge R. Ramos

    2014-04-01

    Full Text Available Various studies have demonstrated that alterations in the deformability of cancerous cells are strongly linked to the actin cytoskeleton. By using atomic force microscopy (AFM, it is possible to determine such changes in a quantitative way in order to distinguish cancerous from non-malignant cells. In the work presented here, the elastic properties of human bladder cells were determined by means of AFM. The measurements show that non-malignant bladder HCV29 cells are stiffer (higher Young’s modulus than cancerous cells (HTB-9, HT1376, and T24 cell lines. However, independently of the histological grade of the studied bladder cancer cells, all cancerous cells possess a similar level of the deformability of about a few kilopascals, significantly lower than non-malignant cells. This underlines the diagnostic character of stiffness that can be used as a biomarker of bladder cancer. Similar stiffness levels, observed for cancerous cells, cannot be fully explained by the organization of the actin cytoskeleton since it is different in all malignant cells. Our results underline that it is neither the spatial organization of the actin filaments nor the presence of stress fibers, but the overall density and their 3D-organization in a probing volume play the dominant role in controlling the elastic response of the cancerous cell to an external force.

  20. Sleep: An Open-Source Python Software for Visualization, Analysis, and Staging of Sleep Data

    Directory of Open Access Journals (Sweden)

    Etienne Combrisson

    2017-09-01

    Full Text Available We introduce Sleep, a new Python open-source graphical user interface (GUI dedicated to visualization, scoring and analyses of sleep data. Among its most prominent features are: (1 Dynamic display of polysomnographic data, spectrogram, hypnogram and topographic maps with several customizable parameters, (2 Implementation of several automatic detection of sleep features such as spindles, K-complexes, slow waves, and rapid eye movements (REM, (3 Implementation of practical signal processing tools such as re-referencing or filtering, and (4 Display of main descriptive statistics including publication-ready tables and figures. The software package supports loading and reading raw EEG data from standard file formats such as European Data Format, in addition to a range of commercial data formats. Most importantly, Sleep is built on top of the VisPy library, which provides GPU-based fast and high-level visualization. As a result, it is capable of efficiently handling and displaying large sleep datasets. Sleep is freely available (http://visbrain.org/sleep and comes with sample datasets and an extensive documentation. Novel functionalities will continue to be added and open-science community efforts are expected to enhance the capacities of this module.

  1. Agrobacterium-mediated transformation of Phalaenopsis by targeting protocorms at an early stage after germination.

    Science.gov (United States)

    Mishiba, Kei-ichiro; Chin, Dong Poh; Mii, Masahiro

    2005-07-01

    A transformation procedure for phalaenopsis orchid established by using immature protocorms for Agrobacterium infection was aimed at the introduction of target genes into individuals with divergent genetic backgrounds. Protocorms obtained after 21 days of culture on liquid New Dogashima medium were inoculated with Agrobacterium strain EHA101(pIG121Hm) harboring both beta-glucuronidase (GUS) and hygromycin resistance genes. Subculture of the protocorms on acetosyringone-containing medium 2 days before Agrobacterium inoculation gave the highest transformation efficiencies (1.3-1.9%) based on the frequency of hygromycin-resistant plants produced. Surviving protocorms obtained 2 months after Agrobacterium infection on selection medium containing 20 mg l(-1) hygromycin were cut transversely into two pieces before transferring to recovery medium without hygromycin. Protocorm-like bodies (PLBs) proliferated from pieces of protocorms during a 1-month culture on recovery medium followed by transfer to selection medium. Hygromycin-resistant phalaenopsis plants that regenerated after the re-selection culture of PLBs showed histochemical blue staining due to GUS. Transgene integration of the hygromycin-resistant plants was confirmed by Southern blot analysis. A total of 88 transgenic plants, each derived from an independent protocorm, was obtained from ca. 12,500 mature seeds 6 months after infection with Agrobacterium. Due to the convenient protocol for Agrobacterium infection and rapid production of transgenic plants, the present procedure could be utilized to assess expression of transgenes under different genetic backgrounds, and for the molecular breeding of phalaenopsis.

  2. AIDS Cholangiopathy in an Asymptomatic, Previously Undiagnosed Late-Stage HIV-Positive Patient from Kenya

    Directory of Open Access Journals (Sweden)

    Yiming Gao

    2011-01-01

    Full Text Available AIDS-associated cholangiopathy is a form of biliary tract inflammation with stricture formation seen in AIDS patients who are severely immunosuppressed. It is no longer common in countries in which HAART therapy is widely employed but is still seen in underdeveloped countries. The majority of patients are symptomatic at the time of presentation. Herein, we describe a seventy-four-year-old woman who presented with unilateral leg swelling after a prolonged airplane flight. She was otherwise entirely asymptomatic. Routine laboratory testing was notable for a hypochromic microcytic anemia, slight leukopenia, and mild hypoalbuminemia. Liver enzymes were all elevated. Deep venous thrombosis was confirmed, and a CT scan of the chest disclosed no pulmonary emboli. However, the visualized portion of the abdomen showed dilatation of the common bile and pancreatic ducts. This was confirmed on ultrasonography and MRCP, and no obstructive lesions were noted. An ERCP revealed a dilated common bile duct without filling defects or strictures. A balloon occlusion cholangiogram showed strictures and beading of the intrahepatic ducts. Shortly thereafter, serology for HIV returned positive along with a depressed CD4 cell count, and the patient was diagnosed with AIDS-associated cholangiography.

  3. The construction and use of bacterial DNA microarrays based on an optimized two-stage PCR strategy

    Directory of Open Access Journals (Sweden)

    Pesta David

    2003-06-01

    Full Text Available Abstract Background DNA microarrays are a powerful tool with important applications such as global gene expression profiling. Construction of bacterial DNA microarrays from genomic sequence data using a two-stage PCR amplification approach for the production of arrayed DNA is attractive because it allows, in principal, the continued re-amplification of DNA fragments and facilitates further utilization of the DNA fragments for additional uses (e.g. over-expression of protein. We describe the successful construction and use of DNA microarrays by the two-stage amplification approach and discuss the technical challenges that were met and resolved during the project. Results Chimeric primers that contained both gene-specific and shared, universal sequence allowed the two-stage amplification of the 3,168 genes identified on the genome of Synechocystis sp. PCC6803, an important prokaryotic model organism for the study of oxygenic photosynthesis. The gene-specific component of the primer was of variable length to maintain uniform annealing temperatures during the 1st round of PCR synthesis, and situated to preserve full-length ORFs. Genes were truncated at 2 kb for efficient amplification, so that about 92% of the PCR fragments were full-length genes. The two-stage amplification had the additional advantage of normalizing the yield of PCR products and this improved the uniformity of DNA features robotically deposited onto the microarray surface. We also describe the techniques utilized to optimize hybridization conditions and signal-to-noise ratio of the transcription profile. The inter-lab transportability was demonstrated by the virtual error-free amplification of the entire genome complement of 3,168 genes using the universal primers in partner labs. The printed slides have been successfully used to identify differentially expressed genes in response to a number of environmental conditions, including salt stress. Conclusions The technique detailed

  4. Perceptions of physical activity and walking in an early stage after stroke or acquired brain injury.

    Science.gov (United States)

    Törnbom, Karin; Sunnerhagen, Katharina S; Danielsson, Anna

    2017-01-01

    Physical activity has been established as being highly beneficial for health after stroke. There are considerable global efforts to find rehabilitation programs that encourage increased physical activity for persons with stroke. However, many persons with stroke or acquired brain injury do not reach recommended levels of physical activity and increased knowledge about why is needed. We aimed to explore views and experiences of physical activity and walking among persons with stroke or acquired brain injury. A qualitative study was conducted, among persons with stroke (n = 8) or acquired brain injury (n = 2) from a rehabilitation unit at Sahlgrenska University Hospital in Sweden. Semi-structured in-depth interviews were held about perceptions and experiences of walking and physical activity in general. Data were analyzed using qualitative content analysis, with categories that were determined inductively. Physical activity in general and walking ability more specifically were considered very important by the participants. However, physical activity was, regardless of exercising habits pre-injury, associated with different kinds of negative feelings and experiences. Commonly reported internal barriers in the current study were; fatigue, fear of falling or getting hurt in traffic, lack of motivation and depression. Reported external barriers were mostly related to walking, for example; bad weather, uneven ground, lack of company or noisy or too busy surroundings. Persons with stroke or acquired brain injury found it difficult to engage in and sustain an eligible level of physical activity. Understanding individual concerns about motivators and barriers surrounding physical activity may facilitate the work of forming tailor-made rehabilitation for these groups, so that the levels of physical activity and walking can increase.

  5. Perceptions of physical activity and walking in an early stage after stroke or acquired brain injury

    Science.gov (United States)

    2017-01-01

    Background Physical activity has been established as being highly beneficial for health after stroke. There are considerable global efforts to find rehabilitation programs that encourage increased physical activity for persons with stroke. However, many persons with stroke or acquired brain injury do not reach recommended levels of physical activity and increased knowledge about why is needed. We aimed to explore views and experiences of physical activity and walking among persons with stroke or acquired brain injury. Method A qualitative study was conducted, among persons with stroke (n = 8) or acquired brain injury (n = 2) from a rehabilitation unit at Sahlgrenska University Hospital in Sweden. Semi-structured in-depth interviews were held about perceptions and experiences of walking and physical activity in general. Data were analyzed using qualitative content analysis, with categories that were determined inductively. Results Physical activity in general and walking ability more specifically were considered very important by the participants. However, physical activity was, regardless of exercising habits pre-injury, associated with different kinds of negative feelings and experiences. Commonly reported internal barriers in the current study were; fatigue, fear of falling or getting hurt in traffic, lack of motivation and depression. Reported external barriers were mostly related to walking, for example; bad weather, uneven ground, lack of company or noisy or too busy surroundings. Conclusion Persons with stroke or acquired brain injury found it difficult to engage in and sustain an eligible level of physical activity. Understanding individual concerns about motivators and barriers surrounding physical activity may facilitate the work of forming tailor-made rehabilitation for these groups, so that the levels of physical activity and walking can increase. PMID:28273158

  6. NDUFAF5 Hydroxylates NDUFS7 at an Early Stage in the Assembly of Human Complex I.

    Science.gov (United States)

    Rhein, Virginie F; Carroll, Joe; Ding, Shujing; Fearnley, Ian M; Walker, John E

    2016-07-08

    Complex I (NADH ubiquinone oxidoreductase) in mammalian mitochondria is an L-shaped assembly of 45 proteins. One arm lies in the inner membrane, and the other extends about 100 Å into the matrix of the organelle. The extrinsic arm contains binding sites for NADH, the primary electron acceptor FMN, and seven iron-sulfur clusters that form a pathway for electrons linking FMN to the terminal electron acceptor, ubiquinone, which is bound in a tunnel in the region of the junction between the arms. The membrane arm contains four antiporter-like domains, energetically coupled to the quinone site and involved in pumping protons from the matrix into the intermembrane space contributing to the proton motive force. Seven of the subunits, forming the core of the membrane arm, are translated from mitochondrial genes, and the remaining subunits, the products of nuclear genes, are imported from the cytosol. Their assembly is coordinated by at least thirteen extrinsic assembly factor proteins that are not part of the fully assembled complex. They assist in insertion of co-factors and in building up the complex from smaller sub-assemblies. One such factor, NDUFAF5, belongs to the family of seven-β-strand S-adenosylmethionine-dependent methyltransferases. However, similar to another family member, RdmB, it catalyzes the introduction of a hydroxyl group, in the case of NDUFAF5, into Arg-73 in the NDUFS7 subunit of human complex I. This modification occurs early in the pathway of assembly of complex I, before the formation of the juncture between peripheral and membrane arms.

  7. One-stage urethral reconstruction using colonic mucosa graft:an experimental and clinical study

    Institute of Scientific and Technical Information of China (English)

    Yue-Min Xu; Yong Qiao; Ying-Long Sa; Jiong Zhang; Hui-Zhen Zhang; Xin-Ru Zhang; Deng-Long Wu; Rong Chen

    2003-01-01

    AIM: To investigate the possibility of urethral reconstructionwith a free colonic mucosa graft and to present ourpreliminary experience with urethral substitution using a freegraft of colonic mucosa for treatment of 7 patients withcomplex urethral stricture of a long segment.METHODS: Ten female dogs underwent a procedure inwhich the urethral mucosa was totally removed andreplaced with a free graft of colonic mucosa. A urodynamicstudy was performed before the operation and sacrifice.The dogs were sacrificed 8 to 16 weeks after the operationfor histological examination of urethra. Besides, 7 patientswith complex urethral stricture of a long segment weretreated by urethroplasty with the use of a colonic mucosalgraft. The cases had undergone an average of 3 previousunsuccessful repairs. Urethral reconstruction with a freegraft of colonic mucosa ranged from 10 to 17 cm (mean13.1 cm). Follow-up included urethrography, urethroscopyand uroflowmetry.RESULTS: Urethral stricture developed in 1 dog. The resultsof urodynamic studies showed that the difference in themaximum urethral pressure between the pre-operation andpre-sacrifice in the remaining 9 dogs was not of significance(P>0.05). Histological examination revealed that the colonicfree mucosa survived inside the urethral lumen of the 10experimental dogs. Plicae surface and unilaminar cylindricepithelium of the colonic mucosa was observed in dogssacrificed 8 weeks after the operation. The plicae surfaceand unilaminar cylindric epithelium of the colonic mucosawas not observed, and metaplastic transitional epitheliumcovered a large proportion of the urethral mucosa in dogssacrificed 12 weeks after the operation. Clinically, the patientswere followed up for 3-18 months postoperatively (mean8.5 months). Meetal stenosis was developed in 1 patient 3months postoperatively and needed reoperation. The patientwas voiding very well with urinary peak flow 28.7 ml/s duringthe follow-up of 9 months after reoperation. The

  8. Phloem unloading follows an extensive apoplasmic pathway in cucumber (Cucumis sativus L.) fruit from anthesis to marketable maturing stage.

    Science.gov (United States)

    Hu, Liping; Sun, Huihui; Li, Ruifu; Zhang, Lingyun; Wang, Shaohui; Sui, Xiaolei; Zhang, Zhenxian

    2011-11-01

    The phloem unloading pathway remains unclear in fruits of Cucurbitaceae, a classical stachyose-transporting species with bicollateral phloem. Using a combination of electron microscopy, transport of phloem-mobile symplasmic tracer carboxyfluorescein, assays of acid invertase and sucrose transporter, and [(14)C]sugar uptake, the phloem unloading pathway was studied in cucumber (Cucumis sativus) fruit from anthesis to the marketable maturing stage. Structural investigations showed that the sieve element-companion cell (SE-CC) complex of the vascular bundles feeding fruit flesh is apparently symplasmically restricted. Imaging of carboxyfluorescein unloading showed that the dye remained confined to the phloem strands of the vascular bundles in the whole fruit throughout the stages examined. A 37 kDa acid invertase was located predominantly in the cell walls of SE-CC complexes and parenchyma cells. Studies of [(14)C]sugar uptake suggested that energy-driven transporters may be functional in sugar trans-membrane transport within symplasmically restricted SE-CC complex, which was further confirmed by the existence of a functional plasma membrane sucrose transporter (CsSUT4) in cucumber fruit. These data provide a clear evidence for an apoplasmic phloem unloading pathway in cucumber fruit. A presumption that putative raffinose or stachyose transporters may be involved in soluble sugars unloading was discussed.

  9. Implementing the IA stage and developing an instrument to assess the fidelity of critical time interventional: task shifting

    Directory of Open Access Journals (Sweden)

    Tatiana Fernandes Carpinteiro Silva

    2014-10-01

    Full Text Available One strategy that has been used for treat patients with mental health disorder is the implementation of psychosocial interventions. Like the development of a new drug, which requires safety studies before efficacy assessment, the psychosocial interventions should be implemented following defined stages, with the objective of increase the validity and reliability of such interventions. These stages are IA (pre-pilot, IB (pilot study, II (randomized clinical trial and III (additional studies. This study proposes a description of all activities carried out in implementation of the pre-pilot (IA Critical Time Intervention – Task Shifting (CTI-TS, including the development of manuals and the development of an instrument to assess fidelity to the original protocol. As a result, were performed the adaptation of instruments to be used in the pilot study, the adaptation of CTI-TS manual to Brazilian context, the adaptation of the agents CTI-TS training manual, as well the development of the CTI-TS assessment scale fidelity and its instruction manual. This allows multicentric studies conducted in different contexts could be performed avoiding biases. Considering that Brazil is a country that lacks resources allocated to mental care, it is expected that more psychosocial interventions can be implemented, since it was possible to develop the implementation process according to the methods recommended by the international scientific literature.

  10. The behaviour of an anaerobic baffled reactor (ABR as the first stage in the biological treatment of hog farming effluents

    Directory of Open Access Journals (Sweden)

    F. Motteran

    2013-06-01

    Full Text Available This present paper reports a study of the efficiency of an anaerobic Baffled Reactor (ABR composed of three chambers working as the first stage of a biological treatment system for swine wastewater, over a period of 116 days. The average value of the volumetric organic loading rate (VOLR was 17.8 kgCODtotal m-3 d-1, the biological organic loading rates (BOLR based on total and filtered COD influents of 14381 mg L-1 and 3610 mg L-1, respectively, were: 1.3 kgCODtotal kgTVS d-1 and 0.98 kgCODfiltered kgTVS d-1, respectively, and the hydraulic loading rate (HLR was about 1.4 m³ m-3 d-1. The average removal efficiency for total COD was 80% at a hydraulic retention time (HRT of about 18 hours. The average alkalinity in the effluent was 3801 mgCaCO3 L-1. The average removal efficiencies for oil and grease and total soluble solids were 41% and 78%, respectively. The sludge granulation and biogas production in the ABR were quite different between the first and third compartment, showing a distinct microbial consortium in each chamber. Through this research it was confirmed that this type of reactor can be employed as the first stage in a system treating swine wastewater.

  11. An immunocytochemical procedure for protein localization in various nematode life stages combined with plant tissues using methylacrylate-embedded specimens.

    Science.gov (United States)

    Vieira, Paulo; Banora, Mohamed Youssef; Castagnone-Sereno, Philippe; Rosso, Marie-Noëlle; Engler, Gilbert; de Almeida Engler, Janice

    2012-10-01

    Plant-parasitic nematodes possess a large number of proteins that are secreted in planta, allowing them to be successful parasites of plants. The majority of these proteins are synthesized mainly in the nematode subventral and dorsal glands as well as in other organs. To improve the immunovisualization of these proteins, we adapted a methacrylate embedding method for the localization of proteins inside nematode tissues, and extracellularly when secreted in planta or within plant cells. An important advantage is that the method is applicable for all nematode stages: preparasitic as well as parasitic stages, including large mature females. Herein, the method has been successfully applied for the localization of four nematode secreted proteins, such as Mi-MAP-1, Mi-CBM2-bearing proteins, Mi-PEL3, and Mi-6D4. In addition, we could also localize 14-3-3 proteins, as well as two cytoskeletal proteins, by double-immunolabeling on preparasitic juveniles. Superior preservation of nematode and plant morphology, allowed more accurate protein localization as compared with other methods. Besides excellent epitope preservation, dissolution of methacrylate from tissue sections unmasks target proteins and thereby drastically increases antibody access.

  12. An exposure assessment model of the prevalence of Salmonella spp. along the processing stages of Brazilian beef.

    Science.gov (United States)

    Gonzales-Barrón, Ursula; Piza, Luciana; Xavier, Cristina; Costa, Ernane; Cadavez, Vasco

    2016-01-01

    Beef cattle carrying Salmonella spp. represents a risk for contamination of meat and meat products. This study aimed to build an exposure assessment model elucidating the changes in Salmonella prevalence in Brazilian beef along the processing stages. To this effect, the results of a number of published studies reporting Salmonella incidences were assembled in order to model conversion factors based on beta distributions representing the effect of every production stage on the Salmonella incidence on beef carcasses. A random-effects meta-analysis modelled the hide-to-carcass transfer of Salmonella contamination. The Monte Carlo simulation estimated the Salmonella prevalence in beef cuts from processing plants to be ∼6.1% (95% CI: 1.4-17.7%), which was in reasonable agreement with a pool (n = 105) of surveys' data of Salmonella in Brazilian beef cuts (mean 4.9%; 95% CI: 1.8-11.5%) carried out in commercial establishments. The results not only underscored the significant increase in Salmonella prevalence that can occur during evisceration/splitting and boning but also reinforced that, when hygienic slaughter procedures are properly implemented, the load of Salmonella can be reduced at dehiding, rinsing and chilling. As the model was based on a systematic review and meta-analysis, it synthesised all available knowledge on the incidence of Salmonella in Brazilian beef.

  13. An atlas for Schistosoma mansoni organs and life-cycle stages using cell type-specific markers and confocal microscopy.

    Directory of Open Access Journals (Sweden)

    James J Collins

    Full Text Available Schistosomiasis (bilharzia is a tropical disease caused by trematode parasites (Schistosoma that affects hundreds of millions of people in the developing world. Currently only a single drug (praziquantel is available to treat this disease, highlighting the importance of developing new techniques to study Schistosoma. While molecular advances, including RNA interference and the availability of complete genome sequences for two Schistosoma species, will help to revolutionize studies of these animals, an array of tools for visualizing the consequences of experimental perturbations on tissue integrity and development needs to be made widely available. To this end, we screened a battery of commercially available stains, antibodies and fluorescently labeled lectins, many of which have not been described previously for analyzing schistosomes, for their ability to label various cell and tissue types in the cercarial stage of S. mansoni. This analysis uncovered more than 20 new markers that label most cercarial tissues, including the tegument, the musculature, the protonephridia, the secretory system and the nervous system. Using these markers we present a high-resolution visual depiction of cercarial anatomy. Examining the effectiveness of a subset of these markers in S. mansoni adults and miracidia, we demonstrate the value of these tools for labeling tissues in a variety of life-cycle stages. The methodologies described here will facilitate functional analyses aimed at understanding fundamental biological processes in these parasites.

  14. Primary hyperoxaluria in an adult male: A rare cause of end-stage kidney disease yet potentially fatal if misdiagnosed

    Directory of Open Access Journals (Sweden)

    Kamel El-Reshaid

    2016-01-01

    Full Text Available Primary hyperoxaluria is an autosomal recessive disorder due to a deficiency in the activity of the peroxisomal hepatic enzyme alanine-glyoxylate aminotransferase. It is a common cause of urolithiasis and end-stage kidney disease in children contrary to the adult phenotypic presentation which is considered a mild disorder with occasional urolithiasis. In this case report, we describe a 25-year-old man who presented with advanced and irreversible kidney failure within three months following strenuous physical training in the police academy. He had nephrocalcinosis and stones in one kidney. Diagnosis was confirmed by establishing the existence of extensive tubular and interstitial crystal deposition in his kidneys and molecular genetic testing. The case illustrates the need to establish an early diagnosis of this disorder to prevent the need for combined liver and kidney transplantation.

  15. Staging an educated self

    DEFF Research Database (Denmark)

    Clemensen, Nana

    2015-01-01

    This article explores interpretations of schooling as produced by 6–12-year-old children in a rural Zambian community. Applying linguistic-anthropological analyses of their peer interactions, the author discusses symbolic reworkings of schooling and “educatedness” among children frequently labeled...... as “slow” or “backwards” in the classroom setting and national discourse. This discussion includes the apparent disparities between the tangible and symbolic roles of school in the context of the children’s lifeworlds and future horizons....

  16. Reconstruction method as an independent risk factor for the postoperative decrease in hemoglobin in stage I gastric cancer.

    Science.gov (United States)

    Imamura, Taisuke; Komatsu, Shuhei; Ichikawa, Daisuke; Kosuga, Toshiyuki; Okamoto, Kazuma; Konishi, Hirotaka; Shiozaki, Atsushi; Fujiwara, Hitoshi; Otsuji, Eigo

    2016-05-01

    No study has compared the incidence of postoperative anemia between two reconstruction methods, Billroth-I (B-I) and Roux-en-Y (R-Y) reconstructions, after distal gastrectomy for gastric cancer (GC). In this study, we wished to examine the postoperative decrease in hemoglobin (Hb) as an indicator of iron-deficiency anemia. We investigated a total of 119 consecutive patients who underwent distal gastrectomy with B-I or R-Y reconstruction for Stage I GC between 2006 and 2012. We retrospectively assessed the clinical data, including Hb results, of the first 2 years after surgery. Compared with B-I reconstruction, R-Y reconstruction was performed more frequently in older patients (P = 0.017), and it was associated with a longer surgical duration (P decrease in Hb for the first 2 years after surgery. Univariate and multivariate analyses identified that R-Y reconstruction was the only risk factor (P = 0.0487; odds ratio = 2.755; 95% confidence interval = 1.01-7.91) for a decrease in Hb, independent of age, tumor location, postoperative complications, and other factors. In addition, an age ≥ 75 was identified as an independent risk factor for a decrease in Hb, particularly for patients underwent R-Y reconstruction (P = 0.033; odds ratio = 6.99; 95% confidence interval = 1.15-68.3) according to the multivariate analysis. Billroth-I reconstruction might be preferable for the purpose of preventing a decrease in Hb in stage I GC patients, particularly in older patients. © 2015 Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd.

  17. Clinical trials and late-stage drug development for Alzheimer’s disease: an appraisal from 1984 to 2014

    Science.gov (United States)

    Schneider, Lon S.; Mangialasche, Francesca; Andreasen, Niels; Feldman, Howard; Giacobini, Ezio; Jones, Roy; Mantua, Valentina; Mecocci, Patrizia; Pani, Luca; Winblad, Bengt; Kivipelto, Miia

    2014-01-01

    The modern era of drug development for Alzheimer’s disease began with the proposal of the cholinergic hypothesis of memory impairment and the 1984 research criteria for Alzheimer’s disease. Since then, despite the evaluation of numerous potential treatments in clinical trials, only four cholinesterase inhibitors and memantine have shown sufficient safety and efficacy to allow marketing approval at an international level. Although this is probably because the other drugs tested were ineffective, inadequate clinical development methods have also been blamed for the failures. Here we review the development of treatments for Alzheimer’s disease during the past 30 years, considering the drugs, potential targets, late-stage clinical trials, development methods, emerging use of biomarkers and evolution of regulatory considerations in order to summarize advances and anticipate future developments. We have considered late-stage Alzheimer’s disease drug development from 1984 to 2013, including individual clinical trials, systematic and qualitative reviews, meta-analyses, methods, commentaries, position papers and guidelines. We then review the evolution of drugs in late clinical development, methods, biomarkers and regulatory issues. Although a range of small molecules and biological products against many targets have been investigated in clinical trials, the predominant drug targets have been the cholinergic system and the amyloid cascade. Trial methods have evolved incrementally: inclusion criteria have largely remained focused on mild to moderate Alzheimer’s disease criteria, recently extending to early or prodromal Alzheimer disease or ‘mild cognitive impairment due to Alzheimer’s disease’, for drugs considered to be disease modifying. The duration of trials has remained at 6 to 12 months for drugs intended to improve symptoms; 18- to 24-month trials have been established for drugs expected to attenuate clinical course. Cognitive performance, activities

  18. Clinical trials and late-stage drug development for Alzheimer's disease: an appraisal from 1984 to 2014.

    Science.gov (United States)

    Schneider, L S; Mangialasche, F; Andreasen, N; Feldman, H; Giacobini, E; Jones, R; Mantua, V; Mecocci, P; Pani, L; Winblad, B; Kivipelto, M

    2014-03-01

    The modern era of drug development for Alzheimer's disease began with the proposal of the cholinergic hypothesis of memory impairment and the 1984 research criteria for Alzheimer's disease. Since then, despite the evaluation of numerous potential treatments in clinical trials, only four cholinesterase inhibitors and memantine have shown sufficient safety and efficacy to allow marketing approval at an international level. Although this is probably because the other drugs tested were ineffective, inadequate clinical development methods have also been blamed for the failures. Here, we review the development of treatments for Alzheimer's disease during the past 30 years, considering the drugs, potential targets, late-stage clinical trials, development methods, emerging use of biomarkers and evolution of regulatory considerations in order to summarize advances and anticipate future developments. We have considered late-stage Alzheimer's disease drug development from 1984 to 2013, including individual clinical trials, systematic and qualitative reviews, meta-analyses, methods, commentaries, position papers and guidelines. We then review the evolution of drugs in late clinical development, methods, biomarkers and regulatory issues. Although a range of small molecules and biological products against many targets have been investigated in clinical trials, the predominant drug targets have been the cholinergic system and the amyloid cascade. Trial methods have evolved incrementally: inclusion criteria have largely remained focused on mild-to-moderate Alzheimer's disease criteria, recently extending to early or prodromal Alzheimer disease or 'mild cognitive impairment due to Alzheimer's disease', for drugs considered to be disease modifying. The duration of trials has remained at 6-12 months for drugs intended to improve symptoms; 18- to 24-month trials have been established for drugs expected to attenuate clinical course. Cognitive performance, activities of daily living

  19. Content Analysis of Science Books for Upper Primary Stage in Jordan and Intermediate Stage in Saudi Arabia from an Islamic Perspective: Analytical Comparative Study

    Science.gov (United States)

    Aldossari, Ali Tarad; Al Khaldi, Jamal Khalil; Altarawneh, Mohammad Hasan

    2016-01-01

    This study aims to identify the current situation of science books in Jordan and Saudi Arabia from an Islamic perspective. For this end, the content analysis approach has been used through the analysis of the unit concept in the science books for the seventh, eighth and ninth grades in the academic year (2015/2016) in Jordan and Saudi Arabia. The…

  20. Optical design of an optical coherence tomography and multispectral fluorescence imaging endoscope to detect early stage ovarian cancer

    Science.gov (United States)

    Tate, Tyler; Keenan, Molly; Swan, Elizabeth; Black, John; Utzinger, Urs; Barton, Jennifer

    2014-12-01

    The five year survival rate for ovarian cancer is over 90% if early detection occurs, yet no effective early screening method exists. We have designed and are constructing a dual modality Optical Coherence Tomography (OCT) and Multispectral Fluorescence Imaging (MFI) endoscope to optically screen the Fallopian tube and ovary for early stage cancer. The endoscope reaches the ovary via the natural pathway of the vagina, cervix, uterus and Fallopian tube. In order to navigate the Fallopian tube the endoscope must have an outer diameter of 600 μm, be highly flexible, steerable, tracking and nonperforating. The imaging systems consists of six optical subsystems, two from OCT and four from MFI. The optical subsystems have independent and interrelated design criteria. The endoscope will be tested on realistic tissue models and ex vivo tissue to prove feasibility of future human trials. Ultimately the project aims to provide women the first effective ovarian cancer screening technique.

  1. An Updated Zero Boil-Off Cryogenic Propellant Storage Analysis Applied to Upper Stages or Depots in a LEO Environment

    Science.gov (United States)

    Plachta, David; Kittel, Peter

    2003-01-01

    Previous efforts have shown the analytical benefits of zero boil-off (ZBO) cryogenic propellant storage in launch vehicle upper stages of Mars transfer vehicles for conceptual Mars Missions. However, recent NASA mission investigations have looked at a different and broad array of missions, including a variety of orbit transfer vehicle (OTV) propulsion concepts, some requiring cryogenic storage. For many of the missions, this vehicle will remain for long periods (greater than one week) in low earth orbit (LEO), a relatively warm thermal environment. Under this environment, and with an array of tank sizes and propellants, the performance of a ZBO cryogenic storage system is predicted and compared with a traditional, passive-only storage concept. The results show mass savings over traditional, passive-only cryogenic storage when mission durations are less than one week in LEO for oxygen, two weeks for methane, and roughly 2 months for LH2. Cryogenic xenon saves mass over passive storage almost immediately.

  2. Staging Mobilities

    DEFF Research Database (Denmark)

    Jensen, Ole B.

    In recent years, the social sciences have taken a “mobilities turn.” There has been a developing realisation that mobilities do not “just happen.” Mobilities are carefully and meticulously designed, planned and staged (from above). However, they are equally importantly acted out, performed...... that mobility is more than movement between point A and B. It explores how the movement of people, goods, information, and signs influences human understandings of self, other and the built environment. Moving towards a new understanding of the relationship between movement, interaction and environments......, the book asks: what are the physical, social, technical, and cultural conditions to the staging of contemporary urban mobilities?...

  3. Identification and pharmacological induction of autophagy in the larval stages of Echinococcus granulosus: an active catabolic process in calcareous corpuscles.

    Science.gov (United States)

    Loos, Julia A; Caparros, Pedro A; Nicolao, María Celeste; Denegri, Guillermo M; Cumino, Andrea C

    2014-06-01

    Autophagy is a fundamental catabolic pathway conserved from yeast to mammals, but which remains unknown in parasite cestodes. In this work, the pharmacological induction of autophagy was cellularly and molecularly analysed in the larval stages of Echinococcus granulosus. Metacestode sensitivity to rapamycin and TORC1 expression in protoscoleces and metacestodes were shown. Ultrastructural studies showed that treated parasites had an isolation membrane, autophagosomes and autolysosomes, all of which evidenced the autophagic flux. Genes coding for key autophagy-related proteins were also identified in the Echinococcus genome. These genes were involved in autophagosome formation and transcriptional over-expression of Eg-atg5, Eg-atg6, Eg-atg8, Eg-atg12, Eg-atg16 and Eg-atg18 was shown in presence of rapamycin or arsenic trioxide. Thus, Echinococcus autophagy could be regulated by non-transcriptional inhibition through TOR and by transcription-dependent up-regulation via FoxO-like transcription factors and/or TFEB proteins. An increase in the punctate pattern and Eg-Atg8 polypeptide level in the tegument, parenchyma cells and excretory system of protoscoleces and in vesicularised parasites was detected after rapamycin treatment. This suggests the occurrence of basal autophagy in the larval stages and during vesicular development. In arsenic-treated protoscoleces, high Eg-Atg8 polypeptide levels within the free cytoplasmic matrix of calcareous corpuscles were observed, thus verifying the occurrence of autophagic events. These experiments also confirmed that the calcareous corpuscles are sites of arsenic trioxide accumulation. The detection of the autophagic machinery in this parasite represents a basic starting point to unravel the role of autophagy under both physiological and stress conditions which will allow identification of new strategies for drug discovery against neglected parasitic diseases caused by cestodes.

  4. 3xTg-AD Mice Exhibit an Activated Central Stress Axis during Early-Stage Pathology

    Science.gov (United States)

    Hebda-Bauer, Elaine K.; Simmons, Tracy A.; Sugg, Andrew; Ural, Eren; Stewart, James A.; Beals, James L.; Wei, Qiang; Watson, Stanley J.; Akil, Huda

    2012-01-01

    Activation of the hypothalamic-pituitary-adrenal (HPA) axis occurs in response to the organism’s innate need for homeostasis. The glucocorticoids (GCs) that are released into the circulation upon acute activation of the HPA axis perform stress-adaptive functions and provide negative feedback to turn off the HPA axis, but can be detrimental when in excess. Long-term activation of the HPA axis (such as with chronic stress) enhances susceptibility to neuronal dysfunction and death, and increases vulnerability to Alzheimer’s disease (AD). However, little is known how components of the HPA axis, upstream of GCs, impact vulnerability to AD. This study examined basal gene expression of stress-related molecules in brains of 3xTg-AD mice during early-stage pathology. Basal glucocorticoid levels and mRNA expression of the glucocorticoid receptor (GR), mineralocorticoid receptor (MR), and corticotropic releasing hormone (CRH) in several stress- and emotionality-related brain regions were measured in 3–4-month-old 3xTg-AD mice. Despite normal glucocorticoid levels, young 3xTg-AD mice exhibit an activated central HPA axis, with altered mRNA levels of MR and GR in the hippocampus, GR and CRH in the paraventricular nucleus of the hypothalamus, GR and CRH in the central nucleus of the amygdala, and CRH in the bed nucleus of the stria terminalis. This HPA axis activation is present during early-stage neuropathology when 3xTg-AD mice show mild behavioral changes, suggesting an ongoing neuroendocrine regulation that precedes the onset of severe AD-like pathology and behavioral deficits. PMID:22976078

  5. Structural complexity and developmental stage after an intermediate-scale wind disturbance on an upland Quercus stand

    Science.gov (United States)

    Lauren E. Cox; Justin L. Hart; Callie J. Schweitzer; Daniel C. Dey

    2017-01-01

    Promoting stand structural complexity is an increasingly popular silvicultural objective, as complex structures are hypothesized to be more resistant and resilient to perturbations. On April 20, 2011 in Lawrence County, Alabama, an EF1 tornado tracked 5 km, leaving a patchwork mosaic of disturbed areas. In summer 2014, we established a 100 m × 200 m (2 ha) rectangular...

  6. Post-Neogene Structural Evolution:An Important Geological Stage in the Formation of Gas Reservoirs in China

    Institute of Scientific and Technical Information of China (English)

    WANG Tingbin

    2004-01-01

    formation of secondary gas reservoirs in other basins, as well as the formation of many carbon dioxide gas fields of inorganic origin; (4)in the offshore area, it promoted not only the formation of gas reservoirs of organic origin, but also the formation of inorganic origin non-hydrocarbon gas reservoirs, as well as the organic and inorganic natural gas of mixed origin, which resulted in the relatively complicated characteristics of gas reservoirs in the area. In short, tectonic movements activated since the Neogene resulted in a reservoiring model mainly characterized by late and superlate hydrocarbon generation and accumulation. These events provide an important geological stage that should not be neglected when studying the formation of gas reservoirs in China.

  7. Identifying SME mortality factors in the life cycle stages: an empirical approach of relevant factors for small business owner-managers in Brazil

    National Research Council Canada - National Science Library

    Filho, Edmundo Escrivão; Albuquerque, Alexandre Farias; Nagano, Marcelo Seido; Junior, Luiz Adalberto Philippsen; de Oliveira, Jair

    2017-01-01

    .... This paper discusses the relation between the SME mortality factors and the small business owner-manager, based on the life cycle stage as an essential part for a better understanding of their closure moment...

  8. Line scan diffusion tensor MRI at low magnetic field strength: Feasibility study of cervical spondylotic myelopathy in an early clinical stage

    National Research Council Canada - National Science Library

    Hori, Masaaki; Okubo, Toshiyuki; Aoki, Shigeki; Kumagai, Hiroshi; Araki, Tsutomu

    2006-01-01

    To implement line scan diffusion tensor MR imaging (LSDTI) on a 0.2 Tesla MR imager, and investigate the findings in the spinal cord of patients with cervical spondylotic myelopathy in an early clinical stage...

  9. Primary staging of prostate cancer

    Energy Technology Data Exchange (ETDEWEB)

    Jager, G.J. [Dept. of Radiology, Univ. Hospital, Nijmegen (Netherlands); Barentz, J.O. [Dept. of Radiology, Univ. Hospital, Nijmegen (Netherlands); Ruijter, E.T.G. [Dept. of Urology, Univ. Hospital, Nijmegen (Netherlands)]|[Dept. of Pathology, Univ. Hospital, Nijmegen (Netherlands); Rosette, J.J.M.C.H. de la [Dept. of Urology, Univ. Hospital, Nijmegen (Netherlands); Oosterhof, G.O.N. [Dept. of Urology, Univ. Hospital, Nijmegen (Netherlands)

    1996-04-01

    Staging prostate cancer is a systematic classification of the extent of disease based on clinical and pathological criteria. Despite general acceptance of the TNM staging system, a lot of controversy and uncertainty with respect to staging still exists. This paper gives an overview of differnt staging modalities and emphasizes the need for incorporation of prognostic factors, such as tumour grade and volume, in the staging system. (orig.)

  10. An Investigation of the Reliability of Marking of the Key Stage 2 National Curriculum English Writing Tests in England

    Science.gov (United States)

    He, Qingping; Anwyll, Steve; Glanville, Matthew; Deavall, Angela

    2013-01-01

    Background: Although there has been considerable research into the reliability of marking for the Key Stage 3 (KS3) National Curriculum tests (NCTs) and public examinations such as the General Certificate of Secondary Education examinations (GCSEs) in England, little is understood about the level of reliability of marking of the Key Stage 2 (KS2)…

  11. The Capacity Development of Non-Profit Organizations in the Growth Stage (An Action Research Based on the SSM

    Directory of Open Access Journals (Sweden)

    Harry Nenobais

    2017-06-01

    Full Text Available This research aims in analyzing the capacity development of non-profit organizations in the growth stage through six internal components and four external components at Papuan Pesat Foundation. The approach used in the research is the action research based on the soft systems methodology that consists of two activities that had been done simultaneously, which are the research interest and the problem solving interest (McKay and Marshall, 2001. It fulfills criteria that are systematically desirable and culturally feasible (Flood an Jackson, 1991. Whilst the theory used is according to Brothers and Sherman (2012 that states that there are six internal components that should be strengthened in the growth stage, which are the leadership, the organization’s culture, the role of the board, programs’ extension, the management and infrastructure, the financial sustainable.  Afterwards, according to De Vita, et. al. (2001 there are four organization’s external components that should be maintained, which are the social demographic, the economy/market, the politic and values, and the norms. The result of this research shows the research interest, that the organization needs to be equipped with the transformational leadership, the simple structure design, and the improvement of the role of the board. For the problem solving interest, it needs the working programs’ extension through the correct formulation process, the human resources management, the organization’s financial sustainability. Then the external components which need to be formed are the collaboration among the non-profit organizations, the local government, the private sectors, business activities, politic participations and the public relation.

  12. Nannophya pygmaea (Odonata: Libellulidae), an endangered dragonfly in Korea, prefers abandoned paddy fields in the early seral stage.

    Science.gov (United States)

    Yoon, Jihyun; Nam, Jong Min; Kim, Heungtae; Bae, Yeon Jae; Kim, Jae Geun

    2010-04-01

    To characterize habitats of Nannophya pygmaea Rambur (the northern pygmyfly; Odonata: Lilbellulidae), which is endangered in Korea, we analyzed characteristics of surface water and soil, landscape properties, and vegetation types in 22 habitats in eight areas of Korea where nymphs of N. pygmaea have been found since 2005. We divided the habitats into two groups: DS (dwelling site) habitats, where N. pygmaea was observed at the time of the study, and PDS (past dwelling site) habitats, where N. pygmaea recently lived but is no longer found. The habitats were mostly located in former paddy fields on mountain slopes that have been abandoned for 3-7 yr. The main water sources for these habitats were ground water and surface runoff, and the water level was stable at 3-7 cm in depth. The habitats ranged from 300 to 1000 m(2) and were dominated by Juncus effusus, which formed tussock mounds. According to the hydrosere model of succession, N. pygmaea appeared mostly in the early stages of plant succession (the period approximately 3-7 yr after the initiation of succession in former paddy fields) and N. pygmaea preferred habitats displaying the water and soil characteristics that are typical of the early stages of succession in abandoned paddy fields. These results indicate that the primary habitats of N. pygmaea in Korea are recently abandoned paddy fields that are in an oligotrophic state. As succession proceeds in these habitats, N. pygmaea disappears. A habitat management program should be launched to conserve the habitats and populations of N. pygmaea.

  13. The evaluation stage of the Hoeven Outcome Monitor (HOM): Towards an evidence based groundwork in forensic mental health.

    Science.gov (United States)

    Keune, Lobke H; de Vogel, Vivienne; van Marle, Hjalmar J C

    2017-02-27

    This study examined if a macro-, meso-, and micro outcome measurement instrument that constitutes the evaluation stage of a Dutch forensic psychiatric outcome monitor, the Hoeven Outcome Monitor (HOM), can provide a first step towards a more evidence based groundwork in forensic mental health. General, serious, very serious, special, and tbs meriting recidivism during treatment, after treatment, and overall were charted for forensic psychiatric patients discharged from a Dutch forensic psychiatric centre between 1999 and 2008 (N=164). Re-conviction data were obtained from the official Criminal Records System, and the mean follow-up time was 116.2months. First, the results showed that the macro-measurements provide comparative outcome measures to generate insight into the overall effectiveness of forensic psychiatric treatment. Second, the meso-measurements yielded clinically relevant treatment outcome data for all discharged patients to generate a complete view of treatment effectiveness. Finally, the micro-measurements allowed access to detailed patient and treatment effectiveness assessments that provides the empirical foundation to conduct aetiological research into the prediction and control of high-risk behaviour. Thus, an outcome measurement instrument in line with Evidence Based Medicine and best practice guidelines was designed that provides an empirically sound evaluation framework for treatment effectiveness, and an impetus for the development of effective interventions to generate an evidence based groundwork in forensic mental health.

  14. AN ENSEMBLE TEMPLATE MATCHING AND CONTENT-BASED IMAGE RETRIEVAL SCHEME TOWARDS EARLY STAGE DETECTION OF MELANOMA

    Directory of Open Access Journals (Sweden)

    Spiros Kostopoulos

    2016-12-01

    Full Text Available Malignant melanoma represents the most dangerous type of skin cancer. In this study we present an ensemble classification scheme, employing the mutual information, the cross-correlation and the clustering based on proximity of image features methods, for early stage assessment of melanomas on plain photography images. The proposed scheme performs two main operations. First, it retrieves the most similar, to the unknown case, image samples from an available image database with verified benign moles and malignant melanoma cases. Second, it provides an automated estimation regarding the nature of the unknown image sample based on the majority of the most similar images retrieved from the available database. Clinical material comprised 75 melanoma and 75 benign plain photography images collected from publicly available dermatological atlases. Results showed that the ensemble scheme outperformed all other methods tested in terms of accuracy with 94.9±1.5%, following an external cross-validation evaluation methodology. The proposed scheme may benefit patients by providing a second opinion consultation during the self-skin examination process and the physician by providing a second opinion estimation regarding the nature of suspicious moles that may assist towards decision making especially for ambiguous cases, safeguarding, in this way from potential diagnostic misinterpretations.

  15. Fluorescence imaging of microbe-containing particles shot from a two-stage Light-gas gun into an aerogel.

    Science.gov (United States)

    Kawaguchi, Yuko; Sugino, Tomohiro; Tabata, Makoto; Okudaira, Kyoko; Imai, Eichi; Yano, Hajime; Hasegawa, Sunao; Hashimoto, Hirofumi; Yabuta, Hikaru; Kobayashi, Kensei; Kawai, Hideyuki; Mita, Hajime; Yokobori, Shin-ichi; Yamagishi, Akihiko

    2014-02-01

    We have proposed an experiment (the Tanpopo mission) to capture microbes on the Japan Experimental Module of the International Space Station. An ultra low-density silica aerogel will be exposed to space for more than 1 year. After retrieving the aerogel, particle tracks and particles found in it will be visualized by fluorescence microscopy after staining it with a DNA-specific fluorescence dye. In preparation for this study, we simulated particle trapping in an aerogel so that methods could be developed to visualize the particles and their tracks. During the Tanpopo mission, particles that have an orbital velocity of ~8 km/s are expected to collide with the aerogel. To simulate these collisions, we shot Deinococcus radiodurans-containing Lucentite particles into the aerogel from a two-stage light-gas gun (acceleration 4.2 km/s). The shapes of the captured particles, and their tracks and entrance holes were recorded with a microscope/camera system for further analysis. The size distribution of the captured particles was smaller than the original distribution, suggesting that the particles had fragmented. We were able to distinguish between microbial DNA and inorganic compounds after staining the aerogel with the DNA-specific fluorescence dye SYBR green I as the fluorescence of the stained DNA and the autofluorescence of the inorganic particles decay at different rates. The developed methods are suitable to determine if microbes exist at the International Space Station altitude.

  16. An open-label, prospective study comparing efficacy, tolerability and cost of therapy of losartan with enalapril in stage 1 and stage 2 hypertension

    Directory of Open Access Journals (Sweden)

    Rubdeep Singh Bindra

    2013-02-01

    Full Text Available Background: Hypertension is a chronic disease which insidiously affects multiple systems in the body especially the cardiovascular and cerebrovascular systems. Also being a chronic disease the patient is required to take medications lifelong and this has financial implications. This study was attempted to evaluate drugs in two antihypertensive groups: Angiotensin II antagonist losartan v/s angiotensin converting enzyme inhibitor enalapril. Methods: A total of 100 patients as per the selection criteria were enrolled in the study and allocated randomly to either group A (losartan group or group B (enalapril group. The study period was for 12 weeks, during which regular assessments were done - first on recruitment and then at 2nd week, 4th week, 8th week, and 12th week. The assessment parameters were diastolic, systolic pressures and pulse rate. Routine investigations were performed during the 1st visit and after 12 weeks of the study period. Results: There were no significant differences between the treatment groups with respect to baseline patient demographic data and clinical characteristics like systolic blood pressure, diastolic blood pressure and heart rate. The cost benefit ratio and less adverse effects (cough, can be appreciated in group A (losartan group. Conclusions: Losartan and enalapril were well tolerated after 12 weeks of treatment with notable tolerability advantages of losartan especially with respect to the respiratory system (cough. The cost of therapy for losartan group was almost half the cost of therapy for enalapril group and hence being cost effective. Thus, losartan could be preferred as a suitable alternative to enalapril as an antihypertensive agent. [Int J Basic Clin Pharmacol 2013; 2(1.000: 37-42

  17. Multiple stage railgun

    Science.gov (United States)

    Hawke, Ronald S.; Scudder, Jonathan K.; Aaland, Kristian

    1982-01-01

    A multiple stage magnetic railgun accelerator (10) for accelerating a projectile (15) by movement of a plasma arc (13) along the rails (11,12). The railgun (10) is divided into a plurality of successive rail stages (10a-n) which are sequentially energized by separate energy sources (14a-n) as the projectile (15) moves through the bore (17) of the railgun (10). Propagation of energy from an energized rail stage back towards the breech end (29) of the railgun (10) can be prevented by connection of the energy sources (14a-n) to the rails (11,12) through isolation diodes (34a-n). Propagation of energy from an energized rail stage back towards the breech end of the railgun can also be prevented by dividing the rails (11,12) into electrically isolated rail sections (11a-n, 12a-n). In such case means (55a-n) are used to extinguish the arc at the end of each energized stage and a fuse (31) or laser device (61) is used to initiate a new plasma arc in the next energized rail stage.

  18. Up-regulation of Bcl-2 is required for the progression of prostate cancer cells from an androgen-dependent to an androgen-independent growth stage

    Institute of Scientific and Technical Information of China (English)

    Yuting Lin; Junichi Fukuchi; Richard A Hiipakka; John M Kokontis; Jialing Xiang

    2007-01-01

    Bcl-2 is an anti-apoptotic oncoprotein and its protein levels are inversely correlated with prognosis in many cancers.However, the role of Bcl-2 in the progression of prostate cancer is not clear. Here we report that Bcl-2 is required for the progression of LNCaP prostate cancer cells from an androgen-dependent to an androgen-independent growth stage. The mRNA and protein levels of Bcl-2 are significantly increased in androgen-independent prostate cancer cells, shRNA-mediated gene silencing of Bcl-2 in androgen-independent prostate cancer cells promotes UV-induced apoptosis and suppresses the growth of prostate tumors in vivo. Growing androgen-dependent cells under androgen-deprivation conditions results in formation of androgen-independent colonies; and the transition from androgen-dependent to androgen-independent growth is blocked by ectopic expression of the Bcl-2 antagonist Bax or Bcl-2 shRNA. Thus, our results demonstrate that Bcl-2 is not only critical for the survival of androgen-independent prostate cancer cells, but is also required for the progression of prostate cancer cells from an androgen-dependent to an androgen-independent growth stage.

  19. Tough adults, frail babies: an analysis of stress sensitivity across early life-history stages of widely introduced marine invertebrates.

    Directory of Open Access Journals (Sweden)

    M Carmen Pineda

    Full Text Available All ontogenetic stages of a life cycle are exposed to environmental conditions so that population persistence depends on the performance of both adults and offspring. Most studies analysing the influence of abiotic conditions on species performance have focussed on adults, while studies covering early life-history stages remain rare. We investigated the responses of early stages of two widely introduced ascidians, Styela plicata and Microcosmus squamiger, to different abiotic conditions. Stressors mimicked conditions in the habitats where both species can be found in their distributional ranges and responses were related to the selection potential of their populations by analysing their genetic diversity. Four developmental stages (egg fertilisation, larval development, settlement, metamorphosis were studied after exposure to high temperature (30°C, low salinities (26 and 22‰ and high copper concentrations (25, 50 and 100 µg/L. Although most stressors effectively led to failure of complete development (fertilisation through metamorphosis, fertilisation and larval development were the most sensitive stages. All the studied stressors affected the development of both species, though responses differed with stage and stressor. S. plicata was overall more resistant to copper, and some stages of M. squamiger to low salinities. No relationship was found between parental genetic composition and responses to stressors. We conclude that successful development can be prevented at several life-history stages, and therefore, it is essential to consider multiple stages when assessing species' abilities to tolerate stress. Moreover, we found that early development of these species cannot be completed under conditions prevailing where adults live. These populations must therefore recruit from elsewhere or reproduce during temporal windows of more benign conditions. Alternatively, novel strategies or behaviours that increase overall reproductive success

  20. Tough adults, frail babies: an analysis of stress sensitivity across early life-history stages of widely introduced marine invertebrates.

    Science.gov (United States)

    Pineda, M Carmen; McQuaid, Christopher D; Turon, Xavier; López-Legentil, Susanna; Ordóñez, Víctor; Rius, Marc

    2012-01-01

    All ontogenetic stages of a life cycle are exposed to environmental conditions so that population persistence depends on the performance of both adults and offspring. Most studies analysing the influence of abiotic conditions on species performance have focussed on adults, while studies covering early life-history stages remain rare. We investigated the responses of early stages of two widely introduced ascidians, Styela plicata and Microcosmus squamiger, to different abiotic conditions. Stressors mimicked conditions in the habitats where both species can be found in their distributional ranges and responses were related to the selection potential of their populations by analysing their genetic diversity. Four developmental stages (egg fertilisation, larval development, settlement, metamorphosis) were studied after exposure to high temperature (30°C), low salinities (26 and 22‰) and high copper concentrations (25, 50 and 100 µg/L). Although most stressors effectively led to failure of complete development (fertilisation through metamorphosis), fertilisation and larval development were the most sensitive stages. All the studied stressors affected the development of both species, though responses differed with stage and stressor. S. plicata was overall more resistant to copper, and some stages of M. squamiger to low salinities. No relationship was found between parental genetic composition and responses to stressors. We conclude that successful development can be prevented at several life-history stages, and therefore, it is essential to consider multiple stages when assessing species' abilities to tolerate stress. Moreover, we found that early development of these species cannot be completed under conditions prevailing where adults live. These populations must therefore recruit from elsewhere or reproduce during temporal windows of more benign conditions. Alternatively, novel strategies or behaviours that increase overall reproductive success might be

  1. Staged excisions of moderate-sized burns compared with total excision with immediate autograft: an evaluation of two strategies

    Science.gov (United States)

    Elmasry, Moustafa; Steinvall, Ingrid; Thorfinn, Johan; Abdelrahman, Islam; Olofsson, Pia; Sjoberg, Folke

    2017-01-01

    Background: Different surgical techniques have evolved since excision and autografting became the treatment of choice for deep burns in the 1970s. The treatment plan at the Burn Center, Linköping University Hospital, Sweden, has shifted from single-stage excision and immediate autografting to staged excisions and temporary cover with xenografts before autografting. The aim of this study was to find out if the change in policy resulted in extended duration of hospital stay/total body surface area burned (LOS/TBSA%). Methods: Retrospective clinical cohort including surgically-managed patients with burns of 15%-60% TBSA% within each treatment group. The first had early full excisions of deep dermal and full thickness burns and immediate autografts (1997-98), excision and immediate autograft group) and the second had staged excisions before final autografts using xenografts for temporary cover (2010-11, staged excision group). Results: The study included 57 patients with deep dermal and full-thickness burns, 28 of whom had excision and immediate autografting, and 29 of whom had staged excisions with xenografting before final autografting. Adjusted (LOS/TBSA%) was close to 1, and did not differ between groups. Mean operating time for the staged excision group was shorter and the excised area/operation was smaller. The total operating time/TBSA% did not differ between groups. Conclusion: Staged excisions with temporary cover did not affect adjusted LOS/TBSA% or total operating time. Staged excisions may be thought to be more expensive because of the cost of covering the wound between stages, but this needs to be further investigated as do the factors that predict long term outcome. PMID:28123862

  2. Impedance-matching hearing in Paleozoic reptiles: evidence of advanced sensory perception at an early stage of amniote evolution.

    Directory of Open Access Journals (Sweden)

    Johannes Müller

    Full Text Available BACKGROUND: Insights into the onset of evolutionary novelties are key to the understanding of amniote origins and diversification. The possession of an impedance-matching tympanic middle ear is characteristic of all terrestrial vertebrates with a sophisticated hearing sense and an adaptively important feature of many modern terrestrial vertebrates. Whereas tympanic ears seem to have evolved multiple times within tetrapods, especially among crown-group members such as frogs, mammals, squamates, turtles, crocodiles, and birds, the presence of true tympanic ears has never been recorded in a Paleozoic amniote, suggesting they evolved fairly recently in amniote history. METHODOLOGY/PRINCIPAL FINDINGS: In the present study, we performed a morphological examination and a phylogenetic analysis of poorly known parareptiles from the Middle Permian of the Mezen River Basin in Russia. We recovered a well-supported clade that is characterized by a unique cheek morphology indicative of a tympanum stretching across large parts of the temporal region to an extent not seen in other amniotes, fossil or extant, and a braincase specialized in showing modifications clearly related to an increase in auditory function, unlike the braincase of any other Paleozoic tetrapod. In addition, we estimated the ratio of the tympanum area relative to the stapedial footplate for the basalmost taxon of the clade, which, at 23:1, is in close correspondence to that of modern amniotes capable of efficient impedance-matching hearing. CONCLUSIONS/SIGNIFICANCE: Using modern amniotes as analogues, the possession of an impedance-matching middle ear in these parareptiles suggests unique ecological adaptations potentially related to living in dim-light environments. More importantly, our results demonstrate that already at an early stage of amniote diversification, and prior to the Permo-Triassic extinction event, the complexity of terrestrial vertebrate ecosystems had reached a level that

  3. Energy and macronutrient intake of a female vegan cyclist during an 8-day mountain bike stage race.

    Science.gov (United States)

    Wirnitzer, Katharina C; Kornexl, Elmar

    2014-01-01

    This report describes the dietary intake of a vegan mountain biker (height, 161 cm; weight, 49.6 kg; body mass index, 19.1 kg/m(2); relative peak power output, 4.6 W/kg) during the Transalp Challenge 2004 (altitude climbed, 22,500 m; total distance, 662 km), illustrating an aggressive dietary strategy that allowed the cyclist to be competitive. She finished the 8-stage event in 42 hours (mixed category, rank 16; 514 minutes behind the winners of this category), cycling with an average heart rate of 79.5% of laboratory-determined maximum, spending 892 minutes and 1627 minutes at intensities below and above 80%, respectively. During racing, the consumption of energy was 69.3 MJ (1.65 MJ/h), 65.76 MJ from carbohydrates (92 g/h), which was 35% of calories and 40% of carbohydrate total intake, and the fluid ingested was 3 L/day (570 mL/h), 55% of the total fluid consumed.

  4. Further insights into the impact of mouse follicle stage on graft outcome in an artificial ovary environment.

    Science.gov (United States)

    Chiti, M C; Dolmans, M M; Lucci, C M; Paulini, F; Donnez, J; Amorim, C A

    2017-06-01

    Are mouse preantral follicles differently affected by isolation, encapsulation and/or grafting procedures according to stage? Isolated secondary follicles showed superior ability to survive and grow after transplantation, which was not related to a particular effect of the isolation and/or grafting procedure, but rather to their own ability to induce neoangiogenesis. Isolated and encapsulated mouse preantral follicles can survive (6-27%) and grow (80-100%) in a fibrin matrix with a low concentration of fibrinogen and thrombin (F12.5/T1) after short-term transplantation. An in vivo experimental model using 20 donor Naval Medical Research Institute (NMRI) mice (6-25 weeks of age) and 14 recipient severe combined immunodeficient (SCID) mice (11-39 weeks of age) was applied. Each NMRI mouse underwent mechanical disruption of both ovaries and isolation of primordial-primary and secondary follicles with ovarian stromal cells, in order to encapsulate them in an F12.5/T1 matrix. Twelve out of 40 fibrin clots were immediately fixed as controls (D0) (10 for histology and 2 for scanning electron microscopy [SEM]) and the others (n = 28) were grafted to the inner part of the peritoneum for 2 (16 fibrin clots) or 7 (12 fibrin clots) days (D2 and D7). This study involved the participation of the Gynecology Research Unit (Universitè Catholique de Louvain) and the Physiological Sciences Department (University of Brasília). Specific techniques were used to analyze the follicle recovery rate (hematoxylin-eosin staining), vascularization (CD34) and follicle ultrastructure (transmission electron microscopy [TEM] and SEM). After follicle isolation and encapsulation, a statistically higher percentage of normal follicles was observed in the secondary group (62%) than in the primordial-primary group (47%). Follicle recovery rates were 34% and 62% for primordial-primary and secondary follicles on D2, respectively, and 12% and 42% on D7, confirming that secondary follicles survive better

  5. Acoustical measurements of sound fields between the stage and the orchestra pit inside an historical opera house

    Science.gov (United States)

    Sato, Shin-Ichi; Prodi, Nicola; Sakai, Hiroyuki

    2004-05-01

    To clarify the relationship of the sound fields between the stage and the orchestra pit, we conducted acoustical measurements in a typical historical opera house, the Teatro Comunale of Ferrara, Italy. Orthogonal factors based on the theory of subjective preference and other related factors were analyzed. First, the sound fields for a singer on the stage in relation to the musicians in the pit were analyzed. And then, the sound fields for performers in the pit in relation to the singers on the stage were considered. Because physical factors vary depending on the location of the sound source, performers can move on the stage or in the pit to find the preferred sound field.

  6. The staging of gastritis with the OLGA system by using intestinal metaplasia as an accurate alternative for atrophic gastritis

    NARCIS (Netherlands)

    Capelle, Lisette G.; de Vries, Annemarie C.; Haringsma, Jelle; Ter Borg, Frank; de Vries, Richard A.; Bruno, Marco J.; van Dekken, Herman; Meijer, Jos; van Grieken, Nicole C. T.; Kuipers, Ernst J.

    2010-01-01

    Background: The OLGA (operative link on gastritis assessment) staging system is based on severity of atrophic gastritis (AG). AG remains a difficult histopathologic diagnosis with low interobserver agreement, whereas intestinal metaplasia (IM) is associated with high interobserver agreement. Objecti

  7. The staging of gastritis with the OLGA system by using intestinal metaplasia as an accurate alternative for atrophic gastritis

    NARCIS (Netherlands)

    Capelle, Lisette G.; de Vries, Annemarie C.; Haringsma, Jelle; Ter Borg, Frank; de Vries, Richard A.; Bruno, Marco J.; van Dekken, Herman; Meijer, Jos; van Grieken, Nicole C. T.; Kuipers, Ernst J.

    Background: The OLGA (operative link on gastritis assessment) staging system is based on severity of atrophic gastritis (AG). AG remains a difficult histopathologic diagnosis with low interobserver agreement, whereas intestinal metaplasia (IM) is associated with high interobserver agreement.

  8. Acoustical measurements of sound fields between the stage and the orchestra pit inside an historical opera house

    Science.gov (United States)

    Sato, Shin-Ichi; Prodi, Nicola; Sakai, Hiroyuki

    2001-05-01

    To clarify the relationship of the sound fields between the stage and the orchestra pit, we conducted acoustical measurements in a typical historical opera house, the Teatro Comunale of Ferrara, Italy. Orthogonal factors based on the theory of subjective preference and other related factors were analyzed. First, the sound fields for a singer on the stage in relation to the musicians in the pit were analyzed. And then, the sound fields for performers in the pit in relation to the singers on the stage were considered. Because physical factors vary depending on the location of the sound source, performers can move on the stage or in the pit to find the preferred sound field.

  9. Is CA-125 an additional help to radiologic findings for differentiation borderline ovarian tumor from stage I carcinoma?

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Eun Joo; Kim, See Hyung; Kim, Young Hwan; Lee, Hee Jung (Dept. of Radiology, Keimyung Univ. Dongsan Hospital, College of Medicine, Daegu (Korea, Republic of)), email: kseehdr@dsmc.or.kr

    2011-05-15

    Background Borderline ovarian tumors (BOTs) are difficult to differentiate from stage I carcinoma using radiological findings. Little is known about the correlation between CA-125 levels and radiological findings for predicting BOTs or carcinoma. Purpose To assess the role of CA-125, in addition to that of radiological findings, in differentiating BOTs from stage I carcinoma. Material and Methods The study received institutional review board approval, with waiver of informed consent. We evaluated 100 patients (two groups: BOT, 58 patients; stage I carcinoma, 42 patients) using radiological findings, including location and size of each tumor, number and size of septations, papillary projections and vegetations, peritoneal implants, ascites, and preoperative CA-125 levels. The differences in CA-125 levels according to bilateral location, solid components, and thickness of septations between the two groups were evaluated using the McNemar test. Correlations of CA-125 level to size and number of septations were evaluated by the independent sample t test. Results No statistical correlation was found between CA-125 level and location, size, and number of septations between the two groups. Solid components within the tumors were similar in the two groups, but the CA-125 level was significantly higher in stage I carcinoma than in BOTs. The number of septations per tumor was similar in the two groups; thick septations were more frequent in stage I carcinoma than in BOTs, and a significantly higher titer of CA-125 was found in stage I carcinoma. Discriminant analysis of solid components and thickness of septations resulted in accurate diagnosis of 70.6% of the tumors (80.6% of BOTs and 69.7% of stage I carcinomas). Conclusion CA-125 levels for solid components and thickness of septations are lower in BOTs. These may be helpful in predicting the risk of carcinoma, even if BOTs cannot be conclusively differentiated from stage I carcinoma

  10. Characteristics of hydrogen and methane production from cornstalks by an augmented two- or three-stage anaerobic fermentation process.

    Science.gov (United States)

    Lu, Yuan; Lai, Qiheng; Zhang, Chong; Zhao, Hongxin; Ma, Kun; Zhao, Xuebing; Chen, Hongzhang; Liu, Dehua; Xing, Xin-Hui

    2009-06-01

    This paper presents the co-production of hydrogen and methane from cornstalks by a two- or three-stage anaerobic fermentation process augmented with effective artificial microbial community. Two-stage fermentation by using the anaerobic sludge and DGGE analysis showed that effective and stable strains should be introduced into the system. We introduced Enterobacter aerogens or Clostridium paraputrificum into the hydrogen stage, and C. paraputrificum was proven to be more effective. In the three-stage process consisting of the improved hydrolysis, hydrogen and methane production stages, the highest soluble sugars (0.482 kg/kg cornstalks) were obtained after the introduction of Clostridium thermocellum in the hydrolysis stage, under the thermophilic (55 degrees C) and acidic (pH 5.0) conditions. Hydrolysates from 1 kg of cornstalks could produce 2.61 mol (63.7 l) hydrogen by augmentation with C. paraputrificum and 4.69 mol (114.6 l) methane by anaerobic granular sludge, corresponding to 54.1% energy recovery.

  11. The Impact of Intensified Hemodialysis on Pruritus in an End Stage Renal Disease Patient with Biliary Ductopenia

    Directory of Open Access Journals (Sweden)

    Sandra Chomicki

    2015-01-01

    Full Text Available We report a unique observation characterized by the coexistence of idiopathic adulthood ductopenia (IAD, a rare cholestatic disease, and end stage renal failure treated by conventional hemodialysis in a patient awaiting double renal and liver transplantation. As pruritus gradually worsened, we hypothesized that intensified dialysis could alleviate the symptoms. Conventional hemodialysis following 3 hours/3 times a week regimen was initiated in December 2013. Due to increasing pruritus not responding to standard medical therapy, intensified hemodialysis following 2.5 hours/5 times a week regimen was started in May 2014. During two weeks, a temporary decrease in bilirubin levels was observed. No major changes on other liver function tests and inflammatory markers occurred. Nevertheless, a persistent improvement on pruritus and general wellbeing was obtained during the four weeks’ study period. The pathogenesis of itch encompasses multiple factors, and, in our case, both uremic and cholestatic pruritus are involved, although the latter is likely to account for a greater proportion. By improving itch intensity, through better clearance of uremic and cholestatic toxins which we detail further, intensive dialysis appears to be an acceptable short-term method for patients with hepatic cholestasis and moderate pruritus not responding to conventional therapy. Additional studies are needed to assess and differentiate precisely factors contributing to pruritus of both origins.

  12. Tolerance of the antibiotic tylosin on treatment performance of an up-flow anaerobic stage reactor (UASR).

    Science.gov (United States)

    Chelliapan, S; Wilby, T; Sallis, P J; Yuzir, A

    2011-01-01

    Tylosin has been considered inhibiting COD removal in anaerobic digestion. In this study it is proven that this is not always the case. Accordingly, elevated concentrations of Tylosin (100-800mgL-1) could be tolerated by the anaerobic system. The influence of Tylosin concentrations on an up-flow anaerobic stage reactor (UASR) was assessed using additions of Tylosin phosphate concentrate. Results showed high efficiency for COD removal (average 93%) when Tylosin was present at concentrations ranging from 0 to 400 mg L-1. However, at Tylosin concentrations of 600 and 800 mg L-1 treatment efficiency declined to 85% and 75% removal respectively. The impact of Tylosin concentrations on archaeal activity were investigated and the analysis revealed that archaeal cells dominated the reactor, confirming that there was no detectable inhibition of the methanogens at Tylosin levels between 100 and 400mg L-1. Nevertheless, the investigation showed a slight reduction in the number of methanogens at Tylosin levels of 600 and 800 mg L-1. These results demonstrated that the methanogens were well adapted to Tylosin. It would not be expected that the process performance of the UASR would be affected, not even at a level well in excess of those appearing in real wastewater from a Tylosin production site.

  13. Bringing in health technology assessment and cost-effectiveness considerations at an early stage of drug development.

    Science.gov (United States)

    Jönsson, Bengt

    2015-05-01

    This paper reviews the issues involved in undertaking HTA studies early in the development of new cancer therapies, and discusses the data and methods for estimating the cost-effectiveness of new diagnostics and treatments. The value for patients of new cancer therapies is based on access to the treatment and optimal use. Realising potential value depends on successful completion of a series of steps, from the initial economic evaluations based on clinical trial data, to the reimbursement decisions based on the evaluations and the implementation of these decisions in clinical practice. Considerable resources have been devoted to the study of the cost-effectiveness of new cancer drugs as a basis for decisions about payment and use. Such resources could be used much more effectively if industry and HTA agencies were to collaborate at an early stage in the development process. The traditional clinical trial approach of using progression-free survival and cross-overs has serious shortcomings, producing data that cannot be used to determine outcomes and, so, cost-effectiveness. A new standard is needed; both regulatory and HTA authorities should be involved in its development.

  14. An Approach of Electronic Subdividing Method for Measuring Straightness and Displacement of a Precision Linear Stage Simultaneously

    Directory of Open Access Journals (Sweden)

    Tsai Hsiu-An

    2016-01-01

    Full Text Available Optical encoders are commonly used in modern positioning systems. The accuracy and resolution of the optical encoders are always restricted by generated sinusoidal signals and the assembly technique. In this study, an electronic signal subdividing system is developed. This system is based on FPGA in combination with A/D and D/A converting circuits. Subdividing algorithm improves the segmenting signal amplitude method. Furthermore, we also construct a laser encoder for measuring straightness error and displacement of a linear stage simultaneously. The laser encoder consisting of the stainless steel bar and the sensor are developed for two-axis (X- and Z-axis position measurement. The two dimensional sinusoidal array on the stainless steel bar are machined by ultrasonic elliptical vibration cutting system. The stainless steel bar has a three dimensional micro-structured surface, which is a superposition of periodic sinusoidal waves in the X- and Z-directions with spatial wavelengths of 350 µm and amplitudes of 0.5 µm. The laser-based two-axis position sensor is used to detect local slope profiles of the grid surface, and the displacement and straightness error could be extracted from the X- and Z-axis sensing signal. The sensing signal is processed by FPGA subdividing system. In addition, the proposed subdividing method is verified by the performances and effects of measuring results.

  15. Lymph node size as a simple prognostic factor in node negative colon cancer and an alternative thesis to stage migration.

    Science.gov (United States)

    Märkl, Bruno; Schaller, Tina; Kokot, Yuriy; Endhardt, Katharina; Kretsinger, Hallie; Hirschbühl, Klaus; Aumann, Georg; Schenkirsch, Gerhard

    2016-10-01

    Stage migration is an accepted explanation for the association between lymph node (LN) yield and outcome in colon cancer. To investigate whether the alternative thesis of immune response is more likely, we performed a retrospective study. We enrolled 239 cases of node negative cancers, which were categorized according to the number of LNs with diameters larger than 5 mm (LN5) into the groups LN5-very low (0 to 1 LN5), LN5-low (2 to 5 LN5), and LN5-high (≥6 LN5). Significant differences were found in pT3/4 cancers with median survival times of 40, 57, and 71 months (P = .022) in the LN5-very low, LN5-low, and LN5-high groups, respectively. Multivariable analysis revealed that LN5 number and infiltration type were independent prognostic factors. LN size is prognostic in node negative colon cancer. The correct explanation for outcome differences associated with LN harvest is probably the activation status of LNs. Copyright © 2015 Elsevier Inc. All rights reserved.

  16. [A brief textual research on circulated versions of Dan tai yu an (Jade Case Records of Red Stage].

    Science.gov (United States)

    Xu, Gao; Zhu, Jianping

    2014-03-01

    Dan tai yu an (Jade Case Records of Red Stage) was compiled by a doctor of the Ming Dynasty Sun Wenyin, including 6 volumes. This book involves Chinese internal medicine, paediatrics, gynaecology, external medicine, and Department of the sense organs (ENT) classified into 73 categories, each of which contains 80 kinds of disease. The total number of disease was 157. Each kind of disease is discussed under the order of etiology, syndrome, pulse condition and treatment. The range of traditional Chinese prescriptions in this book is rather extensive with its indications, administrations and modification of main prescriptions given concretely. Both internal and external treatment are included, and the individual drug and proved recipe are practical and effective, which is a significant reference to clinical practice. There are many versions of this book extant. According to our investigation and research, we replenished some information to the"General Catalogue of TCM Ancient Books", and at the same time, correct some mistakes, providing the basis for further collation and publishing.

  17. Differential responses of individuals with late-stage dementia to two novel environments: a multimedia room and an interior garden.

    Science.gov (United States)

    Goto, Seiko; Kamal, Naveed; Puzio, Helene; Kobylarz, Fred; Herrup, Karl

    2014-01-01

    The purpose of this study was to determine the responses of individuals with advanced dementia to two novel sensory environments in a nursing home facility. The first was a multisensory Snoezelen room; the second was a temporary Japanese garden. Subjects viewed each environment twice a week for 15 minutes during the study. Stress was measured using heart rate and informant-based behavioral changes. By these criteria, the garden-viewing group showed positive behavioral changes while the responses of the subjects in the Snoezelen group were more negative. The response of the subjects' pulse rate was most dramatic. During the 15 minutes in the garden, the average rate (all subjects/all visits) was significantly less than in their residential room. In the Snoezelen room, we detected little or no change. The impact of the garden could also be seen in the negative behavioral signs elicited upon returning the subjects to the garden room after the installation had been replaced with plants and furniture arranged with no formal design. We propose that exposure to a small interior Japanese garden could be an effective intervention for individuals suffering from late stage Alzheimer's disease.

  18. Results of an Advanced Fan Stage Operating Over a Wide Range of Speed and Bypass Ratio. Part 2; Comparison of CFD and Experimental Results

    Science.gov (United States)

    Celestina, Mark L.; Suder, Kenneth L.; Kulkarni, Sameer

    2010-01-01

    NASA and GE teamed to design and build a 57 percent engine scaled fan stage for a Mach 4 variable cycle turbofan/ramjet engine for access to space with multipoint operations. This fan stage was tested in NASA's transonic compressor facility. The objectives of this test were to assess the aerodynamic and aero mechanic performance and operability characteristics of the fan stage over the entire range of engine operation including: 1) sea level static take-off; 2) transition over large swings in fan bypass ratio; 3) transition from turbofan to ramjet; and 4) fan wind-milling operation at high Mach flight conditions. This paper will focus on an assessment of APNASA, a multistage turbomachinery analysis code developed by NASA, to predict the fan stage performance and operability over a wide range of speeds (37 to 100 percent) and bypass ratios.

  19. Investigating mathematical models of immuno-interactions with early-stage cancer under an agent-based modelling perspective

    Science.gov (United States)

    2013-01-01

    Many advances in research regarding immuno-interactions with cancer were developed with the help of ordinary differential equation (ODE) models. These models, however, are not effectively capable of representing problems involving individual localisation, memory and emerging properties, which are common characteristics of cells and molecules of the immune system. Agent-based modelling and simulation is an alternative paradigm to ODE models that overcomes these limitations. In this paper we investigate the potential contribution of agent-based modelling and simulation when compared to ODE modelling and simulation. We seek answers to the following questions: Is it possible to obtain an equivalent agent-based model from the ODE formulation? Do the outcomes differ? Are there any benefits of using one method compared to the other? To answer these questions, we have considered three case studies using established mathematical models of immune interactions with early-stage cancer. These case studies were re-conceptualised under an agent-based perspective and the simulation results were then compared with those from the ODE models. Our results show that it is possible to obtain equivalent agent-based models (i.e. implementing the same mechanisms); the simulation output of both types of models however might differ depending on the attributes of the system to be modelled. In some cases, additional insight from using agent-based modelling was obtained. Overall, we can confirm that agent-based modelling is a useful addition to the tool set of immunologists, as it has extra features that allow for simulations with characteristics that are closer to the biological phenomena. PMID:23734575

  20. FEATURES OF MENTAL CONDITIONS OF THE PATIENTS HAVING OBLITERATING ATHEROSCLEROSIS OF THE LOWER EXTREMITIES AT A STAGE OF AN AGGRAVATION AND REMISSION

    Directory of Open Access Journals (Sweden)

    Elena Yur’evna Shpakovskaya

    2017-04-01

    Full Text Available Purpose. Article is devoted to an urgent problem of mental conditions of patients of the lower extremities having obliterating atherosclerosis. Authors set as the purpose to analyse mental conditions of the patients having obliterating atherosclerosis of the lower extremities at a stage of an aggravation and remission. Research techniques. Psychodiagnostic research techniques: poll, observation, content analysis of medical documentation. Results. In a research it is shown that at patients as at a stage of remission as well as at an aggravation stage emotional states have the expressed adverse character. The characteristic of features of subjective health, activity and mood, indexes of personal and situational uneasiness of the patients who are at different stages of a disease and healthy people is given. Significant distinctions, in features of emotional reaction at patients with an obliterating atherosclerosis, with a dominance of neurotic frustration as a neurasthenia, existence of the alarm as situationally – caused, and quality of the personal characteristic are revealed. Range of application of results. Results of a research can be used in the course of medico-psychological maintenance and rehabilitation of patients with an obliterating atherosclerosis of the lower extremities at a stage of an aggravation and remission.

  1. Assessment of implant stability during various stages of healing placed immediately following extraction in an overdenture situation

    Directory of Open Access Journals (Sweden)

    Ashwin Thomas Koshy

    2017-01-01

    Full Text Available To assess the implant stability during different stages of healing in an immediate loaded implant soon after extraction. A 73-year-old female came with a chief complaint of bad smell and irritation in her lower front gum region. On examination, she was found to be completely edentulous in the maxillary arch and partially edentulous in the mandibular arch with only the canines present bilaterally. The posterior mandibular ridge was severely resorbed and hence could not be treated with a conventional mandibular complete denture. Considering the age of the patient and the preference of only a single surgical visit, we decided to plan for a conventional maxillary denture against an implant supported mandibular overdenture with two implants placed immediately after extraction of canines. The stability of these implants was assessed during the early phases of healing with the help of a resonance frequency analysis method (RFA using Osstell ISQ™. During the healing phase, implant stability quotient (ISQ values decrease by 4–5 values after installation with the lowest values at the 1st week postplacement. Following this, the ISQ values increased steadily for all implants up to 16 weeks. No significant differences were noted over time. At placement, the mean ISQ values at 33 and 43 regions were 74 and 75.2, respectively. The mean lowest ISQ values recorded at the 1st week were 58.8 and 65.4, respectively. At 16 weeks, the mean ISQ values were 70.5 and 67.9, respectively. The survival of such immediately placed implants, which are later used as overdenture supported implants, are highly predictable when the surgical and prosthetic part is done meticulously. However, there needs future studies oriented to understand better the healing pattern of immediately placed implants in extraction sockets, which would guide the clinician with the optimal loading time.

  2. Heparin induces an accumulation of atherogenic lipoproteins during hemodialysis in normolipidemic end-stage renal disease patients.

    Science.gov (United States)

    Barbagallo, Carlo M; Noto, Davide; Cefalù, Angelo B; Ganci, Antonia; Giammarresi, Carlo; Panno, Donata; Cusumano, Gaspare; Greco, Massimiliano; Di Gaudio, Francesca; Averna, Maurizio R

    2015-07-01

    Dyslipidemias may account for the excess of cardiovascular mortality in end-stage renal disease (ESRD). Lipoprotein studies in ESRD patients are usually relative to prehemodialysis samples even if significative changes may occur after dialysis. In this study, we aimed to investigate the effects of ESRD on triglyceride-rich lipoproteins (TRL) subpopulations distribution and acute change following hemodialytic procedures, including the relative contribution of heparin administration. We selected a group of normolipidemic male middle-aged ESRD patients free of any concomitant disease affecting lipoprotein remnant metabolism compared with controls. We separated TRL subfractions according to density and apoE content and evaluated the changes of these particles after hemodialytic procedures with or without heparin. ESRD subjects had higher TRL subfractions, with the exception of apoE-rich particles, lower high-density lipoprotein (HDL) largest subclasses, and a smaller low-density lipoprotein peak particle size than controls. After a hemodialytic standard procedure with heparin, we demonstrated a significant reduction of triglyceride, an increase of HDL-cholesterol levels, and a raise of small very-low-density lipoprotein, intermediate-density lipoproteins (IDL), apoE-rich particles, and non-HDL-cholesterol levels. When hemodialysis was performed without heparin, no significant changes were observed. In the absence of concomitant hyperlipidemic triggers, ESRD patients show significant lipoprotein abnormalities before dialysis, but without any increased remnant particles concentrations. We speculate that hemodialysis, in particular heparin administration during this procedure, leads to a massive atherogenic TRLs production because of the acute stimulation of the dysfunctional lipolytic system not followed by an efficient removal, determining a recurrent lipoprotein remnant accumulation. © 2014 International Society for Hemodialysis.

  3. Does Visuomotor Adaptation Proceed in Stages? An Examination of the Learning Model by Chein and Schneider (2012).

    Science.gov (United States)

    Simon, Anja; Bock, Otmar

    2015-01-01

    A new 3-stage model based on neuroimaging evidence is proposed by Chein and Schneider (2012). Each stage is associated with different brain regions, and draws on cognitive abilities: the first stage on creativity, the second on selective attention, and the third on automatic processing. The purpose of the present study was to scrutinize the validity of this model for 1 popular learning paradigm, visuomotor adaptation. Participants completed tests for creativity, selective attention and automated processing before attending in a pointing task with adaptation to a 60° rotation of visual feedback. To examine the relationship between cognitive abilities and motor learning at different times of practice, associations between cognitive and adaptation scores were calculated repeatedly throughout adaptation. The authors found no benefit of high creativity for adaptive performance. High levels of selective attention were positively associated with early adaptation, but hardly with late adaptation and de-adaptation. High levels of automated execution were beneficial for late adaptation, but hardly for early and de-adaptation. From this we conclude that Chein and Schneider's first learning stage is difficult to confirm by research on visuomotor adaptation, and that the other 2 learning stages rather relate to workaround strategies than to actual adaptive recalibration.

  4. An inexact mixed risk-aversion two-stage stochastic programming model for water resources management under uncertainty.

    Science.gov (United States)

    Li, W; Wang, B; Xie, Y L; Huang, G H; Liu, L

    2015-02-01

    Uncertainties exist in the water resources system, while traditional two-stage stochastic programming is risk-neutral and compares the random variables (e.g., total benefit) to identify the best decisions. To deal with the risk issues, a risk-aversion inexact two-stage stochastic programming model is developed for water resources management under uncertainty. The model was a hybrid methodology of interval-parameter programming, conditional value-at-risk measure, and a general two-stage stochastic programming framework. The method extends on the traditional two-stage stochastic programming method by enabling uncertainties presented as probability density functions and discrete intervals to be effectively incorporated within the optimization framework. It could not only provide information on the benefits of the allocation plan to the decision makers but also measure the extreme expected loss on the second-stage penalty cost. The developed model was applied to a hypothetical case of water resources management. Results showed that that could help managers generate feasible and balanced risk-aversion allocation plans, and analyze the trade-offs between system stability and economy.

  5. Testis Morphometry and Stages of the Seminiferous Epithelium Cycle in an Epididymal Sperm-storing Neotropical Vespertilionid, Myotis levis (Chiroptera).

    Science.gov (United States)

    Farias, T O; Notini, A A; Talamoni, S A; Godinho, H P

    2015-10-01

    Yellowish myotis, Myotis levis, is a seasonal, epididymal sperm-storing Neotropical vespertilionid. In the dry season, males show simultaneous testis regression and sperm storage in cauda epididymis, enabling them to mate during this season. In this study, we investigated seasonal variations in body mass, diameter and height of seminiferous tubules and nuclei of Leydig cells in a population of southeastern Brazil. We also determined the frequencies of the stages of the seminiferous epithelium cycle (SEC) of mature individuals of this population. Body mass and diameter of Leydig cell nuclei showed no significant differences between dry and rainy seasons and stages of annual reproductive cycle; however, all other morphometric parameters varied significantly. The relative cumulative frequency of pre-meiotic stages of the SEC (1-3) was 51%, of meiotic stage (4) was 2% and of post-meiotic stages (5-8) was 47%. We confirmed that the yellowish myotis presents seasonal sperm production as revealed by testis regression and epididymal sperm storage during the dry season.

  6. First TRUE Stage - Transport of solutes in an interpreted single fracture. Proceedings from the 4th international seminar

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-08-01

    The First Stage of the Tracer Retention Understanding Experiments (TRUE-1) was initiated in 1994 and the experimental activities were officially concluded in December 1998 with the termination of the final test with radioactive sorbing tracers. The programme also included a laboratory programme focused on both generic (Aespoe HRL) and site-specific (Feature A) geological material. Modelling, both scopings, predictions and evaluation of the final tests with sorbing tracers has been performed parallel to the experimental work. The work and conclusions of the SKB TRUE project team have been published in a SKB technical report. The TRUE-1 experiments have also been subject to blind prediction and evaluation by an international group of modelling teams within the auspices of the Aespoe Task Force on Groundwater on Modelling of Groundwater Flow and Solute Transport. A list of relevant reports and publications related to the First TRUE Stage are presented in Appendix A. The present seminar provides a venue to present and discuss the results of the TRUE-1 experiments in terms of identified transport and retention processes and concepts/approaches used to model. However, given the fact that may international programs, including that of SKB, are either underway or preparing for site characterisation programs, the seminar provides a possibility to discuss research priorities and the specific data needs for development of a geological repository. In his opening address, the director of the Aespoe Hard Rock Laboratory emphasised the need to carefully integrate available experience from other research sites, e.g. Grimsel (Switzerland), Stripa (Sweden) and El Berrocal (Spain). The two important questions to be asked are; What do we know? What is the way forward? For the subsequent discussions four different discussion themes were identified; 1. Identification of transport processes. 2. Model concepts. 3. Site-specific data needs for a geological repository. 4. Research priorities

  7. Development of an axially staged annular combustor with low residence times in the main stage. Final report; Entwicklung eines gestuften Brenners in Ringanordnung mit kleiner Aufenthaltszeit in der Hauptzone. Abschlussbericht

    Energy Technology Data Exchange (ETDEWEB)

    Bauer, H.J. [BMW Rolls-Royce GmbH, Dahlewitz (Germany). Abt. Brennkammerentwicklung; Theisen, D. [Technische Univ. Muenchen (Germany). Lehrstuhl fuer Flugantriebe

    1998-05-28

    Within the project presented an axially staged annular combustor has been investigated. Staged combustion significantly reduces emissions of nitrogen oxide without sacrifying combustion efficiency and stability during low power conditions. The cold flow in the combustion module was analysed in water analogy tests. Stability of the main fuel injectors was investigated in a low pressure sector rig, high pressure tests were focused on nitric oxides and smoke emissions and on the detection of the temperature pattern at the combustor exit. Based on these results a second configuration was derived. Improved mixing of the pilot stage exhaust gases into the primary zone of the main stage was achieved. This configuration revealed a considerable reduction of nitric oxide emissions as well as a more even exit temperature pattern. The aerothermal design and optimisation of the staged combustor and the interpretation of the experimental results were supported by means of CFD calculations. The accuracy of the prediction of pollutant emissions could be enhanced by the incorporation of an advanced laminar-flamelet combustion model. Fuel/air mixing as well as the combustion process were investigated in a planar model of the staged combustor at LFA, University of Munich, by means of laser-spectroscopic methods. Under atmospheric conditions 2D concentrations of OH, O{sub 2}, and NO were measured. Characteristic differences of the combustion process for the staged and unstaged mode, respectively, were detected. The general applicability of planar temperature measurement by means of `2 lines thermometry` could be demonstrated. (orig.) [Deutsch] Im Rahmen des hier vorgestellten Vorhabens wurde eine axial gestufte Ringbrennkammer untersucht, die eine deutliche Senkung der Stickoxidemissionen bewirkt, ohne den Ausbrand und die Stabilitaet im unteren Lastbereich zu verschlechtern. In Wasseranalogieversuchen wurde die kalte Stroemung analysiert und optimiert. Die Stabilitaet der

  8. Preimaginal stages of the emerald ash borer, Agrilus planipennis Fairmaire (Coleoptera: Buprestidae: an invasive pest on ash trees (Fraxinus.

    Directory of Open Access Journals (Sweden)

    M Lourdes Chamorro

    Full Text Available This study provides the most detailed description of the immature stages of Agrilus planipennis Fairmaire to date and illustrates suites of larval characters useful in distinguishing among Agrilus Curtis species and instars. Immature stages of eight species of Agrilus were examined and imaged using light and scanning electron microscopy. For A. planipennis all preimaginal stages (egg, instars I-IV, prepupa and pupa were described. A combination of 14 character states were identified that serve to identify larvae of A. planipennis. Our results support the segregation of Agrilus larvae into two informal assemblages based on characters of the mouthparts, prothorax, and abdomen: the A. viridis and A. ater assemblages, with A. planipennis being more similar to the former. Additional evidence is provided in favor of excluding A. planipennis from the subgenus Uragrilus.

  9. Radiographic and pathological stages of the changes at the bone-cement interface: an in-vivo experimental study.

    Science.gov (United States)

    Aksu, Neslihan; Seyahi, Aksel; Aksu, Taner; Oztürk, Cağatay; Dervişoğlu, Sergülen; Murat Hiz, Veli Muzaffer

    2008-10-01

    Chemical and physical effects of cementation cause radiographic and histological changes at bone-cement interface. These changes can be of interest in the assessment of the residual lesions and subsequent recurrences after local resection and cementation of local aggressive tumours. The aim of the study was to evaluate the evolution and determine the stages of the changes that occur at the bone-cement interface after cementation of cavitary lesions. We operated on 16 hind legs of 8 sheep (Ovies Aries) under general anaesthesia (Xylasin HCl, Ketamin HCl and Forane). A bone cavity of 12 cm(3) was produced by curettage of the distal femoral condyle and was filled with cement. Control radiographs were taken at 2 days; 3, 6 and 12 weeks, and again at 6 months. One sheep each time was killed after second day and sixth month and two sheep each time after the third, sixth and 12th week and the specimens underwent pathological examination. After the first 3 weeks, a reactive fibrous membrane was detected on pathological examinations. This membrane consisted of granulation tissue, necrotic bone and bone marrow, which were replaced gradually by fibrous tissue. The radiographic revelation of this fibrous membrane was a radiolucent zone of 0.5-1.5 mm at 3 weeks. A Sclerotic rim appeared around this radiolucent zone at 6 weeks. With new bone formation the fibrous membrane disappeared at 3 months. This was seen on radiographs as the replacement of the radiolucent zone by a sclerotic ring of 0.5-2 mm. This sclerotic ring disappeared at 6 months, when a diffuse sclerosis and cortical bone thickening was detected on radiographs. According to our findings we suggest to consider the pathological processes at the bone-cement interface in 3 phases: (1) Reactive phase (first 3 weeks); (2) Resorption phase (3-6 weeks), and (3) Formation phase (6 weeks to 6 months). We have distinguished five different radiographic stages: Stage 1-Early stage with no apparent zone (first 3 weeks); Stage 2

  10. Thyroid Cancer Staging

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Ja Young; Kim, Soo Jin; Kim, Eun Kyung; Kwak, Jin Young [Yonsei University College of Medicine, Seoul (Korea, Republic of)

    2011-06-15

    The current prevalence of thyroid cancer in women is high. Likewise, other cancers and thyroid cancer have been based on the TNM classification system. Staging of thyroid cancer has an important role in determining the extent of surgical excision and lymph node dissection, planning the adjuvant therapy after surgery and predicting the recurrence rate and the prognosis of patients. Ultrasonography is the basic imaging modality to identify the tumor size and the extent of lymph node metastasis. More recently, computed tomography, magnetic resonance imaging and positron emission tomography provide additional help for the staging of thyroid cancer. So, this article describes the 7th edition of the TNM staging of thyroid cancer, as proposed by the American Joint Committee on Cancer, and the details of radiologic evaluation of the T, N and M stages

  11. Bmi-1 promotes invasion and metastasis, and its elevated expression is correlated with an advanced stage of breast cancer

    Directory of Open Access Journals (Sweden)

    Kung Hsiang-Fu

    2011-01-01

    Full Text Available Abstract Background B-lymphoma Moloney murine leukemia virus insertion region-1 (Bmi-1 acts as an oncogene in various tumors, and its overexpression correlates with a poor outcome in several human cancers. Ectopic expression of Bmi-1 can induce epithelial-mesenchymal transition (EMT and enhance the motility and invasiveness of human nasopharyngeal epithelial cells (NPECs, whereas silencing endogenous Bmi-1 expression can reverse EMT and reduce the metastatic potential of nasopharyngeal cancer cells (NPCs. Mouse xenograft studies indicate that coexpression of Bmi-1 and H-Ras in breast cancer cells can induce an aggressive and metastatic phenotype with an unusual occurrence of brain metastasis; although, Bmi-1 overexpression did not result in oncogenic transformation of MCF-10A cells. However, the underlying molecular mechanism of Bmi-1-mediated progression and the metastasis of breast cancer are not fully elucidated at this time. Results Bmi-1 expression is more pronouncedly increased in primary cancer tissues compared to matched adjacent non-cancerous tissues. High Bmi-1 expression is correlated with advanced clinicopathologic classifications (T, N, and M and clinical stages. Furthermore, a high level of Bmi-1 indicates an unfavorable overall survival and serves as a high risk marker for breast cancer. In addition, inverse transcriptional expression levels of Bmi-1 and E-cadherin are detected between the primary cancer tissues and the matched adjacent non-cancerous tissues. Higher Bmi-1 levels are found in the cancer tissue, whereas the paired adjacent non-cancer tissue shows higher E-cadherin levels. Overexpression of Bmi-1 increases the motility and invasive properties of immortalized human mammary epithelial cells, which is concurrent with the increased expression of mesenchymal markers, the decreased expression of epithelial markers, the stabilization of Snail and the dysregulation of the Akt/GSK3β pathway. Consistent with these

  12. Two-stage culture procedure using thidiazuron for efficient micropropagation of Stevia rebaudiana, an anti-diabetic medicinal herb.

    Science.gov (United States)

    Singh, Pallavi; Dwivedi, Padmanabh

    2014-08-01

    Stevia rebaudiana Bertoni, member of Asteraceae family, has bio-active compounds stevioside and rebaudioside which taste about 300 times sweeter than sucrose. It regulates blood sugar, prevents hypertension and tooth decay as well as used in treatment of skin disorders having high medicinal values, and hence there is a need for generating the plant on large scale. We have developed an efficient micropropagation protocol on half strength Murashige and Skoog (MS) media, using two-stage culture procedures. Varying concentrations of cytokinins, i.e., benzylaminopurine, kinetin and thidiazuron (TDZ) were supplemented in the nutrient media to observe their effects on shoot development. All the cytokinins promoted shoot formation, however, best response was observed in the TDZ (0.5 mg/l). The shoots from selected induction medium were sub-cultured on the multiplication media. The media containing 0.01 mg/l TDZ produced maximum number of shoot (11.00 ± 0.40) with longer shoots (7.17 ± 0.16) and highest number of leaves (61.00 ± 1.29). Rooting response was best observed in one-fourth strength on MS media supplemented with indole-3-butyric acid (1.0 mg/l) and activated charcoal (50 mg/l) with (11.00 ± 0.40) number of roots. The plantlets thus obtained were hardened and transferred to the pots with soil and sand mixture, where the survival rate was 80 % after 2 months. Quantitative analysis of stevioside content in leaves of in vivo mother plant and in vitro plantlets was carried out by high performance liquid chromatography. A remarkable increase in stevioside content was noticed in the in vitro-raised plants as compared to in vivo grown plants. The protocol reported here might be useful in genetic improvement and high stevioside production.

  13. Spatial patterns of density at multiple life stages in protected and fished conditions: An example from a Mediterranean coastal fish

    Science.gov (United States)

    Di Franco, A.; Di Lorenzo, M.; Guidetti, P.

    2013-02-01

    Settlement and recruitment are well known to have critical influences on the demography of most marine fishes. Few studies have compared processes like larval supply, settlement and recruitment of fishes between protected (i.e. in marine protected areas, MPAs) and unprotected conditions and little information is available about the potential influence of early life history traits (e.g. pelagic larval duration, PLD) on these processes. In the present study, using the white sea bream Diplodus sargus sargus as a model species in the south-western Adriatic Sea, we investigated: 1) potential differences in the densities of adults, settlers, recruits and 1-YOs (one year old specimens) within an MPA and in unprotected areas, at multiple spatial scales; 2) the existence of local relationships between densities of adults (i.e. spawners), settlers, recruits and 1-YOs; and 3) the possible relationships between PLD and density of settlers. Both in 2009 and 2010 the density of settlers was higher at sites down-current to the MPA and showed a significant variability at the scale of sites (kms). Density of recruits only revealed variability among sites (both in 2009 and 2010), while density of 1-YOs was variable at the scale of sites and was higher in protected condition in 2011, but not in 2010. No significant relationships were found between the densities of adults, settlers, recruits and 1-YOs at the site scale, nor between PLD and the density of settlers. Results suggest a possible decoupling in space between the sequential life history stages of fish (from settlers to 1-YOs) due to dispersal (through sea currents or active fish movements). Further study may help better understand the actual contribution of MPAs to larval supply and recruitment in both MPAs and adjacent sites.

  14. Nod-Like Receptor Protein-3 Inflammasome Plays an Important Role during Early Stages of Wound Healing

    Science.gov (United States)

    Weinheimer-Haus, Eileen M.; Mirza, Rita E.; Koh, Timothy J.

    2015-01-01

    The Nod-like receptor protein (NLRP)-3 inflammasome/IL-1β pathway is involved in the pathogenesis of various inflammatory skin diseases, but its biological role in wound healing remains to be elucidated. Since inflammation is typically thought to impede healing, we hypothesized that loss of NLRP-3 activity would result in a downregulated inflammatory response and accelerated wound healing. NLRP-3 null mice, caspase-1 null mice and C57Bl/6 wild type control mice (WT) received four 8 mm excisional cutaneous wounds; inflammation and healing were assessed during the early stage of wound healing. Consistent with our hypothesis, wounds from NLRP-3 null and caspase-1 null mice contained lower levels of the pro-inflammatory cytokines IL-1β and TNF-α compared to WT mice and had reduced neutrophil and macrophage accumulation. Contrary to our hypothesis, re-epithelialization, granulation tissue formation, and angiogenesis were delayed in NLRP-3 null mice and caspase-1 null mice compared to WT mice, indicating that NLRP-3 signaling is important for early events in wound healing. Topical treatment of excisional wounds with recombinant IL-1β partially restored granulation tissue formation in wounds of NLRP-3 null mice, confirming the importance of NLRP-3-dependent IL-1β production during early wound healing. Despite the improvement in healing, angiogenesis and levels of the pro-angiogenic growth factor VEGF were further reduced in IL-1β treated wounds, suggesting that IL-1β has a negative effect on angiogenesis and that NLRP-3 promotes angiogenesis in an IL-1β-independent manner. These findings indicate that the NLRP-3 inflammasome contributes to the early inflammatory phase following skin wounding and is important for efficient healing. PMID:25793779

  15. High salt intake damages the heart through activation of cardiac (pro renin receptors even at an early stage of hypertension.

    Directory of Open Access Journals (Sweden)

    Yuka Hayakawa

    Full Text Available It has not yet been fully elucidated whether cardiac tissue levels of prorenin, renin and (PRR are activated in hypertension with a high salt intake. We hypothesized that a high salt intake activates the cardiac tissue renin angiotensin system and prorenin-(prorenin receptor system, and damages the heart at an early stage of hypertension.Wistar Kyoto rats (WKY and spontaneously hypertensive rats (SHR received regular (normal-salt diet, 0.9% and high-salt (8.9% chow for 6 weeks from 6 to 12 weeks of age. The systolic blood pressure, plasma renin activity (PRA and plasma angiotensin II concentration were measured, and the protein expressions of prorenin, (prorenin receptor, angiotensinogen, angiotensin II AT1 receptor, ERK1/2, TGF-β, p38MAPK and HSP27 in the myocardium were investigated. The cardiac function was assessed by echocardiography, and histological analysis of the myocardium was performed.The high-salt diet significantly increased the systolic blood pressure, and significantly reduced the PRA and plasma angiotensin II concentration both in the WKYs and SHRs. Cardiac expressions of prorenin, renin, (PRR, angiotensinogen, angiotensin II AT1 receptor, phosphorylated (p-ERK1/2, p-p38MAPK, TGF-β and p-HSP27 were significantly increased by the high salt diet both in the WKYs and SHRs. The high-salt diet significantly increased the interventricular septum thickness and cardiomyocyte size, and accelerated cardiac interstitial and perivascular fibrosis both in the WKYs and SHRs. On the other hand, dilatation of left ventricular end-diastolic dimension and impairment of left ventricular fractional shortening was shown only in salt loaded SHRs.The high-salt diet markedly accelerated cardiac damage through the stimulation of cardiac (PRR and angiotensin II AT1 receptor by increasing tissue prorenin, renin and angiotensinogen and the activation of ERK1/2, TGF-β, p38MAPK and HSP27 under higher blood pressure.

  16. Nod-like receptor protein-3 inflammasome plays an important role during early stages of wound healing.

    Science.gov (United States)

    Weinheimer-Haus, Eileen M; Mirza, Rita E; Koh, Timothy J

    2015-01-01

    The Nod-like receptor protein (NLRP)-3 inflammasome/IL-1β pathway is involved in the pathogenesis of various inflammatory skin diseases, but its biological role in wound healing remains to be elucidated. Since inflammation is typically thought to impede healing, we hypothesized that loss of NLRP-3 activity would result in a downregulated inflammatory response and accelerated wound healing. NLRP-3 null mice, caspase-1 null mice and C57Bl/6 wild type control mice (WT) received four 8 mm excisional cutaneous wounds; inflammation and healing were assessed during the early stage of wound healing. Consistent with our hypothesis, wounds from NLRP-3 null and caspase-1 null mice contained lower levels of the pro-inflammatory cytokines IL-1β and TNF-α compared to WT mice and had reduced neutrophil and macrophage accumulation. Contrary to our hypothesis, re-epithelialization, granulation tissue formation, and angiogenesis were delayed in NLRP-3 null mice and caspase-1 null mice compared to WT mice, indicating that NLRP-3 signaling is important for early events in wound healing. Topical treatment of excisional wounds with recombinant IL-1β partially restored granulation tissue formation in wounds of NLRP-3 null mice, confirming the importance of NLRP-3-dependent IL-1β production during early wound healing. Despite the improvement in healing, angiogenesis and levels of the pro-angiogenic growth factor VEGF were further reduced in IL-1β treated wounds, suggesting that IL-1β has a negative effect on angiogenesis and that NLRP-3 promotes angiogenesis in an IL-1β-independent manner. These findings indicate that the NLRP-3 inflammasome contributes to the early inflammatory phase following skin wounding and is important for efficient healing.

  17. An application of a probabilistic fertility model to estimate some female family life cycle stages in Paraguay.

    Science.gov (United States)

    Neupert, R F

    1994-01-01

    Women's life cycle involves reproduction, labor force, and inactivity. In developing countries with inadequate data, mathematical models can be used to analyze economic behavior of individuals and families in different stages of the life cycle. This study described a model and empirically tested the model on data from Paraguay. The model provided estimates of the mean age of women at first birth, the mean age of women at last birth, time spent in reproduction, and mean life after the birth of the last child for 1950-55, 1980-85, and projection to 2020-25. Values were generated from age-specific mortality and fertility rates. Simulations were performed with varying mortality and fertility schedules. The method was based on techniques developed by Krishnamoorty, who based his methods on models proposed by Hoem and Goodman, Keyfitz, and Pullum. The method was based on an assumption of a stable population with a fixed age pattern of mortality and fertility. An assumption was also that more and less fertile women had the same mortality risks, and fertility and mortality at any one age was applicable to all ages. The total and net fertility rates and life expectancy followed a linear pattern. Application of the method showed that the net fertility rate declined by 27% from 6.15 during 1950-55 to 4.49 during 1980-85, but the time spent in reproduction declined only by 15%, from 15.7 years to 15.9 years. The cause of fertility decline was not a shortened reproductive period, but birth spacing. Projections to 2020-25 showed a decline in the reproductive period of 7 years and a net fertility rate of 3.0 children per woman. When a simulation of one of the 8 UN models of fertility age structure was used to project future fertility, the results showed the reproductive period declined from 11.8 years to 9.7 years. When fertility was assumed to be 2.3, which was considerably lower than 4.49 during 1980-85, the results showed replacement level fertility during 2020-25 and an early

  18. Deep into an interglacial: A compound-specific biomarker study of Marine Isotope Stage 11 (Tenaghi Philippon, Greece)

    Science.gov (United States)

    Ardenghi, N.; Niedermeyer, E. M.; Kahmen, A.; Pross, J.; Mulch, A.

    2015-12-01

    Marine Isotope Stage (MIS) 11 is a mid-Pleistocene interglacial, characterized by a minimum in orbital eccentricity, and therefore often studied as a climate analogue for the Holocene (MIS 1). However, a slightly different phasing of obliquity and precession between these two interglacials sparks strong interrogatives about the MIS 1-11 alignment and its meaningfulness for Holocene predictions.MIS 11c represents an unusually long warm subphase immediately after the "Mid-Brunhes Event" (≈430 ka bp), which marks the passage from the 40 ka (obliquity-) to the 100 ka (eccentricity-driven) world. The following subphases MIS 11b and MIS 11a, represent a series of cold-warm oscillations, terminated by the glacial inception of MIS10. Our aim is to describe atmospheric circulation patterns and their changes through glacial and interglacial transitions while tracking the evolution of the respective terrestrial temperatures and levels of biomass burning.We worked on a peat core from Tenaghi Philippon, an intramontane peat deposit in Eastern Macedonia (Greece); its position at the convergence zone of Atlantic, monsoonal and Siberian-influenced climates makes it an excellent archive to study climate change during MIS11 in the Eastern Mediterranean. We show the stable hydrogen isotopic composition of higher plant waxes (δD) as proxy for changes in atmospheric circulation and related shifts of moisture source, together with changes in air temperature based on GDGTs (Glycerol Dialkyl Glycerol Tetraethers) analysis. In addition, we studied the chain-length distribution of higher plant-wax n-alkanes to derive the "aquatic index" (Paq), a measure of wetland aggradation. Paq varies between 0.2 and 0.9, indicating pronounced shifts of the water table throughout the record, and neatly traces Termination V (the warming leading to MIS11), MIS11c as well as the inception of MIS10.Levoglucosan in turn, a marker for biomass burning, shows a strong glacial-interglacial dichotomy with low

  19. An Immune Response Enriched 72-Gene Prognostic Profile for Early-Stage Non-Small-Cell Lung Cancer

    NARCIS (Netherlands)

    Roepman, P.; Jassem, J; Smit, E.F.; Muley, T.; Niklinski, J.; Vel, van de T.; Witteveen, A.T.; Rzyman, W.; Floore, A.; Burgers, S.; Giaccone, G.; Meister, M.; Dienemann, H.; Skrzypski, M.; Kozlowski, M.; Mooi, W.J.; Zandwijk, van N.

    2009-01-01

    0.01; n = 69). Genes in our prognostic signature were strongly enriched for genes associated with immune response. Conclusions: Our 72-gene signature is closely associated with recurrence-free and overall survival in early-stage NSCLC patients and may become a tool for patient selection for adjuvant

  20. An operation protocol for facilitating start-up of single-stage autotrophic nitrogen removing reactors based on process stoichiometry

    DEFF Research Database (Denmark)

    Mutlu, A. Gizem; Vangsgaard, Anna Katrine; Sin, Gürkan

    2012-01-01

    Start-up and operation of single-stage nitritation/anammox reactor employing complete autotrophic nitrogen can be difficult. Keeping the performance criteria and monitoring the microbial community composition may not be easy or fast enough to take action on time. In this study, a control strategy...

  1. Improving Medical Residents' Attitudes toward HIV-Infected Persons through Training in an HIV Staging and Triage Clinic.

    Science.gov (United States)

    Orlander, Jay D.; And Others

    1994-01-01

    A study assessed the effectiveness of a weekly outpatient clinic for staging and triage of newly identified human-immunodeficiency-virus (HIV)-infected patients on 21 medical residents' attitudes and knowledge regarding HIV patient care, as compared with 20 control students. Results indicated that the experience positively affected student…

  2. Does Clinical Staging and Histological Grading Show Parallelism In Oral Submucous Fibrosis? A Retrospective Study from an Indian City

    Directory of Open Access Journals (Sweden)

    Manish Narayan

    2014-06-01

    Conclusions: There was no correlation between clinical staging and histopathological grading of oral submucous fibrosis. The test results were statistically not significant. (p=0.635 This may be due to difference in severity and extent of fibrosis in different parts of the oral mucosa. [J Interdiscipl Histopathol 2014; 2(3.000: 145-149

  3. Assessing the environmental sustainability of early stage design for bioprocesses under uncertainties: An analysis of glycerol bioconversion

    DEFF Research Database (Denmark)

    Loureiro da Costa Lira Gargalo, Carina; Cheali, Peam; Posada, John A.

    2016-01-01

    The development of a bio-based economy is seen as a key strategy towards a sustainable society in a world facing climate change, energy security and social distress. However, since substantial uncertainty is involved in early-stage design analyses, the ranking and identification of potential...

  4. An Adaptive Large Neighborhood Search-based Three-Stage Matheuristic for the Vehicle Routing Problem with Time Windows

    DEFF Research Database (Denmark)

    Christensen, Jonas Mark; Røpke, Stefan

    The Vehicle Routing Problem with Time Windows (VRPTW) consist of determining a set of feasible vehicle routes to deliver goods to a set of customers using a hierarchical objective; first minimising the number of vehicles used and, second, the total driving distance. A three-stage method is proposed...

  5. Reconstruction of an external hemipelvectomy defect with a two-stage fillet of leg-free flap.

    Science.gov (United States)

    Boehmler, James H; Francis, Stacey H; Grawe, Roxanne K; Mayerson, Joel L

    2010-05-01

    The defect created by external hemipelvectomy for bone and soft tissue tumor resection is a challenge to reconstruct because of the exposure of bone, neurovascular structures, and peritoneal contents, particularly in the setting of previous radiotherapy. In a nonsalvageable limb with extensive tumor involvement and radiation damage, a free fillet of leg flap can be used to provide the necessary large volume of tissue for reconstruction without donor site morbidity. Because of the lengthy operative time for the hemipelvectomy procedure, the fillet of leg flap may be subject to long ischemia time and a subsequently compromised outcome. A two-stage fillet of leg flap for a hemipelvectomy defect was performed with two goals: to decrease ischemia time and to allow the necessary resuscitation of the patient between operative stages. Stage one was dissection of a lower fillet of leg flap, transfer and anastomosis to the contralateral femoral vessels, and temporary inset in the groin. The patient and flap were observed in the intensive care unit for several days. The patient returned to the operating room 3 days later for staged external hemipelvectomy and inset of the viable fillet of leg flap. Throughout follow-up, the reconstructive results and functional outcome were excellent.

  6. Simplified Multi-Stage and Per Capita Convergence: an analysis of two climate regimes for differentiation of commitments

    NARCIS (Netherlands)

    Elzen MGJ den; Berk MM; Lucas P; KMD

    2004-01-01

    Dit rapport beschrijft een analyse van twee post-Kyoto regimes voor lastenverdeling in het internationale klimaatbeleid: 1. de Multi-stage benadering, waarbij landen op grond van hoofdelijk inkomen en emissies worden ingedeeld in groepen met verschillende typen van doelstellingen (stadia). 2. de

  7. An Investigation of Measurement Invariance of the Key Stage 2 National Curriculum Science Sampling Test in England

    Science.gov (United States)

    He, Qingping; Anwyll, Steve; Glanville, Matthew; Opposs, Dennis

    2014-01-01

    Since 2010, the whole national cohort Key Stage 2 (KS2) National Curriculum test in science in England has been replaced with a sampling test taken by pupils at the age of 11 from a nationally representative sample of schools annually. The study reported in this paper compares the performance of different subgroups of the samples (classified by…

  8. An Information-Systems Program for the Language Sciences. Final Report on Survey-and-Analysis Stage, 1967-1968.

    Science.gov (United States)

    Freeman, Robert R.; And Others

    The main results of the survey-and-analysis stage include a substantial collection of preliminary data on the language-sciences information user community, its professional specialties and information channels, its indexing tools, and its terminologies. The prospects and techniques for the development of a modern, discipline-based information…

  9. The stages of physical activity and exercise behavior: an integrated approach to the theory of planned behavior.

    Science.gov (United States)

    Park, Byung-Ha; Lee, Moo-Sik; Hong, Jee-Young; Bae, Seok-Hwan; Kim, Eun-Young; Kim, Kwang-Kee; Kim, Dae-Kyoung

    2009-01-01

    This research aims to verify whether it is possible to explain the health-promoting behaviors based on sociodemographic characteristics by integrating the theory of planned behavior (TPB) proposed by Ajzen in 1988 and the transtheoretical model (TTM) proposed by Prochaska and DiClemente in 1983. In particular, the aim was to verify whether the variables of the TPB can properly distinguish the stages of change in exercise in the proposed integrated model and to figure out how attitude, subjective norm, perceived behavior control, influence, and intention-can explain the stages of change in exercise. Investigators who have taken previous training for the survey visited and interviewed 3658 people older than 30 years in the chosen town by multistage sampling method from July 27 to July 31, 2003. After the exclusion of inappropriate data out of 760 participants, only data from 584 participants were used for this research. chi2 test, t test, and 1-way analysis of variance were used to identify the difference between the distribution of the stages of change in exercise and the variables of the means. A discriminant analysis to verify the accuracy of the stages of change in exercise by means of the variables of the TPB and a path analysis to verify the fit of the integrated model were also used. The variables of the TPB were useful to satisfactorily distinguish and predict the stages of change in exercise. But to clarify the validity of this model, more diversified research should be conducted in the future, and the results must be accumulated.

  10. Stages of Gastric Cancer

    Science.gov (United States)

    ... liver cancer . The following stages are used for gastric cancer: Stage 0 (Carcinoma in Situ) In stage 0 , abnormal cells are ... check-ups. Treatment Options by Stage Stage 0 (Carcinoma in ... Stage I Gastric Cancer Treatment of stage I gastric cancer may ...

  11. Composers on stage

    DEFF Research Database (Denmark)

    Groth, Sanne Krogh

    A trend on the scene of contemporary music is composers going on stage, performing their pieces themselves. Within a discourse of popular music, this is more the rule than exception, but when it comes to the context of contemporary scored music, the historical and aesthetic context differs......, and something quite different is undergoing. This paper intends to discuss three examples of performances in which the composer’s appearance on stage was an important part of the piece, - both when it came to the role as a performer and as an individual person – as representer and presenter. The paper intends...... 2011 and Fischer-Lichte 2008) Hereby, the role of the composer appearing on stage is discussed from an aesthetic point of view; meanwhile social and political aspects of the phenomenon are also addressed. The three artistic works discussed are Simon Steen-Andersen’s Run Time Error (2009-), Niels...

  12. First human treatment with investigational rhGUS enzyme replacement therapy in an advanced stage MPS VII patient.

    Science.gov (United States)

    Fox, Joyce E; Volpe, Linda; Bullaro, Josephine; Kakkis, Emil D; Sly, William S

    2015-02-01

    Mucopolysaccharidosis type VII (MPS VII, Sly syndrome) is a very rare lysosomal storage disease caused by a deficiency of the enzyme β-glucuronidase (GUS), which is required for the degradation of three glycosaminoglycans (GAGs): dermatan sulfate, heparan sulfate, and chondroitin sulfate. Progressive accumulation of these GAGs in lysosomes leads to increasing dysfunction in numerous tissues and organs. Enzyme replacement therapy (ERT) has been used successfully for other MPS disorders, but there is no approved treatment for MPS VII. Here we describe the first human treatment with recombinant human GUS (rhGUS), an investigational therapy for MPS VII, in a 12-year old boy with advanced stage MPS VII. Despite a tracheostomy, nocturnal continuous positive airway pressure, and oxygen therapy, significant pulmonary restriction and obstruction led to oxygen dependence and end-tidal carbon dioxide (ETCO2) levels in the 60-80mmHg range, eventually approaching respiratory failure (ETCO2 of 100mmHg) and the need for full-time ventilation. Since no additional medical measures could improve his function, we implemented experimental ERT by infusing rhGUS at 2mg/kg over 4h every 2 weeks for 24 weeks. Safety was evaluated by standard assessments and observance for any infusion associated reactions (IARs). Urinary GAG (uGAG) levels, pulmonary function, oxygen dependence, CO2 levels, cardiac valve function, liver and spleen size, and growth velocity were assessed to evaluate response to therapy. rhGUS infusions were well tolerated. No serious adverse events (SAEs) or IARs were observed. After initiation of rhGUS infusions, the patient's uGAG excretion decreased by more than 50%. Liver and spleen size were reduced within 2 weeks of the first infusion and reached normal size by 24 weeks. Pulmonary function appeared to improve during the course of treatment based on reduced changes in ETCO2 after off-ventilator challenges and a reduced oxygen requirement. The patient regained the

  13. An analysis of meiotic stage of nondisjunction and clinical characteristics in 27 children with Down syndrome and leukemia

    Energy Technology Data Exchange (ETDEWEB)

    Shugar, A. [New York General Hospital, Ontario (Canada); Soukup, S. [Children`s Hospital Medical Center, Cincinnati, OH (United States)

    1994-09-01

    The observation that children with Down syndrome experience a significantly increased risk for leukemia was made in the 1950`s. Recent research has revealed that two specific forms of leukemia, acute non-lymphoblastic leukemia (specifically the subtype M7) and transient leukemia (TL) are preferentially associated with trisomy 21. The specific association of these leukemias with trisomy 21 has suggested to others that there may be a gene on chromosome 21 which predisposes to TL and M7 leukemia. If a recessive gene for susceptibility existed, then trisomies arising as a duplication of one parental centromere through a mitotic or meiosis II error would be expected to have a higher frequency of TL and M7 leukemia. The purpose of this study was (i) To test the models which propose that disomic homozygosity is preponderant in cases of TL and M7 leukemia in a Down syndrome population (ii) To further characterize the clinical characteristics of leukemia in the Down syndrome population. We utilized a combination of cytogenetic and DNA polymorphism analyses to determine stage of non-disjunction and parental orgin of the extra chromosome in 18 children with Down syndrome and leukemia. The DNA analyses are reported elsewhere. Among 27 cases of Down Syndrome leukemics, meiosis II or mitotic errors were seen in 4 out of 5 informative TL and M7 cases and in only 1 out of 5 cases of other leukemias. Clinical analysis revealed that the frequency of M7 leukemia is significantly higher in DS-leukemics compared to non-Down syndrome-leukemics. A case of Down syndrome TL with subsequent development of M7 leukemia was anecdotal evidence that TL and M7 leukemia may be of common clonal origin. The fact that fewer than 100% of TL and M7 leukemia cases demonstrated meiosis II or mitotic errors indicates that disomic homozygosity is not necessary for the development of these leukemias, however it may be an important factor which predisposes to TL and M7 leukemia in Down syndrome.

  14. Quantitation of oxidized triglyceride monomers and dimers as an useful measurement for early and advanced stages of oxidation

    Directory of Open Access Journals (Sweden)

    Márquez-Ruiz, G.

    1996-04-01

    Full Text Available Quantitation of oxidized triglyceride monomers and dimers is reported as a good measurement for early and advanced stages of oxidation. Applicability of this approach to follow-up oxidation was tested in samples of trilinolein and methyl linoleate stored at either room temperature or 60°C for different periods of time. Oxidized monomers, dimers and polymers were determined in 50 mg-samples by adding monostearin as internal standard and applying a combination of adsorption chromatography, using silica cartridges, followed by high-performance size-exclusion chromatography. Additionally, peroxide values and tocopherol contents were measured. Results showed that a significant rise of dimeric compounds denoted the end of the induction period while oxidized monomers were the only group of compounds showing a progressive increase during the early stages of oxidation.

  15. Traumatic tibialis anterior tendon rupture: treatment with a two-stage silicone tube and an interposition hamstring tendons graft protocol.

    Science.gov (United States)

    Kontogeorgakos, Vasileios; Koutalos, Antonios; Hantes, Michael; Manoudis, Gregory; Badras, Leonidas; Malizos, Konstantinos

    2015-03-01

    A novel technique for managing ruptured tibialis anterior tendon complicated by infection and tendon substance loss in a young adult is described. A two-stage reconstruction technique with a silicon tube and tendon autograft was performed. At first, after local control of the infection, scar excision and placement of a silicone tube was performed. Ten weeks later, ipsilateral hamstrings tendons were harvested and bridged the 7 cm tendon gap. Eighteen months later, the patient has excellent clinical and functional outcome.

  16. The Dynamics of an Impulsive Predator-Prey System with Stage Structure and Holling Type III Functional Response

    Directory of Open Access Journals (Sweden)

    Zhixiang Ju

    2015-01-01

    Full Text Available Based on the biological resource management of natural resources, a stage-structured predator-prey model with Holling type III functional response, birth pulse, and impulsive harvesting at different moments is proposed in this paper. By applying comparison theorem and some analysis techniques, the global attractivity of predator-extinction periodic solution and the permanence of this system are studied. At last, examples and numerical simulations are given to verify the validity of the main results.

  17. Comparison of personality characteristics on the trainees with different performance in aeromedical physiological training%航空生理训练成绩不同者个性特征比较

    Institute of Scientific and Technical Information of China (English)

    刘敏; 伊丽; 侯莎; 刘晓鹏; 金朝

    2010-01-01

    目的 了解航空生理训练参训人员的个性特征,探讨在大型航空生理训练中,影响训练成绩的心理因素,为今后指导航空生理训练提供帮助.方法 采用卡特尔16种个性因素问卷(16 personality factor questionnaire,16PF)、艾森克人格问卷简式量表中国版(Eysenck personality questionnaire-revised,short scale for Chinese,EPQ-RSC)和应付方式问卷,对参加离心机试验和低压舱试验的35名健康志愿者进行心理测查.根据离心机试验结果将受试者分为+Gz耐力7 G以上组与6 G以下组;根据低压舱试验结果将受试者分为16 km以上高空加压供氧试验完成组与未完成组.结果在离心机试验中,12名受试者完成了7 G以上抗荷耐力试验,23名未完成;16PF的聪慧性、实验性、独立性和紧张性4个因素,EPQ的内外向维度、应付方式问卷的求助、合理化和退避,两组相比差异具有统计学意义(P<0.05或P<0.01).低压舱试验中,24名受试者完成了16 km以上高空加压供氧试验,11名未完成;16PF的稳定性、恃强性、怀疑性、世故性,以及次级因素的适应与焦虑性和心理健康者的人格因素,EPQ的内外向维度、应付方式问卷的退避,两组相比差异有统计学意义(P<0.05或P<0.01).结论 参训人员的不同个性特征对航空生理训练效果有影响.%Objective To investigate the personality characteristics of trainees in aeromedical physiological training and probe into the psychological factors influencing on training performance so as to provide help for instructing future aeromedical physiological training.Methods Sixteen personality factor questionnaire(16PF), Eysenck personality questionnaire-revised, short scale for Chinese, (EPQ-RSC) and coping behaviors questionnaire were adopted for psychological test on 35 volunteers who participated in centrifuge and hypobaric chamber trainings.Subjects were both divided into above 7 G and below 6 G groups based on the

  18. HNPCC-associated synchronous early-stage signet-ring cell carcinomas of colonic origin. A comparative morphological and immunohistochemical study of an intramucosal and a submucosal example

    DEFF Research Database (Denmark)

    Klarskov, Louise; Bernstein, Inge; Holck, Susanne

    2008-01-01

    Signet-ring cell carcinoma (SRCC) developing in the colorectum (CR) is infrequently identified at an early stage (no deeper than submucosa). Most such examples involve the submucosa. Merely 13 cases of intramucosal CR SRCC are at hand. We recently had the opportunity to study a specimen with two...... synchronous early-stage SRCC, developed in a 65-year-old hereditary nonpolyposis colorectal cancer male patient with a known disease-causing mutation in MLH1. A right hemicolectomy specimen comprised a 15-mm intramucosal cecal lesion, featuring zones of conventional tubular adenoma and intraepithelial SRCC...

  19. Heterozygote excess through life history stages in Cestrum miradorense Francey (Solanaceae), an endemic shrub in a fragmented cloud forest habitat.

    Science.gov (United States)

    Reyes-Zepeda, F; González-Astorga, J; Montaña, C

    2013-01-01

    Comparisons of genetic diversity and population genetic structure among different life history stages provide important information on the effect of the different forces and micro-evolutionary processes that mould diversity and genetic structure after fragmentation. Here we assessed genetic diversity and population genetic structure using 32 allozymic loci in adults, seeds, seedlings and juveniles of eight populations of the micro-endemic shrub Cestrum miradorense in a highly fragmented cloud forest in central-eastern Mexico. We expected that due to its long history or rarity, this species may have endured the negative effects of fragmentation and would show moderate to high levels of genetic diversity. High genetic diversity (H(e) = 0.445 ± 0.03), heterozygote excess (F(IT) = -0.478 ± 0.034, F(IS) = -0.578 ± 0.023) and low population differentiation (F(ST) = 0.064 ± 0.011) were found. Seeds had higher genetic diversity (H(e) = 0.467 ± 0.05) than the later stages (overall mean for adults, seedlings and juveniles H(e) = 0.438 ± 0.08). High gene flow was observed despite the fact that the fragmentation process began more than 100 years ago. We conclude that the high genetic diversity was the result of natural selection, which favours heterozygote excess in all stages, coupled with a combination of a reproductive system and seed/pollen dispersal mechanisms that favour gene flow.

  20. An interactive map to assess the potential spread of Lymnaea truncatula and the free-living stages of Fasciola hepatica in Switzerland.

    Science.gov (United States)

    Rapsch, Christina; Dahinden, Tobias; Heinzmann, Dominik; Torgerson, Paul R; Braun, Ueli; Deplazes, Peter; Hurni, Lorenz; Bär, Hansruedi; Knubben-Schweizer, Gabi

    2008-07-04

    The intermediate host of Fasciola hepatica is Lymnaea truncatula in Switzerland. The snail and the free-living stages of the parasite require a moderate climate and moisture for survival, reproduction, and transmission. In Switzerland, these conditions are present in many regions, resulting in a mean prevalence of bovine fasciolosis from 8.4 to 21.4%. An interactive map was created in order to demonstrate the relative risk of transmission by modelling the environmental conditions that promote the survival and reproduction of the larval stages of the parasite and the parasite's intermediate host. The map is based on temperature and rainfall data, soil conditions including ground water and forest cover in Switzerland. Extensive information on the free-living stages of F. hepatica and the intermediate host L. truncatula and how the development of these are affected by these environmental factors was used to create the interactive risk map.

  1. Omitting radiotherapy in early positron emission tomography-negative stage I/II Hodgkin lymphoma is associated with an increased risk of early relapse

    DEFF Research Database (Denmark)

    Raemaekers, John M M; André, Marc P E; Federico, Massimo

    2014-01-01

    PURPOSE: Combined-modality treatment is standard treatment for patients with clinical stage I/II Hodgkin lymphoma (HL). We hypothesized that an early positron emission tomography (PET) scan could be used to adapt treatment. Therefore, we started the randomized EORTC/LYSA/FIL Intergroup H10 trial ...

  2. Population projection and development of the loreyi leafworm, Mythimna loreyi, as affected by temperature: application of an age-stage, two-sex life table

    Science.gov (United States)

    The loreyi leafworm, Mythimna (=Leucania) loreyi (Duponchel), has recently emerged as a major pest of grain crops in China. Little is known about its basic biology and ecology, making it difficult to predict its population dynamics. An age-stage, two-sex life table was constructed for this insect wh...

  3. Use of the University of California Los Angeles integrated staging system to predict survival in renal cell carcinoma: an international multicenter study.

    NARCIS (Netherlands)

    Patard, J.J.; Kim, H.L.; Lam, J.; Dorey, F.J.; Pantuck, A.J.; Zisman, A.; Ficarra, V.; Han, K.R.; Cindolo, L.; Taille, A. De La; Tostain, J.; Artibani, W.; Dinney, C.P.; Wood, C.G.; Swanson, D.A.; Abbou, C.C.; Lobel, B.; Mulders, P.F.A.; Chopin, D.K.; Figlin, R.A.; Belldegrun, A.S.

    2004-01-01

    PURPOSE: To evaluate ability of the University of California Los Angeles Integrated Staging System (UISS) to stratify patients with localized and metastatic renal cell carcinoma (RCC) into risk groups in an international multicenter study. PATIENTS AND METHODS: 4,202 patients from eight internationa

  4. Whole-body MRI for initial staging of paediatric lymphoma: prospective comparison to an FDG-PET/CT-based reference standard

    Energy Technology Data Exchange (ETDEWEB)

    Littooij, Annemieke S. [University Medical Centre Utrecht/Wilhelmina Children' s Hospital, Department of Radiology and Nuclear Medicine, Utrecht (Netherlands); KK Women' s and Children' s Hospital, Department of Diagnostic and Interventional Imaging, Singapore (Singapore); Kwee, Thomas C.; Vermoolen, Malou A.; Keizer, Bart de; Beek, Frederik J.A.; Hobbelink, Monique G.; Nievelstein, Rutger A.J. [University Medical Centre Utrecht/Wilhelmina Children' s Hospital, Department of Radiology and Nuclear Medicine, Utrecht (Netherlands); Barber, Ignasi; Enriquez, Goya [Hospital Materno-Infantil Vall d' Hebron, Department of Paediatric Radiology, Barcelona (Spain); Granata, Claudio [IRCCS Giannina Gaslini Hospital, Department of Radiology, Genoa (Italy); Zsiros, Jozsef [University of Amsterdam, Department of Paediatric Oncology, Emma Children' s Hospital, Academic Medical Centre, Amsterdam (Netherlands); Soh, Shui Yen [KK Women' s and Children' s Hospital, Haematology and Oncology service, Department of Paediatric Subspecialities, Singapore (Singapore); Bierings, Marc B. [University Medical Centre Utrecht/Wilhelmina Children' s Hospital, Department of Paediatric Haematology-Oncology, Utrecht (Netherlands); Stoker, Jaap [University of Amsterdam, Department of Radiology, Academic Medical Centre, Amsterdam (Netherlands)

    2014-05-15

    To compare whole-body MRI, including diffusion-weighted imaging (whole-body MRI-DWI), with FDG-PET/CT for staging newly diagnosed paediatric lymphoma. A total of 36 children with newly diagnosed lymphoma prospectively underwent both whole-body MRI-DWI and FDG-PET/CT. Whole-body MRI-DWI was successfully performed in 33 patients (mean age 13.9 years). Whole-body MRI-DWI was independently evaluated by two blinded observers. After consensus reading, an unblinded expert panel evaluated the discrepant findings between whole-body MRI-DWI and FDG-PET/CT and used bone marrow biopsy, other imaging data and clinical information to derive an FDG-PET/CT-based reference standard. Interobserver agreement of whole-body MRI-DWI was good [all nodal sites together (κ = 0.79); all extranodal sites together (κ = 0.69)]. There was very good agreement between the consensus whole-body MRI-DWI- and FDG-PET/CT-based reference standard for nodal (κ = 0.91) and extranodal (κ = 0.94) staging. The sensitivity and specificity of consensus whole-body MRI-DWI were 93 % and 98 % for nodal staging and 89 % and 100 % for extranodal staging, respectively. Following removal of MRI reader errors, the disease stage according to whole-body MRI-DWI agreed with the reference standard in 28 of 33 patients. Our results indicate that whole-body MRI-DWI is feasible for staging paediatric lymphoma and could potentially serve as a good radiation-free alternative to FDG-PET/CT. (orig.)

  5. Beneficial triple-site cardiac resynchronization in a patient supported with an intra-aortic balloon pump for end-stage heart failure

    OpenAIRE

    Ciszewski, Jan; Maciąg, Aleksander; Gepner, Katarzyna; Smolis-Bąk, Edyta; Sterliński, Maciej

    2014-01-01

    The authors present the case of a 62-year-old male patient with an implantable cardioverter-defibrillator and end-stage heart failure supported with an intra-aortic balloon pump. Implantation of a triple-site cardiac resynchronization system and complex heart failure treatment brought a significant improvement, return to home activity and 17-month survival. The patient died due to heart failure aggravation. Within this time he was rehospitalized and successfully treated twice for an electrica...

  6. Effects of an osteoporosis prevention training program on physical activity-related stages of change and self-efficacy among university students, Shiraz, Iran: a randomized clinical trial

    Directory of Open Access Journals (Sweden)

    MOHAMMAD HOSSIEN KAVEH

    2014-10-01

    Full Text Available Introduction: Osteoporosis is a major problem in today's world, being characterized by decreased bone mass and bone change. Due to deficiency of theory-based studies in young population, especially in students, there are significant knowledge gaps of effective planning. The present study was performed in response to this need. The present study investigated the effect of an empowerment program on physical activity related stages of change and self-efficacy in preventing osteoporosis among university students Methods: In this randomized controlled trial (IRCT: IRCT201212016261N2, 152 female students of Shiraz University of Medical Sciences were selected through multi-stages cluster sampling and were randomly assigned to an experimental (n=76 and a control (n=76 group. The pre-and post-intervention data were collected using the Stages of Exercise Change Questionnaire (SECQ of Marcos with Cronbach's alpha reliability of 0.89 and also the self-efficacy scale with a Cronbach's alpha reliability of 0.88 and Test-Retest Correlation Coefficient of 0.80. The educational intervention for the experimental group took place through problem-based learning method, small group discussion, and training manuals. In addition, training CDs and brochures were given to the subjects and short SMSs were sent to them. The data were analyzed through SPSS, version 14, using Mann-Whitney test, Chi-square test, Wilcoxon and regression tests. Results: Pre-intervention findings showed that participants had behavioral constructs below the expected levels. The results showed that the experimental group received significant statistical increase after the intervention in stage of change. Before the intervention, the mean scores of stages of changes in the experimental groups was 2.28±0.86 but this rose to 3±0.84 in the first post-test and 3.22±0.84 in the second post-test. The control group showed a significant increase in stage of change without intervention (pre-test 2.04±0

  7. An experimental study of adolescent sleep restriction during a simulated school week: changes in phase, sleep staging, performance and sleepiness.

    Science.gov (United States)

    Agostini, Alex; Carskadon, Mary A; Dorrian, Jillian; Coussens, Scott; Short, Michelle A

    2017-04-01

    This laboratory study investigated the impact of restricted sleep during a simulated school week on circadian phase, sleep stages and daytime functioning. Changes were examined across and within days and during a simulated weekend recovery. Participants were 12 healthy secondary school students (six male) aged 15-17 years [mean = 16.1 years, standard deviation (SD) = 0.9]. After 2 nights with 10 h (21:30-07:30 hours), time in bed was restricted to 5 h for 5 nights (02:30-07:30 hours), then returned to 10 h time in bed for 2 nights (21:30-07:30 hours). Saliva was collected in dim light on the first and last sleep restriction nights to measure melatonin onset phase. Sleep was recorded polysomnographically, and the Psychomotor Vigilance Task (PVT) and Karolinska Sleepiness Scale were undertaken 3-hourly while awake. Average phase delay measured by melatonin was 3 h (SD = 50 min). Compared to baseline, sleep during the restriction period contained a smaller percentage of Stages 1 and 2 and rapid eye movement (REM) and a greater percentage of Stage 4. PVT lapses increased significantly during sleep restriction and did not return to baseline levels during recovery. Subjective sleepiness showed a similar pattern during restriction, but returned to baseline levels during recovery. Results suggest that sustained attention in adolescents is affected negatively by sleep restriction, particularly in the early morning, and that a weekend of recovery sleep is insufficient to restore performance. The discrepancy between sleepiness ratings and performance may indicate a lack of perception of this residual impairment.

  8. Does an asexual endophyte symbiont alter life stage and long-term survival in a perennial host grass?

    Science.gov (United States)

    Faeth, Stanley H; Hamilton, Cyd E

    2006-11-01

    Asexual, seedborne endophytic fungi in perennial grasses are often viewed as strong mutualists because fitness of the symbiont and host grass are closely coupled. However, at least for some native grasses, the asexual endophyte, Neotyphodium, acts parasitically, yet remains at high frequencies in natural populations. Most previous studies of Neotyphodium effects on host survival have been short term relative to the long life span of the perennial grass host. We therefore tested the hypothesis that Neotyphodium alters the survival in various life stages and long-term survival of adult native Arizona fescue (Festuca arizonica). To test the former, we planted 40 infected (E+) and 40 uninfected (E-, endophyte removed) seeds from four different maternal plants in the field under ambient conditions. We followed survival of seeds, seedlings, and adult plants over a 5-year period. To test the latter, we determined the infection of 1633 adult plants and followed their survival over the next 5-7 years. E+ seeds did not differ from uninfected seeds in terms of overall survival from seed germination to seedling to adult. However, the shape of the survival curve differed, with E+ plants showing higher mortality in early life stages. E+ adult plants did not differ from E- plants in long-term survival. Survival was generally very high during the study, which included a severe and prolonged drought. Infection by asexual Neotyphodium does not increase survival in early life stages or that of adult plants. Because asexual, vertically transmitted symbionts are predicted by evolutionary theory to be strong mutualists, the persistence of high infection frequencies in natural populations without long-term benefits to the host remains enigmatic. One possible explanation is that the long life span of the perennial host and low seedling recruitment may obscure either the costs or benefits of endophyte infection.

  9. Hyperspectral reflectance of leaves and flowers of an outbreak species discriminates season and successional stage of vegetation

    Science.gov (United States)

    Carvalho, Sabrina; Schlerf, Martin; van der Putten, Wim H.; Skidmore, Andrew K.

    2013-10-01

    Spectral reflectance can be used to assess large-scale performances of plants in the field based on plant nutrient balance as well as composition of defence compounds. However, plant chemical composition is known to vary with season - due to its phenology - and it may even depend on the succession stage of its habitat. Here we investigate (i) how spectral reflectance could be used to discriminate successional and phenological stages of Jacobaea vulgaris in both leaf and flower organs and (ii) if chemical content estimation by reflectance is flower or leaf dependent. We used J. vulgaris, which is a natural outbreak plant species on abandoned arable fields in north-western Europe and studied this species in a chronosequence representing successional development during time since abandonment. The chemical content and reflectance between 400 and 2500 nm wavelengths of flowers and leaves were measured throughout the season in fields of different successional ages. The data were analyzed with multivariate statistics for temporal discrimination and estimation of chemical contents in both leaf and flower organs. Two main effects were revealed by spectral reflectance measurements: (i) both flower and leaf spectra show successional and seasonal changes, but the pattern is complex and organ specific (ii) flower head pyrrolizidine alkaloids, which are involved in plant defence against herbivores, can be detected through hyperspectral reflectance.We conclude that spectral reflectance of both leaves and flowers can provide information on plant performance during season and successional stages. As a result, remote sensing studies of plant performance in complex field situations will benefit from considering hyperspectral reflectance of different plant organs. This approach may enable more detailed studies on the link between spectral information and plant defence dynamics both aboveground and belowground.

  10. δ18O-NO3- as an indicator of the nitrogen saturation stages in the stream water

    Science.gov (United States)

    Tabayashi, Y.; Koba, K.; Yamamuro, M.

    2009-12-01

    We measured δ15N and δ18O of stream water nitrate to elucidate the nitrogen (N) cycle in the nitrogen saturated forest ecosystems. Stream water samples were taken at 24 points in the Chichibu mountainous region near Tokyo metropolitan area where watersheds were covered with deciduous and coniferous mixed-forest. Sampling was done in several days in August 2008 at base-flow during growing season. Although the sampling points were distributed within a small area (30 km x 20 km), nitrate concentrations varied greatly (25.6 to 237.1 μmol L-1), which covered all stages of nitrogen saturation as defined by previous studies (i.e. stage 2: 0.5-1 mg L-1 of N at base-flow throughout the growing season, stage 3: >1.0 mg N L-1 ( > 71.4μmol L-1)). Up to the concentration of 150 μmol L-1, nitrate showed positive correlation with δ18O-NO3- (-8 - +4‰). At the points which showed nitrate concentration larger than 150 μmol L-1, δ18O-NO3- showed constant value (6‰). We anticipated that the positive correlation between the δ18O-NO3- and nitrate concentration is reflecting the increasing contribution of the nitrate produced through nitrification to the stream water nitrate. We assumed thatδ18O-NO3- of nitrification origin in the studied area is near 6‰, thus the stream water nitrate whose concentration is larger than 150 μmol L-1 is mostly derived from nitrification.

  11. The advantages of using traditional Chinese medicine as an adjunctive therapy in the whole course of cancer treatment instead of only terminal stage of cancer.

    Science.gov (United States)

    Qi, Fanghua; Zhao, Lin; Zhou, Aiyan; Zhang, Bo; Li, Anyuan; Wang, Zhixue; Han, Junqing

    2015-02-01

    Recent studies indicate that Traditional Chinese medicine (TCM) can play an important role in the whole course of cancer treatment such as recovery stages of post-operative, radiotherapy or chemotherapy stages instead of only terminal stage of cancer. In this review, we have summarized current evidence for using TCM as adjuvant cancer treatment in different stages of cancer lesions. Some TCMs (e.g., TJ-41, Liu-jun-zi-tang, PHY906, Coumarin, and Aescine) are capable of improving the post-operative symptoms such as fatigue, pain, appetite, diarrhea, nausea, vomiting, and lymphedema. Some TCMs (e.g., Ginseng, Huang-Qi, BanZhiLian, TJ-48, Huachansu injection, Shenqi fuzheng injection, and Kanglaite injection) in combination with chemo- or radio-therapy are capable of enhancing the efficacy of and diminishing the side effects and complications caused by chemo- and radiotherapy. Taken together, they have great advantages in terms of suppressing tumor progression, relieving surgery complications, increasing the sensitivity of chemo- and radio- therapeutics, improving an organism's immune system function, and lessening the damage caused by surgery, chemo- or radio-therapeutics. They have significant effects on relieving breast cancer-related lymphedema, reducing cancer-related fatigue and pain, improving radiation pneumonitis and gastrointestinal side effects, protecting liver function, and even ameliorating bone marrow suppression. This review of those medicines should contribute to an understanding of Chinese herbal medicines as an adjunctive therapy in the whole course of cancer treatment instead of only terminal stage of cancer, by providing useful information for development of more effective anti-cancer drugs and making more patients "survival with cancer" for a long time.

  12. Hypothermia induced by adenosine 5'-monophosphate attenuates early stage injury in an acute gouty arthritis rat model.

    Science.gov (United States)

    Miao, Zhimin; Guo, Weiting; Lu, Shulai; Lv, Wenshan; Li, Changgui; Wang, Yangang; Zhao, Shihua; Yan, Shengli; Tao, Zhenyin; Wang, Yunlong

    2013-08-01

    To investigate whether the hypothermia induced by Adenosine 5'-Monophosphate (5'-AMP) could attenuate early stage injury in a rat acute gouty arthritis model. Ankle joint injection with monosodium urate monohydrate crystals (MSU crystals) in hypothermia rat model which was induced by 5'-AMP and then observe whether hypothermia induced by 5'-AMP could be effectively inhibit the inflammation on acute gouty arthritis in rats. AMP-induced hypothermia has protective effects on our acute gouty arthritis, which was demonstrated by the following criteria: (1) a significant reduction in the ankle swelling (p gouty arthritis model.

  13. An operation protocol for facilitating start-up of single-stage autotrophic nitrogen removing reactors based on process stoichiometry

    DEFF Research Database (Denmark)

    Mutlu, A. Gizem; Vangsgaard, Anna Katrine; Sin, Gürkan

    2012-01-01

    Start-up and operation of single-stage nitritation/anammox reactor employing complete autotrophic nitrogen can be difficult. Keeping the performance criteria and monitoring the microbial community composition may not be easy or fast enough to take action on time. In this study, a control strategy...... is developed based on stoichiometric analysis of monitored nitrogen species. This analysis can serve as a strong decision-making tool to take appropriate actions with respect to the operational conditions to accelerate start up or attainment of near complete nitritation-anammox performance....

  14. Staged membrane oxidation reactor system

    Science.gov (United States)

    Repasky, John Michael; Carolan, Michael Francis; Stein, VanEric Edward; Chen, Christopher Ming-Poh

    2013-04-16

    Ion transport membrane oxidation system comprising (a) two or more membrane oxidation stages, each stage comprising a reactant zone, an oxidant zone, one or more ion transport membranes separating the reactant zone from the oxidant zone, a reactant gas inlet region, a reactant gas outlet region, an oxidant gas inlet region, and an oxidant gas outlet region; (b) an interstage reactant gas flow path disposed between each pair of membrane oxidation stages and adapted to place the reactant gas outlet region of a first stage of the pair in flow communication with the reactant gas inlet region of a second stage of the pair; and (c) one or more reactant interstage feed gas lines, each line being in flow communication with any interstage reactant gas flow path or with the reactant zone of any membrane oxidation stage receiving interstage reactant gas.

  15. Results of volume-staged fractionated Gamma Knife radiosurgery for large complex arteriovenous malformations: obliteration rates and clinical outcomes of an evolving treatment paradigm.

    Science.gov (United States)

    Franzin, Alberto; Panni, Pietro; Spatola, Giorgio; Vecchio, Antonella Del; Gallotti, Alberto L; Gigliotti, Carmen R; Cavalli, Andrea; Donofrio, Carmine A; Mortini, Pietro

    2016-12-01

    .024). CONCLUSIONS According to the results of this study, volume-staged GKRS is an effective and safe treatment strategy for large, complex, cerebral AVMs for which microsurgery or endovascular approaches could carry substantially higher risks to the patient. Radiation doses up to 20 Gy can be safely administered. The time interval between stages should be shorter than 11.7 months to increase the chance of obliteration. High nidal flow and a patient age younger than 44 years were factors associated with nidus obliteration and significant nidus reduction, respectively.

  16. An improved dual approach to post bariatric contouring - Staged liposuction and modified medial thigh lift: A case series

    Directory of Open Access Journals (Sweden)

    Zaher Jandali

    2014-01-01

    Full Text Available Objective: Following massive weight loss (MWL medial contouring of the thigh is frequently requested to improve appearance and function. Thigh lifting can be associated with significant complications. We present a case series of post bariatric patients undergoing thigh lift using staged the liposuction, a modified T incision and a buried de-epithelialised dermal flap. Materials and Methods: From January to December 2012, 21 consecutive patients underwent a modified medial thigh lift. A retrospective review of the case notes was performed to assess complications that occurred. Results: There were no major post-operative complications in terms of reoperation, hematoma, thromboembolism and no seromas. Seven patients, all of which were smokers had minor superficial wound healing complications. Aesthetic outcomes were satisfactory for all patients at a minimum follow-up of 6 months. Conclusions: The modified ′T′ incision with staged liposuction is described. We have found the technique to be useful for a variety of different thighs. It is a reproducible method for contouring the medial thigh in MWL patients. In this series, our overall complications were low, and no seromas occurred.

  17. Somatotrophs and lactotrophs: an immunohistochemical study of Gallus domesticus pituitary gland at different stages of induced moult

    Directory of Open Access Journals (Sweden)

    M. A. Sandhu

    2010-05-01

    Full Text Available The objective of this study was to determine the distribution of somatotrophs and lactotrophs and conduct a morphometrical analysis of immunoreactive somatotrophs and lactotrophs in the pituitary glands of White Leghorn Hens (Gallus domesticus during the period of induced moult. We divided the periods of induced moulting into three phases viz. 7, 14 and 21 days. The labeled alkaline-phsphatase method with anti-GH (growth hormone and anti-PRL (prolactin as a primary antibody was used to detect somatotrophs and lactotrophs, in the midsagital sections of chicken adenohypophysis. Immunohistochemistry showed that somatotrophs are not only confined to the cephalo-caudal axis but can also be found in the caudal lobe; while lactotrophs were distributed in both lobes of the anterior pituitary gland at all stages of moulting (7, 14 and 21 days. Lactotrophs were of different shapes but somatotrophs were oval to round in morphology. At the given stages of induced moulting, some hypertrophied lactotrophs were also present after 7 days of induced moult in the anterior pituitary gland. However, there were moulting-related changes: from 7 to 21 days of induced moulting the immunoreactive-PRL cell population decreased, while the mean lactotroph size was more than that of somatotrophs. Basic quantitative and morphological information relating to somatotrophs and lactotrophs during the period of induced moult in laying hens is reported here and the changes brought about by induced moulting are restricted to PRL positive cells rather than GH positive cells.

  18. The effect of manganese on the onset of the stage 2 reaction in an austempered ductile iron matrix

    Energy Technology Data Exchange (ETDEWEB)

    Hagen, K. N.

    1990-02-01

    Austempered ductile irons (ADIs) possess a unique combination of toughness and ductility plus high strength which make them attractive alternatives to other metal castings. ADIs can have tensile strengths up to 230 ksi with a 1% elongation and high hardness for wear resistant applications, or tensile strengths of approximately 150 ksi and elongations of 14% where a large amount of ductility is required. Austempering is a two step process: complete transformation to the austenite ({gamma}) phase; and a quench and hold in the temperature range of 270--420{degree}C for some time followed by cooling to room temperature. This quench must be sufficiently rapid to avoid formation of pearlite or ferrite if the best mechanical properties are to be obtained. This thesis presents the results of a number of experiments aimed at determining the effect of Mn on the length of the Stage 1 reaction. (austenite decomposes into bainitie ferrite and high carbon austenite). A basic knowledge of the effects of Mn will yield a more complete understanding of the austempering process for the normal case and also when microsegregation is present. The onset time for Stage 2 (high carbon austenite decomposes into bainitic ferrite plus carbides) in ductile irons is a critical parameter because of the associated degradation of the mechanical properties which result from carbide formation.

  19. An evaluation of resource utilisation of single stage porcine acellular dermal matrix assisted breast reconstruction: A comparative study.

    Science.gov (United States)

    Kilchenmann, Ashley J R; Lardi, Alessia M; Ho-Asjoe, Mark; Junge, Klaus; Farhadi, Jian

    2014-12-01

    To evaluate resource utilization of single stage porcine acellular dermal matrix (ADM) assisted breast reconstruction compared with tissue expander (TE), latissimus dorsi flap and implant (LD/I) and latissimus dorsi flap and TE (LD/TE) reconstructive techniques. Clinical data was collected for length of stay, operative time, additional hospitalisations and operative procedures, and outpatient appointments for 101 patients undergoing unilateral implant based breast reconstruction. Resources utilised by ADM (Strattice Reconstructive Tissue Matrix™) patients were analysed and compared to the resource usage of traditional techniques. 25 patients undergoing single stage ADM (ADM/I) were compared with 27 having TE, 32 having LD/I and 17 having LD/TE reconstructions. Follow up was 24 months. Compared to TE, ADM/I had similar length of stay and operative time, lower rate and number of additional procedures, fewer, shorter re-admissions (p reconstructions in both complication-free and complicated settings over a 24-month period, despite requiring aesthetic revision in 60.9% of patients. Compared to LD/I, resource utilisation was commensurate in complication-free and complicated settings. Copyright © 2014 Elsevier Ltd. All rights reserved.

  20. Raman spectroscopic detection of early stages in DMBA-induced tumor evolution in hamster buccal pouch model: an exploratory study

    Science.gov (United States)

    Ghanate, Avinash D.; Kumar, G.; Talathi, Sneha; Maru, G. B.; Krishna, C. Murali

    2011-08-01

    Oral cancers are the serious health problem in developing as well as developed world, and more so in India and other south Asian countries. Survival rate of these cancers, despite advances in treatment modalities are one of the poorest which is attributed to lack of reliable screening and early detection methods. The hamster buccal pouch (HBP)carcinogenesis model closely mimics human oral cancers. Optical spectroscopy methods are sensitive enough to detect subtle biochemical changes and thus hold great potential in early detection of cancers. However, efficacy of these techniques in classifying of sequential evolution of tumors has never been tested. Therefore, in this study, we have explored the feasibility of Raman spectroscopic classification of different stages of cancers in hamster model. Strong vibrational modes of lipids (1440, 1654, and 1746 cm-1) are seen in control tissue spectra, whereas strong protein bands are seen in spectra of DMBA treated tissues. These differences were exploited to classify control and treated tissues using Linear Discriminant Analysis (LDA), Principle Component Analysis (PCA)-Limit test, Factorial Discriminant Analysis (FDA), Quadratic Discriminant Analysis (QDA), PLS-DA and non- linear decision tree methods. All these techniques have shown good classification between spectra of different stages of tumor evolution and results were further successfully verified by leave-one-out and single blinded methods. Thus findings of this study, first of its kind,demonstrate the feasibility of Raman spectroscopic detection of early changes in tumor evolution.

  1. Spontaneous stage differentiation of mouse-virulent Toxoplasma gondii RH parasites in skeletal muscle cells: an ultrastructural evaluation

    Directory of Open Access Journals (Sweden)

    Marialice da Fonseca Ferreira-da-Silva

    2009-03-01

    Full Text Available Although the predilection for Toxoplasma gondii to form cysts in the nervous system and skeletal and heart muscles has been described for more than fifty years, skeletal muscle cells (SkMCs have not been explored as a host cell type to study the Toxoplasma-host cell interaction and investigate the intracellular development of the parasite. Morphological aspects of the initial events in the Toxoplasma-SkMC interaction were analysed and suggest that there are different processes of protozoan adhesion and invasion and of the subsequent fate of the parasite inside the parasitophorous vacuole (PV. Using scanning electron microscopy,Toxoplasma tachyzoites from the mouse-virulent RH strain were found to be attached to SkMCs by the anterior or posterior region of the body, with or without expansion of the SkMC membrane. This suggests that different types of parasite internalization occurred. Asynchronous multiplication and differentiation of T. gondii were observed. Importantly, intracellular parasites were seen to display high amounts of amylopectin granules in their cytoplasm, indicating that tachyzoites of the RH strain were able to differentiate spontaneously into bradyzoites in SkMCs. This stage conversion occurred in approximately 3% of the PVs. This is particularly intriguing as tachyzoites of virulent Toxoplasma strains are not thought to be prone to cyst formation. We discuss whether biological differences in host cells are crucial to Toxoplasma stage conversion and suggest that important questions concerning the host cell type and its relevance in Toxoplasma differentiation are still unanswered.

  2. Salmonella enterica serovar Enteritidis enterocolitis during late stages of gestation induces an adverse pregnancy outcome in the murine model.

    Directory of Open Access Journals (Sweden)

    Mariángeles Noto Llana

    Full Text Available Foodborne diseases caused by Salmonella enterica serovar Enteritidis (S. Enteritidis are a significant health problem. Pregnancy, state of immunological tolerance, is a predisposing condition for the development of infections with intracellular pathogens. Salmonella species can cause pregnancy complications such as chorioamnionitis, transplacental fetal infection, pre term labor, abortions, neonatal and maternal septicemia. However, the specific mechanisms by which Salmonella infections trigger these alterations are not clear. In the present work, using a self-limiting enterocolitis murine model, we show that the ingestion of a low dose of S. Enteritidis at late stages of pregnancy (day 15 of gestation is sufficient to induce massive maternal infection. We found that Salmonella infection leads to 40% of pre term delivery, 33% of abortion and fetal growth restriction. Placental dysfunction during S. Enteritidis enterocolitis was confirmed through cellular infiltration and hypoxia markers (MPO activity and COX-1 and COX-2 expression, respectively. Apoptosis in placental tissue due to Salmonella infection was also evident at day 18 of gestation when investigated by morphometric procedure, DNA fragmentation and Fas/FasL expression. Also, the expression of IFN-γ, TNF-α, IL-17 and IL-10 was up regulated in response to Salmonella not only in placenta, but also in amniotic fluid and maternal serum. Altogether, our results demonstrate that S. Enteritidis enterocolitis during late stages of gestation causes detrimental effect on pregnancy outcome.

  3. Complete sequencing of an IncX3 plasmid carrying blaNDM-5 allele reveals an early stage in the dissemination of the blaNDM gene

    Directory of Open Access Journals (Sweden)

    M Krishnaraju

    2015-01-01

    Full Text Available Purpose: The aim of the present study was to perform molecular characterisation of the blaNDM plasmids and to understand the mechanism of its spread among pathogenic bacteria. Materials and Methods: Seventy-six non-repetitive carbapenem-resistant isolates which were collected during Nov 2011 to April 2013 from four hospitals in Chennai were analyzed for the presence of the blaNDM gene by PCR. Further, the genetic context of the blaNDM gene was analyzed by PCR specific to ISAba125 and bleMBL gene. One of the blaNDM plasmid was completely sequenced in the Illumina HiSeq platform. Results: Twenty-three isolates consisting of 8 Escherichia coli, 8 Klebsiella pneumoniae, 3 Klebsiella oxytoca, 3 Acinetobacter baumanii and 1 Pseudomonas aeruginosa were found to carry the blaNDM gene. In 18 isolates the blaNDM gene was associated with a bleMBL gene and the ISAba125 element. The complete sequencing of pNDM-MGR194 revealed an IncX3 replication type plasmid, with a length of 46,253 bp, an average GC content of 47% and 59 putative ORFs. The iteron region contained the blaNDM5 gene and the bleMBL , trpF and dsbC genes downstream and an IS5 inserted within the ISAba125 element upstream. Conclusion: This is the first report where the blaNDM gene insertion in a plasmid is not accompanied by other resistance gene determinants. These observations suggest that the IncX3 plasmid pNDM-MGR194 is an early stage in the dissemination of the blaNDM .

  4. Low axial drift stage and temperature controlled liquid cell for z-scan fluorescence correlation spectroscopy in an inverted confocal geometry.

    Science.gov (United States)

    Allgeyer, Edward S; Sterling, Sarah M; Neivandt, David J; Mason, Michael D

    2011-05-01

    A recent iteration of fluorescence correlation spectroscopy (FCS), z-scan FCS, has drawn attention for its elegant solution to the problem of quantitative sample positioning when investigating two-dimensional systems while simultaneously providing an excellent method for extracting calibration-free diffusion coefficients. Unfortunately, the measurement of planar systems using (FCS and) z-scan FCS still requires extremely mechanically stable sample positioning, relative to a microscope objective. As axial sample position serves as the inherent length calibration, instabilities in sample position will affect measured diffusion coefficients. Here, we detail the design and function of a highly stable and mechanically simple inverted microscope stage that includes a temperature controlled liquid cell. The stage and sample cell are ideally suited to planar membrane investigations, but generally amenable to any quantitative microscopy that requires low drift and excellent axial and lateral stability. In the present work we evaluate the performance of our custom stage system and compare it with the stock microscope stage and typical sample sealing and holding methods.

  5. Investigation on the removal of H2S from microwave pyrolysis of sewage sludge by an integrated two-stage system.

    Science.gov (United States)

    Zhang, Jun; Tian, Yu; Yin, Linlin; Zuo, Wei; Gong, Zhenlong; Zhang, Jie

    2017-07-08

    In this study, an integrated two-stage system, including the in-situ catalytic microwave pyrolysis (ICMP) and subsequent catalytic wet oxidation (CWO) processes, was proposed to remove H2S released from microwave-induced pyrolysis of sewage sludge. The emission profile and H2S removal from the pyrolysis of raw sewage sludge (SS) and sewage sludge spiked with conditioner CaO (SS-CaO) were investigated. The results showed that CaO played a positive role on sulfur fixation during the pyrolysis process. It was found that SS-CaO (10 wt.%) contributed to about 35% of H2S removal at the first stage (ICMP process). Additionally, the CWO process was demonstrated to have promising potential for posttreatment of remaining H2S gas. At the Fe(3+) concentration of 30 g/L, the maximum H2S removal efficiency of 94.8% was obtained for a single Fe(3+)/Cu(2+) solution. Finally, at the pyrolysis temperature of 800 °C, 99.7% of H2S was eliminated by the integrated two-stage system meeting the discharge standard of China. Therefore, the integrated two-stage system of ICMP + CWO may provide a promising strategy to remove H2S dramatically for the biomass pyrolysis industry.

  6. Low axial drift stage and temperature controlled liquid cell for z-scan fluorescence correlation spectroscopy in an inverted confocal geometry

    Energy Technology Data Exchange (ETDEWEB)

    Allgeyer, Edward S. [Department of Physics and Astronomy, University of Maine, Orono, Maine 04469 (United States); Sterling, Sarah M. [Graduate School of Biomedical Sciences, University of Maine, Orono, Maine 04469 (United States); Department of Chemical and Biological Engineering, University of Maine, Orono, Maine 04469 (United States); Neivandt, David J. [Graduate School of Biomedical Sciences, University of Maine, Orono, Maine 04469 (United States); Department of Chemical and Biological Engineering, University of Maine, Orono, Maine 04469 (United States); Institute for Molecular Biophysics, Orono, Maine 04469 (United States); Mason, Michael D. [Department of Chemical and Biological Engineering, University of Maine, Orono, Maine 04469 (United States); Institute for Molecular Biophysics, Orono, Maine 04469 (United States)

    2011-05-15

    A recent iteration of fluorescence correlation spectroscopy (FCS), z-scan FCS, has drawn attention for its elegant solution to the problem of quantitative sample positioning when investigating two-dimensional systems while simultaneously providing an excellent method for extracting calibration-free diffusion coefficients. Unfortunately, the measurement of planar systems using (FCS and) z-scan FCS still requires extremely mechanically stable sample positioning, relative to a microscope objective. As axial sample position serves as the inherent length calibration, instabilities in sample position will affect measured diffusion coefficients. Here, we detail the design and function of a highly stable and mechanically simple inverted microscope stage that includes a temperature controlled liquid cell. The stage and sample cell are ideally suited to planar membrane investigations, but generally amenable to any quantitative microscopy that requires low drift and excellent axial and lateral stability. In the present work we evaluate the performance of our custom stage system and compare it with the stock microscope stage and typical sample sealing and holding methods.

  7. Squamous cell carcinoma of pancreas: an unusual site of relapse from early-stage lung cancer: 12-month postsurgery

    Science.gov (United States)

    Sharma, Anand; Alfa-Wali, Maryam; Rodriguez-Justo, Manuel; Polychronis, Andreas

    2013-01-01

    A 57-year-old man presented with abdominal pain and backache, weight loss of 10 kg and irregular bowel movements. He was previously diagnosed with Stage IB squamous cell carcinoma of lung and had undergone lobectomy 12 months previously. Investigations including imaging revealed a cystic mass in the body and tail of the pancreas which was biopsied and it was confirmed to be a recurrence of the squamous lung cancer involving the pancreas. He was treated with systemic chemotherapy and has shown a partial response on repeat imaging. This case illustrates a rare and unusual site of relapse in lung cancer after adjuvant therapy and a key message for follow-up surveillance for these patients. PMID:23608858

  8. An Integrated, Multi-Stage, Multi-Scale Framework for Achieving Sustainable Process Synthesis-Intensification-Control

    DEFF Research Database (Denmark)

    Babi, Deenesh Kavi; Kumar Tula, Anjan; Mansouri, Seyed Soheil

    The chemical and biochemical industry needs major reductions in energy consumption, waste generation, etc., in order to remain competitive through the design and operation of more sustainable chemical and biochemical processes. These required reductions can be addressed through process synthesis-intensification-control......, that is, the efficient use of raw materials (feedstock), the use of sustainable technologies and the design (and control) of processes that directly impact and improves sustainability/LCA factors. The unit operations concept, which has been sufficient until now, is one of the most used for performing...... been developed in order to perform process synthesis-intensification-control. The framework operates at different scales, the unit operations scale, task scale and phenomena scale. In stage 1, process synthesis is performed (at the unit operations scale) using computer-aided flowsheet design (CAFD...

  9. An experimental comparison of proportional-integral, sliding mode, and robust adaptive control for piezo-actuated nanopositioning stages.

    Science.gov (United States)

    Gu, Guo-Ying; Zhu, Li-Min

    2014-05-01

    This paper presents a comparative study of the proportional-integral (PI) control, sliding mode control (SMC), and robust adaptive control (RAC) for applications to piezo-actuated nanopositioning stages without the inverse hysteresis construction. For a fair comparison, the control parameters of the SMC and RAC are selected on the basis of the well-tuned parameters of the PI controller under same desired trajectories and sampling frequencies. The comparative results show that the RAC improves the tracking performance by 17 and 37 times than the PI controller in terms of the maximum tracking error e(m) and the root mean tracking error e(rms), respectively, while the RAC improves the tracking performance by 7 and 9 times than the SMC in terms of e(m) and e(rms), respectively.

  10. Implicit stage topics

    Directory of Open Access Journals (Sweden)

    Karen Lahousse

    2008-04-01

    Full Text Available Il a souvent été proposé que les éléments spatio-temporels en position initiale de phrase spécifient le cadre de l’événement dénoté par la proposition et ont une interprétation thématique ou topicale. Alors que les topiques spatio-temporels explicites ont souvent été étudiés, Erteschik-Schir (1997, 1999 propose l’idée que les topiques spatio-temporels, ou topiques scéniques (stage topics peuvent aussi être implicites.Dans cet article, nous offrons des arguments en faveur de la notion de topique scénique implicite. Nous montrons qu’un certain nombre de cas d’inversion nominale en français, une configuration syntaxique qui est favorisée par la présence d’un topique scénique explicite, s’expliquent par la présence d’un topique scénique implicite. Le fait que les topiques scéniques implicites interagissent avec la structure syntaxique de la même façon que les topiques scéniques explicites constitue un argument empirique en faveur de leur existence.It has often been proposed that sentence-initial spatio-temporal elements specify the frame in which the whole proposition takes place and are topical (i.e. thematic. Whereas considerable attention has been paid to explicit spatio-temporal topics, Erteschik-Shir (1997, 1999 argues that spatio-temporal topics, or stage topics, can also be implicit.In this article we provide evidence in favour of the notion of implicit stage topic. We show that a certain number of nominal inversion cases in French, a syntactic configuration which is triggered by the presence of an explicit stage topic, are explained by the presence of an implicit stage topic. The fact that implicit stage topics interact with syntactic structure the same way explicit stage topics do constitutes a strong empirical argument in favour of their existence.

  11. An analysis of thermal stress and gas bending effects on vibrations of compressor rotor stages. [blade torsional rigidity

    Science.gov (United States)

    Chen, L.-T.; Dugundji, J.

    1979-01-01

    A preliminary study conducted by Kerrebrock et al. (1976) has shown that the torsional rigidity of untwisted thin blades of a transonic compressor can be reduced significantly by transient thermal stresses. The aerodynamic loads have various effects on blade vibration. One effect is that gas bending loads may result in a bending-torsion coupling which may change the characteristics of the torsion and bending vibration of the blade. For a general study of transient-temperature distribution within a rotor stage, a finite-element heat-conduction analysis was developed. The blade and shroud are divided into annular elements. With a temperature distribution obtained from the heat-conduction analysis and a prescribed gas bending load distribution along the blade span, the static deformation and moment distributions of the blade can be solved iteratively using the finite-element method. The reduction of the torsional rigidity of pretwisted blades caused by the thermal stress effect is then computed. The dynamic behavior of the blade is studied by a modified Galerkin's method.

  12. Multi-Stage Silicification of Pliocene Wood: Re-Examination of an 1895 Discovery from Idaho, USA

    Directory of Open Access Journals (Sweden)

    Mike Viney

    2016-04-01

    Full Text Available The 1895 discovery of a petrified tree near Clover Creek in south-central Idaho, USA, attracted worldwide attention and resulted in the naming of a new species of ancient oak, Quercinium pliocaenicum Schuster. For more than a century, the discovery has largely been forgotten, even though specimens reside in reputable museums. Reinvestigation of the locality in 2014/2015 resulted in newly-collected specimens and a wealth of new data. Optical microscopy confirms the cellular anatomy used for the original taxonomic study. X-ray diffraction, scanning electron microscopy, energy-dispersive electron spectroscopy, Raman spectroscopy and cathodoluminescence microscopy reveal details of the mineralization, showing the presence of opal-CT as the primary component, with chalcedony as a lesser constituent. This mineralogy suggests petrifaction occurred in at least two stages, beginning with opalization of cellular tissue, leaving open vessels that became filled with chalcedony during a later mineralization episode. Clover Creek oak represents relict flora growing in a wetter climate before the uplift of the Cascade Range created a rain shadow that caused profound desertification of the inland Pacific Northwest.

  13. Magnetostratigraphic dating of an intensification of glacial activity in the southern Italian Alps during Marine Isotope Stage 22

    Science.gov (United States)

    Muttoni, Giovanni; Ravazzi, Cesare; Breda, Marzia; Pini, Roberta; Laj, Carlo; Kissel, Catherine; Mazaud, Alain; Garzanti, Eduardo

    2007-01-01

    We applied magnetostratigraphy and mammal biostratigraphy to date climate-sensitive pollen cycles and lithostratigraphic units of the Pliocene-Pleistocene Leffe sedimentary succession from the Southern Alps, Italy. The Leffe section was correlated to additional sections (Casnigo, Fornaci di Ranica, and Pianengo) to construct a stratigraphic network along a common fluviatile system (the Serio River) sourced in the Southern Alps and flowing southward into the Po River Basin. We obtained a coherent scenario of climate variability for the last ˜ 2 Myr. At Leffe, lacustrine deposition commenced during the Olduvai Normal Subchron (1.94-1.78 Ma) and lasted up to a chronologic level compatible with Marine Isotope Stage (MIS) 22 (0.87 Ma). Pollen analysis revealed that climate varied cyclically from warm-temperate to cool during this time interval, but never as cold as during glacial intervals. At around MIS 22, climate cooled globally. Gravels, attributed to high-energy braided river systems fed locally by alluvial fans, prograded from the Serio River catchment area over the Leffe Basin and toward the Po Plain in response to a generalized event of vegetation withdrawal and enhanced physical erosion. At this time, Alpine valley glaciers reached their first maximum southward expansion with glacier fronts located at only ˜ 5 km upstream from Leffe.

  14. The effects of an exotic palm on a native palm during the first demographic stages: contributions to ecological management

    Directory of Open Access Journals (Sweden)

    Ana Luisa T. Mengardo

    2014-12-01

    Full Text Available Biological invasions have negative impacts on native biota and consequently on biodiversity. In patches of Atlantic Forest in Brazil, the Australian palm tree Archontophoenix cunninghamiana has become invasive, whereas the endemic palm Euterpe edulis is threatened with extinction. The two species occupy parts of the same functional niche within the forests, which raises a question: Does the invasive species interfere with the recruitment of the native one when the two co-occur? We compared the initial demographic stages of these palms, and assumed that A. cunninghamiana would present better performance (higher rates of germination and seed viability and would feature allelopathic properties that could influence the recruitment of the native species. We investigated indirect and direct allelopathic interference, respectively, by watering E. edulis seeds with aqueous leachate solutions of A. cunninghamiana fruits and leaves and by conducting combined germination experiments. The leachate solutions neither inhibited germination nor affected the size of E. edulis seedlings. In the direct interference experiments, depulped A. cunninghamiana seeds had higher viability and germination rates than did E. edulis seeds. In E. edulis, exposure to A. cunninghamiana seeds did not affect germination nor seedling development but slightly decreased germination speed. In conclusion, A. cunninghamiana presented no significant allelopathic impediment to E. edulis establishment. However, because A. cunninghamiana seeds are usually depulped when dispersed by birds, the potential of the species to establish itself in the community surpasses that of E. edulis. We propose management strategies to enhance E. edulis performance and to restrict the spread of A. cunninghamiana.

  15. An analysis of thermal stress and gas bending effects on vibrations of compressor rotor stages. [blade torsional rigidity

    Science.gov (United States)

    Chen, L.-T.; Dugundji, J.

    1979-01-01

    A preliminary study conducted by Kerrebrock et al. (1976) has shown that the torsional rigidity of untwisted thin blades of a transonic compressor can be reduced significantly by transient thermal stresses. The aerodynamic loads have various effects on blade vibration. One effect is that gas bending loads may result in a bending-torsion coupling which may change the characteristics of the torsion and bending vibration of the blade. For a general study of transient-temperature distribution within a rotor stage, a finite-element heat-conduction analysis was developed. The blade and shroud are divided into annular elements. With a temperature distribution obtained from the heat-conduction analysis and a prescribed gas bending load distribution along the blade span, the static deformation and moment distributions of the blade can be solved iteratively using the finite-element method. The reduction of the torsional rigidity of pretwisted blades caused by the thermal stress effect is then computed. The dynamic behavior of the blade is studied by a modified Galerkin's method.

  16. Amplitude of sensory nerve action potential in early stage diabetic peripheral neuropathy:an analysis of 500 cases

    Institute of Scientific and Technical Information of China (English)

    Yunqian Zhang; Jintao Li; Tingjuan Wang; Jianlin Wang

    2014-01-01

    Early diagnosis of diabetic peripheral neuropathy is important for the successful treatment of diabetes mellitus. In the present study, we recruited 500 diabetic patients from the Fourth Afifl-iated Hospital of Kunming Medical University in China from June 2008 to September 2013: 221 cases showed symptoms of peripheral neuropathy (symptomatic group) and 279 cases had no symptoms of peripheral impairment (asymptomatic group). One hundred healthy control sub-jects were also recruited. Nerve conduction studies revealed that distal motor latency was longer, sensory nerve conduction velocity was slower, and sensory nerve action potential and amplitude of compound muscle action potential were signiifcantly lower in the median, ulnar, posterior tibial and common peroneal nerve in the diabetic groups compared with control subjects. More-over, the alterations were more obvious in patients with symptoms of peripheral neuropathy. Of the 500 diabetic patients, neural conduction abnormalities were detected in 358 cases (71.6%), among which impairment of the common peroneal nerve was most prominent. Sensory nerve abnormality was more obvious than motor nerve abnormality in the diabetic groups. The ampli-tude of sensory nerve action potential was the most sensitive measure of peripheral neuropathy. Our results reveal that varying degrees of nerve conduction changes are present in the early, as-ymptomatic stage of diabetic peripheral neuropathy.

  17. Amplitude of sensory nerve action potential in early stage diabetic peripheral neuropathy: an analysis of 500 cases.

    Science.gov (United States)

    Zhang, Yunqian; Li, Jintao; Wang, Tingjuan; Wang, Jianlin

    2014-07-15

    Early diagnosis of diabetic peripheral neuropathy is important for the successful treatment of diabetes mellitus. In the present study, we recruited 500 diabetic patients from the Fourth Affiliated Hospital of Kunming Medical University in China from June 2008 to September 2013: 221 cases showed symptoms of peripheral neuropathy (symptomatic group) and 279 cases had no symptoms of peripheral impairment (asymptomatic group). One hundred healthy control subjects were also recruited. Nerve conduction studies revealed that distal motor latency was longer, sensory nerve conduction velocity was slower, and sensory nerve action potential and amplitude of compound muscle action potential were significantly lower in the median, ulnar, posterior tibial and common peroneal nerve in the diabetic groups compared with control subjects. Moreover, the alterations were more obvious in patients with symptoms of peripheral neuropathy. Of the 500 diabetic patients, neural conduction abnormalities were detected in 358 cases (71.6%), among which impairment of the common peroneal nerve was most prominent. Sensory nerve abnormality was more obvious than motor nerve abnormality in the diabetic groups. The amplitude of sensory nerve action potential was the most sensitive measure of peripheral neuropathy. Our results reveal that varying degrees of nerve conduction changes are present in the early, asymptomatic stage of diabetic peripheral neuropathy.

  18. Improving performance of long-term care networks at their initial stage: an empirical study of factors affecting results.

    Science.gov (United States)

    Angiola, Nunzio; Bianchi, Piervito

    2016-06-10

    Until now very little research has been carried out on the performance of health and human services networks in evolution. In particular, previous studies mainly referred to "centrally governed services networks" in the US context. According to Provan and Kenis (2008), these networks are "lead organization-governed", and are different from the "participant-governed" model or the "network administrative organization (NAO)" solution. We focused our attention on the Apulia region care services networks (Italy). In the last few years, the governance of these networks has passed from the "participant-governed" model to the NAO approach. We examined how the integration mechanisms work in this type of networks, and if there were challenges to tackle in order to improve their overall performance. These networks were examined at their initial stage, exactly when their governance model moved to a more integrated solution. We collected survey data from 17 health and human services networks out of 45 (38%). The research is carried out by means of statistical methods (OLS). The analysis is cross sectional. The implementation of "rational/technocratic" factors is important but not sufficient to enhance collaboration. The integration at the "professional level" should be kept in mind. In particular, the role of network (case) managers is paramount. Copyright © 2016 John Wiley & Sons, Ltd.

  19. Genome-wide identification and analysis of rice genes preferentially expressed in pollen at an early developmental stage.

    Science.gov (United States)

    Nguyen, Tien Dung; Moon, Sunok; Nguyen, Van Ngoc Tuyet; Gho, Yunsil; Chandran, Anil Kumar Nalini; Soh, Moon-Soo; Song, Jong Tae; An, Gynheung; Oh, Sung Aeong; Park, Soon Ki; Jung, Ki-Hong

    2016-09-01

    Microspore production using endogenous developmental programs has not been well studied. The main limitation is the difficulty in identifying genes preferentially expressed in pollen grains at early stages. To overcome this limitation, we collected transcriptome data from anthers and microspore/pollen and performed meta-expression analysis. Subsequently, we identified 410 genes showing preferential expression patterns in early developing pollen samples of both japonica and indica cultivars. The expression patterns of these genes are distinguishable from genes showing pollen mother cell or tapetum-preferred expression patterns. Gene Ontology enrichment and MapMan analyses indicated that microspores in rice are closely linked with protein degradation, nucleotide metabolism, and DNA biosynthesis and regulation, while the pollen mother cell or tapetum are strongly associated with cell wall metabolism, lipid metabolism, secondary metabolism, and RNA biosynthesis and regulation. We also generated transgenic lines under the control of the promoters of eight microspore-preferred genes and confirmed the preferred expression patterns in plants using the GUS reporting system. Furthermore, cis-regulatory element analysis revealed that pollen specific elements such as POLLEN1LELAT52, and 5659BOXLELAT5659 were commonly identified in the promoter regions of eight rice genes with more frequency than estimation. Our study will provide new sights on early pollen development in rice, a model crop plant.

  20. An analytical method for assessing stage-specific drug activity in Plasmodium vivax malaria: implications for ex vivo drug susceptibility testing.

    Directory of Open Access Journals (Sweden)

    Douglas H Kerlin

    Full Text Available The emergence of highly chloroquine (CQ resistant P. vivax in Southeast Asia has created an urgent need for an improved understanding of the mechanisms of drug resistance in these parasites, the development of robust tools for defining the spread of resistance, and the discovery of new antimalarial agents. The ex vivo Schizont Maturation Test (SMT, originally developed for the study of P. falciparum, has been modified for P. vivax. We retrospectively analysed the results from 760 parasite isolates assessed by the modified SMT to investigate the relationship between parasite growth dynamics and parasite susceptibility to antimalarial drugs. Previous observations of the stage-specific activity of CQ against P. vivax were confirmed, and shown to have profound consequences for interpretation of the assay. Using a nonlinear model we show increased duration of the assay and a higher proportion of ring stages in the initial blood sample were associated with decreased effective concentration (EC(50 values of CQ, and identify a threshold where these associations no longer hold. Thus, starting composition of parasites in the SMT and duration of the assay can have a profound effect on the calculated EC(50 for CQ. Our findings indicate that EC(50 values from assays with a duration less than 34 hours do not truly reflect the sensitivity of the parasite to CQ, nor an assay where the proportion of ring stage parasites at the start of the assay does not exceed 66%. Application of this threshold modelling approach suggests that similar issues may occur for susceptibility testing of amodiaquine and mefloquine. The statistical methodology which has been developed also provides a novel means of detecting stage-specific drug activity for new antimalarials.